Treatment For Anxiety in Washington
Compassionate, Evidence-Based Care for Your Mental Health
How Anxiety is Treated at Constellations Mental Health Services
Step 1: Comprehensive Evaluation
Your treatment begins with a one-on-one consultation with Alexandra Pales, ARNP, PMHNP-BC. This includes:
- A clinical interview to understand your history and symptoms
- Screening tools to assess the severity of depression
- A discussion of treatment goals and preferences
Step 2: Personalized Treatment Plan
We believe in collaborative care—you will be actively involved in your treatment decisions. Your plan may include:
Patient-specific supplement recommendations
Bloodwork evaluations to rule out nutrient deficiencies or medical contributors
Medication options, including SSRIs, SNRIs, or others tailored to your concerns
Psychiatric evaluations for related conditions like depression, OCD, or PTSD
Referral to specialized therapy, including CBT, DBT, or EMDR
Step 3: Ongoing Support & Adjustments
- Follow-ups are scheduled every 2-4 weeks to monitor progress.
- Once stability is achieved, appointments are spaced every 8-12 weeks for continued support.
- Medication adjustments or therapy recommendations can be made as needed.
Working With Us
- Personalized & Patient-Centered Care – Your treatment is designed with you, for you—we don’t believe in one-size-fits-all approaches.
- Convenient & Private Telehealth Appointments – Receive care from the comfort of your home using a secure online platform. Accessible via computer, tablet, or phone.
- Expert-Led Care by Alexandra Pales, ARNP, PMHNP-BC – Board-certified psychiatric nurse practitioner with experience in emergency medicine, ICU, and psychiatric care.
- Medication & Holistic Options Available – We provide both medication-based and holistic treatment strategies, tailoring care to your unique needs.
Insurance & Pricing
We accept Premera, Regence, Aetna, HMA, Asuris, and Tricare.
- Initial consultation (60 min): $300
- Follow-up visits (30 min): $200
Insurance may cover medications. We can assist in navigating this process.
Request a Consultation
We will get back to you within 24 business hours
Understanding Anxiety
Anxiety is a natural human response—but when it becomes persistent, overwhelming, or disruptive to daily life, it may be time to seek professional support. At Constellations Mental Health Services, we help Washington State adults understand and manage anxiety with a personalized, collaborative approach—all provided securely through convenient telehealth appointments.
Anxiety affects 1 in 5 adults and 1 in 3 teenagers. It often begins in childhood or adolescence, but it can emerge at any age. With proper care, anxiety symptoms can be managed effectively. If you’re struggling, we’re here to help you take the first step toward relief.
Common Symptoms of Anxiety
Anxiety can affect both your mind and body. Common symptoms include:
- Constant worrying, even without a clear cause
- Difficulty focusing or making decisions
- Restlessness or agitation
- Worries about health, work, family, or finances
- Feeling easily startled or “on edge”
- Trouble relaxing or feeling at ease
- Frequent thought spirals—jumping from one stressor to the next
- Physical symptoms like:
- Headaches
- Muscle tension
- Dizziness or lightheadedness
- Hot flashes or sweating
- Nausea or upset stomach
- Shortness of breath
- Exhaustion
If these symptoms are interfering with your life, it’s time to explore support options that work for you.
Frequently Asked Questions
How long is the first appointment?
Our initial consultation is 60 minutes and includes a full mental health evaluation.
How long are follow-up appointments?
Follow-ups are 30 minutes. These sessions include medication management, lifestyle review, and brief supportive therapy.
What if I’m not ready to start medication?
That’s completely okay. There is no pressure to take medication. We offer education, explore all available options, and go at a pace that feels right for you.
What if I’m worried about side effects like sleepiness or weight changes?
We’ll discuss your goals and concerns in detail. If you want to avoid specific side effects, we’ll explore medications that minimize those risks—or recommend alternatives.
What if I’m in crisis or experiencing panic attacks?
If you’re in crisis, please call 988 (Suicide & Crisis Lifeline) or visit your nearest emergency room. We do not offer emergency or crisis care.
Where do appointments take place?
All care is delivered virtually through a secure, private telehealth platform, accessible via computer, tablet, or phone. You’ll need a quiet, private space and working video/audio for the session.
