Therapists in Puyallup, WA
Shannan J Ross
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Puyallup, WA 98374 (Online Only)
Have you been overwhelmed, anxious or depressed by life issues during the last two years, or maybe even longer? Have you encountered events in your life that have caused crisis and loss of what to do? Are you going through a divorce and unsure how to navigate the process of being a single parent? Are you experiencing challenges in parenting a child with ADD/ADHD? Are you encountering challenges in parenting a teen? Are you experiencing grief/loss due to loss of a relationship or death of a loved one? Are you experiencing chronic health issues that have left you feeling depressed, anxious, overwhelmed? Are you a first responder?
Have you been overwhelmed, anxious or depressed by life issues during the last two years, or maybe even longer? Have you encountered events in your life that have caused crisis and loss of what to do? Are you going through a divorce and unsure how to navigate the process of being a single parent? Are you experiencing challenges in parenting a child with ADD/ADHD? Are you encountering challenges in parenting a teen? Are you experiencing grief/loss due to loss of a relationship or death of a loved one? Are you experiencing chronic health issues that have left you feeling depressed, anxious, overwhelmed? Are you a first responder?
Shandra Sullivan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Puyallup, WA 98372 (Online Only)
Waitlist for new clients
You find yourself completely overwhelmed, constantly trying to expect what comes next. Stuck, frustrated, or unsure, you know you need support, but don’t know where to go. Maybe you are feeling deep sadness, alone, and lost. Or you look at yourself and say how did I get here? Whatever the starting point, there is a way forward. Today’s fast paced world leaves many feeling alone, and not ready to cope with what comes next. I would be honored to work with you to find your personal goals, and the freedom you seek. Let’s find a way forward together with respect, empathy, and no judgement.Please contact me with any questions you have, or
You find yourself completely overwhelmed, constantly trying to expect what comes next. Stuck, frustrated, or unsure, you know you need support, but don’t know where to go. Maybe you are feeling deep sadness, alone, and lost. Or you look at yourself and say how did I get here? Whatever the starting point, there is a way forward. Today’s fast paced world leaves many feeling alone, and not ready to cope with what comes next. I would be honored to work with you to find your personal goals, and the freedom you seek. Let’s find a way forward together with respect, empathy, and no judgement.Please contact me with any questions you have, or
More Therapists Nearby
Ash Martinez
Clinical Social Work/Therapist, LSWAIC, PMH-C
Verified Verified
Spanaway, WA 98387 (Online Only)
I specialize in treating Perinatal Mood and Anxiety Disorders, Complex PTSD, OCD, and individuals experiencing Substance Use Disorder.
The perinatal and postpartum period is a time of transition and I aim to walk alongside individuals during this time in a supportive and encouraging way. I will honor and respect a client's diversity and I am inclusive in my practice to all who are seeking assistance. I am Mexican American, anti-racist, and an LGBTQ+ advocate. I am also a mother, wife, adventurer and reader.
I specialize in treating Perinatal Mood and Anxiety Disorders, Complex PTSD, OCD, and individuals experiencing Substance Use Disorder.
The perinatal and postpartum period is a time of transition and I aim to walk alongside individuals during this time in a supportive and encouraging way. I will honor and respect a client's diversity and I am inclusive in my practice to all who are seeking assistance. I am Mexican American, anti-racist, and an LGBTQ+ advocate. I am also a mother, wife, adventurer and reader.
Apryl Carlington
Counselor, MA, LMHC, MHP, CMHP
Verified Verified
Tacoma, WA 98401
To list a few; school based triage, family support of DCYF involvement, adoption/guardian support, family reunification and preservation, crisis and law enforcement, LGBTQ support, depression/anxiety and other concerns of personal, emotional and behavioral health.
The therapeutic relationship should empower an individual to regain ownership of their life, shifting negative self-talk and other impacts of trauma; allowing for holistic healing and growth. It is my hope to actively walk alongside my client as they work to create their peace; ultimately gaining an improvement in positive self-awareness and optimism, with a side of lasting security and emotional health.
