Treatment FAQ

treatment for anxiety what to expect

by Mallie Hahn IV Published 2 years ago Updated 1 year ago
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Medication

To cope with generalized anxiety disorder, here's what you can do:

  • Stick to your treatment plan. Take medications as directed. ...
  • Take action. Work with your mental health professional to figure out what's making you anxious and address it.
  • Let it go. Don't dwell on past concerns. ...
  • Break the cycle. ...
  • Socialize. ...
  • Join a support group for people with anxiety. ...

Therapy

“The common symptoms of anxiety include physical symptoms, such as increased heart rate and tightness around the chest,” said DeAngelis. “There are also psychological symptoms, such as the feeling that you are losing control or the overwhelming desire to run away or escape from the situation.

Self-care

The different types of medications used in the treatment of anxiety include:

  • selective serotonin reuptake inhibitors (SSRIs)
  • serotonin and norepinephrine reuptake inhibitors (SNRIs)
  • anxiolytics
  • tri-cyclic antidepressants

Nutrition

Phrases to avoid

  • Cheer up
  • It could’ve been worse
  • There are people in worse situations
  • Pray more, it will make you feel better
  • You’re being selfish
  • You’re burdening the people who love you
  • You’ll feel better if you try harder
  • There’s nothing wrong with you
  • You have so much to be grateful for
  • Let’s get a drink, it will make you feel better

More items...

What is the best treatment for anxiety?

How to tell if you have anxiety?

What treatment options are available for anxiety?

How to help someone with anxiety?

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What can I expect from therapy for anxiety?

In IPT, you'll work with your therapist to identify any interpersonal issues you may have, such as unresolved grief, conflicts with family or friends, changes in work or social roles, and problems relating to others. You'll then learn healthy ways to express emotions and ways to improve your communication with others.

How long does it take for anxiety treatment?

Success of treatment varies, but most people with an anxiety disorder can be helped with professional care. Benefits of CBT are usually seen in 12 to 16 weeks. Medication may be a short-term or long-term treatment option, depending on severity of symptoms, other medical conditions and individual circumstances.

How do I know if my anxiety needs treatment?

7 Signs You Might Benefit from Anti-Anxiety MedicationYou're Perpetually Nervous and on Edge. ... You Avoid Things That Are Good for You. ... You Toss and Turn Every Night. ... You Have Mysterious Aches and Pains. ... You Have a Permanent Bellyache. ... You Work Hard but Get Nothing Done. ... You Regularly Fly Off the Handle.

Can anxiety be cured by treatment?

Since it's a natural part of the human condition, anxiety is not completely curable. But feeling anxious should be a temporary state that resolves when a stressor or trigger has passed.

What is the 3 3 3 rule for anxiety?

Follow the 3-3-3 rule. Look around you and name three things you see. Then, name three sounds you hear. Finally, move three parts of your body — your ankle, fingers, or arm.

Is anxiety all in your head?

Are all of those in your head? Absolutely not. All of those symptoms are really occurring. They're occurring because your anxiety and your mind trigger your fight or flight response, which is a rush of adrenaline that tells your body to start activating all of these functions designed to keep you safe from harm.

How do I know if I have severe anxiety?

You feel like you're worrying too much and it's interfering with your work, relationships or other parts of your life. Your fear, worry or anxiety is upsetting to you and difficult to control. You feel depressed, have trouble with alcohol or drug use, or have other mental health concerns along with anxiety.

How does a doctor diagnose anxiety?

To diagnose an anxiety disorder, a doctor performs a physical exam, asks about your symptoms, and recommends a blood test, which helps the doctor determine if another condition, such as hypothyroidism, may be causing your symptoms. The doctor may also ask about any medications you are taking.

What are the physical symptoms of anxiety?

Physical symptoms of GADdizziness.tiredness.a noticeably strong, fast or irregular heartbeat (palpitations)muscle aches and tension.trembling or shaking.dry mouth.excessive sweating.shortness of breath.More items...

What is the main cause of anxiety?

Difficult experiences in childhood, adolescence or adulthood are a common trigger for anxiety problems. Going through stress and trauma when you're very young is likely to have a particularly big impact. Experiences which can trigger anxiety problems include things like: physical or emotional abuse.

