Anxiety Therapists in Regina, SK

Photo of Isabelle Amundsen - MT Recovery and Family Therapy Inc, BSW, RSW, Registered Social Worker
MT Recovery and Family Therapy Inc
Registered Social Worker, BSW, RSW
Verified Verified
Regina, SK S4R
Isabelle understands that there is no “one size fits all” when it comes to mental health. Whether it be trauma, depression, anxiety, family dynamics, relationship issues/building, self-esteem, stress, emotional regulation or coping skills, she will help guide you to take control of your life by gaining control of your well-being. At your own pace, in your own way, she will direct you to empowerment from your struggles and promote growth and freedom.
Isabelle understands that there is no “one size fits all” when it comes to mental health. Whether it be trauma, depression, anxiety, family dynamics, relationship issues/building, self-esteem, stress, emotional regulation or coping skills, she will help guide you to take control of your life by gaining control of your well-being. At your own pace, in your own way, she will direct you to empowerment from your struggles and promote growth and freedom.
(306) 988-7350 View (306) 988-7350
Photo of Steven Nero, MSW, RSW, Registered Social Worker
Steven Nero
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Regina, SK S4P
Hello! My name is Steven and I’m honoured that you might consider me to support you on your journey toward healing and growth. As a licensed clinical social worker, I can provide virtual therapy services to people in Manitoba and Saskatchewan. I work with adults and youth (14+) from all walks of life, with my primary areas of focus being trauma, depression, anxiety, grief, relationships, and substance use. In particular, I have a passion for providing affirming and informed services to those who are gender and sexually diverse. I value creating a supportive and non-judgemental space for us to collaboratively work toward your goals.
Hello! My name is Steven and I’m honoured that you might consider me to support you on your journey toward healing and growth. As a licensed clinical social worker, I can provide virtual therapy services to people in Manitoba and Saskatchewan. I work with adults and youth (14+) from all walks of life, with my primary areas of focus being trauma, depression, anxiety, grief, relationships, and substance use. In particular, I have a passion for providing affirming and informed services to those who are gender and sexually diverse. I value creating a supportive and non-judgemental space for us to collaboratively work toward your goals.
(431) 306-2549 View (431) 306-2549
Photo of Adrie-Anne Gamble, MA, RPC, CCC, Counsellor
Adrie-Anne Gamble
Counsellor, MA, RPC, CCC
Verified Verified
Regina, SK S4R  (Online Only)
I care and want to encourage you. There is hope and a way through. If you are feeling stuck, emotionally overwhelmed, struggling with relationships, or seeking purpose/direction; I would be honored to connect with you. I have compassion and a deep desire to understand what you are going through and what your heart hopes for. I am passionate about supporting adults recovering from trauma, narcissistic abuse, emotional neglect, OCD and anxiety-related disorders. I offer emotional support and practical tools/steps/suggestions based on your needs and your unique situation.
I care and want to encourage you. There is hope and a way through. If you are feeling stuck, emotionally overwhelmed, struggling with relationships, or seeking purpose/direction; I would be honored to connect with you. I have compassion and a deep desire to understand what you are going through and what your heart hopes for. I am passionate about supporting adults recovering from trauma, narcissistic abuse, emotional neglect, OCD and anxiety-related disorders. I offer emotional support and practical tools/steps/suggestions based on your needs and your unique situation.
(306) 540-5841 View (306) 540-5841
Photo of Emily Ritenburg, BSW, RSW, Registered Social Worker
Emily Ritenburg
Registered Social Worker, BSW, RSW
Verified Verified
1 Endorsed
Regina, SK S4P  (Online Only)
I’m a queer, neurodivergent therapist who primarily works with adolescents, adults and those in both monogamous and non-monogamous relationships. I specialize in working with queer people exploring gender and sexuality, as well as people coping with anxiety, depression, trauma, substance use, disordered eating, ADHD and lower support/Level 1 autism. I’m sex positive, sex worker allied, kink and polyam affirming, and work to be anti-racist, anti-oppressive and decolonial in my practice. As a therapist, I'm often described as having a straight forward yet compassionate approach combined with a gentle sense of humour.
