Anti-Anxiety Medications | Non-Addictive Options | Dr. Farkas
Quick Answer

Anti-anxiety pharmacotherapy prioritizes non-addictive first-line agents — SSRIs, SNRIs, buspirone, hydroxyzine — for chronic anxiety, reserving benzodiazepines for defined short-term situations. Dr. Farkas selects medications based on anxiety subtype, comorbidities, side-effect priorities, and cardiovascular status, then measures outcomes with the GAD-7.

Medically reviewed by Gabriella I. Farkas, MD PhD — Board-Certified Psychiatrist · Reviewed 2026-07-09 · MD/PhD Neuroscience · Zucker Hillside NIH Research Center
Related topics on this page: anxiolytic medication · non-addictive anti-anxiety · buspirone hydroxyzine · SSRI anxiety

Frequently Asked Questions

What are the safest anti-anxiety medications long-term?

SSRIs, SNRIs, and buspirone have the strongest evidence for chronic anxiety with acceptable long-term safety. Benzodiazepines are effective short-term but carry dependence and cognitive risks with chronic use.

What is buspirone?

A non-benzodiazepine, non-sedating anxiolytic approved for generalized anxiety disorder. It works via serotonin (5-HT1A) receptors, has no dependence potential, and takes 2–4 weeks to reach full effect.

When are benzodiazepines appropriate?

For acute, short-term anxiety — panic attacks during SSRI initiation, situational anxiety (medical procedures), or severe insomnia. Chronic benzodiazepine use is avoided where possible due to dependence, cognitive, and fall risks.

Related pages

Medication Classes

Anti-Anxiety
Medications

Non-addictive options prioritized. Effective anxiety treatment doesn't require benzodiazepine dependency as the cost of relief. Dr. Farkas uses the full range of evidence-based pharmacological options — with dependency potential as a key factor in selection.

30–60 min evaluation
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MD/PhD neuroscience
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Aetna & Cigna
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SC · NY · VA telehealth
Anti-Anxiety Medications
Anti-Anxiety Medication Classes
SSRIs/SNRIs · Buspirone · Beta-blockers · Hydroxyzine · Low-dose antipsychotics · Judicious benzodiazepines
MD/PhD-level prescribing — not pattern-matching
Measurement-based tracking at every follow-up
"No harm" philosophy — side effects are solved, not accepted
In-network: Aetna & Cigna
📅 Request an appointment → 📞 917-267-9678
Medication Classes

How Dr. Farkas approaches
Medications

Evidence-based, neurobiologically-informed. Every prescribing decision is grounded in mechanism — not tradition or trial-and-error.

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Non-Addictive First
SSRIs, SNRIs, buspirone, and hydroxyzine are the foundation. Effective anxiety relief without dependency or withdrawal risk.
Performance & Situational
Beta-blockers for performance anxiety, hydroxyzine for acute relief — targeted, non-addictive options for specific situations.
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Benzodiazepine Policy
Benzodiazepines have legitimate uses — but dependency, cognitive effects, and fall risk are real. Dr. Farkas uses them judiciously, with clear discontinuation plans when prescribed.
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Differentiating Anxiety
Generalized anxiety, panic disorder, social anxiety, and OCD all look similar but respond to different pharmacological approaches. Accurate diagnosis matters.
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Comorbid Depression
Anxiety and depression frequently co-occur. Medications that address both simultaneously are preferred — one drug, two problems solved.
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GAD-7 Tracking
Validated GAD-7 scale at every follow-up to track anxiety severity objectively. Treatment adjustments are data-driven.
The Process

From evaluation to
lasting results

1
Comprehensive Evaluation
30–60 minutes covering your full psychiatric, medical, and medication history. Nothing skipped — accuracy before action.
2
Neurobiological Strategy
Treatment selection based on mechanism, your history, and what's failed before. Not the next name in the algorithm.
3
Regular Monitoring
Validated outcome measures at every visit. Objective data drives every adjustment — symptom improvement and side effect burden both tracked.
4
Long-Term Optimization
Treatment evolves as your life does. Regular reviews ensure you're always on the lowest effective regimen with the highest quality of life.
Conditions Treated

Anti-Anxiety Medications is used to treat
these conditions

Generalized AnxietyPanic DisorderSocial AnxietyOCDPTSDPostpartum AnxietyInsomnia

Don't see your condition? View all 28 conditions treated →

Getting Started

What to expect at
your first appointment

New patient evaluations are 30–60 minutes — never a rushed intake. Dr. Farkas takes your full psychiatric, medical, and medication history before making any prescribing decisions. You'll leave with a clear diagnosis, a treatment plan that makes sense to you, and a follow-up already scheduled.

Telehealth available throughout South Carolina, New York, and Virginia. In-person at our Hilton Head Island, SC office.

30–60 minute evaluation — not a template intake
Full review of prior medication history and what's failed
Neurobiologically-informed prescribing, not trial-and-error
Measurement-based tracking at every follow-up visit
No-harm philosophy — side effects are solved, not tolerated

Ready for prescribing done
at the MD/PhD level?

30–60 minutes. Expert diagnosis. A treatment plan built around your specific neurobiology and goals.

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