Photo of Emma Johnston Counselling, Counsellor in Gildersome, England
Emma Johnston Counselling
Counsellor, BACP
Verified Verified
2 Endorsed
Gildersome LS27
Like me, my client base has been gloriously eclectic. I have extensive experience of working with many types of loss. Grief is painful no matter whether it's as a result of a relationship breakup, loosing touch with parts of yourself. Slowly painfully loosing a loved one to Alzheimers/Dementia, being a carer for a child with an eating disorder. I regularly work with clients who have been in some way affected by a Brain Tumour. Interestingly Anger and Rage is something i have worked with regularly in the last 4 years. If you or your partner are neurodivergent I can help you find collaborative ways of communicating together.
Like me, my client base has been gloriously eclectic. I have extensive experience of working with many types of loss. Grief is painful no matter whether it's as a result of a relationship breakup, loosing touch with parts of yourself. Slowly painfully loosing a loved one to Alzheimers/Dementia, being a carer for a child with an eating disorder. I regularly work with clients who have been in some way affected by a Brain Tumour. Interestingly Anger and Rage is something i have worked with regularly in the last 4 years. If you or your partner are neurodivergent I can help you find collaborative ways of communicating together.
0113 467 9535 View 0113 467 9535
Photo of Frances Barlow, Counsellor in Gildersome, England
Frances Barlow
Counsellor, MBACP
Verified Verified
Gildersome LS27
Not accepting new clients
I am a qualified, fully insured and experienced counsellor, working face to face and online in private practice from Morley, Leeds. The type of support I offer is helping adults who feel challenged by anxiety and depression, relationships issues; personal change; bereavement and loss; neurodiversity; ADHD and ASD. If you're looking for emotional support, need space to talk or are struggling with life changes, I may be able to help you. More information about my services can be found at my website www.francesbarlow.co.uk
I am a qualified, fully insured and experienced counsellor, working face to face and online in private practice from Morley, Leeds. The type of support I offer is helping adults who feel challenged by anxiety and depression, relationships issues; personal change; bereavement and loss; neurodiversity; ADHD and ASD. If you're looking for emotional support, need space to talk or are struggling with life changes, I may be able to help you. More information about my services can be found at my website www.francesbarlow.co.uk
01274 019853 View 01274 019853

More Therapists Nearby

Photo of Paramount Therapy Center Limited, Psychotherapist in Gildersome, England
Paramount Therapy Center Limited
Psychotherapist, MSc, BACP
Verified Verified
Leeds LS11
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.
0113 487 2354 View 0113 487 2354
Photo of Ramona Mihaela Scutea, Psychotherapist in Gildersome, England
Ramona Mihaela Scutea
Psychotherapist, MSc, MBACP Accred
Verified Verified
1 Endorsed
Leeds LS12  (Online Only)
I am highly experienced in the treatment of a wide variety of mental health difficulties, including depression, anxiety, phobias, personality and dissociative disorders, long-term health conditions, as well as life issue.
Hi, I am a bilingual (English & Romanian) highly skilled Counselling therapist working with NHS and private practice. My clinical work is informed by a range of treatment models, including Dialectical Behaviour Therapy (DBT), Cognitive Behavioural Therapy (CBT), Motivational interviewing. I offer an integrative approach, adapting therapy according to each client's unique needs, which allows me to provide the best possible therapeutic experience for my clients
I am highly experienced in the treatment of a wide variety of mental health difficulties, including depression, anxiety, phobias, personality and dissociative disorders, long-term health conditions, as well as life issue.
Hi, I am a bilingual (English & Romanian) highly skilled Counselling therapist working with NHS and private practice. My clinical work is informed by a range of treatment models, including Dialectical Behaviour Therapy (DBT), Cognitive Behavioural Therapy (CBT), Motivational interviewing. I offer an integrative approach, adapting therapy according to each client's unique needs, which allows me to provide the best possible therapeutic experience for my clients
01792 949227 View 01792 949227
Photo of Malik Rezzi, Psychotherapist in Gildersome, England
Malik Rezzi
Psychotherapist, MSc, GMBPsS
Verified Verified
Leeds LS11
I also have experience dealing with depression and anxiety.
