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https://www.iampsychiatry.com/anxiety-treatment

Drugs to Treat Anxiety Disorders Psychologists treat anxiety disorders using a variety of tools Drugs are sometimes part of a threepronged treatment that includes physical and psychotherapy SSRIs selective serotonin reuptake inhibitors are often prescribed for anxiety disorders as the firstline antidepressant They decrease anxiety by an axon that regulates mood Tricyclic antidepressants propranolol and atenolol are also available They can increase blood pressure so you may require your blood pressure monitored when taking these medications Benzodiazepines Benzodiazepines are a proven treatment for anxiety bringing immediate relief and assisting to feel more peaceful and relaxed They work by enhancing the activity of GABA neurotransmitter that is found in the brain This can help reduce tension and nervousness Benzodiazepines also work as a sedative to help you to get a good nights rest GPs are able to prescribe a variety of benzodiazepines such as alprazolam diazepoxide clonazepam and lorazep and flurazepoxide While benzodiazepines can be a powerful medication to treat anxiety symptoms but they should be taken with caution When used for long periods of time could cause dependence which is the reason they are typically prescribed for shortterm usage GPs need to be aware of this when prescribing benzodiazepines and should discuss the risks with their patients Some people abuse benzodiazepines by taking them more often or for longer than prescribed or by mixing them with alcohol or other drugs This can be dangerous and increase the risk of adverse effects Keep all your medications including benzodiazepines in a secure place Only you or those authorized by you have access to the medications If anxiety disorder treatments at home have an history of drug or alcohol abuse you could be more at risk of developing addiction to benzodiazepines It is important to inform your GP whether youve had any previous problems with substance abuse to help them assess your risk better and be more vigilant about your treatment GPs should always consider alternative methods to treat anxiety prior to prescribing benzodiazepines They may include relaxation techniques like yoga taichi taichi meditation and other exercises They may recommend talking therapies such as cognitive behavioural therapy CBT and exposure therapy which can be useful for many people helping them to identify the causes of their anxiety develop coping strategies and improve emotional wellbeing Antidepressants such as selective norepinephrine receptor inhibitors SNRIs and serotonin reuptake inhibition inhibitors SSRIs are also effective in treating anxiety These medications can be used as part of a wider treatment for anxiety which includes the use of benzodiazepines to provide shortterm relief from anxiety while waiting for the longlasting effects of the antidepressants start to show Antidepressants There are many medicines that can be used to treat anxiety These medications perform differently however they all increase the quantity of certain chemicals in your brain that affect mood Your doctor will decide which medication is best for you based on your symptoms and medical history Antidepressants like selective serotonin reuptake inhibitors SSRIs and serotoninnorepinephrine reuptake inhibitors SNRIs are some of the most common medications used to treat anxiety disorders They are usually taken every day and are available at all pharmacies Youll need to have prescriptions but generic versions are generally cheaper than the brand name versions SSRIs are generally considered the firstchoice pharmaceutical treatment for most anxiety disorders including generalized anxiety disorder GAD obsessivecompulsive disorder OCD panic disorderagoraphobia and posttraumatic stress disorder PTSD They block the reabsorption of the nerve cells that produce or release serotonin Additionally they reduce the amount of norepinephrine that is released in response to stressful events and enhance sleep Another type of antidepressant can be described as tricyclic antidepressant It can be effective for certain people but its negative effects and drowsiness restrict its use Monoamine oxide inhibitors are effective in treating anxiety However their negative effects such as erectile problems and weight gain make them less popular Sometimes the combination of therapy and medication is the best approach to managing anxiety Psychotherapy is more costeffective and efficient than drugs alone for most sufferers of anxiety Cognitive behavioral therapy CBT can assist you in identifying the triggers that trigger your anxiety and help you learn to cope CBT can also assist you in learning how to avoid negative ruminations that can trigger anxiety Some people will require medication for anxiety for a prolonged period of time depending on the severity of their symptoms and how well they respond to other treatment options Research is ongoing to understand the reasons behind these medications to increase anxiety and the ideal duration of treatment is Certain people who suffer from severe anxiety might benefit from more recent antidepressants such as esketamine or Spravato Sedatives Sedatives are medicines that relax the central nervous system and promote sleep Doctors prescribe them to treat anxiety and sleep disorders They increase the activity of a neurotransmitter called gammaaminobutyric acid or GABA in the brain It slows down the activity of neurons and reduce the intensity of excitability which can lead to feelings of calm and relaxation Sedatives can also induce relaxation and decrease muscle spasms They can also be used to induce anesthesia The most commonly prescribed sedatives are benzodiazepines as well as Zdrugs Benzodiazepines are often prescribed They include Xanax and Librium Valium chlordiazepoxide or diazepoxide Ativan and Lorazepam Zdrugs a kind of hypnotic medication that induces sleepiness by binding to receptors on the spinal cord and brain are called Zdrugs They have a calming effect that can last from a few hours up to a whole day When sedatives are combined together with other medications such as alcohol or opiates they may have harmful adverse effects They can cause impaired judgment or drowsiness as well as a loss of coordination They can also lead to depression and confusion Additionally sedatives can become addictive when used over long periods of time and can lead to dependence Dependence is most evident when a person uses high doses of the drug or if they stop using cold for a while without slowly reducing their use Antidepressants as well as sedatives are commonly prescribed to combat anxiety They stop the brains nerve cells from absorbing serotonin a chemical that plays a crucial role in regulating mood Antidepressants are usually prescribed for 612 months and then the dosage is gradually reduced Most people dont develop a tolerance to these medications and they do not suffer withdrawal symptoms or develop dependency when they stop taking the medication Alternative treatments for anxiety include cognitive therapy and EMDR CBT assists people in identifying the triggers for their anxiety and then learn to manage those situations EMDR could be a successful treatment for other ailments and PTSD In this therapy the patient recalls past life events that caused anxiety and then shifts their gaze between the two Psychotherapy Anxiety disorders GAD GAD with comorbid depression panic disorder with agoraphobia and social anxiety disorder affect people of all ages backgrounds and incomes These disorders are among the most common psychiatric disorders that affect adults They are treated by medication or psychotherapy Some medications can help with certain symptoms but others have severe side effects They should only be used as part of a complete treatment plan that includes psychotherapy Treatments for anxiety disorders are usually prescribed to alleviate symptoms such as excessive worry restlessness and trembling They can also aid in the reduction of other symptoms associated with these disorders such as depression or fatigue Antidepressants are also prescribed to treat anxiety and some of them work in those who do not suffer from having a depression disorder The best drugs to treat anxiety are selective serotonin Reuptake Inhibitors SSRIs and serotonin norepinephrine reuptake inhibitors SNRIs These medications can decrease anxiety by increasing levels of serotonin a moodenhancing chemical in the brain These medications may cause nausea vomiting and headaches initially However these side effects typically diminish with time SSRIs and SNRIs arent the only drugs that can be used to treat anxiety These include venlafaxine vortioxetine bupropion XL buspirone doxepine and valproic acids VPA in rare formulations However the majority of these drugs have not been thoroughly examined in headtohead trials and have only limited evidence of their effectiveness against generalized anxiety disorder Benzodiazepines are often utilized as a substitute for SSRIs or SNRIs but they can cause dangerous side effects and can become habitforming They can also interfere with the effectiveness of psychotherapy and many sufferers experience withdrawal symptoms if they stop taking their benzodiazepine too soon Due to these risks benzodiazepines are recommended as a last resort treatment conjunction with other treatments If symptoms become serious or even lifethreatening a physician might recommend taking them