Anxiety Therapists in 21046

Photo of Asha Brown, Clinical Social Work/Therapist in 21046, MD
Asha Brown
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
Let's be honest. Most of us have something that we could use additional help navigating. I'm passionate about providing support to teens and adults looking to gain awareness, understanding, and skills to manage life changes, interpersonal relationships, mood disorders, anxiety disorders, grief, and PTSD. My clients describe wanting to see sustainable change in their lives and are open to challenging their beliefs and disrupting current behavioral patterns to achieve that change. Additionally, I have a special interest in working with populations who are marginalized including racial/ethnic, sexual, and gender minorities.
Let's be honest. Most of us have something that we could use additional help navigating. I'm passionate about providing support to teens and adults looking to gain awareness, understanding, and skills to manage life changes, interpersonal relationships, mood disorders, anxiety disorders, grief, and PTSD. My clients describe wanting to see sustainable change in their lives and are open to challenging their beliefs and disrupting current behavioral patterns to achieve that change. Additionally, I have a special interest in working with populations who are marginalized including racial/ethnic, sexual, and gender minorities.
(443) 960-7757 View (443) 960-7757
Photo of The Green Garden, Psychologist in 21046, MD
The Green Garden
Psychologist, PsyD
Verified Verified
8 Endorsed
Columbia, MD 21046  (Online Only)
Waitlist for new clients
Are you an adult having a difficult time transitioning through the different stages of your world? Do you struggle with relationships, communication, self-esteem? Does the added stress of anxiety and depression hover over your decision making to take steps towards your future? The Green Garden will encourage you to take those next steps, develop confidence to achieve your goals, and create those boundaries to surround yourself with only those who support you.
Are you an adult having a difficult time transitioning through the different stages of your world? Do you struggle with relationships, communication, self-esteem? Does the added stress of anxiety and depression hover over your decision making to take steps towards your future? The Green Garden will encourage you to take those next steps, develop confidence to achieve your goals, and create those boundaries to surround yourself with only those who support you.
(410) 635-1013 View (410) 635-1013
Photo of Brian Kok, Psychologist in 21046, MD
Brian Kok
Psychologist, PhD
Verified Verified
Columbia, MD 21046
I specialize in delivering cognitive-behavioral therapy (CBT) for PTSD/trauma, anxiety, depression, and coping with work/life stressors.
Asking for help can be hard, and sometimes it feels overwhelming to think about making a change. Whether you’ve tried before or this is the first time you’ve considered it, therapy can bring up a lot of feelings—and that’s okay. I work with my clients from a caring and non-judgmental perspective, helping you identify your goals and developing a treatment plan so you can reach them. I believe in transparency and collaboration in all aspects of treatment, and work with you to foster insight and develop new skills to empower you and help you live your best life.
I specialize in delivering cognitive-behavioral therapy (CBT) for PTSD/trauma, anxiety, depression, and coping with work/life stressors.
Asking for help can be hard, and sometimes it feels overwhelming to think about making a change. Whether you’ve tried before or this is the first time you’ve considered it, therapy can bring up a lot of feelings—and that’s okay. I work with my clients from a caring and non-judgmental perspective, helping you identify your goals and developing a treatment plan so you can reach them. I believe in transparency and collaboration in all aspects of treatment, and work with you to foster insight and develop new skills to empower you and help you live your best life.
(240) 820-3794 View (240) 820-3794
Photo of Brianna Bryant, Clinical Social Work/Therapist in 21046, MD
Brianna Bryant
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046
I am most passionate about working with individuals who have lived through traumatic events. This includes sexual trauma, attachment concerns, and racialized trauma. I am most passionate about working with individuals who seek support in managing depression and anxiety as they relate to negative life experiences. People of color have varied experiences that shape how we navigate the world and I make space for that in the therapeutic setting. Assisting with the navigation, coping, and processing of trauma is work that I find rewarding and the reason I am a therapist.
