Therapists in Lakewood, OH

Photo of Megan M Seaman, Licensed Professional Counselor in Lakewood, OH
Megan M Seaman
Licensed Professional Counselor, PhD, LPC, RYT
Verified Verified
Lakewood, OH 44107
Welcome and thank you for your trust and confidence in allowing me, Dr. Megan Seaman, to serve you in the therapeutic relationship that we will form in the areas that are important to you! I have had 19 years of experience counseling clients in a variety of settings, which includes working with individuals, couples, families, and groups. I am trained and qualified to work with most diagnoses and life situations including, but not limited to anxiety and stress, depression, grief and loss, trauma, developmental transitions, gender and sexual identity development, career exploration, feminist and social justice issues, and mindfulness.
Welcome and thank you for your trust and confidence in allowing me, Dr. Megan Seaman, to serve you in the therapeutic relationship that we will form in the areas that are important to you! I have had 19 years of experience counseling clients in a variety of settings, which includes working with individuals, couples, families, and groups. I am trained and qualified to work with most diagnoses and life situations including, but not limited to anxiety and stress, depression, grief and loss, trauma, developmental transitions, gender and sexual identity development, career exploration, feminist and social justice issues, and mindfulness.
(216) 777-3720 View (216) 777-3720
Maggie Petrone
Psychologist, PhD
Verified Verified
1 Endorsed
Lakewood, OH 44107
Waitlist for new clients
I specialize in trauma, PTSD, depression and anxiety disorders, abuse and neglect issues, spiritual issues, relationship issues, chronic pain and health issues and other issues or patterns that you seek to change.
My intention is to provide an accepting and compassionate space to allow for healing, growth and change to occur. I seek to empower you to make helpful changes in your life, as well as helping facilitate healing from trauma and other issues in life that may have prevented you from allowing the fullest expression of yourself. My aim is to promote enhanced resiliency, self-love, and evidence-based clinical tools to help you create the life you want, and to help you find freedom from patterns that no longer serve you. My goal is to provide an environment in which to facilitate positive changes, personal growth and self-empowerment.
I specialize in trauma, PTSD, depression and anxiety disorders, abuse and neglect issues, spiritual issues, relationship issues, chronic pain and health issues and other issues or patterns that you seek to change.
My intention is to provide an accepting and compassionate space to allow for healing, growth and change to occur. I seek to empower you to make helpful changes in your life, as well as helping facilitate healing from trauma and other issues in life that may have prevented you from allowing the fullest expression of yourself. My aim is to promote enhanced resiliency, self-love, and evidence-based clinical tools to help you create the life you want, and to help you find freedom from patterns that no longer serve you. My goal is to provide an environment in which to facilitate positive changes, personal growth and self-empowerment.
(440) 510-3115 View (440) 510-3115
Photo of L Claire Campbell, Counselor in Lakewood, OH
L Claire Campbell
Counselor, ATR, LPCC-S
Verified Verified
Lakewood, OH 44107
Are you feeling exhausted, overwhelmed, anxious or grieving? Going through a big life transition? I will meet you where you are in life in a safe, affirming space to explore your personal story, growth, and potential. I can help you make sense of things through traditional talk therapy coupled with somatic processing, mindfulness practice, relaxation techniques, guided imagery, movement and art therapy. I view each client as unique and having a powerful story to share. I will work with you to identify your inherent strengths, growing edges and support developing what changes will foster ongoing hope and positivity.
Are you feeling exhausted, overwhelmed, anxious or grieving? Going through a big life transition? I will meet you where you are in life in a safe, affirming space to explore your personal story, growth, and potential. I can help you make sense of things through traditional talk therapy coupled with somatic processing, mindfulness practice, relaxation techniques, guided imagery, movement and art therapy. I view each client as unique and having a powerful story to share. I will work with you to identify your inherent strengths, growing edges and support developing what changes will foster ongoing hope and positivity.
