T
|
reating
a person with anxiety depends on the nature of the anxiety disorder and
individual preferences. Often, treatment will combine different types of
therapy and medication.
Alcohol
dependence, depression, and other
conditions can sometimes have such a strong link to anxiety in
some people that treating an anxiety disorder must wait until an individual
manages any underlying conditions.
Recognizing
the developing symptoms of anxious feelings and taking steps to manage the
condition without medical assistance should be the first port of call.
However,
if this does not reduce the impact of anxiety symptoms, or if the onset is
particularly sudden or severe, other treatments are available.
Self-treatment
Relaxation techniques can help to address anxious emotions before they develop into a disorder.
In
some cases, a person can manage anxiety at home without clinical supervision.
However, this may be limited to shorter and less severe periods of anxiety.
Doctors
recommend several exercises and techniques to cope with brief or focused bouts
of anxiety, including:
·
Stress
management: Limit potential triggers by
managing stress levels. Keep
an eye on pressures and deadlines, organize daunting tasks in to-do lists, and
take enough time off from professional or educational obligations.
·
Relaxation
techniques: Certain measures can help
reduce signs of anxiety, including deep-breathing exercises, long baths,
meditation, yoga, and resting in the dark.
·
Exercises
to replace negative thoughts with positive ones: Write
down a list of any negative thoughts, and make another list of positive
thoughts to replace them. Picturing yourself successfully facing and conquering
a specific fear can also provide benefits if the anxiety symptoms link to a
specific stressor.
·
Support
network: Talk to a person who is
supportive, such as a family member or friend. Avoid storing up and suppressing
anxious feelings as this can worsen anxiety disorders.
·
Exercise: Physical exertion and an active lifestyle can improve
self-image and trigger the release of chemicals in the brain that stimulate
positive emotions.
Counseling and therapy
Standard
treatment for anxiety involves psychological counseling and therapy.
This
might include psychotherapy, such as cognitive behavioral therapy (CBT)
or a combination of therapy and counseling.
CBT
aims to recognize and alter the harmful thought patterns that can trigger an
anxiety disorder and troublesome feelings, limit distorted thinking, and change
the scale and intensity of reactions to stressors.
This
helps people manage the way their body and mind react to certain triggers.
Psychotherapy
is another treatment that involves talking with a trained mental health professional and
working to the root of an anxiety disorder.
Sessions
might explore the triggers of anxiety and possible coping mechanisms.
Medications
Several
types of medication can support the treatment of an anxiety disorder.
Other
medicines might help control some of the physical and mental symptoms. These
include:
Tricyclics: This
is a class of drugs that have demonstrated helpful effects on most anxiety
disorders other than obsessive-compulsive disorder (OCD).
These drugs are known to cause side effects, such as drowsiness, dizziness, and
weight gain. Two examples of tricyclics are imipramine and clomipramine.
Some people require medication to manage an anxiety disorder.
Benzodiazepines: These
are only available on prescription, but they can be highly addictive and would
rarely be a first-line medication. These drugs tend not to cause many side
effects, except for drowsiness and possible dependency. Diazepam, or Valium, is
an example of a common benzodiazepine for people with anxiety.
Anti-depressants: While
people most commonly use anti-depressants to manage depression, they also
feature in the treatment of many anxiety disorders. Serotonin reuptake
inhibitors (SSRI) are one option, and they have fewer side effects than older
anti-depressants. They are still likely to cause nausea and sexual dysfunction
at the outset of treatment. Some types include fluoxetine and citalopram.
Other
medications that can reduce anxiety include:
·
monoamine oxidase inhibitors (MAOIs)
·
buspirone
Stopping
some medications, especially anti-depressants, can cause withdrawal symptoms,
including brain zaps. These are painful jolts in the head that feel like shocks
of electricity.
An
individual planning to adjust their approach to treating anxiety disorders
after a long period of taking anti-depressants should consult their doctor
about how best to move away from medications.
If
severe, adverse, or unexpected effects occur after taking any prescribed
medications, be sure to update a physician.
Prevention
Although
anxious feelings will always be present in daily life, there are ways to reduce
the risk of a full-blown anxiety disorder.
Taking
the following steps will help keep anxious emotions in check and prevent the
development of a disorder, including:
·
Consume less caffeine, tea, soda,
and chocolate.
·
Check with a doctor or pharmacist
before using over-the-counter (OTC) or herbal remedies for chemicals that might
make anxiety worse.
·
Keep up a balanced, nutritious diet.
·
Regular sleep patterns can be
helpful.
·
Avoid alcohol, cannabis, and other
recreational drugs.
Takeaway
Treating
an anxiety disorder focuses on psychological therapy, medication, and lifestyle
adjustments. Treatment will be different for each person depending on the type
of anxiety disorder they have and the presence of any underlying conditions.
Self-management
is the first step for managing anxious feelings and often involves relaxation
techniques, an active lifestyle, and effective time management. If these
measures do not bring anxious reactions under control, visit a doctor and seek
other avenues of treatment.
If
anxious reactions are severe from the outset, for example taking the form
of panic attacks,
seek treatment.
Psychological
therapies, including CBT, can help a person adjust the way they react to
stressful life events and triggers, as well as the scale of the reaction. They
can also help to limit distorted thinking and replace negative thoughts.
Medications
that can support treatment include tricyclic medications, anti-depressants,
beta-blockers, and benzodiazepines. Speak to a doctor about any severe side
effects or withdrawal symptoms after stopping.
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