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More Therapists Nearby

Photo of 432 Intentional Therapeutics Inc, Clinical Social Work/Therapist in Barnstable, MA
432 Intentional Therapeutics Inc
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Hyannis, MA 02601
We specialize in addiction recovery, trauma recovery, anxiety/mood management and adolescent care.
About Louisa Gould, LICSW: People seem to find me when they are supposed to in life. Clients who come to see me, often feel as though they need support with something in life. Mainly I find that most of us experience some sort of interruption in our lives. These interruptions can be addictions, losses, toxic relationships, difficult decisions, traumatic situations or can take many other shapes and forms throughout life. It is my belief that it is through these interruptions, that people often seek counseling and support. No one should have to travel through life alone.
We specialize in addiction recovery, trauma recovery, anxiety/mood management and adolescent care.
About Louisa Gould, LICSW: People seem to find me when they are supposed to in life. Clients who come to see me, often feel as though they need support with something in life. Mainly I find that most of us experience some sort of interruption in our lives. These interruptions can be addictions, losses, toxic relationships, difficult decisions, traumatic situations or can take many other shapes and forms throughout life. It is my belief that it is through these interruptions, that people often seek counseling and support. No one should have to travel through life alone.
(508) 406-9598 View (508) 406-9598
Photo of Nantucket Family Counseling, Clinical Social Work/Therapist in Barnstable, MA
Nantucket Family Counseling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Hyannis, MA 02601  (Online Only)
When you understand the foundations of fear, anxiety and other destructive emotions, you ​can learn skills and techniques to help yourself or others create long lasting real change.
It has not been an easy step for you to come to counseling. It may take months, or even years, to get up the courage to call for an appointment. For many, coming to counseling can feel both frightening and yet a relief. I do not have a waiting list, and can get you in to see me fairly quickly. My unique style is to educate, motivate and inspire you, providing a solid foundation for a healthy life. I am a down to earth, "regular" person with a style that puts most people at ease. I also now offer hourly supervisory services to masters level students in a social work or mental health counseling programs.
When you understand the foundations of fear, anxiety and other destructive emotions, you ​can learn skills and techniques to help yourself or others create long lasting real change.
It has not been an easy step for you to come to counseling. It may take months, or even years, to get up the courage to call for an appointment. For many, coming to counseling can feel both frightening and yet a relief. I do not have a waiting list, and can get you in to see me fairly quickly. My unique style is to educate, motivate and inspire you, providing a solid foundation for a healthy life. I am a down to earth, "regular" person with a style that puts most people at ease. I also now offer hourly supervisory services to masters level students in a social work or mental health counseling programs.
(508) 348-7203 View (508) 348-7203
Photo of Bel Lavi Life Coaching LLC in Barnstable, MA
Bel Lavi Life Coaching LLC
MA, CPC
Verified Verified
Hyannis, MA 02601
Are there days where you feel like your life is completely unmanageable? Sometimes it feels like if we could just change one thing, or start one thing, then we could finally start living the life we want. This could be a short term goal such as finally organizing your home or longer term goals such as developing self confidence, or starting a weight loss journey. If you can relate to feeling stuck and needing a push to move forward, Bel Lavi Coaching is here for you.
Are there days where you feel like your life is completely unmanageable? Sometimes it feels like if we could just change one thing, or start one thing, then we could finally start living the life we want. This could be a short term goal such as finally organizing your home or longer term goals such as developing self confidence, or starting a weight loss journey. If you can relate to feeling stuck and needing a push to move forward, Bel Lavi Coaching is here for you.
(774) 228-5360 View (774) 228-5360

Online Therapists

Photo of Catarina D. Hambly, Counselor in Barnstable, MA
Catarina D. Hambly
Counselor, MEd, LMHC
Verified Verified
West Bridgewater, MA 02379  (Online Only)
Accepting Referrals. Please be sure to complete referral form located on our web site and send to our email to help expediate the process of assignment. We are experienced in the following areas: trauma, wellness recovery, couples therapy, family therapy, anxiety, depression, grief and loss, domestic violence and can work with adults and children. Caring and effective clinician who will help and support you through your process towards wellness and inner healing. Over 20 years of Experience in the Field. Trained in Telehealth Servicing. We meet the client where they are at with their clinical needs.
