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Aug
15

Anxiety Drug – Is one right for you?

Prescription of an anxiety drug is one of the most viable approaches doctors feel they have at their disposal when a patient comes to them with complaints of anxiety.

There are many that are considered effective for mild to moderate anxiety including GAD, social anxiety and anxiety attacks. The question is, is an anxiety drug right for you? If so, which one and what about those side effects? you definitely want to minimize those… here’s a quick low down.

Alprazolam (Xanax) is prescribed many times to treat anxiety and panic attack symptoms. This drug is part of the benzodiazepines class of drugs and act on the central nervous system and brain to calm you down.

The most common side effects include drowsiness, dizziness and a decrease in concentration or coordination.The largest problem doctors cite with benzodiazepines is the development of drug dependency (addiction). For that reason they’re not typically prescribed in less another anxiety drug has failed.

Desipramine (Norpramin) is a drug that can be prescribed for depression and anxiety. This drug has been known to improve how you sleep,
lift your moods, increase your energy levels and make your appetite better along with giving you a renewed interest in living your life. This drug is a member of the tricyclic antidepressants. This drug balances the norphinphrine which is a natural substance contained in your brain.

However at this time, Desipramine is considered to be problematic with proof of causing cardiac arrhythmia and breast cancer in women. For this reason it’s not normally recommended by physicians.

Another ANXIETY DRUG that is widely used and popular is SSRI (selective serotonin reuptake inhibitor), brand named escitalopram (Lexapro),Sertraline (Zoloft) and Paroxetine (Paxil), and it is commonly prescribed to relieve anxiety and depression. Through increasing the amount of serotonin available for use in the brain. It does this by not allowing the body to “use up” or “deplete” its existing serotonin. Users report good results and is considered by most to be an effective anxiety drug when dealing with the symptoms, especially mild to moderate symptoms. This anxiety drug ( which is also commonly prescribed for depression) can control excessive nervousness while increasing energy levels and often gives users a sense of well-being throughout the day.

There are a large number of side effects listed by the manufacturers of all SSRI’s. You should monitor yourself and make sure none of the following occur within the first one to four weeks. If they do, consult your physician.Urinary retention, apathy, vomiting or nausea, drowsiness, bruxism, fatigue, mydriasis, insomnia, loss of appetite, weight gain, bone fractures depression, lack of libido, tremors, suicidal tendencies, photosensitivity and headache.

Diazepam (Valium) is not only for use in relieving anxiety, but also for treating seizures and the withdrawal from alcohol. This drug is from the group of medications called benzodiazepines derivative, which gives you a calming sensation by acting on your nerves and brain.  Because it’s in the benzodiazepines derivative class, dependency and addiction can result.

Another popular and effective ANXIETY DRUG group, is the Monoamine oxidase inhibitors. Normally prescribed for depression (but also for anxiety) MAOI’s are considered a powerful class of drug and particularly tricky when other drugs are being taken by the patient for any reason because of its propensity to interact negatively with many other drugs. For that reason, it’s typically prescribed after other anxiety drug or drugs have failed and the patient is typically monitored closely. Also side effects are significant including potential liver damage, dependency (addiction) and severe drug interaction leading to coma or death.

The group of drugs called azapirones can be effective in relieving anxiety. Some of the drugs in this group are Buspirone , Enilospirone and Gepirone. These drugs have a wide range of side effects,  but are consided rare; and include confusion, headaches, vertigo and nervousness.
They also can interact with other drugs and can cause dependency.

Beta-blocker class of anxiety drug, interestingly started out being prescribed for (and continues to be) cardiac arrhythmias, heart attack
and hypertension.  There was also interest in testing the drug for its ability to reduce anxiety and now there is clear evidence that beta-blockers are effective for anxiety. However, all the studies performed seem to indicate that its primary effectiveness is for “performance anxiety” (public speaking, stage fright etc.) Other types of anxiety like GAD and anxiety attack are still in question.

Aug
22

Anxiety Drug Alternatives

We would not be doing you a service if we didn’t discuss Anxiety Drug alternatives.

Daniel Amen, M.D. addresses this subject with substantial depth in his books, videos and practices.

This is his overall philosophy on the issue…

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Other alternatives to drugs

Aug
24

Anxiety Drug – Benzodiazepines

About the Benzodiazepines

Overview and Indications for Use

The benzodiazepine classifications of drugs are those that affect the central nervous system, producing a calming or depressant effect. They are typically used for the treatment of anxiety and to induce a calmer state on the patient.

