Photo of Madeline Hodgman-Korth, Clinical Social Work/Therapist in Lakewood, OH
Madeline Hodgman-Korth
Clinical Social Work/Therapist, MSSA, LISW-S
Verified Verified
Lakewood, OH 44107
For many of us, anxiety, depression, and life stressors can be thought of like a wave that we ride throughout our lives. Sometimes the surf is good, and we can do so easily. Other times it might be choppy, and we have to use our resources and know-how to stay afloat. In bad times, it can feel like the waves are pulling you under. As a therapist, I strive to help clients navigate uncertain tides by processing these experiences together, drawing on their strengths, and improving coping skills.
For many of us, anxiety, depression, and life stressors can be thought of like a wave that we ride throughout our lives. Sometimes the surf is good, and we can do so easily. Other times it might be choppy, and we have to use our resources and know-how to stay afloat. In bad times, it can feel like the waves are pulling you under. As a therapist, I strive to help clients navigate uncertain tides by processing these experiences together, drawing on their strengths, and improving coping skills.
(440) 598-5638 View (440) 598-5638
Photo of Cleveland Sex Therapy, Licensed Professional Clinical Counselor in Lakewood, OH
Cleveland Sex Therapy
Licensed Professional Clinical Counselor, MEd, MS, LPCC-S
Verified Verified
3 Endorsed
Lakewood, OH 44107
I am an open-minded, non-judgmental person who takes pride in creating fun and unique ways to help my clients. As a Licensed Professional Clinical Counselor, I have experience working with individuals, couples, and polyam folx on a wide variety of issues including depression, anxiety, relationships, self-esteem, LGBTQIA+, marital, grief, and stress-related issues. As of late, my personal life journey has lead me to develop a passion for helping others with their relationship concerns, gender identity, human sexuality, intimacy, and sexual dysfunction issues. In November 2021, I became a certified sex therapist through AASECT.
I am an open-minded, non-judgmental person who takes pride in creating fun and unique ways to help my clients. As a Licensed Professional Clinical Counselor, I have experience working with individuals, couples, and polyam folx on a wide variety of issues including depression, anxiety, relationships, self-esteem, LGBTQIA+, marital, grief, and stress-related issues. As of late, my personal life journey has lead me to develop a passion for helping others with their relationship concerns, gender identity, human sexuality, intimacy, and sexual dysfunction issues. In November 2021, I became a certified sex therapist through AASECT.
(216) 446-6686 View (216) 446-6686
Photo of Kira Hayes, Marriage & Family Therapist in Lakewood, OH
Kira Hayes
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
Lakewood, OH 44107  (Online Only)
I work with adult individuals, relationships, and families on topics like communication, conflict resolution skills, infidelity, trauma, deeper connection, anxiety, adult ADHD/Neurodiversity and more.
Hello! Affirming Pathways Psychotherapy warmly welcomes new clients! As a Native, ADHD diagnosed, and queer identifying therapist, I deeply value the significance of knowledgeable and affirming care. Creating a space where you feel at home, truly understood and respected is of utmost importance to me. Let's team up and make therapy a journey where you can freely explore concerns and challenges, deepen effective communication and connection, and experience growth. My approach to therapy is collaborative, interactive, and firmly grounded in up-to-date evidence-based practices, ensuring a tailored and effective experience for you.
I work with adult individuals, relationships, and families on topics like communication, conflict resolution skills, infidelity, trauma, deeper connection, anxiety, adult ADHD/Neurodiversity and more.
Hello! Affirming Pathways Psychotherapy warmly welcomes new clients! As a Native, ADHD diagnosed, and queer identifying therapist, I deeply value the significance of knowledgeable and affirming care. Creating a space where you feel at home, truly understood and respected is of utmost importance to me. Let's team up and make therapy a journey where you can freely explore concerns and challenges, deepen effective communication and connection, and experience growth. My approach to therapy is collaborative, interactive, and firmly grounded in up-to-date evidence-based practices, ensuring a tailored and effective experience for you.
(740) 240-0927 View (740) 240-0927
Photo of Jeff Goad, Clinical Social Work/Therapist in Lakewood, OH
Jeff Goad
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Lakewood, OH 44107
Waitlist for new clients
I am a sex-positive and trauma-informed therapist who helps people navigate a wide range of complex issues. I believe that everyone deserves a safe and non-judgmental space to talk about the things that matter to them. Some issues I commonly work with are trauma, sex and sexuality, sexual shame, stigmatized sexual identities, fetishes and kinks, relationship communication, healing from infidelity, consensual non-monogamy, gender expression and identity, body image issues, self-esteem, and coping with anger, anxiety, and depression.
I am a sex-positive and trauma-informed therapist who helps people navigate a wide range of complex issues. I believe that everyone deserves a safe and non-judgmental space to talk about the things that matter to them. Some issues I commonly work with are trauma, sex and sexuality, sexual shame, stigmatized sexual identities, fetishes and kinks, relationship communication, healing from infidelity, consensual non-monogamy, gender expression and identity, body image issues, self-esteem, and coping with anger, anxiety, and depression.
(440) 271-8882 View (440) 271-8882
Photo of Megan Davis-Diggins, Counselor in Lakewood, OH
Megan Davis-Diggins
Counselor, MA, LPCC-S
Verified Verified
2 Endorsed
Lakewood, OH 44107
I have training and experience treating relationship issues, sexual issues, depression, anxiety, anger management, mood/emotion regulation disorders, trauma, attachment, grief, physical/emotional/sexual abuse, intimate partner violence, and codependency.
I believe in building a relationship with my clients where they feel safe and accepted, yet challenged and empowered to grow. People seek therapy when they are struggling in a current relationship, or are having trouble relating to a partner in a mentally healthy way. When we realize that we choose everything we say or do, then we have the power to make choices to have the quality relationships we desire. I help my clients make the choices needed to have happy relationships.
I have training and experience treating relationship issues, sexual issues, depression, anxiety, anger management, mood/emotion regulation disorders, trauma, attachment, grief, physical/emotional/sexual abuse, intimate partner violence, and codependency.
I believe in building a relationship with my clients where they feel safe and accepted, yet challenged and empowered to grow. People seek therapy when they are struggling in a current relationship, or are having trouble relating to a partner in a mentally healthy way. When we realize that we choose everything we say or do, then we have the power to make choices to have the quality relationships we desire. I help my clients make the choices needed to have happy relationships.
(440) 703-6886 View (440) 703-6886
Photo of Alejandro Martinez, Clinical Social Work/Therapist in Lakewood, OH
Alejandro Martinez
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
Lakewood, OH 44107  (Online Only)
I offer virtual counseling. Therapy can be a scary thought, but it is a space for you to find yourself again and experience life. As a therapist, I am aware of the stigma surrounding mental health, and I know taking the first step to come to therapy can be difficult. I strive to create a warm, inclusive, welcoming environment to allow clients to express themselves openly and honestly without judgment. We walk through the world holding many different experiences that make us unique: race, gender, sexual orientation, and more. I work with my clients to grant themselves permission to feel their feelings and walk forward.
I offer virtual counseling. Therapy can be a scary thought, but it is a space for you to find yourself again and experience life. As a therapist, I am aware of the stigma surrounding mental health, and I know taking the first step to come to therapy can be difficult. I strive to create a warm, inclusive, welcoming environment to allow clients to express themselves openly and honestly without judgment. We walk through the world holding many different experiences that make us unique: race, gender, sexual orientation, and more. I work with my clients to grant themselves permission to feel their feelings and walk forward.
(216) 238-2915 View (216) 238-2915
Photo of Kate Shaver, Clinical Social Work/Therapist in Lakewood, OH
Kate Shaver
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Lakewood, OH 44107
No more mask, no more performing, no more people pleasing, no more boxes! With so much happening in the world around us it is important to find the time and space to listen to ourselves.
