Anxiety Therapists in City Heights West, San Diego, CA

Photo of Gauri Sanchez, Marriage & Family Therapist in City Heights West, San Diego, CA
Gauri Sanchez
Marriage & Family Therapist, LMFT
Verified Verified
City Heights West, San Diego, CA 92104
Hi, my name is Gauri Sanchez and I'm a License Marriage and Family Therapist. I'm passionate about supporting my clients through the journey of life, healing and transformation. I believe in collaboratively working with clients to enhance their self-understanding, self-love and self-empowerment. I am experienced with working with individuals experiencing depression, anxiety, life challenges/transitions, relationship problems, victims of crimes and grief.
Hi, my name is Gauri Sanchez and I'm a License Marriage and Family Therapist. I'm passionate about supporting my clients through the journey of life, healing and transformation. I believe in collaboratively working with clients to enhance their self-understanding, self-love and self-empowerment. I am experienced with working with individuals experiencing depression, anxiety, life challenges/transitions, relationship problems, victims of crimes and grief.
(619) 586-6551 View (619) 586-6551
Photo of Healmatic Group Practice, Clinical Social Work/Therapist in City Heights West, San Diego, CA
Healmatic Group Practice
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
City Heights West, San Diego, CA 92105
We support individuals in healing from identity trauma, code-switching, imposter syndrome-resulting in self doubt and anxiety, stress, and depressive lows, family/cultural pressures, community stressors, and intergenerational trauma.
Welcome! Healmatic Group Practice, led by Brittani Williams, LCSW, is an inclusive therapy space that fosters healing for individuals from diverse backgrounds. Healmatic’s approach is grounded in the acknowledgment of the profound connection between mind, body, and spirit, guided by a trauma-informed framework and a deep commitment to healing justice principles.
We support individuals in healing from identity trauma, code-switching, imposter syndrome-resulting in self doubt and anxiety, stress, and depressive lows, family/cultural pressures, community stressors, and intergenerational trauma.
Welcome! Healmatic Group Practice, led by Brittani Williams, LCSW, is an inclusive therapy space that fosters healing for individuals from diverse backgrounds. Healmatic’s approach is grounded in the acknowledgment of the profound connection between mind, body, and spirit, guided by a trauma-informed framework and a deep commitment to healing justice principles.
(619) 304-7142 View (619) 304-7142
Photo of Lamarre Edouard Jr, Counselor in City Heights West, San Diego, CA
Lamarre Edouard Jr
Counselor, MS, APCC
Verified Verified
City Heights West, San Diego, CA 92115
Welcome! My name is Lamarre and I’m an Associate Professional Clinical Counselor. I believe a therapist’s role is to walk alongside clients in their journeys towards self-discovery, growth, and change. I believe holistic healing occurs through collaboration, honesty, and commitment. I practice therapy from a multicultural and intersectional lens to provide individualized care for each client. I have experience with with children, adults, and couples struggling with challenges ranging from interpersonal conflicts, identity, family, mental health, self-esteem, depression, anxiety, and attachment.
Welcome! My name is Lamarre and I’m an Associate Professional Clinical Counselor. I believe a therapist’s role is to walk alongside clients in their journeys towards self-discovery, growth, and change. I believe holistic healing occurs through collaboration, honesty, and commitment. I practice therapy from a multicultural and intersectional lens to provide individualized care for each client. I have experience with with children, adults, and couples struggling with challenges ranging from interpersonal conflicts, identity, family, mental health, self-esteem, depression, anxiety, and attachment.
(619) 432-6273 View (619) 432-6273
Photo of Tania Zargari, Clinical Social Work/Therapist in City Heights West, San Diego, CA
Tania Zargari
Clinical Social Work/Therapist, LCSW
Verified Verified
City Heights West, San Diego, CA 92104
I am comfortable treating depression, anxiety, relationship issues, family or work issues.
