Conditions we treat
Anxiety treatment
Medication management for generalized anxiety, panic, social anxiety, and anxiety related to perimenopause, life transitions, or caregiver burnout. These are some of the concerns we see most. You don't need to know exactly what to call what you're experiencing to reach out.
First visit: 60 minutes, $400. Telehealth from anywhere in Oregon. No referral needed.
Book a first visitMeredith personally reviews every appointment request and confirms within one business day.
If this sounds familiar
You're up at 3am with a tight chest and racing thoughts you can't shut off. The anxiety came on in the last year or two, maybe gradually, maybe all at once, and it's not going away. You're ready to understand what's happening and what might help.
Maybe the hot flashes and sleep changes seemed to explain part of what was happening, while the anxiety underneath them remained hard to name. Maybe you've been carrying it quietly because asking for help feels unfamiliar.
The hormones, the anxiety, and everything else going on in your life can affect one another. Meredith considers them together when building a treatment plan.
Common ways anxiety shows up
A few of the patterns we see most, not a complete list and not a checklist you need to match.
Generalized anxiety
The persistent worry that follows you through the day, about work, family, health, money, things that haven't happened yet. Your body stays tense and your mind won't stop even when you know, rationally, that you're okay.
Panic attacks
Sudden, overwhelming surges of fear that can cause a racing heart, shortness of breath, dizziness, chest tightness, or the feeling that something is seriously wrong.
Perimenopause-related anxiety
Anxiety that begins or changes during perimenopause can show up alongside brain fog, irritability, sleep disruption, or a persistent sense of dread. Hormonal changes and the demands of this stage of life may both play a role.
Social anxiety
Anxiety that can make meetings, social situations, and everyday interactions feel exhausting or performative.
Anxiety alongside other concerns
Anxiety can occur alongside many other mental health concerns, medical conditions, or significant life stressors.
How we approach anxiety treatment
Your first visit is 60 minutes. Meredith will ask about the anxiety (when it started, what makes it worse, what you've already tried) and about everything around it: sleep, work, relationships, hormones, medical history. All of it informs the plan.
Medication is one option, considered openly. If it makes sense, you'll understand what the medication does, why this one, what side effects to watch for, and what the plan looks like going forward. If medication is not the right next step, that is a valid outcome. Some patients come for the evaluation and decide to try therapy first. Others decide that medication management, or a combination of medication and therapy, is the right next step.
Follow-up visits are 30 minutes, typically every 4 to 6 weeks at first. That's enough time to talk through how things are going and make changes when they're needed.
Pricing and logistics
First visit: 60 minutes, $400
Follow-up: 30 minutes, $250
Extended follow-up: 60 minutes, $375 (when you want more time)
Insurance: We are out-of-network with all insurance plans. Superbills are provided (upon request) for possible out-of-network reimbursement on commercial plans. We are not able to see Medicare or Medicaid (Oregon Health Plan, or OHP) members, and we screen for this at intake so eligibility is clear before care begins.
Format: Visits are by video, from anywhere in Oregon. In certain circumstances a face-to-face visit may be necessary.
No referral needed. Book directly.
Questions about anxiety treatment
Is medication really necessary for anxiety?
Will you understand perimenopause-related anxiety?
Can I do therapy and medication management at the same time?
Your provider
Meredith Galvin is a board-certified psychiatric nurse practitioner (PMHNP-BC). She came to prescribing after thirteen years in social work and ten years in psychiatric nursing, including work as a charge nurse, conducting emergency psychiatric assessments at Duke Regional Hospital, and providing home health care. That background is why she looks beyond the symptoms themselves and considers the stress, life circumstances, relationships, and other factors that may be contributing to anxiety.
Care that starts with understanding.
When you're ready to understand what's happening and what may help, you can begin with a thorough evaluation and the same provider at every visit.
Meredith personally reviews every appointment request and confirms within one business day.