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More Therapists Nearby

Photo of Apryl Carlington, Counselor in Fort Lewis, WA
Apryl Carlington
Counselor, MA, LMHC, MHP, CMHP
Verified Verified
Dupont, WA 98327
To list a few; school based triage, family support of DCYF involvement, adoption/guardian support, family reunification and preservation, crisis and law enforcement, LGBTQ support, depression/anxiety and other concerns of personal, emotional and behavioral health.
The therapeutic relationship should empower an individual to regain ownership of their life, shifting negative self-talk and other impacts of trauma; allowing for holistic healing and growth. It is my hope to actively walk alongside my client as they work to create their peace; ultimately gaining an improvement in positive self-awareness and optimism, with a side of lasting security and emotional health.
To list a few; school based triage, family support of DCYF involvement, adoption/guardian support, family reunification and preservation, crisis and law enforcement, LGBTQ support, depression/anxiety and other concerns of personal, emotional and behavioral health.
The therapeutic relationship should empower an individual to regain ownership of their life, shifting negative self-talk and other impacts of trauma; allowing for holistic healing and growth. It is my hope to actively walk alongside my client as they work to create their peace; ultimately gaining an improvement in positive self-awareness and optimism, with a side of lasting security and emotional health.
(360) 625-6911 View (360) 625-6911
Photo of Christina H Rasmussen, Psychologist in Fort Lewis, WA
Christina H Rasmussen
Psychologist, PhD
Verified Verified
University Place, WA 98466
I have been in private practice since 1994, providing services for children, adolescents, adults, families, and couples. As a Licensed Clinical Psychologist, I have learned to treat a variety of conditions including Depression, Anxiety, PTSD, Personality Disorders, marital problems, and other issues. I also provide a variety of assessment services including disability evaluations, psychological evaluations, custody evaluations, intelligence and academic achievement assessment, and personality assessments. I provide in person and telehealth options for treatment.
I have been in private practice since 1994, providing services for children, adolescents, adults, families, and couples. As a Licensed Clinical Psychologist, I have learned to treat a variety of conditions including Depression, Anxiety, PTSD, Personality Disorders, marital problems, and other issues. I also provide a variety of assessment services including disability evaluations, psychological evaluations, custody evaluations, intelligence and academic achievement assessment, and personality assessments. I provide in person and telehealth options for treatment.
(253) 906-1906 View (253) 906-1906
Photo of Shandra Sullivan, Clinical Social Work/Therapist in Fort Lewis, WA
Shandra Sullivan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Spanaway, WA 98387  (Online Only)
Waitlist for new clients
You find yourself completely overwhelmed, constantly trying to expect what comes next. Stuck, frustrated, or unsure, you know you need support, but don’t know where to go. Maybe you are feeling deep sadness, alone, and lost. Or you look at yourself and say how did I get here? Whatever the starting point, there is a way forward. Today’s fast paced world leaves many feeling alone, and not ready to cope with what comes next. I would be honored to work with you to find your personal goals, and the freedom you seek. Let’s find a way forward together with respect, empathy, and no judgement.Please contact me with any questions you have, or
You find yourself completely overwhelmed, constantly trying to expect what comes next. Stuck, frustrated, or unsure, you know you need support, but don’t know where to go. Maybe you are feeling deep sadness, alone, and lost. Or you look at yourself and say how did I get here? Whatever the starting point, there is a way forward. Today’s fast paced world leaves many feeling alone, and not ready to cope with what comes next. I would be honored to work with you to find your personal goals, and the freedom you seek. Let’s find a way forward together with respect, empathy, and no judgement.Please contact me with any questions you have, or
(253) 262-0252 View (253) 262-0252
Photo of Therapy Associates of Tacoma, Counselor in Fort Lewis, WA
Therapy Associates of Tacoma
Counselor, LMHC, LMFT
Verified Verified
Tacoma, WA 98409
Therapy Associates of Tacoma strives to make quality counseling an affordable resource. Therapy Associates of Tacoma counselors work collaboratively with individuals, teens, couples, and families to identify and create movement toward your desired goals.
