Anxiety Counselling in Nailsea

Photo of Deborah Nicola Suzanne Fryer, MBACP, Counsellor
Deborah Nicola Suzanne Fryer
Counsellor, MBACP
Verified Verified
Nailsea BS48
I have experience supporting people with the following: Alzheimer’s – Anxiety – Bereavement – Low Self-Esteem – OCD – Panic Attacks – Stress – Suicidal Thoughts - Trauma.
Are you feeling so overwhelmed that you feel out of your depth? Or experiencing a sense of loss, unable to cope? Fear is our worst enemy, and we will try and find a way of taking back control. If you feel you are struggling there is a strength in reaching out for support. Counselling helps you to gain a better understanding of self through the therapeutic process, and I believe we are all unique and have the potential to change, therefore develop a belief in your ability to cope. You will begin to make sense of the past and begin to recognise your true self.
I have experience supporting people with the following: Alzheimer’s – Anxiety – Bereavement – Low Self-Esteem – OCD – Panic Attacks – Stress – Suicidal Thoughts - Trauma.
Are you feeling so overwhelmed that you feel out of your depth? Or experiencing a sense of loss, unable to cope? Fear is our worst enemy, and we will try and find a way of taking back control. If you feel you are struggling there is a strength in reaching out for support. Counselling helps you to gain a better understanding of self through the therapeutic process, and I believe we are all unique and have the potential to change, therefore develop a belief in your ability to cope. You will begin to make sense of the past and begin to recognise your true self.
0117 456 2191 View 0117 456 2191
Photo of Dave Somerton, MBACP, Counsellor
Dave Somerton
Counsellor, MBACP
Verified Verified
2 Endorsed
Nailsea BS48
Waitlist for new clients
I can support you if you're experiencing challenges such as relational trauma, anxiety, depression, stress or bereavement, amongst others. Do you feel overwhelmed and unable to cope with life's day-to-day challenges? Or do you find relationships difficult? Maybe you are searching for a more meaningful life. I can help with these questions and more. I will facilitate the conditions for you to explore what matters to you, make positive changes and create a fulfilling life according to your values. I will be led by you in terms of the pace and topics we discuss and this can help you learn new ways to cope with day-to-day difficulties.
I can support you if you're experiencing challenges such as relational trauma, anxiety, depression, stress or bereavement, amongst others. Do you feel overwhelmed and unable to cope with life's day-to-day challenges? Or do you find relationships difficult? Maybe you are searching for a more meaningful life. I can help with these questions and more. I will facilitate the conditions for you to explore what matters to you, make positive changes and create a fulfilling life according to your values. I will be led by you in terms of the pace and topics we discuss and this can help you learn new ways to cope with day-to-day difficulties.
01747 448774 View 01747 448774
Photo of Emily Hall, BACP, Counsellor
Emily Hall
Counsellor, BACP
Verified Verified
Nailsea BS48
I have experience working with a wide variety of people struggling with many different challenges including: anxiety, depression, low self-worth, addiction, loss, grief, bereavement, trauma, PTSD, flashbacks, relationship difficulties, loneliness, and childhood issues.
Everyone needs to feel valued, understood and connected, and yet throughout life there can be times when we face challenges, struggles, or difficulties. These are the times when counselling can offer a safe and confidential place where you have the chance to share and explore your feelings. I offer a calm, welcoming, and compassionate space where you will be listened to without judgement, and with empathy and understanding. Led by you, we can work together, using reflection and exploration to help develop and enhance your own unique strengths and create opportunities for growth and positive change.
I have experience working with a wide variety of people struggling with many different challenges including: anxiety, depression, low self-worth, addiction, loss, grief, bereavement, trauma, PTSD, flashbacks, relationship difficulties, loneliness, and childhood issues.
Everyone needs to feel valued, understood and connected, and yet throughout life there can be times when we face challenges, struggles, or difficulties. These are the times when counselling can offer a safe and confidential place where you have the chance to share and explore your feelings. I offer a calm, welcoming, and compassionate space where you will be listened to without judgement, and with empathy and understanding. Led by you, we can work together, using reflection and exploration to help develop and enhance your own unique strengths and create opportunities for growth and positive change.
