Anxiety Counselling in Merthyr Tydfil

Photo of Cecily Scallan, MBACP, Counsellor
Cecily Scallan
Counsellor, MBACP
Verified Verified
Merthyr Tydfil CF47
My experience & background is substance misuse, working with anxiety, depression and Behavioural Issues.
I offer a safe and confidential space to explore issues that are affecting your life. There are times when everything seems overwhelming and we can find ourselves repeating unhelpful or destructive thought patterns and behaviours, which can have an adverse effect on our wellbeing. At times we may feel anxious, stuck with nowhere to turn. I provide an empathic, non judgemental service to help make sense of your thoughts and feelings to help you progress forward with a clearer understanding.
My experience & background is substance misuse, working with anxiety, depression and Behavioural Issues.
I offer a safe and confidential space to explore issues that are affecting your life. There are times when everything seems overwhelming and we can find ourselves repeating unhelpful or destructive thought patterns and behaviours, which can have an adverse effect on our wellbeing. At times we may feel anxious, stuck with nowhere to turn. I provide an empathic, non judgemental service to help make sense of your thoughts and feelings to help you progress forward with a clearer understanding.
01443 706652 View 01443 706652
Photo of Kym Dalley, MBACP, Counsellor
Kym Dalley
Counsellor, MBACP
Verified Verified
Merthyr Tydfil CF47
Waitlist for new clients
I am an experienced therapist regularly working with trauma, anxiety, depression.
You may be currently experiencing a difficulty or loss in your life and feel stuck and unable to move forward. Or are struggling with a range of difficult emotions ? Perhaps, like many others you have had experiences that were traumatic and you are looking to find a way of working past these so that you can move on in your life. You may be feeling depressed, anxious, confused, angry or perhaps lost. We can all experience overwhelming emotions at times in our lives and seeking support can often be daunting but taking that first step is powerful; with the right support, we all have the means to negotiate life’s challenges.
I am an experienced therapist regularly working with trauma, anxiety, depression.
You may be currently experiencing a difficulty or loss in your life and feel stuck and unable to move forward. Or are struggling with a range of difficult emotions ? Perhaps, like many others you have had experiences that were traumatic and you are looking to find a way of working past these so that you can move on in your life. You may be feeling depressed, anxious, confused, angry or perhaps lost. We can all experience overwhelming emotions at times in our lives and seeking support can often be daunting but taking that first step is powerful; with the right support, we all have the means to negotiate life’s challenges.
01443 809875 View 01443 809875
Photo of Bernadette Bustin, CPsychol, Psychologist
Bernadette Bustin
Psychologist, CPsychol
Verified Verified
Merthyr Tydfil CF47
Using approaches that are both active and soothing, we can work together to address the behaviour and the underlying anxiety, depression or low self-esteem that is driving it.
Are you fed up or despairing to find yourself in the same old cycle of addictive or compulsive behaviour yet again? I help people who are stuck in these patterns to feel hopeful, optimistic and confident about regaining control of their lives. Addictions and compulsive behaviours can begin as our way of coping. Whether that is alcohol, drugs and gambling or shopping, over-eating and pornography ........or any other repetitive behaviour - they seem to ‘steal our lives’ and still leave us with our original problem. Perhaps we don't even know why our compulsive behaviour started - we only know that we need to make a change.
Using approaches that are both active and soothing, we can work together to address the behaviour and the underlying anxiety, depression or low self-esteem that is driving it.
Are you fed up or despairing to find yourself in the same old cycle of addictive or compulsive behaviour yet again? I help people who are stuck in these patterns to feel hopeful, optimistic and confident about regaining control of their lives. Addictions and compulsive behaviours can begin as our way of coping. Whether that is alcohol, drugs and gambling or shopping, over-eating and pornography ........or any other repetitive behaviour - they seem to ‘steal our lives’ and still leave us with our original problem. Perhaps we don't even know why our compulsive behaviour started - we only know that we need to make a change.
