Photo of Sarah E Hines, Psychologist in Wellesley, MA
Sarah E Hines
Psychologist, PsyD, MEd
Verified Verified
Wellesley, MA 02481  (Online Only)
Hines provides a compassionate and grounding holding space within which clients can feel safe to explore and navigate ineffective patterns, traumatic experiences, anxiety, depression, ADHD, transitions, loss, sports performance, interpersonal relationships, and sense of self.
Dr. Sarah E. Hines is a licensed clinical psychologist who specializes in working with emerging adults, adolescents, and adults. Her warm and collaborative approach integrates a variety of therapeutic modalities including CBT, DBT, Mindfulness, Psychodynamic, Humanistic, ACT, and Emotion-Focused Therapy to meet each individual's needs. Her work involves helping clients to develop a cohesive sense of self and create a life worth living through partnership, curiosity, understanding, and perseverance.
Hines provides a compassionate and grounding holding space within which clients can feel safe to explore and navigate ineffective patterns, traumatic experiences, anxiety, depression, ADHD, transitions, loss, sports performance, interpersonal relationships, and sense of self.
Dr. Sarah E. Hines is a licensed clinical psychologist who specializes in working with emerging adults, adolescents, and adults. Her warm and collaborative approach integrates a variety of therapeutic modalities including CBT, DBT, Mindfulness, Psychodynamic, Humanistic, ACT, and Emotion-Focused Therapy to meet each individual's needs. Her work involves helping clients to develop a cohesive sense of self and create a life worth living through partnership, curiosity, understanding, and perseverance.
(781) 488-5095 View (781) 488-5095
Photo of Joan Hanania, Psychologist in Wellesley, MA
Joan Hanania
Psychologist, PhD
Verified Verified
Wellesley, MA 02482  (Online Only)
I specialize in the treatment of anxiety, depression, adjustment concerns, and medical coping with chronic illness.
I am a licensed psychologist at Dana-Farber and Boston Children’s Hospital and an Instructor of Psychology at Harvard Medical School. In my small private practice, I work with children, adolescents, young adults, and parents.
I specialize in the treatment of anxiety, depression, adjustment concerns, and medical coping with chronic illness.
I am a licensed psychologist at Dana-Farber and Boston Children’s Hospital and an Instructor of Psychology at Harvard Medical School. In my small private practice, I work with children, adolescents, young adults, and parents.
(617) 440-4485 View (617) 440-4485
Photo of Kristin Rajala, Psychologist in Wellesley, MA
Kristin Rajala
Psychologist, PsyD
Verified Verified
Wellesley, MA 02481
I thoroughly enjoy working with patients across the lifespan to address a wide range of behavioral health concerns (mental health, substance use, and physical health conditions). I have particular specialty in treating physical health conditions through psychological interventions including chronic pain and medically unexplained physical symptoms; however, I support clients with an array of other presenting concerns (Depression, Anxiety, Grief, Stress). My clients are often seeking active support in making meaningful changes in their personal, work, or social lives and relationships.
I thoroughly enjoy working with patients across the lifespan to address a wide range of behavioral health concerns (mental health, substance use, and physical health conditions). I have particular specialty in treating physical health conditions through psychological interventions including chronic pain and medically unexplained physical symptoms; however, I support clients with an array of other presenting concerns (Depression, Anxiety, Grief, Stress). My clients are often seeking active support in making meaningful changes in their personal, work, or social lives and relationships.