I am most passionate about working with individuals who have lived through traumatic events. This includes sexual trauma, attachment concerns, and racialized trauma. I am most passionate about working with individuals who seek support in managing depression and anxiety as they relate to negative life experiences. People of color have varied experiences that shape how we navigate the world and I make space for that in the therapeutic setting. Assisting with the navigation, coping, and processing of trauma is work that I find rewarding and the reason I am a therapist.
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Photo of Dennis J Blair, Clinical Social Work/Therapist in 21046, MD
Dennis J Blair
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046
My experiences include working with those with various diagnoses including mental illness, depression and anxiety.
I am a Maryland Licensed Certified Social Worker with a Clinical Specialty. I received my MSW from the University of Maryland at Baltimore. I work with adults, couples and adolescents. I have over 30 years in the field of behavioral health as a therapist and an administrator. My work with people is based on understanding their unique strengths and using these to address the challenges and goals they have identified. I believe the values of empathy, compassion and understanding provide the foundation for a successful therapy experience. My work includes individual therapy, family therapy, couples therapy and group therapy.
My experiences include working with those with various diagnoses including mental illness, depression and anxiety.
I am a Maryland Licensed Certified Social Worker with a Clinical Specialty. I received my MSW from the University of Maryland at Baltimore. I work with adults, couples and adolescents. I have over 30 years in the field of behavioral health as a therapist and an administrator. My work with people is based on understanding their unique strengths and using these to address the challenges and goals they have identified. I believe the values of empathy, compassion and understanding provide the foundation for a successful therapy experience. My work includes individual therapy, family therapy, couples therapy and group therapy.
(443) 957-4063 View (443) 957-4063
Photo of Sarah Vayda, Counselor in 21046, MD
Sarah Vayda
Counselor, MS, LCPC, CMIP
Verified Verified
2 Endorsed
Columbia, MD 21046  (Online Only)
Are you feeling unrelenting worry, sadness, or overwhelm? Or is life not meeting your expectations? These feelings can be paralyzing and affect all areas of our lives. It would be my honor to help you navigate through this difficult time and find peace to live a more fulfilling life. I combine an individual approach that focuses on living in the present, helping you to manage life disruptions, and creating the life you want. This can also include Eye Movement Desensitization and Reprocessing (EMDR) if we feel it would help you.
Are you feeling unrelenting worry, sadness, or overwhelm? Or is life not meeting your expectations? These feelings can be paralyzing and affect all areas of our lives. It would be my honor to help you navigate through this difficult time and find peace to live a more fulfilling life. I combine an individual approach that focuses on living in the present, helping you to manage life disruptions, and creating the life you want. This can also include Eye Movement Desensitization and Reprocessing (EMDR) if we feel it would help you.
(443) 398-3198 View (443) 398-3198
Photo of Ian Caughlan, Clinical Social Work/Therapist in 21046, MD
Ian Caughlan
Clinical Social Work/Therapist, LMSW
Verified Verified
Columbia, MD 21046
Congratulations on deciding to seek therapy! It isn’t easy work, but therapy can help you navigate your challenges and develop your strengths to build the life you want. I work with adolescents and adults individually, as well as people in romantic relationships (I am affirming of all genders, sexualities, and relationship structures). My experience is with helping folks to address mental health challenges like depression and anxiety, to communicate more effectively and develop healthier relationships, to navigate stressful life transitions and existential concerns, and to heal from trauma (particularly religious trauma).
Congratulations on deciding to seek therapy! It isn’t easy work, but therapy can help you navigate your challenges and develop your strengths to build the life you want. I work with adolescents and adults individually, as well as people in romantic relationships (I am affirming of all genders, sexualities, and relationship structures). My experience is with helping folks to address mental health challenges like depression and anxiety, to communicate more effectively and develop healthier relationships, to navigate stressful life transitions and existential concerns, and to heal from trauma (particularly religious trauma).
