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Photo of Irene Greene in Fridley, MN
Irene Greene
MSEd
Verified Verified
Minneapolis, MN 55406  (Online Only)
Welcome. It Is Your Time to become more of the person you want to be. Set goals to address codependency, procrastination, the impacts of trauma, self-criticism, anxiety, imposter syndrome, and perfectionism. Increase your assertiveness, communication, and boundary-setting skills. Improve mindfulness and life-work balance. I will combine my compassion, openness, and attentiveness with my 29+ years of experience, training, and knowledge. I offer a space where oppression and injustice are understood as having a direct correlation to our health and well-being. A relaxed confidential space where you are welcome to be your whole self.
Welcome. It Is Your Time to become more of the person you want to be. Set goals to address codependency, procrastination, the impacts of trauma, self-criticism, anxiety, imposter syndrome, and perfectionism. Increase your assertiveness, communication, and boundary-setting skills. Improve mindfulness and life-work balance. I will combine my compassion, openness, and attentiveness with my 29+ years of experience, training, and knowledge. I offer a space where oppression and injustice are understood as having a direct correlation to our health and well-being. A relaxed confidential space where you are welcome to be your whole self.
(612) 808-0124 View (612) 808-0124
Photo of Stone Arch Psychology and Health Services, Psychologist in Fridley, MN
Stone Arch Psychology and Health Services
Psychologist
Verified Verified
Minneapolis, MN 55414
We specialize in assessing and treating a wide variety of mental health conditions such as feelings fear, anxiety or anger, negative body image, difficulty concentrating, and other life challenges.
Welcome to Stone Arch Psychology and Health Services. Our motto, Opening Doors and Building Bridges, is a statement of our commitment to help you make positive life changes. Please visit our website to learn more about our clinic, clinicians, and services at STONEARCHPSYCH.COM
We specialize in assessing and treating a wide variety of mental health conditions such as feelings fear, anxiety or anger, negative body image, difficulty concentrating, and other life challenges.
Welcome to Stone Arch Psychology and Health Services. Our motto, Opening Doors and Building Bridges, is a statement of our commitment to help you make positive life changes. Please visit our website to learn more about our clinic, clinicians, and services at STONEARCHPSYCH.COM
(612) 979-2477 View (612) 979-2477
Photo of Jeanette Truchsess, Psychologist in Fridley, MN
Jeanette Truchsess
Psychologist, PhD, LP
Verified Verified
Saint Paul, MN 55114  (Online Only)
Are you feeling anxious about your relationships, work, or how to maintain self care in a fast, stressful world ? Are you experiencing grief from losses or trauma? Do you take care of others more than yourself? Would you like someone safe to process your thoughts and feelings with? I'm an experienced mental health practitioner who offers compassionate services to clients across the life span.
Are you feeling anxious about your relationships, work, or how to maintain self care in a fast, stressful world ? Are you experiencing grief from losses or trauma? Do you take care of others more than yourself? Would you like someone safe to process your thoughts and feelings with? I'm an experienced mental health practitioner who offers compassionate services to clients across the life span.
(651) 226-4704 View (651) 226-4704
Photo of Byron Almen, Licensed Professional Clinical Counselor in Fridley, MN
Byron Almen
Licensed Professional Clinical Counselor, MA, LPCC, NCC
Verified Verified
1 Endorsed
Minneapolis, MN 55403
I also employ mindfulness practices, dream work, and MBTI, and have conducted groups for anxiety and depression.
People begin seeing a therapist for many reasons--you may be experiencing overwhelming stress, feeling a sense of hopelessness or loss of meaning in your life, living with painful grief, coping with traumatic past or present events, suffering in relationships, or simply feeling "stuck." In our sessions together, you and I will explore your goals, wishes, feelings, and concerns, with the aim of moving toward natural wholeness within yourself and in your relationships with others, in an atmosphere of warmth, authenticity, and acceptance.
I also employ mindfulness practices, dream work, and MBTI, and have conducted groups for anxiety and depression.
