Photo of Jean Eljay in Chadds Ford, PA
Jean Eljay
PhD, MS, MCT, CI, NLP
Verified Verified
Chadds Ford, PA 19317
Do you struggle to fall asleep due to intense stress or anxiety? Is your lack of restful sleep affecting your career, relationships, and life? Dr. Jean Eljay - Creator of SnooZZeaZZy - can help you eliminate anxiety, stress, chronic pain, and sleep disorders. With thousands of clients counseled, 2000+ research studies initiated, a Doctorate in Medical Genetics and Master's in Molecular Biology from one of the top 3 ranked hospitals in the world by U.S. News and World Report, Dr. Jean Eljay is credited as a top professional in stress, anxiety, pain and sleep problem solutions.
Do you struggle to fall asleep due to intense stress or anxiety? Is your lack of restful sleep affecting your career, relationships, and life? Dr. Jean Eljay - Creator of SnooZZeaZZy - can help you eliminate anxiety, stress, chronic pain, and sleep disorders. With thousands of clients counseled, 2000+ research studies initiated, a Doctorate in Medical Genetics and Master's in Molecular Biology from one of the top 3 ranked hospitals in the world by U.S. News and World Report, Dr. Jean Eljay is credited as a top professional in stress, anxiety, pain and sleep problem solutions.
(484) 235-5688 View (484) 235-5688
Photo of Thompson Sports Performance, LLC, Licensed Professional Counselor in Chadds Ford, PA
Thompson Sports Performance, LLC
Licensed Professional Counselor, EdD, LPC, CMPC
Verified Verified
Chadds Ford, PA 19317  (Online Only)
Common blocks to elite performance & well-being include anxiety, self-doubt, self-criticism, perfectionism, environmental stress, underdeveloped mindsets, compromised focus, low motivation & confidence.
Thompson Sports Performance, LLC specializes in mental performance & well-being for competitive athletes of all levels. I am a doctoral level Licensed Professional Counselor, nationally Certified Mental Performance Consultant (CMPC), former collegiate Head Coach, NCAA athletic department sport psychology director & adjunct faculty, and I am passionate about improving athletes lives both in and out of the competitive environment. My approach strategically addresses holistic engagement with your ever expanding potential while focusing on optimizing your sense of self-worth, self-awareness, mindset development, well-being & resilience.
Common blocks to elite performance & well-being include anxiety, self-doubt, self-criticism, perfectionism, environmental stress, underdeveloped mindsets, compromised focus, low motivation & confidence.
Thompson Sports Performance, LLC specializes in mental performance & well-being for competitive athletes of all levels. I am a doctoral level Licensed Professional Counselor, nationally Certified Mental Performance Consultant (CMPC), former collegiate Head Coach, NCAA athletic department sport psychology director & adjunct faculty, and I am passionate about improving athletes lives both in and out of the competitive environment. My approach strategically addresses holistic engagement with your ever expanding potential while focusing on optimizing your sense of self-worth, self-awareness, mindset development, well-being & resilience.
(484) 261-1574 View (484) 261-1574
Photo of Karina Suero, Marriage & Family Therapist in Chadds Ford, PA
Karina Suero
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Chadds Ford, PA 19317
It can also feel risky and provoke anxiety.
Being a parent seems harder everyday. After trying everything, nothing seems to work. It feels helpless. Is there anything you can do? If your child seems to be living in other world, where there is no space for you, we need to find a way to reach out. If your child is out of control, leaving the house and/or being aggressive, we need to think what can be done. If your child is cutting, or increasingly more isolated, your influence is very, very important. Call me and let’s explore solutions. Together.
It can also feel risky and provoke anxiety.
Being a parent seems harder everyday. After trying everything, nothing seems to work. It feels helpless. Is there anything you can do? If your child seems to be living in other world, where there is no space for you, we need to find a way to reach out. If your child is out of control, leaving the house and/or being aggressive, we need to think what can be done. If your child is cutting, or increasingly more isolated, your influence is very, very important. Call me and let’s explore solutions. Together.
