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More Therapists Nearby

Photo of Lucy Bosche, Clinical Social Work/Therapist in Orcas, WA
Lucy Bosche
Clinical Social Work/Therapist, LICSW
Verified Verified
Friday Harbor, WA 98250  (Online Only)
Mental health challenges can cause us to feel like we are waging a daily, silent war with ourselves. Physical tension and racing thoughts may seem to consume the entirety of your being and yet, deep down, a part of you has a sense that this is not really you. I know it is not you, too. I believe so deeply in your resilience, innate well-being, and ability to thrive beyond your current experience of anxiety and tension. I help individuals experiencing OCD, eating disorders, generalized anxiety, and patterns of addiction to live a life beyond symptom management.
Mental health challenges can cause us to feel like we are waging a daily, silent war with ourselves. Physical tension and racing thoughts may seem to consume the entirety of your being and yet, deep down, a part of you has a sense that this is not really you. I know it is not you, too. I believe so deeply in your resilience, innate well-being, and ability to thrive beyond your current experience of anxiety and tension. I help individuals experiencing OCD, eating disorders, generalized anxiety, and patterns of addiction to live a life beyond symptom management.
(360) 504-4452 View (360) 504-4452
Photo of Barbara Starr, Clinical Social Work/Therapist in Orcas, WA
Barbara Starr
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Friday Harbor, WA 98250
Many individuals seek counseling with me because they have had painful or traumatic experiences that interfere with their ability to live a satisfying life, one filled with meaningful relationships, the ability to experience joy, and the ability to manage life problems skillfully. They often feel stuck and, although they've tried hard, they continue to experience problems in relationships and often suffer from anxiety, depression and the effects of trauma. They want to move forward in their lives with hope, confidence and a sense of purpose.
Many individuals seek counseling with me because they have had painful or traumatic experiences that interfere with their ability to live a satisfying life, one filled with meaningful relationships, the ability to experience joy, and the ability to manage life problems skillfully. They often feel stuck and, although they've tried hard, they continue to experience problems in relationships and often suffer from anxiety, depression and the effects of trauma. They want to move forward in their lives with hope, confidence and a sense of purpose.
(360) 622-6143 View (360) 622-6143

Online Therapists

Photo of Aaryn Anderson, Licensed Mental Health Counselor in Orcas, WA
Aaryn Anderson
Licensed Mental Health Counselor, LHMC
Verified Verified
Mountlake Terrace, WA 98043
I am certified in Accelerated Resolution Therapy (ART) to assist others in processing their trauma, stress, and anxiety.
After years of working alongside people struggling with substance use and mental health disorders, I have come to learn the importance of understanding each person as an individual with individual needs and the need for community and acceptance. I believe that each person can develop a deeper sense of self through viewing therapy as a journey that allows for learning, awareness, and self-compassion. We will work together in discovering your resiliency, to foster your sense of self, and to gain the confidence in learning and applying new ways to cope with life’s events.
I am certified in Accelerated Resolution Therapy (ART) to assist others in processing their trauma, stress, and anxiety.
After years of working alongside people struggling with substance use and mental health disorders, I have come to learn the importance of understanding each person as an individual with individual needs and the need for community and acceptance. I believe that each person can develop a deeper sense of self through viewing therapy as a journey that allows for learning, awareness, and self-compassion. We will work together in discovering your resiliency, to foster your sense of self, and to gain the confidence in learning and applying new ways to cope with life’s events.
(425) 371-5546 View (425) 371-5546
Photo of Maria Costello, Clinical Social Work/Therapist in Orcas, WA
Maria Costello
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98155  (Online Only)
I specialize in treating trauma-related disorders, including PTSD, depression, and anxiety, using a compassionate and client-centered approach. Over the years, I've had the privilege of guiding many individuals through the complexities of trauma, addiction, and codependency. I am dedicated to working with clients who are struggling to cope with the aftermath of trauma in their daily lives. Whether you're facing challenges in managing emotions, maintaining relationships, or simply navigating daily stressors, my comprehensive and skilled approach will help you find healing, hope, and stability.
