Anxiety medications work, when the right one is chosen, dosed patiently, and actually followed up on. Alice Tran, PMHNP-BC manages anxiety medication for Maryland adults by secure telehealth.
Book a Telehealth Appointment →Plenty of Maryland patients arrive with the same story: a primary care visit years ago, a starter dose of sertraline that half-worked, and no follow-up since. Anxiety medication rewards attention. First-line SSRIs and SNRIs differ meaningfully in side effects and activation; buspirone offers a non-habit-forming option for generalized anxiety; hydroxyzine and propranolol have targeted roles for panic surges and performance situations. Choosing among them, and dosing patiently past the early weeks where anxiety can briefly worsen, is the actual craft.
Follow-up is where results are made: checking response at two to four weeks, adjusting instead of settling for half-relief, and being honest about when a medication has had a fair trial and when it has not. If your anxiety rides on top of ADHD, depression, or untreated insomnia, the plan treats the full picture, because anxiety medication cannot outrun an unaddressed cause.
On benzodiazepines, the practice policy is honesty rather than dogma: they have a narrow, legitimate short-term role, they are a poor long-term foundation. This practice does not provide long term daily benzodiazepine management or benzodiazepine tapering and cannot accept new patients currently taking a benzodiazepine on a daily or long term basis; occasional, as-needed prescriptions may be considered on an individual basis.
SSRIs and SNRIs selected for your symptom pattern and side-effect priorities, dosed patiently, and actually reviewed.
Buspirone, hydroxyzine, propranolol, and augmentation strategies when standard trials fall short.
A judgment-free review of long-term sedatives and honest guidance on safer, sustainable alternatives.
Panic with ADHD, worry with depression, dread with insomnia. One prescriber managing the whole system.
Usually not. Partial response is a signal to optimize dose, switch agents, or augment, not a ceiling. Half-relief accepted for years is one of the most common findings in new-patient reviews here.
Effective anxiety treatment removes the static, not the person. If a medication makes you feel blunted, that is a solvable dosing or selection problem, and saying so at follow-up is exactly what follow-up is for.
Benzodiazepines are prescribed cautiously, short-term, and with a clear plan when used at all. If you are seeking a long-term daily benzodiazepine, this is honestly not the right practice, and Alice will say so kindly at the first visit.
New patients are typically seen within one to two weeks, by video anywhere in Maryland, with prescriptions sent electronically the same day as your visit.
Medication management by telehealth across Maryland.
Book Now →Or call/text: (703) 791-9099