What is the best Natural treatment for an anxiety disorder patient?

• Kava. Kava appeared to be a promising treatment for anxiety, but reports of serious liver damage — even with short-term use — caused several European countries to pull it off the market. The Food and Drug Administration has issued warnings but not banned sales in the United States. Avoid using kava until more rigorous safety studies are done, especially if you have liver problems or take medications that affect your liver.
• Passionflower. A few small clinical trials suggest that passionflower might help with anxiety. In many commercial products, passionflower is combined with other herbs, making it difficult to distinguish the unique qualities of each herb. Passionflower is generally considered safe when taken as directed, but some studies found it can cause drowsiness, dizziness and confusion.
• Valerian. In some studies, people who used valerian reported less anxiety and stress. In other studies, people reported no benefit. Valerian is generally considered safe at recommended doses, but since long-term safety trials are lacking, don't take it for more than a few weeks at a time. It can cause some side effects such as headaches and drowsiness.
• Chamomile. Limited data shows that short-term use of chamomile is generally considered safe and can be effective in reducing symptoms of anxiety. Use of chamomile can cause allergic reactions in some people who are sensitive to the family of plants that includes chamomile. Other members of this family are ragweed, marigolds, daisies and chrysanthemums.
• Lavender. Some evidence suggests that oral lavender or aromatherapy with lavender can reduce anxiety; however, evidence is preliminary and limited. Oral lavender can cause constipation and headache. It also can increase appetite and the sedative effect of other medications and supplements and can cause low blood pressure.
• Lemon balm. Preliminary research shows lemon balm can reduce some symptoms of anxiety, such as nervousness and excitability. Lemon balm is generally well-tolerated and considered safe for short-term use, but can cause nausea and abdominal pain.

• Keep physically active. Develop a routine so that you're physically active most days of the week. Exercise is a powerful stress reducer. It may improve your mood and help you stay healthy. Start out slowly and gradually increase the amount and intensity of your activities.
• Avoid alcohol and other sedatives. These substances can worsen anxiety.
• Quit smoking and cut back or quit drinking coffee. Both nicotine and caffeine can worsen anxiety.
• Use relaxation techniques. Visualization techniques, meditation and yoga are examples of relaxation techniques that can ease anxiety.
• Make sleep a priority. Do what you can to make sure you're getting enough sleep to feel rested. If you aren't sleeping well, see your doctor.
• Eat healthy. Healthy eating — such as focusing on vegetables, fruits, whole grains and fish — may be linked to reduced anxiety, but more research is needed.

Several herbal remedies have been studied as a treatment for anxiety, such as those listed below, but more research is needed to fully understand the risks and benefits. Here's what researchers know — and don't know:

• Kava. Kava appeared to be a promising treatment for anxiety, but reports of serious liver damage — even with short-term use — caused several European countries and Canada to pull it off the market. The Food and Drug Administration has issued warnings but not banned sales in the United States. Avoid using kava until more rigorous safety studies are done, especially if you have liver problems or take medications that affect your liver.
• Valerian. In some studies, people who used valerian reported less anxiety and stress, but in other studies, people reported no benefit. Discuss valerian with your doctor before trying it. While it's generally well-tolerated, there are a few case reports of people developing liver problems when taking preparations containing valerian. If you've been using valerian for a long time and want to stop using it, many authorities recommend that its use be tapered down to prevent withdrawal symptoms.
• Passionflower. A few small clinical trials suggest that passionflower might help with anxiety. In many commercial products, passionflower is combined with other herbs, making it difficult to distinguish the unique qualities of each herb. Passionflower is generally considered safe when taken as directed, but some studies have found it can cause drowsiness, dizziness and confusion.
• Theanine. This amino acid is found in green tea and may be found in some supplements. Preliminary evidence shows that theanine may make some people feel calmer, but there is limited evidence that it helps treat anxiety.

Before taking herbal remedies or supplements, talk to your doctor to make sure they're safe for you and won't interact with any medications you take.

To cope with generalized anxiety disorder, here's what you can do:

• Stick to your treatment plan. Take medications as directed. Keep therapy appointments. Consistency can make a big difference, especially when it comes to taking your medication.
• Join an anxiety support group. Here, you can find compassion, understanding and shared experiences. You may find support groups in your community or on the Internet.
• Take action. Work with your mental health provider to figure out what's making you anxious and address it.
• Let it go. Don't dwell on past concerns. Change what you can and let the rest take its course.
• Break the cycle. When you feel anxious, take a brisk walk or delve into a hobby to refocus your mind away from your worries.
• Socialize. Don't let worries isolate you from loved ones or enjoyable activities. Social interaction and caring relationships can lessen your worries.

