Photo of Elaine Boyer, Clinical Social Work/Therapist in Wellesley, MA
Elaine Boyer
Clinical Social Work/Therapist, LICSW
Verified Verified
Wellesley, MA 02181
My warmth, expertise and professionalism create an atmosphere in which my clients feel they have a comfortable safe place The issues that bring my clients to therapy include Anxiety and Panic Disorders, Depression, Bipolar, Life Transition Issues, Eating Disorders, Grief, Family/Couples Issues and Geriatric Challenges.
As a thirty year veteran in Clinical Social Work, I worked for many years at the premier Harvard teaching hospital for Psychiatry in Boston.. I am an eclectic therapist. My clinical work is based upon a psychodynamic foundation to which I have integrated Cognitive and/or Dialectical Behavior Therapy, Mindfulness and Relaxation Training, Family Systems Models and Coaching. In my initial assessment and subsequent work with each individual, I strive to listen as closely as possible to the feeling experience of the client and help each person develop an understanding and perspective of their life experience.
My warmth, expertise and professionalism create an atmosphere in which my clients feel they have a comfortable safe place The issues that bring my clients to therapy include Anxiety and Panic Disorders, Depression, Bipolar, Life Transition Issues, Eating Disorders, Grief, Family/Couples Issues and Geriatric Challenges.
As a thirty year veteran in Clinical Social Work, I worked for many years at the premier Harvard teaching hospital for Psychiatry in Boston.. I am an eclectic therapist. My clinical work is based upon a psychodynamic foundation to which I have integrated Cognitive and/or Dialectical Behavior Therapy, Mindfulness and Relaxation Training, Family Systems Models and Coaching. In my initial assessment and subsequent work with each individual, I strive to listen as closely as possible to the feeling experience of the client and help each person develop an understanding and perspective of their life experience.
(857) 214-4753 View (857) 214-4753
Photo of Courtney Carey, Clinical Social Work/Therapist in Wellesley, MA
Courtney Carey
Clinical Social Work/Therapist, LCSW
Verified Verified
Wellesley, MA 02482
You may have wondered whether therapy can be helpful to your adolescent. I offer a complimentary consultation to discuss any questions you may have. As a senior therapist at Greenwich Psychology Group, I enjoy working with children and adolescents that may be struggling with anxiety, depression, ADHD, behavioral or family issues. You can talk to me about anything; nothing will surprise me. I am accessible to parents and easy to talk to. I focus on your child, recognize their strengths, and develop tools to become their own therapist by learning how to deal with challenges. Children often feel better early on in treatment.
You may have wondered whether therapy can be helpful to your adolescent. I offer a complimentary consultation to discuss any questions you may have. As a senior therapist at Greenwich Psychology Group, I enjoy working with children and adolescents that may be struggling with anxiety, depression, ADHD, behavioral or family issues. You can talk to me about anything; nothing will surprise me. I am accessible to parents and easy to talk to. I focus on your child, recognize their strengths, and develop tools to become their own therapist by learning how to deal with challenges. Children often feel better early on in treatment.
(203) 433-6424 View (203) 433-6424
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 Nircia Del Rosario, Clinical Social Work/Therapist in Wellesley, MA
Nircia Del Rosario
Clinical Social Work/Therapist, LICSW, LADC I, CADC II
Verified Verified
Wellesley, MA 02482
It is not easy to start therapy treatment. An ideal client is a person that, even through all the fears, doubts and questions, takes the first step to start treatment and gives a chance to explore a new technique to find better balance in their life. There could be setbacks in the process but the most important thing is to stay constant. The client is willing to work in their goals and implement skills learned in every session. Also, to ask questions needed, even if they feel afraid, in order to be able to communicate with their therapist in a honest way.
It is not easy to start therapy treatment. An ideal client is a person that, even through all the fears, doubts and questions, takes the first step to start treatment and gives a chance to explore a new technique to find better balance in their life. There could be setbacks in the process but the most important thing is to stay constant. The client is willing to work in their goals and implement skills learned in every session. Also, to ask questions needed, even if they feel afraid, in order to be able to communicate with their therapist in a honest way.
