Tandospirone citrate is primarily used in the treatment of anxiety disorders. It functions as a partial agonist at serotonin 5-HT1A receptors, helping to alleviate symptoms of anxiety by modulating serotonin activity in the brain. This makes it effective in managing generalized anxiety disorder (GAD) and other anxiety-related conditions. Additionally, it is sometimes prescribed off-label to address symptoms of depression, particularly in cases where anxiety is a significant component. The compound is known for its relatively mild side effect profile compared to other anxiolytics, making it a suitable option for long-term management of anxiety in certain patients. It is typically administered orally and requires consistent use to achieve therapeutic effects.