By Kelly Huffman, MS, LPC, CEAP
Solutions EAP Counselor at Middlesex Hospital
Treatment for Anxiety Disorders
Anxiety disorders are real, serious, and treatable. If symptoms of an anxiety disorder are present, it is important to rule out any other medical problems by having a thorough medical exam by your primary care physician. If no physical illness is found, you may be referred to a psychiatrist, psychologist, social worker or other mental health professional who is specially trained to diagnose and treat anxiety. Your Employee Assistance Program (EAP) can also help by conducting an assessment and referring you to a local practitioner who can provide treatment.
The vast majority of people with an anxiety disorder can be helped with professional care. Success of treatment varies among people. Some may respond to treatment after a few months, while others may need longer. Treatment is sometimes complicated by the fact that people may have more than one anxiety disorder or suffer from depression or substance abuse. This is why treatment must be tailored to the individual. Although treatment is individualized, several standard approaches have been proven effective. Therapists will generally use one or a combination of these therapies.
Cognitive-Behavioral Therapy (CBT)
Many therapists use a combination of cognitive and behavior therapies, often referred to as CBT. As the name suggests, cognitive-behavioral therapy focuses on thoughts—or cognitions—in addition to behaviors. When used in anxiety disorder treatment, cognitive-behavioral therapy helps you identify and challenge the negative thinking patterns and irrational beliefs that are fueling your anxiety. When a person changes thinking and behavior, emotional changes usually follow.
Relaxation
Relaxation techniques help people cope more effectively with the stresses and physical symptoms that contribute to anxiety. Common techniques are deep breathing, progressive muscle relaxation, and guided imagery. Practicing meditation and getting regular physical exercise can also be very helpful.
Medication
Medicines can be very useful in the treatment of anxiety disorders, and are often used in conjunction with one or more of the above therapies. Sometimes anti-anxiety medications, antidepressants, or beta-blockers are prescribed to alleviate severe symptoms so that other forms of therapy can be effective.
Before taking medication for an anxiety disorder:
• Ask your doctor to tell you about the effects and side effects of the drug.
• Tell your doctor about any over-the-counter medications you are using.
• Ask your doctor when and how the medication should be stopped. Some drugs can’t be stopped abruptly but must be tapered off slowly under a doctor’s supervision.
• Work with your doctor to determine which medication and dosage is right for you.
• Be aware that some medications are effective only if they are taken regularly and that symptoms may recur if the medication is stopped.
Next week: Learn where you can get more information and resources for anxiety.
Call Solutions EAP at 1-800-526-3485 for assistance for all of life's challenges.
It’s free, confidential and open to your family members.
Check us out on-line at http://www.solutions-eap.com
George "Bud" Wassell, M.S., LPC, CEAP
Director, Solutions EAP
213 Court Street
Middletown, CT 06457
800-526-3485
fax: 860-704-6221
http://www.solutions-eap.com
