Anxiety is one of the most common reasons Oregonians seek mental health care, but it can look very different from person to person. At Cura Mind and Wellness, patients in Portland and throughout Oregon receive personalized anxiety treatment through secure telehealth.
Treatment is guided by Vivian Emuobe, MSN, BSN, APRN, PMHNP-BC, a board certified psychiatric mental health nurse practitioner licensed in Oregon, with advanced training and years of hospital and outpatient experience. Whether you live in Portland, Bend, Salem, or a smaller rural town, you can connect to the same level of care without the burden of travel.
How anxiety shows up
Symptoms vary, but many patients describe:
- Constant, excessive worry that is hard to control,
- Racing thoughts that interfere with work, school, or sleep,
- Physical distress, chest tightness, rapid heartbeat, stomach upset,
- Panic attacks that appear suddenly in public or at home,
- Irritability, muscle tension, and restlessness,
- Avoidance of situations that trigger fear,
- Difficulty focusing or remembering details.
For some, anxiety overlaps with depression, ADHD, PTSD, OCD, or sleep issues, making diagnosis more complex. That is why every evaluation begins with a full review, not a checklist.
A treatment plan designed for Oregon life
Therapy methods that work
- Cognitive Behavioral Therapy, CBT to break cycles of anxious thoughts and avoidance,
- Exposure based therapy for phobias and panic, done gradually and collaboratively,
- DBT skills for emotional regulation and distress tolerance,
- Trauma informed approaches when anxiety is linked to past experiences,
- Mindfulness practices to ground patients in the present and reduce overthinking.
A structured timeline for care
- Month 1 — Evaluation and planning: Comprehensive assessment, review of medical history, diagnosis clarification, and delivery of a written plan.
- Month 2 — Early interventions: Begin therapy skills, discuss medication if appropriate, and establish sleep and stress anchors.
- Month 3 — Skill building: Exposure exercises, refined CBT practices, and close medication monitoring if prescribed.
- Month 4 — Consolidation: Less avoidance, better routine adherence, reduced intensity of spikes. Written progress markers shared.
- Month 5 and beyond — Maintenance: Sessions taper as stability improves. Relapse prevention strategies and early warning signs are documented.
Meeting Oregon patients where they are
Our telehealth model makes treatment accessible statewide:
- Portland metro residents benefit from flexible scheduling that fits urban workdays,
- College students in Eugene, Corvallis, and Ashland receive support for performance anxiety and social pressures,
- Rural communities in Eastern and Southern Oregon gain psychiatric access without the need to travel hours into the city,
- Families across the state can schedule appointments without disrupting routines or child care.
What progress looks like
Patients often report:
- Fewer intrusive worries,
- Improved sleep continuity and steadier energy,
- Reduced panic attacks and shorter recovery after spikes,
- Greater focus at work or school,
- Stronger relationships and communication,
- More confidence in daily activities, from errands to presentations.
Progress is measured with symptom scales, functional goals, and personal outcomes such as attendance, productivity, and participation.
Medication management
For patients whose anxiety is severe or persistent, medication may be recommended. We consider:
- SSRIs and SNRIs as first line treatments,
- Non sedating alternatives when focus and energy must be preserved,
- Stepwise titration to limit side effects,
- Gene testing when history suggests prior intolerance or poor benefit, available through our Oregon telehealth program with lab coordination.
Lifestyle supports
- Sleep hygiene and CBT-I to reset disrupted patterns,
- Nutrition strategies that stabilize mood and energy,
- Movement routines adapted to different Oregon lifestyles, from city workouts to outdoor hiking,
- Digital boundaries and stress reduction plans that are actually realistic.
Safety and collaboration
At Cura, anxiety treatment is never one size fits all. We collaborate closely with patients and, when appropriate, primary care providers or therapists. Safety plans are developed for high risk scenarios, and higher levels of care are discussed transparently when needed.
All telehealth sessions are HIPAA compliant, encrypted, and never recorded, ensuring privacy and confidentiality.
Why Cura Mind and Wellness stands out in Oregon
- Licensed to treat patients statewide,
- Blends medical, therapeutic, and lifestyle approaches,
- Accessible to rural and urban residents alike,
- Culturally sensitive and stigma free,
- Patient centered with written plans and measurable goals,
- Transparent, ethical, and respectful at every stage of care.
FAQs — Anxiety Treatment in Portland, OR
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Yes. Telehealth visits are available statewide. You must be physically in Oregon at the time of your session.
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Yes, when clinically appropriate. First line medications may include SSRIs or SNRIs, with close follow up and monitoring.
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Yes. Evidence shows CBT and other anxiety focused therapies are just as effective virtually as in person when sessions are consistent.
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Yes. Panic disorder is treated with exposure therapy, CBT, and sometimes medication support.
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It is common to have both. Our evaluations identify overlapping conditions so treatment addresses the full picture.
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Yes. Sessions are encrypted, HIPAA compliant, and not recorded.
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Yes. Every evaluation ends with a clear, documented treatment plan that includes therapy focus, medication steps if indicated, and follow up timing.
Why Oregon patients choose Cura
- Board certified expertise with licensure in Oregon,
- Telehealth access statewide, from Portland to rural regions,
- Integrated treatment, therapy and medication in the same practice,
- Whole person focus, care that includes sleep, nutrition, and stress strategies,
- Culturally sensitive approach, respecting Oregon’s diverse communities,
- Transparent plans, every evaluation ends with a written treatment roadmap.
Begin anxiety treatment in Oregon
With telehealth available statewide, Cura Mind and Wellness provides anxiety treatment that is compassionate, structured, and effective. Whether you live in Portland or anywhere across Oregon, you will leave each visit with a plan you can trust.