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About Anxiety

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Anxiety is a part of daily life. For instance, you may experience anxiety before an important presentation or test, or before you make a big decision. In many cases, anxiety can motivate us to prepare or practice for whatever makes us anxious. It is a normal, temporary reaction to a stressful event or circumstance.

People with anxiety disorders experience this feeling intensely and persistently. The fear and worry associated with anxiety may not go away, and may actually get worse over time. If left untreated, anxiety may eventually interfere with work or school performance, personal relationships, and other functions of daily life. Anxiety disorders are very common; the National Institute on Mental Health estimates that over 40 million adults in the United States (19.1%) have some form of anxiety disorder.

Anxiety disorders may be caused by several different factors, and manifest in several different ways. Anxiety is an umbrella term used to describe conditions such as agoraphobia (fear of places or situations that may cause panic), social anxiety, separation anxiety, panic disorder, and more. Each of these disorders is accompanied by different symptoms and complications.

If you are dealing with near-constant feelings of fear, panic, or worry, get in touch with a health care provider right away. As debilitating as anxiety can be, treatment can help.

If you are looking for more information about anxiety, check out the NIMH’s page on Anxiety Disorders:

Common Medication
Treatment Options

Doctors and providers on Sesame offer the following medications often used to treat anxiety for just $5 with free delivery. Book a visit today to discuss if the following medication can be part of a treatment for anxiety.

Note that all prescriptions are at your provider's discretion.

Anxiety can throw a wrench in your everyday life. Below are common treatment options for anxiety disorders. Talk to your provider about the treatment plan that might be right for you.



What is anxiety?

Anxiety is a condition described as the excessive feeling of worry, unease, or dread. Anxiety can be treated by a primary care physician, therapist, psychologist, and psychiatrist. Having anxiety about a situation or an impending event without a clear-cut outcome is a normal part of life. You may feel anxious before a major deadline at work while studying for a looming test, or while facing a big decision at home. Though most people feel anxious at some point in their daily life, when it becomes intense, episodic, and unmanageable, it may be due to an underlying anxiety disorder.

Not all those who have anxiety disorders are triggered by the same thing. There are many types of anxiety disorders including generalized anxiety disorder, separation anxiety disorder, social anxiety disorder, and many types of phobias.

Are there different types of anxiety disorders?

Yes. The most common anxiety disorders include:

Generalized anxiety disorder (GAD): Generalized anxiety disorder is described as a chronic feeling of exaggerated worry or anxiety, though there may be no obvious source of what's causing it. These anxiety attacks are often episodic. People who have GAD may also have other anxiety disorders, as well as depression.

Obsessive-compulsive disorder (OCD): A person with OCD may have frequent manic thoughts (obsessive) and/or behavior (compulsive). Behaviors such as washing your hands many times, checking light switches, alarms, or the oven repeatedly, and/or the need to have something in a particular order to clear obsessive thoughts from the mind are some examples linked to OCD.

Post-traumatic stress disorder (PTSD): This type of anxiety is brought about by a traumatic event in which a person was or could have been harmed, such as a natural disaster, a car accident, military combat, or domestic violence. Symptoms of PTSD may include flashbacks, severe anxiety, or obsessive thoughts regarding the event(s).

Panic disorder: People suffering from a panic disorder may feel sudden bouts of intense fear, or panic attacks, that are often paired with physical symptoms including but not limited to a fast heart rate, heart palpitations, shortness of breath, sweating, or the general feeling of being out of control.

Selective mutism: This is a complex anxiety disorder that affects children. A child who has selective mutism may have the ability to speak in safe, relaxed situations but may find themselves unable to talk in social situations. Though many kids will grow out of this type of disorder, in some cases if left untreated other anxiety disorders may develop and persist.

Separation Anxiety Disorder: A childhood anxiety disorder in which a child has excessive anxiety from a parent or guardian leaving the child, even for a short amount of time.

Substance-induced anxiety disorder: A person with a substance-induced anxiety disorder may have intense anxiety from overuse, use, exposure, or withdrawal from a particular substance or toxin.

Anxiety disorder caused by a medical condition: This is caused by a physical health problem. Conditions such as heart disease, irritable bowel syndrome, diabetes, chronic pulmonary disease or COPD, thyroid issues such as hyperthyroidism, and chronic pain can be linked to anxiety. Many phobias also fall under the umbrella of anxiety. These include:

Agoraphobia: People with agoraphobia have a fear of being in situations in which they cannot, or may not be able to escape. Places like shopping malls, subways, and crowded or open areas may cause those with agoraphobia to feel overwhelmed and anxious. Some people with agoraphobia may even find it hard to leave their homes.

