Anxiety Therapists in Burbank, CA

Photo of Natalie Zimm, Associate Marriage & Family Therapist in Burbank, CA
Natalie Zimm
Associate Marriage & Family Therapist, AMFT, APCC
Verified Verified
Burbank, CA 91502
I help individuals overcome trauma, anxiety, and creative blocks.
Are you overwhelmed, ruminating, insecure, or stuck in self-loathing and surviving instead of thriving in your relationships, work and creativity? Are anxiety, past traumatic experiences, or being an adult child of a dysfunctional home affecting your relationships and success? Or maybe you’re there but can't beat this last level 99 boss. If you’d like to gain mastery of yourself and live a more purposeful, joyful, and authentic life, I can help you rescue control of your nervous system and emotions by healing your body and mind through new, positive experiences.
I help individuals overcome trauma, anxiety, and creative blocks.
Are you overwhelmed, ruminating, insecure, or stuck in self-loathing and surviving instead of thriving in your relationships, work and creativity? Are anxiety, past traumatic experiences, or being an adult child of a dysfunctional home affecting your relationships and success? Or maybe you’re there but can't beat this last level 99 boss. If you’d like to gain mastery of yourself and live a more purposeful, joyful, and authentic life, I can help you rescue control of your nervous system and emotions by healing your body and mind through new, positive experiences.
(626) 900-0342 View (626) 900-0342
Photo of Michelle Seely, Marriage & Family Therapist in Burbank, CA
Michelle Seely
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
Burbank, CA 91505
Waitlist for new clients
When we suffer from feelings related to grief or loss, from unsatisfying relationships in the past or present, or from wishing to have more joy in our lives--therapy can be a powerful step toward healing and relief. Having a safe place and a compassionate person with whom to share our grief, our critical or frightening thoughts, and our longings can help enormously. I work in a relational, supportive, and collaborative way to help people move from anxiety, trauma, depression and problems with relationships to a place of increased trust, safety, and satisfaction.
When we suffer from feelings related to grief or loss, from unsatisfying relationships in the past or present, or from wishing to have more joy in our lives--therapy can be a powerful step toward healing and relief. Having a safe place and a compassionate person with whom to share our grief, our critical or frightening thoughts, and our longings can help enormously. I work in a relational, supportive, and collaborative way to help people move from anxiety, trauma, depression and problems with relationships to a place of increased trust, safety, and satisfaction.
(818) 863-6560 View (818) 863-6560
Photo of Judi Brooks, Marriage & Family Therapist in Burbank, CA
Judi Brooks
Marriage & Family Therapist, LMFT, BICM
Verified Verified
1 Endorsed
Burbank, CA 91505
I work in private practice, school settings, ​and non-traditional environments so that the relationship in therapy thrives; giving the individuals involved the best opportunity for growth using Cognitive Behavioral Therapy (CBT). With 25+ years specializing in family needs and individuals experiencing grief, anxiety, depression or relationship difficulties, I serve as a guide in developing​ the skills & knowledge to better navigate the daily challenges of life and the unusual circumstances that arise. Building Mental Health and maintaining it is a very high priority in developing​ long term satisfaction.
I work in private practice, school settings, ​and non-traditional environments so that the relationship in therapy thrives; giving the individuals involved the best opportunity for growth using Cognitive Behavioral Therapy (CBT). With 25+ years specializing in family needs and individuals experiencing grief, anxiety, depression or relationship difficulties, I serve as a guide in developing​ the skills & knowledge to better navigate the daily challenges of life and the unusual circumstances that arise. Building Mental Health and maintaining it is a very high priority in developing​ long term satisfaction.
(818) 446-1941 View (818) 446-1941
Photo of Haya Avetisyan, Marriage & Family Therapist in Burbank, CA
Haya Avetisyan
Marriage & Family Therapist, LMFT
Verified Verified
Burbank, CA 91505
I am also an EMDR therapist trained by EMDR Institute and I treat complex trauma, PTSD, phobias, and panic disorder.