No more mask, no more performing, no more people pleasing, no more boxes! With so much happening in the world around us it is important to find the time and space to listen to ourselves.
(216) 294-2761 View (216) 294-2761
Photo of David deBardelaben-Phillips in Lakewood, OH
David deBardelaben-Phillips
CCEP, MEd, BBA, RM
Verified Verified
1 Endorsed
Lakewood, OH 44107
We all need support at different times in life. Many clients seek help when their current way of dealing with life's challenges no longer works. With a caring, non-judgmental & solution-focused approach, we will explore your issues, concerns and challenges in a safe environment. The most effective way to create change is to uncover root causes & start the healing from the deepest emotional level. Somatics and energy work offer a holistic solution encompassing body, mind, spirit, will & emotions. We combine the Core Energetics evolutionary process with Reiki energy treatments and coaching to help create a balance for clients.
We all need support at different times in life. Many clients seek help when their current way of dealing with life's challenges no longer works. With a caring, non-judgmental & solution-focused approach, we will explore your issues, concerns and challenges in a safe environment. The most effective way to create change is to uncover root causes & start the healing from the deepest emotional level. Somatics and energy work offer a holistic solution encompassing body, mind, spirit, will & emotions. We combine the Core Energetics evolutionary process with Reiki energy treatments and coaching to help create a balance for clients.
(216) 485-3399 View (216) 485-3399
Photo of Jessica Sen, Counselor in Lakewood, OH
Jessica Sen
Counselor, MEd, MA, LPCC-S, CCMHC
Verified Verified
6 Endorsed
Lakewood, OH 44107
Not accepting new clients
As a Licensed Professional Clinical Counselor, I work with clients with a variety of concerns. Clients who work with me desire to grow and learn individually and interpersonally. I work with concerns from individual to professional to relational issues, including mental health concerns like anxiety, depression, and trauma. In addition, my background in special education allows me to address further parent-child and child-education issues, including those with special needs. I am also trained in EMDR (eye movement desensitization and reprocessing).
As a Licensed Professional Clinical Counselor, I work with clients with a variety of concerns. Clients who work with me desire to grow and learn individually and interpersonally. I work with concerns from individual to professional to relational issues, including mental health concerns like anxiety, depression, and trauma. In addition, my background in special education allows me to address further parent-child and child-education issues, including those with special needs. I am also trained in EMDR (eye movement desensitization and reprocessing).
(216) 446-7883 View (216) 446-7883
Photo of Michael Pennington, Marriage & Family Therapist in Lakewood, OH
Michael Pennington
Marriage & Family Therapist, PhD, IMFT, LPC
Verified Verified
3 Endorsed
Lakewood, OH 44107
Not accepting new clients
I have worked extensively with diverse clinical issues, including anxiety, depression etc.
As both a licensed professional counselor and marriage and family therapist, I work with individuals, couples, and families dealing with a variety of concerns. My goal is to meet you where you are at, and ensure that your experience in counseling is one that is both safe and comfortable. I want to be able to create a safe space filled with empathy and warmth. Together, in this space we can form a collaborative relationship that will work to access the barriers and patterns that exist as well as identify goals that will foster change and growth.
I have worked extensively with diverse clinical issues, including anxiety, depression etc.
As both a licensed professional counselor and marriage and family therapist, I work with individuals, couples, and families dealing with a variety of concerns. My goal is to meet you where you are at, and ensure that your experience in counseling is one that is both safe and comfortable. I want to be able to create a safe space filled with empathy and warmth. Together, in this space we can form a collaborative relationship that will work to access the barriers and patterns that exist as well as identify goals that will foster change and growth.
