Photo of Venenzia Gonzalez-Johnson, Clinical Social Work/Therapist in Austin, TX
Venenzia Gonzalez-Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Austin, TX 78754
I specialize in working with people experiencing anxiety, depression, and trauma.
Hi there, I’m so grateful we have crossed paths! We naturally go through ups and downs every season, and weaving them together is life. Our thoughts and emotions flow like water, and sometimes they get stuck in whirlpools or become stagnant. You are the expert of yourself; you get to determine how you want to flow in your life, and embrace your truest authentic self. By exploring your relationships with the land, your ancestors, and community, we can work towards aligning your body, mind and spirit. We can identify tools to unstick patterns and behaviors that are no longer needed in your life.
I specialize in working with people experiencing anxiety, depression, and trauma.
Hi there, I’m so grateful we have crossed paths! We naturally go through ups and downs every season, and weaving them together is life. Our thoughts and emotions flow like water, and sometimes they get stuck in whirlpools or become stagnant. You are the expert of yourself; you get to determine how you want to flow in your life, and embrace your truest authentic self. By exploring your relationships with the land, your ancestors, and community, we can work towards aligning your body, mind and spirit. We can identify tools to unstick patterns and behaviors that are no longer needed in your life.
(512) 546-3342 View (512) 546-3342
Photo of Madison Wise, Licensed Professional Counselor in Austin, TX
Madison Wise
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Austin, TX 78746  (Online Only)
I believe that self-expression is key for confidence and healthy relationships. I work with people who are longing to find peace and connection; to face past hurts, manage overwhelming emotions, and face insecurities head-on, so they can better understand themselves and express themselves in connection with others. Together we explore pain points and self-talk that can lead to messy relationships, anxiety, sadness, shame, self-doubt, and burn-out. I work well with individuals who want to connect with their own power, to take responsibility for their part in relationships, & to express both their strength and softness with ease.
I believe that self-expression is key for confidence and healthy relationships. I work with people who are longing to find peace and connection; to face past hurts, manage overwhelming emotions, and face insecurities head-on, so they can better understand themselves and express themselves in connection with others. Together we explore pain points and self-talk that can lead to messy relationships, anxiety, sadness, shame, self-doubt, and burn-out. I work well with individuals who want to connect with their own power, to take responsibility for their part in relationships, & to express both their strength and softness with ease.
(512) 872-4654 View (512) 872-4654
Photo of Ellen Smithey, Licensed Professional Counselor Associate in Austin, TX
Ellen Smithey
Licensed Professional Counselor Associate, ATR-BC, LPC-A, CCTP
Verified Verified
2 Endorsed
Austin, TX 78752  (Online Only)
ChatGPT I understand that you're struggling with feelings of perfectionism, anxiety, and depression. Perfectionism can be like a relentless taskmaster, always demanding more and never satisfied. It can fuel anxiety, making you feel like you're constantly falling short of impossible standards. This cycle can lead to a sense of inadequacy and sadness, which may manifest as depression. It's important to recognize that these feelings are common, but they don't define you. Together, we can explore strategies to challenge perfectionism, manage anxiety, and alleviate depression, helping you to find more peace and fulfillment in your life.
ChatGPT I understand that you're struggling with feelings of perfectionism, anxiety, and depression. Perfectionism can be like a relentless taskmaster, always demanding more and never satisfied. It can fuel anxiety, making you feel like you're constantly falling short of impossible standards. This cycle can lead to a sense of inadequacy and sadness, which may manifest as depression. It's important to recognize that these feelings are common, but they don't define you. Together, we can explore strategies to challenge perfectionism, manage anxiety, and alleviate depression, helping you to find more peace and fulfillment in your life.
(512) 262-9503 View (512) 262-9503
Photo of Stephanie Stoeckl, Licensed Professional Counselor in Austin, TX
Stephanie Stoeckl
Licensed Professional Counselor, MA, LPC
Verified Verified
Austin, TX 78759  (Online Only)
While none of us are immune to challenges, learning to stay present makes a significant difference. It's been my honor, throughout my 27 years of practice, to accompany my clients on the path to healing and growth. As a Licensed Professional Counselor, I've supported individuals, couples, and families facing various challenges, including living with chronic health conditions, managing depression and anxiety, improving communication, and cultivating resilience in the face of traumatic experiences.
While none of us are immune to challenges, learning to stay present makes a significant difference. It's been my honor, throughout my 27 years of practice, to accompany my clients on the path to healing and growth. As a Licensed Professional Counselor, I've supported individuals, couples, and families facing various challenges, including living with chronic health conditions, managing depression and anxiety, improving communication, and cultivating resilience in the face of traumatic experiences.
