Anxiety, Panic & Stress · Online Across India & New Delhi
Everyone worries. Clinical anxiety is different: persistent, disproportionate, physically exhausting, and costly to daily life. Dr. Shaurya Garg, MD Psychiatry (AIIMS New Delhi), assesses and treats anxiety disorders with evidence-based care, online across India and in New Delhi.
A structured set of evidence-based anxiety management skills, personalised after clinical assessment and shared with patients following a consultation.
What Clinical Anxiety Is
A degree of anxiety is useful: it prepares, sharpens, and protects. Clinical anxiety is worry that has outgrown its job, running long after the exam is over and loud when nothing is wrong.
Anxiety becomes a clinical concern when it is persistent, disproportionate to the situation, difficult to control, and begins to cost you things: sleep, concentration, relationships, opportunities you avoid rather than face. It takes several forms, and they often overlap: generalised anxiety (continuous background worry about many things), panic disorder (sudden intense episodes with racing heart, breathlessness, and a fear of dying or losing control), social anxiety (fear of scrutiny and judgment that shrinks life), health anxiety (repeated checking, reassurance-seeking, and fear of illness despite normal reports), and performance anxiety around exams, interviews, and public speaking.
The form matters, because the treatment differs. That is why assessment comes before advice.
The Physical Side
Anxiety frequently arrives in the body first: palpitations, chest tightness, breathlessness, dizziness, trembling, stomach upset, and a wired-but-exhausted feeling. Many patients reach a psychiatrist only after emergency visits and cardiac workups that came back normal. Those normal reports are not evidence that nothing is wrong; they are evidence that the right specialist has not yet been consulted.
At the same time, careful psychiatry never assumes. Thyroid problems, cardiac conditions, anaemia, caffeine and stimulant use, certain medications, and substance withdrawal can all produce anxiety-like symptoms, and anxiety commonly travels with depression and ADHD. A proper assessment rules the mimics out and maps the overlaps, so treatment targets the actual problem.
Anxiety Care
Each is assessed on its own terms, because each responds to a different emphasis in treatment.
Treatment
Treatment begins with a structured consultation: the pattern of your anxiety, its triggers and timeline, physical symptoms, sleep, caffeine and substance use, medical history, and what it is costing you. From there, a plan is built from evidence-based components: psychotherapy direction (cognitive-behavioural approaches are the best-studied for anxiety), medication when indicated, prescribed conservatively and explained clearly, lifestyle and sleep correction, and structured follow-up.
Anxiety disorders respond well to proper treatment. The aim is not to remove all anxiety, which is neither possible nor desirable, but to return it to its proper size: a signal you can hear and use, rather than a siren that runs your day.
Between sessions, or while you decide, you can practise the free 5-4-3-2-1 grounding exercise, guided box breathing or guided muscle relaxation (JPMR) on this site. They can help with the immediate experience; assessment and treatment address the cause.
Medication Education
Generalised anxiety, panic disorder, social anxiety, medication effects and physical causes do not share one automatic prescription. Cognitive-behavioural therapy may be used alone or with medication depending on severity, preference and previous response.
SSRIs such as sertraline or escitalopram are commonly discussed for anxiety disorders. Fluoxetine, paroxetine or citalopram may fit selected presentations. Early activation, sexual side effects, withdrawal risk and interactions are part of the choice.
Venlafaxine or duloxetine may be considered in selected anxiety disorders. NICE also discusses pregabalin when SSRIs or SNRIs cannot be tolerated, with careful review of sedation, misuse risk and other medicines.
Medicines such as clonazepam or lorazepam are not routine long-term treatment for generalised anxiety and are not recommended as ongoing treatment for panic disorder. If used at all, it is usually for a brief crisis with a clear stop plan.
This is not a recommendation to start or request a medicine. Antidepressants should not be stopped abruptly, and sedatives should not be combined with alcohol, opioids or other sedating drugs. New chest pain, fainting, marked breathlessness or another unexplained physical symptom needs appropriate medical assessment.
Clinical reference: NICE CG113, generalised anxiety disorder and panic disorder.