(216) 206-8889 View (216) 206-8889
Photo of Lauren Walters, Clinical Social Work/Therapist in Lakewood, OH
Lauren Walters
Clinical Social Work/Therapist, LISW
Verified Verified
Lakewood, OH 44107
Lauren Walters is a Licensed Independent Social Worker with 2 years of experience in the mental health field. She is passionate about providing a safe and supportive environment for her clients to explore their concerns, set goals, and work toward improved mental and emotional well-being. Lauren specializes in anxiety, coping skills development, and trauma. Lauren completed her Master of Social Work (MSW) at Case Western Reserve University. Her professional experiences enable her to provide active listening, empathy, and compassion to her clients.
Lauren Walters is a Licensed Independent Social Worker with 2 years of experience in the mental health field. She is passionate about providing a safe and supportive environment for her clients to explore their concerns, set goals, and work toward improved mental and emotional well-being. Lauren specializes in anxiety, coping skills development, and trauma. Lauren completed her Master of Social Work (MSW) at Case Western Reserve University. Her professional experiences enable her to provide active listening, empathy, and compassion to her clients.
(216) 279-0720 View (216) 279-0720
Photo of Sheila Becking, Psychologist in Lakewood, OH
Sheila Becking
Psychologist, PsyD
Verified Verified
Lakewood, OH 44107
If you or a loved one is struggling with depression or anxiety, please contact me at 440-785-8514 or email me to schedule an appointment. I have 10+ years of experience helping individuals from adolescents to elderly. My areas of experience include helping people deal with a history of trauma or abuse, depression, anxiety, eating disorders, chemical abuse, and adjustment issues related to life transitions.
If you or a loved one is struggling with depression or anxiety, please contact me at 440-785-8514 or email me to schedule an appointment. I have 10+ years of experience helping individuals from adolescents to elderly. My areas of experience include helping people deal with a history of trauma or abuse, depression, anxiety, eating disorders, chemical abuse, and adjustment issues related to life transitions.
(440) 575-5212 View (440) 575-5212
Photo of Lauren Negrey, Licensed Professional Counselor in Lakewood, OH
Lauren Negrey
Licensed Professional Counselor, LPC
Verified Verified
Lakewood, OH 44107
Waitlist for new clients
I have been privileged to work with people of all ages manage challenges such as anxiety, depression, grief, stress and life transitions, behavioral concerns, school issues, interpersonal/marital issues, and self esteem.
Therapy is hard work. Making personal changes that enhance self awareness, figuring out difficult decisions, and looking for a new path forward is not always easy and I would be honored to accompany you on your journey. I rely on a combination of evidenced based practices like cognitive behavioral, dialectical, brief solutions focus, and narrative therapies to customize a plan that we will co-create to suit your needs and goals to help you explore your situation, create understanding and change, and become the best version of yourself.
I have been privileged to work with people of all ages manage challenges such as anxiety, depression, grief, stress and life transitions, behavioral concerns, school issues, interpersonal/marital issues, and self esteem.
Therapy is hard work. Making personal changes that enhance self awareness, figuring out difficult decisions, and looking for a new path forward is not always easy and I would be honored to accompany you on your journey. I rely on a combination of evidenced based practices like cognitive behavioral, dialectical, brief solutions focus, and narrative therapies to customize a plan that we will co-create to suit your needs and goals to help you explore your situation, create understanding and change, and become the best version of yourself.
(216) 369-6628 View (216) 369-6628
Photo of Lakewood Counseling, LLC, Clinical Social Work/Therapist in Lakewood, OH
Lakewood Counseling, LLC
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Lakewood, OH 44107
If you struggle with grief and loss, anxiety, depression, trauma, bullying, pregnancy, addiction or self-harm, you will find through counseling you can be strong, clear minded, self-controlled and peaceful.
Life is no easy task. It can knock us around causing regrets and unwanted feelings. Emotional pain can be elusive, idling for years as the culprit of failed partnerships, loneliness, underachievement, despair, and fear. Mental pain does not send us to the emergency room for stitches but can leave us feeling at war with ourselves. When left unattended this pain can lead to debilitating mood disorders and maladaptive coping strategies. As a partner of Lakewood Counseling, I am here to help you tend to your mental health, restore your inner strength and reclaim control over the life that you deserve.