I have been in the mental health field for 10 years providing assessment and treatment to people with histories of trauma, adjustment challenges to medical diagnosis and major life changes, relationship distress with partners, parenting difficulties, mood disorders, anxiety, panic disorders, and emotion "“ dysregulation. Currently I work with adult individuals and couples. I believe that pain is often the keyhole to the most vulnerable yet the most beautiful parts of human existence and I am passionate about guiding people in becoming their own locksmiths.
I am also an EMDR therapist trained by EMDR Institute and I treat complex trauma, PTSD, phobias, and panic disorder.
I have been in the mental health field for 10 years providing assessment and treatment to people with histories of trauma, adjustment challenges to medical diagnosis and major life changes, relationship distress with partners, parenting difficulties, mood disorders, anxiety, panic disorders, and emotion "“ dysregulation. Currently I work with adult individuals and couples. I believe that pain is often the keyhole to the most vulnerable yet the most beautiful parts of human existence and I am passionate about guiding people in becoming their own locksmiths.
(747) 269-1612 View (747) 269-1612
Photo of Leora Sallis, Clinical Social Work/Therapist in Burbank, CA
Leora Sallis
Clinical Social Work/Therapist, LCSW
Verified Verified
Burbank, CA 91505
I have over 20 years of experience supporting folks dealing with anxiety, depression and major life transitions. My approach is client centered, strengths based and trauma informed. Theoretical frameworks include CBT, IFS, family systems and EMDR. I am a staunch believer in human resilience. My approach is a collaborative one built on mutual respect, openness and curiosity. Through our work together I partner with clients on their journey toward greater clarity, self awareness and healing.
I have over 20 years of experience supporting folks dealing with anxiety, depression and major life transitions. My approach is client centered, strengths based and trauma informed. Theoretical frameworks include CBT, IFS, family systems and EMDR. I am a staunch believer in human resilience. My approach is a collaborative one built on mutual respect, openness and curiosity. Through our work together I partner with clients on their journey toward greater clarity, self awareness and healing.
(818) 431-2560 View (818) 431-2560
Photo of Karina Culbertson, Marriage & Family Therapist in Burbank, CA
Karina Culbertson
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Burbank, CA 91505
All it takes is a little bit of adulting to realize that right about when we think we have it all together, life throws us a curveball. These instances can leave us feeling stuck – stuck in unhealthy patterns and behaviors, in feelings of anxiety or depression, and even in relational conflicts that seem impossible. For some, it’s balancing the demands of parenthood or a job situation that feels like it’s heading toward burnout. For others, it might be relationships that lack boundaries and expectations. However, here’s a glimmer of hope…you have the ability to move beyond “just surviving” and toward a place where you can thrive.
All it takes is a little bit of adulting to realize that right about when we think we have it all together, life throws us a curveball. These instances can leave us feeling stuck – stuck in unhealthy patterns and behaviors, in feelings of anxiety or depression, and even in relational conflicts that seem impossible. For some, it’s balancing the demands of parenthood or a job situation that feels like it’s heading toward burnout. For others, it might be relationships that lack boundaries and expectations. However, here’s a glimmer of hope…you have the ability to move beyond “just surviving” and toward a place where you can thrive.
(818) 369-1995 View (818) 369-1995
Photo of Britni Washington, Associate Professional Clinical Counselor in Burbank, CA
Britni Washington
Associate Professional Clinical Counselor, APCC
Verified Verified
Burbank, CA 91506  (Online Only)
There is power in every person to have a fulfilling and meaningful existence. Whether you are seeking clarity within your personal life, wanting to improve relationships or needing guidance in navigating life transitions, I invite you to embark on your journey of empowerment, transformation and wholeness. I work with clients from all walks of life, helping to break through limitations, conquer obstacles and strengthen awareness. I incorporate my years of experience in supporting individuals and families with challenges relating to anxiety, depression, grief and trauma/PTSD.
