DOCTOR IN THE FAMILY’S Center for Anxiety: Evaluation, Therapy, Treatment, in NYC

Updated by NatanSchleider, M.D. on January 10th, 2021

 

DOCTOR IN THE FAMILY psychiatrists and primary care physicians focus on anxiety therapy and treatments in NYC.

After a medical evaluation to confirm no organic or physical cause of anxiety like an overactive thyroid (rare but we catch this about 5% of the time), a psychiatric evaluation of anxiety is started.

Anxiety is a natural emotion people experience during particularly stressful times. We all feel stress and anxiety.  Anxiety disorders are the most common and pervasive mental disorders in the United States.

When anxiety is uncontrollable and frequently a clinical anxiety disorder is diagnosed.

Anxiety disorders are a psychiatric condition with medical concern that can affect your health and wellbeing (IE increased risk of heart attack, insomnia, and high blood pressure).

While it is normal to have anxiety about work stressors and project deadlines, people with anxiety disorder may feel anxiousness, fear and worry that they cannot control.

The symptoms of anxiety disorder include:

  • feeling worried, fearful or panicked
  • difficulty falling or staying asleep
  • feeling tired
  • heart palpitations
  • nausea
  • sweating
  • tight muscles
  • feeling shaky
  • worrying more days than not
  • trouble focusing
  • losing ability to function socially, with friends, family or at work

DOCTOR IN THE FAMILY psychiatrists manages anxiety disorders in NYC comprehensively. We are New Yorkers.

We understand anxiety and stress in ways a remote telehealth provider in other states do not.

To best treat anxiety we do our homework via thorough mental and physical evaluation.

We get to the root of the anxiety and find the proper diagnosis by doing the following:

First, an entire medical history and a full work up is done to see if other health factors may be contributing to your anxiety. Common conditions that may affect anxiety levels include but are not limited to:

  • hormone imbalances
  • thyroid imbalances
  • nutrient deficiencies
  • sleep disorders
  • specific phobias
  • Obsessive Compulsive disorder
  • trauma
  • Other mood disorder like depression and PTSD

Second, we advise talk therapy (if this has not been tried already) to alleviate anxiety.

Third, we advise exercise daily and certain herbal medicines/natural supplements like kava, kava kava, valerian, and melatonin for insomnia.

Fourth and last, if the above has been tried and failed we discuss medication treatment options which may include:

  1. If needed non-habit forming prescription medicines FDA approved for anxiety (or insomnia if you have insomnia too)
  2. Daily non-habit forming prescription medicines that kick in quickly (IE buspirone aka Buspar)
  3. Daily longer acting medicines in the SSRI or SNRI family FDA approved for treatment of anxiety.
  4. Benzodaizapenes (IE clonazepam or Klonopin) on an if needed basis to be used sparingly as these can be habit forming / our bodies get tolerant to them if taken with regularity.

DOCTOR IN THE FAMILY psychiatrists and general practitioners are available to address anxiety by contact-us call or text 646-957-5444.