People begin seeing a therapist for many reasons--you may be experiencing overwhelming stress, feeling a sense of hopelessness or loss of meaning in your life, living with painful grief, coping with traumatic past or present events, suffering in relationships, or simply feeling "stuck." In our sessions together, you and I will explore your goals, wishes, feelings, and concerns, with the aim of moving toward natural wholeness within yourself and in your relationships with others, in an atmosphere of warmth, authenticity, and acceptance.
(612) 324-4910 View (612) 324-4910
Photo of Estefania Sedarski, Pre-Licensed Professional in Fridley, MN
Estefania Sedarski
Pre-Licensed Professional, MA
Verified Verified
New Brighton, MN 55112
I work with trauma, anxiety, depression, neurodiversity, life transitions, identity evolutions and issues surrounding sexuality and self empowerment.
I am a therapist for those who are looking to find their own place within this cosmos of existence. With all the cultural programming within this world it is difficult to find our own core truths and how to navigate within them towards our own version of a fulfilling life. I work with individuals and relationships looking to find and understand their own truths about themselves, their existence and how to navigate in a world that so often is not built for our own wellness. From highly sensitive persons, to artists, and Queer folx, immigrants and multiracial persons, I am here to help you find what is getting in the way of thriving.
I work with trauma, anxiety, depression, neurodiversity, life transitions, identity evolutions and issues surrounding sexuality and self empowerment.
I am a therapist for those who are looking to find their own place within this cosmos of existence. With all the cultural programming within this world it is difficult to find our own core truths and how to navigate within them towards our own version of a fulfilling life. I work with individuals and relationships looking to find and understand their own truths about themselves, their existence and how to navigate in a world that so often is not built for our own wellness. From highly sensitive persons, to artists, and Queer folx, immigrants and multiracial persons, I am here to help you find what is getting in the way of thriving.
(651) 362-4587 View (651) 362-4587
Photo of John Rogers, Counselor in Fridley, MN
John Rogers
Counselor, MA, LPCC
Verified Verified
2 Endorsed
Minneapolis, MN 55406
I work from a non-judgmental, non-shaming, non-pathologizing perspective. My role is to help clients understand, heal and/or transcend underlying and often unconscious patterns that manifest as addiction, anxiety, depression and so many other complex ways our lives get stuck, stagnate and lose vitality. I am certified in NeuroAffective Relational Model (NARM), which is a globally recognized modality for resolving Complex Post Traumatic Stress Disorder (C-PTSD). Through our work together, clients report feeling more ease, freedom and energy to pursue a life that allows stuck energy to move toward growth, wholeness and fulfillment.
I work from a non-judgmental, non-shaming, non-pathologizing perspective. My role is to help clients understand, heal and/or transcend underlying and often unconscious patterns that manifest as addiction, anxiety, depression and so many other complex ways our lives get stuck, stagnate and lose vitality. I am certified in NeuroAffective Relational Model (NARM), which is a globally recognized modality for resolving Complex Post Traumatic Stress Disorder (C-PTSD). Through our work together, clients report feeling more ease, freedom and energy to pursue a life that allows stuck energy to move toward growth, wholeness and fulfillment.
(651) 571-4113 View (651) 571-4113
Photo of Susan Ann Gustafson, Psychologist in Fridley, MN
Susan Ann Gustafson
Psychologist, PsyD, LP
Verified Verified
Minneapolis, MN 55414
I treat depression, bipolar disorder, anxiety, phobias, panic disorder, eating disorders, ASD, ADHD, PTSD, gender identity disorder, personality disorders, adjustment disorders, obsessive compulsive disorder, chronic pain, grief, sexual abuse and other trauma.
My commitment is to help you make positive life changes. There are times when we are faced with obstacles and difficulties that interfere with growth and development, preventing us from achieving goals and aspirations, and diminishing our happiness and wellbeing. Psychotherapy provides a safe, nonjudgmental setting to discover solutions to challenges. With the powerful tools of communication and insight, I will help you identify counterproductive patterns and habits preventing you from living an optimal life. Together we will recognize and build upon your strengths and skills, develop new resources and strategies, and discover beneficial, healing ways of approaching your life.
