Photo of Gemma Autumn, Counsellor in Virginia Water, England
Gemma Autumn
Counsellor, MBABCP
Verified Verified
Virginia Water GU25
Are you feeling anxious? Depressed? Low self-esteem? I offer therapeutic counselling using talking and creative therapy so you can plant the seeds of awareness and grow change in your life. I (she/her) am a trained integrative psychotherapeutic counsellor, ecopsychotherapist and practising artist. I work with adults and adolescents struggling with anxiety, depression, grief, loss, low self-esteem, relationships, life direction, stress, burnout, trauma, attachment, creative blocks, divorce, intimacy, abuse, sexuality, OCD, religion, family problems, money stories, spiritual disconnection, psychedelic integration and living abroad.
Are you feeling anxious? Depressed? Low self-esteem? I offer therapeutic counselling using talking and creative therapy so you can plant the seeds of awareness and grow change in your life. I (she/her) am a trained integrative psychotherapeutic counsellor, ecopsychotherapist and practising artist. I work with adults and adolescents struggling with anxiety, depression, grief, loss, low self-esteem, relationships, life direction, stress, burnout, trauma, attachment, creative blocks, divorce, intimacy, abuse, sexuality, OCD, religion, family problems, money stories, spiritual disconnection, psychedelic integration and living abroad.
020 4538 2317 View 020 4538 2317
Photo of Mike Freeman, Counsellor in Virginia Water, England
Mike Freeman
Counsellor, MBACP
Verified Verified
Virginia Water GU25
I tend to specialise working with men on issues like: Midlife crisis, relationships, being ‘stuck between two generations’, anxiety and anger.
I work with adult men and women of all ages anywhere in the UK offering online video and telephone counselling. Quite a lot of us, at some stage in our lives, have been in a situation where we have nobody around us we can talk to. Even though you may have family and friends who care about you, you can still feel alone and isolated or feel that you do not want to ‘bother’ or ‘burden’ them with your feelings.
I tend to specialise working with men on issues like: Midlife crisis, relationships, being ‘stuck between two generations’, anxiety and anger.
I work with adult men and women of all ages anywhere in the UK offering online video and telephone counselling. Quite a lot of us, at some stage in our lives, have been in a situation where we have nobody around us we can talk to. Even though you may have family and friends who care about you, you can still feel alone and isolated or feel that you do not want to ‘bother’ or ‘burden’ them with your feelings.
01202 125025 View 01202 125025
Photo of Rob Millist Counselling, Counsellor in Virginia Water, England
Rob Millist Counselling
Counsellor, MBACP
Verified Verified
1 Endorsed
Virginia Water GU25
I can help with anxiety, depression, PTSD, gender and sexuality, BDD and more.
Trauma-Wise / ADHD / LGBTQIA+ Counsellor with ND focus ability, available on Tuesdays or Thursdays for face to face sessions in Ascot or via Zoom / Skype. I'm trained and experienced in helping young people (11+) and adults who are struggling with their mental health. I’m also an experienced Schools Counsellor, a role I muchly enjoy. Are you experiencing difficulty on an every day level that is getting in the way of how you'd truly like to be? If you want to work on your issues and goals with me, let's team up and explore what you need, in line with your values, and how we can get you there.
I can help with anxiety, depression, PTSD, gender and sexuality, BDD and more.
Trauma-Wise / ADHD / LGBTQIA+ Counsellor with ND focus ability, available on Tuesdays or Thursdays for face to face sessions in Ascot or via Zoom / Skype. I'm trained and experienced in helping young people (11+) and adults who are struggling with their mental health. I’m also an experienced Schools Counsellor, a role I muchly enjoy. Are you experiencing difficulty on an every day level that is getting in the way of how you'd truly like to be? If you want to work on your issues and goals with me, let's team up and explore what you need, in line with your values, and how we can get you there.