(781) 390-9981 View (781) 390-9981
Photo of Advanced Neurotherapy, PC, Psychologist in Wellesley, MA
Advanced Neurotherapy, PC
Psychologist, PhD
Verified Verified
Wellesley, MA 02481  (Online Only)
ADD/ADHD, Anxiety, Behavior Disorders, Challenges and Illnesses of Aging, Chronic Illness, Depression, Disability, Emotional Control, Executive Functions, Fatigue, Gender and Sexual Identity, Learning Disabilities, LGBTQ, Lyme Disease, OCD, ODD, Performance Enhancement, PTSD, Sleep Disorders, Stress, Trauma
ADD/ADHD, Anxiety, Behavior Disorders, Challenges and Illnesses of Aging, Chronic Illness, Depression, Disability, Emotional Control, Executive Functions, Fatigue, Gender and Sexual Identity, Learning Disabilities, LGBTQ, Lyme Disease, OCD, ODD, Performance Enhancement, PTSD, Sleep Disorders, Stress, Trauma
(781) 519-2458 View (781) 519-2458
Photo of Julia Berkman, Psychologist in Wellesley, MA
Julia Berkman
Psychologist, PhD
Verified Verified
1 Endorsed
Wellesley, MA 02482
I have experience in treating a range of health issues, with particular specialization in the following areas: anxiety disorders (including OCD), depression, sleep disturbance, and coping with chronic medical issues (including pain disorders and gastrointestinal diseases).
I am a thoughtful, warm professional with a good sense of humor. My primary training is in cognitive-behavioral therapy (CBT), which I integrate with other treatment modalities. I work well with both children and adults, tailoring my approach to meet the individual needs of my clients. My aim is to provide a supportive atmosphere where clients can work towards their goals, while learning practical strategies and skills that offer relief.
I have experience in treating a range of health issues, with particular specialization in the following areas: anxiety disorders (including OCD), depression, sleep disturbance, and coping with chronic medical issues (including pain disorders and gastrointestinal diseases).
I am a thoughtful, warm professional with a good sense of humor. My primary training is in cognitive-behavioral therapy (CBT), which I integrate with other treatment modalities. I work well with both children and adults, tailoring my approach to meet the individual needs of my clients. My aim is to provide a supportive atmosphere where clients can work towards their goals, while learning practical strategies and skills that offer relief.
(781) 995-3545 View (781) 995-3545
Photo of Esther Merritt, Counselor in Wellesley, MA
Esther Merritt
Counselor, MA, LMHC
Verified Verified
Wellesley, MA 02181
Are you a high achiever but under value yourself? Work hard and have objective success but feel something is missing, or that it's still not enough? Do you feel aspects of your life need improvement, direction, guidance, change, or growth? Is the old tried and true approach you take, not working anymore?  Come improve your mood, reduce anxiety, strengthen self-esteem, manage stress, work through academic/social/professional challenges, process grief, improve relationships and communication, strengthen parenting techniques, and have smoother life transitions. Therapy's success is equal to the work you put into it, come do the work!
Are you a high achiever but under value yourself? Work hard and have objective success but feel something is missing, or that it's still not enough? Do you feel aspects of your life need improvement, direction, guidance, change, or growth? Is the old tried and true approach you take, not working anymore?  Come improve your mood, reduce anxiety, strengthen self-esteem, manage stress, work through academic/social/professional challenges, process grief, improve relationships and communication, strengthen parenting techniques, and have smoother life transitions. Therapy's success is equal to the work you put into it, come do the work!
(508) 812-4066 View (508) 812-4066
Photo of Susan Hronsky Davidson, Psychologist in Wellesley, MA
Susan Hronsky Davidson
Psychologist, PhD
Verified Verified
3 Endorsed
Wellesley, MA 02482  (Online Only)
Are you feeling anxious? While you want to feel confident and have peace of mind, you feel constantly stressed. Despite the desire for contentment, anxiety can be overwhelming. It can affect your social well being, your productivity and even your health. That’s where I come in. With over 30 years of clinical experience, my extensive training as a child and adult psychologist, and my approachable warm style, I’ve guided thousands of clients to an improved quality of life. My passion lies in helping individuals of all ages conquer anxiety and create a healthier lifestyle using evidence-based Cognitive Behavioral Therapy (CBT).
Are you feeling anxious? While you want to feel confident and have peace of mind, you feel constantly stressed. Despite the desire for contentment, anxiety can be overwhelming. It can affect your social well being, your productivity and even your health. That’s where I come in. With over 30 years of clinical experience, my extensive training as a child and adult psychologist, and my approachable warm style, I’ve guided thousands of clients to an improved quality of life. My passion lies in helping individuals of all ages conquer anxiety and create a healthier lifestyle using evidence-based Cognitive Behavioral Therapy (CBT).
