Photo of Kay Parkinson - Place2Talk Counselling, MBACP, Counsellor
Kay Parkinson - Place2Talk Counselling
Counsellor, MBACP
Verified Verified
Bournemouth BH10
Working in a Neurodiverse affirming way, I am experienced working with a wide range of issues, including: anxiety, bereavement (CRUSE bereavement volunteer), work stress, relationship issues & life transitions, low self-esteem, past childhood abuse, emotional neglect, chronic illness, PMS/PMDD/menopause, nightmares, trauma, self-harm, panic attacks.
Life can be messy & rarely turns out exactly as we hope or plan. Perhaps relationship or work-life difficulties are causing you emotional pain and mental suffering. Maybe you have been signed off from work, college or university with anxiety or stress, or you’re simply not able to enjoy the ‘sunshine‘ moments of life. Counselling can help you navigate the difficulties that are causing your emotional & mental suffering & provide support as you work towards building a more fulfilled & contented life. Shame is a common theme associated with low self-esteem, however, working together we can reduce its impact to improve your well-being.
Working in a Neurodiverse affirming way, I am experienced working with a wide range of issues, including: anxiety, bereavement (CRUSE bereavement volunteer), work stress, relationship issues & life transitions, low self-esteem, past childhood abuse, emotional neglect, chronic illness, PMS/PMDD/menopause, nightmares, trauma, self-harm, panic attacks.
Life can be messy & rarely turns out exactly as we hope or plan. Perhaps relationship or work-life difficulties are causing you emotional pain and mental suffering. Maybe you have been signed off from work, college or university with anxiety or stress, or you’re simply not able to enjoy the ‘sunshine‘ moments of life. Counselling can help you navigate the difficulties that are causing your emotional & mental suffering & provide support as you work towards building a more fulfilled & contented life. Shame is a common theme associated with low self-esteem, however, working together we can reduce its impact to improve your well-being.
01202 029008 View 01202 029008
Photo of Martha Espin, MSc, GMBPsS, Psychologist
Martha Espin
Psychologist, MSc, GMBPsS
Verified Verified
Bournemouth BH1  (Online Only)
I get it, life can get overwhelming sometimes. You feel unwell and don't know where to start. You can't put your finger on anything because everything seems like a lot right now: Family, relationships, self-esteem, worry, insecurities, work... nothing feels good anymore. You feel lost and sometimes don't really know what to do. You might struggle to enjoy the things you used to or simply have a good time with friends. Sometimes you might feel ridden by anxiety, worry and overthinking, which makes you question literally everything and you feel exhausted!
I get it, life can get overwhelming sometimes. You feel unwell and don't know where to start. You can't put your finger on anything because everything seems like a lot right now: Family, relationships, self-esteem, worry, insecurities, work... nothing feels good anymore. You feel lost and sometimes don't really know what to do. You might struggle to enjoy the things you used to or simply have a good time with friends. Sometimes you might feel ridden by anxiety, worry and overthinking, which makes you question literally everything and you feel exhausted!
01329 558309 View 01329 558309
Photo of Andrew O’Neill, MBABCP, Psychotherapist
Andrew O’Neill
Psychotherapist, MBABCP
Verified Verified
Bournemouth BH1
I have treated over 1000 clients in PTSD, Anxiety, GAD, OCD, Depression, Health Anxiety, Social Anxiety, Panic, Stress (to name a few).
Are you looking for quality therapy? Not all therapy is the same which is why I pride myself in offering a therapy that is a cut above the rest. I offer a free 30min consultation so that you can experience this personally and decide for yourself. If you like learning through (1) understanding the science and (2) stories and analogies then this is the therapy for you.
I have treated over 1000 clients in PTSD, Anxiety, GAD, OCD, Depression, Health Anxiety, Social Anxiety, Panic, Stress (to name a few).
Are you looking for quality therapy? Not all therapy is the same which is why I pride myself in offering a therapy that is a cut above the rest. I offer a free 30min consultation so that you can experience this personally and decide for yourself. If you like learning through (1) understanding the science and (2) stories and analogies then this is the therapy for you.
