Anxiety Therapists in San Marino, CA

Photo of Amber Bishop, Marriage & Family Therapist in San Marino, CA
Amber Bishop
Marriage & Family Therapist, LMFT
Verified Verified
San Marino, CA 91108
I specialize in working with women that are struggling with anxiety, depression , trauma , life transitions , new and seasoned mommas, as well as couples.
Emotions start as experiences in the body. What makes us human are the emotions we experience on a regular basis. It can feel difficult, overwhelming, and unnatural to lean into these emotions and make sense of them all. A young child once shared, “when you dig really deep, you find stuff”. I am here to create a safe space tailored for individuals. My approach is empathetic, collaborative, supportive and non-judgmental. My goal is to offer a safe , therapeutic environment utilizing various components from treatment modalities to begin your journey of healing.
I specialize in working with women that are struggling with anxiety, depression , trauma , life transitions , new and seasoned mommas, as well as couples.
Emotions start as experiences in the body. What makes us human are the emotions we experience on a regular basis. It can feel difficult, overwhelming, and unnatural to lean into these emotions and make sense of them all. A young child once shared, “when you dig really deep, you find stuff”. I am here to create a safe space tailored for individuals. My approach is empathetic, collaborative, supportive and non-judgmental. My goal is to offer a safe , therapeutic environment utilizing various components from treatment modalities to begin your journey of healing.
(323) 685-4629 View (323) 685-4629
Photo of Elsa Busch, Psychologist in San Marino, CA
Elsa Busch
Psychologist, PsyD
Verified Verified
San Marino, CA 91108
Although my practice is a general practice, I specialize in the treatment of various mood and anxiety disorders (i.
I provide individual, group, and family sessions for children, adolescents, and adults. I specialize in Cognitive Behavior Therapy; however, also incorporate Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Schema Therapy and Mindfulness to further promote well being and help individuals reach their personal treatment goals.
Although my practice is a general practice, I specialize in the treatment of various mood and anxiety disorders (i.
I provide individual, group, and family sessions for children, adolescents, and adults. I specialize in Cognitive Behavior Therapy; however, also incorporate Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Schema Therapy and Mindfulness to further promote well being and help individuals reach their personal treatment goals.
(626) 722-5006 View (626) 722-5006
Photo of James W. Sturges, Psychologist in San Marino, CA
James W. Sturges
Psychologist, PhD
Verified Verified
San Marino, CA 91108  (Online Only)
Evidence-based treatment for individual adults with anxiety, providing cognitive behavior therapy (CBT) and acceptance and commitment therapy (ACT), in a collaborative, individualized, and accessible way. Working in conjunction with your other health care professionals to provide you with comprehensive care.
Evidence-based treatment for individual adults with anxiety, providing cognitive behavior therapy (CBT) and acceptance and commitment therapy (ACT), in a collaborative, individualized, and accessible way. Working in conjunction with your other health care professionals to provide you with comprehensive care.
(213) 377-6782 View (213) 377-6782
Photo of Roger Nolan, Marriage & Family Therapist in San Marino, CA
Roger Nolan
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
San Marino, CA 91108  (Online Only)
I have been trained in Mindfulness-Based Cognitive Therapy (MBCT) for depression and anxiety.
I specialize in Mindfulness-Based Psychotherapy. This process, whether used alone, or supplemented by my other specialties (including Cognitive-Behavioral Therapy, Psychodynamic Therapy, and Imago Couples Therapy), helps us to cultivate a new relationship to situations in daily life. My motto is, "If you can't change the situation, change your relationship TO the situation." My treatment style is client-centered and solution-focused.
I have been trained in Mindfulness-Based Cognitive Therapy (MBCT) for depression and anxiety.
I specialize in Mindfulness-Based Psychotherapy. This process, whether used alone, or supplemented by my other specialties (including Cognitive-Behavioral Therapy, Psychodynamic Therapy, and Imago Couples Therapy), helps us to cultivate a new relationship to situations in daily life. My motto is, "If you can't change the situation, change your relationship TO the situation." My treatment style is client-centered and solution-focused.