I treat depression, bipolar disorder, anxiety, phobias, panic disorder, eating disorders, ASD, ADHD, PTSD, gender identity disorder, personality disorders, adjustment disorders, obsessive compulsive disorder, chronic pain, grief, sexual abuse and other trauma.
My commitment is to help you make positive life changes. There are times when we are faced with obstacles and difficulties that interfere with growth and development, preventing us from achieving goals and aspirations, and diminishing our happiness and wellbeing. Psychotherapy provides a safe, nonjudgmental setting to discover solutions to challenges. With the powerful tools of communication and insight, I will help you identify counterproductive patterns and habits preventing you from living an optimal life. Together we will recognize and build upon your strengths and skills, develop new resources and strategies, and discover beneficial, healing ways of approaching your life.
(612) 223-6458 View (612) 223-6458
Photo of Christy Schick, Clinical Social Work/Therapist in Fridley, MN
Christy Schick
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Minneapolis, MN 55405  (Online Only)
I value offering a safe, supportive, inclusive space for when you instinctively feel exploring change is important. Together we will increase your resiliency, explore the relationships and experiences you want in life, building on your unique personality and strengths to achieve what you most desire. I have 20 years of experience working with people with various needs. I offer a range of approaches to assist you in moving through challenging life conditions towards finding more ease in life. I focus on relationship difficulties, life transitions, grief and loss, anxiety, depression, PTSD, trauma, addictions and helping you integrate spirituality.
I value offering a safe, supportive, inclusive space for when you instinctively feel exploring change is important. Together we will increase your resiliency, explore the relationships and experiences you want in life, building on your unique personality and strengths to achieve what you most desire. I have 20 years of experience working with people with various needs. I offer a range of approaches to assist you in moving through challenging life conditions towards finding more ease in life. I focus on relationship difficulties, life transitions, grief and loss, anxiety, depression, PTSD, trauma, addictions and helping you integrate spirituality.
(612) 999-2267 View (612) 999-2267
Photo of Ange Hasert, Marriage & Family Therapist Associate in Fridley, MN
Ange Hasert
Marriage & Family Therapist Associate, MA, LAMFT
Verified Verified
1 Endorsed
New Hope, MN 55427
Waitlist for new clients
Nothing is off-limits and it is ALL SAFE TO TALK ABOUT! Sex, self-worth, anxiety, gender, deservability, attachment traumas, fear of letting go, fear of being seen, fear of not being seen.
What do you do when you are spinning in circles and have no earthly idea where to begin? Is your relationship with those most important to you floundering? Do you struggle with feelings of acceptance, of yourself, by family members, by society? Do you struggle to believe the phrase, "You are enough!"? Regardless of whether it is due to trauma (developmental, attachment, PTSD), questioning gender identity, sexual identity and your relationships, ENM/Polyamorous relationships, Kink/BDSM, out-of-control sexual behaviors, or MAPs, we can work together to get you where you would like to be!
Nothing is off-limits and it is ALL SAFE TO TALK ABOUT! Sex, self-worth, anxiety, gender, deservability, attachment traumas, fear of letting go, fear of being seen, fear of not being seen.
What do you do when you are spinning in circles and have no earthly idea where to begin? Is your relationship with those most important to you floundering? Do you struggle with feelings of acceptance, of yourself, by family members, by society? Do you struggle to believe the phrase, "You are enough!"? Regardless of whether it is due to trauma (developmental, attachment, PTSD), questioning gender identity, sexual identity and your relationships, ENM/Polyamorous relationships, Kink/BDSM, out-of-control sexual behaviors, or MAPs, we can work together to get you where you would like to be!