Long used to help to prepare patients for surgical procedures, the benzodiazepine drugs are also used as assistance in helping to calm the “nerves” of those who are stressed but do not suffer from depressive illnesses.

Benzodiazepine depressant drugs are therapeutic in normal dosages by helping to produce sleep in those who are unable to fall readily asleep, as well as to help to relieve certain types of anxiety. They are also used to control spasms of the muscles and in many cases to control the more severe seizures that come with epilepsy or in cases of status epilepticus.

In some cases where the drugs are monitored closely, they can be used to treat depression and the anxiety that is associated with it, often when induced by schizophrenia

General Actions and Timing

The action of the benzodiazepines is fairly rapid onset. These drugs will act as a hypnotic when used in a higher dose, and as an anxiolytic (anti-anxiety med) when offered in a more moderate dose. In small doses they are sedative in nature.

Typically the drugs are prescribed at the lowest effective level and will continue to be increased in dosage until the desired effect is achieved at which time that dosage is the therapeutic one and is left in place for the desired time span.

Drug Timing Varieties and Brands

Short Onset Varieties of Benzodiazepine.

Those members of the benzodiazepine which are used for sleep induction and will affect the body in a relatively short time span include:

Estazolam (ProSom)

Flurazepam (Dalmane)

Temazepam (Restoril)

Quazepam (Doral)

Triazolam (Halcion)

Longer onset and longer duration of action varieties of Benzodiazepines are:

Alprazolam (Xanax)

Diazepam (Valiumm

Chlordiazepoxide (Librium)

Halazepam (Paxipam)

Prazepam (Centrax)

Lorazepam (Ativan)

In addition there are other members of the benzodiazepine family that are used for other types of therapy. One of these that is used as adjunctive therapy to surgical anesthesia drugs is Versed, which is classed as an amnesiac, as well as Klonipin, used to treat seizures.

Use and Abuse

It is not recommended that the patient who has undergone benzodiazepine therapy stop the medication without the advice and consent of an attending physician. These drugs can be habit forming and withdrawal symptoms can affect the patient.

Of the many drugs on the market today that will affect the anxiety and central nervous system, most will be or have been abused at some point in time. Unfortunately, the Benzodiazepine classification of drugs falls within this category.

Due to the frequency with which the benzodiazepines are prescribed, they are also abused on a fairly frequent basis although they are classed as Schedule or Class drugs in the United States, making them controlled substances.

Side effects

Unfortunately the benzodiazepines Drug class does have the potential for significant side effects.   And can create mild to severe symptoms with some patients reporting symptoms worse than the anxiety they’re trying to avert.

The use include but are not limited to drowsiness, dizziness, aggressive impulses, mental cognitive impairment, loss of sex drive, unstoppable
dependency and addiction.

Contraindications

Because of its muscle relaxation tendency, benzodiazepines are not recommended for people that have respiratory problems such as COPD.

Other Resources

see alternatives to drugs, here.

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Sep
03

Anxiety Drug – How do they work?

This is a good explanation of how anxiety drugs work with the body.

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Jan
26

Lightning Process and Anxiety January 22 2012

Does the Lightning Process work for anxiety panic attacks and phobias? The Lightning Process is an expensive course that blends various therapies and schools of treatment, including Osteopathy, NLP and CBT, to create a technique that can be used to cure anything from anxiety to chronic fatigue, and claims to be beneficial in other physical [...]

What is the major difference between normal anxiety and abnormal anxiety?

A) Normal anxiety is caused by worrying about personal matters, while abnormal anxiety is caused by worrying about global problems.

B) Normal anxiety does not have any physical symptoms, while abnormal anxiety is coupled with heart palpitations, nausea, and sweating.

C) Normal anxiety is caused by worrying about everyday things, while abnormal anxiety can interfere with daily functioning.

D) Normal anxiety is caused by stress and fatigue, while abnormal anxiety is caused by physical problems.

Answer
I would say C, since any disorder in the DSM-IV requires that it interferes with your daily functioning, thus making it a disorder that can be classified. For example, sadness is considered depression only when it starts affecting your daily functioning for a set period of time(i.e. 2 weeks)

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Jan
26

change

I have awful panic attacks from anxiety. What medicine should i ask for to help with anxiety?

Medicine is one of my last resorts. I have tried meditation, relaxaion, counseling and even though overall i get better my anxiety really hasnt!