I’m a queer, neurodivergent therapist who primarily works with adolescents, adults and those in both monogamous and non-monogamous relationships. I specialize in working with queer people exploring gender and sexuality, as well as people coping with anxiety, depression, trauma, substance use, disordered eating, ADHD and lower support/Level 1 autism. I’m sex positive, sex worker allied, kink and polyam affirming, and work to be anti-racist, anti-oppressive and decolonial in my practice. As a therapist, I'm often described as having a straight forward yet compassionate approach combined with a gentle sense of humour.
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Photo of Kirsten Denninger, MSW, RSW, Registered Social Worker
Kirsten Denninger
Registered Social Worker, MSW, RSW
Verified Verified
Regina, SK S4S
Waitlist for new clients
Kirsten has a wide range of interests, including trauma treatment, interventions for anxiety, stress management, and complementary approaches, including yoga, nutrition, and mindfulness.
Kirsten approaches every interaction from a strength-based, trauma-informed perspective. She creates a compassionate, safe, and collaborative environment, supporting individuals' healing, and growth journey. Located across from the beautiful Kiwanis Waterfall Park, Kirsten is available in person in Regina, SK or virtually for those residing in SK, PE and NT.
Kirsten has a wide range of interests, including trauma treatment, interventions for anxiety, stress management, and complementary approaches, including yoga, nutrition, and mindfulness.
Kirsten approaches every interaction from a strength-based, trauma-informed perspective. She creates a compassionate, safe, and collaborative environment, supporting individuals' healing, and growth journey. Located across from the beautiful Kiwanis Waterfall Park, Kirsten is available in person in Regina, SK or virtually for those residing in SK, PE and NT.
(306) 518-2254 View (306) 518-2254
Photo of Kim Semenuik, MSW, RSW, Registered Social Worker
Kim Semenuik
Registered Social Worker, MSW, RSW
Verified Verified
4 Endorsed
Regina, SK S4Z
Hi! I’m Kim. I’m so glad you have found me here. I know that life experiences can impact us in unexpected ways. I truly believe that trauma is in the eye of the beholder so whatever you have experienced that is having a negative impact on you, I believe that it is valid. Counseling can help in processing experiences that have left an unwelcome impact on your emotions and day to day functioning. I have extensive experience working with those experiencing anxiety, struggling to manage stress, perinatal mental heath, perinatal loss and/or infertility.
Hi! I’m Kim. I’m so glad you have found me here. I know that life experiences can impact us in unexpected ways. I truly believe that trauma is in the eye of the beholder so whatever you have experienced that is having a negative impact on you, I believe that it is valid. Counseling can help in processing experiences that have left an unwelcome impact on your emotions and day to day functioning. I have extensive experience working with those experiencing anxiety, struggling to manage stress, perinatal mental heath, perinatal loss and/or infertility.
(855) 726-3038 View (855) 726-3038
Photo of Dr. Katherine Mazenc, PhD, Psychologist
Dr. Katherine Mazenc
Psychologist, PhD
Verified Verified
1 Endorsed
Regina, SK S4P
I offer assessment and therapy for a range of mental health concerns, including anxiety, depression, OCD, PTSD, and eating disorders. I am trained in evidence-based treatments such as acceptance and commitment therapy (ACT), cognitive behaviour therapy (CBT), exposure and response prevention (ERP), prolonged exposure, and cognitive processing therapy (CPT).
I offer assessment and therapy for a range of mental health concerns, including anxiety, depression, OCD, PTSD, and eating disorders. I am trained in evidence-based treatments such as acceptance and commitment therapy (ACT), cognitive behaviour therapy (CBT), exposure and response prevention (ERP), prolonged exposure, and cognitive processing therapy (CPT).
