Xanax Prescriptions: Can Psychiatrists Help with Anxiety? - Psychiatry

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Medication Inquiry


Hello Dr.
Wang, due to a more hectic lifestyle, I naturally experience increased stress.
I take Xanax to help with sleep so that I can be energized for work the next day, and I have some tendencies towards anxiety.
What are the chances of obtaining a prescription for controlled substances like Xanax? Can a psychiatrist prescribe it? Thank you!

sun, 30~39 year old female. Ask Date: 2005/12/24

Dr. Wang Chongren reply Psychiatry


Dear Dr.
Wang Chong-Ren of the Psychiatric Department at Tainan Hospital, Department of Health, Executive Yuan:
There are many causes of stress.
Sedatives such as Xanax can alleviate anxiety symptoms, but they do not address the root cause of the stress problem.
It is necessary to combine psychological support and lifestyle adjustments.
Additionally, Xanax is an addictive medication; while it can be prescribed in our psychiatric department, we do not recommend releasing prescriptions for it.

Wishing you good health and all the best from Tainan Hospital!

Reply Date: 2005/12/24

More Info


Xanax, known generically as alprazolam, is a medication that belongs to the benzodiazepine class. It is primarily prescribed for the treatment of anxiety disorders, including generalized anxiety disorder (GAD) and panic disorder. Xanax works by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain, which has a calming effect on the nervous system. This mechanism helps to reduce feelings of anxiety and can also aid in sleep, which is why some individuals may use it to help with insomnia related to anxiety.

Regarding your question about the prescription of Xanax and whether psychiatrists can help with anxiety, the answer is yes. Psychiatrists are medical doctors who specialize in mental health and are fully qualified to prescribe medications, including controlled substances like Xanax. However, due to the potential for dependence and addiction associated with benzodiazepines, psychiatrists typically exercise caution when prescribing these medications. They may prefer to use them for short-term relief while also recommending other therapeutic approaches, such as cognitive-behavioral therapy (CBT) or other forms of psychotherapy, to address the underlying causes of anxiety.

In terms of the likelihood of obtaining a prescription for Xanax, it largely depends on your specific situation and the assessment made by your psychiatrist. If you are experiencing significant anxiety that interferes with your daily life, your psychiatrist may consider prescribing Xanax as part of your treatment plan. However, they will likely discuss the risks and benefits with you, including the potential for tolerance and dependence, and may suggest alternative or complementary treatments.

It is important to communicate openly with your psychiatrist about your symptoms, concerns, and any previous experiences with anxiety medications. If you are using Xanax to help with sleep, it is crucial to address the root causes of your anxiety and stress, as relying solely on medication may not provide a long-term solution. Your psychiatrist may recommend lifestyle changes, stress management techniques, or therapy to help you cope with the pressures you are facing.

In summary, Xanax can be an effective short-term treatment for anxiety, but it should be used judiciously and in conjunction with other therapeutic strategies. Psychiatrists are well-equipped to help you navigate your anxiety treatment, and they can provide the necessary prescriptions while ensuring that you are aware of the potential risks involved. If you have concerns about your anxiety or the use of Xanax, it is essential to have an open dialogue with your psychiatrist to develop a comprehensive treatment plan that addresses both your immediate needs and long-term mental health goals.

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