Photo of Joleena Abrams in Salem, OR
Joleena Abrams
CMEMI, CCTSA, CLC, MA
Verified Verified
Salem, OR 97301  (Online Only)
Joleena is Certified in the Treament of Sexual Addiction, is a Certified Betrayal Trauma Coach, a Certified Clinical Trauma and Addiction Specialist, with a Masters of Psychology in Grief Counseling, and a Bachelors of Science in Psychology. Joleena specializes in helping couples working through betrayal and addiction of all kinds. She also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. Her passion is to provide a safe space for her clients and to walk hand-in-hand with them, guiding them through the healing process.
Joleena is Certified in the Treament of Sexual Addiction, is a Certified Betrayal Trauma Coach, a Certified Clinical Trauma and Addiction Specialist, with a Masters of Psychology in Grief Counseling, and a Bachelors of Science in Psychology. Joleena specializes in helping couples working through betrayal and addiction of all kinds. She also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. Her passion is to provide a safe space for her clients and to walk hand-in-hand with them, guiding them through the healing process.
(507) 216-9367 View (507) 216-9367
Photo of The Healing Haven, Clinical Social Work/Therapist in Salem, OR
The Healing Haven
Clinical Social Work/Therapist, LCSW
Verified Verified
Salem, OR 97302
Our approach to therapy is tailored toward each unique person, family or couple. We see people with difficulties in relationships, depression, anxiety, recovery from trauma, parenting issues, grief and loss issues, eating disorders and weight issues, chronic pain, career decisions and addictions. Our approach is a combination of traditional techniques and heart centered deep healing. Our approach geared toward finding the source of overwhelming feelings and making connections with current difficulties. Within this process we encourage healthy release of feelings which leads to healthier relationships and positive self esteem.
Our approach to therapy is tailored toward each unique person, family or couple. We see people with difficulties in relationships, depression, anxiety, recovery from trauma, parenting issues, grief and loss issues, eating disorders and weight issues, chronic pain, career decisions and addictions. Our approach is a combination of traditional techniques and heart centered deep healing. Our approach geared toward finding the source of overwhelming feelings and making connections with current difficulties. Within this process we encourage healthy release of feelings which leads to healthier relationships and positive self esteem.
(971) 253-7923 View (971) 253-7923
Photo of Leah Allen, Clinical Social Work/Therapist in Salem, OR
Leah Allen
Clinical Social Work/Therapist, LCSW
Verified Verified
Salem, OR 97301  (Online Only)
I am a Licensed Clinical Social Worker who provides client-centered therapy for adult clients. I have experience with a range of challenges including trauma, mood, anxiety, relationships, LGBTQ, life transitions, social justice, and addictions. After earning a Bachelors degree in Psychology and Sociology from University of Oregon I pursued a Masters of Social Work from Portland State University and graduated with honors. Immediately following graduation I pursued my licensure and have been practicing in Bend since 2010.
I am a Licensed Clinical Social Worker who provides client-centered therapy for adult clients. I have experience with a range of challenges including trauma, mood, anxiety, relationships, LGBTQ, life transitions, social justice, and addictions. After earning a Bachelors degree in Psychology and Sociology from University of Oregon I pursued a Masters of Social Work from Portland State University and graduated with honors. Immediately following graduation I pursued my licensure and have been practicing in Bend since 2010.
(458) 224-3985 View (458) 224-3985
Photo of Casey Jansen, Professional Counselor Associate in Salem, OR
Casey Jansen
Professional Counselor Associate, M ED, CADC II
Verified Verified
1 Endorsed
Salem, OR 97317
I also primarily work with clients experiencing anxiety, adjustment concerns, depression, PTSD, and other related trauma diagnosis.
I enjoy working with clients from all different backgrounds who are willing to make a change in their life. Counseling can be hard at times, yet very rewarding, and it is important to find the right counselor for you. I practice from a primarily Solution Focused background while including techniques from CBT, REBT, and Adlerian theory. I aim to bring honesty, authenticity, and reliability into each session.
I also primarily work with clients experiencing anxiety, adjustment concerns, depression, PTSD, and other related trauma diagnosis.
I enjoy working with clients from all different backgrounds who are willing to make a change in their life. Counseling can be hard at times, yet very rewarding, and it is important to find the right counselor for you. I practice from a primarily Solution Focused background while including techniques from CBT, REBT, and Adlerian theory. I aim to bring honesty, authenticity, and reliability into each session.