(978) 409-4548 View (978) 409-4548
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 Allison Jones, Clinical Social Work/Therapist in Wellesley, MA
Allison Jones
Clinical Social Work/Therapist, LICSW
Verified Verified
Wellesley, MA 02181
My clients are typically teens (15+), adults or seniors (65+) struggling with anxiety, depression, OCD, and life transitions. I am trained in Exposure and Response Prevention (ERP)- the gold standard treatment for OCD. In addition, I have experience and a special interest in working with individuals or their loved ones as they navigate significant illness, grief/loss or other issues stemming from receiving complex medical care. I believe that as the patient, you are in the drivers’ seat, and I am helping you read the map. There are multiple routes we can take, and together we will find the best one for you.
My clients are typically teens (15+), adults or seniors (65+) struggling with anxiety, depression, OCD, and life transitions. I am trained in Exposure and Response Prevention (ERP)- the gold standard treatment for OCD. In addition, I have experience and a special interest in working with individuals or their loved ones as they navigate significant illness, grief/loss or other issues stemming from receiving complex medical care. I believe that as the patient, you are in the drivers’ seat, and I am helping you read the map. There are multiple routes we can take, and together we will find the best one for you.
(508) 406-9978 View (508) 406-9978
Photo of David Pransky, Clinical Social Work/Therapist in Wellesley, MA
David Pransky
Clinical Social Work/Therapist, LICSW
Verified Verified
Wellesley, MA 02482
I have extensive training and experience in working with people who suffer from anxiety and related disorders such as OCD, and depression.
With a direct, authentic, and light-hearted approach, I form genuine connections with my clients, and work collaboratively to establish and achieve their goals. Through developing increased self-awareness and enhancing coping skills, my clients are better able to manage their symptoms. This process ultimately leads to improved daily functioning and overall life satisfaction.
I have extensive training and experience in working with people who suffer from anxiety and related disorders such as OCD, and depression.
With a direct, authentic, and light-hearted approach, I form genuine connections with my clients, and work collaboratively to establish and achieve their goals. Through developing increased self-awareness and enhancing coping skills, my clients are better able to manage their symptoms. This process ultimately leads to improved daily functioning and overall life satisfaction.
(774) 228-7471 View (774) 228-7471
Chestnut Hill Therapy
Clinical Social Work/Therapist, LICSW
Verified Verified
Wellesley, MA 02181  (Online Only)
I have 20 years of experience as a mental health clinician. I provide therapy to identify solutions to change and challenges you are experiencing. In addition, I offer consultation to students and young adults managing anxiety, depression, academic pressure, and interpersonal conflict. In a collaborative and integrative approach, I employ a variety of therapy modalities, including Dialectic Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT), Mindfulness-based practice (MBCT), and Motivational Interviewing (MI).
I have 20 years of experience as a mental health clinician. I provide therapy to identify solutions to change and challenges you are experiencing. In addition, I offer consultation to students and young adults managing anxiety, depression, academic pressure, and interpersonal conflict. In a collaborative and integrative approach, I employ a variety of therapy modalities, including Dialectic Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT), Mindfulness-based practice (MBCT), and Motivational Interviewing (MI).
(617) 539-2677 View (617) 539-2677
Photo of Sasha Gesmer, Counselor in Wellesley, MA
Sasha Gesmer
Counselor, LMHC
Verified Verified
3 Endorsed
Wellesley, MA 02181  (Online Only)
As a somatic therapist, I’m trained to help you regulate your nervous system, work through trauma, and learn to process your feelings. Somatic experiencing is for people who have either been in therapy before and feel like they’re "talked out,” or who are new to therapy and want to try a more mind-body approach. This work is powerful and I’m so honored I get to share it with you and help you get to a more regulated place in your life.
As a somatic therapist, I’m trained to help you regulate your nervous system, work through trauma, and learn to process your feelings. Somatic experiencing is for people who have either been in therapy before and feel like they’re "talked out,” or who are new to therapy and want to try a more mind-body approach. This work is powerful and I’m so honored I get to share it with you and help you get to a more regulated place in your life.
(508) 501-8972 View (508) 501-8972
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 Carrie R Ross, Counselor in Wellesley, MA
Carrie R Ross
Counselor, MA, LMHC
Verified Verified
Wellesley, MA 02482
Not accepting new clients
I have over a decade of experience working with adults 18 and over, struggling with various mental health issues, including mood disorders, anxiety disorders, PTSD, stress management, anger management, disruptive thoughts, disturbed sleep, and chronic pain.
