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Family medicine
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Family medicine
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"Very knowledgeable very much to the point with all the information given to him of my medical history he knew exactly the dosage and medication to prescribe. I would highly recommend dr kohl to anyone"
4.6
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Internal medicine
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"She listened and answered all of my questions. She was very helpful to me."
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"He quickly understood the issue and helped with medications"
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Dermatology
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"Professional, efficient, factual, reassuring. Excellent way to do a quick & productive consultation. I was able to share high resolution photos with the doctor and that was all really necessary to do the initial assessment."
Counseling & therapy
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    Family medicine
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    "The doctor took my concerns and requests seriously. I felt like he really listened to my needs while I had Covid."
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                About Anxiety

                Back to the top

                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.

                Common Symptoms of Anxiety

                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.

                People with anxiety disorders experience these feelings of worry and fear intensely and persistently. The symptoms 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.

                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

                Causes of 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.

                Types of Anxiety Disorders

                Anxiety is a broad term used to describe several different types of conditions. The various forms of anxiety 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).

                If you are looking for more information about anxiety, check out the NIMH’s page on Anxiety Disorders: https://www.nimh.nih.gov/health/topics/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.

                Sesame FAQs

                Frequently asked questions about anxiety treatment on Sesame

                Can anxiety be treated online?

                Sesame offers convenient and affordable online mental health visits with licensed health providers across the country. If you are experiencing the signs and symptoms of anxiety, book a visit right away for a diagnosis and treatment plan.

                Online doctor visits can be conducted in the comfort and privacy of your own home. During your visit, you will be asked about your symptoms and mental health history

                If your doctor determines that you are experiencing some form of anxiety disorder, they will discuss a treatment plan with you. This may include recurring video psychiatry consults and/or medication. If appropriate, your doctor can prescribe medication through Sesame. Depending on the medication, you can have your prescription delivered to your home or ready for same-day pickup at a pharmacy of your choice. Book a visit today to get started on treatment right away.

                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 mental health 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 I get a prescription for anxiety medication on Sesame?

                Yes! Sesame makes it easier than ever to get a new prescription or refill a prescription from the comfort of your own home! To discuss a new online prescription or refill, book a video visit with a doctor or nurse on Sesame to discuss a new online prescription or refill. Clinicians on Sesame can prescribe drugs that help treat mental health conditions--like anxiety.

                Note that providers on Sesame cannot prescribe controlled substances.

                Book a video visit on Sesamecare.com based on the health care you need, and pick up a new prescription or existing prescription refill at a pharmacy of your choice. You can also use Sesame Rx, Sesame’s prescription service, to have your medication mailed to your door for free. If you don’t want to go pick up a prescription in-person or utilize SesameRx, many pharmacies offer a prescription mail service for home delivery so that your medication can 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.

                How can I get a prescription fast?

                Booking an appointment with a doctor or nurse online is typically the fastest way to get a prescription! Sesame offers same-day online doctor prescription and prescription refill appointments with board-certified healthcare professionals. If deemed clinically necessary, Sesame providers can provide prescriptions and prescription refills for most non-controlled substances. They can also provide you with a doctor’s note if necessary.

                Most online prescription and prescription refill appointments take around 15 minutes, and providers are able to send a prescription to a pharmacy of your choice right after your appointment.

                How much does an online doctor prescription refill visit cost on Sesame?

                Sesame offers video prescription refill services at affordable prices starting at just $19. If a new prescription is determined necessary by a provider, clinicians on Sesame can prescribe medication that helps treat blood pressure, infection, allergies, cholesterol problems, thyroid conditions, and more!

                Here’s how it works:

                • Search Sesamecare.com to find the doctor or provider you want to see for the health care service you need.

                • Compare our affordable cash-pay prices. Sesame works with doctors and nurses directly- not insurance companies. That means you can pay up to 60% less than what you’ll find through your insurance network, without the worry of surprise bills and hidden fees.

                • Book at your convenience and pay upfront. Pay the one-time price listed on the site and set up a visit with a real, quality doctor or nurse practitioner on your schedule. It’s that simple.

                Sesame offers online doctor prescription refills for a wide range of conditions and ailments. Book a visit (in-person or via video) to get the care you need at one clear, affordable price. No insurance needed.

                Can you get a prescription refill at a different pharmacy?

                Yep! If you request a prescription transfer, you can easily move your prescription from one pharmacy to another. Plus, many pharmacies now offer mail services for home delivery. Here's how to request a prescription refill at a different pharmacy:

                1) Call your new preferred pharmacy to request a transfer.

                2) Provide that pharmacy with health insurance/ prescription info

                3) Wait for the prescription to be transferred before you pick it up. It usually takes pharmacies a few days to transfer a prescription, but you will get a notification once this step has been completed. Either go pick up your prescription in person or set up home delivery.

                If you need a prescription refill, book a visit with a real, quality doctor on Sesame today. Doctors on Sesame can refill prescriptions for high blood pressure, birth control, allergies, and more! Save up to 60% on your prescription refill visit when you book with Sesame.

                Does Sesame offer discounts on prescriptions?

                Yes! The SesameRx program offers access to hundreds of FDA-approved generic medications starting at just $5 for a 30-day supply - plus free delivery! Just have your Sesame provider check whether or not your prescription is available through the SesameRx program during your appointment. If your Sesame appointment results in a prescription, we’ll send you an email and text right afterward to complete your purchase.

                You can also save up to 80% on prescription medications with the Sesame Prescription Savings Card, which can be used at 35,000+ locations across the country, including major chains like CVS, Walmart, Walgreens, Albertsons, Kroger, H-E-B, Hy-Vee and Wegmans. All you have to do is show the card to your pharmacist when picking up your prescription to confirm whether it can be used at your pharmacy. The best part? Your Sesame savings card works for everybody - friends, family, and co-workers - even if they've never used Sesame before.

                What is SesameRx, and how does it work?

                SesameRx is a prescription service that makes it easier and more affordable than ever to get prescription medication sent right to your door. We offer hundreds of FDA-approved generic medications starting at just $5 for a 30-day supply - delivered right to your door for free.

                1. Book and complete an appointment with a doctor, specialist, or provider who can write prescriptions through Sesame. Look for the "$5 med" tag on the provider card.
                2. If your appointment results in a prescription, we'll send you an email and text after to complete your purchase.
                3. We'll send your medication right to your door within 4 business days of shipping - with free delivery.

                Sesame is not a pharmacy. As part of its prescription services, Sesame facilitates the delivery of prescription medication by its partner, Truepill pharmacy. Please refer to the Sesame terms of service for further information.

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