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Photo of Steve Howey, Counsellor in Ackton, England
Steve Howey
Counsellor, BACP
Verified Verified
Wakefield WF1
Hi, You may be struggling at the minute.Be that anxiety, depression, family-issues, grief, feeling overwhelmed or numb .You want help, dignity, and to be heard and respected. Perhaps, you want someone to take the time to really understand what you’re going through. Do you want someone who isn’t going to make assumptions, and isn’t going to judge you and make you feel ashamed? Would you like the care, and dedication of a qualified counsellor to work through your thought, feelings, and emotions?£50 for face to face sessions in LS1, £45 for face to face sessions in LS11, and online available at £40.00 per session.
Hi, You may be struggling at the minute.Be that anxiety, depression, family-issues, grief, feeling overwhelmed or numb .You want help, dignity, and to be heard and respected. Perhaps, you want someone to take the time to really understand what you’re going through. Do you want someone who isn’t going to make assumptions, and isn’t going to judge you and make you feel ashamed? Would you like the care, and dedication of a qualified counsellor to work through your thought, feelings, and emotions?£50 for face to face sessions in LS1, £45 for face to face sessions in LS11, and online available at £40.00 per session.
0113 519 1221 View 0113 519 1221
Photo of Paramount Therapy Center Limited, Psychotherapist in Ackton, England
Paramount Therapy Center Limited
Psychotherapist, MSc, BACP
Verified Verified
Wakefield WF2
My services also provide an alternative approach through which people can address their difficulties, unpack their emotional fears, and achieve greater psychological and emotional wellbeing.
I work as a Psychological Wellbeing Practitioner. I have experience assessing and assisting people with mental health conditions and hidden disabilities within their workplaces. I have specialist knowledge and experience in Personality Disorder, Dialectical Behavioral Therapy and Acceptance & Commitment Therapy. I follow the BACP code of ethics. This means that I work with honesty, integrity, mission, and values. I offer Counselling and Psychotherapy on a short- and long-term basis using Person-centered therapeutic Approach. I work with Young People, Couple in Relationship, Families, Domestic Violence, SPIP.
My services also provide an alternative approach through which people can address their difficulties, unpack their emotional fears, and achieve greater psychological and emotional wellbeing.
I work as a Psychological Wellbeing Practitioner. I have experience assessing and assisting people with mental health conditions and hidden disabilities within their workplaces. I have specialist knowledge and experience in Personality Disorder, Dialectical Behavioral Therapy and Acceptance & Commitment Therapy. I follow the BACP code of ethics. This means that I work with honesty, integrity, mission, and values. I offer Counselling and Psychotherapy on a short- and long-term basis using Person-centered therapeutic Approach. I work with Young People, Couple in Relationship, Families, Domestic Violence, SPIP.
01274 240054 View 01274 240054
Photo of Emily Del-Grande Therapeutic Counselling, Counsellor in Ackton, England
Emily Del-Grande Therapeutic Counselling
Counsellor, MBACP
Verified Verified
Wakefield WF4
Thank you for taking the time to look at my profile. We all need support in life and at times, we reach out to therapy to provide us with that support. Therapy can help us to understand complex emotions, behaviours, or to learn more about ourselves. Sometimes it is just nice to talk to someone who is hearing and feeling what is going on for you. I can offer you a non-judgemental space to explore whatever it is you need support with. Together, we can work through your fears, your difficult memories or whatever is hindering you in life.
Thank you for taking the time to look at my profile. We all need support in life and at times, we reach out to therapy to provide us with that support. Therapy can help us to understand complex emotions, behaviours, or to learn more about ourselves. Sometimes it is just nice to talk to someone who is hearing and feeling what is going on for you. I can offer you a non-judgemental space to explore whatever it is you need support with. Together, we can work through your fears, your difficult memories or whatever is hindering you in life.
