Anxiety Psychiatrists in San Mateo County, CA

Photo of Alex Dimitriu, MD, Psychiatrist
Alex Dimitriu
Psychiatrist, MD
Verified Verified
3 Endorsed
Menlo Park, CA 94025
Whether it's mood, anxiety, insomnia, memory, or performance, we can help! We work to optimize outcomes by day and night.
Over 10 years of proven expertise in performance psychiatry and sleep medicine. We take a holistic approach that allows us to fine tune psychological, biological, and lifestyle interventions to achieve peace, peak performance and longevity.
Whether it's mood, anxiety, insomnia, memory, or performance, we can help! We work to optimize outcomes by day and night.
Over 10 years of proven expertise in performance psychiatry and sleep medicine. We take a holistic approach that allows us to fine tune psychological, biological, and lifestyle interventions to achieve peace, peak performance and longevity.
(650) 326-5888 View (650) 326-5888
Photo of Kathryn Kinasz, MD, Psychiatrist
Kathryn Kinasz
Psychiatrist, MD
Verified Verified
Menlo Park, CA 94025
Thank you for your interest in my practice. I am a child, adolescent and adult psychiatrist. I specialize in the treatment of psychiatric illnesses that impact children and adolescents including but not limited to mood and anxiety disorders, ADHD, and eating disorders. I also see children struggling with behavioral issues at home or at school and adolescents exploring their gender identity. I see adults with similar disorders and have a unique interest in women’s mental health including women facing infertility, psychiatric issues in pregnancy and postpartum, and challenges of new motherhood.
Thank you for your interest in my practice. I am a child, adolescent and adult psychiatrist. I specialize in the treatment of psychiatric illnesses that impact children and adolescents including but not limited to mood and anxiety disorders, ADHD, and eating disorders. I also see children struggling with behavioral issues at home or at school and adolescents exploring their gender identity. I see adults with similar disorders and have a unique interest in women’s mental health including women facing infertility, psychiatric issues in pregnancy and postpartum, and challenges of new motherhood.
(310) 935-0754 View (310) 935-0754
Photo of undefined - Dr. Marlynn Wei, MD, JD, MD, JD, Psychiatrist
Dr. Marlynn Wei, MD, JD
Psychiatrist, MD, JD
Verified Verified
1 Endorsed
Menlo Park, CA 94025  (Online Only)
I am a Harvard- and Yale-trained board-certified integrative holistic psychiatrist, therapist, and certified yoga teacher specializing in psychotherapy. My boutique practice provides in-depth exploration of underlying issues that may be interfering with your full potential. I work with high-achieving individuals, including professionals, entrepreneurs, and executives in tech, startups, finance, VC firms, law, and creative/film/artistic industries. I help people navigate and improve career stress, family and relationship issues, and other sources of anxiety.
I am a Harvard- and Yale-trained board-certified integrative holistic psychiatrist, therapist, and certified yoga teacher specializing in psychotherapy. My boutique practice provides in-depth exploration of underlying issues that may be interfering with your full potential. I work with high-achieving individuals, including professionals, entrepreneurs, and executives in tech, startups, finance, VC firms, law, and creative/film/artistic industries. I help people navigate and improve career stress, family and relationship issues, and other sources of anxiety.
(415) 855-7654 View (415) 855-7654
Photo of Joshua Burgett, NP, Psychiatric Nurse Practitioner
Joshua Burgett
Psychiatric Nurse Practitioner, NP
Verified Verified
Atherton, CA 94027  (Online Only)
Do you experience challenges with anxiety, sleep, attention/distractibility (ADHD)? Do you want to go beyond feeling better, to getting better? I work with motivated individuals to achieve lasting, sustainable change utilizing a fusion of psychotherapy, lifestyle change, technology, and neuropharmacology. As each patient is unique with their own personal experience, background and goals, I develop individualized treatment plans using curated, evidence-based interventions to achieve the best possible outcomes.
