Photo of Guinnivere Katray Bohnsack, Marriage & Family Therapist in Medina, WA
Guinnivere Katray Bohnsack
Marriage & Family Therapist, LMFT
Verified Verified
Medina, WA 98039  (Online Only)
Working with individuals and relationships, I specialize in developmental/complex PTSD, anxiety/depression, parenting, and relationships.
Licensed in MI, IA, WA and NC. Your human experience contains the magical potential for joy, challenge, love, pain, connection...we are invited to take the very essence of each experience and uncover the wisdom within. Companioning others in this courageous endeavor of feeling our lives fully is the gift I offer. Bring your hurt, your heart, your deepest desires and longings, your bitterness, your hope, your bravery...all is welcome here. We will uncover the mystery underlying your experience to create connection , illumination, and restoration. My approach is warm and direct. Together, we will find the song that sings you home.
Working with individuals and relationships, I specialize in developmental/complex PTSD, anxiety/depression, parenting, and relationships.
Licensed in MI, IA, WA and NC. Your human experience contains the magical potential for joy, challenge, love, pain, connection...we are invited to take the very essence of each experience and uncover the wisdom within. Companioning others in this courageous endeavor of feeling our lives fully is the gift I offer. Bring your hurt, your heart, your deepest desires and longings, your bitterness, your hope, your bravery...all is welcome here. We will uncover the mystery underlying your experience to create connection , illumination, and restoration. My approach is warm and direct. Together, we will find the song that sings you home.
(828) 518-6646 View (828) 518-6646
Photo of Olivia Park-Sargent, Marriage & Family Therapist in Medina, WA
Olivia Park-Sargent
Marriage & Family Therapist, LMFT, PMH-C
Verified Verified
Medina, WA 98039  (Online Only)
My practice welcomes all people who may be struggling with anxiety, depression and navigating the challenges of life’s transitions.
We are wired for connection; we need it to survive, but more importantly, we need it to thrive. To experience ourselves in connection when perhaps we have disconnected, as a way to survive our hurts or traumas, is an important part of healing. Working with a therapist is one great way to do this. I see therapy as a collaborative process that relies on trust and authenticity to foster insight and growth. I believe that you are the expert in your own healing, and I aim to provide a safe, non-judgmental, space to unpack difficult emotions, and expand awareness of your unique personality, strengths, and patterns of relating.
My practice welcomes all people who may be struggling with anxiety, depression and navigating the challenges of life’s transitions.
We are wired for connection; we need it to survive, but more importantly, we need it to thrive. To experience ourselves in connection when perhaps we have disconnected, as a way to survive our hurts or traumas, is an important part of healing. Working with a therapist is one great way to do this. I see therapy as a collaborative process that relies on trust and authenticity to foster insight and growth. I believe that you are the expert in your own healing, and I aim to provide a safe, non-judgmental, space to unpack difficult emotions, and expand awareness of your unique personality, strengths, and patterns of relating.
(206) 338-2800 View (206) 338-2800
Photo of Dr. Ching-Ching Ruan, Marriage & Family Therapist in Medina, WA
Dr. Ching-Ching Ruan
Marriage & Family Therapist, PhD, LMFT
Verified Verified
6 Endorsed
Medina, WA 98039
Are you feeling alone and disconnected in your intimate relationship? Do you wonder why you're in the same stuck pattern with your loved one and want to get some clarity and get out of the pattern? Are you also looking for practical tools to improve your communication with your partner/spouse/family members? Are also looking for a professional to help you express your emotional truth so that you feel more empowered and final emotional balance in everyday life. Or you may struggle with anxiety and depression and want to find ways to cope. I work frequently with couples where one or both are Asian descents or inter-racial couples.
Are you feeling alone and disconnected in your intimate relationship? Do you wonder why you're in the same stuck pattern with your loved one and want to get some clarity and get out of the pattern? Are you also looking for practical tools to improve your communication with your partner/spouse/family members? Are also looking for a professional to help you express your emotional truth so that you feel more empowered and final emotional balance in everyday life. Or you may struggle with anxiety and depression and want to find ways to cope. I work frequently with couples where one or both are Asian descents or inter-racial couples.
