Photo of Mary Mcdonnell - South Shore Psychiatric Services, PC, PhD, RNCNS, PMHNP, Psychiatric Nurse Practitioner
South Shore Psychiatric Services, PC
Psychiatric Nurse Practitioner, PhD, RNCNS, PMHNP
Verified Verified
Hingham, MA 02043
Each of us possesses an expertise in the psychopharmacological (medication) treatments for ADD, ADHD, anxiety, depression, bipolar disorder, autism, etc.
South Shore Psychiatric Services offers psychiatric evaluations and treatment for children, adolescents and adults in a small, quiet office setting, where clients feel comfortable and are able to maintain a sense of privacy. Together, Dr. Mary Ann McDonnell, Dr. Annmarie Mingolelli, Jennifer Finnerty, PMHNP, Stephanie Grant, PMHNP, Michael Pascale, PMHNP, and Jodi Maxwell, RN work tirelessly to meet the needs of our clients with mental health issues. We have a wide variety of expertise and backgrounds that we bring to this unique group practice. We are currently accepting new clients into our practice.
Each of us possesses an expertise in the psychopharmacological (medication) treatments for ADD, ADHD, anxiety, depression, bipolar disorder, autism, etc.
South Shore Psychiatric Services offers psychiatric evaluations and treatment for children, adolescents and adults in a small, quiet office setting, where clients feel comfortable and are able to maintain a sense of privacy. Together, Dr. Mary Ann McDonnell, Dr. Annmarie Mingolelli, Jennifer Finnerty, PMHNP, Stephanie Grant, PMHNP, Michael Pascale, PMHNP, and Jodi Maxwell, RN work tirelessly to meet the needs of our clients with mental health issues. We have a wide variety of expertise and backgrounds that we bring to this unique group practice. We are currently accepting new clients into our practice.
(781) 837-8833 View (781) 837-8833
Photo of Karen Marie D'Angelo, PMHNP, Psychiatric Nurse Practitioner
Karen Marie D'Angelo
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Hingham, MA 02043
I currently work with children, adolescents and adults with a broad range of mental health issues including but not limited to: ADHD, Anxiety, Bipolar, Depression, Mood Disorders, OCD, and PTSD.
I believe strongly in building a therapeutic relationship by providing a safe, confidential, and reliable environment for my patients. I also believe a respectful relationship is the foundation for growth. The bulk of my practice is medication management, however, I work collaboratively with other therapists and have referrals for those without. A combination of individual therapy and medication management often works best for treatment. My focus is to help my patients reach their highest potential towards a more positive and satisfying future.
I currently work with children, adolescents and adults with a broad range of mental health issues including but not limited to: ADHD, Anxiety, Bipolar, Depression, Mood Disorders, OCD, and PTSD.
I believe strongly in building a therapeutic relationship by providing a safe, confidential, and reliable environment for my patients. I also believe a respectful relationship is the foundation for growth. The bulk of my practice is medication management, however, I work collaboratively with other therapists and have referrals for those without. A combination of individual therapy and medication management often works best for treatment. My focus is to help my patients reach their highest potential towards a more positive and satisfying future.
(781) 352-0734 View (781) 352-0734
Photo of Maura Davis - PivotCare Precision Psychiatry, MS, CNP, APRN, PMHNP, Psychiatric Nurse Practitioner
PivotCare Precision Psychiatry
Psychiatric Nurse Practitioner, MS, CNP, APRN, PMHNP
Verified Verified
Hingham, MA 02043
Anxiety , Despair, Loneliness , Sadness, Grief, Worry , PivotCare's holistic and unique approach integrates the medical model of care with biopsychosocial assessments to provide customized treatment plans.
PivotCare Precision Psychiatry , an integrative psychiatric group practice provides outpatient adolescent, adult & geriatric Psychiatric Appointments via face-to-face visits or HIPAA compliant virtual visits. We offer outpatient Psychiatric evaluations, medication management, CBT (Cognitive Behavioral Therapy) and other forms of psychotherapy including collaborative care integration with PCP's, second opinions for local physicians, and other providers. We offer evening , weekend appointments and can generally can schedule patients within 72 hours.
