Doctor insights on:
Zoloft Generalized Anxiety Disorder
Tried Zoloft and Viibryd (vilazodone hydrochloride) with some success. What would you recommend to treat generalized anxiety disorder? Found any particular SSRI/SNRI better?
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more
I was 150mg of Zoloft for over a decade for an anxiety disorder and it worked well for me. Last year I went down to 50mg and have been having lots of near panic attacks lately. There seems to be no trigger either. It's happening multiple times e
Physical?: This is challenging but workable both medically and psychologically. If one rules out abnormal blood tests with attention to thyroid, liver, and blood counts, then consider several options for alleviating anxiety and near panic. Charting times, environment, activity, thoughts and feelings for a week, and/or doing brief breathing or relaxation techniques 2x/day, and weekly therapy to start. ...Read more
I was diagnosed with dysthymia. Are there similarities between dysthymia and an anxiety disorder? Also is zoloft safe with pregnancy?
Discuss tx /w/ dr.: Dysthymia is thought of as a milder form of depression but can be just as debilitating as major depression. There's mixed data on safety of SSRIS in pregnancy. Zoloft is safer than Paxil which has been linked to a slightly increased rate of cardiac defects in some studies. Some studies showed a link to rare form of respiratory distress in infants exposed to SSRIs while others didn't. ...Read more
Had bad panic/anxiety disorder with limited depression. Been on Zoloft (sertraline) for two 1/2 months. Anxiety minimized but depression raised. Normal?
Yes that is expected: As anxiety starts to regulate and the patient feels better, a good percentage of patients ( more than 50%) experience some depressive symptoms in the form of decreased interest, energy and motivation and decreased ability to enjoy. We have been observing that in our anxiety center. It is not clear why. Treatment and adjustment of meds correct that and the person regain normal mood. ...Read moreSee 2 more doctor answers
I take Ultram for fibro, Zoloft and Xanax (alprazolam) for panic anxiety disorder, and a Ambien at night for sleep is this a safe combo?
Xanax (alprazolam): I don't really recommend short acting benzos like xanax (alprazolam) for panic, they are associated with inter-dose withdrawal, faster tolerance and gradual elevation of baseline anxiety , discuss the issue with your psychiatrist, otherwise the combination is ok. ...Read moreSee 3 more doctor answers
26 yr old daughter downs has OCD , tic and anxiety disorder, Zoloft was great for 7 yrs , symptoms returned , tried Effexor (venlafaxine) no change , any suggestions?
Disease activity: In addition to the reasons mentioned by my respected colleague, it appears that mood & anxiety disorders as well as the body response to medication can change with time and that is part of the reason we see resurfacing of symptoms after a long time of stability. The disorders that your daughter suffer from , respond best to ssri;s not to snri's . Please see a specialist in anxiety. Good luck. ...Read moreSee 3 more doctor answers
Anxiety disorder on Zoloft (sertraline) 50mg & Ativan 0.5mg have suicidal thoughts but I do not feel that depressed what to do ? See my pysch doctor?
Consult your doctor : Suicidal thoughts are a known side effect of all antidepressants in young people in their late teens. Most of the time the thoughts go away quickly and do not return. However, you should notify your doctor as soon as possible so the two of you can make a decision whether it is best for you to stop the medication or not. ...Read more
I've suffered from a sever anxiety disorder for 10 years & have been put on sertraline. Will this help & how will it help? Life is very difficult.
Sometimes...: It is difficult to tell who will respond to which medication, but sertraline is a good one and often helps. Be patient...These meds can take up to 6 weeks for full effectiveness. Counselling (such as behaviora modification therapy) with a psychologist can also be helpful, adding to that of the meds. ...Read moreSee 2 more doctor answers
If i'm taking sertraline for my social anxiety disorder, what will happen if I stop taking it without tapering?
Yes: If it's working, sure, keep taking it. However, there are nonmedical methods that help too, & may eventually allow you to cope without meds. Besides, therapy plus meds works better than meds alone in almost all cases, with psychiatric problems. Consider discussing with Psychiatrist or psychologist on Healthtap Concierge, where virtual consults can be done with a doc to give ongoing treatment. ...Read more
Several: There are many tests; some seem better than others. But no one "test" is determinative. An experienced mental health expert may or may not even utilize a proprietary "test". Such an evaluation includes a thorough history &discussion with the expert, who then can employ 1 or more tests, or not, to provide additional info. In the end, the evaluator should use tests with which he/she has confidence. ...Read more
CBT & Meds: The gold standard treatment for gad is a combination of cognitive behavioral therapy and medication when warranted. Cbt would teach the individual cognitive restructuring, progressive muscle relaxation, and "worry exposure, " which are meant to combat the three components of worry: physical symptoms, cognitive symptoms, and avoidance behaviors. ...Read more
Not quite: It's more a pattern of frequent, constant worry & anxiety over many different activities & events. A number of physical symptoms may also be present, including muscle tension (shakiness, headaches) & stomach problems, such as nausea or diarrhea. The fear of going out that you're referring to is mentioned usually more in relation to agoraphobia or social anxiety. Google them... Wishing you well. ...Read moreSee 2 more doctor answers
Only if you: Choose to not be treated! with treatment, you should be able to function much better than you are right now. ...Read more
Lots of options: Anxiety disorder is quite common at all ages, and lots of different kinds of treatments are available. The best proven treatment is a combination of psychotherapy (not all kinds work) and medications (usually antidepressants). Primary care doctors often can help find help and may prescribe medications. Psychologists commonly offer proven therapies. Psychiatrists do medications maybe therapy. ...Read moreSee 1 more doctor answer
Chronic Worry: All things considered, i would simply suggest that you explain it as "worrying a lot" and using a light switch analogy. People diagnosed with gad have a hard time turning worry "off" whereas "normal worriers" are able to control worry. Explain that worry is in response to anxiety (attempt at coping with anxiety) although leads to more anxiety. Many cognitive behavioral therapy resources available. ...Read more
Can depression cause unwanted thoughts/bad thoughts of hurting someone you love I do have generalized anxiety disorder ?
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