01902 943276 View 01902 943276
Photo of Nancy Woliter, Counsellor in Ackton, England
Nancy Woliter
Counsellor, MBACP
Verified Verified
Leeds LS15
Hello, do you want to overcome a problem and need to talk about it, are you struggling to cope with life events, such as loss or bereavement or have feelings of depression, low-self esteem, stress or anxiety? Are you finding family relationships difficult or going through divorce and separation? I’m an experienced counsellor who is passionate about helping you discover new ways of overcoming your challenges and experience life differently in a safe and confidential environment.
Hello, do you want to overcome a problem and need to talk about it, are you struggling to cope with life events, such as loss or bereavement or have feelings of depression, low-self esteem, stress or anxiety? Are you finding family relationships difficult or going through divorce and separation? I’m an experienced counsellor who is passionate about helping you discover new ways of overcoming your challenges and experience life differently in a safe and confidential environment.
01924 950164 View 01924 950164
Photo of Kevin Westwood, Psychotherapist in Ackton, England
Kevin Westwood
Psychotherapist, MBACP
Verified Verified
Wakefield WF4  (Online Only)
Depression, anxiety & anger.
Hi. At times we are challenged in life and we may need help to work through the issues that can affect us. Whatever we are experiencing, it can impact on our whole life greatly. At times admitting we need help can be a long and hard journey. Just getting to this point of looking for a therapist means you’ve addressed so much already and that you wish to take the next step. It's finding the right therapist for you, just like any other relationship is how you connect that enables you to feel safe and be open so you can work through your issues. So take your time to find the right one as that relationship can help you so much.
Depression, anxiety & anger.
Hi. At times we are challenged in life and we may need help to work through the issues that can affect us. Whatever we are experiencing, it can impact on our whole life greatly. At times admitting we need help can be a long and hard journey. Just getting to this point of looking for a therapist means you’ve addressed so much already and that you wish to take the next step. It's finding the right therapist for you, just like any other relationship is how you connect that enables you to feel safe and be open so you can work through your issues. So take your time to find the right one as that relationship can help you so much.
01977 802180 View 01977 802180
Photo of Georgia Allen, Psychotherapist in Ackton, England
Georgia Allen
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
Barnsley S75
Art therapy enabled me to process my own past traumas, it has given me the empathy and determination to help others to see more clearly what is going on for them in the present, often through gaining a better understanding of their past. I work mostly with adolescents (aged 12-25), and primary/junior school children. Helping them to process issues such as anxiety, bullying, stress, identity, behavioural issues, grief and bereavement.
Art therapy enabled me to process my own past traumas, it has given me the empathy and determination to help others to see more clearly what is going on for them in the present, often through gaining a better understanding of their past. I work mostly with adolescents (aged 12-25), and primary/junior school children. Helping them to process issues such as anxiety, bullying, stress, identity, behavioural issues, grief and bereavement.
01226 666274 View 01226 666274
Photo of Joshua Carter, Psychotherapist in Ackton, England
Joshua Carter
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Wakefield WF4
By providing a safe and confidential space free from judgement to explore your difficulties, we can work together to meet your aims and goals in counselling some examples of this can be managing anxiety, dealing with depression, relationship issues or working through and process trauma.
Hi, I'm Joshua, a professional psychotherapist and registered member of the British Association for Counselling and Psychotherapy (BACP). I know how daunting it can be to look for a counsellor, or finding who will match your needs and expectations. So I will talk you through how I work and what I can offer you, to hopefully take away any confusion and make your search a little easier. I am located at Nostell Priory in Wakefield.
By providing a safe and confidential space free from judgement to explore your difficulties, we can work together to meet your aims and goals in counselling some examples of this can be managing anxiety, dealing with depression, relationship issues or working through and process trauma.
Hi, I'm Joshua, a professional psychotherapist and registered member of the British Association for Counselling and Psychotherapy (BACP). I know how daunting it can be to look for a counsellor, or finding who will match your needs and expectations. So I will talk you through how I work and what I can offer you, to hopefully take away any confusion and make your search a little easier. I am located at Nostell Priory in Wakefield.
