Anxiety Therapists in St Jacobs, ON

Photo of Tory Walsh, Registered Psychotherapist in St Jacobs, ON
Tory Walsh
Registered Psychotherapist, RP, MA
Verified Verified
1 Endorsed
St Jacobs, ON N0B
Dr. Brene Brown defines connection as " the energy that exists between people when they feel seen, heard, and valued..." My therapy approach centers on building connection and fostering a safe, non-judgmental space for clients. I am a neurodiverse-affirming therapist with seven years of experience supporting individuals with neurodevelopmental conditions, such as Autism Spectrum Disorder (ASD) and ADHD, as well as mental health conditions, including Anxiety and Depression. I provide child, teen, and adult therapy, as well as coaching to parents and caregivers.
Dr. Brene Brown defines connection as " the energy that exists between people when they feel seen, heard, and valued..." My therapy approach centers on building connection and fostering a safe, non-judgmental space for clients. I am a neurodiverse-affirming therapist with seven years of experience supporting individuals with neurodevelopmental conditions, such as Autism Spectrum Disorder (ASD) and ADHD, as well as mental health conditions, including Anxiety and Depression. I provide child, teen, and adult therapy, as well as coaching to parents and caregivers.
(226) 705-0540 View (226) 705-0540
Photo of Tammy Drain, Psychologist in St Jacobs, ON
Tammy Drain
Psychologist, PhD, CPsych
Verified Verified
1 Endorsed
St Jacobs, ON N0B
While my clinical work is varied, I work closely with children and adolescents struggling with anxiety and those with developmental disorders (including autism spectrum disorders).
I am a clinical psychologist working primarily with children, adolescents, and their families. I have provided a range of psychological services to children/youth with complex mental health and/or developmental challenges in schools, community mental health agencies, and hospitals. I strive to build trusting relationships with those whom I support and understand the complexities associated with acknowledging difficulties and seeking assistance. I work with individuals on developing their skills to better achieve their goals, and work collaboratively with others (i.e., professionals/schools) to ensure meaningful change.
While my clinical work is varied, I work closely with children and adolescents struggling with anxiety and those with developmental disorders (including autism spectrum disorders).
I am a clinical psychologist working primarily with children, adolescents, and their families. I have provided a range of psychological services to children/youth with complex mental health and/or developmental challenges in schools, community mental health agencies, and hospitals. I strive to build trusting relationships with those whom I support and understand the complexities associated with acknowledging difficulties and seeking assistance. I work with individuals on developing their skills to better achieve their goals, and work collaboratively with others (i.e., professionals/schools) to ensure meaningful change.
(226) 799-2152 View (226) 799-2152

