Photo of Kevin C Eby, MA, LPC, EMDR, Licensed Professional Counselor
Kevin C Eby
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
1 Endorsed
Austin, TX 78748
When working with clients I meet them where they are at in their journey for change- whether they are unsure of what in life needs to be different or if they are already maintaining progress and change. Wherever a client is starting their therapy journey I am here to help increase insight and understanding into problems and help people come up with effective ways to manage symptoms, relationships, or seasons of transition. Areas of focus I help most clients with include skills-based anxiety and depression symptom management, trauma recovery with EMDR or talk therapy, and post-break up or divorce recovery.
When working with clients I meet them where they are at in their journey for change- whether they are unsure of what in life needs to be different or if they are already maintaining progress and change. Wherever a client is starting their therapy journey I am here to help increase insight and understanding into problems and help people come up with effective ways to manage symptoms, relationships, or seasons of transition. Areas of focus I help most clients with include skills-based anxiety and depression symptom management, trauma recovery with EMDR or talk therapy, and post-break up or divorce recovery.
(512) 559-1978 View (512) 559-1978
Photo of Shaughnessy M Herren, MS, NCC, LPC, TCYM, Licensed Professional Counselor
Shaughnessy M Herren
Licensed Professional Counselor, MS, NCC, LPC, TCYM
Verified Verified
3 Endorsed
Austin, TX 78748  (Online Only)
The relationships we form from birth to adulthood, whether intimate or platonic, present or past, can play an impactful role in our thought processes and behaviors. Exploring and becoming mindful of these connections can help you become more cognizant of how you relate to others and how these affect your mental health. Anxiety, depression, difficulty with transitional decisions, starting or maintaining relationships, could stem back to unmet expectations from these relationships or trauma. Maintaining mental health wellness begins with awareness of the root issue and gaining the resources you need to manage arising difficulties.
The relationships we form from birth to adulthood, whether intimate or platonic, present or past, can play an impactful role in our thought processes and behaviors. Exploring and becoming mindful of these connections can help you become more cognizant of how you relate to others and how these affect your mental health. Anxiety, depression, difficulty with transitional decisions, starting or maintaining relationships, could stem back to unmet expectations from these relationships or trauma. Maintaining mental health wellness begins with awareness of the root issue and gaining the resources you need to manage arising difficulties.
(512) 387-0193 View (512) 387-0193
Photo of Rochell Denise Clay - Nala Counseling & Wellness (Group in TX & NM), MA, LPC, RYT, Licensed Professional Counselor
Nala Counseling & Wellness (Group in TX & NM)
Licensed Professional Counselor, MA, LPC, RYT
Verified Verified
Austin, TX 78748  (Online Only)
We will help you to explore issues related to anxiety, depression, grief, men's & women's issues, young adult stressors, PTSD & spiritual/christian based counseling upon request.
Welcome to Nala Counseling & Wellness! Our diverse, experienced and compassionate therapists are dedicated to providing a culturally sensitive and supportive environment for all. We offer telehealth counseling for individuals, couples, and families with specialities in serving our BIPOC, His panic, Latinx & Spanish-speaking & LGBTQ+ communities. We understand the unique challenges you face and we are here to help you navigate them with respect and understanding. We will support you in overcoming obstacles and embracing your authentic self. While, your past influences who you are, it doesn’t have to define your future. We welcome you!
We will help you to explore issues related to anxiety, depression, grief, men's & women's issues, young adult stressors, PTSD & spiritual/christian based counseling upon request.
Welcome to Nala Counseling & Wellness! Our diverse, experienced and compassionate therapists are dedicated to providing a culturally sensitive and supportive environment for all. We offer telehealth counseling for individuals, couples, and families with specialities in serving our BIPOC, His panic, Latinx & Spanish-speaking & LGBTQ+ communities. We understand the unique challenges you face and we are here to help you navigate them with respect and understanding. We will support you in overcoming obstacles and embracing your authentic self. While, your past influences who you are, it doesn’t have to define your future. We welcome you!
