7 Alternatives to Xanax for Treating Anxiety

If you struggle with anxiety, you may have heard of Xanax or been prescribed it in the past. While Xanax can be effective, it comes with significant concerns—including potential for dependence and withdrawal. At Next Step Psychiatry in Lilburn, Georgia, we help patients throughout Gwinnett County and Metro Atlanta explore safer, effective alternatives for managing anxiety.

Understanding Xanax and Its Risks

Xanax (alprazolam) is a benzodiazepine that works by enhancing GABA's calming effects in the brain. While it can quickly reduce anxiety, it carries risks including drowsiness, dependence, and cognitive effects. Long-term use has been associated with increased dementia risk.

Other benzodiazepines like Klonopin, Ativan, and Valium work similarly and carry the same concerns. This is why many psychiatrists, including Dr. Aneel Ursani at Next Step Psychiatry, prefer to explore other options first.

Prescription Alternatives to Xanax

1. Beta-Blockers (Propranolol)

Originally developed for heart conditions, propranolol blocks adrenaline's physical effects—reducing racing heart, shakiness, and sweating. It's particularly helpful for performance anxiety and social situations. Unlike benzodiazepines, it's not habit-forming.

2. SSRIs (Selective Serotonin Reuptake Inhibitors)

SSRIs like Zoloft (sertraline), Prozac (fluoxetine), and Lexapro (escitalopram) are typically the first-line medication treatment for anxiety disorders. They work by affecting serotonin levels and addressing both psychological symptoms and underlying anxiety over time. Unlike Xanax, they're not habit-forming.

3. SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)

Effexor (venlafaxine) and Cymbalta (duloxetine) affect both serotonin and norepinephrine. They work gradually to reduce anxiety symptoms and are also not habit-forming.

4. Buspirone (BuSpar)

Buspirone is an anti-anxiety medication that works differently than benzodiazepines. It affects serotonin and dopamine without causing dependence. It's a good option for patients concerned about the risks of medications like Xanax.

Non-Medication Alternatives

5. Cognitive Behavioral Therapy (CBT)

CBT is one of the most effective treatments for anxiety disorders. It helps you identify and change negative thought patterns, develop coping skills, and address anxiety at its root. Research shows CBT can be as effective as medication for many people—with benefits that last longer.

6. Regular Exercise

Physical activity has proven anxiety-reducing effects. Whether it's jogging through Lilburn's parks, cycling, or joining a gym in Gwinnett County, regular exercise helps manage stress and reduce anxiety symptoms.

7. Mindfulness and Meditation

Studies show mindfulness meditation can be as effective as some medications for anxiety. It works by combining breathwork with present-moment awareness, helping you break free from anxious thought patterns. Many apps and local wellness centers offer guided meditation instruction.

What About Natural Supplements?

Herbal remedies like chamomile, valerian root, and kava are often promoted for anxiety, but research on their effectiveness is limited. These products aren't regulated like medications, so quality and safety can vary. Always discuss supplements with your psychiatrist before trying them.

Finding the Right Treatment for You

Anxiety treatment is highly individual. What works best for you depends on your specific symptoms, medical history, lifestyle, and preferences. Fathima Chowdhury, PA-C and our team at Next Step Psychiatry work with each patient to develop a personalized treatment plan.

For many people, combining medication with therapy provides the best results. If you're currently taking Xanax and want to explore alternatives, we can help you safely transition to other treatments.

This article is for educational purposes only. Never stop or change medications without consulting your doctor. If you're in crisis, call 911 or the National Suicide Prevention Lifeline at 988.