MindCare
Condition guide

Anxiety disorders, beyond "just stressed."

Anxiety isn't a personality trait or a willpower problem — it's a measurable dysregulation of the brain's threat-detection system. When it becomes chronic, it hijacks your attention, your sleep, and your body. The good news: adult anxiety is one of the most treatable conditions in psychiatry.

DSM-5-TR

The anxiety disorders we treat

GAD

Generalized Anxiety Disorder

Persistent, hard-to-control worry across multiple life domains for 6+ months, with physical symptoms.

  • Looping worst-case thinking
  • Muscle tension, jaw clenching, headaches
  • Difficulty falling asleep
  • Restlessness and fatigue
Panic

Panic Disorder

Recurrent, unexpected panic attacks plus persistent fear of the next attack or its consequences.

  • Sudden surges of intense fear
  • Heart racing, chest tightness, dizziness
  • Fear of dying or losing control
  • Avoidance of places attacks occurred
SAD

Social Anxiety Disorder

Marked fear of social or performance situations where you might be judged or scrutinized.

  • Pre-event dread for days
  • Post-event replay and self-criticism
  • Avoidance of calls, meetings, dating
  • Physical symptoms in social settings
What it actually feels like

Common symptoms in adults

Cognitive

  • "What if" loops you can't shut off
  • Catastrophizing and worst-case planning
  • Difficulty concentrating, mind going blank
  • Anticipatory dread before normal events

Physical

  • Racing heart, chest tightness, shortness of breath
  • GI symptoms, nausea, frequent bathroom trips
  • Muscle tension, jaw clenching, headaches
  • Trembling, sweating, dizziness, hot flashes

Behavioral

  • Avoidance of triggering situations
  • Reassurance-seeking and over-checking
  • Procrastination on threatening tasks
  • Substance use to take the edge off

Daily life impact

  • Sleep onset insomnia and 3am wake-ups
  • Declining invitations you used to enjoy
  • Underperformance from rumination
  • Burnout from running in fight-or-flight
Your first visit

What a comprehensive anxiety evaluation looks like

  1. 01

    Pre-visit intake & screeners

    You'll complete validated tools — the GAD-7, PHQ-9, PCL-5 for trauma, and a substance and sleep history — so your provider arrives prepared.

  2. 02

    60-minute clinical interview

    Video visit with a psychiatric provider covering current symptoms, triggers, onset, family history, medical conditions, medications, caffeine and alcohol use, and prior treatment.

  3. 03

    Medical rule-outs

    Anxiety can be driven or amplified by thyroid disease, anemia, cardiac arrhythmia, perimenopause, and stimulant or steroid use. When indicated we recommend labs through your primary care provider.

  4. 04

    Differential & subtyping

    We separate GAD from panic disorder, social anxiety, OCD, PTSD, illness anxiety, and adjustment disorder — because the right treatment depends on the right diagnosis.

  5. 05

    Shared-decision treatment plan

    You leave with a written plan that may include SSRI/SNRI medication, short-term rescue strategies, CBT or exposure-based therapy referrals, and concrete lifestyle adjustments.

Evidence-based

The diagnostic tools we use

Primary screener

GAD-7 (Generalized Anxiety Disorder 7-item)

Brief, validated severity scale used at intake and to track response over time.

Panic & phobia

Panic Disorder Severity Scale (PDSS)

Measures attack frequency, distress, avoidance, and functional impairment.

Social anxiety

Liebowitz Social Anxiety Scale (LSAS)

Quantifies fear and avoidance across 24 social and performance situations.

Trauma screen

PCL-5

Screens for PTSD, which is often misread as anxiety alone and needs a different treatment path.

Comorbidity

PHQ-9

Depression travels with anxiety in over half of patients — we always measure both.

Functional impact

WHODAS 2.0

Tracks how anxiety is affecting work, relationships, and self-care so progress is measurable.

Differential diagnosis

What we rule out first

Hyperthyroidism
Cardiac arrhythmia
Anemia / iron deficiency
Perimenopause / hormonal shifts
Caffeine, nicotine, stimulant use
Alcohol withdrawal
Sleep apnea
PTSD / cPTSD
OCD spectrum
Bipolar mixed states
Medication side effects
Substance-induced anxiety

After your evaluation

Medication management

First-line SSRIs/SNRIs, plus thoughtful use of buspirone, hydroxyzine, beta-blockers, or short-course benzodiazepines when clinically appropriate.

Therapy referrals

CBT, exposure therapy, and ACT are the most evidence-based modalities for anxiety. We refer to vetted in-network or out-of-network therapists.

Measurement-based follow-up

We rescore the GAD-7 at every visit so improvement is visible — not just felt.

Ready to treat the anxiety, not just survive it?

Start with our 10-minute assessment. You'll get an instant clinical snapshot and the ability to book a comprehensive evaluation with a psychiatric provider.

This page is educational and does not constitute medical advice. If you're in crisis, call or text 988.