Scott Alexander, curated
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Things That Sometimes Work If You Have Anxiety

Quality
69
Strong
Claude Shift
44
Moderate
RWI
3
of 10

Summary

A comprehensive, clinically-grounded practical guide to treating generalized anxiety (companion to his depression post): diet/lifestyle (exercise, cut caffeine — the 20-cups-a-day patient — sleep, breathing/meditation), therapy (CBT/exposure/bibliotherapy with effect sizes), a class-by-class medication rundown (antihistamines, benzos with their addiction caveats, SSRIs/SNRIs, the underused pregabalin, azapirones that 'rarely work', antipsychotics), a treatment algorithm, and an unusually thorough alternative-treatments section (l-theanine, kava with liver-safety rules, picamilon, Selank, phenibut). Honest that no treatment is dramatically effective and the real message is 'you have lots of options.' Genuinely useful reference.

Why this score

Quality 69 · Strong. Strong (69): a thorough, honest, practically-useful treatment guide that many anxiety sufferers reference; held FIRM below Excellent as a reference roundup rather than a big-idea essay.

Claude’s paradigm shift 44 · Moderate. Moderate (44): assembles and evaluates existing treatments with clinical judgment; modest novelty (some of the nootropic/Russian-drug coverage is less commonly collated).

Real-world impact 3 · Moderate. Moderate (3): widely referenced by readers seeking anxiety options; the l-theanine/kava/picamilon coverage circulates in the nootropics/anxiety community.