Anxiety Counselling in Saughall

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Photo of GetCBT (Victoria Lacey, CBT Therapist Wirral), Psychotherapist in Saughall, England
GetCBT (Victoria Lacey, CBT Therapist Wirral)
Psychotherapist, MBABCP
Verified Verified
2 Endorsed
Chester CH1
Waitlist for new clients
Anxiety feels awful and is exhausting. But, did you know that anxiety is actually the bodys alarm system designed to keep us safe? It's when the alarm is too sensitive or goes off when there is no actual danger, that it can become a problem (Think smoke alarm and burnt toast!). Anxiety can stop us from feeling our best, make us snappy and make us want to avoid things. If you experience this, you are not alone and I can help. I am highly experienced in treating Depression & Low self-esteem, but as an Anxiety Specialist, I have expertise in treating Anxiety & Panic Attacks, Worry, OCD, PTSD, Phobia's, Social Anxiety & Health Anxiety.
Anxiety feels awful and is exhausting. But, did you know that anxiety is actually the bodys alarm system designed to keep us safe? It's when the alarm is too sensitive or goes off when there is no actual danger, that it can become a problem (Think smoke alarm and burnt toast!). Anxiety can stop us from feeling our best, make us snappy and make us want to avoid things. If you experience this, you are not alone and I can help. I am highly experienced in treating Depression & Low self-esteem, but as an Anxiety Specialist, I have expertise in treating Anxiety & Panic Attacks, Worry, OCD, PTSD, Phobia's, Social Anxiety & Health Anxiety.
0151 453 3877 View 0151 453 3877
Photo of Ceri Parry, Psychotherapist in Saughall, England
Ceri Parry
Psychotherapist, MSc, MBACP
Verified Verified
Chester CH1
Hello and welcome. My name is Ceri and I’m a registered Psychotherapist. I can help you with the following: imposter syndrome, ADHD, Neurodiversity, perfectionism and high achieving, anxiety and panic attacks, low self-esteem and confidence, body image and body positivity, work stress, relationship problems, depression, trauma, finding purpose and meaning, self-acceptance, phone addiction or doom-scrolling, binge eating, addiction and implementing new changes.
Hello and welcome. My name is Ceri and I’m a registered Psychotherapist. I can help you with the following: imposter syndrome, ADHD, Neurodiversity, perfectionism and high achieving, anxiety and panic attacks, low self-esteem and confidence, body image and body positivity, work stress, relationship problems, depression, trauma, finding purpose and meaning, self-acceptance, phone addiction or doom-scrolling, binge eating, addiction and implementing new changes.
01244 566543 View 01244 566543
Photo of Kyle W Boyd, Psychologist in Saughall, England
Kyle W Boyd
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Chester CH1
I offer therapy for many difficulties, but I have a special interest in providing therapy for anxiety, depression, trauma, and issues of self-worth. My work in the NHS has given me rich experience of working with a wide variety of clients, who each bring their own unique experiences. I consider it of utmost importance then, to get to know you and to understand your individual needs and goals for therapy.
I offer therapy for many difficulties, but I have a special interest in providing therapy for anxiety, depression, trauma, and issues of self-worth. My work in the NHS has given me rich experience of working with a wide variety of clients, who each bring their own unique experiences. I consider it of utmost importance then, to get to know you and to understand your individual needs and goals for therapy.
01248 663140 View 01248 663140
Photo of Wild Bloom Counselling, Counsellor in Saughall, England
Wild Bloom Counselling
Counsellor, MBACP
Verified Verified
Chester CH1
I'm particularly interested in, and have experience in working with anxiety, bereavement, stress, teenage issues, anger, depression and many more.
Life can throw us so many curve balls, some we can handle, but some can feel like we've been knocked off our feet. I offer a supportive, safe, non-judgemental space for you to talk about what is bothering you. Together we can work through your problems and find a clearer path so you can continue being the person you want to be.
I'm particularly interested in, and have experience in working with anxiety, bereavement, stress, teenage issues, anger, depression and many more.
