Canonical page: https://www.hermindandwellness.com/learn/anxiety-when-to-seek-help/ [Home](https://www.hermindandwellness.com/)[Education guides](https://www.hermindandwellness.com/learn)[Anxiety and panic](https://www.hermindandwellness.com/learn/topics/anxiety) When anxiety starts getting in the way: preparing for care Patient guide · Anxiety and panic # When anxiety starts getting in the way: preparing for care A practical way to organize your concerns before an adult psychiatric evaluation, with care options in El Paso and across Texas. [](https://www.hermindandwellness.com/elizabeth-ghadimi) Clinically reviewed by [Elizabeth Ghadimi, PMHNP-BC](https://www.hermindandwellness.com/elizabeth-ghadimi) Psychiatric-Mental Health Nurse Practitioner Clinical review confirmed October 29, 2026 Illustrative stock photograph · kaboompics.com / Pexels [Appointment preparation](https://www.hermindandwellness.com/learn/tags/appointment-preparation)[Anxiety](https://www.hermindandwellness.com/learn/tags/anxiety)[Medication questions](https://www.hermindandwellness.com/learn/tags/medication-questions) In this guide[When it may be time to ask for support](https://www.hermindandwellness.com/#1)[Make your first conversation more useful](https://www.hermindandwellness.com/#2)[Questions you can bring](https://www.hermindandwellness.com/#3)[Your next step at Her Mind & Wellness](https://www.hermindandwellness.com/#4) ## When it may be time to ask for support Worry can be part of everyday life. When it is difficult to control, disrupts sleep, or starts affecting work and relationships, a conversation with a health care provider can help clarify what is happening. You do not need to arrive with a diagnosis. Symptoms can have more than one explanation, and an evaluation is a chance to look at the whole picture. ## Make your first conversation more useful Try writing three short notes for yourself before your visit. Keep them on your own device or on paper; there is no need to send symptoms through a marketing form. - What is hardest right now? Use one recent example, such as avoiding a meeting or lying awake before work. - What has changed? Note roughly when it began, what your sleep has been like, and whether anything makes it better or worse. - What would progress look like? Choose a practical goal, such as being able to attend work or spend time with family more comfortably. ## Questions you can bring A useful plan should make sense to you. Consider asking: What else could explain these symptoms? What are my treatment options? If medication is considered, what benefits, side effects and follow-up should we discuss? If therapy would help, how can I connect with an appropriate therapist? ## Your next step at Her Mind & Wellness Elizabeth Ghadimi, PMHNP-BC, provides adult psychiatric evaluation and medication management when appropriate. Visits are available in person at the El Paso office and through telehealth when you are physically in Texas. An evaluation does not guarantee a prescription. Self-pay care is $175 for an initial 60-minute visit and $95 for a 30-minute follow-up. Insurance care goes directly to Elizabeth's Headway profile, where coverage and costs are confirmed. If you are deciding whether the practice is a fit, a free 15-minute introductory consultation is an option. It is not a diagnostic evaluation or a prescribing visit. This material is educational and does not diagnose or replace personal medical advice. Do not start, stop or change medication based on this page. For suicidal thoughts or a mental health crisis in the United States, call or text 988. If you are in immediate danger or having a medical emergency, call 911. Website appointment requests are not an emergency service. ## Sources - [NIMH: Generalized Anxiety Disorder: What You Need to Know](https://www.nimh.nih.gov/health/publications/generalized-anxiety-disorder-gad) - [NIMH: Talking With a Health Care Provider About Mental Health](https://www.nimh.nih.gov/health/publications/tips-for-talking-with-your-health-care-provider) ## Considering an appointment? Explore [in-person adult psychiatric evaluations in El Paso](https://www.hermindandwellness.com/elpaso) or [adult psychiatric telehealth throughout Texas](https://www.hermindandwellness.com/care). Learn more about [Elizabeth Ghadimi’s credentials](https://www.hermindandwellness.com/elizabeth-ghadimi). Insurance booking is handled through Headway; self-pay requests are confirmed by the practice. ## Related guides - [ADHD or anxiety? Why Adderall can make you feel worse](https://www.hermindandwellness.com/learn/adhd-or-anxiety-adderall-panic-attacks) - [“My ADHD brain” is taking all the credit. Anxiety has complaints.](https://www.hermindandwellness.com/learn/my-adhd-brain-tiktok-anxiety) - [Mood swings, irritability, and sleep changes: what an evaluation can clarify](https://www.hermindandwellness.com/learn/mood-swings-irritability-sleep-psychiatric-evaluation)