Photo of Rebecca Self, Licensed Professional Counselor in Houston, TX
Rebecca Self
Licensed Professional Counselor, LPC, RPT
Verified Verified
6 Endorsed
Houston, TX 77018
Your child or tween is described by teachers, coaches, and other adults as a pleasure to work with, but at home, you know they're struggling. They put so much pressure on themselves to be perfect, despite your reassurances. You're constantly soothing their worries or anxiety and they might be crying or having trouble sleeping at night. They always seem to see the worst in themselves or have low self esteem and you know they’re capable of so much more. You’ve read the parenting books and blogs, listened to the podcasts, and nothing is working. It’s exhausting! As a play therapist and mom myself, I get it!
Your child or tween is described by teachers, coaches, and other adults as a pleasure to work with, but at home, you know they're struggling. They put so much pressure on themselves to be perfect, despite your reassurances. You're constantly soothing their worries or anxiety and they might be crying or having trouble sleeping at night. They always seem to see the worst in themselves or have low self esteem and you know they’re capable of so much more. You’ve read the parenting books and blogs, listened to the podcasts, and nothing is working. It’s exhausting! As a play therapist and mom myself, I get it!
(832) 219-8438 View (832) 219-8438
Photo of Juliana Chesser, LPC Associate in Houston, TX
Juliana Chesser
LPC Associate, MS, NCC
Verified Verified
4 Endorsed
Houston, TX 77079
I specialize with children who have ADHD, anxiety, & mood related concerns.
You are looking for support, connection, reflection, and joy - wanting to release your pain, trauma, loss, or crisis. Well then, let's collaborate! The heartbeat that sets our therapeutic journey apart is a relationship that's meaningful, healthy, and authentically deep. Together, uncover the layers of your existence, armed with skills and insight. Picture yourself gaining self-awareness that transcends both our sessions and the world outside, nurturing a confidence and responsibility to your truest self. Integrate your life experiences to shed the weight you have carried far too long.
I specialize with children who have ADHD, anxiety, & mood related concerns.
You are looking for support, connection, reflection, and joy - wanting to release your pain, trauma, loss, or crisis. Well then, let's collaborate! The heartbeat that sets our therapeutic journey apart is a relationship that's meaningful, healthy, and authentically deep. Together, uncover the layers of your existence, armed with skills and insight. Picture yourself gaining self-awareness that transcends both our sessions and the world outside, nurturing a confidence and responsibility to your truest self. Integrate your life experiences to shed the weight you have carried far too long.
(346) 770-3007 View (346) 770-3007
Photo of Toye Counseling Services, Clinical Social Work/Therapist in Houston, TX
Toye Counseling Services
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Houston, TX 77036
Are you struggling with unexplained sadness, feeling hopeless, helpless, irritable or just angry? Are you or your child feeling anxious, fearful, worried, have experienced trauma or have difficulty adjusting to a change?. Do you have relationship problems with your child or can't get along with others? Are you having difficulty maintaining work and life balance? I am available to assist you in developing greater self awareness and work in collaboration to overcome your challenges. I am passionate about helping children, teen, and adults build effective relationships, manage depression, anger, anxiety, and trauma related issues
Are you struggling with unexplained sadness, feeling hopeless, helpless, irritable or just angry? Are you or your child feeling anxious, fearful, worried, have experienced trauma or have difficulty adjusting to a change?. Do you have relationship problems with your child or can't get along with others? Are you having difficulty maintaining work and life balance? I am available to assist you in developing greater self awareness and work in collaboration to overcome your challenges. I am passionate about helping children, teen, and adults build effective relationships, manage depression, anger, anxiety, and trauma related issues
(346) 226-3756 View (346) 226-3756
Photo of Elizabeth McIngvale, Clinical Social Work/Therapist in Houston, TX
Elizabeth McIngvale
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Houston, TX 77008  (Online Only)
I specialize in the treatment of obsessive compulsive disorder (OCD) and anxiety disorders, working with patients who range in symptom severity and are looking for effective treatment to learn how to manage their OCD, anxiety and related symptoms.
