Anxiety Therapists in 33147

Photo of Patricia Bischoff, Clinical Social Work/Therapist in 33147, FL
Patricia Bischoff
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33147
Some common reasons clients seek treatment may be natural life transitions, depression, anxiety, relationships, trauma, work stress, and addictions.
Hello, I'm Pat I am a Licensed Clinical Social Worker based in Florida and am honored to work with my clients by helping them move through the challenges of life. In my 15-plus years in the field, I have had the opportunity to work with our military, community mental health, corrections, substance use, and the geriatric population. Each person sharing their life and struggles is an honor and what drives my continued work in this field. I do best work with adults, ages 18 and up.
Some common reasons clients seek treatment may be natural life transitions, depression, anxiety, relationships, trauma, work stress, and addictions.
Hello, I'm Pat I am a Licensed Clinical Social Worker based in Florida and am honored to work with my clients by helping them move through the challenges of life. In my 15-plus years in the field, I have had the opportunity to work with our military, community mental health, corrections, substance use, and the geriatric population. Each person sharing their life and struggles is an honor and what drives my continued work in this field. I do best work with adults, ages 18 and up.
(786) 686-0159 View (786) 686-0159
Photo of Cassandra Rinvil, Counselor in 33147, FL
Cassandra Rinvil
Counselor, LMHC
Verified Verified
Miami, FL 33147
I specialize in anger management, anxiety, depression, career counseling, family conflict, behavior issues, impulsivity, and coping skills.
As an experienced and licensed mental health counselor, the barriers to achieving your strongest desires are often minimized by false narratives you may have unintentionally adopted. We'll establish new tools and therapeutic skills to address challenges head-on. Then we'll craft a tailor-made action plan that empowers you to move in the right direction. You will find that our sessions are judgment-free zones where you can indeed be seen and heard.
I specialize in anger management, anxiety, depression, career counseling, family conflict, behavior issues, impulsivity, and coping skills.
As an experienced and licensed mental health counselor, the barriers to achieving your strongest desires are often minimized by false narratives you may have unintentionally adopted. We'll establish new tools and therapeutic skills to address challenges head-on. Then we'll craft a tailor-made action plan that empowers you to move in the right direction. You will find that our sessions are judgment-free zones where you can indeed be seen and heard.
(786) 244-7039 View (786) 244-7039
Photo of Judith Rey McCalla, Psychologist in 33147, FL
Judith Rey McCalla
Psychologist, PhD
Verified Verified
Miami, FL 33147
As a licensed psychologist, I view therapy as a collaborative process in which I use my clinical skills to help clients achieve their goals. Whether your issues include depression, anxiety, insomnia, stress management, low self-esteem, relationship difficulties, or coping with chronic medical diagnoses, I can work with you to improve your mood and your ability to cope effectively. As a health psychologist, I am interested in helping people increase their physical and emotional well-being and promote heathy lifestyle changes. My specialty is Cognitive Behavioral Therapy (CBT), but I use other therapy styles based on clients’ needs.
As a licensed psychologist, I view therapy as a collaborative process in which I use my clinical skills to help clients achieve their goals. Whether your issues include depression, anxiety, insomnia, stress management, low self-esteem, relationship difficulties, or coping with chronic medical diagnoses, I can work with you to improve your mood and your ability to cope effectively. As a health psychologist, I am interested in helping people increase their physical and emotional well-being and promote heathy lifestyle changes. My specialty is Cognitive Behavioral Therapy (CBT), but I use other therapy styles based on clients’ needs.
(305) 748-2932 View (305) 748-2932
Photo of John Erick Betancourt, Clinical Social Work/Therapist in 33147, FL
John Erick Betancourt
Clinical Social Work/Therapist, LCSW, MEd, CAP
Verified Verified
1 Endorsed
Miami, FL 33147  (Online Only)
As a Certified Addictions Professional I have experience with Addiction Counseling with Dual Diagnosed teens and adults, anger management, depression, anxiety and troubled teens in both English and Spanish and on the ASD spectrum.
