Photo of Kaitlyn Gould, Clinical Social Work/Therapist in Zeeland, MI
Kaitlyn Gould
Clinical Social Work/Therapist, LMSW, CFNC
Verified Verified
1 Endorsed
Zeeland, MI 49464
While working through grief and the many other emotions that can accompany it, such as anxiety, depression, and anger, one can begin the journey of becoming wholehearted again.
It’s okay, not to be okay. Many life experiences, both expected and unexpected, can awaken a broad range of emotions. Oftentimes, the instinct is to try and hide or brush off our personal health to “get on with our lives.” Grief and loss may not hurt as often as time passes, but that does not mean that it hurts any less. Loss, whether it be the result of a death, divorce, job, illness, or friendship, can cause grief that is often a lifelong process. Even though grief is not a tangible injury, if not properly cared for, it can become a deeper wound.
While working through grief and the many other emotions that can accompany it, such as anxiety, depression, and anger, one can begin the journey of becoming wholehearted again.
It’s okay, not to be okay. Many life experiences, both expected and unexpected, can awaken a broad range of emotions. Oftentimes, the instinct is to try and hide or brush off our personal health to “get on with our lives.” Grief and loss may not hurt as often as time passes, but that does not mean that it hurts any less. Loss, whether it be the result of a death, divorce, job, illness, or friendship, can cause grief that is often a lifelong process. Even though grief is not a tangible injury, if not properly cared for, it can become a deeper wound.
(616) 312-2368 View (616) 312-2368
Photo of Jacob Brown, Pre-Licensed Professional in Zeeland, MI
Jacob Brown
Pre-Licensed Professional, TLLP
Verified Verified
1 Endorsed
Zeeland, MI 49464
I am passionate about working with adolescents and adults struggling with loss or grief, trauma, anxiety, and/or depression.
I once heard that in order to live a fulfilling life you need to live it fully everyday. Living fully can look different from day to day. Some days living fully may bring joy, peace, excitement, & love as you form new relationships, pursue your passions, & discover more about yourself. Yet other days living fully may bring frustration, sorrow, fear, and pain as you face loss, trauma, and uncertainty. In either of these cases, living fully is done in relationship and living alongside another can bring healing beyond belief. I strive to be that ally, to walk alongside others as they experience the joys & challenges of living fully.
I am passionate about working with adolescents and adults struggling with loss or grief, trauma, anxiety, and/or depression.
I once heard that in order to live a fulfilling life you need to live it fully everyday. Living fully can look different from day to day. Some days living fully may bring joy, peace, excitement, & love as you form new relationships, pursue your passions, & discover more about yourself. Yet other days living fully may bring frustration, sorrow, fear, and pain as you face loss, trauma, and uncertainty. In either of these cases, living fully is done in relationship and living alongside another can bring healing beyond belief. I strive to be that ally, to walk alongside others as they experience the joys & challenges of living fully.
(616) 404-3097 View (616) 404-3097
Photo of Austin Huffer, Counselor in Zeeland, MI
Austin Huffer
Counselor, LPC
Verified Verified
1 Endorsed
Zeeland, MI 49464
My work with clients includes a variety of issues including anxiety, depression, adjustment, relationships, sexuality, and identity.
Carol Rodgers once said If we are able to accept ourselves just as we are, then we can change. Likewise, I believe that everyone has the unique ability to discover significance within themself. This path to personal development is often found within the context of meaningful relationships. A therapeutic relationship can offer helpful guidance towards radical acceptance, profound healing and transformational growth.
My work with clients includes a variety of issues including anxiety, depression, adjustment, relationships, sexuality, and identity.
Carol Rodgers once said If we are able to accept ourselves just as we are, then we can change. Likewise, I believe that everyone has the unique ability to discover significance within themself. This path to personal development is often found within the context of meaningful relationships. A therapeutic relationship can offer helpful guidance towards radical acceptance, profound healing and transformational growth.
