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Generalized anxiety, social anxiety, panic disorder, and specific phobias all belong here. They share a common thread: the nervous system is running a threat response that does not match the actual situation. Over time, that wears people down in ways that look a lot like physical illness, such as chest tightness, sleep problems, and difficulty being present.

Panic attacks in particular can feel like a medical emergency the first time they happen. Many people spend months getting cardiac workups before anyone connects it to anxiety.

• Persistent worry that is hard to control or shut off
• Physical symptoms with no clear medical cause, such as tight chest, shortness of breath, or stomach issues
• Avoidance of situations that feel overwhelming
• Panic attacks with sudden, intense fear and physical symptoms
• Difficulty being in social situations or being evaluated by others
• Trouble sleeping due to a racing mind

Anxiety responds well to the right combination of medication management and practical coping tools. Justus will help you understand what is driving it and build a plan that addresses the pattern, not just the symptoms in the moment.

In teens, it tends to surface as academic struggles, emotional dysregulation, or being labeled as unmotivated, when the real issue is that the brain is not filtering and prioritizing information the way a neurotypical brain does.

A lot of people arrive at an ADHD diagnosis in their 30s or 40s, after years of compensating through sheer effort. By then, the secondary effects, such as low self-esteem, anxiety, and relationship strain, have often built up alongside it.

• Difficulty sustaining attention on tasks that require mental effort
• Chronic procrastination, especially on things that feel important
• Losing things, missing deadlines, or forgetting appointments
• Impulsivity in decisions, spending, or conversations
• Hyperfocus on certain tasks while other things go completely undone
• Emotional sensitivity, where frustration, shame, or rejection hits harder than expected

Diagnosis comes first, then a conversation about what treatment actually looks like for your life. Medication is often part of the picture, but so is understanding how your brain works and building systems that work with it rather than against it.

PTSD shows up differently in different people. Some experience flashbacks and nightmares. Others go numb, disconnect, or find themselves in a permanent state of alert without knowing why. Relationships get harder. Certain places, sounds, or situations become unbearable without an obvious explanation.

Complex PTSD, which develops from prolonged or repeated trauma rather than a single event, is increasingly recognized and treated here as well.

• Intrusive memories, flashbacks, or nightmares related to a past event
• Avoiding reminders of what happened, including people, places, or topics
• Feeling detached from yourself or like nothing feels real
• Hypervigilance, always scanning for threat and difficulty relaxing
• Emotional numbness or difficulty feeling positive emotions
• Irritability, outbursts, or difficulty trusting others

Trauma treatment moves at your pace. Justus will not push you to revisit anything before you are ready. The focus is on stabilization first, building the tools to manage what is happening in the present, then working through what happened when it feels safe to do so.

Bipolar I involves full manic episodes, periods of elevated or irritable mood, reduced need for sleep, and impulsive behavior that can last days or weeks. Bipolar II involves hypomanic episodes that are less severe but still disruptive, paired with significant depressive periods.

Many people spend years being treated for depression alone before a bipolar diagnosis is made. The missing piece changes the treatment entirely.

• Periods of unusually high energy, reduced need for sleep, or racing thoughts
• Impulsive decisions during elevated periods, such as spending, relationships, or major life changes
• Depressive episodes that follow, sometimes severe
• Feeling like two different people depending on where you are in the cycle
• Difficulty maintaining consistency in work or relationships
• Antidepressants that have not worked or made things worse

Accurate diagnosis is the starting point. Medication management for bipolar disorder requires care and monitoring. Justus will work with you to find a regimen that creates stability without flattening everything out, and adjust it as needed over time.

The compulsions provide short-term relief, which is why they become so hard to stop. Over time, they tend to expand, with more rituals, more avoidance, and more of the day consumed by managing the anxiety rather than living around it.

OCD can attach to almost anything: contamination, harm, religion, relationships, identity, or symmetry. The content of the obsession varies widely. The underlying cycle is the same.

• Recurring, intrusive thoughts that feel difficult or impossible to dismiss
• Rituals, checking, or mental reviewing done to relieve anxiety
• Avoidance of situations that trigger the obsessions
• Significant time each day spent on compulsive behavior
• Shame or secrecy about the thoughts or behaviors
• Knowing the thoughts are irrational but being unable to let them go

OCD responds to evidence-based treatment that targets the cycle rather than the specific content. Medication combined with psychoeducation about how OCD works can significantly reduce its grip. Justus will help you understand what is happening and what the path forward looks like.

It tends to build slowly and arrive all at once. People describe hitting a wall, showing up to the job or the life they built and feeling nothing. The motivation that used to drive them is gone. So is the patience, the creativity, and sometimes the ability to care about things that matter to them.

Burnout often coexists with depression and anxiety. Getting clear on what is driving what matters for treatment.

• Exhaustion that does not improve with sleep or time off
• Cynicism or emotional detachment from work, relationships, or responsibilities
• Reduced performance in areas that used to come easily
• Physical symptoms, such as frequent illness, headaches, or chronic tension
• Difficulty setting limits on what you take on
• Resentment building toward people or situations you used to care about

The first step is understanding what pushed you here. Burnout has causes, and those causes shape what recovery looks like. Justus will work with you to get a clear picture and build a plan that addresses both the immediate symptoms and the pattern underneath them.

Chronic insomnia, difficulty falling asleep, waking repeatedly through the night, or sleeping too much and still feeling exhausted can affect everything else. Concentration, mood, physical health, and relationships all deteriorate when sleep is consistently disrupted.

Treating sleep in isolation often misses the point. Cura looks at what is underneath it.

• Difficulty falling asleep despite feeling tired
• Waking in the early hours and being unable to get back to sleep
• Racing thoughts that will not quiet down at night
• Sleeping too much but still feeling unrested
• Sleep disruption linked to anxiety, stress, or low mood
• Dependence on substances or medications to sleep

Justus will look at the full picture, including what else is going on, what medications or substances are in play, and what the sleep disruption is doing to everything else. Treatment targets the root cause, not just the hours.

Alcohol, opioids, stimulants, cannabis, and benzodiazepines are treated here. Substance use frequently develops alongside other psychiatric conditions, such as depression, anxiety, PTSD, and ADHD. Addressing only the substance without addressing what is underneath it tends not to hold.

There is no judgment in this practice about how you got here or what you have used. The starting point is where you are now.

• Using more than intended or for longer than planned
• Unsuccessful attempts to cut back or stop
• Significant time spent obtaining, using, or recovering from use
• Continuing despite clear consequences to health, work, or relationships
• Using to manage anxiety, sleep, pain, or emotional discomfort
• Withdrawal symptoms when not using

Assessment comes first. Then there is a conversation about what recovery looks like for your situation, including medication-assisted treatment when appropriate, psychiatric support for co-occurring conditions, and a plan that is realistic for your life.

Psychotic disorders affect how a person experiences reality through hallucinations, delusions, disorganized thinking, or significant withdrawal from daily functioning. They vary widely in severity and presentation.

Schizoaffective disorder, brief psychotic disorder, and psychosis related to other medical or psychiatric conditions are also treated here. The goal is stability, function, and as much quality of life as possible.

• Hallucinations, such as hearing, seeing, or sensing things others do not
• Delusions, or fixed beliefs that are not shared by others
• Disorganized thinking or speech
• Flat affect or reduced emotional expression
• Significant withdrawal from relationships or daily responsibilities
• Difficulty with memory, attention, or planning

Medication management is central to treatment for psychotic disorders. Justus will work closely with you and, where relevant, your support system to find a regimen that manages symptoms with the fewest possible side effects, and monitor carefully over time.