There is power in every person to have a fulfilling and meaningful existence. Whether you are seeking clarity within your personal life, wanting to improve relationships or needing guidance in navigating life transitions, I invite you to embark on your journey of empowerment, transformation and wholeness. I work with clients from all walks of life, helping to break through limitations, conquer obstacles and strengthen awareness. I incorporate my years of experience in supporting individuals and families with challenges relating to anxiety, depression, grief and trauma/PTSD.
(818) 937-4003 View (818) 937-4003
Photo of Ann M. Gerber, LCSW, Inc., Clinical Social Work/Therapist in Burbank, CA
Ann M. Gerber, LCSW, Inc.
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Burbank, CA 91506  (Online Only)
Life is full of challenges and at times those challenges may surpass our ability to cope. When this happens we may struggle and feel overwhelmed, experience sadness, anxiety and confusion. Therapy is a resource that can assist you in navigating life's inevitable challenges. My work is anchored in the belief that you can grow and heal when supported to do so. As such, I will collaborate with you in a therapeutic partnership where you will try new strategies, develop greater self-awareness, and lean into your innate ability to adapt and grow in the face of adversity.
Life is full of challenges and at times those challenges may surpass our ability to cope. When this happens we may struggle and feel overwhelmed, experience sadness, anxiety and confusion. Therapy is a resource that can assist you in navigating life's inevitable challenges. My work is anchored in the belief that you can grow and heal when supported to do so. As such, I will collaborate with you in a therapeutic partnership where you will try new strategies, develop greater self-awareness, and lean into your innate ability to adapt and grow in the face of adversity.
(213) 260-1758 View (213) 260-1758
Photo of Jacey Milliner, Marriage & Family Therapist Associate in Burbank, CA
Jacey Milliner
Marriage & Family Therapist Associate, AMFT
Verified Verified
4 Endorsed
Burbank, CA 91505  (Online Only)
She specializes in clients seeking help with depression, anxiety, self-esteem, relationship issues, and the BIPOC/LGBTQ+ community.
Jacey Milliner (AMFT 140322) is an Associate Marriage and Family Therapist specializing in facilitating profound self-transformation. When working with individuals, couples, and families, her approach is firmly rooted in the belief that each person possesses inherent value and untapped potential. She is deeply committed to nurturing the therapeutic relationship, recognizing it as the cornerstone of the transformative journey with her clients. Within this dedicated space, her goal is to create a safe, non-judgmental, and empathetic environment, empowering clients to explore the depths of their emotions.
She specializes in clients seeking help with depression, anxiety, self-esteem, relationship issues, and the BIPOC/LGBTQ+ community.
Jacey Milliner (AMFT 140322) is an Associate Marriage and Family Therapist specializing in facilitating profound self-transformation. When working with individuals, couples, and families, her approach is firmly rooted in the belief that each person possesses inherent value and untapped potential. She is deeply committed to nurturing the therapeutic relationship, recognizing it as the cornerstone of the transformative journey with her clients. Within this dedicated space, her goal is to create a safe, non-judgmental, and empathetic environment, empowering clients to explore the depths of their emotions.
(747) 239-4789 View (747) 239-4789
Photo of Tijon Robinson, Psychological Associate in Burbank, CA
Tijon Robinson
Psychological Associate, AMFT, APCC, MA
Verified Verified
Burbank, CA 91505
Do you frequently get frustrated, feel overwhelmed, can’t concentrate? Do you have irregular sleep patterns, excessively worry, get anxious, and are often consumed by what others may think of you. These feelings, thoughts, and emotions can turn your life upside down and I am here to help you work on processing your thoughts, manage mood, not feel powerless, and focus on putting yourself first in a judgement free setting. "How You Gonna Win If You Ain't Right Within?" -Lauryn Hill (Singer-Songwriter).
