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Medications For Anxiety Disorders There are several medicines that can be used to manage anxiety disorders. Some examples are benzodiazepines, beta blockers, and antidepressants. Talk with your doctor about benefits and risks of different medicines for you. SSRIs and SNRIs increase the levels of serotonin within the brain and block its reuptake (a hormone or neurotransmitter). This can reduce anxiety. Antidepressants If your anxiety is causing serious problems in your daily life, a medical doctor who specializes in mental health (psychiatrist) may recommend medication. There are several different types of antidepressants that are used to treat anxiety disorders. Talk to your doctor about the advantages as well as the potential risks and side effects of each type of drug. The first choice of medication for anxiety is selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac), paroxetine (Paxil) as well as citalopram (Celexa), Escitalopram (Lexapro) and sertraline (Zoloft). They have a positive benefit/risk ratio with few negative side effects. Buspirone is also an effective antidepressant. SSRIs take between two and four weeks for the anxiolytic effect to start however, the start of side effects during this period is usually not as severe as with other antidepressants. Tricyclic antidepressants have more dangerous adverse effects, and are less commonly prescribed. However, certain drugs within this class, including amitriptyline (Elavil) nortriptyline (Pamelor) and clomipramine (Cadorax) are effective in treating anxiety. MAOIs (reversible inhibitors of monoamine oxidese A) are not commonly prescribed due to their high negative side effects. However, they may help with certain types of anxiety. Examples include phenelzine (Nardil) and tranylcypromine (Anxivan). Antidepressants aren't the only medication to treat anxiety. Beta-blockers and other medications are also available to treat anxiety. Benzodiazepines work quickly and provide immediate relief, however they pose significant risks and should only be used for brief periods of time. Psychotherapy is more effective in treating anxiety disorders than medications. Your psychiatrist or psychologist can teach you skills that will reduce your symptoms and help you discover ways to deal with these issues. Some strategies to manage your anxiety include keeping a journal and learning relaxation techniques, doing breathing exercises, making dietary adjustments as well as joining an anxiety support group. You can improve your condition by following the treatment plan and regularly attending sessions of therapy. Even if you are having a bad day, try not to give up. Keep your regular doctor's appointments and keep taking your medication if taking medication. Beta-blockers Beta blockers can be a solution for those who experience physical symptoms of anxiety, such as a pounding chest, sweaty hands or tightness in the chest. These drugs are typically prescribed for heart ailments, however they have been proven to reduce anxiety-related symptoms. They are effective by blocking the receptors in the body that adrenaline (the hormone that causes stress) binds to, hindering it from increasing blood pressure and heart rate. Contrary to antidepressants, beta blockers do not alter serotonin levels, but instead slow the heart rate, which can reduce physical symptoms of anxiety. Examples include propranolol (Inderal) and atenolol (Tenol). Hydroxyzine (Atarax and Vistaril) is a different option for treating phobias and generalized anxiety disorder. These medications are prescribed only as needed and are not meant to be used long-term. If you're prescribed these medications, it's important to discuss any adverse effects that might be experienced with your physician. If disorders anxiety are nursing or pregnant, it is important to consult your doctor before taking these medications. Certain beta-blockers can lower blood pressure to dangerously low levels, and some may worsen the symptoms of Raynaud's syndrome in those with that condition. A psychiatrist, medical doctor who is specialized in mental health is trained to diagnose and treat anxiety. They can diagnose anxiety disorders and prescribe medication along with other treatments. A psychiatrist is especially helpful for people suffering from severe anxiety who cannot manage without medication and feel ashamed of seeking treatment. A psychiatrist will keep track of a patient's medical background and preferences to help them find the right medication for them. They also keep track of the patient's progress and any adverse side effects as time passes. They can alter dosages as needed. They also address any other concerns that a patient may face, such as sexually transmitted diseases or pregnancy. While it is