Anxiety Therapists in Southpoint, Jacksonville, FL

Photo of Lori Driscoll - Lori Driscoll Counseling Services, LCSW, Clinical Social Work/Therapist
Lori Driscoll Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Southpoint, Jacksonville, FL 32216
My focus has been in but is not limited to depression, anxiety, trauma, postpartum, and behavioral health issues.
Everyone has moments where life's challenges can be overwhelming and feel like they are too much to handle. During these times choosing a therapist for yourself or loved one can be a very important decision. I am dedicated to providing quality, professional, and compassionate services in a safe supportive environment. I cover a wide variety of issues for children, adolescents, parents, individuals, and couples. I also offer an eclectic combination of therapeutic approaches. I take a client centered approach to ensure a coordinated effort in hopes of providing clients an improvement in quality of life, opportunity for growth, and a new found hope.
My focus has been in but is not limited to depression, anxiety, trauma, postpartum, and behavioral health issues.
Everyone has moments where life's challenges can be overwhelming and feel like they are too much to handle. During these times choosing a therapist for yourself or loved one can be a very important decision. I am dedicated to providing quality, professional, and compassionate services in a safe supportive environment. I cover a wide variety of issues for children, adolescents, parents, individuals, and couples. I also offer an eclectic combination of therapeutic approaches. I take a client centered approach to ensure a coordinated effort in hopes of providing clients an improvement in quality of life, opportunity for growth, and a new found hope.
(904) 584-3689 View (904) 584-3689
Photo of Stephanie Peyton, LCSW-QS, DMCP, Clinical Social Work/Therapist
Stephanie Peyton
Clinical Social Work/Therapist, LCSW-QS, DMCP
Verified Verified
4 Endorsed
Southpoint, Jacksonville, FL 32216
Waitlist for new clients
Whether it's distressing events, depression, anxiety, or improving your overall quality of life, allow me to help you gain Perspectives Anew!.
Have you experienced difficult events, some beyond your control? Perhaps you struggle adjusting to "new norms" in your life, endure panic attacks, or have to force yourself to face each day. At some point, most of us are affected by traumatic events. Complex grief; abuse; military combat; abandonment; assault; chronic pain; and divorce are just a few examples. These experiences can leave us depressed, anxious, fearful or battling post-traumatic stress. They can leave us exhausted without the strength or resources to manage them.
Whether it's distressing events, depression, anxiety, or improving your overall quality of life, allow me to help you gain Perspectives Anew!.
Have you experienced difficult events, some beyond your control? Perhaps you struggle adjusting to "new norms" in your life, endure panic attacks, or have to force yourself to face each day. At some point, most of us are affected by traumatic events. Complex grief; abuse; military combat; abandonment; assault; chronic pain; and divorce are just a few examples. These experiences can leave us depressed, anxious, fearful or battling post-traumatic stress. They can leave us exhausted without the strength or resources to manage them.
(904) 872-8374 View (904) 872-8374
Photo of Dorinda Burnham, MS, LMHC, CCTP, Counselor
Dorinda Burnham
Counselor, MS, LMHC, CCTP
Verified Verified
Southpoint, Jacksonville, FL 32216
I am excited to work with you and begin your process to finding peace, decreasing stress and anxiety, combating depression, or simply working on ways to gain internal motivation.
Accepting new clients with availability in April 2024. Are you ready to make a change? My goal is to provide support, empathy, and accountability to help you on your path to a more satisfying life. You are stronger that you may realize. If you are ready to make a change and begin unlocking your amazing potential, send me an email or call me! I offer both face-to-face and telehealth sessions.
I am excited to work with you and begin your process to finding peace, decreasing stress and anxiety, combating depression, or simply working on ways to gain internal motivation.
Accepting new clients with availability in April 2024. Are you ready to make a change? My goal is to provide support, empathy, and accountability to help you on your path to a more satisfying life. You are stronger that you may realize. If you are ready to make a change and begin unlocking your amazing potential, send me an email or call me! I offer both face-to-face and telehealth sessions.
