Photo of Jenny Bierman, Counselor in Arvada, CO
Jenny Bierman
Counselor, LPCC, EMDR
Verified Verified
Arvada, CO 80002
Welcome! I specialize in working with adult females who are struggling with depression, anxiety, unresolved trauma, grief, and addictive patterns. I also provide counseling for teen females who are struggling with anxiety, depression, life transitions, or identity development. My goal is build trust and create safety to foster the change we are working towards. You might be feeling anxious or depressed, or working to cope with trauma you have experienced. I use therapy techniques including EMDR to help you connect with your authentic self and create a more balanced life.
Welcome! I specialize in working with adult females who are struggling with depression, anxiety, unresolved trauma, grief, and addictive patterns. I also provide counseling for teen females who are struggling with anxiety, depression, life transitions, or identity development. My goal is build trust and create safety to foster the change we are working towards. You might be feeling anxious or depressed, or working to cope with trauma you have experienced. I use therapy techniques including EMDR to help you connect with your authentic self and create a more balanced life.
(719) 581-5652 View (719) 581-5652
Photo of Allison L. McCue-Napoli, Clinical Social Work/Therapist in Arvada, CO
Allison L. McCue-Napoli
Clinical Social Work/Therapist, LCSW, CFI
Verified Verified
1 Endorsed
Arvada, CO 80002
Meeting with a counselor can seem overwhelming and could be even anxiety-provoking, but it does not need to be.
Dealing with trauma and past hurts, struggling with work, relationships, or addiction, managing depression & anxiety or to better understand one's gender identity or sexuality - it isn't easy to address any of these things. I see therapy as a safe, judgment-free, shame-free, and confidential space, where you are free to vent, confide, cry, discuss, imagine, find strength, and be empowered. Most importantly, therapy is a place for hope to come alive, to learn new coping skills, to achieve personal growth, and to discover you are strong, valuable, and greater than any struggle you might have. Change is possible!
Meeting with a counselor can seem overwhelming and could be even anxiety-provoking, but it does not need to be.
Dealing with trauma and past hurts, struggling with work, relationships, or addiction, managing depression & anxiety or to better understand one's gender identity or sexuality - it isn't easy to address any of these things. I see therapy as a safe, judgment-free, shame-free, and confidential space, where you are free to vent, confide, cry, discuss, imagine, find strength, and be empowered. Most importantly, therapy is a place for hope to come alive, to learn new coping skills, to achieve personal growth, and to discover you are strong, valuable, and greater than any struggle you might have. Change is possible!
(720) 996-1340 View (720) 996-1340
Photo of Benediction Counseling, Licensed Professional Counselor in Arvada, CO
Benediction Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Arvada, CO 80002
Exhale - Heal - Thrive. Welcome! We are a therapy group of skilled and sensitive therapists who are focused on helping our clients exhale, heal and thrive. We believe in the healing power of a knowledgeable and empowering therapeutic relationship. We are especially equipped to help clients who are managing depression and/or anxiety, grieving the loss of a loved one, struggle because of highly sensitivity, and those who are recovering from trauma. Our therapy team is dedicated to culturally inclusive care. Whether you are wanting to work through parts of your past, present or future, we would love to connect with you and support you!
Exhale - Heal - Thrive. Welcome! We are a therapy group of skilled and sensitive therapists who are focused on helping our clients exhale, heal and thrive. We believe in the healing power of a knowledgeable and empowering therapeutic relationship. We are especially equipped to help clients who are managing depression and/or anxiety, grieving the loss of a loved one, struggle because of highly sensitivity, and those who are recovering from trauma. Our therapy team is dedicated to culturally inclusive care. Whether you are wanting to work through parts of your past, present or future, we would love to connect with you and support you!