Do you experience challenges with anxiety, sleep, attention/distractibility (ADHD)? Do you want to go beyond feeling better, to getting better? I work with motivated individuals to achieve lasting, sustainable change utilizing a fusion of psychotherapy, lifestyle change, technology, and neuropharmacology. As each patient is unique with their own personal experience, background and goals, I develop individualized treatment plans using curated, evidence-based interventions to achieve the best possible outcomes.
(650) 610-7806 View (650) 610-7806
Photo of undefined - Cynthia Florin, MD, MD, Psychiatrist
Cynthia Florin, MD
Psychiatrist, MD
Verified Verified
Burlingame, CA 94010
If you are experiencing anxiety, depression, relationship issues, problems with attention, are in a life transition, experiencing trauma and its consequences, or have wishes for a greater sense of authenticity, my 30 years of experience as a practicing psychiatrist and psychotherapist has convinced me that a good relationship with a mental health provider can help you understand, accept and value your unique story. I believe it is my passion for this work that has led me to be selected as one of the "Best Doctors in America" for 20 straight years.
If you are experiencing anxiety, depression, relationship issues, problems with attention, are in a life transition, experiencing trauma and its consequences, or have wishes for a greater sense of authenticity, my 30 years of experience as a practicing psychiatrist and psychotherapist has convinced me that a good relationship with a mental health provider can help you understand, accept and value your unique story. I believe it is my passion for this work that has led me to be selected as one of the "Best Doctors in America" for 20 straight years.
(650) 409-2688 View (650) 409-2688
Photo of Mehdi Bubba Thomas, PMHNP, Psychiatric Nurse Practitioner
Mehdi Bubba Thomas
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Mateo, CA 94404  (Online Only)
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
(650) 300-3576 View (650) 300-3576
Photo of Lalaine Otadoy, PMHNP, Psychiatric Nurse Practitioner
Lalaine Otadoy
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
San Mateo, CA 94404  (Online Only)
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
(650) 284-3856 View (650) 284-3856
Photo of Michelle Kwok, MD, Psychiatrist
Michelle Kwok
Psychiatrist, MD
Verified Verified
Menlo Park, CA 94025
I treat a wide variety of psychiatric disorders, especially mood and anxiety disorders; these are the two most common psychiatric issues we see in our community.
As a board certified psychiatrist, I treat psychiatric conditions using the bio-psycho-social framework. Psychiatric illnesses may have biological causes, like thyroid problems, the effects of chemotherapy, strokes, or genetic predisposition. Psychiatric issues may also have psychological causes, such as the lack of coping skills, difficulty processing situations, or early life experiences. Finally, psychiatric disorders may have sociological explanations: overwhelming expectations of one's social setting, perhaps, or drastic changes in one's environment.
I treat a wide variety of psychiatric disorders, especially mood and anxiety disorders; these are the two most common psychiatric issues we see in our community.
As a board certified psychiatrist, I treat psychiatric conditions using the bio-psycho-social framework. Psychiatric illnesses may have biological causes, like thyroid problems, the effects of chemotherapy, strokes, or genetic predisposition. Psychiatric issues may also have psychological causes, such as the lack of coping skills, difficulty processing situations, or early life experiences. Finally, psychiatric disorders may have sociological explanations: overwhelming expectations of one's social setting, perhaps, or drastic changes in one's environment.
(408) 831-3274 View (408) 831-3274
Photo of Kemi Fawehinmi, NP, Psychiatric Nurse Practitioner
Kemi Fawehinmi
Psychiatric Nurse Practitioner, NP
Verified Verified
South San Francisco, CA 94080  (Online Only)
I am a board certified psychiatric nurse practitioner (PMHNP-BC). I provide psychiatric evaluation, medication management, and work with a wide array of struggles including anxiety, ADHD, depression, panic, PTSD, mood disorders, trauma, eating disorders, self-esteem issues, compulsive behaviors, and adjustment disorders.
I am a board certified psychiatric nurse practitioner (PMHNP-BC). I provide psychiatric evaluation, medication management, and work with a wide array of struggles including anxiety, ADHD, depression, panic, PTSD, mood disorders, trauma, eating disorders, self-esteem issues, compulsive behaviors, and adjustment disorders.
