Treatment of Anxiety Disorders?

Question

what are the options?

Answer 1

In general, anxiety disorders are treated with medication, specific types of psychotherapy, or both.14 Treatment choices depend on the problem and the person's preference. Before treatment begins, a doctor must conduct a careful diagnostic evaluation to determine whether a person's symptoms are caused by an anxiety disorder or a physical problem. If an anxiety disorder is diagnosed, the type of disorder or the combination of disorders that are present must be identified, as well as any coexisting conditions, such as depression or substance abuse. Sometimes alcoholism, depression, or other coexisting conditions have such a strong effect on the individual that treating the anxiety disorder must wait until the coexisting conditions are brought under control.

People with anxiety disorders who have already received treatment should tell their current doctor about that treatment in detail. If they received medication, they should tell their doctor what medication was used, what the dosage was at the beginning of treatment, whether the dosage was increased or decreased while they were under treatment, what side effects occurred, and whether the treatment helped them become less anxious. If they received psychotherapy, they should describe the type of therapy, how often they attended sessions, and whether the therapy was useful.

Often people believe that they have "failed" at treatment or that the treatment didn't work for them when, in fact, it was not given for an adequate length of time or was administered incorrectly. Sometimes people must try several different treatments or combinations of treatment before they find the one that works for them.

Medications
Medication will not cure anxiety disorders, but it can keep them under control while the person receives psychotherapy. Medication must be prescribed by physicians, usually psychiatrists, who can either offer psychotherapy themselves or work as a team with psychologists, social workers, or counselors who provide psychotherapy. The principal medications used for anxiety disorders are antidepressants, anti-anxiety drugs, and beta-blockers to control some of the physical symptoms. With proper treatment, many people with anxiety disorders can lead normal, fulfilling lives.

Antidepressants
Antidepressants were developed to treat depression but are also effective for anxiety disorders. Although these medications begin to alter brain chemistry after the very first dose, their full effect requires a series of changes to occur; it is usually about 4 to 6 weeks before symptoms start to fade. It is important to continue taking these medications long enough to let them work.

SSRIs
Some of the newest antidepressants are called selective serotonin reuptake inhibitors, or SSRIs. SSRIs alter the levels of the neurotransmitter serotonin in the brain, which, like other neurotransmitters, helps brain cells communicate with one another.

Fluoxetine (Prozac), sertraline (Zoloft), escitalopram (Lexapro), paroxetine (Paxil), and citalopram (Celexa) are some of the SSRIs commonly prescribed for panic disorder, OCD, PTSD, and social phobia. SSRIs are also used to treat panic disorder when it occurs in combination with OCD, social phobia, or depression. Venlafaxine (Effexor), a drug closely related to the SSRIs, is used to treat GAD. These medications are started at low doses and gradually increased until they have a beneficial effect.

SSRIs have fewer side effects than older antidepressants, but they sometimes produce slight nausea or jitters when people first start to take them. These symptoms fade with time. Some people also experience sexual dysfunction with SSRIs, which may be helped by adjusting the dosage or switching to another SSRI.

Tricyclics
Tricyclics are older than SSRIs and work as well as SSRIs for anxiety disorders other than OCD. They are also started at low doses that are gradually increased. They sometimes cause dizziness, drowsiness, dry mouth, and weight gain, which can usually be corrected by changing the dosage or switching to another tricyclic medication.

Tricyclics include imipramine (Tofranil), which is prescribed for panic disorder and GAD, and clomipramine (Anafranil), which is the only tricyclic antidepressant useful for treating OCD.

MAOIs
Monoamine oxidase inhibitors (MAOIs) are the oldest class of antidepressant medications. The MAOIs most commonly prescribed for anxiety disorders are phenelzine (Nardil), followed by tranylcypromine (Parnate), and isocarboxazid (Marplan), which are useful in treating panic disorder and social phobia. People who take MAOIs cannot eat a variety of foods and beverages (including cheese and red wine) that contain tyramine or take certain medications, including some types of birth control pills, pain relievers (such as Advil, Motrin, or Tylenol), cold and allergy medications, and herbal supplements; these substances can interact with MAOIs to cause dangerous increases in blood pressure. The development of a new MAOI skin patch may help lessen these risks. MAOIs can also react with SSRIs to produce a serious condition called "serotonin syndrome," which can cause confusion, hallucinations, increased sweating, muscle stiffness, seizures, changes in blood pressure or heart rhythm, and other potentially life-threatening conditions.