(503) 694-3598 View (503) 694-3598
Photo of Don Erickson, Licensed Professional Counselor in Salem, OR
Don Erickson
Licensed Professional Counselor, MA, LPC
Verified Verified
Salem, OR 97301  (Online Only)
I am accepting new clients though currently only in teletherapy. At this point in my counseling career, I’m increasingly focusing trauma and toxic stress and the ways it often shows up as depression, anxiety, sadness or sometimes a loss of a clear sense of who we are. Some people describe recalling feeling joy, excitement, or self-confidence that they rarely if ever feel now. The folks I’ve been working with have been finding my approach to somatic therapy coupled with simple mindfulness and physical awareness skills very helpful or even transformative in terms of regaining their sense of self and feelings of satisfaction.
I am accepting new clients though currently only in teletherapy. At this point in my counseling career, I’m increasingly focusing trauma and toxic stress and the ways it often shows up as depression, anxiety, sadness or sometimes a loss of a clear sense of who we are. Some people describe recalling feeling joy, excitement, or self-confidence that they rarely if ever feel now. The folks I’ve been working with have been finding my approach to somatic therapy coupled with simple mindfulness and physical awareness skills very helpful or even transformative in terms of regaining their sense of self and feelings of satisfaction.
(541) 359-3373 View (541) 359-3373
Photo of Chrystal K Johnson, Licensed Professional Counselor in Salem, OR
Chrystal K Johnson
Licensed Professional Counselor, LPC, CADC3, CGAC2
Verified Verified
Salem, OR 97301
I specialize in a broad spectrum of mental health challenges that include anxiety, depression, trauma and eating disorders as well as substance use therapy.
I believe that recovery is a process which requires active, continuous involvement from the client, the therapist, and the entire treatment team. According to this belief, the four stages of recovery are hope, empowerment, self-responsibility, and establishing a meaningful role in life. The individual most responsible for a successful treatment outcome is you (the client). With your consistent effort and willingness to engage with your therapist the kind of change you are hoping for can and will occur.
I specialize in a broad spectrum of mental health challenges that include anxiety, depression, trauma and eating disorders as well as substance use therapy.
I believe that recovery is a process which requires active, continuous involvement from the client, the therapist, and the entire treatment team. According to this belief, the four stages of recovery are hope, empowerment, self-responsibility, and establishing a meaningful role in life. The individual most responsible for a successful treatment outcome is you (the client). With your consistent effort and willingness to engage with your therapist the kind of change you are hoping for can and will occur.
(541) 204-8440 View (541) 204-8440
Photo of Caleb Abrams in Salem, OR
Caleb Abrams
CSAT, CCTP, CLC, MA
Verified Verified
Salem, OR 97301
Caleb is Certified in the Treatment of Sexual Addiction, is a Certified Clinical Trauma Professional, Ordained Minister, Certified Life Coach, with a Masters of Psychology in Counseling and a Bachelors of Arts in Psychology. Caleb specializes in helping men work through sex addiction but provides counseling services for all kinds of addictions. He also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. His passion is to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
Caleb is Certified in the Treatment of Sexual Addiction, is a Certified Clinical Trauma Professional, Ordained Minister, Certified Life Coach, with a Masters of Psychology in Counseling and a Bachelors of Arts in Psychology. Caleb specializes in helping men work through sex addiction but provides counseling services for all kinds of addictions. He also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. His passion is to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
(720) 706-5055 View (720) 706-5055
Photo of Anthony Gagliardo, Clinical Social Work/Therapist in Salem, OR
Anthony Gagliardo
Clinical Social Work/Therapist, MSW, LCSW, MAC, CCHT
Verified Verified
Salem, OR 97301
Waitlist for new clients
Many of my clients would agree that what they look for in a counselor is someone who "has been there themselves." They look for someone that has the education and experience to successfully assist them. I have that combination of personal experiences and educational background. My goal is to help you feel better, cope with life, and get on the path to a more happy and productive life. I will teach you to identify, solve, and cope with problems. I am Psychedelic's friendly.
Many of my clients would agree that what they look for in a counselor is someone who "has been there themselves." They look for someone that has the education and experience to successfully assist them. I have that combination of personal experiences and educational background. My goal is to help you feel better, cope with life, and get on the path to a more happy and productive life. I will teach you to identify, solve, and cope with problems. I am Psychedelic's friendly.
(503) 581-7550 View (503) 581-7550
Photo of Christine Boyington, Marriage & Family Therapist in Salem, OR
Christine Boyington
Marriage & Family Therapist, LMFT, CADC
Verified Verified
Salem, OR 97301
It is hard to share your life story with just anyone, but be rest assured that you will be treated with the utmost respect in my care. Having a trusting relationship with your counselor is one of the most important aspects of counseling effectiveness and something you can count on when working with me! My focus is strength based individual, couple, and family counseling. I see healthy relationships with self and others as the foundation to well being.
