Photo of Trauma Therapy and Psychedelic Integration , Marriage & Family Therapist in San Francisco, CA
Trauma Therapy and Psychedelic Integration
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94105
Specializing in mindfulness-based and trauma-informed approaches, Diana supports individuals struggling with depression, anxiety, stress, life transitions, and feeling stuck. Through a trusting therapeutic relationship, she helps clients face their suffering with compassion and support, integrating fragmented parts of themselves into wholeness. Diana's training in Mindfulness Based Approaches including Hakomi, Somatic-based therapy, Family Constellations Therapy, and Eco Psychology allows her to trace challenges back to their source while staying present with current experiences, fostering integration and a wholeness of self.
Specializing in mindfulness-based and trauma-informed approaches, Diana supports individuals struggling with depression, anxiety, stress, life transitions, and feeling stuck. Through a trusting therapeutic relationship, she helps clients face their suffering with compassion and support, integrating fragmented parts of themselves into wholeness. Diana's training in Mindfulness Based Approaches including Hakomi, Somatic-based therapy, Family Constellations Therapy, and Eco Psychology allows her to trace challenges back to their source while staying present with current experiences, fostering integration and a wholeness of self.
(415) 236-9025 View (415) 236-9025
Photo of Alecia Singer, Marriage & Family Therapist in San Francisco, CA
Alecia Singer
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
San Francisco, CA 94115
Do you believe that happiness is not possible unless you obtain a certain body size, relationship or job and are on a constant quest for perfectionism? You may find yourself turning to addiction, chaotic relationships, disordered eating, your inner critic and negative body image to find relief from anxiety, stress or trauma. This is understandable, but there is another way... Imagine creating a compassionate relationship with yourself based on accepting your body as a source of wisdom, connecting you to your feelings, authenticity, creativity and life force.
Do you believe that happiness is not possible unless you obtain a certain body size, relationship or job and are on a constant quest for perfectionism? You may find yourself turning to addiction, chaotic relationships, disordered eating, your inner critic and negative body image to find relief from anxiety, stress or trauma. This is understandable, but there is another way... Imagine creating a compassionate relationship with yourself based on accepting your body as a source of wisdom, connecting you to your feelings, authenticity, creativity and life force.
(415) 660-9464 View (415) 660-9464
Photo of Bay Area Gestalt Institute, Marriage & Family Therapist in San Francisco, CA
Bay Area Gestalt Institute
Marriage & Family Therapist, MFT
Verified Verified
16 Endorsed
San Francisco, CA 94117
We are Bay Area Gestalt Institute (BAGI), a non-profit collective of highly trained marriage and family therapists and associates, providing affordable psychotherapy throughout the Bay Area. We offer counseling to individuals, couples, families, and children. Our work is active, creative and holistic. Our therapists work with a variety of issues including: * Relationship Issues * Anxiety * Depression * LGBTQI Concerns * Trauma * Substance Use / Abuse * Eating Disorders * Spiritual * Personal Growth * Integration of Non-Ordinary States
We are Bay Area Gestalt Institute (BAGI), a non-profit collective of highly trained marriage and family therapists and associates, providing affordable psychotherapy throughout the Bay Area. We offer counseling to individuals, couples, families, and children. Our work is active, creative and holistic. Our therapists work with a variety of issues including: * Relationship Issues * Anxiety * Depression * LGBTQI Concerns * Trauma * Substance Use / Abuse * Eating Disorders * Spiritual * Personal Growth * Integration of Non-Ordinary States
(415) 969-3361 View (415) 969-3361
Photo of Karen Wolfe, Marriage & Family Therapist in San Francisco, CA
Karen Wolfe
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94115
Therapy with me is casual and warm, while providing you a space for direct guidance and embodied meditation practices to help you on your journey. I specialize in relationships and intimacy and support to improve communication, work through anxiety, and create a fulfilling life. I have training in both holistic East-West Psychotherapy as well as relationship and embodiment-focused life coaching. I have offices San Francisco and Oakland, CA. This holistic, embodiment-oriented psychotherapy offers individuals and couples concrete skills to tackle anxiety, depression, and relationship challenges in a safe and inviting space.