(616) 918-6332 View (616) 918-6332
Photo of Hillary Dvorak, Clinical Social Work/Therapist in Zeeland, MI
Hillary Dvorak
Clinical Social Work/Therapist, LCSW
Verified Verified
Zeeland, MI 49464  (Online Only)
I currently see individual adults with any assortment of personal struggles such as anxiety, depression, work challenges, grief and loss, trauma, relationship issues or chronic pain.
I am a firm believer that people are extremely resilient and it is a strength to ask for help!  My background is in child welfare where I have witnessed individuals, families and children overcome severe trauma. As a clinician, I aim to create a safe, non-judgmental environment where we work as a team to face any and all barriers within your life.  Because you are your biggest catalyst for change, we work together to create a treatment focus centered around your personal mental health goals.
I currently see individual adults with any assortment of personal struggles such as anxiety, depression, work challenges, grief and loss, trauma, relationship issues or chronic pain.
I am a firm believer that people are extremely resilient and it is a strength to ask for help!  My background is in child welfare where I have witnessed individuals, families and children overcome severe trauma. As a clinician, I aim to create a safe, non-judgmental environment where we work as a team to face any and all barriers within your life.  Because you are your biggest catalyst for change, we work together to create a treatment focus centered around your personal mental health goals.
(312) 815-2266 View (312) 815-2266
Photo of Molly Henson, Clinical Social Work/Therapist in Zeeland, MI
Molly Henson
Clinical Social Work/Therapist, LMSW, ADS
Verified Verified
Zeeland, MI 49464
I prefer to take a well-rounded approach to therapy and symptom management; particularly with anxiety and depression.
Our lives are full of changes, struggles, and great joys. It is during the times when we are experiencing a variety of family or personal struggles that we need someone to listen to us and offer resources and alternative points of view while we challenge ourselves to grow. Whether you, your teenager or your family are experiencing obstacles, I would like to help. I have spent nearly 20 years working with adolescents, particularly girls, and their families. I also enjoy working with athletes and sports-minded individuals.
I prefer to take a well-rounded approach to therapy and symptom management; particularly with anxiety and depression.
Our lives are full of changes, struggles, and great joys. It is during the times when we are experiencing a variety of family or personal struggles that we need someone to listen to us and offer resources and alternative points of view while we challenge ourselves to grow. Whether you, your teenager or your family are experiencing obstacles, I would like to help. I have spent nearly 20 years working with adolescents, particularly girls, and their families. I also enjoy working with athletes and sports-minded individuals.
(616) 788-2793 View (616) 788-2793
Photo of Roland Hart, Limited Licensed Psychologist in Zeeland, MI
Roland Hart
Limited Licensed Psychologist, LLP
Verified Verified
1 Endorsed
Zeeland, MI 49464
Experiencing an emotional or personal issue that is restricting your ability to enjoy life? I help clients work on those things that are getting in the way, such as, problematic emotional, behavioral or relational patterns, stress, and symptoms of depression and anxiety. Life is really hard at times and it can help to have some extra support, especially, if you are feeling alone, isolated or finding that others don't really understand. NOTE: I am now offering tele-therapy over video as an option for therapy.
Experiencing an emotional or personal issue that is restricting your ability to enjoy life? I help clients work on those things that are getting in the way, such as, problematic emotional, behavioral or relational patterns, stress, and symptoms of depression and anxiety. Life is really hard at times and it can help to have some extra support, especially, if you are feeling alone, isolated or finding that others don't really understand. NOTE: I am now offering tele-therapy over video as an option for therapy.
(616) 552-4486 View (616) 552-4486
Photo of Sollars and Associates, Psychologist in Zeeland, MI
Sollars and Associates
Psychologist, PhD, LP
Verified Verified
Zeeland, MI 49464
I am a Licensed Psychologist and the Clinical Director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. Our group is trained in dealing with a variety of issues including: Attention Deficit Disorder, School Difficulties, Interpersonal Issues such as bullying, adult ADD and related issues, Depression, Anxiety, Trauma, Mood Disorders, Grief and Loss, Parenting, Educational Concerns, Relationship Concerns, Career and Work Issues, and Sexual Issues.
