Photo of Nichole Fritts, Licensed Professional Counselor in 53711, WI
Nichole Fritts
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
Fitchburg, WI 53711
My approach uses attachment-based & somatic experiences, including mindfulness and understanding the neuroscience behind anxiety, fear & anger.
Are you looking for something different when it comes to therapy? I believe therapy can be more relaxed & not always serious & "stuffy". My goal is for you to have an experience of comfort and encouragement while also working through difficult situations and feelings. We talk about your concerns but also about your strengths & looking at things from different perspectives. During these conversations, we can laugh about some things, have a cup of coffee/tea together and color a picture. I work hard to provide a positive, accepting and non-judgmental environment where you feel safe to talk about your reality and truth.
My approach uses attachment-based & somatic experiences, including mindfulness and understanding the neuroscience behind anxiety, fear & anger.
Are you looking for something different when it comes to therapy? I believe therapy can be more relaxed & not always serious & "stuffy". My goal is for you to have an experience of comfort and encouragement while also working through difficult situations and feelings. We talk about your concerns but also about your strengths & looking at things from different perspectives. During these conversations, we can laugh about some things, have a cup of coffee/tea together and color a picture. I work hard to provide a positive, accepting and non-judgmental environment where you feel safe to talk about your reality and truth.
(608) 544-8732 View (608) 544-8732
Photo of Guy Blackstone, Licensed Professional Counselor in 53711, WI
Guy Blackstone
Licensed Professional Counselor, CRC, LPC
Verified Verified
Fitchburg, WI 53711
Waitlist for new clients
I help people with anxiety, depression, and chronic illness to get back in control and live the life they want. Our thoughts, memories, feelings, and bodily sensations make life so hard. Do they keep you from doing the things you want? Do you feel so overwhelmed you need to run or to escape? Do they make you regret the way you’ve lived? Do they keep you from people you care about? You don’t have to live this way. We can take steps to put you back in charge of you and your life. My mission is to help you be proud of the person you are, get you doing the things you want, with the people you care about most.
I help people with anxiety, depression, and chronic illness to get back in control and live the life they want. Our thoughts, memories, feelings, and bodily sensations make life so hard. Do they keep you from doing the things you want? Do you feel so overwhelmed you need to run or to escape? Do they make you regret the way you’ve lived? Do they keep you from people you care about? You don’t have to live this way. We can take steps to put you back in charge of you and your life. My mission is to help you be proud of the person you are, get you doing the things you want, with the people you care about most.
(608) 597-6846 View (608) 597-6846
Photo of Gabriela Jump, Licensed Professional Counselor in 53711, WI
Gabriela Jump
Licensed Professional Counselor, MS, LPC
Verified Verified
Fitchburg, WI 53711
​Hi, my name is Gabi. I am a Licensed Professional Counselor for Wisconsin. I am also licensed for Telehealth therapy for the State of Iowa. I hope to join you on your current journey! I understand it can be intimidating to search for a therapist. I have extensive experience working with clients who experience anxiety, depression, low self-esteem/self-worth, career unease or dissatisfaction, perfectionism, relationship conflict, breakups, family conflict, life transitions, and emerging adulthood. I have served a multitude of clients in marginalized communities, including people of color, women, LGBTQ+, and low-income communities.
​Hi, my name is Gabi. I am a Licensed Professional Counselor for Wisconsin. I am also licensed for Telehealth therapy for the State of Iowa. I hope to join you on your current journey! I understand it can be intimidating to search for a therapist. I have extensive experience working with clients who experience anxiety, depression, low self-esteem/self-worth, career unease or dissatisfaction, perfectionism, relationship conflict, breakups, family conflict, life transitions, and emerging adulthood. I have served a multitude of clients in marginalized communities, including people of color, women, LGBTQ+, and low-income communities.
