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开始就诊

Anxiety & depression guide

Anxiety and depression treatment online in Virginia and West Virginia

This guide is for adults 18-64 with mild-to-moderate anxiety or depression who want to start a non-controlled SSRI (sertraline or escitalopram), or continue one they're already stable on. Care starts with the full standard depression and anxiety questionnaires. Severe symptoms — and any thoughts of self-harm — are always directed to 988 and in-person care, not treated online.

在线开始

为 Anxiety & depression 开始一次 $59 的在线审核。

Reaching out for help with anxiety or depression is a real step, and you deserve support without stigma. For adults 18-64 with mild-to-moderate symptoms, an online visit can start an evidence-based, non-controlled SSRI (sertraline or escitalopram) or continue one you're already stable on. Your visit begins with the full standard depression and anxiety questionnaires — the same ones used in clinics — so treatment matches how you're actually doing. This lane is built with clear limits for your safety: if your answers show any thoughts of being better off dead or of self-harm, we don't prescribe online — instead we connect you right away with crisis support (call or text 988, or text HOME to 741741) and in-person care. Severe depression or anxiety, possible bipolar disorder, or psychosis are referred to psychiatry. And this lane never prescribes benzodiazepines (like Xanax or Ativan) or any controlled medication — those aren't offered here.

如果治疗合适，医生可以将非管制药物处方发送到您的药房，并通过门户网站向您提供说明。

开始本次就诊查看响应时间

快速信息

  • 在提出请求时，您必须身处弗吉尼亚州和西弗吉尼亚州
  • $59 起
  • 无需保险
  • 无需下载应用程序
  • 随时可进行医疗审核
  • 在适当的情况下，非管制药物处方可以发送到您的药房
  • 在医学上适当的情况下，可附上用于工作或学校的证明
  • 响应时间窗口：24/7，每天全天候

常见症状

  • Ongoing worry, tension, nervousness, or feeling on edge (anxiety)
  • Low mood, loss of interest or pleasure, or feeling hopeless (depression)
  • Trouble sleeping, low energy, or difficulty concentrating
  • Symptoms that are affecting your day-to-day life but you can still function

可能适合在线护理

  • 18 岁或以上的成年人
  • An adult aged 18-64 with mild-to-moderate anxiety or depression
  • Wanting to start sertraline or escitalopram, or continue an SSRI you're already stable on
  • No thoughts of being better off dead or of hurting yourself
  • No history of bipolar disorder, mania, or psychosis, and not currently managed by a psychiatrist who prescribes for you

请寻求其他类型的护理

  • Any thoughts of being better off dead or of self-harm (this needs crisis support — call or text 988, or text HOME to 741741, or call 911/go to the ER — and in-person care)
  • Severe depression or anxiety with your daily life falling apart (needs in-person psychiatry)
  • A history of mania/hypomania, a mood stabilizer, or psychiatric hospitalization, or any psychosis (needs psychiatry — SSRIs can trigger mania)
  • Pregnant or breastfeeding (OB-coordinated care), an active substance-use disorder (in-person care), or age 65 or older
  • A request for a benzodiazepine or any controlled medication (never prescribed here)

需要准备什么

  • About 10 minutes to complete the full standard depression and anxiety questionnaires honestly
  • Whether you're starting an SSRI for the first time or continuing one you already take
  • Any history of mania, bipolar disorder, mood stabilizers, or psychiatric hospitalization
  • A list of your current medications (especially triptans, tramadol, an MAOI, linezolid, or St. John's wort)

接下来会发生什么

标准

$59

2 小时内

优先

$99

1 小时内

加急

$149

30 分钟内

在网站上开始提交请求，回答快速审核的问题，并选择您偏好的响应时间。如果该病例仍然适合，医生会进行审核，并在您访问门户网站后向您发送一份安全的更新。在适当的情况下，非管制药物处方可以发送到您的药房，并可由医生酌情附上一份用于工作或学校的基本证明。

What if I'm having thoughts of harming myself?

Please reach out for help right now — you are not alone and support is available 24/7. Call or text 988 (the Suicide & Crisis Lifeline), or text HOME to 741741 (the Crisis Text Line). If you are in immediate danger, call 911 or go to the nearest emergency room. This lane does not prescribe when these thoughts are present; instead it connects you with crisis support and in-person care, which is the safest step.

How long until an SSRI works, and what side effects should I expect?

SSRIs usually take 2-6 weeks to reach their full effect, so it's important not to stop early. In the first week or two, some people feel a little more anxious, jittery, or have trouble sleeping — this is common and usually passes. SSRIs can also cause sexual side effects (lower desire or delayed orgasm), which are common and reversible; we'll counsel you honestly and can discuss options. Never stop an SSRI abruptly, since that can cause discontinuation symptoms — we taper if you ever stop.

Do you prescribe Xanax or other benzodiazepines for anxiety?

No. This lane and this entire platform never prescribe benzodiazepines (such as Xanax, Ativan, or Klonopin) or any controlled medication. For anxiety and depression, we use non-controlled SSRIs (sertraline or escitalopram) alongside the standard depression and anxiety assessments, which are effective and much safer for asynchronous online care.

Why does the questionnaire ask about mania and past hospitalizations?

SSRIs can trigger a manic episode in people with bipolar disorder, so we screen for any past manic or hypomanic episode, any prior mood stabilizer, and any psychiatric hospitalization. If that screen is positive, the safest step is an evaluation with a psychiatrist rather than starting an SSRI online.