Anxiety Counselling in Clifton

Photo of Martin Biddle, MSc, MUKCP, Counsellor
Martin Biddle
Counsellor, MSc, MUKCP
Verified Verified
Clifton NG11
My name is Martin and I am a UKCP & BACP registered psychotherapist and trainee supervisor who has worked with adults, young people, couples, university students, families and many others who are experiencing anxiety, relationship issues, depression, trauma, bereavement and loss and concerns about anger management or emotional regulation. Maybe you are feeling stressed-out or anxious or are struggling at work, college or university, or you are overthinking, having panic attacks or relationship issues? Or you need some sexual health counselling or you are a couple who need some support? Talk with me in a safe non-judgemental space.
My name is Martin and I am a UKCP & BACP registered psychotherapist and trainee supervisor who has worked with adults, young people, couples, university students, families and many others who are experiencing anxiety, relationship issues, depression, trauma, bereavement and loss and concerns about anger management or emotional regulation. Maybe you are feeling stressed-out or anxious or are struggling at work, college or university, or you are overthinking, having panic attacks or relationship issues? Or you need some sexual health counselling or you are a couple who need some support? Talk with me in a safe non-judgemental space.
0115 697 1230 View 0115 697 1230
Photo of Debra Perriam, Psychotherapist
Debra Perriam
Psychotherapist
Verified Verified
Clifton M27
My clinical experience covers a wide range of issues from bereavement, stress, anxiety, depression, emotional neglect, trauma and abuse.
Feeling vulnerable and overwhelmed by life’s events can happen to any of us and usually occurs at the most inappropriate time. Do you feel unable to make sense of how you feel? Do you have difficulties in relationships? Have you noticed the same patterns of behaviour happening repetitively in your life? Do you have low self-confidence/self-esteem? Do you suffer with anxiety and/or depression? If you have answered yes to any of the above, then I may be able to help you.
My clinical experience covers a wide range of issues from bereavement, stress, anxiety, depression, emotional neglect, trauma and abuse.
Feeling vulnerable and overwhelmed by life’s events can happen to any of us and usually occurs at the most inappropriate time. Do you feel unable to make sense of how you feel? Do you have difficulties in relationships? Have you noticed the same patterns of behaviour happening repetitively in your life? Do you have low self-confidence/self-esteem? Do you suffer with anxiety and/or depression? If you have answered yes to any of the above, then I may be able to help you.
01890 545573 View 01890 545573
Photo of Jo Newstead Counsellor And Supervisor, MBACP Accred, Psychotherapist
Jo Newstead Counsellor And Supervisor
Psychotherapist, MBACP Accred
Verified Verified
Clifton NG11
If you are struggling with anxiety or depression, low self esteem, bereavement or other issues in life, within relationships or at work I can help you to process and explore your thoughts and feelings.
My name is Jo and I am a BACP accredited therapist and supervisor with over 11 years experience in practice. Using a blend of Person Centred and Solution Focused therapy I can offer short term solution focused therapy (6-8 sessions) and longer term if there are perhaps multiple issues to address. I came into counselling following a difficult period in my own life and felt that I wanted to give something back by helping others who may find themselves struggling in life.
If you are struggling with anxiety or depression, low self esteem, bereavement or other issues in life, within relationships or at work I can help you to process and explore your thoughts and feelings.
My name is Jo and I am a BACP accredited therapist and supervisor with over 11 years experience in practice. Using a blend of Person Centred and Solution Focused therapy I can offer short term solution focused therapy (6-8 sessions) and longer term if there are perhaps multiple issues to address. I came into counselling following a difficult period in my own life and felt that I wanted to give something back by helping others who may find themselves struggling in life.