(608) 470-7843 View (608) 470-7843
Photo of Erika Lund, Psychologist in 53711, WI
Erika Lund
Psychologist, PsyD, SC
Verified Verified
1 Endorsed
Madison, WI 53711  (Online Only)
Sometimes we feel overwhelmed by challenges in life leaving us depressed, anxious, confused and stuck. Our distress may cue us to pay attention, heal old wounds, and mine our inner strengths and wisdom. Psychotherapy is highly personalized and helps us to manage stress and restore harmony. I draw from various treatment modalities including psychodynamic, family systems, cognitive behavioral, humanistic/transpersonal, 12 step programs, Mindfulness and coaching psychology. I approach therapy openly and collaboratively, and am committed to providing a safe, empathic space where I listen deeply, understand your worldview, and support your heroic journey towards wholeness and well-being.
Sometimes we feel overwhelmed by challenges in life leaving us depressed, anxious, confused and stuck. Our distress may cue us to pay attention, heal old wounds, and mine our inner strengths and wisdom. Psychotherapy is highly personalized and helps us to manage stress and restore harmony. I draw from various treatment modalities including psychodynamic, family systems, cognitive behavioral, humanistic/transpersonal, 12 step programs, Mindfulness and coaching psychology. I approach therapy openly and collaboratively, and am committed to providing a safe, empathic space where I listen deeply, understand your worldview, and support your heroic journey towards wholeness and well-being.
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Photo of Katie Geiser, Licensed Professional Counselor in 53711, WI
Katie Geiser
Licensed Professional Counselor, LPC, CSAC
Verified Verified
1 Endorsed
Madison, WI 53711  (Online Only)
I am an anxiety and trauma specialist and I want to help you feel more confident in your life. Often anxiety tells us that IF the ‘bad thing’ we are trying to avoid happens- we cannot cope. These thoughts might look like “What if they don’t like me or I am judged?" “What if I fail?” “What if that really terrible thing happens, or happens again?” “What if I am in danger?” We are riddled with fear that leaves us feeling stuck, helpless, and unsure how to feel better. You may feel alone, but it doesn’t mean you need to move though it alone.
I am an anxiety and trauma specialist and I want to help you feel more confident in your life. Often anxiety tells us that IF the ‘bad thing’ we are trying to avoid happens- we cannot cope. These thoughts might look like “What if they don’t like me or I am judged?" “What if I fail?” “What if that really terrible thing happens, or happens again?” “What if I am in danger?” We are riddled with fear that leaves us feeling stuck, helpless, and unsure how to feel better. You may feel alone, but it doesn’t mean you need to move though it alone.
(608) 200-2444 View (608) 200-2444
Photo of David C Lee, Psychologist in 53711, WI
David C Lee
Psychologist, PhD, JD
Verified Verified
Madison, WI 53711
Your best journeys can begin here. I provide effective, focused, and practical guidance in psychotherapy to help attain goals, self-improvement, resolve conflicts, and deal with a variety of life issues ranging from depression, anxiety, phobias and sexual identity to relationships (couples, marriage), career, and life transitions. I also provide dispute mediation services. I have a personable, affirming, and mentoring therapy style and an appreciation for individual experiences, styles and needs. My honest, direct, and warm approach also facilitates trusting and effective therapeutic relationships. I provide EMDR, Cognitive-Behavioral, and various Client-Centered methods. West-side Madison location.
Your best journeys can begin here. I provide effective, focused, and practical guidance in psychotherapy to help attain goals, self-improvement, resolve conflicts, and deal with a variety of life issues ranging from depression, anxiety, phobias and sexual identity to relationships (couples, marriage), career, and life transitions. I also provide dispute mediation services. I have a personable, affirming, and mentoring therapy style and an appreciation for individual experiences, styles and needs. My honest, direct, and warm approach also facilitates trusting and effective therapeutic relationships. I provide EMDR, Cognitive-Behavioral, and various Client-Centered methods. West-side Madison location.