(303) 647-4740 View (303) 647-4740
Photo of Tricia Mettler, Licensed Professional Counselor in Arvada, CO
Tricia Mettler
Licensed Professional Counselor, MA, LPC
Verified Verified
Arvada, CO 80002
Emotions impact and affect the body causing us to hold them on a physical level. I work with the mind-body connection, utilizing mindfulness techniques, Neurofeedback/EEG Biofeedback, EMDR, breath work, and meditation, viewing the body as a whole to address trauma, depression, anxiety, and life transitions. As a somatic therapist, I combine these techniques to help clients become aware of trauma stored in the body, and work to resolve the trauma and empower the client. I engage the wisdom of the body to heal trauma, depression and anxiety, and move through life transitions by unifying the mind-body connection.
Emotions impact and affect the body causing us to hold them on a physical level. I work with the mind-body connection, utilizing mindfulness techniques, Neurofeedback/EEG Biofeedback, EMDR, breath work, and meditation, viewing the body as a whole to address trauma, depression, anxiety, and life transitions. As a somatic therapist, I combine these techniques to help clients become aware of trauma stored in the body, and work to resolve the trauma and empower the client. I engage the wisdom of the body to heal trauma, depression and anxiety, and move through life transitions by unifying the mind-body connection.
(720) 619-6524 View (720) 619-6524
Photo of Stephanie Klein, Pre-Licensed Professional in Arvada, CO
Stephanie Klein
Pre-Licensed Professional, LSW, OTR/L
Verified Verified
1 Endorsed
Arvada, CO 80002  (Online Only)
I work with children, teens, adults and families with a focus on relationships, anxiety, life transitions, self-esteem and trauma.
Within a supportive, validating, and safe therapeutic relationship, we will work together to explore your thoughts and feelings at a pace, and in a manner, that feels most comfortable to you. I provide individualized therapy based on your needs and preferences, so that you are able to come as you are to each session. I welcome feedback along the way and alter my approach to best fit each client. Our sessions will help you heal and process past traumas and develop healthy coping strategies, while also discussing present challenges and relationships as we work towards your goals in a caring, understanding and empathetic space.
I work with children, teens, adults and families with a focus on relationships, anxiety, life transitions, self-esteem and trauma.
Within a supportive, validating, and safe therapeutic relationship, we will work together to explore your thoughts and feelings at a pace, and in a manner, that feels most comfortable to you. I provide individualized therapy based on your needs and preferences, so that you are able to come as you are to each session. I welcome feedback along the way and alter my approach to best fit each client. Our sessions will help you heal and process past traumas and develop healthy coping strategies, while also discussing present challenges and relationships as we work towards your goals in a caring, understanding and empathetic space.
(720) 780-9488 View (720) 780-9488
Photo of Steffanne Ferris, Clinical Social Work/Therapist in Arvada, CO
Steffanne Ferris
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
2 Endorsed
Arvada, CO 80002
Anxiety, stress, and low self-esteem making you feel like there must be more to life than what you are currently experiencing? Has your relationship with your partner, spouse, or children left you wanting more from these connections? Sometimes the monotony of life gets in the way of us becoming the people we want to be. I believe each individual, couple, and family have particular gifts and qualities that make them unique and I love exploring and harnessing these strengths with you to become the best version of yourself.
Anxiety, stress, and low self-esteem making you feel like there must be more to life than what you are currently experiencing? Has your relationship with your partner, spouse, or children left you wanting more from these connections? Sometimes the monotony of life gets in the way of us becoming the people we want to be. I believe each individual, couple, and family have particular gifts and qualities that make them unique and I love exploring and harnessing these strengths with you to become the best version of yourself.
(720) 707-1106 View (720) 707-1106
Photo of Ameerah Kais, Counselor in Arvada, CO
Ameerah Kais
Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Arvada, CO 80003  (Online Only)
Elevate your well-being with a National Board Certified Counselor and Licensed Professional Counselor who champions the transformative power of self-love and acceptance. Rooted in the conviction that understanding oneself is the cornerstone of meaningful change, I am dedicated to nurturing your innate capacity for healing across all age groups. Specializing in the treatment of couples, trauma, PTSD, depression, anxiety, and relational challenges, my therapeutic approach aims to illuminate your path to a more hopeful and balanced life.
