Photo of Melanie Fulton, Clinical Social Work/Therapist in Arkansas
Melanie Fulton
Clinical Social Work/Therapist, LCSW
Verified Verified
Jonesboro, AR 72401  (Online Only)
My work as a Licensed Clinical Social Worker is devoted to helping individuals and families have a more fulfilling life by growing from their struggles and healing from their pain. My clients struggle with a variety of issues including anxiety, depression, grief/loss, relationship issues, family issues, parenting problems, trauma, mood issues, ADHD, behavioral issues, and anger issues. Whether they are working towards enlightenment and insight or symptom-relief and improved function, my hope is that together we can work to achieve their goals. I promise to be there every step of the journey.
My work as a Licensed Clinical Social Worker is devoted to helping individuals and families have a more fulfilling life by growing from their struggles and healing from their pain. My clients struggle with a variety of issues including anxiety, depression, grief/loss, relationship issues, family issues, parenting problems, trauma, mood issues, ADHD, behavioral issues, and anger issues. Whether they are working towards enlightenment and insight or symptom-relief and improved function, my hope is that together we can work to achieve their goals. I promise to be there every step of the journey.
(501) 434-4530 View (501) 434-4530
Photo of Andrea Reyes-Cuarenta, Counselor in Arkansas
Andrea Reyes-Cuarenta
Counselor, LAC
Verified Verified
1 Endorsed
Rogers, AR 72758
Life is full of surprises that are sometimes wrapped in feelings that can truly weigh us down. Whether it's anxiety, depression, life stress, grief or past traumas- those are all curveballs that are unexpected and can make it difficult to believe that we can be in control of anything, especially our own inner peace. Therapy is a courageous journey towards cultivating internal resources that can help you with feeling connected, nurtured, and empowered to embrace change as it comes. As your therapist, it is my mission to take this journey alongside you and give you a safe space to better understand your true self.
Life is full of surprises that are sometimes wrapped in feelings that can truly weigh us down. Whether it's anxiety, depression, life stress, grief or past traumas- those are all curveballs that are unexpected and can make it difficult to believe that we can be in control of anything, especially our own inner peace. Therapy is a courageous journey towards cultivating internal resources that can help you with feeling connected, nurtured, and empowered to embrace change as it comes. As your therapist, it is my mission to take this journey alongside you and give you a safe space to better understand your true self.
(479) 349-3715 View (479) 349-3715
Photo of Carrie Atwood, Counselor in Arkansas
Carrie Atwood
Counselor, LPC
Verified Verified
3 Endorsed
Little Rock, AR 72201
I work with clients of all ages, including couples and co-parenting. I especially enjoy working with adolescents and young women with a wide variety of concerns including low self esteem, body image concerns, anxiety, eating disorders, and a variety of other motherhood stressors. I will work to meet you where you are on your journey and strive to help you to find hope in your situation. Let me provide a welcoming setting that can be your safe space to explore yourself and whatever is troubling you. Together we will create a plan to help you find peace in your life, work toward self-actualization, and help you become your best self!
I work with clients of all ages, including couples and co-parenting. I especially enjoy working with adolescents and young women with a wide variety of concerns including low self esteem, body image concerns, anxiety, eating disorders, and a variety of other motherhood stressors. I will work to meet you where you are on your journey and strive to help you to find hope in your situation. Let me provide a welcoming setting that can be your safe space to explore yourself and whatever is troubling you. Together we will create a plan to help you find peace in your life, work toward self-actualization, and help you become your best self!
(501) 285-8961 View (501) 285-8961
Photo of Taylor Roberson, Licensed Professional Counselor in Arkansas
Taylor Roberson
Licensed Professional Counselor, MEd, EdS, LPC
Verified Verified
Siloam Springs, AR 72761  (Online Only)
Ready to transcend therapy as usual and unleash real, lasting change? I specialize in transformative therapy for those looking for deep level healing around trauma, anxiety, ADHD, depression, grief & more. Are you: Feeling stuck in patterns? Feeling disconnected or overwhelmed? Seeking a therapy approach that's compassionate, yet challenges you to evolve? Craving deep trauma healing that goes beyond being heard? We offer: Personalized therapy plans; Mind-body approaches that integrate talk therapy with mindfulness; Evidence-based approaches; A.R.T.; therapy intensives; teletherapy and more.
