Photo of Andrea Patten, Clinical Social Work/Therapist in Fridley, MN
Andrea Patten
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
6 Endorsed
Fridley, MN 55432  (Online Only)
I am passionate about working with and supporting trauma, family/life change, panic and anxiety concerns, and relational concerns.
I'm currently full- but my Mindful Way colleagues may still have openings. Making the step to come to therapy is a hard one. I feel honored to provide a warm, safe, and compassionate space for you to share your story and truly be heard. I believe you are the expert on your relationships, health, emotions, and body. I work with Adults and children (ages 2-7). I welcome folks of all backgrounds (ethnicity, race, religion, gender identity, sexual orientation) and strive to provide a safe, comfortable, culturally responsive environment that supports your healing journey.
I am passionate about working with and supporting trauma, family/life change, panic and anxiety concerns, and relational concerns.
I'm currently full- but my Mindful Way colleagues may still have openings. Making the step to come to therapy is a hard one. I feel honored to provide a warm, safe, and compassionate space for you to share your story and truly be heard. I believe you are the expert on your relationships, health, emotions, and body. I work with Adults and children (ages 2-7). I welcome folks of all backgrounds (ethnicity, race, religion, gender identity, sexual orientation) and strive to provide a safe, comfortable, culturally responsive environment that supports your healing journey.
(763) 401-7614 x250 View (763) 401-7614 x250

More Therapists Nearby

Photo of Patrick Castrenze, Marriage & Family Therapist in Fridley, MN
Patrick Castrenze
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Saint Paul, MN 55104
I specialize in working with adults, young adults, college students, and parents/caregivers who want to feel less anxious, less overwhelmed, and more present in their lives. Many of my clients are facing major life transitions, feeling held back by old patterns, or wanting to explore different parts of themselves. And many of the parents I work with are struggling to be the parents they can or want to be. Together, we'll address your struggles with your partner(s), friends, or family members. Contact me here on Psychology Today, or reach out via our website: www.collegetherapycenter.com.
I specialize in working with adults, young adults, college students, and parents/caregivers who want to feel less anxious, less overwhelmed, and more present in their lives. Many of my clients are facing major life transitions, feeling held back by old patterns, or wanting to explore different parts of themselves. And many of the parents I work with are struggling to be the parents they can or want to be. Together, we'll address your struggles with your partner(s), friends, or family members. Contact me here on Psychology Today, or reach out via our website: www.collegetherapycenter.com.
(612) 712-6435 View (612) 712-6435
Photo of Leigh Rosenberg, Clinical Social Work/Therapist in Fridley, MN
Leigh Rosenberg
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
1 Endorsed
Saint Paul, MN 55114
The power of relationship and being present and embodied guide my work in supporting people dealing with trauma, anxiety, depression, life-transitions, grief, health issues, or other challenges. My approach is built on compassion, care and respect for the experiences and identities that make you who you are. If you have suffered traumatic or difficult experience, from birth till now, want to be at home in yourself and with others; if you are trying to navigate a world that too easily permits oppression, or you want to grow the kernels of wholeness (even if hidden) within you, I hope to explore working together.
The power of relationship and being present and embodied guide my work in supporting people dealing with trauma, anxiety, depression, life-transitions, grief, health issues, or other challenges. My approach is built on compassion, care and respect for the experiences and identities that make you who you are. If you have suffered traumatic or difficult experience, from birth till now, want to be at home in yourself and with others; if you are trying to navigate a world that too easily permits oppression, or you want to grow the kernels of wholeness (even if hidden) within you, I hope to explore working together.
