WHOLESOME CLINIC
Integrative Psychiatry & Wellness
Whole Mind. Whole Body. Wholesome.
In-person care in Frisco, TX • Telehealth in TX, CO, NM, OK, LA , OR & AR
Anxiety Medications

Anxiety Medications: Types, Benefits & What to Expect

Wholesome Clinic provides comprehensive anxiety medication evaluations and ongoing psychiatric medication management for children, teens, and adults in Frisco, Texas, with telehealth appointments available in TX, CO, NM, OK, LA & OR.

Every treatment plan begins with a comprehensive psychiatric evaluation. We review your symptoms, medical history, current medications, previous treatment experience, and personal goals to determine the safest and most appropriate treatment approach.

In-Person in Frisco, TX
Telehealth: TX, CO, NM, OK, LA & OR
Evidence-Based Medication Management

Common Reasons to Seek Care

  • Constant worry or racing thoughts
  • Panic attacks or sudden, intense fear
  • Social anxiety or chronic avoidance
  • Sleep disruption and nighttime anxiety
  • Physical tension, chest tightness, or nausea
  • Medication adjustments and ongoing follow-up
Understanding anxiety Disorder

What Is an Anxiety Disorder?

Everyone feels anxious sometimes—but an anxiety disorder is different. It involves persistent worry, fear, or panic that is difficult to control, lasts for weeks or months, and begins to interfere with work, school, sleep, or relationships. Anxiety can also cause physical symptoms such as a racing heart, shortness of breath, stomach problems, dizziness, or muscle tension. Learn more about anxiety and how it affects both your mind and body.

anxiety medications
Common symptoms of an anxiety disorder include:
  • Persistent worry that is difficult to control
  • Symptoms lasting for weeks or months
  • Interference with work, school, sleep, or relationships
  • Physical symptoms such as a racing heart, dizziness, nausea, or shortness of breath

Generalized Anxiety

Ongoing worry about many areas of life, often paired with restlessness, muscle tension, difficulty sleeping, irritability, or trouble concentrating. Read about our clinical anxiety treatment.

Panic Symptoms

Sudden episodes of intense fear with physical symptoms such as a racing heart, shortness of breath, chest tightness, dizziness, sweating, or fear of losing control. Review options for panic attack treatment.

Social Anxiety

Fear of social situations, performance situations, embarrassment, or being judged. This can lead to avoidance and make school, work, or relationships harder. See how our specialized social anxiety disorder treatment works.

Anxiety is common and treatable. The National Institute of Mental Health estimates that about 31.1% of U.S. adults experience an anxiety disorder at some point in their lives.
Treatment approach

How Are Anxiety Disorders Treated?

Treatment for anxiety usually involves medication, therapy, or a combination of both. Research shows that combining medication with cognitive behavioral therapy (CBT) often provides the greatest improvement for many people with generalized anxiety disorder and panic disorder. Every treatment plan is individualized based on your symptoms, medical history, lifestyle, treatment preferences, and overall clinical picture.

Medication Management

Medication can help reduce excessive worry, panic symptoms, irritability, sleep disruption, and physical symptoms of anxiety. Your provider will discuss the potential benefits, risks, and expected timeline for improvement before recommending a medication.

Cognitive Behavioral Therapy (CBT)

CBT is one of the most effective treatments for anxiety disorders. It helps identify unhelpful thought patterns, develop healthier coping strategies, and gradually reduce avoidance behaviors. We can discuss therapy referrals when ongoing counseling is recommended.

Personalized Care

Anxiety can occur alongside depression, ADHD, insomnia, trauma, thyroid disorders, medication side effects, or other medical conditions. A comprehensive psychiatric evaluation helps determine the most appropriate treatment plan for your individual needs.

Anxiety medication options

Types of Anxiety Medications

There are several types of medications used to treat anxiety. The right option depends on your symptoms, diagnosis, medical history, current medications, side effect concerns, and treatment goals.

1. SSRIs — First-Line Treatment

Selective serotonin reuptake inhibitors, or SSRIs, are commonly prescribed for anxiety disorders. They work by increasing serotonin, a brain chemical that helps regulate mood.

  • Escitalopram (Lexapro)
  • Sertraline (Zoloft)
  • Paroxetine (Paxil)
  • Fluoxetine (Prozac)

What to expect: SSRIs usually take 2 to 4 weeks to start working, and it can take up to 3 months to feel the full benefit. Side effects such as nausea, headache, sleep changes, or temporary jitteriness are most common in the first few weeks and often improve over time.

2. SNRIs — Also First-Line

Serotonin-norepinephrine reuptake inhibitors, or SNRIs, work on two brain chemicals: serotonin and norepinephrine. They may be helpful for anxiety, depression, pain symptoms, or overlapping mood concerns.

