Photo of Ben Shechet, Counselor in Durham, NC
Ben Shechet
Counselor, MS, LCMHCA
Verified Verified
2 Endorsed
Durham, NC 27707  (Online Only)
My approach to therapy is rooted in the view that we are all, at the deepest level, whole and complete; we all have wisdom, love, compassion, and the capacity for connection within us. My job as a therapist is not to fix or to change anyone—it is to help and support you in connecting with your own knowing, power, and ability to grow and meet your goals. I work with adults and older teens seeking assistance with a wide range of concerns, including depression, anxiety, trauma, grief and loss, life transitions, and identity development and change.
My approach to therapy is rooted in the view that we are all, at the deepest level, whole and complete; we all have wisdom, love, compassion, and the capacity for connection within us. My job as a therapist is not to fix or to change anyone—it is to help and support you in connecting with your own knowing, power, and ability to grow and meet your goals. I work with adults and older teens seeking assistance with a wide range of concerns, including depression, anxiety, trauma, grief and loss, life transitions, and identity development and change.
(919) 635-1751 View (919) 635-1751
Photo of Psychological Services, Psychologist in Durham, NC
Psychological Services
Psychologist, PhD, JD
Verified Verified
Durham, NC 27705  (Online Only)
Life is full of challenges that generate varied degrees of stress, anxiety and depression, even substance abuse. Challenges may include: Personal and family relationships, finances, career, illness and loss of creative engagement with your self and the world. Psychotherapy can offer time and a special place for self discovery, reflection, revitalization, resilience, insight, empowerment and access to your creativity; creative expression and creative living. Our lives can be what we imagine and want them to be. We can develop our active imagination to envision a life of purpose, meaning and the joy we are meant to have.
Life is full of challenges that generate varied degrees of stress, anxiety and depression, even substance abuse. Challenges may include: Personal and family relationships, finances, career, illness and loss of creative engagement with your self and the world. Psychotherapy can offer time and a special place for self discovery, reflection, revitalization, resilience, insight, empowerment and access to your creativity; creative expression and creative living. Our lives can be what we imagine and want them to be. We can develop our active imagination to envision a life of purpose, meaning and the joy we are meant to have.
(510) 880-3857 View (510) 880-3857
Photo of Steven Gage, Marriage & Family Therapist in Durham, NC
Steven Gage
Marriage & Family Therapist, MA
Verified Verified
1 Endorsed
Durham, NC 27707  (Online Only)
Come and share your fears and limitations in a safe, non-judgemental environment and see what unfolds and see who you really are.
Individual Therapy is offered. I use a combination of approaches and I build on strengths, not dissect weaknesses. I also see the individual wholistically (body, mind, and spirit) and see each life problem as an opportunity for significant growth.
Come and share your fears and limitations in a safe, non-judgemental environment and see what unfolds and see who you really are.
Individual Therapy is offered. I use a combination of approaches and I build on strengths, not dissect weaknesses. I also see the individual wholistically (body, mind, and spirit) and see each life problem as an opportunity for significant growth.
(919) 234-5053 View (919) 234-5053
Photo of Ronald A Zumstein, Clinical Social Work/Therapist in Durham, NC
Ronald A Zumstein
Clinical Social Work/Therapist, MSW, LCSW, CSAT
Verified Verified
Durham, NC 27705  (Online Only)
Over 20 years of working with individuals and couples, I have developed expertise working with a variety of issues, including: low mood, low motivation, anxiety, creative blocks, feeling "stuck" (in any area of life), relationship issues, work or career issues, anger management, addictions, compulsive behavior, and personal growth. My approach is client-centered and collaborative. Together we will work to clarify your goals, and develop a plan that will help you achieve them as quickly as possible. To help you actualize those goals I utilize a variety of modalities, including mindfulness therapy, interpersonal therapy and psychoeducational approaches.
