Geodon for anxiety? Not the best, even among it's class (2nd gen. antipsychotics) for anxiety. Unless there's a psychotic component. Even zyprexa, risperidone would have been better; if they're so adamant about benzos, Vistaril or Atarax is a good option; however there may have been reason why they felt you needed Geodon, depending on your state of mind, they may have been right, can't possibly tell you that here. Typically the medical staff do know what they're doing; sometimes though when there are (recreational) drugs involved and so forth some professionals do get some funny ideas, but as I said, it's hard to tell. The decision on what to give you in the ER is going to be driven by your behavior; and if you are being offered Geodon, you're probably looking agitated. Sometimes it will be given together with Ativan which is a decent combo in acute agitation also quite sedating. But alone, for anxiety alone, not so much, for emergent behavioral control/psychotic agitation, it's a decent choice, but I usually see it used with Ativan, or sometimes, when it is or is thought to be desirable to avoid benzodiazeines, Benadryl or Atarax.