01202 031367 View 01202 031367
Photo of Magna Maria Erasmus, MBACP, Counsellor
Magna Maria Erasmus
Counsellor, MBACP
Verified Verified
Bournemouth BH11
I also have extensive experience in infant loss, end of life work and bereavement, depression and anxiety.
I have helped many clients change their thinking and heal emotionally so they can become who they want to be. I offer a compassionate space for clients to work through difficult thoughts and feelings to reclaim their lives and live life to the full. I offer specialist trauma support and work extensively with depression and anxiety.
I also have extensive experience in infant loss, end of life work and bereavement, depression and anxiety.
I have helped many clients change their thinking and heal emotionally so they can become who they want to be. I offer a compassionate space for clients to work through difficult thoughts and feelings to reclaim their lives and live life to the full. I offer specialist trauma support and work extensively with depression and anxiety.
01202 125419 View 01202 125419
Photo of Rosemarie Philips, MNCPS Acc., Counsellor
Rosemarie Philips
Counsellor, MNCPS Acc.
Verified Verified
Bournemouth BH11
RoseMarie Philips, I offer Therapeutic Counselling & Life Coaching in many areas. With 26 years of experience working at Relate for 11.5 years. Providing healing from Coercive Control or Narcissistic Abuse? Sexual Abuse? Menopause, Post Traumatic Stress? Domestic Abuse? I work with teen and adults Asperger's, Autism and ADHD/ Neurodiversity. Help with Anxiety & Depression. Relationship /Family Therapy. Work with teens (having worked with CAMHS (NHS) with behavioural issues. Work is around empowering clients to rebuild life, find your strengths, life values, self-worth, confidence & self-esteem. yourself & improve relationships
RoseMarie Philips, I offer Therapeutic Counselling & Life Coaching in many areas. With 26 years of experience working at Relate for 11.5 years. Providing healing from Coercive Control or Narcissistic Abuse? Sexual Abuse? Menopause, Post Traumatic Stress? Domestic Abuse? I work with teen and adults Asperger's, Autism and ADHD/ Neurodiversity. Help with Anxiety & Depression. Relationship /Family Therapy. Work with teens (having worked with CAMHS (NHS) with behavioural issues. Work is around empowering clients to rebuild life, find your strengths, life values, self-worth, confidence & self-esteem. yourself & improve relationships
01202 125211 View 01202 125211
Photo of Rosa Trout - Inhale-Exhale Counselling & Psychotherapy , MA, UKCP Trainee, Counsellor
Inhale-Exhale Counselling & Psychotherapy
Counsellor, MA, UKCP Trainee
Verified Verified
Bournemouth BH9
Hello, are you worried, feeling anxious or depressed? Maybe you’re struggling with being a new parent or have teenagers or just need someone to talk to.
Hello, are you worried, feeling anxious or depressed? Maybe you’re struggling with being a new parent or have teenagers or just need someone to talk to.
01202 125072 View 01202 125072
Photo of Luisa Giordano - Luisa Giordano Counselling, MBACP, Counsellor
Luisa Giordano Counselling
Counsellor, MBACP
Verified Verified
Bournemouth BH1
The first contact may feel a little anxiety provoking, and it is perfectly normal to experience a little worry about it.
I am a relational integrative therapist. This means that you and I work in partnership to navigate a way to support you to face whichever challenges you would like to overcome. Sometimes this can be achieved through short-term work (up to 12 weeks) and sometimes a contract for much longer work will be what you need. The development of relationship between me (the therapist), and you (the client) is the driving force of how I work. Through the development of a trusted alliance we can begin to explore any vulnerabilities you bring safely in order to make sense of them together.
The first contact may feel a little anxiety provoking, and it is perfectly normal to experience a little worry about it.
I am a relational integrative therapist. This means that you and I work in partnership to navigate a way to support you to face whichever challenges you would like to overcome. Sometimes this can be achieved through short-term work (up to 12 weeks) and sometimes a contract for much longer work will be what you need. The development of relationship between me (the therapist), and you (the client) is the driving force of how I work. Through the development of a trusted alliance we can begin to explore any vulnerabilities you bring safely in order to make sense of them together.
