Photo of Anthony M Kagochi, Counselor in Orting, WA
Anthony M Kagochi
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Orting, WA 98360
Waitlist for new clients
I welcome all people young and older; I have extensive experience working with individuals and families who are struggling with addiction issues, relationship/marital issues, depression, anxiety, trauma and troubles in their career.
I welcome all people young and older; I have extensive experience working with individuals and families who are struggling with addiction issues, relationship/marital issues, depression, anxiety, trauma and troubles in their career.
(253) 259-2505 View (253) 259-2505

More Therapists Nearby

Photo of Nicole Grace DiBacco, Counselor in Orting, WA
Nicole Grace DiBacco
Counselor, MA, LMHC, R-DMT
Verified Verified
2 Endorsed
Graham, WA 98338
I offer individual therapy for adolescents and adults- specializing in anxiety, relationship issues, trauma, depression and life transitions.
We all struggle in life at one point or another. However, reaching out for support can take a lot of strength and courage. For this reason, I strive to provide a safe, accepting, non-judgmental environment where you can openly explore your struggles and receive the support and guidance you need. Many times our past experiences have left us with wounds that become aggravated, causing difficulites in our relationships and daily lives. Together, we will reflect upon your emotional states, core beliefs and sources of distress to gain deeper awareness and skills for positive change and healing in these areas.
I offer individual therapy for adolescents and adults- specializing in anxiety, relationship issues, trauma, depression and life transitions.
We all struggle in life at one point or another. However, reaching out for support can take a lot of strength and courage. For this reason, I strive to provide a safe, accepting, non-judgmental environment where you can openly explore your struggles and receive the support and guidance you need. Many times our past experiences have left us with wounds that become aggravated, causing difficulites in our relationships and daily lives. Together, we will reflect upon your emotional states, core beliefs and sources of distress to gain deeper awareness and skills for positive change and healing in these areas.
(206) 965-9121 View (206) 965-9121
Photo of Counseling Centers of West Michigan, Clinical Social Work/Therapist in Orting, WA
Counseling Centers of West Michigan
Clinical Social Work/Therapist, LICSW, CCM
Verified Verified
Bonney Lake, WA 98391  (Online Only)
Are you ready to make changes, but not sure where to begin? Have you felt limited by your anxiety &/or other negative emotion but want a better life? Have you tried therapy before, but it just didn't seem to make a difference or you're ready to do more work? If you answered yes to any of these, I can help! I'm a solution focused therapist meaning I help you problem-solve to tackle the issues that are bothering you. We work together on building awareness of how your thinking keeps you in unhelpful patterns. Your goals set the stage for what we work on each session and I teach you skills to manage your emotions.
Are you ready to make changes, but not sure where to begin? Have you felt limited by your anxiety &/or other negative emotion but want a better life? Have you tried therapy before, but it just didn't seem to make a difference or you're ready to do more work? If you answered yes to any of these, I can help! I'm a solution focused therapist meaning I help you problem-solve to tackle the issues that are bothering you. We work together on building awareness of how your thinking keeps you in unhelpful patterns. Your goals set the stage for what we work on each session and I teach you skills to manage your emotions.
(616) 326-3458 View (616) 326-3458
Photo of Dawn Resvick, Clinical Social Work/Therapist in Orting, WA
Dawn Resvick
Clinical Social Work/Therapist, MSW, LICSW, ACHt
Verified Verified
Spanaway, WA 98387
** I am currently taking new Video clients from anywhere in Washington!!*** I believe that good therapy is a journey that I accompany my clients on. I feel that each person is unique and the course of therapy is tailored to their needs and comfort level. My ideal client wants something different, better or more in their life and they are ready to work for it. I use both traditional therapeutic styles and hypnotherapy to help my clients find the change they are looking for. I am honored to work with my clients on depression, anxiety, stress, medical noncompliance, health issues, abuse, anger, trauma and other life issues.
** I am currently taking new Video clients from anywhere in Washington!!*** I believe that good therapy is a journey that I accompany my clients on. I feel that each person is unique and the course of therapy is tailored to their needs and comfort level. My ideal client wants something different, better or more in their life and they are ready to work for it. I use both traditional therapeutic styles and hypnotherapy to help my clients find the change they are looking for. I am honored to work with my clients on depression, anxiety, stress, medical noncompliance, health issues, abuse, anger, trauma and other life issues.
