ANXIETY & OVERTHINKING

Anxiety does not always look like panic. For many adults, it shows up as overthinking, difficulty relaxing, irritability, perfectionism, muscle tension, trouble sleeping, or a constant sense that something needs to be solved.

You may be managing work, relationships, and daily responsibilities well on the outside, while internally feeling preoccupied, on edge, or unable to fully settle.

What this can feel like

Anxiety and overthinking can affect both the mind and body. Patients often describe:

• Replaying conversations or decisions repeatedly

• Worrying even when things are objectively okay

• Feeling tense, restless, or easily overwhelmed

• Trouble sleeping or quieting the mind

• Difficulty focusing because of intrusive thoughts

• Physical symptoms such as tightness, stomach discomfort, headaches, or a racing heart

How I approach care

I begin with a thoughtful psychiatric evaluation to understand how anxiety shows up for you, what may be contributing to it, and how it affects your daily life. We will consider stress, sleep, medical factors, past treatment, relationships, work demands, and any overlapping concerns such as mood, focus, or substance use.

The goal is not simply to reduce symptoms, but to understand the patterns underneath them and develop a treatment plan that feels practical, individualized, and sustainable.

What treatment may include

Treatment may include medication management, therapy-informed conversations, lifestyle strategies, and coordination with an outside therapist when appropriate.

Medication options may include medications such as SSRIs, SNRIs, buspirone, beta-blockers for performance or situational anxiety when clinically appropriate, or other individualized options. We will discuss benefits, side effects, alternatives, and your preferences before making decisions.

What to expect

Care is collaborative and measured. We will monitor progress over time, adjust the plan when needed, and make space to understand not only what reduces anxiety, but what helps you feel more grounded, flexible, and present in your life.