More Therapists Nearby

Photo of Tara Cardiff, Occupational Therapist in St Jacobs, ON
Tara Cardiff
Occupational Therapist, MA, (Psych), BSc(OT)
Verified Verified
1 Endorsed
Elora, ON N0B
I work with youth and adults who are struggling with cumulative stress, anxiety, or trauma and want to develop a sense of emotional stability and well-being; they're looking for a therapist who can be authentic. Going beyond traditional talk therapy, I use somatic (body-based) psychotherapy in healing trauma, including developmental trauma - childhood abuse, neglect, or caregiver misattunement. Somatic therapy is a gentle, experiential approach that integrates awareness of body sensations to allow the body, mind and emotions to heal from trauma, so you can feel more connected and engaged in your life.
I work with youth and adults who are struggling with cumulative stress, anxiety, or trauma and want to develop a sense of emotional stability and well-being; they're looking for a therapist who can be authentic. Going beyond traditional talk therapy, I use somatic (body-based) psychotherapy in healing trauma, including developmental trauma - childhood abuse, neglect, or caregiver misattunement. Somatic therapy is a gentle, experiential approach that integrates awareness of body sensations to allow the body, mind and emotions to heal from trauma, so you can feel more connected and engaged in your life.
(226) 780-7081 View (226) 780-7081
Photo of Brianna Stewart, Registered Psychotherapist in St Jacobs, ON
Brianna Stewart
Registered Psychotherapist, MA, RP
Verified Verified
Puslinch, ON N0B
Welcome to Therapy Heals! Specializing in working with teenagers, adolescents, and adults, I am eager to support you in your wellness journey. I am well-versed in guiding individuals through a spectrum of mental health challenges, including depression, anxiety, grief, trauma, interpersonal challenges, life transitions, and more. My approach is rooted in empathy, with a genuine commitment to understanding the unique needs of each client.
Welcome to Therapy Heals! Specializing in working with teenagers, adolescents, and adults, I am eager to support you in your wellness journey. I am well-versed in guiding individuals through a spectrum of mental health challenges, including depression, anxiety, grief, trauma, interpersonal challenges, life transitions, and more. My approach is rooted in empathy, with a genuine commitment to understanding the unique needs of each client.
(888) 340-4325 View (888) 340-4325
Photo of Soha Elsayed, Registered Social Worker in St Jacobs, ON
Soha Elsayed
Registered Social Worker, MSW, RSW, MBA
Verified Verified
Guelph, ON N0B  (Online Only)
Being anxious, sad, overwhelmed or having no hope can have a negative impact on your physical and mental health. Seeking help might not be easy; and opening up and revealing yourself in therapy can be intimidating. This is why most people who suffer mentally and emotionally, do not seek help, often being forced to cope in unhealthy ways to seek temporary relief. But you are here because you are seeking help, congratulations for taking your first step towards healing!
Being anxious, sad, overwhelmed or having no hope can have a negative impact on your physical and mental health. Seeking help might not be easy; and opening up and revealing yourself in therapy can be intimidating. This is why most people who suffer mentally and emotionally, do not seek help, often being forced to cope in unhealthy ways to seek temporary relief. But you are here because you are seeking help, congratulations for taking your first step towards healing!
(226) 781-3867 View (226) 781-3867
Photo of Brittany Madigan, Registered Social Worker in St Jacobs, ON
Brittany Madigan
Registered Social Worker, MSW, RSW
Verified Verified
Puslinch, ON N0B
I am a Registered Social Worker working with youth (12+) and adults, particularly people who identify as women. I love helping people understand their emotions and deepen their connection to themselves. Whether it's working through trauma, anxiety, depression, grief, or self esteem issues, I support each client with their individual needs in mind.
I am a Registered Social Worker working with youth (12+) and adults, particularly people who identify as women. I love helping people understand their emotions and deepen their connection to themselves. Whether it's working through trauma, anxiety, depression, grief, or self esteem issues, I support each client with their individual needs in mind.
(289) 274-5163 View (289) 274-5163
Photo of Gisele Hauser, Registered Social Worker in St Jacobs, ON
Gisele Hauser
Registered Social Worker, MSW, RSW
Verified Verified
Guelph, ON N0B
Many years of experience working with Trauma, Sleeping Problems, Anxiety, Concurrent Disorders and/or Severe Mental Health clients. I am a Clinician trained internationally with a different approach that seeks your Freedom, not your adjustment, your Expression of emotions, not controlling them. If nothing has worked so far for you to feel happy, give me a call.
Many years of experience working with Trauma, Sleeping Problems, Anxiety, Concurrent Disorders and/or Severe Mental Health clients. I am a Clinician trained internationally with a different approach that seeks your Freedom, not your adjustment, your Expression of emotions, not controlling them. If nothing has worked so far for you to feel happy, give me a call.
(548) 482-5012 View (548) 482-5012
Photo of Thanh Rushton, Registered Social Worker in St Jacobs, ON
Thanh Rushton
Registered Social Worker, BSW, MSW, RSW
Verified Verified
Guelph, ON N0B  (Online Only)
Are you holding on to past pain? Are you worried about your child's mental health? Are you ready to move forward and embrace change? I am here to support you with that therapeutic journey. All counselling services are provided virtually via Google Meet or telephone.
Are you holding on to past pain? Are you worried about your child's mental health? Are you ready to move forward and embrace change? I am here to support you with that therapeutic journey. All counselling services are provided virtually via Google Meet or telephone.