Over 20 years of working with individuals and couples, I have developed expertise working with a variety of issues, including: low mood, low motivation, anxiety, creative blocks, feeling "stuck" (in any area of life), relationship issues, work or career issues, anger management, addictions, compulsive behavior, and personal growth. My approach is client-centered and collaborative. Together we will work to clarify your goals, and develop a plan that will help you achieve them as quickly as possible. To help you actualize those goals I utilize a variety of modalities, including mindfulness therapy, interpersonal therapy and psychoeducational approaches.
(919) 283-3480 View (919) 283-3480
Photo of Healing Connections in Durham, NC
Healing Connections
RN, MSN, CNS, SEP
Verified Verified
Durham, NC 27707
Many of us are struggling with anxiety and depression in these challenging times. As a holistic practitioner, my goal is to help my clients find the priority that will allow them to discover a route to a more satisfying life. Too often we remain constricted with pain and fear from the past or broken dreams and worries about the future. If we are able to connect with the healer within, we can find peace and stability in our present circumstances, no matter how chaotic our external world. We can find a way to remove the blockages that keep us from seeing the Truth and Beauty all around us.
Many of us are struggling with anxiety and depression in these challenging times. As a holistic practitioner, my goal is to help my clients find the priority that will allow them to discover a route to a more satisfying life. Too often we remain constricted with pain and fear from the past or broken dreams and worries about the future. If we are able to connect with the healer within, we can find peace and stability in our present circumstances, no matter how chaotic our external world. We can find a way to remove the blockages that keep us from seeing the Truth and Beauty all around us.
(919) 629-0259 View (919) 629-0259
Photo of Alex Zima, Counselor in Durham, NC
Alex Zima
Counselor, MS Ed, MA, LCMHCA
Verified Verified
3 Endorsed
Durham, NC 27708
In times of great vulnerability, mind-body awareness, self-compassion and insight guide the way to healing, self-empowerment and renewed purpose. We all carry these capacities within. My approach combines evidence-based clinical, holistic and mindfulness-based methodologies grounded in the leading-edge neuroscience of emotional wellbeing and personal growth. I specialize in helping clients navigate anxiety, post-traumatic symptoms, grief and loss, sleep dysregulation, major life and career transitions, clinician and caregiver chronic stress, end-of-life and psycho-spiritual integration.
In times of great vulnerability, mind-body awareness, self-compassion and insight guide the way to healing, self-empowerment and renewed purpose. We all carry these capacities within. My approach combines evidence-based clinical, holistic and mindfulness-based methodologies grounded in the leading-edge neuroscience of emotional wellbeing and personal growth. I specialize in helping clients navigate anxiety, post-traumatic symptoms, grief and loss, sleep dysregulation, major life and career transitions, clinician and caregiver chronic stress, end-of-life and psycho-spiritual integration.
(984) 203-9414 View (984) 203-9414
Photo of Andrew Elman, Licensed Professional Counselor in Durham, NC
Andrew Elman
Licensed Professional Counselor, LCMHC, ATR, NCC
Verified Verified
2 Endorsed
Durham, NC 27705  (Online Only)
I incorporate my training of mindfulness, Dialectical Behavior Therapy (DBT), and expressive therapy (art therapy) to help my clients in reducing anxiety and emotional distress, and thus improving understanding and self-awareness. I’m an artist, a free-thinker, and a trauma survivor. Painting and drawing on a daily basis has allowed me to explore emotions, survive, and know that we are not alone in this one wild and precious life we are living. I want to take care of what’s coming up in your life without judgment and help unlock those parts of you that seem impossible to look at.
I incorporate my training of mindfulness, Dialectical Behavior Therapy (DBT), and expressive therapy (art therapy) to help my clients in reducing anxiety and emotional distress, and thus improving understanding and self-awareness. I’m an artist, a free-thinker, and a trauma survivor. Painting and drawing on a daily basis has allowed me to explore emotions, survive, and know that we are not alone in this one wild and precious life we are living. I want to take care of what’s coming up in your life without judgment and help unlock those parts of you that seem impossible to look at.