01982 510303 View 01982 510303
Photo of Annabelle Griffiths, MBACP, Counsellor
Annabelle Griffiths
Counsellor, MBACP
Verified Verified
Merthyr Tydfil CF48
I work with clients who have experienced or are currently experiencing; anxiety, stress, depression, low self-esteem, self identity questions, trauma, bereavement, abuse and addiction.
Who am I? Where do I belong? How do I move forwards? My priority is to offer you a warm, confidential space where we can look at those possible questions. I'm passionate about offering meaningful conversation that helps you to grow in confidence, work through your challenges and be your authentic, ideal self. Together, we will work from a creative and open approach, which focuses on you as a whole person, your views, beliefs, unique experiences, and potential for growth. If you struggle to verbalise your feelings, that's ok, I offer visualisation, sandtray and imagery work to enable you feel empowered and able to express yourself.
I work with clients who have experienced or are currently experiencing; anxiety, stress, depression, low self-esteem, self identity questions, trauma, bereavement, abuse and addiction.
Who am I? Where do I belong? How do I move forwards? My priority is to offer you a warm, confidential space where we can look at those possible questions. I'm passionate about offering meaningful conversation that helps you to grow in confidence, work through your challenges and be your authentic, ideal self. Together, we will work from a creative and open approach, which focuses on you as a whole person, your views, beliefs, unique experiences, and potential for growth. If you struggle to verbalise your feelings, that's ok, I offer visualisation, sandtray and imagery work to enable you feel empowered and able to express yourself.
01639 501304 View 01639 501304
Photo of Sarah Morgan - Healthy Thinking CBT, MSc, MBABCP, Psychotherapist
Healthy Thinking CBT
Psychotherapist, MSc, MBABCP
Verified Verified
Merthyr Tydfil CF47
My name is Sarah Morgan and I am an accredited Cognitive Behavioural Psychotherapist working with children, young people and adults. I have experience of working with a range of mental health difficulties such as anxiety, depression, PTSD, OCD, self-esteem and stress. Through life we can often be faced with challenges and experiences that can affect our wellbeing and ability to function in the way we would like. It could affect our emotions such as causing us to feel low, anxious or stressed. It could also affect the thoughts we have and the way we behave.
My name is Sarah Morgan and I am an accredited Cognitive Behavioural Psychotherapist working with children, young people and adults. I have experience of working with a range of mental health difficulties such as anxiety, depression, PTSD, OCD, self-esteem and stress. Through life we can often be faced with challenges and experiences that can affect our wellbeing and ability to function in the way we would like. It could affect our emotions such as causing us to feel low, anxious or stressed. It could also affect the thoughts we have and the way we behave.
01443 706481 View 01443 706481
Photo of Carrie Warren - Best life therapy, BACP, Counsellor
Best life therapy
Counsellor, BACP
Verified Verified
Merthyr Tydfil CF47
Waitlist for new clients
My special areas are: ADHD and Autism, Anxiety and Depression.
I’m Carrie, I am a level 6 qualified Pluralistic psychotherapist. I use a range of therapeutic approaches designed around your needs and wishes. Counselling is a collaborative process in which my bring expertise and experiences and you bring yours and together we can find a treatment plan that is right for you.
My special areas are: ADHD and Autism, Anxiety and Depression.
I’m Carrie, I am a level 6 qualified Pluralistic psychotherapist. I use a range of therapeutic approaches designed around your needs and wishes. Counselling is a collaborative process in which my bring expertise and experiences and you bring yours and together we can find a treatment plan that is right for you.
01495 364566 View 01495 364566
Photo of Hayley Male, MBACP, Counsellor
Hayley Male
Counsellor, MBACP
Verified Verified
1 Endorsed
Merthyr Tydfil CF47
At times we all find it hard to cope and need a little help to get back on track. I believe that therapy can help anyone to transform their life. I believe in the human potential for change and improvement and the importance of personal growth. Perhaps you're feeling trapped or blocked by the past, confused knowing there must be more to life but feeling stuck in survival. Maybe you feel in the depths of despair with feelings of stress, depression and anxiety or recently grieving from a bereavement or loss. You know changes need to be made and seeking a safe supportive space to find a greater balance and meaning to life.
