ANXIETY & TREATMENT-RESISTANT ANXIETY: A ROOT-CAUSE GUIDE
Understanding your mental health care options is more important than ever. AI therapy chatbots are growing in popularity, but are they right for you? This guide explains the benefits, risks, and when you should choose a human therapist.
Do I Have Anxiety?
You don’t need full panic attacks to have anxiety. You might notice:
Feeling like you can’t relax
Feeling on edge or easily irritated
Racing thoughts
Trouble sleeping
Tight chest or stomach issues
Overthinking
Obsessions or compulsions
Difficulty recovering after upsetting experiences
What Is Treatment-Resistant Anxiety?
Means:
You’ve tried standard medications
You’ve tried therapy or CBT
Anxiety persists anyway
Often due to deeper physiological contributors like:
Magnesium depletion
Inositol signaling issues
Stress-hijacked cortisol rhythms
Autonomic imbalance (low HRV)
Gut or inflammatory pathways
Magnesium & Anxiety
Low magnesium can cause:
Muscle tension
Restlessness
Palpitations
Insomnia
Feeling “amped up”
Panic-like symptoms
How We Evaluate
RBC magnesium
Serum magnesium (less useful but sometimes informative)
How We Support
Magnesium glycinate or citrate
Magnesium + B6 in select patients
Inositol (for Anxiety and Panic)
Inositol supports neurotransmitter signaling.
Data supports its use in:
Panic disorder
Generalized anxiety
OCD-spectrum symptoms
Typical Approach
Start around 3 g/day
Increase to 6–12 g/day
Taken in divided doses
Monitored for GI tolerance
Ashwagandha (Adaptogen)
Helps with:
Chronic stress
Nervous system overactivation
Sleep issues
Feeling “wired but tired”
We carefully screen:
Thyroid status
Autoimmune history
Medication interactions
Biofeedback / HRV Training
HRV training helps retrain the nervous system out of “fight-or-flight” mode.
Useful for:
Palpitations
Panic feeling
Adrenaline surges
Chronic stress
Tension that won’t relax
Typical course:
6–10 sessions
Daily 10–20 min home practice
When to Consider These Approaches
You’ve tried standard treatments
Anxiety feels physical or chronic
You’re “always on edge”
Symptoms haven’t responded to medication alone
You want a biological explanation for persistent anxiety
Clinically Reviewed By: