ABSTRACT
This chapter focuses on additional biological components of the FELT etiological model. It provides an overview of pharmacological approaches to anxiety treatment, but focuses discussion of pharmacology toward what can be used by non-prescribing psychotherapists to understand bio-behavioral clinical targets. Common medications used to treat childhood anxiety are described, including selective serotonin reuptake inhibitors (SSRIs), antihistamines, and benzodiazepines. By understanding the mechanisms of action of these medications, therapists can identify similar targets to attempt to recreate through psychotherapy. Namely, SSRIs are described as addressing a sense of fulfillment, whereas antihistamines and benzodiazepines relieve anxiety through sedation/de-arousal. Thus, the chapter also outlines ways therapists can actively work to help their clients experiment fulfillment and de-arousal through non-pharmacological methods. SSRIs also boost serotonin use, so this chapter concludes by outlining additional behavioral means by which a client may boost serotonin. Throughout, the chapter respects the role of medication in anxiety management, while maintaining a focus on practical lessons for psychotherapists.