At times we all find it hard to cope and need a little help to get back on track. I believe that therapy can help anyone to transform their life. I believe in the human potential for change and improvement and the importance of personal growth. Perhaps you're feeling trapped or blocked by the past, confused knowing there must be more to life but feeling stuck in survival. Maybe you feel in the depths of despair with feelings of stress, depression and anxiety or recently grieving from a bereavement or loss. You know changes need to be made and seeking a safe supportive space to find a greater balance and meaning to life.
01443 706667 View 01443 706667
Photo of Helen Parsons, MBACP, Counsellor
Helen Parsons
Counsellor, MBACP
Verified Verified
1 Endorsed
Merthyr Tydfil CF47
I can offer a confidential, safe and non-judgemental space for you to explore any issue that may be worrying you, from difficulties in your relationship, career, bereavement, confidence, poor sleep, self-harm, suicidal thoughts or even trauma through sexual violence.
Hi, I'm Helen an experienced person-centred counsellor specialising in working with clients' who have experienced trauma. The impact of trauma can be debilitating and all consuming, with many clients' presenting with a vast array of symptoms like flash backs, panic attacks, dissociation, nightmares and mental health conditions like PTSD, personality disorders, OCD, depression and anxiety. Sadly, 1 in 4 of us will experience poor mental health in our lifetime. However, the future of counselling is looking bright, with more and more people seeking counselling.
I can offer a confidential, safe and non-judgemental space for you to explore any issue that may be worrying you, from difficulties in your relationship, career, bereavement, confidence, poor sleep, self-harm, suicidal thoughts or even trauma through sexual violence.
Hi, I'm Helen an experienced person-centred counsellor specialising in working with clients' who have experienced trauma. The impact of trauma can be debilitating and all consuming, with many clients' presenting with a vast array of symptoms like flash backs, panic attacks, dissociation, nightmares and mental health conditions like PTSD, personality disorders, OCD, depression and anxiety. Sadly, 1 in 4 of us will experience poor mental health in our lifetime. However, the future of counselling is looking bright, with more and more people seeking counselling.
01443 806636 View 01443 806636
Photo of Syed Ahmed Adnan Hasan, MSc, MNCPS Acc., Psychotherapist
Syed Ahmed Adnan Hasan
Psychotherapist, MSc, MNCPS Acc.
Verified Verified
Merthyr Tydfil CF48
I know what it is like to have mental health issue. I am wounded healer myself. I have a grown up daughter who had suffered severe depression in her life. I am really keen to work with BAME community. Being an Asian, I totally empathise with current trauma that is being experienced within the community.
I know what it is like to have mental health issue. I am wounded healer myself. I have a grown up daughter who had suffered severe depression in her life. I am really keen to work with BAME community. Being an Asian, I totally empathise with current trauma that is being experienced within the community.
01443 706489 View 01443 706489
Photo of Dr Philip Murphy, PsychD
Dr Philip Murphy
Clinical Psychologist, PsychD
Verified Verified
Merthyr Tydfil CF47
Not accepting new clients
Dr Philip Murphy (B.Sc., Ph.D., Dip.Clin.Psy., C.Psychol., A.F.B.Ps.S) - Consultant Clinical Psychologist. During my 34 year career I have developed experience in many therapeutic approaches. Using this experience, we can work together to help you understand and overcome the social and emotional difficulties in your life. Embarking on personal therapy can sometimes seem daunting, But generally my clients settle comfortably into our pleasant relaxed setting, and usually find it surprisingly easy to share their thoughts.
Dr Philip Murphy (B.Sc., Ph.D., Dip.Clin.Psy., C.Psychol., A.F.B.Ps.S) - Consultant Clinical Psychologist. During my 34 year career I have developed experience in many therapeutic approaches. Using this experience, we can work together to help you understand and overcome the social and emotional difficulties in your life. Embarking on personal therapy can sometimes seem daunting, But generally my clients settle comfortably into our pleasant relaxed setting, and usually find it surprisingly easy to share their thoughts.
