Mariela Padro, MD · Psychiatrist in Miami
Anxiety Treatment in Miami
Anxiety can affect sleep, concentration, relationships, physical comfort, and the ability to feel present in daily life. Mariela Padro, MD provides personalized psychiatric evaluation for adults experiencing anxiety in Miami, with treatment recommendations based on each person’s symptoms, history, health context, and goals.
Recognizing anxiety
When anxiety starts affecting daily life
Stress and anxiety can affect daily life in many ways, and anxiety can show up differently for each person. The following are examples of how anxiety may affect daily life — they are not a diagnosis.
- Persistent worry that is difficult to manage
- Feeling tense, restless, or constantly on alert
- Sleep disruption
- Difficulty concentrating
- Irritability
- Avoidance of situations or responsibilities
- Physical symptoms such as rapid heartbeat, shortness of breath, stomach discomfort, or muscle tension
- Panic-like episodes
- Anxiety connected with work, relationships, health, or major transitions
Physical symptoms can have many causes and may warrant medical assessment. An evaluation can help clarify what may be contributing.
The evaluation
An individualized psychiatric evaluation
An evaluation with Dr. Padro takes time to listen and to understand your experience. Depending on your situation, an evaluation may consider:
Not every person requires every assessment. An evaluation does not guarantee a particular diagnosis, prescription, test, or treatment.
- Current symptoms
- How long symptoms have lasted and their impact on daily life
- Personal and family history
- Medical history
- Current medications and supplements
- Sleep
- Stress and lifestyle
- Substance use
- Previous treatment experiences
- Relevant laboratory or medical information
- Your concerns and goals
Treatment options
Anxiety treatment options
Treatment depends on your clinical needs and preferences. Depending on your evaluation, recommendations discussed with you may include:
Psychiatric consultation
Time to discuss what you have been experiencing and what you are hoping for.
Medication evaluation or management
A discussion of whether medication may be appropriate, and ongoing review if it is part of your care.
Sleep and lifestyle recommendations
Practical considerations related to sleep, daily routine, and well-being.
Stress-management strategies
Approaches for managing stress as it relates to your symptoms.
Treatment of relevant coexisting concerns
Addressing other concerns that may be present alongside anxiety.
Care coordination or referral to a therapist
Coordination with a therapist or referral for psychotherapy when that is appropriate for you.
Whether any of these are appropriate for you depends on your evaluation. No single approach is right for everyone, and this page does not list every possible option.
Related concerns
Conditions that can overlap with anxiety
Anxiety symptoms can occur alongside or resemble other concerns. This overlap is one reason a personalized evaluation matters. Examples may include:
- Depression — persistent low mood or loss of interest
- ADHD — attention, focus, or executive function concerns
- Sleep problems — difficulty falling or staying asleep, or unrefreshing sleep
- Panic symptoms — sudden, intense episodes of fear
- Trauma-related symptoms — responses to difficult past experiences
- Burnout — effects of prolonged stress
- Medication effects — side effects or interactions
- Substance-related symptoms
- Relevant medical conditions — such as thyroid or other medical concerns
These links are provided for information and do not imply a diagnosis. An evaluation can help clarify what may be contributing.
The approach
A functional and integrative perspective
A functional and integrative perspective considers anxiety symptoms within the broader context of a person’s psychiatric history, medical health, sleep, stress, medications, and daily life. This broader perspective complements — not replaces — appropriate psychiatric and medical evaluation.
Explore the Functional Psychiatry ApproachGetting started
What to expect
Request a consultation
Submit the consultation form on this site to share what you are looking for. The form sends a request to the practice; it does not schedule an appointment directly.
Personalized evaluation
You and Dr. Padro discuss your symptoms, history, concerns, and goals.
Review next steps
Recommendations depend on the evaluation and may include treatment, further assessment, care coordination, or referral.
Not every inquiry becomes a patient, and an evaluation does not guarantee a particular treatment plan.
Common questions
Frequently asked questions
What kind of doctor treats anxiety?
Anxiety can be evaluated and treated by a psychiatrist — a physician who specializes in mental health. Psychologists, therapists, and primary care clinicians also play important roles in care.
When should I consider seeing a psychiatrist for anxiety?
If anxiety is affecting your sleep, concentration, relationships, work, or daily comfort, an evaluation may help clarify what may be contributing and what options may be worth considering. This is not a substitute for emergency care.
Does anxiety treatment always involve medication?
No. Whether medication is part of your care depends on your evaluation. Recommendations may include medication, therapy, lifestyle considerations, or a combination, and medication is not always necessary.
What happens during an anxiety evaluation?
Dr. Padro takes time to listen and reviews your symptoms, history, and overall health. The evaluation helps inform individualized recommendations. It does not guarantee a particular diagnosis, prescription, test, or treatment.
Can sleep problems and anxiety be connected?
Yes. Sleep and anxiety can influence one another, and each can affect the other. An evaluation can help explore how they may be related in your situation.
How do I request a consultation?
Use the consultation form on this page or the Contact page to submit a request. After we receive your request, our team will contact you about next steps.
Your physician
About Mariela Padro, MD

Mariela Padro, MD
Psychiatrist · Miami, FL
Dr. Padro takes time to understand the whole person — your story, your symptoms, and the broader context of your health — rather than focusing on a diagnosis alone.
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Take the next step
If anxiety is interfering with your daily life, you can request a consultation to learn whether an evaluation with Dr. Padro may be appropriate.
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