Anxiety Treatment & Medication Management — Maryland & DC | MJB Holistic

MJB Holistic provides anxiety treatment and medication management to Maryland and DC residents via secure telehealth, plus select Georgia patients covered by Peach State Health Plan. In-person visits available at our Upper Marlboro, MD office; telehealth available statewide.

If anxiety has narrowed your world — keeping you from work, relationships, sleep, or simply being present — you're not alone, and you're not stuck. At MJB Holistic & Therapeutic Services in Upper Marlboro, Maryland, we treat anxiety the way we treat every condition: by looking at the whole client, and not the hole in the client. Lasting relief comes from addressing how your mind, body, history, and current life are all connected — not just from a prescription pad.

What anxiety actually feels like

Generalized anxiety disorder shows up differently for everyone, but the most common signs we see in our Maryland practice include:

• Persistent worry that's hard to control, even when you logically know things are fine
• Restlessness, feeling on edge, or unable to relax
• Sleep disruption — trouble falling asleep, staying asleep, or waking with a racing mind
• Physical symptoms: muscle tension, headaches, stomach issues, rapid heartbeat
• Difficulty concentrating or feeling like your mind goes blank
• Irritability that doesn't match the situation
• Avoiding situations, people, or decisions because of how anxious they make you feel

If you recognize yourself in this list, evidence-based treatment can help. Most patients see meaningful improvement within the first few weeks of care.

How we approach anxiety treatment at MJB Holistic

Our founder, Melveena Johnson-Bolden, PMHNP-BC, is a board-certified psychiatric-mental health nurse practitioner with 28 years of nursing experience. She specializes in psychopharmacology married with psychotherapy — meaning treatment isn't just "here's a prescription, see you in three months." We combine medication management, evidence-based therapy approaches, and lifestyle work that supports whole-person healing.

Anxiety treatment at MJB typically includes:

• A thorough psychiatric evaluation to understand your specific anxiety pattern, history, and goals
• Medication management when clinically appropriate — using the lowest effective dose with the fewest side effects
• Pharmacogenetic testing for patients who haven't responded well to standard medications, so we can match prescriptions to your body chemistry
• Psychotherapy support — we coordinate with therapists when talk therapy is part of your plan
• Practical tools you can use between appointments to manage anxious episodes in real time
• Regular follow-up so we can adjust as you improve

What to expect at your first appointment

First appointments are 60 minutes and can be in-person at our Upper Marlboro office or via secure telehealth on the Spruce platform. We'll talk through your current symptoms, your history, what's worked and what hasn't, and the kind of life you're trying to get back to. By the end, you'll leave with a starting plan — not a one-size-fits-all protocol.

You will not be rushed. Active leadership in your own care is part of how we work — we make recommendations and explain trade-offs, but you make decisions about your treatment.

Medications and pharmacogenetic testing

If medication is part of your plan, MJB Holistic offers in-house pharmacogenetic testing — a simple test that helps your provider tailor psychiatric medications to your specific body chemistry. Patients who use pharmacogenetic testing are roughly 2.5 times more likely to achieve remission, with fewer side effects and fewer trial-and-error medication switches. The test is often free for patients depending on insurance, with results in 3 to 5 business days.

Learn more about our pharmacogenetic testing service.

Insurance and payment

MJB Holistic accepts a broad range of insurance plans:

• Aetna
• Cigna
• Blue Cross Blue Shield
• UnitedHealthcare
• Humana Military
• TriCare
• Johns Hopkins
• Maryland Medicaid
• DC Medicaid
• Peach State Health Plan (Georgia)

If your plan isn't listed, contact us — we work with patients on out-of-network coverage and can provide superbills for reimbursement.

Telehealth across Maryland and beyond

In addition to in-person care at our Upper Marlboro office, we offer secure telehealth appointments through Spruce — a private, healthcare-focused platform built specifically for behavioral health. Telehealth is available across Maryland, with limited availability for patients in Washington DC and Georgia depending on Melveena's licensure in your state.

Frequently asked questions about anxiety treatment

How long does it take for anxiety medication to work?

Most anxiety medications take 4 to 6 weeks to reach their full effect, though many patients notice some improvement within the first 2 weeks. Short-term medications (used sparingly) can work within hours but are not first-line treatment for chronic anxiety.

Will I have to take medication forever?

Not necessarily. Many patients use medication for 6 to 18 months while building skills and stability, then taper off with provider support. Others stay on long-term because it gives them their best quality of life. The right answer is the one you and your provider arrive at together.

Can I get anxiety treatment without medication?

Yes. Some patients prefer to start with therapy alone, lifestyle changes, or non-medication interventions. We respect that and will support that approach if it's clinically reasonable.

Do you treat anxiety in adolescents?

Yes. Melveena treats anxiety in adolescents and adults of all ages. For very young children, we'll refer to a pediatric specialist when appropriate.

What's the difference between anxiety and a panic attack?

Anxiety is the ongoing worry, tension, and dread. Panic attacks are sudden, intense surges that often feel physically overwhelming — racing heart, shortness of breath, chest tightness, a feeling of impending doom. They can occur with or without a generalized anxiety diagnosis. We treat both.

Schedule your consultation

If you're ready to take the first step, you can book an appointment online through our patient portal at mjbholistic.intakeq.com/booking, call us at (301) 381-3622, or email info@mjbholistic.com. New patients are welcome and most appointments are available within 1 to 2 weeks.

MJB Holistic & Therapeutic Services, LLC is a Maryland-based psychiatric practice serving Upper Marlboro, Bowie, Largo, Lake Arbor, Mitchellville, Glenarden, and surrounding Prince George's County communities — plus telehealth across Maryland.