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Anxiety Treatments Medication Anxiety can hinder your everyday activities, so it's important to seek help if you have extreme anxiety. Treatment options include lifestyle changes such as reducing stress and getting regular physical activity. Your doctor may recommend psychological therapy. The FDA has approved several medications for anxiety disorders, including SNRIs and SSRIs, which impact serotonin, the neurotransmitter that controls our brains. Anticonvulsants such as pregabalin can help reduce anxiety by affecting GABA receptors. Benzodiazepines Benzodiazepines are drugs that work on the nervous system to create the sensation of calming. They work by enhancing the effects of a neurotransmitter known as gamma-aminobutyric acids (GABA) in the brain. GABA reduces nerve activity in the brain and spine cord, and aids in reducing anxiety. Benzodiazepines can ease anxiety symptoms almost instantly unlike antidepressants that can take weeks to begin working. These are highly-risk medications for abuse and dependence. This is due to the fact that the body adapts to benzodiazepines by regular use and can result in physical dependency. Benzodiazepines can be an effective treatment if other methods do not work or are not available. It is crucial to talk with your doctor before taking benzodiazepines. They can help you identify the root of your anxiety and suggest other options that might be more appropriate. For example, talking therapies such as cognitive behavioural therapy (CBT) and exposure therapy can help address the root cause of your anxiety and help you develop strategies for coping. Benzodiazepines don't typically come first in the treatment of anxiety disorders since they can have harmful effects when used in conjunction with alcohol or other drugs. They can also be addictive and they have a high risk of overdose. The first benzodiazepines, chlordiazepoxide, (Librium, Limbitrol), were introduced in 1950, then followed by diazepam, (Valium) and lorazepam (Ativan). All of these medications come with a black box warning that warns that they could cause serious or life-threatening side effects, such as severe sleepiness, breathing problems as well as coma and death if taken with opioids or illegal drugs. SSRIs SSRIs (selective serotonin reuptake inhibitors) are an antidepressant class, and they're the first choice for many who suffer from anxiety. These meds boost levels of certain chemical messengers within the brain, especially serotonin and norepinephrine. They also regulate other crucial chemicals, such as those that regulate sleep and mood, and reduce stress hormones in the body. The most commonly prescribed SSRI for anxiety is fluoxetine, which is more commonly known under the brand name Prozac. Other SSRIs are Lexapro Zoloft and Paxil. These SNRIs include Effexor XR Cymbalta and Pristiq. Although experts aren't quite sure how SSRIs work to combat anxiety however, they are aware that these drugs enhance the way your brain functions. They improve the function of glial cells (these are the brain cells that nourish, support nourish, insulate, and protect your neurons) and increase BDNF levels (brain-derived neurotrophic factor) and increase levels of serotonin itself. The exact mechanism of action isn't fully understood however it could involve an array of factors. Like stress management of medications, SSRIs can take 1 month to begin working, and they require regular treatment to keep the benefits. They can trigger side effects, such as diarrhea and nausea. Some men might experience a decrease in libido or sodium levels. Your doctor will decide the length of time you must take them based upon your symptoms as well as any other treatments you're taking. They might recommend that you take the medication for six to twelve months or work with your to stop the tapering and stop the medication. They might also suggest alternative treatments like psychotherapy, herbs, and supplements to alleviate anxiety-related symptoms. For instance, Vistaril can be used for itching, and chamomile for sleep. Beta-blockers Beta-blockers (also called beta-adrenergic blocks) prevent adrenaline from binding to your heart's receptors. They relax your heart and lowers your blood pressure. They are usually prescribed to treat anxiety and can be an excellent alternative to conventional psychiatric medications that carry some negative side effects. Although beta-blockers can reduce the physical symptoms of anxiety, they do not tackle the root causes of your stress. They are typically used to manage specific situations that can trigger anxiety, such as public speaking or flying. They may be used in conjunction with therapy to treat the underlying anxiety disorder or used on their own as a long-term daily medication. Beta blockers can cause a range of adverse reactions because of their