REFRESH DALLAS · ANXIETY
We treat anxiety as the medical condition it is.
Most people who come to us have spent years being told it's just stress, just overthinking, or just a personality. Sometimes it is those things. Often it is something more, and the something more responds to treatment that takes it seriously.
In-network with most major insurance · Same-week availability · Psychiatric specialists
THE CONDITION
There is more than one kind of anxiety.
What we call anxiety is actually a category. Generalized anxiety, panic disorder, social anxiety, health anxiety, performance anxiety. Each has its own pattern, its own drivers, and often its own treatment. Sometimes anxiety travels alone. Sometimes it shows up alongside depression, ADHD, or trauma that has not yet been named.
The body holds anxiety in ways that are easy to miss. Chest tightness, GI flares, sleep that fragments, jaw clenching, headaches without a clear cause. Many patients arrive having been worked up by cardiology or gastroenterology before anyone considered whether the problem was psychiatric. Sometimes that dismissal extends to language. 'You're just stressed.' 'You're overthinking it.' 'It's just a phase.' Years can pass that way.
OUR APPROACH
How we actually treat it.
The first visit is the long one. We take a real history, because the questions are different depending on what we find. Generalized anxiety lives differently than panic disorder. Health anxiety can resemble the OCD spectrum and require a different approach. Getting the diagnosis right is itself part of the treatment.
When medication is part of the plan, the choice is particular to you. Your symptoms, your history, what your body has tolerated, what other conditions are in the picture. The reason psychiatry is a thinking profession is that one prescription does not fit one person, let alone all of them. Some patients respond to first-line options. Some need something less common. Some do best with a combination that changes over time. We arrive at the plan with you, not at you.
The follow-up is the work. We schedule the next visit before you leave the first one. If something is not working, we change course. If the side effects are wrong, we change course. The prescription is not the treatment. The relationship is.
SCOPE OF CARE
What we don't do.
Long-term benzodiazepine maintenance is a careful conversation, not a default. Some patients arrive having been on these medications for years without anyone asking whether continued use is the right choice. We are willing to have that conversation thoughtfully and at your pace. We are not the practice that refills indefinitely without it.
FAQ
Questions.
Generalized anxiety, panic disorder, social anxiety, health anxiety, and performance anxiety. We also treat anxiety that travels with depression, ADHD, or trauma. OCD and PTSD have their own pages because their treatments diverge in important ways.
Antidepressants are slow medicine. Most people notice some change before the full effect arrives. We will know enough at your first follow-up to know whether the plan is right. If it is not, we change direction.
Often, no. Many patients use medication for a defined period and then taper carefully off it. Some patients benefit from longer-term care, particularly after multiple episodes. We make this decision together and revisit it as your situation changes.
For most anxiety presentations, the strongest outcomes combine medication with therapy. We are a psychiatry practice, so therapy happens with a partner provider rather than in-house. If you are already working with a therapist, we coordinate with them with your consent. If you need one, we can refer.
If this is an emergency, or if you are worried about your safety right now, please reach out for support that can meet the moment. You can call or text 988 anytime to reach the Suicide and Crisis Lifeline, or go to your nearest emergency department. When you are ready for outpatient care, we will be here.
Anxiety responds to careful treatment. Most patients we see improve substantially. Some are surprised by how much.