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Check out therapists located nearby or offering teletherapy in Washington below.

Online Therapists

Photo of B. Bartja Wachtel, Clinical Social Work/Therapist in Joint Base Lewis Mcchord, WA
B. Bartja Wachtel
Clinical Social Work/Therapist, MSW, LCSW, MHP
Verified Verified
1 Endorsed
Seattle, WA 98103  (Online Only)
I am honored to work with people facing challenges in chronic illness (ALS, early on-set Dementias, MS, Parkinson's, TBI, Stroke, Cancer), end of life, caregiver burnout, finding meaning, depression/anxiety, non-dominant gender, romantic orientations, trauma, toxic masculinity and Sex-Positivity.
Waitlist for Dec/Jan Spots Available. Telehealth Only. Prior to contact, please check the in-network insurance list below. Resistance to the very normal experience of suffering, as if something has gone terribly wrong, is natural. We become disconnected from the fullness of our experience and ourselves; the mind, body and our relationships. We practice inclining toward your experience and yourself in these areas with curiosity, cultivating tenderness, interconnectedness, and wise attention. Within all of us these precious core values have a capacity to hold space and a sense of wholeness that runs deeper than our problems.
I am honored to work with people facing challenges in chronic illness (ALS, early on-set Dementias, MS, Parkinson's, TBI, Stroke, Cancer), end of life, caregiver burnout, finding meaning, depression/anxiety, non-dominant gender, romantic orientations, trauma, toxic masculinity and Sex-Positivity.
Waitlist for Dec/Jan Spots Available. Telehealth Only. Prior to contact, please check the in-network insurance list below. Resistance to the very normal experience of suffering, as if something has gone terribly wrong, is natural. We become disconnected from the fullness of our experience and ourselves; the mind, body and our relationships. We practice inclining toward your experience and yourself in these areas with curiosity, cultivating tenderness, interconnectedness, and wise attention. Within all of us these precious core values have a capacity to hold space and a sense of wholeness that runs deeper than our problems.
(206) 538-2935 View (206) 538-2935
Photo of Puget Sound Psychotherapy & Psychiatry, Counselor in Joint Base Lewis Mcchord, 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 Endre Ferenc Voros, Counselor in Joint Base Lewis Mcchord, 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 Mill Creek Family Services - Counseling Group, Counselor in Joint Base Lewis Mcchord, WA
Mill Creek Family Services - Counseling Group
Counselor, MA, LMHC
Verified Verified
Mill Creek, WA 98012
Our services are designed to help you and the ones you love overcome personal, relationship and family difficulties. Whether you are experiencing challenges in your personal relationships, or struggling with depression, anxiety, stress or addictions, we are here for you. We help you develop skills and insights that can immediately make a positive difference in your life. We know that everybody needs help through tough times. Our Mill Creek Family Services counselors are here for you, helping you get your life back on track.
Our services are designed to help you and the ones you love overcome personal, relationship and family difficulties. Whether you are experiencing challenges in your personal relationships, or struggling with depression, anxiety, stress or addictions, we are here for you. We help you develop skills and insights that can immediately make a positive difference in your life. We know that everybody needs help through tough times. Our Mill Creek Family Services counselors are here for you, helping you get your life back on track.
(425) 357-9111 x1 View (425) 357-9111 x1
Photo of Donovan R Bigelow, Counselor in Joint Base Lewis Mcchord, WA
Donovan R Bigelow
Counselor, JD, LLM, MA, (LMHC)
Verified Verified
1 Endorsed
Seattle, WA 98101
The Only Cure Is Strength. Our work together will focus on your needs. Psychoanalytic Therapy, integrated with other perspectives, is a powerful and effective way to help individuals and couples address life's most urgent issues. Together we can work through, overcome, or improve: Depression, stress and anxiety, Love and intimate relationships, Family conflict resolution, Sexuality and body image, Parent-child conflicts, Drug abuse and eating disorders, Balancing work and personal life, Managing emotions effectively, Strengthening the will/ego, Artistic and athletic creativity, and Creation of meaning. Every effort in therapy should be focused on achieving an aesthetic self-creation.