(919) 585-1529 View (919) 585-1529
Photo of Derek P Easley, Clinical Social Work/Therapist in Durham, NC
Derek P Easley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Durham, NC 27705
Waitlist for new clients
I can help with guiding you towards greater health and personal freedom, whether you are living with depression and anxiety, managing grief and loss, dissatisfied with your relationships, or feel like you need help during a difficult time in your life.
*I AM NOT CURENTLY TAKING NEW CLIENTS* I have a relational approach to therapy and my work is informed by psychodynamic theories. I believe that long-term growth and change become a reality when we are able to make informed choices and discover greater authenticity in our daily lives. I believe that you can find immediate relief from some of your distress by using mindfulness and cognitive-behavioral techniques. I have experience working with groups and individuals with mood and anxiety difficulties, personality disorders, histories of violence or trauma, and anger management difficulties.
I can help with guiding you towards greater health and personal freedom, whether you are living with depression and anxiety, managing grief and loss, dissatisfied with your relationships, or feel like you need help during a difficult time in your life.
*I AM NOT CURENTLY TAKING NEW CLIENTS* I have a relational approach to therapy and my work is informed by psychodynamic theories. I believe that long-term growth and change become a reality when we are able to make informed choices and discover greater authenticity in our daily lives. I believe that you can find immediate relief from some of your distress by using mindfulness and cognitive-behavioral techniques. I have experience working with groups and individuals with mood and anxiety difficulties, personality disorders, histories of violence or trauma, and anger management difficulties.
(919) 386-7259 x112 View (919) 386-7259 x112
Photo of James C. Carpenter, Psychologist in Durham, NC
James C. Carpenter
Psychologist, PhD, ABPP
Verified Verified
Durham, NC 27707
Suffering draws us to consider therapy, much as it sends us to any doctor. The suffering therapy focuses on is emotional and existential (a LIFE that is out of whack). If you are considering therapy it means that you take your suffering seriously and wish to seek a more fulfilling life. You know instinctively that more is possible. I have many years of experience in helping people to develop greater strength and more fulfilling relationships.
Suffering draws us to consider therapy, much as it sends us to any doctor. The suffering therapy focuses on is emotional and existential (a LIFE that is out of whack). If you are considering therapy it means that you take your suffering seriously and wish to seek a more fulfilling life. You know instinctively that more is possible. I have many years of experience in helping people to develop greater strength and more fulfilling relationships.
(919) 234-5209 View (919) 234-5209
Photo of Dan Chartier, Psychologist in Durham, NC
Dan Chartier
Psychologist
Verified Verified
2 Endorsed
Durham, NC 27709
Dan Chartier, Ph.D., Licensed Psychologist- Health Service Provider, Raleigh, NC has been in private practice since 1983. As a psychotherapist, in addition to "talk therapy", Dr. Chartier uses psychophysiological methods of biofeedback and neurofeedback to facilitate mind-body healing. In his work, deepening awareness and release of non-productive behaviors is a primary process. By learning to enter neutral emotional space clients come to more clearly recognize options and choices that result in improved health. In addition to treating clients with psychological and emotional distress, Dr. Chartier works with patients coping with chronic pain or recovering from brain injury.
Dan Chartier, Ph.D., Licensed Psychologist- Health Service Provider, Raleigh, NC has been in private practice since 1983. As a psychotherapist, in addition to "talk therapy", Dr. Chartier uses psychophysiological methods of biofeedback and neurofeedback to facilitate mind-body healing. In his work, deepening awareness and release of non-productive behaviors is a primary process. By learning to enter neutral emotional space clients come to more clearly recognize options and choices that result in improved health. In addition to treating clients with psychological and emotional distress, Dr. Chartier works with patients coping with chronic pain or recovering from brain injury.