(440) 791-2171 View (440) 791-2171
Photo of Peter Finnerty, Counselor in Lakewood, OH
Peter Finnerty
Counselor, PhD, LPCC-S
Verified Verified
7 Endorsed
Lakewood, OH 44107
Not accepting new clients
Currently offering teletherapy/in-person. Clients are met where they are and tackle concerns by utilizing personal strengths and wellness practice. Clients who work with me desire to grow internally, professionally, interpersonally, and physically. I work with concerns ranging from academic/professional issues, transition & self-growth to anxiety, depression, and developmental issues. In addition clients come for couples and family concerns and always receive affirmative, culturally-responsive counseling. LGBTQ+, BIPOC, and others marginalized by society are affirmed, celebrated, and honored on their journey toward liberation.
Currently offering teletherapy/in-person. Clients are met where they are and tackle concerns by utilizing personal strengths and wellness practice. Clients who work with me desire to grow internally, professionally, interpersonally, and physically. I work with concerns ranging from academic/professional issues, transition & self-growth to anxiety, depression, and developmental issues. In addition clients come for couples and family concerns and always receive affirmative, culturally-responsive counseling. LGBTQ+, BIPOC, and others marginalized by society are affirmed, celebrated, and honored on their journey toward liberation.
(216) 930-2306 View (216) 930-2306

More Therapists Nearby

Photo of Hallie M Poor, Clinical Social Work/Therapist in Lakewood, OH
Hallie M Poor
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Cleveland, OH 44111
I am ready to help clients work through anything from anxiety and depression, to relationship and intimacy issues, to exploring sexuality and gender identity.
Humans experience emotion. We experience conflict. We experience pain and trauma. Though normal and common, all of these can disrupt or make it extremely difficult for an individual to meet their goals, have healthy relationships with ourself and others, or even make it through the day. These challenges can be isolating and can make anyone start to feel hopeless and hesitant to reach out for help. I encourage you to reach out anyway. Healing takes time, work, and honesty and it is worth it.
I am ready to help clients work through anything from anxiety and depression, to relationship and intimacy issues, to exploring sexuality and gender identity.
Humans experience emotion. We experience conflict. We experience pain and trauma. Though normal and common, all of these can disrupt or make it extremely difficult for an individual to meet their goals, have healthy relationships with ourself and others, or even make it through the day. These challenges can be isolating and can make anyone start to feel hopeless and hesitant to reach out for help. I encourage you to reach out anyway. Healing takes time, work, and honesty and it is worth it.
(440) 271-8238 View (440) 271-8238
Photo of Beth Tibbetts Williams, Counselor in Lakewood, OH
Beth Tibbetts Williams
Counselor, MEd, LPCC-S
Verified Verified
1 Endorsed
Rocky River, OH 44116
Counseling can help with issues such as communication difficulties, marital/relationship concerns, life changes, stress/anxiety, depression, grief, trauma and behavioral problems. Clients come to me with an overall feeling that life could be better or more meaningful. I understand it can be challenging to reach out for help but remember that you are doing to make positive changes in your life! Please contact me and we can discuss your needs and decide together if I am the best option for you. My direct email is beth@fitmindcleveland.com or call me directly at 216-509-6511.
Counseling can help with issues such as communication difficulties, marital/relationship concerns, life changes, stress/anxiety, depression, grief, trauma and behavioral problems. Clients come to me with an overall feeling that life could be better or more meaningful. I understand it can be challenging to reach out for help but remember that you are doing to make positive changes in your life! Please contact me and we can discuss your needs and decide together if I am the best option for you. My direct email is beth@fitmindcleveland.com or call me directly at 216-509-6511.
(216) 672-5876 View (216) 672-5876
Photo of Erin B Cooper, Psychologist in Lakewood, OH
Erin B Cooper
Psychologist, PhD
Verified Verified
5 Endorsed
Rocky River, OH 44116
I specialize in the evaluation and evidence-based treatment of mood disorders, anxiety and stress, trauma, interpersonal and romantic relationships (e.g., communication, parenting, conflict, and infidelity), women’s health (e.g., pregnancy, postpartum, menopause), disordered eating and body image, health-related behavioral changes (e.g., adjustment to chronic illness, making lifestyle changes to improve medical conditions or overall wellbeing), sexual health and behavior, and issues relating to LGBTQ+ identification.
