Some people find complementary and alternative therapies help to manage their symptoms. For example, this may be aromatherapy, reflexology or acupuncture. Complementary therapies may also help manage some of the side effects of medication, if you decide to continue with it.
Esketamine is in a new class of antidepressants, based on the pain medication and general anesthetic ketamine, a drug that has been used clinically for decades. It's the first ketamine-based antidepressant for people experiencing treatment resistant depression (TRD).
Natural antidepressants include SAM-e, St John's Wort, and omega-3-fatty acids, among others. If a person thinks they have symptoms of depression, they should speak to a doctor before trying any natural antidepressants.
SSRIs and SNRIs are often the first-line treatment for anxiety. Common SSRI brands are Celexa, Lexapro, Luvox, Paxil, and Zoloft. Common SNRI brands are Pristiq, Cymbalta, and Effexor XR.
As of this writing, some of the anxiety medications with the fewest reported side effects and least risk of side effects include: Most Benzodiazepines (Xanax, Valium) Bupropion (Wellbutrin) Citalopram (Celexa - SSRI)
Benzodiazepines (also known as tranquilizers) are the most widely prescribed type of medication for anxiety. Drugs such as Xanax (alprazolam), Klonopin (clonazepam), Valium (diazepam), and Ativan (lorazepam) work quickly, typically bringing relief within 30 minutes to an hour.
Paroxetine—the most sedating of the SSRIs and often prescribed to assist anxious patients with sleep—produces significant declines in total sleep time, sleep efficiency, and total REM time, and increases awakenings and REM latency, and, may have the worst sleep profile of all SSRI's.
SSRIs. This group of drugs, including fluoxetine (Prozac), paroxetine (Paxil), fluvoxamine (Luvox), citalopram (Celexa), escitalopram (Cipralex) and sertraline (Zoloft), is usually the first choice for treatment of depression and anxiety disorders.
Meditation is known to relieve stress and anxiety and is a primary facet of CBT. Research from John Hopkins suggests 30 minutes of daily meditation may alleviate some anxiety symptoms and act as an antidepressant.
Vitamin B-3 and Vitamin B-9 can help people with depression because B vitamins help the brain manage moods. Vitamin D, melatonin and St. John's Wort are recommended for seasonal depression. Omega-3 fatty acids, magnesium and vitamin C may also help with depression.
Unfortunately, the only medications for anxiety are prescription and can not be bought over the counter. There is no such thing as over-the-counter anxiety medication. Anxiety medication alters the brain which is why it is a controlled substance and something you have to obtain from a doctor.
If you take magnesium as a supplement, studies that showed that magnesium can have anti-anxiety effects generally used dosages of between 75 and 360 mg a day, according to the 2017 review. It's best to consult a healthcare practitioner before taking any supplement so you know the correct dose for you.
Valerian root
Valerian root (Valeriana officinalis) is a well-known supplement for anxiety. Greek physicians realized it had calming effects back in 460 B.C. But the results are mixed with valerian root. Some studies show a benefit in treating anxiety but others don't.
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.
If you don't want to take antidepressants, there are lots of alternative treatments you can try. In fact, if you are diagnosed with mild depression, the National Institute for Health and Care Excellence (NICE) guidelines for treating depression recommend that doctors offer you other treatments ahead of medication.
While there is no substitute for professional medical treatment by psychologists, psychiatrists, and professional medical treatment by licensed providers, there is evidence that natural remedies such as vitamins or dietary supplements may help relieve symptoms of depression.
Your doctor may recommend that you gradually reduce the dose of your antidepressant for several weeks or more to allow your body to adapt to the absence of the medication.
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.
The best anxiety medication is often the one that is the weakest. An anti-anxiety medicine with a milder effect is Buspirone (Buspar). Buspar is good for mild anxiety but doesn't appear to have an effect on panic attacks.
Selective serotonin reuptake inhibitors (SSRIs).
These antidepressants generally cause fewer bothersome side effects and are less likely to cause problems at higher therapeutic doses than other types of antidepressants.