Racing thoughts, a pounding heart, tension that never seems to let up, anxiety can make even simple tasks feel overwhelming. At Cura Mind and Wellness, our Boston team provides personalized, evidence based treatment that blends therapy skills, precise medication decisions, and practical lifestyle strategies. Care is directed by Vivian Emuobe, MSN, BSN, APRN, PMHNP-BC, a board certified psychiatric mental health nurse practitioner licensed in Massachusetts, with experience across inpatient and outpatient settings, and leadership in structured group programs.
We see patients in person in Boston, and by secure telehealth across Massachusetts. Your plan is clear, measured against meaningful goals, and adapted to your life in the city.
Note for Massachusetts, TMS is not offered at the Boston location. If an advanced option is clinically appropriate, we discuss alternatives and coordinate trusted referrals.
Do these symptoms sound familiar
- Persistent worry that is hard to control,
- Restlessness, muscle tension, stomach distress,
- A sense of dread before meetings or social events,
- Panic episodes with chest tightness and shortness of breath,
- Trouble sleeping, early waking, or racing thoughts at night,
- Avoidance of situations because they trigger fear,
- Difficulty concentrating, feeling scattered or on edge.
Anxiety presents in many forms, generalized anxiety, panic attacks, social anxiety, specific phobias, health anxiety. It often overlaps with depression, ADHD, OCD, and sleep problems. Our evaluations separate look-alike conditions so treatment targets the right causes.
What your treatment can include
Therapy that works for anxiety
- CBT, identify patterns, challenge automatic thoughts, and learn practical coping tools,
- Exposure based strategies for panic, social anxiety, and phobias, paced and collaborative,
- DBT skills, emotion regulation, distress tolerance, and mindfulness for intense spikes,
- Trauma informed care when anxiety is linked to past events,
- Sleep focused CBT-I, stimulus control, wind down routines, and circadian consistency.
Thoughtful medication management
- First line options such as SSRIs and SNRIs when clinically indicated,
- Non sedating alternatives when daytime function matters most,
- Short term aids used conservatively when appropriate,
- Stepwise adjustments based on outcomes and side effect profiles.
Whole person supports
- Breathing, grounding, and brief movement practices you can use between sessions,
- Caffeine timing, nutrition patterns, and digital boundaries that reduce spikes,
- ADHD and psychological testing when attention, memory, or processing speed are part of the picture,
- Gene testing in office, when medication history includes side effects or limited benefit.
Your first twelve weeks, a practical roadmap
- Weeks 1 to 2, evaluation and plan: A focused assessment clarifies anxiety type, severity, co existing conditions, sleep, and medical factors. You leave with a written plan, therapy focus, skills to practice, medication options when appropriate, and your first progress measures.
- Weeks 3 to 4, skill building and early monitoring: CBT exercises begin, thought records, exposure hierarchy, or CBT-I routines. If medication is started, we review early effects and adjust timing or dose.
- Weeks 5 to 6, exposure and stabilization: Gradual, supported exposure to feared cues, paired with coping tools. Lifestyle anchors are refined, wake time, light timing, nutrition, movement.
- Weeks 7 to 8, reduce avoidance, expand capacity: We target high value situations, presentations, classes, social events. Medication adjustments are considered if gains stall.
- Weeks 9 to 10, consolidate skills: Relapse prevention begins, early warning signs, reset steps, and support options. Documentation for school or work accommodations is provided when criteria are met.
- Weeks 11 to 12, maintain and grow: Visit frequency can begin to taper. You leave with a written maintenance plan that fits a real Boston week.
For students, clinicians, and busy professionals
Boston life is intense. Students at area colleges, trainees on clinical rotations, researchers, educators, and professionals report long days, tight deadlines, and high stakes presentations. We tailor care to this context.
- Short, focused sessions between classes or shifts,
- CBT rehearsal for public speaking and exams,
- Sleep strategies that work during rotations,
- Plans for travel, conferences, and interview seasons,
- Letters for academic or workplace accommodations when appropriate.
What progress looks like
- Fewer spikes in anxiety and shorter recovery time,
- More consistent sleep with steadier morning energy,
- Better focus and task completion,
- Clearer communication and boundaries at school or work,
- Reduced avoidance, more participation in valued activities,
- Decreased physical symptoms, less stomach distress and muscle tension,
- Confidence using skills without needing a perfect day.
How we track outcomes
Your plan includes measurable markers, symptom scales, session ratings, and functional targets such as attendance, presentations, emails, exam performance, bedtime and wake time consistency. We adjust based on data and your lived experience, not guesswork.
Collaboration and safety
With your written consent, we coordinate with primary care, therapists, or specialists. Communication is concise, medication list, diagnoses, current plan. If significant risk appears, we make safety plans and discuss higher levels of care transparently. If you are ever in immediate danger, seek emergency care right away.
What we do not do
- One size fits all plans,
- Automatic prescriptions without discussion,
- Long term use of sedating medications without reassessment,
- Pressure to choose a specific treatment path,
- Promises of instant relief. We focus on steady, sustainable change.
FAQs, Anxiety Treatment in Boston, MA
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Both can help. Many patients benefit from CBT plus a first line medication. We decide together based on your goals and history.
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Some skills help right away, paced breathing and grounding. Medication timelines vary, many notice early changes within a few weeks, with continued gains over eight to twelve weeks.
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Yes, many patients are treated fully by telehealth when clinically appropriate. You must be physically in Massachusetts during virtual sessions.
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They may be considered short term for specific cases. We emphasize non sedating options, therapy skills, and long term strategies.
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We teach interoceptive and situational exposure, plus skills for rapid spikes. Medication support can be added when helpful.
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Yes. We coordinate with academic services when documentation is appropriate, and we design plans that fit exam seasons and rotations.
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No. TMS is not offered at the Boston location. If an advanced option fits your needs, we discuss alternatives and provide referrals.
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Yes. Every evaluation includes a documented plan, therapy focus, medication choices if indicated, monitoring steps, and a follow up schedule.
Why Boston patients choose Cura
- Licensed expertise, leadership from a board certified psychiatric nurse practitioner,
- Integrated model, therapy and medication management in one practice,
- Clear diagnosis, structured assessments that distinguish anxiety from ADHD, mood changes, and sleep disruption,
- Measured progress, symptom tracking and functional goals,
- Flexible access, in person visits in Boston, telehealth across Massachusetts,
- Respectful care, culturally sensitive, collaborative, and stigma free.
Begin anxiety treatment in Boston
Anxiety is treatable, and progress is measurable. With in person appointments in Boston and telehealth statewide, Cura Mind and Wellness provides structured care that is compassionate, practical, and effective. You will leave each visit knowing exactly what to do next.