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Anxiety Medication: Is It Worth It?

Is anxiety medication worth it? Let’s explore how it works, how to know if it’s right for you, and what to expect.

By Taylor Pagniello, RP, M.A.

Nov 05, 2024

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If you struggle with anxiety, you might have wondered, Should I take medication for this? or Will it actually help? Deciding whether to take anxiety medication is a deeply personal choice, and it’s normal to have mixed feelings about it. Some people fear becoming reliant on medication, while others worry about side effects. Some might wonder if they should be able to “handle” their anxiety without it.

The truth is, anxiety medication can be a useful tool—but it’s not a cure. It doesn’t address the root causes of anxiety, but it can provide relief, making it easier to function in daily life and engage in therapy. For some, it’s a temporary support. For others, it’s a longer-term option. But what matters most is finding what works best for you.

So, is anxiety medication worth it? Let’s explore how it works, how to know if it’s right for you, and what to expect.

How Does Anxiety Medication Work?

Anxiety medication affects the brain and body in different ways, depending on the type. The most commonly prescribed medications for anxiety include:

  • Selective Serotonin Reuptake Inhibitors (SSRIs) – These increase serotonin levels in the brain, which helps regulate mood and reduce excessive worry. (e.g., Prozac, Zoloft, Lexapro)
  • Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) – These work similarly to SSRIs but also impact norepinephrine, which plays a role in alertness and stress response. (e.g., Effexor, Cymbalta)
  • Benzodiazepines – These are fast-acting medications that calm the nervous system by increasing GABA, a neurotransmitter that slows down brain activity. However, they can be habit-forming and are usually prescribed for short-term use. (e.g., Xanax, Ativan, Valium)
  • Beta-Blockers – These reduce physical symptoms of anxiety (like rapid heartbeat and shaking) by blocking adrenaline. They’re often used for situational anxiety, like public speaking. (e.g., Propranolol)

Anxiety medication doesn’t erase emotions—it simply adjusts the brain’s chemical balance so that anxious thoughts and physical symptoms don’t feel as overwhelming.

Is Anxiety Medication Right for You?

Medication is not necessary for everyone with anxiety, but it can be life-changing for some. Here are some things to consider:

When Medication Might Be Helpful

  • Your anxiety significantly disrupts daily life (e.g., you struggle to work, sleep, or function in relationships).
  • You feel stuck despite trying therapy, self-care, and coping techniques.
  • Your anxiety causes severe physical symptoms (e.g., panic attacks, constant nausea, muscle tension).
  • You need short-term relief while working on deeper healing in therapy.

When Medication Might Not Be Necessary

  • Your anxiety is mild or situational and improves with lifestyle changes.
  • You prefer to try therapy and nervous system regulation first.
  • You have concerns about side effects or prefer non-medication approaches.

Ultimately, the best way to know if medication is right for you is to talk to a doctor or psychiatrist. They can assess your symptoms, discuss options, and guide you through the process.

Finding the Right Medication

One of the biggest frustrations with anxiety medication is that it’s not one-size-fits-all. What works for one person might not work for another, and finding the right medication often requires trial and error.

What to Expect When Starting Medication

  • It takes time. SSRIs and SNRIs, for example, often take 4-6 weeks to show full effects.
  • Side effects are common at first. Many people experience mild nausea, headaches, or sleep changes when starting a new medication, but these often fade after a few weeks.
  • Adjustments may be needed. You might need to try different doses or medications before finding the best fit.
  • Stopping suddenly can be difficult. Some medications require a gradual taper to avoid withdrawal effects.

It’s important to normalize the trial-and-error process. If one medication doesn’t work for you, it doesn’t mean all medication is bad—it just means you need a different approach. Be patient and work closely with your doctor to make adjustments.

Medication and Therapy

Medication alone does not address the root causes of anxiety—it helps manage symptoms. This is why therapy is essential for long-term healing.

Therapy helps you:

  • Understand where your anxiety comes from.
  • Process trauma, past experiences, and emotional patterns.
  • Learn coping skills and nervous system regulation techniques.

Think of medication as stabilizing the ground beneath you so you can do the deeper work of healing. Many people use medication temporarily while they gain skills in therapy, and later reduce or stop medication when they feel more confident managing anxiety on their own.

What About Side Effects of Anxiety Medication?

Side effects are a common concern when considering medication. They vary by person and medication type but can include:

  • Nausea or digestive issues
  • Drowsiness or fatigue
  • Sleep disturbances
  • Changes in appetite
  • Sexual side effects

Many side effects fade after the first few weeks as the body adjusts. If side effects persist or feel unmanageable, your doctor can adjust the dosage or try a different medication.

Can Anxiety Medication Be Temporary?

Yes. Medication does not have to be permanent. Many people use it situationally—for example, during a particularly stressful period, while working through trauma in therapy, or when their anxiety is at its worst.

If you start medication and later feel you no longer need it, you can work with your doctor to taper off safely. What’s important is recognizing that taking medication does not mean you’ll need it forever—it’s just one tool in your mental health toolbox.

Final Thoughts

Anxiety medication isn’t a magic cure, but it can be a valuable tool for those struggling with overwhelming anxiety. It can help stabilize symptoms, making it easier to function, engage in therapy, and work on long-term healing.

If anxiety is significantly impacting your daily life, medication might be worth considering. If your symptoms are milder or manageable through lifestyle changes and therapy, you may not need it. The decision is personal, and there’s no right or wrong answer—only what feels best for you.

Most importantly, taking medication for anxiety does not mean you are weak or broken. It simply means you’re using the resources available to support your well-being. Whether you choose medication, therapy, or a combination of both, you deserve to feel better—and help is available.

  • Baldwin, D. S., Anderson, I. M., Nutt, D. J., Bandelow, B., Bond, A., Davidson, J. R., ... & Wittchen, H. U. (2011). Evidence-based pharmacological treatment of anxiety disorders, post-traumatic stress disorder, and obsessive-compulsive disorder: A revision of the 2005 guidelines. Journal of Psychopharmacology, 25(4), 415-433.
  • Bandelow, B., Michaelis, S., & Wedekind, D. (2017). Treatment of anxiety disorders. Dialogues in Clinical Neuroscience, 19(2), 93-107.
  • Phelps, E. A., Lempert, K. M., & Sokol-Hessner, P. (2014). Emotion and decision making: Multiple modulatory neural circuits. Annual Review of Neuroscience, 37, 263-287.

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