way of working, such as bradycardia, hypotension, and other conditions. You might also feel shaky or sweaty. Some people with asthma, COPD (chronic obstructive pulmonary disease) or diabetes shouldn't be taking them. Despite their negative effects beta blockers are widely used and studied. They've been on the market for decades and are considered safe for most adults. They are also fairly inexpensive and accessible compared to other medications. For many people who are concerned about the risk of side effects is worth the trade-off for their effectiveness. Beta-blockers as a part of an treatment plan for anxiety is a good idea for those suffering from moderate to mild anxiety. They can be more effective than benzodiazepines, which are more suitable for people who suffer from severe or life-threatening anxiety disorders. But they aren't able to solve your underlying problem and are ideal for anxiety that is short-term, such as prior to a major event such as the speech or flight. They can help you sleep better, and can help regulate your blood sugar. Monoamine oxidase inhibitors Monoamine oxide inhibitors (MAOIs), block the enzyme responsible for breaking down monoamine neurotransmitters. They enhance the availability of serotonin and other neurotransmitters, such as the epinephrine and melatonin to transmit by stopping their breakdown in neurons. They are typically employed as antidepressants, however they also have some efficacy in treating anxiety disorders. They can be taken alone or together. They can also be used to treat Parkinson's disease as well as other conditions. Eugenol, an essential oil, is found in the buds, leaves, and stems of clove (Syzygium Aromaticum) and the cinnamon bark. Eugenol has been shown to inhibit MAOI in a test tube, and could interact with these medications. MAOIs can cause serious side effects, and therefore they are not the primary medicine doctors recommend for treating depression or anxiety. They are typically reserved for those who haven't been able to respond to other medications. They can also be used for various other conditions, such as Parkinson's and fibromyalgia. They can lead to low blood pressure when standing from a sitting or lying position, which is known as orthostatic hypotension. The most common MAOIs are phenelzine isocarboxazid and tranylcypromine. Phenelzine is used to treat the treatment of atypical anxiety and depression. It has small studies on panic disorder. These drugs are not as effective as SSRIs for all patients however, they can be beneficial in treating certain kinds of anxiety and depression. The older MAOIs are not as safe as the modern reversible MAOIs such Moclobemide and Selegiline. They are also more effective than the older MAOIs in boosting the levels of monoamines involved in depressive disorders. They are less likely to trigger a high blood pressure reaction but they are at risk of causing dependence on pharmacological substances. Buspirone Combining psychological therapy with medication is the best method to combat anxiety. Certain medications can ease symptoms however they should be used only under the supervision of a physician. There are a variety of medications that can be used to treat anxiety. They may work differently for each individual. Discuss with your doctor about your anxiety and he or she will prescribe the right medication for you. Buspirone is an FDA-approved anxiety medication that works by modulating the neurotransmitters serotonin and dopamine. This helps reduce anxiety and mood symptoms, but it doesn't cause sedation or hinder cognitive functioning. It's also less likely to become more habit-forming than other sedatives such as benzodiazepines. This makes it an excellent choice for those looking to manage their anxiety, but don't want to use drugs like Xanax. SSRIs and SNRIs are typically the first option for treating generalized anxiety disorder (GAD). They are antidepressants that increase a person's serotonin levels and can help regulate mood. They are typically used in conjunction with anxiety medicines such as benzodiazepines. However, they are usually not prescribed for long periods because they can become addicting and have adverse effects like drowsiness. In addition to medication, psychological treatments for GAD have been proven to be effective in the short term and can improve outcomes over time. These include cognitive behavioural therapy (CBT) as well as exposure therapy, as well as creative or artistic therapies. Psychological therapy can teach people techniques to better control their depression and anxiety, which can help them manage their symptoms and live a fuller life. Additionally that a lot of these treatments are now accessible online and could be covered by insurance. Brightside for instance, is an online therapy program that provides CBT as well as other depression and anxiety treatments.