0115 824 4772 View 0115 824 4772
Photo of Dr Zoe Marie Gotts, PhD, HCPC - Clin. Psych., Psychologist
Dr Zoe Marie Gotts
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
Clifton NE61
Dr Zoe Gotts PhD, DClinPsy, is a HCPC registered Clinical Psychologist and Behavioural Sleep Medicine Specialist. She works with adults (age 16+) with a range of mental and physical health problems. She offers evidence based psychological assessment and treatment for psychological, emotional and behavioural difficulties, including anxiety, depression, low self-esteem, adjusting to medical conditions, trauma and post-traumatic stress disorder (PTSD). Zoe offers evidence-based therapies including; Cognitive Behavioural Therapy (CBT), EMDR, Compassion Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT).
Dr Zoe Gotts PhD, DClinPsy, is a HCPC registered Clinical Psychologist and Behavioural Sleep Medicine Specialist. She works with adults (age 16+) with a range of mental and physical health problems. She offers evidence based psychological assessment and treatment for psychological, emotional and behavioural difficulties, including anxiety, depression, low self-esteem, adjusting to medical conditions, trauma and post-traumatic stress disorder (PTSD). Zoe offers evidence-based therapies including; Cognitive Behavioural Therapy (CBT), EMDR, Compassion Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT).
01670 331277 View 01670 331277
Photo of Gisela Ramirez, MBABCP, Psychotherapist
Gisela Ramirez
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Clifton M27
Cognitive behaviour therapy and EMDR are recommended in the NICE guidelines as the first line therapy modality for depression, anxiety (OCD, PTSD, BDD, panic and phobias).
Are you struggling with fear, intrusive distressing thoughts, avoidance and generally not living the life that you want? Or are you low, hopeless, self critical and isolating yourself? I can help with these and other mental health difficulties through challenging your thoughts and making some changes to your current behaviours. CBT can also help with improving self-esteem and with overcoming phobias and past trauma. EMDR therapy is a powerful intervention for PTSD and trauma, new studies have also shown its effectiveness with anxiety disorders &grief
Cognitive behaviour therapy and EMDR are recommended in the NICE guidelines as the first line therapy modality for depression, anxiety (OCD, PTSD, BDD, panic and phobias).
Are you struggling with fear, intrusive distressing thoughts, avoidance and generally not living the life that you want? Or are you low, hopeless, self critical and isolating yourself? I can help with these and other mental health difficulties through challenging your thoughts and making some changes to your current behaviours. CBT can also help with improving self-esteem and with overcoming phobias and past trauma. EMDR therapy is a powerful intervention for PTSD and trauma, new studies have also shown its effectiveness with anxiety disorders &grief
0161 850 5871 View 0161 850 5871
Photo of Tracy McCadden, MBACP, Counsellor
Tracy McCadden
Counsellor, MBACP
Verified Verified
1 Endorsed
Clifton M27
Life can sometimes feel unmanageable, we can feel low and isolated and unsure of who to turn to. When we feel stuck in certain situations and these begin impacting on our mood and our behaviour, we can often need the support of an outside source to help us look at our situation more clearly and to help us regain control. This is where an experienced counsellor can really help. "My therapist has been a great help, a good listener, and has given me an insight into who I really am....I'm sure I will be better for her sound counselling."
Life can sometimes feel unmanageable, we can feel low and isolated and unsure of who to turn to. When we feel stuck in certain situations and these begin impacting on our mood and our behaviour, we can often need the support of an outside source to help us look at our situation more clearly and to help us regain control. This is where an experienced counsellor can really help. "My therapist has been a great help, a good listener, and has given me an insight into who I really am....I'm sure I will be better for her sound counselling."
07831 202104 View 07831 202104

More Therapists Nearby

Photo of Dr Jennifer Kelly, PsychD, HCPC - Clin. Psych., Psychologist
Dr Jennifer Kelly
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
2 Endorsed
Ashbourne DE6
Hello, I’m Jen, a Chartered Clinical Psychologist with over 18 years' experience working in adult mental health. Sometimes we all need a bit of help to make sense of what life throws at us, or to cope with difficult feelings. If you’re struggling with anxiety or low mood, relationship problems, or coming to terms with difficult past experiences, then psychological therapy might be for you. I work with people with a wide range of difficulties and complex needs, from age 16 upwards. You can be sure that therapy with me will be confidential, and you will be treated with non-judgemental respect and compassion.