(952) 234-8928 View (952) 234-8928
Photo of Mary Kay Elizabeth Voight-Moller, Psychologist in Fridley, MN
Mary Kay Elizabeth Voight-Moller
Psychologist, MS, MN-LP
Verified Verified
Roseville, MN 55113
My office is a warm and comforting place for you to tell your story, deal with life's stressors, treat depression and anxiety, work on healthy relationships, or heal old wounds. I provide a more holistic perspective in my appraoch to therapy, looking at the total needs you might have to best help you to heal and grow. It is very important to me that you feel heard and well cared for in your therapy process. We will work together to help you to make changes and to feel stronger.
My office is a warm and comforting place for you to tell your story, deal with life's stressors, treat depression and anxiety, work on healthy relationships, or heal old wounds. I provide a more holistic perspective in my appraoch to therapy, looking at the total needs you might have to best help you to heal and grow. It is very important to me that you feel heard and well cared for in your therapy process. We will work together to help you to make changes and to feel stronger.
(651) 760-0673 View (651) 760-0673
Photo of Dr. Tanya Holthus, Psychologist in Fridley, MN
Dr. Tanya Holthus
Psychologist, PsyD, LP, RPT, SEP
Verified Verified
1 Endorsed
Minneapolis, MN 55408
Waitlist for new clients
Hi. I know you're ready for this. I see most everyone for most everything. I enjoy working with a wide variety of clients and specialize in healing trauma and helping people with many types of issues, including post-traumatic stress, attachment/connection, sexual/physical/emotional abuse, anxiety, depression, and relationship issues. I am most passionate about helping people overcome relationships involving narcissistic abuse and strengthening parent-child relationships. I also have a special place in my heart for people suffering with fertility issues.
Hi. I know you're ready for this. I see most everyone for most everything. I enjoy working with a wide variety of clients and specialize in healing trauma and helping people with many types of issues, including post-traumatic stress, attachment/connection, sexual/physical/emotional abuse, anxiety, depression, and relationship issues. I am most passionate about helping people overcome relationships involving narcissistic abuse and strengthening parent-child relationships. I also have a special place in my heart for people suffering with fertility issues.
(952) 260-9896 View (952) 260-9896
Photo of Rochelle Rheingans, Licensed Professional Clinical Counselor in Fridley, MN
Rochelle Rheingans
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Minneapolis, MN 55401
My name is Rochelle Rheingans. I am a Licensed Practicing Clinical Counselor. I have been working in private practice for nine years now. I recently decided to establish my own office and do telehealth in order to be able to stay home and work, spend more time with family and avoid the long commute. I am a graduate of Minnesota State University Moorhead and Adler Graduate School. I have worked in one agency from graduation in 2012, until very recently. I have built a client-base from various folks from various walks of life. I enjoy working with people of varying diagnoses and life challenges.
My name is Rochelle Rheingans. I am a Licensed Practicing Clinical Counselor. I have been working in private practice for nine years now. I recently decided to establish my own office and do telehealth in order to be able to stay home and work, spend more time with family and avoid the long commute. I am a graduate of Minnesota State University Moorhead and Adler Graduate School. I have worked in one agency from graduation in 2012, until very recently. I have built a client-base from various folks from various walks of life. I enjoy working with people of varying diagnoses and life challenges.
(507) 800-4049 View (507) 800-4049
Photo of Kurt Pope, Counselor in Fridley, MN
Kurt Pope
Counselor, MA, LPCC
Verified Verified
Minneapolis, MN 55409
Distress provides us an opportunity to examine the purposefulness of our cognitive, emotional, and relational patterns in a meaningful way. If we better understand what shaped us, where we are in the present, and what we want to integrate in the future, we can take fruitful action to instill change in our lives. Different approaches to our distress are at times necessary in order to reconcile new stages of development and new parts of our selves.
Distress provides us an opportunity to examine the purposefulness of our cognitive, emotional, and relational patterns in a meaningful way. If we better understand what shaped us, where we are in the present, and what we want to integrate in the future, we can take fruitful action to instill change in our lives. Different approaches to our distress are at times necessary in order to reconcile new stages of development and new parts of our selves.