(612) 446-0933 View (612) 446-0933
Photo of Marina A. Feldman, Pre-Licensed Professional in Fridley, MN
Marina A. Feldman
Pre-Licensed Professional, MA
Verified Verified
Saint Paul, MN 55104
Does anxiety make you feel stuck? Do you feel like you are facing life’s challenges and struggles alone? I am here to assure there is hope and that therapy can open the space for you to unload all the burdens and allow you to process your experiences in a safe and caring environment. As a therapist working with individuals experiencing anxiety, depression, neurodiversity, ADHD, stress, trauma, and women’s issues, I am here to provide authentic and honest support while helping you navigate your struggles. Remember, you are capable of incredible things, and I am here to guide you towards the life you deserve.
Does anxiety make you feel stuck? Do you feel like you are facing life’s challenges and struggles alone? I am here to assure there is hope and that therapy can open the space for you to unload all the burdens and allow you to process your experiences in a safe and caring environment. As a therapist working with individuals experiencing anxiety, depression, neurodiversity, ADHD, stress, trauma, and women’s issues, I am here to provide authentic and honest support while helping you navigate your struggles. Remember, you are capable of incredible things, and I am here to guide you towards the life you deserve.
(651) 237-8191 View (651) 237-8191
Photo of Tamara Phillips, Marriage & Family Therapist in Fridley, MN
Tamara Phillips
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Minneapolis, MN 55401
Are you or your loved one autistic, feeling misunderstood or experiencing related challenges? Do you need a therapist who understands your family and your unique situation? If you are a neurodivergent adult or parenting an autistic child and are looking for a safe place to process your feelings, address trauma, improve communication or problem solve daily challenges, I would be honored to help. As both an experienced therapist and a parent of an autistic young adult, I understand how autism, anxiety or ADHD impacts you and your family.
Are you or your loved one autistic, feeling misunderstood or experiencing related challenges? Do you need a therapist who understands your family and your unique situation? If you are a neurodivergent adult or parenting an autistic child and are looking for a safe place to process your feelings, address trauma, improve communication or problem solve daily challenges, I would be honored to help. As both an experienced therapist and a parent of an autistic young adult, I understand how autism, anxiety or ADHD impacts you and your family.
(612) 326-3157 View (612) 326-3157
Photo of Rosie Shayna Math, Clinical Social Work/Therapist in Fridley, MN
Rosie Shayna Math
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Minneapolis, MN 55416
Hi! My name is Rosie. My pronouns are she/they. In my therapy practice, I work with children and teens between the ages of 4 to 18, and families. My focus is working with individuals who have experienced struggles related to anxiety and mood disorders, neurodevelopmental disorders, learning disabilities, attachment disruption, changes in the family system, adjustment to stressors, and the impacts of chronic stress and trauma, as well as identify development.
Hi! My name is Rosie. My pronouns are she/they. In my therapy practice, I work with children and teens between the ages of 4 to 18, and families. My focus is working with individuals who have experienced struggles related to anxiety and mood disorders, neurodevelopmental disorders, learning disabilities, attachment disruption, changes in the family system, adjustment to stressors, and the impacts of chronic stress and trauma, as well as identify development.
(952) 900-4067 View (952) 900-4067
Photo of Brian Borre, Marriage & Family Therapist in Fridley, MN
Brian Borre
Marriage & Family Therapist, MA, LMFT, LADC
Verified Verified
Minneapolis, MN 55401  (Online Only)
Healthy boundaries can be successfully learned, enhanced, practiced, and maintained; leading to decreased anxiety and increased self confidence.
Navigating interpersonal relationships to enhance wellbeing and a sense of tranquility need not be a solitary endeavor. The world can feel chaotic; our lives need not mirror this tumult. Feelings of irritation, sadness, fear, and emptiness are normal in times of change and uncertainty. When these feelings become overpowering or they are negatively impacting your life: change is critical. I believe exploring your ideal personal philosophy is critical to (re) establish life balance.
Healthy boundaries can be successfully learned, enhanced, practiced, and maintained; leading to decreased anxiety and increased self confidence.