01202 125367 View 01202 125367
Photo of Dr Yordan K. Zhekov, PhD, MBACP, Counsellor
Dr Yordan K. Zhekov
Counsellor, PhD, MBACP
Verified Verified
Bournemouth BH1
Are you feeling depressed, anxious, stressed or struggling with everyday life? Perhaps you are experiencing feelings you can't quite identify? Are you looking for help with various life challenging issues/situations? Have you got to the point where you can't go on alone and need someone else to help you? Whatever you are facing, you no longer have to do this alone, I am here to provide you with relevant support and address your needs. As an integrative counsellor I am using a compilation of therapeutic methods tailored to the individual's needs and goals providing an environment for enablement and empowerment of their achievement.
Are you feeling depressed, anxious, stressed or struggling with everyday life? Perhaps you are experiencing feelings you can't quite identify? Are you looking for help with various life challenging issues/situations? Have you got to the point where you can't go on alone and need someone else to help you? Whatever you are facing, you no longer have to do this alone, I am here to provide you with relevant support and address your needs. As an integrative counsellor I am using a compilation of therapeutic methods tailored to the individual's needs and goals providing an environment for enablement and empowerment of their achievement.
01923 936765 View 01923 936765
Photo of Kasandra Gulka, MA, MNCPS Acc., Counsellor
Kasandra Gulka
Counsellor, MA, MNCPS Acc.
Verified Verified
Bournemouth BH1
Clarifying anxious, problematic aspects of your life, you develop a greater understanding of yourself and reconnect with the emotional intelligence you already possess.
I use my expertise and experience to help people address their challenges at a level they can’t reach on their own. I see individuals who feel stuck for a whole variety of reasons. Maybe you are stuck in a past trauma; maybe you are struggling to move forward in your life; or maybe you are stuck in unhealthy behavioural patterns. Whatever brings you to therapy, my speciality is a deep exploration of all the factors that are holding you back. To do this, I develop long-term supportive relationships with my clients and work in an open-ended way, rather than just “fixing” the immediate problem.
Clarifying anxious, problematic aspects of your life, you develop a greater understanding of yourself and reconnect with the emotional intelligence you already possess.
I use my expertise and experience to help people address their challenges at a level they can’t reach on their own. I see individuals who feel stuck for a whole variety of reasons. Maybe you are stuck in a past trauma; maybe you are struggling to move forward in your life; or maybe you are stuck in unhealthy behavioural patterns. Whatever brings you to therapy, my speciality is a deep exploration of all the factors that are holding you back. To do this, I develop long-term supportive relationships with my clients and work in an open-ended way, rather than just “fixing” the immediate problem.
07723 427685 View 07723 427685
Photo of Anna Clarkstone, MBACP Accred, Psychotherapist
Anna Clarkstone
Psychotherapist, MBACP Accred
Verified Verified
Bournemouth BH8
I am an accredited integrative counsellor/psychotherapist. I am passionate about facilitating the healing process in counselling. I am trained in a variety of different counselling theories and aim to provide a safe, non-judgemental and confidential relationship, by walking alongside you, facilitating healing and enabling you to reach your goals. Counselling provides support and professional help by talking about the problems you are experiencing in life. I currently see clients online and face to face on Wednesday afternoons. Do feel free to contact me for a free initial online introduction or phone call.
I am an accredited integrative counsellor/psychotherapist. I am passionate about facilitating the healing process in counselling. I am trained in a variety of different counselling theories and aim to provide a safe, non-judgemental and confidential relationship, by walking alongside you, facilitating healing and enabling you to reach your goals. Counselling provides support and professional help by talking about the problems you are experiencing in life. I currently see clients online and face to face on Wednesday afternoons. Do feel free to contact me for a free initial online introduction or phone call.