I was born and raised in multicultural societies all my life. Living in several different countries on 3 different continents (United Arab Emirates, Canada, Pakistan, Wales and England) has given me unique knowledge about culturally adapting therapy. It has also taught me to understand and work with many different kinds of people. I believe in building a strong therapeutic relationship with the client to create a safe and comfortable space to address and potentially alleviate psychological trauma. I have extensive experience adapting contemporary therapy and counselling and tailoring it to unique cultural nuances.
I also have experience dealing with depression and anxiety.
I was born and raised in multicultural societies all my life. Living in several different countries on 3 different continents (United Arab Emirates, Canada, Pakistan, Wales and England) has given me unique knowledge about culturally adapting therapy. It has also taught me to understand and work with many different kinds of people. I believe in building a strong therapeutic relationship with the client to create a safe and comfortable space to address and potentially alleviate psychological trauma. I have extensive experience adapting contemporary therapy and counselling and tailoring it to unique cultural nuances.
020 3872 2437 View 020 3872 2437
Photo of Debbie Frost Counselling & Hypnotherapy, Psychotherapist in Gildersome, England
Debbie Frost Counselling & Hypnotherapy
Psychotherapist, MBACP
Verified Verified
Leeds LS12
I am a counsellor and hypnotherapist, working  with adults and teenagers, I work with issues such as adult survivors of sexual abuse, relationship issues, anxiety, stress, suicide,confidence building, pain relief, depression, low self esteem, regression work, anger, domestic violence, sexual abuse, bereavement, trauma, bullying, self harm, phobia's, insomnia, weight loss, stopping smoking and other issues I am a qualified and experienced counsellor and hypnotherapist, I am a member of BACP. I have worked with DISC a drugs rehabilitation unit in Leeds and I also volunteered for BARCA Reaching out Counselling & psychotherapy services
I am a counsellor and hypnotherapist, working  with adults and teenagers, I work with issues such as adult survivors of sexual abuse, relationship issues, anxiety, stress, suicide,confidence building, pain relief, depression, low self esteem, regression work, anger, domestic violence, sexual abuse, bereavement, trauma, bullying, self harm, phobia's, insomnia, weight loss, stopping smoking and other issues I am a qualified and experienced counsellor and hypnotherapist, I am a member of BACP. I have worked with DISC a drugs rehabilitation unit in Leeds and I also volunteered for BARCA Reaching out Counselling & psychotherapy services
01274 288625 View 01274 288625
Photo of Jennifer Lowe, Counsellor in Gildersome, England
Jennifer Lowe
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
Bradford BD11
I am a person centered counsellor. I have experience in supporting adults & young people with many difficult aspects of life these include: anxiety, bereavement, depression, relationship issues, stress and many other challenging issues.. With talking therapy I can offer you a safe space to explore your own thoughts and feelings without any judgements. You may feel alone even though you have plenty of people around you, you maybe experiencing difficult thoughts, are you struggling, this time will be your space to talk about anything.
I am a person centered counsellor. I have experience in supporting adults & young people with many difficult aspects of life these include: anxiety, bereavement, depression, relationship issues, stress and many other challenging issues.. With talking therapy I can offer you a safe space to explore your own thoughts and feelings without any judgements. You may feel alone even though you have plenty of people around you, you maybe experiencing difficult thoughts, are you struggling, this time will be your space to talk about anything.
01274 028939 View 01274 028939
Photo of Kiran Kaur, Counsellor in Gildersome, England
Kiran Kaur
Counsellor, MBACP
Verified Verified
Leeds LS27
I have helped individuals, couples & groups address a wide range of issues including: Anxiety, Stress, Panic, Depression, Bereavement, Relationship Issues, Self-Confidence, OCD, Phobias, Anger Management, Career Issues, Career Change, Perfectionism, Mid-Life Crisis and Life Changing events, Fertility, Trauma, Abuse, Drug and Alcohol Issues, Bi-Polar Disorder.