If you struggle with grief and loss, anxiety, depression, trauma, bullying, pregnancy, addiction or self-harm, you will find through counseling you can be strong, clear minded, self-controlled and peaceful.
Life is no easy task. It can knock us around causing regrets and unwanted feelings. Emotional pain can be elusive, idling for years as the culprit of failed partnerships, loneliness, underachievement, despair, and fear. Mental pain does not send us to the emergency room for stitches but can leave us feeling at war with ourselves. When left unattended this pain can lead to debilitating mood disorders and maladaptive coping strategies. As a partner of Lakewood Counseling, I am here to help you tend to your mental health, restore your inner strength and reclaim control over the life that you deserve.
(440) 703-6723 View (440) 703-6723
Photo of Meghan Ritter, Licensed Professional Clinical Counselor in Lakewood, OH
Meghan Ritter
Licensed Professional Clinical Counselor, MA, LPCC-S
Verified Verified
Lakewood, OH 44107
Waitlist for new clients
I enjoy working with adults, children, and adolescents with adjustment related issues, depression, anxiety, trauma and ADHD. I believe in providing a safe, nonjudgmental environment for clients that are seeking guidance and support through a holistic, strengths based approach. My approach to therapy is eclectic, I use dialectical behavioral therapy, internal family system and client-centered interventions to assist my clients. I often use humor in my therapy and firmly believe laughter is the best medicine. Together we will set goals and work to achieve them in a comfortable setting.
I enjoy working with adults, children, and adolescents with adjustment related issues, depression, anxiety, trauma and ADHD. I believe in providing a safe, nonjudgmental environment for clients that are seeking guidance and support through a holistic, strengths based approach. My approach to therapy is eclectic, I use dialectical behavioral therapy, internal family system and client-centered interventions to assist my clients. I often use humor in my therapy and firmly believe laughter is the best medicine. Together we will set goals and work to achieve them in a comfortable setting.
(216) 243-5924 View (216) 243-5924
Photo of Kristi Anderson Wilson, Licensed Professional Counselor in Lakewood, OH
Kristi Anderson Wilson
Licensed Professional Counselor, LPCC-S, NCC, CBIS
Verified Verified
1 Endorsed
Lakewood, OH 44107  (Online Only)
Don't be pushed around by the fears in your mind. Be led by the dreams in your heart. (Roy T. Bennett). Beyond her over 15 years of practice, what sets Kristi apart is her dedication to ongoing learning and curiosity, allowing her to stay up-to-date with the latest advancements in the field of mental health. Her open and authentic approach creates a safe and non-judgmental space for clients to explore their thoughts and feelings. Kristi's expertise extends to various mental health issues and disorders, including Autism, Acquired Brain Injury, Trauma (PTSD), Anxiety, Depression, and Grief Counseling.
Don't be pushed around by the fears in your mind. Be led by the dreams in your heart. (Roy T. Bennett). Beyond her over 15 years of practice, what sets Kristi apart is her dedication to ongoing learning and curiosity, allowing her to stay up-to-date with the latest advancements in the field of mental health. Her open and authentic approach creates a safe and non-judgmental space for clients to explore their thoughts and feelings. Kristi's expertise extends to various mental health issues and disorders, including Autism, Acquired Brain Injury, Trauma (PTSD), Anxiety, Depression, and Grief Counseling.
(216) 616-8329 View (216) 616-8329
Photo of Emily Pohorence, Licensed Professional Clinical Counselor in Lakewood, OH
Emily Pohorence
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
5 Endorsed
Lakewood, OH 44107  (Online Only)
Hi! I’m Emily and I work with teens and adults, age 16 and up, navigating anxiety, depression, ADD/ADHD, OCD, gender exploration, neurodivergence, relationships, self-worth, sexuality, and trauma. As a queer identifying person, I am passionate about helping individuals within the LGBTQIA+ community, with specialized experience in transgender and nonbinary care. I have specific experience writing letters of support for transgender and nonbinary clients seeking Hormone Replacement Therapy and/or gender affirming surgery. I enjoy working with all ages across the lifespan, especially teens, college students, and 20 and 30-somethings.