Therapy Associates of Tacoma strives to make quality counseling an affordable resource. Therapy Associates of Tacoma counselors work collaboratively with individuals, teens, couples, and families to identify and create movement toward your desired goals.
(253) 343-9478 View (253) 343-9478

Online Therapists

Photo of Karolina Williams Counseling, Clinical Social Work/Therapist in Fort Lewis, WA
Karolina Williams Counseling
Clinical Social Work/Therapist, LICSW, MDiv
Verified Verified
Shoreline, WA 98155
Some of my specialties include: trauma, sexual abuse/assault, pre-natal/post-partum issues, anxiety, depression, domestic violence, self-esteem, spirituality and parenting.
Finding a "good fit" is essential when looking for a therapist. You should feel safe to be your authentic self without feeling judgment. I believe the client/therapist relationship is primary for healing and effective work. Within that relationship, I consider you the expert on your own life. While thoughtfully listening, I will also offer insights, invitations to try something new, and help you in building new skills and finding solutions. People tend to find me warm, accepting, and engaging.
Some of my specialties include: trauma, sexual abuse/assault, pre-natal/post-partum issues, anxiety, depression, domestic violence, self-esteem, spirituality and parenting.
Finding a "good fit" is essential when looking for a therapist. You should feel safe to be your authentic self without feeling judgment. I believe the client/therapist relationship is primary for healing and effective work. Within that relationship, I consider you the expert on your own life. While thoughtfully listening, I will also offer insights, invitations to try something new, and help you in building new skills and finding solutions. People tend to find me warm, accepting, and engaging.
(206) 785-3653 View (206) 785-3653
Photo of Jessica May Christie, Counselor in Fort Lewis, WA
Jessica May Christie
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98107  (Online Only)
Anxiety, depression, relational issues, marital counseling, and parenting are all within my area of expertise.
At times in life we all get stuck and come to places where change is necessary. I aim to create with my clients a space where we listen to what your thoughts, feelings and symptoms are telling you about your story. I believe that we are built for relationship, that both our greatest wounds and deepest healing occur within relationship. Together we will explore the patterns that emerge in therapy, and how old ways of relating are being recreated in present day. I believe therapy in a mutual work and that the answers to your healing are within you and the relationship we build.
Anxiety, depression, relational issues, marital counseling, and parenting are all within my area of expertise.
At times in life we all get stuck and come to places where change is necessary. I aim to create with my clients a space where we listen to what your thoughts, feelings and symptoms are telling you about your story. I believe that we are built for relationship, that both our greatest wounds and deepest healing occur within relationship. Together we will explore the patterns that emerge in therapy, and how old ways of relating are being recreated in present day. I believe therapy in a mutual work and that the answers to your healing are within you and the relationship we build.
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Photo of Jenny Grace Shaw, Counselor in Fort Lewis, WA
Jenny Grace Shaw
Counselor, MEd, LMHC, CSC, HHP, NBCC
Verified Verified
Tacoma, WA 98421
My Specialized focus include challenges with Disordered Eating, Body Image, Body Dysmorphic Disorder, Self-Harming, Depression, Relationships, Co-Dependency, Whole-self Wellness; Mind, Body, and Spirit, addictions, abuse, and trauma, PTSD, Identity Empowerment, Anxiety, and Depression.
We all experience speed bumps during our life journey. Though it may seem we are "lost"unsure of I believe the powers we are looking for are inside YOU! One simply needs to be validated, and to strengthen the emotional "muscles" that have grown weak--just as we exercise our bodies and our minds, we must exercise our emotional I truly believe we can not experience long term health unless we pay close attention to our Mind, Body and Spirit--the Emotional; our humanness. when we honor our truths, we will achieve our Authentic Self! I look forward to helping guide you towards your personal, goals. NEVER UNDERESTIMATE THE POWER OF YOU
My Specialized focus include challenges with Disordered Eating, Body Image, Body Dysmorphic Disorder, Self-Harming, Depression, Relationships, Co-Dependency, Whole-self Wellness; Mind, Body, and Spirit, addictions, abuse, and trauma, PTSD, Identity Empowerment, Anxiety, and Depression.
