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Photo of Leia Charnin, Psychologist in Wellesley, MA
Leia Charnin
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Brookline, MA 02445
You're over it. Feeling sad and heartbroken about what you've endured in life. You don't want to continue struggling to get through the day. Your nervous system feels like it's in survival mode to cope and it's affecting your relationships, self-worth, and work. It's time for that black cloud over your head to stop controlling you. Whether you're struggling with identity, sexuality, relational trauma, grief, anxiety, or burnout, you have options to grow beyond this quicksand keeping you stuck.
You're over it. Feeling sad and heartbroken about what you've endured in life. You don't want to continue struggling to get through the day. Your nervous system feels like it's in survival mode to cope and it's affecting your relationships, self-worth, and work. It's time for that black cloud over your head to stop controlling you. Whether you're struggling with identity, sexuality, relational trauma, grief, anxiety, or burnout, you have options to grow beyond this quicksand keeping you stuck.
(980) 280-1324 View (980) 280-1324
Photo of Ginger Smith, Clinical Social Work/Therapist in Wellesley, MA
Ginger Smith
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Framingham, MA 01702  (Online Only)
Do you find yourself feeling lonely, anxious, stuck in a cycle of unhelpful thoughts and behaviors, unable to move forward with goals and plans? Are you dealing with challenging life circumstances such as illness, caretaking stressors, difficult romantic or family relationships, pressure or burnout in your career, poor self-esteem? Are you trying to make changes that you believe will lead to increased happiness and satisfaction but somehow these changes are not giving you the results that you had hoped for?
Do you find yourself feeling lonely, anxious, stuck in a cycle of unhelpful thoughts and behaviors, unable to move forward with goals and plans? Are you dealing with challenging life circumstances such as illness, caretaking stressors, difficult romantic or family relationships, pressure or burnout in your career, poor self-esteem? Are you trying to make changes that you believe will lead to increased happiness and satisfaction but somehow these changes are not giving you the results that you had hoped for?
(617) 675-9032 View (617) 675-9032
Photo of Freddie Palmer, Clinical Social Work/Therapist in Wellesley, MA
Freddie Palmer
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Newton, MA 02461
As a former teacher turned therapist, I have developed a strong counseling tool box. I specialize in supporting adolescents/teens and adults find ways to cope with trauma and loss, manage anxiety and depression, develop problem solving strategies and social skills, overcome substance abuse and low self-esteem, and manage family conflict. I am also able to help the individuals I work with to develop executive functioning and advocacy skills at school, home, and in the community. I utilize humor, unconditional positive regard, and curiosity to create a safe and productive space for you to grow.
As a former teacher turned therapist, I have developed a strong counseling tool box. I specialize in supporting adolescents/teens and adults find ways to cope with trauma and loss, manage anxiety and depression, develop problem solving strategies and social skills, overcome substance abuse and low self-esteem, and manage family conflict. I am also able to help the individuals I work with to develop executive functioning and advocacy skills at school, home, and in the community. I utilize humor, unconditional positive regard, and curiosity to create a safe and productive space for you to grow.
(617) 676-0183 View (617) 676-0183
Photo of Anastasia Grace, Clinical Social Work/Therapist in Wellesley, MA
Anastasia Grace
Clinical Social Work/Therapist, LICSW, CLC
Verified Verified
1 Endorsed
Cambridge, MA 02138  (Online Only)
I believe nobody should grapple with crippling anxiety. Tired of waiting for the other shoe to drop, feeling unwarranted fear, or losing sleep due to worry? There's hope. Anxiety affects millions, but we can navigate toward a brighter tomorrow. I offer personalized sessions for self-confidence, serenity, and joy. Let's embark on this journey together—because you deserve a life free from anxiety's constraints. My commitment to specializing in anxiety and its various forms stems from a recognition of the remarkable efficacy of modern therapeutic approaches.
I believe nobody should grapple with crippling anxiety. Tired of waiting for the other shoe to drop, feeling unwarranted fear, or losing sleep due to worry? There's hope. Anxiety affects millions, but we can navigate toward a brighter tomorrow. I offer personalized sessions for self-confidence, serenity, and joy. Let's embark on this journey together—because you deserve a life free from anxiety's constraints. My commitment to specializing in anxiety and its various forms stems from a recognition of the remarkable efficacy of modern therapeutic approaches.
