Photo of Kelly Granite Enck in King County, WA
Kelly Granite Enck
CHT, BA, RRT
Verified Verified
1 Endorsed
Seattle, WA 98125
Rapid Resolution Therapy (RRT) is a cutting-edge hypnotherapy technique that offers a wide range of benefits. It can help individuals overcome anxiety, panic attacks, trauma, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), quit smoking, manage grief, improve insomnia, lose weight, enhance sports performance, and build confidence. If you are seeking assistance in any of these areas, Kelly Granite Enck, B.A. CHt., a highly skilled hypnotherapist and advanced RRT practitioner, is available to provide a free consultation. You can reach Kelly at 206-507-3203 or book an online session www.DoylestownHypnosis.com
Rapid Resolution Therapy (RRT) is a cutting-edge hypnotherapy technique that offers a wide range of benefits. It can help individuals overcome anxiety, panic attacks, trauma, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), quit smoking, manage grief, improve insomnia, lose weight, enhance sports performance, and build confidence. If you are seeking assistance in any of these areas, Kelly Granite Enck, B.A. CHt., a highly skilled hypnotherapist and advanced RRT practitioner, is available to provide a free consultation. You can reach Kelly at 206-507-3203 or book an online session www.DoylestownHypnosis.com
(206) 875-2613 View (206) 875-2613
Photo of Lynn Buell, Clinical Social Work/Therapist in King County, WA
Lynn Buell
Clinical Social Work/Therapist, LICSW, FABP, MSSW
Verified Verified
Seattle, WA 98104
We will work together to help you manage feelings stirred up by isolation, loneliness, anger, unfair self-criticism, and poor self-esteem. I use knowledge of human development and the mind to teach you to manage anxiety, anger, and depression. It is not unusual for my clients to discover creativity from childhood that had become dormant in adult life through our work together, and I can help clients progress quickly with fewer sessions. Why pay psychiatrist fees when you can see a certified psychoanalyst for less and progress better and more quickly?
We will work together to help you manage feelings stirred up by isolation, loneliness, anger, unfair self-criticism, and poor self-esteem. I use knowledge of human development and the mind to teach you to manage anxiety, anger, and depression. It is not unusual for my clients to discover creativity from childhood that had become dormant in adult life through our work together, and I can help clients progress quickly with fewer sessions. Why pay psychiatrist fees when you can see a certified psychoanalyst for less and progress better and more quickly?
(253) 200-9303 View (253) 200-9303
Photo of Therapy Lab Seattle, Psychologist in King County, WA
Therapy Lab Seattle
Psychologist, PhD
Verified Verified
Seattle, WA 98115  (Online Only)
Common goals include depression, anxiety, stress, relationship problems, insomnia, parenting, child anxiety, and self-esteem.
Therapy Lab offers individual teletherapy that's based on a plan. Visit our website (therapylab.com) to explore a menu of treatment plans based on common goals for therapy. With your input, we'll make a plan that's based on your goals, your timeline, and your budget. Our science-based plans are designed to support you in overcoming distress (anxiety, relationship problems, work stress) so you walk away with emotional health and insight. At your first session, your exceptionally qualified therapist will get to know you and pick or design a plan that’s customized to your situation.
Common goals include depression, anxiety, stress, relationship problems, insomnia, parenting, child anxiety, and self-esteem.
Therapy Lab offers individual teletherapy that's based on a plan. Visit our website (therapylab.com) to explore a menu of treatment plans based on common goals for therapy. With your input, we'll make a plan that's based on your goals, your timeline, and your budget. Our science-based plans are designed to support you in overcoming distress (anxiety, relationship problems, work stress) so you walk away with emotional health and insight. At your first session, your exceptionally qualified therapist will get to know you and pick or design a plan that’s customized to your situation.
