Photo of Christina Repp, Clinical Social Work/Therapist in Valhalla, NY
Christina Repp
Clinical Social Work/Therapist, LCSW
Verified Verified
Valhalla, NY 10595
Hello and welcome. For over 30+ years I have helped tweens, teens and adults negotiate their world. At times people can feel worried, frustrated and overwhelmed about their life, work, and relationships. We all have been there. It takes courage to find the guidance for getting out of a bad spot, feeling less stressed out, and just trying to live a better life. I have helped many people at different stages in life, with different situations. Let me help you and yours reduce negative life stressors, find some relief, and create a life worth living.
Hello and welcome. For over 30+ years I have helped tweens, teens and adults negotiate their world. At times people can feel worried, frustrated and overwhelmed about their life, work, and relationships. We all have been there. It takes courage to find the guidance for getting out of a bad spot, feeling less stressed out, and just trying to live a better life. I have helped many people at different stages in life, with different situations. Let me help you and yours reduce negative life stressors, find some relief, and create a life worth living.
(914) 984-4530 View (914) 984-4530
Photo of Jacqueline Chapman, Licensed Master Social Worker in Valhalla, NY
Jacqueline Chapman
Licensed Master Social Worker, LMSW
Verified Verified
Valhalla, NY 10595
I like to think of therapy as a really great conversation, but it will be all about you. You get to choose the subjects, and you choose your goals. I am a warm and easy person to talk to. If you want to stay light, we'll stay light. But once you know I'm on your side and feel comfortable, I can push you to go deeper and discover how you truly feel. I want you to uncover the blind spots that keep you stuck and share them with you. There's no use coming to therapy if you're just going to stay in the same place, right? Our sessions will be friendly and inviting. You can expect our sessions to feel honest and open.
I like to think of therapy as a really great conversation, but it will be all about you. You get to choose the subjects, and you choose your goals. I am a warm and easy person to talk to. If you want to stay light, we'll stay light. But once you know I'm on your side and feel comfortable, I can push you to go deeper and discover how you truly feel. I want you to uncover the blind spots that keep you stuck and share them with you. There's no use coming to therapy if you're just going to stay in the same place, right? Our sessions will be friendly and inviting. You can expect our sessions to feel honest and open.
(845) 382-3405 View (845) 382-3405
Photo of Sage Williamson, Marriage & Family Therapist in Valhalla, NY
Sage Williamson
Marriage & Family Therapist, LMFT
Verified Verified
Valhalla, NY 10595
What if you had all the tools necessary to connect with and love your partner more deeply? What if you could learn how to reignite your love and create a meaningful life with your partner? With over a decade of experience in couples and family therapy, I am here to support you in rebuilding your life of love and trust. Most people are not naturally "good" at sharing their love, but it is a skill that can be learned. Relationships require dedication and practice. No matter what you are going through we will find a way to make your relationship what you know it could be. I understand what it's like to be vulnerable.
What if you had all the tools necessary to connect with and love your partner more deeply? What if you could learn how to reignite your love and create a meaningful life with your partner? With over a decade of experience in couples and family therapy, I am here to support you in rebuilding your life of love and trust. Most people are not naturally "good" at sharing their love, but it is a skill that can be learned. Relationships require dedication and practice. No matter what you are going through we will find a way to make your relationship what you know it could be. I understand what it's like to be vulnerable.
(347) 497-6903 View (347) 497-6903

More Therapists Nearby

Photo of Rhea Pollack, Clinical Social Work/Therapist in Valhalla, NY
Rhea Pollack
Clinical Social Work/Therapist, LCSW-R
Verified Verified
White Plains, NY 10603
Are you finding that life has become more difficult and harder to handle on your own? Particularly in the current climate, more people are struggling with anxiety, depression and grief. Therapy can be highly beneficial to help navigate these additional challenges. In a safe, supportive and non-judgmental environment, I work with people to build on their own inner strengths and discover new ones. Using your resiliency, we can develop more effective ways of managing stressors, enhance clarity and bring peace of mind. I would be happy to speak to you over the phone for a free consultation.