Hi! I’m Emily and I work with teens and adults, age 16 and up, navigating anxiety, depression, ADD/ADHD, OCD, gender exploration, neurodivergence, relationships, self-worth, sexuality, and trauma. As a queer identifying person, I am passionate about helping individuals within the LGBTQIA+ community, with specialized experience in transgender and nonbinary care. I have specific experience writing letters of support for transgender and nonbinary clients seeking Hormone Replacement Therapy and/or gender affirming surgery. I enjoy working with all ages across the lifespan, especially teens, college students, and 20 and 30-somethings.
(216) 584-9763 View (216) 584-9763
Photo of Rebecca White, Counselor in Lakewood, OH
Rebecca White
Counselor, MS, EdS, LPCC
Verified Verified
1 Endorsed
Lakewood, OH 44107
As far as anyone knows, your life is great. Enviable, even. But deep down, you know the truth: You’re not sure you like your life anymore, or yourself for that matter. Your career, relationships, and the world bring out parts of you that just take over, and you’re not sure how you would define yourself without labels like “driven,” "successful,” “in control,” or “super Mom/Dad.” You’re feeling anxious, overwhelmed, resentful, stuck, and unsure about how your work, your life, and your relationships can be sustained in their current state. There is always something to do and someone else to take care of.
As far as anyone knows, your life is great. Enviable, even. But deep down, you know the truth: You’re not sure you like your life anymore, or yourself for that matter. Your career, relationships, and the world bring out parts of you that just take over, and you’re not sure how you would define yourself without labels like “driven,” "successful,” “in control,” or “super Mom/Dad.” You’re feeling anxious, overwhelmed, resentful, stuck, and unsure about how your work, your life, and your relationships can be sustained in their current state. There is always something to do and someone else to take care of.
(216) 369-6805 View (216) 369-6805
Photo of Mary Hildenbrand, Psychologist in Lakewood, OH
Mary Hildenbrand
Psychologist, PhD
Verified Verified
1 Endorsed
Lakewood, OH 44107
Sometimes when life feels completely out of control and your world has been turned upside down, having one hour a week you can count on can be life-changing. Whether you are struggling with anxiety or depression, having a hard time connecting with the people in your life, going through a major life transition or loss, or simply trying to figure out how to feel like yourself again, I am here to support and guide you through that process. The right balance of support and challenge in therapy can often help you to unlock any "stuck" areas and empower you to re-create your life.
Sometimes when life feels completely out of control and your world has been turned upside down, having one hour a week you can count on can be life-changing. Whether you are struggling with anxiety or depression, having a hard time connecting with the people in your life, going through a major life transition or loss, or simply trying to figure out how to feel like yourself again, I am here to support and guide you through that process. The right balance of support and challenge in therapy can often help you to unlock any "stuck" areas and empower you to re-create your life.
(216) 304-3536 View (216) 304-3536
Photo of Veronica Fabec, Licensed Professional Counselor in Lakewood, OH
Veronica Fabec
Licensed Professional Counselor, LPC
Verified Verified
5 Endorsed
Lakewood, OH 44107  (Online Only)
We think we listen, but very rarely do we listen with real understanding, true empathy. Yet, listening of this very special kind, is one of the most potent forces for change that I know (Carl Rogers). Veronica is here to listen. She passionately focuses on creating a safe place for people to feel comfortable making healthy changes in their lives. As a native Spanish speaker, she is an empathic, open-minded helper focused on truly hearing English- or Spanish-speaking clients. Specializing in the treatment of anxiety and depression, Veronica provides catered treatment, primarily channeled through Cognitive Behavioral Therapy.