(252) 349-0938 View (252) 349-0938
Photo of Brad Heinz, Psychologist in Durham, NC
Brad Heinz
Psychologist, PhD
Verified Verified
Durham, NC 27701
Many persons I see are exploring spirituality for their personal growth and deeper understanding of themselves and their difficulties. They increasingly sense the limiting nature of the fear based ego. An ego that can limit or sabotage their choices and relationships. Yet a clear steady path from stubborn ego patterns to their authentic self can be elusive. I draw from Eastern teachings, meditation practices, the Enneagram, ACIM, and the Hawkin's map of consciousness for this path. I emphasize emotional mindfulness and the intuition that arises in the Silence and stillness of meditation to recognize Spirit in oneself and others.
Many persons I see are exploring spirituality for their personal growth and deeper understanding of themselves and their difficulties. They increasingly sense the limiting nature of the fear based ego. An ego that can limit or sabotage their choices and relationships. Yet a clear steady path from stubborn ego patterns to their authentic self can be elusive. I draw from Eastern teachings, meditation practices, the Enneagram, ACIM, and the Hawkin's map of consciousness for this path. I emphasize emotional mindfulness and the intuition that arises in the Silence and stillness of meditation to recognize Spirit in oneself and others.
(984) 214-4616 View (984) 214-4616
Photo of Kevin L Weber, Counselor in Durham, NC
Kevin L Weber
Counselor, MS, LCMHC, LMHC, LCAC, NCC
Verified Verified
Durham, NC 27707
I offer tailor made counseling services, including traditional & psychedelic therapy as well as coaching, to those experiencing life's difficulties. My compassionate and non-judgmental approach is predicated on offering helpful direction towards specific, realistic, client determined goals. I am very comfortable working with individuals or couples of all ages, veterans and business executives. My approaches based on individual client expectations and needs. Each approach is customized and personal. Phone and video and sessions are available for added convenience. I offer a Christian worldview approach upon request.
I offer tailor made counseling services, including traditional & psychedelic therapy as well as coaching, to those experiencing life's difficulties. My compassionate and non-judgmental approach is predicated on offering helpful direction towards specific, realistic, client determined goals. I am very comfortable working with individuals or couples of all ages, veterans and business executives. My approaches based on individual client expectations and needs. Each approach is customized and personal. Phone and video and sessions are available for added convenience. I offer a Christian worldview approach upon request.
(336) 234-2722 View (336) 234-2722
Photo of Simon Spire, Clinical Social Work/Therapist in Durham, NC
Simon Spire
Clinical Social Work/Therapist, MA, MSW, LCSWA
Verified Verified
2 Endorsed
Durham, NC 27707
I am currently accepting new clients, and I always respond within 24 hours. I partner with adults of all ages who are seeking psychotherapy within a setting that’s able to hold the fullness of who they are and the larger arc of their path. Located on Pickards Mountain at the edge of Chapel Hill, I describe my approach as somatic, depth-oriented, and mindfulness-based. Another term I use is soulcentric. Why? Because the word soul points to the deeper dimensions of one’s life. It evokes the rich, sometimes veiled currents running through our lives and orients us toward our ever-unfolding authenticity and path.
I am currently accepting new clients, and I always respond within 24 hours. I partner with adults of all ages who are seeking psychotherapy within a setting that’s able to hold the fullness of who they are and the larger arc of their path. Located on Pickards Mountain at the edge of Chapel Hill, I describe my approach as somatic, depth-oriented, and mindfulness-based. Another term I use is soulcentric. Why? Because the word soul points to the deeper dimensions of one’s life. It evokes the rich, sometimes veiled currents running through our lives and orients us toward our ever-unfolding authenticity and path.
(919) 891-8269 View (919) 891-8269

More Therapists Nearby

Photo of David Shoemaker, Psychologist in Durham, NC
David Shoemaker
Psychologist, PsyD
Verified Verified
2 Endorsed
Chapel Hill, NC 27517
I specialize in personal and professional coaching for high-achieving individuals who want to cultivate creative thinking and maximize their effectiveness, meaning and purpose in life. In my therapy practice, I specialize in treating anxiety, depression, and stress from life transitions. I accept psychotherapy clients who live in North Carolina or California. I accept coaching clients living anywhere around the world, and I offer teletherapy appointments for all of the above. I do not work with children, teens, couples or families in my practice.
