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Anxiety Treatments Medication Anxiety can hinder your daily life, so it's important to seek assistance if you are suffering from severe anxiety. Treatment options include lifestyle changes, such as reducing stress and getting regular physical exercise. Your doctor may suggest psychotherapy. The FDA has approved several medications for anxiety disorders, such as SNRIs and SSRIs, which impact the neurotransmitter serotonin. Anticonvulsants such as pregabalin can help reduce anxiety by affecting GABA receptors. Benzodiazepines Benzodiazepines are drugs that work on the nervous system to create an calming effect. They work by enhancing the effects of a brain neurotransmitter known as gamma aminobutyric acids (GABA). GABA blocks the function of nerves in the brain and spinal cord and, consequently, helps reduce anxiety. Unlike antidepressants, which can take a long time to begin working, benzodiazepines have the ability to alleviate anxiety symptoms almost immediately. However, benzodiazepines have a high risk of dependency and abuse. This is because the body adjusts to benzodiazepines through regular use which can lead to physical dependence. Despite the dangers, benzodiazepines can be a successful treatment for anxiety when other methods are not available or do not provide relief. Although benzodiazepines are an effective treatment for anxiety, it is important to speak with your doctor prior to using them. They can help you identify the root of your anxiety and suggest alternative treatments that might be more suitable. For instance therapy that involves talking, such as cognitive behavioural therapy (CBT) and exposure therapy can help to address the root of your anxiety and teach you strategies for coping. Benzodiazepines aren't typically used as first-choice medications for anxiety disorders because they can have dangerous negative effects when they are combined with alcohol or other narcotics. They are also addictive and have a high overdose risk. The first benzodiazepines were released in the 1950s, with chlordiazepoxide (Librium, Limbitrol) followed by diazepam (Valium) and lorazepam (Ativan). All of these drugs have a black box warning that states that they could cause serious or life-threatening side effects including breathing problems, severe sleepiness or coma and even death when combined in combination with opioids or illegal substances. SSRIs SSRIs (selective serotonin reuptake inhibitors) are an antidepressant class, and they're the first choice for a lot of people who suffer from anxiety. These medications increase levels of certain chemical messengers in the brain, particularly serotonin and norepinephrine. They also help regulate other crucial chemicals, including the ones that control mood and sleep and lower the levels of stress hormones in your body. Prozac is the most commonly prescribed SSRI. Other SSRIs include Lexapro, Zoloft, and Paxil, while SNRIs include Effexor XR, Cymbalta, and Pristiq. Although experts aren't certain how SSRIs can help combat anxiety however, they are aware that these meds improve the way your brain works. They improve the function of glial cells (these are the brain cells that support, nourish, insulate and protect your neurons) they also increase BDNF levels (brain-derived neurotrophic factor) and boost levels of serotonin itself. It's unclear what is the exact mechanism of action of these supplements is, but it could be a combination of factors. SSRIs like other types of medication, can take up to a month before they begin working. They require regular treatments to maintain their effectiveness. They can trigger side effects, such as diarrhea and nausea. Some men may notice a decline in libido or sodium levels. Your provider will decide the length of time you'll need to take them, based on your condition and other treatments you're taking. They might suggest that you take the medication for six to twelve months or work with you to reduce or stop the medication. They may also suggest alternative treatments, including psychotherapy, herbs and supplements that treat anxiety-related symptoms such as Vistaril for itching, or chamomile for sleep. Beta-blockers Beta-blockers, also called beta-adrenergic blocking agents, prevent adrenaline from binding to your heart's receptors. This relaxes your heart and lowers your blood pressure. They are prescribed to treat anxiety and may be an alternative to traditional medications for psychiatric disorders that can cause side effects. Beta-blockers may help reduce physical symptoms of anxiety, but they do not tackle the psychological stress-related causes. They are usually employed to control specific situations that trigger anxiety, like public speaking or flying. They can be used in combination with therapy to treat the root of the anxiety disorder or used on their own as long-term daily medication. Because of the way they work beta blockers can