Photo of Angela Aronson, MSW, PSW, Registered Social Worker
Angela Aronson
Registered Social Worker, MSW, PSW
Verified Verified
Montréal, QC H4A
I practice a specialized form of therapy culled from the best of available dynamic modalities with the clear objective of getting to the source of a person's problem. It is applicable to a wide range of mental health disturbances such as anxiety, depression, panic attacks, chronic pain, unexplained medical symptoms and/or problems with loss, emotions, relationships, assertion, self-esteem and self-defeat.
I practice a specialized form of therapy culled from the best of available dynamic modalities with the clear objective of getting to the source of a person's problem. It is applicable to a wide range of mental health disturbances such as anxiety, depression, panic attacks, chronic pain, unexplained medical symptoms and/or problems with loss, emotions, relationships, assertion, self-esteem and self-defeat.
(514) 939-0053 View (514) 939-0053
Photo of Julia Konow, MSc Psy
Julia Konow
MSc Psy
Verified Verified
Montréal, QC H3Z
Waitlist for new clients
I have a limited number of places available for short-term therapy beginning at the end of April until the end of August. Please feel free to reach out if you would like to discuss whether this would be the right fit for you. I work collaboratively with individuals (18y+) to provide support for various concerns including low mood, anxiety, stress and burnout, self-compassion, trauma, and relationship issues. With an integrative approach, I combine insights from psychology, neurobiology and mindfulness approaches to empower clients who are working through difficulty and seeking greater balance in their well-being.
I have a limited number of places available for short-term therapy beginning at the end of April until the end of August. Please feel free to reach out if you would like to discuss whether this would be the right fit for you. I work collaboratively with individuals (18y+) to provide support for various concerns including low mood, anxiety, stress and burnout, self-compassion, trauma, and relationship issues. With an integrative approach, I combine insights from psychology, neurobiology and mindfulness approaches to empower clients who are working through difficulty and seeking greater balance in their well-being.
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Photo of Cenk Matalon, MA, Counsellor
Cenk Matalon
Counsellor, MA
Verified Verified
3 Endorsed
Montréal, QC H1Y
I’ve worked with hundreds of individuals struggling with anxiety, depression, trauma symptoms, and relationship challenges. Through somatic therapy, my clients find the well-being and inner peace they seek. Feeling good about your life is your birthright. Please send me an email (instead of calling) to book your free discovery call.
I’ve worked with hundreds of individuals struggling with anxiety, depression, trauma symptoms, and relationship challenges. Through somatic therapy, my clients find the well-being and inner peace they seek. Feeling good about your life is your birthright. Please send me an email (instead of calling) to book your free discovery call.
(438) 701-1938 View (438) 701-1938
Photo of Shelley Snow, PhD, MTA, Registered Psychotherapist
Shelley Snow
Registered Psychotherapist, PhD, MTA
Verified Verified
1 Endorsed
Montréal, QC H4A
I have been a practicing psychotherapist for over 30 years, and have expertise in treating individuals experiencing a wide range of difficulties. These include relationship issues, women's issues, life transitions, low self-esteem, anxiety, depression, emotional abuse, childhood trauma and grief. My approach, while primarily psychodynamic, includes cognitive strategies, mindfulness and active, creative strategies.
I have been a practicing psychotherapist for over 30 years, and have expertise in treating individuals experiencing a wide range of difficulties. These include relationship issues, women's issues, life transitions, low self-esteem, anxiety, depression, emotional abuse, childhood trauma and grief. My approach, while primarily psychodynamic, includes cognitive strategies, mindfulness and active, creative strategies.
(514) 613-6285 View (514) 613-6285
Photo of Deborah Ann Herman, MA, CT, RP, Registered Psychotherapist
Deborah Ann Herman
Registered Psychotherapist, MA, CT, RP
Verified Verified
Montréal, QC H4A  (Online Only)
I'm a client centered therapist who helps clients struggling withs : low self-esteem; anxiety; depression, abuse, grief, Post-Traumatic Stress, phobias, addiction, couple and family/parenting issues.
