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I am a senior in college and experience major anxiety and stress before taking an exam, presenting to a group, or any other new situation. I quiver, have a very upset stomach, sweat, and cannot eat. I have been told that I inherited this trait of a "nervous stomach" from my grandfather. I am engaged and will be getting married in a year and a half. My question is, how common is it for a bride to take medicine to calm her nerves on the day of and the days leading up to the wedding? Would it be difficult to find a doctor to prescribe this for me if I had no other emotional problems?

GoAskAlice (Female, 27)

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Dear NERVY IN NORTH CAROLINA, People consistently rank public speaking and other forms of public presentations, like weddings, higher than death￿when polled about their worst fears. In fact, your mental and physical reactions are among the most universal of stress responses. While statistics on brides downing anti-anxiety medicine on their way to the altar are not readily available, we do know that Valium (a tranquilizer) was at one time the most prescribed drug in the country. Therefore, you can bet your bouquet that some brides and brides-to-be are probably chemically calming down, too.

Since you have about eighteen months until you tie the knot, why not bone-up on some stress- and anxiety-reduction exercises before finding a doctor to write you a prescription? Below is a deep-breathing exercise that works wonders to calm the nerves of students, professionals, performers, and of course, the wedding-bound, when faced with sudden and stressful situations. This technique...


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Anxiety

BACKGROUND

Unfortunately, all that most doctors have to offer are medications such as Valium and antidepressants. These are often not only addictive and ineffective, but also rife with side effects.

Fortunately, natural therapies can be as or more effective. In addition, it is important to treat both the psychological and physical underlying causes.

Physical Causes

Overactive thyroid

Especially if you have weight loss, racing heart/palpitations or sweating.

Low progesterone and estrogen

This can be seen in woman approaching menopause, and can occur 5-12 years before periods stop and tests for menopause become positive (called peri-menopause).

Low testosterone (men)

Especially beginning in, or after, one’s late 40’s.

Adrenal (stress handler) gland fatigue

Suspect this if you get irritable when hungry or sugar crave.

Nutritional deficiencies

Especially B Vitamins and magnesium.

Psychological Causes

Suppressing feelings

When the anger/fear is buried, so you’re not aware of it, it will often come out as hyperventilation. This is often associated with panic attacks with intermittent inability to take a deep enough breath, numbness and tingling around your lips and in your fingers, and feeling like you’re going to die. Though scary, it is not dangerous.

TREATMENT

Diet and Exercise

Walk in sunshine

Increase your exercise (especially walking in the sunshine). This is a great stress reliever.

Avoid sugar and caffeine

Green tea is OK.

Recommended Supplements

A new mix of natural therapies has been dramatically effective in treating anxiety — and actually increases energy and mental clarity! These include the following nutrients.

B Complex

Vitamin B1: Very high dose thiamine (vitamin B-1) at 500 mg 3 times a day.

Vitamin B3: Niacin (vitamin B3) is a natural tranquilizer — without being addictive. Some experts go so far as to call niacin "nature's valium."

Vitamin B6: Pyridoxine (vitamin B6) is critical in the production of two brain chemicals (neurotransmitters) that prevent anxiety (GABA and serotonin). Low vitamin B-12 has also been shown to be associated with anxiety.

Vitamin B5: Pantothenic acid (vitamin B5) is another B vitamin that is critical for the treatment of adrenal fatigue. Adrenal fatigue is a very common trigger for low blood sugar induced anxiety.

Magnesium

Magnesium has been called the "anti-stress mineral." Magnesium relaxes muscles, helps sleep, and relieves tension. Dropping magnesium levels can trigger hyperventilation/panic attacks (and even seizures if very severe) and these are often relieved with magnesium therapy.

Theanine

Theanine, which comes from green tea, is another outstanding treatment for anxiety. Research has shown that theanine works by two mechanisms. The first is that it increases alpha brainwave activity, creating a state of deep relaxation and mental alertness similar to what is achieved through meditation. Second, L-theanine is involved in the formation of the calming neurotransmitter, gamma amino butyric acid (GABA). It also naturally stimulates the release of the "happiness molecules" serotonin and dopamine. Only the “Sun Theanine” form is used by most reputable companies.

Passion flower extract

This is one of the best known herbs for the treatment of anxiety. In fact, in South America when people are anxious, their friends often tell them to "go get a passion flower drink."

Magnolia

Magnolia bark has a long history of use in traditional Chinese formulas that relieve both anxiety and depression without leaving you feeling like you've been drugged.