(737) 201-1590 View (737) 201-1590
Photo of Anita Guajardo, Clinical Social Work/Therapist
Anita Guajardo
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Austin, TX 78748  (Online Only)
You’re overlooking yourself while over-extending for others, and you're over it. Tasks, responsibilities, and commitments pile on, and you're left wondering what contortions your schedule will make to fit them all in. You're getting that “running on empty” memo from fatigue. And as you take time with the people that matter most to you, it’s hard not to be distracted by stress and worry which has you missing out on enjoying the moment fully. Life may be feeling like you're trying to take a deep and satisfying breath but it falls short because it feels blocked. And here is where we cross paths!
You’re overlooking yourself while over-extending for others, and you're over it. Tasks, responsibilities, and commitments pile on, and you're left wondering what contortions your schedule will make to fit them all in. You're getting that “running on empty” memo from fatigue. And as you take time with the people that matter most to you, it’s hard not to be distracted by stress and worry which has you missing out on enjoying the moment fully. Life may be feeling like you're trying to take a deep and satisfying breath but it falls short because it feels blocked. And here is where we cross paths!
(512) 858-8082 View (512) 858-8082
Photo of Lester Kaplan - Lester Kaplan Psychotherapy, LCSW, LCSW-C, DCSW, Clinical Social Work/Therapist
Lester Kaplan Psychotherapy
Clinical Social Work/Therapist, LCSW, LCSW-C, DCSW
Verified Verified
Austin, TX 78748
Practice is based on client needs. Experience helping people with trauma and Complex PTSD, anxiety and marital issues. Certified in telehealth treatment. Have provided clinical consultation and have provided clinical supervision for clinicians for three decades.
Practice is based on client needs. Experience helping people with trauma and Complex PTSD, anxiety and marital issues. Certified in telehealth treatment. Have provided clinical consultation and have provided clinical supervision for clinicians for three decades.
(512) 722-7078 View (512) 722-7078
Photo of Amitai Abramovitch, PhD, Psychologist
Amitai Abramovitch
Psychologist, PhD
Verified Verified
Austin, TX 78748
My expertise include adult ADHD, OCD, anxiety, perfectionism, misophonia, couples therapy, parent training, and existential crises.
I am a licensed psychologist and a clinical neuropsychologist. I provide evidence based effective treatment for psychological problems, as well as neuropsychological assessment. I take a humanistic and compassionate approach and work with my clients as partners in a journey. My clients' wellbeing, dignity and progress towards the goals we set are my top priorities. Together with my clients I offer a tailored clinical approach to help you achieve your treatment and life goals. I also draw from both neuroscience as well as from philosophy to help clients get better and experience the profound sense that... its ok to be you!
My expertise include adult ADHD, OCD, anxiety, perfectionism, misophonia, couples therapy, parent training, and existential crises.
I am a licensed psychologist and a clinical neuropsychologist. I provide evidence based effective treatment for psychological problems, as well as neuropsychological assessment. I take a humanistic and compassionate approach and work with my clients as partners in a journey. My clients' wellbeing, dignity and progress towards the goals we set are my top priorities. Together with my clients I offer a tailored clinical approach to help you achieve your treatment and life goals. I also draw from both neuroscience as well as from philosophy to help clients get better and experience the profound sense that... its ok to be you!
(512) 764-0494 View (512) 764-0494
Photo of Cristi Henk Smith - Cristi Henk Smith, LPC, MA, LPC, LPC-S, Licensed Professional Counselor
Cristi Henk Smith, LPC
Licensed Professional Counselor, MA, LPC, LPC-S
Verified Verified
3 Endorsed
Austin, TX 78748
I offer confidential services for individuals of all ages and diversities, couples; supportive counseling for depression, anxiety, abuse, trauma, relational issues, life transition issues and more; an optimal environment for healing.