Ready to transcend therapy as usual and unleash real, lasting change? I specialize in transformative therapy for those looking for deep level healing around trauma, anxiety, ADHD, depression, grief & more. Are you: Feeling stuck in patterns? Feeling disconnected or overwhelmed? Seeking a therapy approach that's compassionate, yet challenges you to evolve? Craving deep trauma healing that goes beyond being heard? We offer: Personalized therapy plans; Mind-body approaches that integrate talk therapy with mindfulness; Evidence-based approaches; A.R.T.; therapy intensives; teletherapy and more.
(479) 469-0085 View (479) 469-0085
Photo of Changes Behavioral Health, Clinical Social Work/Therapist in Arkansas
Changes Behavioral Health
Clinical Social Work/Therapist
Verified Verified
Wynne, AR 72396
Changes Behavioral Health has over 20 highly skilled therapist to serve any need or population. If you have experienced it, we have treated it. If you or a loved one are struggling today with anxiety, depression, fear, anger, addiction, trauma, a troubled relationship, or any obstacle in the way of a fulfilling life we are here for you. CBH is a family owned agency serving Wynne, AR and nearby communities. Changes was opened in 2013 with a mission to provide our community with the best mental health services available in the most caring and compassionate environment available.
Changes Behavioral Health has over 20 highly skilled therapist to serve any need or population. If you have experienced it, we have treated it. If you or a loved one are struggling today with anxiety, depression, fear, anger, addiction, trauma, a troubled relationship, or any obstacle in the way of a fulfilling life we are here for you. CBH is a family owned agency serving Wynne, AR and nearby communities. Changes was opened in 2013 with a mission to provide our community with the best mental health services available in the most caring and compassionate environment available.
(870) 905-0906 View (870) 905-0906
Photo of Cardinal Counseling Services, PLLC, Licensed Professional Counselor in Arkansas
Cardinal Counseling Services, PLLC
Licensed Professional Counselor
Verified Verified
Cardinal Counseling Services, PLLC, is a mental health counseling clinic providing therapy services in the areas of depression, anxiety, grief, trauma recovery and relationship issues. Cardinal counselors are highly educated, trained in evidence-based practices by industry experts, and committed to integrating client feedback in every session to make sure we stay on track towards your goals.
Cardinal Counseling Services, PLLC, is a mental health counseling clinic providing therapy services in the areas of depression, anxiety, grief, trauma recovery and relationship issues. Cardinal counselors are highly educated, trained in evidence-based practices by industry experts, and committed to integrating client feedback in every session to make sure we stay on track towards your goals.
(501) 263-2295 View (501) 263-2295
Photo of Brandy Cunningham, Clinical Social Work/Therapist in Arkansas
Brandy Cunningham
Clinical Social Work/Therapist, LCSW
Verified Verified
Fort Smith, AR 72903
My current focus is working with adults and older adults who are working through the grief process, whether they are overwhelmed with a loved one's death or illness, a loss of a relationship, struggling with depression/anxiety or any other diagnosis.
Counseling/Therapy is a great way to safely explore your thoughts, feelings, and life dynamics to help you become the healthiest you! Life and mental health struggles are real and can leave you feeling stuck, overwhelmed, defeated, tired, insecure, among many other icky feelings. Without processing and seeking treatment in a healthy way, symptoms can exacerbate into something insurmountable. Treat yourself to finding a healthy balance and fulfilment in your life...you DESERVE your best self!
My current focus is working with adults and older adults who are working through the grief process, whether they are overwhelmed with a loved one's death or illness, a loss of a relationship, struggling with depression/anxiety or any other diagnosis.
