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

More Therapists Nearby

Photo of Mary J Caruso, Counselor in Medical Lake, WA
Mary J Caruso
Counselor, MA, LMHC
Verified Verified
Cheney, WA 99004
My specialties include depression and panic disorder, post traumatic stress disorders, domestic violence/anger management, boundary groups, eating disorders, marital therapy, divorce, separation, parenting issues and addictions.
I am a Licensed Mental Health therapist and have had my own private practice for 14 years. I have worked with children, adolescents and families for 20 years. I received my Masters in Mental Health Counseling from Gonzaga University and I utilize cognitive behavioral therapy, family systems, and art/ sand tray therapy for children. I see therapy as creating a safe atmosphere to explore awareness and affirm the unique gifts of individuals toward healing and wholeness. Visit my website at www.marycaruso.com
My specialties include depression and panic disorder, post traumatic stress disorders, domestic violence/anger management, boundary groups, eating disorders, marital therapy, divorce, separation, parenting issues and addictions.
I am a Licensed Mental Health therapist and have had my own private practice for 14 years. I have worked with children, adolescents and families for 20 years. I received my Masters in Mental Health Counseling from Gonzaga University and I utilize cognitive behavioral therapy, family systems, and art/ sand tray therapy for children. I see therapy as creating a safe atmosphere to explore awareness and affirm the unique gifts of individuals toward healing and wholeness. Visit my website at www.marycaruso.com
(509) 761-3526 View (509) 761-3526
Heidi C. Neddo
Counselor, LMHC, MHP, CMHS
Verified Verified
1 Endorsed
Airway Heights, WA 99001
Are you concerned with a personal issue, overwhelmed by stress or worries, burdened by depression or anxiety? Are you trying to deal with a traumatic event in your life, past sexual abuse or emotional abuse? Are you struggling with family or relationship conflicts? Everyone encounters situations when one feels lost, unable to cope, or needs support and guidance. If you're looking for relief from pain; compassionate, nonjudgmental support and guidance; hope for improvement; and lasting change, counseling can help! Research shows that therapy can lead to increased happiness, productive coping mechanisms, fulfilling relationships and improved physical health.
Are you concerned with a personal issue, overwhelmed by stress or worries, burdened by depression or anxiety? Are you trying to deal with a traumatic event in your life, past sexual abuse or emotional abuse? Are you struggling with family or relationship conflicts? Everyone encounters situations when one feels lost, unable to cope, or needs support and guidance. If you're looking for relief from pain; compassionate, nonjudgmental support and guidance; hope for improvement; and lasting change, counseling can help! Research shows that therapy can lead to increased happiness, productive coping mechanisms, fulfilling relationships and improved physical health.
(509) 424-5180 View (509) 424-5180

Online Therapists

Photo of Patricia A Carlisle, Clinical Social Work/Therapist in Medical Lake, WA
Patricia A Carlisle
Clinical Social Work/Therapist, Patrici, Carlisl, LSWAIC
Verified Verified
Spokane, WA 99201  (Online Only)
Some are depression, anxiety disorders, bipolar disorders, and eating disorders.
I offer an integrative approach to therapy bringing tools and techniques from various modalities, including CBT, solutions-focused, acceptance, and commitment therapy. I encourage self-reflection, homework, and openness to experimenting with different perspectives. You are the drive of your success. I specialize in the most common mental health problems I treat, but not limited to Mood, Anxiety, Depression, and Family and Group therapy. I strive to implement psychotherapeutic methods during each appointment. My approach is informal. This includes Cognitive Behavioral Therapy (CBT), behavior therapy, and mindfulness.
Some are depression, anxiety disorders, bipolar disorders, and eating disorders.
I offer an integrative approach to therapy bringing tools and techniques from various modalities, including CBT, solutions-focused, acceptance, and commitment therapy. I encourage self-reflection, homework, and openness to experimenting with different perspectives. You are the drive of your success. I specialize in the most common mental health problems I treat, but not limited to Mood, Anxiety, Depression, and Family and Group therapy. I strive to implement psychotherapeutic methods during each appointment. My approach is informal. This includes Cognitive Behavioral Therapy (CBT), behavior therapy, and mindfulness.