Elevate your well-being with a National Board Certified Counselor and Licensed Professional Counselor who champions the transformative power of self-love and acceptance. Rooted in the conviction that understanding oneself is the cornerstone of meaningful change, I am dedicated to nurturing your innate capacity for healing across all age groups. Specializing in the treatment of couples, trauma, PTSD, depression, anxiety, and relational challenges, my therapeutic approach aims to illuminate your path to a more hopeful and balanced life.
(720) 790-4179 View (720) 790-4179
Photo of Carrie Koushyk, Pre-Licensed Professional in Arvada, CO
Carrie Koushyk
Pre-Licensed Professional
Verified Verified
Arvada, CO 80002
We all experience moments in our lives where everything is in chaos, we feel disconnected from ourselves, and it feels like we are stumbling through impenetrable darkness. Depression, anxiety, traumatic experiences, and many other mental health conditions can make us feel alone, stuck, and hopeless. My goal is to offer a space in which you can process and work through these difficult moments and to provide hope when you feel isolated in your struggles.
We all experience moments in our lives where everything is in chaos, we feel disconnected from ourselves, and it feels like we are stumbling through impenetrable darkness. Depression, anxiety, traumatic experiences, and many other mental health conditions can make us feel alone, stuck, and hopeless. My goal is to offer a space in which you can process and work through these difficult moments and to provide hope when you feel isolated in your struggles.
(720) 983-3493 View (720) 983-3493
Photo of Sara N Sica, Clinical Social Work/Therapist in Arvada, CO
Sara N Sica
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Arvada, CO 80002
Sara (She/ Her/ Hers) is passionate about working with kids, teens and adults struggling with life’s difficulties, including abuse, homelessness, trauma, addiction, anxiety, depression, and relationship issues. Sara earned her Master’s Degree in Social Work from the University of Denver, and her Bachelor’s Degree studying Human Development and Family Studies at the University of Rhode Island. Sara is a client-focused, values, strengths-based and trauma-focused clinician, who helps her clients restore their sense of self, increase their self-esteem, and obtain the goals that they set for themselves.
Sara (She/ Her/ Hers) is passionate about working with kids, teens and adults struggling with life’s difficulties, including abuse, homelessness, trauma, addiction, anxiety, depression, and relationship issues. Sara earned her Master’s Degree in Social Work from the University of Denver, and her Bachelor’s Degree studying Human Development and Family Studies at the University of Rhode Island. Sara is a client-focused, values, strengths-based and trauma-focused clinician, who helps her clients restore their sense of self, increase their self-esteem, and obtain the goals that they set for themselves.
(720) 807-7551 View (720) 807-7551
Photo of Justin Landen, Licensed Professional Counselor Candidate in Arvada, CO
Justin Landen
Licensed Professional Counselor Candidate, Justin, Landen, LPCC
Verified Verified
1 Endorsed
Arvada, CO 80002
— Visit Justinlanden.com to learn more —Aren’t we all, in our unique way, searching to deepen our connection with self and others—to feel a sense of belonging, to be seen, heard, known, and loved? At times, when we feel distant from our self and others, naturally, we experience varying levels of fear, anxiety, sadness, and/or anger; this is the body’s way of letting us know that something isn’t quite right. Instead of pushing away from those signals I encourage my clients to welcome and befriend the challenging emotions. In this way, we can begin to feel more fully connected to all parts of ourselves and others.
— Visit Justinlanden.com to learn more —Aren’t we all, in our unique way, searching to deepen our connection with self and others—to feel a sense of belonging, to be seen, heard, known, and loved? At times, when we feel distant from our self and others, naturally, we experience varying levels of fear, anxiety, sadness, and/or anger; this is the body’s way of letting us know that something isn’t quite right. Instead of pushing away from those signals I encourage my clients to welcome and befriend the challenging emotions. In this way, we can begin to feel more fully connected to all parts of ourselves and others.
