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https://www.iampsychiatry.com/anxiety-treatment
Treatment of Anxiety Disorders Anxiety can destroy the life of a person by making them feel tired and depressed Worry can keep people from engaging with others reinforcing their false sense of danger and causing isolation Exercise as well as psychotherapy and medication are all part of the treatment for anxiety holistic treatment for anxiety are a few options like SSRIs citalopram escitalopram and benzodiazepines such as diazepam or lorazepam Medicines Many people experience anxiety at times however when the feeling lasts for a long period of time or becomes a problem in daily life its the sign of an anxiety disorder Psychotherapy and medication are commonly used to treat anxiety disorders While medication can help alleviate symptoms they dont treat anxiety disorders Therefore they need to be utilized in combination with psychotherapy and lifestyle adjustments The medications that are typically prescribed for anxiety include antidepressants as well as benzodiazepines Antidepressants help to correct an imbalance of chemical substances in the brain which causes anxiety Benzodiazepines such as Xanax Klonopin and Valium are sedatives which are effective in stopping the bodys reaction to anxiety They are also addictive and therefore are not recommended for use in the longterm SSRIs serotonin reuptake inhibitors aid in reducing the levels of cortisol which is the stress hormone in the body They also block brain receptors that absorb serotonin and allow more of the moodenhancing chemical to move around This eases anxiety Serotoninnorepinephrine reuptake inhibitors or SNRIs have similar effects to SSRIs and can also be effective in treating anxiety SSRIs have a great safety record are widely available and effective for a majority of people Pros Some patients could suffer from side effects such as dry mouth dizziness and drowsiness Propranolol and various other psychiatric medications can also aid in reducing anxiety symptoms These drugs are commonly used to treat high blood pressure and heart problems however doctors can prescribe them offlabel to treat anxiety They work to reduce the effects of stress hormones like adrenaline and noradrenaline that increase blood pressure and heart rate They also can cause negative effects such as orthostatic hypotension bradycardia and sedation Change your diet and ensuring you get enough exercise can help reduce anxiety Relaxing activities such as meditation and yoga can aid in easing anxiety There are also other treatments for the mind like tai chi and acupuncture that can ease anxiety Talk to your doctor about the options that could be the best for you Cognitive behavioral therapy CBT Cognitive behavioral therapy a psychotherapy based on scientific evidence that is effective in treating anxiety disorders It is based on the idea that feelings thoughts and physical sensations are interconnected and that negative patterns can lead you into the cycle of CBT helps you recognize negative thought patterns and implement techniques to help you control them It also teaches you to regulate your responses to stressful situations and develop coping strategies In the initial session a therapist usually performs an assessment This could include filling out questionnaires conducting an interview or even supplying written material This will allow them to identify the specific disorder you suffer from and pinpoint the distressing symptoms It will also help determine whether your current treatments are effective They will also use the test to determine whether they can establish an emotional connection with you CBT usually lasts 20 sessions or less Your therapist will visit you at least once a week during these sessions Your therapist will instruct you on various selfhelp methods such as how you can reframe unhelpful thinking and practice positive outcomes They will also teach you coping skills like how to quiet your mind and relax your body Your therapist might also offer tools such as therapy worksheets that will aid in tracking the symptoms and triggers They will help you work through your anxiety in small steps to ensure that the process becomes less daunting If you are scared of social situations your therapist might have you roleplay with them and then move onto talking to your family or friends Another aspect of CBT is behavioural tests It can help you question your irrational and catastrophic predictions by developing helpful evidence to counter them If youre worried that something bad will happen to you if you leave your house you can conduct a behavioural test by making a prediction For example If I go for dinner Ill contract food poisoning Then youll be able to verify whether or not your prediction was right Hypnotherapy Hypnotherapy is an alternative treatment to medication for anxiety Hypnosis is used to help people relax change their perception of their symptoms and modify their behavior It can be used to help overcome fears It helps to ease stress and anxiety however it can also assist with pain The effects of hypnosis can last for a long time and the benefits can be observed after just one session In a hypnosis session or while listening to a recorded recording the therapist guides you into a state that feels like a daydream In this state of trance you will be able to hear and respond to suggestions given by the therapist They might ask you to imagine a secure and relaxing place and then they will tell you to be aware of sensory details as they slowly become more real This is referred to as a deepening state of trance This is when you will begin to notice a difference in the symptoms Many people find that they notice a change immediately They can walk out of the room or even open their eyes following the hypnotherapy session and they are already feeling shifts This is quite normal and at times it may feel like magic For some however it could take a few sessions before they see any positive changes This is normal and its crucial to give therapy time to be effective If youre considering the possibility of hypnotherapy you should consult with your doctor first They will be able to answer any concerns you have regarding hypnotherapy and help you decide on your options Hypnosis is not available on the NHS therefore youll have to book an appointment in private with a trained therapist These sessions can be expensive but are generally more cost effective than other types of treatment for anxiety In certain instances the use of hypnosis is used to treat PTSD This condition occurs after a traumatic event like a car crash or natural disaster or even war It can trigger anxiety depression and other issues The symptoms of PTSD include intrusive memories nightmares and increased anxiety or hypervigilance Hypnotherapy is a great method to manage PTSD and it is usually combined with other talking treatments to achieve the best results Exercise Anxiety can be a significant obstacle for those who wish to lead active lives however the positive side is that exercise can provide some of the most effective nonpharmacological treatment options for anxiety One vigorous exercise session can ease anxietyrelated symptoms for hours and a consistent schedule of physical exercise could drastically reduce anxiety symptoms over time While it is welldocumented that regular exercise can provide health benefits few studies have looked specifically at the effects it has on anxiety However a recent study suggests that high intensity exercises are particularly effective for those suffering from anxiety Researchers involved in the study led University of Gothenburg psychologist Henriksson assigned 223 individuals with anxiety issues to an intensive 12week program of group exercise that included low or highintensity workouts They also gave them instructions on how to incorporate fitness into their routines The results were evident The participants in the highintensity groups had a significant decrease in anxiety levels compared to those who exercised in low intensity These findings have implications on the use of exercise programs in general practice Patients with anxiety tend to be more sedentary than people who do not suffer from the condition and an absence of physical activity may contribute to their psychiatric disorders Physical activity is associated with a 25 percent lower chance of developing depression or anxiety disorders than sedentary people Exercise has a positive effect on mental health It boosts the release of feelgood hormones such as serotonin dopamine and others It can also improve sleep and boost selfesteem But the benefits of physical exercise are more extensive studies have proven that it is just as effective as antidepressants for treating anxiety A recent metaanalysis by Jayakody and colleagues identified eight trials comparing groups that exercised with those who did not Each study reported a reduction in anxiety However the researchers restricted their analyses to trials that involved participants with an anxiety disorder that was formally diagnosed This means that further research is required to determine whether exercise is an option for those with elevated anxiety levels clinically