01924 950697 View 01924 950697
Photo of Kelly Burnett, Counsellor in Ackton, England
Kelly Burnett
Counsellor, BACP
Verified Verified
Wakefield WF2
Sometimes life can throw up unexpected challenges and we find that things that wouldn't normally bother us do. You may find yourself stuck, and unable to move forward; to make the change you so badly desire. It may be that you find yourself feeling anxious, depressed or stressed leaving you constantly worrying and struggling to sleep. Perhaps, you are having problems at work or in your relationships, or maybe you have suffered at the hands of others which impacts on your emotions and behaviours now. If any of this resonates with you, counselling can help develop the self-awareness you need and give you the tools to move you forward.
Sometimes life can throw up unexpected challenges and we find that things that wouldn't normally bother us do. You may find yourself stuck, and unable to move forward; to make the change you so badly desire. It may be that you find yourself feeling anxious, depressed or stressed leaving you constantly worrying and struggling to sleep. Perhaps, you are having problems at work or in your relationships, or maybe you have suffered at the hands of others which impacts on your emotions and behaviours now. If any of this resonates with you, counselling can help develop the self-awareness you need and give you the tools to move you forward.
01924 950182 View 01924 950182
Photo of Magdalena Szczurek, Counsellor in Ackton, England
Magdalena Szczurek
Counsellor, MBACP
Verified Verified
Wakefield WF1
I offer a safe and supportive therapy in confidential settings for Adults, Teenagers and Couples where we can explore any difficulties, distress which you may be experiencing or even dissatisfaction with life. I provide emotional support to those who suffer with all types of mental and domestic health distress (depression, anxiety and stress), relationship issues, trauma, suicide, self-harm as a result have lost their self-confidence and self-worth.I also offer support and guidance for couples who struggle with everyday stress in their lives which could have negative impacts on their relationship, lack of communication and intimacy.
I offer a safe and supportive therapy in confidential settings for Adults, Teenagers and Couples where we can explore any difficulties, distress which you may be experiencing or even dissatisfaction with life. I provide emotional support to those who suffer with all types of mental and domestic health distress (depression, anxiety and stress), relationship issues, trauma, suicide, self-harm as a result have lost their self-confidence and self-worth.I also offer support and guidance for couples who struggle with everyday stress in their lives which could have negative impacts on their relationship, lack of communication and intimacy.
01924 950195 View 01924 950195
Photo of SJR Counselling, Counsellor in Ackton, England
SJR Counselling
Counsellor, MBACP
Verified Verified
1 Endorsed
Leeds LS25
My name is Sam, I am a Person-Centred Counsellor and a registered member of the BACP. I understand how difficult the decision to seek counselling can be through my own experience. You may feel unsure whether it's the right move for your child and how long they can continue to cope on their own. So many questions you may have, you may feel you and your child are a burden to family and friends and don't know who to turn to. Worried about returning to school/college or starting a new one, impacts of Covid, social isolation, family issues and relationships causing anxieties and stress which may affect day to day life, I can help.
My name is Sam, I am a Person-Centred Counsellor and a registered member of the BACP. I understand how difficult the decision to seek counselling can be through my own experience. You may feel unsure whether it's the right move for your child and how long they can continue to cope on their own. So many questions you may have, you may feel you and your child are a burden to family and friends and don't know who to turn to. Worried about returning to school/college or starting a new one, impacts of Covid, social isolation, family issues and relationships causing anxieties and stress which may affect day to day life, I can help.
01977 801654 View 01977 801654
Photo of Victoria Northern, Counsellor in Ackton, England
Victoria Northern
Counsellor, DCounsPsych, MNCPS Acc.
Verified Verified
1 Endorsed
Wakefield WF2
I work with adults and young people with various presenting difficulties such as anxiety, OCD, phobias, stress, trauma, depression, anger, loss, low self esteem, self harm, relationship problems and abuse. Counselling is a process people seek when they want changes in their life. It can help us to understand and have better clarity of our thoughts, emotions and behaviours. Let me ask you…Are you feeling stuck? Do you want to feel happier? Are you feeling overwhelmed? Are you feeling lost or hopeless? Are you battling with your inner critic? Do you want to heal from your past? If so let’s start your journey to discovering a new you.