Navigating interpersonal relationships to enhance wellbeing and a sense of tranquility need not be a solitary endeavor. The world can feel chaotic; our lives need not mirror this tumult. Feelings of irritation, sadness, fear, and emptiness are normal in times of change and uncertainty. When these feelings become overpowering or they are negatively impacting your life: change is critical. I believe exploring your ideal personal philosophy is critical to (re) establish life balance.
(612) 260-5396 View (612) 260-5396
Photo of Carrie Snyder, Clinical Social Work/Therapist in Fridley, MN
Carrie Snyder
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Minneapolis, MN 55408
I specialize in autism spectrum disorders, sexual trauma, neurodivergence, anxiety and depression.
I believe it is important to empower others to consciously narrate their lives. I value helping people through empowerment, nurturance, and education. I am innovative provider and enjoy creativity in the therapy room. I utilize a strengths based approach in therapy, and see the therapy as a collaborative process. I am passionate for helping individuals find confidence and courage, and I admire their resilience.
I specialize in autism spectrum disorders, sexual trauma, neurodivergence, anxiety and depression.
I believe it is important to empower others to consciously narrate their lives. I value helping people through empowerment, nurturance, and education. I am innovative provider and enjoy creativity in the therapy room. I utilize a strengths based approach in therapy, and see the therapy as a collaborative process. I am passionate for helping individuals find confidence and courage, and I admire their resilience.
(612) 688-4138 View (612) 688-4138
Photo of Robert H. Stillman, Marriage & Family Therapist in Fridley, MN
Robert H. Stillman
Marriage & Family Therapist, MS, LMFT
Verified Verified
Golden Valley, MN 55426  (Online Only)
I am a Licensed Marriage and Family Therapist, working with individuals, couples, and families with a strong emphasis on, though not limited to, Men (ages 8+). I have experience working with issues related to anxiety, depression, family/relational conflict, ADHD, Anger, Grief, Life Transitions, and Trauma. I believe in creating a safe environment in order to open communication, build relationships, and create hope.Therapy should be collaborative with clients in determining their goals, with the inclusion of one's value system. I am open to work with all clients regardless of Race, Religion, Ethnicity, Sexual Orientation, and Gender.
I am a Licensed Marriage and Family Therapist, working with individuals, couples, and families with a strong emphasis on, though not limited to, Men (ages 8+). I have experience working with issues related to anxiety, depression, family/relational conflict, ADHD, Anger, Grief, Life Transitions, and Trauma. I believe in creating a safe environment in order to open communication, build relationships, and create hope.Therapy should be collaborative with clients in determining their goals, with the inclusion of one's value system. I am open to work with all clients regardless of Race, Religion, Ethnicity, Sexual Orientation, and Gender.
(651) 237-8326 View (651) 237-8326
Photo of Carly Gershone, Licensed Professional Clinical Counselor in Fridley, MN
Carly Gershone
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Minneapolis, MN 55415
I’m so glad you’re here and thinking about coming to therapy! I see adolescents and adults, and I specialize in working with teens and young/emerging adults. I have a lot of experience working with folks who are experiencing anxiety, self-harm, problems with eating/body image, identity exploration, and family/relationship concerns. I identify as queer, and I work from a harm reduction, sex positive, trans-allied, feminist, fat acceptance/HAES lens.
I’m so glad you’re here and thinking about coming to therapy! I see adolescents and adults, and I specialize in working with teens and young/emerging adults. I have a lot of experience working with folks who are experiencing anxiety, self-harm, problems with eating/body image, identity exploration, and family/relationship concerns. I identify as queer, and I work from a harm reduction, sex positive, trans-allied, feminist, fat acceptance/HAES lens.
(612) 662-9050 View (612) 662-9050
Photo of Jeffrey Raich, Clinical Social Work/Therapist in Fridley, MN
Jeffrey Raich
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Minneapolis, MN 55401
Whether you’re dealing with difficulty in your relationships or you're struggling with depression or anxiety as a result of the above, I can help.
