Anxiety & Panic Disorders
Thoughtful, Physician-Led Care for Anxiety
Anxiety and panic disorders can affect how you think, feel, and function in everyday life. At Hearthstone Psychiatry & Wellness, we provide evidence-based, physician-led psychiatric care for adults experiencing anxiety-related conditions. Our approach is grounded in clinical science while remaining attentive to the emotional and physical experiences that shape each individual’s symptoms.
We work with patients in Johnson City, Tennessee, and surrounding communities to support steadiness, clarity, and long-term well-being.
Understanding Anxiety Disorders
Anxiety disorders extend beyond everyday stress or situational worry. When anxiety becomes persistent, excessive, or disruptive, it may interfere with daily functioning, relationships, and overall health. Anxiety-related conditions we commonly treat include:
Generalized Anxiety Disorder (GAD)
Obsessive-Compulsive Disorder (OCD)
Social Anxiety Disorder
Anxiety related to trauma, medical conditions, or life transitions
Understanding Panic Disorder
Panic disorder is a specific type of anxiety disorder characterized by recurrent, unexpected panic attacks. These episodes often involve intense fear or discomfort that can arise suddenly and may feel overwhelming. Panic attacks may include physical and emotional symptoms such as:
Rapid heartbeat or chest discomfort
Dizziness, lightheadedness, sweating or trembling
Shortness of breath or a sense of suffocation
Fear of losing control or impending harm
How Anxiety and Panic Disorders Are Related
Anxiety and panic disorders are closely connected and often overlap. Many individuals experience both ongoing anxiety and episodic panic symptoms. Understanding how these conditions interact is an important part of accurate diagnosis and effective treatment.
At Hearthstone, we take a comprehensive approach to distinguish symptom patterns while addressing the broader context of each patient’s mental and physical health.
Our Approach to Anxiety & Panic Treatment
Care at Hearthstone begins with a thorough psychiatric evaluation conducted by a board-certified physician. We take time to understand symptoms, medical history, stressors, and personal goals before developing a treatment plan. Treatment may include:
Thoughtful, evidence-based medication management when appropriate
Ongoing monitoring and thoughtful adjustments to optimize effectiveness
Nutrition, supplements, and hormone-informed care when clinically indicated
Functional lab testing to identify and explore contributing factors
Mind-body strategies including mindfulness, breathwork, and stress reduction
Supportive therapy and counseling when it is beneficial to overall care

A Supportive, Grounded Environment
We recognize that anxiety and panic symptoms can affect many aspects of life, including sleep, concentration, relationships, and physical health. Our goal is to provide care that feels steady, respectful, and unhurried, supporting meaningful improvement over time rather than quick fixes.
Frequently Asked Questions
What is the difference between anxiety and panic disorder?
Anxiety disorders typically involve ongoing worry or tension, while panic disorder involves sudden, intense episodes of fear known as panic attacks. The two conditions can occur together and are treated using similar evidence-based approaches.
Are panic attacks dangerous?
Panic attacks are not physically dangerous, but they can feel very intense and frightening. Proper evaluation and treatment can significantly reduce their frequency and impact.
Will I need long-term medication for anxiety or panic disorder?
Not everyone requires long-term medication. Treatment recommendations depend on symptom severity, response to care, and individual preferences. Medication plans are regularly reviewed and adjusted as needed.