(818) 435-3783 View (818) 435-3783
Photo of undefined - Renaissance Behavioral Medicine, MD, Psychiatrist
Renaissance Behavioral Medicine
Psychiatrist, MD
Verified Verified
San Mateo, CA 94402  (Online Only)
Renaissance Behavioral Medicine provides psychotherapy and medication management services for children, teens and adults for various mental health conditions including but not limited to major depressive disorder, attention deficit hyperactivity disorder, substance addiction and all anxiety disorders. Services are provided in person and via telehealth for Southern and Northern California residents.
Renaissance Behavioral Medicine provides psychotherapy and medication management services for children, teens and adults for various mental health conditions including but not limited to major depressive disorder, attention deficit hyperactivity disorder, substance addiction and all anxiety disorders. Services are provided in person and via telehealth for Southern and Northern California residents.
(650) 447-2871 View (650) 447-2871
Photo of Lisa Chan, PA-C , Physician Assistant
Lisa Chan
Physician Assistant, PA-C
Verified Verified
San Mateo, CA 94404  (Online Only)
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
Exclusively focused on mental health issues, Bonmente treats a myriad of psychiatric conditions, including anxiety, depression, ADHD, sleep disorders, postpartum depression, PTSD, bipolar disorder, panic attacks, OCD, and gender dysphoria.
We know asking for help is a challenging thing to do. We also know that finding a provider you trust to help you navigate mental health care can be a challenge. That's why we're here, and we're doing things differently. As a patient at Bonmente, you enjoy comprehensive treatments customized specifically for your unique circumstances, convenient telemedicine appointments that allow you to see your provider from the comfort of home, an online patient portal that lets you communicate directly with your provider, and a highly trained support team that makes becoming a patient as simple as it should be. Now, welcoming new patients!
(650) 910-6028 View (650) 910-6028
Photo of undefined - Armando Leon MD | Courage Psychiatry, MD, Psychiatrist
Armando Leon MD | Courage Psychiatry
Psychiatrist, MD
Verified Verified
Menlo Park, CA 94025
León treats patients with a wide variety of psychiatric diagnoses including depression, anxiety, bipolar disorder, ADHD and other common and complex conditions.
Please visit my website at www.couragepsychiatry.org. Dr. Armando León is a licensed psychiatrist with experience in medication management and psychoanalytic psychotherapy. His clinical approach acknowledges the important roles that mindfulness and curiosity play in achieving and maintaining wellness. He sees early relationships as foundational to how we operate in the world and hopes to promote greater insight and capacity for change through this lens.
León treats patients with a wide variety of psychiatric diagnoses including depression, anxiety, bipolar disorder, ADHD and other common and complex conditions.
Please visit my website at www.couragepsychiatry.org. Dr. Armando León is a licensed psychiatrist with experience in medication management and psychoanalytic psychotherapy. His clinical approach acknowledges the important roles that mindfulness and curiosity play in achieving and maintaining wellness. He sees early relationships as foundational to how we operate in the world and hopes to promote greater insight and capacity for change through this lens.
(415) 799-5738 View (415) 799-5738
Photo of Cordelia Ross, MD, Psychiatrist
Cordelia Ross
Psychiatrist, MD
Verified Verified
1 Endorsed
Menlo Park, CA 94025  (Online Only)
She has expertise in the management of anxiety, depression, and ADHD in teens and young adults.
If you or your child/teen are struggling with mental health concerns and are seeking the expertise of a skilled and compassionate physician, look no further. Dr. Cordelia Ross, MD is recognized by the American Board of Psychiatry and Neurology as both a general psychiatrist and a child and adolescent psychiatrist. She trained at Massachusetts General Hospital and McLean Hospital, both teaching hospitals at Harvard Medical School, and is currently a professor at the Stanford University Division of Child & Adolescent Psychiatry.
She has expertise in the management of anxiety, depression, and ADHD in teens and young adults.
If you or your child/teen are struggling with mental health concerns and are seeking the expertise of a skilled and compassionate physician, look no further. Dr. Cordelia Ross, MD is recognized by the American Board of Psychiatry and Neurology as both a general psychiatrist and a child and adolescent psychiatrist. She trained at Massachusetts General Hospital and McLean Hospital, both teaching hospitals at Harvard Medical School, and is currently a professor at the Stanford University Division of Child & Adolescent Psychiatry.