  • Venlafaxine extended-release (Effexor XR)
  • Duloxetine (Cymbalta)

What to expect: Like SSRIs, SNRIs may take several weeks to work. Side effects may include nausea, dizziness, dry mouth, sleep changes, or blood pressure changes. Your provider will review whether this class fits your clinical history.

3. Buspirone — A Non-Addictive Option

Buspirone is an anti-anxiety medication that works differently from SSRIs and SNRIs. It does not carry a risk of dependence or addiction, which makes it a good option for some patients.

What to expect: Buspirone is mainly used for generalized anxiety disorder. It usually takes 2 to 4 weeks to become effective and is not used as a rescue medication for panic attacks. Side effects may include dizziness, drowsiness, or nausea.

4. Benzodiazepines — Not Prescribed for Ongoing Anxiety Care

Benzodiazepines can work quickly, but they carry important safety concerns, including sedation, dependence, withdrawal, misuse risk, and dangerous interactions with alcohol, opioids, or other sedating medications.

  • Alprazolam (Xanax)
  • Lorazepam (Ativan)
  • Clonazepam (Klonopin)
  • Diazepam (Valium)
At Wholesome Clinic, we emphasize individualized, evidence-based treatment for anxiety using psychotherapy recommendations, behavioral strategies, and non-controlled medication options. Benzodiazepines are not routinely prescribed, and referrals are provided when appropriate.

5. Hydroxyzine or Propranolol

In some cases, other non-controlled medications may be considered based on your symptoms and health history.

  • Hydroxyzine — an antihistamine that may help with short-term anxiety symptoms in some patients.
  • Propranolol — a beta-blocker sometimes used for physical symptoms of performance anxiety, such as shaking or rapid heartbeat.

These medications are not the right fit for everyone. Your provider will review your medical history, symptoms, and safety considerations before making recommendations.

6. Other Medication Strategies

Some patients may benefit from other medication strategies depending on symptoms, diagnosis, prior medication response, and co-occurring conditions such as depression, ADHD, insomnia, PTSD, or bipolar disorder.

The goal is not just to prescribe medication, but to build a safe treatment plan that fits your life, your symptoms, and your clinical needs.

What to expect

What to Expect When Starting Anxiety Medication

Starting anxiety medication is an important step, and it's normal to have questions about when it will begin working, possible side effects, and what to expect during treatment. While everyone's response is different, understanding the typical timeline can help you feel more prepared and confident as you begin your care.

Weeks 1–2: Getting Started

You may notice side effects before improvement. Nausea, headache, sleep changes, or mild jitteriness can occur early and often improve with time.

Weeks 2–6: Early Improvement

Some patients begin noticing less worry, improved sleep, fewer physical symptoms, or better ability to function. Your response is monitored closely.

Weeks 6–12: Continued Progress

Dose adjustments or medication changes may be considered if symptoms are not improving, side effects are difficult, or another diagnosis needs attention.

Do not stop anxiety medication without first talking to your provider. Some medications need to be tapered gradually to reduce the risk of withdrawal symptoms or symptom recurrence.


Looking for a broader overview of anxiety care?
Learn about diagnosis, therapy, lifestyle strategies, and comprehensive treatment options on our Anxiety Treatment page.

Meet Your Provider

Stephanie Ukoha, DNP, APRN, FNP-BC, PMHNP-BC

Your evaluation and treatment plan are developed by an experienced psychiatric provider using current clinical guidelines and individualized assessment.

Anxiety Medications - Stephanie Ukoha, DNP, APRN, FNP-BC, PMHNP-BC - Wholesome Clinic

Stephanie Ukoha, DNP, APRN, FNP-BC, PMHNP-BC

Stephanie Ukoha, DNP, provides comprehensive psychiatric evaluations and medication management for patients with anxiety, panic symptoms, depression, ADHD, insomnia, and related mental health concerns. As a dual board-certified Family and Psychiatric Mental Health Nurse Practitioner, she reviews each patient's symptoms, medical history, medication profile, prior treatment experience, and overall goals to develop a personalized treatment plan. Her approach emphasizes safety, evidence-based care, compassionate listening, and ongoing follow-up.

Fees and insurance

Fees, Insurance, and Appointment Options

We offer anxiety medication evaluations and ongoing medication management for children, teens, and adults. Appointment options, insurance coverage, and treatment recommendations vary based on your individual needs and clinical evaluation.