Anxiety , Despair, Loneliness , Sadness, Grief, Worry , PivotCare's holistic and unique approach integrates the medical model of care with biopsychosocial assessments to provide customized treatment plans.
PivotCare Precision Psychiatry , an integrative psychiatric group practice provides outpatient adolescent, adult & geriatric Psychiatric Appointments via face-to-face visits or HIPAA compliant virtual visits. We offer outpatient Psychiatric evaluations, medication management, CBT (Cognitive Behavioral Therapy) and other forms of psychotherapy including collaborative care integration with PCP's, second opinions for local physicians, and other providers. We offer evening , weekend appointments and can generally can schedule patients within 72 hours.
(339) 201-2142 View (339) 201-2142
Photo of Caitlin Mahoney, MSN, RN, PMHNP, Psychiatric Nurse Practitioner
Caitlin Mahoney
Psychiatric Nurse Practitioner, MSN, RN, PMHNP
Verified Verified
Hingham, MA 02043
Catie has experience with anxiety, depression, trauma/stress disorders, psychosis, autism-spectrum disorders, mood disorders and OCD.
Catie is a board certified Psychiatric Mental Health Nurse Practitioner, licensed to practice throughout the lifespan and has specialized in adolescent/young adult psychiatry. Catie provides diagnostic psychiatric evaluations along with ongoing medication management for ages 12-26-year-olds. Catie has a holistic and tailored approach to treating each person believes in treating the mind and body while targeting symptoms with the least number of medications. Catie believes one of the most critical parts of healing is a provider and client relationship.
Catie has experience with anxiety, depression, trauma/stress disorders, psychosis, autism-spectrum disorders, mood disorders and OCD.
Catie is a board certified Psychiatric Mental Health Nurse Practitioner, licensed to practice throughout the lifespan and has specialized in adolescent/young adult psychiatry. Catie provides diagnostic psychiatric evaluations along with ongoing medication management for ages 12-26-year-olds. Catie has a holistic and tailored approach to treating each person believes in treating the mind and body while targeting symptoms with the least number of medications. Catie believes one of the most critical parts of healing is a provider and client relationship.
(339) 229-6277 View (339) 229-6277
Photo of Jennifer Tufts, MD, Psychiatrist
Jennifer Tufts
Psychiatrist, MD
Verified Verified
Hingham, MA 02043
Dr. Tufts, a Psychiatrist at Aster Mental Health, specializes in PTSD & trauma-related disorders, mood disorders, anxiety, OCD, ADHD, substance abuse, women's mental health, and perinatal & postpartum psychiatry. Her multidimensional treatment approach utilizes tools such as medication, psychotherapy, mindfulness, & lifestyle changes. She is a University of Vermont & Boston University trained Psychiatrist offering medication management as well as psychiatric assessment and treatment.
Dr. Tufts, a Psychiatrist at Aster Mental Health, specializes in PTSD & trauma-related disorders, mood disorders, anxiety, OCD, ADHD, substance abuse, women's mental health, and perinatal & postpartum psychiatry. Her multidimensional treatment approach utilizes tools such as medication, psychotherapy, mindfulness, & lifestyle changes. She is a University of Vermont & Boston University trained Psychiatrist offering medication management as well as psychiatric assessment and treatment.
(857) 675-3812 View (857) 675-3812
Photo of Kara Ruggiero, PA, Physician Assistant
Kara Ruggiero
Physician Assistant, PA
Verified Verified
Hingham, MA 02043
Ms. Ruggiero, a Physician Assistant at Aster Mental Health, specializes in patients looking to treat and manage their ADHD, depression, anxiety, PTSD, OCD, and bipolar disorder. Her holistic treatment style combines medication management with various psychotherapy techniques including CBT, DBT, and mindfulness-based approaches. She offers medication management as well as psychiatric assessment and treatment.