There's no way to predict for certain what will cause someone to develop generalized anxiety disorder, but you can take steps to reduce the impact of symptoms if you experience anxiety:

• Get help early. Anxiety, like many other mental health conditions, can be harder to treat if you wait.
• Keep a journal. Keeping track of your personal life can help you and your mental health provider identify what's causing you stress and what seems to help you feel better.
• Prioritize issues in your life. You can reduce anxiety by carefully managing your time and energy.
• Avoid unhealthy substance use. Alcohol and drug use and even caffeine or nicotine use can cause or worsen anxiety. If you're addicted to any of these substances, quitting can make you anxious. If you can't quit on your own, see your doctor or find a treatment program or support group to help you.

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Anxiety disorders are the most common mental health problem in the U.S., affecting about one out of five people at any given time, according to the National Alliance on Mental Illness.

Anxiety can take many forms — generalized anxiety disorder (constant worrying about everyday things), obsessive-compulsive disorder or OCD, panic disorder, post traumatic stress disorder and social anxiety disorder.

While medications to treat these anxiety conditions are often an important component in the management of anxiety, there is also many natural, do-it-yourself techniques that can help calm you down, either in place of medications or as a supplement to them.

Next time you're too tense to cope, consider trying one of these natural options for relief.

1. Laugh it off. Cultivate a good sense of humor and laugh, says  Karen Lynn Cassiday, PhD, president-elect of the Anxiety and Depression Association of America and a clinical psychologist in Chicago.  "Even if you do a fake laugh, you get an instant hit of dopamine," says Dr. Cassiday. Dopamine is a brain chemical that controls feelings of reward and pleasure.

If you're too tense to laugh on your own, try using technology, she suggests. For example, find a laugh track phone app. Just google phone apps for laughing.

In a study presented at a medical meeting, Loma Linda University researchers found that even anticipating a mirthful laugh reduces the stress hormone cortisol, which increases when you are anxious.

2. Schedule relaxation. "Sit down and look at your schedule," says Katherine Raymer, MD, ND, associate clinical professor of naturopathic medicine at Bastyr University, Seattle.

"Is there a time to put in a half hour to do whatever you do that is relaxing?" Dr. Raymer asks. That can be a walk, meditation, yoga, tai chi or anything you find relaxing.

Researchers trying to help shy men with social anxiety found that a period of relaxation helped them, lowering their heart rates after they interacted with people.

3. Take GABA. The supplement GABA, sold online and in health food stores, may help calm anxious people, Raymer says.

Short for gamma-aminobutyic acid, GABA is a brain transmitter that counteracts the action of another neurotransmitter, glutamate that increases your excitability.

Researchers found that individuals who ate chocolate enriched with GABA before tackling an arithmetic task were less stressed after completing it than those who didn't have the GABA-infused chocolate.

It is important to remember that supplements such as GABA can interact with medications, so it's crucial to check in with your doctor before taking them on your own, she says. "Get your doctor's permission, even if you are not taking other medication.”

4. Try lavender. Try lavender essential oil to calm yourself, Raymer says. "We have people put a drop of it on their collarbone," she says. "The smell wafts up. The odor is very relaxing." Or, you can rub it gently into your temple, she says.

In a study of women anxious about having a medical procedure, researchers found that those who inhaled lavender a half hour before the procedure were calmer than those who did not.

Again, don’t forget to check first with your doctor before using the essential oil lavender, Raymer says.

5. Ground yourself. When anxiety hits, ''do something tangible," says John Tsilimparis, MFT, a marriage and family therapist in Los Angeles and adjunct professor of psychiatry at Pepperdine University.

"Take your house keys out, run your fingers along the keys," says Tsilimparis. "That sensation will give you 'grounding.' Pick up a paperweight, hold it in your hand. Or, get an ice cube. Hold it as long as you can do it."

Why does this work? "Your brain can't be in two places at once," he says. The activity distracts you from the anxious feelings. "Your mind will shift from racing, catastrophic thoughts [that accompany anxiety] to the cold ice cube in your hand," he says.

According to some research, using a virtual reality distraction system can reduce anxiety during dental procedures. Patients immersed in VR — a computer-generated realistic environment — reported less pain and anxiety than when they didn't use it.

6. Face the fear. "If something makes you scared, face it," says Cassiday. If you feel shy, go out to social functions, she says. Scared of clowns? Go to the circus.

It can help, too, to understand that when you worry about what might happen — such as no one will talk to you at the party — your anxiety just rises. Your anxious worry is about the uncertainty, she says. "What a worrier really wants is a promise that everything is going to be OK.''