01202 059822 View 01202 059822

More Therapists Nearby

Photo of Kenrick James Deen, PhD, MBACP, Counsellor
Kenrick James Deen
Counsellor, PhD, MBACP
Verified Verified
Ringwood BH24
I work with anxiety, depression, isolation, grief, trauma and cancer and relationship issues.
Welcome! How can I help you? That’s the main thing. Even if you don’t know the answer reaching out is important. This is the first step, but I appreciate its not always easy. I am here for you and will work with you to get you to a better place. You only need to bring yourself and want to change. I'll be there with you. Nothing is too big or small, complex or simple. You don't need to do this alone, we can do this together! Currently I offer face to face and on-line therapy.
I work with anxiety, depression, isolation, grief, trauma and cancer and relationship issues.
Welcome! How can I help you? That’s the main thing. Even if you don’t know the answer reaching out is important. This is the first step, but I appreciate its not always easy. I am here for you and will work with you to get you to a better place. You only need to bring yourself and want to change. I'll be there with you. Nothing is too big or small, complex or simple. You don't need to do this alone, we can do this together! Currently I offer face to face and on-line therapy.
01736 804519 View 01736 804519
Photo of Carol Bendinelli, MBACP, Counsellor
Carol Bendinelli
Counsellor, MBACP
Verified Verified
Poole BH15
I can help you work toward healing growth if you are struggling with issues including; anxiety, depression, grief and loss, guilt and shame, isolation / loneliness, life transitions, meaning and purpose, miscarriage, neuro-diversity, not flourishing, feeling stuck, pain / illness, relationship difficulties, self-esteem, termination, trauma.
There are times for everyone when our normal ways of coping don't seem like enough. You don't have to feel alone when life feels challenging or overwhelming. I offer a confidential, warm, non-judgemental space where you will feel heard, valued and accepted for who you are. It takes courage to seek support and I work collaboratively at your pace to help you develop positive changes in your life. I am passionate about working with people to empower them to reach their personal goals, express their individuality, overcome challenges and enjoy life.
I can help you work toward healing growth if you are struggling with issues including; anxiety, depression, grief and loss, guilt and shame, isolation / loneliness, life transitions, meaning and purpose, miscarriage, neuro-diversity, not flourishing, feeling stuck, pain / illness, relationship difficulties, self-esteem, termination, trauma.
There are times for everyone when our normal ways of coping don't seem like enough. You don't have to feel alone when life feels challenging or overwhelming. I offer a confidential, warm, non-judgemental space where you will feel heard, valued and accepted for who you are. It takes courage to seek support and I work collaboratively at your pace to help you develop positive changes in your life. I am passionate about working with people to empower them to reach their personal goals, express their individuality, overcome challenges and enjoy life.
01202 031917 View 01202 031917
Photo of Rachel Tyler, MBACP, Counsellor
Rachel Tyler
Counsellor, MBACP
Verified Verified
Verwood BH31
However, I also have experience working with a a wide range of issues including Anxiety, Depression, Suicidal Ideation, & Low-self esteem to name a few.
Time2B was established to provide counselling for Adults, Teenagers and children. facing a wide range of issues. I pride myself on taking a unique approach to counselling. Working in a client focused way, enables you to explore the issues you are facing at your pace. This means that, as everyone who comes to see me is unique, the approach is tailored to your unique needs. Clinical Supervision and counselling is provided to both trainee and qualified professionals working within Counselling, Therapy, Mental Health, Teaching and Social Work.
However, I also have experience working with a a wide range of issues including Anxiety, Depression, Suicidal Ideation, & Low-self esteem to name a few.
Time2B was established to provide counselling for Adults, Teenagers and children. facing a wide range of issues. I pride myself on taking a unique approach to counselling. Working in a client focused way, enables you to explore the issues you are facing at your pace. This means that, as everyone who comes to see me is unique, the approach is tailored to your unique needs. Clinical Supervision and counselling is provided to both trainee and qualified professionals working within Counselling, Therapy, Mental Health, Teaching and Social Work.