Are you struggling or confused, does the rate of change in the world have you wondering how you will be able to keep up. Do you feel inadequate, isolated, addicted or not living to your full potential, I don’t have all the answers, and no one does. What I do have is 15 years of experience supporting change. I’m compassionate and honest, and along with your desire for change, i can reflect a mirror at you from a different perspective to adjust your trajectory. My ideal client would be someone who is willing to not feel afraid to feel vulnerable and is open to new ideas for healing and sobriety.
As a Certified Addictions Professional I have experience with Addiction Counseling with Dual Diagnosed teens and adults, anger management, depression, anxiety and troubled teens in both English and Spanish and on the ASD spectrum.
Are you struggling or confused, does the rate of change in the world have you wondering how you will be able to keep up. Do you feel inadequate, isolated, addicted or not living to your full potential, I don’t have all the answers, and no one does. What I do have is 15 years of experience supporting change. I’m compassionate and honest, and along with your desire for change, i can reflect a mirror at you from a different perspective to adjust your trajectory. My ideal client would be someone who is willing to not feel afraid to feel vulnerable and is open to new ideas for healing and sobriety.
(786) 869-5467 View (786) 869-5467
Photo of Michele Jacobson, Counselor in 33147, FL
Michele Jacobson
Counselor, LCMHC
Verified Verified
Miami, FL 33147
While I am extremely comfortable in treating any conditions, my strengths are in the areas of stress, anxiety/panic disorders, trauma, grief and loss, life transitions.
My name is Michele Jacobson and I am a Licensed Mental Health Counselor in Florida. I am comfortable working with many kinds of challenges and welcome the opportunity to assist you. I would like to work together to discover the tools necessary for a new outlook in your life. I am here to assist with any issue affecting your well being and have expertise in stress management, anxiety and panic disorders, PTSD, trauma, grief and loss issues as well as work/life balance and self care. I am experienced with life transitions whether it be college, new job, relationships, parenting issues, medical problems, empty nesters or retirement.
While I am extremely comfortable in treating any conditions, my strengths are in the areas of stress, anxiety/panic disorders, trauma, grief and loss, life transitions.
My name is Michele Jacobson and I am a Licensed Mental Health Counselor in Florida. I am comfortable working with many kinds of challenges and welcome the opportunity to assist you. I would like to work together to discover the tools necessary for a new outlook in your life. I am here to assist with any issue affecting your well being and have expertise in stress management, anxiety and panic disorders, PTSD, trauma, grief and loss issues as well as work/life balance and self care. I am experienced with life transitions whether it be college, new job, relationships, parenting issues, medical problems, empty nesters or retirement.
(954) 419-3329 View (954) 419-3329
Photo of Jillian Baldwin, Psychologist in 33147, FL
Jillian Baldwin
Psychologist, LCP
Verified Verified
Miami, FL 33147
My name is Dr. Jillian Baldwin, and I am a Licensed Clinical Psychologist (Psy.D.) based in Miami, FL working with clients statewide via telehealth. I work with adults (18+), utilizing relationship-based interventions paired with individualized behavioral plans and skill building to support clients in reaching their goals. I have found that my style and approach is a good fit for adults who may be dealing with the challenges of life transitions and mood difficulties. This often takes the form of anxiety, depression, stress, attentional problems, low motivation, and relationship struggles.
My name is Dr. Jillian Baldwin, and I am a Licensed Clinical Psychologist (Psy.D.) based in Miami, FL working with clients statewide via telehealth. I work with adults (18+), utilizing relationship-based interventions paired with individualized behavioral plans and skill building to support clients in reaching their goals. I have found that my style and approach is a good fit for adults who may be dealing with the challenges of life transitions and mood difficulties. This often takes the form of anxiety, depression, stress, attentional problems, low motivation, and relationship struggles.