Counseling/Therapy is a great way to safely explore your thoughts, feelings, and life dynamics to help you become the healthiest you! Life and mental health struggles are real and can leave you feeling stuck, overwhelmed, defeated, tired, insecure, among many other icky feelings. Without processing and seeking treatment in a healthy way, symptoms can exacerbate into something insurmountable. Treat yourself to finding a healthy balance and fulfilment in your life...you DESERVE your best self!
(479) 239-9273 View (479) 239-9273
Photo of Amanda Rowe, Clinical Social Work/Therapist in Arkansas
Amanda Rowe
Clinical Social Work/Therapist, LCSW
Verified Verified
Farmington, AR 72730  (Online Only)
Are you experiencing the impacts of trauma? Amanda could be the perfect fit for you. Amanda is a trauma-focused therapist who offers compassion and understanding in a safe, judgement-free zone. The resilience of the human spirit is a miraculous thing, and it brings Amanda great joy to see her clients find that resilient part of themselves. Amanda is a master’s level social worker who has 15 years of experience providing therapy to children and adults in the state of Arkansas. She is passionate about helping her clients heal from trauma, anxiety, depression, and attachment trauma resulting from adoption reunification.
Are you experiencing the impacts of trauma? Amanda could be the perfect fit for you. Amanda is a trauma-focused therapist who offers compassion and understanding in a safe, judgement-free zone. The resilience of the human spirit is a miraculous thing, and it brings Amanda great joy to see her clients find that resilient part of themselves. Amanda is a master’s level social worker who has 15 years of experience providing therapy to children and adults in the state of Arkansas. She is passionate about helping her clients heal from trauma, anxiety, depression, and attachment trauma resulting from adoption reunification.
Photo of Julianne Passen, Licensed Professional Counselor in Arkansas
Julianne Passen
Licensed Professional Counselor, MS, LPC
Verified Verified
Fort Smith, AR 72903
Painful experiences can leave us feeling completely alone. Sometimes we just need someone to meet us where we are to find a way to move forward. Healthy relationships are sometimes difficult to navigate, especially when there is a lifetime of hurt getting in the way. I want to help you create healthy, fulfilling, nourishing connections with those you care about. Along with anxiety and depression, I am passionate about working with those who have dealt with trauma.
Painful experiences can leave us feeling completely alone. Sometimes we just need someone to meet us where we are to find a way to move forward. Healthy relationships are sometimes difficult to navigate, especially when there is a lifetime of hurt getting in the way. I want to help you create healthy, fulfilling, nourishing connections with those you care about. Along with anxiety and depression, I am passionate about working with those who have dealt with trauma.
(479) 668-0750 View (479) 668-0750
Photo of Meridiem Psychological Services, Inc. in Arkansas
Meridiem Psychological Services, Inc.
MA, LPE-I, LPC, NCC
Verified Verified
1 Endorsed
Benton, AR 72015
I offer a very specific type of therapy that can be applied to almost any issue including depression, anxiety, chronic pain, etc.
I have been working in the mental health field since 2002. I have been nationally certified since 2004. I am EMDR certified, EMDRIA approved Consultant, and EMDR Trainer. I use a trauma-focused approach to treatment because it is a very holistic approach to care (body, mind, and emotional reactions to stress). I prefer to work with adolescents and adults in therapy services. I also offer consultation services for therapists and other mental health providers. I received my credential to be an EMDR trainier on 9/12/2023 and offer both online and in-person trainings.
I offer a very specific type of therapy that can be applied to almost any issue including depression, anxiety, chronic pain, etc.
I have been working in the mental health field since 2002. I have been nationally certified since 2004. I am EMDR certified, EMDRIA approved Consultant, and EMDR Trainer. I use a trauma-focused approach to treatment because it is a very holistic approach to care (body, mind, and emotional reactions to stress). I prefer to work with adolescents and adults in therapy services. I also offer consultation services for therapists and other mental health providers. I received my credential to be an EMDR trainier on 9/12/2023 and offer both online and in-person trainings.