What causes severe anxiety?

Experiencing a lot of stress over a long period can lead to an anxiety disorder. Environmental factors: Experiencing a trauma might trigger an anxiety disorder, especially in someone who has inherited a higher risk to start. Heredity: Anxiety disorders tend to run in families.

Is anxiety a mental illness?

Anxiety disorders are the most common of mental disorders and affect nearly 30% of adults at some point in their lives. But anxiety disorders are treatable and a number of effective treatments are available. Treatment helps most people lead normal productive lives.

When does anxiety need treatment?

Like every other disorder, anxiety needs treatment when, through frequency or intensity, or both, worry interferes with functioning. Anxiety encou...

Does anxiety ever go away on its own?

Anxiety is a deeply rooted protective mental state essential to the survival of individuals and the species. Some anxiety is therefore necessary. U...

What are the treatment options for anxiety?

All patients need to be educated about the nature of their disorder and what triggers it. Beyond that basic information (psychoeducation), there ar...

What happens if anxiety isn't treated?

If untreated, mental illness in general, and anxiety in particular, can progress in symptom severity and significantly restrict people’s lives. U...

What is the first-line treatment for anxiety?

Cognitive behavioral therapy is regarded as a necessary treatment for anxiety, and studies show that it is at least as effective as medication. Unf...

What does psychotherapy do?

The most widely tested therapy for anxiety is cognitive behavioral therapy , a short-term, skills-based approach, It takes aim at several aspects...

What does medication do?

Anxiety is a state of mental and physical arousal, manifest in hypervigilance, inability to concentrate, and general jitteriness, among other sympt...

What types of medication are used to treat anxiety?

There are several types of anti-anxiety drugs doctors have at their disposal to help patients. The first such drugs to enter the anti-anxiety aren...

How do anti-anxiety drugs work?

There is no one pathway or mechanism by which anti-anxiety drugs work; each group of chemically related agents takes a different approach to some c...

What is the best treatment for anxiety?

It can be an effective treatment for anxiety. Cognitive behavioral therapy (CBT) is the most effective form of psychotherapy for anxiety disorders. Generally a short-term treatment, CBT focuses on ...

How to help someone with anxiety?

Keeping track of your personal life can help you and your mental health provider identify what's causing you stress and what seems to help you feel better. Join an anxiety support group. Remember that you aren't alone. Support groups offer compassion, understanding and shared experiences.

How to get anxiety under control?

While most people with anxiety disorders need psychotherapy or medications to get anxiety under control, lifestyle changes also can make a difference. Here's what you can do: Keep physically active. Develop a routine so that you're physically active most days of the week. Exercise is a powerful stress reducer.

What is CBT therapy?

CBT includes exposure therapy, in which you gradually encounter the object or situation that triggers your anxiety so you build confidence that you can manage the situation and anxiety symptoms.

What to do before an appointment?

What you can do. Before your appointment, make a list of: Your anxiety symptoms . Note when they occur, whether anything seems to make them better or worse, and how much they affect your day-to-day activities and interactions. What causes you stress.

How to deal with anxiety when taking medication?

Take action. Learn what triggers your anxiety or causes you stress. Practice the strategies you developed with your mental health provider so you're ready to deal with anxious feelings in these situations.

How to diagnose anxiety disorder?

To help diagnose an anxiety disorder, your mental health provider may: Give you a psychological evaluation. This involves discussing your thoughts, feelings and behavior to help pinpoint a diagnosis and check for related complications.

What are SSRIs and SNRIs?

They were named based on how they work in the brain: selective serotonin reuptake inhibitors ( SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs).

What is CBT therapy?

Cognitive behavioral therapy: CBT focuses on identifying, understanding, and changing thinking and behavior patterns related to anxiety in regular meetings with a licensed, CBT-trained therapist. Therapists who practice CBT may use interpersonal therapy (IPT) to help their clients develop coping skills, encourage them to record their thoughts throughout the week as they occur, and attempt exposure therapy if appropriate for their disorder (read more below).

What is a rTMS?

rTMS: Most researched for OCD, repetitive transcranial magnetic stimulation delivers magnetic field pulses to the brain via an electrode 10 placed on the patient's scalp. rTMS is increasingly being considered and studied 11 as a treatment for other anxiety disorders including panic disorder, PTSD, and social anxiety disorder.