(608) 291-5003 View (608) 291-5003
Photo of Andrea (Andy) Guenther-Pal, Clinical Social Work/Therapist in 53711, WI
Andrea (Andy) Guenther-Pal
Clinical Social Work/Therapist, JD, LCSW, CCTP
Verified Verified
Madison, WI 53711  (Online Only)
I specialize in helping women+ professionals who struggle with anxiety or depression, or are challenged by stress/burnout, perfectionism, imposter syndrome, or work and career concerns.
You’ve worked hard and invested a lot to get where you are, but now it feels like something’s missing. You're just not thriving. In fact, most of the time you're exhausted, anxious, overwhelmed, or angry. You worry that you’ve lost your drive. Or, maybe you find that the goals you once thought mattered most just don’t make you happy anymore. If you’re feeling stressed out, burned out, or unhappy with the life you’ve built, I’m here to help. I’m passionate about helping you tap into your wisdom and rediscover your deepest authenticity and joy.
I specialize in helping women+ professionals who struggle with anxiety or depression, or are challenged by stress/burnout, perfectionism, imposter syndrome, or work and career concerns.
You’ve worked hard and invested a lot to get where you are, but now it feels like something’s missing. You're just not thriving. In fact, most of the time you're exhausted, anxious, overwhelmed, or angry. You worry that you’ve lost your drive. Or, maybe you find that the goals you once thought mattered most just don’t make you happy anymore. If you’re feeling stressed out, burned out, or unhappy with the life you’ve built, I’m here to help. I’m passionate about helping you tap into your wisdom and rediscover your deepest authenticity and joy.
(224) 243-5643 View (224) 243-5643
Photo of Jill Klotz Flitter, Psychologist in 53711, WI
Jill Klotz Flitter
Psychologist, PhD
Verified Verified
Madison, WI 53711
I have significant experience working with clients who have a wide range of concerns including sexual trauma, depression, anxiety, family difficulties, peer problems, self-injurious behaviors, grief and loss, and adjustment and life transitions.
Chocolate, snowboarding, and shopping can be therapeutic, but sometimes they're not enough. I see teenagers, adults, and families when struggles get in the way of fun and suffering becomes too familiar. Friends and family hopefully are there when we need them, yet therapists can provide additional essentials: nonjudgmental, individual attention in a safe setting. Relationships are central to our well-being, and the therapy process involves building a relationship. Clients lead, and I listen to your goals and help you to identify unhealthy patterns, reduce negative self-talk, and learn more about how you view yourself and the world.
I have significant experience working with clients who have a wide range of concerns including sexual trauma, depression, anxiety, family difficulties, peer problems, self-injurious behaviors, grief and loss, and adjustment and life transitions.
Chocolate, snowboarding, and shopping can be therapeutic, but sometimes they're not enough. I see teenagers, adults, and families when struggles get in the way of fun and suffering becomes too familiar. Friends and family hopefully are there when we need them, yet therapists can provide additional essentials: nonjudgmental, individual attention in a safe setting. Relationships are central to our well-being, and the therapy process involves building a relationship. Clients lead, and I listen to your goals and help you to identify unhealthy patterns, reduce negative self-talk, and learn more about how you view yourself and the world.
(608) 514-1124 x4 View (608) 514-1124 x4
Photo of Nicolle Levy, Psychologist in 53711, WI
Nicolle Levy
Psychologist, PhD
Verified Verified
1 Endorsed
Madison, WI 53711
I see therapy as a collaborative process, where the client takes the 'expert seat'. No one knows you better than yourself. My role is to offer my knowledge when and where appropriate to help you gain insight into your concerns and facilitate the growth or change desired. I try to create a relaxed and non-judgmental environment for my clients. My approach is client-centered and strength based. I treat a wide range of concerns, which include depression, anxiety, sexual trauma, adult survivors of child abuse, eating disorders/body image, relationship concerns, family of origin issues, and grief and loss.