(626) 498-2188 View (626) 498-2188
Photo of Laurie F. Carmichael, Marriage & Family Therapist in San Marino, CA
Laurie F. Carmichael
Marriage & Family Therapist, MS, LMFT, ADHD, CCSP
Verified Verified
5 Endorsed
San Marino, CA 91108
I work with individuals who experience anxiety, struggle with work life balance, and those who need help setting boundaries with family members and friends. Advocating for yourself in each of those areas can be difficult and having a professional by your side helps bring solutions to light! I am a professional in my own therapy working through issues like the ones I listed above - I am a human being right along with you! Together, we can create more space for you to explore your wants and needs, find the right words to express them, and have a more fulfilling life in your relationships.
I work with individuals who experience anxiety, struggle with work life balance, and those who need help setting boundaries with family members and friends. Advocating for yourself in each of those areas can be difficult and having a professional by your side helps bring solutions to light! I am a professional in my own therapy working through issues like the ones I listed above - I am a human being right along with you! Together, we can create more space for you to explore your wants and needs, find the right words to express them, and have a more fulfilling life in your relationships.
(626) 317-6325 View (626) 317-6325
Photo of Rachel Benavidez, Marriage & Family Therapist in San Marino, CA
Rachel Benavidez
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
San Marino, CA 91108  (Online Only)
If you are an individual who's struggled with a sense of emptiness, sadness, or anxiety, I may be able to help. I work with issues such as co-dependency, compulsive behaviors, failed relationships, anger, depression, worry, and postpartum depression/anxiety. I believe the healing work therapy creates is a topsy-turvy journey and my ultimate goal is for you to get the very best because you deserve it. Let's talk further to see how I can support your healing journey. LGBTIA+ friendly, Non-judgemental, trauma-informed, compassionate therapy.
If you are an individual who's struggled with a sense of emptiness, sadness, or anxiety, I may be able to help. I work with issues such as co-dependency, compulsive behaviors, failed relationships, anger, depression, worry, and postpartum depression/anxiety. I believe the healing work therapy creates is a topsy-turvy journey and my ultimate goal is for you to get the very best because you deserve it. Let's talk further to see how I can support your healing journey. LGBTIA+ friendly, Non-judgemental, trauma-informed, compassionate therapy.
(323) 765-1540 View (323) 765-1540
Photo of Claudia Rosenberg, Clinical Social Work/Therapist in San Marino, CA
Claudia Rosenberg
Clinical Social Work/Therapist, MSW, PhD, LCSW
Verified Verified
San Marino, CA 91108
When things aren't going right and it's time to seek help, I will be there to individualize your treatment and focus on your particular needs. I work with young adults, adults and older adults around many issues including anxiety, depression, trauma, relationship problems, difficult emotions, women's issues, recent losses, struggles in parenting, health crises, caring for the aging parent, as well as dealing with the transition of aging. I also have specialized experience with life span issues-emerging adulthood and adult children of aging parents, as well as with couples who are in business together.
When things aren't going right and it's time to seek help, I will be there to individualize your treatment and focus on your particular needs. I work with young adults, adults and older adults around many issues including anxiety, depression, trauma, relationship problems, difficult emotions, women's issues, recent losses, struggles in parenting, health crises, caring for the aging parent, as well as dealing with the transition of aging. I also have specialized experience with life span issues-emerging adulthood and adult children of aging parents, as well as with couples who are in business together.
(323) 576-4813 View (323) 576-4813
Photo of Kat O'Malley, Marriage & Family Therapist Associate in San Marino, CA
Kat O'Malley
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
7 Endorsed
San Marino, CA 91108
You are already taking the first step on a transformative journey by advocating for yourself and looking into therapy! Whether you are experiencing anxiety, depression, grief, relationship stress, PTSD, or want to gain a better insight to your patterns and emotions, therapy can bring you closer to coming home to your authentic self and living the life you want. There is a proverb that states if you want to go fast go alone, but to go far, you must go together. Let’s go together to find the right pathways out of the woods as we untangle your mental knots, let go of what is no longer serving you, and help you write your own narrative.