Therapy with me is casual and warm, while providing you a space for direct guidance and embodied meditation practices to help you on your journey. I specialize in relationships and intimacy and support to improve communication, work through anxiety, and create a fulfilling life. I have training in both holistic East-West Psychotherapy as well as relationship and embodiment-focused life coaching. I have offices San Francisco and Oakland, CA. This holistic, embodiment-oriented psychotherapy offers individuals and couples concrete skills to tackle anxiety, depression, and relationship challenges in a safe and inviting space.
(415) 868-4515 View (415) 868-4515
Photo of Cosmin I Gheorghe, Marriage & Family Therapist in San Francisco, CA
Cosmin I Gheorghe
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94102  (Online Only)
I have 20+ years experience assisting clients to overcome issues related to Anxiety, Mid-Life Crisis, Burnout, Anger, Depression, Addictive/Compulsive Behavior. My clients say they appreciate my "genuine, therapuetic connection", my "warm, grounded, interactive therapy sessions"; my "solid multi-cultural competency". I am not the kind of therapist that sits and nods. I actively work with you to explore what is hapening and identify the best possible solutions. Finding the right therapist is tricky. This is why I am happy to talk with you on the phone before we decide to work together.
I have 20+ years experience assisting clients to overcome issues related to Anxiety, Mid-Life Crisis, Burnout, Anger, Depression, Addictive/Compulsive Behavior. My clients say they appreciate my "genuine, therapuetic connection", my "warm, grounded, interactive therapy sessions"; my "solid multi-cultural competency". I am not the kind of therapist that sits and nods. I actively work with you to explore what is hapening and identify the best possible solutions. Finding the right therapist is tricky. This is why I am happy to talk with you on the phone before we decide to work together.
(415) 323-3058 View (415) 323-3058
Photo of Ami E. Hartley, Marriage & Family Therapist in San Francisco, CA
Ami E. Hartley
Marriage & Family Therapist, LMFT, CAS, ATR-BC
Verified Verified
San Francisco, CA 94117
Anxiety, self-esteem issues, addictions, co-dependency, and/or difficulty forming and maintaining relationships are incentive for seeking therapy.
People come to therapy when they feel ready. Often they have gained some insight and are consciously seeking a happier, more balanced life. Many people are aware of a need for healing narcissistic abuse from family, partners or in the work environment. The motivation it takes to make that first phone call is a major step towards positive change. My style is interpersonal, supportive, open and communicative. Most people appreciate guidance, direction and practical feedback. I encourage exploration of unconscious repetitive patterns in relationships and making changes wherever possible.
Anxiety, self-esteem issues, addictions, co-dependency, and/or difficulty forming and maintaining relationships are incentive for seeking therapy.
People come to therapy when they feel ready. Often they have gained some insight and are consciously seeking a happier, more balanced life. Many people are aware of a need for healing narcissistic abuse from family, partners or in the work environment. The motivation it takes to make that first phone call is a major step towards positive change. My style is interpersonal, supportive, open and communicative. Most people appreciate guidance, direction and practical feedback. I encourage exploration of unconscious repetitive patterns in relationships and making changes wherever possible.
(415) 319-9740 View (415) 319-9740
Photo of J. Delfina Piretti LMFT, REAT, Marriage & Family Therapist in San Francisco, CA
J. Delfina Piretti LMFT, REAT
Marriage & Family Therapist, MA, MFT, REAT
Verified Verified
San Francisco, CA 94115
I have found body mind psychotherapy to be effective for treating depression, anxiety, trauma as well as: life transitions, enhancing performance and stress.