possible to take anxiety medications on by themselves, it is recommended to combine them with psychotherapy or other treatments. Remember that medication only dulls or reduces anxiety, and can make a patient dependent on it. Psychotherapy A variety of psychotherapy techniques are available to treat anxiety disorders. Cognitive behavioral therapy is an important component of any treatment strategy. Other forms of therapy include psychodynamic therapy, interpersonal therapy exposure therapy, and psychotherapy. Each of these approaches has been shown to be effective in helping people learn to manage their anxiety. Psychiatrists, psychologists and other professionals at NYU Langone Psychiatry Associates & Mood Disorders Consultation Service have received special training in treating anxiety disorders. They may suggest a combination of psychotherapy and medication to help you overcome fears. Anxiety can be debilitating, making it difficult to complete daily tasks. It can also trigger physical issues like heart palpitations and stomach upset. It can also make it difficult to concentrate. In addition to treating the symptoms of the anxiety disorder, your therapist can teach you ways to cope with these difficulties so that your daily functioning improves. The first line of medications for anxiety disorders is antidepressants. Medications from the selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibition (SNRI), which have fewer side-effects than older antidepressants such as tricyclics, are typically preferred. These medications require between four and six weeks to become effective. They can also be used to treat depression that is caused by. Other medications that are prescribed for anxiety are the sedatives the lorazepam (Ativan) and diazepam (Valium), which help to relax muscles. Benzodiazepines are used to treat panic attacks as well as other symptoms such as sweating, nausea, trembling and breathing problems. In some instances, doctors may prescribe an antihistamine such as hydroxyzine or Vistaril or Atarax to treat allergies that cause anxiety symptoms. Psychotherapy, which is called talk therapy, is an important element of any treatment plan for anxiety. Your therapist will teach you to identify the negative distortions and irrational thoughts in your anxiety-related thoughts, and replace them with real calm and soothing statements. Your therapist can also teach you to confront the circumstances that trigger anxiety instead of avoiding them, to help you gain confidence in your ability to face these challenges. Other medicines Anxiety is a very common condition which has many options for treatment. Certain people might consider medication an effective option to minimize anxiety symptoms, alongside other therapies and techniques. Some of the medications used to treat anxiety include antidepressants, benzodiazepines, beta blockers, and buspirone. Antidepressants can be prescribed as the first-line treatment for anxiety disorders that are generalized. Treatments in the selective serotonin reuptake inhibitor (SSRI) and serotonin and norepinephrine-reuptake inhibitor (SNRI) classes are typically prescribed, including Zoloft (sertraline), Lexapro (citalopram), Cymbalta (duloxetine) and Effexor XR (venlafaxine). These drugs boost levels of certain chemicals in your brain that can improve mood and ease anxiety. Benzodiazepines such as diazepam can be used to ease severe anxiety or panic attacks. They reduce the person's stress response in just a few minutes by enhancing the relaxing effects of certain chemicals in the brain and nervous system. They can also reduce a rapid heart rate, sweating and shaking. Benzodiazepines can be addictive and shouldn't be used for longer than 4 weeks. Beta blockers, such as propranolol (Inderal) and atenolol (Tenormin) can be beneficial for those suffering from a anxiety disorder or panic disorder by helping to control their heart rate. They also reduce the effects of norepinephrine, a hormone that is involved in the fight-or-flight reaction. These medicines can be taken regularly to manage anxiety. Buspirone is naturally occurring substance that is closely related to GABA. It soothes the nervous system, and is often prescribed for phobias, or a sensitivity towards light and noise. It is often used to treat sleep issues. Psychotherapy, also known as talk therapy is a different effective treatment for anxiety disorders. Cognitive behavioral therapy, or CBT, is thought to be the most effective therapy for anxiety disorders. This type of therapy helps you to alter your thinking patterns and develop new strategies to manage anxiety. It also includes exposure therapy, in which you are gradually exposed to objects or situations that cause anxiety, and you increase confidence in your abilities to overcome these fears.