The Only Cure Is Strength. Our work together will focus on your needs. Psychoanalytic Therapy, integrated with other perspectives, is a powerful and effective way to help individuals and couples address life's most urgent issues. Together we can work through, overcome, or improve: Depression, stress and anxiety, Love and intimate relationships, Family conflict resolution, Sexuality and body image, Parent-child conflicts, Drug abuse and eating disorders, Balancing work and personal life, Managing emotions effectively, Strengthening the will/ego, Artistic and athletic creativity, and Creation of meaning. Every effort in therapy should be focused on achieving an aesthetic self-creation.
(206) 940-6732 View (206) 940-6732
Photo of Dr. Gary Bell, Marriage & Family Therapist in Joint Base Lewis Mcchord, WA
Dr. Gary Bell
Marriage & Family Therapist, Ed D, LMFT
Verified Verified
Seattle, WA 98115
I have worked with tens of thousands of clients with issues ranging from trauma, relationship issues, anxiety, depression, communication, parenting, work frustrations, suicidality, sudden life change, and more. My goal is for you to experience peace in your life, stop merely coping, and start thriving in the present. I believe in the importance of living in this moment that we’ve been given, and I want you to experience the abundant joy and freedom that comes from God. Don’t wait another day; invest in yourself today. I look forward to working with you to overcome past barriers so you can fully enjoy your life each moment.
I have worked with tens of thousands of clients with issues ranging from trauma, relationship issues, anxiety, depression, communication, parenting, work frustrations, suicidality, sudden life change, and more. My goal is for you to experience peace in your life, stop merely coping, and start thriving in the present. I believe in the importance of living in this moment that we’ve been given, and I want you to experience the abundant joy and freedom that comes from God. Don’t wait another day; invest in yourself today. I look forward to working with you to overcome past barriers so you can fully enjoy your life each moment.
(206) 426-0376 View (206) 426-0376
Photo of Alec Brooks, Counselor in Joint Base Lewis Mcchord, WA
Alec Brooks
Counselor, LMHCA
Verified Verified
Bothell, WA 98021  (Online Only)
I have experience working in various settings including community health clinics, behavioral health organizations, and group private practice. It is enjoyable for me to work with clients of all identities with a variety of concerns including anxiety, depression, and stress management as they navigate the difficulties of daily life. I also have specialized experience working with neurodivergent clients in both my personal, professional, and academic endeavors.
I have experience working in various settings including community health clinics, behavioral health organizations, and group private practice. It is enjoyable for me to work with clients of all identities with a variety of concerns including anxiety, depression, and stress management as they navigate the difficulties of daily life. I also have specialized experience working with neurodivergent clients in both my personal, professional, and academic endeavors.
(425) 217-3593 View (425) 217-3593
Photo of Graham Murtaugh, Counselor in Joint Base Lewis Mcchord, WA
Graham Murtaugh
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98405
Are you feeling a little “off” lately? Down, anxious or unsure what comes next in life—especially after the last year or so? Perhaps relationships aren’t working out or problematic patterns you want to quit just keep popping up. Maybe you find yourself struggling with old wounds that need care and attention. Or it could be you just don’t feel like yourself and you’re not sure why.
Are you feeling a little “off” lately? Down, anxious or unsure what comes next in life—especially after the last year or so? Perhaps relationships aren’t working out or problematic patterns you want to quit just keep popping up. Maybe you find yourself struggling with old wounds that need care and attention. Or it could be you just don’t feel like yourself and you’re not sure why.
(253) 262-0395 View (253) 262-0395
Photo of Owen Bargreen, Psychologist in Joint Base Lewis Mcchord, WA
Owen Bargreen
Psychologist, PsyD
Verified Verified
Everett, WA 98201
Common clients I see suffer from depression, anxiety, marital issues or issues related to the pandemic.
Psychology works because it is a way to help people understand their problems and correct or change so that they can live more healthy or satisfying lives. Many people come for therapy if they are experiencing problems with depression, anxiety or relationship issues. Some other common problems that I help treat are problems with work injuries, sleep, weight, stress, trauma, and sexual problems. These problems can be greatly helped through therapy. I employ an eclectic approach to therapy, meeting each individual’s needs rather than using one form of treatment.
Common clients I see suffer from depression, anxiety, marital issues or issues related to the pandemic.
