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Treating Anxiety Disorders With Antidepressants

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Paul Hata asked:




Every individual experiences anxiety now and then. The general form of anxieties can be fretfulness, queasiness, jumpiness, feelings of apprehensive, rapid or heartbeat irregularities, faintness, stomachache, nausea, and respiration problems. Anxieties are many times manageable and at other times it can cause severe hazards.

To cure anxiety disorders there are both antidepressants and antianxiety medications available. Benzodiazepines are used as antianxiety medication to ease anxiety symptoms within short duration of time. These antidepressant antianxiety medications have comparatively less side effects than normal antidepressant medicines.

The side effects can be listed as sleepiness, loss of coordination, outwears and mental confusion. People who work with machineries are not recommended to consume such drugs as it can lead to disastrous effects to both man and machinery.

Antidepressant Medications And Effects

The reaction time of Benzodiazepines antidepressant antianxiety medicine varies for different people differently in accordance to individual’s body chemistry. The dosage is begun at low level and gradually can be increased until their symptoms are reduced. An individual is recommended not to consume alcohol along with benzodiazepines that can lead to life endangering complications.

People recurrently consuming such medicines may develop tolerance and habituation for them. Discontinuation of these drugs can have certain side effects also. These can be anxiousness, shakiness, cephalalgia, dizziness, wakefulness and loss of appetite. Thus, it becomes mandatory to communicate with the respective doctor before discontinuing the medicine.

When a person is fed on benzodiazepines medicines for longer duration of time, the dosage needs to be lowered gradually before putting a stop to it. Benzodiazepines antidepressant antianxiety medications include clonazepam (Klonopin), alprazolam (Xanax), diazepam (Valium), and lorazepam (Ativan). Buspirone (Buspar) is most specific medicine for anxiety disorder and proper consumption routine needs to be followed up. Beta blockers are one of the types of antianxiety antidepressants that can be used to treat heart conditions and high blood pressures.

Overview

Researchers have found that antidepressant antianxiety medicines are very beneficial in treatment of anxiety and other disorders. The antidepressants and benzodiazepines interact with brain and their interaction can be used as a basis for direct anxiety treatment. This can be regarded as one of the major steps in scientific process of discovery.

Still the scientific communities are working onto it for betterment of medicine to eliminate the side effects and potential dangers involved in consuming such medicines. An individual is recommended to consult a doctor and get the complete information related to the benefits and hazards prevailing in use of such antidepressant antianxiety medications.



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Acupuncture and anxiety

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John Scott asked:




For those of us living in the West, it can seem a little strange to hear of all the uses for acupuncture. Traditional Chinese Medicine (TCM) as now practiced in China itself and throughout ASEAN, has the complete trust of the people forming slightly less than one-third the Earth’s population.  The current population of the world is about 6.8 billion. The number of people actively relying on TCM is about 2 billion. The question this forces you to ask is, Can all these people be wrong? The answer is easy. For two thousand years, TCM has been building up expertise and has earned the trust and respect of each new generation as it grows up with the latest practice standards. Before we in the West get too high and mighty, we should remember that up to about one-hundred-fifty years ago, we were relying on hard drugs derived from opium like cocaine, using leeches to purify the blood and maggots to cleanse the wounds of those wounded in battle.

Against this background, it’s interesting to watch the spread of acupuncture in the West. For the last twenty years, there’s been a steady trickle of research studies praising acupuncture in the treatment of physical conditions. The best results are achieved by combining meditation through tai chi with acupuncture. It’s the balance between stimulation of the nerve bundles through the needles and the smooth physical movement of tai chi. This is the yin and yang of static and mobile treatments. The fairly consistent testbed for this type of alternative therapy has been the military. As an increasing number of personnel are returning home injured from active service in the Gulf and Afghanistan, it has been appropriate to throw out the medical rule book and try every possible therapy to deal with increasingly complex injuries.

At first, this was a successful approach to physical injuries but, with up to 45% of returnees suffering a mental disorder (about 17% have PTSD), a more active approach to their treatment has been required. Currently, there are sixteen different programs for PTSD based on acupuncture along with counseling and other supportive therapies. The first large-scale program began in the appropriately named Fort Bliss in 2007. This was a response to the spike in suicides among active service personnel. The Fort Bliss approach is now the increasing pattern for treating PTSD and, as more Vets are returning to civilian life, they are demanding acupuncture from their local healthcare services. The military does not care whether a treatment is standard or not. It’s only interested in practical benefits. Soldiers have been returning to active duty. That’s all the proof the Army needs. Hopefully, the civilian world will be more open-minded.

This turn to the East has not driven out Western medicine altogether. There’s still reliance on Valium (Diazepam) as one of the more reliable of the anti-anxiety medications. The strategy is to use an initial week or so of Valium (Diazepam) to break the cycle of hypervigilance and threatening depression. This produces a calmness of mind and, with the support and encouragement of the Army psychiatrists, the soldiers move on to acupuncture. This balance between drug therapy with Valium (Diazepam) as needed and consistent acupuncture and meditation is producing scientific data that will hopefully convince civilian doctors to take acupuncture more seriously.



