Specialty Care
Anxiety Treatment Online in FL & WA
Anxiety can make the ordinary feel overwhelming, keeping your mind racing and your body on high alert long after the threat has passed. Amy Disla, APRN, PMHNP-BC, provides compassionate, evidence-based anxiety care through secure telehealth for adults in Florida and Washington, combining medication management, therapy, and nervous-system regulation into one steady plan.
Who I Treat
Adults living with worry that will not quiet
Amy works with adults 18 and older experiencing generalized anxiety, panic attacks, social anxiety, and anxiety that co-occurs with depression, ADHD, or life transitions. Whether your symptoms are new or have followed you for years, she meets you where you are with a plan built around your history and goals.
Common Symptoms
Signs that may point to an anxiety disorder
Persistent worry or dread that feels difficult to control
Restlessness, edginess, or a sense of being on edge
Racing heart, chest tightness, or shortness of breath
Difficulty concentrating because your mind keeps racing
Trouble falling or staying asleep due to worry
Muscle tension, headaches, or an unsettled stomach
Irritability or a shorter fuse than usual
Avoiding situations, places, or people that trigger fear
Important
Symptoms such as a racing heart, chest tightness, or shortness of breath can come from anxiety, but they can also come from the heart or lungs. Please see your primary care provider for a basic cardiac screening first. Anxiety treatment for these symptoms is appropriate once that screening is negative and a medical cause has been ruled out. If you have chest pain, fainting, or trouble breathing at rest, call 911 right away.
How Evaluations Work
A thorough, unhurried first visit
Your evaluation is a full 60-minute conversation. Amy listens to your history, current symptoms, and daily functioning, and uses standardized screening tools alongside clinical interviewing. She screens for conditions that can mimic anxiety, reviews any prior records you share, and checks for safety concerns. You leave with a clear impression and a written, collaborative plan.
Medication Management Options
Careful, conservative prescribing
When medication is part of your plan, Amy starts low and adjusts slowly. She selects from SSRIs, SNRIs, and other options based on your symptoms, history, and any co-occurring conditions. Regular follow-ups track effectiveness and side effects, so each change is deliberate rather than a guess.
Supportive Therapy and Lifestyle
More than medication alone
Treatment blends cognitive-behavioral therapy, breathing and mindfulness skills, and nervous-system regulation with sleep, movement, and nutrition coaching. You build practical tools to use between visits, so the clinical work rests on a steady, daily foundation.
Conditions That Can Resemble the Diagnosis
Why a careful evaluation matters
Several conditions share symptoms with anxiety. A thorough assessment helps distinguish them, or reveal when they coexist.
Thyroid Disorders
An overactive thyroid can cause a racing heart, restlessness, and nervousness that mirror anxiety.
Cardiac Conditions
Arrhythmias and other heart issues can produce palpitations and chest symptoms that feel like panic. A cardiac screening with your primary care provider should be completed and negative before these symptoms are attributed to anxiety.
Depression
Depression often coexists with anxiety, and the two can share agitation and poor concentration.
ADHD
Racing thoughts and restlessness can look like anxiety, though the underlying cause differs.
Caffeine or Substance Use
High caffeine intake, stimulants, or withdrawal can trigger anxiety-like symptoms.
Perimenopause and Menopause
Hormonal fluctuations in midlife can cause new or worsening anxiety in women.
What to Expect at the First Appointment
A calm, compassionate hour together
- A 60-minute video visit from the comfort of your own space.
- A review of your symptoms, history, and any prior diagnoses or records.
- Standardized anxiety screening and assessment of safety.
- Screening for conditions that can mimic or accompany anxiety.
- A collaborative discussion of findings and a clear, written care plan.
Insurance and Cash-Pay Information
Clear, accessible options
Amy is in-network with several major insurers through Headway. For patients who prefer to self-pay or are out of network, transparent cash-pay rates are available. Visit the Book Today page to choose the path that fits your situation.
Telehealth Availability
Florida and Washington
All visits are conducted through secure, HIPAA-compliant telehealth. You must be physically located in Florida or Washington at the time of your appointment. Typical availability is Monday through Sunday. Florida: 10am to 9pm. Washington: 7am to 6pm. Appointments can also be scheduled after hours if requested.
Frequently Asked Questions
What patients often ask
Worry is a normal response to stress. An anxiety disorder is considered when fear or worry is persistent, difficult to control, and interferes with daily life for weeks or months. Your evaluation helps clarify where you fall on that spectrum.
Not always. Mild to moderate anxiety often responds well to therapy and lifestyle changes. For more intense or persistent symptoms, medication can provide relief and make therapy more effective. Amy reviews all options with you and follows your preference whenever clinically sound.
Amy prescribes a range of options, including SSRIs and SNRIs used for long-term management, and short-term agents when appropriate. She starts low, adjusts carefully, and monitors for effectiveness and side effects at regular follow-ups.
Many people notice early improvements within a few weeks of starting treatment, with fuller benefit over six to twelve weeks. Therapy and breathing or mindfulness skills can offer relief even sooner. Amy monitors progress closely and adjusts the plan as needed.
Yes. Anxiety frequently co-occurs with depression, ADHD, or both. Your care plan addresses all relevant conditions together in one unified approach rather than in isolation.
Amy has specialized training in women's mental health, including perinatal and perimenopausal anxiety. She weighs risks and benefits carefully, coordinates with your OB-GYN when helpful, and follows guidance from ACOG and the Menopause Society.
Yes. Amy is in-network with several major insurers through Headway. Transparent cash-pay rates are available if you prefer to self-pay or are out of network. Visit the Book Today page for current options.
Amy sees patients via secure telehealth in Florida and Washington. You must be physically located in one of those states at the time of your appointment.
Ready to begin?
Book a comprehensive anxiety evaluation with Amy from anywhere in Florida or Washington.
Amy Disla, MSN, APRN, PMHNP-BC
Board-certified Psychiatric Mental Health Nurse Practitioner providing telehealth psychiatry to adults in Florida and Washington.
Published September 23, 2026 · Medically reviewed September 23, 2026. This article is educational and is not a substitute for personalized medical advice, diagnosis, or treatment.