Anxiety treatment
Thoughtful Anxiety Treatment That Goes Beyond Symptom Management
We build anxiety treatment plans around what is actually driving the worry, stress, panic, and sleepless nights. Direct access to psychiatrists who trained at institutions like Yale, Harvard, and Texas A&M.
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When The Worry Keeps Coming Back No Matter What You Try
The thoughts keep circling. The tension sits in your chest, your jaw, or the back of your neck. Whether you are managing your own feelings of anxiety or watching your child struggle through it, you are tired of mental health care that moves fast, explains little, and leaves you guessing.
You have been through enough appointments to know the difference between a physician who listens and one who just puts you on medication.
If you want anxiety treatment from someone with the training and experience to handle this with care and precision, instead of feeling rushed through brief, high-volume appointments, we’re here to help.
How We Treat Anxiety in 3 Simple Steps
Request an appointment
We respond quickly and can typically schedule you within 1-2 weeks, while many practices book 6-8 weeks out.
Talk to a real, live human
One of our expert psychiatrists personally reviews your anxiety concerns. You will know the cost of services, what our first session looks like, and how to get out-of-network benefit support.
Meet directly with your psychiatrist
We conduct a comprehensive anxiety evaluation, identify contributing factors and triggers, and explain treatment options clearly before any prescription is written.
When Anxiety Treatment Finally Starts Making Sense
- ➤ You finally sleep through the night again, stop avoiding situations that trigger panic, and regain a sense of calm and control.
- ➤ You get the medical treatment at the lowest effective dose, for the shortest time necessary. Sometimes not at all.
- ➤ Your child stops being a trial-and-error experiment. Evaluation comes before any prescription.
- ➤ Your child’s emotional outbursts, the avoidance, and the daily dread become manageable because the plan is built on precision.
Most importantly, you leave every appointment knowing what is happening, what is being done, and why.
And as symptoms improve, many patients find they need appointments less frequently.
Comprehensive Anxiety Care for Kids, Teens, and Adults Across Texas
Kids and Teens (3-17)
- ➤ Generalized worry and emotional outbursts
- ➤ Social anxiety disorder and school avoidance
- ➤ Separation anxiety and emotional dysregulation
Adults (18-65+)
- ➤ Persistent anxiety and panic disorder
- ➤ Trouble sleeping and social phobia
- ➤ PTSD, intense fear, or depressive symptoms
All Ages (3-65+)
- ➤ Integrative and gut-informed anxiety care
- ➤ Minimized medication alongside therapy
- ➤ Customized psychotherapy
Real improvement in your anxiety begins when you’re ready to invest in yourself and make thoughtful, research-backed changes.
How Mental Health Psychiatrists Treat Anxiety at Mindful
➤ You Work Directly With a Psychiatrist
An experienced psychiatrist starts working with you from the first day. Our psychiatrists have years of experience helping children, teens, and adults understand and treat anxiety, even when the symptoms feel complicated or hard to explain.
➤ Initial Detailed Evaluation Saves Your Time Later
From the start, we take time to understand what you’re dealing with and explain your options clearly. We support you with customized psychotherapy tailored to you when it will be helpful. And minimal medications, only when truly needed.
➤ Gut Psychiatry: The Part Most Practices Skip
Gut health, nutrition, sleep, and stress regulation can all influence anxiety symptoms. So we look at them all as part of a complete anxiety evaluation. These factors can play an important role in anxiety treatment for some patients.
You are our number #1 focus. We’re here to serve you to the best of our abilities.
Meet Your Physicians
Justin Dyniewski, MD
Dr. Dyniewski has been part of the Mindful team since 2017. He has vast experience working with adults and young people who experience anxiety and have a family history of mental illness across Texas. His approach to anxiety treatment is thoughtful. He understands the full picture and is transparent with patients about his recommendations. His patients consistently value how clearly he explains the reasoning behind their care.
Training & Education
- Child, Adolescent & Adult Psychiatrist (MD)
- General Adult Psychiatry & Child Psychiatry: University of Arkansas
- Faculty: Texas Christian University (Clinical Assistant Professor)
Clinical Focus
- Adults: anxiety, ADHD, mood concerns
- Children/teens: attention and anxiety-related concerns
- Medication management with a “lowest effective dose” mindset
Amelia Villagomez, MD
Dr. Villagomez is an expert in integrative psychiatry. Her treatment plans go beyond medication. Her deep training at Yale and Harvard and a two-year fellowship in integrative medicine shape her unique approach to anxiety disorders. She covers biological, behavioral, nutritional, and lifestyle changes, along with targeted mindfulness interventions when clinically appropriate.
