Managing Panic and Anxiety: Can You Skip Medication for Self-Adjustment?

Drug side effects

Doctor, I have been diagnosed with panic disorder and anxiety.
The doctor prescribed me Cloene (clonazepam) and Mesyrel (trazodone) to take at bedtime, but I noticed that the side effects include drowsiness, dizziness, nervousness, and mental confusion.
I'm concerned that these will affect my daily work and lifestyle.
Moreover, I’ve heard that these medications may need to be taken for many years and that the side effects could potentially worsen, so I lack the courage to take them.
Can I manage my condition on my own through psychological adjustment without medication?

Xiao Fu, 20~29 year old female. Ask Date: 2008/07/13

Dr. Chen Wenyu reply Psychiatry

Hello,
Regarding the medications you are taking and the timing of their administration, these two drugs have sedative and antidepressant effects.
Taking them before bedtime is intended to induce sleepiness.
If you take a sedative or sleep medication and do not sleep, it is natural to feel dizzy.
As for confusion and nervousness, these are typically associated with specific individual sensitivities.
Every medication that has previously caused side effects must include warnings.
It's similar to walking; while you should be cautious not to fall, we cannot stop everyone from walking just because some people might fall.
Panic and anxiety are closely related to personality, which is influenced by both innate temperament and environmental factors developed over time.
In your case, your personality has been shaped over 22 years.
While it is possible to gradually adjust without medication, consider how many years it might take to modify a personality that has developed over such a long period.
Combining medication with psychological counseling and therapy can be more effective.
After starting the medication, you may find that positive thoughts become more frequent.
During this treatment period, reflect on why your perspectives on situations differ before and after taking the medication.
Contemplate the reasons behind your emotional changes and keep these insights in mind.
Later, when you stop taking the medication and encounter stress, you can draw upon these experiences.
This is how personality can change.
Thank you for your letter!

Reply Date: 2008/07/13

More Info

Managing panic and anxiety disorders can be a complex and challenging journey, especially when it comes to the decision of whether or not to take medication. Your concerns about the side effects of the medications prescribed, such as Cloene (Clonazepam) and Mesyrel (Trazodone), are valid and shared by many individuals facing similar situations. It’s important to understand that while self-adjustment and psychological strategies can be beneficial, they may not always be sufficient for everyone, particularly in cases of severe anxiety or panic disorders.

First, let’s discuss the role of medication in treating anxiety and panic disorders. Medications like benzodiazepines (e.g., Cloene) are often prescribed for their fast-acting effects in reducing anxiety symptoms. However, they can lead to dependence if used long-term and may cause side effects such as drowsiness, dizziness, and cognitive impairment. On the other hand, medications like Trazodone are typically used to help with sleep and can also have sedative effects, which might not be ideal for someone looking to maintain daily functioning.

While it is understandable to be apprehensive about the long-term use of these medications and their potential side effects, it is crucial to weigh these concerns against the benefits they may provide in managing your symptoms. Many individuals find that medication can significantly improve their quality of life, allowing them to engage more fully in therapy and other self-help strategies.

Self-adjustment strategies, such as cognitive-behavioral therapy (CBT), mindfulness, and relaxation techniques, can be effective in managing anxiety and panic symptoms. These approaches focus on changing negative thought patterns, developing coping strategies, and reducing the physiological symptoms of anxiety. However, they often require time and practice to be effective, and some individuals may find that they need additional support from medication to achieve the best outcomes.

If you are considering skipping medication, it is essential to consult with your healthcare provider. They can help you assess the severity of your symptoms and discuss alternative treatment options, including therapy, lifestyle changes, and possibly lower doses or different medications with fewer side effects. It’s also worth exploring non-pharmacological interventions, such as exercise, yoga, and dietary changes, which can have a positive impact on mental health.

Moreover, it’s important to recognize that managing anxiety and panic disorders is often not a linear process. There may be times when you feel capable of handling your symptoms without medication, and other times when you may need additional support. Open communication with your healthcare provider about your feelings and concerns is vital in finding a treatment plan that works for you.

In conclusion, while self-adjustment strategies are valuable, they may not be sufficient for everyone, especially in cases of panic and anxiety disorders. It is crucial to have a comprehensive treatment plan that may include medication, therapy, and lifestyle changes. Always consult with your healthcare provider before making any changes to your treatment plan, as they can provide guidance tailored to your specific needs and circumstances. Remember, seeking help is a sign of strength, and finding the right balance in your treatment can lead to a more fulfilling and manageable life.

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