Condition
Anxiety & stress
Excessive, persistent worry or stress that interferes with daily life.
See a clinician
Some causes of anxiety & stress need medical care, not self-treatment. Seek help for any of these:
- Thoughts of self-harm or suicide — seek emergency help immediately
- New severe anxiety with chest pain, palpitations, or breathlessness (exclude a heart or lung cause)
What may help
Remedies studied for anxiety & stress, ranked by strength of evidence.
- B Ashwagandha herb
Reduces perceived stress, anxiety scores, and cortisol; trials are small and short.
- B Lavender oil herb
Oral lavender oil (Silexan 80 mg/day) reduces anxiety, comparable to low-dose paroxetine or lorazepam in trials.
- B Saffron herb
Meta-analysis shows a large reduction in anxiety symptoms versus placebo (Hedges g ≈ 0.95); trials are small, short, and geographically concentrated.
- C Chamomile herb
May reduce generalized anxiety symptoms acutely; long-term relapse prevention is unproven.
- C Holy basil herb
An 8-week RCT lowered perceived stress and cortisol more than placebo, and a small GAD trial reduced anxiety — but trials are few, short, and partly industry-linked.
- C Kava herb
A Cochrane meta-analysis shows a real reduction in anxiety versus placebo (~5 points on the Hamilton scale), but the grade is capped by a documented risk of serious, sometimes fatal, liver injury.
- C L-theanine supplement
May reduce stress in healthy adults; weak evidence for diagnosed anxiety disorders.
- C Lemon balm herb
Pooled trials show a significant reduction in anxiety versus placebo, but the estimate is imprecise and based on few, small, heterogeneous studies.
- C Passionflower herb
Small RCTs suggest reduced anxiety — comparable to low-dose oxazepam in one GAD trial, and less pre-operative anxiety — but trials are few, small, and short.
Therapy (CBT) and, when needed, medication are first-line. Ashwagandha and standardized lavender oil (Silexan) have the best supplement evidence; chamomile and L-theanine are weaker. These are adjuncts, not substitutes for care.