I work with adults and young people with various presenting difficulties such as anxiety, OCD, phobias, stress, trauma, depression, anger, loss, low self esteem, self harm, relationship problems and abuse. Counselling is a process people seek when they want changes in their life. It can help us to understand and have better clarity of our thoughts, emotions and behaviours. Let me ask you…Are you feeling stuck? Do you want to feel happier? Are you feeling overwhelmed? Are you feeling lost or hopeless? Are you battling with your inner critic? Do you want to heal from your past? If so let’s start your journey to discovering a new you.
01484 627413 View 01484 627413
Photo of Via Vitae Counselling Services, Counsellor in Ackton, England
Via Vitae Counselling Services
Counsellor, BACP
Verified Verified
Wakefield WF1  (Online Only)
A managerial past leaves me ideally placed to help clients experiencing workplace stress, in addition to this, my specialisms include: general anxiety, depression, bereavement and self esteem issues.
Are you looking to change your major relationships, or your job? Do you want to improve your self-esteem or are seeking the confidence to rebuild yourself after a traumatic event? Change takes time, but you don't have to do it alone. I take an individual approach, and appreciate that everyone is different with different needs. I will work with you, allowing you to have control over your therapy, and I will encourage you to have a voice. If you are willing to make the most of what you learn about yourself then you are more likely to make progress that lasts and changes your life for the better. Supervision is available too.
A managerial past leaves me ideally placed to help clients experiencing workplace stress, in addition to this, my specialisms include: general anxiety, depression, bereavement and self esteem issues.
Are you looking to change your major relationships, or your job? Do you want to improve your self-esteem or are seeking the confidence to rebuild yourself after a traumatic event? Change takes time, but you don't have to do it alone. I take an individual approach, and appreciate that everyone is different with different needs. I will work with you, allowing you to have control over your therapy, and I will encourage you to have a voice. If you are willing to make the most of what you learn about yourself then you are more likely to make progress that lasts and changes your life for the better. Supervision is available too.
01457 607256 View 01457 607256
Photo of Nadine Naughton, Counsellor in Ackton, England
Nadine Naughton
Counsellor, DCounsPsych, MBACP
Verified Verified
Wakefield WF4
I work with a wide area including Anxiety, Low Mood, Depression, Self-harm, Suicidal Ideation, Stress, illness, Long term health issues, Terminal illness, Bereavement, Loss, Work related stresses, Sports professionals etc.
Hello I am Nadine, I have 14 years experience as a counsellor for children, young people and adults in Yorkshire. See my profile. I'm near Nostell Priory, junction 30/31 M62 and 38/39 M1. Wakefield & Huddersfield. I qualified in 2009 and I actively work with children, young people, adults, relationship counselling and family therapy. I have 14 years regular counselling experience and 12 years previous experience working with children's mental and emotional health service for Kirklees within Tier 2 and Tier 3 Ask CAMHS/ ChEWS - Northorpe Hall Services known now as Thriving Kirklees. I now only work in my own private practice.
I work with a wide area including Anxiety, Low Mood, Depression, Self-harm, Suicidal Ideation, Stress, illness, Long term health issues, Terminal illness, Bereavement, Loss, Work related stresses, Sports professionals etc.
Hello I am Nadine, I have 14 years experience as a counsellor for children, young people and adults in Yorkshire. See my profile. I'm near Nostell Priory, junction 30/31 M62 and 38/39 M1. Wakefield & Huddersfield. I qualified in 2009 and I actively work with children, young people, adults, relationship counselling and family therapy. I have 14 years regular counselling experience and 12 years previous experience working with children's mental and emotional health service for Kirklees within Tier 2 and Tier 3 Ask CAMHS/ ChEWS - Northorpe Hall Services known now as Thriving Kirklees. I now only work in my own private practice.
