Anxiety

In-Office Visits are scheduled appointments with the provider of your choice. One Medical members can easily book In-Office Visits at any of our One Medical offices, in:

Atlanta, Austin, Boston, Cape Cod, Charlotte, Chicago, Columbus, Connecticut, D.C Metro Area (DMV), Dallas-Ft. Worth, Denver, Houston, Los Angeles, Miami-Ft. Lauderdale, Milwaukee (coming soon), New Jersey (coming soon), New York City, Orange County, Phoenix, Portland, Raleigh-Durham, San Diego, Seattle-Tacoma, SF Bay Area, Triad, Tucson. More location details.

Remote Visits are scheduled, virtual appointments with the provider of your choice and are available in U.S. states where One Medical offices are located.

In-Office and Remote Visits are not included in the membership and are billed to you/your insurance; copays and deductibles may apply.

To request a virtual prescription renewal through Amazon One Medical Pay-per-visit, you'll need to upload an image of your most recent prescription for anxiety medication. Your provider will accept a photo of the prescription label or a screenshot from your medical records.

When you run out of your medication, you refill it through a pharmacy. When you run out of refills, a licensed healthcare provider has to renew your prescription.

You can request a remote prescription renewal through Amazon One Medical. Your provider will send any new prescriptions to a U.S. pharmacy of your choice. You pay for the medication when you pick it up or have it delivered.

No. You can't see a mental health provider for behavioral therapy, psychiatry, counseling, coaching, clinical social work, or other mental health specialties through Amazon One Medical Pay-per-visit. For mental health care, you'll need to see a primary care provider or a mental health care provider for guidance.

If you've taken a medication for depression or anxiety within the past 4 days, you can request a prescription renewal through Pay-per-visit, but your provider won't adjust or initiate medication.

Your Pay-per-visit provider won't renew prescriptions for stimulants like Adderall for ADHD, benzodiazepines like Xanax, antipsychotics like quetiapine (Seroquel) or aripiprazole (Abilify), mood stabilizers like lithium, or nerve pain medications like gabapentin (Neurontin) or pregabalin (Lyrica).

There are several different types of anxiety disorders, with generalized anxiety disorder, panic disorder, and specific phobias being among the most common.

Generalized anxiety disorder (GAD) causes persistent worry about a variety of things, like work or school responsibilities, family, other relationships, health, or day-to-day tasks. Beyond feelings of worry or nervousness, GAD can cause physical symptoms like tight muscles, fatigue, and sleep problems. GAD symptoms occur on most days for a period of at least a few months and can make it challenging to get through daily activities.

Panic disorder causes sudden and intense surges of anxiety and physical symptoms, which can include symptoms like a fast heartbeat or palpitations, chest tightness, nausea, shaking, dizziness, sweating, abdominal pain, or difficulty breathing. These panic attacks can have a clear trigger or may seem to come out of nowhere. Fear can feel overwhelming during a panic attack, and a person may worry that they could lose control or die. Because panic attacks cause such intense feelings, a person with panic disorder will worry about having future panic attacks and may avoid situations that they think could trigger an attack.

Specific phobias cause extreme fear of situations or objects that are unlikely to be dangerous. For example, a person may have a phobia of heights, specific animals (like dogs or spiders), needles or medical procedures, flying on an airplane, being enclosed in an elevator, or being in water. A person with a phobia may feel intense fear despite understanding that they aren’t in danger and may go out of their way to avoid situations that trigger this fear.

In treating anxiety, your provider will help you to understand how anxiety disorders function and will share information about lifestyle changes and self-help resources for anxiety. Self-help tools might include journaling or self-guided cognitive behavioral therapy (CBT) programs. Lifestyle changes could include reducing caffeine, avoiding alcohol or drug use, quitting smoking, getting regular physical activity, and following best practices for restful sleep.

If your anxiety symptoms aren’t controlled with lifestyle changes and self-help tools alone, your provider may recommend psychotherapy (counseling), medication, or both.

There are many medications available to treat anxiety, including generalized anxiety disorder and panic disorder. For frequent or daily symptoms, SSRIs (selective serotonin reuptake inhibitors) are a common choice. These medications are thought to reduce anxiety by increasing levels of serotonin, a chemical messenger that helps nerve cells in the brain communicate with each other.

If you can’t take an SSRI or treatment with an SSRI isn’t effective, your provider has several other types of daily medications to choose from. Your provider could also prescribe a short-term, as-needed medication if symptoms of anxiety are very severe, but certain as-needed medications for anxiety (like benzodiazepines) come with significant risks. Your provider will focus on working with you to find a daily medication that prevents those more severe symptoms of anxiety.

There isn’t one best medication for everyone when it comes to treating anxiety, and finding the right treatment plan can take time. Your provider will be there to support you through the process and will help you understand what to expect at each step along the way.

If you’re starting a daily medication for anxiety, it’s normal for it to take a few weeks before you start to notice the benefits. In addition, your provider will likely prescribe a low dose and then work with you to increase your medication gradually. This approach (called titration) reduces early side effects, which normally improve over time as your body adjusts to the medication, but it means that it will take some time to get to the right dose for you.

If treatment still isn’t working after a few weeks on a higher dose, your provider may recommend trying a different medication.

Anxiety symptoms can feel scary - especially symptoms of a panic attack, which can include a racing heart, chest pain or tightness, and shortness of breath. Though a panic attack isn’t dangerous, the symptoms can mimic serious conditions like a heart issue or breathing problem, and it’s common to wonder if you might need emergency medical care.

If you’re familiar with your panic symptoms and how to get through a panic attack, you probably don’t need to go to the hospital. But if you’re experiencing symptoms for the first time or if the symptoms feel different from past panic attacks, it’s best to contact your healthcare team, or go straight to the emergency room if you can’t get in touch with a provider right away.

As common as anxiety disorders are, it can still feel difficult to talk with those closest to you about anxiety and how it impacts your life. You may worry about how a loved one will react or how well they’ll understand what you’re going through, but opening up to the people closest to you can be a path to more care and support. Consider what time and place would feel most comfortable for the conversation, and think about preparing some talking points ahead of time.

The people who care about you will likely want to know what they can do to help, and you may want to prepare some suggestions for how they can support you. If you aren’t sure how to start the conversation with a loved one, your primary care provider or a mental health provider can help you get ready.