Anxiety Therapists in 21701

Photo of Danielle Norkin, Counselor in 21701, MD
Danielle Norkin
Counselor, LGPC, CTP
Verified Verified
2 Endorsed
Frederick, MD 21701
I am currently only accepting clients who are interested in Ketamine-Assisted Psychotherapy (KAP). If you have been feeling "stuck" for an extended period of time, have tried traditional therapy and not found any progress, or are suffering from a traumatic event(s) that have left you with PTSD, chronic depression and anxiety, you may be a good candidate for KAP. KAP has shown breakthrough results that can help you find the *release* you've been searching for.
I am currently only accepting clients who are interested in Ketamine-Assisted Psychotherapy (KAP). If you have been feeling "stuck" for an extended period of time, have tried traditional therapy and not found any progress, or are suffering from a traumatic event(s) that have left you with PTSD, chronic depression and anxiety, you may be a good candidate for KAP. KAP has shown breakthrough results that can help you find the *release* you've been searching for.
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Photo of Aaron T Heaton, Psychologist in 21701, MD
Aaron T Heaton
Psychologist, PsyD
Verified Verified
Frederick, MD 21701
Though practiced in cognitive-behavioral and behavioral technologies, which show promise in the treatment of anxiety and mood disorders, he also believes the relationship itself is an essential ingredient to and catalyst for change.
Aaron is a licensed psychologist. He and his daughters have moved from sunny Southern California to the community of Frederick with the intent to again practice in close community. He graduated with degrees in both Psychology and Biblical Literature from Azusa Pacific University, earned advanced degrees in psychology and clinical psychology from Marymount University and the American School of Professional Psychology, and has pursued advanced training in applied behavioral analysis, a modality well-suited to the treatment of children and adolescents.
Though practiced in cognitive-behavioral and behavioral technologies, which show promise in the treatment of anxiety and mood disorders, he also believes the relationship itself is an essential ingredient to and catalyst for change.
Aaron is a licensed psychologist. He and his daughters have moved from sunny Southern California to the community of Frederick with the intent to again practice in close community. He graduated with degrees in both Psychology and Biblical Literature from Azusa Pacific University, earned advanced degrees in psychology and clinical psychology from Marymount University and the American School of Professional Psychology, and has pursued advanced training in applied behavioral analysis, a modality well-suited to the treatment of children and adolescents.
(301) 327-2805 View (301) 327-2805
Photo of Laura Przybylek, Licensed Professional Counselor in 21701, MD
Laura Przybylek
Licensed Professional Counselor, MS, LCPC
Verified Verified
Frederick, MD 21701
Welcome! I consider it a privilege to walk alongside another’s life journey. I am here to provide a warm, relaxed and compassionate space to explore your challenges and strengths. I specialize in treating anxiety, depression, ADHD and pregnancy/postpartum issues. I have extensive experience working with teens and adults with ADHD and executive function difficulties. When treating ADHD, you NEED a therapist who wholeheartedly understands it and whose strategies are flexible to meet your specific needs. I value my authentic approach to connecting with others which leads to my clients feeling heard, understood, accepted and supported.
Welcome! I consider it a privilege to walk alongside another’s life journey. I am here to provide a warm, relaxed and compassionate space to explore your challenges and strengths. I specialize in treating anxiety, depression, ADHD and pregnancy/postpartum issues. I have extensive experience working with teens and adults with ADHD and executive function difficulties. When treating ADHD, you NEED a therapist who wholeheartedly understands it and whose strategies are flexible to meet your specific needs. I value my authentic approach to connecting with others which leads to my clients feeling heard, understood, accepted and supported.
(240) 759-2896 View (240) 759-2896
Photo of Stacy Bratburd, Clinical Social Work/Therapist in 21701, MD
Stacy Bratburd
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Frederick, MD 21701
Areas of special interest include anxiety, depression, stress management, self-esteem, life transitions, personal growth, parenting issues and relationships.