We think we listen, but very rarely do we listen with real understanding, true empathy. Yet, listening of this very special kind, is one of the most potent forces for change that I know (Carl Rogers). Veronica is here to listen. She passionately focuses on creating a safe place for people to feel comfortable making healthy changes in their lives. As a native Spanish speaker, she is an empathic, open-minded helper focused on truly hearing English- or Spanish-speaking clients. Specializing in the treatment of anxiety and depression, Veronica provides catered treatment, primarily channeled through Cognitive Behavioral Therapy.
(216) 606-8248 View (216) 606-8248
Photo of Samantha Chadwell, Licensed Professional Counselor in Lakewood, OH
Samantha Chadwell
Licensed Professional Counselor, LPC
Verified Verified
5 Endorsed
Lakewood, OH 44107  (Online Only)
Change what you can, manage what you can't (Raymond McCauley). Samantha is a compassionate helper who has worked with many different diagnoses throughout her three years of experience in mental health. She passionately believes that every person is unique and requires a unique approach. Specializing in the treatment of trauma, anxiety, depression, and Borderline Personality Disorder, Samantha provides eclectic treatment, drawing from Cognitive Behavioral and Dialectical Behavioral Therapies. Samantha is a connector, focusing on helping as many people as she can while reducing mental health stigma and driving for change.
Change what you can, manage what you can't (Raymond McCauley). Samantha is a compassionate helper who has worked with many different diagnoses throughout her three years of experience in mental health. She passionately believes that every person is unique and requires a unique approach. Specializing in the treatment of trauma, anxiety, depression, and Borderline Personality Disorder, Samantha provides eclectic treatment, drawing from Cognitive Behavioral and Dialectical Behavioral Therapies. Samantha is a connector, focusing on helping as many people as she can while reducing mental health stigma and driving for change.
(216) 284-5283 View (216) 284-5283
Photo of Samantha Komertz, Licensed Professional Counselor in Lakewood, OH
Samantha Komertz
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Lakewood, OH 44107
Life can be difficult and it’s not uncommon to feel stressed, anxious or a sense of helplessness. There is no need to face these overwhelming emotions alone. My goal is to create a safe and nonjudgmental environment for you to express your thoughts, emotions, and life experiences.
Life can be difficult and it’s not uncommon to feel stressed, anxious or a sense of helplessness. There is no need to face these overwhelming emotions alone. My goal is to create a safe and nonjudgmental environment for you to express your thoughts, emotions, and life experiences.
(216) 350-2062 View (216) 350-2062
Photo of Sina Akther, Licensed Professional Clinical Counselor in Lakewood, OH
Sina Akther
Licensed Professional Clinical Counselor, M Ed, LPCC
Verified Verified
1 Endorsed
Lakewood, OH 44107
My specialties include working with eating disorders (including ARFID), anxiety, mood disorders (such as bipolar and depression), adjustment and life transition concerns, and exploring effective short- and long-term coping skills.
Change is uncomfortable; not feeling in control is the worst... It is not easy adapting to change that is out of your control. As the world is changing, it may feel like we don't have a grasp of our lives. Spending time with ourselves, we might learn more about what we like, and often times - what we don't like. I've been there, and I want to be there for you through this time. Sometimes, all we need is a person to hear us without judgment, and provide us with insight and the truth to our concerns. I am happy to provide that with you.
My specialties include working with eating disorders (including ARFID), anxiety, mood disorders (such as bipolar and depression), adjustment and life transition concerns, and exploring effective short- and long-term coping skills.
Change is uncomfortable; not feeling in control is the worst... It is not easy adapting to change that is out of your control. As the world is changing, it may feel like we don't have a grasp of our lives. Spending time with ourselves, we might learn more about what we like, and often times - what we don't like. I've been there, and I want to be there for you through this time. Sometimes, all we need is a person to hear us without judgment, and provide us with insight and the truth to our concerns. I am happy to provide that with you.