What is the role of serotonin in anxiety?

Serotonin is a chemical that acts as a neurotransmitter, carrying signals along and between nerves—and it also plays a role in mood regulation, which is helpful for someone with anxiety. SSRIs block certain nerve cells in the brain from reabsorption, or reuptake, which leaves more serotonin available.

What benzodiazepines are used for anxiety?

Among the benzodiazepines that may be prescribed for the treatment of anxiety are lorazepam, clonazepam, and diazepam. Some of the brand names are Xanax, Librium, Valium, and Ativan. Individuals who suffer from panic disorder, SAD, or GAD may be prescribed benzodiazepines as part of their treatment plan.

What is the best medication for social anxiety?

Typically used to treat cardiac conditions, beta-blockers like atenolol and propranolol 1 may be prescribed to a patient with social anxiety disorder specifically in performance situations, such as speaking in public, rather than as a long-term treatment. Brand name beta-blockers include Inderal, Tenormin, and Lopressor.

How does a hypnotherapist help with anxiety?

The hypnotherapist may use imagery or simple verbal suggestions to reduce the severity of anxiety symptoms. Some people may see positive results after one or two sessions. If hypnosis shows promising results, a hypnotherapist may also teach ways to practice self-hypnosis.

What are the treatment options for anxiety?

Beyond that basic information (psychoeducation), there are three evidence-based approaches to anxiety disorders. The first is psychotherapy, most commonly cognitive behavioral therapy, which has been found useful for generalized anxiety, social anxiety, and panic, the anxiety conditions for which most patients seek clinical help. Phobias including agoraphobia respond to a type of behavioral treatment known as exposure therapy. Psychotherapy aims not to root out anxiety—which is neither possible nor desirable—but to provide tools for calming the physical arousal, correcting the cognitive distortions, and decreasing the avoidance of what is feared. Therapy, however, takes time, and the distress of anxiety can be so acute that many patients seek immediate relief.

When does anxiety need treatment?

Like every other disorder, anxiety needs treatment when, through frequency or intensity, or both, worry interferes with functioning. Anxiety encourages the maladaptive response of avoidance of uncomfortable situations, limiting experience and, often, enjoyment of life. Worries can consume an inordinate amount of time, day and night, disrupting concentration, preventing sleep, and just creating all-around suffering. And like most other mental health disorders, anxiety is isolating, discouraging the very contact that counters anxiety’s pervasive sense of threat. As a preoccupation with some imagined future bad outcome, anxiety keeps people from enjoying the present and, perhaps more cruelly, finding a solution to whatever problem is the source of worry—when, In fact, freeing up mental space to engage in immediate activities is more likely to create the conditions for resolving the worry, one of the major goals of treatment.

What happens if anxiety isn't treated?

If untreated, mental illness in general, and anxiety in particular, can progress in symptom severity and significantly restrict people’s lives. Untreated anxiety can lead to panic attacks, which are not only terrifying in themselves but so dramatically distressing that they strongly shape future behavior. They prompt people to curtail activity for fear of another bout of intense anxiety and to devote a great deal of mental life to plotting the possible need to escape from places that make them feel unsafe. In addition, untreated anxiety creates the risk of co-morbid depression; studies show that over the course of a lifetime, 64 percent of those with generalized anxiety disorder develop major depression.

What is the first-line treatment for anxiety?

Cognitive behavioral therapy is regarded as a necessary treatment for anxiety, and studies show that it is at least as effective as medication. Unfortunately, many people may not be able to focus on therapy without the symptomatic relief provided by medication. For that reason, psychotherapy is often used in combination with medication. A major value of therapy is that it helps people identity the triggers for their anxiety, an important first step in learning the lifetime skill of managing anxiety. Drugs, on the other hand, provide relief only as long as they are taken. While they carry the risk of side effects, the most commonly recommended drugs, the SSRIs, do not work immediately and don’t work at all in about a third of patients.—and only moderately in another third.

What types of medication are used to treat anxiety?