Do you frequently get frustrated, feel overwhelmed, can’t concentrate? Do you have irregular sleep patterns, excessively worry, get anxious, and are often consumed by what others may think of you. These feelings, thoughts, and emotions can turn your life upside down and I am here to help you work on processing your thoughts, manage mood, not feel powerless, and focus on putting yourself first in a judgement free setting. "How You Gonna Win If You Ain't Right Within?" -Lauryn Hill (Singer-Songwriter).
(818) 918-3884 View (818) 918-3884
Photo of Amy Karman Trauma Specialist, Marriage & Family Therapist in Burbank, CA
Amy Karman Trauma Specialist
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Burbank, CA 91505  (Online Only)
Sick of feeling triggered all the time? Need support knowing how to handle difficult situations and relationships that are complex? Do you want to feel better more of the time? More ALIVE? Ready to do the work it takes to heal and learn how to deal with life well? I help people organize their minds and emotions, and to get out of depression and anxiety. I will teach you how to slow down, ground your body, release stuck trauma stress and learn new coping mechanisms such as how to set healthy boundaries. I am the right fit for you if you’re sick of struggling. Let's work at your pace and make a unique plan to help you get unstuck.
Sick of feeling triggered all the time? Need support knowing how to handle difficult situations and relationships that are complex? Do you want to feel better more of the time? More ALIVE? Ready to do the work it takes to heal and learn how to deal with life well? I help people organize their minds and emotions, and to get out of depression and anxiety. I will teach you how to slow down, ground your body, release stuck trauma stress and learn new coping mechanisms such as how to set healthy boundaries. I am the right fit for you if you’re sick of struggling. Let's work at your pace and make a unique plan to help you get unstuck.
(310) 494-7514 x1 View (310) 494-7514 x1
Photo of Ellie Nicole Trotta, Counselor in Burbank, CA
Ellie Nicole Trotta
Counselor, MA, LPCC
Verified Verified
Burbank, CA 91505  (Online Only)
Ellie has experience working with adult clients addressing a variety of current mental health concerns. She has helped clients with attachment/abandonment issues from childhood, relationship difficulties, communication issues, loneliness, depression, anxiety, trauma, grief, work issues, stress management, life transitions and other issues. Clients are treated with warmth, empathy, and a nonjudgmental approach.
Ellie has experience working with adult clients addressing a variety of current mental health concerns. She has helped clients with attachment/abandonment issues from childhood, relationship difficulties, communication issues, loneliness, depression, anxiety, trauma, grief, work issues, stress management, life transitions and other issues. Clients are treated with warmth, empathy, and a nonjudgmental approach.
(818) 873-0589 View (818) 873-0589
Photo of Ian Vogt, Marriage & Family Therapist in Burbank, CA
Ian Vogt
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Burbank, CA 91505
I work with a variety of issues, including depression, anxiety, grief and loss, life transitions, relationships, parenting, abandonment, and spirituality.
People often seek out therapy because they feel stuck. In their careers, in their relationships, in their lives. I know what that’s like and how overwhelming it can feel. I became a therapist to help people overcome this struggle and get unstuck. I see therapy as a collaborative partnership; one that’s nurtured in a non-judgmental and safe environment. Believing that our relationship facilitates growth, I utilize psychodynamic and mindfulness perspectives to guide you toward understanding your behavior and a deeper sense of yourself.
I work with a variety of issues, including depression, anxiety, grief and loss, life transitions, relationships, parenting, abandonment, and spirituality.
People often seek out therapy because they feel stuck. In their careers, in their relationships, in their lives. I know what that’s like and how overwhelming it can feel. I became a therapist to help people overcome this struggle and get unstuck. I see therapy as a collaborative partnership; one that’s nurtured in a non-judgmental and safe environment. Believing that our relationship facilitates growth, I utilize psychodynamic and mindfulness perspectives to guide you toward understanding your behavior and a deeper sense of yourself.