Social phobia, or social anxiety disorder: A person with social phobia may find themselves unable to be in social interactions. Anxiety and extreme self-consciousness are symptoms that are linked to this disorder. This anxiety can be triggered by acute circumstances like having to deliver a public presentation, for example. Social phobia can also be felt more chronically, applying to a wide range of social scenarios.

Specific phobia: This is a phobia that is caused by a trigger that often poses little or no threat. This irrational fear can be of a specific object, situation, or activity. This category is wide-ranging and covers a host of topics such as acrophobia (fear of heights), agoraphobia (fear of crowded spaces), claustrophobia (fear of small or enclosed spaces), and ailurophobia (fear of cats).

What are physical symptoms related to anxiety?

For some people, anxiety is manifested in physical symptoms. These can include:
- Chest pains
- Heart palpitations
- Sweating
- Nausea
- Trembling
- Chills
- Feeling weak
- Gastrointestinal problems
- Increased heart rate
- Hyperventilation

Some of these symptoms including chest pains, heart palpitations, nausea, and sweating may also be signs of a heart attack. If you think you may be having a heart attack, you should call 911 immediately.

Connect on Sesame with a real, quality doctor in Fargo, ND who can assess your condition, address your symptoms, and craft an anxiety treatment plan that's right for you. Sesame works directly with mental health care providers - not insurance companies - to get you the care you need for affordable, cash prices.

What causes anxiety?

Though the causes of anxiety aren’t yet fully understood, anxiety does have a host of triggers including social situations, trauma, life events, specific phobias, medicine, and medical conditions. There are a lot of risk factors that make a person more likely to have an anxiety disorder.

These include:

- Personality: Research has shown that some personality types may be more prone to bouts of anxiety.

- Mental health disorders: Some mental health disorders such as depression are often linked to anxiety.

- Traumatic experiences: Individuals who are exposed to traumatic events as children are at higher risk for developing anxiety as an adult.

- Stress: Stress from an illness, work deadlines, divorces, or deaths in the family can make one more likely to have anxiety.

- Genetics: Anxiety can be passed down through the family genes. If a person has a blood relative who suffers from an anxiety disorder there is a chance that person will also have an anxiety disorder at some point in their life.

- Drugs or Alcohol: The withdrawal, use, or misuse of a drug can put a person at a higher risk for anxiety.

Book an in-person or video visit with a doctor through Sesame at clear prices, without the hassle of insurance. Know your price. Know what to expect. Simple. Clear. Quality care.

What are the different treatment options for anxiety?

If you have symptoms of anxiety there are options that you may find useful. Treatment options include:

- Psychotherapy counseling: Also known as talk therapy, psychotherapy is a means of speaking to a therapist or counselor to help reduce symptoms linked to anxiety disorders.

- Cognitive-behavioral therapy (CBT): This is a form of psychotherapy known to be the best in helping with anxiety disorders.

- Support groups: It may help to speak with others who have the same anxiety disorder. Support groups offer those with anxiety a way to heal with others and fill the void. The Substance Abuse and Mental Health Services Administration recommends calling 1-800-622-HELP (4357) to help find local treatment centers and support groups in your area.

- Relaxation techniques: These techniques are useful when managing stress and other health problems such as pain and heart disease.

Anti-anxiety Medicines

Selective Serotonin Reuptake Inhibitors (SSRIs): When too much serotonin gets reabsorbed, it inhibits messaging between brain nerve cells or neurons. With the use of SSRIs, more serotonin is available for brain chemistry, which allows more messages to pass between brain nerve cells, thus helping your mood. There are some side effects to taking SSRIs, however. SSRIs often cause fewer side effects than tricyclic antidepressants and are useful in treating all types of anxiety disorders. It should be noted that those with obsessive-compulsive disorder (OCD) more often may need a higher dose of SSRIs.

- Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs): SNRIs have a dual-action: Like SSRIs, this type of medicine increases the serotonin in the brain, but unlike SSRIs, serotonin-norepinephrine reuptake inhibitors also increase norepinephrine. SNRIs have some common linked side effects including headache, upset stomach, gain in weight and/or blood pressure, as well as insomnia. SNRIs are just as effective as SSRIs, but not used for those with obsessive-compulsive disorder.