Are you finding that life has become more difficult and harder to handle on your own? Particularly in the current climate, more people are struggling with anxiety, depression and grief. Therapy can be highly beneficial to help navigate these additional challenges. In a safe, supportive and non-judgmental environment, I work with people to build on their own inner strengths and discover new ones. Using your resiliency, we can develop more effective ways of managing stressors, enhance clarity and bring peace of mind. I would be happy to speak to you over the phone for a free consultation.
(914) 350-4785 View (914) 350-4785
Photo of Dr. Brant Anderson, Pre-Licensed Professional in Valhalla, NY
Dr. Brant Anderson
Pre-Licensed Professional, PhD, JD
Verified Verified
Thornwood, NY 10594
I am a clinical psychologist with expertise in treating a variety of life difficulties, including anxiety, depression, obsessive-compulsive disorder, sexual issues, and career issues. I work well with a variety of clients, from adolescents, adults, parents to executives. I am compassionate, easy to talk to, and real. Whether you are experiencing chronic feelings of anxiety, unhappiness, or procrastinating and feeling stuck in your career, I can help get your life back on track and reach your full potential. My clients often see a reduction in symptoms and improvement early on in treatment.
I am a clinical psychologist with expertise in treating a variety of life difficulties, including anxiety, depression, obsessive-compulsive disorder, sexual issues, and career issues. I work well with a variety of clients, from adolescents, adults, parents to executives. I am compassionate, easy to talk to, and real. Whether you are experiencing chronic feelings of anxiety, unhappiness, or procrastinating and feeling stuck in your career, I can help get your life back on track and reach your full potential. My clients often see a reduction in symptoms and improvement early on in treatment.
(646) 791-3508 View (646) 791-3508
Photo of Stephanie Ortiz, Clinical Social Work/Therapist in Valhalla, NY
Stephanie Ortiz
Clinical Social Work/Therapist, LMSW
Verified Verified
Mount Kisco, NY 10549  (Online Only)
I have experience working with individuals with anxiety, depression, suicidal ideations, life transitions, bereavement, etc.
Many times as People of Color we often feel alone with our situation or don’t feel understood. We may have thoughts that we are not good enough or that we are different. Is that you? I’m here to tell you that you don’t have to suffer in silence anymore.  I recognize that our past has influenced our present-  but it does not need to dictate our future! I provide a warm, non-judgmental approach to help you reframe your story. I believe it is important to feel both seen and heard in therapy. With the right tools, emphatic support, knowledge and determination, everyone can heal, maximize their potential and enjoy life to the fullest.
I have experience working with individuals with anxiety, depression, suicidal ideations, life transitions, bereavement, etc.
Many times as People of Color we often feel alone with our situation or don’t feel understood. We may have thoughts that we are not good enough or that we are different. Is that you? I’m here to tell you that you don’t have to suffer in silence anymore.  I recognize that our past has influenced our present-  but it does not need to dictate our future! I provide a warm, non-judgmental approach to help you reframe your story. I believe it is important to feel both seen and heard in therapy. With the right tools, emphatic support, knowledge and determination, everyone can heal, maximize their potential and enjoy life to the fullest.
(914) 758-1419 View (914) 758-1419
Photo of Budy J Whitfield, Clinical Social Work/Therapist in Valhalla, NY
Budy J Whitfield
Clinical Social Work/Therapist, LCSW
Verified Verified
Pleasantville, NY 10570  (Online Only)
Hello! My name is Budy (pronounced Beauty) . I am a Licensed Clinical Social Worker with over 16 years of experience working as therapist, Director and life coach. I have worked with clients with a wide range of concerns including depression, anxiety, ADHD, relationship issues, parenting problems, and navigating the child welfare system. I am experienced in treating physical trauma, emotional and sexual abuse. My counseling style is warm and interactive. I consider the client/therapist relationship to be the most important thing in counseling. I believe in treating everyone with respect, dignity & compassion.
