Anxiety is a problem that very frequently accompanies episodes of depression or mania. In addition, sleep problems are common in depression, hypomania, and mania. Within the anxiolytic class, the most anxiety and sleeplessness in bipolar disorder. In addition, the benzodiazepines may be used to help control some of the early symptoms of hypomania. All benzodiazepines have the potential to cause physical and psychological dependence or addiction. The potential for abuse seems to be greatest with drugs that produce a quick effect and that are quickly removed from your blood stream, such as alprazolam (Xanax). The potential for abuse seems to be least with benzodiazepines that have a slower effect and spend a longer time in your blood stream, such as clonazepam (Klonopin).
Most standard antidepressant medications appear to have excellent effects on reducing anxiety, but they require several weeks of consistent use to become effective and may cause worsening of bipolar disorder in some patients.
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