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Photo of Leah Malhotra, MD, Psychiatrist
Leah Malhotra
Psychiatrist, MD
Verified Verified
Menlo Park, CA 94025
My mission is to provide state-of-the-art psychiatric care that combines a collaborative, warm approach with the most effective practices in psychotherapy and pharmacotherapy. My focus is on helping relieve anxiety, mood disturbances, obsessions, insomnia and other distressing symptoms. Common therapy goals are to help with a difficult life transition, improve relationships, break maladaptive patterns or deepen personal understanding. Many of my clients are young adults adapting to life in/after college, raising a family, or juggling challenging careers. Compassionate, empowering care truly can help.
My mission is to provide state-of-the-art psychiatric care that combines a collaborative, warm approach with the most effective practices in psychotherapy and pharmacotherapy. My focus is on helping relieve anxiety, mood disturbances, obsessions, insomnia and other distressing symptoms. Common therapy goals are to help with a difficult life transition, improve relationships, break maladaptive patterns or deepen personal understanding. Many of my clients are young adults adapting to life in/after college, raising a family, or juggling challenging careers. Compassionate, empowering care truly can help.
(650) 618-2803 View (650) 618-2803
Photo of Dr. Kevin Luo, MD, Psychiatrist
Dr. Kevin Luo
Psychiatrist, MD
Verified Verified
Menlo Park, CA 94025
My expertise is in anxiety, ADHD, OCD, depression, PTSD, and tics.
Welcome! I specialize in working with children, teenagers, young adults, and working professionals who are navigating difficult situations at school, at home, at work, and with friends. I provide talk therapy and medication management.
My expertise is in anxiety, ADHD, OCD, depression, PTSD, and tics.
Welcome! I specialize in working with children, teenagers, young adults, and working professionals who are navigating difficult situations at school, at home, at work, and with friends. I provide talk therapy and medication management.
(650) 761-7392 View (650) 761-7392
Photo of Janet Baek, MD, Psychiatrist
Janet Baek
Psychiatrist, MD
Verified Verified
Redwood City, CA 94063
My areas of expertise are anxiety, mood disorders, ADHD, OCD, and autism.
For appointment requests, please complete an online form on my website www.janetbaekmd.com. I am a Stanford-trained child, adolescent, and adult psychiatrist and therapist. I provide comprehensive psychiatric evaluations and treatments, including medication management and pyschotherapy.
My areas of expertise are anxiety, mood disorders, ADHD, OCD, and autism.
For appointment requests, please complete an online form on my website www.janetbaekmd.com. I am a Stanford-trained child, adolescent, and adult psychiatrist and therapist. I provide comprehensive psychiatric evaluations and treatments, including medication management and pyschotherapy.
(650) 407-2078 View (650) 407-2078
Photo of Maria Perez, PMHNP, Psychiatric Nurse Practitioner
Maria Perez
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Daly City, CA 94015  (Online Only)
My sole focus is on helping individuals struggling with depression, anxiety, Bipolar, and Schizophrenia disorders.
I'm a Licensed Psychiatric Mental Health Nurse Practitioner and certified Family Nurse Practitioner. I received my Doctorate in Nurse Practitioner/PMHNP in 2022 from the University of San Francisco and have been practicing for over 2 years.
My sole focus is on helping individuals struggling with depression, anxiety, Bipolar, and Schizophrenia disorders.
I'm a Licensed Psychiatric Mental Health Nurse Practitioner and certified Family Nurse Practitioner. I received my Doctorate in Nurse Practitioner/PMHNP in 2022 from the University of San Francisco and have been practicing for over 2 years.