Hi my name is Kiran, I am a British born fully qualified multilingual counsellor. I have 18 years experience of working in an educational environment and 12 yrs of Counselling experience. I have a good understanding of daily stresses which can cause people anxieties and other health issues. I provide counselling sessions for issues listed above and more. I am able to offer Counselling in English, Punjabi, Hindi & Urdu I believe counselling is a joint venture between the client and counsellor, this relationship is fundamentally important to allow you to experience growth and change, that we all go through in our lifetime.
I have helped individuals, couples & groups address a wide range of issues including: Anxiety, Stress, Panic, Depression, Bereavement, Relationship Issues, Self-Confidence, OCD, Phobias, Anger Management, Career Issues, Career Change, Perfectionism, Mid-Life Crisis and Life Changing events, Fertility, Trauma, Abuse, Drug and Alcohol Issues, Bi-Polar Disorder.
Hi my name is Kiran, I am a British born fully qualified multilingual counsellor. I have 18 years experience of working in an educational environment and 12 yrs of Counselling experience. I have a good understanding of daily stresses which can cause people anxieties and other health issues. I provide counselling sessions for issues listed above and more. I am able to offer Counselling in English, Punjabi, Hindi & Urdu I believe counselling is a joint venture between the client and counsellor, this relationship is fundamentally important to allow you to experience growth and change, that we all go through in our lifetime.
0113 467 9505 View 0113 467 9505
Photo of Luz Locatelli Dalimier, Psychotherapist in Gildersome, England
Luz Locatelli Dalimier
Psychotherapist, PhD, MBACP Accred
Verified Verified
Leeds LS12
I help clients to recover from trauma, self harming, depression, eating disorder, anxiety, bereavement, anger management using ACT, CAT, CBT, EMDR, person center and systemic approach according their specific needs in a safe environment.
My ideals clients are mainly Adults, Couples, EAP, Families, Groups, Older adults, Organisations, Trainees, athletes and Young people.
I help clients to recover from trauma, self harming, depression, eating disorder, anxiety, bereavement, anger management using ACT, CAT, CBT, EMDR, person center and systemic approach according their specific needs in a safe environment.
My ideals clients are mainly Adults, Couples, EAP, Families, Groups, Older adults, Organisations, Trainees, athletes and Young people.
0113 519 3203 View 0113 519 3203
Photo of Sarah Robinson, Counsellor in Gildersome, England
Sarah Robinson
Counsellor, MBACP
Verified Verified
Batley WF17
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 Gildersome, 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
Photo of Empathy understanding counselling, Counsellor in Gildersome, England
Empathy understanding counselling
Counsellor, MBACP
Verified Verified
Churwell LS27  (Online Only)
Counselling is a widely used talking therapy. I am Marco, a fully qualified counsellor who works in an integrative way with a range of therapeutic theories including Person Centred, EFT and Mindfulness, to find the best approach for you. The goal is to help you address your issues and help you identify your options. How do you eat an elephant? The answer is to cut it into bite sized chunks. I do the same to help you break down your issues easily. I am a certified counsellor and a registered member of the BACP. (Stay at home is not cut off socialization, join our online group to cope with depression) contact me for more information.
Counselling is a widely used talking therapy. I am Marco, a fully qualified counsellor who works in an integrative way with a range of therapeutic theories including Person Centred, EFT and Mindfulness, to find the best approach for you. The goal is to help you address your issues and help you identify your options. How do you eat an elephant? The answer is to cut it into bite sized chunks. I do the same to help you break down your issues easily. I am a certified counsellor and a registered member of the BACP. (Stay at home is not cut off socialization, join our online group to cope with depression) contact me for more information.
0113 733 7415 View 0113 733 7415
Photo of Claire Marshall in Gildersome, England
Claire Marshall
MA
Verified Verified
Leeds LS12
Have you decided you would like some support and started to look into counselling and psychotherapy, but does the idea of sitting in a small windowless office whilst you explore your inner thoughts fill you with dread? Maybe outdoor therapy is for you? By being outdoors we can over come the intensity of being in a small office, it allows us to be side by side on your journey and creates a balance between us that can create a stronger therapeutic relationship. Being in nature you are surrounded by the cycles of our natural world and this can be incredibly useful during your own explorations of your cycles of behaviour.