I specialize in the treatment of obsessive compulsive disorder (OCD) and anxiety disorders, working with patients who range in symptom severity and are looking for effective treatment to learn how to manage their OCD, anxiety and related symptoms.
(281) 800-3019 View (281) 800-3019
Photo of Elyssa Fink Gottheim, Clinical Social Work/Therapist in Houston, TX
Elyssa Fink Gottheim
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77024
My specialties include young adults, parenting work, adolescence, children, families, anxiety, depression, relationship issues, ADHD, self esteem, boundary setting, and life transitions.
Entering into therapy can be a difficult and daunting decision. I am here to guide and support you through that process. In therapy, you will explore aspects of yourself and identify areas of growth and change. My goal is to help you achieve your goals and develop a better understanding of self. I emphasize the importance of individualizing treatment in order to meet your specific needs.
My specialties include young adults, parenting work, adolescence, children, families, anxiety, depression, relationship issues, ADHD, self esteem, boundary setting, and life transitions.
Entering into therapy can be a difficult and daunting decision. I am here to guide and support you through that process. In therapy, you will explore aspects of yourself and identify areas of growth and change. My goal is to help you achieve your goals and develop a better understanding of self. I emphasize the importance of individualizing treatment in order to meet your specific needs.
(832) 981-2443 View (832) 981-2443
Photo of Andetria Hampton, Licensed Professional Counselor in Houston, TX
Andetria Hampton
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
Houston, TX 77008
I specialize in helping clients of all ages that experience depression, anxiety, grief and trauma related difficulties.
Author Helen Keller once stated, "Only through experience of trials and suffering can the soul be strengthened, ambition inspired and success achieved." I am passionate about helping individuals improve the way that they feel and take back total control of their lives. I'm able to offer you a safe space (online or in-person) to help you work through the difficult feelings and develop the necessary skills to improve your life. In all, I have a HUGE heart for people and value building connections that will ultimately lead to emotional growth.
I specialize in helping clients of all ages that experience depression, anxiety, grief and trauma related difficulties.
Author Helen Keller once stated, "Only through experience of trials and suffering can the soul be strengthened, ambition inspired and success achieved." I am passionate about helping individuals improve the way that they feel and take back total control of their lives. I'm able to offer you a safe space (online or in-person) to help you work through the difficult feelings and develop the necessary skills to improve your life. In all, I have a HUGE heart for people and value building connections that will ultimately lead to emotional growth.
(346) 226-2707 View (346) 226-2707
Photo of Woodnote Counseling, PLLC in Houston, TX
Woodnote Counseling, PLLC
M, Ed, LPC-S
Verified Verified
Houston, TX 77066
A challenging responsibility in life is to heal emotional wounds. Family crisis, divorce, losses, anxiety or having a child with emotional or intellectual barriers to be successful in life without finding the desired answer creates frustration and distress. Psychotherapy as an alternative isn't the easiest answer but could be insightful and resilient. Children with developmental difficulties, learning disabilities, autism or conduct disorders can benefit from a holistic approach that considers the healing of their emotional pain as resource for reaching developmental goals. I work with a collaborative approach. You will discover your own potential and solutions to your specific circumstance.
A challenging responsibility in life is to heal emotional wounds. Family crisis, divorce, losses, anxiety or having a child with emotional or intellectual barriers to be successful in life without finding the desired answer creates frustration and distress. Psychotherapy as an alternative isn't the easiest answer but could be insightful and resilient. Children with developmental difficulties, learning disabilities, autism or conduct disorders can benefit from a holistic approach that considers the healing of their emotional pain as resource for reaching developmental goals. I work with a collaborative approach. You will discover your own potential and solutions to your specific circumstance.