I generally work with high functioning people at important junctures in life where the suffering is great. Asking for help is often a powerful step of surrendering the ego's attempts to resist change. Symptoms are often a sign that something is trying to wake up inside of you. When you turn your attention inward and get intimate with your inner life you can start to find the energy to heal, to grow and to change. I specialize in somatic table work for treating developmental trauma. This work focuses on repairing developmental wounds, strengthening somatic resilience and increasing capacity for regulation in the nervous system.
I have found body mind psychotherapy to be effective for treating depression, anxiety, trauma as well as: life transitions, enhancing performance and stress.
I generally work with high functioning people at important junctures in life where the suffering is great. Asking for help is often a powerful step of surrendering the ego's attempts to resist change. Symptoms are often a sign that something is trying to wake up inside of you. When you turn your attention inward and get intimate with your inner life you can start to find the energy to heal, to grow and to change. I specialize in somatic table work for treating developmental trauma. This work focuses on repairing developmental wounds, strengthening somatic resilience and increasing capacity for regulation in the nervous system.
(415) 598-2307 View (415) 598-2307
Photo of Jenn Torres Duran, Licensed Professional Clinical Counselor in San Francisco, CA
Jenn Torres Duran
Licensed Professional Clinical Counselor, LPCC
Verified Verified
San Francisco, CA 94115  (Online Only)
Change is terrifying, but it can also be beautiful. It can be difficult to navigate cultural, societal, familial, & even personal expectations to give life to your true authentic self. From navigating anxiety, working to understand your sexual/gender identity, navigating what aspects of your cultural make sense for you, depression, or even just trying to get the world to acknowledge you as the person you are - I'm so glad you haven't given up. The change you're working towards will be worth it and oh-so spectacular. I know you have the power, skills, & desire to Transform Your Story. I'm honored to help you any way I can.
Change is terrifying, but it can also be beautiful. It can be difficult to navigate cultural, societal, familial, & even personal expectations to give life to your true authentic self. From navigating anxiety, working to understand your sexual/gender identity, navigating what aspects of your cultural make sense for you, depression, or even just trying to get the world to acknowledge you as the person you are - I'm so glad you haven't given up. The change you're working towards will be worth it and oh-so spectacular. I know you have the power, skills, & desire to Transform Your Story. I'm honored to help you any way I can.
(669) 288-1417 View (669) 288-1417
Photo of The Connective (formerly Wellspace SF), Marriage & Family Therapist in San Francisco, CA
The Connective (formerly Wellspace SF)
Marriage & Family Therapist
Verified Verified
2 Endorsed
San Francisco, CA 94102
Our many specializations include: Gen Z and Millennials, relationship issues, self-esteem, life transitions, anxiety, depression, perfectionism + imposter syndrome, gender, racial and sexual identity, life balance, dating + relationships, career transition, body image, trauma/EMDR, pregnancy and postpartum support, grief, and OCD.
Tired of calling around? We have immediate openings! The Connective is an integrative practice of psychotherapists, certified coaches, and holistic health practitioners dedicated to a common goal: guiding, inspiring, and empowering individuals to live more authentic, fulfulling and healthy lives. From navigating personal and professional roadblocks, to achieving optimal health and wellness, our mission is to provide compassionate and strengths-based support centered on the whole person.
Our many specializations include: Gen Z and Millennials, relationship issues, self-esteem, life transitions, anxiety, depression, perfectionism + imposter syndrome, gender, racial and sexual identity, life balance, dating + relationships, career transition, body image, trauma/EMDR, pregnancy and postpartum support, grief, and OCD.
Tired of calling around? We have immediate openings! The Connective is an integrative practice of psychotherapists, certified coaches, and holistic health practitioners dedicated to a common goal: guiding, inspiring, and empowering individuals to live more authentic, fulfulling and healthy lives. From navigating personal and professional roadblocks, to achieving optimal health and wellness, our mission is to provide compassionate and strengths-based support centered on the whole person.
