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The rates of anxiety in our go-go-go, do-do-do, figure-it-out world have skyrocketed in the last 40 years. Anyone surprised? No. And as the rates have grown and the healthcare system has gotten clogged with a number of additional issues as well, we’ve turned to expedient answers.
Many people who deal with daily anxiety aren’t suffering from a chronic disorder, per se, but the constant overstimulation and overexpectation of life. They’re looking for an easy, quick way to handle crisis moments that allows them to get back to their day ASAP. Enter: medications like Xanax.
Meant mostly for as-needed use, dry-swallowing an emergency pill now and then is something we don’t even think about when it comes to any long-term effects. But if you’ve watched the second installment of Take Your Pills: Xanax on Netflix, you’ve already got a primer for this article. Yes – it does matter. In fact, emerging awareness is spurring further research into what dangers lurk inside those little yellow pills.
The first patent for Xanax was awarded in the ‘70s as a crisis med for panic disorder. Panic disorder is a debilitating condition where, when triggered by a perceived adverse stimulus, a person quickly delves into a flight or freeze response. These are panic attacks. Panic disorder is diagnosed when these attacks happen often.
Panic attacks are accompanied by symptoms that compound the severity of the experience, like seeing spots, difficulty breathing/hyperventilating, tachycardia, and other bodily responses that many people describe as feeling like dying. This is accompanied by a spiral of catastrophic thinking. The dysfunction is that the perceived dangerous stimulus isn’t dangerous, and that these episodes disrupt a person’s ability to function in daily life.
Anxiety attacks are similar but much less severe and much more common, which is a significant factor as to how this medication became America’s favorite way to prevent or mitigate these stress responses in a near-immediate way. We all know how Americans love an instant gratification situation.
Is the widespread use of Xanax a symptom of widespread anxiety? Yes. Is widespread anxiety a symptom of how our society is constructed? Also yes. Have we really solved anything with pharmaceuticals? Not really; we’ve just found a piecemeal way around it.
(If you’re into the idea of a deep-dive into how Xanax became our go-to script for chilling out, VICE has a great article delving into its complicated history. )
Obviously, these scripts are helping people – there were 14 million written in 2021 for Xanax alone. And it makes sense, because it immediately interrupts what’s going on when your brain has an intense negative reaction to stress. So, what exactly is going on when that anxious episode hits? A few things:
While all these things are happening, they’re also shutting out neurochemicals important for calming down, including GABA. When GABA is suppressed, it’s really hard to turn off those biological stress responses and the symptoms associated with them, like panic, tachycardia, shortness of breath, perception of losing control, etc. GABA dysfunction is associated with a host of psychological disorders. So, you know, it’s kind of important.
The useful thing about medicinal products for anxiety management is they interfere in this biological stress response for you, creating analgesic, amnesic and anxiolytic effects, without you having to gather yourself in a moment where you particularly feel like you can’t. But there’s another side to the Rx coin – what are you messing with for that magical feeling of instant relief?
Unfortunately, the risk for dependence and an eventual substance use disorder with as-needed anxiety meds is pretty serious, and it doesn’t take very long to start that slow slide into addiction. Dependence and addiction are largely biological mechanisms, but what complicates these risks, in medications used for psychological relief, is that mental dependence is sometimes nearly as intense as physical dependence.
Think about it: psychologically, if every time you are confront with an anxiety-inducing situation, you reach for a pill, you become habituated to that series of actions, Pavlov-style. Plus, you aren’t teaching yourself any coping mechanisms, so you’re never prompted to face those situations or learn sustainable ways to cope. In your mind, you’re reliant on the memory of the relief from that last hit.
Meanwhile, physically, you’re teaching your body it doesn’t need to know how to regulate GABA production and associated activity to calm itself down, because every time it needs GABA, it gets it when you pop that pill. At the same time, those mega-doses of GABA eventually cause your central nervous system to become less reactive to GABA’s inhibitory function. And over time, GABA deficiencies can have devastating effects on mental health.
For instance, Xanax’s withdrawal symptoms can prove as dangerous as alcohol withdrawal when it comes to use disorders. It’s the withdrawal, specifically, that’s considered both unique and more severe than coming off of other as-needed stress meds:
There’s also this weird thing only Xanax seems to do, where it causes a pseudo-pheochromocytoma. This is sort of a fake hypertensive crisis. A hypertensive crisis is defined by a sudden and severe rise in blood pressure accompanied by sinus tachycardia (irregular and increased heart rate).
It’s strange, though, because it’s not accompanied by the spikes in key neurotransmitters and the adrenal system the way actual hypertensive crises are. What’s scary is that these “fake” hypertensive crises are often so severe they require ICU admission. Worse, there have been no observed effective treatments for this reaction except the reintroduction of Xanax.
Oh yeah, withdrawal from this specific script has been known to cause homicidal ideation in people being treated for PTSD. So there’s that.
We note and acknowledge that people need different things to manage their mental health, and everyone should find a treatment plan that works best for them. However, knowledge is power, especially when it comes to managing your day-to-day experience of life.
There are plenty of alternatives to anxiety medications, both things you can consume and habits you can form (to be discussed shortly). There’s a lot to be said for looking for other, natural ways to cut down your reliance on medicinal scripts by incorporating safer, less invasive methods for increasing your stress resilience. Since, you know, just exiting society and living a serene life in the woods isn’t an option for 99% of us.
For instance, plant power is a whole movement in the holistic health industry – it’s kind of our whole thing, too. MTE was formulated with 13 powerful adaptogens, nootropics and superfoods that, when taken daily, can help promote a quality of life you might not have thought a simple greens powder supplement could. And that includes supporting healthy stress responses.
Key players like Affron®, ashwagandha, GABA, holy basil, L-theanine, and eleuthero can promote a quiet, present calm without disrupting cognitive performance or posing potentially life-threatening risks that come with medications.
Talk therapy is a great way to unpack some of the constructs you may have formed that perpetuate these adverse stress responses, as well as to gather professional advice on steps to take to change those reactions. And there are also things you can try some things yourself.
Some simple cognitive-behavioural (CB or CBT) habits can help form new neural pathways that help you form a sustainable, long-term way to combat anxious reactions. CB techniques are one of the most effective alternatives to total reliance on pharmaceuticals, especially when it comes to anxiety responses:
These strategies are additive over time, as consistency creates new neural connections and tendencies. You’re teaching your mind and body to adapt so it can cope with less help, or – best case scenario – no help at all. Consult a mental health practitioner to find strategies that work for you.
And as you’re on your journey to a more natural, sustainable way to manage stress and anxiety, the adaptogens and nootropics in MTE can support and promote your body’s ability to form these new habits and connections.
These are just 6 of the 13 carefully-curated ingredients in our daily vitality drink – a curated formula of powerful bioactive greens that support increased stress resilience, mood support, balanced energy, and much more in just a 2oz bottle. You can find more in-depth information, references and resources about these potent ingredients on our Stress page and our Wellness Blog.
Curious if there’s another way for you to deal with crisis moments without relying on pills and prescriptions? Learn more about MTE’s formulation and how we’re changing the face of energy drinks. Because a productive day is about more than stimulants – it requires feel-good ingredients that promote your mind and body to perform at your best: with calm, positive focus.