What to Know Before Scheduling

  • Insurance coverage depends on your plan, benefits, eligibility, and visit type.
  • Self-pay options are available for patients who do not use insurance.
  • Appointment availability may vary based on age, location, service type, and provider schedule.
  • Medication recommendations are made only after a comprehensive psychiatric evaluation.
  • Treatment plans focus on evidence-based, non-controlled medication options when clinically appropriate.

For current pricing and accepted insurance plans, visit our Pricing & Insurance page or call 972-905-9435.

Location and care access

Anxiety Medication Management in Frisco, TX and Telehealth

Wholesome Clinic provides in-person anxiety medication evaluations and ongoing medication management in Frisco, TX, along with telehealth appointments for eligible patients in Texas, Colorado, New Mexico, Oklahoma, Louisiana, and Oregon.

Serving Frisco & North Texas

Patients in Frisco, Plano, McKinney, Allen, Prosper, Little Elm, The Colony, Dallas, and surrounding North Texas communities can schedule in-person psychiatric evaluations and medication management at our Frisco office.

Telehealth Appointments

Eligible patients in Texas, Colorado, New Mexico, Oklahoma, Louisiana, and Oregon may receive anxiety medication evaluations and follow-up care through secure telehealth visits, when clinically appropriate.

Ongoing Medication Management

Anxiety treatment often involves regular follow-up visits to monitor your response to medication, address side effects, adjust treatment when needed, and support your long-term mental health goals.

Common questions

Frequently Asked Questions

What is the best medication for anxiety?

There is no single best anxiety medication for everyone. SSRIs and SNRIs are commonly used first-line options, but the right choice depends on symptoms, medical history, side effects, prior medication response, and treatment goals.

How long does anxiety medication take to work?

Many anxiety medications take several weeks to start working. Some patients notice improvement within 2 to 6 weeks, while full benefit may take longer.

Do you prescribe benzodiazepines?

We provide individualized, evidence-based treatment for anxiety using psychotherapy recommendations, behavioral strategies, lifestyle interventions, and non-controlled medication options when clinically appropriate. Benzodiazepines (such as Xanax® and Klonopin®) are not routinely prescribed because of their potential risks, including dependence, withdrawal, and reduced effectiveness with long-term use. When benzodiazepine treatment is determined to be the most appropriate option, we will discuss appropriate referral options.

Can anxiety medication cause weight gain?

Some anxiety or depression medications may affect appetite or weight. If this is a concern, your provider can review medication options, potential risks, benefits, and alternatives based on your individual needs. Learn more in our article, Can Anxiety Cause Weight Gain? What Science Says and How to Manage It.

Do I need therapy too?

Many patients benefit from therapy, especially cognitive behavioral therapy. Medication can reduce symptoms, while therapy can help build long-term coping skills.

Can I get anxiety medication through telehealth?

Eligible patients in Texas, Colorado, New Mexico, Oklahoma, Louisiana, and Oregon may receive anxiety medication evaluations and follow-up care through secure telehealth visits, when clinically appropriate and consistent with applicable prescribing requirements.

How do I know if I need anxiety medication?

If anxiety is persistent, interferes with work, school, relationships, sleep, or daily functioning, a psychiatric evaluation can help determine whether medication, therapy, lifestyle changes, or a combination of treatments may be appropriate.

Will I have to take anxiety medication forever?

Not necessarily. The length of treatment depends on your diagnosis, symptom severity, response to medication, and history of previous episodes. Many people remain on medication for at least 6 to 12 months after their symptoms improve, while others may benefit from longer-term treatment. Any decision to reduce or stop medication should be made with your provider and done gradually to help minimize withdrawal symptoms and reduce the risk of relapse.

Medical Disclaimer: This information is provided for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Anxiety treatment recommendations, medication eligibility, and prescribing decisions are based on an individualized clinical evaluation, medical history, safety considerations, and provider judgment. If you are experiencing chest pain, difficulty breathing, thoughts of harming yourself or others, or another medical or psychiatric emergency, call 911 or go to the nearest emergency department immediately.

Take Control of Your Anxiety Today

You don't have to live with constant worry, fear, or panic. Effective medications and therapies are available, and our team is here to help you find the treatment approach that's right for you. Your first step toward feeling better starts with a comprehensive psychiatric evaluation.

Looking for a broader overview of anxiety care? Visit our Anxiety Treatment page to learn more about therapy, lifestyle strategies, and comprehensive treatment options.

Prefer to speak with our team? Call 972-905-9435.

Clinical references

Evidence-Based Information

This page is based on current clinical guidance and patient education resources, including materials from the National Institute of Mental Health (NIMH), the Mayo Clinic, U.S. Food and Drug Administration (FDA) medication safety communications, and other evidence-based psychiatric references. This information is provided for educational purposes and does not replace an individualized medical evaluation.