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Anxiety · Psychiatric Care

Anxiety Treatment
That Actually Helps

Generalized anxiety, panic attacks, social anxiety, health anxiety. Evidence-based treatment from board-certified psychiatrists across California — in-person and via TelePsychiatry.

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📱TelePsychiatry All 58 CA Counties
🏥Accepting New Patients Now
💳Medi-Cal · Medicare & Most Insurance
🌍5 Languages Spoken
About Anxiety

What Is Anxiety?

Anxiety disorders are the most common mental health conditions in the United States, affecting roughly 1 in 5 adults each year. They show up as constant worry, racing thoughts, physical tension, panic attacks, or avoidance of situations that trigger fear.

Anxiety becomes a clinical issue when it's persistent, hard to control, and gets in the way of work, relationships, or sleep. The good news: it's one of the most treatable mental health conditions. Most patients see meaningful improvement within a few weeks of starting treatment.

Common anxiety diagnoses we treat include generalized anxiety disorder (GAD), panic disorder, social anxiety disorder, specific phobias, and health anxiety.

Common Symptoms

  • Persistent worry or fear that's hard to control
  • Restlessness, feeling on edge, or keyed up
  • Difficulty concentrating; mind going blank
  • Muscle tension, headaches, jaw clenching
  • Sleep problems — trouble falling or staying asleep
  • Panic attacks: sudden surges of fear, racing heart, chest tightness, dizziness
  • Avoidance of situations that trigger anxiety
  • Physical symptoms: GI distress, fatigue, chronic tension

If symptoms are interfering with daily life — or if you've felt this way for more than two weeks — it's worth a conversation with a psychiatrist.

Treatment Options

How Anxiety Is Treated

Effective treatment usually combines medication, therapy, and lifestyle factors. We work with you to find the right combination.

SSRIs / SNRIs

First-line medication treatment. Examples include sertraline, escitalopram, venlafaxine. Effective for generalized anxiety, panic disorder, and social anxiety.

Buspirone

Non-sedating, non-addictive option for generalized anxiety. Works well for some patients who don't tolerate SSRIs.

Short-term benzodiazepines

Used cautiously and short-term for severe panic or acute episodes. We're conservative about long-term use due to dependence risk.

Beta-blockers

Helpful for performance anxiety and physical symptoms (heart racing, trembling).

Therapy referrals

Cognitive Behavioral Therapy (CBT) and Exposure Therapy have strong evidence for anxiety. We can refer to vetted local therapists.

Pharmacogenomics

If you've tried 2+ medications without good response, genetic testing can help guide which medications are most likely to work for you.

The UMG Approach

Care That Takes Time

Anxiety treatment isn't one-size-fits-all. Some people need short-term medication while they learn skills in therapy. Others need long-term pharmacologic support. Some get the most relief from lifestyle changes and CBT.

Initial evaluations at UMG run 60–90 minutes — long enough to understand your full picture. We screen for comorbidities (depression, ADHD, sleep disorders, medical contributors) that often look like anxiety but need different treatment.

If medication is the right step, we explain options, side effects, and trade-offs in plain language. The decision is yours.

UMG psychiatric consultation room
Where to See Us

In-Person or via Telehealth

Four California clinics for in-person care, plus TelePsychiatry for patients anywhere in the state.

Pleasant Hill →

Spravato®, TMS, full services

Vallejo →

Full services, MAT

Davis →

ADHD testing, psychiatry

Fremont →

Full services, MAT

TelePsychiatry →

All 58 California counties

Frequently Asked

Common Questions

How quickly will medication for anxiety start working?

SSRIs and SNRIs typically take 2–6 weeks to reach full effect, with many patients noticing improvement around weeks 2–3. Buspirone usually takes a similar timeframe. If you need faster relief, we discuss short-term options at the first visit.

Will I have to take medication forever?

No. Many patients use medication for 6–12 months while building skills in therapy and stabilizing, then taper off with a doctor's guidance. Some patients benefit from longer-term medication. The choice is yours.

I'm worried about side effects. What should I expect?

SSRIs commonly cause mild nausea, headache, or sleep changes in the first 1–2 weeks; these usually fade. Sexual side effects can persist in a minority of patients. We discuss every common and uncommon side effect before you start anything.

Can I do this via telehealth?

Yes. Anxiety is one of the most common reasons patients use our TelePsychiatry service. Initial evaluations and follow-ups can both be done virtually anywhere in California.

Do you accept Medi-Cal?

Yes. We accept Medi-Cal, Medicare, and most major commercial insurance.