To list a few; school based triage, family support of DCYF involvement, adoption/guardian support, family reunification and preservation, crisis and law enforcement, LGBTQ support, depression/anxiety and other concerns of personal, emotional and behavioral health.
The therapeutic relationship should empower an individual to regain ownership of their life, shifting negative self-talk and other impacts of trauma; allowing for holistic healing and growth. It is my hope to actively walk alongside my client as they work to create their peace; ultimately gaining an improvement in positive self-awareness and optimism, with a side of lasting security and emotional health.
Kiana Gobin
Clinical Social Work/Therapist, LICSWA, MSW
Verified Verified
Tacoma, WA 98402
Actively seeking help is a huge step forward in your journey of healing and self empowerment. Dealing with everyday life stressors can be overwhelming, but dealing with disorders like anxiety or depression can make you feel even more defeated and hopeless. Working in a partnership with a mental health professional; like myself, can help provide you with the right support and tools needed to conquer your healing journey. so, take a moment and celebrate yourself for taking this life changing step forward.
Actively seeking help is a huge step forward in your journey of healing and self empowerment. Dealing with everyday life stressors can be overwhelming, but dealing with disorders like anxiety or depression can make you feel even more defeated and hopeless. Working in a partnership with a mental health professional; like myself, can help provide you with the right support and tools needed to conquer your healing journey. so, take a moment and celebrate yourself for taking this life changing step forward.
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
April R Inman
Counselor, MA, LMHC, NCC
Verified Verified
3 Endorsed
Tacoma, WA 98401 (Online Only)
+Openings Available+ Sometimes our internal thoughts are not our own voice. Societal pressures, family teachings, and negative past experiences, can all cause negative thought patterns that can make you feel like you are lost in your own life. Through mindfulness practices and cognitive behavioral work (CBT), therapy can give you your voice back. I offer easy to use Telehealth counseling services through secure video calls. This makes therapy very accessible for the average human who is doing a million things a day. Make one of those things something for yourself by booking a therapy appointment today.
+Openings Available+ Sometimes our internal thoughts are not our own voice. Societal pressures, family teachings, and negative past experiences, can all cause negative thought patterns that can make you feel like you are lost in your own life. Through mindfulness practices and cognitive behavioral work (CBT), therapy can give you your voice back. I offer easy to use Telehealth counseling services through secure video calls. This makes therapy very accessible for the average human who is doing a million things a day. Make one of those things something for yourself by booking a therapy appointment today.
Quiana S Roberts
Counselor, LMHC, NCC, MHP
Verified Verified
1 Endorsed
Tacoma, WA 98402 (Online Only)
Waitlist for new clients
Do you strive to be the best, the best partner, the best parent, the best friend, the best at work, but you always feel like you fall short. Will life always be like this? Chaotic. Exhausting. Endless to-do lists. Despite your best efforts, there never seems to be enough time in the day. After caring for so many others in your life, you struggle to care for yourself. You're constantly running on empty. In the past, you've tried to make changes on your own, but nothing seems to work. You're stuck and not sure what to do next. You do not have to do this alone. I would love to help you on your journey to a healthier you!
Do you strive to be the best, the best partner, the best parent, the best friend, the best at work, but you always feel like you fall short. Will life always be like this? Chaotic. Exhausting. Endless to-do lists. Despite your best efforts, there never seems to be enough time in the day. After caring for so many others in your life, you struggle to care for yourself. You're constantly running on empty. In the past, you've tried to make changes on your own, but nothing seems to work. You're stuck and not sure what to do next. You do not have to do this alone. I would love to help you on your journey to a healthier you!
Online Therapists
Cassie A Konnoly
Counselor, LMHC, MS, CMHS, CCATP, LGBTQIA
Verified Verified
1 Endorsed
Lacey, WA 98516
I work with Anxious & Depressed people, People suffering from past trauma, struggling parents and a little bit in-between. Visit our website to explore other counseling options. My practice is here to help you overcome challenges and get you back to living life. Counseling is offered face to face or online (teletherapy) video. I understand that the thought of finding a counselor you trust & feel comfortable with is difficult. Will you join me in helping you achieve your goals?