(509) 402-2128 View (509) 402-2128
Photo of Meg Curtin Rey-Bear, Counselor in Medical Lake, WA
Meg Curtin Rey-Bear
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Spokane, WA 99201
These days, it can feel like life is moving too fast for us to keep up. This is made all the more challenging when we struggle with such things as unhealthy relationships, intense negative feelings, poor self-image, or trauma. You may worry that getting help means enduring an uncomfortable process that may not result in any notable change. I believe that therapy does not have to be painful to be successful, that it can be infused with moments of laughter and insight. It is about determining why we are stuck as well as figuring out how to create and maintain practical positive changes.
These days, it can feel like life is moving too fast for us to keep up. This is made all the more challenging when we struggle with such things as unhealthy relationships, intense negative feelings, poor self-image, or trauma. You may worry that getting help means enduring an uncomfortable process that may not result in any notable change. I believe that therapy does not have to be painful to be successful, that it can be infused with moments of laughter and insight. It is about determining why we are stuck as well as figuring out how to create and maintain practical positive changes.
(509) 481-9629 View (509) 481-9629
Photo of Paul D. Altine, Counselor in Medical Lake, WA
Paul D. Altine
Counselor, MA, LMHCA
Verified Verified
Spokane, WA 99201
I help my clients to feel empowered to face their fears with courage.
Are you struggling to get through the day? Feeling disconnected from yourself and your life? Has your mind gotten the best of you, causing you to engage in repetitive negative self-talk? There is a way out. With compassion and clarity, I will help you navigate your way to a life of inner peace and joy. Once you have achieved clarity of mind and eliminated self-defeating thought patterns, creating the life you truly want becomes attainable. Deep down you know what you really want and until you are connected with that desire, you will always have a nagging feeling that something is missing. It's time that you find you.
I help my clients to feel empowered to face their fears with courage.
Are you struggling to get through the day? Feeling disconnected from yourself and your life? Has your mind gotten the best of you, causing you to engage in repetitive negative self-talk? There is a way out. With compassion and clarity, I will help you navigate your way to a life of inner peace and joy. Once you have achieved clarity of mind and eliminated self-defeating thought patterns, creating the life you truly want becomes attainable. Deep down you know what you really want and until you are connected with that desire, you will always have a nagging feeling that something is missing. It's time that you find you.
(509) 761-3178 View (509) 761-3178
Photo of Linda Higley, Psychologist in Medical Lake, WA
Linda Higley
Psychologist, PhD
Verified Verified
Spokane, WA 99207
I work with anxiety disorders, depression and stress.
I see myself as having the privilege to walk with my clients for part of their life's journey. There are times when we may find ourselves unable to see options, and unsure of the best way to proceed. In my office I provide a safe place to explore problems and to work with my clients. I practice from a strengths-based focus - this means we will identify your strengths, your skills and your abilities to make changes in your life. I love my work and I dedicate myself to my clients' successes.
I work with anxiety disorders, depression and stress.
I see myself as having the privilege to walk with my clients for part of their life's journey. There are times when we may find ourselves unable to see options, and unsure of the best way to proceed. In my office I provide a safe place to explore problems and to work with my clients. I practice from a strengths-based focus - this means we will identify your strengths, your skills and your abilities to make changes in your life. I love my work and I dedicate myself to my clients' successes.
(509) 878-3150 View (509) 878-3150
Photo of Victoria Carding, Clinical Social Work/Therapist in Medical Lake, WA
Victoria Carding
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Spokane, WA 99201
Hello! I am so glad that you are here. Let's start the process of change together. Side-by-side we will do detective work to find out what is keeping you stuck and find ways to help support you to living with more satisfaction. My approach is one of authenticity, curiosity, openness, and even adding a little humor. The kind of clients that I like to help are those who are ready to explore a different path. I am particularly passionate about women issues, whether that is around pregnancy, child raising, or relationships. I also like finding ways to work through anxiety, depression, grief and loss with people.