(774) 806-8323 View (774) 806-8323
Photo of Naomi Kavka, Clinical Social Work/Therapist in Wellesley, MA
Naomi Kavka
Clinical Social Work/Therapist, LMSW
Verified Verified
Wellesley, MA 02482
You may have wondered whether therapy could be helpful to you. I understand the importance of your psychological health in everyday functioning and am committed to helping during this time. I offer a free consultation to discuss any questions you may have. As a therapist at Greenwich Psychology group, I enjoy working with individuals who are committed to self- exploration and may be struggling with anxiety, depression, trauma, family concerns, parenting concerns, and/or work issues. I work to create a safe and non-judgmental space where we can explore your challenges and find ways to reconnect with your healthier and positive self.
You may have wondered whether therapy could be helpful to you. I understand the importance of your psychological health in everyday functioning and am committed to helping during this time. I offer a free consultation to discuss any questions you may have. As a therapist at Greenwich Psychology group, I enjoy working with individuals who are committed to self- exploration and may be struggling with anxiety, depression, trauma, family concerns, parenting concerns, and/or work issues. I work to create a safe and non-judgmental space where we can explore your challenges and find ways to reconnect with your healthier and positive self.
(475) 269-6988 View (475) 269-6988
Photo of Amina Mazzara, Counselor in Wellesley, MA
Amina Mazzara
Counselor, LMHC
Verified Verified
1 Endorsed
Wellesley, MA 02181
Hello! I have a variety of experience treating adolescents and adults with anxiety, depression, PTSD, phobias, panic and other mood disorders using a solution-focused, goal-oriented approach. I believe in treating people as people, and every individual brings a unique skill-set to the table that we can tap into in order to make progress and achieve set goals. I make sure that every client has access to non-judgmental space to explore underlying issues as well as tackle every day concerns and set weekly-goals. No concern is too small and no issue is beyond treatment.
Hello! I have a variety of experience treating adolescents and adults with anxiety, depression, PTSD, phobias, panic and other mood disorders using a solution-focused, goal-oriented approach. I believe in treating people as people, and every individual brings a unique skill-set to the table that we can tap into in order to make progress and achieve set goals. I make sure that every client has access to non-judgmental space to explore underlying issues as well as tackle every day concerns and set weekly-goals. No concern is too small and no issue is beyond treatment.
(508) 960-7581 View (508) 960-7581
Photo of Diane Roberts Stoler, Psychologist in Wellesley, MA
Diane Roberts Stoler
Psychologist, EdD
Verified Verified
Wellesley, MA 02482
Are you looking for a kind, caring, compassionate therapist who really sees you and your needs and is able to develop a personalized, customized program, rather than fitting you into a standardized one? Are you dealing with chronic anxiety, grief, PTSD or trauma? Or have you sustained a brain injury, concussion or stroke or are dealing with ADD, ADHD, dyslexia, or OCD? Or are you a performing artist or athlete who wants to perform at their highest ability? There is help and hope. There is a Way!
Are you looking for a kind, caring, compassionate therapist who really sees you and your needs and is able to develop a personalized, customized program, rather than fitting you into a standardized one? Are you dealing with chronic anxiety, grief, PTSD or trauma? Or have you sustained a brain injury, concussion or stroke or are dealing with ADD, ADHD, dyslexia, or OCD? Or are you a performing artist or athlete who wants to perform at their highest ability? There is help and hope. There is a Way!
(978) 743-9935 View (978) 743-9935
Photo of Alexa Moubarak, Clinical Social Work/Therapist in Wellesley, MA
Alexa Moubarak
Clinical Social Work/Therapist, MSW, LICSW, CCTP
Verified Verified
Wellesley, MA 02181
You don't need to bear that heavy burden alone. Whatever struggles you're facing, however exhausted or critical you may feel towards yourself, or how bleak things seem right now, know that therapy offers a space to share that weight. Together, we'll take a comprehensive approach to support both your mind and body. We'll delve into the root causes of your challenges, relieve stress through lifestyle adjustments and processing, and learn practical, evidence-based techniques to enhance your daily life. Our goal is to guide your body back to a state of relaxation, where joy can once again be felt.