Training & Education
- Child, Adolescent & Adult Psychiatrist (MD)
- General Adult Psychiatry: Yale School of Medicine; Child Psychiatry: Harvard University
- 2-year Fellowship: Andrew Weil Center for Integrative Medicine (University of Arizona)
- Faculty: Texas Christian University (Clinical Assistant Professor)
Clinical Focus
- Integrative psychiatry
- Child/adolescent and adult psychiatry
- Mind-body skills and lifestyle-informed treatment planning
- Medication at the lowest effective dose when needed
David Marvin, MD
Dr. Marvin works with adults with anxiety-related concerns. His focus is on helping patients make sense of what is actually happening, simplifying the treatment plan as much as possible, and building toward long-term stability. He incorporates ACT (Acceptance and Commitment Therapy) when it fits the situation and approaches anxiety care as a collaborative process, straightforward and thoroughly guided by a psychiatrist.
Training & Education
- Board Certified Adult Psychiatrist
- General Adult Psychiatry: University of Arkansas
- Internship in Family Medicine: University of Tennessee
- Former Psychiatrist: U.S. Department of Veterans Affairs (Fort Worth)
Clinical Focus
- Bipolar disorder
- PTSD
- ADHD
- Adult medication management and psychiatric care
Christopher Bone, DO
Dr. Bone provides high-quality telehealth psychiatry across Texas for adults who want an expert physician in their corner. His approach is direct in the best way: skip the noise, talk one-on-one, and build a treatment plan that goes beyond just managing symptoms of anxiety disorders. His clinical background spans inpatient, outpatient, and forensic settings, allowing him to treat a wide range of anxiety conditions while looking deeper than surface-level symptoms.
Training & Education
- Board-Eligible Adult Psychiatrist
- General Adult Psychiatry: JPS Health Network – Fort Worth
Clinical Focus
- Integrative telepsychiatry
- Comprehensive psychiatric evaluation
- Thoughtful medication management + whole-person planning
- Texas-wide virtual care
Jake Ryan Fields, MD
Dr. Fields helps people treat anxiety disorders with psychiatric precision. He listens carefully, reviews thoroughly, and builds a plan that is safe and clinically sustainable before making any recommendations. His additional training in sports psychiatry gives him a particular understanding of how performance pressure, chronic stress, and anxiety intersect in high-functioning adults.
Training & Education
- Board-Eligible Adult Psychiatrist
- General Adult Psychiatry: JPS Health Network – Fort Worth
- Additional training in Sports Psychiatry (International Society of Sports Psychiatry)
Clinical Focus
- Comprehensive psychiatric evaluation
- Evidence-based medication management
- Performance, stress, and mood-related concerns
- Performance, stress, and mood-related concerns
Brian J. Dixon, MD
Dr. Dixon built Mindful around a straightforward standard: psychiatric care should be physician-led, transparent, and accountable to the patient. He is direct about what is happening clinically, what it costs, what the options are, and what the plan is, so patients are never left guessing between appointments. He provides professional help for behavioral modification for children, teens, and adults, with a particular focus on how anxiety shows up across different age groups.
Training & Education
- Child, Adolescent & Adult Psychiatrist (MD)
- Triple Board Residency (Pediatrics/Psychiatry/Child Psychiatry): University of Kentucky
- Faculty: Texas A&M University (Affiliate Clinical Assistant Professor)
Clinical Focus
- Behavior modification (ASD, RAD, ODD, ADHD)
- Comprehensive care for Intellectual and Developmental Disabilities (IDD)
- PTSD and cultural psychiatry
- Business coaching and entrepreneurship
Justin Dyniewski, MD
Dr. Dyniewski has been part of the Mindful team since 2017. He has vast experience…
Read More
Amelia Villagomez, MD
Dr. Villagomez is an expert in integrative psychiatry. Her treatment plans go beyond…
Read More
David Marvin, MD
Dr. Marvin works with adults with anxiety-related concerns. His focus is on helping patients…
Read More
Christopher Bone, DO
Dr. Bone provides high-quality telehealth psychiatry across Texas for…
Read More
Jake Ryan Fields, MD
Dr. Fields helps people treat anxiety disorders with psychiatric precision. He listens…
Read More
Brian J. Dixon, MD
Dr. Dixon built Mindful around a straightforward standard: psychiatric care should be…
Read More
Experienced, Local, Community-Connected Physicians
(What Makes Mindful Different)
Mindful is powered by over 72,000 hours of psychiatric training across 6 states with 47+ years of combined private practice.
Founded by Brian J. Dixon, MD, the team includes psychiatrists with varied backgrounds and skills to better meet the needs of the population we support.
We’ve been consistently recognized for excellence by our physician peers as TopDocs in Fort Worth Magazine and 360West.
The best psychiatric care is local. It’s delivered by doctors who live in and invest in the same community you do.
- ➤ Local physicians who live and work in Texas
- ➤ Accessible scheduling (typically within one to two weeks)
- ➤ Over 47 years combined experience in private practice
- ➤ Transparent pricing from the beginning
- ➤ Direct support for out-of-network reimbursement
We have never centered insurance companies. Since 2014, we have centered our patients.
