Managing Anxiety Disorders: Types Of Anxiety Medications

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Experiencing feelings of anxiety occasionally is normal. For instance, feeling nervous during a first date or a public speaking engagement can be natural, but those feelings usually subside relatively quickly. For people with anxiety disorders, however, the feelings can be so intense and long-lasting that they disrupt daily life.

Learning the correct type of care and treatment for different types of anxiety disorders

Anxiety is believed to affect nearly 20% of the adult population in the US, making it one of the most common mental illnesses. There can be many ways to treat both acute and chronic anxiety disorders. The best treatment for you may depend on your individual case. Common anxiety medications can include selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), beta-blockers, and benzodiazepines. Herbal supplements, lifestyle changes, and therapy may also be helpful. Always speak with your doctor before starting, stopping, or changing any type of medication or supplement.

The BetterHelp platform is not intended for any information regarding which drugs, medication, or medical treatment may be appropriate for you. The content is providing generalized information, not specific for one individual. You should not take any action without consulting with a qualified medical professional. BetterHelp now offers psychiatry services through Uplift. Learn more about medication management here.

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Therapy is generally a first-line treatment for anxiety

Anxiety medications and their potential side effects

Anxiety medication is often prescribed to treat anxiety disorders, such as generalized anxiety disorder, panic disorder, and social anxiety disorder. They may be referred to in two ways: by their brand names, or by their generic name. While these medications can be effective for short-term relief and improving mental health, they can potentially cause side effects, so monitoring by a medical provider is required. Working closely with a healthcare provider to manage generalized anxiety and other related conditions while balancing the benefits and potential risks of the medicationis advised.

Anxiety disorders that may be managed with prescriptions

There are several distinct types of anxiety disorders that doctors may prescribe medication for, including the following: 

  • Generalized anxiety disorder
  • Panic disorder
  • Social anxiety disorder
  • Separation anxiety disorder
  • Acute stress disorder
  • Adjustment disorder
  • Substance-induced anxiety disorder
  • Anxiety related to a medical condition
  • Phobias

A doctor can determine which type of anti-anxiety medication may work best with your health status and the type of symptoms you experience. Therefore, giving your doctor a full medical history and current medication list can be essential. Certain anxiety medications are not advised  if you have other medical conditions for which you take medicine.

When you talk to your doctor about deciding on an anxiety medicine for you, they may ask you if you have a history of:

  • Heart, liver, or kidney disease
  • A bleeding or clotting disorder
  • Seizures or epilepsy
  • Narrow-angle glaucoma
  • Bipolar disorder
  • Suicidal thoughts
  • A recent heart attack

Seniors, teens, and children typically have different considerations and may receive different medication recommendations.

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Types of anxiety medication

There may be a few popular categories of anxiety medications and drugs, often including SSRIs, SNRIs, beta-blockers, and benzodiazepines. SSRIs and SNRIs are the two classes of medications with various brand names commonly prescribed to treat anxiety.

Selective serotonin reuptake inhibitors (SSRIs)

SSRIs work by increasing the serotonin levels in your brain. Rather than giving you a quick and temporary sense of calm like some anti-anxiety drugs, these medications are typically designed to treat the underlying condition.. However, these medications often take several weeks to show effects as they gradually reduce anxiety.

Serotonin and norepinephrine reuptake inhibitors (SNRIs)

SNRIs are another class of medications and drugs commonly used to treat anxiety that work by increasing both serotonin and norepinephrine levels in the brain. They are often first-line options alongside SSRIs to promote anxiety relief. Clinical trials have shown SNRIs to be effective in treating anxiety, although they may have different side effects and interactions compared to SSRIs.

Beta-blockers

Beta-blockers are drugs that were mainly designed to treat heart problems and high blood pressure. They can also be used off-label to reduce anxiety, especially in stressful situations such as public speaking. Beta-blockers may help most with the physical symptoms of anxiety, such as dizziness, shakiness, sweating, a trembling voice, and rapid heart rate. They are often used as a medication for performance anxiety. 

Benzodiazepines

Benzodiazepines are effective for short-term treatment of severe anxiety and panic attacks, acting quickly to provide relief. However, the risk of addiction and physical dependence on benzodiazepines increases with prolonged use, so ensure you use these drugs under strict medical supervision. Taking benzodiazepines is often reserved for cases where other treatment options have failed or in combination with other medications for a comprehensive treatment plan.

Side effects of anxiety medication

Anxiety medications and drugs in general can have varying impacts on individuals. Therefore, it is advised that you make yourself aware of the potential side effects of anti-anxiety medications. Some medications may have fewer side effects than others, and all people experience medications differently. Talk to your doctor if you notice a new symptom. Potential side effects of prescription anxiety medications include, but aren’t limited to, the following:

  • Fatigue
  • Drowsiness
  • Insomnia
  • Agitation
  • Nervousness
  • Sexual dysfunction
  • Headaches
  • Dry mouth
  • Weight gain
  • Diarrhea
  • Excessive sweating
  • Increased depression
  • Reduced sexual desire
  • Memory problems
  • Suicidal thoughts or actions*

Certain medications, like benzodiazepines, can be linked to physical dependence and addiction. If you stop taking these anti-anxiety drugs and medications abruptly, you may experience withdrawal symptoms, such as anxiety, insomnia, nausea, and headache. Gradual tapering under medical supervision is recommended, as sudden discontinuation can lead to potentially serious health risks.