Have you decided you would like some support and started to look into counselling and psychotherapy, but does the idea of sitting in a small windowless office whilst you explore your inner thoughts fill you with dread? Maybe outdoor therapy is for you? By being outdoors we can over come the intensity of being in a small office, it allows us to be side by side on your journey and creates a balance between us that can create a stronger therapeutic relationship. Being in nature you are surrounded by the cycles of our natural world and this can be incredibly useful during your own explorations of your cycles of behaviour.
07592 893374 View 07592 893374
Photo of Canse Karatas (Mbacp), Counsellor in Gildersome, England
Canse Karatas (Mbacp)
Counsellor, MA, MBACP
Verified Verified
Leeds LS11
Hi there, I’m Canse and I appreciate you looking on my profile. Is everything just overwhelming? Are you waking up every day feeling low, numb or empty but confused why? Do you have a chapter you do not read aloud because it is too painful, leaving you surviving instead of thriving? You are not alone. Let’s talk, I would love to help you live a more fulfilling life. It can help to talk to someone not connected to your personal life and it can be safer to revisit things with a professional.
Hi there, I’m Canse and I appreciate you looking on my profile. Is everything just overwhelming? Are you waking up every day feeling low, numb or empty but confused why? Do you have a chapter you do not read aloud because it is too painful, leaving you surviving instead of thriving? You are not alone. Let’s talk, I would love to help you live a more fulfilling life. It can help to talk to someone not connected to your personal life and it can be safer to revisit things with a professional.
0113 519 4751 View 0113 519 4751
Photo of Chloe Johnstone, Counsellor in Gildersome, England
Chloe Johnstone
Counsellor, MBACP
Verified Verified
1 Endorsed
Leeds LS12  (Online Only)
Hello, I'm Chloe Johnstone, a dedicated psychotherapist with a passion for supporting individuals. I offer collaborative psychotherapy with my use of the Relational Approach, and my Integrative training allows me to draw from various approaches, such as: Transactional Analysis, Dialectical Behavioural Therapy (DBT) and Somatic Therapy. Relational psychotherapy emphasises the importance of the therapeutic relationship between the therapist and the client. Together, we would consider the role of interpersonal dynamics and how past relationships, especially in early life, influence your current psychological state.
Hello, I'm Chloe Johnstone, a dedicated psychotherapist with a passion for supporting individuals. I offer collaborative psychotherapy with my use of the Relational Approach, and my Integrative training allows me to draw from various approaches, such as: Transactional Analysis, Dialectical Behavioural Therapy (DBT) and Somatic Therapy. Relational psychotherapy emphasises the importance of the therapeutic relationship between the therapist and the client. Together, we would consider the role of interpersonal dynamics and how past relationships, especially in early life, influence your current psychological state.
01274 505132 View 01274 505132
Photo of Mind and Environment Counselling, Counsellor in Gildersome, England
Mind and Environment Counselling
Counsellor, MSc, MBACP
Verified Verified
2 Endorsed
Leeds LS11
Have you had experiences in your past that are bubbling to the surface and affecting your day-to-day life? Are traumatic memories and experiences making relationships with yourself and others difficult or complicated? Do you feel a loss of control or have consuming negative thoughts about yourself and what others may feel about you? Whatever brings you here, my counselling space is for you to explore and express how you feel without judgement and in confidence. Reaching out and talking through your experience can help you to process thoughts & emotions, begin to make goals and move towards developing a life where you will thrive.
Have you had experiences in your past that are bubbling to the surface and affecting your day-to-day life? Are traumatic memories and experiences making relationships with yourself and others difficult or complicated? Do you feel a loss of control or have consuming negative thoughts about yourself and what others may feel about you? Whatever brings you here, my counselling space is for you to explore and express how you feel without judgement and in confidence. Reaching out and talking through your experience can help you to process thoughts & emotions, begin to make goals and move towards developing a life where you will thrive.
01248 663118 View 01248 663118
Photo of Carl Ellis, Counsellor in Gildersome, England
Carl Ellis
Counsellor, PNCPS Acc.