(818) 405-8807 View (818) 405-8807
Photo of Lani Ackerman Kalla, Psychologist in Burbank, CA
Lani Ackerman Kalla
Psychologist, PhD
Verified Verified
Burbank, CA 91505
I specialize in the treatment of anxiety, depression, and enhanced relationships.
I am a licensed Clinical Psychologist with over 20 years experience. I am committed to the enhancement of self via both insight and information. Individual , couples, and families learn strategies for healthier relationships and self care.
I specialize in the treatment of anxiety, depression, and enhanced relationships.
I am a licensed Clinical Psychologist with over 20 years experience. I am committed to the enhancement of self via both insight and information. Individual , couples, and families learn strategies for healthier relationships and self care.
(310) 737-8627 View (310) 737-8627
Photo of Ernesto Peraza, Marriage & Family Therapist in Burbank, CA
Ernesto Peraza
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Burbank, CA 91505  (Online Only)
In my private practice, I provide a motivational and empathic environment for children, adolescents, individuals, couples, and families to explore underlying issues to depression, anxiety, domestic violence, trauma, and anger outbursts. I am trained in TF-CBT (Trauma Focus Cognitive Behavioral Therapy), which helps Clients significantly improve symptoms related to depression, anxiety, and post-traumatic stress disorder. For a free initial consultation contact my practice in San Fernando Valley, CA. I have 12 years of experience providing mental health services.
In my private practice, I provide a motivational and empathic environment for children, adolescents, individuals, couples, and families to explore underlying issues to depression, anxiety, domestic violence, trauma, and anger outbursts. I am trained in TF-CBT (Trauma Focus Cognitive Behavioral Therapy), which helps Clients significantly improve symptoms related to depression, anxiety, and post-traumatic stress disorder. For a free initial consultation contact my practice in San Fernando Valley, CA. I have 12 years of experience providing mental health services.
(818) 746-2362 View (818) 746-2362
Photo of Jacqueline Brooke Preziosa, Licensed Educational Psychologist in Burbank, CA
Jacqueline Brooke Preziosa
Licensed Educational Psychologist, MS, CAGS, LEP
Verified Verified
1 Endorsed
Burbank, CA 91502
Psychologist, I am able to assess and diagnosis learning and/or emotional difficulties such as ADHD, Anxiety, Depression, Autism, Intellectual Disabilities and Learning Disabilities in children and adults who feel that these symptoms are interfering with school and/or work.
As an Ed Psychologist I specialize in working with children, adolescents and young adults to provide a safe and supportive environment for them to explore their thoughts and feelings. I use evidence-based approaches to address a range of issues, including anxiety, depression, ADHD, trauma, and more. Through cognitive behavioral therapy, talk therapy, and other researched based modalities, I help children, teens and young adults to develop coping skills, improve self-esteem, and build positive relationships. I also offer parent coaching and support.
Psychologist, I am able to assess and diagnosis learning and/or emotional difficulties such as ADHD, Anxiety, Depression, Autism, Intellectual Disabilities and Learning Disabilities in children and adults who feel that these symptoms are interfering with school and/or work.
As an Ed Psychologist I specialize in working with children, adolescents and young adults to provide a safe and supportive environment for them to explore their thoughts and feelings. I use evidence-based approaches to address a range of issues, including anxiety, depression, ADHD, trauma, and more. Through cognitive behavioral therapy, talk therapy, and other researched based modalities, I help children, teens and young adults to develop coping skills, improve self-esteem, and build positive relationships. I also offer parent coaching and support.
(747) 202-1809 View (747) 202-1809
Photo of Michael Porco, Marriage & Family Therapist in Burbank, CA
Michael Porco
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Burbank, CA 91506
Therapy for COMEDIANS dealing with anxiety and depression. Being a comedian isn't easy. While your friends are getting married, having children and buying mansions back home, you’re schlepping yourself to open mic nights and chasing your dream, well at least before the pandemic. You’re emotionally vulnerable on stage and worry about going viral for the wrong reasons. It’s hard to share these fears with others. Comics get it but they’re too busy doing shtick rather than listening to you. And if you’re a female comic, it's worse because you’re mostly surrounded by male comics and battling lame societal stereotypes. I can help.
