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Treating Anxiety Treating anxiety typically involves psychological counseling, which can include psychotherapy or cognitive behavioral therapy (CBT). CBT helps people identify the harmful thought patterns that can trigger anxious and troubling feelings. Medicines can ease physical symptoms of anxiety, like rapid heartbeat and shaking. People must work closely with their doctor to find the right medication and dosage for them. Medications Anxiety is the natural reaction to stress. It can prevent us from sleeping, but there are treatments that can help. Medicine can help ease anxiety symptoms and ease your life while addressing the underlying causes. Combining therapy and medication can have a greater impact on your mood and the quality of life. Antidepressants reduce anxiety by increasing levels of chemicals that calm you down in your brain. Selective serotonin reuptake inhibitors (SSRIs) are the most common antidepressants. They block nerve cells from absorbing serotonin from the brain and increase the availability of serotonin. This makes you feel more relaxed. SSRIs are medicines like Celexa Lexapro Paxil and Zoloft. Other antidepressants which may also be used for anxiety are serotonin norepinephrine reuptake inhibitors (SNRIs) and tricyclic antidepressants. Benzodiazepines, such as Xanax (alprazolam), Klonopin (clonazepam) and Valium (diazepam), work quickly to reduce anxiety symptoms by stimulating brain receptors to cause the body to relax. They are effective at managing anxiety, but they can become addictive if used for longer than four weeks. They don't work as well over time, which is why they are usually not prescribed for long-term use. Other antianxiety medicines like buspirone, quetiapine and clonidine decrease the amount of the stress hormone cortisol within your body by blocking receptors in the brain. The most common adverse effects include drowsiness and dry mouth. There are also people who be afflicted by diarrhea, nausea constipation, nausea and sexual dysfunction while taking antidepressants or SSRIs. Other antianxiety medications like phenytoin and melatonin work as sedatives by decreasing the activity of specific brain neurons, which can reduce anxiety. Antihistamines are also used to treat anxiety, reducing the itching that is caused by allergies and causing you to feel more relaxed. Other types of medications that can be used to lower anxiety include monoamine oxide inhibitors, such as moclobemide and tetracycline. They are usually sought after other treatments have failed. Other prescription medications that have been found to decrease anxiety in clinical trials are not licensed for this purpose however they may be prescribed off-label by certain doctors. Psychotherapy Psychotherapy or talk therapy with mental health professionals can help ease anxiety disorders. This could be a psychiatrist, psychologist or a licensed clinical social worker. In addition to helping with the root of anxiety, the therapist may offer support and encouragement. The physical presence of the therapist is also important for anxiety sufferers; it activates the parasympathetic nervous system and gives a sense security to the patient. Cognitive behavioral therapy is usually the best choice for treating anxiety. This approach teaches you how to manage your anxiety and gradually return to activities you avoided due to anxiety. This involves exposure therapy where you gradually confront the situation or object that causes anxiety and overcome your anxiety. Psychotherapy gives you a better understanding of the reasons you're so worried and how your mind can make you believe that dangers are not real. The psychotherapist will also explain to you the anatomy behind the body's “fight-or-flight” response and the reasons it could be triggered by things which are generally harmless. The therapy is usually conducted in a series sessions lasting about an hour each. Patients are often provided with tasks to complete between sessions. It may take some time to find the right therapy for you, and you may need to try several before settling on one you feel at ease with. Self-help techniques, like breathing exercises, relaxation exercises, and meditation can be a useful addition to psychotherapy. You can lower anxiety by getting enough rest and exercising regularly, as well as avoid caffeine and nicotine. It is also possible to incorporate more laughter into your routine as it is a powerful stress reliever. If you are experiencing an acute anxiety disorder that threatens your safety or the safety of others, consult your physician for emergency anxiolytic treatment, preferably with a benzodiazepine. This treatment is rarely needed however it can be very efficient. The use of medications is not a substitute for psychotherapy but