I am a Licensed Psychologist and the Clinical Director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. Our group is trained in dealing with a variety of issues including: Attention Deficit Disorder, School Difficulties, Interpersonal Issues such as bullying, adult ADD and related issues, Depression, Anxiety, Trauma, Mood Disorders, Grief and Loss, Parenting, Educational Concerns, Relationship Concerns, Career and Work Issues, and Sexual Issues.
(248) 862-1171 View (248) 862-1171
Photo of Jennifer W Kates, Clinical Social Work/Therapist in Zeeland, MI
Jennifer W Kates
Clinical Social Work/Therapist, LMSW
Verified Verified
Zeeland, MI 49464
Waitlist for new clients
I have worked as a Hospice Social Worker, an outpatient therapist for Pine Rest, and as a therapist treating adults with major mental health disorders with two Community Mental Health organizations. I have experience treating a variety of issues including depression, anxiety, sleep issues, compulsive behaviors, bipolar disorder, relationship and marital issues, grief and loss, domestic violence, stress, post-traumatic stress, trauma, anger management, and women's issues. I currently have immediate openings and no waiting list.
I have worked as a Hospice Social Worker, an outpatient therapist for Pine Rest, and as a therapist treating adults with major mental health disorders with two Community Mental Health organizations. I have experience treating a variety of issues including depression, anxiety, sleep issues, compulsive behaviors, bipolar disorder, relationship and marital issues, grief and loss, domestic violence, stress, post-traumatic stress, trauma, anger management, and women's issues. I currently have immediate openings and no waiting list.
(616) 499-6087 View (616) 499-6087
Photo of Mercedes Saurbaugh, Clinical Social Work/Therapist in Zeeland, MI
Mercedes Saurbaugh
Clinical Social Work/Therapist, LMSW, EPC
Verified Verified
1 Endorsed
Zeeland, MI 49464
I guide professional women who feel like they have gotten lost in obligations and anxiety somewhere along the way; shift from perfectionism and "shoulds" to being the CEO of their mental, spiritual, and physical health (without needing years of therapy). My clients tell me they want balance and freedom in their full lives - and they truly want to transform from overthinking and over-functioning to really enjoying their lives. They simply want to take better care of themselves, and either their mind or body is getting louder - in physical pain, anxiety, restlessness, stress response, emotional eating (to name a few).
I guide professional women who feel like they have gotten lost in obligations and anxiety somewhere along the way; shift from perfectionism and "shoulds" to being the CEO of their mental, spiritual, and physical health (without needing years of therapy). My clients tell me they want balance and freedom in their full lives - and they truly want to transform from overthinking and over-functioning to really enjoying their lives. They simply want to take better care of themselves, and either their mind or body is getting louder - in physical pain, anxiety, restlessness, stress response, emotional eating (to name a few).
(616) 236-2663 View (616) 236-2663
Photo of Ellen R Eggerding, Counselor in Zeeland, MI
Ellen R Eggerding
Counselor, MA, LPC
Verified Verified
1 Endorsed
Zeeland, MI 49464
Thank you for reaching out. Sometimes life is hard and it can be difficult to know where to turn for the support and acceptance you need to handle the struggles. Anxiety and depression can impact our lives in many ways. Unacknowledged feelings of grief express themselves as irritability, chronic anxiety, low-grade depression, and a negative outlook on life. Come in to a safe place where we will work together to find solutions to help you live your life more fully.
Thank you for reaching out. Sometimes life is hard and it can be difficult to know where to turn for the support and acceptance you need to handle the struggles. Anxiety and depression can impact our lives in many ways. Unacknowledged feelings of grief express themselves as irritability, chronic anxiety, low-grade depression, and a negative outlook on life. Come in to a safe place where we will work together to find solutions to help you live your life more fully.