You are already taking the first step on a transformative journey by advocating for yourself and looking into therapy! Whether you are experiencing anxiety, depression, grief, relationship stress, PTSD, or want to gain a better insight to your patterns and emotions, therapy can bring you closer to coming home to your authentic self and living the life you want. There is a proverb that states if you want to go fast go alone, but to go far, you must go together. Let’s go together to find the right pathways out of the woods as we untangle your mental knots, let go of what is no longer serving you, and help you write your own narrative.
(323) 990-8714 View (323) 990-8714
Photo of Dr. Monica S Karbassioun, Psychologist in San Marino, CA
Dr. Monica S Karbassioun
Psychologist, PsyD
Verified Verified
3 Endorsed
San Marino, CA 91108  (Online Only)
Waitlist for new clients
I mainly treat Anxiety Disorders, Panic Disorder, Stress-related difficulties, Depression, Bipolar, PTSD, Relationship/Family issues, School/Work-related issues, Career and Life transitions, Self-esteem issues, and more.
My aim is for you to feel safe in a nonjudgmental therapeutic environment so that you may find insight and personal growth and reach your goals while remaining true to your authentic self. My approach to health is holistic, working with you collaboratively so that you could better understand your inner workings and experiences and effectively set and reach your goals.
I mainly treat Anxiety Disorders, Panic Disorder, Stress-related difficulties, Depression, Bipolar, PTSD, Relationship/Family issues, School/Work-related issues, Career and Life transitions, Self-esteem issues, and more.
My aim is for you to feel safe in a nonjudgmental therapeutic environment so that you may find insight and personal growth and reach your goals while remaining true to your authentic self. My approach to health is holistic, working with you collaboratively so that you could better understand your inner workings and experiences and effectively set and reach your goals.
(323) 271-4017 View (323) 271-4017
Photo of Brett Veltman, Psychologist in San Marino, CA
Brett Veltman
Psychologist, PsyD
Verified Verified
7 Endorsed
San Marino, CA 91108
Relationships can be tough. But they can also be a source of great connection and joy. Are you struggling in your most important relationships? Or having conflicting feelings about the people in your life? Maybe you're feeling anxious or depressed? Or struggling to understand the changes taking place with your child or adolescent? Whatever struggle you're facing, you don't need face them on your own.
Relationships can be tough. But they can also be a source of great connection and joy. Are you struggling in your most important relationships? Or having conflicting feelings about the people in your life? Maybe you're feeling anxious or depressed? Or struggling to understand the changes taking place with your child or adolescent? Whatever struggle you're facing, you don't need face them on your own.
(626) 263-7528 View (626) 263-7528
Photo of Holly A. Freeling, Marriage & Family Therapist in San Marino, CA
Holly A. Freeling
Marriage & Family Therapist, MA, LMFT, ATR
Verified Verified
San Marino, CA 91108
It’s natural to feel anxious or isolated during unsure times, and I am working hard to meet to meet the needs of my clients through remote telehealth sessions. I am accepting new clients, so please reach out. My video or call sessions are personal and easy to access. Therapy is both an art and a science, and I am well versed in both. I am also kind, empathetic and fun! I am skilled at several therapeutic modalities including: Cognitive-Behavioral Therapy, EMDR (a unique method of healing trauma, anxiety, depression, addictions, etc.), Art Therapy, Action-Oriented Therapy, Emotionally Focused Therapy and more.
It’s natural to feel anxious or isolated during unsure times, and I am working hard to meet to meet the needs of my clients through remote telehealth sessions. I am accepting new clients, so please reach out. My video or call sessions are personal and easy to access. Therapy is both an art and a science, and I am well versed in both. I am also kind, empathetic and fun! I am skilled at several therapeutic modalities including: Cognitive-Behavioral Therapy, EMDR (a unique method of healing trauma, anxiety, depression, addictions, etc.), Art Therapy, Action-Oriented Therapy, Emotionally Focused Therapy and more.