Making the decision to seek counseling is the first and most difficult step in this process. I offer a warm and relaxed environment to my clients- a place they can feel safe and protected. I believe having a natural connection with your therapist is the most important aspect of the counseling process- it is within the therapist and client relationship that healing and growth occurs. I am compassionate, respectful and nonjudgmental. I combine my positive energy with a grounded, realistic approach.
I offer confidential services for individuals of all ages and diversities, couples; supportive counseling for depression, anxiety, abuse, trauma, relational issues, life transition issues and more; an optimal environment for healing.
Making the decision to seek counseling is the first and most difficult step in this process. I offer a warm and relaxed environment to my clients- a place they can feel safe and protected. I believe having a natural connection with your therapist is the most important aspect of the counseling process- it is within the therapist and client relationship that healing and growth occurs. I am compassionate, respectful and nonjudgmental. I combine my positive energy with a grounded, realistic approach.
(512) 262-9586 View (512) 262-9586
Photo of Sam Robinson, MA, LCSW, Clinical Social Work/Therapist
Sam Robinson
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
3 Endorsed
Austin, TX 78748  (Online Only)
Throughout my work, it has become clear that the mind is amazing at convincing us of our worst fears and we can often turn to unhealthy coping mechanisms that may heighten already negative feelings. These experiences can be intense and opening up can bring its own set of challenges. It has been a real privilege to support people in navigating their emotional experiences relating to anxiety, depression, interpersonal relationships, and trauma. I take a mindful approach to my practice and place significant emphasis on the relationship we build.
Throughout my work, it has become clear that the mind is amazing at convincing us of our worst fears and we can often turn to unhealthy coping mechanisms that may heighten already negative feelings. These experiences can be intense and opening up can bring its own set of challenges. It has been a real privilege to support people in navigating their emotional experiences relating to anxiety, depression, interpersonal relationships, and trauma. I take a mindful approach to my practice and place significant emphasis on the relationship we build.
(512) 675-1375 View (512) 675-1375
Photo of Brianna Wood, MA, LPC, Licensed Professional Counselor
Brianna Wood
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Austin, TX 78748
Other specialties include relationships, anxiety, grief and loss, and depression.
Making the decision to begin counseling can be difficult and finding a therapist that is a good match can be equally overwhelming. I work to create a comfortable, safe, and supportive environment to make it easier to start the process. Everyone enters therapy at a different place, and I work to meet clients where they are. My approach is primarily relational because the quality of the client-therapist relationship can serve as the catalyst for change.
Other specialties include relationships, anxiety, grief and loss, and depression.
Making the decision to begin counseling can be difficult and finding a therapist that is a good match can be equally overwhelming. I work to create a comfortable, safe, and supportive environment to make it easier to start the process. Everyone enters therapy at a different place, and I work to meet clients where they are. My approach is primarily relational because the quality of the client-therapist relationship can serve as the catalyst for change.
(512) 548-8778 View (512) 548-8778
Photo of Jessica Chavarria, LPC-A
Jessica Chavarria
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Austin, TX 78748  (Online Only)
Life can be difficult sometimes for teens, adults, and parents. Childhood trauma, breaking generational cycles, or sudden life events can make us feel alone and unable to face our fears. This emotional pain can bring symptoms of depression and anxiety, cause a change in behavior and sleep or cause family conflict. You may ask yourself why did this happen to me? Or will I ever feel like myself? It all can feel overwhelming! As your therapist, I will walk with you as you process these changes to heal, grow, and empower yourself.
Life can be difficult sometimes for teens, adults, and parents. Childhood trauma, breaking generational cycles, or sudden life events can make us feel alone and unable to face our fears. This emotional pain can bring symptoms of depression and anxiety, cause a change in behavior and sleep or cause family conflict. You may ask yourself why did this happen to me? Or will I ever feel like myself? It all can feel overwhelming! As your therapist, I will walk with you as you process these changes to heal, grow, and empower yourself.