(425) 230-4425 View (425) 230-4425
Photo of Sarah W. Thompson, PhD., Psychologist in Medina, WA
Sarah W. Thompson, PhD.
Psychologist, PhD
Verified Verified
Medina, WA 98039  (Online Only)
If you are feeling unhappy, I'd like to help. Therapy can provide a caring safety net to increase your sense of well-being and help you navigate challenges. I make it a priority to provide a productive and safe experience in therapy where you can identify what you need in order to feel better. Together, we can work towards noticeable changes that can make your life better. As a licensed psychologist much of my training across the country has been working with people who are struggling to adjust to a difficult or painful experience. As of 10/23 I have openings.
If you are feeling unhappy, I'd like to help. Therapy can provide a caring safety net to increase your sense of well-being and help you navigate challenges. I make it a priority to provide a productive and safe experience in therapy where you can identify what you need in order to feel better. Together, we can work towards noticeable changes that can make your life better. As a licensed psychologist much of my training across the country has been working with people who are struggling to adjust to a difficult or painful experience. As of 10/23 I have openings.
(360) 523-9651 View (360) 523-9651
Photo of Dr. Jennifer (Wu) Andrews, Psychologist in Medina, WA
Dr. Jennifer (Wu) Andrews
Psychologist, PhD, LP, HSP, MA
Verified Verified
2 Endorsed
Medina, WA 98039  (Online Only)
Do you currently feel stuck in life no matter what you try to do? Do you wish things could change but you're not sure how to go about it? If so, you are not alone. We all stumble and fall sometimes, whether in our friendships, relationships, work, and more. The most important thing you can do for yourself is to ask for help - you do not have to do this alone! I enjoy actively participating in collaborative care with my clients. No matter the issue, you and I will work as a team to conquer all! I provide culturally-minded, comprehensive, and holistic care to adults, utilizing an integrative and collaborative treatment approach.
Do you currently feel stuck in life no matter what you try to do? Do you wish things could change but you're not sure how to go about it? If so, you are not alone. We all stumble and fall sometimes, whether in our friendships, relationships, work, and more. The most important thing you can do for yourself is to ask for help - you do not have to do this alone! I enjoy actively participating in collaborative care with my clients. No matter the issue, you and I will work as a team to conquer all! I provide culturally-minded, comprehensive, and holistic care to adults, utilizing an integrative and collaborative treatment approach.
(808) 204-4367 View (808) 204-4367
Photo of Scarlett A Thompson, Counselor in Medina, WA
Scarlett A Thompson
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Medina, WA 98039  (Online Only)
Specializing in neurodivergence, particularly in ADHD, giftedness/2E & creativity and additionally religious trauma, existential questioning and cultural or life transitions. I enjoy working with relationship concerns including couples, families and individuals. In counseling, a good fit between your therapist and you is of the utmost importance. I hold a supportive protected space for you to grow within, lending my tools and expertise. I am here to facilitate your journey, and to support your growth empathetically. Multicultural and diverse clientele are welcome and encouraged.
Specializing in neurodivergence, particularly in ADHD, giftedness/2E & creativity and additionally religious trauma, existential questioning and cultural or life transitions. I enjoy working with relationship concerns including couples, families and individuals. In counseling, a good fit between your therapist and you is of the utmost importance. I hold a supportive protected space for you to grow within, lending my tools and expertise. I am here to facilitate your journey, and to support your growth empathetically. Multicultural and diverse clientele are welcome and encouraged.
(206) 309-2700 View (206) 309-2700

More Therapists Nearby

Photo of Jenny Gerow -Golden Embers Therapy, Counselor in Medina, WA
Jenny Gerow -Golden Embers Therapy
Counselor, LMHCA
Verified Verified
4 Endorsed
Seattle, WA 98112
Are you feeling overwhelmed by habits and mindsets that you can't seem to get out of? Have you tried all the techniques but still can't seem to shake the anxious thoughts that invade your mind? Do you often find yourself triggered from a past experience or relationship that keeps surfacing and stopping you in your tracks? Do you continue to return to relationship patterns and relationship choices that you told yourself you would never engage in again? Do you struggle with self worth and body image? Do you feel overall stuck and like there is deeper work that needs to be done?
