Dealing with anxiety can be overwhelming, and finding the right treatment is often a critical step in managing symptoms. For many, medication becomes a necessary part of their treatment plan, but the process of obtaining anxiety medication can be confusing and intimidating.
Navigating through doctor visits, understanding prescriptions, and addressing potential side effects add layers of stress when seeking treatment for anxiety. It’s crucial to understand the steps involved and what to expect when prescribed medication for anxiety.
The process of getting anxiety medication
Getting anxiety medication involves several important steps:
Consult a healthcare provider
- Schedule an appointment with a healthcare provider, such as a primary care doctor, psychiatrist, or psychiatric nurse practitioner.
- During the visit, be open about your symptoms, how long you’ve had them, and how they affect your daily life.
- This information helps the provider understand your condition and recommend appropriate treatment options.
Discuss medication options
- Your healthcare provider or medical doctor will discuss different types of anxiety medications, such as antidepressants, benzodiazepines, or beta-blockers if medications are deemed appropriate for your recovery journey.
- They will explain how each medication works, its potential side effects, and how it might help your symptoms.
- Be sure to ask questions to fully understand the benefits and risks of each option.
Get a prescription
- If your healthcare provider determines that anxiety meds are appropriate, they will write a prescription.
- This prescription will include the medication’s name, dosage, and instructions on how to take it.
- Follow these instructions carefully to achieve the best results and minimize side effects.
Fill your prescription
- Take your prescription to a pharmacy to get it filled. You can choose between a local pharmacy or an online pharmacy for convenience.
- The pharmacist will provide the anti-anxiety medication along with instructions and possible side effects.
- Don’t hesitate to ask the pharmacist any questions you may have about your medication.
Follow-up appointments
- Regular follow-up appointments with your healthcare provider are crucial when taking anxiety medication.
- This allows for medication management, which includes monitoring your progress, adjusting dosages if necessary, and addressing any side effects or concerns you might have.
- Open communication with your provider helps ensure the medication relieves you of your anxiety disorders.
Monitor side effects
- Pay attention to how the medication affects you. Common side effects of anxiety medication can include drowsiness, dizziness, or stomach issues.
- If you experience any severe or concerning side effects, contact your healthcare provider immediately. They may adjust your dosage or switch you to a different medication.
Stay consistent
- Consistency is key when taking anxiety medication. Take your medication at the same time every day as prescribed.
- Missing doses or stopping medication suddenly can lead to withdrawal symptoms or a return of anxiety symptoms.
- If you need to stop taking the medication, work with your healthcare provider to gradually reduce the dosage safely.
Combine with other treatments
- Medication often works best when combined with other treatments, such as therapy, exercise, and stress management techniques to manage your symptoms.
- Talk to your healthcare provider about incorporating these strategies into your treatment plan to improve overall results and support your well-being.
Review and adjust as needed
- Your treatment plan may need adjustments over time. Regularly review your progress with your healthcare provider and make any necessary changes.
- This might include adjusting your dosage, trying a different medication, or incorporating new treatment techniques.
Who can be prescribed anxiety medication?
Anxiety medication can be prescribed to individuals who meet certain criteria based on their symptoms and overall health. Here’s a breakdown of who might be eligible:
Individuals with diagnosed anxiety disorders
People who have been diagnosed with an anxiety disorder by a healthcare provider are eligible for anxiety medication. Common anxiety disorders include:
- Generalized anxiety disorder (GAD): This is characterized by excessive worry about various aspects of life.
- Panic disorder: A condition that involves sudden and repeated episodes of intense fear or discomfort, known as panic attacks.
- Social anxiety disorder: Intense fear of social situations and being judged or scrutinized by others.
- Obsessive-compulsive disorder (OCD): A condition that includes recurring, unwanted thoughts (obsessions) and repetitive behaviors (compulsions).
- Post-traumatic stress disorder (PTSD): A disorder that develops after experiencing or witnessing a traumatic event.
Individuals with severe symptoms
Even if you don’t have a formal diagnosis, if you experience severe anxiety symptoms that interfere with daily life, a healthcare provider may prescribe medication to treat you. Symptoms that might qualify include:
- Persistent and excessive worry
- Difficulty sleeping
- Inability to concentrate
- Physical symptoms like rapid heartbeat, sweating, or trembling
- Avoidance of certain situations due to anxiety
Children and adolescents
- Children and teenagers experiencing significant anxiety can also be prescribed medication, but this typically requires a thorough evaluation by a pediatrician or child psychiatrist.
- The decision to use medication in young people is made with caution and often combined with therapy.