You don't need to bear that heavy burden alone. Whatever struggles you're facing, however exhausted or critical you may feel towards yourself, or how bleak things seem right now, know that therapy offers a space to share that weight. Together, we'll take a comprehensive approach to support both your mind and body. We'll delve into the root causes of your challenges, relieve stress through lifestyle adjustments and processing, and learn practical, evidence-based techniques to enhance your daily life. Our goal is to guide your body back to a state of relaxation, where joy can once again be felt.
(508) 514-5607 View (508) 514-5607
Photo of Sophie Lew, Psychologist in Wellesley, MA
Sophie Lew
Psychologist, PsyD
Verified Verified
2 Endorsed
Wellesley, MA 02181  (Online Only)
I am a licensed clinical psychologist specialized in providing psychotherapy to teens, adults, and couples. I work with clients who are experiencing emotional, behavioral, and/or interpersonal challenges to optimize mental health and wellness. My approach is compassionate and collaborative, largely based on psychodynamic, mindfulness, cognitive-behavioral, and interpersonal modalities. My hope is to help decrease emotional suffering, enhance your relationships, and work towards meaningful change.
I am a licensed clinical psychologist specialized in providing psychotherapy to teens, adults, and couples. I work with clients who are experiencing emotional, behavioral, and/or interpersonal challenges to optimize mental health and wellness. My approach is compassionate and collaborative, largely based on psychodynamic, mindfulness, cognitive-behavioral, and interpersonal modalities. My hope is to help decrease emotional suffering, enhance your relationships, and work towards meaningful change.
(617) 807-0884 View (617) 807-0884
Photo of Sara Ginsberg, Counselor in Wellesley, MA
Sara Ginsberg
Counselor, MS ED, LMHC
Verified Verified
Wellesley, MA 02482  (Online Only)
Welcome! I build therapeutic relationships with my clients which provide a warm, inviting basis for our work together. Using a blend of behavioral health techniques including person-centered therapy, cognitive behavioral therapy, positive psychology and mindfulness and meditation, I incorporate a variety of techniques into my approach. Our sessions together are goal oriented and individually tailored. In addition to working with individuals, I have a practice working with parents to create a comprehensive, collaborative, team based plan that aligns with the needs of your family.
Welcome! I build therapeutic relationships with my clients which provide a warm, inviting basis for our work together. Using a blend of behavioral health techniques including person-centered therapy, cognitive behavioral therapy, positive psychology and mindfulness and meditation, I incorporate a variety of techniques into my approach. Our sessions together are goal oriented and individually tailored. In addition to working with individuals, I have a practice working with parents to create a comprehensive, collaborative, team based plan that aligns with the needs of your family.
(508) 960-7608 View (508) 960-7608
Photo of Stephanie Steinmetz, Counselor in Wellesley, MA
Stephanie Steinmetz
Counselor, PsyaD, LMHC
Verified Verified
Wellesley, MA 02481
Not accepting new clients
I treat individuals struggling with depression, anxiety, grief/loss, relationship conflict, family-related/academic/occupational stress, trauma, low self-esteem, as well as adjustments and life transitions.
Have you felt utterly alone despite being surrounded by others? Have you felt misunderstood by those close to you? Have you felt despair; trapped as a prisoner of your own mind? Psychotherapy focuses on symptom reduction and management and psychoanalysis targets the root of the symptom. Being able to integrate both of my credentials enables me to provide you with a comprehensive treatment that, along with providing a warm, encouraging and unbiased environment to promote self esteem and feelings of self worth, will lead you on the path to living a more serene, enriched and fulfilled life.