Answer
I would not take any medication. From personal experience at least. But if you your doctor says its okay should be fine as long as you don’t get addicted. For alternative treatments check out my source.

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Jan
22

I’m trying to get serious about my class today but I am having writers block and anxiety Yikes

How to get rid of anxiety in public situations?

I have been having really bad anxiety. I get it out of no where and I don’t know how to get rid of it. I don’t want to take medicine, is there any way to get rid of it naturally? I am going on a plane on Thursday and I have never had anxiety on a plane. I am afraid I will because of what has been occurring recently. Please help? Thank you.

Answer
Therapy helped me, but honestly medication is so much more effective. I didn’t want to take it either. Then I went to saying I’d only take it temporarily, I’d only take one, etc. Now I have found a good mixture that helps me and I wish I would have just accepted the fact that I needed it a few years ago and saved myself all that misery. Clonazepam might work great for you! I take 0.5 mg’s and it causes no side effects since the dose it low. It is used as-needed, not every day, and would work great for your social/plane anxiety. You take one pill, most likely 0.5-1 mg about two hours before you will need it. You will most likely sleep through that plane trip because it makes you really drowsy. For sleep I take it a few hours before, and for situational anxiety I take it the night before because the half-life is 50+ hours. Trying it out won’t hurt you. Therapy is also a good idea. Good luck!

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Jan
22

Anxiety and Chiropractic Ode to Social Anxiety

Does Chiropractic work for Anxiety? Lots of Chiropractors have a list of conditions on their websites that they claim to heal and often anxiety, stress and depression are on the list. Does it work? The simple answer is it depends what is causing your anxiety. If you believe that your mind and body are one, [...]

How does a depression medicine work for anxiety?

I have Social anxiety. My doctor prescribed Zoloft which is a depression medicine. I am just curious, how does the same medicine also treats social anxiety???

Answer
They go hand in hand. You get anxious about something and after some time it becomes depressed over that same thing. In both cases, when the nerve ends send messages to the next nerve thru a gap, these messages don’t get there, they sort of bounce back to their origin. This is what’s called a chemical imbalance in the brain. These messages are sent via chemicals ‘jumping’ from one nerve end to the other. If they don’t get ‘absorbed’ by the second nerve, we become depressed and probably more anxious about more things in life.

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Jan
18

Anxiety and Chiropractic Anxiety.

Does Chiropractic work for Anxiety? Lots of Chiropractors have a list of conditions on their websites that they claim to heal and often anxiety, stress and depression are on the list. Does it work? The simple answer is it depends what is causing your anxiety. If you believe that your mind and body are one, [...]

What’s the difference between anxiety and an anxiety disorder?

I know what anxiety is, I just don’t know when having anxiety becomes a disorder. Can anyone explain it to me?

Answer
Anxiety becomes a disorder when you start to worry and worry so much to where you just can’t stand it. Like you really can’t stop thinking about what you are worrying about! Mostly, shy people have problems with anxiety and it eventually becomes a disorder because shy people don’t like being in the spotlight and talking to people and they worry about that. I should know I have an anxiety disorder! I take medication so I don’t worry as much and so i don’t have mood swings. So anxiety disorders are a big deal and they are where you worry a lot and can’t really stop worrying about it, until it’s over! Most people who worry too much shake and get all nervous in front of people like something simple like giving a presentation, or like getting so nervous to where they can’t hardly think at times probably have a disorder. Like just the other day, I had to read my play in drama class and I was so nervous because the teacher was making everyone read theirs. My legs were shaking I was so nervous and afraid or rejection I could barely talk, but I tried…. Oh gosh. That’s what it’s like. It’s to where, everyday you try not to worry about little things, but you do.

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Jan
18

The Scream on Vimeo by Sebastian Cosor

What is the link between anxiety disorder and rapid weight loss?

Is it possible/plausible that those with anxiety disorders can lose weight without decreasing appetite if they tend to pace, run long distances and fidget? I suppose what I’m asking is; are you more likely to burn calories in prolonged time periods of high anxiety? Curious due to seemingly hemorrhaging weight lately in the face of stress.

Answer
Stress can cause two effect to our body the massive loss of weight or gain weight. In short they are unhealthy to our body. The Only thing that can stop that is doing some exercise and eat regularly then sleeping in the exact sleeping ours. As for your question they are totally related to each other.