It is hard to share your life story with just anyone, but be rest assured that you will be treated with the utmost respect in my care. Having a trusting relationship with your counselor is one of the most important aspects of counseling effectiveness and something you can count on when working with me! My focus is strength based individual, couple, and family counseling. I see healthy relationships with self and others as the foundation to well being.
(971) 248-0997 x3 View (971) 248-0997 x3
Photo of Aj Johnson, Clinical Social Work/Therapist in Salem, OR
Aj Johnson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Salem, OR 97301
I believe that every person, regardless of diagnosis or past experiences, can lead purposeful and fulfilling lives with the proper support. We do the best with what we have, and too often life presents significant challenges we are forced to adapt to. Sometimes the patterns that were helpful to get through our childhood present major challenges later in life. Our symptoms do not make us abnormal and are not part of a fundamental flaw that needs fixing, they are a normal response to extraordinary circumstances. Problems do not exist within one person but are the result of a person’s context, family patterns, and learned behaviors.
I believe that every person, regardless of diagnosis or past experiences, can lead purposeful and fulfilling lives with the proper support. We do the best with what we have, and too often life presents significant challenges we are forced to adapt to. Sometimes the patterns that were helpful to get through our childhood present major challenges later in life. Our symptoms do not make us abnormal and are not part of a fundamental flaw that needs fixing, they are a normal response to extraordinary circumstances. Problems do not exist within one person but are the result of a person’s context, family patterns, and learned behaviors.
(971) 599-2814 View (971) 599-2814
Photo of Diane C Steinbrecher, Clinical Social Work/Therapist in Salem, OR
Diane C Steinbrecher
Clinical Social Work/Therapist, LCSW, CHT, MSWAC
Verified Verified
2 Endorsed
Salem, OR 97301  (Online Only)
I trust that whatever appears in the mind, body, and emotions has its purpose and wants to be deeply heard, honored, understood, and embraced; that all the Psyche expresses are attempts toward our wholeness and realizing the jewel of our Essential Being. With this compassion and care, healing can unfold, patterns and beliefs transformed, and we can live our true potential and purpose, innate wisdom, and experience happiness, peace, and joy.
I trust that whatever appears in the mind, body, and emotions has its purpose and wants to be deeply heard, honored, understood, and embraced; that all the Psyche expresses are attempts toward our wholeness and realizing the jewel of our Essential Being. With this compassion and care, healing can unfold, patterns and beliefs transformed, and we can live our true potential and purpose, innate wisdom, and experience happiness, peace, and joy.
(503) 388-5760 View (503) 388-5760
Photo of Melanie Bison, Licensed Professional Counselor in Salem, OR
Melanie Bison
Licensed Professional Counselor, PhD, LMHC, LCADC, LCPC, LISAC
Verified Verified
Salem, OR 97301  (Online Only)
"You are a wonderful woman with a wonderful soul"~ LS.,Washington "I just wanted you to know your words of wisdom stay with me daily. You helped me understand so much, and for that I am eternally grateful"~W.J.,Nevada "You helped me in my darkest hour and my that, I will never forget"~ J.K., Nevada. "Melanie is one of the best in her field of cognitive services. She brings a whole new dimension and personalization not normally found in her field. She is one of the best and I highly recommend her for services"~R.C.
"You are a wonderful woman with a wonderful soul"~ LS.,Washington "I just wanted you to know your words of wisdom stay with me daily. You helped me understand so much, and for that I am eternally grateful"~W.J.,Nevada "You helped me in my darkest hour and my that, I will never forget"~ J.K., Nevada. "Melanie is one of the best in her field of cognitive services. She brings a whole new dimension and personalization not normally found in her field. She is one of the best and I highly recommend her for services"~R.C.
(702) 842-0062 View (702) 842-0062
Photo of M. Declan McCarron, Marriage & Family Therapist in Salem, OR
M. Declan McCarron
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Salem, OR 97301
Not accepting new clients
I believe everyone deserves to be content/happy in life and in their relationships. At times, this can be challenging and people tend to get "stuck." Asking for help can be hard, but so rewarding when you take the risk to change and build awareness. With professional skills, loads of compassion, and a collaborative effort I can definitely help adults, teenagers, and families in figuring out how to get "unstuck" and enjoy their lives to the fullest. I have extensive experience working with anxiety, grief, depression, and PTSD. I particularly like working with clients, helping them free themselves from the trauma of the past.
