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balance to calcium channels in the brain, it provides us with yet another treatment for anxiety through an entirely different pathway. In fact, some of the research has shown lavender oil to be as effective as paroxetine and lorazepam, commonly used anxiolytic medications. Not only does lavender provide us with an alternative pathway in the treatment of anxiety, but its mood stabilizing effects bridge the gap between anxiety and depression. With con- stant anxiety and especially panic, it's un- derstandable that a person's mood can also suffer and I often say anxiety and depres- sion go "hand in hand." Since lavender oil can improve mood while reducing anxiety, I sometimes use this in combination with herbal tinctures and neurotransmitters for a more well-rounded approach.


Therapy and Self-Awareness, an Integrative Approach


As with any condition, the goal is


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never to simply suppress symptoms, but to identify and address the cause. In some cases, panic attacks can occur suddenly and without reason. Other times, finding the cause can be difficult and the start of a long, but healthy and critical process to healing. Most naturopaths are comfortable counseling patients as part of a general of- fice visit, but a referral to a licensed mental health professional is sometimes necessary. I like to refer my patients to therapists who specialize in cognitive behavioral therapy (CBT), which is remarkably effective for panic disorder. With CBT, patients take an active role in the healing process, reenact- ing scenarios that can elicit anxiety and


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provoke panic. The purpose is to learn to feel comfortable in situations where panic might arise, which is useful, given the often unpredictable nature of panic disorder.


This can be difficult for patients to accept, but I often explain that the goal of herbal medicine is to lessen anxiety while learning coping mechanisms that become life-long tools for success. Therapy, whether CBT or a more traditional approach, is an essential part of any anxiety treatment plan because it helps the patient develop a better understanding of his or her body and self-perception. Without it, we are simply replacing anti-anxiety medications with anti-anxiety herbs, albeit with less side-effects.


In the meantime, I counsel my pa- tients on the benefits of yoga and breathing techniques that can help them while we work together on addressing imbalances in the brain chemistry and restoring mood through the use of herbs, vitamins, miner- als, amino acids and neurotransmitters. With so many options, the treatment of anxiety can seem overwhelming, but it's comforting to know there are many pos- sibilities, each treatment as unique to every individual as anxiety itself.


Antonio Reale, ND, MS is a licensed naturopathic physician and nutritionist practicing in Wethersfield, CT. He special- izes in personalized botanical medicine and is founder of The Herbal Room, a multidisciplinarywellness center with an in- house botanical dispensary. For insurance information and scheduling, visit www. theherbal-room.com. See ad on page 25.


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