(616) 201-3025 View (616) 201-3025
Photo of Jean Chamness Russner, Limited Licensed Psychologist in Zeeland, MI
Jean Chamness Russner
Limited Licensed Psychologist, MSA, MA LLP
Verified Verified
1 Endorsed
Zeeland, MI 49464
I work with families whose children struggle with ADHD and Oppositional/Defiant behaviors, anxiety and depressive disorders, and anger management issues.
People are my Passion. If you need a listening ear to process feelings, a helping hand to navigate life transitions or interpersonal relationships, or support for managing mental health conditions, I'm here to help. With over 20 years of experience and being CBT Certified, I use DBT-informed CBT techniques, combined with the healing effects of a positive, supportive relationship, to teach you coping strategies to manage stress and improve your emotional well-being. I especially enjoy working with families of children and adolescents struggling with emotional or behavioral issues.
I work with families whose children struggle with ADHD and Oppositional/Defiant behaviors, anxiety and depressive disorders, and anger management issues.
People are my Passion. If you need a listening ear to process feelings, a helping hand to navigate life transitions or interpersonal relationships, or support for managing mental health conditions, I'm here to help. With over 20 years of experience and being CBT Certified, I use DBT-informed CBT techniques, combined with the healing effects of a positive, supportive relationship, to teach you coping strategies to manage stress and improve your emotional well-being. I especially enjoy working with families of children and adolescents struggling with emotional or behavioral issues.
(616) 219-8286 View (616) 219-8286
Photo of Raymond P Herzog, Limited Licensed Psychologist in Zeeland, MI
Raymond P Herzog
Limited Licensed Psychologist, MA, LLP
Verified Verified
2 Endorsed
Zeeland, MI 49464
Waitlist for new clients
I work with many types of mental health and life-adjustment issues including but not limited to: * Mood/Emotional disorders * Anxiety related disorders * ADHD (Including ADHD Testing) * Adjustment difficulties to life stressors * Divorce * Parenting strategies * * Pre-op distress/ post-op recovery * Chronic pain.
I believe in a Client-centered, Cognitive-Behavioral approach with an emphasis on personal responsibility, accountability, and ownership of problem solving to bring about personal change. I specifically use the Acceptance and Commitment Therapy (ACT) model. The goal of ACT is acceptance of what is out of personal control, and a commitment to action for life improvement and enrichment. Additionally, mindfulness training including meditation, relaxation, and guided imagery can be used for therapeutic intervention.
I work with many types of mental health and life-adjustment issues including but not limited to: * Mood/Emotional disorders * Anxiety related disorders * ADHD (Including ADHD Testing) * Adjustment difficulties to life stressors * Divorce * Parenting strategies * * Pre-op distress/ post-op recovery * Chronic pain.
I believe in a Client-centered, Cognitive-Behavioral approach with an emphasis on personal responsibility, accountability, and ownership of problem solving to bring about personal change. I specifically use the Acceptance and Commitment Therapy (ACT) model. The goal of ACT is acceptance of what is out of personal control, and a commitment to action for life improvement and enrichment. Additionally, mindfulness training including meditation, relaxation, and guided imagery can be used for therapeutic intervention.
(616) 414-0954 View (616) 414-0954
Photo of Tracy Nykamp, Clinical Social Work/Therapist in Zeeland, MI
Tracy Nykamp
Clinical Social Work/Therapist, LMSW
Verified Verified
Zeeland, MI 49464
Anxiety, depression, grief, loss, shame and guilt affect us all and sometimes take control of us, but you can take that control back.
Currently accepting new clients. I have extensive experience working with teens and adults who are struggling with anxiety, depression, shame/guilt, trauma, family and relational difficulties, grief/loss and bereavement, school related or social issues. Through cognitive therapy, mindful practices, and skill based coping techniques I can work with you to reduce symptoms and improve your quality of life and relationships.