(626) 376-3098 View (626) 376-3098
Photo of Ryan A Howes, Psychologist in San Marino, CA
Ryan A Howes
Psychologist, PhD, ABPP
Verified Verified
4 Endorsed
San Marino, CA 91108  (Online Only)
Many of my clients focus on relationship issues, depression, anxiety, anger, personal growth, sexuality, infidelity, fitness and sports performance, spirituality, wellness, prevention, and creativity.
You know something isn't working in your life, and you want to figure out what's holding you back. Not a temporary band-aid, you want to get to the root of the problem. I work with adults and couples who want to live life to the fullest - but find obstacles in their thoughts, feelings, relationships, or experiences in their past. Together we'll confront these obstacles at your pace, without judgment.
Many of my clients focus on relationship issues, depression, anxiety, anger, personal growth, sexuality, infidelity, fitness and sports performance, spirituality, wellness, prevention, and creativity.
You know something isn't working in your life, and you want to figure out what's holding you back. Not a temporary band-aid, you want to get to the root of the problem. I work with adults and couples who want to live life to the fullest - but find obstacles in their thoughts, feelings, relationships, or experiences in their past. Together we'll confront these obstacles at your pace, without judgment.
(626) 429-0321 View (626) 429-0321
Photo of Moira-Cecily (Cissy) Brady-Rogers, Marriage & Family Therapist in San Marino, CA
Moira-Cecily (Cissy) Brady-Rogers
Marriage & Family Therapist, MA, LMFT, IHC
Verified Verified
2 Endorsed
San Marino, CA 91108
Do you feel overwhelmed by current challenges? Are you plagued with shame, guilt, resentment or fear related to the past? Anxiety and depression, destructive coping behaviors, and unresolvable intimacy issues all reflect something of our struggle to love and be loved. When our need for tools to manage the difficulties of life weren't adequately met in early childhood, disordered states and destructive patterns help us cope with unaddressed emotions. You don't need to continue suffering alone. I provide a supportive, collaborative, non-judgmental space for healing and growth.
Do you feel overwhelmed by current challenges? Are you plagued with shame, guilt, resentment or fear related to the past? Anxiety and depression, destructive coping behaviors, and unresolvable intimacy issues all reflect something of our struggle to love and be loved. When our need for tools to manage the difficulties of life weren't adequately met in early childhood, disordered states and destructive patterns help us cope with unaddressed emotions. You don't need to continue suffering alone. I provide a supportive, collaborative, non-judgmental space for healing and growth.
(626) 671-4506 View (626) 671-4506
Photo of Wei-Chin Hwang, Psychologist in San Marino, CA
Wei-Chin Hwang
Psychologist, PhD
Verified Verified
1 Endorsed
San Marino, CA 91108
Hwang's clients struggle with issues such as depression, anxiety, bipolar disorder, family conflict, couples problems, self-esteem issues, personal growth, identity development, adjustment difficulties, and traumatic experiences.
Dr. Wei-Chin Hwang is a licensed clinical psychologist and professor of clinical psychology. He has two practice locations, one in Pasadena and one in Claremont, California. In his practice, he provides psychotherapy to adults, adolescents, children, couples, and families. Dr. Hwang has over 30 years of education, training, and experience in the field of psychology. He received his Ph.D. in clinical psychology from UCLA (ranked #1 in clinical psychology) and completed a postdoctoral fellowship at Harbor UCLA Medical Center. He is a professor at Claremont McKenna College (ranked #6 among liberal arts colleges in the U.S.).
Hwang's clients struggle with issues such as depression, anxiety, bipolar disorder, family conflict, couples problems, self-esteem issues, personal growth, identity development, adjustment difficulties, and traumatic experiences.