Are you feeling overwhelmed by habits and mindsets that you can't seem to get out of? Have you tried all the techniques but still can't seem to shake the anxious thoughts that invade your mind? Do you often find yourself triggered from a past experience or relationship that keeps surfacing and stopping you in your tracks? Do you continue to return to relationship patterns and relationship choices that you told yourself you would never engage in again? Do you struggle with self worth and body image? Do you feel overall stuck and like there is deeper work that needs to be done?
(206) 489-3122 View (206) 489-3122
Photo of Gladys Rodriguez, Clinical Social Work/Therapist in Medina, WA
Gladys Rodriguez
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Bellevue, WA 98004
Hi, I'm Gladys I specialize in providing therapy to women to prevent and treat perinatal (time before and after birth, usually during pregnancy and up to one year postpartum) mood and anxiety disorders. While that is my specialty, my services are not limited to perinatal clients. I am passionate about studying trauma and raising awareness about mental health disparities, resources, and support. Please visit my website for my information.
Hi, I'm Gladys I specialize in providing therapy to women to prevent and treat perinatal (time before and after birth, usually during pregnancy and up to one year postpartum) mood and anxiety disorders. While that is my specialty, my services are not limited to perinatal clients. I am passionate about studying trauma and raising awareness about mental health disparities, resources, and support. Please visit my website for my information.
(206) 429-8635 View (206) 429-8635
Photo of LightHeart Psychological Associates, Psychologist in Medina, WA
LightHeart Psychological Associates
Psychologist, PsyD
Verified Verified
Bellevue, WA 98004
Securely request an appointment on our website: tinyurl.com/LHA-AppointmentRequest LightHeart provides therapy, medication management & assessment for children, adolescents & adults. We provide individual, family, and couples therapy. We work with all variety of concerns, including acute and chronic depression and anxiety, abuse & trauma, LGBTQ issues, conflicted relationships, & personality disorders. We also have experience working successfully with child behavioral problems.
Securely request an appointment on our website: tinyurl.com/LHA-AppointmentRequest LightHeart provides therapy, medication management & assessment for children, adolescents & adults. We provide individual, family, and couples therapy. We work with all variety of concerns, including acute and chronic depression and anxiety, abuse & trauma, LGBTQ issues, conflicted relationships, & personality disorders. We also have experience working successfully with child behavioral problems.
(206) 752-5362 View (206) 752-5362
Photo of Meghan A Juretic, Psychologist in Medina, WA
Meghan A Juretic
Psychologist, PhD
Verified Verified
Bellevue, WA 98004
I provide individual therapy to adolescents and adults to address a variety of concerns and stressors. I believe in the importance of building a warm, therapeutic relationship in which you feel supported, understood, and challenged. I use a positive, interactive style of therapy to help you build on your strengths, improve coping skills, and make lasting change. I have specialized training working with anxiety disorders, PTSD, and recovery from trauma. I also enjoy working with clients to improve issues of depression, chronic pain/health concerns, stress, and relationship conflict.
I provide individual therapy to adolescents and adults to address a variety of concerns and stressors. I believe in the importance of building a warm, therapeutic relationship in which you feel supported, understood, and challenged. I use a positive, interactive style of therapy to help you build on your strengths, improve coping skills, and make lasting change. I have specialized training working with anxiety disorders, PTSD, and recovery from trauma. I also enjoy working with clients to improve issues of depression, chronic pain/health concerns, stress, and relationship conflict.
(425) 409-3118 View (425) 409-3118
Photo of Jennifer Brosseau-Jensen, Counselor in Medina, WA
Jennifer Brosseau-Jensen
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Bellevue, WA 98004
Welcoming New Clients- Change is difficult, I understand that and want to help. If you are feeling overwhelmed or distressed in life, it is important you know you do not have to carry this load alone. Seeking help in times of need demonstrates strength and a desire for growth. I would be honored to be your ally as you take that important first step towards healing and change. Currently, I work with adults who are experiencing life stage transitions (i.e. becoming a new parent, empty nesting etc.), coping with anxiety, depression, navigating difficult relationships, grief and more. I see clients both in-person and online.