(786) 686-0478 View (786) 686-0478
Photo of Julie Kelly, Clinical Social Work/Therapist in 33147, FL
Julie Kelly
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Miami, FL 33147
Hello! My name is Julie Kelly and I am a Licensed Clinical Social Worker with over 6 years of clinical experience. My focus areas of practice include depression, anxiety, and trauma processing. I have extensive experience working with adolescents and young adults. Since there’s no “one size fits all” in counseling, I use a holistic approach based on the unique needs of each individual. Cognitive Behavior Therapy (CBT) or Trauma Focused Cognitive Behavior Therapy (TFCBT) are most often used to help clients better understand how their thoughts, feelings and behaviors all interact and affect well-being.
Hello! My name is Julie Kelly and I am a Licensed Clinical Social Worker with over 6 years of clinical experience. My focus areas of practice include depression, anxiety, and trauma processing. I have extensive experience working with adolescents and young adults. Since there’s no “one size fits all” in counseling, I use a holistic approach based on the unique needs of each individual. Cognitive Behavior Therapy (CBT) or Trauma Focused Cognitive Behavior Therapy (TFCBT) are most often used to help clients better understand how their thoughts, feelings and behaviors all interact and affect well-being.
(305) 224-6829 View (305) 224-6829
Photo of Amanda Secran, Clinical Social Work/Therapist in 33147, FL
Amanda Secran
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33147  (Online Only)
Amanda Secran is a Licensed Clinical Social Worker (LCSW) with over 15 years in mental health treatment, evaluations and counseling. Amanda specializes in working with individuals ranging from CEOs to entry level employees from military veterans to single parents to former inmates. All suffering from different levels of PTSD, general anxiety, depression or all of the above. Her counseling skills include families, couples, individuals and children.
Amanda Secran is a Licensed Clinical Social Worker (LCSW) with over 15 years in mental health treatment, evaluations and counseling. Amanda specializes in working with individuals ranging from CEOs to entry level employees from military veterans to single parents to former inmates. All suffering from different levels of PTSD, general anxiety, depression or all of the above. Her counseling skills include families, couples, individuals and children.
(850) 789-9301 View (850) 789-9301
Photo of Takojia Walters, Counselor in 33147, FL
Takojia Walters
Counselor, LMHC
Verified Verified
Miami, FL 33147
Hello my name is Takojia Walters. I am licensed in the state of Florida. My approach to therapy is Cognitve behavioral approach along with integrated modalities. I have worked with clients aging from 3 years old to 80 years old from various socioeconomic backgrounds and cultures. I have experience with working with clients who suffer from depression, anxiety, OCD, trauma, grief, ODD, Autism, and Bipolar.
Hello my name is Takojia Walters. I am licensed in the state of Florida. My approach to therapy is Cognitve behavioral approach along with integrated modalities. I have worked with clients aging from 3 years old to 80 years old from various socioeconomic backgrounds and cultures. I have experience with working with clients who suffer from depression, anxiety, OCD, trauma, grief, ODD, Autism, and Bipolar.
(305) 680-1412 View (305) 680-1412
Photo of James Cote, Counselor in 33147, FL
James Cote
Counselor, LMHC
Verified Verified
Miami, FL 33147  (Online Only)
Hello! I am a Licensed Mental Health Counselor (LMHC) practicing in the State of Florida with 5+ years of professional experience supporting and empowering adults struggling with a wide array of mental health challenges such as anxiety, low self-esteem, stress, trauma & abuse, addiction, depression, meaninglessness, grief & loss, family conflict, anger management, identity issues, and relationship problems. I maintain an open and safe space for you to explore your innermost thoughts and feelings without fear of judgment.
Hello! I am a Licensed Mental Health Counselor (LMHC) practicing in the State of Florida with 5+ years of professional experience supporting and empowering adults struggling with a wide array of mental health challenges such as anxiety, low self-esteem, stress, trauma & abuse, addiction, depression, meaninglessness, grief & loss, family conflict, anger management, identity issues, and relationship problems. I maintain an open and safe space for you to explore your innermost thoughts and feelings without fear of judgment.