(415) 335-7793 View (415) 335-7793
Photo of Ashley Boyer, Psychologist in San Francisco, CA
Ashley Boyer
Psychologist, PhD
Verified Verified
San Francisco, CA 94122
Waitlist for new clients
I understand that anxiety can control our lives and the lives of loved ones.
Hi, I am a San Francisco Bay Area Child Psychologist. I specialize in anxiety and other related concerns such as perfectionism and difficult life adjustments. In my practice, I focus on the relationship and making you and your child feel comfortable through developmentally appropriate interventions. I want to help you work through your worries and achieve your best life.
I understand that anxiety can control our lives and the lives of loved ones.
Hi, I am a San Francisco Bay Area Child Psychologist. I specialize in anxiety and other related concerns such as perfectionism and difficult life adjustments. In my practice, I focus on the relationship and making you and your child feel comfortable through developmentally appropriate interventions. I want to help you work through your worries and achieve your best life.
(628) 228-6535 View (628) 228-6535
Photo of Sophia Shu Wang in San Francisco, CA
Sophia Shu Wang
MA, MT-BC, ADHD-CC, CCTP-I, CCBT
Verified Verified
San Francisco, CA 94110
My specialty is treating depression, anxiety, ADHD, grief, and navigating narcissistic fallout through life coaching and therapy.
Through my 10 years of experience working with people of all ages and cultural backgrounds from NYC to SF, I developed a very collaborative approach, which includes but not limited to humanistic, psychodynamic, mindfulness, and cognitive behavioral. I integrate creative modality with practical CBT, ACT, Trauma Informed Therapy, and Coaching to reach the best outcome for each individual. I help my clients connect with purpose, passion, and community to go from managing difficult times to thriving and living life fully.
My specialty is treating depression, anxiety, ADHD, grief, and navigating narcissistic fallout through life coaching and therapy.
Through my 10 years of experience working with people of all ages and cultural backgrounds from NYC to SF, I developed a very collaborative approach, which includes but not limited to humanistic, psychodynamic, mindfulness, and cognitive behavioral. I integrate creative modality with practical CBT, ACT, Trauma Informed Therapy, and Coaching to reach the best outcome for each individual. I help my clients connect with purpose, passion, and community to go from managing difficult times to thriving and living life fully.
(341) 766-0668 View (341) 766-0668
Brown Therapy Center
Marriage & Family Therapist
Verified Verified
1 Endorsed
San Francisco, CA 94102
We work with a diverse population of adult individuals, couples, and special interest groups who may be struggling with any number of mental health challenges related to anxiety, depression, stress, trauma, relationship issues, and substance abuse, among others. We are committed to providing culturally competent care across the spectrum of age, race, gender, sexuality, religion, and background.
We work with a diverse population of adult individuals, couples, and special interest groups who may be struggling with any number of mental health challenges related to anxiety, depression, stress, trauma, relationship issues, and substance abuse, among others. We are committed to providing culturally competent care across the spectrum of age, race, gender, sexuality, religion, and background.
(415) 849-7242 View (415) 849-7242
Photo of Emily Johnson, Marriage & Family Therapist in San Francisco, CA
Emily Johnson
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94116
I have counseled many individuals who struggle with anxiety, depression, and trauma where symptoms manifest in concerns around addictions, chronic relationship issues.
My name is Emily Johnson and I am a Licensed Marriage and Family Therapist in the state of California. I work with adults, specializing in relationship issues, grief, and managing anger. I use Emotionally Focused and Attachment Theory lenses to help you process pain and develop insight as well as incorporate Dialectical Behavior Therapy and Solution Focused techniques to help you develop skills. I understand that therapy is an investment and I want to work with you to develop meaningful goals so that you get what you want out of therapy.
I have counseled many individuals who struggle with anxiety, depression, and trauma where symptoms manifest in concerns around addictions, chronic relationship issues.
