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Anxiety treatment · Salem, Oregon
Quiet the constant worry
When anxiety hasn't eased with medication or therapy alone, ketamine therapy can help break the cycle of fear and overthinking, often alongside counseling.
- 5.0 from 48 Google reviews
- No referral needed
Understanding anxiety
When worry takes over
Everyone feels anxious sometimes. Anxiety becomes a problem when it is constant, hard to control and starts shaping your sleep, work and relationships.
Ketamine acts on glutamate and helps the brain form new connections, which can loosen long-standing patterns of worry and panic. Counseling gives you tools to keep that progress. For anxiety that comes with depression, Exomind TMS may also be an option.
Common signs
- Constant worry that's hard to switch off
- Racing thoughts or overthinking
- Panic attacks or a racing heart
- Trouble sleeping or staying asleep
- Avoiding places or people because of fear

Treatment
Your treatment options
We tailor your plan to your symptoms, history and goals, and adjust it as you progress.
Ketamine therapy
IV infusions in a private, monitored room, or low-dose oral ketamine for mild to moderate symptoms.
Oral $200–$250 · IV $450 per infusion In person or telehealthCounseling
One-on-one therapy with our licensed counselor, in our Salem office or by secure video.
$125 per session · UnitedHealthcare/Optum or Thrizer Drug-freeExomind TMS
Gentle magnetic pulses with no medication, sedation or downtime. About 30 minutes, and you drive yourself home.
$350 per sessionKetamine is used off-label for anxiety. Exomind TMS is FDA-cleared for major depression, so we consider it when anxiety comes with depression. Your provider will explain which fits you.
Getting started
What to expect
Book a consultation
Schedule online or call us. Consultations are $75 and may be covered by insurance.
Careful evaluation
Your provider reviews your symptoms, history and medications.
Your plan
We recommend the treatment that fits you, and explain costs and financing up front.
Ongoing support
We track your progress and adjust your plan as you improve.
Patient stories
Care that patients trust
"He listened to my experiences, explained everything well, answered my questions, and let me know how treatment would go and what to expect. Very comfortable, safe space."
Alicia P.Google review
"Dr. Fillmore spent the time to talk with us about the procedure, what it would be like and continued throughout the meeting to ask if we had further questions."
Kathleen W.Google review
"This therapy has been life changing in itself, and made all the more meaningful by the professionalism, kindness and down to earth manner of Dr. Fillmore."
Laurie P.Google review
Questions
Anxiety FAQs
Can ketamine help with anxiety?
Many patients notice less worry and a calmer baseline with ketamine therapy. Ketamine is used off-label for anxiety, and your provider will help you decide if it's a good fit.
Will ketamine make me feel anxious during treatment?
Some people feel unusual or floaty during an infusion. Every session is monitored in a private room, and your provider can adjust the dose to keep you comfortable.
Is oral ketamine an option for anxiety?
Yes. Low-dose oral ketamine may be a good fit for mild to moderate symptoms. It costs $200–$250.
Should I do counseling too?
Many patients get the best results by pairing ketamine with counseling. Counseling is $125 per session. We accept UnitedHealthcare/Optum, and you can use other insurance through Thrizer.
Does TMS help anxiety?
Exomind TMS is FDA-cleared for major depression. We may consider it when anxiety comes with depression.
Find your calm again
Book a $75 consultation at our Salem clinic. No referral needed.