Ms. Ruggiero, a Physician Assistant at Aster Mental Health, specializes in patients looking to treat and manage their ADHD, depression, anxiety, PTSD, OCD, and bipolar disorder. Her holistic treatment style combines medication management with various psychotherapy techniques including CBT, DBT, and mindfulness-based approaches. She offers medication management as well as psychiatric assessment and treatment.
(617) 299-7257 View (617) 299-7257
Photo of Sarinah Brown, APRN, PMHNP, BC, Psychiatric Nurse Practitioner
Sarinah Brown
Psychiatric Nurse Practitioner, APRN, PMHNP, BC
Verified Verified
Hingham, MA 02018
We provide Psychotherapy Medication Management for Depression, Anxiety, Bipolar and Schizophrenia Disorders.
Currently not accepting new Clients. Board- Certified Nurse Practitioner specializing in Psychiatry, I am a provider with over 19 years of nursing experience. I provide medication management, counseling and Genesight testing for potential medication options. I work with a wide range of patients that struggle with mental health and addiction issues. Emotional Support Dogs, Summit and Toby, are available and onsite most days, providing emotional support, unconditional love in a no judgment zone.
We provide Psychotherapy Medication Management for Depression, Anxiety, Bipolar and Schizophrenia Disorders.
Currently not accepting new Clients. Board- Certified Nurse Practitioner specializing in Psychiatry, I am a provider with over 19 years of nursing experience. I provide medication management, counseling and Genesight testing for potential medication options. I work with a wide range of patients that struggle with mental health and addiction issues. Emotional Support Dogs, Summit and Toby, are available and onsite most days, providing emotional support, unconditional love in a no judgment zone.
(339) 201-5750 View (339) 201-5750
Photo of Hannah Chapman, BSN, MSN, PMHNP, Psychiatric Nurse Practitioner
Hannah Chapman
Psychiatric Nurse Practitioner, BSN, MSN, PMHNP
Verified Verified
1 Endorsed
Hingham, MA 02043
Hi there! I am a psychiatric nurse practitioner with a passion for providing mental health care to my clients. I have many areas of interest including substance use disorders, anxiety/mood disorders, and eating disorders. I practice from a Health at Every Size (HAES)/body positivity lens when caring for my patients and also believe in incorporating holistic care into treatment. I work with patients across the lifespan with a focus on the young adult population.
Hi there! I am a psychiatric nurse practitioner with a passion for providing mental health care to my clients. I have many areas of interest including substance use disorders, anxiety/mood disorders, and eating disorders. I practice from a Health at Every Size (HAES)/body positivity lens when caring for my patients and also believe in incorporating holistic care into treatment. I work with patients across the lifespan with a focus on the young adult population.
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Photo of Stephanie Doyle Grant, MSN, PMHNP, Psychiatric Nurse Practitioner
Stephanie Doyle Grant
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
Hingham, MA 02043
Hi! My name is Stephanie Doyle Grant and I am a board-certified Psychiatric Nurse Practitioner providing psychiatric care to children, adolescents, and adults. I provide psychopharm evaluation/medication management, while also including diagnosis and treatment of psychiatric disorders and will offer psychotherapy. I have experience in working with individuals experiencing depression, anxiety, ADHD, PTSD and specialize in the diagnosis and treatment of mood and psychotic disorders.
Hi! My name is Stephanie Doyle Grant and I am a board-certified Psychiatric Nurse Practitioner providing psychiatric care to children, adolescents, and adults. I provide psychopharm evaluation/medication management, while also including diagnosis and treatment of psychiatric disorders and will offer psychotherapy. I have experience in working with individuals experiencing depression, anxiety, ADHD, PTSD and specialize in the diagnosis and treatment of mood and psychotic disorders.
(781) 837-8833 View (781) 837-8833
Photo of Grace Onye, Psychiatric Nurse Practitioner
Grace Onye
Psychiatric Nurse Practitioner
Verified Verified
Hingham, MA 02043
I help with issues ranging from depression, anxiety, life transitions, low-self-esteem, family conflict, substance abuse, poor relationships, etc.
