Performance anxiety guide

Performance anxiety treatment online in Virginia and West Virginia

This guide is for adults with situational performance anxiety before a specific test, presentation, interview, audition, or public-speaking event who want an as-needed, non-controlled beta-blocker — not for panic disorder, daily anxiety, or asthma and certain heart conditions the safety screen checks for.

在线开始

为 Performance anxiety 开始一次 $59 的在线审核。

This lane is for situational performance anxiety tied to a specific, upcoming event — the racing heart, shaking hands, or trembling voice that shows up before a test, presentation, interview, audition, or public-speaking moment. When the safety screen comes back clear, the physician can prescribe an as-needed, non-controlled beta-blocker (propranolol) to take before the event to take the edge off the physical symptoms. It does not treat panic disorder, daily or generalized anxiety, or depression — those fit our anxiety and depression lane or in-person care better. Propranolol is never safe for anyone with asthma, certain heart-rhythm conditions, or a few other factors, so the intake screens for those before anything is prescribed.

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

A pounding or racing heart before a specific event
Shaky hands or a trembling voice under pressure
Sweating or a knot in your stomach tied to one upcoming event
Symptoms that show up only around that event, not day to day

可能适合在线护理

18 岁或以上的成年人
An adult with anxiety tied to one specific upcoming event, not everyday life
No asthma, COPD, or any wheezing or reactive-airway history
No slow heart rate, heart block, pacemaker, or low blood pressure
Not pregnant, and not treating diabetes with insulin or a sulfonylurea

请寻求其他类型的护理

Asthma, COPD, or any reactive-airway or wheezing condition (an absolute exclusion — propranolol can trigger dangerous bronchospasm)
A slow heart rate, heart block, a pacemaker, low blood pressure, or unstable heart failure
Panic attacks or daily, constant anxiety that affects your everyday life (see our anxiety and depression lane instead)
Pregnancy, insulin- or sulfonylurea-treated diabetes, or taking verapamil or diltiazem

需要准备什么

What the upcoming event is and when it's happening
Whether you have asthma, wheezing, or any heart-rhythm condition
Current medications, especially diabetes or heart medicines
Whether this is truly occasional, or something you feel most days

接下来会发生什么

标准

$59

6 小时内

优先

$99

3 小时内

加急

$149

1 小时内

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。

Is propranolol a controlled substance?

No. Propranolol is a non-controlled beta-blocker. It's prescribed here specifically because it treats the physical symptoms of situational anxiety without the misuse risk of a controlled medication.

Why does asthma rule this out completely?

Propranolol can trigger dangerous airway tightening (bronchospasm) in people with asthma, COPD, or other reactive-airway conditions. Because of that risk, it is never prescribed here if the screen shows any of those — no exceptions.

I have daily anxiety, not just before events — is this the right lane?

Probably not. This lane is built for anxiety tied to one specific, upcoming event. Panic attacks, or anxiety that shows up most days and affects your everyday life, fits our anxiety and depression lane better, which treats the underlying condition rather than a single event.

How and when do I take it?

The physician's plan covers timing before your event once the safety screen is clear. Propranolol can lower heart rate and blood pressure, so it's worth trying it once before a lower-stakes moment first to see how you respond, and never combining it with alcohol.

What if I'm having thoughts of harming myself?

Please reach out right now — call or text 988 (the Suicide & Crisis Lifeline), available 24/7. This lane does not prescribe when those thoughts are present; the safest next step is crisis support and in-person care.