(561) 823-3646 View (561) 823-3646
Photo of Wynsome McLean, Marriage & Family Therapist in 33147, FL
Wynsome McLean
Marriage & Family Therapist, LMFT
Verified Verified
Miami, FL 33147  (Online Only)
I have over 15 years of experience working with various concerns, including depression, anxiety, past trauma, spirituality, identity development, grief, and loss, to name a few.
I am a Licensed Marriage and Family Therapist. I work with individuals, couples (pre and post-marital), and families. I create a safe, trusting, and affirming environment to work through past trauma while processing the current impact and working toward a future without limitations
I have over 15 years of experience working with various concerns, including depression, anxiety, past trauma, spirituality, identity development, grief, and loss, to name a few.
I am a Licensed Marriage and Family Therapist. I work with individuals, couples (pre and post-marital), and families. I create a safe, trusting, and affirming environment to work through past trauma while processing the current impact and working toward a future without limitations
(561) 867-4959 View (561) 867-4959
Photo of Amy Lottes, Counselor in 33147, FL
Amy Lottes
Counselor, LMHC
Verified Verified
1 Endorsed
Miami, FL 33147  (Online Only)
Hello! I am Amy Lottes, a Licensed Mental Health Counselor (LMHC) in the state of Florida and a Licensed Professional Counselor (LPC) in the state of Colorado. I have experience helping clients with depression, stress and anxiety, coping with addictions, relationship issues, family conflicts, and an array of other issues. My clients like working with me because they feel like we are having a conversation while addressing their issues and working toward their goals. They usually say this approach feels less clinical and intimidating, and as a result, end up making progress faster than they initially thought they would.
Hello! I am Amy Lottes, a Licensed Mental Health Counselor (LMHC) in the state of Florida and a Licensed Professional Counselor (LPC) in the state of Colorado. I have experience helping clients with depression, stress and anxiety, coping with addictions, relationship issues, family conflicts, and an array of other issues. My clients like working with me because they feel like we are having a conversation while addressing their issues and working toward their goals. They usually say this approach feels less clinical and intimidating, and as a result, end up making progress faster than they initially thought they would.
(305) 697-0387 View (305) 697-0387
Photo of Rebecca Dumaine, Clinical Social Work/Therapist in 33147, FL
Rebecca Dumaine
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33147  (Online Only)
Life is hard sometimes with so many demands, expectations, and challenges, it feels like you are a needle in a haystack, trying to find a way out. It gets pretty discouraging when all of your efforts seem stagnant. If you can relate to this, then you have come to the right place. I help those who are tired of dealing with the same cycle of disappointments find a solution that brings joy, fulfillment, healing, and hope. Whether it's depression, anxiety, relationship difficulties, or just feeling overwhelmed, together we can identify problem areas. and develop specific solutions to getting you to a place of happiness within yourself.
Life is hard sometimes with so many demands, expectations, and challenges, it feels like you are a needle in a haystack, trying to find a way out. It gets pretty discouraging when all of your efforts seem stagnant. If you can relate to this, then you have come to the right place. I help those who are tired of dealing with the same cycle of disappointments find a solution that brings joy, fulfillment, healing, and hope. Whether it's depression, anxiety, relationship difficulties, or just feeling overwhelmed, together we can identify problem areas. and develop specific solutions to getting you to a place of happiness within yourself.
(561) 220-3404 View (561) 220-3404
Photo of Leah S Taylor, Counselor in 33147, FL
Leah S Taylor
Counselor, LMHC
Verified Verified
Miami, FL 33147  (Online Only)
Welcome! I am a Licensed Clinical Mental Health Counselor in the state of Florida. I have a plethora of experience with in-patient and outpatient agencies which have allowed me to help clients overcome struggles with issues such as Substance use, Anxiety, Depression, Relationship issues, LGBTQ, Ethical Non-Monogamy/lifestyle concerns, Homelessness, Bipolar disorder, Personality disorders, and Trauma including sexual, emotional and physical abuse. My upbringing as the child of an immigrant Caribbean mother, and experience growing up in Brooklyn, NY allows me to bring a unique perspective to bring to the counseling experience.