Anti-Anxiety Drugs
High-potency benzodiazepines combat anxiety and have few side effects other than drowsiness. Because people can get used to them and may need higher and higher doses to get the same effect, benzodiazepines are generally prescribed for short periods of time, especially for people who have abused drugs or alcohol and who become dependent on medication easily. One exception to this rule is people with panic disorder, who can take benzodiazepines for up to a year without harm.

Clonazepam (Klonopin) is used for social phobia and GAD, lorazepam (Ativan) is helpful for panic disorder, and alprazolam (Xanax) is useful for both panic disorder and GAD.

Some people experience withdrawal symptoms if they stop taking benzodiazepines abruptly instead of tapering off, and anxiety can return once the medication is stopped. These potential problems have led some physicians to shy away from using these drugs or to use them in inadequate doses.

Buspirone (Buspar), an azapirone, is a newer anti-anxiety medication used to treat GAD. Possible side effects include dizziness, headaches, and nausea. Unlike benzodiazepines, buspirone must be taken consistently for at least 2 weeks to achieve an anti-anxiety effect.

Beta-Blockers
Beta-blockers, such as propranolol (Inderal), which is used to treat heart conditions, can prevent the physical symptoms that accompany certain anxiety disorders, particularly social phobia. When a feared situation can be predicted (such as giving a speech), a doctor may prescribe a beta-blocker to keep physical symptoms of anxiety under control.

Psychotherapy
Psychotherapy involves talking with a trained mental health professional, such as a psychiatrist, psychologist, social worker, or counselor, to discover what caused an anxiety disorder and how to deal with its symptoms.

Cognitive-Behavioral Therapy
Cognitive-Behavioral Therapy Cognitive-behavioral therapy (CBT) is very useful in treating anxiety disorders. The cognitive part helps people change the thinking patterns that support their fears, and the behavioral part helps people change the way they react to anxiety-provoking situations.

For example, CBT can help people with panic disorder learn that their panic attacks are not really heart attacks and help people with social phobia learn how to overcome the belief that others are always watching and judging them. When people are ready to confront their fears, they are shown how to use exposure techniques to desensitize themselves to situations that trigger their anxieties.

People with OCD who fear dirt and germs are encouraged to get their hands dirty and wait increasing amounts of time before washing them. The therapist helps the person cope with the anxiety that waiting produces; after the exercise has been repeated a number of times, the anxiety diminishes. People with social phobia may be encouraged to spend time in feared social situations without giving in to the temptation to flee and to make small social blunders and observe how people respond to them. Since the response is usually far less harsh than the person fears, these anxieties are lessened. People with PTSD may be supported through recalling their traumatic event in a safe situation, which helps reduce the fear it produces. CBT therapists also teach deep breathing and other types of exercises to relieve anxiety and encourage relaxation.

Exposure-based behavioral therapy has been used for many years to treat specific phobias. The person gradually encounters the object or situation that is feared, perhaps at first only through pictures or tapes, then later face-to-face. Often the therapist will accompany the person to a feared situation to provide support and guidance.

CBT is undertaken when people decide they are ready for it and with their permission and cooperation. To be effective, the therapy must be directed at the person's specific anxieties and must be tailored to his or her needs. There are no side effects other than the discomfort of temporarily increased anxiety.

CBT or behavioral therapy often lasts about 12 weeks. It may be conducted individually or with a group of people who have similar problems. Group therapy is particularly effective for social phobia. Often "homework" is assigned for participants to complete between sessions. There is some evidence that the benefits of CBT last longer than those of medication for people with panic disorder, and the same may be true for OCD, PTSD, and social phobia. If a disorder recurs at a later date, the same therapy can be used to treat it successfully a second time.