(512) 575-8859 View (512) 575-8859
Photo of Elise Boutin, Licensed Professional Counselor Associate in Austin, TX
Elise Boutin
Licensed Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Austin, TX 78731
I work individually with teens 15+ and adults to target a wide range of concerns, particularly post-stroke depression, caregiver fatigue, anxiety, trauma, grief, and self-esteem.
Supervised by Carissa Cano, MA, LPC-S
I work individually with teens 15+ and adults to target a wide range of concerns, particularly post-stroke depression, caregiver fatigue, anxiety, trauma, grief, and self-esteem.
Supervised by Carissa Cano, MA, LPC-S
View
Photo of Lori Finkel, Clinical Social Work/Therapist in Austin, TX
Lori Finkel
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Austin, TX 78723
Whether you’re struggling with anxiety, depression, loneliness, grief, low self-esteem, boundary-setting, religious trauma, relationships, sex, shame, sexual trauma, sexuality, LGBTQ+/gender identity, life purpose and meaning, or all of the above, we'll work together to find your voice and strengthen your sense of self so you can really be you. We are each incredible, wonderful, complex beings who are deserving of love for being exactly who we are, even if society tells us otherwise!
Whether you’re struggling with anxiety, depression, loneliness, grief, low self-esteem, boundary-setting, religious trauma, relationships, sex, shame, sexual trauma, sexuality, LGBTQ+/gender identity, life purpose and meaning, or all of the above, we'll work together to find your voice and strengthen your sense of self so you can really be you. We are each incredible, wonderful, complex beings who are deserving of love for being exactly who we are, even if society tells us otherwise!
(512) 846-6233 x2 View (512) 846-6233 x2
Photo of Kate Ellis, Clinical Social Work/Therapist in Austin, TX
Kate Ellis
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Austin, TX 78702
I specialize in helping adults that are struggling with a difficult life transition and experiencing depression, anxiety or OCD.
We all encounter major stress and loss and often we recover well on our own. Sometimes life becomes overwhelming, confusing and too big to process alone. You can reach out for support, and you don’t have to do it alone. Through therapy, you have the power to focus on what helps you learn and grow. I am passionate about helping clients connect to their core values in therapy. We'll use mindfulness-based therapies to help you become aware of thoughts and behaviors that prevent you from experiencing a joyful and authentic life. I enjoy using humor, creativity and self-compassion in my practice.
I specialize in helping adults that are struggling with a difficult life transition and experiencing depression, anxiety or OCD.
We all encounter major stress and loss and often we recover well on our own. Sometimes life becomes overwhelming, confusing and too big to process alone. You can reach out for support, and you don’t have to do it alone. Through therapy, you have the power to focus on what helps you learn and grow. I am passionate about helping clients connect to their core values in therapy. We'll use mindfulness-based therapies to help you become aware of thoughts and behaviors that prevent you from experiencing a joyful and authentic life. I enjoy using humor, creativity and self-compassion in my practice.
(512) 882-2010 View (512) 882-2010
Photo of Alexandra Tueni, Clinical Social Work/Therapist in Austin, TX
Alexandra Tueni
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78705
I work with children, teens and young adults who struggle with anxiety, OCD, life transitions, identity, and LGBTQ+ issues. Clients often begin therapy with me in search of relief from OCD/anxiety, support managing the transition into college or adulthood, self-acceptance, a space to explore their identity, ways to create more meaningful relationships with others, or parenting support. I also work with parents to provide insight and teach skills that allow them to confidently support and respond to their child/teen struggling with OCD/anxiety. I am certified in and offer PCIT for children 7 and younger with behavioral challenges.
I work with children, teens and young adults who struggle with anxiety, OCD, life transitions, identity, and LGBTQ+ issues. Clients often begin therapy with me in search of relief from OCD/anxiety, support managing the transition into college or adulthood, self-acceptance, a space to explore their identity, ways to create more meaningful relationships with others, or parenting support. I also work with parents to provide insight and teach skills that allow them to confidently support and respond to their child/teen struggling with OCD/anxiety. I am certified in and offer PCIT for children 7 and younger with behavioral challenges.
(737) 250-6661 View (737) 250-6661
Photo of Stephanie Guerra, Licensed Professional Counselor Associate in Austin, TX
Stephanie Guerra
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Austin, TX 78746
I’m a relational therapist and I enjoy working with clients who are navigating life transitions, grief, stress, anxiety, and depression.