Anxiety, depression, grief, loss, shame and guilt affect us all and sometimes take control of us, but you can take that control back.
Currently accepting new clients. I have extensive experience working with teens and adults who are struggling with anxiety, depression, shame/guilt, trauma, family and relational difficulties, grief/loss and bereavement, school related or social issues. Through cognitive therapy, mindful practices, and skill based coping techniques I can work with you to reduce symptoms and improve your quality of life and relationships.
(616) 504-2852 View (616) 504-2852
Photo of Brent Ellens, Psychologist in Zeeland, MI
Brent Ellens
Psychologist, PsyD
Verified Verified
Zeeland, MI 49464
Waitlist for new clients
Are you struggling with anxiety, depression, anger, or relationship problems? I have been providing psychological services since 1998, and have been in private practice since 2002. I deliver compassionate and professional psychological evaluation and psychotherapy to the people of Holland, Zeeland, and surrounding areas.
Are you struggling with anxiety, depression, anger, or relationship problems? I have been providing psychological services since 1998, and have been in private practice since 2002. I deliver compassionate and professional psychological evaluation and psychotherapy to the people of Holland, Zeeland, and surrounding areas.
(616) 319-4497 View (616) 319-4497
Photo of Julie Postmus, Licensed Professional Counselor in Zeeland, MI
Julie Postmus
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Zeeland, MI 49464
I also love coming alongside new mamas as they learn about themselves & navigate the beauty and fears of this new season of life.
Currently accepting new clients for Thursdays - morning and afternoons available. "You don't have to be fearless. Doing it afraid is just as brave" (Morgan Harper Nichols). Reaching out for help and starting therapy can be a little scary. I would love to create a safe place for you to realize you can be scared and brave at the same time. I love to empower clients and help them to realize that they can do hard things, make changes, and find hope for the future, no matter how risky that hope feels. I am passionate about helping clients name what matters to them and build a life that reflects what matters most to them.
I also love coming alongside new mamas as they learn about themselves & navigate the beauty and fears of this new season of life.
Currently accepting new clients for Thursdays - morning and afternoons available. "You don't have to be fearless. Doing it afraid is just as brave" (Morgan Harper Nichols). Reaching out for help and starting therapy can be a little scary. I would love to create a safe place for you to realize you can be scared and brave at the same time. I love to empower clients and help them to realize that they can do hard things, make changes, and find hope for the future, no matter how risky that hope feels. I am passionate about helping clients name what matters to them and build a life that reflects what matters most to them.
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Photo of Lisa Benavides, Licensed Professional Counselor in Zeeland, MI
Lisa Benavides
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
2 Endorsed
Zeeland, MI 49464
For over 20 years I have been involved in the mental health system and have had the privilege of helping individuals & families achieve their goals and overcome a variety of challenges (i.e. depression, anxiety, mood disorders, new transitions, relational, & substance abuse struggles). While speaking both English & Spanish languages, my hope is that each individual that I encounter will gain a better understanding of themselves, and also learn valuable skills to move forward towards a more fulfilling and flourishing life---to be able to find 'Peace of Mind'--within themselves and within their surroundings.
For over 20 years I have been involved in the mental health system and have had the privilege of helping individuals & families achieve their goals and overcome a variety of challenges (i.e. depression, anxiety, mood disorders, new transitions, relational, & substance abuse struggles). While speaking both English & Spanish languages, my hope is that each individual that I encounter will gain a better understanding of themselves, and also learn valuable skills to move forward towards a more fulfilling and flourishing life---to be able to find 'Peace of Mind'--within themselves and within their surroundings.
(616) 205-9759 View (616) 205-9759
Photo of Dina M Anaya, Licensed Professional Counselor in Zeeland, MI
Dina M Anaya
Licensed Professional Counselor, MA, LPC
Verified Verified
Zeeland, MI 49464
For many years, I have specialized in working with adults, both English and Spanish speaking, who struggle with anxiety, depression and family issues.