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Anxiety Information

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Dr. John Drew Laurusonis asked:




Anxiety is a medical and psychological condition or feeling very hyper or overwhelmed in different situations.  It may have shortness of breath, increased heart rate, sweating, increased respirations, shaking, and even very rarely emotional black outs.  It may result in forms of panic, tension, and or headaches.

It may be associated with many medical problems including but not limited to thyroid disease, pregnancy, alcoholism, death, illegal drugs, depression, emotional pressures, economic or social problems, or family issues.  It can and does usually seem overwhelming to the patient.  Anxiety maybe treated with an anti-anxiety medication for a short period of time or kept on hand for rare occasions that might or will help.  Usually there is another secondary underlying cause physiological, psychological, or psychiatric problem that needs to be addressed with laboratory testing, physical evaluation, analysis, and precise medical care.

The patient is often given a diazepam type compound for temporary relief.  They get a pill, take it and in a short period of time the problem is usually significantly relieved.  However, the problem will consistently return again and again and often more frequently and require more and more medications as per the patient.  The patient will continue to take these temporary band aids more frequently and will usually keep requesting higher doses. They almost become panicked in the doctors’ office if they do not get more and more.  This is generally not a solution and ends up with a leaky tire with thousands of band aids sticking and falling off of it.  With more leaks from the tire and finally failure of the tire in doing what is it suppose to do.  The leak itself must be addressed and hopefully fixed.  Not every leak can be totally and completely forever fixed and the correct medical and psychiatric diagnosis must be made and the appropriate medication addressing the underlying problem or the correct counseling needs to be addressed usually with great success.  Patients eventually walk in the doctor’s office requesting 100’s of these medications taken extremely frequently with a large number of refills for a temporary fix.  This is not good for the patient’s emotional and physical well being, and definetly has some long term physical health concerns with the liver and kidneys which can be a colossal disaster.

Emotional problems as finding out a loss of a job for many years, an economic disaster of losing money from theft, stock, or other reasons may precipitate these symptoms. Sometimes this may be a sign of drugs or abuse..  The abuse could be sexual, physical, emotional, or inflicted on another close member such as a child from another who needs help.  This must always be carefully researched by the doctor and needs the honesty of the patient through trust to solve the problem.  Hiding these factors just does not solve the problem or the patient’s problem and usually results in additional catastrophes as well as the catastrophe of the patient themselves.  Help organizations through the county, shelters and with medications, and yes even sometime with help from the police could be necessary in certain extreme cases.  Abuse can take many varied and complicated forms; many are not outstandingly obvious at first glance.  Some solutions are often very surprising unless the patient really comes forth and is truthful to the doctor and staff.  People often feel embarrassed, suppress the problem, and hide or lie about an underlying problem.

If for whatever reason you do not feel totally comfortable you need to seek health care providers you are comfortable with.. However, this does not mean the passive resistance of seeing 100 or more physicians and the physician is not perfect.  One or two or no more than three physicians usually are reasonable and this physician needs your honesty from having your trust to deal with the problem.  Many of these problems are looked at as tattling on another person who may be causing this or this person may inflict pain or punishment on me, my family, and friends. Hiding this is not a solution.  Finally drawing a line in the sand and with confidentially addressing the problem with your doctor is the solution. However, this does not address many of the physical and other problems that could be underlying this issue and you do need some lab testing and a thorough physical exam to address this problem thoroughly with follow ups. Rarely there are others with promises of vitamins or other things that will ease all of your problems; be aware of these non professionally trained people asking you for money in a time of your weakness.  Help is there if you want it..  Alcohol is definitely not a solution and needs to be totally and completely avoided. Alcohol usually only makes this situation worse and worse. If you want a male doctor, get a male doctor.  If you want a female doctor, get a female doctor.

You need to seek a medical professional first to evaluate you physical state and then another one for your best psychological or psychiatric care.  Choose a physician whomever you are truly comfortably with and choose immediate help.



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Anxiety and Anxiety Attacks

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Juliet Cohen asked:




Anxiety disorders are the most common of emotional disorders, annually affecting more than 20 million Americans. Anxiety which interferes with normal activities like going outside or interacting with other people. Anxiety attacks are the most extreme example of an anxiety reaction. Anxiety disorders fill people’s lives with overwhelming anxiety and fear. When anxiety reaches a level at which the symptoms cause the sufferer to experience symptoms which exceed those normally experienced during an appropriate anxiety reaction, an anxiety attack is formed. Anxiety reactions are formed in the subconscious mind by a small organ called the Amygdala. Anxiety attacks can be eliminated very simply. Because anxiety attacks and high anxiety are the result of a learning process in the subconscious mind which causes the amygdala to react inappropriately, it can be ‘un-learned’ in the same way. Anxiety attacks are strong sensations that for many people creates the feeling of dying or going crazy. Anxiety attacks, also called panic attacks, are unexpected episodes of intense terror or fear. Anxiety disorders tend to run in families. People with anxiety disorders often have a family history of anxiety disorders, mood disorders, or substance abuse.