07480 639146 View 07480 639146
Photo of Aurelia Sleigh, BACP, Counsellor
Aurelia Sleigh
Counsellor, BACP
Verified Verified
Nailsea BS48  (Online Only)
We are currently living in a really unprecedented, uncertain and confusing time. Anxiety can rise, health anxiety feels very real, we can feel confused and lonely wondering how can we reach out and feel less alone, along with feeling listened to and supported. At the moment, every day there are new messages from the media, social media, and even the Government, which can feel overwhelming. Being able to sit with the unknown, the uncertainty of what will and is happening can feel really challenging.
We are currently living in a really unprecedented, uncertain and confusing time. Anxiety can rise, health anxiety feels very real, we can feel confused and lonely wondering how can we reach out and feel less alone, along with feeling listened to and supported. At the moment, every day there are new messages from the media, social media, and even the Government, which can feel overwhelming. Being able to sit with the unknown, the uncertainty of what will and is happening can feel really challenging.
07411 113466 View 07411 113466
Photo of Leah Head, MBACP, Counsellor
Leah Head
Counsellor, MBACP
Verified Verified
Nailsea BS48
Life can be a challenge in all sorts of ways, sometimes we need some independent support finding our way through those challenges. The issues affecting you may be current or things from the past that still impact you. You may be experiencing anxiety, depression, loneliness and isolation. Perhaps you have experienced a bereavement, trauma or a life event that you need a safe space to process. Therapy can help you understand what you are feeling and find a way forward.
Life can be a challenge in all sorts of ways, sometimes we need some independent support finding our way through those challenges. The issues affecting you may be current or things from the past that still impact you. You may be experiencing anxiety, depression, loneliness and isolation. Perhaps you have experienced a bereavement, trauma or a life event that you need a safe space to process. Therapy can help you understand what you are feeling and find a way forward.
0117 463 7982 View 0117 463 7982
Photo of Andrea Herbert, HCPC - Clin. Psych., Psychologist
Andrea Herbert
Psychologist, HCPC - Clin. Psych.
Verified Verified
Nailsea BS48
I work with people experiencing difficulties such as comple trauma/PTSD, anger, anxiety, low self-esteem, inner self critics, stress/burnout & depression; including Veterans. These symptoms can be associated with traumatic events in childhood/adulthood; sexual abuse, personal injury, loss & bereavement, abuse, bullying & domestic violence, active service. I aim to help people recover from the effects of these stressful events on personal functioning & relationships. I also help adjustment to life challenges including health conditions & life transitions; adolescence, parenting, relationship beginning/ending & divorce, & retirement.
I work with people experiencing difficulties such as comple trauma/PTSD, anger, anxiety, low self-esteem, inner self critics, stress/burnout & depression; including Veterans. These symptoms can be associated with traumatic events in childhood/adulthood; sexual abuse, personal injury, loss & bereavement, abuse, bullying & domestic violence, active service. I aim to help people recover from the effects of these stressful events on personal functioning & relationships. I also help adjustment to life challenges including health conditions & life transitions; adolescence, parenting, relationship beginning/ending & divorce, & retirement.
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Photo of undefined - Full Circle Counselling, MNCPS Acc., Counsellor
Full Circle Counselling
Counsellor, MNCPS Acc.
Verified Verified
Nailsea BS48
With no waiting list and sessions available I can offer counselling & hypnotherapy to help you recover from depression, fear and anxiety through motivation & perspective thus finding the joy that you once had in your life. Anxiety, fear & hopelessness are some emotions that can linger post traumatic events, again I can help you overcome these symptoms. Loss of a loved one or diagnoses of a life limiting condition are devastating events & the pain of this sometimes unbearable. Feelings of guilt, anger & grief can become apparent & each individual responds differently. I am here to help you through your concerns of the future.