Dr. Wei-Chin Hwang is a licensed clinical psychologist and professor of clinical psychology. He has two practice locations, one in Pasadena and one in Claremont, California. In his practice, he provides psychotherapy to adults, adolescents, children, couples, and families. Dr. Hwang has over 30 years of education, training, and experience in the field of psychology. He received his Ph.D. in clinical psychology from UCLA (ranked #1 in clinical psychology) and completed a postdoctoral fellowship at Harbor UCLA Medical Center. He is a professor at Claremont McKenna College (ranked #6 among liberal arts colleges in the U.S.).
(310) 331-8709 View (310) 331-8709
Photo of Arolyn Burns, Marriage & Family Therapist in San Marino, CA
Arolyn Burns
Marriage & Family Therapist, LPCC, LMFT, CHT
Verified Verified
6 Endorsed
San Marino, CA 91108
If you are overwhelmed, lonely, worried, having panic attacks or PTSD triggered, it can be helpful to talk to a therapist who allows You to focus on Your needs exclusively & process your challenges. Either In Person or Online therapy can provide a safe haven & provide a healthy connection. Covid may be a catalyst to seeking therapy or you may want to take advantage of this time to focus other aspects of your life such as past trauma, your approach to relationships, conflict at work or how you care for yourself. Practicing since 1997 & constantly learning, I am qualified & experienced to help you overcome mental & emotional blocks.
If you are overwhelmed, lonely, worried, having panic attacks or PTSD triggered, it can be helpful to talk to a therapist who allows You to focus on Your needs exclusively & process your challenges. Either In Person or Online therapy can provide a safe haven & provide a healthy connection. Covid may be a catalyst to seeking therapy or you may want to take advantage of this time to focus other aspects of your life such as past trauma, your approach to relationships, conflict at work or how you care for yourself. Practicing since 1997 & constantly learning, I am qualified & experienced to help you overcome mental & emotional blocks.
(833) 426-0303 View (833) 426-0303
Photo of Kate Truitt, Psychologist in San Marino, CA
Kate Truitt
Psychologist, PhD, MBA, MA
Verified Verified
8 Endorsed
San Marino, CA 91108
We specialize in PTSD, Developmental Trauma/C-PTSD, OCD, Panic, Phobias, Depression, Addiction, Medical Trauma, Chronic Pain & Illness, and more.
Hello and welcome to the next evolution of psychotherapy. The future of health and wellness is in your hands. At Dr. Kate Truitt & Associates our goal to walk with you through healing the darker and more painful moments of life while building long-term and sustainable change. We focus on healing the past, creating the present, and building the future. Through incorporating brain science and body-based healing modalities, we focus on whole person healing and we don't stop there. It is our goal to help you design and create your most fulfilled life through providing services for full mind and body healing.
We specialize in PTSD, Developmental Trauma/C-PTSD, OCD, Panic, Phobias, Depression, Addiction, Medical Trauma, Chronic Pain & Illness, and more.
Hello and welcome to the next evolution of psychotherapy. The future of health and wellness is in your hands. At Dr. Kate Truitt & Associates our goal to walk with you through healing the darker and more painful moments of life while building long-term and sustainable change. We focus on healing the past, creating the present, and building the future. Through incorporating brain science and body-based healing modalities, we focus on whole person healing and we don't stop there. It is our goal to help you design and create your most fulfilled life through providing services for full mind and body healing.
(323) 629-4353 View (323) 629-4353
Photo of Richard LaBrie, Psychologist in San Marino, CA
Richard LaBrie
Psychologist, PsyD
Verified Verified
7 Endorsed
San Marino, CA 91108
I work primarily with trauma, depression, anxiety, phobias, identity exploration, autism spectrum disorder, self-esteem, grief and loss, and other concerns.
