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More Therapists Nearby

Photo of Kesma Flame Lily LLC, Counselor in Ham Lake, MN
Kesma Flame Lily LLC
Counselor, MSc, LPCC, S
Verified Verified
Andover, MN 55304
We are a Private Group Practice that adolescents and adults provide therapy to individuals with the diagnosis of anxiety, depression, schizophrenia, bipolar, self-image/esteem, gambling, difficulty adjusting to life stress, and trauma. We hold a dual license and experience in both mental health and chemical dependency.
We are a Private Group Practice that adolescents and adults provide therapy to individuals with the diagnosis of anxiety, depression, schizophrenia, bipolar, self-image/esteem, gambling, difficulty adjusting to life stress, and trauma. We hold a dual license and experience in both mental health and chemical dependency.
(763) 316-3983 View (763) 316-3983
Photo of Terra Sorg, Clinical Social Work/Therapist in Ham Lake, MN
Terra Sorg
Clinical Social Work/Therapist, MBA, MSW, LICSW
Verified Verified
5 Endorsed
Blaine, MN 55434
When it comes to therapy, I know it takes a lot of courage and vulnerability to find the "right" therapist. It is an investment in time, energy and resources, so making it worthwhile is important. My approach is validating as well as direct. My clients have said that I get to the root of their situations quickly and provide clear ideas of how to cope differently. I am a skills-oriented therapist who has many ideas and strategies for working toward your goals.
When it comes to therapy, I know it takes a lot of courage and vulnerability to find the "right" therapist. It is an investment in time, energy and resources, so making it worthwhile is important. My approach is validating as well as direct. My clients have said that I get to the root of their situations quickly and provide clear ideas of how to cope differently. I am a skills-oriented therapist who has many ideas and strategies for working toward your goals.
(651) 661-4855 View (651) 661-4855
Photo of Kevin Sutterer, Marriage & Family Therapist in Ham Lake, MN
Kevin Sutterer
Marriage & Family Therapist, MA, LMFT
Verified Verified
Minneapolis, MN 55448
Waitlist for new clients
(651) 661-4637 View (651) 661-4637

Online Therapists

Photo of Carin J Osvog, Counselor in Ham Lake, MN
Carin J Osvog
Counselor, LPCC
Verified Verified
1 Endorsed
Saint Paul, MN 55102
I work with clients who live with intense emotions. Deep depression, constant anxiety, intense anger, and other clients—who want to avoid feeling all together. Emotions often drive my client's choices—how they choose to behave or speak (or bow out of engaging/speaking) depends on how they are feeling. This tends to create chaos and damage relationships. My clients become aware of their thoughts and emotions without being ruled by them. My style is warm, highly curious, non-judgmental, and collaborative. It is important to me that you feel comfortable, with me, and in my space.
I work with clients who live with intense emotions. Deep depression, constant anxiety, intense anger, and other clients—who want to avoid feeling all together. Emotions often drive my client's choices—how they choose to behave or speak (or bow out of engaging/speaking) depends on how they are feeling. This tends to create chaos and damage relationships. My clients become aware of their thoughts and emotions without being ruled by them. My style is warm, highly curious, non-judgmental, and collaborative. It is important to me that you feel comfortable, with me, and in my space.
(651) 413-9864 View (651) 413-9864
Photo of Michelle Clark, Marriage & Family Therapist in Ham Lake, MN
Michelle Clark
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Albertville, MN 55301
Are you wanting to live a more fulfilled life? Are you engaged in an unhealthy relationship or experiencing marital conflicts? Do you feel overwhelmed with depression, anxiety or suffer from PTSD? If you answered yes to any of these questions, then call me, Michelle Clark MA, LMFT, where help & healing begins. I am devoted to helping you live the life you have always wanted and committed to providing the highest quality care in a fun, safe, professional environment focusing on practical strategies to help you live the life you have always wanted but struggled to achieve.
Are you wanting to live a more fulfilled life? Are you engaged in an unhealthy relationship or experiencing marital conflicts? Do you feel overwhelmed with depression, anxiety or suffer from PTSD? If you answered yes to any of these questions, then call me, Michelle Clark MA, LMFT, where help & healing begins. I am devoted to helping you live the life you have always wanted and committed to providing the highest quality care in a fun, safe, professional environment focusing on practical strategies to help you live the life you have always wanted but struggled to achieve.