ON-LINE/Virtual Sessions. I've been a psychotherapist and Trauma Specialist for at least 30 years offering treatments such as EMDR, CBT, Talk Therapy, IFS among other approaches to healing. In my private practise, I enjoy working with clients who are open and willing to make positive changes in their lives. Whether you feel anxious, stuck, depressed or unhappy in some area of your life, my initial goal is to help you gain a feeling of safety. I encourage clients to tell me their story to help them see things from a fresh perspective, improve self-awareness and find practical solutions to life's challenges.
I'm a client centered therapist who helps clients struggling withs : low self-esteem; anxiety; depression, abuse, grief, Post-Traumatic Stress, phobias, addiction, couple and family/parenting issues.
ON-LINE/Virtual Sessions. I've been a psychotherapist and Trauma Specialist for at least 30 years offering treatments such as EMDR, CBT, Talk Therapy, IFS among other approaches to healing. In my private practise, I enjoy working with clients who are open and willing to make positive changes in their lives. Whether you feel anxious, stuck, depressed or unhappy in some area of your life, my initial goal is to help you gain a feeling of safety. I encourage clients to tell me their story to help them see things from a fresh perspective, improve self-awareness and find practical solutions to life's challenges.
(438) 700-8730 View (438) 700-8730
Photo of Marvyn (Lise) Louise Rowell, MA, Registered Psychotherapist
Marvyn (Lise) Louise Rowell
Registered Psychotherapist, MA
Verified Verified
Montréal, QC H2L
Working from Psychodynamic perspective I provide adults and adolescents with a safe and supportive environment in which we address and make sense of real-life experiences that may be contributing to depression, anxiety, addictions, problems with self-esteem and relationships difficulties.
Working from Psychodynamic perspective I provide adults and adolescents with a safe and supportive environment in which we address and make sense of real-life experiences that may be contributing to depression, anxiety, addictions, problems with self-esteem and relationships difficulties.
(438) 794-1057 View (438) 794-1057
Photo of Arash Kameli - Kameli Counselling, MA, CCC, CRPO, Counsellor
Kameli Counselling
Counsellor, MA, CCC, CRPO
Verified Verified
7 Endorsed
Montréal, QC H3B
Anxiety and depression manifest themselves in a variety of ways and can be rooted in different parts of your life, both past & present.
Your situation, needs, obstacles &goals are unique to you. Therefore the approaches used are tailored to best fit your specific needs. Before we explore the changes you want to make in your unique situation, we explore together to understand the nature of your problems or concerns in great depth and detail. I provide the safe, strictly confidential space for you to freely explore your issues at a pace that best suits you, while also encouraging your growth. I deal with issues related to anxiety, depression, stress, coping skills, relationships, changes after marriage, sexuality, existential questions, finding meaning after loss & other areas, with individuals and couples.
Anxiety and depression manifest themselves in a variety of ways and can be rooted in different parts of your life, both past & present.
Your situation, needs, obstacles &goals are unique to you. Therefore the approaches used are tailored to best fit your specific needs. Before we explore the changes you want to make in your unique situation, we explore together to understand the nature of your problems or concerns in great depth and detail. I provide the safe, strictly confidential space for you to freely explore your issues at a pace that best suits you, while also encouraging your growth. I deal with issues related to anxiety, depression, stress, coping skills, relationships, changes after marriage, sexuality, existential questions, finding meaning after loss & other areas, with individuals and couples.
(438) 230-6163 View (438) 230-6163
Photo of Zeev Rosberger, PhD, Psychologist
Zeev Rosberger
Psychologist, PhD
Verified Verified
1 Endorsed
Montréal, QC H4A
I have several decades of experience in assessing and treating individuals experiencing anxiety, depression, interpersonal issues or coping with chronic diseases (e.g., cancer). My background is not only as a clinician in private practice, but as a former Chief Psychologist at a large university teaching hospital, researcher and professor. My extensive experience provides me with a wide-base of understanding of what works for whom and what does not.