(501) 232-2717 View (501) 232-2717
Photo of Brad Hays LPC, Counselor in Arkansas
Brad Hays LPC
Counselor, MA, LPCS
Verified Verified
Conway, AR 72034
I treat depression, anxiety, supportive Substance abuse counseling and variety of other emotional mental health issues.
Hello, my name is Brad Hays. I am independently credentialed as a Licensed Professional Counselor in the state of Arkansas with nearly 30 years of counseling experience and hold a Master's Degree in Pastoral Counseling. I provide spiritually based professional counseling services to couples, families and individuals. Freshhope Christian Counseling - is a private Christian Counseling center. Over the past several years I’ve practicing as an independent licensed counselor.
I treat depression, anxiety, supportive Substance abuse counseling and variety of other emotional mental health issues.
Hello, my name is Brad Hays. I am independently credentialed as a Licensed Professional Counselor in the state of Arkansas with nearly 30 years of counseling experience and hold a Master's Degree in Pastoral Counseling. I provide spiritually based professional counseling services to couples, families and individuals. Freshhope Christian Counseling - is a private Christian Counseling center. Over the past several years I’ve practicing as an independent licensed counselor.
(501) 300-8471 View (501) 300-8471
Photo of Tracy Matlock, Licensed Professional Counselor in Arkansas
Tracy Matlock
Licensed Professional Counselor, LPC, NCC
Verified Verified
Mountain Home, AR 72653
Life can take us down many different roads. Sometimes those roads can have bumps, holes, or be so deteriorated that it's difficult to travel. Counseling is an effective way to navigate life's difficulties. I treat a wide range of issues such as depression and other mood problems, anxiety and stress, relationship issues, life changes, adjustment to disability, behavioral issues and many more. Over my career, I have had opportunities to work with all ages and varied mental health problems. My goal for everyone I treat is to help them identify their problems and work to resolve those issues so that they can move forward in life.
Life can take us down many different roads. Sometimes those roads can have bumps, holes, or be so deteriorated that it's difficult to travel. Counseling is an effective way to navigate life's difficulties. I treat a wide range of issues such as depression and other mood problems, anxiety and stress, relationship issues, life changes, adjustment to disability, behavioral issues and many more. Over my career, I have had opportunities to work with all ages and varied mental health problems. My goal for everyone I treat is to help them identify their problems and work to resolve those issues so that they can move forward in life.
(870) 410-4875 View (870) 410-4875
Photo of Kellee McCoy, Licensed Professional Counselor in Arkansas
Kellee McCoy
Licensed Professional Counselor, MS, LPC, LMFT
Verified Verified
4 Endorsed
A few of my specialties include life coaching, treating anxiety, depression, high-conflict couples, blended family issues, premarital counseling, single parenting issues, affair recovery, sex/intimacy issues, codependency, anger management, mindfulness training, PTSD, trauma resolution, bad habits/addictions, and issues dealing with spirituality.
Are you Stuck? Maybe your professional life is thriving, but your relationships are a mess. Maybe it's the other way around. I welcome your rough edges, embarrassing mistakes, relationship drama, or shameful experiences. I am passionate about helping people get unstuck. Whether it's a relationship issue, a personal hangup, grief and loss, professional burnout, or difficulty overcoming a traumatic experience, together, we will take some significant steps toward you feeling better and toward your life goals.
A few of my specialties include life coaching, treating anxiety, depression, high-conflict couples, blended family issues, premarital counseling, single parenting issues, affair recovery, sex/intimacy issues, codependency, anger management, mindfulness training, PTSD, trauma resolution, bad habits/addictions, and issues dealing with spirituality.
Are you Stuck? Maybe your professional life is thriving, but your relationships are a mess. Maybe it's the other way around. I welcome your rough edges, embarrassing mistakes, relationship drama, or shameful experiences. I am passionate about helping people get unstuck. Whether it's a relationship issue, a personal hangup, grief and loss, professional burnout, or difficulty overcoming a traumatic experience, together, we will take some significant steps toward you feeling better and toward your life goals.
