Photo of Skylar Hanna, Psychologist in San Francisco, CA
Skylar Hanna
Psychologist, PhD
Verified Verified
1 Endorsed
San Francisco, CA 94131  (Online Only)
I work primarily with individuals struggling with anxiety, processing of life transitions and relational concerns, and trauma.
Welcome! I view therapy as a means by which we can increase curiosity about ourselves and the world around us. We'll work together to identify patterns and stuck points that may be impacting your relationships, work, school, and other parts of your life. Taking steps towards healing and self-discovery can be daunting. As a therapist, I work to create a safe, supportive space in which you feel secure in exploring the parts of your life that may feel overwhelming. Whether you are coming to therapy for self-exploration or for a specific concern, I look forward to being part of your healing journey.
I work primarily with individuals struggling with anxiety, processing of life transitions and relational concerns, and trauma.
Welcome! I view therapy as a means by which we can increase curiosity about ourselves and the world around us. We'll work together to identify patterns and stuck points that may be impacting your relationships, work, school, and other parts of your life. Taking steps towards healing and self-discovery can be daunting. As a therapist, I work to create a safe, supportive space in which you feel secure in exploring the parts of your life that may feel overwhelming. Whether you are coming to therapy for self-exploration or for a specific concern, I look forward to being part of your healing journey.
(415) 329-4151 View (415) 329-4151
Photo of Megan Kossar, Clinical Social Work/Therapist in San Francisco, CA
Megan Kossar
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
San Francisco, CA 94121
Using a non judgmental humanistic theory approach, we can work to reduce anxiety, anger, grief, and stress, and uncover a more fulfilling and rewarding path forward.
As a skilled psychotherapist, I understand the challenges and concerns that can arise when seeking therapy. That's why I accept insurance to make the process more accessible and affordable for those in need. Whether you're new to therapy or have sought help in the past, my goal is to empower you with the tools and insights necessary to manage life's difficulties and achieve healthy, meaningful relationships. With over 26 years of experience, I have worked extensively with clients facing chronic and terminal illnesses, as well as their support systems, helping to alleviate stress and promote positive coping strategies.
Using a non judgmental humanistic theory approach, we can work to reduce anxiety, anger, grief, and stress, and uncover a more fulfilling and rewarding path forward.
As a skilled psychotherapist, I understand the challenges and concerns that can arise when seeking therapy. That's why I accept insurance to make the process more accessible and affordable for those in need. Whether you're new to therapy or have sought help in the past, my goal is to empower you with the tools and insights necessary to manage life's difficulties and achieve healthy, meaningful relationships. With over 26 years of experience, I have worked extensively with clients facing chronic and terminal illnesses, as well as their support systems, helping to alleviate stress and promote positive coping strategies.
(628) 266-4342 View (628) 266-4342
Photo of Jhoana Sarabia, Clinical Social Work/Therapist in San Francisco, CA
Jhoana Sarabia
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94103  (Online Only)
Jhoana Sarabia is a Licensed Clinical Social Worker based in California. Whether a client is facing anxiety, depression, experiencing grief and loss, or has substance abuse issues, Jhoana offers a judgement free environment for people of all ages, genders, cultures, and social backgrounds to explore their concerns. She specializes in helping members of the Latinx community, and has extensive cultural and linguistic knowledge.
Jhoana Sarabia is a Licensed Clinical Social Worker based in California. Whether a client is facing anxiety, depression, experiencing grief and loss, or has substance abuse issues, Jhoana offers a judgement free environment for people of all ages, genders, cultures, and social backgrounds to explore their concerns. She specializes in helping members of the Latinx community, and has extensive cultural and linguistic knowledge.
(310) 943-1244 View (310) 943-1244
Photo of Joanna Castillo, Clinical Social Work/Therapist in San Francisco, CA
Joanna Castillo
Clinical Social Work/Therapist, 99154
Verified Verified
San Francisco, CA 94103
I am a Licensed Clinical Social Worker licensed in California serving clients remotely at this time. I have over 7+ years of experience working as a Social Work case manager and/or therapist. I have worked with a variety of clients dealing with depression, anxiety, grief and loss, life transitions/changes, relationship issues, parenting issues, career challenges, and the overall impact health and mental health have on someone’s life.