Therapy for COMEDIANS dealing with anxiety and depression. Being a comedian isn't easy. While your friends are getting married, having children and buying mansions back home, you’re schlepping yourself to open mic nights and chasing your dream, well at least before the pandemic. You’re emotionally vulnerable on stage and worry about going viral for the wrong reasons. It’s hard to share these fears with others. Comics get it but they’re too busy doing shtick rather than listening to you. And if you’re a female comic, it's worse because you’re mostly surrounded by male comics and battling lame societal stereotypes. I can help.
(310) 307-3961 View (310) 307-3961
Photo of Jenny Han, Psychological Associate in Burbank, CA
Jenny Han
Psychological Associate, PsyD
Verified Verified
Burbank, CA 91501  (Online Only)
I believe that there is no problem that may be perceived as big or small that isn't worth exploring and/or understanding. Whether you are struggling with anxiety, depression, difficulty adjusting to a new environment (job, city, etc), navigating a new/old relationship, or noticing how current or past traumas are impacting you, I believe any and all concerns are worth discussing.
I believe that there is no problem that may be perceived as big or small that isn't worth exploring and/or understanding. Whether you are struggling with anxiety, depression, difficulty adjusting to a new environment (job, city, etc), navigating a new/old relationship, or noticing how current or past traumas are impacting you, I believe any and all concerns are worth discussing.
(747) 300-3213 x1002 View (747) 300-3213 x1002
Photo of Clarence Thomas, Pre-Licensed Professional in Burbank, CA
Clarence Thomas
Pre-Licensed Professional, BS, MFT Int
Verified Verified
1 Endorsed
Burbank, CA 91505  (Online Only)
I specialize in relational concerns, anxiety and depressive disorders, trauma, adjustment disorders, and problems pertaining to sexual identity.
Hello and Welcome! We specialize in providing affordable telehealth/online therapy. Whether you are struggling with an acute crisis, change, or loss in your life, or even if you are just feeling mildly, but persistently upset, it can take a toll on many aspects of life. Anyone can benefit from psychotherapy. No problem is too minor, common, severe, or unusual to be explored and healed.
I specialize in relational concerns, anxiety and depressive disorders, trauma, adjustment disorders, and problems pertaining to sexual identity.
Hello and Welcome! We specialize in providing affordable telehealth/online therapy. Whether you are struggling with an acute crisis, change, or loss in your life, or even if you are just feeling mildly, but persistently upset, it can take a toll on many aspects of life. Anyone can benefit from psychotherapy. No problem is too minor, common, severe, or unusual to be explored and healed.
(818) 408-4417 View (818) 408-4417
Photo of Ariana Alvarez, Marriage & Family Therapist in Burbank, CA
Ariana Alvarez
Marriage & Family Therapist, LMFT
Verified Verified
Burbank, CA 91506
I am excited that you have taken the first step to reach out for help. Therapy can be extremely helpful and positive when you are in a stage in your life where you think you have tried everything you can to get past the barriers that are keeping you from feeling and being where you want to be in life. Our childhood experiences deeply affect who we become as adults. Do you have trauma that you want to process? Are you experiencing a life transition that just seems too difficulty to cope with? Is your child or teen experiencing anxiety or depression? I am here to help you through various techniques in order to achieve your goals.
I am excited that you have taken the first step to reach out for help. Therapy can be extremely helpful and positive when you are in a stage in your life where you think you have tried everything you can to get past the barriers that are keeping you from feeling and being where you want to be in life. Our childhood experiences deeply affect who we become as adults. Do you have trauma that you want to process? Are you experiencing a life transition that just seems too difficulty to cope with? Is your child or teen experiencing anxiety or depression? I am here to help you through various techniques in order to achieve your goals.
(747) 229-0570 View (747) 229-0570
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.