can be helpful in certain situations. Lifestyle changes There are a variety of lifestyle changes that, in addition to psychotherapy and medication, can aid people suffering from anxiety disorders. Regular exercise, a nutritious diet, avoidance of tobacco or alcohol, getting enough sleep, and utilizing relaxation techniques can be helpful. A regular exercise program is a powerful stress reducer and has been shown to improve mood and self-reported anxiety symptoms. It can be a challenge to find an exercise program that is appropriate for you, however even a small amount of exercise can be beneficial. Regular, moderately-graded exercise has also been proven to be effective in treating depression. It has also been associated with an increased remission rate of anxiety disorders. Although the mechanism is unknown, it is believed that exercise alters brain chemistry by controlling 5-HT neurotransmitters in the dorsal Raphe Nucleus, and decreasing levels of cortisol. It has been established that acupuncture, massage and other CAM treatments can be effective in treating anxiety disorders. However, evidence is limited and is often hampered by poor research methodology. While there are a few studies that show promise, most of these treatments do not have the clinical evidence needed for doctors to recommend them as an alternative. In addition, the relationship between food and anxiety is complex. In reality, certain foods can exacerbate anxiety symptoms. For instance high-fat and palatable foods can trigger the production of reactive oxygen species in the brain that result in or worsening anxiety symptoms. It has been demonstrated that dietary changes, including the restriction of nicotine and alcohol, can reduce anxiety. However, further research that includes controlled prospective studies as well as assisted substance withdrawal programs, is needed. Other dietary supplements like omega-3 fish oil have been shown to be beneficial in helping to reduce anxiety. The reason for this isn't clear however, researchers believe that omega-3 fatty acids can reduce the production of inflammatory cytokines and enhance the effectiveness of antidepressant drugs in reducing anxiety symptoms. Other changes in diet can help with anxiety, for example, increasing the amount and variety of vegetables and fruits and incorporating more whole grains and avoiding processed foods. Herbal and dietary supplements While herbal remedies and diet supplements have been utilized for centuries in various regions of the world to alleviate anxiety symptoms, the effectiveness and safety of these natural products has only recently been subjected to rigorous clinical tests. Ashwagandha, a herb that comes from Indian medicine's Ayurvedic tradition, is particularly effective in reducing anxiety and stress. The amino acid precursors l-tryptophan, and l -lysine can reduce anxiety symptoms as well through their influence on neurotransmitters that are involved in the stress response. Many people who suffer from anxiety experience a wide spectrum of symptoms. The symptoms can range from a transient sensation of anxiety or anxiety before menstrual cycle or surgery or menstrual flow, to more persistent feelings of anxiety and unease that are associated with more serious anxiety disorders, including generalized anxiety disorder (GAD), obsessive compulsive disorder (OCD) as well as panic disorder (panic disorder) and social anxiety disorders. Anxiety can be debilitating, with symptoms like sweating, headaches, trembling and sleeplessness. Psychotherapy, also known as talk therapy, is an effective treatment for anxiety disorders. Cognitive behavioral therapy (CBT) is a form of psychotherapy that teaches patients to be aware and respond to thoughts and behaviors that trigger anxiety in a different manner. When combined with medication, this approach can reduce anxiety and relieve symptoms such as fatigue and depression. Omega-3 fatty acids, that are found in fish such as salmon, mackerel and herring are also known to reduce anxiety symptoms. best treatment for anxiety , which are found in fish like salmon, mackerel and herring, are well-known for their heart-health benefits but they may also improve brain function. Other sources of omega-3 fatty acids include flaxseeds as well as walnuts, chia and flax seeds. It is important to keep in mind that dietary and herbal supplements are not regulated by the FDA in the same way as pharmaceutical drugs are, therefore there is a chance that some products may be contaminated with other substances or have adverse effects that could be dangerous. Consult your doctor if you're contemplating using herbal or dietary supplements for anxiety. They can offer suggestions on possible interactions between the herbs and other medications that you may be taking and dosage recommendations.