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How to Treat Generalized Anxiety Disorder Everyone is anxious now and then – and there are reasons to be worried. However, those with GAD suffer from an unending anxiety-like state that can affect their school, work and relationships. Genetics, traumatic events or chronic medical illnesses may be associated with GAD. Treatment options include medication and psychotherapy. Medicines There are many medications used to treat GAD, and it's a good idea to talk with your doctor about the benefits and side adverse effects of these drugs. Generally, the first medications that are tried for anxiety disorders are antidepressants in the selective serotonin reuptake inhibitor (SSRI) and serotonin-norepinephrine reuptake inhibitor (SNRI) classes. These medications can reduce anxiety, and also help with depression and other mental health conditions. These medications are typically taken for a short time and are often paired with psychotherapy. SSRIs block the presynaptic transporters of serotonin, ensuring that it is available to release. They block reuptakes of norepinephrine, dopamine and other neurotransmitters to improve neurotransmitter accessibility. Both have been shown to be effective in treating anxiety disorders, such as GAD. treat anxiety are often used as the first-line treatment for mental disorders such as panic disorder or major depressive disorder. These medications include escitalopram (also called citalopram) and sertraline (also known as sertraline), fluoxetine, duloxetine and venlafaxine. In addition, agomelatine, a melatonin-1/melatonin-2 agonist and 5-HT2C receptor antagonist, has been found to be efficacious in treating anxiety disorders, although it is more commonly used for the treatment of depression. It's important to keep in mind that the majority of people suffering from anxiety disorders aren't responding to the initial treatment. It could take anywhere from four to six weeks before symptoms begin to improve, which is why it's essential to adhere to your treatment regimen. If you don't experience improvement after several weeks, speak with your doctor about changing your dosage or taking another medication. Some antidepressants that are older and monoamine inhibitors of oxidase (MAOIs) can also be effective in treating anxiety disorders. However, these medications are not as well-proven than SSRIs and SNRIs. They can cause more sedation, and may cause more serious side-effects than the more recent drugs. There is a lack of research on clonidine or guanfacine as treatment for anxiety. However, numerous studies suggest that these medications are more efficient than placebos. Adding psychotherapy to the usage of these medications increases the frequency of treatment and reduces side effects. Talking therapy GAD is a very common mental health issue, but it can be difficult to treat. There are many treatment options. Medications are commonly used to ease anxiety symptoms, and self-help and talking therapy can help manage symptoms over time. Support groups are available to those with GAD. Everyone experiences anxiety from time to moment. However, those with GAD suffer from constant anxiety that can affect their daily life. Restlessness, difficulty concentrating and muscle tension are just a few of the symptoms. The focus is usually on things that are routine, like work responsibilities, family health and even minor issues such as car repairs, chores, and appointments. GAD sufferers might not be aware of the source of their anxiety, and these symptoms can last up to six months. They may avoid situations that can trigger anxiety. Symptoms of this disorder are usually first seen in the adolescent or early childhood years. Symptoms may worsen in times of stress or illness and could even persist into adulthood. Certain people are more susceptible to develop GAD than others, but there is no definitive cause. Some theories suggest that it could be a genetic predisposition, or an amalgamation of factors, like temperament and environmental influences. A traumatizing event or life change, such as divorce or the death of a loved one, can also be a trigger. There are a variety of ways to treat GAD, but the combination of treatments is the most efficient. Talking therapies such as cognitive behavioral therapy (CBT) are an effective method of reducing anxiety. This type of therapy helps you identify and modify negative thinking patterns that can cause anxiety. It can also help you to confront your fears in a secure setting, rather than avoid them. Making the effort to reduce your anxiety can help you lead a healthier and happier life. You can utilize meditation or exercise to calm your mind and body. Spending time with your family and friends can help you feel less isolated. You might also try a relaxing method, such as deep breathing or guided visualization. You can also join a group of support for anxiety to gain compassion and understanding from others who have had similar experiences. Self-help groups Everyone experiences anxiety or nervousness at times and these emotions are a normal part of life. However, people with GAD have persistent, excessive and unrealistic worries that they are unable to manage. They worry that bad things could happen and their anxiety affects their daily lives. The symptoms last at least six months, and are not due to any medical issue. There are many methods to treat GAD. The first is psychotherapy, also known as “talk therapy,” which is a kind of treatment that requires talking to professionals in mental health like a psychiatrist or psychologist. It can help you identify and alter unhealthy thoughts, emotions, and behaviours. Psychotherapy can also help you learn coping skills, such as stress management and relaxation techniques. Cognitive behavioral therapy (CBT) is a different method to treat GAD. CBT helps you recognize and confront your unadaptive thinking patterns. It can also help you gain control over your worrying and gradually return to activities you have avoided due to anxiety. CBT can be paired with medications to enhance the effectiveness of treatment. Medication is usually the most effective treatment for GAD. Medications in the selective serotonin-reuptake inhibitor (SSRI) and serotonin and norepinephrine reuptake inhibitor (SNRI) classes are typically first-line treatments, including escitalopram (Lexapro) duloxetine (Cymbalta) and Venlafaxine (Effexor XR) and paroxetine (Paxil and Pexeva). These antidepressants can reduce anxiety by changing the balance of chemicals within your brain. Self-help groups can be a great alternative for those who cannot afford to see an experienced therapist or want to commit to talking therapy. They are regularly scheduled to provide assistance to those suffering from the same disorder. Some groups are run by professionals, whereas others are informal and self-organized. Meetings last about one and a quarter hours, and participants share their personal experiences. Most groups accept a donation, and some have no charges at all. Genetics, temperament and environmental factors are all aspects that can contribute to GAD. A child can develop anxiety if parents or both suffer from the condition. Also, a traumatic event can cause anxiety. Certain underlying diseases like an overactive thyroid gland, may increase the risk of developing this condition. Psychotherapy The most effective form of psychotherapy for GAD is cognitive behavioral therapy (CBT). It helps you develop specific skills that can aid you in managing your anxiety. CBT will also assist you to gradually return to activities you have avoided because of anxiety symptoms. As time passes your anxiety will decrease as you build on your accomplishments. You should work closely with your mental health professional to ensure you're following the treatment plan and not using supplements or herbal remedies to treat your anxiety, since they may interfere with your medication. In a recent meta-analysis of networks and systematic review of randomized studies, CBT showed both acute and long-term efficacy and acceptance in treating generalized anxiety disorder among adults. CBT treatments such as cue-controlling, alternative self-statements and relaxation training were all proven to be efficient. Other psychotherapies, such as schematherapy and interpersonal therapy were also found to be highly effective. Psychodynamic therapy is a psychotherapeutic treatment that helps recognize negative patterns of behavior that are rooted in your past experiences. This treatment uses open-ended questions that reveal subconscious patterns that cause anxiety. Interpersonal therapy can also teach you how to improve your relationships with other people. Schema therapy assists you in overcoming maladaptive behaviors and thoughts that are rooted in childhood traumas. It's often used to treat post-traumatic stress disorder, but can be effective for any type of anxiety that is a result of unresolved trauma. During the schema sessions, your therapist will guide your eye movements to help you process your trauma in a manner that does not trigger anxiety symptoms. Anxiety can be a crippling issue and it's essential to seek treatment as early as you can. You can manage your symptoms with the right treatment and lead a healthy, full life. If you're struggling with anxiety, call Active Path Mental Health today to learn more about our services and to set up an initial appointment. Our offices are located in Oregon and Washington and we're there to help you get control of your life.