Should I Take Medication for Uncertain Anxiety Symptoms?

Unsure whether to take medication?

Hello Doctor: I previously took medication for anxiety disorder, but I felt better and stopped taking it on my own.
For the following six months after stopping, everything was normal.
However, for some unknown reason, I started experiencing full-body warmth and tingling in my arms and calves every 5 to 7 days.
This usually lasts for several consecutive days before subsiding, but it keeps recurring.
I recently consulted a neurologist who suggested it might be autonomic nervous system dysfunction and recommended an EEG.
In the meantime, I was prescribed Rivotril (Clonazepam).
I would like to know if it is safe to take this medication, considering that it hasn't been confirmed whether I have autonomic nervous system dysfunction.
I am concerned about the potential for dependence and severe side effects after discontinuation.
Thank you, Doctor!

Niming, 60~69 year old female. Ask Date: 2014/01/16

Dr. Ding Shuyan reply Psychiatry

Hello, it is generally safe for doctors to prescribe medication, and it is tailored to meet your needs.
In Taiwan, it is common for patients to feel uneasy leaving the hospital without a prescription to try at home, especially since autonomic nervous system disorders are not immediately diagnosable.
Treatment does not necessarily have to wait until a definitive diagnosis is established.
If a physician weighs the pros and cons and has a good understanding of your symptoms, they can initiate treatment to alleviate your suffering at least to some extent.
Those who are concerned about medication dependence are unlikely to find themselves in such a situation, as they tend to reduce or stop their medication earlier than their doctors would.
Many individuals who struggle with medication dependence actually enjoy taking their medication, which is heavily influenced by psychological factors, and this experience is quite different from yours.
Wishing you all the best.
Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2014/01/16

More Info

When considering whether to take medication for uncertain anxiety symptoms, it's essential to approach the situation with a comprehensive understanding of both the potential benefits and risks associated with pharmacological treatment. Based on your description, it appears that you have experienced a significant fluctuation in your mental health, including episodes of bodily discomfort, anxiety, and physical symptoms that may be linked to autonomic nervous system dysregulation.

Firstly, it is important to recognize that anxiety can manifest in various physical symptoms, including sensations of heat, tingling, and discomfort in different parts of the body. These symptoms can be distressing and may lead to a cycle of increased anxiety, as the fear of experiencing these symptoms can exacerbate them. In your case, the intermittent nature of your symptoms suggests that they may be related to anxiety or stress, particularly if they have occurred after a period of stability post-medication.

You mentioned that you previously took medication for anxiety and felt well enough to discontinue it. This is a common experience for many individuals; however, it is also not unusual for anxiety symptoms to resurface, especially during times of stress or change. The fact that you are experiencing these symptoms again may indicate that your anxiety has not been fully resolved or that new stressors have emerged in your life.

Regarding the medication you have been prescribed, it is crucial to have a detailed discussion with your healthcare provider about its intended use, potential side effects, and the risk of dependency. The medication you mentioned, likely a form of antidepressant or anxiolytic, can be effective in managing anxiety symptoms. However, concerns about dependency and withdrawal symptoms are valid, particularly if you have a history of anxiety treatment.

Here are some key points to consider when deciding whether to take medication:
1. Consultation with a Specialist: Since you have already seen a neurologist, it may be beneficial to consult with a psychiatrist or a mental health professional who specializes in anxiety disorders. They can provide a more tailored approach to your treatment and help you weigh the pros and cons of medication versus therapy.

2. Therapeutic Options: In addition to medication, consider exploring psychotherapy options, such as cognitive-behavioral therapy (CBT), which has been shown to be effective for anxiety disorders. Therapy can provide you with coping strategies and tools to manage your symptoms without solely relying on medication.

3. Monitoring Symptoms: Keep a detailed record of your symptoms, including their frequency, duration, and any potential triggers. This information can be invaluable for your healthcare provider in determining the best course of action.

4. Lifestyle Modifications: Incorporate lifestyle changes that can help alleviate anxiety, such as regular exercise, mindfulness practices, and a balanced diet. These can complement any medical treatment you may pursue.

5. Informed Decision-Making: If you decide to take medication, ensure that you are fully informed about what to expect, including potential side effects and the importance of adhering to the prescribed dosage. Discuss any concerns about dependency with your doctor, who can provide reassurance and guidance.

6. Gradual Approach: If you are hesitant about starting medication, discuss with your doctor the possibility of a gradual approach, where you can start with a low dose and monitor your response before making any long-term commitments.

In conclusion, while medication can be a helpful tool in managing anxiety symptoms, it is essential to approach it thoughtfully and in conjunction with other therapeutic options. Open communication with your healthcare provider will empower you to make informed decisions about your mental health and well-being. Remember, you are not alone in this journey, and seeking help is a courageous step toward regaining control over your life.

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