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General interest items edited by Janice Flahiff

Treating Anxiety Disorders

From the Fall 2010 issue of the NIH magazine NIH MedlinePlus, Treating Anxiety Disorders

Anxiety disorders are generally treated with medication, specific types of psychotherapy such as “talk therapy,” or both. Treatment depends on the problem and the person’s preference. Before any treatment, a doctor must do a careful evaluation to see whether a person’s symptoms are from an anxiety disorder or a physical problem. The doctor must also check for coexisting conditions, such as depression or substance abuse. Sometimes, treatment for the anxiety disorder must wait until after treatment for the other conditions.

How Medications Can Help

Doctors may prescribe medication, along with talk therapy, to help relieve anxiety disorders. Some medicines may take a few weeks to work. Your family doctor or psychiatrist may prescribe:

  • Antidepressants. These medications take up to four to six weeks to begin relieving anxiety. The most widely prescribed antidepressants for anxiety are the SSRIs (selective serotonin reuptake inhibitors). Commonly prescribed: Prozac, Zoloft, Paxil, Lexapro, and Celexa.
  • Anti-anxiety medicines (or “tranquilizers”). These medications produce feelings of calm and relaxation. Side effects may include feeling sleepy, foggy, and uncoordinated. The higher the dose, the greater the chance of side effects. Benzodiazepines are the most common class of anti-anxiety drugs.Commonly prescribed: Xanax, Klonopin, Valium, and Ativan.
  • Beta blockers. These drugs block norepinephrine, the body’s “fight-or-flight” stress hormone. This helps control the physical symptoms of anxiety, such as rapid heart rate, a trembling voice, sweating, dizziness, and shaky hands. Because beta blockers don’t affect the emotional symptoms of anxiety, such as worry, they’re most helpful for phobias, particularly social phobia and performance anxiety. Commonly prescribed: Tenormin and Inderal.

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November 9, 2010 Posted by | Consumer Health, Educational Resources (High School/Early College( | , , , , | Leave a comment

   

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