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

Medications to Treat Anxiety Therapy is the most effective treatment for anxiety there are times when an infrequent course of medication is required Treatment options for anxiety include antidepressants and tranquilizers SSRI antidepressants such as citalopram Celexa Escitalopram Lexapro and sertraline Zoloft enhance communication between nerve cells within the brain and may reduce anxiety SNRIs that target the chemical serotonin and norepinephrine may also be effective SSRIs SSRIs are the first line of treatment doctors prescribe to treat anxiety disorders They block nerve cell absorption of serotonin into the brain a substance that is important for mood regulation It takes some time for the medication to be effective however people typically begin to feel better after about 4 to 6 weeks SSRIs arent habitforming and will not cause addiction which means they are safe to use for long durations of time Another type of antidepressant SNRIs serotoninnorepinephrine reuptake inhibitors also treats depression and anxiety Examples of SNRIs include citalopram Celexa Escitalopram Lexapro and fluoxetine Prozac paroxetine Paxil and sertraline Zoloft Tricyclic antidepressants like imipramine Tofranil and doxepine Anxiety Disorder Stimulant also treat depression and anxiety Mirtazapine a novel antidepressant is sometimes used to treat anxiety disorders Doctors arent sure how SSRIs or SNRIs function however they do know that they increase the activity of certain chemical messengers referred to as neurotransmitters in the brain They prevent the brain from absorbing these chemicals and permit them to bind to their receptors SSRIs are used to treat generalized anxiety disorder GAD obsessivecompulsive disorder OCD panic disorderagoraphobia and posttraumatic stress disorder PTSD They can also be helpful with bulimia but it is less prevalent People with anxiety who are not responding to SSRIs could be prescribed an atypical antipsychotic drug Examples include quetiapine Abilify and aripiprazole Risperdal These medications ease anxiety in those suffering from obsessivecompulsive disorders They are typically prescribed in conjunction with an antidepressant and they are less prone for serious side effects compared to other antipsychotics Betablockers can also be prescribed to treat anxiety and heart conditions Examples include propranolol Inderal and atenolol Tenormin They can reduce the physical symptoms of anxiety especially for those with social anxiety disorder They can also aid in reducing anxiety before or following surgery and also for certain chronic pain issues Benzodiazepines such as lorazepam Ativan can be used to manage symptoms when other medications arent working However benzodiazepines create a habit and can be addictive SNRIs SNRIs are a type of antidepressant medication that is often prescribed to combat anxiety They work similarly to SSRIs however they also boost the quantity of norepinephrine as well as serotonin They are therefore more effective in treating specific anxiety disorders like anxiety and social anxiety disorders panic disorder Similar to other medications they are most effective when they are used in conjunction with therapy for talk and other treatment strategies Contrary to benzodiazepines SNRIs arent a dependence or addiction for most people Some sufferers may experience withdrawal symptoms discontinuing a medication after an extended period of usage Due to this it is essential to speak with your doctor prior to stopping any medication Serotonin and norepinephrine two neurotransmitters are responsible for mood and stress responses They play an important role in the fight or flight response that many sufferers of anxiety feel The SNRIs hinder nerve cells from rapidly soaking up these neurotransmitters by blocking the process of reuptake By doing so they keep these chemicals in the brain for longer and as a result they have the potential to improve mood and reduce feelings of anxiety or even help alleviate symptoms of panic attacks Norepinephrine is also involved in anxiety as it activates the Amygdala This is a deep and primitive part of the brain that is linked to fearful behavior SNRIs reduce the activity in this region of the brain This can boost mood anxiety and even reduce panic attacks These drugs are extremely beneficial however they may increase suicidal behavior in certain people Due to this they are often only prescribed in higher doses for a short time In addition these medications are able to interact with other drugs and other substances You should inform your doctor if are taking any other prescriptions or overthe prescription medicines Also be sure to inform them of any existing conditions like heart issues and bleeding issues Be aware that some patients report adverse reactions to SNRIs such as nausea and a dry mouth Benzodiazepines Benzodiazepines or benzos as theyre often called are medications that act quickly that help reduce anxiety and anxietyrelated symptoms like insomnia and muscle tension They can be beneficial for people with anxiety disorders such as panic disorder and social anxiety particularly when other treatments such as SSRIs or psychotherapy talk therapy dont work They are also a good shortterm solution like while you are waiting for an antidepressant to start working Benzos include diazepam as well as temazepam and flurazepam They usually begin to work within 30 minutes because theyre fastacting These meds dont stay in the body for very long so they must be regularly taken to reap the full benefits Benzos should not be taken for prolonged periods of time as they can trigger physical dependence and addiction Benzos are not recommended for those with anxiety disorders or depression as they can increase the risk of those problems People who use benzos for long periods of period of time usually without medical supervision could develop a condition known as sedativeuse disorders which can include addiction and withdrawal symptoms This problem is rare in those who take benzos on prescription Benzo abuse usually stems from other causes such as alcoholism and depression Tolerence to benzodiazepines could develop when they are taken for a long time As you get used to them it takes more and more of the medication to produce the same effect This could cause respiratory depression or even death Even if youre taking benzodiazepines for a long duration it is crucial to follow the prescription Other Medicines SSRIs and SNRIs are among the first drugs doctors will usually prescribe for anxiety They alter serotonin which is responsible for mood sleep appetite and appetite They can be slow to begin effect ranging from to 12 weeks and can cause some adverse effects such as insomnia or nausea SSRIs are also used to treat mental disorders such as panic disorder depression and obsessive compulsive disorder Contrary to benzodiazepines antidepressants do not cause physical dependence but they may trigger withdrawal symptoms when abruptly cut off The medications in this class are sertraline Zoloft and the fluoxetine Prozac and citalopram Celexa They can be used alone or in combination with therapy Antidepressants are prescribed by psychiatrists psychologists or family doctors with specialized training in medication management Doctors may also prescribe a class of antidepressants referred to as monoamine oxidase inhibitors MAOIs These drugs block the action of enzymes that break chemical down including serotonin dopamine and norepinephrine MAOIs can take three or four weeks to work but theyre not as fastacting as SSRIs Clonidine is a different medication that can be used to control anxiety anxiety depression treatment I Am Psychiatry is typically used to treat anxiety however it can also be used to control blood pressure Its effectiveness is limited due to adverse effects like hypotension and sedation Antihistamines like hydroxyzine may be prescribed by doctors to reduce anxiety and panic attacks They may also decrease the effectiveness of benzodiazepines in some patients Anxiety is typically treated with the combination of psychotherapy exercise and medication A therapist who has a specialization in anxiety disorders is the most effective way to manage anxiety They can help you identify the underlying causes for your anxiety and suggest ways to manage it without medication if necessary Other options for anxiety treatment that do not involve medication include eye movement desensitization mindfulness meditation and yoga that is traumainformed Talk with your therapist about which options are most suitable for you Psychiatrists are trained to evaluate your medical history and symptoms and create a treatment plan that is suited to you When creating the plan they take into consideration your medical diagnosis lifestyle as well as your medical background and personal preferences They can also make adjustments over time