Psychology works because it is a way to help people understand their problems and correct or change so that they can live more healthy or satisfying lives. Many people come for therapy if they are experiencing problems with depression, anxiety or relationship issues. Some other common problems that I help treat are problems with work injuries, sleep, weight, stress, trauma, and sexual problems. These problems can be greatly helped through therapy. I employ an eclectic approach to therapy, meeting each individual’s needs rather than using one form of treatment.
(425) 470-5190 View (425) 470-5190
Photo of David S Shen-Miller, Psychologist in Joint Base Lewis Mcchord, WA
David S Shen-Miller
Psychologist, PhD
Verified Verified
3 Endorsed
Seattle, WA 98103
Men's health, anxiety, depression, existential issues, grief/loss, multiculturalism, and work are among my interests.
I am passionate about helping you reach your potential. We accomplish this together through a psychoanalytic, interpersonal, mind-body-spirit integration that draws on your strengths and resources. I believe psychoanalysis and psychotherapy are not about fixing what is wrong, but about using what is working well for you and deepening your skills to increase your health, well-being, and overall freedom and flexibility. I care deeply about providing excellent care, and trying out new ways of relating and understanding yourself that will lead you to optimize your health and connections with others.
Men's health, anxiety, depression, existential issues, grief/loss, multiculturalism, and work are among my interests.
I am passionate about helping you reach your potential. We accomplish this together through a psychoanalytic, interpersonal, mind-body-spirit integration that draws on your strengths and resources. I believe psychoanalysis and psychotherapy are not about fixing what is wrong, but about using what is working well for you and deepening your skills to increase your health, well-being, and overall freedom and flexibility. I care deeply about providing excellent care, and trying out new ways of relating and understanding yourself that will lead you to optimize your health and connections with others.
(206) 966-4256 View (206) 966-4256
Photo of John A Lembo, Counselor in Joint Base Lewis Mcchord, WA
John A Lembo
Counselor, MA, LMHC
Verified Verified
5 Endorsed
Seattle, WA 98107
I work with men who struggle to manage anger, who are struggling to create and maintain emotional and relational intimacy, and men who are finding it hard to manage work stress, loss, anxiety, and depression.
I seek to create a warm, down-to-earth, and accepting experience for you to explore the hard-ass things in life. Many of us, myself included, were rarely taught how to connect with and understand our emotions, and so when we experience difficult feelings like shame, fear, grief, and pain, and we don’t know how to engage them in a helpful way. But that can change. We will work together to promote positive change and restore direction, meaning, and resilience during these difficult times. We will be teammates in our work together.
I work with men who struggle to manage anger, who are struggling to create and maintain emotional and relational intimacy, and men who are finding it hard to manage work stress, loss, anxiety, and depression.
I seek to create a warm, down-to-earth, and accepting experience for you to explore the hard-ass things in life. Many of us, myself included, were rarely taught how to connect with and understand our emotions, and so when we experience difficult feelings like shame, fear, grief, and pain, and we don’t know how to engage them in a helpful way. But that can change. We will work together to promote positive change and restore direction, meaning, and resilience during these difficult times. We will be teammates in our work together.
(206) 312-2675 View (206) 312-2675
Photo of Ivko Pejovic, Counselor in Joint Base Lewis Mcchord, WA
Ivko Pejovic
Counselor, LMHC
Verified Verified
Edmonds, WA 98026
I have over 20 years of experience working as a mental health counselor in the State of Washington. My areas of expertise include individual, couple, and family therapy. My specialties are PTSD, trauma, anxiety, depression, eating disorders, and substance abuse. Also, I have been facilitating different groups for 20 years and a DBT group for 9 years. All of the clients who have committed themself to this DBT class have learned some specific DBT skills that they can apply in their daily lives when they feel depressed or anxious.
I have over 20 years of experience working as a mental health counselor in the State of Washington. My areas of expertise include individual, couple, and family therapy. My specialties are PTSD, trauma, anxiety, depression, eating disorders, and substance abuse. Also, I have been facilitating different groups for 20 years and a DBT group for 9 years. All of the clients who have committed themself to this DBT class have learned some specific DBT skills that they can apply in their daily lives when they feel depressed or anxious.