My name is Emily Johnson and I am a Licensed Marriage and Family Therapist in the state of California. I work with adults, specializing in relationship issues, grief, and managing anger. I use Emotionally Focused and Attachment Theory lenses to help you process pain and develop insight as well as incorporate Dialectical Behavior Therapy and Solution Focused techniques to help you develop skills. I understand that therapy is an investment and I want to work with you to develop meaningful goals so that you get what you want out of therapy.
(415) 909-3124 View (415) 909-3124
Photo of Jana Gottfried, Clinical Social Work/Therapist in San Francisco, CA
Jana Gottfried
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94110
Hello, my name is, Jana Gottfried, and I am a licensed clinical social worker. I am passionate about helping people work through issues around anxiety, depression, addiction, trauma, and life challenges. I work with people struggling with depression, anxiety, trauma, issues of grief, life transitions, and issues around chronic illnesses. My therapeutic approach is with cognitive behavioral therapy because CBT gives you concrete tools to gain more control over your emotions and work through issues. I also use mindfulness, creative visualization exercises, to learn how to trust your own intuition and emotions.
Hello, my name is, Jana Gottfried, and I am a licensed clinical social worker. I am passionate about helping people work through issues around anxiety, depression, addiction, trauma, and life challenges. I work with people struggling with depression, anxiety, trauma, issues of grief, life transitions, and issues around chronic illnesses. My therapeutic approach is with cognitive behavioral therapy because CBT gives you concrete tools to gain more control over your emotions and work through issues. I also use mindfulness, creative visualization exercises, to learn how to trust your own intuition and emotions.
(415) 993-4536 View (415) 993-4536
Photo of Tanisha Thelemaque, Psychologist in San Francisco, CA
Tanisha Thelemaque
Psychologist, PhD
Verified Verified
3 Endorsed
San Francisco, CA 94115  (Online Only)
As a psychologist, I have evidence-based expertise in depression, anxiety, gender/racial identity development, and race-based trauma.
Are you a person trying to explore your gender, race, or sexuality? Do you struggle to communicate your needs, set boundaries, and be assertive? I challenge you to speak your truth, understand yourself, and be authentic while maintaining boundaries. I use humor and a strong therapeutic relationship to help you be your ideal, most grounded self. When I think about transforming and changing one's life, I always reflect on Audre Lorde's powerful words. "What are the words you do not yet have...Next time, ask: What's the worst that will happen? Then push yourself a little further than you dare. "
As a psychologist, I have evidence-based expertise in depression, anxiety, gender/racial identity development, and race-based trauma.
Are you a person trying to explore your gender, race, or sexuality? Do you struggle to communicate your needs, set boundaries, and be assertive? I challenge you to speak your truth, understand yourself, and be authentic while maintaining boundaries. I use humor and a strong therapeutic relationship to help you be your ideal, most grounded self. When I think about transforming and changing one's life, I always reflect on Audre Lorde's powerful words. "What are the words you do not yet have...Next time, ask: What's the worst that will happen? Then push yourself a little further than you dare. "
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Photo of Clare Lewis, Psychologist in San Francisco, CA
Clare Lewis
Psychologist, LCP
Verified Verified
San Francisco, CA 94121
Hi there, I'm Clare. I am a licensed psychologist who is passionate about helping clients overcome the daily struggles we all deal with in life, that are often related to ongoing issues. My goal is to assist with your personal growth and healing and to learn better techniques for coping. I am also a licensed physical therapist, so I believe in a holistic approach that incorporates mind and body. I typically work with adjustment disorders but also eating disorders, anxiety and depression, OCD, trauma, relationship issues/couples, childhood abuse, addiction of all kinds, and ADHD/ADD.