(410) 970-3369 View (410) 970-3369
Photo of Shelby E Fisher, Counselor in 21046, MD
Shelby E Fisher
Counselor, LGPC
Verified Verified
Columbia, MD 21046
When human beings face adverse events or severe life stressors , it is not uncommon for their lives to spiral out of control. I have a tremendous passion to provide healing for those individuals who are living with the consequences and symptoms of trauma. Currently I specialize in working with individual and adults struggling with anxiety and depression. I also specialize in working with Couples and Families that may have dysfunctional marital and family interdynamics. Addictions counseling is another specialty area and I with individuals and groups in that capacity.
When human beings face adverse events or severe life stressors , it is not uncommon for their lives to spiral out of control. I have a tremendous passion to provide healing for those individuals who are living with the consequences and symptoms of trauma. Currently I specialize in working with individual and adults struggling with anxiety and depression. I also specialize in working with Couples and Families that may have dysfunctional marital and family interdynamics. Addictions counseling is another specialty area and I with individuals and groups in that capacity.
(443) 578-3453 View (443) 578-3453
Photo of Jessica Diez, Licensed Clinical Professional Counselor in 21046, MD
Jessica Diez
Licensed Clinical Professional Counselor, LCPC
Verified Verified
3 Endorsed
Columbia, MD 21046  (Online Only)
Are you feeling depressed, anxious, or lost in your life? Have you had a difficult life change that is keeping you from moving forward? Do you have hopes and dreams that you struggle to fulfill? These types of struggles can have a serious impact on your quality of life and your ability to cope. It is possible to change your life and to become the best version of you. This is my ultimate goal with my clients. I work with individuals specializing in anxiety, depression, self-esteem, and adjustment issues.
Are you feeling depressed, anxious, or lost in your life? Have you had a difficult life change that is keeping you from moving forward? Do you have hopes and dreams that you struggle to fulfill? These types of struggles can have a serious impact on your quality of life and your ability to cope. It is possible to change your life and to become the best version of you. This is my ultimate goal with my clients. I work with individuals specializing in anxiety, depression, self-esteem, and adjustment issues.
(410) 927-8857 View (410) 927-8857
Photo of Randall R Myers, Clinical Social Work/Therapist in 21046, MD
Randall R Myers
Clinical Social Work/Therapist, PhD, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
I have expertise working with couples, families, and individuals of all ages on a variety of issues such as anxiety, depression, and ADHD.
Glad you found me and I look forward to working with you! I enjoy working directly with people to allow a deeper connection on a personal level whether you're new to therapy or not. I actively engage honestly and authentically in the counseling and healing process, exploring and addressing issues directly as they arise. I allow time for deeper understanding as the counseling process unfolds. I have been a successful clinical social work therapist for many years, working with a wide range of both hearing and deaf people (I sign fluently) on individual, children, youth, couple, and family issues. I also supervise other clinicians.
I have expertise working with couples, families, and individuals of all ages on a variety of issues such as anxiety, depression, and ADHD.
Glad you found me and I look forward to working with you! I enjoy working directly with people to allow a deeper connection on a personal level whether you're new to therapy or not. I actively engage honestly and authentically in the counseling and healing process, exploring and addressing issues directly as they arise. I allow time for deeper understanding as the counseling process unfolds. I have been a successful clinical social work therapist for many years, working with a wide range of both hearing and deaf people (I sign fluently) on individual, children, youth, couple, and family issues. I also supervise other clinicians.
(301) 918-5780 View (301) 918-5780
Photo of Crystal Waters Counseling Centers, LLC, Licensed Clinical Professional Counselor in 21046, MD
Crystal Waters Counseling Centers, LLC
Licensed Clinical Professional Counselor, MEd, NCC, LCPC-S
Verified Verified
Columbia, MD 21046
I specialize in assisting clients in coping with anxiety and depression , mental health disorders, learning disabilities or any other specific needs.