In Delhi and Online
In-person consultations take place at Annova Health, inside The Face Centre, 3rd Floor, 41 Ring Road, Block Q, Lajpat Nagar 4, New Delhi 110024, Monday to Saturday, 11 am to 7 pm, by appointment. The building is on Ring Road itself and is reached easily from Defence Colony, Jangpura, South Extension, Greater Kailash, East of Kailash, CR Park, Kalkaji and Nehru Place. Moolchand and Lajpat Nagar metro stations are both close by. Directions and a fuller clinic guide are on the Lajpat Nagar clinic page.
Where travelling to the clinic is not practical, anxiety and panic can be assessed and treated by secure video anywhere in India, and most of this work carries over well. What does not is a presentation where a physical cause has not yet been excluded. Where that applies you will be asked to be seen in person, or to have specific tests done first, rather than being reassured over a screen.
An in-person consultation is ₹3,000 for 30 minutes. Online is ₹2,500 for 30 minutes, or ₹4,000 for a pre-booked 60 minutes. Follow-up consultations are charged at the same rate. Full details are on the fees page.
Common Questions
Ask what it costs you. Normal anxiety is proportionate, passes when the situation passes, and rarely changes your decisions. Clinical anxiety persists, feels out of proportion, disturbs sleep and concentration, and makes you avoid things that matter. If worry is shaping your life, an assessment is worthwhile.
That question deserves assessment, not a guess. New, severe or unusual chest symptoms may need urgent medical evaluation, and cardiac or other medical causes should be considered where indicated. Normal reports do not by themselves prove anxiety; the timing, pattern and accompanying symptoms help a clinician decide whether panic is contributing.
Not necessarily. Many anxiety presentations respond to structured psychotherapy and lifestyle correction alone. Medication is added when the severity, duration, or physical toll warrants it, and its rationale, options, and duration are always explained before anything is prescribed.
It varies with the type, severity and duration of anxiety, the treatment chosen and the person's response. A responsible plan sets review points to assess benefit, side effects and whether the formulation or treatment needs to change, rather than promising a fixed timeline.
Yes. This site has a free 5-4-3-2-1 grounding exercise, guided box breathing and guided muscle relaxation (JPMR). These can help in the moment; they do not treat the condition underneath. If anxiety keeps returning, assessment finds the cause.
Often. A video consultation can support detailed assessment, psychotherapy planning and medication review for many anxiety presentations. Some physical symptoms need local medical examination, and emergencies require immediate local or in-person care.
A consultation is ₹3,000 for 30 minutes in person in Lajpat Nagar, or ₹2,500 for 30 minutes online, with a pre-booked 60-minute online session at ₹4,000. Follow-ups are charged at the same rate. Medication, where it is used, is bought separately at pharmacy rates. The full fee list is published on the site.
Annova Health, inside The Face Centre, 3rd Floor, 41 Ring Road, Block Q, Lajpat Nagar 4, New Delhi 110024. The building is on Ring Road itself, a short drive from Defence Colony, South Extension, Greater Kailash and East of Kailash, with Moolchand and Lajpat Nagar metro stations both nearby. Consultations are Monday to Saturday, 11 am to 7 pm, by appointment.
Panic attacks are treated at the Lajpat Nagar clinic in South Delhi and by video across India. The first task is not treatment but accuracy: chest pain, breathlessness and a racing heart deserve a proper look at whether anything physical is contributing before they are labelled panic. Once that is settled, panic disorder responds well to treatment, and the approach is agreed rather than assumed.
For milder, clearly situational anxiety, starting with a clinical psychologist for CBT is reasonable. A psychiatrist is the better starting point where the anxiety is severe, where it is disturbing sleep or work, where physical symptoms still need to be sorted out, where there is depression alongside it, or where medication is likely to be part of the plan. Neither choice is wrong, and moving between them is normal.
Unlock anxiety care
Personalised, evidence-based anxiety management skills are shared after clinical assessment. Message on WhatsApp or email to book a consultation, online across India or in person in New Delhi.