Persistent Anxiety: which doctor should you see?
Short answer: most cases of persistent anxiety are handled by a Psychiatrist. Read on for the exceptions.
What this symptom means
Anxiety is a normal response to stress. It becomes a treatable medical condition when it is persistent, out of proportion to the situation, difficult to control, and interfering with work, sleep, or relationships. Anxiety disorders are among the most treatable conditions in medicine, yet people commonly wait years before seeking help.
Common causes
- Generalized anxiety disorder
- Panic disorder
- Social anxiety disorder
- Thyroid conditions and hormonal changes
- Excessive caffeine or stimulant use
- Medication side effects and substance withdrawal
Which doctor treats persistent anxiety?
Persistent anxiety is treated by a psychiatrist, who can diagnose and prescribe medication, or by a psychologist or licensed therapist providing talk therapy. Many people do best with both. A primary care physician is a good first stop and can rule out physical contributors such as thyroid problems.
When it may be urgent
- Thoughts of harming yourself or others
- Panic symptoms with chest pain or difficulty breathing that are new or severe
- Inability to carry out basic daily activities
- Using alcohol or drugs to manage anxiety
Frequently asked questions
- Which doctor treats anxiety?
- A psychiatrist can diagnose anxiety and prescribe medication. A psychologist or licensed therapist provides talk therapy. A primary care physician can start treatment and refer you.
- When is anxiety a medical condition?
- When it persists for weeks, feels difficult to control, and interferes with work, sleep, or relationships, it is generally considered a treatable anxiety disorder.
- Do I need a psychiatrist or a therapist?
- A therapist provides talk therapy, while a psychiatrist can also prescribe medication. Many people benefit from both, and either is a reasonable place to start.
Related symptom guides
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Sources
- MedlinePlus, U.S. National Library of Medicine (medlineplus.gov)
- Centers for Disease Control and Prevention (cdc.gov)
- Relevant national medical specialty association guidance