I work with Anxious & Depressed people, People suffering from past trauma, struggling parents and a little bit in-between. Visit our website to explore other counseling options. My practice is here to help you overcome challenges and get you back to living life. Counseling is offered face to face or online (teletherapy) video. I understand that the thought of finding a counselor you trust & feel comfortable with is difficult. Will you join me in helping you achieve your goals?
Minhee J Cho
Marriage & Family Therapist, LMFT, M, Ed, MS
Verified Verified
Seattle, WA 98103
I work with children/teens and individuals who are struggling with anxiety, depression, and self-esteem.
I am a licensed Marriage and Family Therapist and work with children/teens, individuals, couples, and families. Many are in pain or feel helpless from their struggles: A child/teen shows anxiety; an adult has difficulty in social relationships, or couples/families experience discord in conflict. My passion is to come alongside and help children/teens, couples, and their families with a systemic and holistic approach while they go through life challenges so they can thrive in their lives. 부부 및 가족관계 치료사, 아동 및 청소년 상담치료사로 이민사회에서 불안, 우울증, 관계불화로 갈등하는 분들을 돕고 있습니다. '불안한 아이 및 청소년'을 돕는 상담치료법과 '정서중심적 부부치료' 방법으로 상담치료를 합니다.
I work with children/teens and individuals who are struggling with anxiety, depression, and self-esteem.
I am a licensed Marriage and Family Therapist and work with children/teens, individuals, couples, and families. Many are in pain or feel helpless from their struggles: A child/teen shows anxiety; an adult has difficulty in social relationships, or couples/families experience discord in conflict. My passion is to come alongside and help children/teens, couples, and their families with a systemic and holistic approach while they go through life challenges so they can thrive in their lives. 부부 및 가족관계 치료사, 아동 및 청소년 상담치료사로 이민사회에서 불안, 우울증, 관계불화로 갈등하는 분들을 돕고 있습니다. '불안한 아이 및 청소년'을 돕는 상담치료법과 '정서중심적 부부치료' 방법으로 상담치료를 합니다.
Jenny Gerow -Golden Embers Therapy
Counselor, LMHCA
Verified Verified
4 Endorsed
Seattle, WA 98103
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?
Nadya Kosanovskaya
Marriage & Family Therapist, MA LMFT, SUDP, CMHS
Verified Verified
4 Endorsed
Bellevue, WA 98008
I specialize in skills-building, trauma, life transitions, re-adjustments, anxiety, depression and stress mgnt.
I am a Master’s level Licensed Marriage and Family Therapy (LMFT) and co-occurring disorders therapist, who is trained in Family Systems and Substance Use/Dependency (SUDP) with the background in Human Biochemistry. I practice with a Holistic view and will focus on your overall well-being and not only emotional and mental health. My specialties are anxiety, depression, low self-esteem, insecurities and stress management. I support my clients and families on a level that is approachable, sensitive & humane, working with employees from; Google, Microsoft, FaceBook, AMZ, Boeing, Starbucks + others. Video sessions or in person meetings.
I specialize in skills-building, trauma, life transitions, re-adjustments, anxiety, depression and stress mgnt.
I am a Master’s level Licensed Marriage and Family Therapy (LMFT) and co-occurring disorders therapist, who is trained in Family Systems and Substance Use/Dependency (SUDP) with the background in Human Biochemistry. I practice with a Holistic view and will focus on your overall well-being and not only emotional and mental health. My specialties are anxiety, depression, low self-esteem, insecurities and stress management. I support my clients and families on a level that is approachable, sensitive & humane, working with employees from; Google, Microsoft, FaceBook, AMZ, Boeing, Starbucks + others. Video sessions or in person meetings.
Calm Counseling, LLC - Renee Calm
Marriage & Family Therapist, MS, LMFT, Sup
Verified Verified
3 Endorsed
Shoreline, WA 98155
I work with individuals dealing with mood, anxiety, relationships or are contemplating the transitional college/career stage.