(306) 900-0948 View (306) 900-0948
Photo of Jane Chukwujekwu - Janec Therapy & Consulting, MSW, MBA, LCSW, Registered Social Worker
Janec Therapy & Consulting
Registered Social Worker, MSW, MBA, LCSW
Verified Verified
Regina, SK S4T  (Online Only)
I specialize in empowering individuals overcome challenges associated with trauma, anxiety, depression, relationship issues, and stress. Embarking on a healing path requires courage, and I am honoured to join you on your transformative journey. My counselling approach is person-centered and evidence-based. I offer a range of evidence-based therapeutic practices to meet your unique needs. I am trained in the Gottman approach for couples, EMDR, Emotional Therapy (EFT), Cognitive-Behavioral Therapy (CBT), Dialectical Behavioural Therapy (DBT), and Acceptance and Commitment Therapy.
I specialize in empowering individuals overcome challenges associated with trauma, anxiety, depression, relationship issues, and stress. Embarking on a healing path requires courage, and I am honoured to join you on your transformative journey. My counselling approach is person-centered and evidence-based. I offer a range of evidence-based therapeutic practices to meet your unique needs. I am trained in the Gottman approach for couples, EMDR, Emotional Therapy (EFT), Cognitive-Behavioral Therapy (CBT), Dialectical Behavioural Therapy (DBT), and Acceptance and Commitment Therapy.
(306) 400-5469 View (306) 400-5469
Photo of Jori Cachene - Deep Change Hypnosis & Counselling, MEd, CH, CCC, Counsellor
Deep Change Hypnosis & Counselling
Counsellor, MEd, CH, CCC
Verified Verified
2 Endorsed
Regina, SK S4T
My name is Jori Cachene and I am the owner/operator of Deep Change Hypnosis & Counselling, where healing transforms lives. With compassion and experience, I guide individuals aged 14+ through their mental health journeys. I understand navigating anxiety, depression, trauma, and relationships can be overwhelming, but with my support we can lighten the mental, emotional load. Dedicated to inclusivity, I welcome the LGBTQIA2S+ community members, honouring their unique lived experiences. In addition, I provide a culturally sensitive approach rooted in a personal understanding of the BIPOC experience.
My name is Jori Cachene and I am the owner/operator of Deep Change Hypnosis & Counselling, where healing transforms lives. With compassion and experience, I guide individuals aged 14+ through their mental health journeys. I understand navigating anxiety, depression, trauma, and relationships can be overwhelming, but with my support we can lighten the mental, emotional load. Dedicated to inclusivity, I welcome the LGBTQIA2S+ community members, honouring their unique lived experiences. In addition, I provide a culturally sensitive approach rooted in a personal understanding of the BIPOC experience.
(306) 517-6960 View (306) 517-6960
Photo of Jonathon James Renwick - Jonathon Renwick-Genesis Therapies, BSW, RSW, MEd, (Psych), Clinical Social Work/Therapist
Jonathon Renwick-Genesis Therapies
Clinical Social Work/Therapist, BSW, RSW, MEd, (Psych)
Verified Verified
1 Endorsed
Regina, SK S4P
Waitlist for new clients
Living with mental health issues such as addictions, anxiety, depression, anger, PTSD, relationship challenges, or ADHD can be incredibly taxing on the mind, body, and soul. You may have exhausted yourself trying multiple techniques, strategies, and tools with little relief. Imagine how your life would feel if you had a sense of peace, flow, ease, and happiness. There is a reason that all of the trying and striving hasn’t worked. The root of many mental health challenges is unresolved pain and trauma from past or present adverse experiences.
Living with mental health issues such as addictions, anxiety, depression, anger, PTSD, relationship challenges, or ADHD can be incredibly taxing on the mind, body, and soul. You may have exhausted yourself trying multiple techniques, strategies, and tools with little relief. Imagine how your life would feel if you had a sense of peace, flow, ease, and happiness. There is a reason that all of the trying and striving hasn’t worked. The root of many mental health challenges is unresolved pain and trauma from past or present adverse experiences.
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Marg May McMaughton
Registered Social Worker, RSW, PN
Verified Verified
Regina, SK S4S
I am also a certified hypnotherapist and do phone hypnoses for anxiety and sleep disorders.