(857) 226-9849 View (857) 226-9849
Photo of Stephen C Duclos, Marriage & Family Therapist in Wellesley, MA
Stephen C Duclos
Marriage & Family Therapist, MEd, CST, CRC, LMFT, LMHC
Verified Verified
4 Endorsed
Boston, MA 02131
Diminishing anxiety is a large part of our practice.
I have been working with families and couples in various configurations and locations since 1972. In addition to being a Licensed Family Therapist, I am also a Licensed Mental Health Counselor, AASECT Certified Sex Therapist, and Nationally Certified Rehabilitation Counselor. I have taught courses in Ethics, Substance Abuse, Sexuality, and other subjects in the Graduate School Of Counseling at UMass/Boston. Primarily, my work is about family and couple relationships. In 2012, I was awarded the Schiller Prize for my work with fathers, daughters, and sexuality by AASECT. I am an AAMFT Approved Supervisor, and train therapists.
Diminishing anxiety is a large part of our practice.
I have been working with families and couples in various configurations and locations since 1972. In addition to being a Licensed Family Therapist, I am also a Licensed Mental Health Counselor, AASECT Certified Sex Therapist, and Nationally Certified Rehabilitation Counselor. I have taught courses in Ethics, Substance Abuse, Sexuality, and other subjects in the Graduate School Of Counseling at UMass/Boston. Primarily, my work is about family and couple relationships. In 2012, I was awarded the Schiller Prize for my work with fathers, daughters, and sexuality by AASECT. I am an AAMFT Approved Supervisor, and train therapists.
(617) 431-6792 View (617) 431-6792
Photo of Be Mindful and Well, PhD in Wellesley, MA
Be Mindful and Well, PhD
PhD
Verified Verified
Brookline, MA 02445  (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 Pam Greenberg, Counselor in Wellesley, MA
Pam Greenberg
Counselor, LMHC
Verified Verified
North Cambridge, MA 02140
I strive to get to know you in your totality— your strengths as well as your vulnerabilities, your dreams as well as your disappointments. Whether you are an adult seeking counseling for yourself or looking for support for a child or teen, I bring a wealth of experience working with issues ranging from depression and anxiety to behavioral concerns or school resistance. My approach is warm and compassionate, yet focused on helping each client make the changes needed to live a happier, more fulfilled life.
I strive to get to know you in your totality— your strengths as well as your vulnerabilities, your dreams as well as your disappointments. Whether you are an adult seeking counseling for yourself or looking for support for a child or teen, I bring a wealth of experience working with issues ranging from depression and anxiety to behavioral concerns or school resistance. My approach is warm and compassionate, yet focused on helping each client make the changes needed to live a happier, more fulfilled life.
(617) 444-9056 View (617) 444-9056
Photo of David Joseph Alpert, Counselor in Wellesley, MA
David Joseph Alpert
Counselor, LMHC
Verified Verified
Belmont, MA 02478
You've sought me out for counseling because you experience a significant discrepancy in your life between how you feel and how you'd like to feel. You're seeking to have positive mental health, that is, to know yourself, to be yourself, to expand your capacity to care for yourself and others and your world, to maintain humility, and to maintain hope. You're aware of the fluctuating nature of your functionality: at times you function well, and at other times you don't function as well as you'd like to. You're aware that, at times, you have experienced distress, that is, difficult life moments. You're ready to create a better life.
You've sought me out for counseling because you experience a significant discrepancy in your life between how you feel and how you'd like to feel. You're seeking to have positive mental health, that is, to know yourself, to be yourself, to expand your capacity to care for yourself and others and your world, to maintain humility, and to maintain hope. You're aware of the fluctuating nature of your functionality: at times you function well, and at other times you don't function as well as you'd like to. You're aware that, at times, you have experienced distress, that is, difficult life moments. You're ready to create a better life.
(617) 682-9086 View (617) 682-9086
Photo of Monika Bang-Campbell, Clinical Social Work/Therapist in Wellesley, MA
Monika Bang-Campbell
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Watertown, MA 02472  (Online Only)
Telehealth appointments only. If you are wanting to experience more, self awareness, connection and ability to live with inner peace from life's stressors I am here to help you on that path. Your therapeutic experience is tailored to your specific emotional needs, focusing on the connection of mind, body and spirit. You will receive an integrative experience that looks at you as a whole person, not just a symptom. You are given specific tools to improve your life and experience increased awareness of self. Welcome to your healing journey.