(904) 280-7300 x702 View (904) 280-7300 x702
Photo of Lisa Strahler, MA, RMHCI, NCC, Pre-Licensed Professional
Lisa Strahler
Pre-Licensed Professional, MA, RMHCI, NCC
Verified Verified
3 Endorsed
Southpoint, Jacksonville, FL 32216
I enjoy helping adolescents and adults navigate a wide array of challenges, including anxiety, depression, and trauma. I also have a passion for serving first responders, active duty military, and veterans. I understand the intensity and challenges that come with these roles, and I believe that it is important to provide support and guidance to those that dedicate their lives to serving others in this way.
I enjoy helping adolescents and adults navigate a wide array of challenges, including anxiety, depression, and trauma. I also have a passion for serving first responders, active duty military, and veterans. I understand the intensity and challenges that come with these roles, and I believe that it is important to provide support and guidance to those that dedicate their lives to serving others in this way.
(904) 822-8463 View (904) 822-8463
Photo of Erika Banks, MS, LMHC, Counselor
Erika Banks
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Southpoint, Jacksonville, FL 32216
I have worked with individuals who are struggling with depression, anxiety, separation, academics and behavior modification issues.
There are times in life when you encounter struggles, that make you wonder what to do next. Together we would find the solution that works best for you, to respond to life's challenges, changing behaviors, or strengthening yourself. I offer a safe, caring, positive environment where you are free to express yourself. I want you to feel comfortable in a therapeutic setting. With over a decade of experience, I can help. Be Ready for Positive Change! I look forward to working with you to empower you to be the Best You Can Be!
I have worked with individuals who are struggling with depression, anxiety, separation, academics and behavior modification issues.
There are times in life when you encounter struggles, that make you wonder what to do next. Together we would find the solution that works best for you, to respond to life's challenges, changing behaviors, or strengthening yourself. I offer a safe, caring, positive environment where you are free to express yourself. I want you to feel comfortable in a therapeutic setting. With over a decade of experience, I can help. Be Ready for Positive Change! I look forward to working with you to empower you to be the Best You Can Be!
(904) 729-4990 View (904) 729-4990
Photo of Paul D Knabb, PhD, Psychologist
Paul D Knabb
Psychologist, PhD
Verified Verified
Southpoint, Jacksonville, FL 32216
If you're nervous about coming to therapy, please know that many others feel that way before the first visit. One of my most basic concerns is that you feel comfortable. Your time with me is important. I strive to put you at ease with compassion, empathy, and humor so that we can work together to best meet your needs. I enjoy working with adults who are motivated to make changes and improve their lives. Frequently my patients work on issues of anxiety, depression, marital difficulty, coping with illnesses of all types, anger, grief/loss, and stress.
If you're nervous about coming to therapy, please know that many others feel that way before the first visit. One of my most basic concerns is that you feel comfortable. Your time with me is important. I strive to put you at ease with compassion, empathy, and humor so that we can work together to best meet your needs. I enjoy working with adults who are motivated to make changes and improve their lives. Frequently my patients work on issues of anxiety, depression, marital difficulty, coping with illnesses of all types, anger, grief/loss, and stress.
(904) 584-3527 View (904) 584-3527
Photo of Kenecia Muller, MS, LMHC, CAP, CCTP, ART-Tra, Counselor
Kenecia Muller
Counselor, MS, LMHC, CAP, CCTP, ART-Tra
Verified Verified
1 Endorsed
Southpoint, Jacksonville, FL 32216
I specialize in emotional regulation including managing and improving symptoms of depression, anxiety and anger.
Accepting New Clients. Finding your way and your voice is a journey. Each person and each journey is unique. I focus on empowering clients to recognize their worth and build the life they desire. By assisting clients with challenging unhelpful and self defeating beliefs we can create a path for moving forward. Growth and change are possible. I am trained in accelerated resolution therapy to assist with addressing the root of issues in an impactful way.
