Anxiety Medication: When to Seek Psychiatric Help

Q: Anxiety Medication: When to Seek Psychiatric Help

Hello, online user： Clonazepam is merely a sedative, and a better approach is to use it occasionally as needed. <br>It is a symptomatic treatment rather than a curative one, and long-term fixed use is not advisable to avoid dependency. <br>If symptoms improve after relaxation and

Use of Anxiolytic Medications

Hello, doctor.
I previously raised the question of whether my chest tightness is due to autonomic nervous system dysregulation.
I have undergone various organ examinations, all of which showed no abnormalities.
The context in which the symptoms occur is quite clear, and I understand the source of my stress.
After taking one Clonazepam, my symptoms of chest tightness, difficulty breathing, panic, and insomnia alleviate.
I would like to know if, aside from managing stress and redirecting anxiety, it is necessary to use the medication long-term for improvement? (Currently, I take one pill at bedtime to help with sleep, and if I feel unwell during the day, I take another one.) The medication was initially prescribed under the assumption of hyperthyroidism, which was later ruled out by the endocrinologist, who determined that stress was the cause.
I have a history of anxiety, so I have a clear awareness of my condition and the reasons behind it.
The current dosage of medication provides me with a more comfortable physiological state.
Do I need to see a psychiatrist right away, or should I wait until I finish the medication before consulting a psychiatrist for their opinion? Thank you for your response, doctor.

Nìngmíng, 40~49 year old female. Ask Date: 2021/07/01

Dr. Wu Enliang reply Psychiatry

Hello, online user: Clonazepam is merely a sedative, and a better approach is to use it occasionally as needed.
It is a symptomatic treatment rather than a curative one, and long-term fixed use is not advisable to avoid dependency.
If symptoms improve after relaxation and stress reduction, then treatment may not be necessary.
However, if symptoms persist, it is essential to consult a psychiatrist for medication that adjusts the brain's stress response or to receive psychotherapy.
Dr.
Wu Enliang

Reply Date: 2021/07/01

More Info

When it comes to understanding anxiety medication and determining when to seek psychiatric help, it's essential to consider both the psychological and physiological aspects of anxiety disorders. Anxiety can manifest in various ways, including physical symptoms such as chest tightness, shortness of breath, and panic attacks, as well as psychological symptoms like excessive worry and insomnia.
In your case, you mentioned experiencing chest tightness and panic symptoms that improve with the use of Clonazepam. This medication is a benzodiazepine that is often prescribed for anxiety and panic disorders due to its calming effects. While it can provide immediate relief, it is typically recommended for short-term use due to the potential for dependence and tolerance. Long-term use of benzodiazepines can lead to withdrawal symptoms and may not address the underlying issues contributing to anxiety.

Given your history of anxiety and the current situation, it is advisable to consult with a psychiatrist. A mental health professional can provide a comprehensive evaluation and determine whether your symptoms are primarily anxiety-related or if there are other factors at play. They can also help you explore other treatment options, such as cognitive-behavioral therapy (CBT), which has been shown to be effective for anxiety disorders. CBT focuses on identifying and changing negative thought patterns and behaviors that contribute to anxiety.

In terms of medication, if you find that Clonazepam is helping but are concerned about long-term use, a psychiatrist may recommend transitioning to a different class of medications, such as selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs). These medications are often used as first-line treatments for anxiety disorders and can be effective in managing symptoms over the long term without the same risk of dependence as benzodiazepines.

It’s also important to address the source of your stress. You mentioned that you are aware of the pressures contributing to your anxiety. Engaging in stress management techniques, such as mindfulness, relaxation exercises, and physical activity, can also be beneficial. These practices can help reduce anxiety symptoms and improve overall well-being.

In summary, while Clonazepam can provide temporary relief, it is crucial to consider a comprehensive treatment plan that includes both medication and therapy. Consulting with a psychiatrist can help you navigate your options and develop a strategy that addresses both your immediate symptoms and the underlying causes of your anxiety. It’s always better to seek professional guidance, especially when dealing with mental health issues, to ensure that you are receiving the most appropriate and effective care for your situation.

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