Telehealth appointments only. If you are wanting to experience more, self awareness, connection and ability to live with inner peace from life's stressors I am here to help you on that path. Your therapeutic experience is tailored to your specific emotional needs, focusing on the connection of mind, body and spirit. You will receive an integrative experience that looks at you as a whole person, not just a symptom. You are given specific tools to improve your life and experience increased awareness of self. Welcome to your healing journey.
(774) 766-4011 View (774) 766-4011
Photo of Judy Ashway, Clinical Social Work/Therapist in Wellesley, MA
Judy Ashway
Clinical Social Work/Therapist, MSW, LICSW, BCD, ACSW
Verified Verified
Arlington, MA 02476
I have been a child & adolescent therapist for 49yrs., & I enjoy my work greatly. I also work with parents who want advice and guidance about parenting skills. Children can change much faster than adults, and that is why I love working with young people. I try to support their strengths, encourage their creativity, relate to them with warmth and humor. I also work with parents with children, and with parents with teens if teens want me to. I like the challenge of connecting with both children and teens, ages 4 to 20. Connecting requires intuition and open-heartedness.
I have been a child & adolescent therapist for 49yrs., & I enjoy my work greatly. I also work with parents who want advice and guidance about parenting skills. Children can change much faster than adults, and that is why I love working with young people. I try to support their strengths, encourage their creativity, relate to them with warmth and humor. I also work with parents with children, and with parents with teens if teens want me to. I like the challenge of connecting with both children and teens, ages 4 to 20. Connecting requires intuition and open-heartedness.
(617) 682-9018 View (617) 682-9018
Photo of Laura Beth Pang, Psychologist in Wellesley, MA
Laura Beth Pang
Psychologist, PsyD
Verified Verified
Belmont, MA 02478
Not accepting new clients
I am a Licensed Clinical Psychologist with 25+ years experience. I consider helping people address their suffering a privilege. Learning about yourself within a therapeutic relationship can lead to a more meaningful and authentic life. I can help you with anxiety, depression, relationship struggles, parenting, divorce, sexuality, shame, acute/chronic illness, body image, grief, and change/loss/growth. I work with a wide range of people from diverse backgrounds. I am fluent in Spanish and speak some Mandarin. I will help you learn to make conscious choices that will result in your feeling empowered and more grounded.
I am a Licensed Clinical Psychologist with 25+ years experience. I consider helping people address their suffering a privilege. Learning about yourself within a therapeutic relationship can lead to a more meaningful and authentic life. I can help you with anxiety, depression, relationship struggles, parenting, divorce, sexuality, shame, acute/chronic illness, body image, grief, and change/loss/growth. I work with a wide range of people from diverse backgrounds. I am fluent in Spanish and speak some Mandarin. I will help you learn to make conscious choices that will result in your feeling empowered and more grounded.
(617) 207-5382 View (617) 207-5382
Photo of Natalia Bracamonte Moreno, Clinical Social Work/Therapist in Wellesley, MA
Natalia Bracamonte Moreno
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Framingham, MA 01701  (Online Only)
Not accepting new clients
I believe in strength based compassionate therapy by providing a safe space to navigate vulnerable experiences. I truly believe that our own inner wisdom can get us ahead in life. My goal in the therapeutic process is for you to learn and create new pathways to achieve healing.
I believe in strength based compassionate therapy by providing a safe space to navigate vulnerable experiences. I truly believe that our own inner wisdom can get us ahead in life. My goal in the therapeutic process is for you to learn and create new pathways to achieve healing.
(508) 690-5774 View (508) 690-5774

Online Therapists

Photo of Elpis Psychology, Health and Education Institute, Counselor in Wellesley, MA
Elpis Psychology, Health and Education Institute
Counselor, CEO, MA, LMHC
Verified Verified
Beverly, MA 01915
Our Therapists are experienced in the most effective techniques, including CBT for trauma, depression, & anxiety.
At Elpis Institute our objective is to offer comprehensive, highly customized services to our clients. Experienced in the latest, most effective techniques, we offer a collaborative, integrated approach to our clients that include Neuropsychological, Educational & Career Testing, Psychotherapy & Psychopharmacological Services, and Academic & Career Coaching. Our Neuropsychology Service is comprised of highly experienced doctoral level psychologists. Our Therapeutic Services offer comprehensive, effective, empirically proven techniques, and our academic & Career Coaches offer effective strategies to support academic & career goals.
Our Therapists are experienced in the most effective techniques, including CBT for trauma, depression, & anxiety.