(763) 363-6238 View (763) 363-6238
Photo of Healing Connections Therapy Center, Psychologist in Ham Lake, MN
Healing Connections Therapy Center
Psychologist, MSEd, LP
Not Verified Not Verified
Burnsville, MN 55306
Our specialties include personality disorders, DBT (dialectical behavior therapy), trauma informed therapy, marriage and family therapy, addictions, depression, anxiety, adolescents, EMDR, PTSD, grief/loss, and life transitions.
We are a multi-disciplinary team offering medication management, individual therapy, couples and family counseling, and group therapy to provide you with comprehensive care for treatment of many mental health issues. Our groups and individual therapy have proven to change destructive behaviors, improve ability to manage mood, and enhance stress management skills. Our goal is to be of support by helping individuals develop and strengthen skills that promote well-being and success in daily living. We look forward to working with you.
Our specialties include personality disorders, DBT (dialectical behavior therapy), trauma informed therapy, marriage and family therapy, addictions, depression, anxiety, adolescents, EMDR, PTSD, grief/loss, and life transitions.
We are a multi-disciplinary team offering medication management, individual therapy, couples and family counseling, and group therapy to provide you with comprehensive care for treatment of many mental health issues. Our groups and individual therapy have proven to change destructive behaviors, improve ability to manage mood, and enhance stress management skills. Our goal is to be of support by helping individuals develop and strengthen skills that promote well-being and success in daily living. We look forward to working with you.
(952) 479-5976 View (952) 479-5976
Photo of Jeff Walter, Psychologist in Ham Lake, MN
Jeff Walter
Psychologist, PhD, LP
Verified Verified
Minneapolis, MN 55419
I have a record of success helping adults and couples heal from anxiety, depression, trauma, relationship conflict and more.
I provide therapy personalized to address your distinct goals and needs. My therapeutic approach is integrative and relationship-focused, influenced by liberation psychology, feminist/multicultural, and humanistic/existential lenses. I trained as a generalist and also have extensive experience working with overlapping healthcare needs, trauma survivors, people coping with experiences of domestic violence and abuse, and students addressing topics such as academic success, anxiety, depression, grief and loss, identity development, and healthy relationships. I continue to refine a culturally humble approach to psychotherapy work.
I have a record of success helping adults and couples heal from anxiety, depression, trauma, relationship conflict and more.
I provide therapy personalized to address your distinct goals and needs. My therapeutic approach is integrative and relationship-focused, influenced by liberation psychology, feminist/multicultural, and humanistic/existential lenses. I trained as a generalist and also have extensive experience working with overlapping healthcare needs, trauma survivors, people coping with experiences of domestic violence and abuse, and students addressing topics such as academic success, anxiety, depression, grief and loss, identity development, and healthy relationships. I continue to refine a culturally humble approach to psychotherapy work.
(612) 439-2189 View (612) 439-2189
Photo of Abigail Amundson, Licensed Professional Counselor in Ham Lake, MN
Abigail Amundson
Licensed Professional Counselor, MA, LPCC
Verified Verified
2 Endorsed
Minnetonka, MN 55305  (Online Only)
Panic? Anxiety? Obsessions/compulsions? It's time to change your thoughts and start living again. It is my hope that we can build a foundation of trust to begin to get to the root of any emotional turmoil you may be feeling. I can be here to help you with any short term or long term problems you may be facing. Life transitions, anxiety, depression, or obsessed thoughts can be managed with the right understanding of your cognitive processes. Through therapy it is my belief that you can weather the struggles of life and grow stronger. If you want to learn more about my practice check out my website: www.cadenzacounselingplc.com
Panic? Anxiety? Obsessions/compulsions? It's time to change your thoughts and start living again. It is my hope that we can build a foundation of trust to begin to get to the root of any emotional turmoil you may be feeling. I can be here to help you with any short term or long term problems you may be facing. Life transitions, anxiety, depression, or obsessed thoughts can be managed with the right understanding of your cognitive processes. Through therapy it is my belief that you can weather the struggles of life and grow stronger. If you want to learn more about my practice check out my website: www.cadenzacounselingplc.com
(612) 324-6437 View (612) 324-6437
Photo of Susan Ann Gustafson, Psychologist in Ham Lake, 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 Donny Hobbs, Marriage & Family Therapist in Ham Lake, MN
Donny Hobbs
Marriage & Family Therapist, MA, LMFT, CEC
Verified Verified
3 Endorsed
New Brighton, MN 55112
I also have specialized training in Exposure and Ritual Prevention (ExRP) from the Center for Treatment and Study of Anxiety at the University of Pennsylvania Medical Center.