Hello! My name is Tania Zargari, LCSW. In my practice, I like to offer a safe, warm, and judgement-free environment for my clients to feel comfortable to open up and be vulnerable. In the first few sessions of treatment, I like to identify the presenting issues and goals for therapy to make therapy organized and beneficial for my clients. My areas of expertise include Depression, Anxiety, Grief, Relationship issues, Borderline Personality Disorder, life transitions and etc. In treatment, I like to use Mindfulness, DBT, CBT, and Solution Focused therapy. I hope to make this a transformative and life-changing experience for you!
I am comfortable treating depression, anxiety, relationship issues, family or work issues.
Hello! My name is Tania Zargari, LCSW. In my practice, I like to offer a safe, warm, and judgement-free environment for my clients to feel comfortable to open up and be vulnerable. In the first few sessions of treatment, I like to identify the presenting issues and goals for therapy to make therapy organized and beneficial for my clients. My areas of expertise include Depression, Anxiety, Grief, Relationship issues, Borderline Personality Disorder, life transitions and etc. In treatment, I like to use Mindfulness, DBT, CBT, and Solution Focused therapy. I hope to make this a transformative and life-changing experience for you!
(619) 853-2447 View (619) 853-2447
Photo of George Calasa, Licensed Professional Clinical Counselor in City Heights West, San Diego, CA
George Calasa
Licensed Professional Clinical Counselor, LPCC
Verified Verified
City Heights West, San Diego, CA 92104  (Online Only)
George Calasa is a Licensed Professional Clinical Counselor (LPCC-CA), Licensed Clinical Professional Counselor (LCPC-NV), and National Certified Counselor (NCC-NBCC), specializing in Major Depressive Disorder, Anxiety/Panic Disorders, and dual diagnosis. George specializes in those suffering from mood disorders, anxiety/panic disorders, and dual diagnosis. This practice offers teletherapy so that clients can take part in whatever treatment suits them, from the comfort, safety, and privacy of their own home or office.
George Calasa is a Licensed Professional Clinical Counselor (LPCC-CA), Licensed Clinical Professional Counselor (LCPC-NV), and National Certified Counselor (NCC-NBCC), specializing in Major Depressive Disorder, Anxiety/Panic Disorders, and dual diagnosis. George specializes in those suffering from mood disorders, anxiety/panic disorders, and dual diagnosis. This practice offers teletherapy so that clients can take part in whatever treatment suits them, from the comfort, safety, and privacy of their own home or office.
(209) 626-8845 View (209) 626-8845
Photo of Olga Castillo, Psychologist in City Heights West, San Diego, CA
Olga Castillo
Psychologist, LCP
Verified Verified
City Heights West, San Diego, CA 92104
Hi, my name is Olga Gabriela Martinez. I received my education and training from Azusa Pacific University. I obtained a master's degree in Family Counseling and a Doctoral Degree in Clinical Psychology. I am fluent in Spanish and have worked extensively with many cultural backgrounds. My work includes working with individuals, couples, and families. My areas of expertise are depression, anxiety, and trauma-related struggles. I have a special interest in women's issues and have worked extensively with women and men of different backgrounds. I am a Christian and have a special interest in the integration of faith in my treatment.
Hi, my name is Olga Gabriela Martinez. I received my education and training from Azusa Pacific University. I obtained a master's degree in Family Counseling and a Doctoral Degree in Clinical Psychology. I am fluent in Spanish and have worked extensively with many cultural backgrounds. My work includes working with individuals, couples, and families. My areas of expertise are depression, anxiety, and trauma-related struggles. I have a special interest in women's issues and have worked extensively with women and men of different backgrounds. I am a Christian and have a special interest in the integration of faith in my treatment.
(323) 616-1431 View (323) 616-1431
Photo of Stephanie Doss, Clinical Social Work/Therapist in City Heights West, San Diego, CA
Stephanie Doss
Clinical Social Work/Therapist, LCSW
Verified Verified
City Heights West, San Diego, CA 92104
I have worked with clients in areas such as anxiety, depression, grief, loss, co-dependency, OCD, parenting, work issues, trauma, sexuality, and struggles related to religion/faith. I work with adults of all ages. I typically work with people struggling with anxiety, depression, and OCD. I have walked with many clients facing challenges in their grief, spirituality, health, and role changes. I work on creating a calm, inviting, and accepting space during my sessions. I communicate openly and also know the importance of being a good listener.