I specialize in emotional regulation including managing and improving symptoms of depression, anxiety and anger.
Accepting New Clients. Finding your way and your voice is a journey. Each person and each journey is unique. I focus on empowering clients to recognize their worth and build the life they desire. By assisting clients with challenging unhelpful and self defeating beliefs we can create a path for moving forward. Growth and change are possible. I am trained in accelerated resolution therapy to assist with addressing the root of issues in an impactful way.
(904) 280-7300 View (904) 280-7300
Photo of Katrina 'katie' Morgan, LMHC, Counselor
Katrina 'katie' Morgan
Counselor, LMHC
Verified Verified
Southpoint, Jacksonville, FL 32216
Have you ever had the feeling that you have been living your life on autopilot, then you look around and think, “how did I get here?” Perhaps this thought spirals into depression for lost time, poor choices, and/or missed opportunities. Maybe anxiety settles into your chest with this depression, causing crippling indecision. The weirdly good news is that you are not alone in these thoughts and feelings, and there IS something you can do about it. Nearly every person experiences some form of trauma in their lives, and most are ill-equipped to move forward functionally with the aftermath.
Have you ever had the feeling that you have been living your life on autopilot, then you look around and think, “how did I get here?” Perhaps this thought spirals into depression for lost time, poor choices, and/or missed opportunities. Maybe anxiety settles into your chest with this depression, causing crippling indecision. The weirdly good news is that you are not alone in these thoughts and feelings, and there IS something you can do about it. Nearly every person experiences some form of trauma in their lives, and most are ill-equipped to move forward functionally with the aftermath.
(904) 932-0338 View (904) 932-0338
Photo of Melissa Meyer, LMHC, CRC, NCC
Melissa Meyer
Licensed Mental Health Counselor, LMHC, CRC, NCC
Verified Verified
Southpoint, Jacksonville, FL 32216  (Online Only)
Are you feeling overwhelmed, anxious, or stuck in patterns that no longer serve you? Remember, you don’t have to navigate this journey alone.
As a mental health counselor, I find fulfillment in working with adults (18-70) from diverse cultural backgrounds. I find my clients tend to be motivated and actively engaged in their journey, which fosters a collaborative relationship. Their willingness to be vulnerable allows for meaningful connections and breakthroughs. These resilient individuals inspire me with their stories of overcoming adversity. Lastly, I strive to enable clients to appreciate the therapeutic process to strengthen the alliance, making the journey of healing impactful and lasting.
Are you feeling overwhelmed, anxious, or stuck in patterns that no longer serve you? Remember, you don’t have to navigate this journey alone.
As a mental health counselor, I find fulfillment in working with adults (18-70) from diverse cultural backgrounds. I find my clients tend to be motivated and actively engaged in their journey, which fosters a collaborative relationship. Their willingness to be vulnerable allows for meaningful connections and breakthroughs. These resilient individuals inspire me with their stories of overcoming adversity. Lastly, I strive to enable clients to appreciate the therapeutic process to strengthen the alliance, making the journey of healing impactful and lasting.
(904) 574-4201 View (904) 574-4201
Photo of Melissa Moulton, MSW, Pre-Licensed Professional
Melissa Moulton
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Southpoint, Jacksonville, FL 32216
Hi! My name is Melissa and I specialize in perinatal and reproductive mental health, life transitions and trauma for clients across the life span. Anything from pre-conception/pregnancy/postpartum anxiety, depression or OCD, ADHD, birth trauma, pregnancy and infant loss, navigating parenthood/foster care/adoption, infertility, PMDD, PCOS, endometriosis, abortion, perimenopause, life transitions, sexual trauma, childhood trauma and other traumatic experiences and therapy for fellow birth workers and first responders is my expertise.