01784 918298 View 01784 918298
Photo of Ailish Oliver, Psychotherapist in Virginia Water, England
Ailish Oliver
Psychotherapist, MSc, MBACP
Verified Verified
Virginia Water GU25  (Online Only)
I am a friendly CBT therapist with five years total experience of psychological practice in voluntary and private sector. I offer unconditional positive regard and empathy as we work together. You can expect to feel attentively listened to as we discuss and address the difficulties you are facing. My therapeutic style is compassion focused; we could all benefit from being a little kinder to ourselves. My goal is for you to build healthier coping tools, emotional resilience and start living the life you want to live.
I am a friendly CBT therapist with five years total experience of psychological practice in voluntary and private sector. I offer unconditional positive regard and empathy as we work together. You can expect to feel attentively listened to as we discuss and address the difficulties you are facing. My therapeutic style is compassion focused; we could all benefit from being a little kinder to ourselves. My goal is for you to build healthier coping tools, emotional resilience and start living the life you want to live.
01565 743906 View 01565 743906
Photo of Dr Rachel Holden, Psychologist in Virginia Water, England
Dr Rachel Holden
Psychologist, HCPC - Clin. Psych.
Verified Verified
Virginia Water GU25  (Online Only)
I am a psychologist with particular interest in working with individuals, families and couples who want to use therapy to think about relationships. In some cases, this might be in the context of an autism spectrum condition, an existential/life crisis, or a change in circumstances. I've enjoyed working with creative people who are feeling blocked, and people who feel stuck in relationship patterns. I try to be honest, straightforward, and open. In the past, clients have described me as thoughtful, caring, funny (where appropriate!), and creative.
I am a psychologist with particular interest in working with individuals, families and couples who want to use therapy to think about relationships. In some cases, this might be in the context of an autism spectrum condition, an existential/life crisis, or a change in circumstances. I've enjoyed working with creative people who are feeling blocked, and people who feel stuck in relationship patterns. I try to be honest, straightforward, and open. In the past, clients have described me as thoughtful, caring, funny (where appropriate!), and creative.
01689 664670 View 01689 664670
Photo of Sophie Cockell, Psychotherapist in Virginia Water, England
Sophie Cockell
Psychotherapist, MA, MUKCP
Verified Verified
Virginia Water GU25
I work with all age groups whatever your issues and offer a safe therapeutic space in which you are able to identify and explore these issues, needs and goals. I have extensive experience of working with clients living with Identity problems including gender identity and couples and families who are fostering and adopting children. I also work with neuro-diversity, physical and mental wellbeing, bullying and the feeling of not fitting in which can contribute to low self esteem and low mood. I also offer support to significant others both therapeutically and practically.
I work with all age groups whatever your issues and offer a safe therapeutic space in which you are able to identify and explore these issues, needs and goals. I have extensive experience of working with clients living with Identity problems including gender identity and couples and families who are fostering and adopting children. I also work with neuro-diversity, physical and mental wellbeing, bullying and the feeling of not fitting in which can contribute to low self esteem and low mood. I also offer support to significant others both therapeutically and practically.
01483 940035 View 01483 940035

More Therapists Nearby

Photo of Tim O'Neill, Counsellor in Virginia Water, England
Tim O'Neill
Counsellor, MA, MBACP Snr. Accred
Verified Verified
Guildford GU2
My name is Tim. I have 26 years experience as a BACP Senior Accredited Counsellor/Psychotherapist. I offer counselling to adults of all ages and young people. I also offer online sessions and Walk & Talk therapy. The areas of counselling I have specialisms in are young people, various Anxiety disorders, Stress, Depression and Bereavement. I also offer counselling to trainee counsellors. I am a qualified supervisor of experienced and trainee counsellors. I also have BUPA recognition. Other Issues i work with include: family issues, relationship breakdown, panic disorder and self-harm. I offer a Free initial 20 min phone consultation.