For those who want rushed or insurance-directed care, we are not the right fit.
If you’re looking for thoughtful, physician-led psychiatric care, we’re here to help.
Founded by Brian J Dixon, MD, our growing team of life-long learners include psychiatrists on faculty with Texas A&M College of Medicine, TCU Burnett School of Medicine, and University of Arizona.
Request A Psychiatry Appointment Today
Contact us using the form below.
We respond promptly during business hours
(Mon–Fri, 8am–5pm)
What Our Patients Are Saying
FAQs About Anxiety Treatment in Fort Worth
Does anxiety ever go away?
Severe anxiety often does not improve without proper treatment and support. Anxiety usually improves most when it’s treated with the right balance of support and care. An experienced psychiatrist helps you to reach a point where you need far less anxiety care over time.
What happens at the first appointment?
First, we listen to you. We ask you questions and do a comprehensive review of your medical history, symptoms, and look for any root cause(s) for your anxiety. This will help us give you a clear treatment plan. Instead of surface-level talk and handing over the prescription, the detailed explanation of treatment options keeps us accountable to you as our patient.
How long does it take for anxiety treatment to work?
Therapy typically shows meaningful progress within days to a few months. Medication, when used, begins to take effect within two to six weeks. A thorough upfront evaluation identifies the best treatment options and provides a realistic timeline for what to expect.
What kinds of anxiety disorders do you treat?
Our psychiatrists treat a wide range of mental health disorders, including post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), panic disorder, specific phobias, selective mutism, depression and anxiety, and anxiety tied to a traumatic event or difficult everyday life stressors. Many patients come to us after dealing with excessive fear, muscle tension, chest pain, dry mouth, racing thoughts, or other physical symptoms of anxiety for a long time. Your Mindful psychiatrist can coordinate with outside therapists/clinicians to create a wrap-around team that helps you understand risk factors, rule out medical problems, address physical conditions when needed, and build the right treatment plan for your mental wellbeing.
What therapies and medications are used for anxiety treatment?
We use different ways to help people improve daily activities, thought patterns, and overall mental well-being through talk therapy, cognitive behavioral therapy (CBT), breathing techniques, progressive muscle relaxation, problem-solving skills, aerobic exercise, and other psychological therapies. Depending on the situation, treatment programs may also include selective serotonin reuptake inhibitors, antidepressant medication, beta-blockers, and supplements, taking care to avoid unnecessary long-term use whenever possible.
What if I try to treat my anxiety without medication?
Many people benefit from therapy approaches like Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Accelerated Resolution Therapy (ART) before considering medication. These modalities are highly effective, and they can treat anxiety on their own in some cases. But if medicine is necessary, we use the lowest effective dose for the shortest term indicated in your treatment plan. We aim to keep you empowered at all times.
Do you prescribe medicine in the first session?
We don’t prescribe medication without first completing a comprehensive evaluation. Medication is only recommended when it is clinically indicated and clearly explained to you.
Which areas of anxiety do you specialize in?
Our expert psychiatrists work with all anxiety symptoms and ways of showing up, both in adults and kids. Generalized anxiety disorder, panic disorder, phobias, and more general nervousness or avoidance – we can help no matter how your anxiety shows up.
Can I explore therapy options for anxiety treatment of my child before starting medication?
In many cases, yes. We often explore therapy and behavioral approaches before considering medication for children. The initial evaluation gives a complete picture of anxiety treatment. Parents are allowed to walk through every reasonable option before accepting any recommendation. In many cases, we can help your child reduce anxiety through calming and grounding techniques, breathing exercises, and some physical activities. We bring real improvements via therapy and carefully considered medication to build a calmer, more balanced life. Medication is only prescribed when medically indicated and fully explained to you.
What is gut psychiatry, and how does it relate to anxiety?
The gut is directly linked to the brain. A healthy gut affects nervous system regulation (how calm or agitated you feel in basic terms) and vice versa. A review of your nutrition, micronutrients (if indicated), and gut health helps us make your treatment plan as effective as possible.
Do you take insurance?
Since 2014, we have centered on patients, which drives our choice not to accept insurance. We provide tools, including Reimbursify, to help you recover a meaningful portion of your fees through out-of-network benefits.
How quickly can I be seen?
Once you book your consultation, it typically takes 1 to 2 weeks. We know anxiety does not wait, which is why we do not make you wait three to four months the way most practices do. When anxiety is affecting daily life, that is not a reasonable timeline.
Anxiety Treatment Built Around Getting Better, Not Managing Symptoms Indefinitely
The goal is to understand what drives your anxiety, address the causes with precision, and build toward a life where anxiety no longer runs the show.
Ready for psychiatrist-guided anxiety treatment in Dallas, Fort Worth, or anywhere in Texas? Contact us.