Welcome! I am a Licensed Clinical Mental Health Counselor in the state of Florida. I have a plethora of experience with in-patient and outpatient agencies which have allowed me to help clients overcome struggles with issues such as Substance use, Anxiety, Depression, Relationship issues, LGBTQ, Ethical Non-Monogamy/lifestyle concerns, Homelessness, Bipolar disorder, Personality disorders, and Trauma including sexual, emotional and physical abuse. My upbringing as the child of an immigrant Caribbean mother, and experience growing up in Brooklyn, NY allows me to bring a unique perspective to bring to the counseling experience.
(407) 543-1530 View (407) 543-1530
Photo of Donna Curran, Clinical Social Work/Therapist in 33147, FL
Donna Curran
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33147  (Online Only)
Are you looking for a way to feel more positive, more hopeful and more confident? Do you want to decrease your anxiety, resolve conflict or improve closeness and trust in your relationship? For over 30 years I have been helping individuals, couples and families to feel better about themselves, improve their relationships and gain greater satisfaction in life.
Are you looking for a way to feel more positive, more hopeful and more confident? Do you want to decrease your anxiety, resolve conflict or improve closeness and trust in your relationship? For over 30 years I have been helping individuals, couples and families to feel better about themselves, improve their relationships and gain greater satisfaction in life.
(850) 920-7282 View (850) 920-7282
Photo of Ashley Walker, Counselor in 33147, FL
Ashley Walker
Counselor, LMHC
Verified Verified
Miami, FL 33147  (Online Only)
I specialize in working with high-functioning adults, teenagers, and children experiencing life challenges and life transitions such as self-esteem, confidence, anxiety, depression, grief, divorce, parenting, moving, military family life challenges, caregivers, health challenges, educational/career, women's issues.
Sometimes life can feel overwhelming, and we struggle to catch our breath. Congratulations on your decision to start making positive changes in your life through the assistance of counseling. Hi, I'm Ashley! I am a Licensed Mental Health Counselor (LMHC) who is based in the beautiful Florida Gulf Coast Panhandle. Finding the "right" counselor is important, so I'd love to share a little bit about myself. I am a wife of 20 years, the proud mom of two kiddos, and a human mom to a precious labrador retriever. My happy place is definitely at the beach looking for shells or enjoying the waves from my beach chair!
I specialize in working with high-functioning adults, teenagers, and children experiencing life challenges and life transitions such as self-esteem, confidence, anxiety, depression, grief, divorce, parenting, moving, military family life challenges, caregivers, health challenges, educational/career, women's issues.
Sometimes life can feel overwhelming, and we struggle to catch our breath. Congratulations on your decision to start making positive changes in your life through the assistance of counseling. Hi, I'm Ashley! I am a Licensed Mental Health Counselor (LMHC) who is based in the beautiful Florida Gulf Coast Panhandle. Finding the "right" counselor is important, so I'd love to share a little bit about myself. I am a wife of 20 years, the proud mom of two kiddos, and a human mom to a precious labrador retriever. My happy place is definitely at the beach looking for shells or enjoying the waves from my beach chair!
(850) 641-8341 View (850) 641-8341
Photo of Erin Vaughn, Clinical Social Work/Therapist in 33147, FL
Erin Vaughn
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33147  (Online Only)
Whether you’re dealing with depression, anxiety, or feeling stuck, I am here to help.
Congratulations on taking the first step in improving your life satisfaction and feeling better than you did yesterday! Seeking therapy is a big step in making your mental well-being a priority and I am proud of you. You should be too. I will be with you every step of the way also-so you’re not on this journey alone.
