Anxiety & PTSD • Southlake
Adult anxiety, panic, and PTSD care in Southlake — careful diagnostic clarification and medication management when appropriate, in person at our Miron Drive office or by secure Texas telehealth.
Anxiety in adult Southlake patients rarely arrives as a single neat episode. More often it has been building for months — racing thoughts at 2 AM, a tight chest before Monday meetings, a level of background dread that a high-functioning person attributes to being busy, being responsible, or just being a parent. By the time someone calls us, the workarounds have started to fail — sleep is broken, a glass of wine has become two, panic has appeared at a school pickup or in the car on Highway 114.
We also see a lot of trauma-related anxiety in this practice — symptoms that trace back to a single event or to years of cumulative exposure (medical, military, occupational, relational). A careful evaluation accounts for that history rather than treating the surface symptoms in isolation.
A careful initial evaluation runs 60 to 75 minutes. Inside that visit the provider works through current symptoms, severity, duration, prior episodes, family history, sleep, substance use, recent labs, and safety. The differential matters: generalized anxiety disorder, panic disorder, social anxiety disorder, specific phobias, post-traumatic stress disorder, and anxiety symptoms tied to thyroid disease, sleep apnea, or alcohol or caffeine use can all look superficially similar and require different treatment.
PTSD in particular often surfaces during an evaluation for what someone thought was 'just' anxiety — sleep disruption, hypervigilance, avoidance, and intrusive memories that have been quietly shaping daily life for years. Naming what is actually going on changes the plan.
If medication is part of the plan, options are discussed openly — including doing nothing, starting an SSRI or SNRI, considering a short course of a different agent, or treating an underlying problem like sleep apnea or thyroid dysfunction first. Reasonable alternatives are always part of the conversation. Treatment recommendations are made only after clinical evaluation, and no specific medication is guaranteed. Controlled substances such as benzodiazepines are not automatic and are never prescribed without a careful evaluation; we will tell you up front when a benzodiazepine is and is not appropriate.
Once you are stable, follow-ups are typically every 1 to 3 months. We do not provide standalone ongoing therapy and will be straightforward about referring you to a Southlake-area therapist trained in CBT, exposure work, or trauma-focused therapy when that is what would actually help.
Our office is at 305 Miron Drive, Southlake, TX 76092 — just off State Highway 114, a short drive from Town Square. Parking is free and the building is wheelchair-accessible. Office hours are Monday through Friday, 8 AM to 7 PM, by appointment only. Visits can be in person or by secure video; telehealth requires that you be physically located in Texas at the time of each visit.
If you are experiencing thoughts of harming yourself or are unable to keep yourself safe, call 911 or go to the nearest emergency room. The 988 Suicide & Crisis Lifeline is available 24/7 by call or text. Telehealth is the right tool for scheduled outpatient psychiatric care, not for emergencies.