Photo of Bethany Otten - Otten Counseling PLLC, LCMHC, NCC, RYT 500, Licensed Professional Counselor
Otten Counseling PLLC
Licensed Professional Counselor, LCMHC, NCC, RYT 500
Verified Verified
2 Endorsed
Asheville, NC 28816
Feel like crap? Reach out and I can help with that. I specialize in anxiety, addiction, lgbtqia+ challenges, transitioning, mood disorders, or anyone seeking holistic counseling. You may choose to incorporate mindfulness practices, yoga, or Reiki. Telehealth offered in all cities in North Carolina or South Carolina. Accepting BCBS, Aetna, or Self Pay. Contact me here or learn more about me on my website www.ottencounseling.com
Feel like crap? Reach out and I can help with that. I specialize in anxiety, addiction, lgbtqia+ challenges, transitioning, mood disorders, or anyone seeking holistic counseling. You may choose to incorporate mindfulness practices, yoga, or Reiki. Telehealth offered in all cities in North Carolina or South Carolina. Accepting BCBS, Aetna, or Self Pay. Contact me here or learn more about me on my website www.ottencounseling.com
(980) 350-8969 View (980) 350-8969
Photo of Megan Piscitelle, LCSWA, MSW, Clinical Social Work/Therapist
Megan Piscitelle
Clinical Social Work/Therapist, LCSWA, MSW
Verified Verified
1 Endorsed
Asheville, NC 28816  (Online Only)
Welcome! I'm so glad you made it here. Taking the first step in seeking out a therapist can be scary and overwhelming. As a non-binary, neurodivergent therapist, I provide an affirming space that allows my clients to accept all parts of themselves and celebrate their identities. I specialize in working with individuals who are queer-identified and/or neurodivergent, navigating chronic illness, addressing internalized ableism/homo phobia, and dealing with trauma symptoms (including relational and religious trauma).
Welcome! I'm so glad you made it here. Taking the first step in seeking out a therapist can be scary and overwhelming. As a non-binary, neurodivergent therapist, I provide an affirming space that allows my clients to accept all parts of themselves and celebrate their identities. I specialize in working with individuals who are queer-identified and/or neurodivergent, navigating chronic illness, addressing internalized ableism/homo phobia, and dealing with trauma symptoms (including relational and religious trauma).
(828) 532-2836 View (828) 532-2836

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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.