Anxiety attacks usually come without warning, and although the fear is generally irrational, the perceived danger is very real. Symptoms of anxiety and panic attacks / anxiety attacks include racing heart, hyperventilation or breathing difficulties, as well as chest pain, nausea or dizziness, headaches, shaking and trembling, and many more. Anxiety can also exacerbate many pre-existing medical conditions, such as ulcers, hypertension, and respiratory conditions including asthma and chronic obstructive pulmonary disease. Furthermore, anxiety is associated with mitral valve prolapse, chronic fatigue syndrome, sleep apnea, irritable bowel syndrome, and chronic tension headaches. Behavioural therapy – performed with a mental health professional to help gain control over unwanted behaviour. Cognitive therapy – similar to behavioural therapy but dealing with unhelpful and unproductive thoughts patterns.Anxiety medications can be habit forming and may have unwanted side effects, so be sure to research your options.

Medication – A short prescription of benzodiazepine tablets, such as diazepam, may be helpful in relieving short-term stress-related anxieties. Beta blockers are the best drug class to control physical symptoms of anxiety & panic attack and are normaly prescribed to prevent rapid heartbeat, shaking and trembling related symptoms. Buspirone is another medicine that is prescribed in the short-term to relieve anxiety. Antidepressants such as paroxetine may be prescribed for certain anxiety disorders such as generalised anxiety disorder, social phobia and OCD, and when anxiety is associated with depression. Group therapy – with one or two specialised therapists, particularly helpfully for certain conditions such as difficultly relating to others or being scrutinised by others. Psychoeducation – recognition by the patient that they have a treatable medical condition, and self-education through books and websites, and mental health professionals.

Anxiety and Anxiety Attacks Treatment Tips

1. Cognitive-behavior therapy (CBT) is very effective in the treatment of anxiety disorders.

2. Medication is sometimes used in the short-term to alleviate severe symptoms so that other forms of therapy can be pursued.

3. Relaxation techniques – Relaxation techniques such as progressive muscle relaxation, controlled breathing, and guided imagery may reduce anxiety.

4. Biofeedback – Using sensors that measure physiological arousal brought on by anxiety.

5. Hypnotherapy – Hypnosis for anxiety is conducted by a clinical hypnotherapist.



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Black Cohosh Extract

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tina asked:




More than two centuries ago, Native Americans discovered that the root of the black cohosh plant (Cimicifuga racemosa) helped relieve menstrual cramps, and symptoms of menopause including hot flashes, irritability, mood swings, and sleep disturbances. Today, the roots of black cohosh are still often used for these purposes. In fact, the herb has been widely used for more than 40 years in Europe and is approved in Germany for premenstrual discomfort, painful menstruation, and menopausal symptoms.

A dozen studies or more conducted throughout the 1980s and 1990s confirm that the long-standing use of black cohosh for menopausal symptoms has scientific validity. For example, in a German study involving 629 women, black cohosh improved physical and psychological menopausal symptoms in more than 80% of the participants within four weeks. In a second study, 60 menopausal women were given black cohosh extract, conjugated estrogens, or diazepam (a leading anti-anxiety medication) for three months. Those who received black cohosh reported feeling significantly less depressed and anxious than those who received either estrogens or diazepam. In another study, 80 menopausal women were treated for 12 weeks with black cohosh extract, conjugated estrogens, or placebo. Black cohosh improved anxiety, menopause and vaginal symptoms. In addition, the number of hot flashes dropped from 5 to less than 1 average daily occurences in the black cohosh group compared to those taking estrogen in whom hot flashes dropped from 5 to 3.5 daily occurences.

Given these examples, and results of other studies, some experts have concluded that black cohosh may be a safe and effective alternative to estrogen replacement therapy (ERT) for women who cannot or will not take ERT for menopause.

The American College of Obstetricians and Gynecologists (ACOG) reports, however, that many of these studies were poorly designed and did not evaluate the safety and effectiveness of black cohosh beyond 6 months of use. Despite this limited evidence, the ACOG still recognizes the value of black cohosh for menopausal symptoms. Until further studies are conducted, however, the ACOG recommends only short-term (less than 6 months) use of this herb for the relief of hot flashes specifically.

Many breast cancer patients use black cohosh to ease hot flashes, a common side effect of medications used to treat breast cancer such as tamoxifen. While black cohosh may reduce the number and intensity of hot flashes in breast cancer patients, two well-designed studies recently concluded that the herb is no more effective than placebo.

In addition, although there is some debate about this, black cohosh may contain plant based estrogens, called phytoestrogens. Therefore, there is some concern that if there are phytoestrogens in black cohosh, they may stimulate the growth of breast tumors. This idea has not been substantiated scientifically; in fact, some studies suggest that black cohosh may inhibit the growth of breast cancer cells in test tubes. Additional research is needed before conclusions can be drawn about use of black cohosh in women with a history of or risk for developing breast cancer (such as strong family history).

Black cohosh contains glycosides (sugar compounds), isoferulic acids (substances with anti-inflammatory effects), and, possibly, phytoestrogens (plant based estrogens), among several other active substances.

 



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