cause a number of side effects, including hypotension and bradycardia. You might also feel shaky or sweaty. Certain people who suffer from COPD (chronic obstruction of the lung) or diabetes should not take them. Despite their side effects Beta blockers are widely used and studied. They have been on the market for years and are considered safe for most adults. Comparatively, they are also fairly affordable and easily accessible. For a lot of people taking them, the risk of adverse effects is a good trade-off to their effectiveness. Beta-blockers are an excellent alternative for people with moderate to mild anxiety. They can be more effective than benzodiazepines which are better for those who suffer from severe or life-threatening anxiety disorders. But they aren't able to solve the root of the problem. They are best for people with short-term anxiety for instance, before a big event like the speech or flight. They can aid in sleeping better, and can help regulate your blood sugar. Monoamine oxidase inhibitors Monoamine Oxase inhibitors (MAOIs), block the enzyme responsible for breaking down monoamine neurotransmitters. They increase the availability of serotonin and other neurotransmitters such as the epinephrine and melatonin to transmit by preventing their breakdown in neurons. They are most commonly employed as antidepressants, however they also have some effectiveness in anxiety disorders. They can be used alone or in combination with other medication. They can also be used to treat Parkinson's and other conditions. Eugenol, an essential oil, is found in the bud leaves, stems, and leaves of clove (Syzygium Aromaticum) and the bark of cinnamon. In a test tube, Eugenol was shown to inhibit MAOI activity and may be negatively interacting with these medications. MAOIs can have serious side effects, so they are not the primary medicine doctors recommend for depression or anxiety. Typically, drugs to treat anxiety are prescribed for those who are unable to respond to other medication. They can also be used to manage a range of other diseases, such as the fibromyalgia and Parkinson's diseases. They can lead to low blood pressure when standing from a lying or sitting in a sitting position, a condition known as orthostatic hypotension. Typical MAOIs include phenelzine, isocarboxazid and tranylcypromine. Phenelzine has been studied in a small way in panic disorder and is the medication that is recommended for patients suffering from atypical depression, while tranylcypromine is been praised for its positive adverse effects. These medications aren't as efficient as SSRIs for all patients, but they can be beneficial in treating certain kinds of depression and anxiety disorders. The more recent reversible MAOIs that are reversible like selegiline and moclobemide, are less harmful than the older irreversible MAOIs. They are more effective at increasing the monoamine levels in depression disorders than the older MAOIs. They are less likely to cause a high blood pressure reaction, but they still are at risk of causing pharmacological dependence. Buspirone For people suffering from anxiety using a combination of medications and psychological therapies is often the best treatment. The use of medications can reduce symptoms but only with the guidance of a physician. There are many different medicines for anxiety, and they perform differently for each individual. Talk to your doctor about the symptoms you are experiencing and he will prescribe the appropriate medication for you. Buspirone is an FDA-approved anxiety drug, works by modulating neurotransmitters serotonin and dopamine. This reduces mood and anxiety symptoms, but it doesn't cause sedation or hinder cognitive functioning. It is less likely to be addictive than other sedatives such as benzodiazepines. This makes it a great option for those who wish to reduce their anxiety but don't want to use drugs such as Xanax. SSRIs and SNRIs are usually the first option for treating generalized anxiety disorder (GAD). These antidepressants can regulate mood and increase serotonin levels. They are typically prescribed in conjunction with anxiety medications like benzodiazepines. They are rarely prescribed for prolonged durations of time due to the fact that they are addictive and can cause side effects such as drowsiness. Psychological treatments for GAD that include medication have proven to be effective in the short-term and may improve the outcome over time. These include cognitive-behavioural therapy (CBT) and art therapy or creative therapy and exposure therapy. Psychological therapy can help people learn strategies to control their depression and anxiety which can help them manage their symptoms and live a fuller life. In addition that many of these treatments are accessible online and could be covered by insurance. For example, Brightside is an online therapy service that provides a range of treatments for depression and anxiety, including CBT.