(956) 290-8606 View (956) 290-8606
Photo of Victoria McCann, Licensed Professional Counselor Associate in Houston, TX
Victoria McCann
Licensed Professional Counselor Associate, LPC-A, MS, NCC
Verified Verified
2 Endorsed
Houston, TX 77077
I help clients struggling with depression, anxiety, ADHD, Autism Spectrum Disorder, relationship distress, family conflict, self-esteem issues, immigration-related stress, and life transitions.
I am a mental health counselor who is passionate about walking alongside individuals and families as they make sense and meaning of their life experiences. I hold full confidence that all clients are capable of healing and growth when they feel seen, heard, and understood. My goal as a counselor is to create a non-judgmental, supportive space where clients can work through life’s challenges, and I am grateful for the opportunity to work with people of all backgrounds, beliefs, and identities.
I help clients struggling with depression, anxiety, ADHD, Autism Spectrum Disorder, relationship distress, family conflict, self-esteem issues, immigration-related stress, and life transitions.
I am a mental health counselor who is passionate about walking alongside individuals and families as they make sense and meaning of their life experiences. I hold full confidence that all clients are capable of healing and growth when they feel seen, heard, and understood. My goal as a counselor is to create a non-judgmental, supportive space where clients can work through life’s challenges, and I am grateful for the opportunity to work with people of all backgrounds, beliefs, and identities.
(832) 895-7975 x201 View (832) 895-7975 x201
Photo of District Counseling at Spring-Tomball, Licensed Professional Counselor in Houston, TX
District Counseling at Spring-Tomball
Licensed Professional Counselor
Verified Verified
1 Endorsed
Houston, TX 77070
Find Healing and Empowerment with Trusted Counselors in Spring-Tomball. Begin your healing journey now. Our counselors are ready to assist you with a range of issues such as depression, anxiety, and trauma within a safe, non-judgmental environment. Take the first step towards a better you. Our counselors in Spring-Tomball are committed to helping individuals of all ages find healing, joy and transformation. We provide a safe and judgment free space for exploring your inner world experiences, developing psychological skills to manage difficult emotions, and ultimately finding peace.
Find Healing and Empowerment with Trusted Counselors in Spring-Tomball. Begin your healing journey now. Our counselors are ready to assist you with a range of issues such as depression, anxiety, and trauma within a safe, non-judgmental environment. Take the first step towards a better you. Our counselors in Spring-Tomball are committed to helping individuals of all ages find healing, joy and transformation. We provide a safe and judgment free space for exploring your inner world experiences, developing psychological skills to manage difficult emotions, and ultimately finding peace.
(346) 200-6260 View (346) 200-6260
Photo of Juliet Duralde, LPC Intern in Houston, TX
Juliet Duralde
LPC Intern, MA, LPC-A
Verified Verified
2 Endorsed
Houston, TX 77077
I work with children and parents struggling with symptoms of anxiety, ADHD, trauma, and attachment. To meet the needs of my young clients, I incorporate several play-based modalities into my practice including Theraplay (parent & child), child-centered play therapy, and cognitive behavioral play therapy. For my clients under 18, I take a family systems approach in my care by requiring regular parent and guardian meetings. With children, teens, and adults, I use Accelerated Resolution Therapy (ART) to treat a variety of issues including post-traumatic stress, specific phobias, anxiety, depression, and more.
I work with children and parents struggling with symptoms of anxiety, ADHD, trauma, and attachment. To meet the needs of my young clients, I incorporate several play-based modalities into my practice including Theraplay (parent & child), child-centered play therapy, and cognitive behavioral play therapy. For my clients under 18, I take a family systems approach in my care by requiring regular parent and guardian meetings. With children, teens, and adults, I use Accelerated Resolution Therapy (ART) to treat a variety of issues including post-traumatic stress, specific phobias, anxiety, depression, and more.
(281) 626-8121 View (281) 626-8121
Photo of Nancia King, Licensed Professional Counselor in Houston, TX
Nancia King
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Houston, TX 77069
I specialize in working with kids and adults who are struggling with anxiety, depression, and/or trauma.