Hello! I am so glad that you are here. Let's start the process of change together. Side-by-side we will do detective work to find out what is keeping you stuck and find ways to help support you to living with more satisfaction. My approach is one of authenticity, curiosity, openness, and even adding a little humor. The kind of clients that I like to help are those who are ready to explore a different path. I am particularly passionate about women issues, whether that is around pregnancy, child raising, or relationships. I also like finding ways to work through anxiety, depression, grief and loss with people.
(509) 269-2304 View (509) 269-2304
Photo of Jaeden Roberts Healing Arts, Clinical Social Work/Therapist in Medical Lake, WA
Jaeden Roberts Healing Arts
Clinical Social Work/Therapist, LICSW, CHT
Verified Verified
Spokane, WA 99201
Waitlist for new clients
post-deployment military), depression, anxiety, addiction, children/adolescents, family counseling, domestic violence, women's issues, issues pertaining to sex/sexuality, and low energy/blocked creativity.
Welcome to Jaeden Roberts Counseling & Alternative Therapies. I work with adults and children, providing individual & family sessions, as well as teaching classes. My approach is holistic, and I see my role as helping clients cultivate their natural strengths and capacities for healing, gain skills/tools to address problematic dynamics and stressors, and address and resolve past trauma. I believe wholeheartedly in the connection between body and mind, and I work to ensure that healing takes place at all levels. All services are strictly confidential, of course. Some sessions available online (via Facetime or email), based on your needs/preference.
post-deployment military), depression, anxiety, addiction, children/adolescents, family counseling, domestic violence, women's issues, issues pertaining to sex/sexuality, and low energy/blocked creativity.
Welcome to Jaeden Roberts Counseling & Alternative Therapies. I work with adults and children, providing individual & family sessions, as well as teaching classes. My approach is holistic, and I see my role as helping clients cultivate their natural strengths and capacities for healing, gain skills/tools to address problematic dynamics and stressors, and address and resolve past trauma. I believe wholeheartedly in the connection between body and mind, and I work to ensure that healing takes place at all levels. All services are strictly confidential, of course. Some sessions available online (via Facetime or email), based on your needs/preference.
(509) 215-2670 View (509) 215-2670
Photo of Mollie Player, Counselor in Medical Lake, WA
Mollie Player
Counselor, LMHC
Verified Verified
10 Endorsed
Spokane, WA 99205  (Online Only)
I specialize in depression, anxiety, LGBTQ issues and insomnia and am trained in CBT-I.
I'm a solution-focused, results-oriented counselor with a passion for helping people in the most efficient yet comprehensive manner possible. My clients and I identify opportunities for growth in all three aspects of mental health: behaviors, thoughts and emotions. I then suggest evidence-based treatment methods to match our specified goals. This often includes lifestyle change, healthy habit formation and cognitive therapy. Most often, I work with clients' present-day experiences, with less focus on the past. Many of my clients tell me that traditional talk therapy has not worked for them, and they want to try something different.
I specialize in depression, anxiety, LGBTQ issues and insomnia and am trained in CBT-I.
I'm a solution-focused, results-oriented counselor with a passion for helping people in the most efficient yet comprehensive manner possible. My clients and I identify opportunities for growth in all three aspects of mental health: behaviors, thoughts and emotions. I then suggest evidence-based treatment methods to match our specified goals. This often includes lifestyle change, healthy habit formation and cognitive therapy. Most often, I work with clients' present-day experiences, with less focus on the past. Many of my clients tell me that traditional talk therapy has not worked for them, and they want to try something different.
(206) 451-1356 View (206) 451-1356
Photo of Olivia Hope Morgaine in Medical Lake, WA
Olivia Hope Morgaine
MA, LMHCA
Verified Verified
Spokane, WA 99201  (Online Only)
I work with depression, anxiety, mood disorders, and life transitions; and see individuals, couples, and families of all ages.
