Treat Anxiety 101: The Ultimate Guide For Beginners > 자유게시판

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Anxiety affects 40 million adults in the United States. A variety of medications are available to treat it.

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 medication is selective serotonin reuptake inhibitors (SSRIs), such as citalopram (Celexa), escitalopram (Lexapro) and fluoxetine (Prozac). These drugs also treat depression and can ease the symptoms of anxiety disorders, like obsessive-compulsive disorder (OCD). It can take up to one month for them to begin working.

They work by increasing the amount of certain chemical messengers within the brain, including serotonin and norepinephrine. They are usually the first option for anxiety treatment uk, though doctors may also prescribe other kinds of antidepressants and benzodiazepines.

Another class of antidepressants known as serotonin and norepinephrine receptor inhibitors (SNRIs) such as duloxetine (Cymbalta) and venlafaxine (Effexor) are used to treat anxiety. They are a bit different from SSRIs because they decrease norepinephrine, however at a lower level than SSRIs. They can take a while to take effects, and they tend to be more expensive than SSRIs.

Tricyclic antidepressants (TCAs) like imipramine (Tofranil), can be effective in treating certain anxiety disorders, including GAD. However, their drowsiness and other adverse reactions are what make them less popular. Another type of antidepressant, monoamine oxide inhibitors (MAOIs) are also able to be used to combat anxiety. However, their restrictions on diet and the high risk of toxicity limit their usage.

Benzodiazepines are often used to treat panic attacks and anxiety in the short term for instance, when waiting for SSRIs or SNRIs to kick in. These medications can trigger dependence tolerance, sedation, and tolerance and withdrawal symptoms such a rebound anxiety, depression, and delirium. Benzodiazepines are typically found in alprazolam as well as clonazepam and lorazepam.

Therapy is an essential component of a treatment plan for anxiety, as it helps you understand your symptoms and the causes. Many people find that therapy and medication both help them cope. In fact, some studies suggest that cognitive behavior therapy is just as effective as medications for anxiety. Talk with your doctor about your options and what might be best treatment for anxiety and depression for you.

Benzodiazepines

Benzodiazepines produce an calming effect, which can reduce anxiety and relax tense muscles. They also ease symptoms of fear-related bodily arousal (like heart rate and trembling) and help promote sleep.

The way they function is through binding to inhibitory neurotransmitters, like gamma-aminobutryic acid, or GABA, at receptors in the central nervous system. They increase the effects of GABA by facilitating the inhibitory effects of GABA on other neurotransmitters, and decreasing the amount of messages sent to the amygdala. It is a part of the brain that is able to detect threats and creates a sense of anxiety.

These medications can be used for short durations of time like when a panic attack occurs or if you are experiencing extreme anxiety. They may relieve symptoms within 30 to 60 minutes. In contrast to SSRIs, benzodiazepines don't remain in the body for very long. They're fast-acting and can be effective within a couple of hours. This makes them perfect for situations when immediate relief is needed (such for instance, during a flight or prior to presenting in public).

Because they can be addictive, people are usually only prescribed them for a period of up pills to treat anxiety four weeks at a time. After that they cease to be effective.

One of the main reasons benzodiazepines are so popular is that they are effective and have few side effects compared to their predecessors such as barbiturates and meprobamate. They are fast in the start of action and are very useful as anxiolytics (anti-anxiety), sedatives and anticonvulsants as well as as muscle relaxants.

Benzos were blamed for negative attitudes towards anxiety that were developed in the 1970s and 1980s, including the minimization of the disorder, as well as the perception that benzodiazepine therapies result in physical dependence. Despite this however, benzodiazepines still play a significant part in the treatment of anxiety disorders, particularly when combined with psychosocial interventions such as cognitive behavioral therapy or interpersonal therapies.

Benzos can interact with other medications and cause unwanted side-effects, such as drowsiness or confusion. It is important to inform your doctor about any prescription, nonprescription or herbal medications that you are currently taking or are planning to take. You can determine which medications are safe to take along with benzodiazepines through the British National Formulary A-Z list of medication interactions.

Antidepressants

Antidepressants are effective in treating anxiety and mental illnesses. 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 to treat other health conditions, including bipolar disorder, eating disorders and certain types of pain.

Most doctors recommend SSRIs as a first-line treatment for anxiety, but these medications might not be suitable for everyone. If these antidepressants aren't working the doctor might suggest an older form of medication known as a tetracyclic or tricyclic antidepressant. They include amitriptyline, nortriptyline and Clomipramine. They're not as popular as the latest antidepressants, but still accessible. You can also ask your doctor to prescribe the sedating antidepressant, trazodone(Desyrel), at lower doses in case you are experiencing anxiety or sleep problems.

Other antidepressants that may aid are Nefazodone (Ferdinand) and duloxetine (Cymbalta). They are also available in generic forms. If they do not work, your doctor might suggest a sedating antidepressant mirtazapine (Remeron) or the antipsychotics quetiapine or olanzapine.

new treatments for anxiety for other anxiety disorders include beta blockers that reduce the heart rate and blood pressure by blocking the actions of adrenaline. These drugs aren't usually used to treat anxiety on their own however they can be beneficial when paired with psychotherapy.

Psychotherapy can assist you to alter negative thoughts and behaviors that contribute towards your anxiety. It can help you control your anxiety and learn coping skills. Based on the severity of your situation, you may undergo exposure or cognitive behavioural therapy. Cognitive behavioural therapy can help you develop the ability to confront negative, fearful thoughts and overcome the fear of situations that cause your anxiety. Exposure therapy involves gradually increasing the level of anxiety-provoking situations until you are able to manage the stressors. This can be done individually or in a small group. In both instances it takes time to demonstrate results. Some people believe that a combination of psychotherapy and medication is the best choice. Some people find that taking medication alone is enough to manage symptoms. It's important to tell your doctor what you're doing to manage your symptoms.

Other Medical Treatments

Although benzodiazepines and antidepressants are the most common medications to treat anxiety, other drugs can ease your symptoms as well. Beta blockers, antihistamines and buspirone are all sometimes prescribed to reduce anxiety.

These drugs can correct an imbalance in your brain's chemical balance and can alleviate your symptoms by reducing or blocking signals that cause you stress and fear. They're not a cure-all. You'll still have to take steps to control anxiety, like exercises, relaxation techniques and psychotherapy.

Your doctor may first prescribe one of the "first first" anxiety medication, which includes SSRIs and SNRIs. According to research, these medications are the most effective in treating anxiety disorders. SSRIs are commonly found in sertraline (Zoloft), Citropram, fluoxetine, and escitalopram. These medications may have mild side effects, such as nausea or insomnia, but they typically subside within 4-8 weeks. They are not addictive, and they don't increase the risk of suicidal thoughts.

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

Antihistamines, such as Vistaril (hydroxyzine) were initially developed to relieve allergies. However, they are also used to reduce anxiety symptoms. Hydroxyzine blocks histamine receptors in the brain and can cause an energizing effect. It's not a controlled substance and therefore doesn't carry the same risks of addiction as benzodiazepines.

Anticonvulsants are another type of medication which can aid in reducing anxiety. They have been proven to reduce anxiety through blocking the production and release of dopamine and sérotonin. These medications are often prescribed as part of a combination therapy or to treat anxiety in the short-term. Your doctor will review your medical history and symptoms to determine if these medicines are appropriate for you. They will discuss the length of time you'll need these medicines and any potential adverse effects that could occur. Anxiety medication is only available with a prescription, so you'll need to visit a psychiatrist before you can get these medications.