Life is hard. That’s pretty clear. But it’s made all the more difficult for those who are autistic, carry trauma, or are within the LGBTQIA+ community. The difficulty is unique. Whether it’s having an invisible disability, not being able to trust others, or fighting for acceptance, the ability to navigate life can be challenging. There’s hope. And I can help. Together we will work through the stories you’ve been taught, the expectations you’ve had to meet, and the experiences that brought you further and further from yourself.
Whether you’re dealing with difficulty in your relationships or you're struggling with depression or anxiety as a result of the above, I can help.
Life is hard. That’s pretty clear. But it’s made all the more difficult for those who are autistic, carry trauma, or are within the LGBTQIA+ community. The difficulty is unique. Whether it’s having an invisible disability, not being able to trust others, or fighting for acceptance, the ability to navigate life can be challenging. There’s hope. And I can help. Together we will work through the stories you’ve been taught, the expectations you’ve had to meet, and the experiences that brought you further and further from yourself.
(651) 615-4686 View (651) 615-4686
Photo of Jill Kozberg, Psychologist in Fridley, MN
Jill Kozberg
Psychologist, MA, LP
Verified Verified
Saint Louis Park, MN 55416
I work with individuals, couples and families who are typically dealing with issues related to anxiety, depression, adult ADHD (including building skills related to time management, organization and prioritizing), parenting, and relationship difficulties.
Finding the right therapist is an important and courageous step in the process of creating a more fulfilling life. I believe that everyone has their own answers. I will work collaboratively with you and offer you support, feedback and perspective to help you move forward. We will build on your strengths to work toward the personal growth that you are committed to achieving. I work from a developmental perspective, where we will look at what you are experiencing in the context of your life's experiences. I will provide a non-judgmental, safe space for you.
I work with individuals, couples and families who are typically dealing with issues related to anxiety, depression, adult ADHD (including building skills related to time management, organization and prioritizing), parenting, and relationship difficulties.
Finding the right therapist is an important and courageous step in the process of creating a more fulfilling life. I believe that everyone has their own answers. I will work collaboratively with you and offer you support, feedback and perspective to help you move forward. We will build on your strengths to work toward the personal growth that you are committed to achieving. I work from a developmental perspective, where we will look at what you are experiencing in the context of your life's experiences. I will provide a non-judgmental, safe space for you.
(612) 416-7124 View (612) 416-7124
Photo of Shoshana Koch, Clinical Social Work/Therapist in Fridley, MN
Shoshana Koch
Clinical Social Work/Therapist, LICSW, LADC, CYT-200
Verified Verified
Saint Paul, MN 55104  (Online Only)
Pursuing therapy is a courageous act and I'm honored to hold space for this vital work. Common challenges I navigate with people include depression, anxiety, stress management, trauma/complex trauma, substance use disorders, process addictions, and life transitions. Employing holistic approaches rooted in mindfulness, body-centered modalities, and compassion-focused therapy, my aim as a clinician is to support people in uncovering their own answers by tapping into their innate capacity for repair and thriving. When applicable, I apply my Yoga teacher certification and Ayurvedic health coaching to certain treatment goals.
Pursuing therapy is a courageous act and I'm honored to hold space for this vital work. Common challenges I navigate with people include depression, anxiety, stress management, trauma/complex trauma, substance use disorders, process addictions, and life transitions. Employing holistic approaches rooted in mindfulness, body-centered modalities, and compassion-focused therapy, my aim as a clinician is to support people in uncovering their own answers by tapping into their innate capacity for repair and thriving. When applicable, I apply my Yoga teacher certification and Ayurvedic health coaching to certain treatment goals.
(651) 409-6266 View (651) 409-6266
Photo of Ross E Gubrud, Psychologist in Fridley, MN
Ross E Gubrud
Psychologist, PhD
Verified Verified
Saint Paul, MN 55104
If you have made it thus far, congratulations! You are well on your way to alleviating your depression, anxiety, self-concept struggles, loss and grief, unhealthy relationship patterns, or existential concerns.
