A conversation may be over, but you keep replaying it. Tomorrow’s responsibilities may follow you into bed. You may get through work or school while spending much of the day anticipating what could go wrong.
At HavenNexus Advanced Psychiatry & TMS, we offer anxiety treatment in Palm Coast, FL, starting with a conversation about those patterns and their impact. Our care includes psychiatric evaluation, medication management, and consideration of off-label IV ketamine for selected patients. You do not need to know whether your symptoms fit a particular diagnosis before reaching out.
Occasional anxiety is part of life. Anxiety disorders involve fear, worry, or related symptoms that persist, recur, or interfere with daily activities. Some people experience ongoing worry. Others have panic episodes or intense fear in particular situations, such as social interactions.

Symptoms vary by disorder and may include:
These symptoms do not establish a diagnosis on their own. If anxiety keeps interrupting sleep, responsibilities, relationships, or activities you value, an evaluation can help clarify what is happening. You can seek support even if you are still managing your day.
We want to understand when anxiety shows up, what it interrupts, and what you have already tried. Someone who worries through the night may have different needs from someone who avoids situations after frightening episodes of panic.
Our psychiatric care team reviews your symptoms, health history, current medications, previous care, and goals. If medication has helped only partly or side effects have made it difficult to continue, that experience matters.
We use this information to discuss an appropriate plan. Medication management is one pathway. Psychotherapy can also play an important role in anxiety care; our team may refer patients to a therapist for more targeted sessions. For selected patients, we may consider evaluation for IV ketamine.
Schedule an Anxiety EvaluationMedication may help reduce anxiety symptoms, but choosing an option involves more than matching a prescription to a diagnosis. The type of anxiety, other health concerns, current medications, and previous responses all affect that decision.
Through our medication management services, we discuss options and adjustments when clinically appropriate. We also want to know what changes outside the appointment: whether worry is less consuming, sleep is improving, or it feels easier to participate in daily activities.
Medications can cause side effects, and their benefits and risks differ. Some antidepressants used for anxiety can cause stomach upset, headache, or sexual side effects. We explain the information relevant to the medication recommended for you and review your response as care continues. Do not stop or change prescribed medication without speaking with your provider.
We may consider IV ketamine therapy for selected patients whose anxiety remains difficult to manage despite previous care. Ketamine use for anxiety is off-label, meaning the FDA has not approved it for this condition.
Our care involves clinically supervised, in-office infusions. The FDA identifies ketamine-related concerns including sedation, dissociation, increased blood pressure, breathing problems, and abuse or misuse. These concerns inform the discussion of whether treatment is appropriate; they do not predict an individual patient’s experience.
We review your symptoms, previous treatment responses, and medical history before recommending ketamine. We also explain its limitations, alternatives, and the follow-up involved. You can ask why it is being considered and how it would fit with the care you already receive.
You can bring everyday examples: the meeting you keep rehearsing, the errands you avoid, or the time spent checking whether something might go wrong. You do not need a perfectly organized account for those experiences to matter.
Your evaluation includes discussion of symptoms, previous treatments, medications, health history, and goals. Bring a medication list and any records you have. We explain recommended options, their practical requirements, and follow-up.
We offer in-office and telehealth psychiatric care. IV ketamine treatment requires office visits. As care continues, we review symptoms, side effects, and daily functioning to help determine whether the plan should continue or change.
We accept a range of insurance plans, but benefits and coverage depend on your policy and the care recommended. IV ketamine is self-pay.
Our team can review benefits and explain payment information. Visit Insurance and Fees for accepted plans and self-pay fees. Insurance participation does not guarantee coverage for every service.

An evaluation gives you space to describe what has become difficult and ask questions about care. We will listen to your experience and help you consider an appropriate starting point.
Persistent or recurring worry, fear, or avoidance that affects daily life is a reason to seek an evaluation. A clinician can help distinguish an anxiety disorder from other possible explanations.
Tell us what improved, what remained difficult, and what made the medication hard to take. That information helps us review whether an adjustment or another approach deserves consideration.
We offer telehealth psychiatric care, including discussion of symptoms and medication management when appropriate. IV ketamine infusions take place in-office.
No. Its use for anxiety is off-label. We discuss what that means, why treatment might be considered, and the potential risks and limitations before making a recommendation.
If you are in immediate danger or unable to stay safe, call 911 or go to the nearest emergency department. For crisis support, call or text 988, the 988 Suicide & Crisis Lifeline. Routine appointments do not replace emergency care.
This page provides educational information and does not replace individualized medical evaluation, diagnosis, or treatment. Treatment eligibility, recommendations, and results vary by patient.