Anxiety & Panic Disorder Treatment in Florida & Arizona
Anxiety can affect concentration, sleep, work, relationships, travel, and your ability to feel settled in daily life. B Mental Health Evolution provides virtual psychiatric evaluation and treatment for adults physically located in Florida or Arizona.
Meet the Provider
About Shirley Beranger, PMHNP-BC
CEO AND Founder of
Bmental Health Evolution
I’m Shirley Beranger, a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC), licensed as an APRN in Florida and Arizona. I provide secure telepsychiatric care to adults through virtual appointments, including psychiatric evaluations, medication management, and ongoing follow-up.
My approach is compassionate, practical, and individualized. I believe good psychiatric care starts with listening carefully, understanding the full picture, and creating a treatment plan that fits your needs and goals.
Credentials & Care Approach
Licensed, Board-Certified Psychiatric Care
- Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
- APRN Licensed in Florida (FL)
- APRN Licensed in Arizona (AZ)
- Telepsychiatry & Virtual Appointments Available Statewide in FL & AZ
Understanding anxiety and panic symptoms
Anxiety can range from persistent worry and physical tension to sudden episodes of intense fear. Psychiatric care begins with understanding what you are experiencing, how often symptoms occur, what makes them worse, and how they affect your functioning.
- Persistent worry or fear
- Panic attacks and sudden fear
- Sleep or concentration difficulties
- Physical tension, restlessness, or irritability
How anxiety can affect everyday life
Anxiety does not always look the same. Some adults experience constant worry, while others experience avoidance, racing thoughts, physical tension, or recurring panic attacks. Understanding the specific pattern helps guide treatment.
- Work and concentration
- Sleep and daily routines
- Social situations and relationships
- Travel, activities, and avoidance
A comprehensive psychiatric evaluation
The evaluation explores your symptoms, frequency, intensity, functional impact, psychiatric history, and previous treatment. Other conditions and contributing factors may also be considered before recommendations are made.
- Current symptom review
- Functional-impact assessment
- Psychiatric and medication history
- Treatment goals and priorities
Treatment for anxiety and panic
Treatment recommendations depend on your symptoms, history, and goals. Psychiatric medication management may be part of care when clinically appropriate, with follow-up used to monitor progress and make thoughtful adjustments.
- Individualized treatment planning
- Medication management when appropriate
- Education about treatment response
- Ongoing reassessment
Medication management when appropriate
If medication is recommended, decisions are based on your clinical history, current symptoms, other medications, potential benefits, and tolerability. Follow-up helps determine whether the plan remains appropriate.
- Benefit and side-effect review
- Symptom monitoring
- Medication adjustments when clinically appropriate
- Clear treatment-plan communication
Panic attacks and daily functioning
Recurring panic and anxiety can change how you work, sleep, socialize, travel, and manage responsibilities. Care focuses on understanding where symptoms are creating the greatest disruption.
- Recognizing recurring symptom patterns
- Understanding impact on routines
- Addressing treatment concerns
- Setting practical clinical goals
Ongoing follow-up and progress monitoring
Psychiatric treatment is a process. Follow-up visits provide an opportunity to review changes in symptoms, discuss concerns, and make clinically appropriate adjustments.
- Symptom and functioning review
- Treatment-response monitoring
- Medication follow-up when applicable
- Updated next-step planning
Virtual psychiatric care in Florida & Arizona
B Mental Health Evolution is a telehealth-only practice. Appointments are conducted virtually for eligible adults physically located in Florida or Arizona during the visit. There is no physical office location.
- Secure virtual appointments
- Adults in Florida or Arizona
- Psychiatric evaluation
- Ongoing virtual follow-up
Ready to discuss your care?
Schedule a virtual psychiatric evaluation to discuss anxiety, panic symptoms, your treatment history, and your goals.
