Anxiety Evaluation and Medication Management in Maryland
R&K Wellness Group provides psychiatric evaluations and medication management for adolescents age 15 and older and adults experiencing anxiety, excessive worry, panic symptoms, restlessness, irritability, difficulty sleeping, physical tension, avoidance, or problems concentrating.
Anxiety can affect work, school, relationships, sleep, physical comfort, and everyday decision-making. Our goal is to understand what you are experiencing and develop a thoughtful treatment plan based on your symptoms, history, needs, and preferences.
Who This Service Is For
This service may be appropriate if anxiety feels difficult to control, occurs frequently, interferes with daily life, or has not improved enough with your current treatment.
Common concerns may include:
Persistent or excessive worry
Panic attacks or sudden episodes of fear
Feeling tense, restless, or constantly on edge
Social anxiety or fear of being judged
Avoiding places, activities, or responsibilities
Irritability and difficulty relaxing
Trouble sleeping or concentrating
Physical symptoms such as a racing heart, sweating, trembling, nausea, or muscle tension
Anxiety symptoms can occur alone or alongside depression, ADHD, trauma-related symptoms, substance use, sleep problems, or medical conditions.
Comprehensive Anxiety Evaluation
Your first appointment includes a careful review of your current symptoms, when they began, possible triggers, medical and psychiatric history, current medications, prior treatment, sleep, substance use, stressors, and personal goals.
We also consider whether another condition, medication, medical problem, or substance may be causing or worsening the symptoms. The purpose of the evaluation is not simply to assign a diagnosis—it is to understand the full clinical picture and determine what type of treatment may be appropriate.
Medication Management for Anxiety
When medication is clinically appropriate, treatment options are reviewed collaboratively. We discuss potential benefits, possible side effects, expected timelines, alternatives, and any monitoring that may be needed.
Medication decisions are individualized and may depend on the type and severity of anxiety, medical history, other medications, prior treatment response, co-occurring conditions, and your preferences.
Medication is not automatically prescribed during an initial consultation.
Our Treatment Approach
Our primary services are psychiatric evaluation and medication management. During appointments, we may also incorporate supportive therapy, cognitive behavioral strategies, motivational interviewing, DBT-informed skills, psychoeducation, and practical coping techniques.
Some patients may benefit from combining medication management with regular psychotherapy. When appropriate, we may recommend working with a therapist or coordinating care with your existing clinician.
In-Person and Telehealth Appointments
Appointments are available with Oswaldo X. Romero, DNP, PMHNP-BC:
In person in Rockville, Maryland
By secure telehealth for eligible patients located in Maryland
In English or Spanish
The first appointment is a consultation to determine whether R&K Wellness Group is an appropriate fit for your needs.