Change is tough. Seeking assistance is not only beneficial, but also human. And that is where I join you. I consider myself a therapeutic Sherpa—I know the way, but you need to take each step. That path leads through one’s difficulties, mucking about courageously and authentically. I love what I do, possessing both skill and experience, and am honored to walk beside you as we address your concerns.
If you have made it thus far, congratulations! You are well on your way to alleviating your depression, anxiety, self-concept struggles, loss and grief, unhealthy relationship patterns, or existential concerns.
Change is tough. Seeking assistance is not only beneficial, but also human. And that is where I join you. I consider myself a therapeutic Sherpa—I know the way, but you need to take each step. That path leads through one’s difficulties, mucking about courageously and authentically. I love what I do, possessing both skill and experience, and am honored to walk beside you as we address your concerns.
(651) 419-3860 View (651) 419-3860
Photo of Gregg A Eichenfield, Psychologist in Fridley, MN
Gregg A Eichenfield
Psychologist, PhD, LP
Verified Verified
Saint Paul, MN 55104
With 40+ years working as a psychologist, I work with a variety of clients struggling with mental health and life issues. Many clients seek my help for anxiety, depression, serious and persistent mental illness and life transitions. My patients include children as young as 7, adolescents, adults and seniors in their 80's. Clients are often referred to me for Cognitive Behavioral Therapy, relationship issues and sports-related performance concerns. I also have experience working with individuals and families where there are life-threatening health issues, infertility and pregnancy loss for both mothers and fathers.
With 40+ years working as a psychologist, I work with a variety of clients struggling with mental health and life issues. Many clients seek my help for anxiety, depression, serious and persistent mental illness and life transitions. My patients include children as young as 7, adolescents, adults and seniors in their 80's. Clients are often referred to me for Cognitive Behavioral Therapy, relationship issues and sports-related performance concerns. I also have experience working with individuals and families where there are life-threatening health issues, infertility and pregnancy loss for both mothers and fathers.
(651) 433-6872 View (651) 433-6872
Photo of Core Psychotherapy, Counselor in Fridley, MN
Core Psychotherapy
Counselor, MA, LPCC
Verified Verified
11 Endorsed
Minneapolis, MN 55405
We have multiple talented clinicians. Our approach to therapy is informed primarily by psychodynamic principles. The emphasis is on creating a safe, supportive environment in which to explore and develop insights into underlying feelings and thoughts. Together we will uncover deeply held assumptions that, although may have been useful at one time, today reinforce ways of coping in the world that are no longer effective or relevant.
We have multiple talented clinicians. Our approach to therapy is informed primarily by psychodynamic principles. The emphasis is on creating a safe, supportive environment in which to explore and develop insights into underlying feelings and thoughts. Together we will uncover deeply held assumptions that, although may have been useful at one time, today reinforce ways of coping in the world that are no longer effective or relevant.
Photo of Ruby Ellen Brayman, Clinical Social Work/Therapist in Fridley, MN
Ruby Ellen Brayman
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Minneapolis, MN 55426  (Online Only)
Hello, I'm Ruby! I am here to be your biggest cheerleader, thought untangler, and copilot through the ups and downs of life. My approach is both direct and warm, creating a safe space for open dialogue and exploration. Maybe you aren’t feeling so much like yourself anymore? Maybe you are often disregualted and you aren’t sure why? Maybe there are some painful things from your past you would like to work through? Together we will examine thought/behavior patterns and address core wounds to allow you better understand yourself with compassion and adapt healthy coping strategies so you can move forward effectively in your life.
Hello, I'm Ruby! I am here to be your biggest cheerleader, thought untangler, and copilot through the ups and downs of life. My approach is both direct and warm, creating a safe space for open dialogue and exploration. Maybe you aren’t feeling so much like yourself anymore? Maybe you are often disregualted and you aren’t sure why? Maybe there are some painful things from your past you would like to work through? Together we will examine thought/behavior patterns and address core wounds to allow you better understand yourself with compassion and adapt healthy coping strategies so you can move forward effectively in your life.