Life can often present us with roadblocks, hardships, and tragedies. And because of this it's sometimes easy to feel stuck and helpless. As such it can be difficult trying to figure out how to navigate such life challenges and whom to confide to about them. That’s where I come in.
I help with issues ranging from depression, anxiety, life transitions, low-self-esteem, family conflict, substance abuse, poor relationships, etc.
Life can often present us with roadblocks, hardships, and tragedies. And because of this it's sometimes easy to feel stuck and helpless. As such it can be difficult trying to figure out how to navigate such life challenges and whom to confide to about them. That’s where I come in.
(351) 666-4684 View (351) 666-4684
Photo of Marilyne Jones Jenkins, PMHNP, BC, Psychiatric Nurse Practitioner
Marilyne Jones Jenkins
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
Hingham, MA 02018
Accepting New Patients...... Adult clients struggling with depression, anxiety, and other mental health issues. Let me help you reduce/alleviate your symptoms with the use of psychiatric medications and other therapeutic corrective measures. I will work with you as you make your journey toward mental health wellness!
Accepting New Patients...... Adult clients struggling with depression, anxiety, and other mental health issues. Let me help you reduce/alleviate your symptoms with the use of psychiatric medications and other therapeutic corrective measures. I will work with you as you make your journey toward mental health wellness!
(339) 345-3051 View (339) 345-3051
Photo of Roseanne Dolan, LICSW, APRN-BC, Psychiatric Nurse Practitioner
Roseanne Dolan
Psychiatric Nurse Practitioner, LICSW, APRN-BC
Verified Verified
Hingham, MA 02043  (Online Only)
Currently accepting new patients. Roseanne, a psychotherapist (LICSW) & nurse practitioner (APRN-BC), values a comprehensive approach to mental health to help individuals realize their positive attributes as they strive for improved health, wellness & healing. While medication is an important component of treatment, she offers both psychotherapy and medication management in a holistic approach to mental health, which includes healthy lifestyle habits such as proper diet and nutrition, helpful sleep habits and exercise.
Currently accepting new patients. Roseanne, a psychotherapist (LICSW) & nurse practitioner (APRN-BC), values a comprehensive approach to mental health to help individuals realize their positive attributes as they strive for improved health, wellness & healing. While medication is an important component of treatment, she offers both psychotherapy and medication management in a holistic approach to mental health, which includes healthy lifestyle habits such as proper diet and nutrition, helpful sleep habits and exercise.
(781) 230-6620 View (781) 230-6620
Photo of Sabina Tavares - Illumina Behavioral Medicine, MSN, PMHNP, BC, Psychiatric Nurse Practitioner
Illumina Behavioral Medicine
Psychiatric Nurse Practitioner, MSN, PMHNP, BC
Verified Verified
Hingham, MA 02043
“Each patient present with unique nuances as to how a problem behaviorally reveals itself in his or her life”. I am a board certified Psychiatric Nurse Practitioner and as such, I can prescribe medication, if necessary, as an adjunct to psychotherapy. I worked in various healthcare including inpatient and outpatient settings providing both psychiatric and medical care. I use integrated approach to care with aims to empower individual’s authenticity to make proactive decisions and enhance his or hers ability to effectively cope with the full variety of life’s circumstances.
“Each patient present with unique nuances as to how a problem behaviorally reveals itself in his or her life”. I am a board certified Psychiatric Nurse Practitioner and as such, I can prescribe medication, if necessary, as an adjunct to psychotherapy. I worked in various healthcare including inpatient and outpatient settings providing both psychiatric and medical care. I use integrated approach to care with aims to empower individual’s authenticity to make proactive decisions and enhance his or hers ability to effectively cope with the full variety of life’s circumstances.