I treat individuals struggling with depression, anxiety, grief/loss, relationship conflict, family-related/academic/occupational stress, trauma, low self-esteem, as well as adjustments and life transitions.
Have you felt utterly alone despite being surrounded by others? Have you felt misunderstood by those close to you? Have you felt despair; trapped as a prisoner of your own mind? Psychotherapy focuses on symptom reduction and management and psychoanalysis targets the root of the symptom. Being able to integrate both of my credentials enables me to provide you with a comprehensive treatment that, along with providing a warm, encouraging and unbiased environment to promote self esteem and feelings of self worth, will lead you on the path to living a more serene, enriched and fulfilled life.
View
Photo of Carol Peacock, Psychologist in Wellesley, MA
Carol Peacock
Psychologist, MSW, PhD
Verified Verified
Wellesley, MA 02482
Not accepting new clients
Over the years, I've developed expertise in helping people suffering from anxiety and depression.
I believe that therapy is a journey towards growth and change. Over the past thirty years, I've had the honor of sharing this journey with adults of all ages, as well as adolescents and children. In the beginning, I often help people with an immediate problem or crisis. My personal style is warm, supportive and interactive. I draw from cognitive behavioral techniques, which stress concrete, behavioral change. Gradually, I create a safe space where we can establish a trusting relationship. People begin to identify the patterns they want to change. They replace old behaviors with new ones.
Over the years, I've developed expertise in helping people suffering from anxiety and depression.
I believe that therapy is a journey towards growth and change. Over the past thirty years, I've had the honor of sharing this journey with adults of all ages, as well as adolescents and children. In the beginning, I often help people with an immediate problem or crisis. My personal style is warm, supportive and interactive. I draw from cognitive behavioral techniques, which stress concrete, behavioral change. Gradually, I create a safe space where we can establish a trusting relationship. People begin to identify the patterns they want to change. They replace old behaviors with new ones.
(617) 858-0910 View (617) 858-0910
Photo of Dena Ray, PhD, Psychologist in Wellesley, MA
Dena Ray, PhD
Psychologist, PhD
Verified Verified
2 Endorsed
Wellesley, MA 02482
Not accepting new clients
I am feel very optimistic that people are able to change and create meaningful lives. I help my clients reach these goals. Voicing feelings and receiving support in a confidential, non-judgmental setting is essential. With me, my clients become more self-aware of emotional triggers, learn how their past affects their present, and is able to make positive changes. I help them cope with anxiety and depression, I work extensively with couples, resolve insomnia and sleep disorders and help athletes achieve peak sport performance. I also help clients experiencing loss, grief and bereavement.
I am feel very optimistic that people are able to change and create meaningful lives. I help my clients reach these goals. Voicing feelings and receiving support in a confidential, non-judgmental setting is essential. With me, my clients become more self-aware of emotional triggers, learn how their past affects their present, and is able to make positive changes. I help them cope with anxiety and depression, I work extensively with couples, resolve insomnia and sleep disorders and help athletes achieve peak sport performance. I also help clients experiencing loss, grief and bereavement.
(508) 928-5142 View (508) 928-5142

More Therapists Nearby

Photo of https://leblanc.llc/, Clinical Social Work/Therapist in Wellesley, MA
https://leblanc.llc/
Clinical Social Work/Therapist, LICSW
Verified Verified
Framingham, MA 01701  (Online Only)
I support Adults managing anxiety, self-esteem struggles, emotional regulation, ADHD, depression, grief, life changes, and healing from relational trauma.
Hello, welcome to my page. I am a graduate from Westfield State University with a Master's in Social Work. I currently hold a license in individual clinical social work (LICSW). I am passionate about integrated behavioral health which encourages the integration of mental health and whole-body health. I love the work I do and am inspired by the lives of everyday people.
I support Adults managing anxiety, self-esteem struggles, emotional regulation, ADHD, depression, grief, life changes, and healing from relational trauma.
Hello, welcome to my page. I am a graduate from Westfield State University with a Master's in Social Work. I currently hold a license in individual clinical social work (LICSW). I am passionate about integrated behavioral health which encourages the integration of mental health and whole-body health. I love the work I do and am inspired by the lives of everyday people.