(484) 441-0508 View (484) 441-0508
Photo of Linda Ruth Brackin, Clinical Social Work/Therapist in Chadds Ford, PA
Linda Ruth Brackin
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
Chadds Ford, PA 19317
As Therapist and Life Coach, I am integrally connected to the burgeoning Science of Positive Psychology, which is the scientific study of what enables people and communities to thrive. My approach emphasizes the uniqueness and potential of each individual. I dwell in the possibility for positive change. I am committed to the use of tools which make it possible for you to recognize, appreciate and utilize your signature character strengths (you at your best) to assist you with any perceived problems, limitations and areas of healing, thereby opening the door for you to set your intention toward the realm of your possibility.
As Therapist and Life Coach, I am integrally connected to the burgeoning Science of Positive Psychology, which is the scientific study of what enables people and communities to thrive. My approach emphasizes the uniqueness and potential of each individual. I dwell in the possibility for positive change. I am committed to the use of tools which make it possible for you to recognize, appreciate and utilize your signature character strengths (you at your best) to assist you with any perceived problems, limitations and areas of healing, thereby opening the door for you to set your intention toward the realm of your possibility.
(302) 786-1989 View (302) 786-1989
Photo of George M Leute, Psychologist in Chadds Ford, PA
George M Leute
Psychologist, MA
Verified Verified
Chadds Ford, PA 19317
Not accepting new clients
Each of us faces unique challenges as we go through life. Whether these challenges take the form of problems with work or relationships, with anxiety or depression, or simply with dissatisfaction over the current state of our lives, we all want to make improvements in how we experience our lives. We may also find that life presents certain demands of us at different stages requiring us to stretch beyond our accustomed habits and ways of being. Often our challenges can seem daunting, at times insurmountable, yet with the right support and perspective, we can be inspired to make positive changes.
Each of us faces unique challenges as we go through life. Whether these challenges take the form of problems with work or relationships, with anxiety or depression, or simply with dissatisfaction over the current state of our lives, we all want to make improvements in how we experience our lives. We may also find that life presents certain demands of us at different stages requiring us to stretch beyond our accustomed habits and ways of being. Often our challenges can seem daunting, at times insurmountable, yet with the right support and perspective, we can be inspired to make positive changes.
(484) 441-0318 View (484) 441-0318

More Therapists Nearby

Photo of Dr. Peter Thompson, Licensed Professional Counselor in Chadds Ford, PA
Dr. Peter Thompson
Licensed Professional Counselor, EdD, LPC, CMPC, BCC
Verified Verified
West Chester, PA 19382
Do anxiety, self-doubt, self-criticism, performance pressure, performance blocks, perfectionism, depression, or low self-confidence impact you or a loved one? I specialize in working with competitive athletes & adults in their 20's & 30's. You can rely on my 25+ years of experience helping folks successfully navigate unproductive thoughts & behaviors that limit their authentic expression, sense of well-being, performance potential & opportunities to flourish. In a safe, supportive environment I help guide you past what is troubling you while challenging and supporting you to realize your own self-worth, authenticity, & resiliency.
Do anxiety, self-doubt, self-criticism, performance pressure, performance blocks, perfectionism, depression, or low self-confidence impact you or a loved one? I specialize in working with competitive athletes & adults in their 20's & 30's. You can rely on my 25+ years of experience helping folks successfully navigate unproductive thoughts & behaviors that limit their authentic expression, sense of well-being, performance potential & opportunities to flourish. In a safe, supportive environment I help guide you past what is troubling you while challenging and supporting you to realize your own self-worth, authenticity, & resiliency.
