Quiet the noise, without numbing yourself.
Racing thoughts, a body braced for a threat that never comes, and the sense of always being switched on. Anxiety can run in the background even when your life looks completely under control. We help you settle it and understand what is driving it.
Questions first? Call (415) 231-6100
Anxiety is a persistent sense of worry, tension, or being on edge that can affect sleep, focus, and daily life, and it responds well to treatment. We treat anxiety in California with an integrative approach that looks for what is driving it, not just the symptom.
Reviewed by Nishi Bhopal, MD. Last reviewed July 2026.
What to expect
Anxiety is not a character flaw or a lack of willpower. It is a nervous system doing its job too well, staying on guard long after the danger has passed. For many high-achieving adults, that shows up as overthinking, trouble switching off, irritability, and nights spent replaying the day.
We look for the root of it rather than just muting the symptom. Sleep, nutrition, hormones, caffeine, medical issues, and life stress all feed anxiety, and small changes in the right places often bring the biggest relief. When medication makes sense, we use it thoughtfully and explain every option.
What we help with
- Generalized anxiety
- Panic and panic attacks
- Social anxiety
- Health anxiety
- Chronic worry and rumination
- High-pressure work stress
“Anxiety can make your mind feel like your enemy. With the right tools, it becomes an instrument you know how to play.”
Read patient testimonialsThe whole-person model
We treat the anxious person, not just the anxiety.
Using our THRIVE model, we look across all six domains, Thoughts & Emotions, Healthy Habits & Eating, Rest & Relaxation, Interactions & Social Connection, Values, and Exercise & Environment, to find what is keeping your system on high alert. From there we build a calm, practical plan that can include nervous-system tools, lifestyle changes, therapy, and medication when it is the right fit.
What we treat
How anxiety tends to show up.
In your mind
Racing or looping thoughts, catastrophizing, difficulty concentrating, and a constant sense that something is about to go wrong.
In your body
Tight chest, shallow breathing, a racing heart, restlessness, headaches, stomach trouble, and muscle tension you carry everywhere.
In your nights
A mind that gets louder at bedtime, trouble falling or staying asleep, and waking at 3am with your to-do list already running.
How it works
A clear path, from first call to lasting change.
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1
Schedule a consultation
A no-pressure call to hear what you are dealing with and see whether our approach is the right fit. If we are not, we will point you toward someone who is.
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2
Comprehensive assessment
We take a full history and look at sleep, nutrition, labs, medications, and lifestyle to understand what is actually fueling your anxiety.
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3
A personalized plan
Together we build a plan that can combine nervous-system tools, lifestyle changes, therapy, and thoughtfully chosen medication.
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4
Ongoing support
We adjust as you go, tracking what helps and refining your plan so relief holds up in real life, not just on paper.
Common questions
Good to know
- No. Medication is one option among many, and plenty of patients do well without it. When it makes sense, we use it thoughtfully and explain the benefits and trade-offs so you can decide with us.
- Yes. You do not have to wait until things feel severe to get help. If anxiety is shaping your days, your sleep, or how you feel about yourself, that is reason enough.
- They feed each other. Anxiety makes sleep harder, and poor sleep makes the next day more anxious. When both are present, treating them together often works faster than either alone.
- Psychiatry, therapy, and medical care: adults across California via telehealth. Effortless Sleep™ and sleep coaching: available online, nationwide (the Comprehensive tier, which includes medical consultation, is California only).
Anxiety and sleep
When anxiety keeps you up at night.
If racing thoughts and broken sleep are tangled together, treating sleep directly often eases anxiety faster than anything else. Our insomnia specialty care works hand in hand with anxiety treatment.
Ready to feel like yourself again?
Start with a consultation. We'll listen, answer your questions, and help you find the right next step.