The first such drugs to enter the anti-anxiety arena were the benzodiazepines Librium (chlordiazepoxide) and Valium (diazepam), in the early 1960s, later joined by such agents as Xanax (alprazolam), Ativan (lorazepam), and Klonopin (clonazepam). They are all tranquilizers and have a general sedating effect on mind and body. They work quickly and can relieve the acute anxiety of panic attacks. But they can also create dependency, and, although they are still in wide use today, they are considered best for short-term use.

How do anti-anxiety drugs work?

The benzodiazepines boost levels of GABA (gamma-amino butyric acid), a neurotransmitter that is widely distributed in the brain and puts a brake on the firing of neurons; it tamps down the nervous system in general. Because they act quickly, but can create dependency, they are sometimes used in the early weeks of anxiety treatment, until other agents achieve their effect, after which their use is tapered off. As central nervous system depressants, benzodiazepines can impair driving and cognitive functions such as memory.

Are there ways to reduce anxiety naturally?

The first and most accessible is deep breathing, or so-called abdominal breathing. It can be done anytime, anywhere, and requires no special equipment of any kind. Taking deep breaths that fill the lungs and then exhaling slowly through pursed lips stimulates the parasympathetic nerve , directly countering the stress response and inducing a state of calm. Heart rate slows, blood pressure falls, muscles release tension.

What to expect from anxiety therapy?

Anxiety is like a heavy, uneven sack on your shoulder: it’s cumbersome, it’s burdensome, and it keeps you in a constant state of adjustment just worrying about what could happen if you lose control. If you’ve ever felt like this, felt your chest tighten, your mouth go dry, or had days where you felt irritable ...

How to deal with anxiety?

If you’re looking for the ray of light in this doom and gloom, the good news is that there are many treatments available to anxiety sufferers. Meditation, breathing techniques, increased exercise and medication all present effective options for coping with the symptoms of anxiety disorders.

What is psychodynamic therapy?

Psychodynamic therapy is another style of treatment, somewhat related to more traditional psychoanalysis you may have seen on television. The evidence for this kind of therapy is weaker, and there are fewer controlled studies contributing to the evidence. online psychiatry.

How effective is CBT?

A large number of controlled studies have shown CBT is effective at treating anxiety. Correcting anxious behaviors is where CBT shines: it can help you understand negative thought patterns more deeply, and it can offer coping strategies to minimize or even prevent future attacks.

What is generalized anxiety disorder?

According to The National Institute of Mental Health, anxiety disorders are a sort of blanket term for several anxiety disorders you may have heard of , including generalized anxiety disorder , panic disorder, and other phobias.

Why is it so hard to seek therapy for anxiety?

Anxiety can sometimes feel like a little prison, keeping you from achieving or growing for fear of rational and irrational dangers—including failure. That, in part, is why it’s so hard to seek therapy for anxiety. But as powerful as it may feel, anxiety hasn’t earned the right to control your life, nor has it won the battle for your future.

Can anxiety be a phobia?

Anxiety can take many forms, and because of that there may be spill over of symptoms between these disorders. For instance, panic sufferers may experience anxiety symptoms, anxiety sufferers may occasionally experience panic, and both may also experience phobias. We’re here to talk about the most common form, though, ...

What is the best treatment for anxiety?

Also known as talk therapy or psychological counseling, psychotherapy involves working with a therapist to reduce your anxiety symptoms. Cognitive behavioral therapy is the most effective form of psychotherapy for generalized anxiety disorder. Generally a short-term treatment, cognitive behavioral therapy focuses on teaching you ...

How to help someone with anxiety?

Join a support group for people with anxiety. Here, you can find compassion, understanding and shared experiences. You may find support groups in your community or on the internet, for example, the National Alliance on Mental Illness (NAMI).

How to diagnose anxiety disorder?

To help diagnose generalized anxiety disorder, your doctor or mental health professional may: Do a physical exam to look for signs that your anxiety might be linked to medications or an underlying medical condition. Order blood or urine tests or other tests, if a medical condition is suspected.

How to get anxiety under control?

Lifestyle and home remedies. While most people with anxiety disorders need psychotherapy or medications to get anxiety under control, lifestyle changes also can make a difference. Here's what you can do: Keep physically active. Develop a routine so that you're physically active most days of the week.

What are the best treatments for generalized anxiety disorder?