I specialize in treating trauma-related disorders, including PTSD, depression, and anxiety, using a compassionate and client-centered approach. Over the years, I've had the privilege of guiding many individuals through the complexities of trauma, addiction, and codependency. I am dedicated to working with clients who are struggling to cope with the aftermath of trauma in their daily lives. Whether you're facing challenges in managing emotions, maintaining relationships, or simply navigating daily stressors, my comprehensive and skilled approach will help you find healing, hope, and stability.
(206) 594-5154 View (206) 594-5154
Photo of Daniel Kelley-Petersen, Counselor in Orcas, WA
Daniel Kelley-Petersen
Counselor, MAEd, LMHC, LPC, NCC
Verified Verified
7 Endorsed
Seattle, WA 98126
Waitlist for new clients
I work with individuals and couples using mindfulness-based techniques and practices that focus on grief, loss, anxiety, depression, men's health and wellness, career concerns, marital and premarital topics, and addiction.
Seeking out counseling is a courageous act of support that you give yourself and is a challenging and rewarding process that is full of support and deep exploration. I am excited to talk with you about what you are experiencing and how to move forward through the challenges you are facing today.
I work with individuals and couples using mindfulness-based techniques and practices that focus on grief, loss, anxiety, depression, men's health and wellness, career concerns, marital and premarital topics, and addiction.
Seeking out counseling is a courageous act of support that you give yourself and is a challenging and rewarding process that is full of support and deep exploration. I am excited to talk with you about what you are experiencing and how to move forward through the challenges you are facing today.
(206) 693-4889 View (206) 693-4889
Photo of CradleStone, LLC , Counselor in Orcas, WA
CradleStone, LLC
Counselor, MS, MAC, LMHC, SUDP
Verified Verified
Oak Harbor, WA 98277
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
(360) 614-2842 View (360) 614-2842
Photo of Maria Elizabeth Uchytil, Counselor in Orcas, WA
Maria Elizabeth Uchytil
Counselor, MA, LMHCA, SUDP, CC
Verified Verified
1 Endorsed
Seattle, WA 98107
I provide non-judgmental, empathetic, and person-centered approach to therapy. My goal as a licensed counselor will be to develop a collaborative relationship where each client feels empowered to act as an expert in developing healthy coping skills, manage anxiety, depression, navigate difficult life transitions, reduce stress and emotional distress, to enhance communication skills and relationships. In therapy, we can learn to become more aware of our thoughts and actions, of how negative thought patterns and behaviors may be blocking our self-awareness and making us unhappy, and how we can change.
I provide non-judgmental, empathetic, and person-centered approach to therapy. My goal as a licensed counselor will be to develop a collaborative relationship where each client feels empowered to act as an expert in developing healthy coping skills, manage anxiety, depression, navigate difficult life transitions, reduce stress and emotional distress, to enhance communication skills and relationships. In therapy, we can learn to become more aware of our thoughts and actions, of how negative thought patterns and behaviors may be blocking our self-awareness and making us unhappy, and how we can change.
(206) 460-1622 View (206) 460-1622
Photo of Chris Lott, Counselor in Orcas, WA
Chris Lott
Counselor, LMHCA
Verified Verified
7 Endorsed
Seattle, WA 98134
Something within you has led you here. Something yearning for understanding, change, or acceptance. Maybe you feel anxious, overwhelmed, stuck in holding patterns, tending old wounds or wondering "What's next?" Whatever is present for you, it is my honor to meet you where you are, as you are, with compassion and curiosity. My goal as a counselor is to create a nonjudgmental, supportive space for you to connect with your truth. All of us are already whole, and therapy is a way to return to that knowing. I'm inspired by my clients' wisdom and creativity as they explore the highs and lows of their experience and find a way forward.
Something within you has led you here. Something yearning for understanding, change, or acceptance. Maybe you feel anxious, overwhelmed, stuck in holding patterns, tending old wounds or wondering "What's next?" Whatever is present for you, it is my honor to meet you where you are, as you are, with compassion and curiosity. My goal as a counselor is to create a nonjudgmental, supportive space for you to connect with your truth. All of us are already whole, and therapy is a way to return to that knowing. I'm inspired by my clients' wisdom and creativity as they explore the highs and lows of their experience and find a way forward.