I use a strengths-based approach to help you rediscover your assets, strengths, and abilities. The revelation of these will help you overcome obstacles that may be standing in your way to live a healthier, happier, more fulfilling life. I will work alongside you at your own pace and comfort level to help create a warm, safe, nurturing, and most importantly trusting environment. Together, we will work towards your healing.
Areas of special interest include anxiety, depression, stress management, self-esteem, life transitions, personal growth, parenting issues and relationships.
I use a strengths-based approach to help you rediscover your assets, strengths, and abilities. The revelation of these will help you overcome obstacles that may be standing in your way to live a healthier, happier, more fulfilling life. I will work alongside you at your own pace and comfort level to help create a warm, safe, nurturing, and most importantly trusting environment. Together, we will work towards your healing.
(301) 603-3266 View (301) 603-3266
Photo of Tami Koepp, Clinical Social Work/Therapist in 21701, MD
Tami Koepp
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
5 Endorsed
Frederick, MD 21701
Do You Need Help Making Peace With Your Past and Letting Go? Are you anxious, depressed, or overwhelmed on the inside, yet work hard to remain competent and in control on the outside? I specialize in helping people recover/discover a calm, secure experience of life. Whether you struggle with anxiety, depression, emotional or physical pain; whether you've had trauma in your past, or experienced a recent loss, break-up, illness or accident - I will help you understand what is happening, resolve disturbing feelings, and apply new skills and solutions.
Do You Need Help Making Peace With Your Past and Letting Go? Are you anxious, depressed, or overwhelmed on the inside, yet work hard to remain competent and in control on the outside? I specialize in helping people recover/discover a calm, secure experience of life. Whether you struggle with anxiety, depression, emotional or physical pain; whether you've had trauma in your past, or experienced a recent loss, break-up, illness or accident - I will help you understand what is happening, resolve disturbing feelings, and apply new skills and solutions.
(301) 514-4745 View (301) 514-4745
Photo of David Snipes, Counselor in 21701, MD
David Snipes
Counselor, MS, LGPC
Verified Verified
Frederick, MD 21701
Do you notice swirling thoughts that don't seem to have a viable solution often distracting you to the point you’ve missed several songs on the radio? Perhaps you’ve lost interest in activities you used to find enjoyable. Maybe you’ve found yourself engaging in compulsive behaviors such as online pornography, gambling, video gaming, shopping, or sex to distract yourself from your worries. Many who experience these issues are struggling with anxiety, depression, difficulty concentrating, or family/relationship challenges. These symptoms can sap your energy and leave you feeling as though you've lost your way in your life's journey.
Do you notice swirling thoughts that don't seem to have a viable solution often distracting you to the point you’ve missed several songs on the radio? Perhaps you’ve lost interest in activities you used to find enjoyable. Maybe you’ve found yourself engaging in compulsive behaviors such as online pornography, gambling, video gaming, shopping, or sex to distract yourself from your worries. Many who experience these issues are struggling with anxiety, depression, difficulty concentrating, or family/relationship challenges. These symptoms can sap your energy and leave you feeling as though you've lost your way in your life's journey.
(240) 660-4374 View (240) 660-4374
Photo of Claudia L Hernandez, Counselor in 21701, MD
Claudia L Hernandez
Counselor, LCPC, NCC
Verified Verified
1 Endorsed
Frederick, MD 21701
Life presents us with trials and tribulations, which can leave individuals feeling immobilized, overwhelmed by stress, anxiety, or depression.
Navigating life's complexities can be daunting and unsettling at times, and that's perfectly alright. Our world is vast, and it's natural to feel overwhelmed or adrift. With support, discovering life's true essence becomes attainable. Life's splendor awaits, and I am here to illuminate it for you. By taking this initial step towards seeking assistance, you are embarking on a profound journey.
Life presents us with trials and tribulations, which can leave individuals feeling immobilized, overwhelmed by stress, anxiety, or depression.