I specialize in personal and professional coaching for high-achieving individuals who want to cultivate creative thinking and maximize their effectiveness, meaning and purpose in life. In my therapy practice, I specialize in treating anxiety, depression, and stress from life transitions. I accept psychotherapy clients who live in North Carolina or California. I accept coaching clients living anywhere around the world, and I offer teletherapy appointments for all of the above. I do not work with children, teens, couples or families in my practice.
(336) 360-5050 View (336) 360-5050
Photo of Kevin J Ryan, Licensed Professional Counselor in Durham, NC
Kevin J Ryan
Licensed Professional Counselor, LPC
Verified Verified
Chapel Hill, NC 27514  (Online Only)
The clients I see most often present issues of depression, anxiety, chronic pain, grief or loss and marital or relationship conflicts.
My approach Integrative Psychotherapy draws primarily from Interpersonal Psychotherapy and Insight Meditation. It is my experience that people make changes in their lives in therapy when they feel appropriately supported and understood. This combined with awareness developed through mindfulness practices enables people to take the insights cultivated in therapy sessions and implement them in their lives. I see therapy as an opportunity to explore how our thoughts and perceptions about our life situations, determine the quality of how we experience our lives. Our self-perceptions developed throughout our lives, are often our greatest impediment to changing our lives.
The clients I see most often present issues of depression, anxiety, chronic pain, grief or loss and marital or relationship conflicts.
My approach Integrative Psychotherapy draws primarily from Interpersonal Psychotherapy and Insight Meditation. It is my experience that people make changes in their lives in therapy when they feel appropriately supported and understood. This combined with awareness developed through mindfulness practices enables people to take the insights cultivated in therapy sessions and implement them in their lives. I see therapy as an opportunity to explore how our thoughts and perceptions about our life situations, determine the quality of how we experience our lives. Our self-perceptions developed throughout our lives, are often our greatest impediment to changing our lives.
(828) 547-3620 View (828) 547-3620

Online Therapists

Photo of Douglas Waldruff, Licensed Professional Counselor in Durham, NC
Douglas Waldruff
Licensed Professional Counselor, PhD, LCMHC, LMFT
Verified Verified
1 Endorsed
Raleigh, NC 27615
I have over 30 years of experience and training in treating depression, ADHD , PTSD, Complex PTSD and anxiety based disorders.
If you are in a relationship with a Narcissist, have experienced major and/or minor trauma, can't find the right relationship, don't know what to do to make your relationships better, or want to find greater success in life or business, then I may be the right person to help you move from coping to thriving. I provide coaching/therapy solutions to navigate the treacherous journey of leaving a Narcissist as well as overcoming adversity and psychological blocks that keep you from attaining your goals. I can help you deal with all of life's normal developmental concerns like work, having children, parenting and growing older.
I have over 30 years of experience and training in treating depression, ADHD , PTSD, Complex PTSD and anxiety based disorders.
If you are in a relationship with a Narcissist, have experienced major and/or minor trauma, can't find the right relationship, don't know what to do to make your relationships better, or want to find greater success in life or business, then I may be the right person to help you move from coping to thriving. I provide coaching/therapy solutions to navigate the treacherous journey of leaving a Narcissist as well as overcoming adversity and psychological blocks that keep you from attaining your goals. I can help you deal with all of life's normal developmental concerns like work, having children, parenting and growing older.
(336) 949-6201 View (336) 949-6201
Photo of Alan Konell in Durham, NC
Alan Konell
MSW
Verified Verified
Chapel Hill, NC 27516  (Online Only)
My ideal client is one who wants relief from stress, anxiety, guilt and/or shame, trauma, or chronic pain, but has not been able to achieve this. Typically, I can help people realize lasting desired change efficiently and effectively. Also, I have had great success helping people with phobias and fears and those who want improved relationships. My first goal is to do no harm. My second goal is to help clients realize desired goals while respecting and preserving what is already working in their lives.