Verified Verified
Batley WF17
Hello and welcome to my profile. I am a fully qualified Counsellor on the accredited Professional Register with NCPS, PNCPS Accr. (Accred).Registered member with the BACP. My private practice is close to Bradford , Leeds, Huddersfield and Wakefield. I offer a welcoming, safe, non judgmental space where we can talk confidentially. I will do my absolute best to offer you a relationship where you will feel accepted in your entirety and valued as a human being, where we can work together for as long as you feel it to be helpful and worthwhile.
Hello and welcome to my profile. I am a fully qualified Counsellor on the accredited Professional Register with NCPS, PNCPS Accr. (Accred).Registered member with the BACP. My private practice is close to Bradford , Leeds, Huddersfield and Wakefield. I offer a welcoming, safe, non judgmental space where we can talk confidentially. I will do my absolute best to offer you a relationship where you will feel accepted in your entirety and valued as a human being, where we can work together for as long as you feel it to be helpful and worthwhile.
01274 015634 View 01274 015634
Photo of Jen Woodward, Psychotherapist in Gildersome, England
Jen Woodward
Psychotherapist, MA, MBACP
Verified Verified
Leeds LS11
As a therapist, I have been described as calm, patient and intuitive. I have worked in a variety of mental health settings for a total of 11 years including the NHS and The Place 2 Be. Today I work in a private practice setting in Leeds. I draw techniques from the psychodynamic modality - exploring your past experiences and consciousness in a curious and objective way. Psychodynamic therapy, based on a trusting relationship, involves a deeper exploration of your unique process - including repeated patterns and unconscious thoughts.
As a therapist, I have been described as calm, patient and intuitive. I have worked in a variety of mental health settings for a total of 11 years including the NHS and The Place 2 Be. Today I work in a private practice setting in Leeds. I draw techniques from the psychodynamic modality - exploring your past experiences and consciousness in a curious and objective way. Psychodynamic therapy, based on a trusting relationship, involves a deeper exploration of your unique process - including repeated patterns and unconscious thoughts.
023 8214 6643 View 023 8214 6643
Photo of Alison Gilbert, Counsellor in Gildersome, England
Alison Gilbert
Counsellor, BACP
Verified Verified
Leeds LS27
I have vast experience of counselling both adults and children having worked in private practice and in schools. My experience has given me a great understanding of how our childhood can impact our adult life. I use my experience and counselling knowledge to develop bespoke therapy sessions for each individual client. My focus is on helping you to move forward and address whatever it is that you feel is holding you back in life. For me the most important thing is that the sessions are for you, and I’m here to work alongside you.
I have vast experience of counselling both adults and children having worked in private practice and in schools. My experience has given me a great understanding of how our childhood can impact our adult life. I use my experience and counselling knowledge to develop bespoke therapy sessions for each individual client. My focus is on helping you to move forward and address whatever it is that you feel is holding you back in life. For me the most important thing is that the sessions are for you, and I’m here to work alongside you.
0113 519 4519 View 0113 519 4519
Photo of Northern Lighthouse Psychology Ltd, Psychologist in Gildersome, England
Northern Lighthouse Psychology Ltd
Psychologist, PhD, HCPC - Forensic Psych.
Verified Verified
Wakefield WF3
Waitlist for new clients
Hi, I’m Charlotte. I am a Registered Psychologist and Accredited EMDR therapist. I have 20 years of experience working with people suffering with mental health difficulties. I am passionate about helping people struggling with distressing emotions which may lead to suicidal & self-injurious thinking and behaviour. I also have significant experience working with people who have experienced trauma (and may have a PTSD diagnosis) and may have been given a personality disorder diagnosis. In addition to using EMDR I am also trained in DBT and schema therapy so tend to use a combined approach tailored to the needs of the individual.
Hi, I’m Charlotte. I am a Registered Psychologist and Accredited EMDR therapist. I have 20 years of experience working with people suffering with mental health difficulties. I am passionate about helping people struggling with distressing emotions which may lead to suicidal & self-injurious thinking and behaviour. I also have significant experience working with people who have experienced trauma (and may have a PTSD diagnosis) and may have been given a personality disorder diagnosis. In addition to using EMDR I am also trained in DBT and schema therapy so tend to use a combined approach tailored to the needs of the individual.
01924 938670 View 01924 938670
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.