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

Drugs to Treat Anxiety Disorders Psychiatrists use a number of tools to treat anxiety disorders They often use drugs as part of a threepronged strategy including exercise and psychotherapy SSRIs selective serotonin reuptake inhibitors are often prescribed for anxiety disorders as the firstline antidepressant They reduce anxiety by affecting the neurotransmitter responsible for mood regulation Tricyclic antidepressants propranolol and atenolol are also available They can increase blood pressure and you might need to have your blood pressure monitored during your treatment with these medications Benzodiazepines Benzodiazepines are a potent treatment for anxiety They provide immediate relief and help you feel more calm and relaxed They work by enhancing the activity of GABA neurotransmitter in the brain treatment of anxiety I Am Psychiatry can help reduce anxiety and tension Benzodiazepines also work as a sedative to help you to get a good nights sleep GPs are able to prescribe a variety of benzodiazepines including alprazolam diazepoxide clonazepam and lorazep and flurazepoxide While benzodiazepines can be an effective medication to treat anxiety symptoms care must be taken when using them Utilizing them for prolonged durations of time can cause dependence which is why they are generally prescribed for shortterm use Doctors should take this into account when prescribing benzodiazepines They must discuss the dangers with their patients Some people abuse benzodiazepines or by taking them more often or for longer periods than prescribed or mixing them with alcohol or other substances This can be dangerous and increase the risk of adverse effects Its important to keep all your medications including benzodiazepines stored in a secure place so that they can only be only accessed by you or the people authorized by you You may be at higher chance of developing addiction to benzodiazepines if you have prior history of drug or alcoholic abuse It is essential to inform your GP about any prior issues with substance misuse so they can assess your risk better and examine your treatment more closely Doctors should always think about alternative methods to treat anxiety before prescribing benzodiazepines These include relaxation methods like meditation exercise yoga and tai chi as well as changing some of your daily routines to reduce stress They might recommend talking therapies such as cognitive behavioural therapy CBT and exposure therapy which can be beneficial for many people helping them to identify the causes of their anxiety develop strategies for coping and improve their emotional wellbeing Antidepressants such as selective serotonin reuptake inhibitors SSRIs and selective norepinephrine receptor inhibitors SNRIs can also be effective for treating anxiety These medications can be utilized as part of a wider treatment plan for anxiety including the use of benzodiazepines for shortterm relief from anxiety while awaiting the longerlasting effects of antidepressants to start to show Antidepressants There are many medications that can be utilized to treat anxiety These medications all increase the amount of certain chemicals in your brain that affect your mood Your doctor will determine which medication is best for you depending on your medical condition and 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 The majority of pharmacies offer them They are typically taken every day Youll require prescriptions but generic versions tend to be cheaper than brandname 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 prevent the reabsorption of serotonin a chemical into the nerve cells of the presynaptic that produce and release it They can also reduce the amount norepinephrine that is released in response to stressful situations and improve sleep Another type of antidepressant can be described as tricyclic antidepressant It can be effective for certain people but its negative effects and drowsiness limit its use Monoamine oxide inhibitors are effective in treating anxiety However their side effects like erectile issues and weight gain make them less popular Sometimes combining therapy and medication is the best approach to manage anxiety Psychotherapy can be effective for a majority of people suffering from anxiety and is usually cheaper than taking medications on their own Cognitive behavioral therapy CBT can help you identify the triggers that cause anxiety and teach you how to manage your anxiety CBT can also help you understand how to avoid negative ruminations which can cause anxiety Certain people require medication for anxiety for a long period of time based on the severity of their symptoms and how they react to other treatment options Researchers are trying to figure out how and why these drugs improve anxiety and what is the most effective treatment length Some people with severe anxiety might benefit from the latest antidepressants such as esketamine or Spravato Sedatives Sedatives are drugs that calm the central nervous system and help promote sleep Doctors prescribe them to treat sleep and anxiety disorders They boost the activity in the brain of a neurotransmitter referred to as gamma aminobutyric acid GABA to reduce the neurons activity and reduce excitability This can lead to feelings of calm Sedatives can also induce drowsiness and reduce muscle spasms These medications can also be used to induce general anesthesia Zdrugs and benzodiazepines are among the most frequently prescribed sedatives Common benzodiazepines include Xanax alprazolam and Librium and Valium chlordiazepoxide and diazepoxide respectively Ativan Lorazepam and many others Zdrugs are a type of hypnotic medicine that acts by binding to receptors in the brain and spinal cord to cause somnolence These drugs have a calming effect that can last from a few hours up to a whole day When sedatives are combined alongside other medicines such as alcohol or opiates they may have harmful adverse effects They can cause impaired judgment or drowsiness as well as a loss in coordination They can also cause depression and confusion Additionally sedatives can be addictive if used for a long period of time and can lead to dependence The effects of dependence are evident when a person is using high doses or stops using the drug abruptly Alongside sedatives antidepressants are commonly prescribed for anxiety They stop nerve cells in the brain from absorbing serotonin a chemical which plays a crucial role in mood regulation Antidepressants are usually taken for 612 month and then the dosage is gradually decreased Most people dont develop a tolerance to these drugs and dont feel withdrawal or dependence when they stop taking these medications Alternative therapies for anxiety include cognitive behavioral therapy and EMDR CBT helps people identify the triggers that cause anxiety and then learn to manage the situation EMDR may be an effective treatment for other ailments such as PTSD In this therapy the patient recalls past life events that caused anxiety and moves their gaze back and forth 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 disorders of psychiatry that affect adults and are treated with therapy or medication Certain medications can ease certain symptoms however some have severe adverse effects They should only be used as a part of a complete treatment plan that includes psychotherapy Treatments for anxiety disorders are typically prescribed to treat symptoms like excessive worry restlessness and shaking They also help with other symptoms often associated with anxiety disorders like fatigue or depression Antidepressants are also prescribed to treat anxiety and some of them are effective for those who dont have a depressive disorder The best drugs to treat anxiety are selective serotonin Reuptake Inhibitors SSRIs and serotonin norepinephrine reuptake inhibitors SNRIs These medications boost levels of serotonin the chemical that boosts moods in the brain which can decrease anxiety symptoms These medications may cause nausea vomiting and headaches initially However these side effects generally diminish as time passes SSRIs and SNRIs are not the only drugs that can be used to treat anxiety Venlafaxine Vortioxetine Bupropion XL Doxepine Buspirone and Valproic Acid VPA are some of the medications that have been found to be effective in treating anxiety The majority of these medications however have not been adequately tested in headtohead trials and have only limited evidence to prove their effectiveness for generalized anxiety disorder Benzodiazepines can be used as an alternative to SSRIs or SNRIs however they can cause serious side effects and can become habitforming They also can affect the effectiveness of psychotherapy and a lot of patients experience withdrawal symptoms if they discontinue their benzodiazepine medication too soon Due to these dangers benzodiazepines are recommended as a last resort treatment conjunction with other treatments If symptoms become life threatening a doctor may recommend that you take the medication

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