Photo of Jill Racine, Psychologist in Austin, TX
Jill Racine
Psychologist, PhD
Verified Verified
1 Endorsed
Austin, TX 78759  (Online Only)
Racine Anxiety and OCD Practice is currently accepting new clients (updated 1/1/2024). Dr. Racine is a compassionate Licensed Clinical Psychologist. She specializes in the treatment of anxiety and related conditions. She has expertise with cognitive behavioral therapy (CBT), exposure and response prevention (ERP), and habit-reversal therapy for the treatment of obsessive compulsive, panic, anxiety, and pediatric mental health conditions. Dr. Racine is co-author of the self-help guide: From Misery To Mastery: A Revolutionary New Treatment for Anxiety and Depression.
Racine Anxiety and OCD Practice is currently accepting new clients (updated 1/1/2024). Dr. Racine is a compassionate Licensed Clinical Psychologist. She specializes in the treatment of anxiety and related conditions. She has expertise with cognitive behavioral therapy (CBT), exposure and response prevention (ERP), and habit-reversal therapy for the treatment of obsessive compulsive, panic, anxiety, and pediatric mental health conditions. Dr. Racine is co-author of the self-help guide: From Misery To Mastery: A Revolutionary New Treatment for Anxiety and Depression.
(512) 337-4200 View (512) 337-4200
Photo of Rachel Kelley, Licensed Professional Counselor Associate in Austin, TX
Rachel Kelley
Licensed Professional Counselor Associate , LPC-A
Verified Verified
1 Endorsed
Austin, TX 78701  (Online Only)
I have experience working with individuals who are struggling with anxiety, stress, depression, PTSD, adjustment issues, dissatisfaction with their relationships/work/life, personality disorders, mood regulation, sleep disturbances, identity issues, ADHD/ADD, OCD, anger, delayed cognitive development, general social skills, and more.
Life is unpredictable, and traumatic events and life changes can cause individuals to feel lost, stuck, or unsure of how to move forward. My primary focus is to help individuals identify any areas in their lives that may be causing hindrances to their happiness, personal growth, and overall well-being. I believe that in order to heal, it's important for individuals to gain a better understanding of themselves, their relationships, and how life experiences have impacted them.
I have experience working with individuals who are struggling with anxiety, stress, depression, PTSD, adjustment issues, dissatisfaction with their relationships/work/life, personality disorders, mood regulation, sleep disturbances, identity issues, ADHD/ADD, OCD, anger, delayed cognitive development, general social skills, and more.
Life is unpredictable, and traumatic events and life changes can cause individuals to feel lost, stuck, or unsure of how to move forward. My primary focus is to help individuals identify any areas in their lives that may be causing hindrances to their happiness, personal growth, and overall well-being. I believe that in order to heal, it's important for individuals to gain a better understanding of themselves, their relationships, and how life experiences have impacted them.
(737) 530-7537 View (737) 530-7537
Photo of Rachel Spiess (Ziegler), Clinical Social Work/Therapist in Austin, TX
Rachel Spiess (Ziegler)
Clinical Social Work/Therapist, LCSW, PMH-C, BHP
Verified Verified
2 Endorsed
Austin, TX 78705
Not accepting new clients as I transition into maternity leave through January 2025. Shutting off the "inner critic" can often feel impossible. As such, most of the adults I treat struggle with negative beliefs about themselves in addition to anxiety/depression, body dysmorphia/low self-esteem, heartbreak/relationship problems or early attachment wounds/relational trauma. Supporting college students and young professionals who are navigating adulthood and the myriad of personal and professional challenges that can arise during this time is a passion of mine. I also enjoy supporting perfectionists and high-achieving individuals.
Not accepting new clients as I transition into maternity leave through January 2025. Shutting off the "inner critic" can often feel impossible. As such, most of the adults I treat struggle with negative beliefs about themselves in addition to anxiety/depression, body dysmorphia/low self-esteem, heartbreak/relationship problems or early attachment wounds/relational trauma. Supporting college students and young professionals who are navigating adulthood and the myriad of personal and professional challenges that can arise during this time is a passion of mine. I also enjoy supporting perfectionists and high-achieving individuals.