(206) 207-8707 View (206) 207-8707
Photo of Bryan Foster Counseling, Marriage & Family Therapist in Joint Base Lewis Mcchord, WA
Bryan Foster Counseling
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Fircrest, WA 98466  (Online Only)
Exclusively telehealth/virtual. Accepting new clients. I HELP people. Whether your relationship is in turmoil or you are experiencing depression, anxiety, trauma, or grief. If it's helping your child with behavior/emotional issues, or any other health/emotional concern. I have 20 years experience helping families and individuals navigate through the storms of life. I can help you do the same. I believe in giving clients (you) practical/useable tools that will help you overcome the worst that life can throw at you and enrich your life when the sailing is smooth. It's time to invest in yourself through the benefits of therapy.
Exclusively telehealth/virtual. Accepting new clients. I HELP people. Whether your relationship is in turmoil or you are experiencing depression, anxiety, trauma, or grief. If it's helping your child with behavior/emotional issues, or any other health/emotional concern. I have 20 years experience helping families and individuals navigate through the storms of life. I can help you do the same. I believe in giving clients (you) practical/useable tools that will help you overcome the worst that life can throw at you and enrich your life when the sailing is smooth. It's time to invest in yourself through the benefits of therapy.
(253) 693-4904 View (253) 693-4904
Photo of Kaylan Dandala in Joint Base Lewis Mcchord, WA
Kaylan Dandala
MD
Verified Verified
Renton, WA 98055
Kalyan Dandala, MD , is passionate about changing the status quo for psychiatric care. She is a leader in transcranial magnetic stimulation (TMS) treatment and is a clinical consultant for the most preferred TMS system by physicians: Magventure. Her goal is to make TMS available to as many people as possible. Kaylan was the first physician in Washington State to make TMS available to Medicare and Medicaid patients. She continues to work with the National Clinical TMS Society to expand TMS treatments.
Kalyan Dandala, MD , is passionate about changing the status quo for psychiatric care. She is a leader in transcranial magnetic stimulation (TMS) treatment and is a clinical consultant for the most preferred TMS system by physicians: Magventure. Her goal is to make TMS available to as many people as possible. Kaylan was the first physician in Washington State to make TMS available to Medicare and Medicaid patients. She continues to work with the National Clinical TMS Society to expand TMS treatments.
(206) 312-7258 View (206) 312-7258
Photo of David Fleit - South Seattle Therapy, Marriage & Family Therapist Associate in Joint Base Lewis Mcchord, WA
David Fleit - South Seattle Therapy
Marriage & Family Therapist Associate, LMFTA, MPA
Verified Verified
1 Endorsed
Seattle, WA 98118
I am a supportive, compassionate, and collaborative therapist. My goal is to build trust with you by creating a safe and supportive environment. You will always be the expert of your life story. I work with a systemic lens. I believe that everyone is impacted by the systems that surround them, which can include their relationships, family, community, and society-at-large. My hope is to partner and collaborate with you to better navigate the challenges you face and support you in your healing and growth journey.
I am a supportive, compassionate, and collaborative therapist. My goal is to build trust with you by creating a safe and supportive environment. You will always be the expert of your life story. I work with a systemic lens. I believe that everyone is impacted by the systems that surround them, which can include their relationships, family, community, and society-at-large. My hope is to partner and collaborate with you to better navigate the challenges you face and support you in your healing and growth journey.
(206) 593-3789 View (206) 593-3789
Photo of Tim Griswold, Counselor in Joint Base Lewis Mcchord, WA
Tim Griswold
Counselor, BS, MA, LMHCA, NCC
Verified Verified
Covington, WA 98042
Accepting new in-person and teletherapy clients! You may feel life is getting the best of you or that relationship issues are overwhelming. Work, family, time pressures, money, and stress may have all taken a toll. You may feel powerless, helpless, angry, hurt, and emotionally drained when issues arise. You know you need to break the cycle.
Accepting new in-person and teletherapy clients! You may feel life is getting the best of you or that relationship issues are overwhelming. Work, family, time pressures, money, and stress may have all taken a toll. You may feel powerless, helpless, angry, hurt, and emotionally drained when issues arise. You know you need to break the cycle.
(425) 728-6736 View (425) 728-6736
Photo of Jeffrey Serage, Counselor in Joint Base Lewis Mcchord, WA
Jeffrey Serage
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98136  (Online Only)
My ideal client is someone who has an intention to change. During my 31 years as a practicing therapist I have encountered a wide range of issues. Having worked with a large number of clients to the point of solution, I have concluded that in the end, the core of helping people is to listen. Effective listening gives me a deep understanding of their current situation. I can then gently point them toward getting more of what they want. My experience and compassion have often proven to be crucial elements for our success. This is the work of my life.