At Elpis Institute our objective is to offer comprehensive, highly customized services to our clients. Experienced in the latest, most effective techniques, we offer a collaborative, integrated approach to our clients that include Neuropsychological, Educational & Career Testing, Psychotherapy & Psychopharmacological Services, and Academic & Career Coaching. Our Neuropsychology Service is comprised of highly experienced doctoral level psychologists. Our Therapeutic Services offer comprehensive, effective, empirically proven techniques, and our academic & Career Coaches offer effective strategies to support academic & career goals.
(978) 785-9977 View (978) 785-9977
Photo of Samar Wahid in Wellesley, MA
Samar Wahid
LMHC
Verified Verified
1 Endorsed
Boston, MA 02116  (Online Only)
You are a person of color going through a life transition and finding it more difficult than you imagined. You feel out of place, different from your coworkers, peers, or family members. Stress makes it tough for you to function at your best and you are burnt out. You find yourself feeling depressed, anxious, angry, lonely, or misunderstood.
You are a person of color going through a life transition and finding it more difficult than you imagined. You feel out of place, different from your coworkers, peers, or family members. Stress makes it tough for you to function at your best and you are burnt out. You find yourself feeling depressed, anxious, angry, lonely, or misunderstood.
(857) 422-6239 View (857) 422-6239
Photo of Ifemide S Ayo, Mental Health Counselor in Wellesley, MA
Ifemide S Ayo
Mental Health Counselor, MEd, LMHC
Verified Verified
Gloucester, MA 01930  (Online Only)
I specialize in Men's issues, trauma, self-esteem, behavioral issues, substance abuse, life coaching/ transitions, communication, depression, anxiety, emotional dysregulation, christian counseling, social avoidant behaviors, etc.
I'd like to help you explore your thoughts, feelings, and behaviors in order to cultivate a healthier version of yourself. Which includes, but is not limited to identifying emotions, triggers, and coping skills. Helping you understand what you're going through in order to make necessary change. Learning your personal patterns and behaviors to improving quality of life. (Telehealth Only)
I specialize in Men's issues, trauma, self-esteem, behavioral issues, substance abuse, life coaching/ transitions, communication, depression, anxiety, emotional dysregulation, christian counseling, social avoidant behaviors, etc.
I'd like to help you explore your thoughts, feelings, and behaviors in order to cultivate a healthier version of yourself. Which includes, but is not limited to identifying emotions, triggers, and coping skills. Helping you understand what you're going through in order to make necessary change. Learning your personal patterns and behaviors to improving quality of life. (Telehealth Only)
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Photo of Kira J Pullig, Clinical Social Work/Therapist in Wellesley, MA
Kira J Pullig
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Peabody, MA 01960
My interests and clinical experience include chronic stress, anxiety, depression, grief/loss, trauma, compassion fatigue/secondary trauma, and racial, social and gender justice.
Availability: Limited week day hours ( before 6p). My therapy style is practical, gentle and significantly informed by the Internal Family Systems (IFS) model as well as Narrative,Relational, CBT and motivational interviewing frameworks. As a trained reiki master and yoga teacher, I integrate mindfulness-based practices including Reiki, guided imagery and breath work into traditional talk therapy sessions. I support clients in accessing internal resources, such as curiosity, compassion and confidence, to encourage their process of growth, change and healing in a trauma-informed and client-directed way.
My interests and clinical experience include chronic stress, anxiety, depression, grief/loss, trauma, compassion fatigue/secondary trauma, and racial, social and gender justice.
Availability: Limited week day hours ( before 6p). My therapy style is practical, gentle and significantly informed by the Internal Family Systems (IFS) model as well as Narrative,Relational, CBT and motivational interviewing frameworks. As a trained reiki master and yoga teacher, I integrate mindfulness-based practices including Reiki, guided imagery and breath work into traditional talk therapy sessions. I support clients in accessing internal resources, such as curiosity, compassion and confidence, to encourage their process of growth, change and healing in a trauma-informed and client-directed way.
(857) 230-0593 View (857) 230-0593
Photo of Felicia Sevene, Clinical Social Work/Therapist in Wellesley, MA
Felicia Sevene
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Amherst, MA 01002
I've supported people from many walks of life struggling with anxiety, depression, trauma, oppression, grief/loss, chronic pain, low self-esteem, addictions and other issues.