01924 938065 View 01924 938065
Photo of Beverly James, Counsellor in Ackton, England
Beverly James
Counsellor, MBACP
Verified Verified
1 Endorsed
Barnsley S70
I have supported clients from a range of ages and backgrounds, working with issues including anxiety, depression, stress, self-esteem, anger, loneliness, relationships, domestic / sexual abuse, loss and trauma.
It can sometimes seem worrying to share your deepest, most personal thoughts and feelings. I'm here to offer a warm, welcoming and confidential therapeutic space where you will have your time to talk and where hopefully we can build a trusting therapeutic relationship, one in which you can feel comfortable to share your worries and thoughts. Every client and every therapeutic process is different and I will always value you as a unique individual, with the utmost respect for the journey you have navigated and the place you find yourself in now.
I have supported clients from a range of ages and backgrounds, working with issues including anxiety, depression, stress, self-esteem, anger, loneliness, relationships, domestic / sexual abuse, loss and trauma.
It can sometimes seem worrying to share your deepest, most personal thoughts and feelings. I'm here to offer a warm, welcoming and confidential therapeutic space where you will have your time to talk and where hopefully we can build a trusting therapeutic relationship, one in which you can feel comfortable to share your worries and thoughts. Every client and every therapeutic process is different and I will always value you as a unique individual, with the utmost respect for the journey you have navigated and the place you find yourself in now.
01709 288852 View 01709 288852
Photo of Juliett Barrott, Counsellor in Ackton, England
Juliett Barrott
Counsellor, MSc, ACC-AC
Verified Verified
Barnsley S71
My experience is of working with clients with a wide range of issues EG; depression, anxiety, anger, family and relationship issues, etc.
Hi my work with children and young people has enabled me to adopt a common sense approach. I practise Integrative Counselling, that means I use CBT, Person Centred, Pyschodynamic, etc, concepts. Which are the building blocks of thoughts and beliefs which affect how we feel. I understand the first step in seeking counselling is hard, if you have sought support, you may not know how to effect change it’s at this point we explore choices.
My experience is of working with clients with a wide range of issues EG; depression, anxiety, anger, family and relationship issues, etc.
Hi my work with children and young people has enabled me to adopt a common sense approach. I practise Integrative Counselling, that means I use CBT, Person Centred, Pyschodynamic, etc, concepts. Which are the building blocks of thoughts and beliefs which affect how we feel. I understand the first step in seeking counselling is hard, if you have sought support, you may not know how to effect change it’s at this point we explore choices.
0114 478 2540 View 0114 478 2540
Photo of Jo West, Psychologist in Ackton, England
Jo West
Psychologist, HCPC - Forensic Psych.
Verified Verified
Leeds LS26  (Online Only)
If you are struggling with mental health difficulties, problems in relationships and/or difficulties coping with your past then I am here to help. I am a consultant Psychologist and I am passionate about supporting people to reduce their emotional distress. I understand that therapy can be daunting and will work with you to deliver therapy in a way that suits you and at your pace. I am experienced in a range of issues you may be facing including depression, anxiety, disassociation and symptoms of Post Traumatic Stress Disorder.
If you are struggling with mental health difficulties, problems in relationships and/or difficulties coping with your past then I am here to help. I am a consultant Psychologist and I am passionate about supporting people to reduce their emotional distress. I understand that therapy can be daunting and will work with you to deliver therapy in a way that suits you and at your pace. I am experienced in a range of issues you may be facing including depression, anxiety, disassociation and symptoms of Post Traumatic Stress Disorder.
0113 519 1679 View 0113 519 1679
Photo of connect 2 emdr, Psychotherapist in Ackton, England
connect 2 emdr
Psychotherapist, MA
Verified Verified
Wakefield WF1
Hi, I'm Lauren a trauma therapist specalising in EMDR psychotherapy. EMDR is now the front line treatment for PTSD. It can be used to treat single traumas, For example a road traffic accident. Or multiple traumas. For example, veterans, abuse survivors. EMDR is hugley succesful at treating a range of mental health issues (anxiety, low mood, poor sleep, self harm, self esteem, self sabotage behaviours and many more). For some starting therapy can be extremely daunting. Together we will develop a plan and pace that suits you.