Generally, we react to suffering and what we struggle with by trying to fix perceived problems, our selves, or others. It is natural to not want to suffer, but often our very resistance to suffering, or the habits we develop to avoid discomfort and pain work against us. I provide an integrative, soul-nourishing approach to therapy rooted in embodied depth psychology, health coaching, and mindfulness practices that encourages fully accepting ourselves: our bodies, feelings, and thoughts as they are.
I work with depression, anxiety, mood disorders, and life transitions; and see individuals, couples, and families of all ages.
Generally, we react to suffering and what we struggle with by trying to fix perceived problems, our selves, or others. It is natural to not want to suffer, but often our very resistance to suffering, or the habits we develop to avoid discomfort and pain work against us. I provide an integrative, soul-nourishing approach to therapy rooted in embodied depth psychology, health coaching, and mindfulness practices that encourages fully accepting ourselves: our bodies, feelings, and thoughts as they are.
(808) 707-7540 View (808) 707-7540
Photo of Lauren E. Edmonds, Pre-Licensed Professional in Medical Lake, WA
Lauren E. Edmonds
Pre-Licensed Professional, MS, LMHCA, NCC
Verified Verified
Spokane, WA 99201  (Online Only)
With a specialized focus on anxiety, depression, oppositional defiance, trauma and abuse history, psychosis, attachment concerns, and suicidal ideation, Lauren possesses a comprehensive skill set that encompasses a wide range of mental health challenges.
Are you seeking a compassionate and experienced professional to guide you through life's challenges? Lauren is a dedicated Licensed Associate Counselor with a wealth of expertise in empowering individuals to navigate their emotional journeys. With a strong educational background from Mississippi College, Lauren brings a profound understanding of psychology and clinical mental health counseling to her practice.
With a specialized focus on anxiety, depression, oppositional defiance, trauma and abuse history, psychosis, attachment concerns, and suicidal ideation, Lauren possesses a comprehensive skill set that encompasses a wide range of mental health challenges.
Are you seeking a compassionate and experienced professional to guide you through life's challenges? Lauren is a dedicated Licensed Associate Counselor with a wealth of expertise in empowering individuals to navigate their emotional journeys. With a strong educational background from Mississippi College, Lauren brings a profound understanding of psychology and clinical mental health counseling to her practice.
(509) 769-3728 View (509) 769-3728
Photo of Rebecca McManus, Counselor in Medical Lake, WA
Rebecca McManus
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Spokane, WA 99205
Waitlist for new clients
If you suffer from anxiety, depression, dissatisfying relationships, or a history of trauma, you are not alone. Whether you want to learn more about yourself, set goals, learn coping skills or just want someone to hold space for your emotions and thoughts, I'm here to help. I believe the therapeutic relationship is a major component to success. Our time together will be a safe place, grounded in empathy and non-judgment, where we can discuss your life's meaning, emotional well-being, relationships, and anything that's on your mind.
If you suffer from anxiety, depression, dissatisfying relationships, or a history of trauma, you are not alone. Whether you want to learn more about yourself, set goals, learn coping skills or just want someone to hold space for your emotions and thoughts, I'm here to help. I believe the therapeutic relationship is a major component to success. Our time together will be a safe place, grounded in empathy and non-judgment, where we can discuss your life's meaning, emotional well-being, relationships, and anything that's on your mind.
(509) 260-8608 View (509) 260-8608
Photo of Nicholas R Lee, Counselor in Medical Lake, WA
Nicholas R Lee
Counselor, LMHC
Verified Verified
Spokane, WA 99205  (Online Only)
Waitlist for new clients
I specialize in LGBTQ+ issues, anxiety and anxiety disorders, depression and mood disorders, family trauma, and identity issues.
