Mental Health
Who Can Prescribe Anxiety Medication?

Who Can Prescribe Anxiety Medication?

6 min read


Lauren Carlson

Living with anxiety can be a challenging experience that affects every aspect of our lives. It can disrupt our relationships, hinder our productivity, and diminish our overall well-being. Fortunately, anxiety medications can provide relief and help manage the symptoms of anxiety disorders effectively. However, many individuals find themselves wondering who has the authority to prescribe these medications.

In this blog post, we will explore the various healthcare professionals who can prescribe anxiety medication. We will review their qualifications, areas of expertise, and the factors to consider when seeking appropriate treatment. Understanding the roles and responsibilities of these professionals will empower you to make informed decisions about your mental health.

What is anxiety?

Anxiety is a normal and natural response to stress or perceived threats. It is a feeling of unease, worry, or fear that can be accompanied by physical sensations such as increased heart rate, rapid breathing, sweating, and tension. 

While occasional anxiety is a common human experience, an anxiety disorder occurs when these feelings of worry and fear become excessive, persistent, and interfere with daily life. Anxiety disorders can manifest in different forms, such as generalized anxiety disorder (GAD), social anxiety disorder, panic disorder, or specific phobias. 

Anxiety can affect individuals emotionally, mentally, and physically. It can lead to difficulties in concentrating, sleep disturbances, irritability, and avoidance of certain situations or activities. The exact causes of anxiety disorders are complex and can involve a combination of genetic, environmental, and psychological factors. 

Treatment for anxiety may include therapy, such as cognitive-behavioral therapy (CBT), relaxation techniques, lifestyle modifications, and, in some cases, medication. It's important to remember that anxiety disorders are treatable, and seeking help from a healthcare professional can provide guidance and support for managing anxiety effectively.

Can all healthcare professionals prescribe anxiety medication?

When seeking anxiety medication, it's crucial to understand that different healthcare professionals have the authority to prescribe these medications based on their expertise and training. Let's explore the various professionals who can help you on your path to managing anxiety effectively:


Psychiatrists are medical doctors who specialize in mental health. They have extensive training in diagnosing and treating mental disorders, including anxiety. Psychiatrists can prescribe medication and provide comprehensive treatment plans tailored to individual needs. They often combine medication management with therapy, ensuring a holistic approach to anxiety treatment.

Primary Care Physicians (PCPs):

Your primary care physician is usually your first point of contact for healthcare. While they may not specialize in mental health, many PCPs have the knowledge and experience to diagnose and treat common anxiety disorders. They can prescribe anxiety medication, particularly for mild to moderate cases, and monitor your progress. If your anxiety requires more specialized care, they may refer you to a psychiatrist or other mental health professionals.

Psychiatric Nurse Practitioners (PMHNP):

Psychiatric nurse practitioners are advanced practice registered nurses (APRNs) with specialized training in psychiatric care. They have the authority to prescribe medication and provide therapy for a wide range of mental health conditions, including anxiety disorders. PMHNPs often work collaboratively with psychiatrists and other healthcare providers to ensure comprehensive and holistic treatment for their patients.


Psychologists are experts in the field of psychology and mental health. While they cannot prescribe medication themselves, they play a crucial role in assessing, diagnosing, and treating anxiety disorders through various therapeutic approaches. Psychologists often work in tandem with psychiatrists or other prescribing professionals to develop a comprehensive treatment plan that may include therapy, lifestyle changes, and non-medication interventions.

Licensed Clinical Social Workers (LCSW):

Licensed Clinical Social Workers are trained mental health professionals who provide therapy and support for individuals with anxiety disorders. They do not have prescribing privileges, but they can offer valuable guidance and evidence-based therapeutic techniques to help manage anxiety symptoms. LCSWs often work collaboratively with other healthcare professionals to ensure comprehensive care.

Do I need anxiety medication or is therapy enough?