(484) 214-2580 View (484) 214-2580
Photo of Jean Eljay in Chadds Ford, PA
Jean Eljay
PhD, CNLP, CH, CI, AdvHC
Verified Verified
West Chester, PA 19380
Are you struggling with extreme physical or emotional pain? Dr. Jean - creator of HypnoBiosis - helps you eliminate anxiety, stress, chronic pain and sleep disorders. His healing methods help transform cancer, congenital disorders, chronic disease patients into energized, healthy, happy individuals. With thousands of clients counseled, 2000+ research studies initiated, a Doctorate in Medical Genetics and Master's in Molecular Biology from one of the top 3 ranked hospitals in the world by U.S. News and World Report, Dr. Jean Eljay is credited as a top professional in stress, anxiety, pain and sleep problem solutions.
Are you struggling with extreme physical or emotional pain? Dr. Jean - creator of HypnoBiosis - helps you eliminate anxiety, stress, chronic pain and sleep disorders. His healing methods help transform cancer, congenital disorders, chronic disease patients into energized, healthy, happy individuals. With thousands of clients counseled, 2000+ research studies initiated, a Doctorate in Medical Genetics and Master's in Molecular Biology from one of the top 3 ranked hospitals in the world by U.S. News and World Report, Dr. Jean Eljay is credited as a top professional in stress, anxiety, pain and sleep problem solutions.
(484) 483-4907 View (484) 483-4907
Photo of Maria Christina Salomone Gabelberger, Psychologist in Chadds Ford, PA
Maria Christina Salomone Gabelberger
Psychologist, PsyD
Verified Verified
2 Endorsed
West Chester, PA 19380
Extensive experience with anxiety, relationships, trauma, career and college issues, depression and life transitions.
In my experience, inside every person there is a psychological center, like a ‘Light’ leading us to love, healing, joy and growth. In a deep place in each of us, it is always present, though sometimes hidden. Known by many different names and through many different senses - center, core, soul, real-self, heart or unconscious, it is wise and kind and delights to do no harm, and intends only good. We all have a longing to connect to this profound potential, goodness and love within ourselves, within others and in all. I enjoy supporting folks in their journey back to this connection.
Extensive experience with anxiety, relationships, trauma, career and college issues, depression and life transitions.
In my experience, inside every person there is a psychological center, like a ‘Light’ leading us to love, healing, joy and growth. In a deep place in each of us, it is always present, though sometimes hidden. Known by many different names and through many different senses - center, core, soul, real-self, heart or unconscious, it is wise and kind and delights to do no harm, and intends only good. We all have a longing to connect to this profound potential, goodness and love within ourselves, within others and in all. I enjoy supporting folks in their journey back to this connection.
(610) 915-8793 View (610) 915-8793
Photo of Ronald J Pekala, Psychologist in Chadds Ford, PA
Ronald J Pekala
Psychologist, PhD
Verified Verified
West Chester, PA 19380
My services include the following: individual therapy; hypnosis and hypnotherapy; and EMG, HRV, ST, and SC biofeedback with the following disorders: anxiety, panic, and anger management; psychophysiological disorders; stress and conflict management; post-traumatic stress disorder; phobias; and existential and spiritual concerns.
I am a Licensed Clinical Psychologist with a great deal of experience in helping individuals change their behaviors, their minds, and hence, their lives. Through the use of insight and supportive therapies, noetic-behavioral and cognitive-behavioral techniques, biofeedback, hypnosis, relaxation and stress management, breathing strategies, communication training, and homework, clients are taught a variety of skills that are grounded in current scientific research and empirically tested strategies. Provided they practice these skills, clients can learn to help promote lasting change within themselves.
My services include the following: individual therapy; hypnosis and hypnotherapy; and EMG, HRV, ST, and SC biofeedback with the following disorders: anxiety, panic, and anger management; psychophysiological disorders; stress and conflict management; post-traumatic stress disorder; phobias; and existential and spiritual concerns.
I am a Licensed Clinical Psychologist with a great deal of experience in helping individuals change their behaviors, their minds, and hence, their lives. Through the use of insight and supportive therapies, noetic-behavioral and cognitive-behavioral techniques, biofeedback, hypnosis, relaxation and stress management, breathing strategies, communication training, and homework, clients are taught a variety of skills that are grounded in current scientific research and empirically tested strategies. Provided they practice these skills, clients can learn to help promote lasting change within themselves.