- Benzodiazepines (beta-blockers): Though this type of medication should not be used for Post Traumatic Stress Disorder, benzodiazepines are used for anxiety management for those that are resistant to other forms of treatment. Benzodiazepines are useful in boosting relaxation while reducing physical symptoms linked to anxiety, like muscle tension by lowering your fight-or-flight reflex. Because the body builds a tolerance to this type of medicine it is more often prescribed for short-term use.

- Tricyclic antidepressants: Tricyclic antidepressants are often prescribed when other treatments aren’t working. Unlike beta-blockers, this type of drug can be prescribed for long-term use. You should note, however, that there are serious side effects linked with this type of medicine. Dry mouth, constipation, blurred vision, and a drop in blood pressure when you stand are some of the side effects linked to tricyclic antidepressants.

- Buspirone hydrochloride: This type of drug is often tried in the early stages of treatment. It works with the neurotransmitters in the brain. It is recommended to avoid eating grapefruit if you’re using buspirone hydrochloride as it can make it more likely to suffer from side effects linked with this drug.

You may want to speak with a doctor about medical advice and treatment options if you have or think you have an anxiety disorder. can find you a high-quality doctor at a fraction of the price by connecting you right to the doctor with no hidden costs or surprise fees.

What is a mental health consult?

A video mental health consultation is an opportunity for you to speak with a mental health professional about any current difficulties you are experiencing - like depression, anxiety, or other mental illnesses. Your doctor will listen to your concerns, assess your condition, and craft a treatment plan that works for you.

Mental health care starts with reaching out for help. On Sesame, you can connect with mental health specialists in Fargo, ND to get the quality care you need for affordable, cash-pay prices.

What kind of doctors treat mental health conditions?

Psychiatrists, psychologists, therapists, and primary care physicians can all help get you the care you need. Psychiatrists are medical doctors who specialize in mental and emotional health. Psychiatrists are able to prescribe medication to treat mental health conditions. Psychologists, on the other hand, are professionals who offer a range of mental health services - particularly talk therapy. Suitable for young children and adults alike, psychologists use talk therapy and psychotherapy to get to the root of your mental health condition and enhance your wellness and well-being. Psychologists are not able to prescribe medications.

What kinds of conditions do mental health experts treat?

Doctors who specialize in psychiatry are trained to treat depression, anxiety, and a range of behavioral health and emotional concerns.

Psychologists can treat these disorders, as well as provide counseling services. If you're looking for couples therapy, sex therapy, or stress management therapy, a psychologist could be the doctor for you.

Connect with mental health professionals on Sesame who can assess your condition, manage your symptoms, and develop a treatment plan for you.

What is a therapist?

A therapist is a medical professional that uses psychotherapy (generally called talk therapy) to help relieve the emotional distress and mental health issues of their patients. Many trained professionals fall under the broad umbrella of "therapist" including psychiatrists, social workers, mental health clinicians, life coaches, and licensed counselors. Therapists can treat a wide range of mental health disorders that include anxiety, depression, eating disorders, and relationship problems. Therapists can also help you gain tools to better handle stress, or set and achieve major goals.

What is a therapist for?

Therapy is a great tool to help you track your emotions, reduce stress, work on goals like quitting smoking, guide you through major life decisions, hone skills like communication, or address problem areas in your life. Talk therapy has been widely received as an effective health care treatment for many different mental health conditions including:
- Substance abuse
- Eating disorders
- Self-esteem issues
- Relationship problems
- Behavior issues

Can I see a therapist online?

Yes! Telehealth marketplaces like Sesame make it easier than ever to book an online therapy session. Sesame offers a range of mental health care services, including online therapist appointments, that can meet with you over video conferencing platforms to discuss symptoms of mental illness, mental health concerns, treatment options, and more.

To book an appointment, search “Online Therapy” or “Video Therapy” using Sesame’s search bar. Browse the list of available providers, and book an appointment at your convenience. You’ll receive an email confirmation with a link to your video appointment.

Online therapy is a convenient, discreet, and affordable way to get the mental health care that you need from the comfort of your own home. Book an online therapy appointment today - no health insurance needed.

What should I expect from my first online therapy session?

Every provider on Sesame treats patients differently - while maintaining the same level of quality care. Generally speaking, the first sessions are often quite similar - regardless of whether you’re seeing a couples therapist, psychotherapist, or family therapist, you are likely to experience a similar. First sessions are often used as “get to know you” sessions where you may share the history of your relationship, i.e. how you began, where you see yourselves now, and what you would like to achieve with therapy. This is a great opportunity to work through priorities and decide whether or not this therapist a good fit for you. The preliminary couples therapy session may involve separate meetings with the therapist and/or joint sessions that include both parties. In the case of family therapy, you are likely to include some/all family members.