My name is Tim. I have 26 years experience as a BACP Senior Accredited Counsellor/Psychotherapist. I offer counselling to adults of all ages and young people. I also offer online sessions and Walk & Talk therapy. The areas of counselling I have specialisms in are young people, various Anxiety disorders, Stress, Depression and Bereavement. I also offer counselling to trainee counsellors. I am a qualified supervisor of experienced and trainee counsellors. I also have BUPA recognition. Other Issues i work with include: family issues, relationship breakdown, panic disorder and self-harm. I offer a Free initial 20 min phone consultation.
07723 428530 View 07723 428530
Emma Cotterill
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Esher KT10
I am a Principal Clinical Psychologist, Chartered with the BPS and registered with HCPC. I work with adolescents and adults experiencing mental health difficulties, including depression, anxiety, panic, trauma, ptsd, phobias, OCD, stress. I also work with neurological difficulties and brain injuries. I use an individualised integrative therapy approach, drawing on CBT, ACT, Motivational Interviewing and Mindfulness. I am also skilled in behavioural management approaches and am trained in EMDR for trauma. I also have excellent Clinical Psychologists working with me.
I am a Principal Clinical Psychologist, Chartered with the BPS and registered with HCPC. I work with adolescents and adults experiencing mental health difficulties, including depression, anxiety, panic, trauma, ptsd, phobias, OCD, stress. I also work with neurological difficulties and brain injuries. I use an individualised integrative therapy approach, drawing on CBT, ACT, Motivational Interviewing and Mindfulness. I am also skilled in behavioural management approaches and am trained in EMDR for trauma. I also have excellent Clinical Psychologists working with me.
View
Photo of Emma K Smith, Psychotherapist in Virginia Water, England
Emma K Smith
Psychotherapist, MBACP
Verified Verified
Woking GU21
I have experience working with a broad range of psychological and emotional issues, including depression, anxiety/stress and low mood, bereavement/grief and loss.
Are you experiencing a difficult or challenging time in your life? Perhaps you are feeling stuck and unable to move forward? Whatever your reason for considering therapy and viewing my profile, it is often the case that we 'hit the wall' or 'crash' emotionally before we can identify that we may need professional support. When our usual coping mechanisms no longer work the struggle can be overwhelming. As your therapist I recognise this as your first and critical step toward positive change. You are, I'm sure, familiar with the phrase 'if you do what you've always done...you get what you've always got' and how true it is.....
I have experience working with a broad range of psychological and emotional issues, including depression, anxiety/stress and low mood, bereavement/grief and loss.
Are you experiencing a difficult or challenging time in your life? Perhaps you are feeling stuck and unable to move forward? Whatever your reason for considering therapy and viewing my profile, it is often the case that we 'hit the wall' or 'crash' emotionally before we can identify that we may need professional support. When our usual coping mechanisms no longer work the struggle can be overwhelming. As your therapist I recognise this as your first and critical step toward positive change. You are, I'm sure, familiar with the phrase 'if you do what you've always done...you get what you've always got' and how true it is.....
01689 666191 View 01689 666191
Photo of Megan Henrich, Psychologist in Virginia Water, England
Megan Henrich
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
Woking GU22
People come to therapy for many different reasons, sometimes they are seeking help for specific mental health difficulties, such as depression, anxiety disorders, anger management etc.
I am a counselling psychologist, trained in several therapeutic modalities, including Eye Movement Desensitisation and Reprocessing (EMDR) therapy, Cognitive Behavioural Therapy (CBT), Dialectical Behavioural Therapy (DBT), and Humanistic approaches. I work integratively, meaning that I draw from different evidence-based therapeutic techniques in order to provide therapy that is tailored to suit my client’s individual needs and goals. I have worked with adults in varied settings, including charitable organisations, NHS community mental health teams, and NHS inpatient settings; I currently work in the NHS and private practice.
People come to therapy for many different reasons, sometimes they are seeking help for specific mental health difficulties, such as depression, anxiety disorders, anger management etc.