Determining if you need anxiety medication or if therapy alone is enough depends on factors like the severity and persistence of your symptoms, the impact on your daily life, and any co-occurring conditions. If your anxiety symptoms significantly interfere with your daily functioning, persist for a long time, or coexist with other mental health conditions, medication might be considered to provide additional support. It's important to consult with a qualified healthcare professional, such as a psychiatrist or primary care physician, who can assess your situation and guide you in making an informed decision.

Therapy and medication are not mutually exclusive options, and a combination of both may provide the most effective treatment outcome.

Ultimately, the decision to use anxiety medication or rely on therapy alone is best determined through a thorough evaluation by a healthcare professional. They will consider the severity and impact of your symptoms, any co-occurring conditions, and your personal preferences. Collaboration with a qualified professional ensures that you receive a personalized treatment plan that addresses your specific needs and maximizes your chances of finding relief from anxiety.

What are the common side effects of anxiety medications?

Anxiety medications, like any other medications, can have potential side effects. The specific side effects can vary depending on the type of medication prescribed. It's important to note that not everyone will experience these side effects, and their severity can also differ from person to person. Some common side effects associated with anxiety medications include:


Anxiety medications like benzodiazepines can have a sedative effect on the central nervous system, resulting in drowsiness or feeling tired. This side effect is more common when starting the medication or when the dosage is increased. It's important to be cautious when performing activities that require alertness, such as driving, while experiencing sedation.


Some anxiety medications can cause dizziness or lightheadedness. This can occur when standing up too quickly or making sudden movements. It's advisable to take your time when changing positions to avoid any potential falls or accidents.

Cognitive and memory impairment:

Certain anxiety medications, particularly benzodiazepines, may affect cognitive function and memory. This can manifest as difficulties with concentration, attention, or memory recall. These effects are usually temporary and tend to improve over time as your body adjusts to the medication.

Gastrointestinal issues: 

Nausea, vomiting, diarrhea, or changes in appetite can occur as side effects of anxiety medications. These gastrointestinal symptoms are typically transient and diminish as your body adapts to the medication.


Headaches can sometimes be a side effect of anxiety medications. They can range from mild discomfort to more severe headaches. If headaches persist or become severe, it's important to inform your prescribing professional.

Dry mouth: 

Anxiety medications can decrease saliva production, leading to a dry or sticky sensation in the mouth. This side effect is usually temporary and can be managed by staying hydrated or using sugar-free gum or candies to stimulate saliva production.

Sexual dysfunction:

Some anxiety medications, particularly selective serotonin reuptake inhibitors (SSRIs), may impact sexual desire, arousal, or performance in certain individuals. If you experience sexual side effects that are bothersome, discussing alternative medication options or adjusting the dosage with your healthcare professional may be considered.

Fluctuation in weight: 

Certain anxiety medications can lead to weight gain or weight loss. The extent and prevalence of these changes vary depending on the medication and individual factors. Maintaining a balanced diet and regular exercise can help manage weight changes associated with medication use.

Mood changes:

In some cases, anxiety medications may cause mood swings or changes in emotional state. This can include feelings of increased irritability or, rarely, symptoms of depression. If you notice significant changes in your mood or emotional well-being, it's crucial to discuss them with your healthcare professional.

Dependency and withdrawal: 

Benzodiazepines, when used for extended periods or abruptly discontinued, can lead to dependence and withdrawal symptoms. These medications should be used as prescribed and under the guidance of a healthcare professional to minimize the risk of dependence. It's important to follow the prescribed dosage and discuss any concerns about dependency or withdrawal with your prescribing professional.

Remember, not everyone experiences these side effects, and their occurrence and severity can vary from person to person. Your prescribing professional will monitor your response to the medication and help manage any side effects that may arise. Open communication with your healthcare professional is essential in addressing any concerns and ensuring that your anxiety medication provides the intended benefits with minimal side effects.

How often will I need to follow up with my prescribing professional to monitor my progress?

The frequency of follow-up appointments with your prescribing professional to monitor your progress can vary depending on several factors, including your individual needs, the type of medication prescribed, and the severity of your anxiety. Typically, the initial follow-up appointment is scheduled within a few weeks after starting the medication to assess its effectiveness and any potential side effects.