I see therapy as a collaborative process, where the client takes the 'expert seat'. No one knows you better than yourself. My role is to offer my knowledge when and where appropriate to help you gain insight into your concerns and facilitate the growth or change desired. I try to create a relaxed and non-judgmental environment for my clients. My approach is client-centered and strength based. I treat a wide range of concerns, which include depression, anxiety, sexual trauma, adult survivors of child abuse, eating disorders/body image, relationship concerns, family of origin issues, and grief and loss.
(608) 208-1535 x112 View (608) 208-1535 x112
Photo of Kate Cousin, Licensed Professional Counselor in 53711, WI
Kate Cousin
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
Madison, WI 53711  (Online Only)
I have nearly a decade of experience treating anxiety, depression, life transitions, grief and loss, relationship issues, and much more.
The person-to-person connection in therapy is of the utmost importance to me. I am a deeply compassionate person with a true desire to help others find healing and growth. I bring my authentic self to each therapy session—including my lived experience, sense of humor, and breadth of knowledge about the field—and invite each client to do the same. You will find in me a gentle, warm presence with an unassuming, nonjudgmental approach.
I have nearly a decade of experience treating anxiety, depression, life transitions, grief and loss, relationship issues, and much more.
The person-to-person connection in therapy is of the utmost importance to me. I am a deeply compassionate person with a true desire to help others find healing and growth. I bring my authentic self to each therapy session—including my lived experience, sense of humor, and breadth of knowledge about the field—and invite each client to do the same. You will find in me a gentle, warm presence with an unassuming, nonjudgmental approach.
(608) 413-3884 View (608) 413-3884
Photo of Gerald W. Greenfield Ph. D., Psychologist in 53711, WI
Gerald W. Greenfield Ph. D.
Psychologist, PhD
Verified Verified
Madison, WI 53711  (Online Only)
Are you looking for someone who is easy to talk to, who will listen supportively and non-judgmentally, and who will also offer helpful feedback? I'm a licensed psychologist who has helped individuals and couples with a wide range of challenges for over 25 years, including marital, relationship, and communication issues; and problems with depression, anxiety, anger, self-esteem, alcohol use, and struggles related to a bad childhood. (See "Specialties" and "Issues" below.) Whether you have individual and/or relationship concerns, I offer understanding, compassion, new perspectives, and new ways to cope with challenges.
Are you looking for someone who is easy to talk to, who will listen supportively and non-judgmentally, and who will also offer helpful feedback? I'm a licensed psychologist who has helped individuals and couples with a wide range of challenges for over 25 years, including marital, relationship, and communication issues; and problems with depression, anxiety, anger, self-esteem, alcohol use, and struggles related to a bad childhood. (See "Specialties" and "Issues" below.) Whether you have individual and/or relationship concerns, I offer understanding, compassion, new perspectives, and new ways to cope with challenges.
(608) 315-5716 View (608) 315-5716
Photo of Sarah A Watt, Marriage & Family Therapist in 53711, WI
Sarah A Watt
Marriage & Family Therapist, MS, LMFT
Verified Verified
Fitchburg, WI 53711
Are you dealing with concerns about family building, infertility, postpartum depression or anxiety? Are you struggling with a difficult life transition, communicating with your partner, or issues with work-life balance? Do you feel you need extra support and reassurance? Therapy can provide an outside perspective and teach skills necessary to help you create the kind of life you are looking for. Change is possible and sustainable. I have over 18 years experience with helping individuals and couples in a number of areas.
Are you dealing with concerns about family building, infertility, postpartum depression or anxiety? Are you struggling with a difficult life transition, communicating with your partner, or issues with work-life balance? Do you feel you need extra support and reassurance? Therapy can provide an outside perspective and teach skills necessary to help you create the kind of life you are looking for. Change is possible and sustainable. I have over 18 years experience with helping individuals and couples in a number of areas.