I am a registered social worker with many years experience working in both the mental health system and in private practice. I am also a psychiatric nurse and have spent over 30 years working with clients suffering from major mental health disorders. I have expertise in major depression and anxiety disorders.
I am also a certified hypnotherapist and do phone hypnoses for anxiety and sleep disorders.
I am a registered social worker with many years experience working in both the mental health system and in private practice. I am also a psychiatric nurse and have spent over 30 years working with clients suffering from major mental health disorders. I have expertise in major depression and anxiety disorders.
(306) 802-4656 View (306) 802-4656
Photo of Jessica Murphy, BA, MSW, RSW, Registered Social Worker
Jessica Murphy
Registered Social Worker, BA, MSW, RSW
Verified Verified
Regina, SK S4P
I have 23 years working in mental health and my focus is on clients with depression, anxiety, self harm, suicidal ideation, grief, and trauma. We work to increase their coping skills, increase self esteem, and minimize negative feelings and behaviors such as suicidal ideation or self harm. The goals of therapy are discussed at the first session and the client decides what will be most beneficial for them. As the therapist, my goal is to ensure it is manageable, discuss expectations, and how to move forward in the counselling process. Counselling is a tool to be used when needed. LGBTQIA2S+ welcome.
I have 23 years working in mental health and my focus is on clients with depression, anxiety, self harm, suicidal ideation, grief, and trauma. We work to increase their coping skills, increase self esteem, and minimize negative feelings and behaviors such as suicidal ideation or self harm. The goals of therapy are discussed at the first session and the client decides what will be most beneficial for them. As the therapist, my goal is to ensure it is manageable, discuss expectations, and how to move forward in the counselling process. Counselling is a tool to be used when needed. LGBTQIA2S+ welcome.
(306) 400-5211 View (306) 400-5211
Photo of Dr. Bobbi Stadnyk R D Psych, PhD, Psychologist
Dr. Bobbi Stadnyk R D Psych
Psychologist, PhD
Verified Verified
Regina, SK S4P
My work has been in the areas of stress, anxiety, depression, trauma, health issues, relationships, and overall adjustment concerns.
Everyone experiences challenges, stress or change at some point in their lives. Effective counselling is a collaborative process where we will work together to help you create a better understanding of your unique experiences & identify goals that will promote self-improvement and increase your quality of life. Learning new coping skills while developing insight, and self-awareness are valuable outcomes of therapy. Together, we will look at how your thoughts, behaviours and feelings impact the way you see yourself, others and the world so that you can experience lasting improvements in mood, well-being and every day functioning.
My work has been in the areas of stress, anxiety, depression, trauma, health issues, relationships, and overall adjustment concerns.
Everyone experiences challenges, stress or change at some point in their lives. Effective counselling is a collaborative process where we will work together to help you create a better understanding of your unique experiences & identify goals that will promote self-improvement and increase your quality of life. Learning new coping skills while developing insight, and self-awareness are valuable outcomes of therapy. Together, we will look at how your thoughts, behaviours and feelings impact the way you see yourself, others and the world so that you can experience lasting improvements in mood, well-being and every day functioning.
(306) 994-6267 View (306) 994-6267
Photo of Lorie Craig - Wolf Willow Counselling , BSW, RSW, MACP, Registered Social Worker
Wolf Willow Counselling
Registered Social Worker, BSW, RSW, MACP
Verified Verified
1 Endorsed
Regina, SK S4X
Are you an adult who thinks you have symptoms of ADHD? I specialize in supporting adults with ADHD and I offer Adult ADHD Screening. As well if you are struggling with anxiety, depression, PTSD, low self-esteem, or problems in your everyday life I can help. You know you want to start counselling, but the idea of being vulnerable with a stranger, or explaining your personal story just feels scary to you. Together we will focus on understanding who you are, what changes you want to make, and what brings you to therapy in the first place.