I specialize in the evaluation and evidence-based treatment of mood disorders, anxiety and stress, trauma, interpersonal and romantic relationships (e.g., communication, parenting, conflict, and infidelity), women’s health (e.g., pregnancy, postpartum, menopause), disordered eating and body image, health-related behavioral changes (e.g., adjustment to chronic illness, making lifestyle changes to improve medical conditions or overall wellbeing), sexual health and behavior, and issues relating to LGBTQ+ identification.
(216) 600-1041 View (216) 600-1041
Photo of Olivia Campbell, Counselor in Lakewood, OH
Olivia Campbell
Counselor, MEd, LPCC
Verified Verified
5 Endorsed
Cleveland, OH 44111  (Online Only)
Welcome! You can expect a down-to-earth approach as we navigate daily life and reduce distress. I believe suffering is a natural response to life's difficulties and, thus, work through a non-pathologizing lens. Experienced in treating couples, adults, and teens 16+ with feelings of depression and anxiety—as well as issues related to relationships, grief and loss, sexuality and identity, trauma, stress management, and life transitions. Therapy is individualized for each client to support reaching a version of self that aligns with their unique values and objectives.
Welcome! You can expect a down-to-earth approach as we navigate daily life and reduce distress. I believe suffering is a natural response to life's difficulties and, thus, work through a non-pathologizing lens. Experienced in treating couples, adults, and teens 16+ with feelings of depression and anxiety—as well as issues related to relationships, grief and loss, sexuality and identity, trauma, stress management, and life transitions. Therapy is individualized for each client to support reaching a version of self that aligns with their unique values and objectives.
(216) 925-4292 View (216) 925-4292
Photo of Gila Shapiro, Marriage & Family Therapist in Lakewood, OH
Gila Shapiro
Marriage & Family Therapist, MA, MFT, CST
Verified Verified
Rocky River, OH 44116  (Online Only)
Sexual concerns may include erectile dysfunction, sexual anxiety, lack of desire, body dysmorphia, infidelity.
My holistic approach integrates cognitive behavioral therapy, mindfulness practices and direct interventions that are based on your needs in the moment. I work with issues ranging from anxiety, depression, low self-esteem and sexual difficulties (couples and individuals). I help people develop emotional insight and clarity and we learn new skills to facilitate growth and balance. My purpose is to help people live more authentically, with intention and meaning. It can be difficult to find the right therapist, so I am happy to talk with you briefly to see if I am the right fit for you and can be of help.
Sexual concerns may include erectile dysfunction, sexual anxiety, lack of desire, body dysmorphia, infidelity.
My holistic approach integrates cognitive behavioral therapy, mindfulness practices and direct interventions that are based on your needs in the moment. I work with issues ranging from anxiety, depression, low self-esteem and sexual difficulties (couples and individuals). I help people develop emotional insight and clarity and we learn new skills to facilitate growth and balance. My purpose is to help people live more authentically, with intention and meaning. It can be difficult to find the right therapist, so I am happy to talk with you briefly to see if I am the right fit for you and can be of help.
(216) 677-9379 View (216) 677-9379
Photo of Kasey L Aitken, Clinical Social Work/Therapist in Lakewood, OH
Kasey L Aitken
Clinical Social Work/Therapist, MSSW, LSW
Verified Verified
Fairview Park, OH 44126
I have extensive experience working with those who are challenged with aging, anxiety, depression, trauma, grief/bereavement, relationship stress, self esteem, gender and sexual identity, sexual intimacy and/or kink, and relationships (monogomy, polyamory, or ethical non-monogomy).
The decision to begin therapy can be a difficult one. It is important to find a therapist who can offer you insight, support, and safety to express your thoughts and feelings. My hope is that you can learn and apply your strengths to be the best version of yourself. At this time I work with adults as well as children (3+) . If you have any questions or think we may be a good fit, please feel free to reach out!