Do you need help to build confidence, pursue your passions, or create meaning in your life? Do you want to look at ways you can move past the stuck places and repetitive patterns that prevent you from experiencing more intimate and fulfilling relationships with yourself and others? Does anxiety/depression prevent you from trying? I specialize in helping people move through the parts of their lives that are not working and build new ways of thinking. I am rooted in mindfulness that helps guide my clients to be more self empowered and self actualized.
I’m a relational therapist and I enjoy working with clients who are navigating life transitions, grief, stress, anxiety, and depression.
Do you need help to build confidence, pursue your passions, or create meaning in your life? Do you want to look at ways you can move past the stuck places and repetitive patterns that prevent you from experiencing more intimate and fulfilling relationships with yourself and others? Does anxiety/depression prevent you from trying? I specialize in helping people move through the parts of their lives that are not working and build new ways of thinking. I am rooted in mindfulness that helps guide my clients to be more self empowered and self actualized.
(512) 881-6461 View (512) 881-6461
Photo of Michelle Ortiz, Clinical Social Work/Therapist in Austin, TX
Michelle Ortiz
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78759  (Online Only)
Has your sense of safety and security been compromised by trauma or adverse childhood experiences? Or perhaps lately you have been feeling “off” and are unsure what is wrong. Whether the issue you are experiencing is big or small, my objective is to create a safe space where we can collaborate to resolve any obstacles in the way of living the life you want. I specialize in working with individuals who have lived through traumatic experiences and/or struggle with depression, anxiety, stress or chronic pain that affects their well-being.
Has your sense of safety and security been compromised by trauma or adverse childhood experiences? Or perhaps lately you have been feeling “off” and are unsure what is wrong. Whether the issue you are experiencing is big or small, my objective is to create a safe space where we can collaborate to resolve any obstacles in the way of living the life you want. I specialize in working with individuals who have lived through traumatic experiences and/or struggle with depression, anxiety, stress or chronic pain that affects their well-being.
(512) 607-7611 View (512) 607-7611
Photo of Stephanie (Vee) Van Fossen, Licensed Professional Counselor in Austin, TX
Stephanie (Vee) Van Fossen
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
Austin, TX 78748
What if you could live your life with confidence, trust, understanding, and intimacy? If you're having a hard time, feeling disconnected, or having communication problems, I want to help. While my practice specializes in challenges around sex, communication, intimacy, and infidelity, over the years I've also had the privilege of working successfully with people bringing a broad range of other concerns to my office, including gender identity and transitions, trauma, anxiety, chronic illness, grief, and more. Things can change. Just by reaching out, you've already started down a path of insight and healing.
What if you could live your life with confidence, trust, understanding, and intimacy? If you're having a hard time, feeling disconnected, or having communication problems, I want to help. While my practice specializes in challenges around sex, communication, intimacy, and infidelity, over the years I've also had the privilege of working successfully with people bringing a broad range of other concerns to my office, including gender identity and transitions, trauma, anxiety, chronic illness, grief, and more. Things can change. Just by reaching out, you've already started down a path of insight and healing.
(512) 361-5228 View (512) 361-5228
Photo of Jenna Bock, Clinical Social Work/Therapist in Austin, TX
Jenna Bock
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Austin, TX 78731  (Online Only)
I know the visceral pain of grief and have joined many people in exploring the complex and ever-evolving emotions within it. I often work with people after the death of a loved one, including those who’ve lost someone to suicide, an often uniquely isolating experience. You may be experiencing loss related to a breakup, family disconnection, or change in identity. These bring grief, too. All sorts of life changes can deeply impact us and are worthy of attention. I also work with people seeking support for anxiety and self-criticism. If you’re really hard on yourself and want to cultivate more self-compassion, we may be a good fit.
I know the visceral pain of grief and have joined many people in exploring the complex and ever-evolving emotions within it. I often work with people after the death of a loved one, including those who’ve lost someone to suicide, an often uniquely isolating experience. You may be experiencing loss related to a breakup, family disconnection, or change in identity. These bring grief, too. All sorts of life changes can deeply impact us and are worthy of attention. I also work with people seeking support for anxiety and self-criticism. If you’re really hard on yourself and want to cultivate more self-compassion, we may be a good fit.
(737) 225-6369 View (737) 225-6369
Photo of Logan Iles, Clinical Social Work/Therapist in Austin, TX
Logan Iles
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Austin, TX 78759  (Online Only)
If you're dealing with low mood and little motivation, questioning your life choices, or struggling with anxiety, I'm here to help.