Medication can be combined with psychotherapy for specific anxiety disorders, and this is the best treatment approach for many people.

Answer 2

There are multiple kinds of disorders that deal with anxiety. Although most can manifest in similar ways, these disorders generally occur due to different events in your life. Natural home remedies for anxiety https://tr.im/xJr9h
Generalized anxiety disorder includes persistent and unnecessary worries about everyday, common events or activities, which can disrupt concentration and lead to other issues, such as depression.

Answer 3

There are many different treatments for anxiety disorders. It will depend on which specific anxiety disorder you have. Medications are typically antidepressants adn benzodiazipines. cognitive behavioral therapy is also been proven to be extremly helpful in anxiety disorders

Answer 4

Homeopathic Remedies for Anxiety / Panic Attacks / Stress / Depression(Bereavment) / Mood Swings :-

ANXIETY / PANIC ATTACKS & STRESS :-

Sudden with restlessness and fear of death, Panic Attacks, Aconite 30X or 200X,1/2 hourly (3 Doses)

Prolonged with periodic and panic attacks Arsenic Alb.200X, 4 hourly (3 Doses)

With fainting spells; profuse sweating; worse in the morning Sulphur 30X or 200X 3 hourly (3 Doses)

Makes patient walk fast; due to anticipation Argentum Nit 200X, 3 hourly (3 Doses)

Worse lying in bed and closing the eyes Carbo Veg 30X or 200X, 4 hourly (6 Doses)

Anxiety aggravated by upward or downward motion; going in an elevator; worse till 11 P.M, Borax 200X or 1M, 3 hourly (3 Doses)

Anxious about business even when seriously ill Bryonia Alba 200X 3 hourly (3 Doses)

Full of apprehensions in the evening Causticum 200X, 3 hourly (3 Doses)

Anxiety and fears in the evening with restlessness and palpitation Calcarea Carb.200X or 1M, 3 hourly (3 Doses)

Anxiety worse while lying still. Sad music ameliorates the complaints Manganum Acet 200X 3 hourly (3 Doses)

Anxiety due to fright, fear,exciting news; stage fright; worse while appearing for examination or interview etc Gelsemium 30X or 200X 3 hourly (6 Doses)

Mood Swings, Anxiety due to grief or shock in the subconscious mind Ignatia 200X or 1M, 3 hourly (3 Doses)

Anxiety; better after eating Anacardium Or 30X, 4 hourly.

DEPRESSION & GRIEF(Bereavement) :-

Severe shock due to sudden death of loved ones; restlessness, anxiety and fear Aconite 200X. 10 min (3 Doses)

Prolonged mournings; cannot overcome the loss of loved ones and/or Mood Swings. Ignatia 1M or 10M, 6 hourly (3 Doses)

When the grief is in the conscious mind; patient weeps; does not like sympathy Natrum Mur.200X or 1M, 6 hourly (3 Doses)

For chronic grief and indignation Staphysagria 200X or 1M, weekly (3 Doses)

Depression with suicidal thoughts feeling of worthlessness, Aurum Met 30X, three times a day half hour before meals.


Take the remedy which is similar to your symptoms. No side effects or complications if taken as directed, please do not exceed the given dosage and under any circumstances do not try to mix any remedies and avoid Chocolates, Mints, Coffee, Red Meat, Alcoholic and Carbonated drinks, Spicy Rich Food while taking any Homeopathic remedies, and keep the medicines away from direct sunlight, heat strong smells and perfumes and do not store them in the fridge.
Curing without any side effects or Complications Thats the Beauty of Homeopathic Medicine (Cures Par Excellence)

Take Care and God Bless You !

Answer 5

Anti-anxiety medication can be used with counselling from a psychotherapist

Answer 6

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Answer 7

Tablets counselling and relaxation techniques. If you learn the relaxation techniques you'll find less need for the pills. But ask your gp to send you for counselling as you need to find out why you're having the attacks.

Answer 8

Ask a specialist, every one needs different treatment.

Answer 9

Go & see your Dr. Medication & counselling could be a great help.

Answer 10

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