With no waiting list and sessions available I can offer counselling & hypnotherapy to help you recover from depression, fear and anxiety through motivation & perspective thus finding the joy that you once had in your life. Anxiety, fear & hopelessness are some emotions that can linger post traumatic events, again I can help you overcome these symptoms. Loss of a loved one or diagnoses of a life limiting condition are devastating events & the pain of this sometimes unbearable. Feelings of guilt, anger & grief can become apparent & each individual responds differently. I am here to help you through your concerns of the future.
0117 325 2304 View 0117 325 2304
Photo of Emmanuelle Hicks, MNCPS Acc., Counsellor
Emmanuelle Hicks
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Nailsea BS48
Whoever you are, whatever you are experiencing, we all struggle with aspects of life sometimes. I specialise in Maternal Mental Health, and working with teenagers. Having someone to talk to can make a huge difference and help ease the pressure life puts on us. You are not alone - even counsellors have counsellors!
Whoever you are, whatever you are experiencing, we all struggle with aspects of life sometimes. I specialise in Maternal Mental Health, and working with teenagers. Having someone to talk to can make a huge difference and help ease the pressure life puts on us. You are not alone - even counsellors have counsellors!
01275 403079 View 01275 403079
Photo of John Halkett, MBACP, Counsellor
John Halkett
Counsellor, MBACP
Verified Verified
Nailsea BS48
I have a working knowledge of 12 step addiction programmes and very beneficial in aid there if required. I will help you to help yourself, you're worth it.
I have a working knowledge of 12 step addiction programmes and very beneficial in aid there if required. I will help you to help yourself, you're worth it.
0117 463 2217 View 0117 463 2217

More Therapists Nearby

Photo of Noemia Ventura Purcell, MBACP, Counsellor
Noemia Ventura Purcell
Counsellor, MBACP
Verified Verified
Abbots Leigh BS8
My counselling approach is collaborative, which can help individuals with a wide range of issues such as, anxiety, depression, trauma, self-harm, suicidal thoughts, lack of confidence and other related conditons.
Counselling provides a confidential and safe space to talk about anything that may be worrying you. It can often help you to understand more about the difficult or troubling thoughts that can be a common experience at any time in our lives. My aim is to listen attentively, in confidence, and to be non-judgemental. I offer personal support to enable my clients to explore their inner-selves and their feelings in order to help them to achieve personal growth.
My counselling approach is collaborative, which can help individuals with a wide range of issues such as, anxiety, depression, trauma, self-harm, suicidal thoughts, lack of confidence and other related conditons.
Counselling provides a confidential and safe space to talk about anything that may be worrying you. It can often help you to understand more about the difficult or troubling thoughts that can be a common experience at any time in our lives. My aim is to listen attentively, in confidence, and to be non-judgemental. I offer personal support to enable my clients to explore their inner-selves and their feelings in order to help them to achieve personal growth.
0117 456 5531 View 0117 456 5531
Photo of Rebecca Claire Scott-Brown, DCounsPsych, MBACP, Counsellor
Rebecca Claire Scott-Brown
Counsellor, DCounsPsych, MBACP
Verified Verified
Bristol BS48
I work with clients who have the following problems; relationship difficulties, anxiety, depression, loss & seperation, trauma, addiction, sexual issues
I work with clients who have the following problems; relationship difficulties, anxiety, depression, loss & seperation, trauma, addiction, sexual issues
0117 325 2326 View 0117 325 2326
Photo of Louise Pivcevic, MA, BACP, Psychotherapist
Louise Pivcevic
Psychotherapist, MA, BACP
Verified Verified
Bristol BS1
I'm a Tavistock trained psychotherapist for adolescents, young adults up to 26 and parents., specialising in student mental health, also in parenting including successful co-parenting around separation/divorce. I have 16 years experience in the NHS and a busy private practice. I have a warm, empathic approach, meeting you where you are. I aim to help you discover more freedom and authenticity in how you relate to yourself and others. I treat a diverse range of issues - anxiety, depression, trauma, life transitions, relationship issues, transgender, sexuality, Member of BACP, ACP and Tavistock Society of Psychotherapists.
