Anxiety, OCD & sleep · for all adults
A mind that won't switch off is treatable.
Constant worry, panic, intrusive thoughts, checking, 3 a.m. wakefulness. These are common, and so is being treated for them without anyone really listening. At R3 you get an unhurried evaluation, a careful look for medical causes, and a plan you helped build. Women are our specialty. Men and partners are welcome too.
What we treat
Anxiety and panic
Constant worry, a body that's always braced, panic attacks, health anxiety, social anxiety, and the exhaustion of managing all of it while looking fine. Anxiety is also the most common thing women are told they have when something else, such as thyroid disease, ADHD or PMDD, is actually driving it. We check.
OCD and intrusive thoughts
Unwanted thoughts or images that feel wrong and won't leave, checking, counting, needing things "just right," reassurance-seeking, or mental rituals nobody can see. OCD is often mistaken for anxiety or missed entirely, especially in new mothers. It responds to specific treatments, and we'll say so if we think it's what's going on.
Trauma-related symptoms
Being on alert all the time, flashbacks, nightmares, avoiding reminders, trouble trusting your own body or other people. After a difficult birth, a loss, an accident or anything else. We treat the symptoms medication can help with and refer to trauma-focused therapy when that's the right next step.
Insomnia and sleep problems
Trouble falling asleep, waking at 3 a.m., or sleeping and never feeling rested. We look for what's underneath, including anxiety, depression, thyroid, iron and hormones, and treat that, alongside practical sleep strategies. Sleep medication is an option used thoughtfully, not a reflex.
How we work
- A 60 to 90 minute evaluation that hears the whole story.
- Labs and medical rule-outs when they're warranted.
- Medication started low and adjusted slowly, with monthly follow-ups until you're stable. Most anxiety medications we use are not habit-forming, and we'll tell you plainly about the ones that need more care.
- Integrative support for sleep, nutrition, supplements and stress.
- Therapy referrals and coordination with your other providers.
Most visits happen by secure video anywhere in North Carolina. The office in Clayton is there when you'd rather be in the room. If low mood is the bigger part of the picture, see depression and mood disorders.
Do you see men?
Yes. Women's mental health is our specialty, and we welcome men and partners too. Everyone gets the same unhurried, whole-picture care.
I've tried therapy. Why would I see a psychiatric provider?
Therapy and medication work on different parts of the problem and often work best together. If therapy has helped but not enough, or symptoms are too heavy to use what you're learning, a psychiatric evaluation can add medication, rule out medical causes and give you a fuller plan.
Can you help with insomnia without sleeping pills?
Often, yes. We look for what's driving the insomnia, such as anxiety, thyroid problems, hormones or habits, and treat that, alongside sleep strategies. Medication for sleep is one option, used thoughtfully, not the default.
How do I know if it's anxiety or OCD?
Anxiety is broad worry about real-life things. OCD involves specific unwanted thoughts or images that feel intrusive and wrong, plus rituals, checking or mental reviewing to neutralize them. OCD is often missed or called anxiety, and it responds to specific treatments, so the distinction matters.
Renewing minds · Restoring balance · Reviving hope
Ready to be heard?
Request an appointment and our care coordinator will reach out to verify your benefits and get you scheduled. Not ready yet? Call us, or send a question. No pressure.
R3 is not an emergency service. If you're in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.