(501) 215-5861 View (501) 215-5861
Photo of Jacquie Brown, Clinical Social Work/Therapist in Arkansas
Jacquie Brown
Clinical Social Work/Therapist
Verified Verified
Bella Vista, AR 72715
I started my career as a case manager working with HIV clients for four years. After obtaining my clinical license in 2012, I provided therapy services to children and adults in the Department of Family Services system related to abuse and neglect. For the past six years I have worked with clients in the nursing home setting addressing depression, anxiety, adjustment disorders, dementia and pain management utilizing cognitive behavioral therapy, solution focused brief therapy and motivational interviewing techniques.
I started my career as a case manager working with HIV clients for four years. After obtaining my clinical license in 2012, I provided therapy services to children and adults in the Department of Family Services system related to abuse and neglect. For the past six years I have worked with clients in the nursing home setting addressing depression, anxiety, adjustment disorders, dementia and pain management utilizing cognitive behavioral therapy, solution focused brief therapy and motivational interviewing techniques.
(479) 239-9979 View (479) 239-9979
Photo of Melissa Kuhles Atkinson, Clinical Social Work/Therapist in Arkansas
Melissa Kuhles Atkinson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fayetteville, AR 72701
I have enjoyed working with a wide variety of clients including individuals who are dealing with lifelong chronic illness, maternal issues; including perinatal mood disorders, trauma or loss, parenting, and adults who are trying to figure out their path in life, coping with anxiety, depression, mood disorders, trauma, and relationship issues.
I strive to provide a warm, respectful, comfortable environment for you to explore your life and areas of discontent. I believe people can benefit from therapy at any stage in life, things come up and often we need a sounding board to gain insight into our future goals or past experiences. When something is off in our lives, it is difficult to figure out how to move forward to achieve balance. My goal is to help you feel supported and empowered to make significant changes in your life and improve overall well being.
I have enjoyed working with a wide variety of clients including individuals who are dealing with lifelong chronic illness, maternal issues; including perinatal mood disorders, trauma or loss, parenting, and adults who are trying to figure out their path in life, coping with anxiety, depression, mood disorders, trauma, and relationship issues.
I strive to provide a warm, respectful, comfortable environment for you to explore your life and areas of discontent. I believe people can benefit from therapy at any stage in life, things come up and often we need a sounding board to gain insight into our future goals or past experiences. When something is off in our lives, it is difficult to figure out how to move forward to achieve balance. My goal is to help you feel supported and empowered to make significant changes in your life and improve overall well being.
(479) 316-2730 View (479) 316-2730
Photo of Deborah Jane Clay, Licensed Professional Counselor in Arkansas
Deborah Jane Clay
Licensed Professional Counselor, MEd, LPC
Verified Verified
Bentonville, AR 72712
There is a certain kind of validation and personal development that comes from authentic and genuine connection with another human. Sometimes, being with friends and family provides the support we need. Often times, we need an individualized safe and caring environment to share our deepest thoughts, feelings, fears, concerns, vulnerabilities, past and present experiences and hopes for the future in order to make changes, learn to be and accept ourselves as we truly want to be.
There is a certain kind of validation and personal development that comes from authentic and genuine connection with another human. Sometimes, being with friends and family provides the support we need. Often times, we need an individualized safe and caring environment to share our deepest thoughts, feelings, fears, concerns, vulnerabilities, past and present experiences and hopes for the future in order to make changes, learn to be and accept ourselves as we truly want to be.
(479) 323-3569 View (479) 323-3569
Photo of ZipHealthy, PLLC, Clinical Social Work/Therapist in Arkansas
ZipHealthy, PLLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cave Springs, AR 72718
Do you struggle with sadness, depression, relationship issues, anxiety, or stress? My mission is to help you feel deeply understood and connected as you gain awareness of how your rational mind, core emotions, and body are inextricably linked. I know that reaching out for professional help can be difficult for many. That is why I have developed a practice that is kind and compassionate. My long experience has taught me that therapy must be dynamic, interactive, non-judgmental, along with a healthy sense of humor.