Life can throw us so many curve balls, some we can handle, but some can feel like we've been knocked off our feet. I offer a supportive, safe, non-judgemental space for you to talk about what is bothering you. Together we can work through your problems and find a clearer path so you can continue being the person you want to be.
01244 735013 View 01244 735013
Photo of Jill Wasley Cbt Therapist, Psychotherapist in Saughall, England
Jill Wasley Cbt Therapist
Psychotherapist, MBABCP
Verified Verified
Chester CH2
Asking for help is not easy but making that first step can feel really positive. I am an experienced BABCP accredited Cognitive Behavioural Therapist (CBT) and work to help people (including children and young people) who are experiencing a range of issues including generalised anxiety, social anxiety, OCD, depression, as well as low self-esteem and other difficulties. Cognitive Behavioural Therapy focuses on the links between thoughts, feelings and behaviours, especially the way that unhelpful thoughts lead to and maintain distressing feelings and behaviours that can be a problem for some people and their families.
Asking for help is not easy but making that first step can feel really positive. I am an experienced BABCP accredited Cognitive Behavioural Therapist (CBT) and work to help people (including children and young people) who are experiencing a range of issues including generalised anxiety, social anxiety, OCD, depression, as well as low self-esteem and other difficulties. Cognitive Behavioural Therapy focuses on the links between thoughts, feelings and behaviours, especially the way that unhelpful thoughts lead to and maintain distressing feelings and behaviours that can be a problem for some people and their families.
01244 662590 View 01244 662590
Photo of Janine Marie Hayter Mbacp, Counsellor in Saughall, England
Janine Marie Hayter Mbacp
Counsellor, DCounsPsych, BACP
Verified Verified
Chester CH2
Hi, I am Janine and I am an experienced psychotherapist/counsellor who works with adults and young people from my private therapy room at Hooton Business Centre which is on the Cheshire/Wirral border. I offer one to one therapy sessions to clients and couples counselling for couples as well as Critical Incident Stress Debriefing for organisations who's staff members have experienced a critical incident/traumatic event. I work with clients who struggle with anxiety, depression, self harm, suicidal ideation, intrusive thoughts, personality disorders, trauma, relationship issues, low self esteem or bullying issues.
Hi, I am Janine and I am an experienced psychotherapist/counsellor who works with adults and young people from my private therapy room at Hooton Business Centre which is on the Cheshire/Wirral border. I offer one to one therapy sessions to clients and couples counselling for couples as well as Critical Incident Stress Debriefing for organisations who's staff members have experienced a critical incident/traumatic event. I work with clients who struggle with anxiety, depression, self harm, suicidal ideation, intrusive thoughts, personality disorders, trauma, relationship issues, low self esteem or bullying issues.
07723 501932 View 07723 501932
Photo of CP Counselling & Wellbeing Therapies- Supervisor , Counsellor in Saughall, England
CP Counselling & Wellbeing Therapies- Supervisor
Counsellor, MBACP Accred
Verified Verified
Chester CH1
I have experience working with adults and children recovering from Trauma, Sexual violence, Sexual abuse, Domestic violence, Bereavement, Depression, Anxiety, Relationship issues, Confidence and Self Esteem.
If your searching for a Counsellor then I understand you have reached a point in your life when you are ready to look at issues that are having an impact on you. Maybe causing you day to day difficulties and stopping you being able to live your life the way you want to. It can be a frightening process when you decide to reach out for help to look at issues that are causing emotional distress. Counselling is an approach to help you gain an understanding of the issues affecting you and work towards making positive changes in your life. You have taken the first step in seeking help simply by searching for a counsellor.
I have experience working with adults and children recovering from Trauma, Sexual violence, Sexual abuse, Domestic violence, Bereavement, Depression, Anxiety, Relationship issues, Confidence and Self Esteem.
