Anxiety can make it difficult to feel fully at ease—even when everything seems fine on the outside. Persistent worry, racing thoughts, physical tension, or feeling constantly on edge can become exhausting and interfere with work, relationships, sleep, and everyday life.
At Fortitude Mental Health Group, we provide thoughtful, personalized psychiatric care to help adults better understand their symptoms and find a treatment approach that feels right for their individual needs and goals.
Anxiety is a natural response to stress, uncertainty, or perceived danger. At times, it can help us stay alert and prepared. But when worry becomes difficult to control, feels out of proportion to the situation, or begins interfering with daily life, additional support may be helpful. Anxiety does not look the same for everyone. Some people experience constant overthinking or a persistent sense that something is wrong. Others notice more physical symptoms, such as a racing heart, muscle tension, restlessness, stomach discomfort, or difficulty sleeping. Anxiety can also affect concentration, decision-making, relationships, and the ability to enjoy everyday experiences.
Everyone experiences anxiety differently, and having some of these symptoms does not necessarily mean you have an anxiety disorder. A comprehensive evaluation can help clarify what you are experiencing and whether anxiety or another condition may be contributing to your symptoms.
This brief screening can help you reflect on anxiety symptoms you may have experienced during the past two weeks.
Your answers are calculated only in your browser and are not submitted to or monitored by Fortitude Mental Health Group.
Approximately 1–2 minutes
This screening is not intended for emergencies or crisis support. If you are in immediate danger, may act on thoughts of harming yourself, or feel unable to stay safe, call 911 or go to the nearest emergency department. You may also call or text 988 for immediate crisis support.
Over the last two weeks, how often have you been bothered by:
Your screening result
This screening is not intended for emergencies or crisis support. If you are in immediate danger, may act on thoughts of harming yourself, or feel unable to stay safe, call 911 or go to the nearest emergency department. You may also call or text 988 for immediate crisis support.
Based on the Generalized Anxiety Disorder 7-item scale, or GAD-7.
Ongoing, difficult-to-control worry about everyday areas of life, which may be accompanied by restlessness, tension, fatigue, difficulty concentrating, or sleep problems.
Sudden episodes of intense fear or discomfort that may include a racing heart, shortness of breath, dizziness, trembling, or a feeling of losing control.
Intense fear or worry related to social situations, being judged by others, or feeling embarrassed or scrutinized, which may lead to avoidance, distress, or difficulty feeling comfortable in everyday interactions.
Anxiety may also occur alongside depression, ADHD, sleep difficulties, life transitions, medical conditions, or periods of significant stress. A thoughtful evaluation can help clarify how different symptoms may be connected.
Anxiety symptoms can sometimes overlap with or occur alongside other mental health concerns. Difficulty concentrating, restlessness, sleep disruption, low energy, and feeling overwhelmed can have more than one possible cause. For example, difficulty focusing may be related to anxiety, ADHD, depression, poor sleep, or a combination of factors. That's why treatment begins with understanding the full picture—not simply matching a symptom to a diagnosis. At Fortitude, we take the time to understand your symptoms, history, current medications, health factors, and everyday experiences to help clarify what may be contributing to how you feel.
Treatment is personalized based on your symptoms, preferences, medical history, previous treatment experiences, and individual goals. Your care plan may include one or more of the following:
You don’t need to be in crisis to seek support. If persistent worry, racing thoughts, physical tension, panic symptoms, or difficulty sleeping are affecting your daily life, relationships, work, or overall well-being, it may be a good time to reach out.
A psychiatric evaluation can help bring clarity to what you’re experiencing and identify thoughtful, personalized treatment options that fit your individual needs and goals.
You don’t need to wait until anxiety becomes overwhelming or reaches a crisis point. If worry, tension, panic symptoms, sleep difficulties, or feeling constantly on edge are interfering with your daily life or well-being, an evaluation may help clarify what you’re experiencing and what options may be available.
Yes. Anxiety can be associated with physical symptoms such as a racing heart, muscle tension, headaches, stomach discomfort, trembling, shortness of breath, dizziness, and fatigue. Because physical symptoms can also have medical causes, appropriate medical evaluation may sometimes be recommended.
Yes. Anxiety and ADHD can occur together, and some symptoms—such as difficulty concentrating, restlessness, feeling overwhelmed, and sleep difficulties—may overlap. A comprehensive evaluation can help clarify how different symptoms may be contributing to your experience.
No. Treatment decisions are individualized and collaborative. Medication may be one option when appropriate, but recommendations depend on your symptoms, preferences, medical history, previous treatment experiences, and goals.
Yes. Fortitude Mental Health Group provides secure telehealth psychiatric evaluations and medication management for adults located throughout California.
Taking the first step toward care can feel difficult. I’m here to make that process feel comfortable, supportive, and judgment-free—with thoughtful care centered around you.
Jayanta K. Pal, MD
Collaborating Psychiatrist
Dr. Jayanta K. Pal is a board-certified psychiatrist and Diplomate of the American Board of Psychiatry and Neurology with more than 25 years of experience providing comprehensive mental health care across inpatient and outpatient settings. He has extensive experience evaluating and treating a broad range of psychiatric conditions, including mood disorders, anxiety disorders, ADHD, and complex psychiatric disorders.
Dr. Pal completed his psychiatry residency training at Rosalind Franklin University of Medicine and Science in North Chicago, Illinois. Throughout his career, he has served in a variety of clinical and leadership roles, including as an Inpatient Medical Director at Princeton House Behavioral Health, part of Penn Medicine, and has provided psychiatric care across private practice, community mental health, and correctional settings.
As a collaborating psychiatrist with Fortitude Mental Health Group, Dr. Pal brings more than 25 years of psychiatric experience and clinical expertise to support the practice’s commitment to thoughtful, high-quality patient care.
Nicole Chittum, MSN, APRN, PMHNP-C
Founder & Psychiatric Mental Health Nurse Practitioner
Nurse Practitioner and founder of Fortitude Mental Health Group. She provides telehealth psychiatric care to adults throughout California, specializing in the evaluation and treatment of anxiety, ADHD, depression, bipolar disorder, stress-related concerns, and sleep difficulties.
Nicole believes that effective psychiatric care begins with taking the time to truly understand each person—their experiences, concerns, goals, and what matters most to them. Her approach is thoughtful, collaborative, and individualized, with an emphasis on creating a supportive, judgment-free environment where patients feel heard, respected, and actively involved in decisions about their treatment.
She provides comprehensive psychiatric evaluations, medication management, and personalized treatment planning grounded in evidence-based care. Rather than focusing on symptoms in isolation, Nicole considers the broader picture of each patient’s well-being and works collaboratively to develop treatment plans that are both clinically sound and meaningful to the individual.
Her goal is to help patients better understand their mental health, feel confident in their care, and make meaningful progress toward greater stability and long-term wellness.