(226) 916-5280 View (226) 916-5280
Photo of Dr. Ava D Agar, Psychologist in St Jacobs, ON
Dr. Ava D Agar
Psychologist, PhD, CPsych
Verified Verified
Guelph, ON N0B  (Online Only)
I am a psychologist registered with the College of Psychologists of Ontario. I am accepting new therapy and assessment clients. I work with adults with a range of challenges (e.g., depression, generalized anxiety, social anxiety, trauma/PTSD, obsession-compulsions, and executive dysfunction) impacting their relationships, academics, work, and general life functioning. Primarily from a CBT perspective, and drawing upon other approaches (MBCT, DBT, ACT, etc.) as needed, I aim to provide you with support, help you build skills to make meaningful changes in your life, and help you build skills to maintain your wellbeing over time.
I am a psychologist registered with the College of Psychologists of Ontario. I am accepting new therapy and assessment clients. I work with adults with a range of challenges (e.g., depression, generalized anxiety, social anxiety, trauma/PTSD, obsession-compulsions, and executive dysfunction) impacting their relationships, academics, work, and general life functioning. Primarily from a CBT perspective, and drawing upon other approaches (MBCT, DBT, ACT, etc.) as needed, I aim to provide you with support, help you build skills to make meaningful changes in your life, and help you build skills to maintain your wellbeing over time.
(548) 918-5274 View (548) 918-5274
Photo of Flourish Psychotherapy Services, Registered Psychotherapist in St Jacobs, ON
Flourish Psychotherapy Services
Registered Psychotherapist, RP
Verified Verified
1 Endorsed
Elora, ON N0B  (Online Only)
If you're feeling anxious, afraid or overwhelmed, you're not alone. These are some of the most common uncomfortable feelings people experience today. As a result, you may feel like you've lost your motivation or find yourself making excuses to avoid social situations. Perhaps you're experiencing conflict in your relationships or your negative self-talk is preventing you from moving forward. Perhaps you're one of many exhausted caregivers needing support. Regardless of your situation, learning to cope with difficult emotions can be hard. You need some relief but don't know where to start. I can help.
If you're feeling anxious, afraid or overwhelmed, you're not alone. These are some of the most common uncomfortable feelings people experience today. As a result, you may feel like you've lost your motivation or find yourself making excuses to avoid social situations. Perhaps you're experiencing conflict in your relationships or your negative self-talk is preventing you from moving forward. Perhaps you're one of many exhausted caregivers needing support. Regardless of your situation, learning to cope with difficult emotions can be hard. You need some relief but don't know where to start. I can help.
(226) 773-9142 View (226) 773-9142
Photo of Jennifer Faragitakis, Registered Psychotherapist (Qualifying) in St Jacobs, ON
Jennifer Faragitakis
Registered Psychotherapist (Qualifying), BA, MA
Verified Verified
1 Endorsed
Rockwood, ON N0B  (Online Only)
Hi, I’m Jen! Do you struggle with low self-esteem, a lack of self-confidence, anxiety, self-criticism, or imposter syndrome? Would you like to enhance your meditation practice or heal from trauma? Or are you a therapist feeling overwhelmed, wanting support, or feeling the need to process present or past issues. If any of these statements resonate with you, I’m here to listen and help. I'm passionate about assisting women on their wellness journeys.
Hi, I’m Jen! Do you struggle with low self-esteem, a lack of self-confidence, anxiety, self-criticism, or imposter syndrome? Would you like to enhance your meditation practice or heal from trauma? Or are you a therapist feeling overwhelmed, wanting support, or feeling the need to process present or past issues. If any of these statements resonate with you, I’m here to listen and help. I'm passionate about assisting women on their wellness journeys.
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Photo of Noëmie N Dubois, Pre-Licensed Professional in St Jacobs, ON
Noëmie N Dubois
Pre-Licensed Professional, PhD(c)
Verified Verified
1 Endorsed
Guelph, ON N0B  (Online Only)
I am a predoctoral intern in psychology under the supervision of Dr. Melisa Arias-Valenzuela, C.Psych. at Uprise Psychology & Wellness. My curiosity to understand human beings and the impact of their environments, thoughts and emotions on mental health initially led me to do research in psychology. My clinical work is primarily focused on the treatment of anxiety disorders, mood disorders, motivational, existential and relational issues. I provide assessment and psychotherapy to adult and adolescent clients, all in an empathetic and caring environment.
I am a predoctoral intern in psychology under the supervision of Dr. Melisa Arias-Valenzuela, C.Psych. at Uprise Psychology & Wellness. My curiosity to understand human beings and the impact of their environments, thoughts and emotions on mental health initially led me to do research in psychology. My clinical work is primarily focused on the treatment of anxiety disorders, mood disorders, motivational, existential and relational issues. I provide assessment and psychotherapy to adult and adolescent clients, all in an empathetic and caring environment.
(343) 453-4953 View (343) 453-4953
Photo of Nicole Schiener, Registered Psychotherapist in St Jacobs, ON
Nicole Schiener
Registered Psychotherapist, RP, CCC, CCFP, CGE
Verified Verified
Ayr, ON N0B
For 20 years, I've helped thousands of women like you manage and reduce anxiety, break free from unfair societal expectations and past wounds to cultivate loving, equal relationships, feel more confident as parents and setting boundaries at home and work.