We all need help and support sometimes. Many of us have been taught that asking for help is a sign of weakness. We may have tried reaching out for help and were ignored, shamed, or hurt by those we trusted, leading us to create protections, to shut down, or to engage in unworkable coping strategies that keep us stuck and hurting. The truth is, asking for help is brave and takes courage and willingness. Sometimes it can feel overwhelming just trying to untangle and make sense of it all. Healing IS possible! And you don't have to do it alone. In fact, healing is best done in connection with others.
I've supported people from many walks of life struggling with anxiety, depression, trauma, oppression, grief/loss, chronic pain, low self-esteem, addictions and other issues.
We all need help and support sometimes. Many of us have been taught that asking for help is a sign of weakness. We may have tried reaching out for help and were ignored, shamed, or hurt by those we trusted, leading us to create protections, to shut down, or to engage in unworkable coping strategies that keep us stuck and hurting. The truth is, asking for help is brave and takes courage and willingness. Sometimes it can feel overwhelming just trying to untangle and make sense of it all. Healing IS possible! And you don't have to do it alone. In fact, healing is best done in connection with others.
(413) 278-6792 View (413) 278-6792
Photo of Amanda Sposato, Clinical Social Work/Therapist in Wellesley, MA
Amanda Sposato
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
Easthampton, MA 01027
I believe that every person makes sense in context. You might wonder why you often feel anxious, unfulfilled, or discontent. You might be curious about the patterns in your relationships or your reactions to others or events. You may wish to explore the ways you feel simultaneously connected and disconnected from yourself or the world. I'd love to work with you to help cultivate a curious stance to better understand yourself in the fuller context of your life. We will work together to expand your feelings of aliveness and acceptance while also helping you to more flexibly express needs, manage emotions, and deepen relationships.
I believe that every person makes sense in context. You might wonder why you often feel anxious, unfulfilled, or discontent. You might be curious about the patterns in your relationships or your reactions to others or events. You may wish to explore the ways you feel simultaneously connected and disconnected from yourself or the world. I'd love to work with you to help cultivate a curious stance to better understand yourself in the fuller context of your life. We will work together to expand your feelings of aliveness and acceptance while also helping you to more flexibly express needs, manage emotions, and deepen relationships.
(413) 588-7108 View (413) 588-7108
Photo of NewVision Healthcare Group, PC in Wellesley, MA
NewVision Healthcare Group, PC
DNP, LMHC, PMHNP, MD
Verified Verified
Randolph, MA 02368
At NewVision Healthcare Group we educate, not medicate! We are a private practice specializing in Psychiatry/Mental/Behavioral Health using a patient centered approach. Our goal is to provide clients with the education, resources and psychosocial support they need, in order to make an informed decision about their mental health. We work with individuals with neurocognitive and intellectual disabilities as well as depression, anxiety, PTSD, bipolar disorders, substance use and other chronic mental illnesses.
At NewVision Healthcare Group we educate, not medicate! We are a private practice specializing in Psychiatry/Mental/Behavioral Health using a patient centered approach. Our goal is to provide clients with the education, resources and psychosocial support they need, in order to make an informed decision about their mental health. We work with individuals with neurocognitive and intellectual disabilities as well as depression, anxiety, PTSD, bipolar disorders, substance use and other chronic mental illnesses.
(781) 790-4127 x02368 View (781) 790-4127 x02368
Photo of Anne Kulakowski, Counselor in Wellesley, MA
Anne Kulakowski
Counselor, LMHC
Verified Verified
1 Endorsed
Princeton, MA 01541
When you recover your relationship with your body, your wisdom and intuition will start to guide you, as opposed to the fears, anxieties, and doubts that may currently be running the show.
Welcome! Going through a difficult time or a time in which you’re flooded with more questions than answers is hard but it can also be an invitation to discover strengths and supports you may not know you had. In therapy, you are invited to take care of yourself with more commitment, find what matters most to you, and listen deeply for answers inside of yourself. I am committed to creating a safe and non-judgmental space where you can begin your journey home to yourself.
When you recover your relationship with your body, your wisdom and intuition will start to guide you, as opposed to the fears, anxieties, and doubts that may currently be running the show.
Welcome! Going through a difficult time or a time in which you’re flooded with more questions than answers is hard but it can also be an invitation to discover strengths and supports you may not know you had. In therapy, you are invited to take care of yourself with more commitment, find what matters most to you, and listen deeply for answers inside of yourself. I am committed to creating a safe and non-judgmental space where you can begin your journey home to yourself.
(857) 226-4681 View (857) 226-4681
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.