Whether you’re dealing with depression, anxiety, or feeling stuck, I am here to help.
Congratulations on taking the first step in improving your life satisfaction and feeling better than you did yesterday! Seeking therapy is a big step in making your mental well-being a priority and I am proud of you. You should be too. I will be with you every step of the way also-so you’re not on this journey alone.
(305) 602-7275 View (305) 602-7275
Photo of Elmer Wiscovitch, Clinical Social Work/Therapist in 33147, FL
Elmer Wiscovitch
Clinical Social Work/Therapist, LCSW
Verified Verified
Miami, FL 33147  (Online Only)
Offering a Process that, when followed as prescribed, relieves/changes thoughts and behaviors commonly associated with Fear, Worry, and Anxiety. Long-term solutions whose results are Measured within 3-months (Completed within 6-9 Months). Do you feel pulled in a million directions, unable to fit it all in? Are you struggling to keep up with your relationships, work and health? Is it hard to be kind to yourself? Whether you're dealing with overwhelm, relationship issues or cycles of anxiety and depression, I'm here to help.
Offering a Process that, when followed as prescribed, relieves/changes thoughts and behaviors commonly associated with Fear, Worry, and Anxiety. Long-term solutions whose results are Measured within 3-months (Completed within 6-9 Months). Do you feel pulled in a million directions, unable to fit it all in? Are you struggling to keep up with your relationships, work and health? Is it hard to be kind to yourself? Whether you're dealing with overwhelm, relationship issues or cycles of anxiety and depression, I'm here to help.
(786) 589-8154 View (786) 589-8154
Photo of Rochelle Cornwall, Clinical Social Work/Therapist in 33147, FL
Rochelle Cornwall
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Miami, FL 33147  (Online Only)
Searching for relief from from the stresses of daily life? Well, you can breathe easier now. There will always be time for others, but now is your chance to "reclaim your time" and focus on building and recognizing your self worth. In therapy, we will begin healing the hurts that left you with anxiety and self-doubt. We'll work to develop the internal voice of encouragement you need in order to stop negative thought patterns in their tracks, while walking towards your light and your purpose. Are you working to become a more peaceful, optimistic person?
Searching for relief from from the stresses of daily life? Well, you can breathe easier now. There will always be time for others, but now is your chance to "reclaim your time" and focus on building and recognizing your self worth. In therapy, we will begin healing the hurts that left you with anxiety and self-doubt. We'll work to develop the internal voice of encouragement you need in order to stop negative thought patterns in their tracks, while walking towards your light and your purpose. Are you working to become a more peaceful, optimistic person?
(786) 648-7481 View (786) 648-7481
Photo of Angelique Melendez Blanch, Psychologist in 33147, FL
Angelique Melendez Blanch
Psychologist, PsyD
Verified Verified
Miami, FL 33147  (Online Only)
I’m passionate about helping women that are struggling with feeling depressed, anxious, or have experienced trauma.
The world seems like a scary place. Worrying seems like the norm to you. Enjoying the present moment or taking any decisions seems impossible. Your mood feels like rollercoaster every day or at times is just numb. Eating helps you feel better at times, but then you feel guilty about going for food or you feel you just had too much, ending in ways to compensate for this. You want to stop this cycle, live in the moment, and enjoy your life. I’m here for you, to listen with empathy, compassion, and without judgement.
I’m passionate about helping women that are struggling with feeling depressed, anxious, or have experienced trauma.
The world seems like a scary place. Worrying seems like the norm to you. Enjoying the present moment or taking any decisions seems impossible. Your mood feels like rollercoaster every day or at times is just numb. Eating helps you feel better at times, but then you feel guilty about going for food or you feel you just had too much, ending in ways to compensate for this. You want to stop this cycle, live in the moment, and enjoy your life. I’m here for you, to listen with empathy, compassion, and without judgement.
(727) 235-7941 View (727) 235-7941

See more therapy options for 33147

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.