(508) 501-3814 View (508) 501-3814
Photo of Jenny Ribeiro-de Sa, Clinical Social Work/Therapist in Wellesley, MA
Jenny Ribeiro-de Sa
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Weston, MA 02493  (Online Only)
I specialize in treating individuals and families dealing with anxiety, depression, trauma, ADHD, relationships, stress management, nutrition and life transitional issues.
Using a integrative style, I work with my clients in order to help them explore the social, emotional, biological, nutritional, and intellectual factors that are impeding them. My primary goal as a therapist is to build warm relationships characterized by acceptance and humor. I find that it is empowering for my clients to take an active role in creating our work together, whether that is short-term treatment targeting a specific problem, or more in-depth work.
I specialize in treating individuals and families dealing with anxiety, depression, trauma, ADHD, relationships, stress management, nutrition and life transitional issues.
Using a integrative style, I work with my clients in order to help them explore the social, emotional, biological, nutritional, and intellectual factors that are impeding them. My primary goal as a therapist is to build warm relationships characterized by acceptance and humor. I find that it is empowering for my clients to take an active role in creating our work together, whether that is short-term treatment targeting a specific problem, or more in-depth work.
(774) 208-0645 View (774) 208-0645
Photo of Sharon Dekel, Psychologist in Wellesley, MA
Sharon Dekel
Psychologist, PhD, MPhil, MS
Verified Verified
Brookline, MA 02446
I am an Assistant Professor at Harvard Medical School and I study psychological growth, posttraumatic stress, and depression. My clinical work is inspired by my research. Generally speaking, my work begins in a humanistic-existential orientation. I believe in the client's potential for growth. When I enter a treatment, I listen to the individual, relational, and cultural narratives I am told; to the layers in each narrative; to my own reactions. I focus on feelings, unfulfilled desires, maladaptive defenses, and unsatisfying means of relatedness with past and present others - all of which generate anxiety.
I am an Assistant Professor at Harvard Medical School and I study psychological growth, posttraumatic stress, and depression. My clinical work is inspired by my research. Generally speaking, my work begins in a humanistic-existential orientation. I believe in the client's potential for growth. When I enter a treatment, I listen to the individual, relational, and cultural narratives I am told; to the layers in each narrative; to my own reactions. I focus on feelings, unfulfilled desires, maladaptive defenses, and unsatisfying means of relatedness with past and present others - all of which generate anxiety.
(617) 299-7216 View (617) 299-7216
Photo of Angela Boring Lic Clin Social Worker-Super (Openings For Supervisees), Clinical Social Work/Therapist in Wellesley, MA
Angela Boring Lic Clin Social Worker-Super (Openings For Supervisees)
Clinical Social Work/Therapist, TX, UT, OR, MA, MAC, SE
Verified Verified
2 Endorsed
Dover, MA 02030
It's all too much. The never-ending responsibility to care for others at work and meeting your loved one's needs at home is a heavy weight to bear. As a high achiever, you've always been able to take on life's demands. But lately, you're trying to do it all while feeling completely overwhelmed. Overwhelmed with self-doubt, anxiety, and sometimes even feeling debilitated/frozen. At the end of the day, you're disappointed in yourself for being short with others, going through the motions with no real joy, and realizing that none of your own needs were met. You're mentally exhausted, frustrated, & need help getting off this carousel.
It's all too much. The never-ending responsibility to care for others at work and meeting your loved one's needs at home is a heavy weight to bear. As a high achiever, you've always been able to take on life's demands. But lately, you're trying to do it all while feeling completely overwhelmed. Overwhelmed with self-doubt, anxiety, and sometimes even feeling debilitated/frozen. At the end of the day, you're disappointed in yourself for being short with others, going through the motions with no real joy, and realizing that none of your own needs were met. You're mentally exhausted, frustrated, & need help getting off this carousel.
(430) 224-0313 View (430) 224-0313
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.