Does Lexapro help with fight or flight response? (+3)

In this article, we will discuss whether Lexapro helps fight or flight response. We will also discuss some research studies and the benefits of Lexapro in managing fight or flight symptoms.

Does Lexapro help with fight or flight response? 

Lexapro (Escitalopram) can help with the fight or flight response, known as the sympathetic nervous system (SNS). Lexapro being an antidepressant alleviates chronic anxiety and makes a person less prone to experiencing exaggerated fight-or-flight reactions in everyday life.

The fight or flight response is a natural physiological reaction to a perceived threat or stress, involving the release of stress hormones like adrenaline and noradrenaline. These hormones prepare the body to either confront a threat (fight) or flee from it (flight).

Lexapro and similar medications work on the brain’s serotonin system to help regulate mood and reduce anxiety symptoms (1). They do not directly influence the body’s stress response in a way that, for example, anti-anxiety medications like benzodiazepines might.

If you are struggling with an anxiety disorder or stress-related symptoms, it is essential to consult with a healthcare professional. 

What does research suggest?

There is limited research indicating the use of Lexapro in the body’s fight or flight responses. One study indicated that Lexapro was found to be effective at reducing flight behaviour suggesting that it has the potential to help with panic and anxiety (2).

The study also indicated that Escitalopram might be twice as powerful as Citalopram in this regard (2).

One study showed that Lexapro worked better in treating specific phobias. The study favoured the use of Escitalopram as a potential treatment for specific phobias but larger studies are needed (3).

Lexapro and other SSRIs such as Citalopram reduce feelings of anxiety and improve mood and may indirectly help some individuals manage their response to stressful situations.

Benefits of Lexapro in managing fight or flight symptoms

Lexapro, a medication used to treat anxiety and depression, can indirectly help in managing the symptoms associated with the sympathetic nervous system. Here are some of the benefits of Lexapro in this context:

Anxiety reduction

 Lexapro is effective at reducing anxiety and excessive worry (4). By stabilizing serotonin levels in the brain, it can help individuals feel calmer and less anxious, which can reduce the frequency and intensity of fight or flight responses triggered by stress or fear.

Emotional regulation

Lexapro can enhance emotional regulation, making it easier for individuals to handle challenging situations without becoming overly anxious or panicked. 

Preventing panic attacks

For individuals with panic disorder, Lexapro can help prevent or reduce the frequency and severity of panic attacks, which are extreme fight-or-flight responses.

Enhanced coping

Lexapro can improve an individual’s ability to cope with stressful situations, making them less prone to intense stress reactions.

Improved mood

Lexapro can alleviate symptoms of depression, which can often be intertwined with anxiety. A better mood can lead to a more positive outlook, reducing the likelihood of experiencing heightened stress responses.

Combining Lexapro with coping strategies for fight or flight responses

Combining Lexapro with coping strategies for managing the fight or flight response can be an effective approach for individuals dealing with anxiety or related conditions. Here’s how Lexapro and coping strategies can work together:

Medication support: Lexapro can help reduce the overall level of anxiety and mood-related symptoms. It provides a stable foundation to build upon, making it easier for individuals to engage in coping strategies.

Psychotherapy: Cognitive-behavioural therapy and other forms of talk therapy can help individuals develop specific coping strategies to manage their anxiety and stress responses. These strategies can include relaxation techniques, mindfulness and cognitive restructuring.

Lifestyle management: Changes in lifestyle such as regular exercise, maintaining a healthy and balanced diet and ensuring sufficient sleep can further complement Lexapro’s effect by reducing overall stress and enhancing the body’s ability to manage stress.

Mindfulness and relaxation: Practicing mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help individuals stay grounded and manage anxiety in real-time situations.

Support network: Engaging with a support network of family. friends or support groups can provide emotional support and encouragement as individuals work on managing their responses to stress and anxiety.

Self-care: Focus on self-care activities that promote well-being, such as hobbies, art or spending time in nature, can be an excellent complement to medication in managing stress.

It is important to consult with a healthcare professional or therapist when combining Lexapro with coping strategies. They can provide guidance on how to integrate these approaches effectively and tailor them to your specific needs.  

Conclusion

In my experience, Lexapro is not specifically designed to directly influence the body’s fight or flight response. However, by reducing the symptoms of anxiety, improving mood and enhancing emotional regulation, it can indirectly help individuals manage their stress responses and decrease the intensity of fight or flight reactions.

I suggest using Lexapro under the guidance of a healthcare professional as a part of a comprehensive treatment plan that may include coping strategies for effective stress management.

References