Anxiety Treatment in Asheville, NC

Medicine can ease constant worry, tension, and fear so you can sleep better and feel calmer day to day. We see adults in our Asheville office or by secure video anywhere in North Carolina.

Same week

New patient visits

In person or video

Asheville office or telehealth

Board-certified

Psychiatric nurse practitioners

Understanding anxiety

Everyone feels anxious sometimes. An anxiety disorder is different. The worry is strong, it keeps coming back, and it does not go away on its own. Over time it starts to get in the way of your work, your relationships, and the things you need to do each day.

Anxiety disorders are among the most common mental health conditions in the United States, and they affect millions of adults every year. Anxiety can show up in your body too, with a racing heart, tight muscles, or trouble breathing. If you also have unwanted thoughts that repeat, ask us about OCD treatment as well.

According to the National Institute of Mental Health, anxiety disorders can involve changes in brain chemistry and the body’s stress system that make fear and tension hard to control. The good news is that anxiety responds well to medicine, especially when a provider checks in with you and adjusts the plan carefully.

A woman takes a calm, deep breath outdoors

Anxiety is not something you just have to live with. Real relief is possible.

In person or by video

Pick the kind of visit that fits your life, and your provider will help you decide what works best for your care.

Office visits
Come see your provider face to face at our office on Hendersonville Road in Asheville.

Telehealth
Secure video visits for patients anywhere in North Carolina, when video is right for your care.

Common symptoms of anxiety

Anxiety can affect your body and your mind. If several of these sound familiar, give us a call.

01Worry or fear that feels like too much

02Feeling restless or on edge

03A racing or pounding heart

04Trouble sleeping

05Trouble concentrating

06Tight, tense muscles

07Shortness of breath or a tight chest

08Avoiding situations that make you anxious

How treatment works

01

A full evaluation

We talk about your worries, your symptoms, your health, and any other conditions you have. That helps us understand what kind of anxiety you are dealing with.

02

A plan made together

We explain your options in plain words and decide on a plan together. You always have a say in your care, and we answer every question you have.

03

Finding the right medicine

We start with a low dose and raise it slowly to keep side effects down. Most people start to feel better within 2 to 6 weeks.

04

Regular check-ins

You see the same provider at every visit to track how you are doing and adjust as needed. If you want therapy too, we can refer you to a counselor.

Anxiety is very treatable.

With the right medicine, most people feel real relief and can enjoy the things they had been avoiding.

Friends laugh together over coffee

Common medications for anxiety

SSRIs

SSRIs are the first choice for most anxiety disorders, because they work well and are safe to take long term. They usually take 2 to 4 weeks to start working, with the full effect in 6 to 8 weeks.

Lexapro, Zoloft, Prozac

SNRIs

SNRIs are another common first choice for anxiety. They can ease worry and sometimes help with physical symptoms too. Like SSRIs, they work gradually, and we check in along the way to see how you are doing.

Effexor, Cymbalta

Other options

Other medicines can also help manage anxiety safely. Some, like hydroxyzine, work more quickly for relief in the moment. Your provider will talk with you about whether one of these makes sense for you.

Buspirone, hydroxyzine

Straight answers about anxiety treatment

Still unsure? Call and ask us directly. Nothing you say puts you on a list.

SSRIs and SNRIs usually start working in 2 to 4 weeks, with the full effect in 6 to 8 weeks. Some medicines, like hydroxyzine, work faster for quick relief. We keep track of how you are doing and adjust as needed.

Not always. Many people take medicine for 6 to 12 months and then slowly taper off. Others do better staying on it longer. We work with you to find what fits your situation.

Benzodiazepines like Xanax and Ativan can help for short-term relief, but they can lead to dependence when used long term. We usually suggest SSRIs or SNRIs first because they are safer, and we use benzodiazepines carefully when they make sense.

Some people have nausea, headaches, or feel a little jittery at first. These usually get better within the first few weeks. We start with a low dose and raise it slowly to keep side effects down.

It depends on your symptoms, your health history, and any other conditions you have. SSRIs and SNRIs are usually the first choice because they work well and are safe long term. At your evaluation, we figure out which option fits you best.

We focus on the medical side: evaluation, medicine, and regular check-ins. Therapy makes treatment stronger for many people, and we are happy to connect you with good counselors in the Asheville area.

Yes. Federal privacy laws protect your records, and we take that seriously. We do not share your information without your permission, except where the law requires it.

Anxiety treatment in Asheville and Buncombe County

We treat adults with anxiety from Asheville, South Asheville, and the rest of Buncombe County, and by telehealth anywhere in North Carolina.

932 Hendersonville Rd, Suite 106
Asheville, NC 28803
Monday to Friday, 9am to 5pm

Get help for anxiety

You do not have to live with constant worry. Call us and we will talk about how medicine can help you feel calmer.

In person in Asheville or by telehealth
Most major insurance accepted
Confidential. No judgment. Same-week visits.

Or send us a message

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We reply within one business day. This form is not for emergencies. If you are in crisis, call or text 988, or call 911.