We all experience speed bumps during our life journey. Though it may seem we are "lost"unsure of I believe the powers we are looking for are inside YOU! One simply needs to be validated, and to strengthen the emotional "muscles" that have grown weak--just as we exercise our bodies and our minds, we must exercise our emotional I truly believe we can not experience long term health unless we pay close attention to our Mind, Body and Spirit--the Emotional; our humanness. when we honor our truths, we will achieve our Authentic Self! I look forward to helping guide you towards your personal, goals. NEVER UNDERESTIMATE THE POWER OF YOU
(808) 736-4177 View (808) 736-4177
Photo of Valinda Harlan Relationship Issues Anxiety-Depression, Counselor in Fort Lewis, WA
Valinda Harlan Relationship Issues Anxiety-Depression
Counselor, LMHC, LPC, LPCC, NCC
Verified Verified
2 Endorsed
Vancouver, WA 98685
Yes, I am accepting new clients for in-person and telehealth sessions for individuals and couples. Please go to my website www.brightfuturecounseling1.com for more information. There is hope for healing and change. If your relationship suffers from sexual issues or broken trust, if there is room to improve communication or intimacy, or if you are not sure your relationship can be/is worth saving, I can offer you help. If you feel sad or depressed, have experienced loss, or have anxiety, there is hope. I provide a supportive nonjudgmental space for individuals of all genders and sexualities, traditional and nontraditional couples.
Yes, I am accepting new clients for in-person and telehealth sessions for individuals and couples. Please go to my website www.brightfuturecounseling1.com for more information. There is hope for healing and change. If your relationship suffers from sexual issues or broken trust, if there is room to improve communication or intimacy, or if you are not sure your relationship can be/is worth saving, I can offer you help. If you feel sad or depressed, have experienced loss, or have anxiety, there is hope. I provide a supportive nonjudgmental space for individuals of all genders and sexualities, traditional and nontraditional couples.
(360) 558-3568 View (360) 558-3568
Photo of Shelly Huffman, LMHC, LCPC, LLC, Counselor in Fort Lewis, WA
Shelly Huffman, LMHC, LCPC, LLC
Counselor, MA, LMHC, LCPC, LLC
Verified Verified
Bainbridge Island, WA 98110
I use Somatic Experiencing, effective for depression & anxiety, chronic pain, issues of abuse, trauma, PTSD.
Clients who work with me feel empowered and reassured on their first visit, and they continue with me, because they notice changes happening. For the past 20 years, I've worked in private and group practices, providing counseling and other services to people from many different walks of life. I help people re-evaluate, become closer to a loved one, process difficult decisions or transitions and grieve significant losses. I enjoy helping people become more truthful about themselves and live with integrity. I fiercely protect the privacy and confidentiality of my clients and provide a private, safe setting for our work together.
I use Somatic Experiencing, effective for depression & anxiety, chronic pain, issues of abuse, trauma, PTSD.
Clients who work with me feel empowered and reassured on their first visit, and they continue with me, because they notice changes happening. For the past 20 years, I've worked in private and group practices, providing counseling and other services to people from many different walks of life. I help people re-evaluate, become closer to a loved one, process difficult decisions or transitions and grieve significant losses. I enjoy helping people become more truthful about themselves and live with integrity. I fiercely protect the privacy and confidentiality of my clients and provide a private, safe setting for our work together.