I work with individuals who are impacted by anxiety, depression, and low self-esteem. My treatment approach focuses on improving confidence and personal resilience while reducing emotional distress. I also provide counseling for couples and families who are working through relational challenges and life-cycle transitions.I work from a holistic perspective, and my approach is goal driven and solution-focused. Together we identify your goals and ideal outcomes and work through challenges and unhelpful patterns to achieve success. I use accountability coaching to help you achieve your goals and step into the next chapter of life.
I also have specialized training in Exposure and Ritual Prevention (ExRP) from the Center for Treatment and Study of Anxiety at the University of Pennsylvania Medical Center.
I work with individuals who are impacted by anxiety, depression, and low self-esteem. My treatment approach focuses on improving confidence and personal resilience while reducing emotional distress. I also provide counseling for couples and families who are working through relational challenges and life-cycle transitions.I work from a holistic perspective, and my approach is goal driven and solution-focused. Together we identify your goals and ideal outcomes and work through challenges and unhelpful patterns to achieve success. I use accountability coaching to help you achieve your goals and step into the next chapter of life.
(651) 927-8109 View (651) 927-8109
Photo of Amy Quinn, Counselor in Ham Lake, MN
Amy Quinn
Counselor, MA, LPCC
Verified Verified
Prior Lake, MN 55372  (Online Only)
Are you looking to explore relationship issues, gain support, or make changes in your life? You may be looking to gain insight and skills to manage life better. You're looking for a therapist that will not only listen, but give you skills and explore resourcing that improves your quality of life? Maybe it's your first time in therapy and you're worried about what it's all about? You're worried you're burning out your friends and family with your problems? You just know that something needs to change, something is missing, and you need a supportive, safe place to process.
Are you looking to explore relationship issues, gain support, or make changes in your life? You may be looking to gain insight and skills to manage life better. You're looking for a therapist that will not only listen, but give you skills and explore resourcing that improves your quality of life? Maybe it's your first time in therapy and you're worried about what it's all about? You're worried you're burning out your friends and family with your problems? You just know that something needs to change, something is missing, and you need a supportive, safe place to process.
(952) 243-3249 View (952) 243-3249
Photo of Kelsey Notaro, Licensed Professional Clinical Counselor in Ham Lake, MN
Kelsey Notaro
Licensed Professional Clinical Counselor, MS, LPCC
Verified Verified
Woodbury, MN 55125  (Online Only)
I specialize in working with young adults who are struggling with OCD and Anxiety that impacts their romantic relationships and faith values (for those who seek it). Together, we can make sense of your experiences (both past and present), dig a little deeper to identify patterns keeping you stuck, and create realistic and actionable steps toward improving your overall health and relationships. My clients are dedicated to their personal growth and healing journey and are motivated to expand awareness and improve their overall well-being and sense of self.
I specialize in working with young adults who are struggling with OCD and Anxiety that impacts their romantic relationships and faith values (for those who seek it). Together, we can make sense of your experiences (both past and present), dig a little deeper to identify patterns keeping you stuck, and create realistic and actionable steps toward improving your overall health and relationships. My clients are dedicated to their personal growth and healing journey and are motivated to expand awareness and improve their overall well-being and sense of self.
(651) 240-2229 View (651) 240-2229
Photo of Julie De Wilde, Counselor in Ham Lake, MN
Julie De Wilde
Counselor, MA, LPCC
Verified Verified
Minnetonka, MN 55305  (Online Only)
Do you find yourself discouraged with the demands of life or with not finding healthy relationships? Do you feel alone with the circumstances in your life? I specialize in working with depression, anxiety, chronic health, chronic pain, grief, abuse, trauma, autism, ADHD, mental illness, marriage issues, and parenting.
Do you find yourself discouraged with the demands of life or with not finding healthy relationships? Do you feel alone with the circumstances in your life? I specialize in working with depression, anxiety, chronic health, chronic pain, grief, abuse, trauma, autism, ADHD, mental illness, marriage issues, and parenting.
(651) 439-2059 x1 View (651) 439-2059 x1
Photo of Mollie Newhouse, PsyD, LP, Psychologist in Ham Lake, MN
Mollie Newhouse, PsyD, LP
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
Woodbury, MN 55125
Accepting residents of MN. Do you often feel misunderstood, scared, stuck, unheard, or like you don't matter? Sometimes life experiences have us feeling like we are constantly struggling or fighting to survive. Maybe you feel like it's difficult to connect with others or even find it difficult to love yourself. This can leave you feeling lonely and unsure of the future, possibly even unsure if you can trust anyone to understand your struggles. I have interest in helping those who struggle with chronic pain, anxiety, depression, eating disorders, grief, and psychological trauma.