(610) 915-8658 View (610) 915-8658
Photo of Daniel H Rodgers, Licensed Professional Counselor in Chadds Ford, PA
Daniel H Rodgers
Licensed Professional Counselor, MA, MBA, LPC, CHT, CCTP
Verified Verified
West Chester, PA 19382
My ideal client is someone who is struggling with issues related to depression, anxiety, trauma, addiction, or relationship challenges. They are motivated to make positive changes in their lives and are open to exploring new therapeutic approaches. Their goals include improving their mental health, developing healthier coping mechanisms, and building stronger relationships. They want to feel more in control of their lives, overcome their challenges, and ultimately find greater happiness and fulfillment. I work collaboratively with clients to help them achieve their goals and create a brighter and manageable future for themselves.
My ideal client is someone who is struggling with issues related to depression, anxiety, trauma, addiction, or relationship challenges. They are motivated to make positive changes in their lives and are open to exploring new therapeutic approaches. Their goals include improving their mental health, developing healthier coping mechanisms, and building stronger relationships. They want to feel more in control of their lives, overcome their challenges, and ultimately find greater happiness and fulfillment. I work collaboratively with clients to help them achieve their goals and create a brighter and manageable future for themselves.
(484) 939-9972 View (484) 939-9972
Photo of Wanda J. Crews, Psychologist in Chadds Ford, PA
Wanda J. Crews
Psychologist, PhD
Verified Verified
Kennett Square, PA 19348
I have practiced as a clinical psychologist for over 35 years. I still consider it a privilege to empower clients to solve the complications and problems they are facing. My practice has shown me that every individual is able to positively change his or her ways of thinking, feeling, and behaving, provided that he or she remains motivated and embracing of change. I treat people from diverse backgrounds for a variety of problems, including: anxiety, depression, relationship problems, postpartum difficulties, parenting problems and child custody issues. I also work with patients who are coping with aging and chronic illnesses.
I have practiced as a clinical psychologist for over 35 years. I still consider it a privilege to empower clients to solve the complications and problems they are facing. My practice has shown me that every individual is able to positively change his or her ways of thinking, feeling, and behaving, provided that he or she remains motivated and embracing of change. I treat people from diverse backgrounds for a variety of problems, including: anxiety, depression, relationship problems, postpartum difficulties, parenting problems and child custody issues. I also work with patients who are coping with aging and chronic illnesses.
(610) 981-2459 View (610) 981-2459
Photo of Dr. Ken Martz, Psychologist in Chadds Ford, PA
Dr. Ken Martz
Psychologist, PsyD
Verified Verified
West Chester, PA 19382  (Online Only)
I specialize in the supervision of other clinicians, helping them learn the skills I have developed over a lifetime. I am an experienced psychologist and am highly effective in working with individuals experiencing anxiety, panic, and related issues such as intimacy, addiction, and establishing personal success. I have experience working with individuals struggling with negative self-talk, low self-esteem, mood instability, addictions, challenging irrational beliefs, anxiety, stress, and more so that we can reclaim our hope and confidence in ourselves for a brighter tomorrow.
I specialize in the supervision of other clinicians, helping them learn the skills I have developed over a lifetime. I am an experienced psychologist and am highly effective in working with individuals experiencing anxiety, panic, and related issues such as intimacy, addiction, and establishing personal success. I have experience working with individuals struggling with negative self-talk, low self-esteem, mood instability, addictions, challenging irrational beliefs, anxiety, stress, and more so that we can reclaim our hope and confidence in ourselves for a brighter tomorrow.
(484) 685-4862 View (484) 685-4862
Photo of Elaine L Goldhammer in Chadds Ford, PA
Elaine L Goldhammer
MD
Verified Verified
West Chester, PA 19382
They are either stuck by recurring physical symptoms such as migraines, IBS, fatigue, or they are stuck by worry, anxiety, or habits, such as nail-biting or smoking.