Hello, I’m Jen, a Chartered Clinical Psychologist with over 18 years' experience working in adult mental health. Sometimes we all need a bit of help to make sense of what life throws at us, or to cope with difficult feelings. If you’re struggling with anxiety or low mood, relationship problems, or coming to terms with difficult past experiences, then psychological therapy might be for you. I work with people with a wide range of difficulties and complex needs, from age 16 upwards. You can be sure that therapy with me will be confidential, and you will be treated with non-judgemental respect and compassion.
View
Photo of Paula Charnley, MSc, BACP, Counsellor
Paula Charnley
Counsellor, MSc, BACP
Verified Verified
1 Endorsed
Ashbourne DE6
General Anxiety; coping skills.
Hi I’m Paula I qualified with a Masters in Counselling Psychotherapy in 2017. Since then, I’ve also trained in Couples Counselling. My basis of therapy is Person Centred, which means that I take cues from you to guide the process, so that there is no hurry to talk about things until you feel ready. My all-round approach is integrative as I incorporate connection with your mind, body and spirit into our Talking Therapy sessions. Perhaps your first query is; “Do I need Counselling?”. It’s a very common thought. Whether you are feeling confused, unsure, stuck, overflowing with emotions or numb, you are now in the right place.
General Anxiety; coping skills.
Hi I’m Paula I qualified with a Masters in Counselling Psychotherapy in 2017. Since then, I’ve also trained in Couples Counselling. My basis of therapy is Person Centred, which means that I take cues from you to guide the process, so that there is no hurry to talk about things until you feel ready. My all-round approach is integrative as I incorporate connection with your mind, body and spirit into our Talking Therapy sessions. Perhaps your first query is; “Do I need Counselling?”. It’s a very common thought. Whether you are feeling confused, unsure, stuck, overflowing with emotions or numb, you are now in the right place.
01782 454397 View 01782 454397
Photo of Emily Jones, MSc, MUKCP, Psychotherapist
Emily Jones
Psychotherapist, MSc, MUKCP
Verified Verified
7 Endorsed
Ashbourne DE6
I am an experienced psychotherapeutic counsellor working with children and teenagers, from differing ages and levels of understanding, using creative interventions like art and play. Topics and concerns that have been explored include self esteem, worries, anxiety, low mood, self harm, and identity, amongst others.
I am an experienced psychotherapeutic counsellor working with children and teenagers, from differing ages and levels of understanding, using creative interventions like art and play. Topics and concerns that have been explored include self esteem, worries, anxiety, low mood, self harm, and identity, amongst others.
01283 387973 View 01283 387973
Photo of Maggie Peet, MA, MBACP Snr. Accred, Counsellor
Maggie Peet
Counsellor, MA, MBACP Snr. Accred
Verified Verified
Ashbourne DE6
Whether you are suffering grief, recent or earlier trauma, concerns about the future, troubling memories of the past, general anxiety or unexplained emotional pain, my aim will be to help you find ways forward that feels positive for you. I will listen carefully, empathically and respectfully to whatever it is that brings you to seek counselling at this time. I have over 30 years counselling experience: both in private practice and in Primary Care and Employee Assisted Programmes and offer short term (6 sessions) or medium to long term work.
Whether you are suffering grief, recent or earlier trauma, concerns about the future, troubling memories of the past, general anxiety or unexplained emotional pain, my aim will be to help you find ways forward that feels positive for you. I will listen carefully, empathically and respectfully to whatever it is that brings you to seek counselling at this time. I have over 30 years counselling experience: both in private practice and in Primary Care and Employee Assisted Programmes and offer short term (6 sessions) or medium to long term work.