Accepting Referrals. Please be sure to complete referral form located on our web site and send to our email to help expediate the process of assignment. We are experienced in the following areas: trauma, wellness recovery, couples therapy, family therapy, anxiety, depression, grief and loss, domestic violence and can work with adults and children. Caring and effective clinician who will help and support you through your process towards wellness and inner healing. Over 20 years of Experience in the Field. Trained in Telehealth Servicing. We meet the client where they are at with their clinical needs.
(508) 286-7980 View (508) 286-7980
Photo of Gary Rose, Psychologist in Barnstable, MA
Gary Rose
Psychologist, PhD
Verified Verified
Concord, MA 01742  (Online Only)
With 35 years as a teacher and clinician, I maintain a multi-specialty practice, applying the evidence-based principles of MI/CBT to problems ranging from sleep health, anxiety, cannabis misuse to sports performance. In addition to my expertise in health and sports psychology, I specialize in the assessment and treatment of individuals on the autistic spectrum disorder. I work with individuals of all ages, and adopt a shared decision-making approach to treatment, employing an array of evidence based best practices.
With 35 years as a teacher and clinician, I maintain a multi-specialty practice, applying the evidence-based principles of MI/CBT to problems ranging from sleep health, anxiety, cannabis misuse to sports performance. In addition to my expertise in health and sports psychology, I specialize in the assessment and treatment of individuals on the autistic spectrum disorder. I work with individuals of all ages, and adopt a shared decision-making approach to treatment, employing an array of evidence based best practices.
(978) 767-4213 View (978) 767-4213
Photo of Rona Sandberg, Clinical Social Work/Therapist in Barnstable, MA
Rona Sandberg
Clinical Social Work/Therapist, LICSW
Verified Verified
Arlington, MA 02476
Welcome! With over 25 years of experience working with people of all ages as a trauma and grief therapist, I have helped individuals and families learn to cope with a wide range of issues including partner loss, anxiety, depression, family conflict, complex trauma and sexual assault. I provide parent guidance and coaching for caregivers who have children with challenging behaviors and special needs. I have expertise with foster, kinship and adoptive families. I offer therapy to tweens, teens and young adults who may need support with life transitions and relationships. My work with clients is always collaborative and strength-based.
Welcome! With over 25 years of experience working with people of all ages as a trauma and grief therapist, I have helped individuals and families learn to cope with a wide range of issues including partner loss, anxiety, depression, family conflict, complex trauma and sexual assault. I provide parent guidance and coaching for caregivers who have children with challenging behaviors and special needs. I have expertise with foster, kinship and adoptive families. I offer therapy to tweens, teens and young adults who may need support with life transitions and relationships. My work with clients is always collaborative and strength-based.
(339) 500-6997 View (339) 500-6997
Photo of David C Miller, Counselor in Barnstable, MA
David C Miller
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Andover, MA 01810
Waitlist for new clients
(waitlist) Anxiety, depression, stress in the family and it’s much worse during this time. What do you do? You are watching your child suffer but you just can’t find the right answers to help them. The entire home is turning into a battlefield. You know your child is in pain but they just won’t talk. Your own relationship with your partner is so strained you are both questioning how to carry on. Things have never seemed so hopeless but I am here to assure you there are answers. I am here to help your family confront these issues head on and overcome the adversity disrupting your lives.
(waitlist) Anxiety, depression, stress in the family and it’s much worse during this time. What do you do? You are watching your child suffer but you just can’t find the right answers to help them. The entire home is turning into a battlefield. You know your child is in pain but they just won’t talk. Your own relationship with your partner is so strained you are both questioning how to carry on. Things have never seemed so hopeless but I am here to assure you there are answers. I am here to help your family confront these issues head on and overcome the adversity disrupting your lives.