(650) 381-0865 View (650) 381-0865
Photo of undefined - Sheenie Ambardar, MD, Concierge Psychiatry, MD, Psychiatrist
Sheenie Ambardar, MD, Concierge Psychiatry
Psychiatrist, MD
Verified Verified
Menlo Park, CA 94025
Do you feel like you're trudging through life, weighed down by a constant sense of sadness & worry? Perhaps the joy you once knew has faded, replaced by a persistent feeling of being stuck. You're not alone. Millions of adults struggle with Depression, Anxiety, ADHD, and an overwhelming sense of being trapped in a cycle of negativity. I understand the profound impact these conditions can have on your daily life. The relentless drain of energy, the crippling anxieties, & the sense of hopelessness can make even the simplest tasks feel insurmountable. You may yearn for the vibrant life you once had, but the path forward seems unclear.
Do you feel like you're trudging through life, weighed down by a constant sense of sadness & worry? Perhaps the joy you once knew has faded, replaced by a persistent feeling of being stuck. You're not alone. Millions of adults struggle with Depression, Anxiety, ADHD, and an overwhelming sense of being trapped in a cycle of negativity. I understand the profound impact these conditions can have on your daily life. The relentless drain of energy, the crippling anxieties, & the sense of hopelessness can make even the simplest tasks feel insurmountable. You may yearn for the vibrant life you once had, but the path forward seems unclear.
(310) 878-4117 View (310) 878-4117
Photo of Meredith Kelly, MD, Psychiatrist
Meredith Kelly
Psychiatrist, MD
Verified Verified
Menlo Park, CA 94025
My areas of specialty are anxiety, mood disorders, ADHD, and substance use problems.
I am a double-board certified psychiatrist with 10+ years in clinical practice. I trained at Columbia Medical Center in New York City. My approach is to understand every person's individual biology, background and present circumstances. This means treatment should be personalized to meet you where you are, reduce symptoms that stand in your way, and build skills to create changes you want to see. I work with adults across a variety of mental health conditions. I offer treatment with medications, therapy, or both, and may recommend lifestyle modifications or supplements. I will also collaborate with your care team.
My areas of specialty are anxiety, mood disorders, ADHD, and substance use problems.
I am a double-board certified psychiatrist with 10+ years in clinical practice. I trained at Columbia Medical Center in New York City. My approach is to understand every person's individual biology, background and present circumstances. This means treatment should be personalized to meet you where you are, reduce symptoms that stand in your way, and build skills to create changes you want to see. I work with adults across a variety of mental health conditions. I offer treatment with medications, therapy, or both, and may recommend lifestyle modifications or supplements. I will also collaborate with your care team.
(650) 535-1652 View (650) 535-1652
Photo of Srikanth Challagundla, MD, Psychiatrist
Srikanth Challagundla
Psychiatrist, MD
Verified Verified
Burlingame, CA 94010  (Online Only)
I have taken interest in helping patient suffering with treatment resistant depression, bipolar disorder, anxiety, ADHD, schizophrenia, OCD, panic disorders, eating disorders, impulse control disorders and co-occurring substance abuse disorders.
I have worked in multiple settings including emergency room, inpatient acute care, detoxification center, drug rehabilitation, outpatient, as well as at a correctional facility. Working in these various settings have exposed me to various psychiatric illnesses in different settings with varying severity. I focused on patient-centric treatment and have realized the importance of patients understanding the illness and making treatment choices based on their complete understanding. I firmly believe that patient’s active participation in the treatment and having good understanding of the illness facilitates good outcomes.
I have taken interest in helping patient suffering with treatment resistant depression, bipolar disorder, anxiety, ADHD, schizophrenia, OCD, panic disorders, eating disorders, impulse control disorders and co-occurring substance abuse disorders.
I have worked in multiple settings including emergency room, inpatient acute care, detoxification center, drug rehabilitation, outpatient, as well as at a correctional facility. Working in these various settings have exposed me to various psychiatric illnesses in different settings with varying severity. I focused on patient-centric treatment and have realized the importance of patients understanding the illness and making treatment choices based on their complete understanding. I firmly believe that patient’s active participation in the treatment and having good understanding of the illness facilitates good outcomes.
(669) 238-2909 View (669) 238-2909

See more therapy options for San Mateo County

Anxiety Psychiatrists

What are the most common treatments for anxiety?

Talk therapy, particularly cognitive behavioral therapy, is the most common treatment for anxiety. Studies have shown it is equally effective as medication. Other popular 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 Behavioral 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.