January 19, 2026

Anxiety: Understanding, Managing, and Treating Anxiety

Comprehensive guide to anxiety—symptoms, causes, and effective treatments including therapy and medication.

Created By:
Ryan Sultan, MD
Ryan Sultan, MD
Dr. Ryan Sultan is an internationally recognized Columbia, Cornell, and Emory trained and double Board-Certified Psychiatrist. He treats patients of all ages and specializes in Anxiety, Ketamine, Depression, ADHD.
Created Date:
January 19, 2026
Reviewed By:
Ryan Sultan, MD
Ryan Sultan, MD
Dr. Ryan Sultan is an internationally recognized Columbia, Cornell, and Emory trained and double Board-Certified Psychiatrist. He treats patients of all ages and specializes in Anxiety, Ketamine, Depression, ADHD.
Reviewed By:
Ryan Sultan, MD
Ryan Sultan, MD
Dr. Ryan Sultan is an internationally recognized Columbia, Cornell, and Emory trained and double Board-Certified Psychiatrist. He treats patients of all ages and specializes in Anxiety, Ketamine, Depression, ADHD.
Reviewed On Date:
January 19, 2026
Estimated Read Time
3
minutes.

Key Takeaways

  • Anxiety is common and treatable with psychotherapy, medication, and lifestyle changes.
  • Anxiety often co-occurs with depression, ADHD, OCD, PTSD, bipolar disorder, and eating disorders.

Table of Contents

  1. What Is Anxiety?
  2. Types of Anxiety Disorders
  3. Symptoms and How Anxiety Feels
  4. Causes and Risk Factors
  5. Anxiety and Co-occurring Conditions
  6. How Anxiety Is Diagnosed
  7. Treatment Approaches
  8. Practical Self-Help and Prevention
  9. When to Seek Professional Help
  10. About Integrative Psych

What Is Anxiety?

Anxiety is a normal human emotion characterized by worry, nervousness, or unease about an anticipated event or uncertain outcome. When anxiety becomes persistent, disproportionate, or interferes with daily functioning it may meet criteria for an anxiety disorder. Anxiety disorders are among the most common mental health conditions and are highly treatable with evidence-based care.

Types of Anxiety Disorders

Anxiety presents in several diagnostic forms, each with distinct features. Common types include generalized anxiety disorder (GAD), panic disorder, social anxiety disorder, specific phobias, and separation anxiety. Understanding the subtype guides treatment planning and prognosis.

Common categories

  • Generalized anxiety disorder: pervasive, excessive worry across multiple areas.
  • Panic disorder: recurrent panic attacks with fear of future attacks.
  • Social anxiety disorder: intense fear of social situations or judgment.
  • Specific phobias: extreme fear of a particular object or situation.

Symptoms and How Anxiety Feels

Anxiety symptoms vary but often include both psychological and physical signs. Cognitive symptoms can include racing thoughts, catastrophic thinking, and difficulty concentrating. Physical symptoms commonly include heart palpitations, shortness of breath, muscle tension, gastrointestinal upset, and sleep disturbance.

Typical symptoms

  • Excessive worry or fear
  • Restlessness or feeling on edge
  • Fatigue despite rest
  • Difficulty concentrating or mind going blank
  • Irritability and sleep problems
  • Panic attacks with intense physical symptoms

Causes and Risk Factors

Anxiety results from an interplay of genetic, neurobiological, psychological, and environmental factors. Family history increases risk, as do temperament traits like behavioral inhibition. Life stressors such as trauma, medical illness, or chronic stress can precipitate or worsen symptoms.

Contributing factors

  1. Biology: genetics, neurotransmitter differences, and medical conditions.
  2. Psychology: cognitive patterns like intolerance of uncertainty and avoidance.
  3. Environment: trauma, chronic stress, substance use, and sleep disruption.

Anxiety and Co-occurring Conditions

Anxiety commonly co-occurs with several other mental health conditions. Comorbidity can complicate presentation and requires integrated treatment. Clinicians routinely screen for overlapping diagnoses to create effective care plans.