I'm a Tavistock trained psychotherapist for adolescents, young adults up to 26 and parents., specialising in student mental health, also in parenting including successful co-parenting around separation/divorce. I have 16 years experience in the NHS and a busy private practice. I have a warm, empathic approach, meeting you where you are. I aim to help you discover more freedom and authenticity in how you relate to yourself and others. I treat a diverse range of issues - anxiety, depression, trauma, life transitions, relationship issues, transgender, sexuality, Member of BACP, ACP and Tavistock Society of Psychotherapists.
01480 773558 View 01480 773558
Photo of Susie Travis, MBACP, Counsellor
Susie Travis
Counsellor, MBACP
Verified Verified
Bristol BS8
I'm an integrative counsellor providing face-to-face and online therapy. I'm currently working a lot with issues around self-esteem, anxiety, relationship struggles and depression. I do a lot of work with students and young adults, as well as with clients who are struggling with burnout, work stress and family dynamics. I will offer a non-judgemental space and walk alongside you as you process emotions and build awareness at your own pace. You may want to talk through something significant that has happened in your life, or you may be feeling stuck, anxious, or overwhelmed in your life now.
I'm an integrative counsellor providing face-to-face and online therapy. I'm currently working a lot with issues around self-esteem, anxiety, relationship struggles and depression. I do a lot of work with students and young adults, as well as with clients who are struggling with burnout, work stress and family dynamics. I will offer a non-judgemental space and walk alongside you as you process emotions and build awareness at your own pace. You may want to talk through something significant that has happened in your life, or you may be feeling stuck, anxious, or overwhelmed in your life now.
01275 402876 View 01275 402876
Photo of Shaun Gray, MSc, MBACP, Counsellor
Shaun Gray
Counsellor, MSc, MBACP
Verified Verified
1 Endorsed
Weston-super-Mare BS24
I specialise in ANXIETY, LOW MOOD, RELATIONSHIPS, ANGER MANAGEMENT, COMMUNICATION ISSUES, STRESS, LOSS OF DIRECTION and BEREAVEMENT, and I work in other wider therapy areas, as most clients each have their own personal mixture of issues.
I offer therapy and supervision that starts with what you bring; making no assumptions, listening with empathy and working with you towards growth and change. The client-therapist relationship is vital, as we need to trust each other in order to work together effectively (getting the right therapist for you is more important than gaining a client for me). I offer weekly, fortnightly, monthly and ad hoc sessions. Please EMAIL/TEXT as I cannot answer the phone when with clients and I don’t want to miss your call. Jan 2023 - I currently have no evening, after 6pm, sessions available
I specialise in ANXIETY, LOW MOOD, RELATIONSHIPS, ANGER MANAGEMENT, COMMUNICATION ISSUES, STRESS, LOSS OF DIRECTION and BEREAVEMENT, and I work in other wider therapy areas, as most clients each have their own personal mixture of issues.
I offer therapy and supervision that starts with what you bring; making no assumptions, listening with empathy and working with you towards growth and change. The client-therapist relationship is vital, as we need to trust each other in order to work together effectively (getting the right therapist for you is more important than gaining a client for me). I offer weekly, fortnightly, monthly and ad hoc sessions. Please EMAIL/TEXT as I cannot answer the phone when with clients and I don’t want to miss your call. Jan 2023 - I currently have no evening, after 6pm, sessions available
01934 314467 View 01934 314467
Photo of Clare Kingsbury, MBACP, Counsellor
Clare Kingsbury
Counsellor, MBACP
Verified Verified
Weston-super-Mare BS22
Is anxiety or low mood holding you or your child back from doing the things you want to do? Do you overthink what people say and question whether you like yourself? Do relationships with friends and loved ones feel difficult? If you want to find more confidence in yourself and your life and learn more about who you are and why you feel or respond in certain ways, I can help. Together we can explore what's going on for you, what you'd like to change, and why. I work with adults and young people to help them find the answers. I have a special interest in neurodivergence. Call me to find out more.