I am a counselling psychologist, trained in several therapeutic modalities, including Eye Movement Desensitisation and Reprocessing (EMDR) therapy, Cognitive Behavioural Therapy (CBT), Dialectical Behavioural Therapy (DBT), and Humanistic approaches. I work integratively, meaning that I draw from different evidence-based therapeutic techniques in order to provide therapy that is tailored to suit my client’s individual needs and goals. I have worked with adults in varied settings, including charitable organisations, NHS community mental health teams, and NHS inpatient settings; I currently work in the NHS and private practice.
01276 983495 View 01276 983495
Photo of Daniel James Thomas-Wallis, Psychotherapist in Virginia Water, England
Daniel James Thomas-Wallis
Psychotherapist, MSc, MUKCP
Verified Verified
Weybridge KT13
Welcome, my name is Daniel, I specialise in working with anxiety, depression or Complex Mental Health Difficulties. Despair and turmoil is often a result of difficulties with love, loss and complex personal relationships. I offer a place to talk about it, where suffering and turmoil can lead to insight, empowerment, problem solving, self-acceptance and a freedom to choose your own path and constructively manage your life experiences. Book your free Mental Health Assessment and take the first step towards developing a positive self- image, healthy relationships and a more gratifying life.
Welcome, my name is Daniel, I specialise in working with anxiety, depression or Complex Mental Health Difficulties. Despair and turmoil is often a result of difficulties with love, loss and complex personal relationships. I offer a place to talk about it, where suffering and turmoil can lead to insight, empowerment, problem solving, self-acceptance and a freedom to choose your own path and constructively manage your life experiences. Book your free Mental Health Assessment and take the first step towards developing a positive self- image, healthy relationships and a more gratifying life.
01276 543708 View 01276 543708
Photo of Amanda Brady, Counsellor in Virginia Water, England
Amanda Brady
Counsellor, MA, MBACP
Verified Verified
Esher KT10
Perhaps you need help to reduce your anxiety, depression or negative feeling about yourself. You want to build your self-confidence, to discover who you are and what you want from life. You may wish to consider relationship issues or to explore past experiences that may be impacting you now. You may need to work through your grief or loss. You may have experienced a significant life change or transition. I provide a non-judgemental, exporative and confidential space to help you to understand yourself better. Also family issues and dealing with ADHD and Autism
Perhaps you need help to reduce your anxiety, depression or negative feeling about yourself. You want to build your self-confidence, to discover who you are and what you want from life. You may wish to consider relationship issues or to explore past experiences that may be impacting you now. You may need to work through your grief or loss. You may have experienced a significant life change or transition. I provide a non-judgemental, exporative and confidential space to help you to understand yourself better. Also family issues and dealing with ADHD and Autism
020 4538 0961 View 020 4538 0961
Photo of Jane Barnfield Jukes, Psychotherapist in Virginia Water, England
Jane Barnfield Jukes
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Weybridge KT13
Jane is an experienced integrative psychotherapist/counsellor who practices using a combination of therapeutic approaches, ensuring that therapy is tailored to meet the individual need, be it short or long term. She currently works with adults, couples and young people with GP referrals and in the public and private sector. She has wide experience of working with depression, anxiety, panic, stress, loss, addiction, life limiting illness, self-harm, eating disorders, phobias and abuse and believes that to be heard in a safe, confidential environment is essential to effective therapy.
Jane is an experienced integrative psychotherapist/counsellor who practices using a combination of therapeutic approaches, ensuring that therapy is tailored to meet the individual need, be it short or long term. She currently works with adults, couples and young people with GP referrals and in the public and private sector. She has wide experience of working with depression, anxiety, panic, stress, loss, addiction, life limiting illness, self-harm, eating disorders, phobias and abuse and believes that to be heard in a safe, confidential environment is essential to effective therapy.
01372 235667 View 01372 235667
Photo of Barbara Volkar, Counsellor in Virginia Water, England
Barbara Volkar
Counsellor, MBACP
Verified Verified
Staines TW18
I have experience in working with anxiety, depression, anger management, eating disorders, addictions, relationship issues, sexual assault, and work related stress issues. With couples I deal with communication styles, relational and attachment patterns and I am particularly interested in the complex issues surrounding infidelity and betrayal.