(206) 984-3013 View (206) 984-3013
Photo of Pacific NW Relational Therapy, PLLC, Psychologist in Fort Lewis, WA
Pacific NW Relational Therapy, PLLC
Psychologist, PsyD
Verified Verified
7 Endorsed
Vancouver, WA 98662  (Online Only)
Currently accepting new clients. Trauma, attachment, + identity impact people in different ways. Do you often feel detached or numb? Do you avoid thinking about the past or self-medicate? Are you concerned about your parenting? Do you often find yourself in difficult relationships? Are you concerned about your memory? Do you feel sad or anxious a lot? Are you "stuck" in the same pattern? Do you have trouble trusting people? Are you irritable most of the time? Do you feel like you don't know yourself or your purpose? Do you feel incomplete or want meaning in life? If you answered yes to any-I believe I could be a good fit for you.
Currently accepting new clients. Trauma, attachment, + identity impact people in different ways. Do you often feel detached or numb? Do you avoid thinking about the past or self-medicate? Are you concerned about your parenting? Do you often find yourself in difficult relationships? Are you concerned about your memory? Do you feel sad or anxious a lot? Are you "stuck" in the same pattern? Do you have trouble trusting people? Are you irritable most of the time? Do you feel like you don't know yourself or your purpose? Do you feel incomplete or want meaning in life? If you answered yes to any-I believe I could be a good fit for you.
(360) 869-0118 View (360) 869-0118
Photo of Cyndee M Baldwin, Counselor in Fort Lewis, WA
Cyndee M Baldwin
Counselor, MA, LMHC
Verified Verified
11 Endorsed
Edmonds, WA 98020
I will help you to have more meaningful relationships in life, utilize your talents and abilities more fully, maintain a more truthful and accurate self-esteem, have more satisfying sexual relationships, understand yourself and others in a more meaningful way, and face life's challenges with greater freedom and flexibility. My specialty is relational psychotherapy for individuals, couples, and groups which aids in transformation for most issues in life: grief, loss, anxiety, depression and transition, to name a few. Take the step today toward your own transformation and healing, a lifelong investment.
I will help you to have more meaningful relationships in life, utilize your talents and abilities more fully, maintain a more truthful and accurate self-esteem, have more satisfying sexual relationships, understand yourself and others in a more meaningful way, and face life's challenges with greater freedom and flexibility. My specialty is relational psychotherapy for individuals, couples, and groups which aids in transformation for most issues in life: grief, loss, anxiety, depression and transition, to name a few. Take the step today toward your own transformation and healing, a lifelong investment.
(425) 358-3404 View (425) 358-3404
Photo of Pacific Mental Health, Counselor in Fort Lewis, WA
Pacific Mental Health
Counselor
Verified Verified
Lynnwood, WA 98036
We treat a variety of mental health disorders from anxiety/depression to sexual addiction.
Pacific Mental Health is dedicated to serving the mental health needs of the Greater Seattle area. If you're looking for a new counselor or a fresh perspective in life, our team of psychotherapist can help you achieve the goals you're looking for.
We treat a variety of mental health disorders from anxiety/depression to sexual addiction.
Pacific Mental Health is dedicated to serving the mental health needs of the Greater Seattle area. If you're looking for a new counselor or a fresh perspective in life, our team of psychotherapist can help you achieve the goals you're looking for.
(206) 488-1706 View (206) 488-1706
Photo of Puget Sound Psychotherapy & Psychiatry, Counselor in Fort Lewis, WA
Puget Sound Psychotherapy & Psychiatry
Counselor, LMHC
Verified Verified
4 Endorsed
Seattle, WA 98112
We are taking new clients for both in-person & telehealth! We are a group private practice offering therapy & psychiatric services. We have four main areas of expertise: 1) Adult individuals facing a wide variety of difficulties including anxiety, trauma, and depression. 2) We have child, teen, and family therapist experts to assist in both kids as well as help with parenting difficulties, difficult transitions like divorce and death 3) We specialize in helping people have more satisfying relationships from adult children & their parents to all kinds of couples. 4) We provide psychiatric support & medication management.
We are taking new clients for both in-person & telehealth! We are a group private practice offering therapy & psychiatric services. We have four main areas of expertise: 1) Adult individuals facing a wide variety of difficulties including anxiety, trauma, and depression. 2) We have child, teen, and family therapist experts to assist in both kids as well as help with parenting difficulties, difficult transitions like divorce and death 3) We specialize in helping people have more satisfying relationships from adult children & their parents to all kinds of couples. 4) We provide psychiatric support & medication management.