Considerations when choosing treatment for an anxiety disorder

After reviewing your and your family’s medical history and conducting a medical examination, your doctor may evaluate a few other areas when determining the kind of medication that may be best for you. They may diagnose the type of anxiety you have, as different medications are often suited to treat different kinds of anxiety.

A doctor may also evaluate the severity of your symptoms to help determine medication dosing and formulations (e.g. fast acting versus extended release medications). They might also evaluate for determine if you struggle with a substance use disorder and whether or not you experience symptoms of other disorders, like depression. You can also discuss concerns about costs and whether a brand or generic medication label is more appropriate for you. 

Other anxiety treatment methods and their potential side effects

Studies suggest that herbal supplements may ease symptoms of anxiety. Supplements are usually available over the counter at your local pharmacy or supermarket. These types of supplements typically have fewer potential side effects, but they may not be as effective for treating anxiety as prescription medications. Report any supplements you take to your doctor and ask your doctor before trying new supplements, as some herbal supplements can cause complications when mixed with other medications.

Relaxation techniques, such as breathing exercises, progressive muscle relaxation, yoga, and mindfulness meditation, can also relieve anxiety symptoms. These techniques may be helpful supplemental activities to add to your doctor’s treatment plan. 

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Therapy is generally a first-line treatment for anxiety

Mental health support options

Anxiety medications have revolutionized the way that people with anxiety disorders function in the world. For some with severe cases of anxiety, medications can mean the difference between potential isolation and leading a normal life. 

Cognitive behavioral therapy for anxiety

Studies show that one of the most effective forms of treatment for anxiety disorders is cognitive-behavioral therapy (CBT). A psychotherapist trained in cognitive-behavioral therapy techniques can provide a framework for a workable treatment program where the patient—children and adults alike—can unearth the sources of their feelings of anxiety to understand them. Once the sources are identified, the therapist typically works carefully with the patient to process the feelings associated with them and learn to understand potential triggers. The final goal is often to teach the patient coping skills to handle their feelings of anxiety when they emerge and put them into perspective, thus giving them the tools to live productively on a day-to-day basis.

Despite the effectiveness of therapy in treating anxiety disorders, some children and adults choose not to (or are unable to) attend therapy. The reasons for this struggle often vary and depend on the individual but may include issues around availability and scheduling conflicts. 

Alternative mental health support options for people struggling with anxiety 

For people struggling with the symptoms of anxiety, particularly social anxiety, summoning the strength to leave the house on some days or travel to and from a therapist’s office may be challenging. Some people may not be comfortable speaking to the therapist in person due to their own personal reasons. 

When these barriers arise for those with anxiety, they may choose to speak with a therapist on an online platform, such as BetterHelp. Online therapy allows licensed therapists to work with you while also providing schedule and location flexibility, as long as you have an internet connection. You can speak with a counselor via phone, online chat, or video call. In general, online therapy is safe and affordable, and studies find that it can be effective for treating anxiety disorders and improving quality of life. 

BetterHelp now offers online psychiatry services through the UpLift platform, providing members (ages 18 and older) with personalized, convenient care. Together, online therapy and psychiatry can serve as the primary treatment methods within a holistic mental health approach. Psychiatric services available include evaluations, medication management*, and treatment planning. Working with a psychiatric professional through BetterHelp, you can find out whether anxiety medication is right for you—and how it might fit into a comprehensive treatment plan.

*Medication availability and coverage may vary by member location, clinical appropriateness, and individual pharmacy/insurance benefits. Prescribing decisions are made by the treating clinicians. We do not guarantee that any specific medication will be prescribed or covered by a member’s insurance plan.

With BetterHelp, users can begin working with a psychiatry professional within 2.6 days, which is often faster than the wait to see in-person providers (based on the national average of 2+ months). Psychiatric services through BetterHelp can also be more affordable than face-to-face care (many UpLift professionals accept insurance from major carriers, with copays for eligible members averaging $20). 

Takeaway

Some of the most common anti-anxiety medication options include SSRIs, SNRIs, beta blockers, and benzodiazepines. However, options like psychotherapy, lifestyle changes, and herbal supplements can also decrease anxiety symptoms, and therapy is considered a first-line treatment for anxiety. It can be easy to match with a licensed therapist and schedule sessions through an online therapy platform like BetterHelp.

Consider seeking support from a therapist online or in your area to get started. If you’re interested in supplement and medication options for anxiety, be sure to consult your doctor.

Regulate anxiety in a compassionate environment
This article provides general information and does not constitute medical or therapeutic advice. Mentions of diagnoses or therapy/treatment options are educational and do not indicate availability through BetterHelp in your country.
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