Hello! My name is Budy (pronounced Beauty) . I am a Licensed Clinical Social Worker with over 16 years of experience working as therapist, Director and life coach. I have worked with clients with a wide range of concerns including depression, anxiety, ADHD, relationship issues, parenting problems, and navigating the child welfare system. I am experienced in treating physical trauma, emotional and sexual abuse. My counseling style is warm and interactive. I consider the client/therapist relationship to be the most important thing in counseling. I believe in treating everyone with respect, dignity & compassion.
(914) 745-2059 View (914) 745-2059
Photo of Courtney Carey, Clinical Social Work/Therapist in Valhalla, NY
Courtney Carey
Clinical Social Work/Therapist, LCSW
Verified Verified
Thornwood, NY 10594
Have you wondered if you would benefit from therapy? I offer a complimentary consultation to discuss any questions you may have. As a senior therapist at Greenwich Psychology Group, I enjoy working with children and adolescents that may be struggling with anxiety, depression, ADHD, behavioral or family issues. You can talk to me about anything; nothing will surprise me. I am accessible to parents and easy to talk to. I focus on your child, recognize their strengths, and develop tools to become their own therapist by learning how to deal with challenges. Clients often feel better early on in treatment.
Have you wondered if you would benefit from therapy? I offer a complimentary consultation to discuss any questions you may have. As a senior therapist at Greenwich Psychology Group, I enjoy working with children and adolescents that may be struggling with anxiety, depression, ADHD, behavioral or family issues. You can talk to me about anything; nothing will surprise me. I am accessible to parents and easy to talk to. I focus on your child, recognize their strengths, and develop tools to become their own therapist by learning how to deal with challenges. Clients often feel better early on in treatment.
(347) 501-8171 View (347) 501-8171
Photo of Haley Kastner, Clinical Social Work/Therapist in Valhalla, NY
Haley Kastner
Clinical Social Work/Therapist, LCSW
Verified Verified
Pleasantville, NY 10570
Haley provides evidence-based therapy for children, teens, and adults. She has had the opportunity to provide care in private practice, school, and medical settings. This array of experiences has fostered her ability to understand clients through a multi-disciplinary lens and draw upon a multitude of evidence-based treatments, such as Cognitive Behavioral Therapy, Motivational Interviewing, Behavioral Activation, Prevention-Focused Care, Crisis Intervention, Trauma-Focused CBT, and Exposure and Response Prevention. She utilizes these therapies to target anxiety, stress, depression, OCD, trauma, and executive functioning deficits.
Haley provides evidence-based therapy for children, teens, and adults. She has had the opportunity to provide care in private practice, school, and medical settings. This array of experiences has fostered her ability to understand clients through a multi-disciplinary lens and draw upon a multitude of evidence-based treatments, such as Cognitive Behavioral Therapy, Motivational Interviewing, Behavioral Activation, Prevention-Focused Care, Crisis Intervention, Trauma-Focused CBT, and Exposure and Response Prevention. She utilizes these therapies to target anxiety, stress, depression, OCD, trauma, and executive functioning deficits.
View
Photo of Karen Shulman, Clinical Social Work/Therapist in Valhalla, NY
Karen Shulman
Clinical Social Work/Therapist, LCSW, CASAC, SAP
Verified Verified
1 Endorsed
White Plains, NY 10603
My approach is a combination of my training in addiction, CBT, understanding triggers for not only substance use but anxiety, depression, anger as well.
Our stories are all unique, fascinating to me and often heartbreaking. . Over 20 years of providing therapy, I have found what we share, what makes us alike are our feelings. Our humanity. And the closer we get to honestly sharing, the healthier we are. The more acceptance we have for ourselves And those around us, the calmer and happier we are. I try to create an environment of openness and nonjudgment so we can get down to the business of Healing
My approach is a combination of my training in addiction, CBT, understanding triggers for not only substance use but anxiety, depression, anger as well.