(512) 489-9681 View (512) 489-9681
Photo of Sarah L Gremillion, LCSW, Clinical Social Work/Therapist
Sarah L Gremillion
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78748
I have 10 years' clinical experience providing individual and couples therapy to adults. Every step we take has its mirror in the brain; in therapy you have a chance to re-write important parts of your story and support to move in new directions. I have extensive experience as a generalist mental health provider, working with anxiety, depression, major life changes, and relationship struggles. My clinical work has specialized in the LGBTQ+ community and I am comfortable with diverse sexual, gender, and relationship presentations.
I have 10 years' clinical experience providing individual and couples therapy to adults. Every step we take has its mirror in the brain; in therapy you have a chance to re-write important parts of your story and support to move in new directions. I have extensive experience as a generalist mental health provider, working with anxiety, depression, major life changes, and relationship struggles. My clinical work has specialized in the LGBTQ+ community and I am comfortable with diverse sexual, gender, and relationship presentations.
(737) 210-5498 View (737) 210-5498
Photo of Gennavonah Wade Davis, Licensed Professional Counselor
Gennavonah Wade Davis
Licensed Professional Counselor
Verified Verified
3 Endorsed
Austin, TX 78748  (Online Only)
I've worked in various settings, including private practice, inpatient hospitals, and community mental health centers. My areas of specialization include anxiety, depression, life transitions, and stress management. As a new mother, I am particularly passionate about supporting new parents and individuals facing signifiant life changes. I believe that every individual has the capacity for growth and transformation, and am dedicated to providing a supportive and non-judgmental space where clients can explore their thoughts and emotions.
I've worked in various settings, including private practice, inpatient hospitals, and community mental health centers. My areas of specialization include anxiety, depression, life transitions, and stress management. As a new mother, I am particularly passionate about supporting new parents and individuals facing signifiant life changes. I believe that every individual has the capacity for growth and transformation, and am dedicated to providing a supportive and non-judgmental space where clients can explore their thoughts and emotions.
(737) 325-8671 View (737) 325-8671
Photo of Kathy Keith, LPC, Licensed Professional Counselor
Kathy Keith
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78748
My name is Kathy Keith, MA, a Licensed Professional Counselor with over 24 years of clinical experience. I have experience working with adults, teenagers, and couples with Anger Management, Bipolar Disorder, Anxiety, Addiction, Behavioral Issues, Codependency, Coping Skills, Depression, Dual Diagnosis, Eating Disorders, Schizophrenia, Trauma, PTSD, and many more. The most common theoretical approaches I use are CBT, Interpersonal psychology, Trauma Focused CBT, Reality Therapy, ACT, Mindfulness, and positive psychology. I believe that I am supportive, compassionate, and respectful that guide you to where you want to go!
My name is Kathy Keith, MA, a Licensed Professional Counselor with over 24 years of clinical experience. I have experience working with adults, teenagers, and couples with Anger Management, Bipolar Disorder, Anxiety, Addiction, Behavioral Issues, Codependency, Coping Skills, Depression, Dual Diagnosis, Eating Disorders, Schizophrenia, Trauma, PTSD, and many more. The most common theoretical approaches I use are CBT, Interpersonal psychology, Trauma Focused CBT, Reality Therapy, ACT, Mindfulness, and positive psychology. I believe that I am supportive, compassionate, and respectful that guide you to where you want to go!
(866) 702-4363 View (866) 702-4363
Photo of Mandy Menzer, PsyD, Psychologist
Mandy Menzer
Psychologist, PsyD
Verified Verified
5 Endorsed
Austin, TX 78748
Waitlist for new clients
I am a private practitioner in the Austin area who provides individual counseling and couples counseling. In my work with individuals, anxiety, depression and relationship issues are frequent concerns. In my practice, I strive to provide an atmosphere that is caring and supportive but that also challenges you to your full growth and potential. I believe that change takes place in the context of an honest, trusting relationship in which clients feel both accepted and empowered.