My name is Diane Brumfield and I am a psychotherapist and owner of Crystal Waters Counseling Centers, LLC in Columbia, Maryland. I am a licensed clinical professional counselor and a nationally certified school counselor with over 20 years of experience. I provide counseling for adults, children, adolescents, and families. Throughout my career, I have worked in private practice and school settings providing individual, group and family therapy. I also offer educational consulting services for families in need of assistance through the IEP process or are in need of behavioral and academic support from their school system.
I specialize in assisting clients in coping with anxiety and depression , mental health disorders, learning disabilities or any other specific needs.
My name is Diane Brumfield and I am a psychotherapist and owner of Crystal Waters Counseling Centers, LLC in Columbia, Maryland. I am a licensed clinical professional counselor and a nationally certified school counselor with over 20 years of experience. I provide counseling for adults, children, adolescents, and families. Throughout my career, I have worked in private practice and school settings providing individual, group and family therapy. I also offer educational consulting services for families in need of assistance through the IEP process or are in need of behavioral and academic support from their school system.
(443) 251-4280 View (443) 251-4280
Photo of Joseph Ari Maravi, Clinical Social Work/Therapist in 21046, MD
Joseph Ari Maravi
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046
I treat clients from adolescence through adulthood, including the elderly. I have treated a range of psychiatric diagnoses from anxiety and mood disorders, psychotic disorders, ADHD, issues related to sexual and gender identity, grief and life stage/development.
I treat clients from adolescence through adulthood, including the elderly. I have treated a range of psychiatric diagnoses from anxiety and mood disorders, psychotic disorders, ADHD, issues related to sexual and gender identity, grief and life stage/development.
(301) 298-2776 x1002 View (301) 298-2776 x1002
Photo of Bertha Carrelli, Clinical Social Work/Therapist in 21046, MD
Bertha Carrelli
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046
If you or your child are feeling stuck or held back by current or past experiences, I’d love to work together to help you thrive by healing painful experiences, discovering and strengthening your innate abilities, and creating new ways of being in the world. I’m a Certified EMDR therapist and EMDRIA approved Consultant with 20 years of experience. I treat depression, anxiety (including performance anxiety), PTSD, C-PTSD, and specialize in resolving the effects of traumatic events such as loss, medical trauma, negative home or school experiences, abuse, and neglect.
If you or your child are feeling stuck or held back by current or past experiences, I’d love to work together to help you thrive by healing painful experiences, discovering and strengthening your innate abilities, and creating new ways of being in the world. I’m a Certified EMDR therapist and EMDRIA approved Consultant with 20 years of experience. I treat depression, anxiety (including performance anxiety), PTSD, C-PTSD, and specialize in resolving the effects of traumatic events such as loss, medical trauma, negative home or school experiences, abuse, and neglect.
(410) 469-8941 View (410) 469-8941
Photo of Jennifer Hilton, Counselor in 21046, MD
Jennifer Hilton
Counselor, LCPC, PMH-C, NCC, MS
Verified Verified
2 Endorsed
Columbia, MD 21046
I provide a safe, warm, and welcoming environment for individuals to do difficult therapeutic work. I specialize in treating anxiety disorders, depression, perinatal mental health disorders, relationship issues, self-esteem issues, and supporting individuals through life transitions. My clients have benefited from my individualized and integrated treatment approaches. I have been successful in utilizing a combination of CBT (cognitive behavioral therapy), strengths-based therapy, brief solution-focused therapy and other mindfulness-based approaches to address difficult issues.
I provide a safe, warm, and welcoming environment for individuals to do difficult therapeutic work. I specialize in treating anxiety disorders, depression, perinatal mental health disorders, relationship issues, self-esteem issues, and supporting individuals through life transitions. My clients have benefited from my individualized and integrated treatment approaches. I have been successful in utilizing a combination of CBT (cognitive behavioral therapy), strengths-based therapy, brief solution-focused therapy and other mindfulness-based approaches to address difficult issues.