Hi! My name is Melissa and I specialize in perinatal and reproductive mental health, life transitions and trauma for clients across the life span. Anything from pre-conception/pregnancy/postpartum anxiety, depression or OCD, ADHD, birth trauma, pregnancy and infant loss, navigating parenthood/foster care/adoption, infertility, PMDD, PCOS, endometriosis, abortion, perimenopause, life transitions, sexual trauma, childhood trauma and other traumatic experiences and therapy for fellow birth workers and first responders is my expertise.
(904) 323-2729 View (904) 323-2729
Photo of AnneMarie Rodriguez, RCSWI, Pre-Licensed Professional
AnneMarie Rodriguez
Pre-Licensed Professional, RCSWI
Verified Verified
1 Endorsed
Southpoint, Jacksonville, FL 32216
Simply existing during our day-to-day life can be a struggle within itself at times. Trauma, anxiety, depression, panic attacks, and conflict can create added pressures that feel overwhelming to us. If this is you, I am here to work with you as a therapist. My goal when working with clients is to provide a safe, judgment-free zone where they feel supported and are able to achieve their identified goals. Healing takes courage, and you have taken the first step by seeking help. I want to help others live their life, not just exist, and I believe addressing what is causing us pain and discomfort is part of that.
Simply existing during our day-to-day life can be a struggle within itself at times. Trauma, anxiety, depression, panic attacks, and conflict can create added pressures that feel overwhelming to us. If this is you, I am here to work with you as a therapist. My goal when working with clients is to provide a safe, judgment-free zone where they feel supported and are able to achieve their identified goals. Healing takes courage, and you have taken the first step by seeking help. I want to help others live their life, not just exist, and I believe addressing what is causing us pain and discomfort is part of that.
(904) 740-3996 View (904) 740-3996
Photo of Jamie Kopp, LMHC
Jamie Kopp
Licensed Mental Health Counselor, LMHC
Verified Verified
Southpoint, Jacksonville, FL 32216
If you are depressed, a survivor of abuse(sexual, physical or emotional), a current victim of DV, stressed or anxious, there is help for you.
I have had experience in the private and the public sector, counseling and developing individuals to meet their highest potential. Currently licensed as an LMHC in the State of Florida, I have had much experience in providing therapy for individuals that have a history of abuse or neglect. I am very familiar with working with troubled families, and couples with relationship issues.
If you are depressed, a survivor of abuse(sexual, physical or emotional), a current victim of DV, stressed or anxious, there is help for you.
I have had experience in the private and the public sector, counseling and developing individuals to meet their highest potential. Currently licensed as an LMHC in the State of Florida, I have had much experience in providing therapy for individuals that have a history of abuse or neglect. I am very familiar with working with troubled families, and couples with relationship issues.
(904) 337-5837 View (904) 337-5837
Photo of Sophia Venditti, LCSW, Clinical Social Work/Therapist
Sophia Venditti
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Southpoint, Jacksonville, FL 32216
Waitlist for new clients
I work with couples, child, adolescent and adult trauma, depression, and anxiety.
Happy to announce I am now seeing couples in person and virtually! We all go through times in our lives when therapy can help us to cope with the difficulties that arise. You are not alone. Maybe you are feeling overwhelmed or just stuck. You feel like you have tried everything and you are looking for a new way to improve your situation. Perhaps you or your teen have experienced an upsetting event and you don't want this to define them. It hurts to see the people we love upset or struggling. I can offer the tools, skills, and support for your journey.
I work with couples, child, adolescent and adult trauma, depression, and anxiety.
Happy to announce I am now seeing couples in person and virtually! We all go through times in our lives when therapy can help us to cope with the difficulties that arise. You are not alone. Maybe you are feeling overwhelmed or just stuck. You feel like you have tried everything and you are looking for a new way to improve your situation. Perhaps you or your teen have experienced an upsetting event and you don't want this to define them. It hurts to see the people we love upset or struggling. I can offer the tools, skills, and support for your journey.