(206) 203-7995 View (206) 203-7995
Photo of Counseling Services for Wellbeing, Marriage & Family Therapist in King County, WA
Counseling Services for Wellbeing
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Burien, WA 98166
Mood Disorders, depression/anxiety, Parenting Concerns, Child and Adolescent Behavioral Problems Women’s Issues, pregnancy-related difficulties, PPD, Body image Personal Growth, introspective, spiritual, and emotional exploration Trauma and Loss Interpersonal Issues Interpersonal Issues Family Matters Self-Injury, Transitional Concerns, Addiction.
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
Mood Disorders, depression/anxiety, Parenting Concerns, Child and Adolescent Behavioral Problems Women’s Issues, pregnancy-related difficulties, PPD, Body image Personal Growth, introspective, spiritual, and emotional exploration Trauma and Loss Interpersonal Issues Interpersonal Issues Family Matters Self-Injury, Transitional Concerns, Addiction.
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
(206) 426-0366 View (206) 426-0366
Photo of Dr. Gary Bell, Marriage & Family Therapist in King County, 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 Rachel Kathleen Ramondetta, Marriage & Family Therapist Associate in King County, WA
Rachel Kathleen Ramondetta
Marriage & Family Therapist Associate, MA, LMFTA, MHP
Verified Verified
Lake Forest Park, WA 98155  (Online Only)
I am passionate about supporting individuals, couples, and families as they navigate life's challenges and transitions. My practice focuses on helping clients develop effective coping strategies to overcome challenges related to anxiety, depression, relationships, and family dynamics. As an Associate Marriage and Family Therapist, my primary areas of focus include: distress related to attachment, identity, and adjustment issues, as well as communication difficulties, relationship concerns, healing from traumatic experiences, and family dynamics.
I am passionate about supporting individuals, couples, and families as they navigate life's challenges and transitions. My practice focuses on helping clients develop effective coping strategies to overcome challenges related to anxiety, depression, relationships, and family dynamics. As an Associate Marriage and Family Therapist, my primary areas of focus include: distress related to attachment, identity, and adjustment issues, as well as communication difficulties, relationship concerns, healing from traumatic experiences, and family dynamics.
(206) 207-6622 View (206) 207-6622
Photo of Angela R. Schellenberg, Counselor in King County, WA
Angela R. Schellenberg
Counselor, LMHC, EMDR, K-8 cer
Verified Verified
1 Endorsed
Bellevue, WA 98004  (Online Only)
My approach to counseling is holistic, humanistic and client-centered. I am trained in EMDR and trauma. I work with you and together we create an individualized approach to counseling that supports your goals. My professional background is in Trauma, PTSD, Grief, Loss, Early Parent loss. Anxiety, Depression. CBT, Family Systems Counseling, Narrative Therapy, Restorative Retelling, EFT, Matrix Reprinting, Multicultural Cultural Counseling, Feminist, Mindfulness-Based Stress Reduction. Since 2000, I have had the experience of living abroad as an elementary K-8 Certified teacher in Shanghai, China, Chiangmai, and Saudi Arabia.
My approach to counseling is holistic, humanistic and client-centered. I am trained in EMDR and trauma. I work with you and together we create an individualized approach to counseling that supports your goals. My professional background is in Trauma, PTSD, Grief, Loss, Early Parent loss. Anxiety, Depression. CBT, Family Systems Counseling, Narrative Therapy, Restorative Retelling, EFT, Matrix Reprinting, Multicultural Cultural Counseling, Feminist, Mindfulness-Based Stress Reduction. Since 2000, I have had the experience of living abroad as an elementary K-8 Certified teacher in Shanghai, China, Chiangmai, and Saudi Arabia.
(206) 278-3407 View (206) 278-3407
Photo of Heather Diaz, Counselor in King County, WA
Heather Diaz
Counselor, LMHCA, MA
Verified Verified
Seattle, WA 98104  (Online Only)
I provide support to people who want to address challenges with relationships, life transitions, or managing their emotions and anxiety.
I view therapy as an opportunity to recognize the strengths of each person, the uniqueness of each story, and to find ways to use those strengths to create change and growth. I enjoy having the chance to walk alongside people through all types of challenges and triumphs as a willing listener who can provide empathy, a non-judgmental view on current and past experiences, and support to work towards meeting goals.