(253) 802-8475 View (253) 802-8475
Photo of Diedra Clay, Psychologist in Orcas, 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
Photo of Endre Ferenc Voros, Counselor in Orcas, 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 Marie Rule, Clinical Social Work/Therapist in Orcas, WA
Marie Rule
Clinical Social Work/Therapist, LSWAIC, MSW , MHP
Verified Verified
Seattle, WA 98116
I work with clients who are dealing with depression, anxiety, grief and loss, challenges with self-worth and unhelpful thinking, trauma, PTSD, relationships and feeling stuck. I help clients realize their innate wisdom, achieve their goals - whatever they may be, and find new ways of being in a world that is constantly full of challenges. I also work with parents who are struggling with their roles as parents, dealing with guilt and shame that oftentimes comes with parenting and help to find positive solutions with childrearing.
I work with clients who are dealing with depression, anxiety, grief and loss, challenges with self-worth and unhelpful thinking, trauma, PTSD, relationships and feeling stuck. I help clients realize their innate wisdom, achieve their goals - whatever they may be, and find new ways of being in a world that is constantly full of challenges. I also work with parents who are struggling with their roles as parents, dealing with guilt and shame that oftentimes comes with parenting and help to find positive solutions with childrearing.
(253) 243-3930 View (253) 243-3930
Photo of Jenny Grace Shaw, Counselor in Orcas, WA
Jenny Grace Shaw
Counselor, MEd, LMHC, CSC, HHP, NBCC
Verified Verified
Tacoma, WA 98421
My Specialized focus include challenges with Disordered Eating, Body Image, Body Dysmorphic Disorder, Self-Harming, Depression, Relationships, Co-Dependency, Whole-self Wellness; Mind, Body, and Spirit, addictions, abuse, and trauma, PTSD, Identity Empowerment, Anxiety, and Depression.
We all experience speed bumps during our life journey. Though it may seem we are "lost"unsure of I believe the powers we are looking for are inside YOU! One simply needs to be validated, and to strengthen the emotional "muscles" that have grown weak--just as we exercise our bodies and our minds, we must exercise our emotional I truly believe we can not experience long term health unless we pay close attention to our Mind, Body and Spirit--the Emotional; our humanness. when we honor our truths, we will achieve our Authentic Self! I look forward to helping guide you towards your personal, goals. NEVER UNDERESTIMATE THE POWER OF YOU
My Specialized focus include challenges with Disordered Eating, Body Image, Body Dysmorphic Disorder, Self-Harming, Depression, Relationships, Co-Dependency, Whole-self Wellness; Mind, Body, and Spirit, addictions, abuse, and trauma, PTSD, Identity Empowerment, Anxiety, and Depression.
We all experience speed bumps during our life journey. Though it may seem we are "lost"unsure of I believe the powers we are looking for are inside YOU! One simply needs to be validated, and to strengthen the emotional "muscles" that have grown weak--just as we exercise our bodies and our minds, we must exercise our emotional I truly believe we can not experience long term health unless we pay close attention to our Mind, Body and Spirit--the Emotional; our humanness. when we honor our truths, we will achieve our Authentic Self! I look forward to helping guide you towards your personal, goals. NEVER UNDERESTIMATE THE POWER OF YOU
(808) 736-4177 View (808) 736-4177
Photo of Mindy M Maxwell, Counselor in Orcas, WA
Mindy M Maxwell
Counselor, LMHC
Verified Verified
Burien, WA 98166  (Online Only)
I specialize in depression, anxiety, transitions & relationship issues.
Are you feeling stuck where you are currently? Often, how we present to the world is driven by how we learned to survive in it. At our core, we seek to feel seen, heard, loved, and valued. However, our own beliefs that we are unworthy or undeserving of these basic desires lead us to feel anxious or depressed, lonely, disconnected, misunderstood or overwhelmed. Such beliefs about ourselves are built on years of messaging that tell us who we "should" be and bring us further away from who we are at our core. By exploring these beliefs, we can work together to heal and to bring you closer to your truest, most authentic self.
I specialize in depression, anxiety, transitions & relationship issues.