01874 640087 View 01874 640087

More Therapists Nearby

Photo of Dr Gareth P Thomas, CPsychol, Psychologist
Dr Gareth P Thomas
Psychologist, CPsychol
Verified Verified
Aberdare CF44
If you need support with your daily life I can help. I work with all types of conditions, and disorders to do with mental health. I specialise in working with people who need support with anxiety i.e., PTSD, depression, stress and much more. We will discuss your life, your wants, and your ideal outcome. I have many therapy tools to help. I have 20 years of experience in Psychology, Psychotherapy and Hypnotherapy so you're in safe hands. Let me help you be the person you want to be and live the best life possible. Together we will improve your Quality of Life. Call me today and receive a Hypnotherapy trance recording.
If you need support with your daily life I can help. I work with all types of conditions, and disorders to do with mental health. I specialise in working with people who need support with anxiety i.e., PTSD, depression, stress and much more. We will discuss your life, your wants, and your ideal outcome. I have many therapy tools to help. I have 20 years of experience in Psychology, Psychotherapy and Hypnotherapy so you're in safe hands. Let me help you be the person you want to be and live the best life possible. Together we will improve your Quality of Life. Call me today and receive a Hypnotherapy trance recording.
01639 501373 View 01639 501373
Photo of Jillian Kirkpatrick, MA, MBACP Accred, Counsellor
Jillian Kirkpatrick
Counsellor, MA, MBACP Accred
Verified Verified
Pontypridd CF37
You may wish to seek help in overcoming patterns of behaviour caused by anxiety, depression, loss and trauma or you may simply wish to tell your story in a safe and supportive environment.
Hello, I am a fully qualified, accredited counsellor and psychotherapist. My approach to Counselling is integrative I bring together different elements of specific therapies in order to suit your individual needs and circumstances. Together, we can explore your concerns in a safe and supportive environment. As a Mindfulness based Psychotherapist I offer long and short therapy. We can explore in depth how past experiences are affecting your life in the present and how suffering is maintained by this process. Please feel free to contact me if you require more information regarding psychotherapy.
You may wish to seek help in overcoming patterns of behaviour caused by anxiety, depression, loss and trauma or you may simply wish to tell your story in a safe and supportive environment.
Hello, I am a fully qualified, accredited counsellor and psychotherapist. My approach to Counselling is integrative I bring together different elements of specific therapies in order to suit your individual needs and circumstances. Together, we can explore your concerns in a safe and supportive environment. As a Mindfulness based Psychotherapist I offer long and short therapy. We can explore in depth how past experiences are affecting your life in the present and how suffering is maintained by this process. Please feel free to contact me if you require more information regarding psychotherapy.
029 2192 1670 View 029 2192 1670
Photo of Kenneth Mark Meredith, MBACP, Counsellor
Kenneth Mark Meredith
Counsellor, MBACP
Verified Verified
Mountain Ash CF45
I am a qualified Mental Health Adult and Child/Adolescent Nurse Therapist with over 22 years’ experience within the NHS. During this time I have gained significant experience treating adults, adolescents and their families with conditions such as depression, anxiety and panic disorders, trauma, OCD, self-harm and chronic stress whilst also providing therapy to those who require crisis intervention.
I am a qualified Mental Health Adult and Child/Adolescent Nurse Therapist with over 22 years’ experience within the NHS. During this time I have gained significant experience treating adults, adolescents and their families with conditions such as depression, anxiety and panic disorders, trauma, OCD, self-harm and chronic stress whilst also providing therapy to those who require crisis intervention.
01443 706465 View 01443 706465
Photo of Abbie Hendy, MA, MBABCP, Psychotherapist
Abbie Hendy
Psychotherapist, MA, MBABCP
Verified Verified
2 Endorsed
Pontypridd CF37  (Online Only)
I have in-depth knowledge of attachment, trauma, anxiety and depression.