(206) 855-5920 View (206) 855-5920
Photo of Agate Therapy Group, Counselor in Fort Lewis, WA
Agate Therapy Group
Counselor
Verified Verified
1 Endorsed
Seattle, WA 98119
It can be a daunting task to start looking for a therapist. Our team specializes in sitting with minors ages 6-17, adults, couples, and families who want to work on a multitude of issues, from stress, anxiety, depression, trauma, life transitions, and relational issues. Whether you have been wanting to process big life events for ages or you’ve found yourself in an uncharacteristically difficult time, we’re here to listen without judgment or criticism. You have our attention.
It can be a daunting task to start looking for a therapist. Our team specializes in sitting with minors ages 6-17, adults, couples, and families who want to work on a multitude of issues, from stress, anxiety, depression, trauma, life transitions, and relational issues. Whether you have been wanting to process big life events for ages or you’ve found yourself in an uncharacteristically difficult time, we’re here to listen without judgment or criticism. You have our attention.
(206) 594-3021 View (206) 594-3021
Photo of Pacific Pediatric Psychology, Psychologist in Fort Lewis, WA
Pacific Pediatric Psychology
Psychologist, PhD
Verified Verified
Seattle, WA 98103  (Online Only)
Dr. Haynes has worked extensively with children and families, focusing both on pediatrics and the culturally-sensitive application of evidence-based psychology. She has been at Seattle Children's for more than 7 years and is presently in the Cancer and Blood Disorders Center. Dr. Haynes has extensive expertise in diagnosing and treating depression, anxiety, OCD, selective mutism, and other child and pediatric behavioral concerns. A primary objective of her integrative perspective is to understand negative reactions to stressors and appreciate adaptation, positive emotion, coping, resiliency, and wellbeing as a developmental process.
Dr. Haynes has worked extensively with children and families, focusing both on pediatrics and the culturally-sensitive application of evidence-based psychology. She has been at Seattle Children's for more than 7 years and is presently in the Cancer and Blood Disorders Center. Dr. Haynes has extensive expertise in diagnosing and treating depression, anxiety, OCD, selective mutism, and other child and pediatric behavioral concerns. A primary objective of her integrative perspective is to understand negative reactions to stressors and appreciate adaptation, positive emotion, coping, resiliency, and wellbeing as a developmental process.
(206) 984-1457 View (206) 984-1457
Photo of Endre Ferenc Voros, Counselor in Fort Lewis, WA
Endre Ferenc Voros
Counselor, MA, LMHC
Verified Verified
Black Diamond, WA 98010
I have 26 years of experience working with a variety of psychological challenges including anxiety, adjustment disorders, depression, personality disorders, and trauma/PTSD.
My work with individuals has focused on people who have a strong desire to live meaningful lives and have a sincere wish to be good partners, parents, and community members. At the same time, they feel distant from their deeper selves and find that their relationships and life are not what they had hoped they would be at this time. They find that they are inwardly blocked from living life more fully. My work with couples, families, children, and adolescents has focused on helping navigate challenging circumstances, stressors, familial and life events.
I have 26 years of experience working with a variety of psychological challenges including anxiety, adjustment disorders, depression, personality disorders, and trauma/PTSD.
My work with individuals has focused on people who have a strong desire to live meaningful lives and have a sincere wish to be good partners, parents, and community members. At the same time, they feel distant from their deeper selves and find that their relationships and life are not what they had hoped they would be at this time. They find that they are inwardly blocked from living life more fully. My work with couples, families, children, and adolescents has focused on helping navigate challenging circumstances, stressors, familial and life events.
(360) 543-4567 View (360) 543-4567
Photo of Loni Fillmore, Psychologist in Fort Lewis, WA
Loni Fillmore
Psychologist, PsyD
Verified Verified
Tacoma, WA 98402
Managing anxiety and stress, working through difficult relationships, as well as re-prioritizing oneself are are also areas where I can offer special expertise.