I have several decades of experience in assessing and treating individuals experiencing anxiety, depression, interpersonal issues or coping with chronic diseases (e.g., cancer). My background is not only as a clinician in private practice, but as a former Chief Psychologist at a large university teaching hospital, researcher and professor. My extensive experience provides me with a wide-base of understanding of what works for whom and what does not.
(438) 700-0375 View (438) 700-0375
Photo of Vera Bekes, PhD, Psychologist
Vera Bekes
Psychologist, PhD
Verified Verified
2 Endorsed
Montréal, QC H4A
With my more than 15 years of experience in psychotherapy, I can help you understand why you feel anxious, sad, or confused, and to make sense of your experience. I can support you discovering what is really going on with you, until the point when you feel at home and at peace with yourself, and thus be able to take control of your life and grow as a person. I am also a university professor teaching clinical psychology and a psychotherapy researcher, which allows me to combine evidence-based beneficial approaches to fit your unique situation and needs.
With my more than 15 years of experience in psychotherapy, I can help you understand why you feel anxious, sad, or confused, and to make sense of your experience. I can support you discovering what is really going on with you, until the point when you feel at home and at peace with yourself, and thus be able to take control of your life and grow as a person. I am also a university professor teaching clinical psychology and a psychotherapy researcher, which allows me to combine evidence-based beneficial approaches to fit your unique situation and needs.
(438) 700-7607 View (438) 700-7607
Photo of Marjan Behbahani Grauer, Psychologist
Marjan Behbahani Grauer
Psychologist
Verified Verified
Montréal, QC H4A
Our specialties include treatment for : Anxiety Depression / Obsessive compulsive disorder (OCD) Stress / anger management Couples therapy Addiction Chronic pain Emotional disturbance Self esteem Family conflicts Anxiety Complete psychological assessment report / Cognitive Disorder Screening and treatment plans.
My aim is to listen to my patients and provide proactive care that will help them reach balance and inner peace. Through a CBT based approach , I try and identify the root causes of problems and provide my patients the tools needed to help themselves achieve long term wellness. My specialties are anxiety, depression, OCD, stress and anger management, couples therapy, addiction, chronic pain, emotional disturbance, self-esteem, family conflicts and anxiety . As a fully licensed Psychologist (permit granted by the Ordre des Psychologues du Québec) I can issue receipts to those with insurance for full or partial reimbursement.
Our specialties include treatment for : Anxiety Depression / Obsessive compulsive disorder (OCD) Stress / anger management Couples therapy Addiction Chronic pain Emotional disturbance Self esteem Family conflicts Anxiety Complete psychological assessment report / Cognitive Disorder Screening and treatment plans.
My aim is to listen to my patients and provide proactive care that will help them reach balance and inner peace. Through a CBT based approach , I try and identify the root causes of problems and provide my patients the tools needed to help themselves achieve long term wellness. My specialties are anxiety, depression, OCD, stress and anger management, couples therapy, addiction, chronic pain, emotional disturbance, self-esteem, family conflicts and anxiety . As a fully licensed Psychologist (permit granted by the Ordre des Psychologues du Québec) I can issue receipts to those with insurance for full or partial reimbursement.
(438) 500-1414 View (438) 500-1414
Photo of Wendy J Wood, PhD, Psychologist
Wendy J Wood
Psychologist, PhD
Verified Verified
1 Endorsed
Montréal, QC H3A
In addition to relational issues, I help people cope with depression, anxiety, stress, burn-out, losses, illnesses, and self-esteem.
Therapy can help people better understand themselves and find greater meaning in their lives. People enter therapy for a wide range of reasons, often involving difficulty solving a problem in their lives on their own. Some people, for example, are having difficulty in a romantic relationship and wonder how to improve the relationship, or end it. Other people experience conflict or anxiety in a wide range of interpersonal relationships and enter therapy as a means of improving their communication skills and the quality of their relationships. I help people in both monogamous and polyamorous relationships.
In addition to relational issues, I help people cope with depression, anxiety, stress, burn-out, losses, illnesses, and self-esteem.