I have worked with clients in areas such as anxiety, depression, grief, loss, co-dependency, OCD, parenting, work issues, trauma, sexuality, and struggles related to religion/faith. I work with adults of all ages. I typically work with people struggling with anxiety, depression, and OCD. I have walked with many clients facing challenges in their grief, spirituality, health, and role changes. I work on creating a calm, inviting, and accepting space during my sessions. I communicate openly and also know the importance of being a good listener.
(562) 784-4997 View (562) 784-4997
Photo of Jessica Adler, Marriage & Family Therapist in City Heights West, San Diego, CA
Jessica Adler
Marriage & Family Therapist, LMFT
Verified Verified
City Heights West, San Diego, CA 92104
Topics that often come up are attachment issues, trauma, anxiety, and depression.
I am a licensed Marriage and Family Therapist and Registered Art Therapist who is interested in helping people grow, learn, and heal. I am especially passionate about working with children, adolescents, young adults, and new parents/caregivers as they navigate the challenges that can come with entering a new phase of life.
Topics that often come up are attachment issues, trauma, anxiety, and depression.
I am a licensed Marriage and Family Therapist and Registered Art Therapist who is interested in helping people grow, learn, and heal. I am especially passionate about working with children, adolescents, young adults, and new parents/caregivers as they navigate the challenges that can come with entering a new phase of life.
(619) 304-1939 View (619) 304-1939
Photo of Lorrie L Frost, Marriage & Family Therapist in City Heights West, San Diego, CA
Lorrie L Frost
Marriage & Family Therapist, LMFT, APCC
Verified Verified
1 Endorsed
City Heights West, San Diego, CA 92129  (Online Only)
I specialize in working with clients who are navigating life transitions and experiencing significant changes, that often lead to anxiety and depression.
Making our way through this ever changing world is not easy. Thank you for considering me to walk this path with you. With over twenty-five years of experience working with children, teens, and adults across different professions, I bring a wealth of knowledge and expertise to our therapeutic journey. Throughout my life, I have dedicated myself to providing compassionate, non-judgmental care rooted in radical acceptance. I believe that the therapeutic relationship is built on trust and understanding, and I am committed to creating a safe space where you can explore, grow, and thrive.
I specialize in working with clients who are navigating life transitions and experiencing significant changes, that often lead to anxiety and depression.
Making our way through this ever changing world is not easy. Thank you for considering me to walk this path with you. With over twenty-five years of experience working with children, teens, and adults across different professions, I bring a wealth of knowledge and expertise to our therapeutic journey. Throughout my life, I have dedicated myself to providing compassionate, non-judgmental care rooted in radical acceptance. I believe that the therapeutic relationship is built on trust and understanding, and I am committed to creating a safe space where you can explore, grow, and thrive.
(858) 331-8109 View (858) 331-8109
Photo of Lindsay Ward, Counselor in City Heights West, San Diego, CA
Lindsay Ward
Counselor, LPCC
Verified Verified
City Heights West, San Diego, CA 92104  (Online Only)
Lindsay Ward is a Licensed Professional Clinical Counselor who specializes in treating depression, anxiety, addiction and dealing with trauma. Lindsay works with clients who are looking to process childhood trauma, who are feeling anxious or depressed. Lindsay has been working with client's for 6 years, helping them overcome their trauma, sadness and loneliness. Lindsay has worked in various agencies in the county of San Diego, including 2 years treating client's in a drug and alcohol rehab center. Lindsay uses an integrated approach of psychodynamic and CBT to help client's feel their best.
