Online anxiety treatment

Evidence-based therapy

Structured approaches like CBT and ACT to interrupt anxious thought patterns and the avoidance that keeps anxiety going, with skills you can use between sessions. For panic and phobias, that often includes gradual, supported exposure rather than white-knuckling it alone.

Medication management

When medication makes sense, we use non-controlled options such as SSRIs and SNRIs, at the lowest effective dose. We don't prescribe controlled substances like Xanax — for most people they offer only short-term relief while long-term anxiety responds better to a steadier plan.

A coordinated plan

Your psychiatrist or NP and therapist work from the same plan, so medication and therapy reinforce each other rather than running on separate tracks.

From first visit to a steady plan

Intake & evaluation

A thorough first visit to understand your symptoms, history, and goals — and to screen for other conditions that can mimic anxiety, from thyroid or cardiac causes of panic to ADHD or a mood disorder, coordinating medical workup or referral when a physical cause needs to be excluded. We verify your insurance before you start.

Your plan, together

Your clinician walks you through a clear plan — therapy, medication, or both — with the reasoning behind each choice and what to expect in the first few weeks, including how SSRIs and SNRIs tend to build over time rather than working the first day.

Follow-up & adjustment

Regular follow-ups and secure messaging let us track what's working and fine-tune the plan, spacing visits out as you stabilize.

We take time to distinguish generalized anxiety, panic disorder, social anxiety, and OCD — especially separating OCD from ordinary worry — because the right diagnosis changes the whole plan.

SSRIs help many people, but we use them thoughtfully — and reach for non-serotonergic options when someone also has bipolar disorder or an alcohol use disorder, where an SSRI alone may not be the safest first step.

Therapy — CBT and exposure-based approaches — is central, especially for panic and social anxiety, so you build tools that keep working after any medication is adjusted or stopped.

Anxiety is often the driver behind insomnia, irritability, or avoidance that looks like something else. We look for it and treat it directly rather than only its downstream effects.

Both bring restlessness, trouble concentrating, and disrupted sleep, so they're easily confused. What separates them is the source: in anxiety, focus slips because worry and intrusive thoughts crowd it out, whereas ADHD symptoms start in childhood and show up across situations regardless of mood. The two commonly co-occur, and untreated anxiety can look like ADHD — which is why the history matters before locking in an ADHD diagnosis or treatment.

Both can bring poor sleep, difficulty concentrating, irritability, and fatigue, and they overlap so often that many people have both. The distinguishing axis is direction and mood: anxiety centers on future-oriented fear and physical arousal — a keyed-up, on-edge feeling — while depression centers on a sustained low mood and loss of interest. When they coexist, we treat both rather than picking one.

Both can bring racing thoughts, restlessness, and sleepless nights, which is why anxious agitation sometimes gets mistaken for a mood episode (and vice versa). The tell is course and mood: anxiety is a persistent, fear-driven state, whereas bipolar disorder comes in distinct episodes with elevated or irritable mood, grandiosity, and a decreased need for sleep — feeling powered-up rather than worn down. Because that history changes the medication plan, we ask about past highs directly.

A panic attack and a medical problem can feel identical — pounding heart, chest tightness, shortness of breath, and a sense of dread — so an overactive thyroid, a heart-rhythm issue, or other conditions are worth ruling out, especially the first time symptoms appear. Panic tends to peak within minutes and resolve, often with a fear of the next attack, but that pattern alone doesn't rule out a medical driver, so part of a careful evaluation is making sure nothing physical is being missed.

Insurance & cost

Coverage and cost

We're in-network with major commercial plans — including Aetna, Cigna, UnitedHealthcare/Optum, Anthem/Blue Cross Blue Shield, and Humana — and Medicare where our clinicians are licensed. We verify your benefits before your first appointment, so you know your cost up front. Prefer not to use insurance? Transparent self-pay rates are available.