I provide support to people who want to address challenges with relationships, life transitions, or managing their emotions and anxiety.
I view therapy as an opportunity to recognize the strengths of each person, the uniqueness of each story, and to find ways to use those strengths to create change and growth. I enjoy having the chance to walk alongside people through all types of challenges and triumphs as a willing listener who can provide empathy, a non-judgmental view on current and past experiences, and support to work towards meeting goals.
(425) 584-5179 View (425) 584-5179
Photo of Tammette Chitwood, Counselor in King County, WA
Tammette Chitwood
Counselor, LMCHA
Verified Verified
Bellevue, WA 98004  (Online Only)
Waitlist for new clients
I specialize in working with neurodivergent populations, anxiety, depression, trauma/PTSD, and families/couples therapy.
As your therapist, my goal is to provide you with a warm and welcoming environment where you are free to explore the areas of your life you wish to improve for holistic healing - physical, emotional, mental, relational, and spiritual. I offer a warm and empathetic environment as I use a person-centered approach that allows me to understand you through your own unique experiences and walk alongside you on this journey to achieve your personal goals. My primary focus is in child, individual, and couples/family counseling as well as working with neurodivergent populations using neurodiversity-affirming language and approach.
I specialize in working with neurodivergent populations, anxiety, depression, trauma/PTSD, and families/couples therapy.
As your therapist, my goal is to provide you with a warm and welcoming environment where you are free to explore the areas of your life you wish to improve for holistic healing - physical, emotional, mental, relational, and spiritual. I offer a warm and empathetic environment as I use a person-centered approach that allows me to understand you through your own unique experiences and walk alongside you on this journey to achieve your personal goals. My primary focus is in child, individual, and couples/family counseling as well as working with neurodivergent populations using neurodiversity-affirming language and approach.
(206) 759-8035 View (206) 759-8035
Photo of Amanda H Abou-Zaki, Counselor in King County, WA
Amanda H Abou-Zaki
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Kirkland, WA 98033
Additionally, I often work with anxiety, grief, depression and eating disorders.
Life is unpredictable with many ups and downs. No matter how much we want life to move in a linear fashion it often goes unplanned causing us to feel off balance. I believe therapy is a safe place to begin your own personal journey and learning to be present in your life. It allows you to rediscover who you are. Therapy is different for every individual and/or couple. I have an EMDR, existential & integrative approach to helping clients create healthy, fulfilling and rewarding lives. I integrate therapeutic styles depending on the best fit for client and situation.
Additionally, I often work with anxiety, grief, depression and eating disorders.
Life is unpredictable with many ups and downs. No matter how much we want life to move in a linear fashion it often goes unplanned causing us to feel off balance. I believe therapy is a safe place to begin your own personal journey and learning to be present in your life. It allows you to rediscover who you are. Therapy is different for every individual and/or couple. I have an EMDR, existential & integrative approach to helping clients create healthy, fulfilling and rewarding lives. I integrate therapeutic styles depending on the best fit for client and situation.
(425) 273-2300 View (425) 273-2300
Photo of Nicole Ruston, Counselor in King County, WA
Nicole Ruston
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98108  (Online Only)
We specialize in the treatment of ADHD, anxiety, depression, communication issues, trauma and more.
Each person has the ability to learn, grow and make necessary changes in their personal life, relationships, and situations. We aim at exploring and understanding ways of thinking and patterns of behavior one may be completely unaware of, resulting in repetitive patterns of behavior that ultimately lead to dissatisfaction and emotional turmoil in a person's life. We are driven by a belief that each individual has potential to grow from their life experiences, whether it be good or bad. As a group of highly qualified and trained therapists, we are passionate about solving critical challenges and inspiring personal growth.
We specialize in the treatment of ADHD, anxiety, depression, communication issues, trauma and more.
Each person has the ability to learn, grow and make necessary changes in their personal life, relationships, and situations. We aim at exploring and understanding ways of thinking and patterns of behavior one may be completely unaware of, resulting in repetitive patterns of behavior that ultimately lead to dissatisfaction and emotional turmoil in a person's life. We are driven by a belief that each individual has potential to grow from their life experiences, whether it be good or bad. As a group of highly qualified and trained therapists, we are passionate about solving critical challenges and inspiring personal growth.
