Cymbalta social disorder anxiety

I wish you the best of luck. Read More Hi Angelina. Medications will help tremendously, so stay the course while working closely with your doctor in how you're feeling. If you aren't in therapy you may want to consider that as well, it too, can be very beneficial.

What's this phobia called? Read More everything is a huge issue for me.. I'm always in fear I had pain I took a perc I've been on Cymbalta since Jan30th Overuse of caffeine or abuse of amphetamines can cause symptoms resembling a panic attack. Screening Tests Clinicians use various screening tests to determine the causes, type, severity, and frequency of anxiety. Treatment The standard approach to treating most anxiety disorders is a combination of talk therapy, such as cognitive-behavioral therapy CBT , and an antidepressant medication.

A selective serotonin reuptake inhibitor SSRI is typically the first choice, with the serotonin-norepinephrine reuptake inhibitor SNRI venlafaxine Effexor, generic being an alternative. If patients do not respond to these drugs, tricyclic antidepressants may be helpful. Benzodiazepines may be recommended for patients who are not helped by antidepressants or who need help rapidly antidepressants take several weeks to be effective.

A healthy lifestyle that includes exercise, adequate rest, and good nutrition can also help to reduce the impact of anxiety. Investigational drugs include pregabalin and other anticonvulsants. Cognitive-behavioral therapy or anxiety management therapy. Anxiety management therapy involves education, relaxation training, and exposure to anxiety-provoking stimuli but does not include cognitive restructuring.

If patients do not respond to SSRIs, short-term treatment with a benzodiazepine may be used, or patients may switch to another type of antidepressant such as venlafaxine or tricyclics. Cognitive-behavioral therapy, provided in 12 - 16 sessions over 3 - 4 months, focuses on recreating fear symptoms and helping patients change their response to them.

Benzodiazepines may help patients who do not respond to these antidepressants. Anticonvulsants such as gabapentin Neurontin and pregabalin Lyrica are being investigated.

Cognitive-behavioral therapy can help improve symptoms after 6 - 12 weeks. Clomipramine a tricyclic antidepressant is an alternative for adult patients who do not respond to SSRIs.

Cognitive-behavioral therapy is the first treatment choice for children. For adults, either CBT or drug therapy may be offered as initial treatment. An atypical antipsychotic may be added to an antidepressant for patients who do not respond to a SSRI alone.

Trauma-focused psychological treatments include cognitive-behavioral therapy, exposure therapy, and eye movement desensitization and reprocessing. For anxiety disorders in adults, the most effective treatments are usually combinations of drugs and CBT techniques. For children, CBT is usually the first treatment. Medications Selective serotonin-reuptake inhibitors SSRIs , or the serotonin-norepinephrine reuptake inhibitor SNRI venlafaxine Effexor, generic , are the primary first-line treatment for anxiety disorders.

For patients who are not helped by these drugs or who need help rapidly, benzodiazepines may be prescribed, either alone or in combination with an antidepressant. Other types of antidepressants, including tricyclic antidepressants, may also be used to treat patients with severe or chronic forms of anxiety disorders. Drug therapies for anxiety disorders work best in combination with cognitive behavioral therapy or some other form of psychotherapy.

SSRIs include fluoxetine Prozac, generic , sertraline Zoloft, generic , paroxetine Paxil, generic , fluvoxamine Luvox, generic , citalopram Celexa, generic , and escitalopram Lexapro, generic. SSRIs can cause agitation, nausea, and diarrhea. Sexual dysfunction, including lowered sex drive, is a common side effect of many antidepressants as is weight gain.

Elderly people taking these drugs should take the lowest effective dose possible, and those with heart problems should be monitored closely.

Antidepressants may raise the risk for suicidality suicidal thoughts and behavior in young people, particularly those ages 18 - Both adults and children who are treated with SSRIs should be carefully monitored for any worsening of depressive symptoms or changes in behavior. This is especially important during the first few months of antidepressant treatment. It should not be taken by women who are pregnant or planning on becoming pregnant. Other SSRIs are generally considered safe for use during pregnancy and breastfeeding.