Lindsay Ward is a Licensed Professional Clinical Counselor who specializes in treating depression, anxiety, addiction and dealing with trauma. Lindsay works with clients who are looking to process childhood trauma, who are feeling anxious or depressed. Lindsay has been working with client's for 6 years, helping them overcome their trauma, sadness and loneliness. Lindsay has worked in various agencies in the county of San Diego, including 2 years treating client's in a drug and alcohol rehab center. Lindsay uses an integrated approach of psychodynamic and CBT to help client's feel their best.
(619) 768-0838 View (619) 768-0838
Photo of Tara N Milanes, Marriage & Family Therapist Associate in City Heights West, San Diego, CA
Tara N Milanes
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
City Heights West, San Diego, CA 92105  (Online Only)
I specialize in issues such as anxiety, depression, and family/relationship dynamics.
Hi there! Thank you for being here, and congrats on taking the first steps towards healing and self-discovery! I'm here to work with and support you through life's ever evolving challenges through curiosity, compassion, and empathy. I believe that our early significant relationships, as well as difficult situations in the past play a role in the way we navigate issues in the present. I aim for therapy to be a warm and welcoming space where you can feel at ease discussing these experiences.
I specialize in issues such as anxiety, depression, and family/relationship dynamics.
Hi there! Thank you for being here, and congrats on taking the first steps towards healing and self-discovery! I'm here to work with and support you through life's ever evolving challenges through curiosity, compassion, and empathy. I believe that our early significant relationships, as well as difficult situations in the past play a role in the way we navigate issues in the present. I aim for therapy to be a warm and welcoming space where you can feel at ease discussing these experiences.
(562) 662-3932 View (562) 662-3932
Photo of Daniel Powell, Marriage & Family Therapist in City Heights West, San Diego, CA
Daniel Powell
Marriage & Family Therapist, LMFT
Verified Verified
City Heights West, San Diego, CA 92104
I'm a licensed Marriage and Family Therapist and Board Certified Behavior Analyst. I'm comfortable working with individuals suffering from depression, anxiety, bi-polar, substance abuse, psychosis, autism spectrum disorders and obsessive compulsive disorder. I implement individual evidenced based interventions designed to positive behavior change. I enjoy working with couples, families, parent training, adults and adolescents.
I'm a licensed Marriage and Family Therapist and Board Certified Behavior Analyst. I'm comfortable working with individuals suffering from depression, anxiety, bi-polar, substance abuse, psychosis, autism spectrum disorders and obsessive compulsive disorder. I implement individual evidenced based interventions designed to positive behavior change. I enjoy working with couples, families, parent training, adults and adolescents.
(619) 305-0826 View (619) 305-0826
Photo of Monique Nguyen, Clinical Social Work/Therapist in City Heights West, San Diego, CA
Monique Nguyen
Clinical Social Work/Therapist, LCSW
Verified Verified
City Heights West, San Diego, CA 92104
Hello and welcome! My name is Monique Nguyen, and I am a Licensed Clinical Social Worker with a passion to help you find meaning, healing, and growth no matter who you are and what stage you are in your life. Life can be overwhelming, even, at times, unfair and unjust due to various life stressors. If you are finding that everyday tasks are becoming too daunting, socializing is becoming too demanding, and overthinking is becoming too difficult to manage, together, we can work toward improving your quality of life.
Hello and welcome! My name is Monique Nguyen, and I am a Licensed Clinical Social Worker with a passion to help you find meaning, healing, and growth no matter who you are and what stage you are in your life. Life can be overwhelming, even, at times, unfair and unjust due to various life stressors. If you are finding that everyday tasks are becoming too daunting, socializing is becoming too demanding, and overthinking is becoming too difficult to manage, together, we can work toward improving your quality of life.