Our stories are all unique, fascinating to me and often heartbreaking. . Over 20 years of providing therapy, I have found what we share, what makes us alike are our feelings. Our humanity. And the closer we get to honestly sharing, the healthier we are. The more acceptance we have for ourselves And those around us, the calmer and happier we are. I try to create an environment of openness and nonjudgment so we can get down to the business of Healing
(914) 873-1427 View (914) 873-1427
Photo of Dr. Normajean Cefarelli, Marriage & Family Therapist in Valhalla, NY
Dr. Normajean Cefarelli
Marriage & Family Therapist, PhD, LMFT
Verified Verified
White Plains, NY 10603
Have you ever wondered whether in person or video therapy would work for you? I offer a complimentary phone consultation to discuss any questions you may have. I specialize in the treatment of anxiety, depression, crisis management, anger issues, couples, and family issues. I have extensive experience working with individuals and families using CBT, mindfulness, and family system interventions. I work to create a virtual safe haven where we can explore your challenges. In addition to seeing clients virtually at Greenwich Psychology Group, I am a virtual professor and clinical supervisor at New York University.
Have you ever wondered whether in person or video therapy would work for you? I offer a complimentary phone consultation to discuss any questions you may have. I specialize in the treatment of anxiety, depression, crisis management, anger issues, couples, and family issues. I have extensive experience working with individuals and families using CBT, mindfulness, and family system interventions. I work to create a virtual safe haven where we can explore your challenges. In addition to seeing clients virtually at Greenwich Psychology Group, I am a virtual professor and clinical supervisor at New York University.
(347) 508-6308 View (347) 508-6308
Photo of Rowena Talusan-Dunn, Art Therapist in Valhalla, NY
Rowena Talusan-Dunn
Art Therapist, PhD, ATR, LCAT
Verified Verified
2 Endorsed
Hawthorne, NY 10532
Are you a creative person looking for a different approach to self-care? Do you enjoy painting, drawing or creating with your hands? Are you experiencing anxiety or depression? Is your daily stress hard to manage? Are the roles and responsibilities we have difficult to juggle? I offer a creative approach to therapy and self-care. The focus of therapy will be directly guided by your needs, whether short-term or long-standing. The step towards personal growth is always a difficult one to make, but I encourage you to take this moment for yourself, believe you are worth it!
Are you a creative person looking for a different approach to self-care? Do you enjoy painting, drawing or creating with your hands? Are you experiencing anxiety or depression? Is your daily stress hard to manage? Are the roles and responsibilities we have difficult to juggle? I offer a creative approach to therapy and self-care. The focus of therapy will be directly guided by your needs, whether short-term or long-standing. The step towards personal growth is always a difficult one to make, but I encourage you to take this moment for yourself, believe you are worth it!
(646) 846-1609 View (646) 846-1609
Photo of Joanna Clayton, Marriage & Family Therapist Associate in Valhalla, NY
Joanna Clayton
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Thornwood, NY 10594
Have you wondered if your child or adolescent would benefit from therapy? Our Practice offers a complimentary consultation to discuss any questions you may have. I have extensive experience working with children and adolescents who may be struggling with school issues, depression, anxiety, ADHD, behavioral and family issues, and autism spectrum disorders. You can talk to me about anything. I am accessible to parents and easy to talk to. I focus on your child, recognize their strengths, and develop tools to become their own therapist by learning how to deal with challenges. Clients often feel better early on in treatment.
Have you wondered if your child or adolescent would benefit from therapy? Our Practice offers a complimentary consultation to discuss any questions you may have. I have extensive experience working with children and adolescents who may be struggling with school issues, depression, anxiety, ADHD, behavioral and family issues, and autism spectrum disorders. You can talk to me about anything. I am accessible to parents and easy to talk to. I focus on your child, recognize their strengths, and develop tools to become their own therapist by learning how to deal with challenges. Clients often feel better early on in treatment.