(351) 300-0294 x5 View (351) 300-0294 x5
Photo of Jessica Furino, Pastoral Counselor in Barnstable, MA
Jessica Furino
Pastoral Counselor
Verified Verified
5 Endorsed
South Chatham, MA 02659
I love helping others assess and overcome their challenges while embracing their strengths; physical, emotional, social and spiritual. You deserve to grow and embrace a full and abundant life. My diversified vocational ( nursing, business, writing, counseling and pastoral) background allows me to work and walk with my clients as they heal from their past and move forward to maximize their strengths and accomplish their goals.) If you are struggling with depression, anxiety, a broken marriage, family dysfunction, career challenges or so many other things that hold us back from a life of joy, hope and peace...please call me.
I love helping others assess and overcome their challenges while embracing their strengths; physical, emotional, social and spiritual. You deserve to grow and embrace a full and abundant life. My diversified vocational ( nursing, business, writing, counseling and pastoral) background allows me to work and walk with my clients as they heal from their past and move forward to maximize their strengths and accomplish their goals.) If you are struggling with depression, anxiety, a broken marriage, family dysfunction, career challenges or so many other things that hold us back from a life of joy, hope and peace...please call me.
(508) 386-4035 View (508) 386-4035
Photo of Helen M Ceres, Counselor in Barnstable, MA
Helen M Ceres
Counselor, LMHC
Verified Verified
Newton Highlands, MA 02461
I have been providing collaborative, interactive therapy services to children, adolescents, teens, young adults, adults, couples, and family for over 25 years. I am eclectic in approach, beginning with Relational and Client-Centered models, incorporating Positive Psychology, Cognitive Behavior Therapy, Dialectic Behavior Therapy, Collaborative Therapy, Gottman Couples Therapy, and Family Systems Therapies; addressing Anxiety, Mood Disorders, ADD/ADHD, Grief, Loss and Trauma, Adjustment Disorders, Anger/Frustration management, Self Esteem and Confidence Building, Social/Relationship Building Skills, LGBTQ, Parenting Coaching/Skills.
I have been providing collaborative, interactive therapy services to children, adolescents, teens, young adults, adults, couples, and family for over 25 years. I am eclectic in approach, beginning with Relational and Client-Centered models, incorporating Positive Psychology, Cognitive Behavior Therapy, Dialectic Behavior Therapy, Collaborative Therapy, Gottman Couples Therapy, and Family Systems Therapies; addressing Anxiety, Mood Disorders, ADD/ADHD, Grief, Loss and Trauma, Adjustment Disorders, Anger/Frustration management, Self Esteem and Confidence Building, Social/Relationship Building Skills, LGBTQ, Parenting Coaching/Skills.
(617) 934-0195 View (617) 934-0195
Photo of Christopher John Bean, Counselor in Barnstable, MA
Christopher John Bean
Counselor, LMHC
Verified Verified
Halifax, MA 02338
I am a Licensed Mental Health Clinician (LMHC). I graduated from Eastern Nazarene College with a focus on family and marriage therapy, bringing over thirteen (13) years of valuable experience to my practice. Emphasizing a strengths-based approach, I aim to guide individuals, couples, and families through life's challenges. My specialization lies in addressing Anxiety, Depression, Post Traumatic Stress Disorder, and various emotional and mental health diagnoses. My dedication is grounded in the depth of my diverse background, assuring a comprehensive therapeutic experience for a range of needs.
I am a Licensed Mental Health Clinician (LMHC). I graduated from Eastern Nazarene College with a focus on family and marriage therapy, bringing over thirteen (13) years of valuable experience to my practice. Emphasizing a strengths-based approach, I aim to guide individuals, couples, and families through life's challenges. My specialization lies in addressing Anxiety, Depression, Post Traumatic Stress Disorder, and various emotional and mental health diagnoses. My dedication is grounded in the depth of my diverse background, assuring a comprehensive therapeutic experience for a range of needs.
