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Anxiety

Anxiety services offered in Lake Oswego, OR and New York, NY


Anxiety can feel like constant worry, racing thoughts, or a sense of unease that never fully settles. Lumina Psychiatry provides telehealth services to residents of Oregon and New York. The practice offers thorough evaluations, medication management when appropriate, and integrated therapy to help you regain a sense of calm and control. If anxiety is interfering with your daily life, call Lumina Psychiatry or use the online booking form to schedule an appointment.

Anxiety Q&A

What is anxiety?

Anxiety is a natural response to stress, but when it becomes persistent, overwhelming, or disproportionate to the situation, it may signal an anxiety disorder.

Instead of occasional worry, you may feel constantly on edge or unable to quiet your thoughts. Anxiety can affect your mind and body, creating symptoms that interfere with work, relationships, sleep, and overall well-being.

Anxiety disorders are common and highly treatable, and seeking support is a proactive step toward feeling better.

What are common signs of anxiety?

Anxiety symptoms can vary widely from person to person. You may experience excessive worry that feels difficult to control, even when there’s no clear reason. Some people notice physical symptoms, such as a racing heart, shortness of breath, muscle tension, headaches, or digestive discomfort.

Sleep disturbances are common, including trouble falling asleep due to racing thoughts. You might feel restless, irritable, easily overwhelmed, or constantly anticipating that something will go wrong. In some cases, anxiety can lead to panic attacks — sudden episodes of intense fear accompanied by physical symptoms like chest tightness, dizziness, or sweating.

What causes anxiety?

Anxiety isn’t a personal flaw. It often results from a combination of factors, including:

  • Genetics
  • Brain chemistry
  • Trauma or past experiences
  • Chronic stress
  • Major life transitions

Lumina Psychiatry takes time to explore your personal history, lifestyle, stressors, and patterns to understand what may be contributing to your anxiety symptoms.

How is anxiety diagnosed?

Diagnosis begins with a comprehensive 60-minute psychiatric evaluation. During this session, your provider asks thoughtful questions about your symptoms, triggers, medical history, and personal goals.

The goal is to create a safe, supportive environment where you feel comfortable sharing your experiences. From there, your provider determines the most accurate diagnosis and develops a personalized treatment plan.

What treatments help anxiety?

Treatment may include therapy, medication management, or a combination of both. If medication is appropriate, your provider carefully selects and monitors options such as anti-anxiety medications or antidepressants that support long-term symptom relief.

Therapy approaches like cognitive behavioral therapy (CBT), exposure-based strategies, and supportive counseling help you understand anxiety patterns and build practical coping tools.

Lifestyle factors — including sleep habits, nutrition, movement, and stress management — are also addressed as part of your care plan.

With the right support, anxiety symptoms can significantly improve. Contact Lumina Psychiatry today to schedule a telehealth anxiety evaluation or book an appointment online to take the first step toward lasting calm.