(646) 808-0738 View (646) 808-0738
Photo of Cheryl Pacione in Valhalla, NY
Cheryl Pacione
LMHC
Not Verified Not Verified
Pleasantville, NY 10570
I establish trust and rapport with many diverse populations such as LGBTQIA+ and non-monogamous relationships. I sat on the New York State committee for inclusion and diversity for several years. I specialize in working with persons with a variety of mental health concerns such as: Anger Management, Anxiety, Depression, Personality Disorders and Sexual Identity. I also work with transition age youth who are on the spectrum. In addition, I am a Vocational Counselor so I can assist with job-related issues. My familiarity with the Americans with Disabilities Act puts me in a uniquely qualified position to help the disabled population.
I establish trust and rapport with many diverse populations such as LGBTQIA+ and non-monogamous relationships. I sat on the New York State committee for inclusion and diversity for several years. I specialize in working with persons with a variety of mental health concerns such as: Anger Management, Anxiety, Depression, Personality Disorders and Sexual Identity. I also work with transition age youth who are on the spectrum. In addition, I am a Vocational Counselor so I can assist with job-related issues. My familiarity with the Americans with Disabilities Act puts me in a uniquely qualified position to help the disabled population.
(914) 743-3839 View (914) 743-3839
Photo of Megan Garson, Clinical Social Work/Therapist in Valhalla, NY
Megan Garson
Clinical Social Work/Therapist, LCSW
Verified Verified
White Plains, NY 10603
My clinical specialties include treating depression, anxiety, life transitions, trauma, relationship difficulties, job stress, infertility, and eating disorders.
Sometimes life's problems are too hard to manage on your own. It helps to talk with someone who can offer compassion, support and practical feedback to address personal challenges. In an interactive and empathetic environment, I work with people to increase their understanding of themselves, make important life changes and find a greater sense of happiness and fulfillment. Let me help you begin your journey to reaching your goals. Give me a call/email to see if we are a good fit.
My clinical specialties include treating depression, anxiety, life transitions, trauma, relationship difficulties, job stress, infertility, and eating disorders.
Sometimes life's problems are too hard to manage on your own. It helps to talk with someone who can offer compassion, support and practical feedback to address personal challenges. In an interactive and empathetic environment, I work with people to increase their understanding of themselves, make important life changes and find a greater sense of happiness and fulfillment. Let me help you begin your journey to reaching your goals. Give me a call/email to see if we are a good fit.
(917) 960-7297 View (917) 960-7297
Photo of Suzanne Schuster, Clinical Social Work/Therapist in Valhalla, NY
Suzanne Schuster
Clinical Social Work/Therapist, LCSW
Verified Verified
Thornwood, NY 10594
Have you wondered if your child or adolescent would benefit from therapy? I offer a complimentary consultation to discuss any questions you may have. I can help your child explore their feelings, make sense of their experience, and develop their full potential. I can help your child become their own therapist by learning techniques and coping strategies to learn how to deal with their challenges in their lives. I work well with children and adolescents struggling with anxiety, depression, social issues, learning issues, attention deficit disorder, and body image issues. Clients often see improved well-being early on in therapy.
Have you wondered if your child or adolescent would benefit from therapy? I offer a complimentary consultation to discuss any questions you may have. I can help your child explore their feelings, make sense of their experience, and develop their full potential. I can help your child become their own therapist by learning techniques and coping strategies to learn how to deal with their challenges in their lives. I work well with children and adolescents struggling with anxiety, depression, social issues, learning issues, attention deficit disorder, and body image issues. Clients often see improved well-being early on in therapy.
(347) 252-8296 View (347) 252-8296
Photo of India Reckard, Clinical Social Work/Therapist in Valhalla, NY
India Reckard
Clinical Social Work/Therapist
Verified Verified
White Plains, NY 10603  (Online Only)
My expertise include treating anxiety, depression, oncology, grief and loss, life transitions, relationships, and parenting.
You do not have to struggle in silence, healing requires becoming more aware and learning behavior patterns and traits that may no longer serve you. My practice consists of individualized psychotherapy treatment and the journey of being more present and in tune with yourself, your cognitions, your emotions, and your behaviors. Individualized psychotherapy treatment is an opportunity for your growth, healing, and transformation. Take the first step in your growth by taking care of your mental health.