My ideal client is someone who has an intention to change. During my 31 years as a practicing therapist I have encountered a wide range of issues. Having worked with a large number of clients to the point of solution, I have concluded that in the end, the core of helping people is to listen. Effective listening gives me a deep understanding of their current situation. I can then gently point them toward getting more of what they want. My experience and compassion have often proven to be crucial elements for our success. This is the work of my life.
(206) 707-9303 View (206) 707-9303
Photo of Rudy D Hernandez, Counselor in Joint Base Lewis Mcchord, WA
Rudy D Hernandez
Counselor, MA MFT, LMHC
Verified Verified
1 Endorsed
Chehalis, WA 98532
Through a person-centered humanistic approach, Rudy hopes to meet people where they are at. He is honored to support those doing the hard work of facing their challenges and be a part of the healing process. He also draws from Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy (SFBT), and Emotion-Focused Therapy (EFT) and strength-based therapy to help guide those seeking to connect thoughts and behaviors and encourage self-efficacy. Play therapy also informs his work with children, teens, and families.
Through a person-centered humanistic approach, Rudy hopes to meet people where they are at. He is honored to support those doing the hard work of facing their challenges and be a part of the healing process. He also draws from Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy (SFBT), and Emotion-Focused Therapy (EFT) and strength-based therapy to help guide those seeking to connect thoughts and behaviors and encourage self-efficacy. Play therapy also informs his work with children, teens, and families.
(360) 469-6673 View (360) 469-6673
Photo of Dr. William Gibson, Ph.D., Counselor in Joint Base Lewis Mcchord, WA
Dr. William Gibson, Ph.D.
Counselor, PhD, MS, LMHCA, LCC
Verified Verified
Bainbridge Island, WA 98110
As a client-centered professional, I recognize the strength necessary for an individual to take the first step through the counselor's open door. Through trusting and empathetic positive relationship building, I join my clients in the exploration of a healthier, self-accepting perspective in addressing the challenging components of their life experience. All areas of my practice focus upon acceptance and healthy management of personal questions through the discovery of an enhanced understanding, within a positive environment, which utilizes personal strengths to contribute to a happier, self satisfying life experience. Come take this walk with me...
As a client-centered professional, I recognize the strength necessary for an individual to take the first step through the counselor's open door. Through trusting and empathetic positive relationship building, I join my clients in the exploration of a healthier, self-accepting perspective in addressing the challenging components of their life experience. All areas of my practice focus upon acceptance and healthy management of personal questions through the discovery of an enhanced understanding, within a positive environment, which utilizes personal strengths to contribute to a happier, self satisfying life experience. Come take this walk with me...
(206) 823-2954 View (206) 823-2954
Photo of Dr. Danny, Counselor in Joint Base Lewis Mcchord, WA
Dr. Danny
Counselor, MA, DMin, MHC
Verified Verified
Bainbridge Island, WA 98110
Who, really, is able to hear, feel, and see you . . . bless and name your glory and shame? Only those who continue to do their own courageous work of daring to be truly heard, felt, and seen. Simple but not easy! The journey, however, is worth it. Life changing . . . with the right guide, i.e., presence. A favorite quote comes to mind: "We all come into this world looking for someone looking for us." If that resonates with your heart (courageous or not) then I hope to hear from you. We might just be a good fit? Please email me at: drdanny(at)doc-danny(dot com). Or call: two-zero-six...four-two-nine...four-five-seven-nine.
Who, really, is able to hear, feel, and see you . . . bless and name your glory and shame? Only those who continue to do their own courageous work of daring to be truly heard, felt, and seen. Simple but not easy! The journey, however, is worth it. Life changing . . . with the right guide, i.e., presence. A favorite quote comes to mind: "We all come into this world looking for someone looking for us." If that resonates with your heart (courageous or not) then I hope to hear from you. We might just be a good fit? Please email me at: drdanny(at)doc-danny(dot com). Or call: two-zero-six...four-two-nine...four-five-seven-nine.
(206) 429-4579 View (206) 429-4579

See more therapy options for Joint Base Lewis Mcchord

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.