"I look fine on the outside. Inside, everything is on fire."
High-functioning anxiety is real — and exhausting. Treatable with the right combination of medication, therapy, and honest attention to burnout.
Anxiety · Specialty area
The tight chest. The 3 a.m. spiral. The "what if" that won't let go.
Panic, generalized anxiety, social anxiety, high-functioning anxiety — we see all of it, every week. Our approach: find what's actually driving the symptoms, then choose the treatment that fits your life.
Who we see
Anxiety wears different faces.
"I have panic attacks. I'm scared of having another one."
Panic disorder responds well to treatment — usually SSRIs plus targeted therapy. We get most patients to stability within a few months.
"I can't stop thinking. My brain won't turn off."
Generalized anxiety, rumination, bedtime worry loops. Medication can quiet the background hum; therapy addresses the pattern.
"Social situations wreck me for hours afterward."
Social anxiety, sometimes with avoidance built up over years. We go slowly — exposure at your pace, meds if they help.
"My anxiety got worse after [trauma / loss / pandemic]."
Trauma-rooted anxiety deserves trauma-informed care. We screen for it, treat what medication can touch, and coordinate with trauma-focused therapists when deeper work is indicated.
"SSRIs didn't work for me. Now what?"
One failed SSRI isn't the end. We try different classes, augment, and look for contributors (thyroid, sleep apnea, substances) that may have been missed.
What we look for
What's actually driving the anxiety — not just the label.
We start by ruling out the medical, metabolic, and behavioral contributors that often get missed.
"Generalized anxiety disorder" is a useful clinical label, but it rarely tells the whole story. Before (or alongside) starting medication, we look for:
- Medical contributors — thyroid, cardiac, iron, vitamin D, hormonal shifts, sleep apnea
- Substances — caffeine, alcohol, nicotine, cannabis, and their withdrawal cycles
- Sleep — fragmented or insufficient sleep amplifies everything; we treat this first when it's the primary driver
- Undiagnosed ADHD — about a third of adults with "anxiety" actually have unrecognized ADHD driving overwhelm
- Trauma history — including "small-t" trauma that clients didn't realize was relevant
- Perfectionism & burnout — high-achiever patterns that no medication will solve alone
Once the picture is clear, we build the plan together. Sometimes that's medication first. Sometimes therapy. Usually, it's both.
Treatment
What anxiety treatment actually looks like.
No single formula. Here's the menu we work from — matched to your life.
Medication
Evidence-based, carefully titrated.
- SSRIs (Lexapro, Zoloft, Prozac, Paxil)
- SNRIs (Effexor, Cymbalta)
- Buspirone (low side-effect profile)
- Beta-blockers for situational anxiety
- Benzodiazepines — rarely, short-term, with clear exit plan
We prescribe slowly, start low, and actually listen for side effects. Most patients feel meaningful improvement within 4–8 weeks.
Therapy
CBT and coordinated care.
- Short-term CBT — structured, focused, time-limited
- Trauma-informed framing when history warrants it
- Coordination with your outside therapist
- Referral to specialized therapy when deeper work fits
- Referrals when we're not the right fit
We offer psychotherapy in-house and also have a short list of therapists we trust and refer to.
Lifestyle
The levers that actually move the needle.
- Sleep protocol (this matters more than people expect)
- Caffeine audit
- Alcohol & cannabis review
- Movement & outdoor light exposure
- Nutrition & blood sugar stability
We won't hand you a pamphlet. We'll discuss what's actually achievable for your life, and build from there.
What patients say
When the right care finally clicks.
Careful dosing, honest attention, and a plan that fits your life.
★★★★★
“Seeing Dr. H has been life-changing and possibly life-saving. He’s incredibly flexible and caring — and he takes my insurance, which makes seeing him that much easier.”
★★★★★
“An incredible clinician who combines academic excellence with a genuinely holistic approach. Never patronizing or dismissive — sensitive, responsive, and curious about his patients.”
★★★★★
“Ravi saved my life. I’m not the type of person prone to hyperbole, so I don’t make that statement lightly. He takes a methodical approach, with a strong concern for not creating any harm.”
From patients’ own published reviews. Names shown as they chose to publish them.
Begin
Start with a 2-minute application.
No commitment — we verify insurance first.
Most patients apply online — it’s the fastest way in. Prefer to talk first? A free 15-minute call works too. We verify insurance, send you next steps, and never bill you until you've said yes.