The two main treatments for generalized anxiety disorder are psychotherapy and medications. You may benefit most from a combination of the two. It may take some trial and error to discover which treatments work best for you.

What is the first line of medication for anxiety?

Antidepressants, including medications in the selective serotonin reuptake inhibitor (SSRI) and serotonin and norepinephrine reuptake inhibitor (SNRI) classes, are the first line medication treatments. Examples of antidepressants used to treat generalized anxiety disorder include escitalopram (Lexapro), duloxetine (Cymbalta), ...

How to get rid of anxiety?

Break the cycle. When you feel anxious, take a brisk walk or delve into a hobby to refocus your mind away from your worries.

What is individualized treatment?

After the initial mental health assessment and diagnosis, treatment can commence. However, since mental health issues affect each person differently and every person won’t benefit from every available treatment, individual treatment is essential. Essentially, individualized treatment approaches are ones that are designed and developed with an individual’s personal needs, history, and experience in mind. This way, methods of treatment utilized are most assistive in guiding individuals with mental health needs on a journey to healing.

Can anxiety disorders be debilitating?

Dealing with anxiety disorders can be debilitating to an individual’s life. Fortunately, those who seek help through outpatient professional treatment, like the help available through Delray Center, can gain the tools necessary to manage symptoms of anxiety disorders. And, assist individuals in taking their lives back from the debilitating symptoms of anxiety disorders. But, what can one expect during outpatient anxiety treatment?

What to do if you have anxiety?

If anxiety is persistent, excessive, or routinely triggered by situations that aren’t an actual threat, tell your doctor, who can discuss treatment options or refer you to an experienced mental health professional.

How to treat anxiety?

Effective options include: Lifestyle changes, such as skipping caffeine, exercising regularly, and avoiding medicines or substances that might cause anxiety symptoms.

What kind of anxiety disorder do you have?

As with every health issue, an accurate diagnosis is essential. A few common anxiety disorders include:

How does anxiety affect health?

The costs of anxiety. Constant anxiety levies a toll on health. For example, anxiety increases levels of the stress hormone cortisol, raising blood pressure, which contributes over time to heart problems, stroke, kidney disease, and sexual dysfunction.

What is the term for anxiety in social situations?

Social anxiety disorder: Feeling significant anxiety in social situations or when called on to perform in front of others, such as in public speaking. Phobias: A particular animal, insect, object, or situation causes substantial anxiety.

How many people have anxiety disorders?

National surveys estimate nearly one in five Americans over 18, and one in three teens ages 13 to 18, had an anxiety disorder during the past year.

How does exposure therapy help with anxiety?

Exposure therapy helps people tolerate and calm anxiety by gradually exposing a person to feared situations or objects under guidance from a therapist. Medicines, such as short-acting drugs called benzodiazepines, which are taken as needed when anxiety spikes.

What are the best ways to help with anxiety?

There’s a lot you can do on your own to relieve anxiety, but sometimes you need help. Psychotherapy and medication are the two main treatments for anxiety disorders.

How to get over anxiety?

If anxiety keeps you awake, get up: “ If you’re lying in bed worrying about things for more than 5 minutes, get up and go to another room and write down your anxieties,” Kissen says. “Go back to bed when you’re tired, but get up again if you feel anxious. It might take a few nights of going back and forth, but this exercise can train your brain that your bed is for sleep, not for anxiety.”

What is anxiety mental health?

Mental health experts define anxiety as worry over a threat that’s still in your future. Thinking about a conversation you dread, for example, could twist your stomach into knots days before it happens. Your heart may race before an exam or presentation. You might lie awake at night worried about whether you’ll catch COVID-19 at the grocery store.

How to break the cycle of anxiety?

Take a mental break: “Use a guided imagery app or simply daydream on your own,” Henderson says. “A brief mental vacation can break the cycle of anxious thoughts.”

How many people have anxiety disorder?

While it’s normal to get nervous about an important event or life change, about 40 million Americans live with an anxiety disorder, which is more than the occasional worry or fear. Anxiety disorders can range from a generalized anxiety disorder (GAD), which is intense worrying that you can’t control, to panic disorder -- sudden episodes of fear, ...

How to relax your mind when you have anxiety?