I offer a safe, fast, and effective combination of hypnotherapy and life coaching to help every client gain relief from mental and physical suffering. Clients are often unsure why they stay stuck in anxiety cycles in their lives, or can't stay on track with their health or their goals. Hypnotherapy is a direct way to uncover the subconscious thought patterns and solve the problem at the source. Inner Freedom Therapy can be used in conjunction with traditional therapy. It works well as a turbo booster to more traditional therapy or as a stand-alone resolution to emotional suffering around life, body, and/or health.
They are either stuck by recurring physical symptoms such as migraines, IBS, fatigue, or they are stuck by worry, anxiety, or habits, such as nail-biting or smoking.
I offer a safe, fast, and effective combination of hypnotherapy and life coaching to help every client gain relief from mental and physical suffering. Clients are often unsure why they stay stuck in anxiety cycles in their lives, or can't stay on track with their health or their goals. Hypnotherapy is a direct way to uncover the subconscious thought patterns and solve the problem at the source. Inner Freedom Therapy can be used in conjunction with traditional therapy. It works well as a turbo booster to more traditional therapy or as a stand-alone resolution to emotional suffering around life, body, and/or health.
(610) 632-7857 View (610) 632-7857
Photo of Rosemarie Collins Phd in Chadds Ford, PA
Rosemarie Collins Phd
PhD, APRN
Verified Verified
West Chester, PA 19382
Transform your life. Stop the struggle. Manage your stress, grief, anxiety, depression, loneliness and fear. Discover love, hope, peace, and inner strengths and resources to achieve the life you desire and deserve.
Transform your life. Stop the struggle. Manage your stress, grief, anxiety, depression, loneliness and fear. Discover love, hope, peace, and inner strengths and resources to achieve the life you desire and deserve.
(484) 416-8214 View (484) 416-8214
Photo of Elizabeth Stone, Licensed Professional Counselor in Chadds Ford, PA
Elizabeth Stone
Licensed Professional Counselor, MS, LPC, CCATP
Verified Verified
21 Endorsed
West Chester, PA 19380
Stress and anxiety are the main presenting issues I work with.
Life is complicated and each individual's situation is unique. No one escapes having difficulties in life. Some are tougher obstacles and we might need help figuring out how that affects us personally. Together we can work through those obstacles life handed you. Let's talk about moving forward. You aren’t alone - Help is availble!
Stress and anxiety are the main presenting issues I work with.
Life is complicated and each individual's situation is unique. No one escapes having difficulties in life. Some are tougher obstacles and we might need help figuring out how that affects us personally. Together we can work through those obstacles life handed you. Let's talk about moving forward. You aren’t alone - Help is availble!
(610) 880-0998 View (610) 880-0998
Photo of New Beginnings Holistic Therapies, Inc in Chadds Ford, PA
New Beginnings Holistic Therapies, Inc
MS, LMFT
Verified Verified
5 Endorsed
West Chester, PA 19380
Are you struggling to find peace? Do you feel destined for more? I believe that each of us is born with a life purpose and when we are not in alignment with that energy we can feel stuck, anxious, overwhelmed, uncertain, and even depressed. Together, we will explore the past, examine the present, and manifest a future that you’ve always desired. A few simple shifts in your awareness is often all that is needed to change your perception and heal the parts of your life that you are presently struggling with. I will help you obtain clarity, find peace and balance, and discover or awaken parts of yourself that have yet to be explored.
Are you struggling to find peace? Do you feel destined for more? I believe that each of us is born with a life purpose and when we are not in alignment with that energy we can feel stuck, anxious, overwhelmed, uncertain, and even depressed. Together, we will explore the past, examine the present, and manifest a future that you’ve always desired. A few simple shifts in your awareness is often all that is needed to change your perception and heal the parts of your life that you are presently struggling with. I will help you obtain clarity, find peace and balance, and discover or awaken parts of yourself that have yet to be explored.
