Home · Conditions · Anxiety & Panic
Medically reviewed by Jay Borrego, DNP, PMHNP-BC, CRNA · Updated September 2026
Common signs
Sound familiar?
✓ Worry that won't switch off
✓ Panic attacks — or fear of the next one
✓ Avoiding situations that used to be fine
✓ Muscle tension, jaw clenching, poor sleep
✓ Stomach issues with no medical answer
✓ Irritability that isn't really anger
Not a fit: A checklist is not a diagnosis — an evaluation is. If several of these fit, it's worth a conversation.
How we evaluate it
We separate generalized anxiety, panic disorder and social anxiety from the mimics — thyroid, stimulant effects, caffeine, sleep apnea, trauma — with a structured evaluation and GAD-7 tracking from day one.
How we evaluate it
Treatment starts with the evidence: medication management with real follow-up, individual therapy, or both — tracked with validated measures so we know it's working, and escalated honestly when it isn't. SSRIs/SNRIs and non-habit-forming options first; benzodiazepines have a narrow, honest role we'll explain rather than a standing refill.
Cost & insurance
Evaluations and follow-ups bill to our participating plans or transparent self-pay. Benefits verified and your expected cost reviewed before your first visit.
What measured care looks like
GAD-7 tracked at every visit
The Generalized Anxiety Disorder scale is scored before each appointment, so improvement — or its absence — is visible early and the plan changes when the data says to. Illustrative course shown; individual results vary.
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What's different here
Panic or medical? The first thing we rule out
A racing heart, chest tightness, tremor and dread can be panic — or an overactive thyroid, a stimulant or decongestant effect, caffeine, low blood sugar, arrhythmia or sleep apnea. We take a medical history and order labs when the picture calls for it, before naming it anxiety. Then the treatment matches the cause.
Most people who arrive 'anxious' are anxious. Some aren't — and that group is the reason evaluation comes before medication.
Researching, not ready to book? Text us a question — a real person answers, no appointment, no pressure.
-Questions
Anxiety & Panic questions
Often, yes — CBT-based therapy is first-line for many people. When medication helps, it's a bridge that makes the therapy work better, not a life sentence.
Sparingly and honestly — short courses for specific situations, with a plan. If a practice's answer is 'never' or 'sure', keep looking.
Very often. We treat the anxiety; if clenching persists, masseter treatment exists under the same roof.