(206) 312-5722 View (206) 312-5722
Photo of Sarah Landrum, Counselor in King County, WA
Sarah Landrum
Counselor, MA, LMHC, MHP
Verified Verified
Woodinville, WA 98072
With over 15 years of experience in mental health, I help individuals and couples discover, create, and sustain the positive changes they seek in their lives. I specialize in anxiety, depression, relationship issues, and trauma. However, I have worked with many mental health issues over the years and frequently work with stress, addiction, motivation, intimacy issues, family conflict, life changes/adjustments, grief, communication issues, emotional regulation, parenting, self-esteem, and personal growth and discovery. I have extensive experience working with adults, teens, couples and families.
With over 15 years of experience in mental health, I help individuals and couples discover, create, and sustain the positive changes they seek in their lives. I specialize in anxiety, depression, relationship issues, and trauma. However, I have worked with many mental health issues over the years and frequently work with stress, addiction, motivation, intimacy issues, family conflict, life changes/adjustments, grief, communication issues, emotional regulation, parenting, self-esteem, and personal growth and discovery. I have extensive experience working with adults, teens, couples and families.
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Photo of Eastside Counseling Center in King County, WA
Eastside Counseling Center
LMFT, LMHC, LCSW
Verified Verified
Kirkland, WA 98034
Are relationship issues, anxiety and/or depression keeping you up at night? The counselors at ECC will work with you to help you improve the quality of your your life and your relationships. Our dynamic team of counselors seek to understand and resolve the real-life, everyday challenges many of us face. We work with a wide range of issues and have a diverse team of therapists trained in a variety of specialties. This allows us to create a personalized treatment plan to meet your individual needs.
Are relationship issues, anxiety and/or depression keeping you up at night? The counselors at ECC will work with you to help you improve the quality of your your life and your relationships. Our dynamic team of counselors seek to understand and resolve the real-life, everyday challenges many of us face. We work with a wide range of issues and have a diverse team of therapists trained in a variety of specialties. This allows us to create a personalized treatment plan to meet your individual needs.
(425) 405-7857 View (425) 405-7857
Photo of Aloha Counseling LLC, Marriage & Family Therapist in King County, WA
Aloha Counseling LLC
Marriage & Family Therapist, MA, LMFT, Owner
Verified Verified
Bothell, WA 98011
Do you struggle with anxiety? Do you suspect you have ADHD? Are you dealing with a recent loss? Relationship Struggles? Therapy is here to help you navigate all of this. There is hope and we can help. Make an appointment today with one of our therapists to learn tools for coping with life's challenges.
Do you struggle with anxiety? Do you suspect you have ADHD? Are you dealing with a recent loss? Relationship Struggles? Therapy is here to help you navigate all of this. There is hope and we can help. Make an appointment today with one of our therapists to learn tools for coping with life's challenges.
(602) 610-1876 View (602) 610-1876
Photo of Pacific Mental Health, Counselor in King County, WA
Pacific Mental Health
Counselor
Verified Verified
Seattle, WA 98104
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 Lusa Hung, Psychologist in King County, WA
Lusa Hung
Psychologist, PsyD
Verified Verified
Seattle, WA 98102  (Online Only)
I practice exclusively with online clients residing in WA, CA & NY. I am out of network for all insurance panels. Psychology has always been a passion of mine in some shape or form. I have 14 yrs of clinical experience working with culturally diverse populations in international and domestic settings. My approach is mindfulness-based with a blend of CBT, person-centered therapy and Motivational Interviewing. I have expertise treating a wide range of psychological issues spanning the spectrum of depression, trauma/anxiety, relationship difficulties, and life adjustments, serving people across the lifespan and in different settings.