Many therapists use a method called emotionally focused therapy (EFT) which is a short-term therapy with the goal of aiding the bond between partners. This method is based on the attachment theory, which suggests that patterns of attachment are developed early in life and stay with you as an adult.

If you are seeking couples therapy, Sesame makes it easy to find the right counselor with direct-to-patient care. No more insurance companies making decisions for you. Sesame sets fair, clear prices for every service- no mystery billing, no membership fees, no insurance mark-ups. It’s perfect for couples therapy, family counseling, and one-on-one sessions. Book a visit today and save up to 60% on counseling services.

What types of therapists are there?

Therapists specialize in treating a wide range of conditions. Some of the most common therapy specializations include:

Psychotherapists: Psychotherapists help people deal with mental health issues such as depression, anxiety, stress, addiction, and insomnia.

Marriage and family therapists: Marriage and family therapists practice solution-based approaches to working through patterns of behavior within a family unit.

Social workers: Licensed clinical social workers (LCSW) work in many different settings including schools, hospitals, human service agencies, private practices, and mental health clinics to help you cope with everyday problems.

Licensed professional counselors (LPC): Licensed professional counselors hold a master’s degree in mental health services and provide treatment options for a wide variety of mental health issues within local communities including services for veterans, active-duty military personnel, and their families.

Licensed mental health counselors (LMHC): Also known as licensed professional counselors, LHMCs provide talk therapy to families, couples, and individuals.

Couples therapists: Couples therapists provide counsel to couples seeking to improve their relationship and gain the tools needed to recognize and resolve conflicts.

Marriage and family therapists: Licensed marriage and family therapists (LMFT) provide therapy to some or all members of a family unit to help with relationship issues. Family therapy is often short-term therapy with a finite amount of visits. Marriage counselors can also assist couples looking to end their relationship affably.

What is the difference between counseling and therapy?

Counseling psychology (or psychological counseling) is a form of mental health care provided as a general practice or as a specialty clinical health care service. Counseling helps patients deal with specific issues over a period of time. Examples of these types of instances include:

Grief counseling: A patient may see a counseling psychologist who specializes in grief to help cope with the loss of a loved one.

Career counseling: A patient may want to undergo career counseling to work through career goals, stress related to work, or depression about work.

Couples counseling: Couples may seek couples therapy with a licensed professional counselor to talk about issues related to marriage or the improvement of communication in a relationship.

There are a number of different types of counseling that can address individual needs and specific needs of a group. But most counseling sessions center around a specific issue or difficulty. Counseling may be a more short-term relationship, as opposed to long-term therapy.

Psychotherapy (or therapy) is often a long-term mental health care service that addresses the well-being of the individual. In some cases, therapy and counseling are interchangeable, but some counselors work through specific needs while therapists help a patient with how they interact and relate to the world. Therapists may help with depression, anxiety, and underlying patterns of action, where a counselor will work on issues related to the topics above. These sessions often take place on a more long-term basis.

What is psychiatry?

Psychiatry is a branch of medicine that focuses on emotional and mental health, as well as behavioral disorders. Psychiatrists treat mental health conditions like anxiety, phobias, obsessive-compulsive disorder (OCD), eating disorders, addiction and substance abuse, depression, autism spectrum disorder, attention-deficit/hyperactivity disorder (ADHD), and bipolar disorders.

Psychiatrists are mental health professionals trained to diagnose and treat these disorders. They use tools like psychotherapy (talk therapy) to help relieve patients' emotional distress and address their mental health concerns. Psychiatrists can also help create treatment plans to help you handle stress or reach major milestones. When necessary, your psychiatrist may prescribe medication. All prescriptions are at the sole discretion of your doctor.

Connect with a real, quality psychiatrist on Sesame who can assess your condition, manage your symptoms, and craft a treatment plan that works for you - all for one affordable, upfront price.

What are common psychiatry subspecialties?

While all psychiatrists can provide medical advice and care, there are a number of psychiatry subfields that address particular conditions, areas, or age groups. These include:

Psychotherapy: During these sessions, also known as talk therapy, you speak with a psychotherapist or counselor to help reduce symptoms from depression, anxiety, or other mental health conditions.

Child and adolescent psychiatry: This is a specialized form of psychiatry that focuses on disorders related to childhood development.

Geriatric psychiatry: The study of mental, emotional, and behavioral health as it relates to older adults.

