Skip to content
Montenegro & Associates Behavioral HealthPsychiatry for Meaningful Lives

Evidence-Based Care for Anxiety

Not all anxiety is the same.

Anxiety can show up as constant worry, panic, avoidance, fear of being judged, perfectionism, or the lingering effects of a painful experience. Finding out what is driving yours is the key to the right treatment. Our psychiatrists are physicians with extensive medical and psychiatric training, so we consider the whole picture and develop a plan that fits you.

Understanding Comes First We find out what is driving your anxiety before we treat it, so your care is based on the cause, not just the symptoms.
Thorough Assessment Triggers, avoidance, physical symptoms, sleep, and daily interference.
Medication When Appropriate Considered carefully, never assumed.
Alongside Your Therapist We complement existing therapy rather than replace it.
Is an Evaluation Right for You?

Common reasons people seek help for anxiety

An evaluation may help if you or your child are experiencing:

  • Persistent worry that is hard to control
  • Panic attacks or intense physical symptoms of anxiety
  • Avoidance of social, school, or performance situations
  • Sleep, concentration, or irritability affected by worry
  • Anxiety alongside ADHD, depression, or OCD
  • Treatment that has helped only partially
Not sure if this fits?You don’t need to have a diagnosis to reach out. We can help you determine the best next step.
Talk With Our Team
What We Treat

Different Forms of Anxiety

We evaluate and treat many kinds of anxiety, including:

  • Constant worry that is hard to turn off
  • Fear of being judged, or nervousness about speaking or performing
  • Panic attacks and sudden waves of fear
  • Specific fears, such as flying, needles, or crowds

Anxiety often appears alongside other concerns, such as ADHD, autism, depression, OCD, the effects of trauma, or physical health conditions. Because our psychiatrists are physicians, we look at how these fit together and treat the whole person, not just one piece.

Our Approach: 01

Understanding What Is Driving Your Anxiety

Anxiety rarely has a single cause. We take time to understand what is behind yours, including how it affects your daily life. As physicians, we also check for physical and medical factors that can cause or worsen anxiety, so nothing important is missed.

  • What sets it off
  • What you avoid because of it
  • How it feels in your body
  • How you sleep
  • Medications, caffeine, alcohol, and other substances
  • Your history from childhood to today
  • Pressures at work or school
  • Relationships and home life
  • How much it gets in the way of everyday life
Our Approach — 02

Treatment that fits the diagnosis

What treatment may involve

Treatment may include medication when appropriate, CBT- and ACT-informed strategies, and exposure-based principles when clinically indicated.

If you already have a therapist

When a patient already has a therapist, our role is often to complement that work through psychiatric assessment and medication management.

Is it anxiety — or something that looks like it? Thyroid problems, ADHD, sleep disorders, and medication effects can all mimic anxiety. A comprehensive evaluation sorts out what is actually going on before treatment begins.
Request an Evaluation

Knowing what drives the anxiety is what makes treatment specific.

Worry, avoidance, panic, fear of evaluation, uncertainty, trauma, perfectionism — each points somewhere different.

Across the Lifespan

Anxiety looks different at different ages

Anxiety in Children & Adolescents

For younger patients, anxiety may appear as irritability, avoidance, school refusal, reassurance seeking, physical complaints, or family accommodation.

Child & Adolescent Psychiatry

Anxiety in Adults

In adults, anxiety may be hidden behind overpreparation, perfectionism, procrastination, avoidance, or relentless self-monitoring—particularly in high-responsibility settings.

Adult Psychiatry

Anxiety in high-responsibility work carries its own considerations — visibility, confidentiality, and performance expectations.

High-Stakes Professionals
Still anxious despite treatment? A psychiatric reassessment can clarify what has been tried, what may have been missed, and what options remain.
Request an Evaluation
Ready to Take the Next Step?

Effective treatment starts with the right question

Evaluation and treatment for anxiety in children, adolescents, and adults.

Request an Appointment

Telepsychiatry available in Washington, California, Arizona, Alaska, Maine, and Wyoming, depending on clinician licensure and availability.