01889 227316 View 01889 227316
Photo of Heidi Francis, MNCPS Acc., Psychotherapist
Heidi Francis
Psychotherapist, MNCPS Acc.
Verified Verified
Ashbourne DE6  (Online Only)
I am able to offer support for a wide range of issues including but not limited to : Addiction, , Trauma, Sexual Abuse, Domestic Violence, Depression and Anxiety, Low Self -Esteem, Relationship issues ,Grief and Loss, EUPD, NPD and DID.
Taking that first step to seek support from a therapist can be a daunting experience and many people can feel anxious discussing their struggles. Experiencing feelings of anxiety, depression, sadness, anger and stress or suffering from a constant low mood, can often lead to feeling bewildered and alone. So my aim is to provide a safe, warm and caring space in which together we can explore your struggles and you can gain a better understanding of yourself and your feelings, Together we can discover a way forward to a happier, calmer place, enabling you to build new beginnings.
I am able to offer support for a wide range of issues including but not limited to : Addiction, , Trauma, Sexual Abuse, Domestic Violence, Depression and Anxiety, Low Self -Esteem, Relationship issues ,Grief and Loss, EUPD, NPD and DID.
Taking that first step to seek support from a therapist can be a daunting experience and many people can feel anxious discussing their struggles. Experiencing feelings of anxiety, depression, sadness, anger and stress or suffering from a constant low mood, can often lead to feeling bewildered and alone. So my aim is to provide a safe, warm and caring space in which together we can explore your struggles and you can gain a better understanding of yourself and your feelings, Together we can discover a way forward to a happier, calmer place, enabling you to build new beginnings.
01536 609380 View 01536 609380
Photo of Louise Bellamy, MSc, MBACP Accred, Psychotherapist
Louise Bellamy
Psychotherapist, MSc, MBACP Accred
Verified Verified
Ashbourne DE6
Hi, I'm Louise, I'm a BACP-Accredited Integrative Psychotherapist offering individual therapy sessions to adults on a short or long-term basis. I can work with you either in-person from my home in Allestree (Derby), online, or outdoors in a 'Walk and Talk' format. I have experience in working with individuals facing a wide range of problems, and particularly with those suffering from eating disorders, trauma, anxiety, and difficulties in relating to other people. In addition to working privately, I have 10 years' experience of working with First Steps Derbyshire, providing counselling to sufferers of a range of eating disorders.
Hi, I'm Louise, I'm a BACP-Accredited Integrative Psychotherapist offering individual therapy sessions to adults on a short or long-term basis. I can work with you either in-person from my home in Allestree (Derby), online, or outdoors in a 'Walk and Talk' format. I have experience in working with individuals facing a wide range of problems, and particularly with those suffering from eating disorders, trauma, anxiety, and difficulties in relating to other people. In addition to working privately, I have 10 years' experience of working with First Steps Derbyshire, providing counselling to sufferers of a range of eating disorders.
01332 327428 View 01332 327428
Photo of Dr Melita Ash - Dr Melita Ash, Percuro Psychology, HCPC - Clin. Psych., Psychologist
Dr Melita Ash, Percuro Psychology
Psychologist, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Ashbourne DE6
Is your child or teen finding things hard at the moment and you want to help, but struggling to know how? Are they are feeling anxious and overwhelmed? Maybe your child has just been diagnosed with Autism Spectrum Disorder and they and you are wondering what this means and need some support? Do you want your child or teen to feel calmer, happier and skilled at managing their emotions, and to feel empowered as a parent, secure in your knowledge of how best to help? Dr Ash is a specialist in working with children/teens with anxiety and trauma related difficulties, as well as providing support post ASD diagnosis.
Is your child or teen finding things hard at the moment and you want to help, but struggling to know how? Are they are feeling anxious and overwhelmed? Maybe your child has just been diagnosed with Autism Spectrum Disorder and they and you are wondering what this means and need some support? Do you want your child or teen to feel calmer, happier and skilled at managing their emotions, and to feel empowered as a parent, secure in your knowledge of how best to help? Dr Ash is a specialist in working with children/teens with anxiety and trauma related difficulties, as well as providing support post ASD diagnosis.
