Adult Anxiety Evaluation & Treatment

Is anxiety hard to turn off?

Support for worry, panic, tension, poor sleep, and avoidance.

We take time to understand what you are experiencing, consider other possible causes, and discuss treatment options that fit your needs.

Request an Anxiety Evaluation Learn About Anxiety

Anxiety Can Feel Physical It may show up as a racing heart, shortness of breath, shaking, muscle tension, dizziness, or stomach discomfort.

Worry Can Be Exhausting Ongoing anxiety can affect sleep, energy, focus, confidence, and your ability to be present.

Evaluation Comes First Trauma, depression, ADHD, sleep problems, medications, and medical conditions can cause similar symptoms.

Understanding Anxiety

Five ideas that make anxiety easier to understand

What Is Anxiety?

Your body's natural alarm system

Anxiety becomes a real concern when fear, worry, or physical tension stick around, feel impossible to control, or start getting in the way of life.

A Simple Way to Think About It

Your brain has a built-in alarm

Picture part of your brain as a smoke detector. Its job is to warn you when something dangerous is happening, so you can react fast.

What's Actually Happening

When the alarm is too sensitive

It can sound the alarm for burnt toast like it's a house fire. Your body still responds for real — racing heart, tight muscles, shortness of breath. That's a true alarm, just triggered by a false one.

What It Looks Like

The same alarm, different triggers

This is why anxiety can look so different from person to person — constant worry, sudden panic, fear of being judged, or avoiding situations. It's the same oversensitive system, responding differently.

Before We Talk Treatment

Why a full evaluation matters

Depression, trauma, ADHD, sleep problems, and some medical conditions can affect that same alarm system. A full evaluation helps sort out what's really going on first.

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Could These Be Anxiety Symptoms?

Anxiety can affect your thoughts, body, and daily life.

It may feel like constant worry, sudden panic, physical tension, poor sleep, or avoiding situations that feel overwhelming.

Having some of these symptoms does not automatically mean you have an anxiety disorder. A full evaluation helps clarify what may be contributing and what support could help.

Common Symptoms

How anxiety may show up

Symptoms can be mainly mental, mainly physical, or a combination of both.

Thoughts & Feelings

When worry is hard to switch off

Constant or difficult-to-control worry
Feeling tense, nervous, or on edge
Replaying conversations or decisions
Trouble focusing or staying present
Feeling irritable or easily overwhelmed

Body & Daily Life

When anxiety feels physical

Racing heart, shaking, or shortness of breath
Muscle tension, headaches, or stomach discomfort
Dizziness or feeling lightheaded
Trouble falling or staying asleep
Avoiding people, places, or responsibilities

Anxiety symptoms can overlap with depression, trauma, ADHD, sleep problems, medication effects, caffeine use, and medical conditions.

Common Anxiety Experiences

Anxiety does not look the same for everyone.

Ongoing Worry

Worry across several parts of life that feels hard to control.

Panic Symptoms

Sudden fear with a racing heart, shaking, dizziness, or chest tightness.

Social Anxiety

Strong fear of judgment, embarrassment, or rejection around others.

Fear & Avoidance

Avoiding situations, places, or activities because they feel unsafe.

What May Contribute

Anxiety usually has more than one influence.

Biology, life stress, physical health, sleep, and substances may all play a role.

Family & Biology

Some people may be more sensitive to threat or stress because of genetics and nervous-system differences.

Stress & Life Changes

Work pressure, caregiving, loss, trauma, illness, or major transitions can trigger or worsen symptoms.

Physical Health

Thyroid concerns, heart rhythm problems, pain, hormonal changes, and poor sleep may cause or worsen anxiety-like symptoms.

Medications & Substances

Caffeine, nicotine, stimulants, cannabis, decongestants, steroids, and medication effects can contribute.

Risk Factors

What may increase the likelihood of anxiety

Risk factors do not mean that anxiety is inevitable. They simply help us understand what may make symptoms more likely or harder to manage.

Personal or Family History

Past anxiety may increase vulnerability

A personal history of anxiety or close family members with anxiety may increase the likelihood of developing symptoms.

Trauma & Chronic Stress

Ongoing pressure can keep the body on alert

Trauma, caregiving, financial strain, conflict, work stress, uncertainty, or major life changes may raise risk.

Health, Pain & Poor Sleep

Physical strain may make anxiety harder to regulate

Chronic illness, pain, poor sleep, breathing problems, hormone changes, and other health concerns may increase vulnerability.

Sensitivity to Uncertainty

Some people react more strongly to unknowns

High sensitivity to mistakes, uncertainty, body sensations, or changes in routine may increase the likelihood of anxiety.

Limited Support

Isolation can make stress harder to manage

Limited social support, ongoing conflict, or persistent stress at home, school, or work may increase risk.

Additional Risk Factors

Other factors that may increase likelihood

Pregnancy, postpartum, or major hormone changes
Substance use, withdrawal, or medication effects
Past depression, trauma, ADHD, or other mental health concerns
Frequent caffeine or stimulant use
Major transitions, loss, or ongoing uncertainty
A pattern of avoidance or frequent reassurance-seeking

How We Can Help

Care is based on what you need.

Recommendations are made after a full evaluation and may include one or more of the following.

Comprehensive Evaluation

We review your symptoms, health, sleep, stress, medications, substance use, past care, and goals.

Medication Review

When appropriate, we discuss benefits, risks, alternatives, side effects, and follow-up in plain language.

Practical Coping Support

Visits may include grounding, problem-solving, education, and brief CBT-informed strategies.

Follow-Up & Monitoring

We track anxiety, panic, sleep, mood, daily functioning, side effects, and progress over time.

Additional Support

Referrals, care coordination, and targeted medical review

When helpful, we may coordinate with primary care, recommend therapy, review relevant laboratory needs, or discuss separate Concierge Case Management services.

Learn About Care Coordination

We provide brief supportive psychotherapy as part of psychiatric visits. We do not provide ongoing weekly therapy, full CBT, exposure therapy, or trauma therapy.

What to Expect

The anxiety evaluation process

We listen

You describe what has been happening and how it affects your life.

We review

We look at your health, sleep, medications, stress, and history.

We clarify

We discuss whether anxiety or another concern better explains the symptoms.

We plan together

We review treatment options and agree on thoughtful next steps.

Is Anxiety Affecting Your Daily Life?

Request an anxiety evaluation

A full evaluation can help you understand what may be contributing and what next steps make sense.

Request an Evaluation

This page provides general information and does not establish a diagnosis or treatment relationship. Recommendations are made only after a full evaluation.