My training is in systems therapy, which examines the many facets of our lives interact. In therapy, we often look at how surrounding relationships and past experiences effect our current beliefs and values. If emotions and mood are difficult to manage, or there is difficulty adjusting to developmental and life stage changes, I offer support and tools to work through this. These challenges often arise for young adults, new mothers, managing intimate relationships and employment transitions. Too often, grief and loss bring up painful struggles for individuals and families. Therapy can be helpful in these most challenging times.
I work with individuals dealing with mood, anxiety, relationships or are contemplating the transitional college/career stage.
My training is in systems therapy, which examines the many facets of our lives interact. In therapy, we often look at how surrounding relationships and past experiences effect our current beliefs and values. If emotions and mood are difficult to manage, or there is difficulty adjusting to developmental and life stage changes, I offer support and tools to work through this. These challenges often arise for young adults, new mothers, managing intimate relationships and employment transitions. Too often, grief and loss bring up painful struggles for individuals and families. Therapy can be helpful in these most challenging times.
Catherine McMonigle
Marriage & Family Therapist, MS, LMFT
Verified Verified
Gig Harbor, WA 98335
I specialize in helping clients address a variety of issues such as the effects of childhood traumas, relationship distress, divorce, grief and loss, disordered eating patterns, family conflict, substance abuse, depression, anxiety, and life transitions.
My style of therapy is warm, accepting, and compassionate. After having trained extensively and been witness to countless stories of transformation, I can say with certainty that healing is absolutely possible. This is an invitation to break free from painful experiences, beliefs, and thought patterns that keep you from living the life you want, and leave you feeling hopeless or weary. I am guided by the belief that what you need to heal is already within you. Together, we will discover your internal source of strength and wisdom.
I specialize in helping clients address a variety of issues such as the effects of childhood traumas, relationship distress, divorce, grief and loss, disordered eating patterns, family conflict, substance abuse, depression, anxiety, and life transitions.
My style of therapy is warm, accepting, and compassionate. After having trained extensively and been witness to countless stories of transformation, I can say with certainty that healing is absolutely possible. This is an invitation to break free from painful experiences, beliefs, and thought patterns that keep you from living the life you want, and leave you feeling hopeless or weary. I am guided by the belief that what you need to heal is already within you. Together, we will discover your internal source of strength and wisdom.
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.
Therapy Lab Seattle
Psychologist, PhD
Verified Verified
Seattle, WA 98115 (Online Only)
Common goals include depression, anxiety, stress, relationship problems, insomnia, parenting, child anxiety, and self-esteem.
Therapy Lab offers individual teletherapy that's based on a plan. Visit our website (therapylab.com) to explore a menu of treatment plans based on common goals for therapy. With your input, we'll make a plan that's based on your goals, your timeline, and your budget. Our science-based plans are designed to support you in overcoming distress (anxiety, relationship problems, work stress) so you walk away with emotional health and insight. At your first session, your exceptionally qualified therapist will get to know you and pick or design a plan that’s customized to your situation.
Common goals include depression, anxiety, stress, relationship problems, insomnia, parenting, child anxiety, and self-esteem.
Therapy Lab offers individual teletherapy that's based on a plan. Visit our website (therapylab.com) to explore a menu of treatment plans based on common goals for therapy. With your input, we'll make a plan that's based on your goals, your timeline, and your budget. Our science-based plans are designed to support you in overcoming distress (anxiety, relationship problems, work stress) so you walk away with emotional health and insight. At your first session, your exceptionally qualified therapist will get to know you and pick or design a plan that’s customized to your situation.
Celeste Zavala-Nelson
Counselor, MA, LMHCA
Verified Verified
Mountlake Terrace, WA 98043 (Online Only)
No matter the reason a person seeks counseling, a listening ear and safe place to share can foster healing and allow progress toward wholeness. As your counselor, I hope to provide a space for you, free of judgement, where we address your concerns and help you work toward a fulfilled and free life. I work with a variety of different issues, including anxiety, depression, relationships, low self-esteem, grief, family systems, anger management and parenting concerns. I see women, men, adolescents, couples and families. My experience and education has given me knowledge on diverse approaches and orientations to use in counseling.
