Anxiety and depression, treated at the source
Theodore Germanos, MDTriple board-certified — adult, child & adolescent, and addiction medicineAnxiety and depression are the most common reasons individuals seek psychiatric care — and among the most treatable conditions in medicine. Many people carry one or both for years while work, relationships, and quality of life quietly narrow. Care here starts with understanding what is actually going on, because the right treatment depends on the right diagnosis.
What I treat
Generalized anxiety and constant worry. Panic attacks. Social anxiety. Major depression, and the quieter, longer-running low mood that never fully lifts. Sleep that will not settle. Burnout that has drifted into something more. These conditions travel together more often than they travel alone — and they overlap with ADHD and substance use, which is where being triple board-certified in adult, child & adolescent, and addiction medicine matters: the whole picture gets evaluated by one clinician.
How treatment works
Care starts with a thorough evaluation through a diagnostic conversation — your symptoms, your history, your health, and what you want to change. From there, treatment is built to fit: psychotherapy, targeted work on sleep and daily structure, and medication when it is the right addition to treatment. Follow-ups are unhurried, and messages come to me directly.
If you are functioning but not living
Many of the individuals I see are doing well by every outside measure — careers, families, responsibilities held together — while managing a constant background of worry or flatness. You do not need to be in crisis for treatment to be worth it. Ultimately, this is about improving your quality of life.
For individuals whose anxiety shows up mainly in markets, I have written about trading anxiety and what actually helps on Psychiatrade, my free educational project.
Apply
A short application — about 5–7 minutes, no card required.
Evaluation
A thorough diagnostic conversation.
Plan
Treatment built to fit, with unhurried follow-ups.
How do I know if it is clinical anxiety or depression, or just stress?
Duration and impact are the useful markers: when worry or low mood persists for weeks, shows up most days, and starts costing you — sleep, focus, relationships, work — it deserves an evaluation. That is exactly where the question gets answered; nothing is decided before evaluation.
Do I have to take medication?
No. Medication is one option among several, and it is considered when it is the right addition to treatment. Many individuals do well with psychotherapy and structured changes alone; when medication is appropriate, it is discussed openly and monitored closely.
Does treatment for anxiety and depression work over telehealth?
Yes. Evaluation, psychotherapy, and medication management all translate fully to video, and receiving care from your own home removes the commute and waiting room that often keep people from starting at all.
How soon can I be seen?
Applications are reviewed personally, typically within 1–2 business days. Getting started is a short application — about 5–7 minutes, no card required.
Do you accept insurance?
The practice is private-pay. You can request a superbill to submit to your insurance if your benefits include out-of-network reimbursement.
Also see: Telehealth psychiatry in California · ADHD · Addiction medicine