After the initial follow-up, your prescribing professional will determine the appropriate frequency of future appointments based on your response to the medication and your overall treatment plan. In some cases, you may have monthly or quarterly follow-ups to monitor your progress, adjust medication dosages if necessary, and address any concerns or questions you may have.

It's important to communicate openly with your prescribing professional during these follow-up appointments. You should provide updates on your symptoms, any side effects experienced, and any changes in your overall well-being. This feedback helps your prescribing professional assess the effectiveness of the medication and make any necessary adjustments to your treatment plan.

Remember, the goal of follow-up appointments is to ensure that you're receiving optimal care and to monitor your progress towards managing your anxiety. If you experience any significant changes in your symptoms or have concerns between appointments, don't hesitate to reach out to your prescribing professional for guidance or schedule an additional appointment if needed.

What can I do to find a reputable and knowledgeable healthcare professional to prescribe anxiety medication?

Finding a reputable and knowledgeable healthcare professional to prescribe anxiety medication involves several steps. Here are some strategies to help you in your search:

Seek recommendations:

Start by asking your primary care physician for recommendations. They may be able to refer you to a psychiatrist or another mental health professional experienced in prescribing anxiety medication. Additionally, reach out to trusted friends, family members, or colleagues who have sought treatment for anxiety and ask for their recommendations.

Check credentials and specialization: 

When considering a healthcare professional, verify their credentials and ensure they are licensed and in good standing. Look for professionals who specialize in mental health or have experience in treating anxiety disorders. Psychiatrists, psychiatric nurse practitioners, or primary care physicians with expertise in mental health can be good options.

Consult with your insurance provider:

If you have health insurance, consult with your insurance provider to get a list of in-network mental health professionals. This can help narrow down your options and ensure that your visits are covered by your insurance plan.

Consider telehealth options:

In recent years, telehealth has become increasingly popular and accessible. Look for reputable telehealth platforms that connect you with licensed mental health professionals who can prescribe anxiety medication. Ensure that the platform follows all necessary privacy and security regulations.

Evaluate compatibility: 

It's essential to find a healthcare professional with whom you feel comfortable and can establish a good rapport. Consider factors such as their communication style, approach to treatment, and willingness to listen to your concerns. Trust and a positive therapeutic relationship are vital for effective anxiety management.

Seek second opinions if needed: 

If you are unsure about a diagnosis or treatment plan, don't hesitate to seek a second opinion from another qualified healthcare professional. It's important to feel confident in the treatment decisions made for your mental health.

Remember, finding the right healthcare professional may require some time and exploration. Trust your instincts and prioritize your needs when making your decision. The expertise and guidance of a reputable professional can make a significant difference in your anxiety treatment journey.

Quick Recap

Understanding who can prescribe anxiety medication is essential for navigating your journey toward effective anxiety management. Psychiatrists, primary care physicians, psychiatric nurse practitioners, psychologists, and other mental health professionals all play vital roles in providing comprehensive care. By seeking the appropriate expertise and support, you can find a treatment approach that works best for you.

Remember, everyone's experience with anxiety is unique, and there is no one-size-fits-all solution. It's important to consult with a qualified healthcare professional who can evaluate your specific needs and develop a personalized treatment plan. Together, you can embark on a path towards better mental health and a brighter future.

How MyWellbeing can help you navigate and manage anxiety

Looking for a therapist who understands your unique needs and can support your well-being journey? Use MyWellbeing to find your online therapist or coach. With our user-friendly platform, finding the right therapist has never been easier. Simply create an account, provide some basic information about yourself and your therapy preferences, and let our powerful search engine do the work. We'll match you with a curated list of therapists who align with your specific criteria, including location, specialties, and therapeutic approaches. Browse through detailed therapist profiles, read about their qualifications and experience, and take your time to make an informed decision.

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About the author

Lauren is a member of the content team at MyWellbeing. She originally began her career in Client Services within the field of Advertising Technology. Recently, she transitioned career paths to pursue her passion for helping others. In December 2022, Lauren graduated with a Master’s degree in School Counseling and is primarily focused on working with middle school and high school students.

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