I am a Licensed Clinical Social Worker licensed in California serving clients remotely at this time. I have over 7+ years of experience working as a Social Work case manager and/or therapist. I have worked with a variety of clients dealing with depression, anxiety, grief and loss, life transitions/changes, relationship issues, parenting issues, career challenges, and the overall impact health and mental health have on someone’s life.
(805) 463-6528 View (805) 463-6528
Photo of Julie Schmidt, Marriage & Family Therapist in San Francisco, CA
Julie Schmidt
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94109
I work with those who are challenged with Depression, Anxiety, Adult ADHD; struggling Parents as well as those experiencing Grief and Loss.
Hello! My name is Julie Schmidt. I am a Licensed Marriage Family Therapist (LMFT) providing Client Centered counseling for Californians for nearly 20 years. I enjoy working with clients who are interested in improving their thinking, feeling, and behaviors as life brings us opportunities to explore our strengths and gain insight. People develop and experience their perspectives and feelings in their own unique way, therefore I offer a variety of approaches to therapy. I offer clients Cognitive Behavioral Therapy or "CBT" which emphasizes the link between thinking, feeling, and behaviors.
I work with those who are challenged with Depression, Anxiety, Adult ADHD; struggling Parents as well as those experiencing Grief and Loss.
Hello! My name is Julie Schmidt. I am a Licensed Marriage Family Therapist (LMFT) providing Client Centered counseling for Californians for nearly 20 years. I enjoy working with clients who are interested in improving their thinking, feeling, and behaviors as life brings us opportunities to explore our strengths and gain insight. People develop and experience their perspectives and feelings in their own unique way, therefore I offer a variety of approaches to therapy. I offer clients Cognitive Behavioral Therapy or "CBT" which emphasizes the link between thinking, feeling, and behaviors.
(415) 649-4717 View (415) 649-4717
Photo of Tiffany Franke-Brauer, Clinical Social Work/Therapist in San Francisco, CA
Tiffany Franke-Brauer
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94107
Greetings! My name is Tiffany Franke-Brauer, and I am a Licensed Clinical Social Worker who practices in California. I help individuals struggling with depression, anxiety, more severe and persistent mental illnesses, generally strong emotions, and dual diagnoses (mental illness and addiction). I come from a Humanistic orientation; I acknowledge that our behaviors, thoughts, and emotions are strongly influenced by our environment, affecting how we learn to think and process what we see, do, and feel.
Greetings! My name is Tiffany Franke-Brauer, and I am a Licensed Clinical Social Worker who practices in California. I help individuals struggling with depression, anxiety, more severe and persistent mental illnesses, generally strong emotions, and dual diagnoses (mental illness and addiction). I come from a Humanistic orientation; I acknowledge that our behaviors, thoughts, and emotions are strongly influenced by our environment, affecting how we learn to think and process what we see, do, and feel.
(714) 294-2771 View (714) 294-2771
Photo of Laura Picard, Marriage & Family Therapist in San Francisco, CA
Laura Picard
Marriage & Family Therapist, LMFT, 135100
Verified Verified
San Francisco, CA 94109
Warm, open, and compassionate, I'd love to be your guide to holistic healing and transformation. With expertise in anxiety, trauma, and borderline personality disorder, I guide from a three prong approach considering the past, present and future. Rooted in a warm, eclectic approach, I'll help teach you evidence-based tools to reframe thoughts and regulate emotions, as well as explore root causes for symptom management including getting to know the different "parts" that make up each unique person. Let's empower you to achieve resilience and personal growth, leading to a more fulfilling future:)
Warm, open, and compassionate, I'd love to be your guide to holistic healing and transformation. With expertise in anxiety, trauma, and borderline personality disorder, I guide from a three prong approach considering the past, present and future. Rooted in a warm, eclectic approach, I'll help teach you evidence-based tools to reframe thoughts and regulate emotions, as well as explore root causes for symptom management including getting to know the different "parts" that make up each unique person. Let's empower you to achieve resilience and personal growth, leading to a more fulfilling future:)
(415) 877-9215 View (415) 877-9215
Photo of Maritza Del Rio, Clinical Social Work/Therapist in San Francisco, CA
Maritza Del Rio
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94110
I tend to work with individuals whose symptoms are around anxiety, depression, personality disorders, and/or those grieving.