Do you feel like your life lacks purpose or balance? Are you struggling with direction or motivation? Self-esteem and confidence feel at an all-time low? Struggling with accepting yourself? I see you. I help men, women, and nonbinary people work through their cognitive distortions to change their mindset and the way they speak to themselves. I believe in expanding an individual's unique strengths to achieve change and find a balance. I seek to empower my clients by using multifaceted methods and a whole-self approach.
If you're dealing with low mood and little motivation, questioning your life choices, or struggling with anxiety, I'm here to help.
Do you feel like your life lacks purpose or balance? Are you struggling with direction or motivation? Self-esteem and confidence feel at an all-time low? Struggling with accepting yourself? I see you. I help men, women, and nonbinary people work through their cognitive distortions to change their mindset and the way they speak to themselves. I believe in expanding an individual's unique strengths to achieve change and find a balance. I seek to empower my clients by using multifaceted methods and a whole-self approach.
(512) 881-6879 View (512) 881-6879
Photo of Crystalyn Jass Kirkpatrick, Licensed Professional Counselor in Austin, TX
Crystalyn Jass Kirkpatrick
Licensed Professional Counselor, MEd, NCC, LPC
Verified Verified
1 Endorsed
Austin, TX 78746  (Online Only)
Hi there. I’m Crystalyn and I’m a psychotherapist and counselor that specializes in Internal Family Systems therapy. I help clients bridge the gap from feelings of inadequacy, worry, burnout, frustration, and overwhelm to a place with more balance and harmony. In therapy we will work together to find the core place within yourself that holds confidence, courage, clarity, and creativity that can give you what you need to create internal change that allows you to go out into the world and make the difference you want to make without sacrificing yourself to the point of defeat.
Hi there. I’m Crystalyn and I’m a psychotherapist and counselor that specializes in Internal Family Systems therapy. I help clients bridge the gap from feelings of inadequacy, worry, burnout, frustration, and overwhelm to a place with more balance and harmony. In therapy we will work together to find the core place within yourself that holds confidence, courage, clarity, and creativity that can give you what you need to create internal change that allows you to go out into the world and make the difference you want to make without sacrificing yourself to the point of defeat.
(210) 741-8329 View (210) 741-8329
Photo of Madeline Giblin, Licensed Professional Counselor Associate in Austin, TX
Madeline Giblin
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Austin, TX 78749  (Online Only)
Hello! My name is Madeline & I specialize in ADHD, grief work, & women's issues around anxiety, depression, life transitions, relationships, & work-life balance. When I say I'm authentic in my work with clients, I truly mean it. I don't pretend to have all the answers (most of the time I don't have any), and I certainly don't "put on my therapist hat" before every session. Because I specialize in treating women with ADHD, I self-disclose rather often. I've found this to be an incredibly effective means to not only validate experiences but also to examine the roles shame and guilt play in clients' narratives and internal dialogues.
Hello! My name is Madeline & I specialize in ADHD, grief work, & women's issues around anxiety, depression, life transitions, relationships, & work-life balance. When I say I'm authentic in my work with clients, I truly mean it. I don't pretend to have all the answers (most of the time I don't have any), and I certainly don't "put on my therapist hat" before every session. Because I specialize in treating women with ADHD, I self-disclose rather often. I've found this to be an incredibly effective means to not only validate experiences but also to examine the roles shame and guilt play in clients' narratives and internal dialogues.
(512) 955-5240 View (512) 955-5240
Photo of Celia Lugo, Licensed Professional Counselor in Austin, TX
Celia Lugo
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Austin, TX 78723
Waitlist for new clients
You might be dealing with some intense circumstances, feeling overwhelmed, anxious, or depressed. Having a nonjudgmental guide help sort through current and past pain can help make that process more manageable. As that guide, I am excited to help you turn down the volume of life's busyness, tune in to your inner self, and uncover unmet emotional needs. As you enter the safe haven of therapy each week, you will gain a freedom to be authentically you, learn how to better handle distress, and find ways to heal from past wounds that bog you down in current relationships.
You might be dealing with some intense circumstances, feeling overwhelmed, anxious, or depressed. Having a nonjudgmental guide help sort through current and past pain can help make that process more manageable. As that guide, I am excited to help you turn down the volume of life's busyness, tune in to your inner self, and uncover unmet emotional needs. As you enter the safe haven of therapy each week, you will gain a freedom to be authentically you, learn how to better handle distress, and find ways to heal from past wounds that bog you down in current relationships.