I believe everyone's feelings, personal history, strengths, and struggles are unique. At the same time, we are all a part of the connected, human story. But sometimes we can feel alone in our suffering, or even when we try and achieve positive goals. I work with adults, couples, and families by using my diverse training in a way that fits their particular styles and needs. Through relational connection, collaborating on concrete coping skills, and exploration of current and past patterns, I have seen tremendous healing in my partnership with clients.
I work primarily with trauma, depression, anxiety, phobias, identity exploration, autism spectrum disorder, self-esteem, grief and loss, and other concerns.
I believe everyone's feelings, personal history, strengths, and struggles are unique. At the same time, we are all a part of the connected, human story. But sometimes we can feel alone in our suffering, or even when we try and achieve positive goals. I work with adults, couples, and families by using my diverse training in a way that fits their particular styles and needs. Through relational connection, collaborating on concrete coping skills, and exploration of current and past patterns, I have seen tremendous healing in my partnership with clients.
(626) 765-3076 View (626) 765-3076
Photo of Jennifer Duke Psychotherapist, Marriage & Family Therapist in San Marino, CA
Jennifer Duke Psychotherapist
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Marino, CA 91108
I specialize in treating anxiety, depression, life transitions, relationships, and addiction.
You deserve to be happy, and my goal is to get you there. Together we can explore the issues at hand and develop a plan that allows you to move forward, confidently. Do you feel like life has become unmanageable? Are you unsure of the next step? Do you feel like you and your partner are more like roommates instead of romantic partners?
I specialize in treating anxiety, depression, life transitions, relationships, and addiction.
You deserve to be happy, and my goal is to get you there. Together we can explore the issues at hand and develop a plan that allows you to move forward, confidently. Do you feel like life has become unmanageable? Are you unsure of the next step? Do you feel like you and your partner are more like roommates instead of romantic partners?
(626) 317-8665 View (626) 317-8665
Photo of Joseph B Dilley, Psychologist in San Marino, CA
Joseph B Dilley
Psychologist, PhD
Verified Verified
2 Endorsed
San Marino, CA 91108
While I'm comfortable treating most psychological issues, I'm an expert at treating Anxiety, ADHD, and Video Game Addiction.
Whatever your struggle, I want to help you overcome it. I am committed to offering a therapy experience that is both safe and flexible: one where you are free to be yourself, yet create new possibilities for your life. I believe that every human being bears unique gifts, and that together we can use your strengths to bring about life change. So, in addition to determining what has gone wrong, we will make use of what has "gone right." As a result, your therapeutic experience is likely to be both meaningful and "user-friendly."
While I'm comfortable treating most psychological issues, I'm an expert at treating Anxiety, ADHD, and Video Game Addiction.
Whatever your struggle, I want to help you overcome it. I am committed to offering a therapy experience that is both safe and flexible: one where you are free to be yourself, yet create new possibilities for your life. I believe that every human being bears unique gifts, and that together we can use your strengths to bring about life change. So, in addition to determining what has gone wrong, we will make use of what has "gone right." As a result, your therapeutic experience is likely to be both meaningful and "user-friendly."
(626) 539-2001 View (626) 539-2001
Photo of Amy Caffero-Tolemy, Psychologist in San Marino, CA
Amy Caffero-Tolemy
Psychologist, PsyD
Verified Verified
San Marino, CA 91108  (Online Only)
I am currently accepting clients with depression, anxiety, and bi-polar disorder. I am also sensitive to the needs of adolescents and adults on the autism spectrum, and who I am currently accepting clients with substance abuse issues, as well as those suffering from pain management disorders, and am happy to lend the specialized assistance required by those clients and their families. Further, I enjoy working with couples presenting any and all issues.
I am currently accepting clients with depression, anxiety, and bi-polar disorder. I am also sensitive to the needs of adolescents and adults on the autism spectrum, and who I am currently accepting clients with substance abuse issues, as well as those suffering from pain management disorders, and am happy to lend the specialized assistance required by those clients and their families. Further, I enjoy working with couples presenting any and all issues.
(323) 541-4310 View (323) 541-4310
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.