How Much Can Treat Anxiety Experts Make?
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Anxiety is among the most prevalent mental health problems that affects 40 million adults in the United States. Many types of medications are available to treat anxiety.
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. They're not addictive, as are benzodiazepines.
SSRIs
The most popular anxiety medication is selective serotonin reuptake inhibits (SSRIs) comprising citalopram, escitalopram, and fluoxetine. These drugs are also used to treat depression and relieve symptoms of other anxiety disorders, such as obsessive compulsive disorder. It can take up one month for them to begin working.
They help by increasing the levels of certain chemical transmitters within the brain. This includes serotonin, norepinephrine and dopamine. They are usually the first option for anxiety, however doctors also employ other kinds of antidepressants and benzodiazepines.
Another class of antidepressants, called serotonin and norepinephrine reuptake inhibitors (SNRIs) like duloxetine (Cymbalta) and venlafaxine (Effexor) are used to treat anxiety. They work a little differently than SSRIs because they reduce the reabsorption of norepinephrine and serotonin, although at lower levels than SSRIs. These medicines can take a while to start taking effects, and also tend to be more expensive than SSRIs.
Tricyclic antidepressants like imipramine Tofranil are effective for treating anxiety disorders. However their drowsiness and other adverse reactions are what make them less popular. Monoamine oxide inhibitors (MAOIs) are a different kind of antidepressant used to combat anxiety. However, their restrictions on diet and the high risk of toxicity restrict their use.
Benzodiazepines are frequently used to combat anxiety and panic attacks in the short-term, such as when waiting for SSRIs or SNRIs to take effect. These drugs can lead to dependence, tolerance, and sedation, as well as withdrawal symptoms such as a rebound anxiety, depression, and delirium. Benzodiazepines are typically found in alprazolam as well as clonazepam and lorazepam.
Therapy is a crucial component of an anxiety treatment plan as it can help you understand your symptoms and the reasons. Many people discover that both therapy and medication aid to manage anxiety. In fact, some studies suggest that cognitive behavior therapy is just as effective as medications for anxiety. Talk to your doctor to find out what's best for you.
Benzodiazepines
Benzodiazepines have an calming effect, reduce anxiety and relax tense muscles. They also alleviate symptoms of fear-related bodily stimulation (like heart rate or shaking) and help promote sleep.
The way they work is through binding to inhibitory neurotransmitters like gamma-aminobutryic acids or GABA which is a receptor in the central nervous system. They enhance GABA's effects by facilitating the inhibitory effects of GABA on other neurotransmitters, and decreasing the amount of messages sent to amygdala. This is a region of the brain that evaluates the threat and triggers a feeling of anxiety.
These medicines are often taken for short durations, such as during an attack of panic or a severe anxiety episode. They may ease the symptoms within 30 to 90 minutes of taking them. Benzodiazepines are, in contrast to SSRIs do not stay in the body for a long time. They're quick-acting and typically perform in just a few hours, which makes them ideal for situations when quick relief is needed (like on a plane flight or before giving an event in public).
As they are addictive, patients are typically prescribed for a period of up to four weeks at a time. They also lose effectiveness after a period of time.
One of the main reasons benzodiazepines are so popular is that they are efficient and have minimal negative effects compared to predecessors like barbiturates and meprobamate. They have a rapid start of action and are extremely effective as anxiolytics (anti-anxiety), sedatives, anticonvulsants and as muscle relaxants.
Benzos were blamed for the negative attitudes towards anxiety that developed in the 1970s and 80s, including the minimization of the disorder, and the belief that benzodiazepine treatment lead to physical dependence. Yet the fact that benzodiazepines play a significant role in the treatment of anxiety disorders, particularly when combined with psychosocial interventions, such as cognitive behavioral therapy and interpersonal therapies.
Benzos can interact with other medications and trigger undesirable side effects, such as drowsiness and confusion. It is important to inform your doctor be aware of any other prescription, non-prescription or herbal medication you're taking or thinking about taking. You can find out which medications are safe to take along with benzodiazepines by checking the British National Formulary A-Z list of drug interactions.
Antidepressants
Antidepressants can reduce anxiety and other mental health conditions. 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, such as eating disorders, bipolar disorder and certain types of pain.
SSRIs are usually prescribed as a first-line treatment for anxiety by doctors, however they may not work for everyone. If these antidepressants don't work the doctor might suggest an older type called a tetracyclic or tricyclic antidepressant. These include amitriptyline and nortriptyline and clomipramine. They're not as popular as the latest antidepressants, but still available. You may also ask your doctor to prescribe the sedating antidepressant trazodone(Desyrel) in lower doses if you are having sleep problems or anxiety.
Other antidepressants that can help include Nefazodone (Ferdinand) and duloxetine (Cymbalta). These drugs are also available in generic forms. If they don't work your doctor, you can try the antipsychotics quetiapine or olanzapine or the tranquilizing antidepressant Mirtazapine.
Beta blockers are used to treat anxiety disorders. They reduce heart rate and blood pressure by blocking adrenaline. These medications are not typically used to treat anxiety on their own, but they can be effective if combined with psychotherapy.
Psychological therapy can help you overcome negative thoughts and behaviours that contribute to your anxiety. It will help you learn to manage your anxiety and build coping skills. Based on the severity of your condition, you might be treated with cognitive behavioural therapy or exposure therapy. Cognitive behavioural therapy can help you overcome negative, fearful thoughts and overcome the fear of situations that cause anxiety. Exposure therapy involves increasing the intensity of anxiety provoking situations until they can be managed. It can be performed either in a group, or by yourself. In both cases, results will take time to manifest. A combination of medication and psychotherapy therapy is the best treatment for anxiety depression option for certain people. Some people find that medication alone is enough to control symptoms. Discuss with your doctor how you manage your symptoms.
Other Medicines
While antidepressants and benzodiazepines are the most commonly prescribed medications to treat anxiety, other drugs can help ease your symptoms too. Antihistamines and beta blockers are often prescribed to alleviate anxiety.
These drugs can help you ease your symptoms, by reducing or blocking the signals that cause stress and fear. They are not a panacea. You will still need to do things to control anxiety, including exercises relaxation techniques, relaxation techniques and psychological therapy.
Your doctor might initially prescribe one of the "first choice" anxiety medications, which include SSRIs and SNRIs. These are the most effective medications for treating anxiety disorders according to research studies. The most common SSRIs include sertraline (Zoloft) and fluoxetine (Prozac), citalopram (Celexa), and escitalopram (Lexapro). These medications may have mild side effects, like 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 alprazolam (Xanax) and Clonazepam (Klonopin) and diazepoxide (Valium) provide immediate relief for panic attacks and anxiety, but they can have side effects, including dizziness, drowsiness, memory and coordination issues, as well as dependence. These medications are less well-known than older barbiturates but are equally effective.
Antihistamines, such as Vistaril (hydroxyzine) were originally developed to relieve allergies. However, they are also used to reduce anxiety symptoms. Hydroxyzine blocks the histamine receptors in the brain and may cause a calming effect. It is not a controlled drug and doesn't have the same risk of addiction as benzodiazepines.
Anticonvulsants are another kind of medication that can be used to treat anxiety. They have been proven to reduce anxiety by inhibiting the production of and release of dopamine and sérotonin. These medications are often prescribed as part of an integrated therapy or to treat anxiety in the short term. Your doctor will review your medical history and symptoms to determine if these medications are suitable for you. They'll also discuss how long you should be taking them and any potential adverse effects. Anxiety medications can only be purchased on prescription, which means you'll have to see a psychiatrist to get these medications.
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