(904) 593-4207 View (904) 593-4207
Photo of Adrienne Leigh Desantis King - Beacon Pediatric Behavioral Health, PhD, BCBA, Psychologist
Beacon Pediatric Behavioral Health
Psychologist, PhD, BCBA
Verified Verified
Southpoint, Jacksonville, FL 32216
The directors of Beacon Pediatric Behavioral Health (BPBH), Dr. Adrienne DeSantis King, and Dr. Paras Nabizadeh, welcome you! BPBH has a team of Psychologists, Therapists, and Behavior Analysts, with speech, PT, and OT services provided by our partner agency on site! We specialize in evaluating and treating Autism Spectrum Disorders, ADHD, Oppositional Defiant Disorder, and disruptive behavior concerns, as well as anxiety, depression, mood dysregulation, adjustment problems, and/or learning difficulties for children 18 mo-18 yrs of age. The FASTEST way to get started is to complete the new client inquiry at WWW.BeaconPediatric.com!
The directors of Beacon Pediatric Behavioral Health (BPBH), Dr. Adrienne DeSantis King, and Dr. Paras Nabizadeh, welcome you! BPBH has a team of Psychologists, Therapists, and Behavior Analysts, with speech, PT, and OT services provided by our partner agency on site! We specialize in evaluating and treating Autism Spectrum Disorders, ADHD, Oppositional Defiant Disorder, and disruptive behavior concerns, as well as anxiety, depression, mood dysregulation, adjustment problems, and/or learning difficulties for children 18 mo-18 yrs of age. The FASTEST way to get started is to complete the new client inquiry at WWW.BeaconPediatric.com!
(904) 474-8416 View (904) 474-8416
Photo of Amanda Rose Iannotti - Amanda Iannotti, LMHC, MA, LMHC, Counselor
Amanda Iannotti, LMHC
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Southpoint, Jacksonville, FL 32216
Are you stuck in a rut with dating? Do you feel like you’re dating the same unhealthy person over and over again? Are your relationships not as fulfilling as you would like for them to be? Whether you’re single, engaged, or married, I would love to help enhance the relationships in your life as well as those you hope to have some day.
Are you stuck in a rut with dating? Do you feel like you’re dating the same unhealthy person over and over again? Are your relationships not as fulfilling as you would like for them to be? Whether you’re single, engaged, or married, I would love to help enhance the relationships in your life as well as those you hope to have some day.
(904) 867-3403 View (904) 867-3403
Photo of Dr. Andrew A. Gauler, PhD, LMHC, CRC, CVE, ACS, Counselor
Dr. Andrew A. Gauler
Counselor, PhD, LMHC, CRC, CVE, ACS
Verified Verified
5 Endorsed
Southpoint, Jacksonville, FL 32216
I am working with both adolescents and adults. My theoretical orientation to counseling and psychotherapy is rooted in the philosophy of a humanistic-existential approach to human functioning. I use the tenets of individual responsibility to choice and decision-making and apply them within a cognitive-behavioral perspective (CBT) to counseling and clinical work. I consider myself a generalist with specialty training in cognitive rehabilitation, vocational/career counseling, as well as psychoeducational testing and other evaluations, such as pre-surgical evaluations (e.g., for bariatric procedures).
I am working with both adolescents and adults. My theoretical orientation to counseling and psychotherapy is rooted in the philosophy of a humanistic-existential approach to human functioning. I use the tenets of individual responsibility to choice and decision-making and apply them within a cognitive-behavioral perspective (CBT) to counseling and clinical work. I consider myself a generalist with specialty training in cognitive rehabilitation, vocational/career counseling, as well as psychoeducational testing and other evaluations, such as pre-surgical evaluations (e.g., for bariatric procedures).
