Some common misconceptions about anxiety disorders that patients have

  Some patients with anxiety disorders go to outpatient clinics such as cardiology and emergency medicine because of panic, chest tightness, or even increased blood pressure, shortness of breath, and a sense of dying, which repeatedly delays treatment and affects patients’ health and family life.  Second, anxiety treatment often has a wrong understanding of the treatment time. It should be noted that, in general, the effect of drugs for anxiety treatment is relatively slow, and it usually takes about 10-14 days for patients to feel that the drugs are working for them. After the medication takes effect, the patient’s anxiety symptoms gradually decrease, but the condition is unstable, so the medication cannot be stopped immediately. This process takes about two weeks.  After the anxiety symptoms disappear completely, i.e. after discharge from the hospital, it is necessary to continue the maintenance treatment for a period of time, which is also quite important. A large number of studies have shown that premature discontinuation of medication has a high relapse rate, with most patients experiencing a worsening of symptoms within one month of discontinuation, and a worsening of symptoms that is more difficult to treat than the previous episode. In contrast, maintenance treatment can reduce the possibility of relapse, and patients who adhere to treatment tend to have a better prognosis and a more significant improvement in quality of life.  Third, the choice of the timing of drug discontinuation Patients recovered from the disease, maintenance treatment period without recurrence, you can consider the discontinuation of drugs. The duration of treatment is not set in stone, but considered according to the condition. Some patients think that they can stop taking the drug after 6 months, this idea is not comprehensive, the choice of discontinuation time is based on the patient’s condition. Generally speaking, if the treatment is maintained for 6-9 months, and the condition is stable during the maintenance period, and there are no obvious anxiety symptoms, you can consider stopping the medication. However, there is a certain process to discontinue the medication. Currently, the commonly used antidepressants with anxiolytic effect such as paroxetine, duloxetine, escitalopram, etc., these drugs are not addictive, but the method of drug reduction is not appropriate, reducing the medication too fast or suddenly stopping the medication may lead to discontinuation reactions, even taking traditional antidepressants such as amitriptyline, doxepin, etc., there will be a significant rebound of anticholinergic effect. Such as nausea, vomiting, loss of appetite, general malaise, sweating, anxiety, agitation, insomnia, inability to sit still, etc. Therefore, regardless of taking any medication, the dosage should be slowly reduced according to medical advice.