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With this form of anxiety disorder, a person needs to identify what causes and triggers the fears. Since there is no basis for the anxiety, working on behaviors that help a person cope with the stressors is important.
Therapy is used to:
- Identify the stressors that produce the anxiety
- Offer coping skills for handling the stress
- Eliminate any physical sources of stress
Types of Psychotherapy:
Insight-Oriented Therapy: explores the unconscious and symbolic meanings of the anxiety.
Cognitive Therapy: helps patients identify the events or circumstances that trigger conscious "automatic thoughts," and then develop more rational ways of thinking and feeling about these stressors.
Behavioral Therapy: used as a supplement to the above mentioned therapies. Some of these methods include muscle relaxation techniques, mediation, biofeedback, and autogenic training.
Drug therapy: Buspirone is an anxiolytic medication often prescribed for chronic anxiety. Benzodiazepines are used for acute episodes of anxiety, but are prescribed for limited durations only (2-4 weeks) to prevent long-term physical and psychological dependence.
There are a number of other drugs that doctors may prescribe, depending on the situation. Here is a list of the more common GAD drugs.
- Tricyclic Antidepressants (TCAs). Usually for patients with depression.
- Antihistamines. Usually for patients with addiction potential.
- Benzodiazepines. Usually of short-term use with no long-term efficacy proved.
- Buspirone. Usually for chronic, or long term anxiety.
- Alprazolam (Xanax)
- Diazepam (Valium)
- Lorazepam (Ativan)
- Selective Serotonin Reuptake Inhibitors (SSRIs). Clinically appear helpful but not well studied yet.
- Beta-blockers. Propranolol (Inderal) may help physical symptoms (not FDA approved) but has no effect on psychic component of anxiety.
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