Can Xanax Alone Cure Panic Disorder? Exploring Treatment Options

Can taking only Xanax treat panic disorder?

I have been taking Xanax 0.25 mg, 2 to 2.5 pills daily, previously taking 3 to 3.5 pills a day before tapering down.
I have been on it for about a year, and the doctor I consulted told me that I could recover from my condition without taking serotonin medication.
After that, I underwent behavioral therapy.
I have been able to use some forms of transportation, but I still feel anxious about certain modes of transport where I previously experienced panic attacks.
Usually, I choose to avoid or not use them.
Later, my friend mentioned that he had a similar condition and got better after taking serotonin medication along with Xanax.
He believes that Xanax is a sedative that only addresses the symptoms but does not treat the root cause, suggesting that I should consult another doctor.
However, I keep wondering if taking serotonin medication would eliminate my fear, or if I am just facing a psychological barrier that I cannot overcome.
Even if I take other medications, would I still need to confront my fears to truly feel better?

Xiao Mi, 30~39 year old female. Ask Date: 2014/03/03

Dr. Song Chengxian reply Psychiatry

Hello Xiaomi, regarding your concerns about medication, generally speaking, we do not encourage patients to use Xanax long-term.
It is typically used during the initial treatment phase, while transitioning to a serotonin reuptake inhibitor in the later stages, along with behavioral therapy.
I recommend discussing with your outpatient physician how long he plans for you to use Xanax and his assessment of the effectiveness of behavioral therapy, as well as when you can discontinue Xanax.
If the physician has clear treatment goals and a plan for tapering off the medication, then you can continue to collaborate.
However, if the physician intends for you to take Xanax long-term, it may be necessary to seek another physician for collaboration.
Wishing you all the best, Dr.
Song.

Reply Date: 2014/03/03

More Info

Xanax (alprazolam) is a medication commonly prescribed for anxiety disorders, including panic disorder. It belongs to a class of drugs known as benzodiazepines, which work by enhancing the effects of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain. This action helps to produce a calming effect, making it effective for managing acute anxiety symptoms. However, while Xanax can provide relief from panic attacks and anxiety, it is not a standalone cure for panic disorder.

Panic disorder is a complex condition that often requires a multifaceted treatment approach. While Xanax can help alleviate symptoms in the short term, it does not address the underlying causes of panic disorder. Long-term use of Xanax can lead to tolerance, dependence, and withdrawal symptoms, which can complicate treatment. Therefore, it is essential to consider other treatment options alongside Xanax.

One of the most effective long-term treatments for panic disorder is cognitive-behavioral therapy (CBT). CBT focuses on identifying and changing negative thought patterns and behaviors associated with panic attacks. It often includes exposure therapy, where individuals gradually face their fears in a controlled environment, helping them to build coping skills and reduce avoidance behaviors. Your experience with behavioral therapy is a positive step, as it can help you confront and manage the situations that trigger your panic attacks.

In addition to therapy, many healthcare providers recommend the use of selective serotonin reuptake inhibitors (SSRIs), such as Lexapro (escitalopram) or Prozac (fluoxetine), for the treatment of panic disorder. SSRIs work by increasing the levels of serotonin in the brain, which can help improve mood and reduce anxiety over time. Unlike Xanax, SSRIs are not sedatives and do not carry the same risk of dependence. They may take several weeks to show their full effect, but they can provide a more stable and long-term solution for managing panic disorder.

Your friend's experience with SSRIs and Xanax highlights an important point: while Xanax can provide immediate relief, it is often not sufficient as a standalone treatment. The combination of medication and therapy tends to yield the best results. It is also crucial to address any psychological barriers you may face. Fear of panic attacks can create a cycle of avoidance, making it challenging to confront situations that trigger anxiety. Working with a mental health professional can help you develop strategies to overcome these fears.

If you are considering transitioning to SSRIs or exploring other treatment options, it is essential to discuss this with your healthcare provider. They can help you weigh the benefits and risks of different medications and determine the best course of action based on your specific needs and circumstances. It is also important to approach any changes in medication with caution and under the guidance of a qualified professional.

In summary, while Xanax can be effective for managing panic attacks, it is not a cure for panic disorder. A comprehensive treatment plan that includes therapy and potentially other medications, such as SSRIs, is often necessary for long-term management. Addressing both the physiological and psychological aspects of panic disorder will provide you with the best chance of overcoming your fears and improving your overall quality of life.

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