(339) 217-8672 View (339) 217-8672
Photo of Sabina Tavares, MSN, PMHNP, BC, Psychiatric Nurse Practitioner
Sabina Tavares
Psychiatric Nurse Practitioner, MSN, PMHNP, BC
Verified Verified
Hingham, MA 02043
“Each patient present with unique nuances as to how a problem behaviorally reveals itself in his or her life”. I am a board certified Psychiatric Nurse Practitioner and as such, I can prescribe medication, if necessary, as an adjunct to psychotherapy. I worked in various healthcare including inpatient and outpatient settings providing both psychiatric and medical care. I use integrated approach to care with aims to empower individual’s authenticity to make proactive decisions and enhance his or hers ability to effectively cope with the full variety of life’s circumstances.
“Each patient present with unique nuances as to how a problem behaviorally reveals itself in his or her life”. I am a board certified Psychiatric Nurse Practitioner and as such, I can prescribe medication, if necessary, as an adjunct to psychotherapy. I worked in various healthcare including inpatient and outpatient settings providing both psychiatric and medical care. I use integrated approach to care with aims to empower individual’s authenticity to make proactive decisions and enhance his or hers ability to effectively cope with the full variety of life’s circumstances.
(617) 359-2146 View (617) 359-2146
Julie A Catineau
Psychiatric Nurse Practitioner, BC
Verified Verified
Hingham, MA 02018
I focus on psychotropic medication management for individuals 18-years-old and above. At our practice we also offer full psychological and neuropsychological evaluations, which are useful in diagnostic clarification to help in treatment planning and medication management.
I focus on psychotropic medication management for individuals 18-years-old and above. At our practice we also offer full psychological and neuropsychological evaluations, which are useful in diagnostic clarification to help in treatment planning and medication management.
(339) 229-9861 View (339) 229-9861
Photo of Therese Binyame - NaHolistic HealthCare, PMHNP, Psychiatric Nurse Practitioner
NaHolistic HealthCare
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Hingham, MA 02018  (Online Only)
Accepting NEW Patients. Are you looking for a psychiatric mental health provider? NaHolistic Healthcare is the right place for you. Therese Binyame is a Board-Certified Psychiatry Mental Health Nurse Practitioner with over 10 years of experience in Mental Health field. She ensures high standards of culturally competent care for a wide variety of patients with diverse needs. Her practice is highly focused on evidence-based research and updated health guidelines. She ensures outstanding mental health care, medication management, empathy, and brief psychotherapy.
Accepting NEW Patients. Are you looking for a psychiatric mental health provider? NaHolistic Healthcare is the right place for you. Therese Binyame is a Board-Certified Psychiatry Mental Health Nurse Practitioner with over 10 years of experience in Mental Health field. She ensures high standards of culturally competent care for a wide variety of patients with diverse needs. Her practice is highly focused on evidence-based research and updated health guidelines. She ensures outstanding mental health care, medication management, empathy, and brief psychotherapy.
(978) 652-3771 View (978) 652-3771

More Psychiatrists Nearby

Photo of Yu Wang, DNP, Psychiatric Nurse Practitioner
Yu Wang
Psychiatric Nurse Practitioner, DNP
Verified Verified
Quincy, MA 02169  (Online Only)
•• Accepting New Patients •• I received a doctoral degree at Rush University. I am a dual board-certified nurse practitioner in psychiatric mental health and adult/gerontology primary care. I have worked in hospital settings and out-patient clinics. I specialize in medication management in treating anxiety, depression, ADHD, PTSD, OCD, eating disorders, and bipolar; serving populations 10 years and beyond.
•• Accepting New Patients •• I received a doctoral degree at Rush University. I am a dual board-certified nurse practitioner in psychiatric mental health and adult/gerontology primary care. I have worked in hospital settings and out-patient clinics. I specialize in medication management in treating anxiety, depression, ADHD, PTSD, OCD, eating disorders, and bipolar; serving populations 10 years and beyond.