Forensic (legal) psychiatry: The assessment and treatment of mental disorders as they relate to the law.

Addiction psychiatry: A form of psychiatry that focuses on the diagnosis, treatment, and prevention of disorders related to addiction.

Psychopharmacology: The study of treating mental health disorders with the use of medication.

What conditions are best treated by a psychiatrist?

With deep expertise in mental health, psychiatrists are able to effectively treat a range of conditions. You may consider consulting a psychiatrist if you are experiencing:
- Anxiety
- Long and lasting depression
- Delusions or hallucinations
- Uncontrollable substance abuse and addiction
- Personality disorders such as paranoia, schizophrenia, bipolar disorder, narcissism, and OCD
- Severe learning disabilities: When learning disabilities affect a wide range of academic subjects, you may require intense and specialized training and/or medication to overcome these difficulties

If you are experiencing suicidal thoughts, call the National Suicide Prevention Hotline at 800-273-8255 or dial 911.

Can I see a psychiatrist online?

Yes! Telehealth platforms like Sesame now make it easier than ever to see mental health care providers for psychiatry consults and therapy sessions. Mental health professionals on Sesame offer a wide range of psychiatry services such as:
- Talk therapy
- Psychiatric evaluations
- Behavioral health consultations
- Couples therapy

In addition, licensed mental health care providers on Sesame can address and treat mental health conditions such as:
- Anxiety disorder
- Depression
- Post-traumatic stress disorder (PTSD)
- Bipolar disorder
- Obsessive/ Compulsive Disorder (OCD)
- Adult attention-deficit/hyperactivity disorder (ADHD)
- Schizophrenia

This is not a complete list of psychiatric services offered by providers on Sesame. Use our search bar to look for the specific type of psychiatric care or treatment and book an appointment at your convenience. Most care providers will request an initial consultation to discuss your symptoms or concerns. After a consult, providers on Sesame can refer you to a specialist, or schedule follow-up appointments for further care.

How do I prepare for a video psychiatry consult?

Because online psychiatrist appointments on Sesame use a video conferencing platform (like Zoom or Facetime), it is recommended that you have a stable internet connection and a private space to conduct the appointment. Even though it is taking place on a video call, you will be meeting with a mental health care provider in real-time. For your privacy, a quiet and secluded space in your home is the best place to have this video consultation.

It is generally recommended for all psychiatry consultations to jot down a few questions or concerns you may have prior to your appointment. Mental health care providers on Sesame are certified psychiatrists and therapists with the extensive experience needed to help walk you through the consultation, but it is still encouraged to come up with some questions or thoughts of your own to get the most out of your appointment.

If any other preparation is needed, your provider will reach out to discuss these specifics with you.

Can my provider prescribe medication?

Yes, physicians on Sesame can prescribe a wide range of medications, which can be useful for infections, allergies, and other acute ailments. Please note that they will not prescribe certain drugs, such as narcotics or medications that have been designated controlled substances through telehealth.

Otherwise, many of the prescriptions available in an office setting or urgent care can be prescribed if your clinician deems it appropriate.

Can you get a prescription online?

Sesame makes it easier than ever to get a prescription or refill a prescription from the comfort of your own home! To discuss a new prescription or refill, book a video visit with a doctor on Sesame. Physicians on Sesame can prescribe drugs that help treat infections, allergies, high blood pressure, and more.

Note that doctors on Sesame cannot prescribe controlled substances.

Plus, because Sesame works to set prices directly with doctors, you can find visits with doctors at rates up to 60% less than what you’ll find through insurance networks.

Book a video visit on based on the health care you need, and pick up a new prescription or existing prescription refill at a pharmacy of your choice. If you don’t want to go pick up a prescription in-person, many pharmacies offer a prescription mail service for home delivery. Your medication will be shipped directly to you. Browse services on Sesame, set up an appointment with a real doctor at your convenience, and get the care you need. It’s simple, convenient, and affordable. Book a visit today!

Can I get a prescription through Sesame?

Yep! If your visit results in a prescription, you have two convenient options for medication:1) you can get the lowest price prescription mailed right to your door with free and fast delivery through SesameRx; or 2) you can have your doctor send your medication to a convenient pharmacy of your choice, often with same-day pick-up.

If you're interested in saving money on your medication with SesameRx, ask your doctor about "Sesame's $5 medication" during your appointment.

Can I get a prescription refilled?

Yes, you can book a video or in-person prescription refill appointment in which a provider will review current medications and prescribe a refill if necessary. Search appointments here.
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