If your searching for a Counsellor then I understand you have reached a point in your life when you are ready to look at issues that are having an impact on you. Maybe causing you day to day difficulties and stopping you being able to live your life the way you want to. It can be a frightening process when you decide to reach out for help to look at issues that are causing emotional distress. Counselling is an approach to help you gain an understanding of the issues affecting you and work towards making positive changes in your life. You have taken the first step in seeking help simply by searching for a counsellor.
01928 244556 View 01928 244556
Photo of Miriam Gilmore, Counsellor in Saughall, England
Miriam Gilmore
Counsellor, MBACP
Verified Verified
1 Endorsed
Chester CH2  (Online Only)
 You might be feeling hopeless, anxious, lost, numb or overwhelmed.
How are you? A simple question, that can feel so overwhelming. By reading my profile you are already on your way to finding a therapist to help diminish overwhelm, seek clarity and find peace in your life. Finding the right counsellor is a very important first step, as it is often the connection between therapist and client that brings about the most meaningful changes. If you are seeking a therapy space where I will listen to you without judgement and respond with compassion and empathy, then I can offer you that.
 You might be feeling hopeless, anxious, lost, numb or overwhelmed.
How are you? A simple question, that can feel so overwhelming. By reading my profile you are already on your way to finding a therapist to help diminish overwhelm, seek clarity and find peace in your life. Finding the right counsellor is a very important first step, as it is often the connection between therapist and client that brings about the most meaningful changes. If you are seeking a therapy space where I will listen to you without judgement and respond with compassion and empathy, then I can offer you that.
0151 453 0266 View 0151 453 0266
Photo of Cat Williams, Counsellor in Saughall, England
Cat Williams
Counsellor, MNCPS Acc.
Verified Verified
Chester CH1
Hi, I'm a rapid transformational therapist, author and speaker helping adults, children, teenagers and couples experiencing a wide variety of difficult life circumstances including low self-esteem, anxiety, depression, relationship issues, compulsive behaviours, low self-confidence, anger etc. I am right for you if a) You would like to feel calmer, happier and more confident b) You would like help to change unhelpful behaviours, self-limiting beliefs, or negative thoughts or feelings. c) You have tried different ways of improving things but there seems to be something deeper holding you back or getting in your way.
Hi, I'm a rapid transformational therapist, author and speaker helping adults, children, teenagers and couples experiencing a wide variety of difficult life circumstances including low self-esteem, anxiety, depression, relationship issues, compulsive behaviours, low self-confidence, anger etc. I am right for you if a) You would like to feel calmer, happier and more confident b) You would like help to change unhelpful behaviours, self-limiting beliefs, or negative thoughts or feelings. c) You have tried different ways of improving things but there seems to be something deeper holding you back or getting in your way.
07799 641347 View 07799 641347
Photo of MTS Psychological Health/ MTS Psychotherapy Ltd, Psychotherapist in Saughall, England
MTS Psychological Health/ MTS Psychotherapy Ltd
Psychotherapist, MUKCP
Verified Verified
Chester CH2
My specialist area is recurrent anxiety, depression, past and recent trauma related to abuse, relationship problems, self-harm and self-esteem.
My clients come to me from all walks of life and have experienced trauma recently or in the past. This has resulted in my clients suffering from intense anxiety and fears and/or severe depression as well as relationship difficulties. My clients can feel stuck, vulnerable and helpless, which has such a disabling impact on their lives. I have the ability to initiate and maintain a confidential therapeutic relationship, where my clients feel safe, experience hope and a reduction of their psychological symptoms. My clients leave therapy feeling empowered and able to manage life's stresses. I have clinics in Chester, Heswall and Mold.
My specialist area is recurrent anxiety, depression, past and recent trauma related to abuse, relationship problems, self-harm and self-esteem.
My clients come to me from all walks of life and have experienced trauma recently or in the past. This has resulted in my clients suffering from intense anxiety and fears and/or severe depression as well as relationship difficulties. My clients can feel stuck, vulnerable and helpless, which has such a disabling impact on their lives. I have the ability to initiate and maintain a confidential therapeutic relationship, where my clients feel safe, experience hope and a reduction of their psychological symptoms. My clients leave therapy feeling empowered and able to manage life's stresses. I have clinics in Chester, Heswall and Mold.