(339) 220-5536 View (339) 220-5536
Photo of Dorothy Borkiewicz, APRN, PMHNP, LMHC, Psychiatric Nurse Practitioner
Dorothy Borkiewicz
Psychiatric Nurse Practitioner, APRN, PMHNP, LMHC
Verified Verified
Hanover, MA 02339
In her practice she integrates holistic approach to comprehensive and evidence-based treatment of ADHD, anxiety, depression, PTSD, mood disorders, psychosis, addictions and other mental health conditions with the use of psychotherapy, psychopharmacology, TMS and eSketamine (Spravato) treatment as well as healthy lifestyle practices.
Accepting New Patients! Dorothy Borkiewicz, PMHNP-BC, LMHC is a board-certified Psychiatric Mental Health Nurse Practitioner and License Mental Health Counselor. She has completed her Mental Health Counseling Program at Cambridge College in 2013, and Psychiatric Nurse Practitioner Program at Regis College in 2018. She has several years of experience as Psychiatric Crisis Clinician and has been providing services as a Psychiatric Nurse Practitioner since June 2018.
In her practice she integrates holistic approach to comprehensive and evidence-based treatment of ADHD, anxiety, depression, PTSD, mood disorders, psychosis, addictions and other mental health conditions with the use of psychotherapy, psychopharmacology, TMS and eSketamine (Spravato) treatment as well as healthy lifestyle practices.
Accepting New Patients! Dorothy Borkiewicz, PMHNP-BC, LMHC is a board-certified Psychiatric Mental Health Nurse Practitioner and License Mental Health Counselor. She has completed her Mental Health Counseling Program at Cambridge College in 2013, and Psychiatric Nurse Practitioner Program at Regis College in 2018. She has several years of experience as Psychiatric Crisis Clinician and has been providing services as a Psychiatric Nurse Practitioner since June 2018.
(857) 290-4935 View (857) 290-4935
Photo of Leslie DeLisle - Hanover Psychiatry Group  Leslie A. DeLisle APRN, APRN, PMHCNS, BC, Psychiatric Nurse Practitioner
Hanover Psychiatry Group Leslie A. DeLisle APRN
Psychiatric Nurse Practitioner, APRN, PMHCNS, BC
Verified Verified
1 Endorsed
Hanover, MA 02339
Pharmacotherapy expertise with particular interest in the unique care needs of law enforcement and other allied professionals, healthcare providers, mood disorders and anxious distress, conflict management, and interpersonal conflict.
Accepting new patients; Are you in need of a provider with expertise in medication management? I am here to help. I am aware how difficult it can be to find a provider who can get to know you and not treat sessions transactionally. I am eager to spend the time necessary to provide expert evaluation, recommendations, and education so that you can make the most informed decisions about pharmacologic intervention. My office setting is in a very private and discreet environment and will offer you the time you need to resolve the symptoms that keeping you from thriving and being who you want to be for yourself and others.
Pharmacotherapy expertise with particular interest in the unique care needs of law enforcement and other allied professionals, healthcare providers, mood disorders and anxious distress, conflict management, and interpersonal conflict.
Accepting new patients; Are you in need of a provider with expertise in medication management? I am here to help. I am aware how difficult it can be to find a provider who can get to know you and not treat sessions transactionally. I am eager to spend the time necessary to provide expert evaluation, recommendations, and education so that you can make the most informed decisions about pharmacologic intervention. My office setting is in a very private and discreet environment and will offer you the time you need to resolve the symptoms that keeping you from thriving and being who you want to be for yourself and others.
(781) 243-3965 View (781) 243-3965
Desrosiers Psychiatric LLC
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Hanover, MA 02339  (Online Only)
We treat many psychiatric ailments including bipolar disorder, depression, anxiety, insomnia, schizophrenia, dementia, schizoaffective disorder, and many other illnesses.
We treat many psychiatric ailments including bipolar disorder, depression, anxiety, insomnia, schizophrenia, dementia, schizoaffective disorder, and many other illnesses.
(774) 341-5660 View (774) 341-5660
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.