(443) 583-3432 View (443) 583-3432
Photo of Anthony Muentes, Counselor in 21046, MD
Anthony Muentes
Counselor, LGPC
Verified Verified
3 Endorsed
Columbia, MD 21046
Tony has helped those who struggle with life transitions, grief, stress, anxiety, and depression.
Tony, a South Bronx native from New York, brings an empathic and accepting atmosphere to the therapy room. As a clinician, Tony strives to understand and connect with his clients on a deeper level to tackle life difficulties and struggles together. He believes in using a flexible and integrative approach to foster insight into current life stressors, thought patterns, emotions, and behaviors. By working collaboratively, he seeks to help his clients gain hope, empowerment, and action toward change and get closer to a life that is values consistent.
Tony has helped those who struggle with life transitions, grief, stress, anxiety, and depression.
Tony, a South Bronx native from New York, brings an empathic and accepting atmosphere to the therapy room. As a clinician, Tony strives to understand and connect with his clients on a deeper level to tackle life difficulties and struggles together. He believes in using a flexible and integrative approach to foster insight into current life stressors, thought patterns, emotions, and behaviors. By working collaboratively, he seeks to help his clients gain hope, empowerment, and action toward change and get closer to a life that is values consistent.
(410) 346-3758 View (410) 346-3758
Photo of Najwa Awad, Clinical Social Work/Therapist in 21046, MD
Najwa Awad
Clinical Social Work/Therapist, LCSW-C, PMH-C
Verified Verified
Columbia, MD 21046  (Online Only)
Commonly treated issues include depression, anxiety, trauma and family conflict.
I specialize in the clinical treatment of women, their children and families. Women are unique from any other clinical group and deserve to get individualized services tailored to meet their needs. My goal is to empower women, help alleviate their symptoms and address their personal goals for wellness. It is of utmost importance that my clients feel safe, respected and supported.
Commonly treated issues include depression, anxiety, trauma and family conflict.
I specialize in the clinical treatment of women, their children and families. Women are unique from any other clinical group and deserve to get individualized services tailored to meet their needs. My goal is to empower women, help alleviate their symptoms and address their personal goals for wellness. It is of utmost importance that my clients feel safe, respected and supported.
(410) 343-7545 View (410) 343-7545
Photo of Jillian Parente, Clinical Social Work/Therapist in 21046, MD
Jillian Parente
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
Waitlist for new clients
She does well with a variety of clients, particularly those who struggle with stress management, anxiety and depression.
‘Change is constant’… but that does not mean it is easy. Deciding to make personal changes to enhance your quality of life is the first step. Therapy can provide support and perspective, through obtaining greater understanding and healing. As a result, personal growth occurs. Jillian Parente is a licensed clinical social worker, board-approved social work supervisor, board-approved counseling supervisor, peer recovery specialist supervisor, and an Adjunct Professor, with over 8 years of experience, specializing in women’s issues, such as trauma and perinatal mental health (including, but not limited to pregnancy and postpartum).
She does well with a variety of clients, particularly those who struggle with stress management, anxiety and depression.
‘Change is constant’… but that does not mean it is easy. Deciding to make personal changes to enhance your quality of life is the first step. Therapy can provide support and perspective, through obtaining greater understanding and healing. As a result, personal growth occurs. Jillian Parente is a licensed clinical social worker, board-approved social work supervisor, board-approved counseling supervisor, peer recovery specialist supervisor, and an Adjunct Professor, with over 8 years of experience, specializing in women’s issues, such as trauma and perinatal mental health (including, but not limited to pregnancy and postpartum).
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Photo of Adult & Adolescent Counseling Services, LLC, Licensed Clinical Professional Counselor in 21046, MD
Adult & Adolescent Counseling Services, LLC
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
1 Endorsed
Columbia, MD 21046
I have over 20 years of counseling experience and 2 years of post-graduate training in (CBT) and Continuing Education in (DBT) to treat issues related to Anxiety Disorders (generalized anxiety disorder, separation anxiety disorder, OCD, PD) & Mood Disorders (unipolar & bipolar depression).
