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Medications For Anxiety Disorders There are a variety of medicines that can be used to treat anxiety disorder s. Examples include benzodiazepines beta blockers and antidepressants. Speak to your doctor about which medications are best for you. SSRIs and SNRIs hinder serotonin's reuptake (a neurotransmitter and hormone) and boost levels of it in the brain, which helps reduce anxiety. Antidepressants If your anxiety causes serious problems in your daily life, a doctor who is specialized in mental health (psychiatrist) may recommend medication. Antidepressants are prescribed to treat anxiety disorders. Speak to your psychiatrist about possible adverse effects, risks, and the benefits of each. The most popular choice of medication for anxiety is selective serotonin-reuptake inhibitors (SSRIs) such as fluoxetine (Prozac) and paroxetine (Paxil) as well as citlopram (Celexa) as well as the escitalopram (Lexapro) and sertraline (Zoloft). They have a good benefit-risk ratio and few side effects. Buspirone can also be an effective antidepressant. SSRIs can have anxiolytic effects within two to four weeks, however the side effects are typically less than with other antidepressants. Tricyclic antidepressants are not as frequently prescribed today, as they are more prone to dangerous adverse effects. Certain medications from this class, such as nortriptyline, amitriptyline, and clomipramine, are effective at treating anxiety. MAOIs (reversible inhibitors monoamine oxidase A) are rarely prescribed due to their severe negative side effects. However, they may help with some forms of anxiety. Examples include phenelzine, (Nardil) and tranylcypromine, (Anxivan). Antidepressants aren't the only medication to treat anxiety. Other treatments that can be used to combat anxiety include beta-blockers and benzodiazepines. Benzodiazepines work quickly and provide immediate relief, but they come with serious risks and should only be used for short durations of time. Psychotherapy is more effective than medications in treating anxiety disorders. Your psychiatrist or psychologist will help you develop skills to ease your symptoms and find ways to manage your anxiety. You can control your anxiety by keeping a log that includes relaxation techniques, breathing exercises, making diet changes as well as exercising more often and joining a support group for anxiety, and adopting other strategies. You can improve your health by adhering to the treatment program and attending regular sessions of therapy. Don't give up even if you've had bad days. Make sure you keep your appointments with your doctor and keep taking your medication if taking medication. Beta-blockers For those with physical symptoms of anxiety such as a heart beating sweaty palms, sweaty palms, or tight chests, beta blockers may be an option. These drugs are typically prescribed for heart conditions but have been shown to reduce anxiety-related symptoms. They work by blocking the receptors that adrenaline (the stress hormone) is able to bind to in the body, which prevents it from performing its function of increasing blood pressure and heart rate. Beta blockers, unlike antidepressants do not alter serotonin levels, but instead slow the heart rate. This may help to alleviate physical symptoms of anxiety. Some common examples include propranolol (Inderal) and atenolol (Tenol). Hydroxyzine (Atarax and Vistaril) is a different alternative for treating phobias as well as generalized anxiety disorder. These medications are typically taken on a need-to-know basis and are not prescribed for long-term use. People who are prescribed these medications should discuss any side effects with their physician. If you are pregnant or nursing it is crucial to consult your doctor before taking these medications. Some beta-blockers may cause dangerously low blood pressure levels and can cause an increase in Raynaud syndrome symptoms for those who have it. A psychiatrist, a medical doctor who is specialized in mental health, is skilled in assessing and treating anxiety. They can diagnose anxiety disorders, and prescribe medication along with other treatments. A psychiatrist can be particularly helpful for those with extreme anxiety, who are unable to cope with medication and are ashamed of seeking treatment. A psychiatrist will keep track of a person's medical background and preferences to help them find the appropriate medication for them. They will also monitor the patient's progress as well as any adverse effects that may occur as time passes. They can adjust dosages accordingly. They will also discuss any other issues a person might have like pregnancy or sexually