I believe everyone deserves to be content/happy in life and in their relationships. At times, this can be challenging and people tend to get "stuck." Asking for help can be hard, but so rewarding when you take the risk to change and build awareness. With professional skills, loads of compassion, and a collaborative effort I can definitely help adults, teenagers, and families in figuring out how to get "unstuck" and enjoy their lives to the fullest. I have extensive experience working with anxiety, grief, depression, and PTSD. I particularly like working with clients, helping them free themselves from the trauma of the past.
(503) 743-6246 View (503) 743-6246
Photo of Laura Placek, Licensed Professional Counselor in Salem, OR
Laura Placek
Licensed Professional Counselor, MS, LPC, CMHC, CADCIII, CMH
Verified Verified
Salem, OR 97301  (Online Only)
Not accepting new clients
I treat OCD with ERP (specialized through NOCD) depression, anxiety, post traumatic stress, anger management, domestic violence, sexual disorders/ offending, behavioral, couples, parenting, coping and assertive skill building.
Bringing you affordable, confidential, and comprehensive services locally. We are an independent behavioral agency providing dual diagnosis and treatment services. Board certified and Licensed. I meet you where you are in life. My goal is to help you to identify paths to achieve personal goals, recovery, and life balance. Relaxed and welcoming atmosphere. I believe in compassionate and respectful person-centered care.
I treat OCD with ERP (specialized through NOCD) depression, anxiety, post traumatic stress, anger management, domestic violence, sexual disorders/ offending, behavioral, couples, parenting, coping and assertive skill building.
Bringing you affordable, confidential, and comprehensive services locally. We are an independent behavioral agency providing dual diagnosis and treatment services. Board certified and Licensed. I meet you where you are in life. My goal is to help you to identify paths to achieve personal goals, recovery, and life balance. Relaxed and welcoming atmosphere. I believe in compassionate and respectful person-centered care.
(503) 486-3978 View (503) 486-3978
Photo of Co-Regulation Counseling Angela L. Aurit, Clinical Social Work/Therapist in Salem, OR
Co-Regulation Counseling Angela L. Aurit
Clinical Social Work/Therapist, LCSW, CADCIII, CGAC II
Verified Verified
Salem, OR 97301
Not accepting new clients
When I was in the 9th grade, I was one of two students from every class that were selected by their classmates to become Natural Helpers. We received training in the skills of active listening, mediation and problem-solving. Little did I know that this experience would lead me to where I am today, as a counselor and therapist for the last twenty-two years. In my work in residential treatment, outpatient clinics and pain management practice, I have thoroughly loved getting to watch people of the ages 13 to 95 have epiphanies, adopt new perspectives, change unhelpful thought patterns, and begin to love and know themselves again.
When I was in the 9th grade, I was one of two students from every class that were selected by their classmates to become Natural Helpers. We received training in the skills of active listening, mediation and problem-solving. Little did I know that this experience would lead me to where I am today, as a counselor and therapist for the last twenty-two years. In my work in residential treatment, outpatient clinics and pain management practice, I have thoroughly loved getting to watch people of the ages 13 to 95 have epiphanies, adopt new perspectives, change unhelpful thought patterns, and begin to love and know themselves again.
(458) 236-5827 View (458) 236-5827

Online Therapists

Photo of Mark J Miller, Clinical Social Work/Therapist in Salem, OR
Mark J Miller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Eugene, OR 97405  (Online Only)
"During difficult times I teach people how to better manage their lives and how to avoid feeling victimized by outside circumstances. I establish rapport easily with people and accept people exactly where they are. I create a safe, trusting environment in which a therapeutic relationship can develop. Counseling is an opportunity to learn new skills which may include: improving self-esteem, setting boundaries, making healthy decisions, managing stress and anxiety. As a person begins to have a healthier relationship with themselves, it allows them to take ownership of their life and manage it more productively. "
"During difficult times I teach people how to better manage their lives and how to avoid feeling victimized by outside circumstances. I establish rapport easily with people and accept people exactly where they are. I create a safe, trusting environment in which a therapeutic relationship can develop. Counseling is an opportunity to learn new skills which may include: improving self-esteem, setting boundaries, making healthy decisions, managing stress and anxiety. As a person begins to have a healthier relationship with themselves, it allows them to take ownership of their life and manage it more productively. "
(541) 729-4074 View (541) 729-4074
Photo of Eli Schroppel, Licensed Professional Counselor in Salem, OR
Eli Schroppel
Licensed Professional Counselor, LPC
Verified Verified
Hood River, OR 97031
I have experience working with self harm and suicidal thinking, depression, anxiety, trauma, grief, and relationship dynamics.