Hi there, I'm Clare. I am a licensed psychologist who is passionate about helping clients overcome the daily struggles we all deal with in life, that are often related to ongoing issues. My goal is to assist with your personal growth and healing and to learn better techniques for coping. I am also a licensed physical therapist, so I believe in a holistic approach that incorporates mind and body. I typically work with adjustment disorders but also eating disorders, anxiety and depression, OCD, trauma, relationship issues/couples, childhood abuse, addiction of all kinds, and ADHD/ADD.
(619) 724-4102 View (619) 724-4102
Photo of Caci B Tassano, Marriage & Family Therapist in San Francisco, CA
Caci B Tassano
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94114  (Online Only)
New session times available as of 9/1/2023 . Are you struggling with relationships, work stress, or feeling isolated? Often people who come to see me for therapy are facing combined challenges including anxiety, depression and work stress. In therapy you and I will develop a therapeutic partnership and a collaborative, supportive space to help you reach your goals.
New session times available as of 9/1/2023 . Are you struggling with relationships, work stress, or feeling isolated? Often people who come to see me for therapy are facing combined challenges including anxiety, depression and work stress. In therapy you and I will develop a therapeutic partnership and a collaborative, supportive space to help you reach your goals.
(831) 713-1895 View (831) 713-1895
Photo of Ana Zalles, Marriage & Family Therapist in San Francisco, CA
Ana Zalles
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94134
I am Ana Zalles, LMFT 137168. I am a multi-dynamic and integrative therapist. I have a background in Trauma, CBT, DBT and multiple other EBP approaches to range ages 3-65+ . I enjoy expanding my treatment expertise and currently training on EMDR and Psychedelic Assisted Treatment. I feel comfortable with clients from all ages and cultural back grounds. I have an extensive training and treatment focus with survivors of trauma, anxiety and depression.
I am Ana Zalles, LMFT 137168. I am a multi-dynamic and integrative therapist. I have a background in Trauma, CBT, DBT and multiple other EBP approaches to range ages 3-65+ . I enjoy expanding my treatment expertise and currently training on EMDR and Psychedelic Assisted Treatment. I feel comfortable with clients from all ages and cultural back grounds. I have an extensive training and treatment focus with survivors of trauma, anxiety and depression.
(661) 768-0903 View (661) 768-0903
Photo of Kelisha LaGrone, Marriage & Family Therapist in San Francisco, CA
Kelisha LaGrone
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94121
My name is Kelisha LaGrone and I am a Licensed Marriage and Family Therapist in both CA and TX. My approach to therapy includes meeting my clients where they are at and co- creating and collaborating with my clients to tailor a treatment plan that meets their individual and very unique needs. My focus area includes, anxiety, depression, life transitions, identity integration and consolidation, family or relationship conflict, and trauma.
My name is Kelisha LaGrone and I am a Licensed Marriage and Family Therapist in both CA and TX. My approach to therapy includes meeting my clients where they are at and co- creating and collaborating with my clients to tailor a treatment plan that meets their individual and very unique needs. My focus area includes, anxiety, depression, life transitions, identity integration and consolidation, family or relationship conflict, and trauma.
(661) 927-4644 View (661) 927-4644
Photo of Grechell Siy, Marriage & Family Therapist in San Francisco, CA
Grechell Siy
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94118
My name is Grechell Siy, and I am a Licensed Marriage and Family Therapist in California via telehealth. I primarily focused on working with individual adults struggling with anxiety, depression, PTSD, other relational trauma, grief, and chronic pain using a client-centered approach. I love working with individual adults who are ready to enrich their relationship with themselves due to the impact of relational or childhood trauma.
My name is Grechell Siy, and I am a Licensed Marriage and Family Therapist in California via telehealth. I primarily focused on working with individual adults struggling with anxiety, depression, PTSD, other relational trauma, grief, and chronic pain using a client-centered approach. I love working with individual adults who are ready to enrich their relationship with themselves due to the impact of relational or childhood trauma.
(805) 749-2095 View (805) 749-2095

See more therapy options for San Francisco

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.