Signs it may be time to get help
- Worry that is hard to control and present most days
- Sudden surges of fear with a racing heart, shortness of breath or dizziness
- Avoiding places, people or situations because of anxiety
- Muscle tension, restlessness or trouble sleeping
How I evaluate it
We sort out which anxiety disorder fits best, look for overlapping depression, trauma or substance use, and review caffeine, alcohol, medications and medical causes. The GAD-7 scale helps us measure change.
Treatment options
- Non-habit-forming first-line medications, adjusted gradually
- Cognitive-behavioral techniques built into our visits
- A plan for panic attacks and for reducing avoidance
- Referral for structured CBT or exposure therapy when it fits
What telehealth can and can’t do
I don’t prescribe benzodiazepines or other controlled substances by telehealth. The first-line treatments for anxiety disorders are non-controlled medications and psychotherapy, and that is what I use.
This page is general information, not medical advice. Your plan is made together at your visit.