(952) 260-4692 View (952) 260-4692
Photo of Sophia Hawkins, Pre-Licensed Professional in Fridley, MN
Sophia Hawkins
Pre-Licensed Professional, PsyD
Verified Verified
Minneapolis, MN 55416
As a clinical psychologist, I have seen some arrive to therapy to seek a deeper understanding of their lives, while others hope to navigate painful threads in their relationships and inner worlds. Above all, people come to experience some form of relief, growth, or change. My approach is interactive, strength-based, and tailored to each person’s uniqueness. With my years of clinical experience and training, paired with my values of warmth, humility, creativity, and humor, I will guide us through a compassionate exploration of yourself and your relationships so that you can live a fuller and more enriching life.
As a clinical psychologist, I have seen some arrive to therapy to seek a deeper understanding of their lives, while others hope to navigate painful threads in their relationships and inner worlds. Above all, people come to experience some form of relief, growth, or change. My approach is interactive, strength-based, and tailored to each person’s uniqueness. With my years of clinical experience and training, paired with my values of warmth, humility, creativity, and humor, I will guide us through a compassionate exploration of yourself and your relationships so that you can live a fuller and more enriching life.
(612) 261-0969 View (612) 261-0969
Photo of Intuitive Therapy & Consulting, LLC, Marriage & Family Therapist in Fridley, MN
Intuitive Therapy & Consulting, LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
8 Endorsed
Golden Valley, MN 55426
Immediate openings for couples and families. Intuitive Therapy & Consulting is a mindful and holistic counseling clinic. Our therapists are empathic professionals who are trained to treat a variety of symptoms and presenting concerns from a collaborative and whole-person approach. Our goal is to partner with you to assist in identifying and understanding the important issues in your life that are creating struggles for you. Our holistic approach is to work to resolve the presenting concerns while identifying and addressing the underlying patterns. We strive to work together to offer ways to cope that work for you.
Immediate openings for couples and families. Intuitive Therapy & Consulting is a mindful and holistic counseling clinic. Our therapists are empathic professionals who are trained to treat a variety of symptoms and presenting concerns from a collaborative and whole-person approach. Our goal is to partner with you to assist in identifying and understanding the important issues in your life that are creating struggles for you. Our holistic approach is to work to resolve the presenting concerns while identifying and addressing the underlying patterns. We strive to work together to offer ways to cope that work for you.
(651) 760-5223 View (651) 760-5223
Photo of Timothy Bechtel, Clinical Social Work/Therapist in Fridley, MN
Timothy Bechtel
Clinical Social Work/Therapist, MA, LICSW
Verified Verified
1 Endorsed
Minneapolis, MN 55408  (Online Only)
Therapy can be a transformative process that helps you reclaim your vitality and connection with yourself and others. Through my 18 years as a therapist I’ve come to understand the common issues that get in the way of peoples’ growth and success. I can help you identify what is getting in your way, understand what you learned early on that caused you to feel stuck in life now, and address those issues in a way that creates lasting change. I utilize treatments such as Eye Movement Desensitization and Reprocessing therapy (EMDR) and other dynamic strategies to help you live life with more vibrancy and joy.
Therapy can be a transformative process that helps you reclaim your vitality and connection with yourself and others. Through my 18 years as a therapist I’ve come to understand the common issues that get in the way of peoples’ growth and success. I can help you identify what is getting in your way, understand what you learned early on that caused you to feel stuck in life now, and address those issues in a way that creates lasting change. I utilize treatments such as Eye Movement Desensitization and Reprocessing therapy (EMDR) and other dynamic strategies to help you live life with more vibrancy and joy.
(612) 887-2867 x2 View (612) 887-2867 x2
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.