(612) 294-7420 View (612) 294-7420
Photo of Patty Ostberg-Speiker, Marriage & Family Therapist in Fridley, MN
Patty Ostberg-Speiker
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Saint Paul, MN 55114
Current afternoon openings. I specialize in helping individuals and couples feel better to improve their relationships. Past hurts and experiences can cloud decision making in the present and relating to each other. Especially when it comes to stressors of daily responsibilities like marriage and parenting. Let’s work together using evidence-based techniques to stop your negative thoughts so you can make more positive mindset decisions. Triggers feel awful and there are proven remedies to help stop them. Together through therapy we can eliminate negative thoughts and memories that prevent you from being the best version of yourself.
Current afternoon openings. I specialize in helping individuals and couples feel better to improve their relationships. Past hurts and experiences can cloud decision making in the present and relating to each other. Especially when it comes to stressors of daily responsibilities like marriage and parenting. Let’s work together using evidence-based techniques to stop your negative thoughts so you can make more positive mindset decisions. Triggers feel awful and there are proven remedies to help stop them. Together through therapy we can eliminate negative thoughts and memories that prevent you from being the best version of yourself.
(651) 409-9107 View (651) 409-9107
Photo of Nicole Duenow, Pre-Licensed Professional in Fridley, MN
Nicole Duenow
Pre-Licensed Professional, MA, MAT
Verified Verified
Saint Paul, MN 55104  (Online Only)
Waitlist for new clients
From an outsider’s perspective, you’ve got a great life. You’re accomplished & admired, dependable & driven. But on the inside, you never feel quite good enough and the voice in your head is quick to remind you of all the ways you’re falling short. You've spent the last however-many-years trying to keep it together, but it's exhausting and you don't think you can do it for much longer. You’re tired of giving so much to everyone else while you continue to come last on your list. But not anymore. It's time for a change.
From an outsider’s perspective, you’ve got a great life. You’re accomplished & admired, dependable & driven. But on the inside, you never feel quite good enough and the voice in your head is quick to remind you of all the ways you’re falling short. You've spent the last however-many-years trying to keep it together, but it's exhausting and you don't think you can do it for much longer. You’re tired of giving so much to everyone else while you continue to come last on your list. But not anymore. It's time for a change.
(612) 260-9823 View (612) 260-9823
Photo of Kendra Snyder Therapy, Marriage & Family Therapist in Fridley, MN
Kendra Snyder Therapy
Marriage & Family Therapist, MA, LMFT, NCC
Verified Verified
Saint Paul, MN 55104
At Kendra Snyder Therapy & Associates, our therapists specialize in supporting those who have been touched by adoption, grief, loss, trauma, and hurt from religion, as well as people who desire increased connection, to explore personal identity, and to find an authentic belief system or spirituality. We create an open and inviting space for others to engage in deep introspective reflection that helps foster creativity, authenticity, and expansion.
At Kendra Snyder Therapy & Associates, our therapists specialize in supporting those who have been touched by adoption, grief, loss, trauma, and hurt from religion, as well as people who desire increased connection, to explore personal identity, and to find an authentic belief system or spirituality. We create an open and inviting space for others to engage in deep introspective reflection that helps foster creativity, authenticity, and expansion.
(720) 726-1416 View (720) 726-1416
Photo of Khamphian Vang, Pre-Licensed Professional in Fridley, MN
Khamphian Vang
Pre-Licensed Professional, MA, MBA
Verified Verified
Minneapolis, MN 55413
I come to the mental health field with a desire to serve my community, you, to connect to your authentic self and ignite your healing journey. I believe you already have the internal resources for your healing. I am here to walk with you to discover how to access those resources. I am passionate about social justice and equity in mental health and strive to provide counseling services that address cultural and contextual factors in diverse communities to ensure all members are psychologically and physically safe and secure.