Therapy can help people better understand themselves and find greater meaning in their lives. People enter therapy for a wide range of reasons, often involving difficulty solving a problem in their lives on their own. Some people, for example, are having difficulty in a romantic relationship and wonder how to improve the relationship, or end it. Other people experience conflict or anxiety in a wide range of interpersonal relationships and enter therapy as a means of improving their communication skills and the quality of their relationships. I help people in both monogamous and polyamorous relationships.
(438) 817-3968 View (438) 817-3968
Photo of Elena Saimon, MA, CO, Registered Psychotherapist
Elena Saimon
Registered Psychotherapist, MA, CO
Verified Verified
Montréal, QC H4A
I have years of experience working at mental health organizations and have a close knowledge of anxiety, depression, post traumatic stress disorder and bipolar disorder.
I am driven to help you to understand yourself, find your inner resources and make important changes in your life. Confidentiality, empathy, empowerment, emotional support and unconditional positive regard are very important for my clients. I will tailor my approach to match your unique situation to maximize the effectiveness of each session.
I have years of experience working at mental health organizations and have a close knowledge of anxiety, depression, post traumatic stress disorder and bipolar disorder.
I am driven to help you to understand yourself, find your inner resources and make important changes in your life. Confidentiality, empathy, empowerment, emotional support and unconditional positive regard are very important for my clients. I will tailor my approach to match your unique situation to maximize the effectiveness of each session.
(514) 600-1899 View (514) 600-1899
Photo of Hilda Coker, MA, DT, CCC, Counsellor
Hilda Coker
Counsellor, MA, DT, CCC
Verified Verified
1 Endorsed
Montréal, QC H2E
The human experience, while shared, can sometimes feel lonely and isolating. I am a trauma-informed, anti-oppression centered therapist, who has worked with people who are experiencing difficult life circumstances. We can work on depression, anxiety, trauma, grief, life transitions, confusion about life direction, motivation and relationships. Working together, we can problem-solve and build capacity towards coping with difficulties. I am person-centered, and use psychodynamic, and somatic approaches to help you meet your goals.
The human experience, while shared, can sometimes feel lonely and isolating. I am a trauma-informed, anti-oppression centered therapist, who has worked with people who are experiencing difficult life circumstances. We can work on depression, anxiety, trauma, grief, life transitions, confusion about life direction, motivation and relationships. Working together, we can problem-solve and build capacity towards coping with difficulties. I am person-centered, and use psychodynamic, and somatic approaches to help you meet your goals.
(438) 802-2383 View (438) 802-2383
Photo of Divya Gulati, MPS, CCC, RP, Registered Psychotherapist
Divya Gulati
Registered Psychotherapist, MPS, CCC, RP
Verified Verified
Montréal, QC H3H  (Online Only)
I provide tools & strategies to help you manage daily challenges, anxiety and relationship issues.
You work hard to make relationships work, work hard at your job, you try your best to ensure everyone else around you is happy but end up losing yourself amid this. Even though you feel isolated, unheard, unseen you keep going. You want to stand up for yourself but don’t know how to. At times you feel overwhelmed with emotions thus feeling lost, helpless and anxious. You wonder why you connect to people a certain way and wish you could have healthier/sustainable relationships, wish you could cope better in difficult situations/be in charge of the way you express your feelings.
I provide tools & strategies to help you manage daily challenges, anxiety and relationship issues.
You work hard to make relationships work, work hard at your job, you try your best to ensure everyone else around you is happy but end up losing yourself amid this. Even though you feel isolated, unheard, unseen you keep going. You want to stand up for yourself but don’t know how to. At times you feel overwhelmed with emotions thus feeling lost, helpless and anxious. You wonder why you connect to people a certain way and wish you could have healthier/sustainable relationships, wish you could cope better in difficult situations/be in charge of the way you express your feelings.