At Mental Break Counseling Services, we provide individual and family counseling services that are tailored to your unique needs. I am a trained professional (LPC and school counselor) who enjoys working in the school environment during the day and providing therapy to individuals and families during the evenings. As a school counselor, I have experience working with adolescents and teenagers who are struggling with academics and social/ emotional issues inside and outside of the school system. I believe that taking a personalized approach will help my clients achieve their goals.
I specialize in working with kids and adults who are struggling with anxiety, depression, and/or trauma.
At Mental Break Counseling Services, we provide individual and family counseling services that are tailored to your unique needs. I am a trained professional (LPC and school counselor) who enjoys working in the school environment during the day and providing therapy to individuals and families during the evenings. As a school counselor, I have experience working with adolescents and teenagers who are struggling with academics and social/ emotional issues inside and outside of the school system. I believe that taking a personalized approach will help my clients achieve their goals.
(281) 843-3904 View (281) 843-3904
Photo of Dr. Albie @ TX Clinical Psychology Center, Psychologist in Houston, TX
Dr. Albie @ TX Clinical Psychology Center
Psychologist, PsyD
Verified Verified
Houston, TX 77027
Affordable (50$-99$ cost model) Dr. Albie is licensed Clinical Psychologist with 10 years of experience working with people experiencing challenges with depression, stress, burnout, trauma or a family situation, the death of a loved one, the loss of a job, social anxiety, or fears. I work with a team of psychologists, testing specialists and a psychiatrist who treat children and adults with issues ranging from anxiety to dealing with changes in life. At Clinical Psychology Center, we have experienced, licensed psychotherapists, psychologists and social workers available to work with you.
Affordable (50$-99$ cost model) Dr. Albie is licensed Clinical Psychologist with 10 years of experience working with people experiencing challenges with depression, stress, burnout, trauma or a family situation, the death of a loved one, the loss of a job, social anxiety, or fears. I work with a team of psychologists, testing specialists and a psychiatrist who treat children and adults with issues ranging from anxiety to dealing with changes in life. At Clinical Psychology Center, we have experienced, licensed psychotherapists, psychologists and social workers available to work with you.
(832) 551-3134 View (832) 551-3134
Photo of McCayla Berry, Licensed Professional Counselor in Houston, TX
McCayla Berry
Licensed Professional Counselor, MA, LPC
Verified Verified
Houston, TX 77008
I provide EMDR as an intervention to target anxiety, low self-esteem, and traumatic experiences for all ages.
Maybe you feel overwhelmed with juggling it all: work, relationships, your children/their needs, etc. Maybe it feels difficult to feel present or connected to yourself/others. Whether therapy is for you, your teen, or your child, trying to figure out how to feel "unstuck" or how to cope can be difficult. Sometimes life throws experiences that can leave a person feeling confused, hopeless, or discouraged. My approach in counseling is trauma-informed as I recognize that every person has had struggles that have made them question themselves or their direction in life.
I provide EMDR as an intervention to target anxiety, low self-esteem, and traumatic experiences for all ages.
Maybe you feel overwhelmed with juggling it all: work, relationships, your children/their needs, etc. Maybe it feels difficult to feel present or connected to yourself/others. Whether therapy is for you, your teen, or your child, trying to figure out how to feel "unstuck" or how to cope can be difficult. Sometimes life throws experiences that can leave a person feeling confused, hopeless, or discouraged. My approach in counseling is trauma-informed as I recognize that every person has had struggles that have made them question themselves or their direction in life.
(832) 219-7186 View (832) 219-7186
Photo of Adrienne Parker, Clinical Social Work/Therapist in Houston, TX
Adrienne Parker
Clinical Social Work/Therapist, LPC
Verified Verified
Houston, TX 77065
Hi, I'm Adrienne Parker! If you're here, it's because you're seeking new approaches for your child's growth. As parents, stepping out of our comfort zone and building a supportive community is key. I'm here to aid your child's social, emotional, and mental development, teaching self-advocacy and providing success tools. I work with kids and teens ages 8-20, and specialize in those struggling with ADHD, Anxiety Disorders, Attachment Disorder, Bipolar Disorder, Conduct Disorder, Depression, Obsessive-Compulsive Disorder, Personality Disorders, Post-traumatic stress disorder (PTSD), Substance Use/Abuse, Adjustment Disorder, and more.
