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How to Treat Generalized Anxiety Disorder There are a variety of reasons to be worried. People with GAD are constantly in a state anxiety, which can affect their relationships, work or school. GAD could be triggered by genetics, trauma or chronic medical illnesses. Treatment options include psychotherapy and medications. Medicines There are many medications used to treat GAD, and it is a good idea to talk with your doctor about the benefits and side effects of these medications. 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 help reduce anxiety and may also improve depression and other mental health issues. These medications are typically taken for a short time and are often combined with psychotherapy. SSRIs block presynaptic serotonin transporters so that serotonin can be released to release, and SNRIs block the reuptake of dopamine and norepinephrine in order to increase the availability of neurotransmitters. Both have been shown to be effective in treating anxiety disorders, including GAD. They are typically the first-line treatment for psychiatric disorders, like panic disorder, and major depressive disorder (MDD). The drugs that fall into these classes include escitalopram, duloxetine, sertraline, fluoxetine, 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 most people with anxiety disorders aren't responding to the first treatment. It can take as long as six weeks for symptoms to begin to improve. Therefore, it's important to stick to your treatment regimen. If you don't notice improvement after some time, consult with your doctor about changing your dosage or if you should consider taking another medication. Certain antidepressants from the past, as well as monoamine oxide (MAOI) inhibitors can be helpful in treating anxiety disorders. However these medications are not as well-established and are not as well-proven than SSRIs and SNRIs. They are more likely to cause sedation and may cause more serious adverse reactions than the more recent drugs. There is a lack of research on clonidine or guanfacine as a treatment for anxiety. However, many studies show that these medications are more effective than placebos. Psychotherapy can improve treatment adherence and decrease the risk of adverse side effects. Talking therapy GAD is an extremely common mental illness, however it is difficult to treat. There are many treatment options. Medicine is commonly used to relieve anxiety symptoms. Self-help and talking therapy techniques can ease symptoms over time. Support groups are available for those suffering from GAD. Everyone is prone to anxiety from time the. However, those with GAD have a constant fear that interferes in their daily lives. Inattention, restlessness and muscle tension are a few of the signs. Worries are usually focused on daily issues like work responsibilities, family health, and minor concerns, such as chores, repairs to the car, and appointments. The people who suffer from GAD might not be able identify the cause of their anxiety and the anxiety may last for at minimum six months. They may avoid situations that cause anxiety. People suffering from this disorder usually begin to experience symptoms in their teens or early childhood. The symptoms can become more severe during times of high stress or illness, and could even persist into adulthood. Certain people are more susceptible to developing GAD than others, however there is no definitive reason. Some theories suggest that it may be a genetic predisposition, or some combination of factors such as temperament and environmental influences. A traumatizing event or major life event such as divorce or the death of a loved one can cause the disorder. There are a variety of ways to treat GAD however the combination of treatments is the most effective. Talking anxiety treatment natural as cognitive behavioral therapy (CBT) can be an effective method of reducing anxiety. This kind of therapy can help you identify and alter negative thinking patterns that can cause anxiety. It can also teach you to face your fears in a safe environment, rather than avoiding them. Doing something to ease your anxiety can help you live a more relaxed and happier life. You can try exercise or meditation to relax your mind and body. You can also enjoy time with your family and friends to avoid feeling isolated. You can also use relaxation techniques, such as deep breathing or guided visualization. You can join a support group for anxiety, to find support and understanding from those who have experienced similar issues. Self-help groups Every person experiences nervousness or anxiety at some time in their lives. These are normal feelings. People suffering from GAD however, experience excessive or unrealistic anxieties that they cannot manage. They are convinced that bad things are likely to happen, and their anxiety can affect their daily lives. The symptoms persist for at least six months and are not due to a medical condition. There are many ways to treat GAD. The first is psychotherapy or “talk therapy,” which is a kind of treatment that involves speaking with a mental health professional such as psychologist or psychiatrist. It can help you identify and alter unhealthy thoughts, emotions, and behaviours. Psychotherapy can also help you learn coping skills, such as relaxation and stress management techniques. Another method of treating GAD is cognitive behavioral therapy (CBT). CBT helps you recognize and challenge your maladaptive thought patterns. It can also help you regain control over your worrying and gradually return to activities you've resisted due to anxiety. CBT can be combined with medications to improve the effectiveness of treatment. The most effective treatment for GAD. Treatments in the selective serotonin-reuptake inhibitor (SSRI) and serotonin and norepinephrine-reuptake inhibitor (SNRI) classes are usually first-line treatments, such as escitalopram (Lexapro), duloxetine (Cymbalta) and venlafaxine (Effexor XR) and paroxetine (Paxil and Pexeva). These antidepressants reduce anxiety by altering the balance of chemical substances within your brain. Self-help groups are an excellent alternative for those who are unable to afford to see a professional therapist or don't want to commit to talking therapy. They meet regularly to offer support to those with the same condition. Some groups are run by professionals while others are informal and self-organized. Meetings last approximately one quarter hour and participants share their personal experiences. Some groups charge a fee, while others don't. Genetics, temperament and environmental factors are all elements that can contribute to GAD. For example children may experience anxiety if parents have the condition. A traumatic event may also cause anxiety. People suffering from certain underlying diseases, such as an overactive thyroid gland, are also more likely to have the condition. Psychotherapy Cognitive behavioral therapy (CBT) is the most effective psychotherapy to treat GAD. It concentrates on teaching you specific techniques to manage your anxiety directly. CBT assists you to gradually resume activities you avoided because of anxiety-related symptoms. As you continue to build on your successes, your anxiety will decrease as time passes. Working closely with your mental healthcare professional will ensure that you adhere to the treatment plan. Avoid using herbal remedies or supplements as a way to treat anxiety because they could interfere with your medication. In a recent systematic review and meta-analysis of network clinical trials that were randomized, CBT was associated with both acute and long-term effectiveness and acceptability for treating generalized anxiety disorder in adults. Several different CBT treatments have been proven to be effective, including cue control alternative self-statements, relaxation training. Other psychotherapies was also found to be effective, including schema therapy and interpersonal therapy. A psychological treatment called psychodynamic therapy can help you discover negative patterns of behavior that are rooted in your past experiences. It is a process that involves open-ended questions and free association to uncover unconscious patterns that cause anxiety. Therapy for interpersonal relationships can also teach you healthy ways to improve your relationship with other people. Schema therapy is one type of psychotherapy that helps you overcome maladaptive thoughts and behavior that are related to childhood traumas. It's commonly used to treat post-traumatic stress disorder, but can be effective for any kind of anxiety that stems from unresolved trauma. In schema sessions, the therapist guides your eye movements to reprocess your trauma in a way that does not cause anxiety symptoms. Anxiety can be crippling. It's important to get treatment as soon as possible. You can manage your anxiety by undergoing the appropriate treatment and lead a happy, full life. Contact Active Path Mental Health for more information about our services, or to set up a a first appointment if you have anxiety issues. We have offices in Oregon and Washington and we are here to help you take back control of your life.