(438) 795-6728 View (438) 795-6728
Photo of Dana Schnitzer, MA, Registered Psychotherapist
Dana Schnitzer
Registered Psychotherapist, MA
Verified Verified
2 Endorsed
Montréal, QC H3Z
I am a licensed psychotherapist with over 20 years of experience. I specialize in the treatment of depression, anxiety, trauma, personality disorders, and A.D.H.D. I use a caring, non-judgmental approach to help my clients feel and understand the meaning of their emotions and behavior. I offer clients an opportunity to explore their inner world, understand their difficulties clearly, deepen self-awareness and to make sense of their experiences. I work together with my clients to remove barriers to growth and help them achieve their potential and have deeper more meaningful connections with others as well as with themselves.
I am a licensed psychotherapist with over 20 years of experience. I specialize in the treatment of depression, anxiety, trauma, personality disorders, and A.D.H.D. I use a caring, non-judgmental approach to help my clients feel and understand the meaning of their emotions and behavior. I offer clients an opportunity to explore their inner world, understand their difficulties clearly, deepen self-awareness and to make sense of their experiences. I work together with my clients to remove barriers to growth and help them achieve their potential and have deeper more meaningful connections with others as well as with themselves.
(514) 700-2591 View (514) 700-2591
Photo of Dr. Kimberly Carrière, PhD, OPQ, Psychologist
Dr. Kimberly Carrière
Psychologist, PhD, OPQ
Verified Verified
Montréal, QC H4E  (Online Only)
Waitlist for new clients
I am a licensed clinical psychologist, member of the Ordre des Psychologues du Québec (OPQ). My areas of expertise include treatments for trauma, psychogenic nonepileptic seizures (PNES), anxiety, depression, stress management, relationship difficulties, gastrointestinal diseases (Crohn's disease and ulcerative colitis) and Irritable Bowel Syndrome (IBS). My work is collaborative in nature. It is my goal to help you better understand who you are, who you want to be and how to overcome the challenges that are getting in your way.
I am a licensed clinical psychologist, member of the Ordre des Psychologues du Québec (OPQ). My areas of expertise include treatments for trauma, psychogenic nonepileptic seizures (PNES), anxiety, depression, stress management, relationship difficulties, gastrointestinal diseases (Crohn's disease and ulcerative colitis) and Irritable Bowel Syndrome (IBS). My work is collaborative in nature. It is my goal to help you better understand who you are, who you want to be and how to overcome the challenges that are getting in your way.
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Photo of Toni Isabel Rebic, MA, Psychologist
Toni Isabel Rebic
Psychologist, MA
Verified Verified
Montréal, QC H3B
Would you like to stand in your power, be more in control of your life? To solve a problem, Einstein said you must first change the mindset that created it. It starts “within” you! Having worked with thousands of clients over 18 years, I’ve observed that we have 2 voices in our head - the conscious and subconscious minds. When your 2 voices don't get along, it feels like a battle is raging within, and it’s this gap that causes your anxiety, depression, fears, and emotional struggles; but when your 2 voices align in harmony, you experience inner strength, joy, passion, your TrueSelf, and feel energized in the pursuit of your desires.
Would you like to stand in your power, be more in control of your life? To solve a problem, Einstein said you must first change the mindset that created it. It starts “within” you! Having worked with thousands of clients over 18 years, I’ve observed that we have 2 voices in our head - the conscious and subconscious minds. When your 2 voices don't get along, it feels like a battle is raging within, and it’s this gap that causes your anxiety, depression, fears, and emotional struggles; but when your 2 voices align in harmony, you experience inner strength, joy, passion, your TrueSelf, and feel energized in the pursuit of your desires.
(514) 400-2296 View (514) 400-2296
Photo of Jennifer Janzen, PhD, OPQ, Psychologist
Jennifer Janzen
Psychologist, PhD, OPQ
Verified Verified
Montréal, QC H2J
Waitlist for new clients
Whether you are feeling depressed and unmotivated or panicky and anxious ; whether you are looking to change a behavior, struggling with your relationships or simply looking for a third-party perspective.