01244 915603 View 01244 915603
Photo of Estelle Dooley, Psychotherapist in Saughall, England
Estelle Dooley
Psychotherapist, MA, MBACP Accred
Verified Verified
Chester CH1  (Online Only)
I offer compassionate support for Anxiety, Depression, Self-esteem, Abuse including Narcissistic abuse, Bereavement, Stress, Work issues, Family issues, Relationship breakdown, Neurodiversity (Autism, ADHD) LGBTQIA, Addiction & more just ask if your issue is not listed here.
I offer a warm, empathic, confidential space for you to explore safely a current situation, something from your past, or a future concern. I will help and support you through. Accredited Award-Winning Therapist and Coach with 18 years of experience in Mental health, Abuse, Grief, Addiction, & more just ask. You will gain a deeper understanding of yourself and your situation, with all the tools you need to make positive changes in your life leaving you feeling empowered, and strong. See my reviews from clients who already have by visiting my website www.estelledooley.com.
I offer compassionate support for Anxiety, Depression, Self-esteem, Abuse including Narcissistic abuse, Bereavement, Stress, Work issues, Family issues, Relationship breakdown, Neurodiversity (Autism, ADHD) LGBTQIA, Addiction & more just ask if your issue is not listed here.
I offer a warm, empathic, confidential space for you to explore safely a current situation, something from your past, or a future concern. I will help and support you through. Accredited Award-Winning Therapist and Coach with 18 years of experience in Mental health, Abuse, Grief, Addiction, & more just ask. You will gain a deeper understanding of yourself and your situation, with all the tools you need to make positive changes in your life leaving you feeling empowered, and strong. See my reviews from clients who already have by visiting my website www.estelledooley.com.
0151 317 2573 View 0151 317 2573
Photo of Claire Crispin - Beyond CBT, Psychotherapist in Saughall, England
Claire Crispin - Beyond CBT
Psychotherapist, MBABCP
Verified Verified
2 Endorsed
Chester CH1
Feeling down lately and nothing seems to lift your spirits? Perhaps your anxiety, worrying and over-thinking is stopping you from moving forward? - Maybe you're overwhelmed by negative thoughts or intense emotions. Are your panic attacks preventing you from going to certain places or doing certain activities? Are you plagued by intrusive & distressing thoughts? Any, or all, of the above could be making you feel that you aren't living the life you were meant to lead?
Feeling down lately and nothing seems to lift your spirits? Perhaps your anxiety, worrying and over-thinking is stopping you from moving forward? - Maybe you're overwhelmed by negative thoughts or intense emotions. Are your panic attacks preventing you from going to certain places or doing certain activities? Are you plagued by intrusive & distressing thoughts? Any, or all, of the above could be making you feel that you aren't living the life you were meant to lead?
01920 458837 View 01920 458837
Photo of LJK Psych-Health (Luize Jenkins-King CBT and EMDR), Psychotherapist in Saughall, England
LJK Psych-Health (Luize Jenkins-King CBT and EMDR)
Psychotherapist, MSc, MBABCP
Verified Verified
Chester CH1
Feeling stressed, tense or worried at certain times in life is a normal human response. For some people, anxiety becomes overwhelming and persists to the point that fear significantly impacts daily life which can lead to low mood and low self-esteem. Anxiety can also develop into more specific areas such as social anxiety, panic attacks or OCD. If you experience any of these and would like to learn to manage your symptoms then I can help. I have experience/I am trained in treating people experiencing Long Term Health Conditions and also have significant expertise in treating Depression, Specific Phobias, Health Anxiety and PTSD.