(858) 391-4899 View (858) 391-4899
Photo of Farinaz Khalilifard, Marriage & Family Therapist in City Heights West, San Diego, CA
Farinaz Khalilifard
Marriage & Family Therapist, LMFT
Verified Verified
City Heights West, San Diego, CA 92104
My name is Farinaz Khalilifard. I am a Licensed Marriage and Family Therapist with more than 20 years of experience as a clinician. I work with issues related to Addiction, Trauma, Family Issues, Stress, Grief, Loss, PTSD, Women's Issues, and Relationship Issues. I approach treatment through a humanistic approach which is client-centered. I specialize in motivational interviewing, CBT, and DBT. Through the therapeutic process, I guide patients into a path of self-discovery and empowerment to develop int a healthy and whole individual.
My name is Farinaz Khalilifard. I am a Licensed Marriage and Family Therapist with more than 20 years of experience as a clinician. I work with issues related to Addiction, Trauma, Family Issues, Stress, Grief, Loss, PTSD, Women's Issues, and Relationship Issues. I approach treatment through a humanistic approach which is client-centered. I specialize in motivational interviewing, CBT, and DBT. Through the therapeutic process, I guide patients into a path of self-discovery and empowerment to develop int a healthy and whole individual.
(626) 702-3073 View (626) 702-3073
Photo of Rebecca Jarrell, Counselor in City Heights West, San Diego, CA
Rebecca Jarrell
Counselor, MA, LPCC
Verified Verified
City Heights West, San Diego, CA 92108  (Online Only)
The death of your loved one has left a gaping hole in your life. They meant so much to you, but now they’re just gone. You don’t know how to carry on without them. Those around you are of no comfort either, because we live in a grief-illiterate society. You’re misunderstood when you speak to others about your loss. You’ve never felt more alone and confused. You’re tired of people not knowing what to say or how to act around you. You don’t understand why you’re expected to get over your feelings and just move on. “I wish someone understood how this feels,” you say to yourself.
The death of your loved one has left a gaping hole in your life. They meant so much to you, but now they’re just gone. You don’t know how to carry on without them. Those around you are of no comfort either, because we live in a grief-illiterate society. You’re misunderstood when you speak to others about your loss. You’ve never felt more alone and confused. You’re tired of people not knowing what to say or how to act around you. You don’t understand why you’re expected to get over your feelings and just move on. “I wish someone understood how this feels,” you say to yourself.
(505) 392-2291 View (505) 392-2291

Online Therapists

Photo of Francisco de la Serna, Marriage & Family Therapist in City Heights West, San Diego, CA
Francisco de la Serna
Marriage & Family Therapist
Verified Verified
San Diego, CA 92115
Francisco works to develop a collaborative relationship with his clients and relies on person-centered, cognitive-behavioral, and mindfulness-based strategies to work with issues such as anxiety, depression, relationships, and adjustment to life changes.
Francisco graduated from California State University, Fullerton with a Masters in Science degree in Counseling and he has been practicing psychotherapy since 2013. Francisco is a Licensed Marriage and Family Therapist and a diplomate member of the Academy of Cognitive Therapy.
Francisco works to develop a collaborative relationship with his clients and relies on person-centered, cognitive-behavioral, and mindfulness-based strategies to work with issues such as anxiety, depression, relationships, and adjustment to life changes.
Francisco graduated from California State University, Fullerton with a Masters in Science degree in Counseling and he has been practicing psychotherapy since 2013. Francisco is a Licensed Marriage and Family Therapist and a diplomate member of the Academy of Cognitive Therapy.
(858) 923-5328 View (858) 923-5328
Photo of Sheila Henry, Marriage & Family Therapist in City Heights West, San Diego, CA
Sheila Henry
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92122
Although I am highly experienced in working with anxiety and trauma, my passion is to help women over 50 get into a loving relationship. Are you lonely? Being lonely has many ill effects upon your health and quality of life. Love adds years of better health and a longer life. I specialize in helping women get rid of past baggage (such as trauma, physical or emotional abuse not being able to receive love.) You will learn how to avoid repeating past dysfunctional patterns, and then how find the man to create the great relationship of your dreams.
