Online Anxiety Psychiatrist in Midtown Manhattan, NY & Miami, FL

Dr. Zlatin Ivanov, a double board-certified telepsychiatrist, provides comprehensive anxiety treatment in Midtown Manhattan, New York, NY. He uses an individualized approach that combines customized therapy with evidence-based protocols to achieve the most effective results. Don’t wait for anxiety to affect your life. Call (646) 713-0000. Dr. Ivanov has offices in Midtown Manhattan (Chrysler Building, 405 Lexington Ave) and Miami, FL (701 Brickell Avenue).

Whether you are a finance executive in Midtown facing burnout or a tech professional in Miami battling panic attacks, Dr. Ivanov develops a treatment plan that fits your high-performance lifestyle.

• In-Person Appointments Available: Chrysler Building (NYC) & Brickell (Miami).
• Telepsychiatry Available: Across NY, NJ, and FL.

What Is Anxiety?

Anxiety is a normal mental response to being threatened, under pressure, or stressed. It can provide you with a much-needed energy boost, help you pay attention, make you aware of risks, and drive you to solve problems.

According to the World Health Organization, anxiety is the leading mental health condition worldwide.

However, when anxiety becomes continuous and hard to control, it becomes a problem that can severely decrease your quality of life. Excessive fear or anxiety that is severe and out of proportion to the existing situation can indicate a mental health problem. Fortunately, anxiety disorders are highly treatable no matter how long you’ve felt anxious or how severe your symptoms are.

Only 24% of U.S. adults reported visiting a mental health professional in 2024, with adults 18–34 more than twice as likely to seek care compared to those aged 50+

What are the Symptoms of Anxiety?

Excessive and persistent stress about ordinary situations is the hallmark of an anxiety disorder. These disorders push your anxiety beyond the typical feeling of worry into a full-blown panic attack. If you have an anxiety disorder, you experience sudden and intense fear that far surpasses the need for whatever situation you’re in.

Anxiety disorders are a group of conditions characterized by excessive fear in non-threatening situations.

Signs that you may be suffering from an anxiety disorder include:

• Difficulty thinking about anything other than what you fear
• An increased heart rate
• Rapid breathing
• Tense muscles
• Trembling
• A feeling of impending doom or panic
• Sweating
• Feeling jumpy

If you’re 19 to 65 years old and looking for an anxiety doctor in NYC, New Jersey or Florida, you’ve come to the right place: Online Psychiatrists. They specialize in diagnosing and treating mental health problems, including the panic attacks and social phobias often associated with anxiety. You have many anxiety treatment options; your doctor chooses the one that best suits you.

Comprehensive Diagnostic Evaluation

Stop Guessing. Get a Medical Diagnosis.

Before treatment begins, Dr. Ivanov moves beyond simple checklists. Your initial consultation includes a comprehensive psychiatric evaluation to rule out underlying physical issues (such as thyroid dysfunction) that often mimic anxiety.

Dr. Zlatin Ivanov knows the difference between situational stress and clinical disorders to ensure you aren't misdiagnosed. This includes screening for co-occurring conditions common in high-stress industries, such as:

• Adult ADHD (often masked by anxiety)
• Depression or Burnout
• Insomnia and Sleep Disorders

Are There Different Types of Anxiety Disorders?

Anxiety disorders come in several flavors. Some develop slowly over time, while others result from an underlying physical illness, a dysfunctional early childhood or a response to a recent traumatic event.

The most common forms of anxiety disorders include:

• Generalized anxiety disorder, a chronic and exaggerated anxiety over day-to-day life situations and experiences
• Social anxiety disorder, an intense fear of social interaction and perceived humiliation
• Illness anxiety disorder, panic related to developing a physical health problem
• Panic disorder, characterized by panic attacks and sudden feelings of terror that strike without warning
• Phobias, such as social phobia, which are irrational fears of certain places or events
• Obsessive-Compulsive Disorder (OCD), a combination of unwanted thoughts (obsessions) and repetitive/ritualistic behaviors (compulsions)
• Separation Anxiety Disorder, a disorder characterized by an extreme fear of separation from a loved one
• Post-Traumatic Stress Disorder (PTSD), a condition that occurs after traumatic or terrifying events, such as violence, war, or natural disasters. PTSD is
• Agoraphobia, intense fear of open spaces, or places where it’s hard to escape or get help
• Selective mutism, a childhood disorder where an individual cannot talk in certain social situations because of anxiety or fear.

