Anxiety & Sleep
Anxiety & Sleep: how we evaluate, when we prescribe, and safety checks. Start a confidential online consultation.
Meet Our Providers
Dr. Annie Casta, M.D., FAAP
Pediatrics Specialist
Providing compassionate pediatric care, wellness exams, and preventive treatments for children and adolescents.
Learn MoreDr. Jorge Trapaga, ARNP
Family Medicine & Primary Care
Specializing in primary care, chronic disease management, and wellness services for adults and families.
Meet Dr. TrapagaOverview
Anxiolytics relieve anxiety, tension, and agitation by modulating neurotransmitters that control stress response. They include benzodiazepines, buspirone, and certain antidepressants used off-label for anxiety.
Uses
Used for generalized anxiety disorder, panic attacks, insomnia, and short-term stress management. Benzodiazepines (e.g., diazepam, lorazepam) provide rapid relief; buspirone offers slower but non-sedating benefit.Mechanism / Approach
Benzodiazepines enhance GABA-A receptor activity, increasing neural inhibition. Non-benzodiazepine options modulate serotonin or adrenergic pathways for chronic control.Safety & Patient Considerations
Prolonged benzodiazepine use can lead to dependence and withdrawal. Avoid alcohol and driving when sedated. Dose tapering is essential for discontinuation.FAQ
Are anxiolytics safe long-term?
Non-benzodiazepines are; benzodiazepines should be short-term.
Do they work immediately?
Benzodiazepines act within minutes; others need weeks.
Can they cause addiction?
Yes, mainly in prolonged high-dose benzodiazepine use.