Although I am highly experienced in working with anxiety and trauma, my passion is to help women over 50 get into a loving relationship. Are you lonely? Being lonely has many ill effects upon your health and quality of life. Love adds years of better health and a longer life. I specialize in helping women get rid of past baggage (such as trauma, physical or emotional abuse not being able to receive love.) You will learn how to avoid repeating past dysfunctional patterns, and then how find the man to create the great relationship of your dreams.
(858) 215-1961 View (858) 215-1961
Photo of Jennifer Bettger, Marriage & Family Therapist in City Heights West, San Diego, CA
Jennifer Bettger
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92128
Hi, My name is Jenni Bettger. I am a licensed Marriage and Family Therapist in CA and TX. I am passionate about joining alongside my clients in their journey of growth and healing. I enjoy working with individuals to help them work through life's challenges. Some of my areas of treatment are depression, anxiety, trauma, relationship issues, family issues, spiritual concerns, and stress management. I've been in private practice for 20 years. I am a Christian therapist and certified in EMDR trauma treatment. I also practice Cognitive Behavioral Therapy and Family Systems work.
Hi, My name is Jenni Bettger. I am a licensed Marriage and Family Therapist in CA and TX. I am passionate about joining alongside my clients in their journey of growth and healing. I enjoy working with individuals to help them work through life's challenges. Some of my areas of treatment are depression, anxiety, trauma, relationship issues, family issues, spiritual concerns, and stress management. I've been in private practice for 20 years. I am a Christian therapist and certified in EMDR trauma treatment. I also practice Cognitive Behavioral Therapy and Family Systems work.
(747) 326-5662 View (747) 326-5662
Photo of Rainbow Connection Counseling Collective, Licensed Professional Clinical Counselor in City Heights West, San Diego, CA
Rainbow Connection Counseling Collective
Licensed Professional Clinical Counselor
Verified Verified
San Diego, CA 92103  (Online Only)
We offer support for a wide range of concerns, including stress, anxiety, depression, relationship issues, trauma, and more.
Are you looking for a therapist who understands your unique experiences as a BIPOC and/or LGBTQ+ person? Do you want to work with someone who is compassionate, affirming, and culturally responsive? Are you looking for a clinician with shared lived experiences? If so, then you're in the right place. Rainbow Connection Counseling Collective is a group of licensed queer and/or BIPOC therapists who are passionate about helping people heal and thrive. We provide culturally responsive, LGBTQ+ affirming, and compassionate psychotherapy and counseling.
We offer support for a wide range of concerns, including stress, anxiety, depression, relationship issues, trauma, and more.
Are you looking for a therapist who understands your unique experiences as a BIPOC and/or LGBTQ+ person? Do you want to work with someone who is compassionate, affirming, and culturally responsive? Are you looking for a clinician with shared lived experiences? If so, then you're in the right place. Rainbow Connection Counseling Collective is a group of licensed queer and/or BIPOC therapists who are passionate about helping people heal and thrive. We provide culturally responsive, LGBTQ+ affirming, and compassionate psychotherapy and counseling.
(619) 404-4534 View (619) 404-4534
Photo of Lisa Tran, Marriage & Family Therapist in City Heights West, San Diego, CA
Lisa Tran
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92115
You don’t have to be alone with your hardships; we all struggle in life at one point or another. Suppose you feel you are currently struggling due to depression, anxiety, identity, relationships, work stress, communication, or finding your place in the world. Life’s complications and difficulties can be made more accessible with understanding, conversation, and support. I am happy to be beside you during this time and guide you through it, using my years of study and experience to help you move toward a state of life you are happier in.
You don’t have to be alone with your hardships; we all struggle in life at one point or another. Suppose you feel you are currently struggling due to depression, anxiety, identity, relationships, work stress, communication, or finding your place in the world. Life’s complications and difficulties can be made more accessible with understanding, conversation, and support. I am happy to be beside you during this time and guide you through it, using my years of study and experience to help you move toward a state of life you are happier in.
(408) 413-3686 View (408) 413-3686

See more therapy options for City Heights West, San Diego

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.