Anxiety Relief: Is Ativan the Right Choice for You? - Psychiatry

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Anxiety?


I'm sorry, but I seemed to have gotten too excited last time.
I finally got taken off, and the doctor prescribed me Ativan 0.5 mg.
I know this is for anxiety relief, but why is it used for anxiety? It's quite strange.
I'm not sure if I still need to see the doctor; I feel really good...
really great! I don't think it's necessary to go anymore...
What does it mean to be truly better? Can I live a normal life? I feel relaxed...
Is this good enough?

ellen, 10~19 year old female. Ask Date: 2001/03/31

Dr. Tang Xinbei reply Psychiatry


Dear Ellen,
I apologize! Due to some technical issues, I was unable to respond to your question until today when the email transmission problem was resolved.
After reading your email, I sense that you are experiencing significant emotional fluctuations at the moment.
Ativan (Lorazepam) is a very effective sedative with few side effects, and perhaps your physician believes that you are exhibiting heightened emotional states along with some irritability, which is why you were prescribed this medication.
I recommend discussing the use of the medication with your physician.
Wishing you peace and joy!

Reply Date: 2001/03/31

More Info


Ativan, known generically as lorazepam, is a medication that belongs to a class of drugs called benzodiazepines. It is commonly prescribed for the management of anxiety disorders, as well as for short-term relief of anxiety symptoms. The reason Ativan is effective in alleviating anxiety is due to its ability to enhance the effects of a neurotransmitter in the brain called gamma-aminobutyric acid (GABA). GABA is an inhibitory neurotransmitter, meaning it helps to calm the nervous system, reduce neuronal excitability, and promote relaxation. By increasing GABA activity, Ativan can help to decrease feelings of anxiety, tension, and agitation.

When considering whether you have truly overcome anxiety, it's essential to reflect on several factors. First, it’s important to recognize that anxiety can manifest in various forms and intensities. Feeling "very good" and "light" may indicate that your anxiety symptoms have diminished, especially if you are able to engage in daily activities without excessive worry or fear. However, it’s crucial to differentiate between temporary relief due to medication and a more sustained improvement in your mental health.

A key aspect of determining whether you have genuinely overcome anxiety involves assessing your coping mechanisms and the underlying causes of your anxiety. Have you developed strategies to manage stress and anxiety when they arise? Are you able to confront situations that previously caused you distress without resorting to avoidance behaviors? These are important indicators of progress.

Moreover, while medication like Ativan can provide significant relief, it is typically recommended as part of a broader treatment plan that may include therapy, lifestyle changes, and coping strategies. Cognitive-behavioral therapy (CBT), for example, is an effective approach that helps individuals identify and challenge negative thought patterns and behaviors associated with anxiety. Engaging in therapy can provide you with tools to manage anxiety more effectively and may reduce the need for medication over time.

It’s also important to consider the potential for dependency on medications like Ativan. While it can be effective for short-term use, long-term reliance on benzodiazepines can lead to tolerance, meaning higher doses may be needed to achieve the same effect, and withdrawal symptoms may occur if the medication is suddenly stopped. Therefore, it’s advisable to have an open discussion with your healthcare provider about your treatment plan, including the duration of Ativan use and any concerns you may have about dependency.

In conclusion, while feeling good and experiencing relief from anxiety symptoms is a positive sign, it’s essential to evaluate your overall mental health and coping strategies. Regular follow-ups with your healthcare provider are crucial to ensure that your treatment plan remains effective and to address any concerns you may have about your medication. If you feel that you have made significant progress, it may still be beneficial to continue therapy or counseling to reinforce your coping skills and maintain your mental well-being. Remember, recovery from anxiety is often a gradual process, and it’s okay to seek support along the way.

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