A Washington physician and psychiatrist, Dr. Lester Sandman received an MD from the Medical College of Wisconsin. Dr. Lester Sandman currently maintains a solo practice in Bellevue, where he treats patients with anxiety disorders. According to the National Institute of Mental Health, 18.1 percent of American adults live with an anxiety disorder. Nearly 23 percent of those individuals are classified as having a severe case. Severe anxiety causes symptoms, such as nausea, increased heart rate, and sweating. In addition, those living with the condition may experience weakness, trembling or nearly any physical symptom. A person should seek treatment from a mental health professional specializing in severe anxiety if he or she notices any of these symptoms. A specialist can prescribe medication, such as serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants, or occasionally short term benzodiazepines,. The goal of medication treatment is to turn off “abnormal” levels of anxiety while retaining “normal” anxiety and fear. Therapy may also be used in combination with medication to develope coping techniques, prevent “fear of fear” spiraling and reverse tendencies to negatively “spin” circumstances. Among the therapies used to address anxiety are cognitive-behavioral and acceptance and commitment therapy.