My ideal client is one who wants relief from stress, anxiety, guilt and/or shame, trauma, or chronic pain, but has not been able to achieve this. Typically, I can help people realize lasting desired change efficiently and effectively. Also, I have had great success helping people with phobias and fears and those who want improved relationships. My first goal is to do no harm. My second goal is to help clients realize desired goals while respecting and preserving what is already working in their lives.
(919) 804-1347 View (919) 804-1347
Photo of Larry T. Waxman, Licensed Professional Counselor in Durham, NC
Larry T. Waxman
Licensed Professional Counselor, MA, LCMHC, QS
Verified Verified
1 Endorsed
Cary, NC 27513
I work with clients to help unlock their potential and achieve their goals. Change is one of the hardest things to do, and I am here to help facilitate that. I work with children, adolescents, adults, couples, families as well as run groups using a variety of therapeutic approaches that include: cognitive-behavioral therapy, client-centered therapy, solution-focused therapy, family-systems therapy, meditation and mindfulness therapy. I specialize in helping those with issues pertaining to ADHD, anxiety, depression, self-esteem, male issues, anger management, vulnerability, relationship issues, and work/life balance.
I work with clients to help unlock their potential and achieve their goals. Change is one of the hardest things to do, and I am here to help facilitate that. I work with children, adolescents, adults, couples, families as well as run groups using a variety of therapeutic approaches that include: cognitive-behavioral therapy, client-centered therapy, solution-focused therapy, family-systems therapy, meditation and mindfulness therapy. I specialize in helping those with issues pertaining to ADHD, anxiety, depression, self-esteem, male issues, anger management, vulnerability, relationship issues, and work/life balance.
(919) 694-4726 View (919) 694-4726
Photo of William Marshall, Counselor in Durham, NC
William Marshall
Counselor, LMHC-A
Verified Verified
1 Endorsed
Raleigh, NC 27607
Each person comes to individual therapy for numerous and very honest reasons, despite how overwhelmed and powerless they are feeling. It is okay to not know what to do or know what is next. Deep down, I believe that each one of us has the innate wisdom to know themselves and to know what to do next, under optimal conditions. Couples caught in a criticize-withdraw cycle are often doing what their survival instincts tell them to do. I am also highly trained in couples counseling and marriage counseling through emotionally focused therapy (EFT). Marital therapy and individual counseling need guidance from an empathic but neutral party.
Each person comes to individual therapy for numerous and very honest reasons, despite how overwhelmed and powerless they are feeling. It is okay to not know what to do or know what is next. Deep down, I believe that each one of us has the innate wisdom to know themselves and to know what to do next, under optimal conditions. Couples caught in a criticize-withdraw cycle are often doing what their survival instincts tell them to do. I am also highly trained in couples counseling and marriage counseling through emotionally focused therapy (EFT). Marital therapy and individual counseling need guidance from an empathic but neutral party.
(919) 338-5022 View (919) 338-5022
Photo of Jarrett McGinnis, Clinical Social Work/Therapist in Durham, NC
Jarrett McGinnis
Clinical Social Work/Therapist, MSW, LCSWA, LCAS
Verified Verified
1 Endorsed
Chapel Hill, NC 27516
You’ve known easier times, or you know they’re out there and you’re looking for them. You're taking action to feel better in the face of challenge and that’s a big deal. You deserve the support of someone familiar with challenging times. The empathy and proactive engagement you'll come to expect in your work with me, come from a place of understanding the urgency for resolution that accompanies pain. You have the capacity to learn and grow in the ways necessary to find relief, peace of mind, connection with others, and a sense of competence in the activities that are important to you.
You’ve known easier times, or you know they’re out there and you’re looking for them. You're taking action to feel better in the face of challenge and that’s a big deal. You deserve the support of someone familiar with challenging times. The empathy and proactive engagement you'll come to expect in your work with me, come from a place of understanding the urgency for resolution that accompanies pain. You have the capacity to learn and grow in the ways necessary to find relief, peace of mind, connection with others, and a sense of competence in the activities that are important to you.
(828) 618-5067 View (828) 618-5067
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.