The good news is that by combining the above, you can be calm, energized, and have a clear mind — naturally!

Other Therapies & Advice

Express your anger

From a psychological perspective, anxiety usually represents (often repressed) anger toward someone else or fear about a situation. These feelings need to be expressed/acknowledged — and then released. You can tell when the anger is healthy because it will feel good to express it. When it stops feeling good, release it.

Treat adrenal fatigue

If irritable when hungry, investigate whether you might be experiencing adrenal fatigue.

Related Information

Finally — Cure Anxiety While Staying Calm and Energized!

Relaxation Training Highly Effective for Treating Anxiety

View More



Managing Stress

Stress can hit you when you least expect it—before a test, after an accident, or during conflict in a relationship. While everyone experiences stress at times, a prolonged bout of it can affect your health and ability to cope with life. That’s why social support and self-care are important. They can help you see your problems in perspective…and the stressful feelings ease up.

Sometimes stress can be good. For instance, it can help you develop skills needed to manage potentially threatening situations in life. However, stress can be harmful when it is severe enough to make you feel over­whelmed and out of control.

Strong emotions like fear, sadness, or other symptoms of depression are normal, as long as they are temporary and don’t interfere with daily activities. If these emotions last too long or cause other problems, it’s a different story.

Symptoms of Stress

Common reactions to a stressful event include:

Physical or emotional tension are often signs of stress. They can be reactions to a situation that causes you to feel threatened or anxious. Stress can be positive (such as planning your wedding) or negative (such as dealing with the effects of a natural disaster).

  • Disbelief and shock
  • Tension and irritability
  • Fear and anxiety about the future
  • Difficulty making decisions
  • Being numb to one’s feelings
  • Loss of interest in normal activities
  • Loss of appetite
  • Nightmares and recurring thoughts about the event
  • Anger
  • Increased use of alcohol and drugs
  • Sadness and other symptoms of depression
  • Feeling powerless
  • Crying
  • Sleep problems
  • Headaches, back pains, and stomach problems
  • Trouble concentrating

Tips for Self-Care

Photo: A depressed womenThe best ways to manage stress in hard times are through self-care:

  • Avoid drugs and alcohol. They may seem to be a temporary fix to feel better, but in the long run they can create more problems and add to your stress—instead of take it away.
  • Find support. Seek help from a partner, family member, friend, counselor, doctor, or clergyperson. Having a sympathetic, listening ear and sharing about your problems and stress really can lighten the burden.
  • Connect socially. After a stressful event, it is easy isolate yourself. Make sure that you are spending time with loved ones. Consider planning fun activities with your partner, children, or friends.
  • Take care of yourself.
    • Eat a healthy, well-balanced diet
    • Exercise regularly
    • Get plenty of sleep
    • Give yourself a break if you feel stressed out—for example, treat yourself to a therapeutic massage
    • Maintain a normal routine
  • Stay active. You can take your mind off your problems by giving—
    helping a neighbor, volunteering in the community, even taking the dog on a long walk. These can be positive ways to channel your feelings.

More Information

CDC works 24/7 saving lives and protecting people from health threats to have a more secure nation. A US federal agency, CDC helps make the healthy choice the easy choice by putting science and prevention into action. CDC works to help people live longer, healthier and more productive lives.

Content provided and maintained by the US Centers for Disease Control and Prevention (CDC).
View More

Clinical Trials


Clinical trials within 150 miles of WOODBRIDGE, NEW JERSEY.




Exercise in Pregnancy for Reduction of Blood Pressure in Obese Patients
Penn State Milton S. Hershey Medical Center - Hershey, Pennsylvania


Substance Use and Fitness
University of Connecticut Health Center - Farmington, Connecticut


Reinforcing Exercise in Substance Abusing Patients
Alcohol and Drug Recovery Centers, Inc. - Hartford, Connecticut


The Effect of Pseudoephedrine on Rhinitis and Sleep
Penn State College of Medicine, Penn State Milton S. Hershey Medical Center - Hershey, Pennsylvania

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FDA Approved Drugs


FDA approved drugs for the treatment of Anxiety
alprazolam (generic)




atenolol (generic)


busPIRone (generic)




chlordiazepoxide (generic)



clonidine (generic)







clorazepate (generic)



diazepam (generic)







doxepin (generic)



duloxetine (generic)


escitalopram (generic)


hydrOXYzine (generic)







lorazepam (generic)


nadolol (generic)


oxazepam (generic)


paroxetine (generic)




prochlorperazine (generic)





trifluoperazine (generic)


venlafaxine (generic)





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