I have extensive experience working with those who are challenged with aging, anxiety, depression, trauma, grief/bereavement, relationship stress, self esteem, gender and sexual identity, sexual intimacy and/or kink, and relationships (monogomy, polyamory, or ethical non-monogomy).
The decision to begin therapy can be a difficult one. It is important to find a therapist who can offer you insight, support, and safety to express your thoughts and feelings. My hope is that you can learn and apply your strengths to be the best version of yourself. At this time I work with adults as well as children (3+) . If you have any questions or think we may be a good fit, please feel free to reach out!
(440) 271-8508 View (440) 271-8508
Photo of On The Level Counseling, Therapy, & Training LLC, Clinical Social Work/Therapist in Lakewood, OH
On The Level Counseling, Therapy, & Training LLC
Clinical Social Work/Therapist, LISW-S, LICDC-C
Verified Verified
Cleveland, OH 44107  (Online Only)
Are you ready to live life without limits? Do you believe that therapy can not only be fun but enlightening? Are you ready to embrace your diagnosis instead of running from it? If so, then you have found yourself in the right place! Mor Rondo J. Edwards-Roberts is a licensed independent social worker (LISW-S). He believes in the practice of using behavioral health models to empower individuals, offer hope, healing, and connections to resources.
Are you ready to live life without limits? Do you believe that therapy can not only be fun but enlightening? Are you ready to embrace your diagnosis instead of running from it? If so, then you have found yourself in the right place! Mor Rondo J. Edwards-Roberts is a licensed independent social worker (LISW-S). He believes in the practice of using behavioral health models to empower individuals, offer hope, healing, and connections to resources.
(216) 584-9355 View (216) 584-9355
Photo of Sarah R Boesger, Licensed Social Worker in Lakewood, OH
Sarah R Boesger
Licensed Social Worker, MSW, LSW
Verified Verified
2 Endorsed
Cleveland, OH 44102  (Online Only)
Are you on the hunt for a therapist with a rad mullet, a collection of ragtag pets, a cool collection of glasses, and a huge passion for working with the LGBTQIA+ community? Look no further! My name is Sarah R. Boesger, MSW, LSW (she/her), and I would be thrilled to offer my support on your life journey. I am a white, cisgender, aroace, fat, able-bodied, neurotypical solo mother and I have been working within the trans community as an advocate since 1999.
Are you on the hunt for a therapist with a rad mullet, a collection of ragtag pets, a cool collection of glasses, and a huge passion for working with the LGBTQIA+ community? Look no further! My name is Sarah R. Boesger, MSW, LSW (she/her), and I would be thrilled to offer my support on your life journey. I am a white, cisgender, aroace, fat, able-bodied, neurotypical solo mother and I have been working within the trans community as an advocate since 1999.
View
Photo of Edward Hill, Clinical Social Work/Therapist in Lakewood, OH
Edward Hill
Clinical Social Work/Therapist, MBA, MSW, LISW-S
Verified Verified
2 Endorsed
Rocky River, OH 44116
Trust me as your Wise Counsel. Have you found yourself in the position of seeking therapy at your partner's suggestion, only to realize that perhaps it's time for your own individual therapeutic journey? Are you growing weary of waiting for change and contemplating the need to move forward, either by breaking up or taking a bold new path? Are your current habits and actions not aligning with the person you aspire to be? These are just a few of the questions my clients often explore with me. Let's embark on a collaborative journey to uncover the answers to life's profound inquiries together.
Trust me as your Wise Counsel. Have you found yourself in the position of seeking therapy at your partner's suggestion, only to realize that perhaps it's time for your own individual therapeutic journey? Are you growing weary of waiting for change and contemplating the need to move forward, either by breaking up or taking a bold new path? Are your current habits and actions not aligning with the person you aspire to be? These are just a few of the questions my clients often explore with me. Let's embark on a collaborative journey to uncover the answers to life's profound inquiries together.
(440) 682-1147 View (440) 682-1147
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.