07480 789538 View 07480 789538
Photo of Linda Szekely, MSc, MBACP, Psychotherapist
Linda Szekely
Psychotherapist, MSc, MBACP
Verified Verified
Buxton DE6
Hello. My name is Linda and I am a qualified supervisor and Psychotherapist. I understand how hard it is to reach out for help, but through support and guidance things can change. If you are struggling to come to terms with something, or feel stressed, anxious, or feel like you are facing a challenge that you need support with, then please do get in touch. I have over 10 years’ experience of working with children, teenagers, and adults, with a variety of difficulties.
Hello. My name is Linda and I am a qualified supervisor and Psychotherapist. I understand how hard it is to reach out for help, but through support and guidance things can change. If you are struggling to come to terms with something, or feel stressed, anxious, or feel like you are facing a challenge that you need support with, then please do get in touch. I have over 10 years’ experience of working with children, teenagers, and adults, with a variety of difficulties.
07588 737932 View 07588 737932
Photo of Fay Bloor - Dandelions Bereavement Support, PsychD, MNCPS Acc., Counsellor
Dandelions Bereavement Support
Counsellor, PsychD, MNCPS Acc.
Verified Verified
Ashbourne DE6
Perhaps those around you don't quite understand what your loss means to you, perhaps you don't want to mention it for fear of worrying or upsetting them.
At Dandelions we know what it is like when your whole world is turned upside down by the loss of a loved one. Grief taints every aspect of your life, even parts of it that didn't involve the person that has died, and the intense variety of emotions can feel overwhelming. You may find yourself wondering where to begin in putting your life back together, perhaps you're not sure you want to. At Dandelions we are here to care, listen and be with you through your grief process; to help you work out who you now are in light of the loss and to gain the confidence to deal with life as it now is.
Perhaps those around you don't quite understand what your loss means to you, perhaps you don't want to mention it for fear of worrying or upsetting them.
At Dandelions we know what it is like when your whole world is turned upside down by the loss of a loved one. Grief taints every aspect of your life, even parts of it that didn't involve the person that has died, and the intense variety of emotions can feel overwhelming. You may find yourself wondering where to begin in putting your life back together, perhaps you're not sure you want to. At Dandelions we are here to care, listen and be with you through your grief process; to help you work out who you now are in light of the loss and to gain the confidence to deal with life as it now is.
01332 327432 View 01332 327432
Photo of Marta Perestrello, MA, HCPC-Art Therap., Psychotherapist
Marta Perestrello
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
1 Endorsed
Ashbourne DE6
I am an experienced and highly qualified art psychotherapist. I offer in person and online psychotherapy, clinical supervision, parent and professional consultation. I work with young people and adults in person from Derby or online from where ever you live, work or travel to. Contact me to arrange a free Introductory Meeting to talk through your needs and agree on the best plan forward before committing to any work.
I am an experienced and highly qualified art psychotherapist. I offer in person and online psychotherapy, clinical supervision, parent and professional consultation. I work with young people and adults in person from Derby or online from where ever you live, work or travel to. Contact me to arrange a free Introductory Meeting to talk through your needs and agree on the best plan forward before committing to any work.
07480 485905 View 07480 485905
Photo of Asha Bagshaw, MBACP, Counsellor
Asha Bagshaw
Counsellor, MBACP
Verified Verified
Ashbourne DE6
Do you find it hard to understand your emotions and thoughts? We all deserve help to deal with struggles. its never too late to ask for support. I can help you by working with you to try untangle the problems you are facing. I offer a safe place for you to explore your issues and find ways to deal with them and move forward. I work with compassion, genuineness and have a real passion for the effectiveness of the counselling process. I work in a non judgmental way and I value indifference.