No matter the reason a person seeks counseling, a listening ear and safe place to share can foster healing and allow progress toward wholeness. As your counselor, I hope to provide a space for you, free of judgement, where we address your concerns and help you work toward a fulfilled and free life. I work with a variety of different issues, including anxiety, depression, relationships, low self-esteem, grief, family systems, anger management and parenting concerns. I see women, men, adolescents, couples and families. My experience and education has given me knowledge on diverse approaches and orientations to use in counseling.
Alicia B. Braman
Counselor, MS, LMHC, CN
Verified Verified
1 Endorsed
Seattle, WA 98136
I help people find the optimal version of themselves, one where they feel most aligned and grounded within their humanness. If you feel like you are wading in quicksand, I can help you build a foundation to stand on and grow from. I have experience supporting people through: Life Transitions (including new or complicated parenthood), Anxiety, Depression, Lifestyle Modifications, Grief (including prolonged grief), Chronic Pain, PTSD and C-PTSD (Complex PTSD), Recently diagnosed medical conditions, Somatic Challenges and Concerns, Navigating Complex Medical Issues (eg. BRCA 2+ positive) using a variety of therapeutic tools/models.
I help people find the optimal version of themselves, one where they feel most aligned and grounded within their humanness. If you feel like you are wading in quicksand, I can help you build a foundation to stand on and grow from. I have experience supporting people through: Life Transitions (including new or complicated parenthood), Anxiety, Depression, Lifestyle Modifications, Grief (including prolonged grief), Chronic Pain, PTSD and C-PTSD (Complex PTSD), Recently diagnosed medical conditions, Somatic Challenges and Concerns, Navigating Complex Medical Issues (eg. BRCA 2+ positive) using a variety of therapeutic tools/models.
Nancy Schub
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98115
I work with individuals/families experiencing depression, anxiety, life transitions, relationship conflicts, parenting challenges, trauma, grief, and adverse effects of childhood.
Many of us feel unprepared to deal with the stressors, transitions and difficulties that occur throughout our lives. I have many years of experience helping people traverse these issues and develop the tools to cope and to thrive in the face of these challenges. I will work with you to examine the underlying issues that have led you to therapy and support your efforts to make meaningful changes in your life. I offer a warm, safe and non-judgmental environment in which you can explore your thoughts and feelings, while helping you push toward a deeper understanding of the patterns driving your behaviors, choices and relationships.
I work with individuals/families experiencing depression, anxiety, life transitions, relationship conflicts, parenting challenges, trauma, grief, and adverse effects of childhood.
Many of us feel unprepared to deal with the stressors, transitions and difficulties that occur throughout our lives. I have many years of experience helping people traverse these issues and develop the tools to cope and to thrive in the face of these challenges. I will work with you to examine the underlying issues that have led you to therapy and support your efforts to make meaningful changes in your life. I offer a warm, safe and non-judgmental environment in which you can explore your thoughts and feelings, while helping you push toward a deeper understanding of the patterns driving your behaviors, choices and relationships.
Carolyn Akhtar
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Everett, WA 98208 (Online Only)
I am accepting new clients. There is no question life has its ups and downs. Sometimes we all just need a little extra support. I work with people from many walks of life dealing with many different situations. I treat adolescents, adults, couples and families with anxiety, depression, stress, grief, life changes, relationships, addiction, trauma and many other challenges.
I am accepting new clients. There is no question life has its ups and downs. Sometimes we all just need a little extra support. I work with people from many walks of life dealing with many different situations. I treat adolescents, adults, couples and families with anxiety, depression, stress, grief, life changes, relationships, addiction, trauma and many other challenges.
See more therapy options for Puyallup
Nearby Anxiety Therapists Searches for Puyallup
See More Anxiety TherapistsAnxiety 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.