I have experience in working with anxiety, depression, anger management, eating disorders, addictions, relationship issues, sexual assault, and work related stress issues. With couples I deal with communication styles, relational and attachment patterns and I am particularly interested in the complex issues surrounding infidelity and betrayal.
07427 540198 View 07427 540198
Photo of Imogen Wade, Counsellor in Virginia Water, England
Imogen Wade
Counsellor, MBACP
Verified Verified
1 Endorsed
Guildford GU2
If you are a woman seeking to feel safe with a therapist, my goal is to provide you with a feeling of trust and security. You may feel this sense of safety in our first session, or it may take many sessions to build. I believe that when you are relaxed, open and comfortable, that is when the most fruitful work can take place. You may be struggling with complex trauma, anxiety, depression, childhood issues, self-harm or suicidal thoughts; or perhaps you aren't sure how to put into words what you're going through, you just know that you need to speak to someone.
If you are a woman seeking to feel safe with a therapist, my goal is to provide you with a feeling of trust and security. You may feel this sense of safety in our first session, or it may take many sessions to build. I believe that when you are relaxed, open and comfortable, that is when the most fruitful work can take place. You may be struggling with complex trauma, anxiety, depression, childhood issues, self-harm or suicidal thoughts; or perhaps you aren't sure how to put into words what you're going through, you just know that you need to speak to someone.
01793 540202 View 01793 540202
Photo of Josephine Jacobs, Counsellor in Virginia Water, England
Josephine Jacobs
Counsellor, MBACP
Verified Verified
Camberley GU16
I can support you through your grief, loss, career choices, relationship issues, communication, work related problems, stress, depression, anxiety or trauma.
Would you like to talk about what goes on in your life and in your head? Want to be sure that you will not be judged and that you feel safe whilst exploring your thoughts, feelings and behaviours? Maybe you are wondering which event or events in your life have most affected how you feel. There could be relationships, past, present, and future which play on your mind. Do you want healthier relationships? Do you wonder if the way you feel gets in the way of you getting what you want out of life or living the life you want? You may have feelings you do not understand or believe you have lost yourself and no longer know how you feel.
I can support you through your grief, loss, career choices, relationship issues, communication, work related problems, stress, depression, anxiety or trauma.
Would you like to talk about what goes on in your life and in your head? Want to be sure that you will not be judged and that you feel safe whilst exploring your thoughts, feelings and behaviours? Maybe you are wondering which event or events in your life have most affected how you feel. There could be relationships, past, present, and future which play on your mind. Do you want healthier relationships? Do you wonder if the way you feel gets in the way of you getting what you want out of life or living the life you want? You may have feelings you do not understand or believe you have lost yourself and no longer know how you feel.
01252 986503 View 01252 986503
Photo of Jude Callegari, Counsellor in Virginia Water, England
Jude Callegari
Counsellor, MBACP
Verified Verified
East Molesey KT8
Sometimes when life feels overwhelming, it can be helpful to talk to somebody, but it can be hard to know where to start. You may have feelings of anxiety, depression, loss, guilt, low self-worth or a general feeling of being stuck and not quite sure why. Allowing yourself time to stop and express what you are feeling in a neutral environment can help bring clarity and balance back to your life. I offer a non-judgemental, supportive and confidential space where we can start to unpick and explore some of your underlying issues, helping you gain a deeper understanding of yourself and your world.
Sometimes when life feels overwhelming, it can be helpful to talk to somebody, but it can be hard to know where to start. You may have feelings of anxiety, depression, loss, guilt, low self-worth or a general feeling of being stuck and not quite sure why. Allowing yourself time to stop and express what you are feeling in a neutral environment can help bring clarity and balance back to your life. I offer a non-judgemental, supportive and confidential space where we can start to unpick and explore some of your underlying issues, helping you gain a deeper understanding of yourself and your world.