Do you find it hard to understand your emotions and thoughts? We all deserve help to deal with struggles. its never too late to ask for support. I can help you by working with you to try untangle the problems you are facing. I offer a safe place for you to explore your issues and find ways to deal with them and move forward. I work with compassion, genuineness and have a real passion for the effectiveness of the counselling process. I work in a non judgmental way and I value indifference.
07932 618603 View 07932 618603
Photo of Bobby Bradstock - Serenity Psychotherapy, MSc, MBACP, Psychotherapist
Serenity Psychotherapy
Psychotherapist, MSc, MBACP
Verified Verified
Ashbourne DE6  (Online Only)
I hope you’ve found the right place for you. It’s likely you’ve been a long time of searching. As the Director of Serenity I both manage and run the organisation Nationwide, but also reserve a significant portion of time to working specifically with those who are looking for therapy for long term & chronic health conditions. Particularly therapy for ME patients (Myalgic Encephalemyelitis), therapy for Chronic Fatigue patients, and other autoimmune disorder patients. All sessions are a combination of Online and where necessary, open google docs where you can answer explore work at a time that is suitable for you.
I hope you’ve found the right place for you. It’s likely you’ve been a long time of searching. As the Director of Serenity I both manage and run the organisation Nationwide, but also reserve a significant portion of time to working specifically with those who are looking for therapy for long term & chronic health conditions. Particularly therapy for ME patients (Myalgic Encephalemyelitis), therapy for Chronic Fatigue patients, and other autoimmune disorder patients. All sessions are a combination of Online and where necessary, open google docs where you can answer explore work at a time that is suitable for you.
0121 312 9934 View 0121 312 9934
Photo of Deborah Elizabeth Short, MA, MUKCP, Psychotherapist
Deborah Elizabeth Short
Psychotherapist, MA, MUKCP
Verified Verified
1 Endorsed
Ashbourne DE6
I believe that people are endlessly creative... Despite damaging childhoods, difficult life experiences, the most painful losses and challenges we face living in an increasingly complex world, we are all capable of turning our lives around for the better. With courage and the right kind of help, our natural inborn capacity for growth is brought to light. The process of making life better is just as worthwhile as the outcome. Somehow the whole process of confronting and solving the apparently insurmountable problems that bring us to therapy can also bring renewed meaning and poignancy into our lives.
I believe that people are endlessly creative... Despite damaging childhoods, difficult life experiences, the most painful losses and challenges we face living in an increasingly complex world, we are all capable of turning our lives around for the better. With courage and the right kind of help, our natural inborn capacity for growth is brought to light. The process of making life better is just as worthwhile as the outcome. Somehow the whole process of confronting and solving the apparently insurmountable problems that bring us to therapy can also bring renewed meaning and poignancy into our lives.
01773 302042 View 01773 302042
Photo of Kirsty Turner, MA, MUKCP, Psychotherapist
Kirsty Turner
Psychotherapist, MA, MUKCP
Verified Verified
Ashbourne DE6  (Online Only)
At times, we can feel overwhelmed by the events and demands facing us. Life can feel daunting, and we can lose trust in ourselves to find a way forward. We can neglect ourselves and ignore areas of our lives that are painful. We may notice beliefs and habits we are stuck with that are holding us back from living life fully. Psychotherapy can help unravel the patterns we are caught in. Learning to pay attention to ourselves in a supportive space can help us to shift our perspective and find new directions. We can develop a compassionate relationship with ourselves that will help generate new energy to overcome our obstacles.
At times, we can feel overwhelmed by the events and demands facing us. Life can feel daunting, and we can lose trust in ourselves to find a way forward. We can neglect ourselves and ignore areas of our lives that are painful. We may notice beliefs and habits we are stuck with that are holding us back from living life fully. Psychotherapy can help unravel the patterns we are caught in. Learning to pay attention to ourselves in a supportive space can help us to shift our perspective and find new directions. We can develop a compassionate relationship with ourselves that will help generate new energy to overcome our obstacles.
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See more therapy options for Clifton

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.