(508) 901-2105 View (508) 901-2105
Photo of Be Mindful and Well, PhD in Barnstable, MA
Be Mindful and Well, PhD
PhD
Verified Verified
Quincy, MA 02169  (Online Only)
The center is also support: 1- Individuals coping with anxiety and depression 2- Achieving career goals and how to deal with work stressors .
We provide a holistic mental health coaching/counseling committed to personal, social and professional growth. Our professionals are expert professors, PhD, MA, BS in the field of health and counseling, and serving clients of all ages, and organizations for more than 20yrs.The center provides: 1- life coaching to women for varied health concerns: Nutritional counseling/ concerns for women, children, students, chronic diseases; Adaptation to pregnancy; Postpartum; menopause; Dealing with aging process; health concerns, and chronic diseases, parenting issues, adolescence challenges, body image, and skin problems and concerns.
The center is also support: 1- Individuals coping with anxiety and depression 2- Achieving career goals and how to deal with work stressors .
We provide a holistic mental health coaching/counseling committed to personal, social and professional growth. Our professionals are expert professors, PhD, MA, BS in the field of health and counseling, and serving clients of all ages, and organizations for more than 20yrs.The center provides: 1- life coaching to women for varied health concerns: Nutritional counseling/ concerns for women, children, students, chronic diseases; Adaptation to pregnancy; Postpartum; menopause; Dealing with aging process; health concerns, and chronic diseases, parenting issues, adolescence challenges, body image, and skin problems and concerns.
(617) 744-7497 View (617) 744-7497
Photo of Dorothy Mandel Therapy, Counselor in Barnstable, MA
Dorothy Mandel Therapy
Counselor, LMHC, CCMHC
Verified Verified
Belmont, MA 02478
Restructure your inner thoughts and feelings to create more satisfying relationships, emotional balance, and positive outcomes within family, life, and work. Clients are helped to overcome anxiety, depression, stress, grief and loss. Through precise, creative and illuminating feedback, emotional clarity and self-insight are promoted in a secure therapeutic setting. I have extensive experience with individuals and families within the national and international communities and appreciate the many nuances that can arise, be it religious, cultural, varied professional backgrounds, commitments, and family structures.
Restructure your inner thoughts and feelings to create more satisfying relationships, emotional balance, and positive outcomes within family, life, and work. Clients are helped to overcome anxiety, depression, stress, grief and loss. Through precise, creative and illuminating feedback, emotional clarity and self-insight are promoted in a secure therapeutic setting. I have extensive experience with individuals and families within the national and international communities and appreciate the many nuances that can arise, be it religious, cultural, varied professional backgrounds, commitments, and family structures.
(857) 403-6548 View (857) 403-6548
Photo of Bengisu Yanmaz in Barnstable, MA
Bengisu Yanmaz
LMHC
Verified Verified
Acton, MA 01718  (Online Only)
Accepting new clients! We all go through phases in life. Some days are sunny and some others with a lot of rain and storm. Anxiety, depression,life transitions,pre-postpartum anxiety&depression, difficulty focusing, and relationship problems with loved ones and/or in a professional setting are only a few of the problems every person deals in their life at some point. Even though they are part of our nature, these symptoms could be very overwhelming.
Accepting new clients! We all go through phases in life. Some days are sunny and some others with a lot of rain and storm. Anxiety, depression,life transitions,pre-postpartum anxiety&depression, difficulty focusing, and relationship problems with loved ones and/or in a professional setting are only a few of the problems every person deals in their life at some point. Even though they are part of our nature, these symptoms could be very overwhelming.