Hi, my name is Maritza Del Rio. I am a Licensed Clinical Social Worker. My approach is a mindful one, in which I help clients explore their internal thoughts and emotions and guide them so they can have greater self-awareness and make healthier conscious choices. Clients who work with me tend to need support to break out of negative patterns, have a better understanding of themselves, have a need to find purpose in their life, be able to engage and have healthy relationships, and have a desire to achieve a higher quality of life.
I tend to work with individuals whose symptoms are around anxiety, depression, personality disorders, and/or those grieving.
Hi, my name is Maritza Del Rio. I am a Licensed Clinical Social Worker. My approach is a mindful one, in which I help clients explore their internal thoughts and emotions and guide them so they can have greater self-awareness and make healthier conscious choices. Clients who work with me tend to need support to break out of negative patterns, have a better understanding of themselves, have a need to find purpose in their life, be able to engage and have healthy relationships, and have a desire to achieve a higher quality of life.
(415) 727-4681 View (415) 727-4681
Photo of Lisa Serrano, Marriage & Family Therapist in San Francisco, CA
Lisa Serrano
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Francisco, CA 94117  (Online Only)
Waitlist for new clients
I typically work with adults who come into therapy feeling uncomfortable and unsure. Many of my clients experience anxiety, notice that they might feel things more intensely than others, and are feeling out of place in a few different parts of their lives. I notice that these feelings are often accompanied by a sense of disembodiment - an uncertainty about how one's body reflects how they feel or a detachment from one's body, which causes great distress. Often, traumatic experiences have impacted the mind, body, and inner experiences of my clients and support is needed to explore these areas and to begin the healing process.
I typically work with adults who come into therapy feeling uncomfortable and unsure. Many of my clients experience anxiety, notice that they might feel things more intensely than others, and are feeling out of place in a few different parts of their lives. I notice that these feelings are often accompanied by a sense of disembodiment - an uncertainty about how one's body reflects how they feel or a detachment from one's body, which causes great distress. Often, traumatic experiences have impacted the mind, body, and inner experiences of my clients and support is needed to explore these areas and to begin the healing process.
(415) 996-1385 View (415) 996-1385
Photo of Leslie R Davis, Clinical Social Work/Therapist in San Francisco, CA
Leslie R Davis
Clinical Social Work/Therapist, JD, MSW, LCSW
Verified Verified
San Francisco, CA 94115  (Online Only)
Perhaps you are seeking a path of self-exploration or struggling with anxiety, depression or low self-esteem. You may need some additional time to talk and make some sense out the barriers to your personal goals. Or you may desire to learn practical skills to cope with your pain. Every person is unique, which means that our time together would be tailored to your particular needs based on cultural background, family dynamics and personal values. Either way, I will be present with you and assist you as you journey toward a meaningful life.
Perhaps you are seeking a path of self-exploration or struggling with anxiety, depression or low self-esteem. You may need some additional time to talk and make some sense out the barriers to your personal goals. Or you may desire to learn practical skills to cope with your pain. Every person is unique, which means that our time together would be tailored to your particular needs based on cultural background, family dynamics and personal values. Either way, I will be present with you and assist you as you journey toward a meaningful life.
(415) 366-0587 View (415) 366-0587
April Suzanne Perkins
Counselor, LMFT
Not Verified Not Verified
San Francisco, CA 94114  (Online Only)
I have worked with clients with a wide range of concerns including depression, anxiety Self Esteem, women issues, marital and premarital, life transitions, spirituality,.
Going through life's journey is like riding a roller coaster full of ups, downs, twists, and turns. On a roller coaster, you often have someone sitting next to you regardless of if you know the person. Think of life the same way. It is challenging and shouldn't be done alone. My passion is to help clients go through life transitions and challenges with more ease by identifying and rediscovering their strengths to develop a healthy lifestyle.
I have worked with clients with a wide range of concerns including depression, anxiety Self Esteem, women issues, marital and premarital, life transitions, spirituality,.
Going through life's journey is like riding a roller coaster full of ups, downs, twists, and turns. On a roller coaster, you often have someone sitting next to you regardless of if you know the person. Think of life the same way. It is challenging and shouldn't be done alone. My passion is to help clients go through life transitions and challenges with more ease by identifying and rediscovering their strengths to develop a healthy lifestyle.
(209) 255-5266 View (209) 255-5266
Photo of Dr. Stephanie Randazzo, Psychologist in San Francisco, CA
Dr. Stephanie Randazzo
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94115  (Online Only)
I have a strong passion for working with individuals who experience anxiety, panic attacks, and persistent fear due to their chronic illness.