(608) 709-0190 View (608) 709-0190
Photo of Travis Fox, Psychologist in 53711, WI
Travis Fox
Psychologist, PsyD
Verified Verified
Fitchburg, WI 53711
Over a decade of experience has shown me suffering has its roots in disconnection from self, others, and/or the natural world; often caused by trauma. This disconnection can show up as: difficulty knowing what you want; inability to name and express feelings; relationship discord with partners, friends, or coworkers; feeling lost and uninspired; lack of creativity and flexibility; existential crises; depression; or anxiety. By reconnecting and becoming more embodied, you will find more depth in your relationships, clarity in your thinking, and more skills and confidence to manage the inevitable struggles of life.
Over a decade of experience has shown me suffering has its roots in disconnection from self, others, and/or the natural world; often caused by trauma. This disconnection can show up as: difficulty knowing what you want; inability to name and express feelings; relationship discord with partners, friends, or coworkers; feeling lost and uninspired; lack of creativity and flexibility; existential crises; depression; or anxiety. By reconnecting and becoming more embodied, you will find more depth in your relationships, clarity in your thinking, and more skills and confidence to manage the inevitable struggles of life.
(608) 200-3192 View (608) 200-3192
Photo of Lisa Baker, Psychologist in 53711, WI
Lisa Baker
Psychologist, PhD
Verified Verified
Madison, WI 53711
As a Psychologist, I have the honor of working with individuals in their journeys of self-discovery, healing, renewal, and growth; journeys which, at times, have emerged out of periods of life crises & emotional upheaval. I offer individual, couples, and group psychotherapy, working with people navigating a range life transitions and challenges. I work compassionately and collaboratively with clients to explore, discover and overcome aspects of their lives that keep them from recognizing and meeting their full potential. This also involves recognizing and emphasizing clients' strengths, resilience, and assets they already embody.
As a Psychologist, I have the honor of working with individuals in their journeys of self-discovery, healing, renewal, and growth; journeys which, at times, have emerged out of periods of life crises & emotional upheaval. I offer individual, couples, and group psychotherapy, working with people navigating a range life transitions and challenges. I work compassionately and collaboratively with clients to explore, discover and overcome aspects of their lives that keep them from recognizing and meeting their full potential. This also involves recognizing and emphasizing clients' strengths, resilience, and assets they already embody.
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Photo of Gwyn Schell, Licensed Professional Counselor in 53711, WI
Gwyn Schell
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Madison, WI 53711
Our lives are complex. As your therapist, it is my job to understand this complexity coupled with your psychological needs to facilitate the realization of your goals. I see my role as understanding you, your history, and your environment in a holistic way and using that knowledge to promote exploration and growth. Beyond understanding why people act the way that they do, I collaborate with you to apply that understanding to interventions that facilitate positive change.
Our lives are complex. As your therapist, it is my job to understand this complexity coupled with your psychological needs to facilitate the realization of your goals. I see my role as understanding you, your history, and your environment in a holistic way and using that knowledge to promote exploration and growth. Beyond understanding why people act the way that they do, I collaborate with you to apply that understanding to interventions that facilitate positive change.
(608) 200-2052 View (608) 200-2052
Photo of Laura Long, Marriage & Family Therapist in 53711, WI
Laura Long
Marriage & Family Therapist, MS, LMFT
Verified Verified
Fitchburg, WI 53711  (Online Only)
I identify as a member of the LGBTQ+ community, and have experience working with people of many different gender identities and sexual orientations. I strive to offer a safe space for people of all demographics.
I identify as a member of the LGBTQ+ community, and have experience working with people of many different gender identities and sexual orientations. I strive to offer a safe space for people of all demographics.
(608) 561-9881 View (608) 561-9881
Photo of Julia Leah Hughes, Clinical Social Work/Therapist in 53711, WI
Julia Leah Hughes
Clinical Social Work/Therapist, LCSW, MPH, CCTP, MSW
Verified Verified
3 Endorsed
Madison, WI 53711  (Online Only)
Seeking space to process trauma and understand your path of healing is a courageous choice. Whether you are new to therapy, or returning to your journey of healing self-discovery — searching for a therapist can be overwhelming. Be proud that you made it this far! I am passionate about processing trauma and working with caregivers, helpers, and those excited to attune to one's own needs. I work with clients seeking to explore a deeper understanding of their attachment, and identities and heal from trauma, abuse, and neglect. My practice welcomes those who identify as neurodivergent, LGBTQIA2+, or consensually non-monogamous.