Plus, there are steps you can take the moment when anxiety starts to take hold. Try these 10 expert-backed suggestions to relax your mind and help you regain control of your thoughts. 1. Stay in your time zone. Anxiety is a future-oriented state of mind.

What to say when someone says "This is a normal, healthy response by my body to these circumstances"?

Don’t criticize yourself for those feelings: Instead, say, “This is a normal, healthy response by my body to these circumstances, which are complicated, stressful, or difficult. It’s OK to feel this way.”

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Abhimanyu Chandak
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Medications aim to reduce the symptoms of anxiety. Relaxation techniques and behavioral therapy is also helpful in most cases.
Medication

Benzodiazepines: Have a calming effect due to their sedative properties.

Alprazolam . Clonazepam . Etizolam


Antidepressants: Relieve the symptoms by affecting neurotransmitters.

Escitalopram . Fluoxetine . Sertraline

Therapy

Psychotherapy:Relaxation techniques and counseling by trained professionals help to understand the condition and improve emotional response to cope with the condition.

Cognitive behavior therapy:A special type of psychotherapy that helps you change/improve your thought patterns and behaviors.

Self-care

Always talk to your provider before starting anything.

  • Dietary and lifestyle changes as suggested by the therapist.
  • Relaxation techniques such as yoga or deep breathing exercises.

Nutrition

Foods to eat:

  • Foods rich in vitamin B- egg, chicken, leafy greens, poultry, seafood
  • Tryptophan-rich foods- turkey, chicken, bananas, milk, oats, cheese, soy, nuts, peanut butter, and sesame seeds

Foods to avoid:

  • Caffeine containing Foods like coffee, tea, cola
  • Alcohol
  • Candy

Specialist to consult

Psychiatrist
Specializes in the branch of medicine concerned with the diagnosis and treatment of mental illness.
Clinical psychologist
Specializes in diagnosing and treating diseases of the brain, emotional disturbance, and behavior problems.

Alternative Medicine

Coping and Support

  • The two main treatments for anxiety disorders are psychotherapy and medications. You may benefit most from a combination of the two. It may take some trial and error to discover which treatments work best for you.
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Professional Therapy

  • While most people with anxiety disorders need psychotherapy or medications to get anxiety under control, lifestyle changes also can make a difference. Here's what you can do: 1. Keep physically active.Develop a routine so that you're physically active most days of the week. Exercise is a powerful stress reducer. It may improve your mood and help yo...
See more on mayoclinic.org

Prescription Medications

  • Several herbal remedies have been studied as a treatment for anxiety, but more research is needed to understand the risks and benefits. Herbal and dietary supplements aren't monitored by the Food and Drug Administration (FDA) the same way medications are. You can't always be certain of what you're getting and whether it's safe. Some of these supplements can interfere wit…
See more on mayoclinic.org

Brain Stimulation Therapies

  • To cope with an anxiety disorder, here's what you can do: 1. Learn about your disorder.Talk to your doctor or mental health provider. Find out what might be causing your specific condition and what treatments might be best for you. Involve your family and friends and ask for their support. 2. Stick to your treatment plan.Take medications as directed. Keep therapy appointments and com…
See more on mayoclinic.org

Self-Help

  • You may start by seeing your primary care provider. He or she may refer you to a mental health professional.
See more on mayoclinic.org

Generalized Anxiety Disorder: What You Need to Know

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The treatment options listed below require the assistance of mental health or medical providers or other licensed professionals. 1. Cognitive behavioral therapy: CBT focuses on identifying, understanding, and changing thinking and behavior patterns related to anxiety in regular meetings with a licensed, CBT-trained therap…
See more on anxiety.org

Anxiety Treatments

  • The medications described below can be obtained only with a prescription. Primary care physicians can diagnose and treat anxiety, but they may recommend that you consult a psychiatrist for severe or treatment-resistant anxiety disorders.
See more on anxiety.org

Therapeutic Practices

  • These procedures target the regions of the brain that influence stress, anxiety, mood, and fear response.
See more on anxiety.org

Final Thoughts

  • For those who seek alternatives to traditional medicine or would like to supplement their treatment, self-help and complementary and alternative medicine (CAM) may be useful.
See more on anxiety.org

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