Welcoming New Clients- Change is difficult, I understand that and want to help. If you are feeling overwhelmed or distressed in life, it is important you know you do not have to carry this load alone. Seeking help in times of need demonstrates strength and a desire for growth. I would be honored to be your ally as you take that important first step towards healing and change. Currently, I work with adults who are experiencing life stage transitions (i.e. becoming a new parent, empty nesting etc.), coping with anxiety, depression, navigating difficult relationships, grief and more. I see clients both in-person and online.
(425) 529-5502 View (425) 529-5502
Photo of Angela R. Schellenberg, Counselor in Medina, 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 Justine Joslyn in Medina, WA
Justine Joslyn
MA
Verified Verified
Bellevue, WA 98004  (Online Only)
Hello! Since 2007, I have helped couples & families with communication and connection, using coaching, mediation & reconciliation. I also assist individuals recover from depression, anxiety, trauma, addiction & ADHD/ADD, with support through transitions such as divorce, loss, abuse recovery & existential or spiritual awakening. My style is flexible and tailored to your preferences, balancing compassion with real results. You'll learn skills that re-connect you with your wise inner guidance, creating steady, calm confidence & energizing you to make smart, bold moves towards your life, career & creative goals.
Hello! Since 2007, I have helped couples & families with communication and connection, using coaching, mediation & reconciliation. I also assist individuals recover from depression, anxiety, trauma, addiction & ADHD/ADD, with support through transitions such as divorce, loss, abuse recovery & existential or spiritual awakening. My style is flexible and tailored to your preferences, balancing compassion with real results. You'll learn skills that re-connect you with your wise inner guidance, creating steady, calm confidence & energizing you to make smart, bold moves towards your life, career & creative goals.
(360) 946-0941 View (360) 946-0941
Photo of Shu Jin, Counselor in Medina, WA
Shu Jin
Counselor, MC, LMHC
Verified Verified
3 Endorsed
Bellevue, WA 98004
I am passionate about working with Asian Americans and the Chinese population. I have a lot of experience in helping international students and employees navigate life transitions and challenges. My clinical areas of specialty include personal growth and development, anxiety and depression, interpersonal problems, grief and loss issues, trauma, and stress-related problems. I believe the difficulties serve a purpose: to provide us the chance to reveal authenticity and completeness in our life. Life seems to be falling apart when you focus on the broken pieces. I will help you see how they will come together to form the whole.
I am passionate about working with Asian Americans and the Chinese population. I have a lot of experience in helping international students and employees navigate life transitions and challenges. My clinical areas of specialty include personal growth and development, anxiety and depression, interpersonal problems, grief and loss issues, trauma, and stress-related problems. I believe the difficulties serve a purpose: to provide us the chance to reveal authenticity and completeness in our life. Life seems to be falling apart when you focus on the broken pieces. I will help you see how they will come together to form the whole.
(206) 279-1334 View (206) 279-1334
Photo of Unbridled Counseling, Marriage & Family Therapist in Medina, WA
Unbridled Counseling
Marriage & Family Therapist, LMFT, MS
Verified Verified
1 Endorsed
Bellevue, WA 98005
Unbridled Counseling helps clients find growth through multiple approaches to therapy. We offer traditional talk therapy, equine therapy, telehealth, and outdoor therapy. I have a special interest in eating disorders, infertility, pre and post natal care, anxiety, depression, and relationships. We also offer lower cost/sliding scale sessions with graduate level interns to reach more of our community. Our interns treat families, couples, kids, teens, and adults with a variety of topics and specialties.
Unbridled Counseling helps clients find growth through multiple approaches to therapy. We offer traditional talk therapy, equine therapy, telehealth, and outdoor therapy. I have a special interest in eating disorders, infertility, pre and post natal care, anxiety, depression, and relationships. We also offer lower cost/sliding scale sessions with graduate level interns to reach more of our community. Our interns treat families, couples, kids, teens, and adults with a variety of topics and specialties.
(425) 906-3624 View (425) 906-3624
Photo of Larisa P Whipple, Clinical Social Work/Therapist in Medina, WA
Larisa P Whipple
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Bellevue, WA 98004
My expertise is working with issues around trauma, anxiety, depression, sexual violence and symptoms associated with Post Traumatic Stress Disorder.
I believe the that therapy is an opportunity to explore ones inner world, express feelings and concerns, heal from pain and suffering, and learn how to harness a more enriching and fulfilling life. I have worked with people from all backgrounds and walks of life and believe that we all have the possibility to improve our lives. Suffering is part of the shared human experience, but how we deal with our unique circumstances differentiates each one of us.