My expertise include treating anxiety, depression, oncology, grief and loss, life transitions, relationships, and parenting.
You do not have to struggle in silence, healing requires becoming more aware and learning behavior patterns and traits that may no longer serve you. My practice consists of individualized psychotherapy treatment and the journey of being more present and in tune with yourself, your cognitions, your emotions, and your behaviors. Individualized psychotherapy treatment is an opportunity for your growth, healing, and transformation. Take the first step in your growth by taking care of your mental health.
(929) 374-2313 View (929) 374-2313
Photo of Medina Cecunjanin, Clinical Social Work/Therapist in Valhalla, NY
Medina Cecunjanin
Clinical Social Work/Therapist, LCSW
Verified Verified
Thornwood, NY 10594
Are you a high-achieving Type A who has accomplished professional success but is struggling? Do you feel disengaged, lonely, negative, and beginning to dislike the person you are becoming? I have specialized training with high-functioning individuals struggling with anxiety, depression, life transitions, trauma, and relationship issues. I can help you harness your difficulties by learning how to manage stressors that come up in life and building resilience. I combine strategies from the best in our field, including evidence-based, solution-focused, and exploratory treatment. Simply put, whatever you're going through, I can help.
Are you a high-achieving Type A who has accomplished professional success but is struggling? Do you feel disengaged, lonely, negative, and beginning to dislike the person you are becoming? I have specialized training with high-functioning individuals struggling with anxiety, depression, life transitions, trauma, and relationship issues. I can help you harness your difficulties by learning how to manage stressors that come up in life and building resilience. I combine strategies from the best in our field, including evidence-based, solution-focused, and exploratory treatment. Simply put, whatever you're going through, I can help.
(646) 762-0590 View (646) 762-0590
Photo of Shatema Smith, Counselor in Valhalla, NY
Shatema Smith
Counselor, LMHC
Verified Verified
Elmsford, NY 10523  (Online Only)
Do you sometimes feel disconnected with self and others? Uncertainty can leave one feeling anxious while grief and loss can stimulate a range of difficult emotions at any given time. You may also be noticing this as a period of vital transformation. Whether you are seeking to achieve more balance or wish to feel a deeper sense of connectedness, I am available as a guide to work alongside you while you create and sustain healthy habits and reach your highest potential.
Do you sometimes feel disconnected with self and others? Uncertainty can leave one feeling anxious while grief and loss can stimulate a range of difficult emotions at any given time. You may also be noticing this as a period of vital transformation. Whether you are seeking to achieve more balance or wish to feel a deeper sense of connectedness, I am available as a guide to work alongside you while you create and sustain healthy habits and reach your highest potential.
View
Photo of Stephanie Wilson, Clinical Social Work/Therapist in Valhalla, NY
Stephanie Wilson
Clinical Social Work/Therapist, LCSW-R
Verified Verified
White Plains, NY 10603  (Online Only)
I specialize in working with people dealing with depression, anxiety, trauma, loss/bereavement, relational, communication, life transition and LGBTQ issues.
Life can be challenging and overwhelming sometimes; making one question their ability to move forward and make change. I am a firm believer that change is possible and incorporate a variety of techniques into the therapeutic process depending on each persons unique needs. I am a good listener and offer a supportive, non- judgmental environment. Interventions are strength based focusing on the positive attributes that can be a source of support while working on the more difficult issues that may be interfering with you taking charge of and living your best life.
I specialize in working with people dealing with depression, anxiety, trauma, loss/bereavement, relational, communication, life transition and LGBTQ issues.
Life can be challenging and overwhelming sometimes; making one question their ability to move forward and make change. I am a firm believer that change is possible and incorporate a variety of techniques into the therapeutic process depending on each persons unique needs. I am a good listener and offer a supportive, non- judgmental environment. Interventions are strength based focusing on the positive attributes that can be a source of support while working on the more difficult issues that may be interfering with you taking charge of and living your best life.
(646) 859-0477 View (646) 859-0477

See more therapy options for Valhalla

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.