Are you an adult who thinks you have symptoms of ADHD? I specialize in supporting adults with ADHD and I offer Adult ADHD Screening. As well if you are struggling with anxiety, depression, PTSD, low self-esteem, or problems in your everyday life I can help. You know you want to start counselling, but the idea of being vulnerable with a stranger, or explaining your personal story just feels scary to you. Together we will focus on understanding who you are, what changes you want to make, and what brings you to therapy in the first place.
(306) 801-9273 View (306) 801-9273
Photo of Dr. Todd J Sojonky, PhD, Psychologist
Dr. Todd J Sojonky
Psychologist, PhD
Verified Verified
Regina, SK S4V
Dr. Sojonky's practice is rooted in a trans-personal and relational approach to healing. This means people come first! Todd has practiced throughout Canada working with people in the areas of stress, depression, grief, anxiety, eating disorders, marriage and family issues and addictions. He is a published author and has lectured throughout Canada and in Ireland. Todd has been a sessional lecturer at the University of Regina for over ten years teaching in the areas of counseling methods, ethics, personality, addictions and psychotherapy.
Dr. Sojonky's practice is rooted in a trans-personal and relational approach to healing. This means people come first! Todd has practiced throughout Canada working with people in the areas of stress, depression, grief, anxiety, eating disorders, marriage and family issues and addictions. He is a published author and has lectured throughout Canada and in Ireland. Todd has been a sessional lecturer at the University of Regina for over ten years teaching in the areas of counseling methods, ethics, personality, addictions and psychotherapy.
(306) 801-9077 View (306) 801-9077
Photo of Carissa Ball - Soul Haven Counselling, MSW, RSW, Registered Social Worker
Soul Haven Counselling
Registered Social Worker, MSW, RSW
Verified Verified
2 Endorsed
Regina, SK S4T
Carissa can help you manage issues surrounding anxiety, depression, anger management, emotional regulation, addictions, grief/loss/ or bereavement, relationships issues, parenting support, crisis and self-esteem.
***Please email Info@soulhavencounselling.com if you have questions regarding services. Sessions can be booked at https://soulhavencounselling.janeapp.com*** Carissa recognizes the ways that trauma impacts mental health, interpersonal interactions, behaviours, coping, and other factors related to wellness. In her work, she will respect the pace at which you want to disclose and will support you in healing through the process. Attending counselling allows for empowerment and your voice to be heard. With the support of a counsellor, you will be able to share your story in a supported environment.
Carissa can help you manage issues surrounding anxiety, depression, anger management, emotional regulation, addictions, grief/loss/ or bereavement, relationships issues, parenting support, crisis and self-esteem.
***Please email Info@soulhavencounselling.com if you have questions regarding services. Sessions can be booked at https://soulhavencounselling.janeapp.com*** Carissa recognizes the ways that trauma impacts mental health, interpersonal interactions, behaviours, coping, and other factors related to wellness. In her work, she will respect the pace at which you want to disclose and will support you in healing through the process. Attending counselling allows for empowerment and your voice to be heard. With the support of a counsellor, you will be able to share your story in a supported environment.
(306) 517-6824 View (306) 517-6824
Photo of Larissa Mae Raine, RSW, MAC, CCC, Registered Social Worker
Larissa Mae Raine
Registered Social Worker, RSW, MAC, CCC
Verified Verified
Regina, SK S4S
Many of Larissa’s clients come in to seek help who are struggling with stress, anxiety, depression, life transitions, and loneliness. Larissa is particularly passionate about serving women and adolescents navigating matters of their mental health, as well as adults with intellectual and physical disabilities. She is passionate about art therapy and how it can be a vehicle to deeper self-exploration and healing for her clients: regardless of their perceived artistic ability. When a client first comes in, time is spent exploring the client’s unique needs and helping empower the client to be the navigator of their own road map.
Many of Larissa’s clients come in to seek help who are struggling with stress, anxiety, depression, life transitions, and loneliness. Larissa is particularly passionate about serving women and adolescents navigating matters of their mental health, as well as adults with intellectual and physical disabilities. She is passionate about art therapy and how it can be a vehicle to deeper self-exploration and healing for her clients: regardless of their perceived artistic ability. When a client first comes in, time is spent exploring the client’s unique needs and helping empower the client to be the navigator of their own road map.
