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Q. I experience overwhelming anxiety and have problems flying and riding in elevators. This problem has gotten worse lately. My doctor prescribes an anti-anxiety drug when I occasionally fly. Is there an alternative to taking prescription drugs to get relief from the anxiety?
A. You may want to consult a therapist who uses cognitive-behavioral therapy to treat fear of flying. This approach can be very effective.
Anti-anxiety medicine can be helpful. However, if you take it on a regular basis to help you ride the elevator to your office, beware of stopping the medicine suddenly. Some people report withdrawal difficulties from medicines like Ativan (lorazepam) or Xanax (alprazolam).
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I have social anxiety disorder which focus my anxiety toward interacting with other people. It is pretty much 'in remission' and not overwhelming at this time. Talk therapy has helped me to see that I easily direct any anxiety I may have toward interacting with others, that is to say it's not always people that I am realy anxious about, but I don't have to look at my anxiety too closely if I just dump it into the 'people' category. Talk therapy has helped me to realize that one aspect of my people anxiety is more about being ignored and not fitting in. But then I end up being lonely. Realizing my responsibilities in interactions with others helps me to learn to function in social situations.
When we get into an airplane, we surrender all control to others--the pilots, crew and airplane. Statistically per miles traveled, flying is many times safer than car travel. If we have many things in our lives that are out of control, it's easy to focus all of the anxiety on flying. When I learned to look realistically at what I could and could not conrol, my anxiety level lowered.
I find that the use of xanax in moderation to help with agoraphobia which sometimes leads to a full blown seizure attack because of an epileptic disorder is a great blessing to me. Some physicians feel a discomfort concerning a possible addiction about it. To that I say Balderdash! I actually feel human again. So to you MD'S out there don't fret over it. Take care of you're patients, they rely on you.