(253) 271-4967 View (253) 271-4967
Photo of Professional Psychology, Marriage & Family Therapist in Orting, WA
Professional Psychology
Marriage & Family Therapist, MFT, MA
Verified Verified
Graham, WA 98338
30+ Years Private Practice. Direct Line Call: (206) 809 0226 Licensed Therapist: Offering Online Psychotherapy in all 50 states (USA), Archetypal Psychology, Depth Psychology, Gestalt and Family Systems. Life coaching, Mentoring. Treating: Midlife Crisis, Grief Work, Anxiety, Depression, Incest/Molest, PTSD, Masculine Psychology, Addictions, Identity, Sexual problems, Child/Teen, Separation/Divorce, Hospice Work. Student of Comparative Religion including the Eastern Philosophies of India: Meditation Teacher, Spiritual Development, Advanced levels of realization. 30+ years in private practice. Video Conferencing all 50 States.
30+ Years Private Practice. Direct Line Call: (206) 809 0226 Licensed Therapist: Offering Online Psychotherapy in all 50 states (USA), Archetypal Psychology, Depth Psychology, Gestalt and Family Systems. Life coaching, Mentoring. Treating: Midlife Crisis, Grief Work, Anxiety, Depression, Incest/Molest, PTSD, Masculine Psychology, Addictions, Identity, Sexual problems, Child/Teen, Separation/Divorce, Hospice Work. Student of Comparative Religion including the Eastern Philosophies of India: Meditation Teacher, Spiritual Development, Advanced levels of realization. 30+ years in private practice. Video Conferencing all 50 States.
(360) 564-6573 View (360) 564-6573
Photo of Amy M Plumb, Counselor in Orting, WA
Amy M Plumb
Counselor, MA, LMHC, SUDP, CPC, CWP
Verified Verified
1 Endorsed
Puyallup, WA 98371  (Online Only)
Talk therapy is great, but what many of the people I work with have missed in past therapy experiences is how to implement what they have learned about themselves into their real life. Self-regulation is key and after establishing a solid foundation using skills training for increasing distress tolerance and emotion regulation, I work with people to get at the root of the problems they are experiencing by using EMDR therapy and other interventions that address the core stuff, which is often the stuff that has kept us stuck in patterns that hurt. From there, we can work on improving your relationships and personal development.
Talk therapy is great, but what many of the people I work with have missed in past therapy experiences is how to implement what they have learned about themselves into their real life. Self-regulation is key and after establishing a solid foundation using skills training for increasing distress tolerance and emotion regulation, I work with people to get at the root of the problems they are experiencing by using EMDR therapy and other interventions that address the core stuff, which is often the stuff that has kept us stuck in patterns that hurt. From there, we can work on improving your relationships and personal development.
(206) 734-3718 View (206) 734-3718
Photo of Bryght Coaching & Counseling Services, Counselor in Orting, WA
Bryght Coaching & Counseling Services
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Puyallup, WA 98373
I work with individuals, couples & groups as a psychotherapist, business coach, and energy intuitive since 1995. My work tends to the deep needs of the soul and addresses the most basic ego scripts so that you can shift cellular memories, rediscover your true voice, reconnect with your healthiest sense of self and remember your deepest callings--and then find the freedom to seek and find your best and highest self. I facilitate both Family Constellations and Organizational (business) Constellations on-line and in workshops that open you to engage with your deepest creativity and free you from repeating negative patterns.
I work with individuals, couples & groups as a psychotherapist, business coach, and energy intuitive since 1995. My work tends to the deep needs of the soul and addresses the most basic ego scripts so that you can shift cellular memories, rediscover your true voice, reconnect with your healthiest sense of self and remember your deepest callings--and then find the freedom to seek and find your best and highest self. I facilitate both Family Constellations and Organizational (business) Constellations on-line and in workshops that open you to engage with your deepest creativity and free you from repeating negative patterns.
(253) 200-6709 View (253) 200-6709

Online Therapists

Photo of Amanda Presho, Clinical Social Work/Therapist in Orting, WA
Amanda Presho
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Seattle, WA 98125  (Online Only)
Welcome! I am a Licensed Independent Clinical Social Worker (LICSW). I want to be able to help support you through life's journey. I fully understand how overwhelming feelings of depression, anxiety or trauma can be. Plainly put, sometimes life can be challenging and we may need help figuring out what to do next or help with processing some big emotions. I'm here to help! We will work together to identify your individual goals and strengths to equip you with the tools you will need to accomplish those goals. No matter what the challenge is, I am confident we can work through it together!