(267) 930-2791 View (267) 930-2791
Photo of Denise Devoe, Pre-Licensed Professional in Chadds Ford, PA
Denise Devoe
Pre-Licensed Professional, MS, CCHt, AADP, LGPC
Verified Verified
1 Endorsed
West Chester, PA 19381
My approach to therapy is rooted in empathy, kindness, and respect. I strive to create a warm, non-judgmental space where you can share your feelings freely. My eclectic therapeutic style draws from several evidenced-based modalities, including Rogerian, Narrative, Family Systems, and DBT.
My approach to therapy is rooted in empathy, kindness, and respect. I strive to create a warm, non-judgmental space where you can share your feelings freely. My eclectic therapeutic style draws from several evidenced-based modalities, including Rogerian, Narrative, Family Systems, and DBT.
(484) 739-8177 View (484) 739-8177
Photo of Jennifer D. Matzner, Clinical Social Work/Therapist in Chadds Ford, PA
Jennifer D. Matzner
Clinical Social Work/Therapist, LCSW
Verified Verified
West Chester, PA 19382  (Online Only)
I am glad you are here! If you want to make changes in your life, health, work or relationships or learn new ways to cope with stress, overcome problems, or tap into your own personal strength and resilience, you are in the right place. Maybe you are feeling stuck in negative patterns or experiencing a transition in your life that is contributing to feeling overwhelmed. I can support you with creating a safe space to process problems, and find valued solutions to moving forward. I have training in multiple modalities including CBT, ACT, DBT, and trauma informed approaches, and will collaborate with you to reach your personal goals
I am glad you are here! If you want to make changes in your life, health, work or relationships or learn new ways to cope with stress, overcome problems, or tap into your own personal strength and resilience, you are in the right place. Maybe you are feeling stuck in negative patterns or experiencing a transition in your life that is contributing to feeling overwhelmed. I can support you with creating a safe space to process problems, and find valued solutions to moving forward. I have training in multiple modalities including CBT, ACT, DBT, and trauma informed approaches, and will collaborate with you to reach your personal goals
(484) 613-3152 View (484) 613-3152
Photo of Karen Levin Moser, Clinical Social Work/Therapist in Chadds Ford, PA
Karen Levin Moser
Clinical Social Work/Therapist, LCSW, PAT
Verified Verified
4 Endorsed
West Chester, PA 19380
Live with courage... Have the courage to become who you are truly meant to be. Empowered with validation and motivation people are capable of transforming their lives. Authenticity, awareness, compassion, hope, and gratitude – cultivate these qualities in yourself and your relationships to bring peace, happiness, harmony, joy, and a sense of satisfaction to your soul and life. Connect with your inner wisdom to find the answers you need to create the change you want. Don’t let precious years go by – give yourself the gift of beginning or continuing your journey now.
Live with courage... Have the courage to become who you are truly meant to be. Empowered with validation and motivation people are capable of transforming their lives. Authenticity, awareness, compassion, hope, and gratitude – cultivate these qualities in yourself and your relationships to bring peace, happiness, harmony, joy, and a sense of satisfaction to your soul and life. Connect with your inner wisdom to find the answers you need to create the change you want. Don’t let precious years go by – give yourself the gift of beginning or continuing your journey now.
(484) 218-4059 View (484) 218-4059
Photo of Jeffrey e Celebre, Psychologist in Chadds Ford, PA
Jeffrey e Celebre
Psychologist, PhD
Verified Verified
1 Endorsed
Glen Mills, PA 19342
Not accepting new clients
Are you wrestling with worries, struggling to break a habit, do you get highly anxious doing things others do with ease? Does anxiety affect your relationships or mood? Do you get caught up in disappointments and hurts that are current or those stuck in the past that repeat in your head? Do you have losses, challenges, disappointments that impact your self-esteem and resliance?
Are you wrestling with worries, struggling to break a habit, do you get highly anxious doing things others do with ease? Does anxiety affect your relationships or mood? Do you get caught up in disappointments and hurts that are current or those stuck in the past that repeat in your head? Do you have losses, challenges, disappointments that impact your self-esteem and resliance?
(610) 624-5164 View (610) 624-5164

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.