Anti-Anxiety Medications

Anti-anxiety medications reduce excessive worry, panic, and physical anxiety symptoms enabling individuals to function effectively. Multiple medication classes address anxiety through different mechanisms. 

Anti-Anxiety Medications | Dr. Gabriella Farkas

Understanding Anti-Anxiety Medications

Anti-anxiety medications reduce anxiety symptoms through various mechanisms. Treatment goals include reducing anxiety to manageable levels enabling daily functioning, therapy engagement, and development of coping skills for long-term anxiety management.

Anti-Anxiety Medication Classes

Benzodiazepines

  • Fast-acting anxiety relief
  • Effective for acute anxiety and panic
  • Dependence potential with long-term use
  • Examples: alprazolam, lorazepam, clonazepam
  • Usually prescribed short-term or as needed

SSRIs/SNRIs

  • Preferred long-term anxiety treatment
  • Antidepressants also treat anxiety
  • No dependence potential
  • Require 2-4 weeks for full benefit
  • Often combined with benzodiazepines initially

Buspirone

  • Azapirone with no dependence risk
  • Works differently from benzodiazepines
  • Gradual anxiety reduction
  • Useful for chronic anxiety
  • Fewer side effects than benzodiazepines

Other Agents

  • Hydroxyzine (non-controlled antihistamine)
  • Beta-blockers for physical anxiety symptoms
  • Gabapentin for anxiety in some cases
  • Pregabalin for generalized anxiety
  • Used when standard options insufficient

Anti-Anxiety Medication Philosophy

Dr. Farkas's Responsible Prescribing Approach

Anxiety Severity Assessment

Careful evaluation determines whether medication is needed, what type, and what intensity. Mild anxiety may be addressed with therapy and lifestyle alone.

Preference for Non-Benzodiazepines

SSRIs, SNRIs, and buspiron are preferred for chronic anxiety preventing dependence potential while providing effective long-term relief.

Benzodiazepine Use Guidelines

When benzodiazepines are prescribed, careful monitoring includes lowest effective dose, specific indications, and planned discontinuation strategy.

Therapy Integration

Medication supports therapy engagement. Cognitive-behavioral therapy and exposure therapy teach lasting coping skills reducing long-term medication needs.

Anti-Anxiety Medication Expectations

Benzodiazepine Response

Benzodiazepines work within 30 minutes to 1 hour, providing rapid anxiety relief. However, tolerance can develop with regular use, and dependence is possible with long-term daily use.

SSRI/SNRI Response

SSRIs and SNRIs take 2-4 weeks for full anxiety relief. These medications work best for chronic anxiety and have no dependence potential, making them ideal for long-term use.

Buspiron Response

Buspiron provides gradual anxiety reduction over 2-4 weeks. It works best for generalized anxiety and has minimal side effects and no dependence potential.

Benzodiazepine Dependence Prevention

Dr. Farkas carefully monitors benzodiazepine use, avoiding regular daily dosing except in specific situations. Clear discontinuation plans prevent dependence development.

Ready for Anti-Anxiety Medication Evaluation?

Expert anxiety assessment and responsible medication management begins with comprehensive evaluation. Dr. Gabriella Farkas provides personalized treatment.

Call (917) 267-9678 for Your Consultation

Next Steps

Schedule Your Anxiety Evaluation

Contact Dr. Farkas to discuss anti-anxiety treatment. New patient appointments typically available within 2-4 weeks. During your first appointment, Dr. Farkas will conduct thorough anxiety evaluation, discuss medication options, and develop personalized treatment plan.

Begin Treatment with Monitoring

Once anti-anxiety medications are initiated, regular follow-up appointments monitor effectiveness, manage any side effects, and ensure safe use with careful benzodiazepine monitoring when appropriate.

Privacy & Confidentiality: Dr. Farkas's practice is fully HIPAA-compliant. Your health information is protected with the highest standards of confidentiality and security.

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.

60–90 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
60–90 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 60–90 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.

60–90 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?

60–90 minutes. Expert diagnosis. A treatment plan built around your specific neurobiology and goals.

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