Do you struggle with sadness, depression, relationship issues, anxiety, or stress? My mission is to help you feel deeply understood and connected as you gain awareness of how your rational mind, core emotions, and body are inextricably linked. I know that reaching out for professional help can be difficult for many. That is why I have developed a practice that is kind and compassionate. My long experience has taught me that therapy must be dynamic, interactive, non-judgmental, along with a healthy sense of humor.
(479) 239-9769 View (479) 239-9769
Photo of Howard M Turney, Marriage & Family Therapist in Arkansas
Howard M Turney
Marriage & Family Therapist, PhD
Verified Verified
Little Rock, AR 72205
I have 32 years of experience working with individuals, families and couples. I work with people suffering from depression and anxiety, marital issues, family conflicts, parenting issues, behavioral issues, grief, to name a few. I have written a book available on Amazon entitled, "Everybody Has A Story," a practical guide to marriage. This book offers insights into the challenges created by marriage. It is based on my years of experience working with couples to create a more healthy and happy existence.
I have 32 years of experience working with individuals, families and couples. I work with people suffering from depression and anxiety, marital issues, family conflicts, parenting issues, behavioral issues, grief, to name a few. I have written a book available on Amazon entitled, "Everybody Has A Story," a practical guide to marriage. This book offers insights into the challenges created by marriage. It is based on my years of experience working with couples to create a more healthy and happy existence.
(501) 859-6433 View (501) 859-6433
Photo of Josh H. Strickland, Licensed Professional Counselor in Arkansas
Josh H. Strickland
Licensed Professional Counselor, EdS, LPC, NCC
Verified Verified
1 Endorsed
Little Rock, AR 72211
Josh has experience working with adolescents, adults, and couples and is well versed in grief therapy, anxiety and depression, issues pertaining to suicide, issues pertaining to the LGBTQ+ community, and special issues pertaining to adolescents. He is currently a part-time faculty member with the University of Arkansas at Little Rock and has held other various professorial positions. He has worked on several non-profit boards advancing the access to mental health resources, educating the public on depression and suicide, working for the rights of minorities, and educating the public on issues pertaining to veterans
Josh has experience working with adolescents, adults, and couples and is well versed in grief therapy, anxiety and depression, issues pertaining to suicide, issues pertaining to the LGBTQ+ community, and special issues pertaining to adolescents. He is currently a part-time faculty member with the University of Arkansas at Little Rock and has held other various professorial positions. He has worked on several non-profit boards advancing the access to mental health resources, educating the public on depression and suicide, working for the rights of minorities, and educating the public on issues pertaining to veterans
(501) 289-5689 View (501) 289-5689
Photo of Tracey Wren, Clinical Social Work/Therapist in Arkansas
Tracey Wren
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Bentonville, AR 72712
Waitlist for new clients
I’m glad you are looking for someone to talk to! Maybe you are experiencing major life changes, struggling with depression or anxiety, dealing with trauma or relationship wounds, or just feeling stuck or in “auto-pilot” mode. Whatever is bringing you to therapy, I want to reassure you that I am ready to sit with you, listen with my whole heart, and help you work towards the goals you have (and you decide those). Together we will work to forge a path of more peace, connection, and fulfillment with yourself and in your life. I believe we all need a space to process life and I am honored to get to be a part of that healing process.
I’m glad you are looking for someone to talk to! Maybe you are experiencing major life changes, struggling with depression or anxiety, dealing with trauma or relationship wounds, or just feeling stuck or in “auto-pilot” mode. Whatever is bringing you to therapy, I want to reassure you that I am ready to sit with you, listen with my whole heart, and help you work towards the goals you have (and you decide those). Together we will work to forge a path of more peace, connection, and fulfillment with yourself and in your life. I believe we all need a space to process life and I am honored to get to be a part of that healing process.
(479) 777-2833 View (479) 777-2833
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.