07380 336428 View 07380 336428
Photo of Darline Joseph Marianathan, MUKCP, Psychotherapist
Darline Joseph Marianathan
Psychotherapist, MUKCP
Verified Verified
Wimborne BH21
Life can be a rough ride. Keeping the balance and moving forward can be a challenge. It can involve stress, anxiety, depression and much more. But I believe through psychological therapies we can learn and, in some cases even master, the art of managing life successfully. To achieve this, I practise an integrative approach that draws strength from various therapies in the field. I am a qualified Psychotherapist at a Doctoral level and I feel confident to deal with complexity . My natural inclination is to help people in need. My recent training and qualifications do enhance my inclination especially to those psychologically unwell.
Life can be a rough ride. Keeping the balance and moving forward can be a challenge. It can involve stress, anxiety, depression and much more. But I believe through psychological therapies we can learn and, in some cases even master, the art of managing life successfully. To achieve this, I practise an integrative approach that draws strength from various therapies in the field. I am a qualified Psychotherapist at a Doctoral level and I feel confident to deal with complexity . My natural inclination is to help people in need. My recent training and qualifications do enhance my inclination especially to those psychologically unwell.
01837 512340 View 01837 512340
Lottie Crawshaw
Psychotherapist, MBABCP
Verified Verified
Poole BH12  (Online Only)
01202 125926 View 01202 125926

Online Therapists

Photo of Francisco Santos, MA, MBACP, Counsellor
Francisco Santos
Counsellor, MA, MBACP
Verified Verified
London W1U
I offer a safe space where you can be yourself and explore any fears and anxieties that may be stopping you from enjoying life.
Are you feeling that things around you are too much or that suddenly you cannot cope with life as you used to? Do you find yourself stuck or in the same situation over and over? I know the feeling of being paralized. I personally find it very difficult to ask for help when I'm in a bad place, and to show my vulnerability to others... I don't want to feel judged and I'd like to be encouraged to try and be myself and to talk freely about everything and anything. For me it's vital that my counsellor is really invested in helping me. I invite you to take that difficult first step and let me be part of your journey to get there
I offer a safe space where you can be yourself and explore any fears and anxieties that may be stopping you from enjoying life.
Are you feeling that things around you are too much or that suddenly you cannot cope with life as you used to? Do you find yourself stuck or in the same situation over and over? I know the feeling of being paralized. I personally find it very difficult to ask for help when I'm in a bad place, and to show my vulnerability to others... I don't want to feel judged and I'd like to be encouraged to try and be myself and to talk freely about everything and anything. For me it's vital that my counsellor is really invested in helping me. I invite you to take that difficult first step and let me be part of your journey to get there
020 4538 5040 View 020 4538 5040
Photo of Karen Toms, MSc, MBACP, Counsellor
Karen Toms
Counsellor, MSc, MBACP
Verified Verified
Tavistock PL19
Are you struggling with anxiety, have low self-esteem or are constrained by perfectionism? Do you have difficulties in your family or work life or battle with food issues and body confidence? Clients often come to me when they are at a crossroads or have spent a long time wanting to fulfil their potential but not making progress. I provide a safe non-judgemental space where you can feel fully supported to talk about issues that are challenging you, have difficult conversations and share tears and laughter. With my help you can establish the goals you want to achieve and put in place initiatives to create lasting positive change.
Are you struggling with anxiety, have low self-esteem or are constrained by perfectionism? Do you have difficulties in your family or work life or battle with food issues and body confidence? Clients often come to me when they are at a crossroads or have spent a long time wanting to fulfil their potential but not making progress. I provide a safe non-judgemental space where you can feel fully supported to talk about issues that are challenging you, have difficult conversations and share tears and laughter. With my help you can establish the goals you want to achieve and put in place initiatives to create lasting positive change.
01572 498965 View 01572 498965
Photo of Nicholas Rose - Nicholas Rose & Associates, MUKCP, Psychotherapist
Nicholas Rose & Associates
Psychotherapist, MUKCP
Verified Verified
2 Endorsed
London W4
People come to us to talk about loss, grief, stress, anxiety, depression, relationships, life crises, traumas, health concerns, starting or coming off medications, compulsive behaviours, clinical diagnoses, fertility, sex and sexuality, diversity in fact we have over 120 concerns that people bring to us.