Is anxiety or low mood holding you or your child back from doing the things you want to do? Do you overthink what people say and question whether you like yourself? Do relationships with friends and loved ones feel difficult? If you want to find more confidence in yourself and your life and learn more about who you are and why you feel or respond in certain ways, I can help. Together we can explore what's going on for you, what you'd like to change, and why. I work with adults and young people to help them find the answers. I have a special interest in neurodivergence. Call me to find out more.
01934 314629 View 01934 314629
Photo of Mike Jackson, MNCPS Acc., Counsellor
Mike Jackson
Counsellor, MNCPS Acc.
Verified Verified
Weston-super-Mare BS22
I also support stress, anxiety, depression, relationships/friendships, work-related, life-limiting illnesses, suicide prevention, suicide bereavement, self-harm, & counselling young people & adults.
Sliding scale available £25-£65. I am Mike & I am a qualified counsellor & supervisor with many years of experience working with adults & young people in various settings. I am a person-centred counsellor using an integrative framework. My work is underpinned by different approaches including humanistic approaches, cognitive behavioural therapy, Mindfulness, solution-focused and creative ways of working. I have varied qualifications and experience including a Diploma Level 5, accredited by the National Counselling & Psychotherapy Society MNCPS (Acc.). I provide face-to-face in Puriton, online and telephone counselling See my website
I also support stress, anxiety, depression, relationships/friendships, work-related, life-limiting illnesses, suicide prevention, suicide bereavement, self-harm, & counselling young people & adults.
Sliding scale available £25-£65. I am Mike & I am a qualified counsellor & supervisor with many years of experience working with adults & young people in various settings. I am a person-centred counsellor using an integrative framework. My work is underpinned by different approaches including humanistic approaches, cognitive behavioural therapy, Mindfulness, solution-focused and creative ways of working. I have varied qualifications and experience including a Diploma Level 5, accredited by the National Counselling & Psychotherapy Society MNCPS (Acc.). I provide face-to-face in Puriton, online and telephone counselling See my website
07555 597600 View 07555 597600
Photo of George Fortune, MBACP, Counsellor
George Fortune
Counsellor, MBACP
Verified Verified
Weston-super-Mare BS22
Although I have experience with a wide range of issues that lead people to counselling, I have a particular interest in the following: Anxiety, Anger Management, Bereavement, Depression, Low confidence and self-worth, Relationship Problems (with friends, partner, colleagues etc.
Hello, my name is George and I have been providing my counselling services for over 8 years, offering face to face, telephone and Skype counselling. Alongside being a counsellor, I have also worked within the mental health sector providing mental health & well-being support to the North Somerset Community. My counselling office is in Worle, which is in easy travelling distance from Weston-Super-Mare, Clevedon, Portishead and many other areas of North Somerset.
Although I have experience with a wide range of issues that lead people to counselling, I have a particular interest in the following: Anxiety, Anger Management, Bereavement, Depression, Low confidence and self-worth, Relationship Problems (with friends, partner, colleagues etc.
Hello, my name is George and I have been providing my counselling services for over 8 years, offering face to face, telephone and Skype counselling. Alongside being a counsellor, I have also worked within the mental health sector providing mental health & well-being support to the North Somerset Community. My counselling office is in Worle, which is in easy travelling distance from Weston-Super-Mare, Clevedon, Portishead and many other areas of North Somerset.
01934 314489 View 01934 314489
Photo of Karen King-Harris, MSc, MBACP Accred, Counsellor
Karen King-Harris
Counsellor, MSc, MBACP Accred
Verified Verified
Bristol BS10
I have been working with clients for over 17 years with a wide range of issues including anxiety,  stress,  low self-esteem,  depression,  family dynamics,  anger issues,  grief and loss,  relationship issues,  self-harm,  addiction,  transitional changes and with the effects of domestic,  emotional,  physical,  verbal and sexual abuse.