Are you feeling stuck where you are currently? Often, how we present to the world is driven by how we learned to survive in it. At our core, we seek to feel seen, heard, loved, and valued. However, our own beliefs that we are unworthy or undeserving of these basic desires lead us to feel anxious or depressed, lonely, disconnected, misunderstood or overwhelmed. Such beliefs about ourselves are built on years of messaging that tell us who we "should" be and bring us further away from who we are at our core. By exploring these beliefs, we can work together to heal and to bring you closer to your truest, most authentic self.
(206) 203-1823 View (206) 203-1823
Photo of Onward & Upward Counseling Center, LLC, Licensed Professional Counselor in Orcas, WA
Onward & Upward Counseling Center, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Marysville, WA 98271  (Online Only)
I have a passion to help individuals who have experienced trauma of human trafficking victimization to help them heal through surviving & eventually thriving in a meaningful life they desire to maintain. I offer a safe space to heal & not be judged while building self worth & work through other areas of trauma endured & been exposed to. I am huge on recognizing a person's strengths & empowering others, which gets incorporated into my practice. This specific passion expands to other types of trauma, ADHD, families, couples, anxiety, depression, etc. I enjoy helping those who have been misunderstood & offer emotional validation.
I have a passion to help individuals who have experienced trauma of human trafficking victimization to help them heal through surviving & eventually thriving in a meaningful life they desire to maintain. I offer a safe space to heal & not be judged while building self worth & work through other areas of trauma endured & been exposed to. I am huge on recognizing a person's strengths & empowering others, which gets incorporated into my practice. This specific passion expands to other types of trauma, ADHD, families, couples, anxiety, depression, etc. I enjoy helping those who have been misunderstood & offer emotional validation.
(719) 496-8859 View (719) 496-8859
Photo of Christina H Rasmussen, Psychologist in Orcas, WA
Christina H Rasmussen
Psychologist, PhD
Verified Verified
University Place, WA 98466
I have been in private practice since 1994, providing services for children, adolescents, adults, families, and couples. As a Licensed Clinical Psychologist, I have learned to treat a variety of conditions including Depression, Anxiety, PTSD, Personality Disorders, marital problems, and other issues. I also provide a variety of assessment services including disability evaluations, psychological evaluations, custody evaluations, intelligence and academic achievement assessment, and personality assessments. I provide in person and telehealth options for treatment.
I have been in private practice since 1994, providing services for children, adolescents, adults, families, and couples. As a Licensed Clinical Psychologist, I have learned to treat a variety of conditions including Depression, Anxiety, PTSD, Personality Disorders, marital problems, and other issues. I also provide a variety of assessment services including disability evaluations, psychological evaluations, custody evaluations, intelligence and academic achievement assessment, and personality assessments. I provide in person and telehealth options for treatment.
(253) 906-1906 View (253) 906-1906
Photo of Jocelyn Savage, Clinical Social Work/Therapist in Orcas, WA
Jocelyn Savage
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98112
Do you feel anxious and overwhelmed? Are you exhausted from trying to hold things together? Do you often feel like you are on the outside looking in? I work with adults experiencing anxiety, overwhelm, and perfectionism. I also specialize in supporting women with ADHD to overcome barriers and connect with strengths. My goal as a therapist is to provide a supportive and non-judgmental space where you can show up authentically. I believe great therapy is based in building a trusting relationship and compassionate and effective care.
Do you feel anxious and overwhelmed? Are you exhausted from trying to hold things together? Do you often feel like you are on the outside looking in? I work with adults experiencing anxiety, overwhelm, and perfectionism. I also specialize in supporting women with ADHD to overcome barriers and connect with strengths. My goal as a therapist is to provide a supportive and non-judgmental space where you can show up authentically. I believe great therapy is based in building a trusting relationship and compassionate and effective care.
(206) 339-4971 View (206) 339-4971
Photo of MBV Therapy from Melissa, Licensed Professional Counselor in Orcas, WA
MBV Therapy from Melissa
Licensed Professional Counselor, MA, NCC, LMHC
Not Verified Not Verified
Mercer Island, WA 98040  (Online Only)
Stress/Anxiety: Specialized anxiety track to help you cope and provide you the tools for distress tolerance and emotional regulation.
