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Treating Anxiety The treatment of anxiety usually involves psychological counseling, which can include psychotherapy or cognitive behavioral therapy (CBT). CBT helps people discover the negative thoughts patterns that cause anxiety and distressing feelings. The medication can be used to manage anxiety-related physical symptoms, such as a fast heartbeat or shaking. It is crucial to communicate with your health care provider to determine the most effective dosage and medication. Medicines Anxiety is a natural reaction to stress. It can hinder us from sleeping, but there are treatments to help. The use of medication can reduce anxiety symptoms and ease your life while taking care of the root cause. Combining therapy with medication can have a greater impact on your mood and the quality of life. Antidepressants treat anxiety by increasing levels of chemicals that help you calm down in your brain. Selective serotonin reuptake inhibitors (SSRIs) are the most frequently used antidepressants. They prevent nerve cells from absorbing serotonin in the brain and increase its availability. This helps you feel calmer. SSRIs are drugs like Celexa Lexapro Paxil and Zoloft. Other types of antidepressants that may also be used for anxiety include serotonin norepinephrine reuptake inhibitors (SNRIs) and tricyclic antidepressants. Benzodiazepines such as Xanax, Klonopin, and Valium help quickly relieve anxiety symptoms. They accomplish this by acting on brain receptors that cause an energizing effect. They are effective in managing anxiety, but they can become addictive if used for longer than 4 weeks and are not as effective over time, which is why they are generally not prescribed for long-term use. Other antianxiety medications such as buspirone, quetiapine and clonidine lower the level of the stress hormone cortisol within your body by blocking receptors in the brain. The most frequent side effects are drowsiness as well as dry mouth. Antidepressants and SSRIs can cause constipation, diarrhea, nausea and sexual dysfunction in certain individuals. A few other antianxiety medications like phenytoin and melatonin are sedatives that decrease the activity of specific neurons in the brain, which helps reduce anxiety. Antihistamines can also be used to treat anxiety, decreasing the itchiness caused by allergies, and allowing you to feel more relaxed. Other forms of medication that are used to decrease anxiety include monoamine oxide inhibitors, such as moclobemide and tetracycline. These are usually prescribed after other treatments have failed. Some doctors are able to prescribe off-label prescription medications that have shown to reduce anxiety in clinical trials, but they are not licensed. Psychotherapy Anxiety disorders can sometimes be treated with psychotherapy, or talk therapy with a mental health professional. This could be a psychiatrist, psychologist, or a licensed clinical social worker. The therapist may also offer assistance and encouragement in addition to addressing the underlying causes of anxiety. The physical presence of the therapist is also crucial for those suffering from anxiety; it activates the parasympathetic nerve and provides a sense of safety to the patient. Cognitive behavioral therapy is usually the best option for treating anxiety. This approach teaches you specific skills to directly manage your worries and gradually allow you to return to activities that you've avoided because of anxiety. This includes exposure therapy, in which you slowly encounter the object or situation that triggers your anxiety in order to learn to tolerate it and overcome your fears. Psychotherapy gives you a better understanding of why you are so anxious and how your mind can create a false sense of danger that is not actually there. The therapist also educates you about the physiology of the body's natural “flight-or-fight” response and the reasons it is not triggered by things that are typically harmless. The therapy is usually done in a series sessions lasting one hour each. Patients are often given assignments to complete in between sessions. It can take a while to find the ideal therapy for you, and you may need to try several before settling on one you feel comfortable with. Self-help techniques, such as breathing exercises, relaxation, and meditation can be a useful addition to psychotherapy. You can lessen anxiety by getting enough sleep and exercising regularly, as well as avoiding caffeine and nicotine. It is also possible to incorporate more laughter into your routine, as humor is an effective stress reliever. Finally, if you have an acute anxiety episode that is threatening your safety or that of others, seek out your doctor for emergency anxiolytic treatment, usually with a benzodiazepine. This treatment is rarely needed however it can be very effective. The use