Imagine more peace and joy in your life; returning to the you before everything felt so hard. My clients are brave, brilliant women with beautiful hearts. Many are sensitive mothers or helpers or both. Our sessions are a time for you to feel seen, validated and give yourself the kindness you give to others. Tears and laughter are welcome. Whether it's help for anxiety, boundary setting, grieving a loss, dealing with parenting challenges, relationship difficulties or workplace stress and burnout I'm here for you. I offer virtual 1:1 and in person therapy sessions in Kitchener (on Mondays) and walking therapy along the Grand River.
For 20 years, I've helped thousands of women like you manage and reduce anxiety, break free from unfair societal expectations and past wounds to cultivate loving, equal relationships, feel more confident as parents and setting boundaries at home and work.
Imagine more peace and joy in your life; returning to the you before everything felt so hard. My clients are brave, brilliant women with beautiful hearts. Many are sensitive mothers or helpers or both. Our sessions are a time for you to feel seen, validated and give yourself the kindness you give to others. Tears and laughter are welcome. Whether it's help for anxiety, boundary setting, grieving a loss, dealing with parenting challenges, relationship difficulties or workplace stress and burnout I'm here for you. I offer virtual 1:1 and in person therapy sessions in Kitchener (on Mondays) and walking therapy along the Grand River.
(226) 408-4721 View (226) 408-4721
Photo of Octavia Marquis, Registered Psychotherapist in St Jacobs, ON
Octavia Marquis
Registered Psychotherapist, MA
Verified Verified
1 Endorsed
Guelph, ON N0B
As a lover of film and stories, I use the art of storytelling to further understand our beliefs, values, fears, strengths and limitations.
I understand that vulnerability in therapy can be new and intimidating work for some of us. I strive to provide a safe, non-judgmental and comforting environment for those from various backgrounds. My primary focus is centred on supporting young adults struggling with transitional periods, anxiety/depression and individuals who may struggle with intergenerational trauma, depression, anxiety, self-esteem, and emotional regulation.
As a lover of film and stories, I use the art of storytelling to further understand our beliefs, values, fears, strengths and limitations.
I understand that vulnerability in therapy can be new and intimidating work for some of us. I strive to provide a safe, non-judgmental and comforting environment for those from various backgrounds. My primary focus is centred on supporting young adults struggling with transitional periods, anxiety/depression and individuals who may struggle with intergenerational trauma, depression, anxiety, self-esteem, and emotional regulation.
(437) 747-5506 View (437) 747-5506
Photo of Jane Kraft, Registered Social Worker in St Jacobs, ON
Jane Kraft
Registered Social Worker, MA, MSW, RSW
Verified Verified
5 Endorsed
Rockwood, ON N0B
I hope I can help you discover your values and develop psychological flexibility to move beyond feeling stuck, anxious and stressed and begin to live in the present moment.
Accepting new clients for my practice in Guelph with daytime, evening and weekend appointments, in person, online & phone. Are you finding yourself feeling stuck, worn down, anxious, burnt out or emotionally exhausted? Your mental health matters and seeking therapy is a step towards more valued living. Telling our stories of grief, pain, love and triumph can release the grip they may have on us or build us up as we deserve. Through our sessions, I hope we can work together to discover your stories, help you build new, positive ones and prepare you to think, act and feel more adept in the face of life’s challenges.
I hope I can help you discover your values and develop psychological flexibility to move beyond feeling stuck, anxious and stressed and begin to live in the present moment.
Accepting new clients for my practice in Guelph with daytime, evening and weekend appointments, in person, online & phone. Are you finding yourself feeling stuck, worn down, anxious, burnt out or emotionally exhausted? Your mental health matters and seeking therapy is a step towards more valued living. Telling our stories of grief, pain, love and triumph can release the grip they may have on us or build us up as we deserve. Through our sessions, I hope we can work together to discover your stories, help you build new, positive ones and prepare you to think, act and feel more adept in the face of life’s challenges.
(226) 780-8492 View (226) 780-8492
Photo of Reclaim & Rise Counselling, Registered Social Worker in St Jacobs, ON
Reclaim & Rise Counselling
Registered Social Worker, MSW
Verified Verified
1 Endorsed
Tavistock, ON N0B
Our therapists each have different specializations and areas of focus including, but not limited to: Trauma/PTSD, first responders, marriage/relationship counselling, depression, assertiveness and setting boundaries, anxiety, grief & loss, self-esteem, difficult life transitions, eating disorders, anger management, and youth counselling.
We are so glad you're here! We know looking for a counsellor can be overwhelming and we are here to help. We are a dedicated group of mental health clinicians who are passionate about supporting your healing and journey to mental wellness. Using evidence-based modalities we provide individual, couples, and youth counselling both in-person and virtually on a secure online platform. All of our therapists are Master's level Registered Social Workers (RSW's) and are accepted by most insurance companies and benefit packages. Our cozy office is located at 206 Ontario Street in Stratford.
Our therapists each have different specializations and areas of focus including, but not limited to: Trauma/PTSD, first responders, marriage/relationship counselling, depression, assertiveness and setting boundaries, anxiety, grief & loss, self-esteem, difficult life transitions, eating disorders, anger management, and youth counselling.