I am a private practitioner in the Austin area who provides individual counseling and couples counseling. In my work with individuals, anxiety, depression and relationship issues are frequent concerns. In my practice, I strive to provide an atmosphere that is caring and supportive but that also challenges you to your full growth and potential. I believe that change takes place in the context of an honest, trusting relationship in which clients feel both accepted and empowered.
(512) 994-2465 View (512) 994-2465
Ellen Stein
Licensed Master Social Worker, LMSW
Verified Verified
Austin, TX 78748
Therapy is a journey of discovery and healing, and it should be a nurturing and supportive experience. As your therapist, I aim to be your steadfast ally, meeting you where you are and walking beside you toward your goals. My approach centers on fostering a strong, empathetic connection and providing a safe space for self-exploration. Together, we can tackle complex issues like unresolved trauma, recurring anxiety, and disruptive life patterns. Through this collaborative process, we can cultivate self-compassion and resilience, paving the way for a balanced, fulfilling, and authentic life.
Therapy is a journey of discovery and healing, and it should be a nurturing and supportive experience. As your therapist, I aim to be your steadfast ally, meeting you where you are and walking beside you toward your goals. My approach centers on fostering a strong, empathetic connection and providing a safe space for self-exploration. Together, we can tackle complex issues like unresolved trauma, recurring anxiety, and disruptive life patterns. Through this collaborative process, we can cultivate self-compassion and resilience, paving the way for a balanced, fulfilling, and authentic life.
(512) 201-4501 x1 View (512) 201-4501 x1
Photo of Stephanie (Vee) Van Fossen, LPC-S, Licensed Professional Counselor
Stephanie (Vee) Van Fossen
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Austin, TX 78748
Waitlist for new clients
What if you could live your life with confidence, trust, understanding, and intimacy? If you're having a hard time, feeling disconnected, or having communication problems, I want to help. While my practice specializes in challenges around sex, communication, intimacy, and infidelity, over the years I've also had the privilege of working successfully with people bringing a broad range of other concerns to my office, including trauma, anxiety, chronic illness, grief, gender identity and transitions, and more. Things can change. Just by reaching out, you've already started down a path of insight and healing.
What if you could live your life with confidence, trust, understanding, and intimacy? If you're having a hard time, feeling disconnected, or having communication problems, I want to help. While my practice specializes in challenges around sex, communication, intimacy, and infidelity, over the years I've also had the privilege of working successfully with people bringing a broad range of other concerns to my office, including trauma, anxiety, chronic illness, grief, gender identity and transitions, and more. Things can change. Just by reaching out, you've already started down a path of insight and healing.
(512) 361-5228 View (512) 361-5228
Photo of Ini Ekpenyong, LMSW, LCDCi, Clinical Social Work/Therapist
Ini Ekpenyong
Clinical Social Work/Therapist, LMSW, LCDCi
Verified Verified
Austin, TX 78748
Hi there, it's so nice to meet you and I'm so happy that you have decided to embark on this healing journey. I am a first generation Nigerian America therapist in Austin, TX. I work with a broad range of mental health diagnoses such as anxiety, depression, ADHD, OCD, Borderline Personality Disorder, eating disorders, and addiction. My therapeutic style is warm and empathetic, while still offering direct feedback. I am also aware of how the body stores trauma and can offer guidance on re-regulating your nervous system through somatic experiencing.
Hi there, it's so nice to meet you and I'm so happy that you have decided to embark on this healing journey. I am a first generation Nigerian America therapist in Austin, TX. I work with a broad range of mental health diagnoses such as anxiety, depression, ADHD, OCD, Borderline Personality Disorder, eating disorders, and addiction. My therapeutic style is warm and empathetic, while still offering direct feedback. I am also aware of how the body stores trauma and can offer guidance on re-regulating your nervous system through somatic experiencing.
