Anxiety

Anxiety is one of the most common reasons women seek psychiatric care and one of the most frequently undertreated. When anxiety is evaluated without considering hormonal influences, thyroid function, or the full context of a woman's health history, treatment often falls short. At Colorado Direct Psychiatric Care, anxiety is assessed and treated as part of your whole biology.

Women experience anxiety differently than the textbook description often suggests. It may show up as:

• Constant worry that feels impossible to turn off
• Physical symptoms like racing heart, chest tightness, or shortness of breath
• Panic attacks that seem to come out of nowhere
• Irritability, restlessness, or difficulty concentrating
• Anxiety that worsens at specific points in your cycle
• Sleep disruption driven by an overactive mind

If your anxiety seems to fluctuate with your hormones, that pattern is clinically significant and deserves a thorough evaluation.

Estrogen, progesterone, and thyroid hormones all directly influence the brain systems that regulate anxiety and stress response. Many women notice their anxiety peaks premenstrually, during perimenopause, or after significant hormonal shifts like postpartum or going off hormonal birth control. These patterns are not coincidental.

At Colorado Direct Psychiatric Care, your hormonal history is a core part of the psychiatric evaluation — not an afterthought. Treatment is tailored to your full picture, not a checklist of symptoms.

Care begins with a comprehensive 90-minute evaluation covering your anxiety history, physical health, hormonal patterns, sleep, and prior treatment response. From there, treatment may include:

• Psychiatric medication management
• Hormone evaluation and management when clinically appropriate
• Ongoing monitoring as your symptoms and hormones shift over time

All care is delivered via telehealth, making it accessible from anywhere in Colorado.

New patients begin with a 90-minute Initial Consultation — $350. Accepting new patients across Colorado.