We are so glad you're here! We know looking for a counsellor can be overwhelming and we are here to help. We are a dedicated group of mental health clinicians who are passionate about supporting your healing and journey to mental wellness. Using evidence-based modalities we provide individual, couples, and youth counselling both in-person and virtually on a secure online platform. All of our therapists are Master's level Registered Social Workers (RSW's) and are accepted by most insurance companies and benefit packages. Our cozy office is located at 206 Ontario Street in Stratford.
(226) 366-9948 View (226) 366-9948
Photo of Dr. Smolewska & Associates, Psychologist in St Jacobs, ON
Dr. Smolewska & Associates
Psychologist, PhD, CPsych
Verified Verified
St Clements, ON N0B
We provide assessment and treatment services across the lifespan with a Psychologist, Clinical Social Workers, and Occupational Therapists. We work with children, teens, and their families, as well as adults. Many of our clients are neurodiverse, have had some challenges in neurodevelopment, and have anxiety or depression. We help individuals better understand themselves from a neurocognitive and emotional health perspective, and provide therapy services within a multidisciplinary setting to address each person's unique needs (e.g., mood/ anxiety issues; emotional regulation; executive functioning; coping with sensory issues).
We provide assessment and treatment services across the lifespan with a Psychologist, Clinical Social Workers, and Occupational Therapists. We work with children, teens, and their families, as well as adults. Many of our clients are neurodiverse, have had some challenges in neurodevelopment, and have anxiety or depression. We help individuals better understand themselves from a neurocognitive and emotional health perspective, and provide therapy services within a multidisciplinary setting to address each person's unique needs (e.g., mood/ anxiety issues; emotional regulation; executive functioning; coping with sensory issues).
(226) 773-5021 View (226) 773-5021
Photo of Edward S Davey, Registered Social Worker in St Jacobs, ON
Edward S Davey
Registered Social Worker, RSW, MSW, BSc
Verified Verified
1 Endorsed
Guelph, ON N0B  (Online Only)
My areas of speciality include; depression, anxiety, ADHD, and managing certain personality disorders including (but not limited to) borderline personality disorder, bipolar disorder, and social anxiety. Other areas of focus include professional and/or workplace struggles/development including (but not limited to); procrastination, motivation, imposter syndrome, and perfectionism. My goal is to work with my clients towards recognizing and understanding exactly what is hindering their personal growth and acting as a barrier against success.
My areas of speciality include; depression, anxiety, ADHD, and managing certain personality disorders including (but not limited to) borderline personality disorder, bipolar disorder, and social anxiety. Other areas of focus include professional and/or workplace struggles/development including (but not limited to); procrastination, motivation, imposter syndrome, and perfectionism. My goal is to work with my clients towards recognizing and understanding exactly what is hindering their personal growth and acting as a barrier against success.
(548) 485-5914 View (548) 485-5914
Photo of Marigold Child and Adult Therapy, Registered Social Worker in St Jacobs, ON
Marigold Child and Adult Therapy
Registered Social Worker, MSW, RSW
Verified Verified
Guelph, ON N0B  (Online Only)
I support clients with anxiety, ADHD, trauma, depression, high sensitivity and life stressors.
Welcome! In therapy, my priority is to create a welcoming, accepting and safe therapeutic space. My approach is grounded in a “whole person” approach, working collaboratively to use your strengths and work towards your therapeutic goals. With this space, we can begin to work on processing thoughts, emotions and/or traumatic events. Becoming aware of our thoughts, we can guide them to be more helpful and true. Making small changes by adding in coping skills and healthy routines can lead to a domino affect to positive changes to your mood. I work with children, teens and adults.
I support clients with anxiety, ADHD, trauma, depression, high sensitivity and life stressors.
Welcome! In therapy, my priority is to create a welcoming, accepting and safe therapeutic space. My approach is grounded in a “whole person” approach, working collaboratively to use your strengths and work towards your therapeutic goals. With this space, we can begin to work on processing thoughts, emotions and/or traumatic events. Becoming aware of our thoughts, we can guide them to be more helpful and true. Making small changes by adding in coping skills and healthy routines can lead to a domino affect to positive changes to your mood. I work with children, teens and adults.
(226) 407-8160 View (226) 407-8160
Photo of Evelyn Ellison, Registered Social Worker in St Jacobs, ON
Evelyn Ellison
Registered Social Worker, MSW, RSW
Verified Verified
Elora, ON N0B
Waitlist for new clients
I am experienced in the areas of trauma, PTSD, mood and anxiety disorders, shame, stress, self-harm, and suicidal ideation, as well as other mental health and relationship issues.
I am a compassionate, skilled clinician with over 15 years of experience and training. I use a collaborative therapeutic approach to help support adolescents and adults who are experiencing challenges in their lives and relationships. I offer a safe, supportive, non-judgmental environment and use my clinical skills to assist people in exploring solutions and to gain new perspective on the issues they are facing.
I am experienced in the areas of trauma, PTSD, mood and anxiety disorders, shame, stress, self-harm, and suicidal ideation, as well as other mental health and relationship issues.
I am a compassionate, skilled clinician with over 15 years of experience and training. I use a collaborative therapeutic approach to help support adolescents and adults who are experiencing challenges in their lives and relationships. I offer a safe, supportive, non-judgmental environment and use my clinical skills to assist people in exploring solutions and to gain new perspective on the issues they are facing.
(226) 406-8985 View (226) 406-8985
Anxiety Counsellors