Hello, I am a BACP accredited Individual, Couples and Young Persons Counsellor/Psychotherapist and also a Therapeutic Coach.  I work from my  private practice in Wedmore on the Somerset Levels,  near Cheddar,  Wells, Glastonbury and Weston super Mare. I offer a FREE introductory 15/20 minute appointment, so please get in touch via e mail or telephone to find out more about how I work, and to discuss your needs. This will hopefully help to assist you in deciding whether I am the right therapist for you. If distance or travelling is a problem,  I also offer sessions ONLINE, VIa ZOOM OR BY TELEPHONE.
I have been working with clients for over 17 years with a wide range of issues including anxiety,  stress,  low self-esteem,  depression,  family dynamics,  anger issues,  grief and loss,  relationship issues,  self-harm,  addiction,  transitional changes and with the effects of domestic,  emotional,  physical,  verbal and sexual abuse.
Hello, I am a BACP accredited Individual, Couples and Young Persons Counsellor/Psychotherapist and also a Therapeutic Coach.  I work from my  private practice in Wedmore on the Somerset Levels,  near Cheddar,  Wells, Glastonbury and Weston super Mare. I offer a FREE introductory 15/20 minute appointment, so please get in touch via e mail or telephone to find out more about how I work, and to discuss your needs. This will hopefully help to assist you in deciding whether I am the right therapist for you. If distance or travelling is a problem,  I also offer sessions ONLINE, VIa ZOOM OR BY TELEPHONE.
0118 230 0521 View 0118 230 0521
Photo of undefined - Katie Gannaway/Down to Earth Integrative Therapy , MBACP, Counsellor
Katie Gannaway/Down to Earth Integrative Therapy
Counsellor, MBACP
Verified Verified
Bristol BS1  (Online Only)
I offer longer-term work, integrating therapeutic models based on your needs and difficulty, and low intensity Cognitive Behavioural Therapy for mild to moderate low mood and anxiety disorders.
We can all feel overwhelmed, stuck or struggle to make changes to relieve our distress or difficulties. As your therapist I will work alongside you to explore your story, providing opportunities to see yourself separate from your difficulty. By gaining a better understanding of the self and our habitual patterns of thinking and behaviour you can bring an alternative story out of the shadows, which could empower you to make changes, improve your relationships and benefit from improved mental and physical wellbeing. I am registered with the BACP and BABCP.
I offer longer-term work, integrating therapeutic models based on your needs and difficulty, and low intensity Cognitive Behavioural Therapy for mild to moderate low mood and anxiety disorders.
We can all feel overwhelmed, stuck or struggle to make changes to relieve our distress or difficulties. As your therapist I will work alongside you to explore your story, providing opportunities to see yourself separate from your difficulty. By gaining a better understanding of the self and our habitual patterns of thinking and behaviour you can bring an alternative story out of the shadows, which could empower you to make changes, improve your relationships and benefit from improved mental and physical wellbeing. I am registered with the BACP and BABCP.
0117 463 3359 View 0117 463 3359
Photo of Richard Robins, MBACP, Counsellor
Richard Robins
Counsellor, MBACP
Verified Verified
Bristol BS1
Specialising in Men's mental health. I am a registered member of the British Association for Counselling and Psychotherapy (BACP). I work with all adults and young people who come to me with a diverse range of presenting issues, with a particular emphasis on addressing issues such as anxiety, depression, and relationship issues. My belief rests on the notion that every person possesses an innate drive to achieve their utmost potential, to grow, and to become the finest version of themselves. This belief serves as a guiding principle as I strive to create a confidential, supportive, empathic, and non-judgemental environment.
Specialising in Men's mental health. I am a registered member of the British Association for Counselling and Psychotherapy (BACP). I work with all adults and young people who come to me with a diverse range of presenting issues, with a particular emphasis on addressing issues such as anxiety, depression, and relationship issues. My belief rests on the notion that every person possesses an innate drive to achieve their utmost potential, to grow, and to become the finest version of themselves. This belief serves as a guiding principle as I strive to create a confidential, supportive, empathic, and non-judgemental environment.
01935 312707 View 01935 312707
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.