I come to the mental health field with a desire to serve my community, you, to connect to your authentic self and ignite your healing journey. I believe you already have the internal resources for your healing. I am here to walk with you to discover how to access those resources. I am passionate about social justice and equity in mental health and strive to provide counseling services that address cultural and contextual factors in diverse communities to ensure all members are psychologically and physically safe and secure.
(651) 661-3658 View (651) 661-3658
Photo of Maria Shea - Awaken Counseling & Coaching, Licensed Professional Counselor in Fridley, MN
Maria Shea - Awaken Counseling & Coaching
Licensed Professional Counselor, MA, LPC
Verified Verified
Minneapolis, MN 55406  (Online Only)
As a Therapist, Coach, and Educator, I’ll help you get unstuck, reduce stress, attain your goals, and achieve more joy and success in your life. You are ready to more fully shine your light and DESIGN the life you want! A Mind-Body-Spirit transformative approach of combining depth psychology with action-step coaching plans is a beautiful hybrid approach. Besides 1:1 sessions, I also offer Sacred Circles Women's Group. This cozy closed group is offered (3) times a year.
As a Therapist, Coach, and Educator, I’ll help you get unstuck, reduce stress, attain your goals, and achieve more joy and success in your life. You are ready to more fully shine your light and DESIGN the life you want! A Mind-Body-Spirit transformative approach of combining depth psychology with action-step coaching plans is a beautiful hybrid approach. Besides 1:1 sessions, I also offer Sacred Circles Women's Group. This cozy closed group is offered (3) times a year.
(715) 396-1990 View (715) 396-1990
Photo of Stefanie P Hofman, Marriage & Family Therapist in Fridley, MN
Stefanie P Hofman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Golden Valley, MN 55426
Stefanie Hofman MA, LMFT is a seasoned professional therapist specializing in matters that sometimes make others uncomfortable. Whether it's trauma, sexuality, relationships, or personal angst, Stefanie uses a variety of therapeutic approaches, depending on client interest and need. She will meet the client where they are at and provides a safe space to explore themes that cause distress or dysfunction. Therapy can be difficult and at first, can feel embarrassing. Stefanie's specialty is assisting people with facing the challenges that prevent them from living life to the fullest in a warm and accepting environment.
Stefanie Hofman MA, LMFT is a seasoned professional therapist specializing in matters that sometimes make others uncomfortable. Whether it's trauma, sexuality, relationships, or personal angst, Stefanie uses a variety of therapeutic approaches, depending on client interest and need. She will meet the client where they are at and provides a safe space to explore themes that cause distress or dysfunction. Therapy can be difficult and at first, can feel embarrassing. Stefanie's specialty is assisting people with facing the challenges that prevent them from living life to the fullest in a warm and accepting environment.
(651) 615-8314 View (651) 615-8314
Photo of Danielle Aubin Autistic Therapist, Clinical Social Work/Therapist in Fridley, MN
Danielle Aubin Autistic Therapist
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Minneapolis, MN 55400  (Online Only)
Welcome! I specialize in working with autistic folx (early and late-diagnosed, both formally and self-diagnosed) who want to learn how to unmask, heal internalized ableism, and live an authentic life true to themselves. As late-diagnosed multiply neurodivergent person (AuDHD) myself, I offer a depth of understanding only lived experience can provide. I consider myself an existential therapist and I pull from a variety of approaches to support your personal growth. My approach is warm, collaborative, and person-centered, focusing on exploring self and finding meaning.
Welcome! I specialize in working with autistic folx (early and late-diagnosed, both formally and self-diagnosed) who want to learn how to unmask, heal internalized ableism, and live an authentic life true to themselves. As late-diagnosed multiply neurodivergent person (AuDHD) myself, I offer a depth of understanding only lived experience can provide. I consider myself an existential therapist and I pull from a variety of approaches to support your personal growth. My approach is warm, collaborative, and person-centered, focusing on exploring self and finding meaning.
(628) 265-4412 View (628) 265-4412

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.