Welcome! I am a Licensed Independent Clinical Social Worker (LICSW). I want to be able to help support you through life's journey. I fully understand how overwhelming feelings of depression, anxiety or trauma can be. Plainly put, sometimes life can be challenging and we may need help figuring out what to do next or help with processing some big emotions. I'm here to help! We will work together to identify your individual goals and strengths to equip you with the tools you will need to accomplish those goals. No matter what the challenge is, I am confident we can work through it together!
(509) 316-2431 View (509) 316-2431
Photo of Justine Joslyn in Orting, WA
Justine Joslyn
MA
Verified Verified
Bainbridge Island, WA 98110  (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 Alisa Popova, Counselor in Orting, WA
Alisa Popova
Counselor, MA, LMHCA, LMT, RYT
Verified Verified
1 Endorsed
Seattle, WA 98103
Do you struggle with overwhelming emotions, a noisy chaotic mind, or feel disconnected from your self and your purpose? Let's work together. The current world we live in can often feel overwhelming, and can make us feel stuck, anxious, or low energy. I work with trauma, anxiety, grief, self-esteem and self-expression, among others. Together we can work to metabolize traumatic experiences and emotions, expand your toolbox of helpful coping strategies, heal and deepen your relationship with your self and others, and help you live in a state of grounded peace and self-empowerment no matter what challenges arise.
Do you struggle with overwhelming emotions, a noisy chaotic mind, or feel disconnected from your self and your purpose? Let's work together. The current world we live in can often feel overwhelming, and can make us feel stuck, anxious, or low energy. I work with trauma, anxiety, grief, self-esteem and self-expression, among others. Together we can work to metabolize traumatic experiences and emotions, expand your toolbox of helpful coping strategies, heal and deepen your relationship with your self and others, and help you live in a state of grounded peace and self-empowerment no matter what challenges arise.
(206) 944-3326 View (206) 944-3326
Photo of Dr. Sean Patrick Hatt, Psychologist in Orting, WA
Dr. Sean Patrick Hatt
Psychologist, PhD
Verified Verified
Seattle, WA 98102
I have particular interests in men's issues, depression, anxiety, relational challenges, and facing serious illness.
Our work will be informed by the leading edge of neuroscience, scientifically supported, positive psychological interventions, and the 2,500 year-old Buddhist practice of mindfulness--which has garnered volumes of recent scientific attention for its efficacy as a therapeutic tool. Lastly, I am trained and certified by the founder of CIMBS or Complex Integration of Multiple Brain Systems, Terry Sheldon, M.D. CIMBS is a groundbreaking integrative mind-body psychotherapy.
I have particular interests in men's issues, depression, anxiety, relational challenges, and facing serious illness.
Our work will be informed by the leading edge of neuroscience, scientifically supported, positive psychological interventions, and the 2,500 year-old Buddhist practice of mindfulness--which has garnered volumes of recent scientific attention for its efficacy as a therapeutic tool. Lastly, I am trained and certified by the founder of CIMBS or Complex Integration of Multiple Brain Systems, Terry Sheldon, M.D. CIMBS is a groundbreaking integrative mind-body psychotherapy.
(206) 745-0623 View (206) 745-0623
Photo of Alexandra (Ali) Joy Sideroff, Marriage & Family Therapist in Orting, WA
Alexandra (Ali) Joy Sideroff
Marriage & Family Therapist, MA, LMFT, LMHC
Verified Verified
6 Endorsed
Seattle, WA 98112
Support for depression, anxiety, trauma and relationship struggles with mindfulness. Clear obstacles that obstruct authenticity and peace. We may work through past traumas that shape your experience or examine present issues from a solution-focused perspective to develop tools with application to daily life. I apply a holistic model that recognizes multiple facets of your experience. This may include physical, emotional, mental, psychosocial and spiritual. Expertise in LGBTQQI+ communities as well as straight clientele. In-person Seattle, virtual anywhere in California and Washington.
Support for depression, anxiety, trauma and relationship struggles with mindfulness. Clear obstacles that obstruct authenticity and peace. We may work through past traumas that shape your experience or examine present issues from a solution-focused perspective to develop tools with application to daily life. I apply a holistic model that recognizes multiple facets of your experience. This may include physical, emotional, mental, psychosocial and spiritual. Expertise in LGBTQQI+ communities as well as straight clientele. In-person Seattle, virtual anywhere in California and Washington.
(415) 799-8168 View (415) 799-8168
Photo of Doug Blessington, Counselor in Orting, WA
Doug Blessington
Counselor, MS, LMHC
Verified Verified
Everett, WA 98201  (Online Only)
Are you heartbroken? Anxious? Angry? All of the above and more? You are welcome here. You may have a relationship that is falling apart or make the same bad decisions again and again. You may be overwhelmed by an overly critical mind that says you are undeserving, less than, or too much. Perhaps you take care of others and forget to take care of yourself. You long for companionship and have a deep desire to matter, to belong, and to be respected.