Hi, I'm Adrienne Parker! If you're here, it's because you're seeking new approaches for your child's growth. As parents, stepping out of our comfort zone and building a supportive community is key. I'm here to aid your child's social, emotional, and mental development, teaching self-advocacy and providing success tools. I work with kids and teens ages 8-20, and specialize in those struggling with ADHD, Anxiety Disorders, Attachment Disorder, Bipolar Disorder, Conduct Disorder, Depression, Obsessive-Compulsive Disorder, Personality Disorders, Post-traumatic stress disorder (PTSD), Substance Use/Abuse, Adjustment Disorder, and more.
(347) 983-1470 View (347) 983-1470
Photo of Silvina Rearte Counseling, PLLC, Marriage & Family Therapist in Houston, TX
Silvina Rearte Counseling, PLLC
Marriage & Family Therapist, LPC-S, LMFT-S
Verified Verified
Houston, TX 77042
Are you feeling disconnected from friends and family, tired, sad, overwhelmed, confused, doubtful, anxious, stuck, like you need something different and better. Would you like to gradually start enjoying life, feel more connected, energized and start using your hidden potential for a more fulfilling life? I aim to work with you in a safe, warm and friendly environment while offering the necessary comprehensive care. In a soothing atmosphere and by combining the latest techniques with years of experience, I strive to provide my patients with excellence in treatment.
Are you feeling disconnected from friends and family, tired, sad, overwhelmed, confused, doubtful, anxious, stuck, like you need something different and better. Would you like to gradually start enjoying life, feel more connected, energized and start using your hidden potential for a more fulfilling life? I aim to work with you in a safe, warm and friendly environment while offering the necessary comprehensive care. In a soothing atmosphere and by combining the latest techniques with years of experience, I strive to provide my patients with excellence in treatment.
(832) 648-2104 View (832) 648-2104
Photo of Carrie Lium, Licensed Professional Counselor Associate in Houston, TX
Carrie Lium
Licensed Professional Counselor Associate, MS, NCC, LPC-A
Verified Verified
Houston, TX 77027
I am a former high school teacher and high school/middle school counselor. I recently earned my LPC-A to broaden my reach and work with adults of all ages. My previous work in a school setting has given me great insight on the vast stressors and emotions experienced by adolescents and young adults. Through compassionate counseling, I enjoy helping others discover their own strengths and abilities. I strive to see people of all ages break through fears and anxieties and discover their true potential in a safe and judgment-free environment. I love to walk clients through difficult transitions and discover joy on the other side.
I am a former high school teacher and high school/middle school counselor. I recently earned my LPC-A to broaden my reach and work with adults of all ages. My previous work in a school setting has given me great insight on the vast stressors and emotions experienced by adolescents and young adults. Through compassionate counseling, I enjoy helping others discover their own strengths and abilities. I strive to see people of all ages break through fears and anxieties and discover their true potential in a safe and judgment-free environment. I love to walk clients through difficult transitions and discover joy on the other side.
(346) 263-0757 View (346) 263-0757
Photo of Robyn Reyna, Licensed Professional Counselor in Houston, TX
Robyn Reyna
Licensed Professional Counselor, LPC-S, RPT-S
Verified Verified
1 Endorsed
Houston, TX 77084
Great parents and great teachers struggle every day feeling like they can't help their kids figure out how to behave and survive their everyday life. They spend day after day fighting, yelling and being exhausted, and having nothing change. Their kids have dysregulated bodies that make them anxious, hyperactive, and sometimes even aggressive. My goal is to help these kids learn to calm and control their body and to help their adults to support them in doing this. I specialize in supporting kids with dysregulation disorders such as autism, anxiety, oppositional defiant disorder, sensory processing disorder, ADHD, and trauma.
