Should I Resume Antidepressants for Anxiety and Stress Relief?

Q: Should I Resume Antidepressants for Anxiety and Stress Relief?

Hello Josephy： It is inevitable to experience anxiety when encountering new changes or stressful situations in life. <br>It is advisable to first identify the sources of anxiety and try to accept that feeling anxious in such circumstances is normal. <br>Then, focus on the tasks t

Should I resume taking antidepressant medication?

Hello Doctor: I used to be a patient with panic disorder and took Xanax and Cymbalta for over ten years.
However, I gradually stopped taking the medication around last year's Lunar New Year after feeling stable.
Initially, there were no unusual symptoms, but later, I had to return for regular check-ups due to a chronic condition.
Each time I checked my blood pressure at the clinic, it was elevated, but it returned to normal levels when I measured it at home.
I am aware of "white coat syndrome," but I don't feel much pressure when visiting the clinic for medication.
I suspect that the unfamiliar environment might contribute to this, as I noticed a slight distortion in perception during a visit to a clinic I had never been to before.

Recently, I have been feeling more stressed about job hunting since I have been out of the workforce for a while.
When I first started looking for a job, I experienced episodes of increased heart rate just from lying in bed and thinking about it.
I feel a bit apprehensive about in-person interviews and often find myself reminiscing about my previous work experiences.
I also frequently think about how I would handle certain situations if I were in a work environment.
My symptoms have included increased heart rate, slight warmth in my feet, and recently, a feeling of muscle tension in my left chest along with irritability.

I would like to ask the doctor whether, despite knowing that my symptoms are not severe and having some remaining antidepressants available, I should consider resuming antidepressant medication to help me get through this period of stress and anticipatory anxiety.
Thank you for your response.

josephy, 40~49 year old female. Ask Date: 2018/03/22

Dr. Liang Sunyuan reply Psychiatry

Hello Josephy: It is inevitable to experience anxiety when encountering new changes or stressful situations in life.
It is advisable to first identify the sources of anxiety and try to accept that feeling anxious in such circumstances is normal.
Then, focus on the tasks that require your attention.
Typically, anxiety tends to diminish over time, which can be a successful overcoming experience.
However, if the level of anxiety does not decrease and instead increases day by day, it is recommended to return for a follow-up appointment with your physician to discuss coping strategies and whether medication adjustments are necessary.
Wishing you all the best.

Reply Date: 2018/03/22

More Info

It sounds like you are experiencing a significant amount of anxiety and stress, particularly related to your job search and the physical symptoms that accompany these feelings. Given your history of panic disorder and previous use of medications like Zoloft (sertraline) and Xanax (alprazolam), it's understandable that you might consider resuming antidepressants to help manage your current symptoms.

Firstly, it's important to recognize that anxiety can manifest in various ways, including physical symptoms such as increased heart rate, muscle tension, and feelings of unease. These symptoms can be exacerbated by stressors, such as returning to the job market after a period of absence. The phenomenon you're describing, often referred to as "white coat syndrome," where blood pressure rises in a clinical setting, is common and can be attributed to anxiety about medical evaluations rather than an underlying health issue.

In your case, the combination of your past experiences with panic disorder and the current stress of job searching may be contributing to your anxiety levels. The feelings of muscle tightness in your chest and the racing heart can be particularly distressing, leading to a cycle of worry that can further heighten your anxiety. It’s crucial to address these symptoms not only for your mental well-being but also for your overall health.

Resuming antidepressants could be a beneficial option for you, especially if you feel that your current coping mechanisms are insufficient. Antidepressants can help stabilize mood and reduce anxiety symptoms, making it easier for you to navigate stressful situations. However, it's essential to consult with your healthcare provider before making any changes to your medication regimen. They can assess your current mental health status, discuss the potential benefits and risks of restarting medication, and help you determine the best course of action.

In addition to medication, consider integrating other strategies to manage your anxiety. Cognitive-behavioral therapy (CBT) is an effective treatment for anxiety disorders and can help you develop coping mechanisms to deal with stressors. Mindfulness practices, such as meditation or deep-breathing exercises, can also be beneficial in reducing anxiety and promoting relaxation.

Physical activity is another excellent way to alleviate stress and anxiety. Regular exercise can release endorphins, which are natural mood lifters, and help improve your overall sense of well-being. Even simple activities like walking or yoga can make a significant difference.

Lastly, ensure you have a support system in place. Talking to friends, family, or a therapist about your feelings can provide relief and help you feel less isolated in your experiences. Sharing your concerns about job searching and the associated anxiety can also lead to practical advice and encouragement.

In summary, while resuming antidepressants may be a viable option for managing your anxiety and stress, it is crucial to have an open dialogue with your healthcare provider. They can guide you through the decision-making process and help you explore additional therapeutic options that may complement medication. Remember, you are not alone in this journey, and seeking help is a positive step towards regaining control over your mental health.

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