Are you heartbroken? Anxious? Angry? All of the above and more? You are welcome here. You may have a relationship that is falling apart or make the same bad decisions again and again. You may be overwhelmed by an overly critical mind that says you are undeserving, less than, or too much. Perhaps you take care of others and forget to take care of yourself. You long for companionship and have a deep desire to matter, to belong, and to be respected.
(360) 401-8811 View (360) 401-8811
Photo of Kevin Patrick Maloy, Counselor in Orting, WA
Kevin Patrick Maloy
Counselor, MA, LMHC, ACS
Verified Verified
1 Endorsed
Shoreline, WA 98133
Waitlist for new clients
I have experience working with everything from situational depression and anxiety to alcoholism/addiction, to more severe cases of chronic mental illness. I work as a collaborator with clients seeking to become their best possible selves in the midst of the various setbacks and stressors that modern life confronts us with. I am here to be a compassionate witness to your growth and transformation, to assist you with getting on course to being the best person that you are capable of becoming.
I have experience working with everything from situational depression and anxiety to alcoholism/addiction, to more severe cases of chronic mental illness. I work as a collaborator with clients seeking to become their best possible selves in the midst of the various setbacks and stressors that modern life confronts us with. I am here to be a compassionate witness to your growth and transformation, to assist you with getting on course to being the best person that you are capable of becoming.
(206) 237-6661 View (206) 237-6661
Photo of Dave Walker, Psychologist in Orting, WA
Dave Walker
Psychologist, PhD
Verified Verified
10 Endorsed
Indianola, WA 98342  (Online Only)
For over 35 years, I've helped individuals struggling with trauma, grief, stress, anxiety, depression, and relationships.
I currently have several virtual openings. We live in difficult times, and you deserve to be understood and helped no matter how painful your challenges. I refuse to believe you're 'mentally ill' and won't stigmatize you with labels, jargon, and pills. We'll be allies in our work together, and our project is you. Whether you're seeking psychotherapy, counseling, or coaching, we'll work intensely and collaboratively to promote positive change, restore balance, and promote resilience in facing life's challenges. The first step must be yours, and that's to call or email me so we can discuss what you're dealing with.
For over 35 years, I've helped individuals struggling with trauma, grief, stress, anxiety, depression, and relationships.
I currently have several virtual openings. We live in difficult times, and you deserve to be understood and helped no matter how painful your challenges. I refuse to believe you're 'mentally ill' and won't stigmatize you with labels, jargon, and pills. We'll be allies in our work together, and our project is you. Whether you're seeking psychotherapy, counseling, or coaching, we'll work intensely and collaboratively to promote positive change, restore balance, and promote resilience in facing life's challenges. The first step must be yours, and that's to call or email me so we can discuss what you're dealing with.
(509) 774-3616 View (509) 774-3616
Photo of Laura Lee, Counselor in Orting, WA
Laura Lee
Counselor, LMHC, FAMI
Verified Verified
1 Endorsed
Port Hadlock, WA 98339
I also practiced for many years as a therapist in public and private mental health settings; working with trauma issues, anxiety, depression, mood disorders and other issues.
There are moments in our lives when we know we're done; done with a job, a relationship, a belief system, a way of life. At these moments, there is a choice to be made - retreat and play it safe, or move forward into a new way of being? I am a woman who has chosen to be an "Edge Walker," an "Artist/Healer;" giving full expression to the "Wild Gypsy Woman" within me. If you are at a "done" moment in your life, and feel ready to break free of the chains that bind you, call me.
I also practiced for many years as a therapist in public and private mental health settings; working with trauma issues, anxiety, depression, mood disorders and other issues.
There are moments in our lives when we know we're done; done with a job, a relationship, a belief system, a way of life. At these moments, there is a choice to be made - retreat and play it safe, or move forward into a new way of being? I am a woman who has chosen to be an "Edge Walker," an "Artist/Healer;" giving full expression to the "Wild Gypsy Woman" within me. If you are at a "done" moment in your life, and feel ready to break free of the chains that bind you, call me.