Accepting residents of MN. Do you often feel misunderstood, scared, stuck, unheard, or like you don't matter? Sometimes life experiences have us feeling like we are constantly struggling or fighting to survive. Maybe you feel like it's difficult to connect with others or even find it difficult to love yourself. This can leave you feeling lonely and unsure of the future, possibly even unsure if you can trust anyone to understand your struggles. I have interest in helping those who struggle with chronic pain, anxiety, depression, eating disorders, grief, and psychological trauma.
(651) 240-2660 View (651) 240-2660
Photo of Austin Jacobsen, Licensed Professional Counselor in Ham Lake, MN
Austin Jacobsen
Licensed Professional Counselor, MA, LPCC
Verified Verified
1 Endorsed
Eagan, MN 55122
Austin specializes in trauma, sex, gender, and phobias, but also has over 10 years of experience working with depression, anxiety, schizophrenia and psychosis, personality disorders, and severe and persistent illness (SPMI).
Austin believes that we are all searching for our own meaning in life, and that we make our own meaning. Stemming from a person-centered standpoint, he meets people where they are, holding space and walking with clients down their own paths as a guest in their personal journey. He combines an Adlerian and existential framework with cognitive behavioral, EMDR, and solution focused techniques to assist clients in making meaningful changes in their lives, tapping into the client’s inner strengths along the way. Austin also uses revolutionary methods incorporating technology and virtual reality into session.
Austin specializes in trauma, sex, gender, and phobias, but also has over 10 years of experience working with depression, anxiety, schizophrenia and psychosis, personality disorders, and severe and persistent illness (SPMI).
Austin believes that we are all searching for our own meaning in life, and that we make our own meaning. Stemming from a person-centered standpoint, he meets people where they are, holding space and walking with clients down their own paths as a guest in their personal journey. He combines an Adlerian and existential framework with cognitive behavioral, EMDR, and solution focused techniques to assist clients in making meaningful changes in their lives, tapping into the client’s inner strengths along the way. Austin also uses revolutionary methods incorporating technology and virtual reality into session.
(952) 900-5901 View (952) 900-5901
Photo of Positive Psychology Consultants - Jacqueline Bluem, Licensed Professional Counselor in Ham Lake, MN
Positive Psychology Consultants - Jacqueline Bluem
Licensed Professional Counselor, MA, LPCC, LADC
Verified Verified
Bloomington, MN 55425
Depression, anxiety, substance abuse and mental health disorders, fertility assisted treatment, support and infertility concerns, pregnancy and perinatal mood and anxiety disorder (PMAD), pain management, severe and persistent mental illness, multicultural counseling, stress management, career counseling, Rule 25 Assessments and Comprehensive Assessments.
Jackie is passionate about helping others succeed in improving their mental health and chemical health symptoms so they can live an optimal healthy life. She utilizes Positive Psychology concepts and Motivational Interviewing which are both a form of strength-based approaches. Motivational Interviewing has been defined as “a collaborative, person-centered form of guiding to elicit and strengthen motivation to change”. Jackie also uses an informed Cognitive Behavioral Therapy approach, Dialectical Behavioral Therapy and Eye Movement Desensitization and Reprocessing (EMDR).
Depression, anxiety, substance abuse and mental health disorders, fertility assisted treatment, support and infertility concerns, pregnancy and perinatal mood and anxiety disorder (PMAD), pain management, severe and persistent mental illness, multicultural counseling, stress management, career counseling, Rule 25 Assessments and Comprehensive Assessments.
Jackie is passionate about helping others succeed in improving their mental health and chemical health symptoms so they can live an optimal healthy life. She utilizes Positive Psychology concepts and Motivational Interviewing which are both a form of strength-based approaches. Motivational Interviewing has been defined as “a collaborative, person-centered form of guiding to elicit and strengthen motivation to change”. Jackie also uses an informed Cognitive Behavioral Therapy approach, Dialectical Behavioral Therapy and Eye Movement Desensitization and Reprocessing (EMDR).