Hi, I'm Abbie. I'm an accredited psychotherapist, with over a decade of experience in the NHS, not for profit and private sectors. You may be looking to discover healthier coping mechanisms and gain deeper insights into yourself, yet feel unsure how to elicit change or better understand your difficulties. You might be experiencing a low mood that feels hard to break out of or are struggling to turn the volume down on anxious thoughts. Or maybe you have experienced painful past experiences that are disrupting your ability to fully live in the present.
I have in-depth knowledge of attachment, trauma, anxiety and depression.
Hi, I'm Abbie. I'm an accredited psychotherapist, with over a decade of experience in the NHS, not for profit and private sectors. You may be looking to discover healthier coping mechanisms and gain deeper insights into yourself, yet feel unsure how to elicit change or better understand your difficulties. You might be experiencing a low mood that feels hard to break out of or are struggling to turn the volume down on anxious thoughts. Or maybe you have experienced painful past experiences that are disrupting your ability to fully live in the present.
01443 801298 View 01443 801298
Photo of Tammy Allen, MBACP, Counsellor
Tammy Allen
Counsellor, MBACP
Verified Verified
Aberdare CF44
Hi I'm Tam. Firstly, I would like to say well done on finding the courage, and starting the process in searching and asking for help, this can at times be the most difficult part. The foundations of my work are built on the Person-Centred Approach and I aim to work and walk alongside you as we explore your problems, distresses or difficult situations you are experiencing. We will work together, to gain a better understanding of the difficulties that can present themselves regarding trauma and loss, self-identity, low self-esteem, anxiety, and making sense of the purpose of life ahead.
Hi I'm Tam. Firstly, I would like to say well done on finding the courage, and starting the process in searching and asking for help, this can at times be the most difficult part. The foundations of my work are built on the Person-Centred Approach and I aim to work and walk alongside you as we explore your problems, distresses or difficult situations you are experiencing. We will work together, to gain a better understanding of the difficulties that can present themselves regarding trauma and loss, self-identity, low self-esteem, anxiety, and making sense of the purpose of life ahead.
01639 505117 View 01639 505117
Photo of Kimberley Gullick, BACP, Counsellor
Kimberley Gullick
Counsellor, BACP
Verified Verified
Tredegar NP22
I have been a qualified integrated Counsellor for 8 years. I am a registered member of the BACP. I have experience in anxiety, depression, trauma, bereavement and loss. Health related illness and disability, and self-esteem issues. I have been a practising Counsellor for 3 years. I have trained as an integrated Counsellor. I work in a person centred way to build the counselling relationship. I am an emphatic and caring person.
I have been a qualified integrated Counsellor for 8 years. I am a registered member of the BACP. I have experience in anxiety, depression, trauma, bereavement and loss. Health related illness and disability, and self-esteem issues. I have been a practising Counsellor for 3 years. I have trained as an integrated Counsellor. I work in a person centred way to build the counselling relationship. I am an emphatic and caring person.
01239 801767 View 01239 801767
Photo of Mary Watkins, BACP, Counsellor
Mary Watkins
Counsellor, BACP
Verified Verified
Blackwood NP12
I can't promise to make all your problems disappear; looking at our hopes and fears isn't easy but we can take things at a pace you feel comfortable with.
Anxiety and depression are horrible and can be caused by bereavement, loss of job, relationship problems, health worries; Sometimes there is no apparent reason. You desperately want to feel like yourself again, but how? Counselling can be the first step on the road to feeling better. Of course, I can't promise to make all your problems disappear; however, many clients say they feel a weight lifting after the first session. Looking at things from a different perspective can bring calm to a troubled mind.  I truly believe 'counselling could be the best gift you ever give yourself.  'the gift of therapy' (Irvin Yalom)
I can't promise to make all your problems disappear; looking at our hopes and fears isn't easy but we can take things at a pace you feel comfortable with.