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Jan
14

Anxiety and Chiropractic Reframing the Pap Smear Opening Reception

Does Chiropractic work for Anxiety? Lots of Chiropractors have a list of conditions on their websites that they claim to heal and often anxiety, stress and depression are on the list. Does it work? The simple answer is it depends what is causing your anxiety. If you believe that your mind and body are one, [...]

How to control anxiety and panic under a time crunch?

How do you control anxiety and panic under a time crunch? Many have suggested to meditate and take time off to relax.

But, I start panicking because I am under a time crunch, and I am losing time when I am trying to meditate or relax.

It seems to be a double-edged sword! How do I solve such an impossible problem?

I get anxious and panicked very easily, and I have lived with it since middle school, but it is getting too much. (And my health is going down hill too).

Thanks!
I really do not want any type of drug to manage it, however.

Answer
If you don’t want to try Xanax, there are other strategies you can employ.

Make a list of things you have to do. then highlight the things that are of absolute importance. Carve up your projects into bite-size chunks. Delegate, if possible.

After this time crunch is over, you need to start to address what is underneath your anxiety. Even if drugs are not for you, talking to people about this is important. I keep a fear journal, where i write my fears and then set them aside.

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Jan
14

Reframing the Pap Smear Opening Reception

How to overcome severe social anxiety, when you got it after stopping anxiety meds, and have a stutter?

I get very very nervous around people i don’t know, and I would really really like to be more social but i end up getting anxiety about it, due to my stutter, as i do have a severe stutter. I never had social anxiety till after stopping the anti anxiety meds, in which i was on for general anxiety disorder.

Answer
Hi B,
I am so glad you got off the meds. All the things I have read about meds for anxiety and other disorders will just add other medical problems, like RLS.
It is not easy, but make your self get out at least three times a week,, in a mall, movie, park, just get out. Everyone has some kind of problem, and remember you are very smart. By typing this in here shows me you are brave. This place people are so judgemental, so if you get dumb responce in here just tell your self that person has a problem or he or she would not put you down, that should make you feel better knowing you are not along.
Good luck!!

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Jan
10

Nine of Blades 6.1

How to Help a Child with Anxiety about School with some Social and Separation Anxiety?

I’m keen to understand the psychological aspects of separation anxiety and childhood phobias. Apart from anxiety related to school, my 7 year old boy is otherwise pretty smart, healthy and fairly social with friends. I just want to balance things out for him.

Answer
Since you’ve identified the trigger (school) of your child’s anxiety, it’s a first important step toward acknowledging the problem. Next is to understand whether the anxiety is chronic (happens every day the child goes to school) or only on certain days (e.g., Mondays). A lot of us adults also tend to feel stressed & anxious on Mondays following a weekend break — Monday morning blues — so relating it to the child’s experiences is crucial as well.

At the same time, you need to differentiate between something that’s part of the growing years (like separation anxiety in young children) and something that borders on phobia that may require counseling. I have a 9 year old niece with social anxiety, so I’m aware of the need to grasp early warning signs, including the intensity of the same.

Another thing to consider are the school-specific external triggers as well as internal triggers related to the family environment:

- Are there any factors in school that are making your child anxious? Like bullying by classmates, difficulty in learning, teacher’s attitude toward your child, etc.

- One example is anxiety that may develop if a child is neglected or lacks the basic need of security. If this is not available to the child, his sense of anxiety goes unabated.

While these may be difficult questions to answer, it’s important to consider all facts so you get vital clues to your specific case.

Understanding a child’s emotional response to fear helps you cope, deal with and treat your child with anxiety about school. This is as important for the child as it is to you as a parent.

http://anxietyfreechildren.ellsed.com

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Jan
10

Anxiety and Chiropractic numbers

Does Chiropractic work for Anxiety? Lots of Chiropractors have a list of conditions on their websites that they claim to heal and often anxiety, stress and depression are on the list. Does it work? The simple answer is it depends what is causing your anxiety. If you believe that your mind and body are one, [...]

What is the relationship between confidence and anxiety?

What is the relationship between confidence and anxiety? Does low confidence create an anxiety disorder, or does an anxiety disorder create low confidence? What do you think? What is your experience? Thanks.

Answer
Well, basically confidence and anxiety are more or less the complete opposite of each other. I have an anxiety disorder, and when I’m anxious I find myself unable to be as confident as I should be. But when I’m not anxious my confidence is really high. So yes, you could say an anxiety disorder does create low confidence. I wouldn’t say that low confidence creates an anxiety disorder though.

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