(216) 302-7732 View (216) 302-7732
Photo of Michele Javorek, Counselor in Lakewood, OH
Michele Javorek
Counselor, LPCC-S
Verified Verified
1 Endorsed
Lakewood, OH 44107
My clients are individuals who are struggling with various issues such as anxiety and depression. I want my clients to feel supported so that they can make the changes that are necessary to reach their full potential. Whether you are just beginning to think about change or you are ready to take action, we can work together to determine the goals you want to achieve.
My clients are individuals who are struggling with various issues such as anxiety and depression. I want my clients to feel supported so that they can make the changes that are necessary to reach their full potential. Whether you are just beginning to think about change or you are ready to take action, we can work together to determine the goals you want to achieve.
(216) 232-3085 View (216) 232-3085
Photo of Rebekah Watkins, Counselor in Lakewood, OH
Rebekah Watkins
Counselor, LPCC-S, MA
Verified Verified
1 Endorsed
Lakewood, OH 44107  (Online Only)
I have been providing mental health and addiction treatment to individuals for 16 years. I specialize in co-occurring disorders ie. addiction and mental health conditions as well as the wide range of issues that tend to go along with addiction, such as but not limited to trauma, domestic violence and spirituality. Specific areas of focus are depression, anxiety, bi-polar, adjustment disorders, stress management, learning good self care, codependence and grief.
I have been providing mental health and addiction treatment to individuals for 16 years. I specialize in co-occurring disorders ie. addiction and mental health conditions as well as the wide range of issues that tend to go along with addiction, such as but not limited to trauma, domestic violence and spirituality. Specific areas of focus are depression, anxiety, bi-polar, adjustment disorders, stress management, learning good self care, codependence and grief.
(216) 446-1313 View (216) 446-1313
Photo of Tiffany Huskins, Licensed Social Worker in Lakewood, OH
Tiffany Huskins
Licensed Social Worker, LSW
Verified Verified
Lakewood, OH 44107
I believe in the power of self-discovery and personal growth. Navigating the complexities of adolescence and adulthood can be challenging. I specialize in working with individuals in this critical life stage, providing guidance, support, and a compassionate space for self-exploration. Specializing in trauma-informed care, I work with clients to address a range of concerns, including: Anxiety, Depression, Trauma, Grief and Loss, and Women's Issues. By utilizing proven therapeutic techniques, I aim to provide effective and tailored interventions for individuals seeking support.
I believe in the power of self-discovery and personal growth. Navigating the complexities of adolescence and adulthood can be challenging. I specialize in working with individuals in this critical life stage, providing guidance, support, and a compassionate space for self-exploration. Specializing in trauma-informed care, I work with clients to address a range of concerns, including: Anxiety, Depression, Trauma, Grief and Loss, and Women's Issues. By utilizing proven therapeutic techniques, I aim to provide effective and tailored interventions for individuals seeking support.
(440) 762-6157 View (440) 762-6157
Photo of Julie Kungl, Clinical Social Work/Therapist in Lakewood, OH
Julie Kungl
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Lakewood, OH 44107
Are you looking to overcome a particular problem, feel less depressed or anxious, improve your relationships with others, or better cope with every day struggles that life can bring? We all pass through different seasons in our life, and occasionally we get stuck in a certain season that leaves us unhappy, dissatisfied, conflicted or worried. Sometimes learning a few new tools that help us change the way we think can dramatically change the way we feel, moving us forward again. Finding peace and joy is an important part of our journey toward better physical, emotional, social and spiritual wellness.
Are you looking to overcome a particular problem, feel less depressed or anxious, improve your relationships with others, or better cope with every day struggles that life can bring? We all pass through different seasons in our life, and occasionally we get stuck in a certain season that leaves us unhappy, dissatisfied, conflicted or worried. Sometimes learning a few new tools that help us change the way we think can dramatically change the way we feel, moving us forward again. Finding peace and joy is an important part of our journey toward better physical, emotional, social and spiritual wellness.
(440) 557-2922 View (440) 557-2922
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.