(904) 508-0821 View (904) 508-0821
Photo of Kim Pollock - Quality Life Center, MSW, LCSW, Clinical Social Work/Therapist
Quality Life Center
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Southpoint, Jacksonville, FL 32216
Quality Life Center is an outpatient behavioral health clinic that provides individual, couples, and family counseling, psychiatric and medication management. Our licensed therapists and registered interns provide counseling both face to face and teletherapy through video conferencing. Our psychiatrist and Advanced Registered Nurse Practitioner provides psychiatric evaluations and medication management. Our office is in Duval county with appointments available Monday through Friday. Quality Life Center also offers case management services for children and adults as well as a Psychosocial Rehabilitation Program for adults 18+.
Quality Life Center is an outpatient behavioral health clinic that provides individual, couples, and family counseling, psychiatric and medication management. Our licensed therapists and registered interns provide counseling both face to face and teletherapy through video conferencing. Our psychiatrist and Advanced Registered Nurse Practitioner provides psychiatric evaluations and medication management. Our office is in Duval county with appointments available Monday through Friday. Quality Life Center also offers case management services for children and adults as well as a Psychosocial Rehabilitation Program for adults 18+.
(904) 685-8515 View (904) 685-8515
Photo of Kimberly Julia, LCSW, Clinical Social Work/Therapist
Kimberly Julia
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Southpoint, Jacksonville, FL 32216
Waitlist for new clients
Life comes in waves for all of us. If right now feels overwhelming and awful for you, I want you to know you're not alone. I offer trauma-informed, individualized, neurodivergence-affirming telehealth services to access you right where you are with nuanced care and concern. I'm here to support you on this healing journey. Reach out to me here through email or phone (please leave me a voicemail). You can find more about me on my website healingmindful.com.
Life comes in waves for all of us. If right now feels overwhelming and awful for you, I want you to know you're not alone. I offer trauma-informed, individualized, neurodivergence-affirming telehealth services to access you right where you are with nuanced care and concern. I'm here to support you on this healing journey. Reach out to me here through email or phone (please leave me a voicemail). You can find more about me on my website healingmindful.com.
(904) 383-7757 View (904) 383-7757
Photo of Dr. Lisa-Mae S. Armbrust, PsyD, Psychologist
Dr. Lisa-Mae S. Armbrust
Psychologist, PsyD
Verified Verified
1 Endorsed
Southpoint, Jacksonville, FL 32216
I am a clinical psychologist specializing in psychoeducational testing and psychotherapy. My professional life has been spent working with children and families to overcome various obstacles to their personal or academic accomplishments. After graduating from Johns Hopkins University with my Bachelor of Arts degree, I received both my Masters and Doctorate in Psychology from New York University. I have worked with children, adolescents and families in various hospital, school and outpatient clinic settings.
I am a clinical psychologist specializing in psychoeducational testing and psychotherapy. My professional life has been spent working with children and families to overcome various obstacles to their personal or academic accomplishments. After graduating from Johns Hopkins University with my Bachelor of Arts degree, I received both my Masters and Doctorate in Psychology from New York University. I have worked with children, adolescents and families in various hospital, school and outpatient clinic settings.
(904) 584-3486 View (904) 584-3486
Photo of Juanita C Bruno, PhD, LMFT, Marriage & Family Therapist
Juanita C Bruno
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Southpoint, Jacksonville, FL 32216
I have over 15 years of experience servicing a variety of dynamics such as mother-daughter, husband-wife, and fiances preparing for a more committed relationship, and overall family dynamics. I provide a supportive and non-judgmental atmosphere where you can openly examine specific areas of concerns and flourish while breaching unsupportive and rigid pattern of interacting with others. I serve a limited number of individuals/families each day to ensure that you receive the individualized attention you deserve."
I have over 15 years of experience servicing a variety of dynamics such as mother-daughter, husband-wife, and fiances preparing for a more committed relationship, and overall family dynamics. I provide a supportive and non-judgmental atmosphere where you can openly examine specific areas of concerns and flourish while breaching unsupportive and rigid pattern of interacting with others. I serve a limited number of individuals/families each day to ensure that you receive the individualized attention you deserve."
(904) 587-2229 View (904) 587-2229
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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.