Still, women who are pregnant or who are considering becoming pregnant should discuss the potential risks of these drugs with their doctors. Serotonin-norepinephrine reuptake inhibitors SNRIs. SNRIs are known as dual action inhibitors because they work on two neurotransmitters -- norepinephrine and serotonin. Venlafaxine can increase blood pressure and heart rate and should be used with caution in patients with high blood pressure or heart disease.

Some patients report severe withdrawal symptoms, including dizziness and nausea. This drug has a serious risk for overdose. Venlafaxine should not be taken during the last trimester of pregnancy because the drug can cause complications in newborn infants. A chemically related drug, desvelafaxine Pristiq , is approved for treatment of depression has not yet been approved for treatment of anxiety.

Duloxetine's side effects are generally mild and include dry mouth, nausea, and sleepiness. Patients with narrow-angle glaucoma or patients with liver or kidney diseases should not take duloxetine. Because duloxetine can cause liver damage, patients who drink large quantities of alcoholic beverages should not take it. Tricyclics are an older type of antidepressant. Tricyclics used for treatment of anxiety disorder include imipramine Tofranil and generic, for generalized anxiety disorder, panic disorder , nortriptyline Pamelor and generic, for panic disorder , desipramine Norpramin and generic, for panic disorder , and clomipramine Anafranil and generic, for obsessive compulsive disorder.

Clomipramine is approved specifically for OCD, but because of its severe side effects it is usually used only if SSRIs have failed to help. Side effects of tricyclic antidepressants TCAs include sleep disturbance, abrupt reduction in blood pressure upon standing, weight gain, sexual dysfunction, and mental disturbance.

Elderly patients and those with a history of seizures, cardiac problems, closed-angle glaucoma, and urinary retention or obstruction should be closely supervised when taking tricyclics. Therefore, they have been replaced in most cases by SSRIs and other newer antidepressants.

For anxiety disorders, benzodiazepines are most often used to treat panic disorder, and are sometimes used for social anxiety disorder and generalized anxiety disorder. These drugs include alprazolam Xanax, generic , clonazepam Klonopin, generic , and lorazepam Ativan, generic. Benzodiazepines can have many side effects, which are generally associated with chronic use. The most common are daytime drowsiness and a hung-over feeling.

In rare cases, they can cause agitation. They may worsen respiratory problems. Benzodiazepines are potentially dangerous when used in combination with alcohol. Overdoses can be serious, although they are very rarely fatal. Older people are more susceptible to side effects and should usually start at half the dose prescribed for younger people.

These drugs increase the risk of falling, which can increase the risk for hip fracture in older people. Also of concern are studies showing a high risk of automobile accidents in people who take benzodiazepines. Benzodiazepines taken during pregnancy are associated with birth defects such as cleft palate , and they should not be used by pregnant women or by nursing mothers.

Loss of Effectiveness and Dependence. Eventually these drugs can lose their effectiveness with continued use at the same dosage.

As a result, patients may want to increase their dosage to prevent anxiety. This causes dependency, which can occur after taking these drugs for several weeks. Withdrawal and its Treatments.

Withdrawal symptoms can be very severe, even in people who rapidly discontinue benzodiazepines after taking them for only 4 weeks. The medication works as a serotonin-norephinephrine reuptake inhibitor and the dosage can vary from 30 mg to mg a day. Symptoms can be significantly improved with the use of this medication and there have been various scales of measurement used to view its effectiveness. According to studies collected by the US National Library of Medicine and the National Institutes of Health, the improvement of GAD symptoms were noticed within the first few weeks of taking the medication.

Many people who are diagnosed with GAD also have other comorbid conditions such as peptic ulcer disease, irritable bowel syndrome, headaches and cardiovascular disease. The nausea is terrible Has my head in slow like motion i cant stand it would NEVER recommend this med to any one it just sucks. I really jist want to cry because i feel all this side effects Feel loke i wanna throw up so obviously not goin to be eating today Not everyone is the same i know but for me it sucks!

Felt like I was on 30 cups of coffee w the flu! This stuff is poison! And you'll never get off of it! As a drug, Cymbalta is generally well-tolerated. Its side effects are frequently less-severe than other treatments, leading to its current place as a first-line therapy for anxiety and depression.

There are a few contraindications, so patients are advised to discuss their lifestyles with their doctors.

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