Generalised Anxiety Disorder

Over the last six months, I have been crippled by anxiety as I have written in other previous posts. I told my psychiatrist I couldn’t stand it anymore and I was suicidal. He was very sympathetic and said he could help. He prescribed Lyrica and it has worked a treat. I have no more anxiety !!!! It worked like magic. It doesn’t mean that I discontinue my psychotherapy treatment. That is vital to healing and deal with the trauma. It’s just now I can do it with anxiety.

To help diagnose generalized anxiety disorder, your doctor or mental health professional may:

  • Do a physical exam to look for signs that your anxiety might be linked to medications or an underlying medical condition
  • Order blood or urine tests or other tests, if a medical condition is suspected
  • Ask detailed questions about your symptoms and medical history
  • Use psychological questionnaires to help determine a diagnosis
  • Use the criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association

Treatment

Treatment decisions are based on how significantly generalized anxiety disorder is affecting your ability to function in your daily life. The two main treatments for generalized anxiety disorder are psychotherapy and medications. You may benefit most from a combination of the two. It may take some trial and error to discover which treatments work best for you.

Psychotherapy

Also known as talk therapy or psychological counseling, psychotherapy involves working with a therapist to reduce your anxiety symptoms. Cognitive behavioral therapy is the most effective form of psychotherapy for generalized anxiety disorder.

Generally a short-term treatment, cognitive behavioral therapy focuses on teaching you specific skills to directly manage your worries and help you gradually return to the activities you’ve avoided because of anxiety. Through this process, your symptoms improve as you build on your initial success.

Medications

Several types of medications are used to treat generalized anxiety disorder, including those below. Talk with your doctor about benefits, risks and possible side effects.

  • Antidepressants. Antidepressants, including medications in the selective serotonin reuptake inhibitor (SSRI) and serotonin and norepinephrine reuptake inhibitor (SNRI) classes, are the first line medication treatments. Examples of antidepressants used to treat generalized anxiety disorder include escitalopram (Lexapro), duloxetine (Cymbalta), venlafaxine (Effexor XR) and paroxetine (Paxil, Pexeva). Lyrica. Your doctor also may recommend other antidepressants.
  • Buspirone. An anti-anxiety medication called buspirone may be used on an ongoing basis. As with most antidepressants, it typically takes up to several weeks to become fully effective.
  • Benzodiazepines. In limited circumstances, your doctor may prescribe a benzodiazepine for relief of anxiety symptoms. These sedatives are generally used only for relieving acute anxiety on a short-term basis. Because they can be habit-forming, these medications aren’t a good choice if you have or had problems with alcohol or drug abuse.

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