Everyone needs and deserves compassion, kindness, and to feel felt. This can be a challenge for many people. My intention is to help people heal with validation, support, and with no judgment. Our minds can be a very busy, exhausting, and intrusive place. I work with clients to help them feel empowered as they learn to manage their thoughts and emotions to feel more comfortable in their daily life.
I have over a decade of experience working with adults 18 and over, struggling with various mental health issues, including mood disorders, anxiety disorders, PTSD, stress management, anger management, disruptive thoughts, disturbed sleep, and chronic pain.
Everyone needs and deserves compassion, kindness, and to feel felt. This can be a challenge for many people. My intention is to help people heal with validation, support, and with no judgment. Our minds can be a very busy, exhausting, and intrusive place. I work with clients to help them feel empowered as they learn to manage their thoughts and emotions to feel more comfortable in their daily life.
(585) 632-6549 View (585) 632-6549
Photo of Raven Anne Register, Clinical Social Work/Therapist in Wellesley, MA
Raven Anne Register
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Wellesley, MA 02181
Not accepting new clients
I work with individuals and families on a range of issues including depression, anxiety, parenting special needs children, relationship issues, divorce, and trauma.
Finding the right therapist with whom to create a strong therapeutic alliance is paramount to success. I work with my clients in a framework of compassion, honesty, trust and safety. Together we will identify your goals, empower you to change what you can in your life and to learn acceptance, not passive resignation, for that which you can not change. Carl Jung put it best, “I am not what happened to me, I am what I choose to become”.
I work with individuals and families on a range of issues including depression, anxiety, parenting special needs children, relationship issues, divorce, and trauma.
Finding the right therapist with whom to create a strong therapeutic alliance is paramount to success. I work with my clients in a framework of compassion, honesty, trust and safety. Together we will identify your goals, empower you to change what you can in your life and to learn acceptance, not passive resignation, for that which you can not change. Carl Jung put it best, “I am not what happened to me, I am what I choose to become”.
(781) 343-7374 View (781) 343-7374

More Therapists Nearby

Photo of Renana Yanai-Anter, Clinical Social Work/Therapist in Wellesley, MA
Renana Yanai-Anter
Clinical Social Work/Therapist, MSW, LICSW, LISW
Not Verified Not Verified
1 Endorsed
Brookline, MA 02446
It takes courage to reach out for support and begin a healing journey. I believe that the therapeutic relationship can be a source of that healing. I put a lot of emphasis on creating an atmosphere of respect, caring and safety. We will collaborate to understand and help the parts in you that stand in your way to feeling satisfied and happy. My particular areas of experience and interest are: coping with the aftermath of traumatic and painful experiences, life transitions, women's issues, relationships, complicated grief, anxiety, stage fright and creative blocks, depression, medical diagnoses and pain issues, multiculturalism.
It takes courage to reach out for support and begin a healing journey. I believe that the therapeutic relationship can be a source of that healing. I put a lot of emphasis on creating an atmosphere of respect, caring and safety. We will collaborate to understand and help the parts in you that stand in your way to feeling satisfied and happy. My particular areas of experience and interest are: coping with the aftermath of traumatic and painful experiences, life transitions, women's issues, relationships, complicated grief, anxiety, stage fright and creative blocks, depression, medical diagnoses and pain issues, multiculturalism.
(617) 379-0064 View (617) 379-0064
Photo of Katelyn Nkomo, Counselor in Wellesley, MA
Katelyn Nkomo
Counselor, LMHC
Verified Verified
1 Endorsed
Dover, MA 02030  (Online Only)
I enjoy working with clients who want to see change in their daily life. Depression, anxiety, difficult relationships, family issues, and stress are some of the needs to be addressed to see real change in life. My goal is to support you in reaching your identified goals. I will support you in exploring your needs and recognizing what shifts may help in order to reach your goals. I like to get to know my client's and see the big picture of their lives. I use a client centered approach to ensure that the therapy offered is useful and valued.
I enjoy working with clients who want to see change in their daily life. Depression, anxiety, difficult relationships, family issues, and stress are some of the needs to be addressed to see real change in life. My goal is to support you in reaching your identified goals. I will support you in exploring your needs and recognizing what shifts may help in order to reach your goals. I like to get to know my client's and see the big picture of their lives. I use a client centered approach to ensure that the therapy offered is useful and valued.