of medications is not a substitute to psychotherapy, but can be beneficial in certain instances. Lifestyle changes There are many lifestyle modifications that, in addition to psychotherapy and medication, could help people with anxiety disorders. Regular exercise and a healthy diet, avoiding tobacco, alcohol, and caffeine, getting enough sleep, and utilizing relaxation techniques can be beneficial. A regular exercise program is a powerful stress reducer and has been proven to improve mood and self-reported anxiety symptoms. Finding an exercise routine that is safe for each person can be challenging however even small amounts of physical activity can be beneficial. Regular, moderately-graded exercise has also been found to be effective in treating depression. It has also been associated with an increased remission rate of anxiety disorders. While the mechanisms remain unclear, it's believed that exercise alters brain chemistry through altering the neurotransmitters 5-HT in the dorsal Raphe Nucleus, and decreasing levels of cortisol. It has been demonstrated that acupuncture, massage, and other CAM treatments can be effective in treating anxiety disorders. However, evidence is limited and often hindered by poor research methodology. While some studies are promising but the majority of these therapies do not provide the clinical evidence needed for doctors to recommend them. The relationship between food and anxiety is a complex one. In fact, certain foods can actually cause anxiety symptoms. For example, highly palatable and fatty foods can trigger the production of reactive oxygen species in the brain, which can cause or worsen anxiety symptoms. It has been shown that dietary improvement, especially restriction of alcohol and nicotine can help reduce anxiety. However, further research including controlled prospective studies as well as assisted withdrawal programs from substances, is needed. Other dietary supplements like omega-3 fish oil have been found to be useful in helping to reduce anxiety. The reason for this is not clear, but researchers believe that the omega-3 fatty acids can reduce the production of inflammatory cytokines, and increase the effectiveness of antidepressant drugs in reducing anxiety-related symptoms. Other changes in diet that could help with anxiety include increasing the amount of fruits and vegetables, incorporating whole grains and avoiding processed food. Herbal and nutritional supplements Although herbal remedies and dietary supplements have been used for centuries in some parts of the world to alleviate anxiety-related symptoms, the effectiveness and security of these natural products have only recently been tested in rigorous clinical trials. The dietary supplement ashwagandha (Withania somnifera), an herb from the Ayurvedic tradition of Indian medicine has been proven to be particularly effective in managing anxiety and stress. The amino acid precursors l -tryptophan, and l -lysine can also reduce anxiety symptoms through their influence on neurotransmitters that are involved in the stress response. Many people who suffer from anxiety experience a broad spectrum of symptoms. The symptoms could range from a temporary sensation of anxiety or worry before menstrual or surgical procedures or menstrual flow, to more persistent feeling of anxiety and unease which are often associated with more serious anxiety disorders, including generalized anxiety disorder (GAD) and obsessive-compulsive disorder (OCD) as well as panic disorder (panic disorder) and social fears. Symptoms of anxiety can also be debilitating, and may include headaches, trembling, sweating, muscle tightness and difficulties sleeping. Psychotherapy or talk therapy is a proven treatment for anxiety disorders. Cognitive behavioral therapy (CBT) is a form of psychotherapy which teaches patients to identify and respond to the thoughts and behaviors that trigger anxiety in a different manner. When used in conjunction with medications, this approach can reduce anxiety and relieve symptoms like fatigue and depression. Omega-3 fatty acids, which are found in fish such as salmon, mackerel and herring, can also reduce anxiety symptoms. These fatty acids, found in fish like mackerel, salmon, and herring, are renowned for their benefits to heart health, however, they also have the potential to improve brain function. Flaxseeds are also a great source of omega-3 fats. It is crucial to remember that herbal and dietary products are not controlled by the FDA the same way as pharmaceutical drugs. This means that there is a possibility that some products could be contaminated or cause adverse side effects. Consult your doctor if you're contemplating using herbal or dietary supplements for anxiety. They can provide you with advice on possible interactions between herbs and other medications you are taking, as well as dosage recommendations.