When dealing with anxiety, people often wonder what works best, namely whether medication like SSRIs (Selective Serotonin Reuptake Inhibitors) or therapeutic approaches like CBT (Cognitive Behavioural Therapy) are more effective. The truth is, the answer isn’t always straightforward. Both SSRIs and CBT have their place in treating anxiety, but they work in very different ways and offer different benefits and drawbacks. This blog explores the effectiveness of SSRIs versus CBT, and also introduces alternative methods like Emotional Freedom Technique (EFT), Neuro-Linguistic Programming (NLP), and Hypnotherapy, which can be highly effective, non-invasive, and free of side effects.

What Are SSRIs and CBT?

To understand which might be better for anxiety, let’s first define what SSRIs and CBT are and how they work.

Understanding SSRIs

SSRIs, or Selective Serotonin Reuptake Inhibitors, are a class of drugs commonly prescribed to treat anxiety and depression. They work by increasing the levels of serotonin, a neurotransmitter that affects mood, in the brain. However, they can take several weeks to start working and often come with side effects such as nausea, insomnia, weight gain, and sexual dysfunction. Once effective, patients may need to stay on SSRIs for months or even years, leading to a reliance on the medication. That said, they do often work to treat the anxiety.

Understanding CBT

Cognitive Behavioural Therapy, or CBT, is a type of talk therapy that helps people manage anxiety by changing the way they think and behave. It’s a structured, short-term therapy that focuses on uncovering and transforming any negative thoughts and behaviours. While CBT is effective in addressing the symptoms of anxiety, it often deals with surface-level issues and may not delve deeply into underlying trauma or root causes of anxiety, meaning relapse into anxiety is quite common.

The Limitations of SSRIs

While SSRIs can be effective in treating anxiety, they come with several limitations that make them less ideal for long-term use.

Delayed Effectiveness and Dependency

One of the significant downsides of SSRIs is that they can take weeks or even months to become effective. During this time, patients may still struggle with anxiety without relief. Moreover, once the medication begins to work, patients often become reliant on it, needing to continue taking it for months or even years to maintain the benefits. This reliance can be frustrating, especially when considering the side effects.

Side Effects of SSRIs

SSRIs are associated with a range of side effects, which can sometimes be as challenging as the anxiety they are meant to treat. Common side effects include:

• Nausea
• Insomnia
• Sexual dysfunction
• Weight gain
• Emotional blunting

These side effects can significantly impact a person’s quality of life, making SSRIs a less appealing option for those looking for a more natural or holistic approach to treating anxiety.

The Role of CBT in Treating Anxiety

CBT is often recommended as a first-line treatment for anxiety, but it has its own set of limitations that may leave some people seeking more comprehensive solutions.

Benefits of CBT

CBT is a well-established, evidence-based therapy that helps individuals recognise and change negative thought patterns and behaviours that contribute to anxiety. It’s particularly effective in providing immediate coping strategies, which can be incredibly beneficial for those struggling with daily anxiety symptoms.

Limitations of CBT

While CBT is excellent at addressing the symptoms of anxiety, it may not go far enough in addressing the underlying causes, particularly if those causes are rooted in past trauma or deep-seated emotional issues. CBT tends to focus on the ‘here and now,’ which is helpful for managing current anxiety but might not provide long-term relief if the root causes aren’t addressed.

Alternative Approaches to Treating Anxiety

For those who find SSRIs or CBT lacking, alternative therapeutic approaches offer promising results without the side effects associated with medication.

Emotional Freedom Technique (EFT)

EFT, also known as tapping, uses acupressure points on the body that are linked to specific meridian points to process emotional and psychological issues. This technique can help to release emotional blockages that contribute to anxiety, offering a quick and effective way to reduce symptoms.

Neuro-Linguistic Programming (NLP)

NLP is a therapeutic approach that focuses on changing thought patterns and behaviours through the use of language and visualisation techniques. Treating the brain as if it was a computer, NLP helps individuals reprogram their minds to respond differently to anxiety triggers, offering a more profound and lasting change.

Hypnotherapy

Hypnotherapy uses guided relaxation and focused attention to reach a state of heightened awareness, where the subconscious mind becomes more receptive to positive suggestions. This method can be highly effective in addressing the root causes of anxiety and fostering long-term change.

Laura Hunter specialises in these alternative therapies, offering clients a holistic approach to managing anxiety. Her methods empower clients to take control of their mental health, often seeing quicker and more lasting results than traditional methods like SSRIs or CBT.

Making the Best Choice for Your Mental Health

Choosing the right treatment for anxiety depends on various factors, including the severity of the condition, personal preferences, and how one responds to different treatments.

When SSRIs Might Be Necessary

For those with severe anxiety or depression, SSRIs might be necessary, particularly if the anxiety is very debilitating and other treatments haven’t been effective. However, it’s important to weigh the benefits against the potential side effects and the time it takes for the medication to become effective.

When to Consider Alternative Therapies

For those who prefer a non-invasive, holistic approach, or who have not found relief through SSRIs or CBT, exploring therapies like EFT, NLP, and Hypnotherapy might be the next step. These therapies, offered by professionals like Laura Hunter at Cheltenham therapy practices, can provide effective, side-effect-free treatment that addresses the root causes of anxiety rather than just the symptoms.

In conclusion, while SSRIs and CBT have their place in treating anxiety, they are not the only options available. Alternative therapies like EFT, NLP, and Hypnotherapy offer promising results without the downsides of medication. Whether you’re just starting your journey with anxiety treatment or looking for something different, it’s important to explore all options and find what works best for you.

If you’re ready to start your journey, or want to find out more by speaking to your local online therapist, I welcome all enquiries. I work with those across Cheltenham and surrounding areas like: Beckford, Bredon, Grafton, Ashton under Hill, Ripple, Bridge End, Eldersfield, Longdon, Stratford, Sedgeberrow. Feel free to reach out today at 07360 497 077.