Adults and the elderly
- Adults of all ages can be prescribed anxiety medication. For elderly patients, doctors will consider factors such as other medical conditions and potential interactions with existing medications.
- Adjustments in dosage may be necessary to ensure safety and effectiveness.
Individuals with co-occurring conditions
- People with other mental health conditions, such as depression, may also benefit from anxiety medication.
- Often, treating anxiety can help improve symptoms of co-occurring conditions, making it easier to manage overall mental health.
People who have not responded to other treatments
- If you’ve tried other treatments, such as therapy or lifestyle changes, and haven’t seen improvement, a healthcare provider might prescribe anxiety medication.
Individuals seeking temporary relief
- In some cases, medication may be prescribed for short-term relief of anxiety symptoms. This might be helpful during particularly stressful periods or events, such as surgery or major life changes.
- Short-term use of medication can provide relief while longer-term treatment options are developed.
Consultation with a healthcare provider
- Ultimately, a healthcare provider decides to prescribe anxiety medication based on a comprehensive evaluation of your symptoms, medical history, and individual needs.
- It’s important to have an open and honest conversation with your provider about your symptoms and concerns to determine the best course of action.
Types of anxiety medications prescribed by healthcare providers
There are several types of medications commonly prescribed to help manage anxiety. Each works differently to reduce symptoms and improve quality of life.
Selective serotonin reuptake inhibitors (SSRIs)
SSRIs are often the first choice for the treatment of anxiety disorders. 1 They work by increasing the levels of serotonin in the brain, which can help improve mood and reduce anxiety.
- Examples: Prozac (fluoxetine), Zoloft (sertraline), Lexapro (escitalopram)
- Benefits: Generally well-tolerated with fewer side effects than older antidepressants, such as tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs).
- Side effects: Nausea, headache, sleep disturbances, sexual dysfunction.
Serotonin-norepinephrine reuptake inhibitors (SNRIs)
SNRIs are similar to SSRIs but also increase levels of norepinephrine, another neurotransmitter that helps regulate mood and anxiety. 2
- Examples: Effexor (venlafaxine), Cymbalta (duloxetine)
- Benefits: It can be effective for people who do not respond to SSRIs.
- Side effects: Nausea, dry mouth, dizziness, increased blood pressure.
Benzodiazepines
Benzodiazepines are fast-acting medications that can quickly reduce anxiety symptoms. They are usually prescribed for short-term use due to the risk of dependence. 3
- Examples: Xanax (alprazolam), Ativan (lorazepam), Valium (diazepam)
- Benefits: Provide quick relief from severe anxiety.
- Side effects: Drowsiness, dizziness, dependence, withdrawal symptoms.
Beta-blockers
Beta-blockers are typically used to treat heart conditions but can also help with physical symptoms of anxiety, such as rapid heartbeat and trembling, and are sometimes prescribed for social anxiety disorder.
- Examples: Inderal (propranolol), Tenormin (atenolol)
- Benefits: Help manage physical symptoms of anxiety, particularly in situations like public speaking, where people often experience anxiety.
- Side effects: Fatigue, cold hands, dizziness, digestive issues.
Tricyclic antidepressants (TCAs)
TCAs are older antidepressants that can be used to treat anxiety but often have more side effects than SSRIs and SNRIs. 4
- Examples: Elavil (amitriptyline), Tofranil (imipramine), Pamelor (nortriptyline)
- Benefits: Can be effective for anxiety and other mood disorders.
- Side effects: Dry mouth, constipation, urinary retention, blurred vision.
Monoamine oxidase inhibitors (MAOIs)
MAOIs are another older class of antidepressants that can be effective for anxiety but require dietary restrictions and have significant potential for side effects. 5
- Examples: Nardil (phenelzine) and Parnate (tranylcypromine) are examples of MAOIs prescribed for the treatment of anxiety disorders.
- Benefits: Can be helpful when other medications are not effective.
- Side effects: High blood pressure (if dietary restrictions are not followed), weight gain, insomnia.
Atypical antipsychotics
These medications are sometimes used in combination with other anxiety treatments to help manage severe symptoms. 6
- Examples: Seroquel (quetiapine), Abilify (aripiprazole)
- Benefits: Can help with anxiety when other treatments are not sufficient.
- Side effects: Weight gain, drowsiness, metabolic changes.
Buspirone
Buspirone is specifically used for chronic anxiety and works differently than benzodiazepines. It has a lower risk of dependence. 7
- Examples: Buspar (buspirone)
- Benefits: Non-sedating and lower risk of dependence.