(651) 383-1978 View (651) 383-1978
Photo of True Balance Counseling, Psychologist in Ham Lake, MN
True Balance Counseling
Psychologist, MS, LMFT, PhD, LP, RPT-S
Verified Verified
3 Endorsed
Little Falls, MN 56345
Anxiety? Depression? Just sick and tired of being sick and tired? We get it. Life can be a pain in the .....well.... a pain. Sometimes we just have to let it all out. Our team of experienced therapists get it. Trauma? YEP! ADHD? YEP! Military and public service? YEP! Let us help. We can offer you an alternative, non- doctory, take of your shoes and be comfy, place to let it all start to heal. We work with children, adults, couples, and families. Let us help you, help yourself.
Anxiety? Depression? Just sick and tired of being sick and tired? We get it. Life can be a pain in the .....well.... a pain. Sometimes we just have to let it all out. Our team of experienced therapists get it. Trauma? YEP! ADHD? YEP! Military and public service? YEP! Let us help. We can offer you an alternative, non- doctory, take of your shoes and be comfy, place to let it all start to heal. We work with children, adults, couples, and families. Let us help you, help yourself.
(320) 632-5524 View (320) 632-5524
Photo of Jessica L Rice, Counselor in Ham Lake, MN
Jessica L Rice
Counselor, MA, LPCC
Verified Verified
Little Falls, MN 56345
Waitlist for new clients
I enjoy working with indiviuals experiencing life transitions, depression, anxiety, grief and loss and attachment related concerns. Through deep exploration, individuals gain insight into their internal world, learn to accept and feel compassion for all of themselves and create a sense of balance and peace within.
I enjoy working with indiviuals experiencing life transitions, depression, anxiety, grief and loss and attachment related concerns. Through deep exploration, individuals gain insight into their internal world, learn to accept and feel compassion for all of themselves and create a sense of balance and peace within.
(651) 419-5370 View (651) 419-5370
Photo of Fran Bieganek, Psychologist in Ham Lake, MN
Fran Bieganek
Psychologist, MS, LP, BCN
Verified Verified
Edina, MN 55439
I have a strong background in, and a passion for working with, the following: Trauma Recovery, Grief , Loss & Bereavement, Depression & Anxiety, Major Life Transitions, Couples Counseling (both restorative and de-coupling), Psychosomatic Symptom Presentation and Well-being.
I am currently only accepting new neurofeedback clients. I offer free consultations. I know that finding the right therapist can be an overwhelming task. Here's what you should know about me as a practitioner: I have an enduring belief that human beings have the inherent capacity to heal, become whole. This belief informs everything I do within the therapy process. Our work together becomes a collaborative process meant to faciliate your healing: my job in this process is to use my knowledge, experience and skills to help you heal and grow; your job is to show up fully and commit to active engagement in the the work of therapy.
I have a strong background in, and a passion for working with, the following: Trauma Recovery, Grief , Loss & Bereavement, Depression & Anxiety, Major Life Transitions, Couples Counseling (both restorative and de-coupling), Psychosomatic Symptom Presentation and Well-being.
I am currently only accepting new neurofeedback clients. I offer free consultations. I know that finding the right therapist can be an overwhelming task. Here's what you should know about me as a practitioner: I have an enduring belief that human beings have the inherent capacity to heal, become whole. This belief informs everything I do within the therapy process. Our work together becomes a collaborative process meant to faciliate your healing: my job in this process is to use my knowledge, experience and skills to help you heal and grow; your job is to show up fully and commit to active engagement in the the work of therapy.
(612) 255-4491 View (612) 255-4491
Photo of NewPath Mental Health Services in Ham Lake, MN
NewPath Mental Health Services
Verified Verified
Golden Valley, MN 55426
Founded in 1993 by Dr. Jeanette Vought, NewPath Mental Health Services (NPMHS) provides professional mental health services, incorporating Christian faith for those desiring it, to individuals who have experienced abuse or trauma. While we specialize in providing care to those who have experienced trauma, our therapists also have expertise treating depression, anxiety, sexual addictions, and addressing family and relational concerns. We are passionate about our mission to provide quality mental health care to everyone.
Founded in 1993 by Dr. Jeanette Vought, NewPath Mental Health Services (NPMHS) provides professional mental health services, incorporating Christian faith for those desiring it, to individuals who have experienced abuse or trauma. While we specialize in providing care to those who have experienced trauma, our therapists also have expertise treating depression, anxiety, sexual addictions, and addressing family and relational concerns. We are passionate about our mission to provide quality mental health care to everyone.
(763) 250-5016 View (763) 250-5016
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.