(781) 546-5939 View (781) 546-5939
Photo of Ilana Marram, Counselor in Wellesley, MA
Ilana Marram
Counselor, LMHC
Verified Verified
Brookline, MA 02445  (Online Only)
Taking New Clients! Are you questioning your gender? Or just looking for a gender affirming therapist to process feeling burnt out from the last few years (who wouldn't!)? Maybe you're noticing difficulty coping with anxiety, stress, depression, ADHD and/or anger. Feeling like it's difficult getting your daily tasks done due to feeling overwhelmed, difficulty focusing, and feeling unable to say no to others.
Taking New Clients! Are you questioning your gender? Or just looking for a gender affirming therapist to process feeling burnt out from the last few years (who wouldn't!)? Maybe you're noticing difficulty coping with anxiety, stress, depression, ADHD and/or anger. Feeling like it's difficult getting your daily tasks done due to feeling overwhelmed, difficulty focusing, and feeling unable to say no to others.
View
Photo of Paragon Mental Health Counseling, Counselor in Wellesley, MA
Paragon Mental Health Counseling
Counselor, LMHC
Verified Verified
Newton, MA 02456  (Online Only)
Are you exhausted by the daily struggle of living with depression, anxiety, or self-esteem issues? Does academic stress or entering into adulthood feel like an impossible challenge? Do you live with chronic pain, disability, or health conditions that cause emotional distress or feelings of isolation? Our mission is to excel at facilitating the positive change and healing you've been needing in your life. We achieve this not only with talk-therapy, but also by teaching applicable skills and coping strategies to be used daily as you navigate through adversity and strive for self-growth.
Are you exhausted by the daily struggle of living with depression, anxiety, or self-esteem issues? Does academic stress or entering into adulthood feel like an impossible challenge? Do you live with chronic pain, disability, or health conditions that cause emotional distress or feelings of isolation? Our mission is to excel at facilitating the positive change and healing you've been needing in your life. We achieve this not only with talk-therapy, but also by teaching applicable skills and coping strategies to be used daily as you navigate through adversity and strive for self-growth.
(339) 220-5568 View (339) 220-5568
Photo of Leila Tighe LICSW, Clinical Social Work/Therapist in Wellesley, MA
Leila Tighe LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Brookline, MA 02445
My practice focuses on the resolution of internal conflict while finding peace through meaning, purpose and fulfillment. Resolve internal conflict with support and guidance rather than alone with your harsh internal critic. I treat clients with varying degrees of anxiety, depression, mood and motivational issues. Whether it is difficult relationships, parenting, grief, new careers or new experiences, let me help motivate you. In the spirit of football player Joe Paterno, we are never standing still, we are either improving or we are declining. I will facilitate your well being through logic, rational thought and understanding.
My practice focuses on the resolution of internal conflict while finding peace through meaning, purpose and fulfillment. Resolve internal conflict with support and guidance rather than alone with your harsh internal critic. I treat clients with varying degrees of anxiety, depression, mood and motivational issues. Whether it is difficult relationships, parenting, grief, new careers or new experiences, let me help motivate you. In the spirit of football player Joe Paterno, we are never standing still, we are either improving or we are declining. I will facilitate your well being through logic, rational thought and understanding.
(781) 786-7137 View (781) 786-7137
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
Photo of Jacleen Charbonneau, Counselor in Wellesley, MA
Jacleen Charbonneau
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Norwood, MA 02062
Working with older teens & young adults — including college students & young professionals— I help clients navigate concerns such as anxiety, depression, and life adjustments that are causing stress, low self esteem, relationship concerns, stress due to perfectionism, feeling on edge, panic attacks, social isolation, feelings of “imposter syndrome,” & more. Navigating the 20s is a difficult time for many, as this is a time of internal and external changes that occur simultaneously, whether this includes one’s exploration of both personal and professional identity, relationship satisfaction, accommodating to a new city, and more.
Working with older teens & young adults — including college students & young professionals— I help clients navigate concerns such as anxiety, depression, and life adjustments that are causing stress, low self esteem, relationship concerns, stress due to perfectionism, feeling on edge, panic attacks, social isolation, feelings of “imposter syndrome,” & more. Navigating the 20s is a difficult time for many, as this is a time of internal and external changes that occur simultaneously, whether this includes one’s exploration of both personal and professional identity, relationship satisfaction, accommodating to a new city, and more.
(508) 571-6869 View (508) 571-6869
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.