Managing Anxiety Medication: Concerns and Solutions for Students

Q: Managing Anxiety Medication: Concerns and Solutions for Students

Hello, Hsiao-Hsuan： Anti-anxiety medications can alleviate anxiety, but they do not teach you how to overcome anxiety or coexist with it. <br>There are other non-pharmacological treatment options for anxiety disorders, such as reducing life stress, adjusting lifestyle habits, inc

Issues related to the use of medications for anxiety disorders?

Hello, doctor: I would like to ask about the use of medication for anxiety disorders.
Previously, during my college entrance exam preparation, I experienced significant stress and during a mock exam, I became so anxious that I couldn't calm down to take the test.
Even though I managed to complete the exam and got into university, I still feel a strong sense of apprehension and fear about that experience.
Whenever I think about it, I tend to feel anxious to some extent.
After starting university, my condition gradually improved, but recently, my stress levels have increased, and I seem to be experiencing the anxiety symptoms from the past again.
Whenever I feel very anxious, I have some strange thoughts and ideas.
Sometimes, when I calm down, I know that the things I'm worried about are unlikely to happen, yet I still find myself repeatedly thinking about them.
I feel like I have some obsessive thinking patterns.
I am currently seeing a doctor, and at first, the doctor prescribed medication for me.
However, I often forget to take the medication on time due to some uncomfortable side effects.
During follow-up visits, the doctor tells me that I need to take the medication to improve these symptoms, which are the thoughts I clearly don't want to think about but seem unable to control.
Recently, I have been patient and have been taking the medication regularly, and I feel that my condition has improved.
The doctor mentioned that my situation is relatively mild, but I worry that if I stop taking the medication, my anxiety might return.
Will I have to take medication for the rest of my life? What should I do?

Xiao Xuan, 20~29 year old female. Ask Date: 2016/05/03

Dr. Wu Enliang reply Psychiatry

Hello, Hsiao-Hsuan: Anti-anxiety medications can alleviate anxiety, but they do not teach you how to overcome anxiety or coexist with it.
There are other non-pharmacological treatment options for anxiety disorders, such as reducing life stress, adjusting lifestyle habits, increasing physical activity, personal growth, learning relaxation techniques, or psychotherapy; it is not necessary to rely solely on medication.

Reply Date: 2016/05/03

More Info

Managing anxiety, especially as a student, can be a challenging journey filled with ups and downs. Your experience with anxiety, particularly during high-pressure situations like exams, is not uncommon. Many students face similar challenges, and it’s important to recognize that you are not alone in this struggle.
From what you’ve described, it sounds like you are experiencing symptoms of anxiety that may include intrusive thoughts, physical symptoms of anxiety, and a fear of returning to a state of heightened anxiety if you stop taking your medication. These feelings can be overwhelming, but there are ways to manage them effectively.

Understanding Anxiety and Medication
Anxiety disorders can manifest in various ways, including generalized anxiety, panic attacks, and obsessive-compulsive tendencies, as you mentioned with your intrusive thoughts. Medications, particularly selective serotonin reuptake inhibitors (SSRIs) and sometimes benzodiazepines, are commonly prescribed to help manage these symptoms. It’s crucial to understand that while medication can be effective, it is often most beneficial when combined with therapy, such as cognitive-behavioral therapy (CBT).

Concerns About Long-Term Medication Use
Your concern about needing to take medication for a long time is valid. Many people worry about becoming dependent on anxiety medication. However, it’s important to have an open dialogue with your healthcare provider about your concerns. They can help you understand the role of medication in your treatment plan and discuss the possibility of tapering off once your symptoms are under control.
In many cases, individuals may not need to stay on medication indefinitely. Some may find that after a period of consistent treatment, they can gradually reduce their dosage or stop taking the medication altogether under medical supervision. This process should always be guided by a healthcare professional to ensure safety and effectiveness.

Strategies for Managing Anxiety
1. Consistent Medication Use: As you’ve noted, taking your medication regularly can help stabilize your symptoms. If side effects are an issue, discuss them with your doctor. There may be alternative medications or adjustments that can minimize discomfort.

2. Therapy: Engaging in therapy, particularly CBT, can be incredibly beneficial. CBT focuses on identifying and changing negative thought patterns and behaviors associated with anxiety. It can provide you with tools to manage your thoughts and reduce anxiety without solely relying on medication.

3. Mindfulness and Relaxation Techniques: Incorporating mindfulness practices, such as meditation, deep breathing exercises, or yoga, can help reduce anxiety levels. These techniques can help ground you in the present moment and reduce the impact of intrusive thoughts.

4. Healthy Lifestyle Choices: Regular physical activity, a balanced diet, and adequate sleep can significantly impact your anxiety levels. Exercise, in particular, is known to release endorphins, which can improve mood and reduce stress.

5. Support Systems: Building a support network of friends, family, or support groups can provide emotional support and understanding. Sharing your experiences with others who understand can alleviate feelings of isolation.

6. Gradual Exposure: If certain situations trigger your anxiety, consider gradual exposure to these situations in a controlled manner. This technique can help desensitize you to the anxiety-provoking stimuli over time.

Conclusion
It’s commendable that you are taking steps to address your anxiety and are actively seeking help. Remember that managing anxiety is a process, and it’s okay to seek support along the way. Keep communicating with your healthcare provider about your concerns, and don’t hesitate to explore different treatment options, including therapy and lifestyle changes. With time and the right strategies, many individuals find that they can manage their anxiety effectively and lead fulfilling lives.

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