020 4530 8480 View 020 4530 8480
Photo of Emma Irwin (Dip. Couns Mbacp) (Mncps Acc.), Counsellor in Virginia Water, England
Emma Irwin (Dip. Couns Mbacp) (Mncps Acc.)
Counsellor, MBACP
Verified Verified
1 Endorsed
Windlesham GU20
I’m an experienced, professional counsellor (a BACP member and an accredited member of NCPS) working with anxiety, depressions, grief, low confidence, lack of self-esteem, cancer.
It can feel dauting looking for the right counsellor but I’m passionate about helping you achieve your end goal. I’ll listen to you with understanding and kindness – which can be hard to give to ourselves - in confidence; with no judgement. You can tell me as much – or as little – as you like at your pace. Together, we can work through whatever's troubling you and find the right resolution for you. Whatever you want, the relationship between us is key so I offer a FREE initial 15-minute telephone consultation. I provide affordable counselling; your mental health is important to me, so that your life can become more fulfilled.
I’m an experienced, professional counsellor (a BACP member and an accredited member of NCPS) working with anxiety, depressions, grief, low confidence, lack of self-esteem, cancer.
It can feel dauting looking for the right counsellor but I’m passionate about helping you achieve your end goal. I’ll listen to you with understanding and kindness – which can be hard to give to ourselves - in confidence; with no judgement. You can tell me as much – or as little – as you like at your pace. Together, we can work through whatever's troubling you and find the right resolution for you. Whatever you want, the relationship between us is key so I offer a FREE initial 15-minute telephone consultation. I provide affordable counselling; your mental health is important to me, so that your life can become more fulfilled.
01252 412605 View 01252 412605
Photo of Nicola Ferreira, Psychologist in Virginia Water, England
Nicola Ferreira
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
Woking GU21
I help ADHD adults, teens, and children (11+) to discover relief from overwhelm, ease from anxiety, and courage to be true to themselves, for greater fulfilment in life and relationships. Perhaps you have a sense you struggle more than others, which can leave you feeling ashamed and unsure of yourself. With an unruly mind and relentless anxiety, you can feel held back from what’s important to you in life and relationships. Some part of you knows there's a happier more fulfilled 'you' desperate to get out. I offer a nurturing and empowering space, where we'll discover who you are with more clarity, ease, and trust in yourself.
I help ADHD adults, teens, and children (11+) to discover relief from overwhelm, ease from anxiety, and courage to be true to themselves, for greater fulfilment in life and relationships. Perhaps you have a sense you struggle more than others, which can leave you feeling ashamed and unsure of yourself. With an unruly mind and relentless anxiety, you can feel held back from what’s important to you in life and relationships. Some part of you knows there's a happier more fulfilled 'you' desperate to get out. I offer a nurturing and empowering space, where we'll discover who you are with more clarity, ease, and trust in yourself.
01276 748042 View 01276 748042
Photo of Patrizia Mazzoli, Counsellor in Virginia Water, England
Patrizia Mazzoli
Counsellor, MBACP
Verified Verified
East Molesey KT8
You may be asked the question "How are you?" many times, but how often have you been able to respond to that question truthfully? You may hold back your emotions and feel anxious, confused and overwhelmed by life difficulties. You may feel that you cannot share what is inside you for fear of being judged, misunderstood or simply you cannot trust people around you. It may feel safer to reply: "I am ok!" and life goes on without giving a voice to your deep needs. My aim is to offer you a warm and non judgemental space where together we can explore the source of your emotional difficulties. Your emotional wellbeing is my priority.
You may be asked the question "How are you?" many times, but how often have you been able to respond to that question truthfully? You may hold back your emotions and feel anxious, confused and overwhelmed by life difficulties. You may feel that you cannot share what is inside you for fear of being judged, misunderstood or simply you cannot trust people around you. It may feel safer to reply: "I am ok!" and life goes on without giving a voice to your deep needs. My aim is to offer you a warm and non judgemental space where together we can explore the source of your emotional difficulties. Your emotional wellbeing is my priority.
01372 235676 View 01372 235676
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.