I am a clinical psychologist and specialize in treating adults who experience life challenges as a result of stress, anxiety, and chronic medical conditions. Common conditions treated are panic attacks, phobias, chronic pain, IBS, and insomnia. Clients often reach out when they are looking for support in changing their actions to move towards their values in life. In therapy, we will work together to identify your strengths, values, and actions to move towards positive change.
I have a strong passion for working with individuals who experience anxiety, panic attacks, and persistent fear due to their chronic illness.
I am a clinical psychologist and specialize in treating adults who experience life challenges as a result of stress, anxiety, and chronic medical conditions. Common conditions treated are panic attacks, phobias, chronic pain, IBS, and insomnia. Clients often reach out when they are looking for support in changing their actions to move towards their values in life. In therapy, we will work together to identify your strengths, values, and actions to move towards positive change.
(628) 313-5767 View (628) 313-5767
Photo of Minda Streamer, Associate Clinical Social Worker in San Francisco, CA
Minda Streamer
Associate Clinical Social Worker, ACSW
Not Verified Not Verified
San Francisco, CA 94114  (Online Only)
My past work includes working with clients who have experienced PTSD, gun violence, depression, anxiety, self harm, grief, and relationship conflicts.
I am an Associate Clinical Social Worker with three years of experience providing individual and group therapy to a wide variety of people through various settings. I earned my Bachelors in American Indian Studies at UCLA and my Masters in Clinical Social Work through a Trauma Responsive program of study at the University of Chicago Crown Family School of Social Work, Policy, and Practice. I am also an enrolled member of the Los Coyotes Band of Cahuilla and Cupeño Indians.
My past work includes working with clients who have experienced PTSD, gun violence, depression, anxiety, self harm, grief, and relationship conflicts.
I am an Associate Clinical Social Worker with three years of experience providing individual and group therapy to a wide variety of people through various settings. I earned my Bachelors in American Indian Studies at UCLA and my Masters in Clinical Social Work through a Trauma Responsive program of study at the University of Chicago Crown Family School of Social Work, Policy, and Practice. I am also an enrolled member of the Los Coyotes Band of Cahuilla and Cupeño Indians.
(347) 658-1393 View (347) 658-1393
Photo of Ashley Ah Hyun Lee, Clinical Social Work/Therapist in San Francisco, CA
Ashley Ah Hyun Lee
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94115
We specialize in Trauma and PTSD. We work with individual adults who have a long history of childhood trauma, sexual violence and abuse, difficult family dynamics, intergenerational trauma, cultural differences with their parents, family members with substance use issues, social anxiety, phobia, and depression. We help you process what happened, attend to and be with your emotions without dissociating, and rather find relief from sharing the stories. We also work with people whose doctors have recommended seeking trauma therapy like EMDR therapy.
We specialize in Trauma and PTSD. We work with individual adults who have a long history of childhood trauma, sexual violence and abuse, difficult family dynamics, intergenerational trauma, cultural differences with their parents, family members with substance use issues, social anxiety, phobia, and depression. We help you process what happened, attend to and be with your emotions without dissociating, and rather find relief from sharing the stories. We also work with people whose doctors have recommended seeking trauma therapy like EMDR therapy.
(650) 955-4312 View (650) 955-4312
Photo of Cynthia Nakoski, Psychologist in San Francisco, CA
Cynthia Nakoski
Psychologist, LCP
Verified Verified
San Francisco, CA 94110
Dr. Cynthia (Cyndi) Nakoski, Psy.D., is a licensed psychologist whose passion is assisting people with healing from traumatic/stressful experiences. Whether it be a sudden health crisis, a traumatic event, the loss of a loved one, or any other traumatic/stressful experience that causes life to unravel, Dr. Nakoski's vast experience with trauma work has solidified her understanding that finding healthy ways to cope and strengthen is possible. Dr. Nakoski specializes in the treatment of chronic pain, health challenges, depression, anxiety, PTSD, and co-occurring addiction issues.
Dr. Cynthia (Cyndi) Nakoski, Psy.D., is a licensed psychologist whose passion is assisting people with healing from traumatic/stressful experiences. Whether it be a sudden health crisis, a traumatic event, the loss of a loved one, or any other traumatic/stressful experience that causes life to unravel, Dr. Nakoski's vast experience with trauma work has solidified her understanding that finding healthy ways to cope and strengthen is possible. Dr. Nakoski specializes in the treatment of chronic pain, health challenges, depression, anxiety, PTSD, and co-occurring addiction issues.