(512) 967-8366 View (512) 967-8366
Photo of Deborah Vanko, LPC, LMFT, Licensed Professional Counselor
Deborah Vanko
Licensed Professional Counselor, LPC, LMFT
Verified Verified
Austin, TX 78748  (Online Only)
I am trained in EMDR (Eye Movement De-Sensitization Re-Processing) for trauma, abuse, anxiety, difficult life experiences.
For 30 years I have helped couples and individuals to create a satisfying, loving, conflict-free life by overcoming past or present obstacles. Everyone deserves to be happy and free of emotional pain. I believe empowering people to take charge of their life is liberating. I use a wide variety of counseling approaches customized to fit the individual. These include expressing emotion, identifying helpful and dysfunctional thinking/beliefs and changing behavior or developing strategies to create success. I am an open-minded therapist accepting the diversity of client lifestyle and gender.
I am trained in EMDR (Eye Movement De-Sensitization Re-Processing) for trauma, abuse, anxiety, difficult life experiences.
For 30 years I have helped couples and individuals to create a satisfying, loving, conflict-free life by overcoming past or present obstacles. Everyone deserves to be happy and free of emotional pain. I believe empowering people to take charge of their life is liberating. I use a wide variety of counseling approaches customized to fit the individual. These include expressing emotion, identifying helpful and dysfunctional thinking/beliefs and changing behavior or developing strategies to create success. I am an open-minded therapist accepting the diversity of client lifestyle and gender.
(512) 515-9483 View (512) 515-9483
Photo of Beverly L Alexander, PhD, Psychologist
Beverly L Alexander
Psychologist, PhD
Verified Verified
1 Endorsed
Austin, TX 78748  (Online Only)
I specialize in depression, anxiety and bipolar disorders as well as relationship issues.
The decision to enter into therapy is a very personal one, and who you do it with is important. I can offer a peaceful and safe place to explore who you are and the difficulties you may be having,in order to live a happier life. I listen fully in an effort to see you truly, but I'm quite interactive. I'm deep at times, and I'm playful and practical as well, helping you figure out solutions and to make plans. This is a joint process where we come together to make your life better.
I specialize in depression, anxiety and bipolar disorders as well as relationship issues.
The decision to enter into therapy is a very personal one, and who you do it with is important. I can offer a peaceful and safe place to explore who you are and the difficulties you may be having,in order to live a happier life. I listen fully in an effort to see you truly, but I'm quite interactive. I'm deep at times, and I'm playful and practical as well, helping you figure out solutions and to make plans. This is a joint process where we come together to make your life better.
(512) 861-8723 View (512) 861-8723
Photo of Daniela Castano, LPC, Licensed Professional Counselor
Daniela Castano
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78748
I work with adults of all ages and backgrounds, and my areas of focus are anxiety, depression, ADHD, grief, and life transitions.
Hi there! My name is Daniela. I’m glad you found your way to my page today. You may be feeling overwhelmed, isolated, stuck, or simply ready to embark on a journey of growth and self-discovery. Regardless of the reason you’re seeking therapy today, the act of being open and authentic with your innermost thoughts and feelings, including your desires, your fears, and your past experiences, can be an incredibly daunting, intimate, and vulnerable experience. I hope to create a safe and non-judgmental environment where you can express yourself fully.
I work with adults of all ages and backgrounds, and my areas of focus are anxiety, depression, ADHD, grief, and life transitions.
Hi there! My name is Daniela. I’m glad you found your way to my page today. You may be feeling overwhelmed, isolated, stuck, or simply ready to embark on a journey of growth and self-discovery. Regardless of the reason you’re seeking therapy today, the act of being open and authentic with your innermost thoughts and feelings, including your desires, your fears, and your past experiences, can be an incredibly daunting, intimate, and vulnerable experience. I hope to create a safe and non-judgmental environment where you can express yourself fully.
(512) 201-4501 x1 View (512) 201-4501 x1
1
...
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.