Feeling stressed, tense or worried at certain times in life is a normal human response. For some people, anxiety becomes overwhelming and persists to the point that fear significantly impacts daily life which can lead to low mood and low self-esteem. Anxiety can also develop into more specific areas such as social anxiety, panic attacks or OCD. If you experience any of these and would like to learn to manage your symptoms then I can help. I have experience/I am trained in treating people experiencing Long Term Health Conditions and also have significant expertise in treating Depression, Specific Phobias, Health Anxiety and PTSD.
0151 318 0787 View 0151 318 0787
Photo of Tina Jarvis, Psychotherapist in Saughall, England
Tina Jarvis
Psychotherapist, BACP
Verified Verified
Chester CH1
Issues such as anxiety, depression, loss, low self esteem, and sexual abuse, to name but a few can make you feel lost, confused, lonely and powerless.
Seeking support is not easy, so welcome. No matter what the reason for contacting me you will be met with warmth, compassion and the space to explore your thoughts and feelings at your own pace. I practice in a non-judgemental way and my aim is to support your emotional well being and help you recognise the tools and inner strengths you have within you to live the best life you can. By exploring your thoughts and feelings it will help you make sense of them and empower you to make the right choices in moving forward.
Issues such as anxiety, depression, loss, low self esteem, and sexual abuse, to name but a few can make you feel lost, confused, lonely and powerless.
Seeking support is not easy, so welcome. No matter what the reason for contacting me you will be met with warmth, compassion and the space to explore your thoughts and feelings at your own pace. I practice in a non-judgemental way and my aim is to support your emotional well being and help you recognise the tools and inner strengths you have within you to live the best life you can. By exploring your thoughts and feelings it will help you make sense of them and empower you to make the right choices in moving forward.
01691 887714 View 01691 887714
Photo of Helen Pickering, Psychologist in Saughall, England
Helen Pickering
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Chester CH1
I am a clinical psychologist and CAT practitioner with over 21 years of experience of working with adults with a range of mental health difficulties including stress & anxiety, depression, low self-esteem, loss & bereavement, relationship difficulties, trauma & abuse, interpersonal and personality difficulties. I also specialise in working with people with chronic pain, chronic fatigue and other health problems. Using my skills and experience I work in an integrative way to offer bespoke interventions to meet the specific needs of clients. For more information see my website: www.embrace-psych.co.uk
I am a clinical psychologist and CAT practitioner with over 21 years of experience of working with adults with a range of mental health difficulties including stress & anxiety, depression, low self-esteem, loss & bereavement, relationship difficulties, trauma & abuse, interpersonal and personality difficulties. I also specialise in working with people with chronic pain, chronic fatigue and other health problems. Using my skills and experience I work in an integrative way to offer bespoke interventions to meet the specific needs of clients. For more information see my website: www.embrace-psych.co.uk
01606 539466 View 01606 539466
Photo of Andrea Gray, Psychotherapist in Saughall, England
Andrea Gray
Psychotherapist, MSc, MBABCP
Verified Verified
1 Endorsed
Chester CH1
Hi my name is Andrea. I have over 17yrs experience of working within the mental health field. As a CBT therapist and EMDR practitioner I have experience of working with anxiety based difficulties, such as generalised anxiety, social anxiety, OCD, PTSD, health anxiety; and depressive presentations. I have a special interest in low self esteem and trauma. I provide a warm, compassionate and safe space to work towards change and improvements in your mental well-being. If you are ready to engage in therapy to work towards clear goals and areas of change, please get in touch.
Hi my name is Andrea. I have over 17yrs experience of working within the mental health field. As a CBT therapist and EMDR practitioner I have experience of working with anxiety based difficulties, such as generalised anxiety, social anxiety, OCD, PTSD, health anxiety; and depressive presentations. I have a special interest in low self esteem and trauma. I provide a warm, compassionate and safe space to work towards change and improvements in your mental well-being. If you are ready to engage in therapy to work towards clear goals and areas of change, please get in touch.