Maybe your life has gone off course, a relationship didn't go as planned or shame is weighing you down from reaching your full potential. I would like the opportunity to walk alongside you on your path to discovery and healing and help you realize you are not alone. Sharing your story takes courage and Healing Hope Counseling is here to listen.
For many years, I have specialized in working with adults, both English and Spanish speaking, who struggle with anxiety, depression and family issues.
Maybe your life has gone off course, a relationship didn't go as planned or shame is weighing you down from reaching your full potential. I would like the opportunity to walk alongside you on your path to discovery and healing and help you realize you are not alone. Sharing your story takes courage and Healing Hope Counseling is here to listen.
(616) 219-8206 View (616) 219-8206
Photo of Ben Gitler, Clinical Social Work/Therapist in Zeeland, MI
Ben Gitler
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Zeeland, MI 49464  (Online Only)
Having had the privilege of working with a diverse range of clients, spanning pre-teens through late teens, and have helped people experiencing anxiety, anger, family and relationship issues. My experience includes both school and clinical settings, and recognizing personal strengths, fostering trusting therapeutic relationships, and creating an accepting environment are at the core of my practice.
Having had the privilege of working with a diverse range of clients, spanning pre-teens through late teens, and have helped people experiencing anxiety, anger, family and relationship issues. My experience includes both school and clinical settings, and recognizing personal strengths, fostering trusting therapeutic relationships, and creating an accepting environment are at the core of my practice.
(616) 537-2691 View (616) 537-2691
Photo of Becky Dozeman, Clinical Social Work/Therapist in Zeeland, MI
Becky Dozeman
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Zeeland, MI 49464
I serve women of all ages, specifically if you are struggling with anxiety & stress management. I am passionate about uncovering core fears that are leading to emotional & mental health struggles. I focus on 4 areas of wellness with all clients-emotional, mental, spiritual (when applicable), and relational. I will focus on your goals & intentions for wellness. I will provide you with a safe space to explore your triggers & areas of need. In each session, you will leave with coping skills to help you thrive more in daily life. Though I list my Christian faith in the profile, I work with women of all spiritual beliefs.
I serve women of all ages, specifically if you are struggling with anxiety & stress management. I am passionate about uncovering core fears that are leading to emotional & mental health struggles. I focus on 4 areas of wellness with all clients-emotional, mental, spiritual (when applicable), and relational. I will focus on your goals & intentions for wellness. I will provide you with a safe space to explore your triggers & areas of need. In each session, you will leave with coping skills to help you thrive more in daily life. Though I list my Christian faith in the profile, I work with women of all spiritual beliefs.
(616) 378-8655 View (616) 378-8655
Photo of Alex Robbins, Licensed Professional Counselor in Zeeland, MI
Alex Robbins
Licensed Professional Counselor, LPC
Verified Verified
Zeeland, MI 49464
I am here to help HEAL from whatever it is you may be dealing with. I am willing to help you through whatever it is you are facing. I just want you to know that you are enough! You deserve to get through this! I have years of experience working with those struggling with trauma, depression, grief, anxiety, stress, motivation, adjustment, life skills, coping skills, etc. Sport Performance work is also a passion of mine. As a younger, male counselor, it's easy for me to connect with youth, adolescents and younger adults. However, I have and will work with any population.
I am here to help HEAL from whatever it is you may be dealing with. I am willing to help you through whatever it is you are facing. I just want you to know that you are enough! You deserve to get through this! I have years of experience working with those struggling with trauma, depression, grief, anxiety, stress, motivation, adjustment, life skills, coping skills, etc. Sport Performance work is also a passion of mine. As a younger, male counselor, it's easy for me to connect with youth, adolescents and younger adults. However, I have and will work with any population.
(517) 366-4741 View (517) 366-4741

See more therapy options for Zeeland

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.