(720) 796-6815 View (720) 796-6815
Photo of Carrie Koushyk, LPC Intern in Arvada, CO
Carrie Koushyk
LPC Intern, BA
Verified Verified
Arvada, CO 80002
We all experience moments in our lives where everything is in chaos, we feel disconnected from ourselves, and it feels like we are stumbling through impenetrable darkness. Depression, anxiety, traumatic experiences, and many other mental health conditions can make us feel alone, stuck, and hopeless. My goal is to offer a space in which you can process and work through these difficult moments and to provide hope when you feel isolated in your struggles.
We all experience moments in our lives where everything is in chaos, we feel disconnected from ourselves, and it feels like we are stumbling through impenetrable darkness. Depression, anxiety, traumatic experiences, and many other mental health conditions can make us feel alone, stuck, and hopeless. My goal is to offer a space in which you can process and work through these difficult moments and to provide hope when you feel isolated in your struggles.
(720) 707-2636 View (720) 707-2636
Photo of Life's Hope Therapeutic Services PLLC, Licensed Professional Counselor in Arvada, CO
Life's Hope Therapeutic Services PLLC
Licensed Professional Counselor, MA, LPC, NCC, CPP
Verified Verified
Arvada, CO 80003
With a diverse team of counselors proficient in addressing issues ranging from depression and mood disorders to teen struggles, parenting challenges, foster/adopt transitional concerns, PTSD, and anxiety, Life's Hope offers something for everyone.
Welcome to Life's Hope Therapeutic Services PLLC, your sanctuary for trauma-informed care, founded in 2014 to address the pressing need for mental health services among Medicaid and private insurance recipients in Colorado. Recognizing the limited options available to this community, we're committed to bridging this gap in healthcare. Rest assured, if you're a Colorado Medicaid client, you've found your haven here. Our team of counselors are seasoned professionals with rich experience in treating a wide range of mental health conditions. Choose Life's Hope and take a step toward wellness and balance.
With a diverse team of counselors proficient in addressing issues ranging from depression and mood disorders to teen struggles, parenting challenges, foster/adopt transitional concerns, PTSD, and anxiety, Life's Hope offers something for everyone.
Welcome to Life's Hope Therapeutic Services PLLC, your sanctuary for trauma-informed care, founded in 2014 to address the pressing need for mental health services among Medicaid and private insurance recipients in Colorado. Recognizing the limited options available to this community, we're committed to bridging this gap in healthcare. Rest assured, if you're a Colorado Medicaid client, you've found your haven here. Our team of counselors are seasoned professionals with rich experience in treating a wide range of mental health conditions. Choose Life's Hope and take a step toward wellness and balance.
(720) 580-9315 View (720) 580-9315
Photo of Sybil Cummin, Licensed Professional Counselor in Arvada, CO
Sybil Cummin
Licensed Professional Counselor, MA, LPC, ACS
Verified Verified
7 Endorsed
Arvada, CO 80002
Do you feel like your family is living in chaos? Is your child or teen struggling with school? Peers? With anxiety? I offer a strength-based and collaborative approach while working with children, teens, adults, and families. I would be honored to help you and your family learn the tools to make and maintain the changes needed to live the life you want to live. Although many therapists, including myself have a reduced fee, services are still not financially accessible for many families. I supervise Master's level interns with a sliding scale between $65-$25 per session. Everyone should be able to access mental health care.
Do you feel like your family is living in chaos? Is your child or teen struggling with school? Peers? With anxiety? I offer a strength-based and collaborative approach while working with children, teens, adults, and families. I would be honored to help you and your family learn the tools to make and maintain the changes needed to live the life you want to live. Although many therapists, including myself have a reduced fee, services are still not financially accessible for many families. I supervise Master's level interns with a sliding scale between $65-$25 per session. Everyone should be able to access mental health care.