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Photo of Hannah Green, Counsellor in Saughall, England
Hannah Green
Counsellor, MBBS, MBACP
Verified Verified
1 Endorsed
Chester CH1  (Online Only)
My name is Hannah Green and I am a Fully-Qualified BACP Person Centred Counsellor, based in the North West of England. I have several years experience, working with adults, teenagers and young people; supporting them through a range of issues (such as anxiety, depression, abuse, bereavement and trauma). I specialise in Person Centred counselling, which is at the core of my practice. This means, that all the sessions are led by you and will move at a pace you feel comfortable with. I also integrate a variety of additional theoretical-models, approaches and techniques to suit the individual.
My name is Hannah Green and I am a Fully-Qualified BACP Person Centred Counsellor, based in the North West of England. I have several years experience, working with adults, teenagers and young people; supporting them through a range of issues (such as anxiety, depression, abuse, bereavement and trauma). I specialise in Person Centred counselling, which is at the core of my practice. This means, that all the sessions are led by you and will move at a pace you feel comfortable with. I also integrate a variety of additional theoretical-models, approaches and techniques to suit the individual.
01625 920686 View 01625 920686
Photo of Susan Mercer Therapy, Psychotherapist in Saughall, England
Susan Mercer Therapy
Psychotherapist, MBABCP
Verified Verified
Chester CH1
My specialities are; Generalised Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), trauma (PTSD/adjustment disorder), depression triggered by bereavement, life changes, relationship changes or ongoing/repeated relationship problems/patterns, mixed anxiety and depression, and low self-esteem. I'm knowledgeable in a wide range of psychological/mental and physical health problems.
My specialities are; Generalised Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), trauma (PTSD/adjustment disorder), depression triggered by bereavement, life changes, relationship changes or ongoing/repeated relationship problems/patterns, mixed anxiety and depression, and low self-esteem. I'm knowledgeable in a wide range of psychological/mental and physical health problems.
01925 984177 View 01925 984177
Photo of Neil Beveridge, Counsellor in Saughall, England
Neil Beveridge
Counsellor, MNCPS Acc.
Verified Verified
Chester CH1
Hi, I'm Neil. I appreciate that life can sometimes feel difficult, stressful and overwhelming. Many of us struggle with relationships, responsibilities and the pressures of balancing our work and home lives. Sometimes you may feel anxious or depressed without understanding the reason why, or have experienced an event that you're struggling to work through. Maybe you just feel flat or unmotivated, or perhaps you're finding life hard to face after losing someone close to you. If any of this resonates with how you feel, I can help you.
Hi, I'm Neil. I appreciate that life can sometimes feel difficult, stressful and overwhelming. Many of us struggle with relationships, responsibilities and the pressures of balancing our work and home lives. Sometimes you may feel anxious or depressed without understanding the reason why, or have experienced an event that you're struggling to work through. Maybe you just feel flat or unmotivated, or perhaps you're finding life hard to face after losing someone close to you. If any of this resonates with how you feel, I can help you.
01248 661441 View 01248 661441
Photo of KM Counselling, Counsellor in Saughall, England
KM Counselling
Counsellor, MSc, MBACP
Verified Verified
Chester CH1
I specialise in working with teenagers and young adults who are experiencing varying issues in their lives. Teenagers may be struggling with school, bullying, friendships, anxiety, low mood, depression or grief and loss. Young adults may be transitioning to life at University, embarking on their journey in their chosen career, anxiety, depression, bereavement, or relationship issues. Whatever your reason for reaching out, I will not judge and I will work with you, or your child, in a confidential and collaborative way. I work within the boundaries of the BACP ethical framework to ensure best and safe practise.
I specialise in working with teenagers and young adults who are experiencing varying issues in their lives. Teenagers may be struggling with school, bullying, friendships, anxiety, low mood, depression or grief and loss. Young adults may be transitioning to life at University, embarking on their journey in their chosen career, anxiety, depression, bereavement, or relationship issues. Whatever your reason for reaching out, I will not judge and I will work with you, or your child, in a confidential and collaborative way. I work within the boundaries of the BACP ethical framework to ensure best and safe practise.
01244 667495 View 01244 667495
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.