Navigating life's complexities can be daunting and unsettling at times, and that's perfectly alright. Our world is vast, and it's natural to feel overwhelmed or adrift. With support, discovering life's true essence becomes attainable. Life's splendor awaits, and I am here to illuminate it for you. By taking this initial step towards seeking assistance, you are embarking on a profound journey.
(240) 253-6806 View (240) 253-6806
Photo of Sal Schittino, Licensed Clinical Professional Counselor in 21701, MD
Sal Schittino
Licensed Clinical Professional Counselor, MS, NCC, LCPC, LPC
Verified Verified
Frederick, MD 21701
Being an EMDR Certified Therapist, I help those affected by the symptoms of trauma and anxiety.
When an event or situation changes the way we see ourselves and the world around us, it most likely means we have experienced trauma. Trauma takes away our peace of mind, ability to connect with others, adapt to new life happenings, and much more. It can result in anxiety, depression, avoidance, panic attacks, loss of sense of self or grief that does not go away. If you or a loved one struggle with any of the above, then I welcome the opportunity to help create a structured treatment plan to regain back quality of life.
Being an EMDR Certified Therapist, I help those affected by the symptoms of trauma and anxiety.
When an event or situation changes the way we see ourselves and the world around us, it most likely means we have experienced trauma. Trauma takes away our peace of mind, ability to connect with others, adapt to new life happenings, and much more. It can result in anxiety, depression, avoidance, panic attacks, loss of sense of self or grief that does not go away. If you or a loved one struggle with any of the above, then I welcome the opportunity to help create a structured treatment plan to regain back quality of life.
(443) 494-2248 View (443) 494-2248
Photo of Alison J. Bomba, Psy.D., LLC, Psychologist in 21701, MD
Alison J. Bomba, Psy.D., LLC
Psychologist, PsyD
Verified Verified
12 Endorsed
Frederick, MD 21701
Waitlist for new clients
A licensed psychologist, I provide grief therapy as well as exposure-based Cognitive Behavioral Therapy (CBT) to treat anxiety and obsessive compulsive disorder (OCD). Ages served: 3-25. Services are provided both in-office and via telehealth.
A licensed psychologist, I provide grief therapy as well as exposure-based Cognitive Behavioral Therapy (CBT) to treat anxiety and obsessive compulsive disorder (OCD). Ages served: 3-25. Services are provided both in-office and via telehealth.
(301) 281-6159 View (301) 281-6159
Photo of Tyisha Woodroffe, Counselor in 21701, MD
Tyisha Woodroffe
Counselor, LCPC
Verified Verified
1 Endorsed
Frederick, MD 21701
This may manifest in anxiety, depression, or PTSD.
If you are here, you have taken a first step toward change. I applaud you for seeking guidance as you move toward greater wellness. I work with individuals who are ready to feel differently, live more fully, and enhance their well-being. Whether it is anxiety, depression, or trauma holding you back, we will work together in creating the life you seek. I offer a variety of approaches, and often interweave various skills to create a truly unique plan for your needs. I am honored to travel beside you as you wholeheartedly investigate how to live your best life.
This may manifest in anxiety, depression, or PTSD.
If you are here, you have taken a first step toward change. I applaud you for seeking guidance as you move toward greater wellness. I work with individuals who are ready to feel differently, live more fully, and enhance their well-being. Whether it is anxiety, depression, or trauma holding you back, we will work together in creating the life you seek. I offer a variety of approaches, and often interweave various skills to create a truly unique plan for your needs. I am honored to travel beside you as you wholeheartedly investigate how to live your best life.
(301) 962-2176 View (301) 962-2176
Photo of Ashley Saltzman, Counselor in 21701, MD
Ashley Saltzman
Counselor, LCPC, NCC
Verified Verified
5 Endorsed
Frederick, MD 21701
I specialize in adjusting to life transitions and stress, burnout, anxiety, depression, trauma, and navigating and building meaning in their lives.