Frequently co-occurring conditions

  • Depression — mood symptoms often travel with anxiety; see depression services.
  • Attention-deficit/hyperactivity disorder (ADHD) — overlapping distractibility and restlessness; see ADHD care.
  • Obsessive-compulsive disorder (OCD) — intrusive thoughts and compulsions; see OCD treatment.
  • Post-traumatic stress disorder (PTSD) — trauma-related anxiety; see PTSD services.
  • Bipolar disorder — mood instability that can include anxious episodes; see bipolar disorder care.
  • Eating disorders — anxiety often underlies disordered eating; see eating disorder treatment.

How Anxiety Is Diagnosed

Diagnosis begins with a detailed clinical interview that explores symptoms, duration, severity, and functional impact. Clinicians assess for medical causes and screen for co-occurring conditions. Standardized questionnaires can help track symptom severity over time.

Assessment components

  • Clinical interview and mental status exam
  • Self-report measures and rating scales
  • Medical evaluation to rule out physiological contributors
  • Collateral information when appropriate (family, school, work)

Treatment Approaches

Evidence-based treatments for anxiety include psychotherapy, medication, and integrative strategies. Treatment is personalized based on symptom severity, co-occurring conditions, patient preference, and life context.

Psychotherapy

Cognitive-behavioral therapy (CBT) is the most extensively studied psychotherapy for anxiety and includes cognitive restructuring and behavioral techniques like exposure. Other helpful modalities include acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT) skills for emotion regulation, and mindfulness-based approaches. Integrative Psych offers specialized psychotherapy services tailored to anxiety symptoms.

Medication Management

When appropriate, medications such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and occasionally anxiolytics can reduce symptoms and improve functioning. Combining medication with psychotherapy often produces the best outcomes. Our clinic provides comprehensive medication management in coordination with psychotherapy.

Special considerations for co-occurring disorders

Treatment is most effective when clinicians address comorbid conditions concurrently—for example integrating strategies for anxiety and depression or adapting interventions for patients with ADHD, OCD, PTSD, bipolar disorder, or eating disorders. Learn more about our specialty care for OCD, PTSD, and eating disorders.

Complementary and lifestyle approaches

Behavioral strategies support formal treatment: regular sleep, exercise, reduced substance use, balanced nutrition, and mindfulness practice can all reduce baseline anxiety. Techniques such as paced breathing, progressive muscle relaxation, and grounding skills are practical tools to manage acute symptoms.

Practical Self-Help and Prevention

Self-help strategies can reduce the frequency and intensity of anxiety when used consistently. Building skills for tolerance of uncertainty, scheduling worry time, and gradually facing feared situations through exposure work are effective. Digital tools and apps can support skill practice between sessions.

Daily habits that help

  • Consistent sleep schedule and sleep hygiene
  • Regular physical activity, even short walks
  • Limiting stimulants like caffeine
  • Mindfulness or brief daily meditation
  • Structured problem-solving and social support

When to Seek Professional Help

Contact a mental health professional when anxiety causes significant distress, interferes with work or relationships, or leads to avoidance of important activities. Immediate help is warranted if anxiety includes suicidal thoughts or severe panic that impairs functioning. You can learn about our team and philosophy on the About page, or contact us to schedule an evaluation.

Conclusion

Anxiety is common and treatable. With accurate assessment, evidence-based therapies, thoughtful medication management when indicated, and practical self-care, most people can significantly reduce symptoms and reclaim their daily lives. Recovery is an individualized process that benefits from compassion, consistent skill-building, and a collaborative treatment team.

About Integrative Psych

Integrative Psych provides evidence-based, compassionate care for anxiety and related conditions across Chelsea, New York City and Miami. Our multidisciplinary team offers psychotherapy, medication management, and specialized programs for depression, depression, ADHD, anxiety, OCD, eating disorders, PTSD, and bipolar disorder. To learn more about our services or to schedule an appointment, please visit psychotherapy, medication management, or contact us. We strive to create a non-judgmental, collaborative environment to support your recovery in Chelsea, NYC and Miami.

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