Jul 14, 2026 · 1 hr 3 min · 13 segments
Anxiety medications tier list: two psychiatrists rank the treatments they actually use for generalized anxiety disorder… and the ones they avoid. The discussion covers first-line SSRIs, why buspirone…
So what are, what are we doing today?
Anxiety medications tier list, what the people want.
They don't want my talks on, you know, psychotherapy.
They wanna know about the medications, so we're gonna talk about that.
So anxiety...
Now, the only thing I'm worried about is that the medications have a lot of overlap.
We did our depression tier list a few weeks ago.
Um, there's gonna be a lot of overlap in medications.
That's true.
Uh, and I suppose what I'm going to say here is we need to briefly cover what exactly is anxiety.
Uh, now there's an entire episode on that, that we made already, but I just wanna hit some highlights.
Uh, the...
We need to set this apart from anxious distress of a major depressive disorder, right? We need to understand that when we talk about the medication treatment of anxiety, at least for me, I'm not talking about any anxiety.
I'm not talking about anxiety from a personality disorder.
I'm not talking about anxiety, uh, from a life or a stressor or a trauma disorder.
Today, I'm talking about as pure as possible somebody who has a physiological, psychophysiological, temperamental tendency towards trait anxiety.
Uh, not exactly the same as true generalized anxiety disorder, but probably what generalized anxiety disorder is meant to point to.
Yeah, that's one of those things, 'cause anxiety is something that everyone wants treated.
I feel like now it's like we've, you know, we've, we've done episodes on everyone thinks it's ADHD.
Everyone...
Anxiety is the thing that people present with, and it...
The different types of anxieties are different, and there's also contention of whether generalized anxiety disorder is, you know, quote-unquote "real diagnosis."
Mm-hmm.
So today, that is kind of what we're hitting, but also, as you said, not exactly.
So what are, what are we doing today?
Anxiety medications tier list, what the people want.
They don't want my talks on, you know, psychotherapy.
They wanna know about the medications, so we're gonna talk about that.
So anxiety...
Now, the only thing I'm worried about is that the medications have a lot of overlap.
We did our depression tier list a few weeks ago.
Um, there's gonna be a lot of overlap in medications.
That's true.
Uh, and I suppose what I'm going to say here is we need to briefly cover what exactly is anxiety.
Uh, now there's an entire episode on that, that we made already, but I just wanna hit some highlights.
Uh, the...
We need to set this apart from anxious distress of a major depressive disorder, right? We need to understand that when we talk about the medication treatment of anxiety, at least for me, I'm not talking about any anxiety.
I'm not talking about anxiety from a personality disorder.
I'm not talking about anxiety, uh, from a life or a stressor or a trauma disorder.
Today, I'm talking about as pure as possible somebody who has a physiological, psychophysiological, temperamental tendency towards trait anxiety.
Uh, not exactly the same as true generalized anxiety disorder, but probably what generalized anxiety disorder is meant to point to.
Yeah, that's one of those things, 'cause anxiety is something that everyone wants treated.
I feel like now it's like we've, you know, we've, we've done episodes on everyone thinks it's ADHD.
Everyone...
Anxiety is the thing that people present with, and it...
The different types of anxieties are different, and there's also contention of whether generalized anxiety disorder is, you know, quote-unquote "real diagnosis."
Mm-hmm.
So today, that is kind of what we're hitting, but also, as you said, not exactly.
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