Anxiety Treatment & Support in Oregon and Washington
You shouldn't have to live with constant worry, racing thoughts, or physical anxiety symptoms that disrupt your life. Our board-certified psychiatric nurse practitioner offer evidence-based anxiety treatment—including medication management and psychiatric evaluation—to help you find relief and regain control.
Board-certified Psychiatric mental health nurse practitioner
Evidence-based treatment
Serving Oregon and Washington
Anxiety is one of the most common mental health conditions, affecting millions of adults. It can show up as persistent worry, physical tension, panic attacks, or avoidance of certain situations. If anxiety is interfering with your work, relationships, or daily activities, effective treatment is available. Our team takes a personalized approach—there's no one-size-fits-all solution.
Types of Anxiety Disorders
Anxiety isn't a single condition—it encompasses several disorders with distinct features:
Generalized Anxiety Disorder (GAD)
Persistent, excessive worry about everyday things—work, health, finances, relationships. The worry is difficult to control and may feel disproportionate to the actual likelihood of the outcome.
Panic Disorder
Recurrent unexpected panic attacks—sudden surges of intense fear with physical symptoms like heart palpitations, shortness of breath, sweating, or dizziness. Attacks can feel overwhelming and unpredictable.
Social Anxiety Disorder
Fear of judgment or embarrassment in social situations, leading to avoidance of gatherings, public speaking, or everyday interactions. May involve intense self-consciousness in everyday conversations.
Specific Phobias
Intense fear of a specific object or situation (flying, heights, animals, needles) that causes disproportionate distress. The fear is recognized as excessive but still difficult to overcome.
Agoraphobia
Fear of situations where escape might be difficult—open spaces, public transportation, crowded areas, or being outside alone. This can significantly limit daily activities and independence.
Anxiety with Comorbid Conditions
Anxiety often co-occurs with depression, ADHD, or other mental health conditions. Our evaluations consider the full picture to develop the most effective treatment approach.
Signs & Symptoms of Anxiety
Anxiety symptoms vary but may include:
Emotional Symptoms
- – Persistent worry that’s hard to control
- – Feeling on edge or restless
- – Difficulty concentrating
- – Irritability
Physical Symptoms
- – Rapid heart rate or palpitations
- – Sweating or trembling
- – Shortness of breath
- – Muscle tension or headaches
- – Stomach upset or nausea
- – Sleep difficulties
Behavioral Symptoms
- – Avoiding certain places, people, or activities
- – Procrastination due to anxiety
- – Seeking reassurance frequently
- – Ritualistic or compulsive behaviors
This is informational, not diagnostic. A professional evaluation can determine whether these symptoms indicate an anxiety disorder. Many symptoms can have other causes.
When to Seek Anxiety Support
Consider seeking anxiety treatment if:
Anxiety interferes with work, school, or relationships
Worry feels uncontrollable or disproportionate to the situation
You experience panic attacks
Physical anxiety symptoms are frequent or severe
You've changed your behavior due to fear
Anxiety is causing significant distress or low mood
Self-help strategies haven't been enough
Signs It's Time to Get Support
How We Can Help
We create a calm, supportive environment where you can discuss your concerns openly without judgment.
ADHD Treatment Options
Treatment is individualized based on your diagnosis, symptom severity, and preferences:
Medication Management
Antidepressants (SSRIs, SNRIs) and anti-anxiety medications (buspirone, benzodiazepines) may be prescribed and carefully monitored. We weigh benefits and risks, especially with medications that may cause dependence.
- SSRIs and SNRIs (non-addictive)
- Buspirone for generalized anxiety
- Careful monitoring for all medications
Psychiatric Evaluation
A comprehensive evaluation ensures an accurate diagnosis—Anxiety often co-occurs with depression, ADHD, or other conditions. Understanding the full picture leads to better treatment.
- Detailed clinical assessment
- Comorbidity identification
- Personalized treatment recommendations
Telehealth Psychiatry
Ongoing care and medication management via secure video for Oregon and Washington residents. Telehealth is especially helpful for those with social anxiety or mobility limitations.
- HIPAA-compliant video platform
- Available across Oregon and Washington
- Convenient follow-up appointments
TMS Therapy
Transcranial Magnetic Stimulation may be an option for treatment-resistant anxiety or co-occurring depression when traditional treatments haven't provided sufficient relief.
- FDA-approved for depression
- Non-invasive procedure
- For treatment-resistant cases
Note: Treatment plans are developed individually. Not all options are appropriate for every patient. Your provider will discuss the best approach for your specific situation during your consultation.
Why Choose Our Clinic
Board-certified psychiatric nurse practitioner with experience in anxiety disorders
Thorough, unhurried evaluations (not rushed visits)
Personalized treatment plans
Careful, responsible medication management
In-person and telehealth options
Coordination with therapists and primary care providers
Transparent about costs and insurance
What sets our practice apart for ADHD care in the Portland metro area.
Ready to Take the Next Step?
If you're ready to explore ADHD evaluation or treatment, our team is here to help. Schedule online, call us, or send a message—we'll respond within one business day.
Schedule Your AppointmentFAQs
Frequently Asked Questions About Anxiety
Everyone experiences anxiety as a normal emotion. An anxiety disorder is when anxiety becomes excessive, persistent, and interferes with daily life. A professional evaluation can determine whether your anxiety symptoms meet the criteria for a disorder.
It depends on the severity and type of anxiety. Some people benefit from therapy alone; others need medication or a combination. We'll work with you to find the approach that fits your needs.
Some anti-anxiety medications (like benzodiazepines) can cause dependence with long-term use. Our psychiatrists are careful about prescribing these and explore alternatives when appropriate. SSRIs and SNRIs are not addictive.
Many anxiety medications take 4-6 weeks to show full effect. We monitor progress and adjust treatment as needed. Some patients notice improvement sooner.
Yes. We offer telehealth evaluations and ongoing medication management for anxiety via secure video for Oregon and Washington residents. Some controlled substances may require occasional in-person visits.
Costs vary. Initial evaluations typically range from $300-$600. Follow-up medication management is typically less. We discuss costs upfront and offer payment plans. Superbills are available for insurance reimbursement.
With your permission, we can coordinate with your primary care provider and therapist for integrated care. Communication between your care team often leads to better outcomes.
Anxiety is diagnosed through clinical interviews, standardized questionnaires, and a review of your history and symptoms. We also rule out physical causes (like thyroid conditions) that may contribute to anxiety symptoms.
Ready to Find Relief from Anxiety?
Our team is here to help you navigate anxiety and find a treatment approach that works for you. Schedule online, call, or send a message—we'll respond within one business day.
Schedule Your Appointment