Have you been in therapy before and it wasn't the best fit? Is this your first time searching for a therapist for yourself or for a loved one? Not sure if your stress in life is “enough” to need therapy? Good therapy is built on a relationship of warmth, empathy, and authenticity. Life can be tough and it can be beneficial to have a therapist who really "gets you" by your side to navigate difficult times. Not all therapy sessions must be intense and serious! I can help you embrace the strengths you innately possess to have joy, laughter, and contentment in life.
I specialize in adjusting to life transitions and stress, burnout, anxiety, depression, trauma, and navigating and building meaning in their lives.
Have you been in therapy before and it wasn't the best fit? Is this your first time searching for a therapist for yourself or for a loved one? Not sure if your stress in life is “enough” to need therapy? Good therapy is built on a relationship of warmth, empathy, and authenticity. Life can be tough and it can be beneficial to have a therapist who really "gets you" by your side to navigate difficult times. Not all therapy sessions must be intense and serious! I can help you embrace the strengths you innately possess to have joy, laughter, and contentment in life.
(240) 201-2617 View (240) 201-2617
Photo of Betty Silon, Psychologist in 21701, MD
Betty Silon
Psychologist, PhD
Verified Verified
Frederick, MD 21701  (Online Only)
I counsel individuals (Adults 18 years old to the elder years)and couples dealing with depression, anxiety disorders, phobias, trauma, incest, abuse (PTSD), chronic illness, pain, as well as relationship, parenting, existential, co-dependency and Adult Children of Alcoholic issues - separation, divorce, attachment, complicated loss and grief.
I seek to empower each client's unique movement towards emotional and physical well-being, mindfulness, wholeness and spiritual awareness. Through encouragement, compassion and mutual respect this co-creative therapeutic process enhances each person's self-esteem, potential and growth. Together we will explore possibilities and new directions, thereby releasing stress, inner conflicts, dis-ease, self-defeating cognitions and dysfunctional relationships. Embracing change leads to feelings of joy, aliveness and at the same time peacefulness and calm.
I counsel individuals (Adults 18 years old to the elder years)and couples dealing with depression, anxiety disorders, phobias, trauma, incest, abuse (PTSD), chronic illness, pain, as well as relationship, parenting, existential, co-dependency and Adult Children of Alcoholic issues - separation, divorce, attachment, complicated loss and grief.
I seek to empower each client's unique movement towards emotional and physical well-being, mindfulness, wholeness and spiritual awareness. Through encouragement, compassion and mutual respect this co-creative therapeutic process enhances each person's self-esteem, potential and growth. Together we will explore possibilities and new directions, thereby releasing stress, inner conflicts, dis-ease, self-defeating cognitions and dysfunctional relationships. Embracing change leads to feelings of joy, aliveness and at the same time peacefulness and calm.
(301) 531-5950 View (301) 531-5950
Photo of Kristine Boehmer, Counselor in 21701, MD
Kristine Boehmer
Counselor, LCPC
Verified Verified
6 Endorsed
Frederick, MD 21701
Waitlist for new clients
I enjoy working with kids who are stressed out, angry, anxious or worried and are having difficulty managing it to teach them ways to handle their feelings.
Every day, we hear that our children are struggling. They’re overwhelmed by worry, sadness, anger, and stress. We see them tumble and spiral down a path of unhealthy choices and disconnection from their families. Parents become paralyzed by the fear of doing something wrong. They’re afraid of causing another door-slamming anger outburst but are tormented by the potential consequences of not doing anything at all. They’re left confused by how upset their teens get when their Snapstreaks get interrupted or a round of Fortnite is lost.
I enjoy working with kids who are stressed out, angry, anxious or worried and are having difficulty managing it to teach them ways to handle their feelings.
Every day, we hear that our children are struggling. They’re overwhelmed by worry, sadness, anger, and stress. We see them tumble and spiral down a path of unhealthy choices and disconnection from their families. Parents become paralyzed by the fear of doing something wrong. They’re afraid of causing another door-slamming anger outburst but are tormented by the potential consequences of not doing anything at all. They’re left confused by how upset their teens get when their Snapstreaks get interrupted or a round of Fortnite is lost.