Anxiety and depression are horrible and can be caused by bereavement, loss of job, relationship problems, health worries; Sometimes there is no apparent reason. You desperately want to feel like yourself again, but how? Counselling can be the first step on the road to feeling better. Of course, I can't promise to make all your problems disappear; however, many clients say they feel a weight lifting after the first session. Looking at things from a different perspective can bring calm to a troubled mind.  I truly believe 'counselling could be the best gift you ever give yourself.  'the gift of therapy' (Irvin Yalom)
01443 809681 View 01443 809681
Photo of Kathy Jane Griffiths, MBACP, Counsellor
Kathy Jane Griffiths
Counsellor, MBACP
Verified Verified
Blackwood NP12
I bring with me, my experience in working with anxiety, bereavement, depression and loss.
I began training to become a counsellor after I had personal experience of therapy and how it can help. Whether you are going through a traumatic time or life changing event or finding everyday life overwhelming, counselling can help. I believe that we all have the right to thrive and that spending time understanding your feelings can give you the power to change and make tomorrow better. I can offer you a calm and safe space away from the noise of life where you are free to be who you really are, explore the struggles you are going through and find a new way forward.
I bring with me, my experience in working with anxiety, bereavement, depression and loss.
I began training to become a counsellor after I had personal experience of therapy and how it can help. Whether you are going through a traumatic time or life changing event or finding everyday life overwhelming, counselling can help. I believe that we all have the right to thrive and that spending time understanding your feelings can give you the power to change and make tomorrow better. I can offer you a calm and safe space away from the noise of life where you are free to be who you really are, explore the struggles you are going through and find a new way forward.
01443 706483 View 01443 706483
Photo of Nicola Cole, MNCPS Acc., Counsellor
Nicola Cole
Counsellor, MNCPS Acc.
Verified Verified
Aberdare CF44
Common mental health problems include low mood, depression, anxiety or suicidal thoughts, and speaking with myself who understands what it is like to be in your shoes, can help you overcome these overwhelming feelings.
I fully understand how hard it can be to ask for help, so well done in taking the first difficult step in searching for someone who will suit your needs. Everyone is entitled to reach their full potential within their own world, and I fully understand how this can be hindered by life’s events both past and present, that can result in a low self-esteem, a lack of confidence and an inability to live life to its fullest. My empathic approach will allow you to explore your difficult situation and emotions at the pace and depth you feel comfortable with, and I will emotionally support you at every step of our journey together.
Common mental health problems include low mood, depression, anxiety or suicidal thoughts, and speaking with myself who understands what it is like to be in your shoes, can help you overcome these overwhelming feelings.
I fully understand how hard it can be to ask for help, so well done in taking the first difficult step in searching for someone who will suit your needs. Everyone is entitled to reach their full potential within their own world, and I fully understand how this can be hindered by life’s events both past and present, that can result in a low self-esteem, a lack of confidence and an inability to live life to its fullest. My empathic approach will allow you to explore your difficult situation and emotions at the pace and depth you feel comfortable with, and I will emotionally support you at every step of our journey together.
01443 800594 View 01443 800594
Photo of Rhys Lewis, MSc
Rhys Lewis
MSc
Verified Verified
Blackwood NP12
Hi I'm Rhys Lewis, founder of The Relationship Clinic Wales and author of the book 300 Ways To Improve Your Relationship. I'm a professionally qualified counsellor based in Blackwood, South Wales, UK. I specialise in relationship counselling. I offer an affordable 25 minute initial consultation which can be paid for and booked online via my website. If you're busy working in the day I offer evening and weekend appointments. If you're struggling in your relationship you should consider getting some help. Relationship counselling will help you to talk through your issues and will allow you to be heard by your partner.
Hi I'm Rhys Lewis, founder of The Relationship Clinic Wales and author of the book 300 Ways To Improve Your Relationship. I'm a professionally qualified counsellor based in Blackwood, South Wales, UK. I specialise in relationship counselling. I offer an affordable 25 minute initial consultation which can be paid for and booked online via my website. If you're busy working in the day I offer evening and weekend appointments. If you're struggling in your relationship you should consider getting some help. Relationship counselling will help you to talk through your issues and will allow you to be heard by your partner.
01443 809649 View 01443 809649

See more therapy options for Merthyr Tydfil

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.