What are the most common treatments for anxiety?

Talk therapy, particularly cognitive behavioural therapy, is the most common treatment for anxiety. Studies have shown it is equally effective as medication. Other forms of therapy are popular, depending on a patient’s experience. Exposure therapy, for instance, can be useful for people dealing with fears and phobias, or who have experienced traumatic events. Dialectical Behavioural Therapy may be useful for patients who need help with emotion regulation. Anxiolytic medications, like benzodiazepines, can also help with calming a person enough to focus on the skills they’ve learned, and physical exercise has been shown to help symptoms of anxiety across the board.

How long does therapy for anxiety take to work?

The amount of time needed to alleviate symptoms depends on the severity of a person’s condition. Some therapies may take 5-20 weekly sessions to show results. Anti-depressant medications typically take two to four weeks before a benefit is felt. Anti-anxiety medications are felt typically within 20-30 minutes. Medications are best used to offer a patient a better headspace in which to work on techniques learned in therapy. Exercise, improved sleep habits, and meditation are effective, but takes weeks or months to show results.

When should I seek treatment for anxiety?

Everyone feels anxious at times, but when anxiety causes disruption to your daily life, it may be time to seek help. Such disruption can be mental, physical, or both: having fear dominate your thoughts, avoiding situations or objects that bring on feelings of anxiety, or experiencing shortness of breath, sweating, dizziness, or panic attacks. When these symptoms are recurrent and distressing, it may be time to talk to someone.

How effective is treatment for anxiety?

Treatment for anxiety has been shown to be moderately to highly effective, according to a large body of psychology studies and analyses. For some people, treatment using CBT or exposure therapy alone is effective. Others respond best to a combination of medication and therapy.