Patient Education
Anxiety Disorder
Calm, whole-person anxiety care with the time and attention you deserve.
Anxiety becomes a disorder when persistent worry, fear, or physical tension starts interfering with your sleep, work, or relationships. At our direct primary care practice in Los Angeles, we treat anxiety as a whole-person condition, combining careful screening with medication management when appropriate and therapy referrals so you have unhurried time to feel heard.
Symptoms & Warning Signs
- Persistent, hard-to-control worry that feels out of proportion to the situation
- A racing heart, shortness of breath, chest tightness, or trembling
- Restlessness, irritability, or feeling constantly on edge
- Trouble concentrating or a mind that goes blank under stress
- Difficulty falling or staying asleep
- Stomach upset, muscle tension, or frequent headaches
Causes & Risk Factors
- A family history of anxiety, depression, or other mood conditions
- Chronic stress, major life transitions, or past trauma
- Certain medical conditions, including thyroid imbalance and heart-related symptoms
- Caffeine, alcohol, or stimulant use that amplifies physical symptoms
- Sleep deprivation and irregular routines
- Some medications and, occasionally, withdrawal from them
How Dr. Golian Manages Anxiety Disorder
We begin by listening, then use a brief, validated GAD-7 anxiety screening to gauge severity and track your progress over time. Because anxiety symptoms can overlap with other conditions, Dr. Golian may check for thyroid imbalance or order an EKG when physical symptoms warrant, ensuring nothing medical is being missed.
Your plan is built around you. That may include lifestyle adjustments, a referral for cognitive behavioral therapy, thoughtful SSRI or SNRI therapy, and coordination with a psychiatrist when indicated.
Living Well With Anxiety
Small, steady habits make a real difference. Protecting your sleep, moving your body regularly, and easing back on caffeine and alcohol all help calm the nervous system.
Because anxiety, depression, and recurrent headaches often travel together, we keep an eye on the whole picture and adjust your care as life changes — never leaving you to manage it alone.
Frequently Asked Questions
1Can my primary care doctor treat anxiety, or do I need a psychiatrist?
2Will I have to take medication for my anxiety?
3How do I know if it's anxiety or something physical like a heart or thyroid problem?
4How long does it take to feel better with anxiety treatment?
5What should I expect at my first anxiety visit with Dr. Golian?
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Take the First Step With Your Anxiety Disorder
Connect with Dr. Golian for calm, judgment-free care and a plan built around your life in Los Angeles.
Schedule a Consultation