(303) 647-9362 View (303) 647-9362
Photo of Annabelle Denmark, LPC Intern in Arvada, CO
Annabelle Denmark
LPC Intern, LPCC
Verified Verified
1 Endorsed
Arvada, CO 80004
I provide individual therapy supporting adults navigating neurodivergence, relationship issues, grief and loss, trauma, depression, anxiety, acculturation, and systemic oppression.
Hello! I’m Annabelle (she/they), a Licensed Professional Counselor Candidate (LPCC) bi-lingual in French and English. I am dedicated to fostering healing and growth in individuals of all identities and backgrounds.
I provide individual therapy supporting adults navigating neurodivergence, relationship issues, grief and loss, trauma, depression, anxiety, acculturation, and systemic oppression.
Hello! I’m Annabelle (she/they), a Licensed Professional Counselor Candidate (LPCC) bi-lingual in French and English. I am dedicated to fostering healing and growth in individuals of all identities and backgrounds.
(720) 637-5199 View (720) 637-5199
Photo of Linda Stilling, Marriage & Family Therapist in Arvada, CO
Linda Stilling
Marriage & Family Therapist, MS, LMFT
Verified Verified
Arvada, CO 80005
I often work with childhood trauma, attachments, anxiety, and depression.
Lacking direction and purpose, questioning your choices, waking up in the middle of the night thinking of all the things to do? Life, and all the transitions in it, has a way of bringing us to the edge of our capacity, and letting us lose our sense of self. Therapy can help you rework your potential and get to the place that you want to be.
I often work with childhood trauma, attachments, anxiety, and depression.
Lacking direction and purpose, questioning your choices, waking up in the middle of the night thinking of all the things to do? Life, and all the transitions in it, has a way of bringing us to the edge of our capacity, and letting us lose our sense of self. Therapy can help you rework your potential and get to the place that you want to be.
(720) 410-5716 View (720) 410-5716
Photo of Leigh Tatum (Now Accepting New Clients!), Clinical Social Work/Therapist in Arvada, CO
Leigh Tatum (Now Accepting New Clients!)
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Arvada, CO 80002
Schedule through my website instantly > website link in my bio! Leigh has worked with diverse populations across the lifespan within non-profit outpatient medical and mental health clinics. She utilizes a client-centered, strengths-based approach and believes in the resilience and capabilities within each person. She focuses on concerns with depression, anxiety, sexual or gender identity, grief and loss, self-esteem, spirituality, and navigating life’s many transitions.
Schedule through my website instantly > website link in my bio! Leigh has worked with diverse populations across the lifespan within non-profit outpatient medical and mental health clinics. She utilizes a client-centered, strengths-based approach and believes in the resilience and capabilities within each person. She focuses on concerns with depression, anxiety, sexual or gender identity, grief and loss, self-esteem, spirituality, and navigating life’s many transitions.
(720) 782-5816 View (720) 782-5816
Photo of Connections Counseling, Counselor in Arvada, CO
Connections Counseling
Counselor
Verified Verified
Arvada, CO 80004
We are a unique group of highly trained practitioners specializing in trauma and childhood wounds and the lasting effects they can have on our lives and relationships. We each have different styles and expertise ensuring one of our providers will fit your individual needs and the needs of your family. Our experienced clinicians treat most mental health and family related issues, depression and anxiety, parenting concerns and marital conflict, attachment and adoption issues, and severe trauma and PTSD. We offer individual therapy, couples therapy, family therapy, massage therapy, and neurofeedback for mind-body-spirit healing.
We are a unique group of highly trained practitioners specializing in trauma and childhood wounds and the lasting effects they can have on our lives and relationships. We each have different styles and expertise ensuring one of our providers will fit your individual needs and the needs of your family. Our experienced clinicians treat most mental health and family related issues, depression and anxiety, parenting concerns and marital conflict, attachment and adoption issues, and severe trauma and PTSD. We offer individual therapy, couples therapy, family therapy, massage therapy, and neurofeedback for mind-body-spirit healing.
