Anxiety can look like constant worry, a racing mind at night, panic attacks, or physical symptoms such as a pounding heart, tight chest or upset stomach. Many high-functioning people live with it for years, assuming it is just how they are.

Anxiety disorders are among the most common mental health conditions and among the most treatable.

Signs it may be time to get help

  • Worry that is hard to control and out of proportion to the situation
  • Restlessness, muscle tension or feeling on edge
  • Panic attacks or fear of having another one
  • Avoiding situations because of anxiety
  • Trouble sleeping or concentrating
  • Physical symptoms such as palpitations or stomach upset

How I approach treatment

After an evaluation to clarify what type of anxiety you are dealing with, we build a plan that may include medication, cognitive behavioral therapy, or both.

First-line medications for anxiety are usually not habit-forming. I am thoughtful about medications that carry a risk of dependence and explain the trade-offs clearly. We also work on sleep, stress management and other habits that make anxiety easier to manage.

Visits are by secure video for patients located in California or New York at the time of the appointment. See what the first evaluation involves and how medication management works.

Questions people ask

Is anxiety medication addictive?

The medications most often used long-term for anxiety are not considered addictive. Some faster-acting medications can cause dependence, and we discuss those risks before considering them.

Can therapy alone help anxiety?

Yes. Cognitive behavioral therapy is well supported for anxiety. Some people do best with therapy, some with medication, and many with both.

Related reading

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This page is general information, not medical advice for your situation.