My ideal client would be searching for a counselor who is genuine, empathetic, unconditionally holds them in positive regard, and can connect to their experiences. They would have a goal of learning new skills, working on behavioral and cognitive change, and are willing to look at multiple solutions to achieve their goals. They would want to strive for success as they see it and want support in removing any barriers for a better and healthier future.
I specialize in LGBTQ+ issues, anxiety and anxiety disorders, depression and mood disorders, family trauma, and identity issues.
My ideal client would be searching for a counselor who is genuine, empathetic, unconditionally holds them in positive regard, and can connect to their experiences. They would have a goal of learning new skills, working on behavioral and cognitive change, and are willing to look at multiple solutions to achieve their goals. They would want to strive for success as they see it and want support in removing any barriers for a better and healthier future.
Photo of Ben Bjorgaard, Counselor in Medical Lake, WA
Ben Bjorgaard
Counselor, PhDc, MA, LMHC, LMFTA
Verified Verified
2 Endorsed
Spokane, WA 99201
By addressing troubling thoughts and feelings, self-sabotaging behaviors, and traumas, life can be made more manageable, productive, and fulfilling. Feelings such as grief, shame, anxiety, sadness, and anger often signal that something needs to change. Listening to and working with these feelings—some that consume us and others that gently nudge us—can move us forward. Through this, we sometimes discover that our everyday dilemmas are part of larger patterns waiting to be resolved as a whole.
By addressing troubling thoughts and feelings, self-sabotaging behaviors, and traumas, life can be made more manageable, productive, and fulfilling. Feelings such as grief, shame, anxiety, sadness, and anger often signal that something needs to change. Listening to and working with these feelings—some that consume us and others that gently nudge us—can move us forward. Through this, we sometimes discover that our everyday dilemmas are part of larger patterns waiting to be resolved as a whole.
(206) 752-6650 View (206) 752-6650
Photo of Frances J Archer, Counselor in Medical Lake, WA
Frances J Archer
Counselor, LMHC, MHP, CMHS
Verified Verified
Spokane, WA 99204
The decision to seek help is a personal one, often made after trying everything to remedy our circumstances. Childhood issues, symptoms of anxiety and depression, relational issues, and personal loss can take a toll. With over 20 years of counseling individuals and families with a wide swath of difficult circumstances, I have learned to provide a supportive, non-judgmental, truthful, and safe environment that promotes self confidence and hope in overcoming and breaking through the obstacles we all face from time to time
The decision to seek help is a personal one, often made after trying everything to remedy our circumstances. Childhood issues, symptoms of anxiety and depression, relational issues, and personal loss can take a toll. With over 20 years of counseling individuals and families with a wide swath of difficult circumstances, I have learned to provide a supportive, non-judgmental, truthful, and safe environment that promotes self confidence and hope in overcoming and breaking through the obstacles we all face from time to time
(509) 797-7756 View (509) 797-7756
Photo of Tamara Minchow, Clinical Social Work/Therapist in Medical Lake, WA
Tamara Minchow
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
1 Endorsed
Spokane, WA 99207
Healing looks different for everyone. I believe that you are the expert of your own experiences and I would be honored to walk alongside you on your journey. I have worked with individuals experiencing symptoms of substance abuse, adjustment disorder, codependency, trauma, depression, anxiety, suicidal ideation, as well as other mental health illnesses.
Healing looks different for everyone. I believe that you are the expert of your own experiences and I would be honored to walk alongside you on your journey. I have worked with individuals experiencing symptoms of substance abuse, adjustment disorder, codependency, trauma, depression, anxiety, suicidal ideation, as well as other mental health illnesses.
(509) 417-0592 View (509) 417-0592
Photo of Dharma Healing & Wellness, PLLC in Medical Lake, WA
Dharma Healing & Wellness, PLLC
BA, MS, LMHA
Verified Verified
Spokane, WA 99201  (Online Only)
Peace and love ladies, I see you and I understand you. There is nothing that you cannot share with me and nothing that I will not go out of my way to help assist you with. If your circumstances have left you feeling empty, afraid, unloved, and uncertain about where your life is going or are meant to go, then let me help you. Do not let depression, anxiety, relationship issues, sexual trauma, or anything else become the ruler of your life. Let me help you turn things around and become the best you possible. Love is Key!