I believe that the experiences we go through in life shape us, the people around us impact us, and I believe that the process of growing is a life long journey. I practice psychodynamic therapy informed by person centered ways of relating. That’s just a fancy way to say that I think your life impacts who you are, how you behave and feel, and that an empathetic, supportive relationship is the best place to work on the change you want to see.
I have experience working with self harm and suicidal thinking, depression, anxiety, trauma, grief, and relationship dynamics.
I believe that the experiences we go through in life shape us, the people around us impact us, and I believe that the process of growing is a life long journey. I practice psychodynamic therapy informed by person centered ways of relating. That’s just a fancy way to say that I think your life impacts who you are, how you behave and feel, and that an empathetic, supportive relationship is the best place to work on the change you want to see.
View
Photo of Lifeline Medical Center, Licensed Professional Counselor in Salem, OR
Lifeline Medical Center
Licensed Professional Counselor, LPC
Verified Verified
Hillsboro, OR 97124  (Online Only)
I work and have worked with a variety of different clients that struggled with different concerns such as sexual addiction, anxiety, depression, and many more.
As we all go through life trying our best to stay afloat and happy, sometimes asking for help can seem like the hardest thing to do. I believe that people have within themselves the ability and strength to enact meaningful change in their lives. By working in a collaborative manner with a client-led and person-centered approach, finding motivation and unearthing hidden strengths can lead to positive change and new outlook on life. By utilizing new coping skills and building a therapeutic alliance, we can work other to overcome those previously insurmountable waves of life. My Practice is Taking New Patients for Psychiatric Care!
I work and have worked with a variety of different clients that struggled with different concerns such as sexual addiction, anxiety, depression, and many more.
As we all go through life trying our best to stay afloat and happy, sometimes asking for help can seem like the hardest thing to do. I believe that people have within themselves the ability and strength to enact meaningful change in their lives. By working in a collaborative manner with a client-led and person-centered approach, finding motivation and unearthing hidden strengths can lead to positive change and new outlook on life. By utilizing new coping skills and building a therapeutic alliance, we can work other to overcome those previously insurmountable waves of life. My Practice is Taking New Patients for Psychiatric Care!
(458) 219-8366 View (458) 219-8366
Photo of Genuine Hearts Treatment Clinic, Licensed Professional Counselor in Salem, OR
Genuine Hearts Treatment Clinic
Licensed Professional Counselor, MS, NCC, LPC, LAC
Verified Verified
Fairview, OR 97024  (Online Only)
Hi! My name is Ms. Rye. I am at your service to help you process trauma, depression, anxiety, or any other issue that you may struggle with. Are you feeling overwhelmed? Do you find it difficult to perform daily tasks? Do you have recurring negative thoughts? Is it rare that you take time to prioritize yourself? Do you often feel as though you are operating on fumes, lacking energy and motivation? Are you a people pleaser? Do you want to learn healthy ways to stop people pleasing? If you answered yes to any of those questions, I may be a good fit to help you navigate your healing journey. To begin intake, visit bookghtc.as.me.
Hi! My name is Ms. Rye. I am at your service to help you process trauma, depression, anxiety, or any other issue that you may struggle with. Are you feeling overwhelmed? Do you find it difficult to perform daily tasks? Do you have recurring negative thoughts? Is it rare that you take time to prioritize yourself? Do you often feel as though you are operating on fumes, lacking energy and motivation? Are you a people pleaser? Do you want to learn healthy ways to stop people pleasing? If you answered yes to any of those questions, I may be a good fit to help you navigate your healing journey. To begin intake, visit bookghtc.as.me.
(458) 235-4488 View (458) 235-4488
Photo of Shannon Gander, Marriage & Family Therapist in Salem, OR
Shannon Gander
Marriage & Family Therapist
Verified Verified
2 Endorsed
Oregon City, OR 97045
Waitlist for new clients
You may be seeking support for any number of reasons, such as depression, workplace stress, grief and loss, shame, trauma, anxiety, loneliness, clarity around transitions, disconnection in your relationships, addictions, or any number of other experiences. Every human deserves a safe, confidential place they can go to where they needn’t feel judged, rushed, or pressured. I aim for my office to be a sanctuary that can hold the hopes and aspirations for your life. I work with individuals, couples, and families around their unique goals, needs, and challenges.
You may be seeking support for any number of reasons, such as depression, workplace stress, grief and loss, shame, trauma, anxiety, loneliness, clarity around transitions, disconnection in your relationships, addictions, or any number of other experiences. Every human deserves a safe, confidential place they can go to where they needn’t feel judged, rushed, or pressured. I aim for my office to be a sanctuary that can hold the hopes and aspirations for your life. I work with individuals, couples, and families around their unique goals, needs, and challenges.
(503) 606-8615 View (503) 606-8615
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.