(240) 541-5299 View (240) 541-5299
Photo of Carter Caring Counseling, LLC, Licensed Clinical Professional Counselor in 21701, MD
Carter Caring Counseling, LLC
Licensed Clinical Professional Counselor, MA, NCC, LCPC
Verified Verified
Frederick, MD 21701  (Online Only)
Waitlist for new clients
I have extensive training in Mind-Body techniques and Cognitive Behavioral Therapy to help people learn better ways of coping with stress, anxiety and depression.
I am passionate about helping people create change in their lives through the process of psychotherapy and have 20+ years of experience as a counseling professional. I work with adolescents, adults, and couples to learn how to create healthy relationships and learn new ways of coping with life's challenges such as stress, anxiety, and depression. Couples can learn new ways of communicating and repair a relationship to create more intimacy. Together we can create counseling goals that fit your individual needs to create change in your life.
I have extensive training in Mind-Body techniques and Cognitive Behavioral Therapy to help people learn better ways of coping with stress, anxiety and depression.
I am passionate about helping people create change in their lives through the process of psychotherapy and have 20+ years of experience as a counseling professional. I work with adolescents, adults, and couples to learn how to create healthy relationships and learn new ways of coping with life's challenges such as stress, anxiety, and depression. Couples can learn new ways of communicating and repair a relationship to create more intimacy. Together we can create counseling goals that fit your individual needs to create change in your life.
(443) 221-6556 View (443) 221-6556
Photo of Bradford Wye, Clinical Social Work/Therapist in 21701, MD
Bradford Wye
Clinical Social Work/Therapist, MSW, LCSW-C, CRRT
Verified Verified
Frederick, MD 21701  (Online Only)
My approach to the therapeutic alliance is gentle and playful, yet direct. Therapy can be a fascinating collaborative journey of discovery and self-awareness that can be hard but empowering and fun, like exercising or completing a task. I am experienced treating a variety of issues to include trauma and PTSD, life transitions, anger, anxiety, grief, depression, men's issues, life coaching, and peer and relationship counseling. Bad news, betrayal, loss and change can arrive unexpectedly and knock us off-center, leaving us feeling stuck and unsure of the next step.
My approach to the therapeutic alliance is gentle and playful, yet direct. Therapy can be a fascinating collaborative journey of discovery and self-awareness that can be hard but empowering and fun, like exercising or completing a task. I am experienced treating a variety of issues to include trauma and PTSD, life transitions, anger, anxiety, grief, depression, men's issues, life coaching, and peer and relationship counseling. Bad news, betrayal, loss and change can arrive unexpectedly and knock us off-center, leaving us feeling stuck and unsure of the next step.
(301) 660-2053 View (301) 660-2053
Photo of Martin Vendemia in 21701, MD
Martin Vendemia
BCH, MNLP, LPI
Verified Verified
Frederick, MD 21701
Ideal clients have tried other treatments and the issue persists. My/our clients may come with anxiety, PTSD, trauma, weight, smoking, sleeping, pain, restless leg and other severe or chronic issues. I have worked with veteran issues, ms, lupus, damaged spine, fibromyalgia, fears, sleep/insomnia, medical compliance, motivation. I have multiple certifications, research and science background and apply the latest methods that produce lasting results
Ideal clients have tried other treatments and the issue persists. My/our clients may come with anxiety, PTSD, trauma, weight, smoking, sleeping, pain, restless leg and other severe or chronic issues. I have worked with veteran issues, ms, lupus, damaged spine, fibromyalgia, fears, sleep/insomnia, medical compliance, motivation. I have multiple certifications, research and science background and apply the latest methods that produce lasting results
(410) 469-1554 View (410) 469-1554
Photo of Kerri Easterbrook, Counselor in 21701, MD
Kerri Easterbrook
Counselor, LGPC, NCC
Verified Verified
1 Endorsed
Frederick, MD 21701
Waitlist for new clients
If you are seeking help navigating some of life’s most challenging moments or just want to start feeling more like your authentic self, I can help. I use a holistic approach to counseling to help you gain a deeper understanding of yourself and your circumstances so that you can develop an overall sense of wellbeing and empowerment while improving your functioning in this world. I have experience working with teens and adults experiencing symptoms related to anxiety, depression, anger, ADHD, and trauma.