(360) 310-4089 View (360) 310-4089
Photo of Natures Renewal Counseling, Counselor in Orting, WA
Natures Renewal Counseling
Counselor, LMHC
Verified Verified
Snohomish, WA 98290
In all stages of life, we undergo changes, transitions can be difficult. Lauralie can assist in smoothing out the anxieties or depression from loss with these changes. Working through grief, loss, divorce, or maturing through the stages of life you can find renewal of self. The anxiety is a fear of an unknown future, one can feel the fear and go forward as therapy will guide you through the uncertainty with your strengths and empowerment. Life was not meant to be a struggle with chronic pain, don't let pain stop your activities and pursuits.
In all stages of life, we undergo changes, transitions can be difficult. Lauralie can assist in smoothing out the anxieties or depression from loss with these changes. Working through grief, loss, divorce, or maturing through the stages of life you can find renewal of self. The anxiety is a fear of an unknown future, one can feel the fear and go forward as therapy will guide you through the uncertainty with your strengths and empowerment. Life was not meant to be a struggle with chronic pain, don't let pain stop your activities and pursuits.
(425) 437-3266 View (425) 437-3266
Photo of Carolyn Jeffress Johnston MA-Jungian Psychoanalyst, Marriage & Family Therapist in Orting, WA
Carolyn Jeffress Johnston MA-Jungian Psychoanalyst
Marriage & Family Therapist, MA, LMFT
Verified Verified
Port Angeles, WA 98362
My approach as a Jungian analyst/psychotherapist is to facilitate foremost a trusting relationship offering a safe healing environment with my office in my home facing the Olympic National Park. Carl Jung stated: " It is the privilege of a lifetime to become who you truly are." Most people come to therapy seeking relief from depression, anxiety, life transitions, grief, and relationship/family concerns. The clinical process is to identify your unique ways of coping and healing through these life concerns/traumas that occur for most of us at some point. My primary focus is Psychoanalysis/ Psychodynamic and Family Systems therapy.
My approach as a Jungian analyst/psychotherapist is to facilitate foremost a trusting relationship offering a safe healing environment with my office in my home facing the Olympic National Park. Carl Jung stated: " It is the privilege of a lifetime to become who you truly are." Most people come to therapy seeking relief from depression, anxiety, life transitions, grief, and relationship/family concerns. The clinical process is to identify your unique ways of coping and healing through these life concerns/traumas that occur for most of us at some point. My primary focus is Psychoanalysis/ Psychodynamic and Family Systems therapy.
(360) 362-8514 View (360) 362-8514
Photo of Renee Jackman, Counselor in Orting, WA
Renee Jackman
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98105
My practice is rooted in the idea that symptoms such as anxiety, disruption, or discontent can guide us in life if we step beyond formulas and certainties, toward a more curious and imaginative mode of being. By artfully seeking to understand emotional suffering, and through deepening relational connection, we can arrive at relief and healing. Uncovering and accommodating what has been previously outside of awareness releases meaning and allows for greater freedom of thought, self-expression, and wholeness.
My practice is rooted in the idea that symptoms such as anxiety, disruption, or discontent can guide us in life if we step beyond formulas and certainties, toward a more curious and imaginative mode of being. By artfully seeking to understand emotional suffering, and through deepening relational connection, we can arrive at relief and healing. Uncovering and accommodating what has been previously outside of awareness releases meaning and allows for greater freedom of thought, self-expression, and wholeness.
(206) 279-7539 View (206) 279-7539
Photo of Zoe Waggoner, Mental Health Counselor in Orting, WA
Zoe Waggoner
Mental Health Counselor, MA, LMHC
Verified Verified
6 Endorsed
Olympia, WA 98501
My focus is to help my clients acquire and use 'tools' to help them cope more effectively with anxiety and depression, deep grief, aging, pre-peri-natal and birth traumas, soul loss/soul retrieval, and life transitions.
Are you feeling stuck, confused...and don’t know how to move forward? I now offer A.R.T. or Accelerated Resolution Therapy, and Brainspotting in addition to Clinical Hypnotherapy and Past Life Regression. All are truly unique ways of healing and finding relief. Clients are reporting less anxiety, less repetitive thinking, and more calm. More ability to self-regulate and move forward in relationships, work and life.
My focus is to help my clients acquire and use 'tools' to help them cope more effectively with anxiety and depression, deep grief, aging, pre-peri-natal and birth traumas, soul loss/soul retrieval, and life transitions.
Are you feeling stuck, confused...and don’t know how to move forward? I now offer A.R.T. or Accelerated Resolution Therapy, and Brainspotting in addition to Clinical Hypnotherapy and Past Life Regression. All are truly unique ways of healing and finding relief. Clients are reporting less anxiety, less repetitive thinking, and more calm. More ability to self-regulate and move forward in relationships, work and life.
(360) 358-2961 View (360) 358-2961

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.