Waitlist for new clients. I currently have openings Tues.-Fri. 10:30am-1pm. Feeling sad, guilty, panicky, overwhelmed? Everyone experiences periods of stress, anxiety, grief, and conflict, so when you're feeling off it can be hard to know if it's time to see a professional. The fact that you are looking for a psychologist is a good indicator of your readiness to do something different. I am a psychologist licenced by the Ordre des Psychologues du Québec and I have experience in helping people with a large breadth of difficulties. I am trained to offer both CBT and psychodynamic therapies.
Whether you are feeling depressed and unmotivated or panicky and anxious ; whether you are looking to change a behavior, struggling with your relationships or simply looking for a third-party perspective.
Waitlist for new clients. I currently have openings Tues.-Fri. 10:30am-1pm. Feeling sad, guilty, panicky, overwhelmed? Everyone experiences periods of stress, anxiety, grief, and conflict, so when you're feeling off it can be hard to know if it's time to see a professional. The fact that you are looking for a psychologist is a good indicator of your readiness to do something different. I am a psychologist licenced by the Ordre des Psychologues du Québec and I have experience in helping people with a large breadth of difficulties. I am trained to offer both CBT and psychodynamic therapies.
(438) 299-7351 View (438) 299-7351
Photo of Nicholas Bohn, Psychologist
Nicholas Bohn
Psychologist
Verified Verified
Montréal, QC H3G
With specialization in supporting adults and adolescents struggling with low self-esteem, anxiety, and depression, my practice is geared toward providing a safe, compassionate atmosphere in which you'll feel empowered to explore and get to the core of the patterns holding you back.
Would you like to feel motivated by life? Cultivate genuine, loving relationships? Feel good about yourself, regardless of what life throws your way? Well you’re certainly not alone! Connection, self-esteem, and self-actualization have all been identified as human needs—essential to our mental health and well-being. Unfortunately, certain emotional, behavioural, or relational patterns can act as barriers to these needs, quelling our personal growth, and leaving us confined to oppressive cycles of anxiety and distress. Relate to any or all of the above? I think we all can—and perhaps I can help.
With specialization in supporting adults and adolescents struggling with low self-esteem, anxiety, and depression, my practice is geared toward providing a safe, compassionate atmosphere in which you'll feel empowered to explore and get to the core of the patterns holding you back.
Would you like to feel motivated by life? Cultivate genuine, loving relationships? Feel good about yourself, regardless of what life throws your way? Well you’re certainly not alone! Connection, self-esteem, and self-actualization have all been identified as human needs—essential to our mental health and well-being. Unfortunately, certain emotional, behavioural, or relational patterns can act as barriers to these needs, quelling our personal growth, and leaving us confined to oppressive cycles of anxiety and distress. Relate to any or all of the above? I think we all can—and perhaps I can help.
(438) 256-9275 View (438) 256-9275
Photo of Laura Gilbert, PhD, MA Psy, Coach, Marriage & Family Therapist
Laura Gilbert
Marriage & Family Therapist, PhD, MA Psy, Coach
Verified Verified
Montréal, QC H2V  (Online Only)
I have over 20 years experience working with adults, adolescents, couples and families with expertise in areas including Depression, Anxiety Disorders, PTSD, Addictions, Grief, Stress Management, and Relationships.
Formerly a California, US, Psychotherapist. Currently a Marriage and Family Therapist, an ADHD/Attention Coach, and Adjunct Professor, Psychology. Learn to effectively manage ADD/ADHD challenges with evidence based interventions and techniques. Develop cognitive, affective, and behavioral skills. Regain control over thoughts and emotions.
I have over 20 years experience working with adults, adolescents, couples and families with expertise in areas including Depression, Anxiety Disorders, PTSD, Addictions, Grief, Stress Management, and Relationships.
Formerly a California, US, Psychotherapist. Currently a Marriage and Family Therapist, an ADHD/Attention Coach, and Adjunct Professor, Psychology. Learn to effectively manage ADD/ADHD challenges with evidence based interventions and techniques. Develop cognitive, affective, and behavioral skills. Regain control over thoughts and emotions.
(438) 255-0978 View (438) 255-0978
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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.