Chronic Conditions

Family Medicine & Mental Health located in Orange County, Middletown, NY

Chronic Conditions
Chronic Conditions services in Orange County, Middletown, NY

Untreated diabetes, high cholesterol, High Blood Presssure and other chronic conditions can lead to severe complications. At Horizons Wellness Family Health NP PLLC in Middletown, New York, board-certified family nurse practitioner Albalira Gibson-Borrelli, MSN, APRN, FNP-BC, and her skilled team diagnose and treat these and other diseases to keep you and your family healthy. Schedule an evaluation by calling the Orange County office or request one online today.

Chronic Conditions Q&A

What are chronic conditions?

Chronic conditions are diseases that last long-term, often indefinitely. While not all chronic diseases are curable, you and your provider can manage any disease to eliminate the risk of a heart attack, stroke, nerve damage, and chronic pain. See your primary care provider at the first sign of new or unusual symptoms or if you have chronic disease risk factors.

What are examples of common chronic conditions?

Common chronic conditions treated at Horizons Wellness Family Health NP PLLC include:


Hypertension (high blood pressure)

When the pressure inside your blood vessel walls is too high, heart and blood vessel damage can occur. Horizons Wellness Family Health NP PLLC offers patient education, lifestyle counseling, medical weight loss, and medications. 



Diabetes is a chronic disease that causes high blood sugar due to insufficient insulin (a hormone) production or the inability of your body to use insulin properly. Healthy lifestyle changes and medications or insulin can help you manage diabetes.


High cholesterol

Over time, high cholesterol (fatty substances in your bloodstream) can lead to narrowed or blocked blood vessels and heart issues. Changing your diet, exercising regularly, maintaining an ideal body weight, and taking medications can reduce cholesterol in your blood.


Heart disease

Heart disease causes heart dysfunction and damage. It increases your risk of heart failure, heart attack, and stroke. Your provider tailors a heart disease treatment plan to your needs, which often includes medications, lifestyle changes, or specialist referrals. 



Managing arthritis pain and disease progression includes taking medications or dietary supplements, eating nutritious foods, maintaining a healthy weight, and potentially receiving joint injections. 


Mental health conditions

If you struggle with anxiety, depression, or other mental health conditions, your specialist offers effective solutions. 

They provide ketamine infusions, Spravato® nasal spray, counseling, oral medications, and healthy lifestyle coaching.



Obesity increases your risk of high blood pressure, high cholesterol, diabetes, heart disease, and many other chronic conditions. Your provider offers highly effective medical weight loss programs that include healthy lifestyle counseling. 

Which chronic condition treatment is best for me?

The Horizons Wellness Family Health NP PLLC experts determine your chronic conditions and how to treat them best. They weigh you, check vital signs, complete a physical exam, and may order blood testing, heart-function tests, imaging procedures, or other diagnostics tests. They then customize your chronic disease treatment plan.

Schedule an evaluation at Horizons Wellness Family Health NP PLLC by phone or request one online today to determine if you have chronic conditions or need help managing them.