Melissa helps her clients recover from various mental health issues, including depression, anxiety, addiction and alcoholism. Flexible schedule to work with you toward freedom.
Stress/Anxiety: Specialized anxiety track to help you cope and provide you the tools for distress tolerance and emotional regulation.
Melissa helps her clients recover from various mental health issues, including depression, anxiety, addiction and alcoholism. Flexible schedule to work with you toward freedom.
(206) 785-3018 View (206) 785-3018
Photo of Susan Grunert, Counselor in Orcas, WA
Susan Grunert
Counselor, PhD, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98101
I have over 28 years experience working with individuals, couples, and families experiencing: Work and family related stress; Child and adult attachment issues; Grief and loss issues; Anxiety; Emotional eating; Emotional spending; Loneliness; Addictions; Depression and other mood disorders; Parenting Problems; Toxic or abusive relationships; Childhood abuse issues; Life transitions; and Self-esteem issues.
Life is full of challenges and sometimes we just get stuck. Most of all, I want to help you feel better and enjoy life. My work with you is about finding a way to get unstuck and move forward. My goal is to help you work through challenges, find the meaning in life again, and ultimately, live life to its fullest! My approach is to connect with you in a way that allows you to freely discuss your challenges and struggles so that I can offer insight, suggestions, and resources that are uniquely helpful to you.
I have over 28 years experience working with individuals, couples, and families experiencing: Work and family related stress; Child and adult attachment issues; Grief and loss issues; Anxiety; Emotional eating; Emotional spending; Loneliness; Addictions; Depression and other mood disorders; Parenting Problems; Toxic or abusive relationships; Childhood abuse issues; Life transitions; and Self-esteem issues.
Life is full of challenges and sometimes we just get stuck. Most of all, I want to help you feel better and enjoy life. My work with you is about finding a way to get unstuck and move forward. My goal is to help you work through challenges, find the meaning in life again, and ultimately, live life to its fullest! My approach is to connect with you in a way that allows you to freely discuss your challenges and struggles so that I can offer insight, suggestions, and resources that are uniquely helpful to you.
(855) 849-3015 View (855) 849-3015
Photo of Michelle Furtado, Counselor in Orcas, WA
Michelle Furtado
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Issaquah, WA 98027
I have worked with a variety of client’s struggling from life transitions, relationship issues/divorce, codependency, perinatal adjustment/loss/infertility, self-esteem, shame, addiction, anxiety and depression.
Whether you are seeking therapy due to understanding a relationship, trying to manage a life transition or develop new coping skills, my work with clients focuses on helping you get to know yourself better so you are equip to navigate life’s challenges. Together we will focus on identifying your values and how to live those out.
I have worked with a variety of client’s struggling from life transitions, relationship issues/divorce, codependency, perinatal adjustment/loss/infertility, self-esteem, shame, addiction, anxiety and depression.
Whether you are seeking therapy due to understanding a relationship, trying to manage a life transition or develop new coping skills, my work with clients focuses on helping you get to know yourself better so you are equip to navigate life’s challenges. Together we will focus on identifying your values and how to live those out.
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Photo of LMINAL,LLC, Marriage & Family Therapist in Orcas, WA
LMINAL,LLC
Marriage & Family Therapist, LMFT
Verified Verified
Redmond, WA 98052  (Online Only)
Do you want to experience true intimacy and deeper connection in your relationships? Are you bothered by painful emotions, anger, anxiety, depression, or a sense of emptiness in your life? Or maybe you aren't suffering but would like to get more out of your life, sexual life, or relationships? We can help! We have two decades of experience helping people transcend emotional suffering and discover their true selves leading to happier people and more fulfilling relationships.
Do you want to experience true intimacy and deeper connection in your relationships? Are you bothered by painful emotions, anger, anxiety, depression, or a sense of emptiness in your life? Or maybe you aren't suffering but would like to get more out of your life, sexual life, or relationships? We can help! We have two decades of experience helping people transcend emotional suffering and discover their true selves leading to happier people and more fulfilling relationships.
(206) 895-3436 View (206) 895-3436
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.