Managing Anxiety: Medication Concerns and Emotional Recovery Strategies

Q: Managing Anxiety: Medication Concerns and Emotional Recovery Strategies

Hello： 1. <br>According to your description, if a patient with generalized anxiety disorder experiences discomfort after medication and subsequently develops anxiety, depression, low mood, and anhedonia after discontinuing the medication, it is advisable to seek evaluation from a

Liyou, Heart Rhythm Tablets, Yiketon?

Three weeks ago, my doctor diagnosed me with generalized anxiety disorder (with irritability) and prescribed me three medications (one of each).
I took Liyou only at bedtime, and by the third day, I experienced bradycardia (heart rate of 55), flat mood, and sexual dysfunction.
On the fourth day, I reduced the dosage of each medication by half and ended up in the emergency room due to dizziness and slow heart rate.

To summarize: 1.
I took a total of three and a half Liyou pills and have been off medication for three weeks now.
The first three days were filled with anxiety, the second week brought on depression and suicidal thoughts, and the third week showed slight improvement, although I still experience unwarranted low moods stemming from my emotional numbness towards my surroundings.
Should I continue taking medication, or will exercise suffice for recovery? Afterward, I saw another doctor who prescribed me half a pill of Lexapro and half a pill of Wellbutrin, but I am hesitant to take them for fear of undoing my progress.

2.
I came across information stating that when serotonin reuptake in the brain is inhibited, it can disrupt the natural balance over time, leading the brain to adapt by reducing its own serotonin production.
This could result in a lifelong cycle of relapse and medication dependence.
Is this true?

Xiao Ya, 30~39 year old female. Ask Date: 2021/01/07

Dr. Cai Qijin reply Psychiatry

Hello: 1.
According to your description, if a patient with generalized anxiety disorder experiences discomfort after medication and subsequently develops anxiety, depression, low mood, and anhedonia after discontinuing the medication, it is advisable to seek evaluation from a psychiatrist to determine whether these changes are due to the original symptoms or withdrawal symptoms.
For anxiety disorders, medication serves only as an adjunct to symptom relief, and non-pharmacological treatments such as psychotherapy, muscle relaxation, or biofeedback should be considered.
2.
It will not be like that.

Reply Date: 2021/01/07

More Info

Managing anxiety, especially when diagnosed with generalized anxiety disorder (GAD), can be a complex process that often involves medication and lifestyle changes. Your experience with medication, particularly the side effects you've encountered, is not uncommon. Let's break down your concerns and provide some insights based on medical knowledge.

1. Medication and Side Effects: You mentioned experiencing a slow heart rate (bradycardia), emotional flatness, and sexual dysfunction after starting your medication. These are potential side effects of certain anti-anxiety medications, particularly selective serotonin reuptake inhibitors (SSRIs) and other related drugs. It's crucial to communicate these side effects to your healthcare provider, as they may need to adjust your dosage or switch you to a different medication. Reducing your medication without consulting your doctor can lead to withdrawal symptoms or a resurgence of anxiety and depression, as you've experienced.

2. Emotional Recovery: The emotional flatness and lack of interest in activities you once enjoyed can be concerning. This phenomenon, often referred to as "anhedonia," can be a side effect of medication or a symptom of underlying depression. It's essential to monitor these feelings and discuss them with your doctor. While exercise and lifestyle changes can significantly improve mood and anxiety levels, they may not be sufficient alone for everyone, especially if the underlying biochemical imbalances are not addressed.

3. The Role of Serotonin: Your concern about serotonin levels and the long-term effects of medication is valid. SSRIs work by increasing serotonin levels in the brain, which can help alleviate symptoms of anxiety and depression. However, there is a misconception that long-term use will permanently alter your brain's ability to produce serotonin. While it's true that the brain can adapt to changes in neurotransmitter levels, most research suggests that SSRIs can be effective in managing symptoms without leading to a permanent decrease in serotonin production. It's essential to work closely with your healthcare provider to find the right balance for your treatment.

4. Self-Management Strategies: In addition to medication, incorporating self-care strategies can be beneficial. Regular physical activity, mindfulness practices, and cognitive-behavioral therapy (CBT) are effective in managing anxiety. Engaging in activities that bring you joy, practicing relaxation techniques, and maintaining a healthy lifestyle can also support your emotional well-being.

5. Consulting Your Doctor: Since you've expressed hesitation about taking the new medications prescribed (樂活憂 and 憂達平), it's crucial to have an open dialogue with your doctor. Discuss your fears and concerns about medication, and ask about the potential benefits versus risks. Your doctor can provide guidance on how to proceed, whether that means starting a lower dose, trying a different medication, or focusing on non-pharmacological interventions.

In conclusion, managing anxiety is often a multifaceted approach that includes medication, therapy, and lifestyle changes. It's essential to work closely with your healthcare provider to tailor a treatment plan that addresses your specific needs and concerns. Remember, it's okay to seek a second opinion or to explore different treatment options if you feel your current plan isn't working for you. Your mental health is a priority, and finding the right balance is key to your recovery.

Similar Q&A

Managing Anxiety Medication: Concerns and Solutions for Students

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...

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, increas...

Managing Anxiety: Coping with Loss, Stress, and Emotional Turmoil

I am currently taking Easy Relax tablets regularly in the morning and evening. After taking them, I feel more relaxed, but sometimes after the effect wears off, I become inexplicably irritable or experience a sense of palpitations even when my heart rate is within the normal rang...

Dr. Qiu Junda reply Psychiatry
Hello. Since you have been using psychiatric medications such as Yi Shu tablets, you should have a medical history. You can inform your physician about your situation and concerns during your follow-up appointment to facilitate improvement. In the meantime, for issues such as anx...

Understanding and Managing Social Anxiety Disorder: A Guide

Dr. Chen: I would like to ask about my frequent feelings of nervousness and fear of speaking in social situations. I often blush when I speak, and I believe I may have mild social anxiety disorder. I'm unsure how to manage and treat this condition.

Dr. Chen Wenke reply Psychiatry
Hello Kevin: Social anxiety disorder is actually a very common issue, differing only in severity. Regarding treatment, there are currently many medications that have shown good efficacy for individuals with this type of condition, such as some newer antidepressants. Anti-anxiety ...

Effective Strategies to Overcome Exam Anxiety and Nervousness

I would like to ask, I often feel uncomfortable or anxious due to exams or unfamiliar environments. Is this because I haven't prepared myself mentally? Are there medical treatments available for these symptoms? Or are there any methods to cope with this? I have an exam comin...

Dr. Chen Wenke reply Psychiatry
Hello: From the issues you've described, it is clear that you have an adjustment disorder, which you often manifest through symptoms of anxiety. Are you someone who tends to be impatient and frequently puts a lot of pressure on yourself, often displaying tense emotions? Indi...