(415) 818-9791 View (415) 818-9791
Photo of Erica Antoinette Nocera, Marriage & Family Therapist in San Francisco, CA
Erica Antoinette Nocera
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
San Francisco, CA 94108  (Online Only)
Hi! I'm Erica, a warm, empathetic, and open Marriage and Family Therapist that helps clients find their purpose, heal, and thrive! I'd love to be your guide to holistic healing and transformation. With expertise in trauma- rooted anxiety and depression, recovery counseling with addictions, and women’s issues including body image, low self esteem, and eating disorders, I'll help teach you evidence-based tools to reframe thoughts and regulate emotions, as well as explore root causes for symptom management. Let's empower you to achieve resilience and personal growth, leading to a healthier and happier future:)
Hi! I'm Erica, a warm, empathetic, and open Marriage and Family Therapist that helps clients find their purpose, heal, and thrive! I'd love to be your guide to holistic healing and transformation. With expertise in trauma- rooted anxiety and depression, recovery counseling with addictions, and women’s issues including body image, low self esteem, and eating disorders, I'll help teach you evidence-based tools to reframe thoughts and regulate emotions, as well as explore root causes for symptom management. Let's empower you to achieve resilience and personal growth, leading to a healthier and happier future:)
(949) 704-6606 View (949) 704-6606
Photo of Diode De Dios, Clinical Social Work/Therapist in San Francisco, CA
Diode De Dios
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94110
My name is Diode de Dios, pronounced like "Jodi." I am a Licensed Clinical Social Worker (LCSW) based in San Diego, California, and working with clients statewide via Telehealth. I work with adolescents, adults, and older adults and specialize in depression, anxiety, stress, grief, life transitions, using Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Strength-Based Therapy, and Solution-Focused Therapy to help clients make progress and feel better.
My name is Diode de Dios, pronounced like "Jodi." I am a Licensed Clinical Social Worker (LCSW) based in San Diego, California, and working with clients statewide via Telehealth. I work with adolescents, adults, and older adults and specialize in depression, anxiety, stress, grief, life transitions, using Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Strength-Based Therapy, and Solution-Focused Therapy to help clients make progress and feel better.
(415) 319-7616 View (415) 319-7616
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 Monique Enriquez, Marriage & Family Therapist in San Francisco, CA
Monique Enriquez
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94103
Hello, my name is Monique Enriquez, and I am an LMFT. I work with children, teens, and adults using a client-centered approach. I have experience working with children, teens, and adults and I am comfortable working with all ages. I typically support clients with symptoms of anxiety, and depression as well as working on self-esteem, self-determination, and healthier relationships. My communication style is calm, personable, and assertive. I support clients with feeling comfortable expressing their feelings and feeling heard through my communication style.
Hello, my name is Monique Enriquez, and I am an LMFT. I work with children, teens, and adults using a client-centered approach. I have experience working with children, teens, and adults and I am comfortable working with all ages. I typically support clients with symptoms of anxiety, and depression as well as working on self-esteem, self-determination, and healthier relationships. My communication style is calm, personable, and assertive. I support clients with feeling comfortable expressing their feelings and feeling heard through my communication style.
(916) 915-0032 View (916) 915-0032
Photo of Katrina Sesline, Clinical Social Work/Therapist in San Francisco, CA
Katrina Sesline
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94110  (Online Only)
I specialize in treating adults living with a disabling health condition, caregivers who are supporting someone with a health condition, and those grieving the loss of a loved one. Living with a serious illness or grief can bring out difficult feelings of uncertainty, anxiety, depression and fear. I use an integrative approach with elements of narrative therapy, acceptance and commitment therapy, and mindfulness. Together, let's create a safe space to help you cope while attending to your heart, mind, and body.
I specialize in treating adults living with a disabling health condition, caregivers who are supporting someone with a health condition, and those grieving the loss of a loved one. Living with a serious illness or grief can bring out difficult feelings of uncertainty, anxiety, depression and fear. I use an integrative approach with elements of narrative therapy, acceptance and commitment therapy, and mindfulness. Together, let's create a safe space to help you cope while attending to your heart, mind, and body.
(510) 616-9406 View (510) 616-9406

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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.