Hi, I'm Lauren a trauma therapist specalising in EMDR psychotherapy. EMDR is now the front line treatment for PTSD. It can be used to treat single traumas, For example a road traffic accident. Or multiple traumas. For example, veterans, abuse survivors. EMDR is hugley succesful at treating a range of mental health issues (anxiety, low mood, poor sleep, self harm, self esteem, self sabotage behaviours and many more). For some starting therapy can be extremely daunting. Together we will develop a plan and pace that suits you.
01484 627683 View 01484 627683
Photo of With The Seasons - Counselling & Trauma Therapy, Counsellor in Ackton, England
With The Seasons - Counselling & Trauma Therapy
Counsellor, MBACP
Verified Verified
Wakefield WF1
Are you feeling out of sync with the world and other people? You may be going through a bereavement or significant life changes, feeling anxious, depressed, lonely, confused, misunderstood or be living with Post Traumatic Stress (PTSD) or Long Covid. I can help you reconnect to yourself and others. I can support you with the things that are holding you back as well as help you make more sense of the new world around you. I help you work with the body and mind together - a more effective way to stabilise and rebuild after a traumatic time as well as enable new insights and change - than bringing your pain up over and over again.
Are you feeling out of sync with the world and other people? You may be going through a bereavement or significant life changes, feeling anxious, depressed, lonely, confused, misunderstood or be living with Post Traumatic Stress (PTSD) or Long Covid. I can help you reconnect to yourself and others. I can support you with the things that are holding you back as well as help you make more sense of the new world around you. I help you work with the body and mind together - a more effective way to stabilise and rebuild after a traumatic time as well as enable new insights and change - than bringing your pain up over and over again.
01274 015886 View 01274 015886
Photo of Sarah Robinson, Counsellor in Ackton, England
Sarah Robinson
Counsellor, MBACP
Verified Verified
Wakefield WF1
My name is Sarah, I provide over 18's counselling at an affordable rate. I use different counselling theories and models to suit the need of the person. I'm DBS checked, and cover a vast of presenting issues you may have including anxiety, depression, suicidal ideation, self harming, addictions, and so much more. Free assessment provided. Working for you and creating a safe, confidential environment for you to work with your thoughts and feelings.
My name is Sarah, I provide over 18's counselling at an affordable rate. I use different counselling theories and models to suit the need of the person. I'm DBS checked, and cover a vast of presenting issues you may have including anxiety, depression, suicidal ideation, self harming, addictions, and so much more. Free assessment provided. Working for you and creating a safe, confidential environment for you to work with your thoughts and feelings.
07449 471908 View 07449 471908
Photo of Jo Smith, Counsellor in Ackton, England
Jo Smith
Counsellor, MBACP
Verified Verified
Wakefield WF3
Hi. I'm Jo, a BACP registered Counsellor and Integrative Therapist offering face to face counselling in East Ardsley/ Tingley. I also offer online therapy UK wide. There could be many reasons why you are taking that first step to reach out for help. Perhaps you are struggling with anxiety? Maybe depression and low mood are keeping you from enjoying life to it's fullest? Perhaps you're experiencing difficulties in your relationship or finding it hard to overcome childhood trauma? Maybe it's something completely different? Whatever it is that is that has brought you here, you're not alone and I can help. As an experienced counsellor
Hi. I'm Jo, a BACP registered Counsellor and Integrative Therapist offering face to face counselling in East Ardsley/ Tingley. I also offer online therapy UK wide. There could be many reasons why you are taking that first step to reach out for help. Perhaps you are struggling with anxiety? Maybe depression and low mood are keeping you from enjoying life to it's fullest? Perhaps you're experiencing difficulties in your relationship or finding it hard to overcome childhood trauma? Maybe it's something completely different? Whatever it is that is that has brought you here, you're not alone and I can help. As an experienced counsellor
0113 519 1270 View 0113 519 1270
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.