(857) 763-2107 View (857) 763-2107
Photo of George Masselam, Clinical Social Work/Therapist in Barnstable, MA
George Masselam
Clinical Social Work/Therapist, LICSW
Verified Verified
Needham, MA 02494  (Online Only)
I am trauma-informed and specialize in helping individuals identify what is holding them back (oftentimes addiction, fear, depression and/or anxiety). I am an empathetic individual who has been working closely with people for the last 30 years, mostly in the field of addiction and recovery.
I am trauma-informed and specialize in helping individuals identify what is holding them back (oftentimes addiction, fear, depression and/or anxiety). I am an empathetic individual who has been working closely with people for the last 30 years, mostly in the field of addiction and recovery.
(339) 329-1009 View (339) 329-1009
Photo of Jose A Morell, Counselor in Barnstable, MA
Jose A Morell
Counselor, MEd, CAGS, LMHC, LPC, LADC I
Verified Verified
3 Endorsed
Lakeville, MA 02347
I specialize in anxiety disorder, depressive/mood disorders, addiction, anger, trauma, LGBTQ concerns, and cultural issues.
Therapy is an act of strength, hope, and resiliency. Even the happiest and most well-adjusted people may encounter problems resulting from unexpected life challenges and demands. My goal is to work in collaboration and partnership with my clients to bring about positive changes, growth, and healing from past painful events. I have 15 years of clinical experience as a psychotherapist. I received both my Master's degree and Continued Advanced Graduate Study Degree in Counseling Psychology from Cambridge College. I am also certified as a cognitive behavioral therapist from Boston University School of Social Work.
I specialize in anxiety disorder, depressive/mood disorders, addiction, anger, trauma, LGBTQ concerns, and cultural issues.
Therapy is an act of strength, hope, and resiliency. Even the happiest and most well-adjusted people may encounter problems resulting from unexpected life challenges and demands. My goal is to work in collaboration and partnership with my clients to bring about positive changes, growth, and healing from past painful events. I have 15 years of clinical experience as a psychotherapist. I received both my Master's degree and Continued Advanced Graduate Study Degree in Counseling Psychology from Cambridge College. I am also certified as a cognitive behavioral therapist from Boston University School of Social Work.
(781) 277-3300 View (781) 277-3300
Photo of Dr. Veronica Medina, Counselor in Barnstable, MA
Dr. Veronica Medina
Counselor, PhD, LCPC, LMHC
Verified Verified
Brookline, MA 02446  (Online Only)
As time goes by, a stressed person will develop symptoms of anxiety and depression.
Veronica Medina, PhD, is a Licensed Clinical Professional Counselor (LCPC), a Licensed Mental Health Counselor (LMHC), and an Organizational Psychologist with 24 years of experience. Dr. Medina completed her master's degree in Counseling at Valparaiso University and her doctorate in Organization Psychology (PhD) at Walden University. She is an adjunct professor with a health studies department where she teaches holistic medicine, human sexuality, stress management, and statistics. Dr. Medina offers counseling and talk therapy services; however, she does not currently offer psychological testing.
As time goes by, a stressed person will develop symptoms of anxiety and depression.
Veronica Medina, PhD, is a Licensed Clinical Professional Counselor (LCPC), a Licensed Mental Health Counselor (LMHC), and an Organizational Psychologist with 24 years of experience. Dr. Medina completed her master's degree in Counseling at Valparaiso University and her doctorate in Organization Psychology (PhD) at Walden University. She is an adjunct professor with a health studies department where she teaches holistic medicine, human sexuality, stress management, and statistics. Dr. Medina offers counseling and talk therapy services; however, she does not currently offer psychological testing.
(857) 290-5702 View (857) 290-5702
Photo of Erin Richardson, Clinical Social Work/Therapist in Barnstable, MA
Erin Richardson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Plymouth, MA 02360
Mental health issues can be overwhelming for anyone. Everyone can use a space to work through their personal struggles. I have ten years of clinical experience working with clients with depression, anxiety, personality disorders, mental illness, substance use issues and legal issues. Together we can focus on the areas of your life that you want to improve. I utilize humor and non-judgement to help my clients feel comfortable enough to work through the most personal areas of life. A trusting environment is key in allowing ourselves to be authentic and move our life in the direction of true happiness.
