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How To Tell If You're In The Right Position For Treat Anxiety

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Royal_College_of_Psychiatrists_logo.pngAnxiety is one of the most frequent mental health issues that affects 40 million adults in the United States. It is extremely treatable, and there are many types of medications available.

SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors), like Zoloft, Prozac, Lexapro and Effexor, work to alleviate anxiety by raising levels of the chemical serotonin in the brain. Unlike benzodiazepines, they're not addictive.

SSRIs

The most popular anxiety medications are selective serotonin reuptake inhibitors (SSRIs), such as citalopram (Celexa), escitalopram (Lexapro) and fluoxetine (Prozac). These medications can also treat depression, and they can ease the symptoms of other anxiety disorders, including obsessive-compulsive disorder (OCD). They can take up to a month before they begin to work.

These medications are effective by increasing the quantity of certain chemical transmitters within the brain. This includes serotonin and norepinephrine as well as dopamine. These are typically the first choice to treat anxiety, although doctors may also prescribe other types of antidepressants and benzodiazepines.

Antidepressants like duloxetine (Cymbalta) and venlafaxine, (Effexor) are also used to treat anxiety. They are a bit different from SSRIs since they reduce norepinephrine, but at a lower level than SSRIs. These medications take a lengthy time to work and are more expensive than SSRIs.

Tricyclic antidepressants like imipramine Tofranil, can be effective in treating anxiety disorders. However, their drowsiness and other adverse effects make them less well-known. Monoamine oxide inhibitors (MAOIs) are another type of antidepressant that can be used to treat anxiety. However, their strict dietary restrictions and the high risk of toxicity limit their use.

Benzodiazepines are commonly used ways to treat anxiety without medication combat anxiety and panic attacks in the short-term for instance, when waiting for SSRIs or SNRIs to kick in. These medications can cause tolerance, sedation and addiction, and withdrawal reactions that may cause anxiety, depression and even delirium. The most common benzodiazepines are alprazolam (Xanax) as well as clonazepam (Klonopin) and lorazepam (Ativan).

Therapy is an essential part of any anxiety treatment plan. It aids you in better be aware of your symptoms and root causes. Many people discover that medication and therapy help them to cope. In fact, some studies suggest that cognitive behavioral therapy works just as well as medications for anxiety. Speak to your doctor to determine what is the best medication to treat anxiety and depression option for you.

Benzodiazepines

Benzodiazepines have an calming effect, which can reduce anxiety and relax tense muscles. They also ease symptoms of bodily stress related to fear (like heart rate or shaking) and encourage sleep.

They work by binding to inhibitory neurons, such as GABA or gamma aminobutryic acid, at receptors within the central nervous system. They increase the effects of GABA by facilitating the inhibitory effects of GABA on other neurotransmitters, and by reducing the volume of messages sent to amygdala. It is a part of the brain that evaluates the threat and triggers a feeling of fear.

These medicines are often used for short periods like an attack of panic or a severe anxiety attack. They can help ease the symptoms within 30 to 90 minutes of taking them. In contrast to SSRIs which are a long-lasting medication, benzodiazepines do not stay in the body for a long time. They're quick-acting and typically work in a matter of hours, making them ideal for situations where quick relief is needed (like on a plane flight or before giving an address in public).

As they are addictive, patients are usually prescribed for up to four weeks at a time. After that period they also cease to be effective.

One of the main reasons the benzodiazepines became so well-known is that they worked and had a few adverse effects when compared to their predecessors, such as barbiturates or meprobamate. They are safe and have a rapid onset, and can be used as anxiolytics to reduce anxiety. They can also be used as sedatives, anticonvulsants and muscle relaxants.

Benzos were blamed for the negative attitudes towards anxiety that developed in the 1970s and 80s and included the denial of the disorder and the perception that benzodiazepine treatments lead to physical dependence. However they play a crucial role in the treatment of anxiety disorders, specifically in conjunction with psychosocial interventions such as cognitive behavioral therapy and interpersonal therapy.

Benzos may interact with other medications and trigger unwanted side effects, such as drowsiness and disorientation. You should tell your doctor about any prescription, nonprescription, or herbal treatment for anxiety medicines you currently take or plan to take. You can find out which medications are safe to take with benzodiazepines through the British National Formulary A-Z list of medication interactions.