- Side effects: Dizziness, nausea, headache, restlessness.
Antihistamines
Some antihistamines can help reduce anxiety symptoms, especially if they cause sedation.
- Examples: Vistaril (hydroxyzine) 8
- Benefits: Can help with anxiety and improve sleep.
- Side effects: Drowsiness, dry mouth, dizziness.
Can you get anxiety medication without seeing a doctor?
It’s generally not recommended to get anxiety medication without seeing a doctor. Here’s why:
Importance of professional diagnosis
- A proper diagnosis is crucial for treating generalized anxiety disorder or any other type of anxiety disorder.
- Doctors and mental health professionals can assess your symptoms, determine the severity of your anxiety, and identify any underlying conditions.
- Self-diagnosing can lead to inappropriate treatment, which might worsen your condition.
Prescription medications require a doctor’s approval
- Most anxiety medications, such as SSRIs, SNRIs, and benzodiazepines, are prescription drugs.
- This means they can only be legally obtained with a prescription from a licensed healthcare provider authorized to prescribe medication.
- This regulation ensures that the medications are used safely and appropriately.
Risks of self-medication
- Self-medicating without professional guidance can be dangerous. Using medications incorrectly can lead to side effects, interactions with other drugs, or dependence, especially with medications like benzodiazepines. 3
- A healthcare provider can monitor your response to the medication and make necessary adjustments.
Alternatives to prescription medications
While waiting to see a doctor, there are some over-the-counter (OTC) options and natural remedies that might help manage mild anxiety symptoms:
- OTC supplements: Supplements like magnesium, omega-3 fatty acids, and certain vitamins (such as B-complex) can support overall mental health. However, it’s best to consult with a healthcare provider before starting any supplement.
- Herbal remedies: Some herbal remedies, like valerian root, passionflower, and chamomile, have calming effects. They can be found in teas, capsules, or tinctures.
- Lifestyle changes: Regular exercise, a balanced diet, adequate sleep, and mindfulness practices like meditation and yoga can help reduce anxiety symptoms naturally.
Online telehealth services
- If visiting a doctor in person is challenging, consider using telehealth services.
- Many healthcare providers now offer online consultations, where you can discuss your symptoms and receive a prescription if necessary.
- Telehealth can be a convenient way to get professional help without leaving home.
Risks of buying medication online
- Be cautious of websites that sell prescription medications without requiring a prescription.
- These sites may sell counterfeit or unsafe drugs that can harm your health, making it important to obtain prescribed anxiety medication from reputable sources.
- Always use reputable online pharmacies that require a prescription and are verified by regulatory authorities.
Final thoughts
Living with depression and anxiety makes finding the right job crucial for your well-being. The best jobs for people with these conditions offer a supportive environment, flexible work hours, and opportunities for autonomy.
These roles help reduce stressors and provide a sense of control, making it easier to manage symptoms. However, certain high-pressure jobs can worsen mental health. If you need support in navigating these challenges, our anxiety treatment program in Arizona can help.
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1. NHS. (2021, December 8). SSRIs. Retrieved from https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/overview/
2. McAdoo, S., & Smedley, T. (2023, March 2). SNRI drugs list: What to know about popular SNRIs like Cymbalta. GoodRx. Retrieved from https://www.goodrx.com/classes/snris/snri-drugs-list
3. Editorial Staff. (2024, June 21). Benzodiazepine addiction: Symptoms & signs of dependence. American Addiction Centers. Retrieved from https://americanaddictioncenters.org/benzodiazepine/symptoms-and-signs
4. Moraczewski, J., Awosika, A. O., & Aedma, K. K. (2023, August 17). Tricyclic antidepressants. In StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK557791/
5. Sub Laban, T., & Saadabadi, A. (2023, July 17). Monoamine oxidase inhibitors (MAOI). In StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK539848/
6. Hershenberg, R., Gros, D. F., & Brawman-Mintzer, O. (2014). Role of atypical antipsychotics in the treatment of generalized anxiety disorder. CNS Drugs, 28(6), 519-533. https://doi.org/10.1007/s40263-014-0162-6
7. Wilson, T. K., & Tripp, J. (2023, January 17). Buspirone. In StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK531477/
8. Pardini, C., & Ulrich, A. (2023, August 29). Hydroxyzine (Vistaril) for anxiety: How it works, side effects, and dosages. GoodRx. Retrieved from https://www.goodrx.com/hydroxyzine-pamoate/hydroxyzine-for-anxiety-how-it-works-side-effects-cost
Author: Editorial Team
JULY 23, 2024