Is Anxiety Medication Safe for Teens?

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All teens experience anxiety sometimes. Feeling nervous before a date, worrying about an exam, and experiencing increased anxiety before a big presentation is normal. But sometimes, teens experience so much anxiety that it impairs their daily functioning.

Parents of anxious teenagers—as well as the teens themselves—are often desperate for help. But, many people worry whether anxiety medication is safe for teens.

Types of Anxiety Medications for Teens

Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed medication for anxiety in children and teens. These may include medications such as:

SSRIs increase levels of serotonin in the brain. Serotonin is a neurotransmitter that carries signals between brain cells. SSRIs block the reabsorption of serotonin in the brain, making it more available.

Serotonin-norepinephrine reuptake inhibitors (SNRIs) may also be prescribed to adolescents with anxiety. SNRIs may include medications such as Cymbalta (duloxetine) and Effexor XR (venlafaxine).

Like SSRIs, SNRIs impact neurotransmitters in the brain. SNRIs block the reabsorption of serotonin and norepinephrine.

Common Side Effects of SSRIs and SNRIs

Many teens don’t experience side effects when taking SSRIs or SNRIs. Those that do may find the side effects are often mild and usually go away within the first few weeks of treatment.

The most common side effects include:

  • Dizziness
  • Dry mouth
  • Excessive sweating
  • Headache
  • Nausea

Other possible side effects may include:

  • Changes in sexual function, such as reduced sexual desire, erectile dysfunction, or difficulty achieving orgasm
  • Constipation
  • Insomnia
  • Loss of appetite
  • Tiredness

It’s important to report any side effects to your teen’s doctor. If one medication isn’t working or it’s causing serious side effects, your teen may need to change medications.

FDA Warnings About SSRIs and SNRIs

The Food and Drug Administration (FDA) issued a warning in 2004 that antidepressant medications that are often used to treat adolescent anxiety (such as many SSRIs and SNRIs) may increase suicidal thoughts and behavior in a small number of children and adolescents.

No suicides were reported in the studies that led to the warnings. However, in clinical trials, the rate of suicidal thinking or suicidal behavior was 4% among patients receiving an antidepressant, as compared with 2% receiving the placebo.

To address this concern, a black box warning was added to these medications. Parents and teens are educated about the potential risks and teens are monitored closely with frequent appointments.

Some experts have been critical of the FDA’s black box warning. Critics warn some people may not get the help they need for fear the medications are unsafe. Consequently, the warning may deter parents from getting help for their children.

If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

For more mental health resources, see our National Helpline Database.

Other Medications to Treat Anxiety in Teens

Although SSRIs and SNRIs are most commonly used to treat anxiety in teens, other prescriptions may be used. Benzodiazepines may be prescribed to teens with severe anxiety. They are usually short-term treatments.

Benzodiazepines are less commonly prescribed because they have some associated dangers. Teens may grow dependent on them and benzodiazepines may be abused. Stopping them suddenly could lead to withdrawal symptoms or even seizures.

Occasionally, physicians may prescribe other medications to treat anxiety, such as antihistamines or atypical antipsychotics.

When Teens Should Seek Help for Anxiety

There are many different types of anxiety, such as:

There are also many different types of phobias that may impact your teen’s daily life.

Anxiety becomes problematic when it affects a teen’s social, occupational, or educational functioning. Here are a few examples of times when anxiety becomes problematic:

  • A teen thinks everyone is always staring at them. They refuse to eat lunch in the cafeteria and avoid talking in class.
  • A teen survived a near-fatal car accident on a rainy evening. Several months later, they continue to have nightmares and flashbacks. They refuse to get in a car when it’s raining.
  • A teen has started experiencing panic attacks. They're worried a panic attack will happen at school. They have started refusing to go to school.

Approximately 80% of young people with an anxiety disorder don’t get treatment. That’s unfortunate because anxiety is treatable. And sometimes, that treatment includes medication.

When to Use Medications for Anxiety

For mild to moderate functional impairments, the American Academy of Child and Adolescent Psychiatry recommends deferring the use of medication.

Teens and their parents are often educated on anxiety and the best strategies for managing symptoms. They may also be referred for cognitive behavioral therapy (CBT). If those strategies aren’t effective in reducing the symptoms, or if a teen has moderate to severe anxiety, medication may be used to manage the symptoms.

As with all medications, prescriptions used to treat anxiety have risks. They are prescribed, however, when a physician or psychiatrist thinks the benefits outweigh those risks.

How to Help an Anxious Teen

If your teen is struggling with anxiety, talk to their doctor. Describe your concerns and ask about your treatment options. While some primary care physicians and pediatricians feel comfortable prescribing anti-anxiety medications to teens, others may refer children to psychiatrists.

Psychiatrists are specialists who treat mental health disorders. If you have concerns about your teen’s diagnosis or treatment plan, seek a second opinion. Talking to another professional can help you decide on the best course of action.

Always educate yourself about any medications your child is taking. Read the handouts, ask questions, and talk to the doctor and the pharmacist. Monitor your teen’s compliance with taking medication, and make sure they're taking it as prescribed. Skipping doses or doubling up on pills could be harmful.

Attend your teen’s appointments. Talk to the doctor about any concerns you have and learn about your teen’s progress.

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3 Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Kodish I, Rockhill C, Varley C. Pharmacotherapy for anxiety disorders in children and adolescentsDialogues Clin Neurosci. 2011;13(4):439-452. doi:10.1016/j.pcl.2010.10.002

  2. Food and Drug Administration. Suicidality in children and adolescents being treated with antidepressant medications. Updated February 5, 2018.

  3. Merikangas KR, He J, Burstein M, et al. Service utilization for lifetime mental disorders in U. S. Adolescents: Results of the national comorbidity survey–adolescent supplement (NCS-A)J Am Acad Child Adolesc Psychiatry. 2011;50(1):32-45. doi:10.1016/j.jaac.2010.10.006