(306) 900-6734 View (306) 900-6734
Photo of Carly Marcotte - Prairie Strength Counselling, RPC-C, BKin, Counsellor
Carly Marcotte - Prairie Strength Counselling
Counsellor, RPC-C, BKin
Verified Verified
2 Endorsed
Regina, SK S4V  (Online Only)
I am currently accepting new clients from SK/AB/MB at Prairie Strength Counselling. I provide counselling to adult individuals navigating anxiety, depression, stress, life transition challenges, feeling stuck or overwhelmed, low self-esteem/worth, among others. I offer a non-judgemental, empathetic ear, and believe in full collaboration between myself and my clients. If wanted, the opportunity to create your own 'toolkit' upon which you can draw from and build upon through each life stage and experience can be integrated into your treatment plan.
I am currently accepting new clients from SK/AB/MB at Prairie Strength Counselling. I provide counselling to adult individuals navigating anxiety, depression, stress, life transition challenges, feeling stuck or overwhelmed, low self-esteem/worth, among others. I offer a non-judgemental, empathetic ear, and believe in full collaboration between myself and my clients. If wanted, the opportunity to create your own 'toolkit' upon which you can draw from and build upon through each life stage and experience can be integrated into your treatment plan.
(306) 988-1006 View (306) 988-1006
Photo of Mountain Gate Counselling, MSc, BSc
Mountain Gate Counselling
MSc, BSc
Verified Verified
Regina, SK S4P
I work with adults and teenagers experiencing depression and anxiety. I also work with people experiencing trauma, spiritual crisis, relationship issues, loneliness, problems due to medication, and stress in many forms. A block of time in my practice is kept open daily for those in crisis, who cannot find adequate support through the public system. I also work with couples wishing to heal relational concerns, and those with an inclination towards spiritual practice/life. I am LGBTQ+ friendly and welcome people from all faith backgrounds and walks of life. Sessions are available in-person, by email, and via video.
I work with adults and teenagers experiencing depression and anxiety. I also work with people experiencing trauma, spiritual crisis, relationship issues, loneliness, problems due to medication, and stress in many forms. A block of time in my practice is kept open daily for those in crisis, who cannot find adequate support through the public system. I also work with couples wishing to heal relational concerns, and those with an inclination towards spiritual practice/life. I am LGBTQ+ friendly and welcome people from all faith backgrounds and walks of life. Sessions are available in-person, by email, and via video.
(306) 900-4735 View (306) 900-4735
Photo of Keli Brown Clinical Counsellor-Therapist-Psychotherapist, RPC, RTC, BA Pych, Counsellor
Keli Brown Clinical Counsellor-Therapist-Psychotherapist
Counsellor, RPC, RTC, BA Pych
Verified Verified
3 Endorsed
Regina, SK S4R
Waitlist for new clients
It's hard to navigate through life with feelings of anxiety & depression, relationship issues, the inability to set proper boundaries with others, or struggling with low-self worth. Our life experiences can have an effect on us in unexpected ways. The feelings of sadness, anxiousness, overwhelm, distress or being stuck can seem to have a life of their own, causing us to feel helpless, frustrated or confused. I want you to know that you're not alone & there are ways through counselling to help support you in finding your way again. My goal is to help clients get to the root of their struggles and to develop a healthy sense of self.
It's hard to navigate through life with feelings of anxiety & depression, relationship issues, the inability to set proper boundaries with others, or struggling with low-self worth. Our life experiences can have an effect on us in unexpected ways. The feelings of sadness, anxiousness, overwhelm, distress or being stuck can seem to have a life of their own, causing us to feel helpless, frustrated or confused. I want you to know that you're not alone & there are ways through counselling to help support you in finding your way again. My goal is to help clients get to the root of their struggles and to develop a healthy sense of self.
(306) 994-8119 View (306) 994-8119
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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.