Effective anxiety care uses multiple, often combined strategies: SSRIs/SNRIs and short-term benzodiazepines when appropriate; evidence-based therapies such as CBT; relaxation and mind-body practices; and dietary patterns and nutrients that support brain health. Supplements and alternative treatments require caution and clinician supervision.
Overview
Anxiety care today uses multiple tools: medication, talk therapy, cognitive behavioral therapy (CBT), relaxation practices, and dietary support. These approaches often work best in combination and should be discussed with a clinician who knows your medical history.Medication and professional treatments
Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are common first-line medications for many anxiety disorders (examples: sertraline, escitalopram, venlafaxine). Benzodiazepines (alprazolam, clonazepam, lorazepam) can reduce acute anxiety quickly but carry a risk of dependence and are usually prescribed short-term. Other options include buspirone and, for specific situations, beta-blockers for performance anxiety.Talk therapies remain central. Cognitive behavioral therapy (CBT) has strong evidence for treating many anxiety disorders by helping people identify and reframe unhelpful thoughts. Mindfulness-based therapies and acceptance-based approaches also show benefit for some people.
Relaxation and mind-body practices
Relaxation helps reduce physical arousal and supports long-term coping. Effective options include:- Diaphragmatic (deep) breathing and paced breathing
- Progressive muscle relaxation
- Yoga and tai chi for combined movement and breath work
- Regular physical activity and good sleep hygiene
Diet, nutrients, and supplements
A balanced diet supports overall brain health. Observational studies link Mediterranean-style diets (rich in vegetables, whole grains, legumes, fish, nuts, and olive oil) to lower risk of mood and anxiety symptoms.Nutrients with some evidence for supporting mood and nervous system function include B vitamins (B6, B12, folate), magnesium, omega-3 fatty acids, and vitamin D. Herbal supplements are also used by some people - but they carry risks and interactions. St. John's wort can interact with many prescription drugs. Kava has been associated with liver injury and is restricted or cautioned against in some countries. Valerian may help sleep for some people but evidence is mixed.
Researchers note that some vitamins are fat-soluble and require dietary fat for absorption; claims about a specific minimum fat amount should be verified. 1
Practical breathing exercise
Try a short diaphragmatic-breathing practice every day or when stressed:- Sit or lie comfortably with a straight back.
- Place one hand on your abdomen and one on your chest.
- Inhale slowly through your nose, letting your abdomen expand.
- Exhale slowly through your mouth or nose. Do not hold your breath.
- Continue for 5-10 minutes.
Final notes
There is no single universal "cure" for anxiety; many people achieve lasting improvement by combining treatments, learning skills, and adjusting lifestyle factors. Always consult a healthcare professional before starting or stopping medications or supplements.- Verify evidence level and guidance for magnetic field therapy in anxiety treatment
- Confirm specific minimum dietary fat amount required for absorption of fat-soluble vitamins (original claimed 6 grams)