transmitted diseases. While a person can take anxiety medications on their own, it's best to combine them with psychotherapy or other treatments. It is crucial to remember that medication only dulls or eases anxiety, and can make someone dependent on the medication. Psychotherapy A variety of psychotherapy techniques can be used to treat anxiety disorders. Cognitive behavioral therapy is a key component of any treatment plan for anxiety disorders. Other types of therapy are psychodynamic therapy, interpersonal therapy and exposure therapy. All of these techniques have been shown to be effective in helping people to learn to manage their anxiety. Psychiatrists, psychologists and other specialists at NYU Langone Psychiatry Associates & Mood Disorders Consultation Service have received specialized training in treating anxiety disorders. They may recommend a combination therapy and medication to help you overcome fears. Anxiety can be debilitating, making it difficult to carry out daily tasks. It can also cause physical issues, such as stomach upset and heart palpitations. It can also make it difficult to concentrate. Your therapist will not only treat the symptoms, but also teach you how to cope with the challenges. The first class of medications for anxiety disorders are antidepressants. These are medications that fall into the selective serotonin reuptake inhibitor (SSRI) and the serotonin and norepinephrine reuptake inhibitor (SNRI) classes are typically preferred because they have fewer negative side effects than the older antidepressants, such as tricyclic antidepressants. These medications, which can take four to six weeks to achieve full effectiveness, are often used to treat underlying depression as well. Other medications that are sometimes prescribed to treat anxiety include sedatives like the lorazepam (Ativan) and diazepam (Valium) that help to relax muscles. Benzodiazepines are commonly used to manage anxiety attacks and other symptoms, such as sweating, trembling, nausea and breathing difficulties. In certain instances, doctors may prescribe an antihistamine like hydroxyzine, Vistaril, or Atarax for allergies that trigger anxiety symptoms. Talk therapy, also known as psychotherapy, is an important element of any anxiety-treatment program. Your therapist can help you identify the negative distortions that are in your anxiety and replace them with calm, realistic statements. Your therapist can teach you how to handle the situations which cause anxiety instead of avoiding them and increase your confidence. Other medications Anxiety is a very common condition that can have many treatments. Certain people might find that medication is an effective option to alleviate anxiety symptoms, along with other therapies and techniques. Antidepressants are among the drugs that can be used to treat anxiety. Antidepressants are frequently used as a first line treatment for anxiety that is generalized disorder. Medications that fall into the selective serotonin reuptake inhibitor (SSRI) and serotonin and norepinephrine reuptake inhibitor (SNRI) classes are usually prescribed, such as Zoloft (sertraline), Lexapro (citalopram), Cymbalta (duloxetine), and Effexor XR (venlafaxine). These medications boost the levels of certain brain chemicals that boost your mood and ease anxiety. Diazepam, a benzodiazepine, can be used to relieve extreme anxiety or panic attacks. They reduce a person's stress response within minutes by increasing the relaxing effects of certain chemicals in the brain and nervous system. They also help to reduce rapid heart rate, sweating, and trembling. Benzodiazepines can be addictive, and should not be used for longer than 4 weeks at the same time. Beta blockers such as propranolol and atenolol are able to help people with anxiety disorders or panic attacks by regulating their heart rate. They also reduce the effects of norepinephrine an hormone that plays a role in the fight or flight response. These medicines can be taken on a regular basis to manage anxiety. Buspirone is a naturally occurring substance in the body that is linked to GABA, helps relax the nervous system. It is often prescribed for phobias or a sensitive to light and noise. It is frequently used to treat sleep issues. Talk therapy, also known as psychotherapy is a different effective treatment for anxiety disorders. Cognitive behavioral therapy is generally considered the most effective form of psychotherapy for anxiety disorders. This kind of therapy helps you alter your habits of thinking to help manage anxiety. It also includes exposure therapy in which you gradually expose yourself to objects or situations that can trigger anxiety to build your confidence.