Antidepressants

Antidepressants are effective in treating anxiety and other mental disorders. According to the Anxiety and Depression Association of America, antidepressants -- like SSRIs and serotonin-norepinephrine reuptake inhibitors (SNRIs) -- can help reduce chronic anxiety disorder, obsessive-compulsive disorder (OCD), panic disorders and generalized anxiety disorder (GAD). The FDA has approved antidepressants for other health conditions, including eating disorders, bipolar disorder and certain types of pain.

Most doctors recommend SSRIs as the first line homeopathic treatment for anxiety for anxiety, but these medications might not be effective for everyone. If these antidepressants aren't working the doctor might suggest an older form of medication known as a tetracyclic, or tricyclic antidepressant. This includes amitriptyline, nortriptyline, clomipramine, dothiepin, doxepin, trimipramine or imipramine. These antidepressants aren't as common but still readily available. You may also ask your doctor to prescribe the sedating antidepressant, trazodone(Desyrel), at lower doses if you are experiencing anxiety or sleep problems.

Other antidepressants that may aid are Nefazodone (Ferdinand) and duloxetine (Cymbalta). They're also available in generic form. If they aren't helping your doctor, you can try the antipsychotics quetiapine and olanzapine or the sedating antidepressant Mirtazapine.

Beta blockers are used to treat anxiety disorders. They lower blood pressure and heart rate by blocking adrenaline. These drugs aren't commonly used to treat anxiety on their own however they can be helpful when combined with psychotherapy.

Psychological therapy can help you overcome negative thoughts and behaviours that can cause anxiety. It can teach you to control your anxiety and learn strategies for coping. Based on the severity of your problem exposure therapy or cognitive behavior therapy may be recommended. Cognitive behavioral therapy helps you to challenge fears and thoughts that are harmful, and to overcome your aversion to situations which trigger anxiety. Exposure therapy involves gradually increasing the intensity of anxiety-inducing situations until you are able to manage them. This can be done in a single session or in smaller groups. In both instances, the results take time to appear. Some people find that a combination of medication and psychotherapy is the best choice. Some people find that medication alone is sufficient to treat symptoms. It's important to tell your doctor what you're doing to control your symptoms.

Other Medical Treatments

Other medications can also help relieve your symptoms. Beta blockers, antihistamines, and buspirone are all sometimes prescribed to alleviate anxiety.

These medications correct an imbalance in your brain's chemical balance and can ease your symptoms by lowering or blocking the signals that trigger anxiety and stress. They're not a cure-all. You'll still have to do other things to reduce anxiety, such as physical exercise, relaxation techniques, and psychotherapy.

SSRIs or SNRIs are the most commonly prescribed anxiety medications that your doctor might prescribe. According to research, these drugs are the most effective for treating anxiety disorders. The most commonly used SSRIs include sertraline (Zoloft) as well as the fluoxetine (Prozac) and citalopram (Celexa), and escitalopram (Lexapro). These drugs may cause mild side effects, like insomnia or nausea, however they usually subside within 4-8 weeks. Unlike the benzodiazepines, they're not addictive and do not increase your risk of having suicidal ideas.

The benzodiazepines such as alprazolam clonazepam, and diazepoxide, (Valium) offer immediate relief from anxiety and panic attacks. However, they could cause side effects, such as drowsiness and dizziness. They can also trigger memory and coordination issues, and even dependence. These drugs are less popular than older barbiturates but are equally effective.

Antihistamines, like Vistaril (hydroxyzine) are created to treat allergies however, they're also employed to alleviate anxiety symptoms. Hydroxyzine block histamine receptors within the brain and can cause a calming effect. It is not a controlled drug, so it does not have the same addiction risks as benzodiazepines.

Another kind of medication that may help with anxiety is a class of medications known as anticonvulsants. They've been proven to reduce anxiety by interfering with the release and production of serotonin and dopamine. They can be prescribed in combination with other medicines or as a short-term treatment for anxiety. Your doctor will review your medical history and symptoms to determine if these drugs are suitable for you. They'll also talk about how long you should be taking them and any potential negative side effects. Anxiety medication is only available with a prescription, so you'll have to see a psychiatrist before you can get them.

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