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Common Symptom Guide

Anxiety That Won't Let Up? There Are More Options Than You've Been Told.

When standard approaches haven't worked, it's worth looking deeper — both medically and physiologically.

Reviewed by Dr. Justin Abbott, D.O. — ABFM Board-Certified Physician
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Why It Persists

Why Anxiety Doesn't Always Respond to Standard Treatment

Anxiety has many contributing factors — some psychological, some physiological. Hormone imbalance, thyroid dysfunction, and chronic stress can all worsen or even mimic anxiety symptoms.

For anxiety that hasn't improved with standard approaches, treatment-resistant options like ketamine therapy offer a different mechanism of action worth considering.

Common Anxiety Symptoms

Persistent worry or racing thoughts
Restlessness or feeling on edge
Physical symptoms — racing heart, tension, stomach issues
Difficulty sleeping
Avoidance of situations or triggers
Anxiety that hasn't improved with standard treatment
How We Approach It

Looking at the Full Picture

We start by ruling out physiological contributors — hormones, thyroid — before considering treatment options. For anxiety that hasn't responded to standard care, ketamine therapy is available under physician supervision.

Physician Insight

"Anxiety isn't always purely psychological — hormones and thyroid function can make it significantly worse. I want to rule those out before assuming it's the whole story."

Common Questions

Anxiety FAQs

What patients ask most before their first appointment.

Yes. Thyroid dysfunction, hormone imbalance, and blood sugar swings can all cause or worsen anxiety symptoms. A full evaluation helps determine whether physiological factors are contributing.
Treatment-resistant anxiety may respond to approaches like ketamine therapy, which works through a different mechanism than traditional medications. It's most often considered after standard options haven't produced adequate results.
When administered by a qualified physician in a supervised medical setting, ketamine has a strong safety record. Abbott Health & Wellness conducts thorough medical screening before approving any patient for treatment.
Get Started

Explore Options Beyond What You've Already Tried.

A thorough evaluation and a real conversation with Dr. Abbott about what's next.