Seeking space to process trauma and understand your path of healing is a courageous choice. Whether you are new to therapy, or returning to your journey of healing self-discovery — searching for a therapist can be overwhelming. Be proud that you made it this far! I am passionate about processing trauma and working with caregivers, helpers, and those excited to attune to one's own needs. I work with clients seeking to explore a deeper understanding of their attachment, and identities and heal from trauma, abuse, and neglect. My practice welcomes those who identify as neurodivergent, LGBTQIA2+, or consensually non-monogamous.
(314) 804-0921 View (314) 804-0921
Photo of Amanda Meyer, Marriage & Family Therapist in 53711, WI
Amanda Meyer
Marriage & Family Therapist, MS, LMFT
Verified Verified
5 Endorsed
Fitchburg, WI 53711  (Online Only)
I understand that starting therapy can be a scary process. I work to create an open and inviting atmosphere for everyone who walks through my door. It is important to feel like you have a "good fit" with your therapist, which is why I take the time to listen to what brings you in, hear your personal goals and explain what you can expect from therapy. It's not my job to judge, blame, or take sides. I will work with you to provide applicable tools and resources, identify your personal strengths and offer new ways of communicating to provide relief.
I understand that starting therapy can be a scary process. I work to create an open and inviting atmosphere for everyone who walks through my door. It is important to feel like you have a "good fit" with your therapist, which is why I take the time to listen to what brings you in, hear your personal goals and explain what you can expect from therapy. It's not my job to judge, blame, or take sides. I will work with you to provide applicable tools and resources, identify your personal strengths and offer new ways of communicating to provide relief.
(608) 478-0415 View (608) 478-0415
Photo of Anesis Center for Marriage and Family Therapy, Marriage & Family Therapist in 53711, WI
Anesis Center for Marriage and Family Therapy
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Madison, WI 53711
We love to collaborate with clients to help them draw from their own expertise, build on their own positive values, discover their own skills, and use these new tools to work through conflicts and hardships. We are systems therapist. What that means is: we like to approach problems that people have within the context of social, political and cultural storylines that influence the way we view ourselves and our own personal stories. We use this same approach in family therapy to seek ways to change the way the family system works rather than trying to "fix" a specific family member.
We love to collaborate with clients to help them draw from their own expertise, build on their own positive values, discover their own skills, and use these new tools to work through conflicts and hardships. We are systems therapist. What that means is: we like to approach problems that people have within the context of social, political and cultural storylines that influence the way we view ourselves and our own personal stories. We use this same approach in family therapy to seek ways to change the way the family system works rather than trying to "fix" a specific family member.
(608) 802-7669 View (608) 802-7669
Photo of Javon Alyasiri, Clinical Social Work/Therapist in 53711, WI
Javon Alyasiri
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Madison, WI 53711
Change promotes growth. Whether self-generated or completely unexpected, change can be challenging for some, and inspirational for others. Having a clinical partner to join you as you navigate your journey can ease the stress that comes along with the inevitable changes that you will encounter throughout life. My clinical approach is to work with you to emphasize your personal strengths and to help you discover ways to feel at peace with yourself, especially when facing stressful times. I work with individuals and couples to help you feel supported as we partner together to accomplish your goals.
Change promotes growth. Whether self-generated or completely unexpected, change can be challenging for some, and inspirational for others. Having a clinical partner to join you as you navigate your journey can ease the stress that comes along with the inevitable changes that you will encounter throughout life. My clinical approach is to work with you to emphasize your personal strengths and to help you discover ways to feel at peace with yourself, especially when facing stressful times. I work with individuals and couples to help you feel supported as we partner together to accomplish your goals.
(608) 459-6015 View (608) 459-6015
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.