Some anxiety disorders don’t meet the criteria for specific categories, but still, result in disruptive symptoms. These disorders are referred to as unspecified anxiety disorders. Regardless of the nature of your anxiety, your symptoms can improve with treatment.

Anxiety Treatment for the High-Stress Professional

Many of our patients do not fit the stereotypical image of "anxiety." You may be successful, driven, and high-performing, yet privately struggling with racing thoughts, insomnia, or a constant feeling of impending doom.

We specialize in treating High-Functioning Anxiety. This is often found in professionals who channel their anxiety into productivity but suffer from physical exhaustion, irritability, and an inability to "turn off" their brains. We treat the root cause, not just the symptoms, of:

• Performance Anxiety: Fear of public speaking, presentations, or board meetings.
• Workplace Panic Attacks: Sudden, intense fear that occurs during the workday or commute.
• Generalized Anxiety Disorder (GAD): Chronic worry that interferes with sleep and focus.
• Social Anxiety in Networking: Intense fear of social interactions or perceived humiliation in professional settings.

Medication Management for Anxiety: Precision, Safety, & Efficacy

For many patients, therapy alone is not enough to correct the chemical imbalances associated with severe anxiety. Dr. Ivanov is an expert in psychopharmacology, which makes anxiety treatment highly effective.

We do not believe in a "one-size-fits-all" prescription. Our medication management philosophy is distinct:

• Conservative Starts: We often begin with low doses to gauge tolerance and minimize side effects.
• Targeted Selection: We select medications (SSRIs, SNRIs, Buspirone, or Beta-Blockers) based on your specific genetic makeup, medical history, and lifestyle needs.
• High-Performance Focus: We prioritize medications that reduce anxiety without causing brain fog or sedation, allowing you to remain sharp at work.
• Controlled Substance Safety: If benzodiazepines are clinically necessary for panic attacks, they are managed with strict protocols to prevent dependency.

Patients Talk About Their Anxiety Treatment Experience

When Should I Get Help for Anxiety Disorders?

If feelings of anxiety or distress interfere with your work, relationships or other aspects of your life, it’s time to get medical help. Anxiety tends to worsen with time, so talk to a psychiatrist as soon as possible. An accurate diagnosis is the first step toward relaxation and a higher quality of life.

Conveniently Located Anxiety Teatment

Anxiety Therapy in the Heart of Midtown Manhattan

Our New York office is located within the iconic Chrysler Buildingat 405 Lexington Ave, making it easily accessible for professionals and residents throughout New York City. We are just steps away from Grand Central Terminal, providing convenient access via the 4, 5, 6, 7, and S subway lines, as well as Metro-North Railroad.

If you’re arriving by bus, we are serviced by the M101, M102, and M103 lines along Lexington and Third Avenues. For patients working near Bryant Park or the United Nations, our office is a short, stress-free walk.

Serving patients from: Murray Hill, Turtle Bay, Hell’s Kitchen, Upper East Side, Chelsea, and commuters from Westchester County and Greenwich, CT.

Anxiety Therapy in Miami’s Brickell Financial District

Located at 701 Brickell Avenue, our Miami office serves patients in the bustling Brickell Financial District and surrounding Downtown Miami areas. We are situated just blocks from the beautiful Biscayne Bay waterfront and Brickell City Centre.

Reaching us is simple via public transit: we are within distance of the Eighth Street Metromover Station (Brickell Loop). If you are driving, you will find several parking garages nearby on Brickell Key Dr and SE 8th St. Our location offers a discreet and accessible setting for anxiety treatment near Little Havana and Coconut Grove.

Related Articles

• How Your Anxiety Might Be Affecting You Physically
• Hydroxyzine for Anxiety: Side Effects, Dosage, and More
• The 7 Best Over-The-Counter Anxiety Medications Out There
• What are the Signs of a Nervous Breakdown?

Anxiety is highly treatable, but it rarely goes away on its own. Stop letting anxiety dictate your career and personal life. Contact Online Psychiatrists to book an in-person visit in New York, New Jersey, or Florida, or a virtual appointment with Dr. Ivanov.