If you are seeking help navigating some of life’s most challenging moments or just want to start feeling more like your authentic self, I can help. I use a holistic approach to counseling to help you gain a deeper understanding of yourself and your circumstances so that you can develop an overall sense of wellbeing and empowerment while improving your functioning in this world. I have experience working with teens and adults experiencing symptoms related to anxiety, depression, anger, ADHD, and trauma.
(240) 896-2111 View (240) 896-2111
Photo of Illuminate Wellness, Clinical Social Work/Therapist in 21701, MD
Illuminate Wellness
Clinical Social Work/Therapist, LCSW-C
Verified Verified
5 Endorsed
Frederick, MD 21701  (Online Only)
NOW accepting new patients and scheduling within one week! As a therapist for over 20 years, I have a great deal of experience assisting individuals and couples in meeting their goals. I will work with you to determine the areas in which you are struggling and help you to develop strategies to make the necessary changes. Whether you are dealing with relationship struggles, anxiety, depressed feelings or past trauma I will assist you with moving beyond these difficulties. My approach to therapy is a holistic approach. I will work with you to heal mind, body & spirit.
NOW accepting new patients and scheduling within one week! As a therapist for over 20 years, I have a great deal of experience assisting individuals and couples in meeting their goals. I will work with you to determine the areas in which you are struggling and help you to develop strategies to make the necessary changes. Whether you are dealing with relationship struggles, anxiety, depressed feelings or past trauma I will assist you with moving beyond these difficulties. My approach to therapy is a holistic approach. I will work with you to heal mind, body & spirit.
(301) 298-1903 View (301) 298-1903
Photo of Christine E Beehler, Clinical Social Work/Therapist in 21701, MD
Christine E Beehler
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Frederick, MD 21701
With over 20 years of experience, I'm a dedicated therapist specializing in people's unique challenges. I bring wisdom and empathy to my practice, fostering a holistic approach to mental health. I create a safe, nonjudgmental space where clients of all ages can embrace their authentic selves. My passion lies in supporting individuals in overcoming mental health obstacles, from anxiety and depression to trauma and grief. I empower clients to cultivate resilience and lead fulfilling lives using evidence-based techniques and personalized interventions. Witnessing their courage and resilience is a privilege that inspires me daily.
With over 20 years of experience, I'm a dedicated therapist specializing in people's unique challenges. I bring wisdom and empathy to my practice, fostering a holistic approach to mental health. I create a safe, nonjudgmental space where clients of all ages can embrace their authentic selves. My passion lies in supporting individuals in overcoming mental health obstacles, from anxiety and depression to trauma and grief. I empower clients to cultivate resilience and lead fulfilling lives using evidence-based techniques and personalized interventions. Witnessing their courage and resilience is a privilege that inspires me daily.
(301) 701-4931 View (301) 701-4931
Photo of Jen Sherwin, Licensed Clinical Professional Counselor in 21701, MD
Jen Sherwin
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Frederick, MD 21701
I have over twenty years of experience specializing in the mental health treatment of adults and adolescents. My areas of expertise include anxiety, depression, mood disorders, substance abuse, life transitions, infertility, pregnancy loss, postpartum depression, divorce and self-esteem issues. I have worked in numerous settings including outpatient clinics, hospitals, schools and rehab programs.
I have over twenty years of experience specializing in the mental health treatment of adults and adolescents. My areas of expertise include anxiety, depression, mood disorders, substance abuse, life transitions, infertility, pregnancy loss, postpartum depression, divorce and self-esteem issues. I have worked in numerous settings including outpatient clinics, hospitals, schools and rehab programs.
(321) 248-3910 View (321) 248-3910

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.