Mental health issues can be overwhelming for anyone. Everyone can use a space to work through their personal struggles. I have ten years of clinical experience working with clients with depression, anxiety, personality disorders, mental illness, substance use issues and legal issues. Together we can focus on the areas of your life that you want to improve. I utilize humor and non-judgement to help my clients feel comfortable enough to work through the most personal areas of life. A trusting environment is key in allowing ourselves to be authentic and move our life in the direction of true happiness.
(508) 374-9114 View (508) 374-9114
Photo of Sara Rodrigues, Clinical Social Work/Therapist in Barnstable, MA
Sara Rodrigues
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Fall River, MA 02720
I specialize in working with individuals facing anxiety and depression but also in children presenting with developmental issues.
I have over 22 years of experience working with children and families. The principles of wraparound are a major component of my work as I believe that families are the experts on their own experiences, strengths and needs. Building an integrated team of both natural and professional supports can help a family meet their goals for themselves in a way that is sustainable.
I specialize in working with individuals facing anxiety and depression but also in children presenting with developmental issues.
I have over 22 years of experience working with children and families. The principles of wraparound are a major component of my work as I believe that families are the experts on their own experiences, strengths and needs. Building an integrated team of both natural and professional supports can help a family meet their goals for themselves in a way that is sustainable.
(508) 593-9480 View (508) 593-9480
Photo of Jennifer Kadlik, Clinical Social Work/Therapist in Barnstable, MA
Jennifer Kadlik
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Franklin, MA 02038  (Online Only)
Congratulations on your first step to finding help from whatever issue(s) you feel may be holding you back! Truth be told, there is a time in everyone's life when an outsider's perspective is helpful in reframing whatever it is we have going on. As a Licensed Independent Clinical Social Worker, I've had the pleasure of working with hundreds of individuals and families struggling with anxiety, mood disorders, family conflict, parentings issues, relationship problems and trauma.
Congratulations on your first step to finding help from whatever issue(s) you feel may be holding you back! Truth be told, there is a time in everyone's life when an outsider's perspective is helpful in reframing whatever it is we have going on. As a Licensed Independent Clinical Social Worker, I've had the pleasure of working with hundreds of individuals and families struggling with anxiety, mood disorders, family conflict, parentings issues, relationship problems and trauma.
(774) 235-6227 View (774) 235-6227
Photo of Interaction Counseling, Clinical Social Work/Therapist in Barnstable, MA
Interaction Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
Westford, MA 01886
If you are struggling emotionally, have anxiety or depression or don't feel happy in your life for any reason, or are having concerns for your child or your marriage, we would be honored to help you.
Hello, my name is Shari Bennett, I am a licensed independent clinical social worker with over 35 years of experience as a therapist . In 1988 I opened Interactions Counseling and Intervention Center, a group private practice in Westford, MA. At Interactions we believe in treating the child and adolescent within the context of the family, school and larger community. For adults, we offer individual, family, and couples counseling, separately or in combination, so that the person can achieve the best results in the shortest amount of time. We collaborate with you to design a treatment plan that is unique to your specific needs.
If you are struggling emotionally, have anxiety or depression or don't feel happy in your life for any reason, or are having concerns for your child or your marriage, we would be honored to help you.
Hello, my name is Shari Bennett, I am a licensed independent clinical social worker with over 35 years of experience as a therapist . In 1988 I opened Interactions Counseling and Intervention Center, a group private practice in Westford, MA. At Interactions we believe in treating the child and adolescent within the context of the family, school and larger community. For adults, we offer individual, family, and couples counseling, separately or in combination, so that the person can achieve the best results in the shortest amount of time. We collaborate with you to design a treatment plan that is unique to your specific needs.
(508) 433-3376 x1 View (508) 433-3376 x1
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.