I practice exclusively with online clients residing in WA, CA & NY. I am out of network for all insurance panels. Psychology has always been a passion of mine in some shape or form. I have 14 yrs of clinical experience working with culturally diverse populations in international and domestic settings. My approach is mindfulness-based with a blend of CBT, person-centered therapy and Motivational Interviewing. I have expertise treating a wide range of psychological issues spanning the spectrum of depression, trauma/anxiety, relationship difficulties, and life adjustments, serving people across the lifespan and in different settings.
(415) 825-3514 View (415) 825-3514
Photo of Ivko Pejovic, Counselor in King County, WA
Ivko Pejovic
Counselor, LMHC
Verified Verified
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 Tammette L Chitwood, Counselor in King County, WA
Tammette L Chitwood
Counselor, MS, CC, LMHCA
Verified Verified
Bothell, WA 98011
I specialize in working with neurodivergent populations, anxiety, depression, trauma/PTSD, and families/couples therapy.
As your therapist, my goal is to provide you with a warm and welcoming environment where you are free to explore the areas of your life you wish to improve for holistic healing - physical, emotional, mental, relational, and spiritual. I offer a warm and empathetic environment as I use a person-centered approach that allows me to understand you through your own unique experiences and walk alongside you on this journey to achieve your personal goals. My primary focus is in child, individual, and couples/family counseling as well as working with neurodivergent populations using neurodiversity-affirming language and approach.
I specialize in working with neurodivergent populations, anxiety, depression, trauma/PTSD, and families/couples therapy.
As your therapist, my goal is to provide you with a warm and welcoming environment where you are free to explore the areas of your life you wish to improve for holistic healing - physical, emotional, mental, relational, and spiritual. I offer a warm and empathetic environment as I use a person-centered approach that allows me to understand you through your own unique experiences and walk alongside you on this journey to achieve your personal goals. My primary focus is in child, individual, and couples/family counseling as well as working with neurodivergent populations using neurodiversity-affirming language and approach.
(360) 583-6961 View (360) 583-6961
Photo of Kimberly Gerst, Clinical Social Work/Therapist in King County, WA
Kimberly Gerst
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
Seattle, WA 98115  (Online Only)
I provide Telehealth therapy for individuals 25+ years of age and couples counseling, including pre-marital. Symbis trained facilitator. I bring to therapy a diverse and expansive array of professional experiences. My experience has equipped me to work with clients with a wide range of issues including trauma, grief, loss, divorce, recovery and healing from emotional abuse, narcissistic abuse, marital issues, struggles with self-esteem, family of origin issues, anxiety, depression, attachment issues and those experiencing major life changes. I love working with those authentically ready for change.
I provide Telehealth therapy for individuals 25+ years of age and couples counseling, including pre-marital. Symbis trained facilitator. I bring to therapy a diverse and expansive array of professional experiences. My experience has equipped me to work with clients with a wide range of issues including trauma, grief, loss, divorce, recovery and healing from emotional abuse, narcissistic abuse, marital issues, struggles with self-esteem, family of origin issues, anxiety, depression, attachment issues and those experiencing major life changes. I love working with those authentically ready for change.
(206) 752-5477 View (206) 752-5477
Photo of Diedra Clay, Psychologist in King County, WA
Diedra Clay
Psychologist, PsyD, CDP
Verified Verified
47 Endorsed
Seattle, WA 98112  (Online Only)
My goal is to help to rebuild self esteem, and to find sustainable and effective coping skills for anxiety and stress.
I am a dually Licensed Clinical Psychologist and Licensed Chemical Dependency Professional working in the field since 1989, currently in private practice for testing and psychotherapy. I have an interactive, relationship-focused approach, and specialize in clients who have professional licensure or a public position and unhealthy alcohol/drug use.
My goal is to help to rebuild self esteem, and to find sustainable and effective coping skills for anxiety and stress.
I am a dually Licensed Clinical Psychologist and Licensed Chemical Dependency Professional working in the field since 1989, currently in private practice for testing and psychotherapy. I have an interactive, relationship-focused approach, and specialize in clients who have professional licensure or a public position and unhealthy alcohol/drug use.
(206) 934-1318 View (206) 934-1318

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.