My expertise is working with issues around trauma, anxiety, depression, sexual violence and symptoms associated with Post Traumatic Stress Disorder.
I believe the that therapy is an opportunity to explore ones inner world, express feelings and concerns, heal from pain and suffering, and learn how to harness a more enriching and fulfilling life. I have worked with people from all backgrounds and walks of life and believe that we all have the possibility to improve our lives. Suffering is part of the shared human experience, but how we deal with our unique circumstances differentiates each one of us.
(707) 703-1854 View (707) 703-1854
Photo of Amanda H Abou-Zaki, Counselor in Medina, WA
Amanda H Abou-Zaki
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Bellevue, WA 98004
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 Shelley Spector, Clinical Social Work/Therapist in Medina, WA
Shelley Spector
Clinical Social Work/Therapist, LCSW
Verified Verified
Seattle, WA 98101  (Online Only)
Do you find it difficult to muster the energy to start your day? Are you feeling crushed beneath the weight of stress or anxiety? Have you experienced loss or trauma that continues to impact your life and relationships? Many individuals experience these obstacles, and it's completely normal to feel overwhelmed at times. But imagine a life where each day feels like an opportunity rather than a challenge. It may seem daunting, but countless people have found their joy again, and you can too. I am passionate about helping others find their path to a meaningful and balanced life.
Do you find it difficult to muster the energy to start your day? Are you feeling crushed beneath the weight of stress or anxiety? Have you experienced loss or trauma that continues to impact your life and relationships? Many individuals experience these obstacles, and it's completely normal to feel overwhelmed at times. But imagine a life where each day feels like an opportunity rather than a challenge. It may seem daunting, but countless people have found their joy again, and you can too. I am passionate about helping others find their path to a meaningful and balanced life.
(425) 470-6185 View (425) 470-6185
Photo of Jessica L Miller, Counselor in Medina, WA
Jessica L Miller
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Bellevue, WA 98004
Therapy exists not simply as a way to soothe and deal with what is bringing us in; dysfunctional relationships, anxiety or depression.
St Augustine once wrote “People travel to wonder at the height of the mountains, at the huge waves of the sea, at the long courses of rivers, at the vast compass of the ocean, at the circular motion of the stars; and they pass by themselves without wondering.” Life asks a lot today. Our children need help with homework. Our jobs need us to produce more, our parents need us as age diminishes their abilities. After everything, one is left to wonder not at themselves, but at where all the time went?
Therapy exists not simply as a way to soothe and deal with what is bringing us in; dysfunctional relationships, anxiety or depression.
St Augustine once wrote “People travel to wonder at the height of the mountains, at the huge waves of the sea, at the long courses of rivers, at the vast compass of the ocean, at the circular motion of the stars; and they pass by themselves without wondering.” Life asks a lot today. Our children need help with homework. Our jobs need us to produce more, our parents need us as age diminishes their abilities. After everything, one is left to wonder not at themselves, but at where all the time went?
(425) 598-0231 View (425) 598-0231
Photo of Lauren A Crockett, Counselor in Medina, WA
Lauren A Crockett
Counselor, MS, LMHC, NCC
Verified Verified
4 Endorsed
Bellevue, WA 98004
I work with individuals who feel anxious, unfulfilled, and stuck. They are looking for support around life dissatisfaction and recurring patterns that keep getting in the way. I have over 15 years of experience offering empathic and reflective counseling for those in search of clarity, direction, healing, and growth. Through our work together, you will rediscover your core strengths and potential. We will examine how past experiences may have shaped current situations and what you would like to see change. When we have a greater insight, it often leads us to increased self-worth, confidence, and personal growth.
I work with individuals who feel anxious, unfulfilled, and stuck. They are looking for support around life dissatisfaction and recurring patterns that keep getting in the way. I have over 15 years of experience offering empathic and reflective counseling for those in search of clarity, direction, healing, and growth. Through our work together, you will rediscover your core strengths and potential. We will examine how past experiences may have shaped current situations and what you would like to see change. When we have a greater insight, it often leads us to increased self-worth, confidence, and personal growth.
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See more therapy options for Medina

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.