(720) 707-2914 View (720) 707-2914
Photo of Bridget Abare LCSW BCN Wave Neurofeedback, Clinical Social Work/Therapist in Arvada, CO
Bridget Abare LCSW BCN Wave Neurofeedback
Clinical Social Work/Therapist, LCSW, BCN
Verified Verified
Arvada, CO 80004
Hello, I would like to take this opportunity to introduce myself, my name is Bridget Abare and I am a board certified Neurotherapist. My private practice is centered on providing Neurofeedback, also known as EEG Biofeedback or Neurotherapy to children and adults. Wave Neurofeedback, LLC, provides Neurofeedback therapy, qEEG brain mapping, Neurocognitive Testing and Academic testing to children and adults with ADHD, Depression, Anxiety, behavioral issues and Learning Disabilities. If you are looking for something, with quantifiable results, that will help you and or someone you love, this is it.
Hello, I would like to take this opportunity to introduce myself, my name is Bridget Abare and I am a board certified Neurotherapist. My private practice is centered on providing Neurofeedback, also known as EEG Biofeedback or Neurotherapy to children and adults. Wave Neurofeedback, LLC, provides Neurofeedback therapy, qEEG brain mapping, Neurocognitive Testing and Academic testing to children and adults with ADHD, Depression, Anxiety, behavioral issues and Learning Disabilities. If you are looking for something, with quantifiable results, that will help you and or someone you love, this is it.
(303) 963-9734 View (303) 963-9734
Photo of Hans J Sieber, Licensed Professional Counselor in Arvada, CO
Hans J Sieber
Licensed Professional Counselor, MC, LPC, NCC
Verified Verified
Arvada, CO 80007
I work with people so that they can have more energy, improve relationships, worry less, start sleeping better, have fun again! I specialize in Cognitive Behavioral Therapy (CBT) that is proven to help you get unstuck.
Life has gotten more complicated. Too many problems to try to manage at once. Sometimes it gets hard to breathe, and no time to stop and take care of yourself. Everyone else seems happier. Tired of feeling alone and disconnected. Not sure if this is sadness or just no feeling at all? Always pretending everything is ok so you can power through the day. Life is overwhelming, and doesn't seem to be getting any better. How long have you been thinking "I really need to talk to someone"? No need to keep struggling, a professional counselor can help. Call Hans today!
I work with people so that they can have more energy, improve relationships, worry less, start sleeping better, have fun again! I specialize in Cognitive Behavioral Therapy (CBT) that is proven to help you get unstuck.
Life has gotten more complicated. Too many problems to try to manage at once. Sometimes it gets hard to breathe, and no time to stop and take care of yourself. Everyone else seems happier. Tired of feeling alone and disconnected. Not sure if this is sadness or just no feeling at all? Always pretending everything is ok so you can power through the day. Life is overwhelming, and doesn't seem to be getting any better. How long have you been thinking "I really need to talk to someone"? No need to keep struggling, a professional counselor can help. Call Hans today!
(720) 466-2920 View (720) 466-2920
Photo of Timothy Mullins, Marriage & Family Therapist in Arvada, CO
Timothy Mullins
Marriage & Family Therapist, LMFT, MEd
Verified Verified
1 Endorsed
Arvada, CO 80003
I work with adolescents, adults, and couples who struggle with the achieving their full potential. This often means working through anxiety and anger and learning how to clearly communicate your own needs and challenges. This personal work leads to understanding of the system in which we all operate - family, work, school, and community. I work with clients in my office, virtually and also work with adolescents and their families in the home and also at school. Call 720-935-7336 with any questions.
I work with adolescents, adults, and couples who struggle with the achieving their full potential. This often means working through anxiety and anger and learning how to clearly communicate your own needs and challenges. This personal work leads to understanding of the system in which we all operate - family, work, school, and community. I work with clients in my office, virtually and also work with adolescents and their families in the home and also at school. Call 720-935-7336 with any questions.
(720) 606-6326 View (720) 606-6326
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.