Adult & Adolescent Counseling Services, LLC is an evidence-based mental health counseling practice dedicated to bringing quality services to Individuals & families in Howard County. I specialize in working with pre-teens, adolescents, and adults struggling with anxiety disorders, mood disorders, ADHD, executive functioning, and other social/emotional, and behavioral issues. At the core of my practice is the belief that a strong client/therapist connection is one of the most important factors in achieving a positive outcome in therapy. My goal is to provide clients with caring, compassionate, and effective counseling services.
I have over 20 years of counseling experience and 2 years of post-graduate training in (CBT) and Continuing Education in (DBT) to treat issues related to Anxiety Disorders (generalized anxiety disorder, separation anxiety disorder, OCD, PD) & Mood Disorders (unipolar & bipolar depression).
Adult & Adolescent Counseling Services, LLC is an evidence-based mental health counseling practice dedicated to bringing quality services to Individuals & families in Howard County. I specialize in working with pre-teens, adolescents, and adults struggling with anxiety disorders, mood disorders, ADHD, executive functioning, and other social/emotional, and behavioral issues. At the core of my practice is the belief that a strong client/therapist connection is one of the most important factors in achieving a positive outcome in therapy. My goal is to provide clients with caring, compassionate, and effective counseling services.
(443) 400-7948 View (443) 400-7948
Photo of Charonne M Randall, Clinical Social Work/Therapist in 21046, MD
Charonne M Randall
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Columbia, MD 21046  (Online Only)
My name is Charonne, and I am the owner and founder of Cultivating Unstoppable You, LLC. I am dedicated to meeting the unique needs of individuals and couples seeking a Christian and holistic approach to mental health care. My goal is to provide a compassionate and respectful therapeutic environment where clients can set and reach their fullest potential. Together, let's embark on a transformative journey of self-discovery and empowerment that destroys feeling stuck and challenges anxiety, depression, grief/loss, relationship conflict, childhood wounds and life transitions. Together we can make this the best season of your life!
My name is Charonne, and I am the owner and founder of Cultivating Unstoppable You, LLC. I am dedicated to meeting the unique needs of individuals and couples seeking a Christian and holistic approach to mental health care. My goal is to provide a compassionate and respectful therapeutic environment where clients can set and reach their fullest potential. Together, let's embark on a transformative journey of self-discovery and empowerment that destroys feeling stuck and challenges anxiety, depression, grief/loss, relationship conflict, childhood wounds and life transitions. Together we can make this the best season of your life!
(443) 234-9088 View (443) 234-9088
Photo of Jake Ferentz, Counselor in 21046, MD
Jake Ferentz
Counselor, LGPC, MEd
Verified Verified
2 Endorsed
Columbia, MD 21046
Hi! I'm so glad you've stopped by my profile - this is the part of the process that can often be the most difficult: finding the right person for your needs. Just know that, whether we work together or not, you deserve support. Here's what I can offer: a safe, open, honest space for you to speak and be heard. I can help you cope and thrive, work through your anxiety, depression, trauma, parenting issues, social struggles, self-image, relationships, academic issues, and other interpersonal concerns. I'll meet you where you are, right now, and we'll take it from there.
Hi! I'm so glad you've stopped by my profile - this is the part of the process that can often be the most difficult: finding the right person for your needs. Just know that, whether we work together or not, you deserve support. Here's what I can offer: a safe, open, honest space for you to speak and be heard. I can help you cope and thrive, work through your anxiety, depression, trauma, parenting issues, social struggles, self-image, relationships, academic issues, and other interpersonal concerns. I'll meet you where you are, right now, and we'll take it from there.
(240) 226-3912 View (240) 226-3912

Anxiety Therapists

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.