*Email is the best way to contact me for an appointment* Welcome! You are in the right place. Now is the time. The first step toward getting somewhere, changing something, is to become aware that you can’t stay where you are. Accepting the change and all that follows takes courage, compassion and curiosity. YOU’VE GOT THIS.
Managing anxiety and stress, working through difficult relationships, as well as re-prioritizing oneself are are also areas where I can offer special expertise.
*Email is the best way to contact me for an appointment* Welcome! You are in the right place. Now is the time. The first step toward getting somewhere, changing something, is to become aware that you can’t stay where you are. Accepting the change and all that follows takes courage, compassion and curiosity. YOU’VE GOT THIS.
(253) 238-7551 View (253) 238-7551
Photo of Tabitha Brown, Clinical Social Work/Therapist in Fort Lewis, WA
Tabitha Brown
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Vancouver, WA 98662  (Online Only)
I have experience working folks experiencing life transitions, depression, anxiety, disordered eating, trauma, and more.
I strive to provide an open and inclusive space for folks to explore who they are and any challenges within their world. This exploration can be difficult, which is why I hope having a support to guide you in this process will create a sense of safety and foster growth. Together we can work on things like coping skills, exploring trauma, interpersonal conflict, radical self-acceptance and more.
I have experience working folks experiencing life transitions, depression, anxiety, disordered eating, trauma, and more.
I strive to provide an open and inclusive space for folks to explore who they are and any challenges within their world. This exploration can be difficult, which is why I hope having a support to guide you in this process will create a sense of safety and foster growth. Together we can work on things like coping skills, exploring trauma, interpersonal conflict, radical self-acceptance and more.
(360) 386-7967 View (360) 386-7967
Photo of Clarity Counseling-Joan Forest LICSW, Clinical Social Work/Therapist in Fort Lewis, WA
Clarity Counseling-Joan Forest LICSW
Clinical Social Work/Therapist, L, I, C, S, W
Verified Verified
Greenbank, WA 98253
Each client has unique circumstances, challenges and goals, and I adapt my treatment to best fit the particular needs of the individual, couple or family. I am experienced in helping clients with difficult life transitions, depression, anxiety, PTSD, and marital problems. I am currently seeing children age five and up, teens and adults. My office is located in Greenbank, WA, and I provide telehealth as well as in person therapy.
Each client has unique circumstances, challenges and goals, and I adapt my treatment to best fit the particular needs of the individual, couple or family. I am experienced in helping clients with difficult life transitions, depression, anxiety, PTSD, and marital problems. I am currently seeing children age five and up, teens and adults. My office is located in Greenbank, WA, and I provide telehealth as well as in person therapy.
(360) 284-1317 View (360) 284-1317
Photo of Wendy Fallihee, Counselor in Fort Lewis, WA
Wendy Fallihee
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Lake Stevens, WA 98258
Clients are often anxious at their first visit.
I work collaboratively with clients to build on the strengths they already possess. I provide a safe and compassionate place for people to tell their story and create new stories involving self worth, healthy relationships, and a sense of empowerment. I will focus on your goals for yourself and you will drive the direction therapy takes you. I focus on your values as you define them with no judgment and no agenda. I will help you learn new skills to better handle trauma, life transitions, anxiety, depression, parenting, or any other life struggle that brings you to therapy.
Clients are often anxious at their first visit.
I work collaboratively with clients to build on the strengths they already possess. I provide a safe and compassionate place for people to tell their story and create new stories involving self worth, healthy relationships, and a sense of empowerment. I will focus on your goals for yourself and you will drive the direction therapy takes you. I focus on your values as you define them with no judgment and no agenda. I will help you learn new skills to better handle trauma, life transitions, anxiety, depression, parenting, or any other life struggle that brings you to therapy.
(360) 234-3759 View (360) 234-3759
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.