Managing Anxiety: Balancing Medication and Therapy for Recovery

Anxiety-related

Hello, doctor.
When I was in the ninth grade, I became anxious and started experiencing obsessive thoughts due to certain issues.
I visited two psychiatric clinics during my first and second years of high school (both had follow-up visits, but they were not long-term).
Later, I discontinued my medication due to physical reasons.
In my senior year, I continued to experience anxiety, but it has improved significantly (I have consulted with various guidance counselors).
However, I still fear that this feeling might return.
After taking my final exams, I felt that even if medication had some side effects, it was worth it to seek treatment at a large hospital.
I explained my previous symptoms to the doctor, who suspected generalized anxiety disorder and suggested psychological testing.
However, on my way home, I started to think that perhaps my condition wasn't that severe, and I was also worried about a relapse, so I continued taking my medication as usual.
Now, I plan to engage in regular exercise and distract myself while also adhering to my medication regimen.
If I see good results, can I ask the doctor if it's possible to forgo the psychological testing and maintain my current dosage (which was initially suggested to be increased)?

Jun Jun, 10~19 year old female. Ask Date: 2023/02/03

Dr. Tang Jiahong reply Psychiatry

Hello.
Of course, you can discuss dosage issues with your physician.
If your condition is stable, the dosage usually will not be increased unless there are specific reasons.
Regarding psychological testing, you might want to consider why you wish to cancel it.
After all, it is just a tool that can inform us about the level of recovery and identify areas that still have room for improvement.
These are all positive aspects that you can discuss with your physician.
Thank you.

Reply Date: 2023/02/03

More Info

Managing anxiety, particularly generalized anxiety disorder (GAD), often requires a multifaceted approach that includes both medication and therapy. Your experience reflects a common journey for many individuals dealing with anxiety, where the interplay between medication, therapy, and self-care becomes crucial for recovery.

Firstly, it's important to understand the role of medication in managing anxiety. Medications such as selective serotonin reuptake inhibitors (SSRIs) like sertraline, or benzodiazepines like bromazepam, are commonly prescribed to help alleviate symptoms of anxiety. SSRIs work by increasing serotonin levels in the brain, which can help improve mood and reduce anxiety over time. However, they typically take several weeks to show their full effects. On the other hand, benzodiazepines can provide quick relief from acute anxiety symptoms but carry a risk of dependence if used long-term.

In your case, it seems you have a good understanding of the potential benefits and drawbacks of medication. It's commendable that you are considering a balanced approach that includes regular exercise and attention diversion as part of your recovery strategy. Physical activity is known to have a positive impact on mental health, as it can help reduce anxiety and improve mood through the release of endorphins and other neurochemicals.

Regarding your concerns about the necessity of psychological testing and the potential adjustment of your medication dosage, it’s essential to maintain open communication with your healthcare provider. Psychological assessments can provide valuable insights into your anxiety levels and help tailor your treatment plan more effectively. Even if you feel your anxiety has improved, these assessments can help ensure that you are on the right track and that any underlying issues are addressed.

If you find that your anxiety symptoms are manageable and you are experiencing positive changes through self-care and medication, it is reasonable to discuss with your doctor the possibility of maintaining your current medication dosage without increasing it. However, any changes to your treatment plan should be made in consultation with your healthcare provider, who can assess your progress and determine the best course of action.

It's also important to recognize that anxiety can fluctuate, and it’s normal to have periods of improvement followed by challenges. This variability does not necessarily indicate a failure in your treatment but rather reflects the nature of anxiety disorders. Engaging in therapy, whether it’s cognitive-behavioral therapy (CBT) or another form, can provide you with tools to manage anxiety more effectively and help you build resilience against potential relapses.

In summary, managing anxiety is a dynamic process that often requires adjustments along the way. Combining medication with lifestyle changes, such as regular exercise and mindfulness practices, can enhance your overall well-being. Always consult with your healthcare provider before making any changes to your treatment plan, and consider the benefits of psychological assessments to guide your recovery journey. Remember, recovery is a gradual process, and it’s okay to seek help and support along the way.

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