Need to find the right person to talk to? If you have only just started to look for help you maybe feeling confused or even overwhelmed by the choice of therapies and therapists available - we understand and are here to help. We offer you a warm and friendly welcome from a selected team of expert therapists who bring an outstanding breadth and depth of experience and knowledge in both the in-person and online private talking therapies. Our team includes counsellors, psychologists, psychotherapists and EMDR practitioners to ensure you can find the right therapist for what you need right now.
People come to us to talk about loss, grief, stress, anxiety, depression, relationships, life crises, traumas, health concerns, starting or coming off medications, compulsive behaviours, clinical diagnoses, fertility, sex and sexuality, diversity in fact we have over 120 concerns that people bring to us.
Need to find the right person to talk to? If you have only just started to look for help you maybe feeling confused or even overwhelmed by the choice of therapies and therapists available - we understand and are here to help. We offer you a warm and friendly welcome from a selected team of expert therapists who bring an outstanding breadth and depth of experience and knowledge in both the in-person and online private talking therapies. Our team includes counsellors, psychologists, psychotherapists and EMDR practitioners to ensure you can find the right therapist for what you need right now.
020 7167 2663 View 020 7167 2663
Photo of Ronke Adeyemi - Ronke Adeyemi (MA, MBACP) Individual & Couple, MA, MBACP, Psychotherapist
Ronke Adeyemi (MA, MBACP) Individual & Couple
Psychotherapist, MA, MBACP
Verified Verified
Orpington BR5  (Online Only)
Are you feeling Anxious, Depressed or stuck in your personal or professional life? Are you experiencing a profound loss due to Bereavement or a Traumatic /PTSD that causes you sleeplessness? or going through Relationship, Domestic Abuse/ Violence, Spiritual, Identity or Cultural issues? Are you struggling with feeling of shame, guilt, abandonment or looking for healing due to unresolved past hurt and disappointment? I have personal experience of how it felt to be trapped and joy to be liberated. We will collaboratively work together with empathy and respect to gain confidence you need to live a happy and fulfilling life with .
Are you feeling Anxious, Depressed or stuck in your personal or professional life? Are you experiencing a profound loss due to Bereavement or a Traumatic /PTSD that causes you sleeplessness? or going through Relationship, Domestic Abuse/ Violence, Spiritual, Identity or Cultural issues? Are you struggling with feeling of shame, guilt, abandonment or looking for healing due to unresolved past hurt and disappointment? I have personal experience of how it felt to be trapped and joy to be liberated. We will collaboratively work together with empathy and respect to gain confidence you need to live a happy and fulfilling life with .
01689 663148 View 01689 663148
Photo of Jake Suarnaba Dicto - Jake Suarnaba Dicto, MBACP, Counsellor
Jake Suarnaba Dicto
Counsellor, MBACP
Verified Verified
Edenbridge TN8
Do you feel that your life has been dominated by your worries and fears of the future? Are there unresolved issues or painful experiences from the past or in the present moment that overwhelms and cause you anxiety? Do you find it difficult to feel confident and good about yourself? If your answer to these questions is yes, my approach to therapy will be of benefit to you. I can assure you of a safe, confidential and non-judgemental space where we can both identify, honour and explore the possible reasons for your struggles that blocks you to feel freer and more confident about yourself.
Do you feel that your life has been dominated by your worries and fears of the future? Are there unresolved issues or painful experiences from the past or in the present moment that overwhelms and cause you anxiety? Do you find it difficult to feel confident and good about yourself? If your answer to these questions is yes, my approach to therapy will be of benefit to you. I can assure you of a safe, confidential and non-judgemental space where we can both identify, honour and explore the possible reasons for your struggles that blocks you to feel freer and more confident about yourself.
020 8106 8054 View 020 8106 8054

See more therapy options for Bournemouth

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.