Peace and love ladies, I see you and I understand you. There is nothing that you cannot share with me and nothing that I will not go out of my way to help assist you with. If your circumstances have left you feeling empty, afraid, unloved, and uncertain about where your life is going or are meant to go, then let me help you. Do not let depression, anxiety, relationship issues, sexual trauma, or anything else become the ruler of your life. Let me help you turn things around and become the best you possible. Love is Key!
(509) 584-4812 View (509) 584-4812
Photo of Elysian Therapy, Marriage & Family Therapist in Medical Lake, WA
Elysian Therapy
Marriage & Family Therapist, MA, LMFT, CIMHP
Verified Verified
2 Endorsed
Spokane, WA 99202  (Online Only)
Waitlist for new clients
You cannot recover from anxiety by just remaining calm, or depression by just being positive. Recovery from the battles of life takes time, patience, and releasing old habits. Whether you’re facing mental illness, parenting, relationships, or life transitions; change must occur in order for peace to resurface. It's okay to feel unstable, it's ok for things to not be ok, and it's okay to ask for help.
You cannot recover from anxiety by just remaining calm, or depression by just being positive. Recovery from the battles of life takes time, patience, and releasing old habits. Whether you’re facing mental illness, parenting, relationships, or life transitions; change must occur in order for peace to resurface. It's okay to feel unstable, it's ok for things to not be ok, and it's okay to ask for help.
(509) 207-1326 View (509) 207-1326
Photo of Jeanie Bohall, Marriage & Family Therapist in Medical Lake, WA
Jeanie Bohall
Marriage & Family Therapist, MMFT, LMFT-S, LPC
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
Welcome! Finding a therapist that is a good match can be a struggle. I have experience in treating a wide range of symptoms from anxiety to trauma. The therapy models that I use most commonly are attachment based. I believe that no matter what you have experienced in life, you are able to be your own change agent in your life. I currently see clients on telehealth from Texas, Montana, Florida and Washington State.
Welcome! Finding a therapist that is a good match can be a struggle. I have experience in treating a wide range of symptoms from anxiety to trauma. The therapy models that I use most commonly are attachment based. I believe that no matter what you have experienced in life, you are able to be your own change agent in your life. I currently see clients on telehealth from Texas, Montana, Florida and Washington State.
(737) 727-4195 View (737) 727-4195
Photo of Katie Martes, Counselor in Medical Lake, WA
Katie Martes
Counselor, LMHCA, MS
Verified Verified
2 Endorsed
Spokane, WA 99206  (Online Only)
I specialize in anxiety, couples, mood regulation, chronic illness, relationships, ADHD, and trauma.
Accepting new clients! At some point in our lives, we recognize that what they’re doing isn’t working. We wake up and realize this isn’t the life we want to live. We don’t want to keep existing with so much stress, anxiety, anger, or isolation and crave connection, acceptance, and genuine happiness. We want things to be different, but don’t know how or where to start. I work with people who want to redefine their lives and reduce suffering, and help them get there. I work with individuals, couples, and those looking to integrate past psychedelic experiences to create lasting, positive change.
I specialize in anxiety, couples, mood regulation, chronic illness, relationships, ADHD, and trauma.
Accepting new clients! At some point in our lives, we recognize that what they’re doing isn’t working. We wake up and realize this isn’t the life we want to live. We don’t want to keep existing with so much stress, anxiety, anger, or isolation and crave connection, acceptance, and genuine happiness. We want things to be different, but don’t know how or where to start. I work with people who want to redefine their lives and reduce suffering, and help them get there. I work with individuals, couples, and those looking to integrate past psychedelic experiences to create lasting, positive change.
(509) 236-8562 View (509) 236-8562

See more therapy options for Medical Lake


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.