Great parents and great teachers struggle every day feeling like they can't help their kids figure out how to behave and survive their everyday life. They spend day after day fighting, yelling and being exhausted, and having nothing change. Their kids have dysregulated bodies that make them anxious, hyperactive, and sometimes even aggressive. My goal is to help these kids learn to calm and control their body and to help their adults to support them in doing this. I specialize in supporting kids with dysregulation disorders such as autism, anxiety, oppositional defiant disorder, sensory processing disorder, ADHD, and trauma.
(575) 305-7397 View (575) 305-7397
Photo of Catherine Fagan, Licensed Professional Counselor in Houston, TX
Catherine Fagan
Licensed Professional Counselor, LPC-S, LCDC, LSOTP
Verified Verified
Houston, TX 77084
My expertise involves working with clients on topics such as: Anxiety, Depression, Bipolar, Abuse, Domestic Violence, Divorce, Parenting, Relationships, Sex, Drug Abuse, Life Issues, Stress, Grief, Anger, Behavior Issues and other topics.
Hello! My name is Catherine Fagan and I’m a licensed professional counselor. I attended Prairie View A & M University and have been practicing counseling for over 10 years. I specialize in working with children, teens, and adults and I’m happy to help you today with any of your mental health concerns.
My expertise involves working with clients on topics such as: Anxiety, Depression, Bipolar, Abuse, Domestic Violence, Divorce, Parenting, Relationships, Sex, Drug Abuse, Life Issues, Stress, Grief, Anger, Behavior Issues and other topics.
Hello! My name is Catherine Fagan and I’m a licensed professional counselor. I attended Prairie View A & M University and have been practicing counseling for over 10 years. I specialize in working with children, teens, and adults and I’m happy to help you today with any of your mental health concerns.
(346) 567-7465 View (346) 567-7465
Photo of Thomas O Whitehead, Licensed Professional Counselor in Houston, TX
Thomas O Whitehead
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Houston, TX 77098  (Online Only)
I am a Licensed Professional Counselor Supervisor. I entered this profession because I enjoy helping people. Anxiety, depression, and unstable mood are among the most common issues people bring to counseling with me. I like helping people learn about ALL scientifically validated approaches available to them. Many experience brighter and more stable mood, better sleep, and a greater sense of inner peace. I also like helping clients achieve their personal and career goals. I have over 20 years experience working with adults, families, and children. I genuinely enjoy assisting my clients, and I especially love working with kids.
I am a Licensed Professional Counselor Supervisor. I entered this profession because I enjoy helping people. Anxiety, depression, and unstable mood are among the most common issues people bring to counseling with me. I like helping people learn about ALL scientifically validated approaches available to them. Many experience brighter and more stable mood, better sleep, and a greater sense of inner peace. I also like helping clients achieve their personal and career goals. I have over 20 years experience working with adults, families, and children. I genuinely enjoy assisting my clients, and I especially love working with kids.
(281) 915-0164 View (281) 915-0164
Photo of Whitney Nguyen, Marriage & Family Therapist Associate in Houston, TX
Whitney Nguyen
Marriage & Family Therapist Associate, MFT
Verified Verified
1 Endorsed
Houston, TX 77005
My expertise lies in aiding individuals, children, and families in discovering their inner strengths to overcome life's challenges. Whether it's navigating a difficult relationship, past trauma, managing ADHD, anxiety, depression, or coping with a major life transition, I am committed to providing a safe and supportive space for growth and healing.
My expertise lies in aiding individuals, children, and families in discovering their inner strengths to overcome life's challenges. Whether it's navigating a difficult relationship, past trauma, managing ADHD, anxiety, depression, or coping with a major life transition, I am committed to providing a safe and supportive space for growth and healing.
(346) 553-1461 View (346) 553-1461
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.