Stress and Anxiety and the Use of Herbal Remedies: Evaluation of Knowledge and Perceptions

Background: Anxiety and stress-related disorders are among the most prevalent mental health conditions worldwide, significantly impacting quality of life and healthcare utilization. While conventional pharmacologic therapies such as selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines remain standard treatments, increasing interest has emerged in the use of herbal remedies as complementary or alternative approaches. However, variability in evidence, safety concerns, and limited patient and provider knowledge highlight the need for further evaluation. This study aimed to review commonly used herbs in the management of stress-related disorders, assess knowledge and perceptions of herbal remedies for stress and anxiety, and evaluate the influence of demographic factors on these perspectives. Methods: A literature review was conducted to evaluate the current evidence of herbs in this regard and summarized. For the survey, a cross-sectional survey was conducted among 40 participants from diverse educational and professional backgrounds. The survey included demographic questions, opinion-based items, and knowledge-based questions related to commonly used herbal therapies such as chamomile, valerian, lavender, and ashwagandha. Descriptive statistics were used to summarize responses, and chi-square analyses were performed to evaluate associations between demographic variables and participant responses, with statistical significance set at p < 0.05. Results: The literature review revealed overwhelming overall evidence in the efficacy of the herbs reviewed. In the survey, participants demonstrated generally favorable attitudes toward herbal remedies, with a majority agreeing on their potential benefits in managing stress and anxiety. Knowledge levels were relatively high, with an overall correct response rate of 80.6%; however, notable gaps were identified in understanding the role of ashwagandha in stress adaptation and the importance of dosing consistency. A statistically significant association was observed between age and openness toward herbal remedies (p = 0.007), with younger participants showing greater acceptance. No significant associations were found for gender, education level, or work type. Conclusion: Although there are evidence in the efficacy of herbal remedies and baseline knowledge is generally strong, important knowledge gaps remain. These findings underscore the need for enhanced education on the safe and evidence-based use of herbal therapies. Pharmacists and other healthcare professionals play a critical role in patient counseling, identifying potential herb–drug interactions, and promoting informed decision-making.