(512) 961-1526 View (512) 961-1526
Photo of Dawn Warren, Licensed Professional Counselor Associate in Austin, TX
Dawn Warren
Licensed Professional Counselor Associate, MA
Verified Verified
6 Endorsed
Austin, TX 78759
Waitlist for new clients
I welcome you to join me in a safe space for compassionate self-exploration. I work with individuals who are struggling with stress, anxiety, depression, and overwhelming emotions. I specialize in working with individuals who experienced difficult childhoods such as: dysfunctional families, emotionally immature parents, abuse and/or neglect, parental substance use and/or mental health issues, financial insecurity, immigration, or military brats.
I welcome you to join me in a safe space for compassionate self-exploration. I work with individuals who are struggling with stress, anxiety, depression, and overwhelming emotions. I specialize in working with individuals who experienced difficult childhoods such as: dysfunctional families, emotionally immature parents, abuse and/or neglect, parental substance use and/or mental health issues, financial insecurity, immigration, or military brats.
(512) 764-5223 View (512) 764-5223
Photo of Sarah Gonzales, Licensed Professional Counselor in Austin, TX
Sarah Gonzales
Licensed Professional Counselor, NCC, LPC
Verified Verified
2 Endorsed
Austin, TX 78753  (Online Only)
Life is a rollercoaster (up, down, up, up, down) and the path to healing is not often a straight line. Are you going through a bad break up, in the middle of a life transition or struggling with anxiety, depression...? Whatever you may have going on, spending a hour a week with a therapist that gets you and is dedicated to helping you can really help light the path. You will develop insight and awareness, gain clarity, assert yourself with more confidence, set and maintain boundaries, learn how to love yourself fully and do all the things self care related. Ride or die, I'm in your corner.
Life is a rollercoaster (up, down, up, up, down) and the path to healing is not often a straight line. Are you going through a bad break up, in the middle of a life transition or struggling with anxiety, depression...? Whatever you may have going on, spending a hour a week with a therapist that gets you and is dedicated to helping you can really help light the path. You will develop insight and awareness, gain clarity, assert yourself with more confidence, set and maintain boundaries, learn how to love yourself fully and do all the things self care related. Ride or die, I'm in your corner.
View
Photo of Gracie Ewing, Licensed Professional Counselor in Austin, TX
Gracie Ewing
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Austin, TX 78747  (Online Only)
(Please contact me via email or the contact page on my website). Offering telehealth counseling services to Texas residents 13+. I am passionately committed to helping you thrive. I am here to be a safe, trusted support by listening, understanding, and validating the experiences of simply being human. I focus on helping adolescents and adults through various challenges including anxiety, depression, grief & loss, trauma, and life transitions. Collaboratively, we will work together to identify personal challenges and pain, explore personal strengths and values, and reach a place of inner-peace.
(Please contact me via email or the contact page on my website). Offering telehealth counseling services to Texas residents 13+. I am passionately committed to helping you thrive. I am here to be a safe, trusted support by listening, understanding, and validating the experiences of simply being human. I focus on helping adolescents and adults through various challenges including anxiety, depression, grief & loss, trauma, and life transitions. Collaboratively, we will work together to identify personal challenges and pain, explore personal strengths and values, and reach a place of inner-peace.
(512) 400-3535 View (512) 400-3535
Photo of Ariel Cross, Counselor in Austin, TX
Ariel Cross
Counselor, MA, LPC, NCC
Verified Verified
Austin, TX 78701  (Online Only)
I practice virtual counseling to provide support for people who have anxiety disorders, which includes anxiety about general life stressors, phobias, panic attacks, and obsessive-compulsive disorder.
I’m Ariel Cross, a Licensed Professional Counselor in Oklahoma. My goal is to help individuals who struggle with OCD, anxiety, and other difficulties so they can live a healthier, happier life. I work well with individuals who are stressed out, burned out, and have been told they’re “Overthinkers.” My approach meshes well with people who identify as highly anxious but have difficulties with managing their symptoms. I work to create a sense of safety and comfort within session. It’s my goal to be as genuine and understanding as possible to create an area where a person feels comfortable talking about difficult problems.
I practice virtual counseling to provide support for people who have anxiety disorders, which includes anxiety about general life stressors, phobias, panic attacks, and obsessive-compulsive disorder.
I’m Ariel Cross, a Licensed Professional Counselor in Oklahoma. My goal is to help individuals who struggle with OCD, anxiety, and other difficulties so they can live a healthier, happier life. I work well with individuals who are stressed out, burned out, and have been told they’re “Overthinkers.” My approach meshes well with people who identify as highly anxious but have difficulties with managing their symptoms. I work to create a sense of safety and comfort within session. It’s my goal to be as genuine and understanding as possible to create an area where a person feels comfortable talking about difficult problems.
(430) 213-3106 View (430) 213-3106

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.