(512) 812-8931 View (512) 812-8931
Photo of Erin G Underbrink Newins, Psychologist in Austin, TX
Erin G Underbrink Newins
Psychologist, PhD
Verified Verified
1 Endorsed
Austin, TX 78708
I am a licensed psychologist dedicated to provided evidence based care to children, teenagers, young adults, and parents. I have a passion for working with kids who present with a variety of difficulties and aim to help my patients get back to living their fullest, most satisfying lives, without anxiety, frustration, sadness or behaviors getting in the way. I have a specific love for working with ADHD, anxiety, and parenting. Whether it's school, family, friends, or other stressors, I'd love to help! I am now also offering neuropsychological and psychological assessment for all ages!
I am a licensed psychologist dedicated to provided evidence based care to children, teenagers, young adults, and parents. I have a passion for working with kids who present with a variety of difficulties and aim to help my patients get back to living their fullest, most satisfying lives, without anxiety, frustration, sadness or behaviors getting in the way. I have a specific love for working with ADHD, anxiety, and parenting. Whether it's school, family, friends, or other stressors, I'd love to help! I am now also offering neuropsychological and psychological assessment for all ages!
(512) 298-3259 View (512) 298-3259
Photo of Katina R. Supervised By Kelly McCabe Lpc-S Lmft-S License Tx 17640, LPC Associate in Austin, TX
Katina R. Supervised By Kelly McCabe Lpc-S Lmft-S License Tx 17640
LPC Associate
Verified Verified
1 Endorsed
Austin, TX 78727
Note: I am accepting new clients and will call you back for a free consultation. As humans, we all go through challenges in life that have a negative impact on our emotional, mental and physical well-being. Finding a safe place to be able to express your feelings, thoughts and experiences without judgment is vital as you journey through challenging and overwhelming moments in life. If you are feeling depressed, anxious, having a difficult time with interpersonal relationships or life transitions, let’s work together on dealing with these feelings in a healthy manner for you and those around you.
Note: I am accepting new clients and will call you back for a free consultation. As humans, we all go through challenges in life that have a negative impact on our emotional, mental and physical well-being. Finding a safe place to be able to express your feelings, thoughts and experiences without judgment is vital as you journey through challenging and overwhelming moments in life. If you are feeling depressed, anxious, having a difficult time with interpersonal relationships or life transitions, let’s work together on dealing with these feelings in a healthy manner for you and those around you.
(737) 204-5458 View (737) 204-5458
Photo of Amanda Campbell, Licensed Professional Counselor in Austin, TX
Amanda Campbell
Licensed Professional Counselor, MS, LPC
Verified Verified
Austin, TX 78748
If you are looking for someone with experience to listen to your situation, help you identify things that need to change, and to help you make those changes, I would love to talk with you. I have been counseling children, adolescents, individuals, couples and families for 22 years. We will work together to develop treatment goals and strategies to get things back on course. It is so hard when relationships are stressed or broken, when children are having problems educationally or socially, and when anxiety or depression prevents you from being who you want to be. I can help.
If you are looking for someone with experience to listen to your situation, help you identify things that need to change, and to help you make those changes, I would love to talk with you. I have been counseling children, adolescents, individuals, couples and families for 22 years. We will work together to develop treatment goals and strategies to get things back on course. It is so hard when relationships are stressed or broken, when children are having problems educationally or socially, and when anxiety or depression prevents you from being who you want to be. I can help.
(512) 361-5694 View (512) 361-5694
Photo of Kathryn Uhrich, Licensed Professional Counselor in Austin, TX
Kathryn Uhrich
Licensed Professional Counselor, MA, LPC
Verified Verified
Austin, TX 78701
Kathryn is a Licensed Professional Counselor, who received her Masters Degree from Rivier University. Kathryn has over 7 years of clinical experience treating children, adolescents and families. Kathryn has extensive experience working with those experiencing depression, anxiety, phobias, dealing with traumatic experiences, significant life changes, and childhood behavioral outbursts. Kathryn likes to help children and parents who are struggling to communicate their needs to each other to better develop healthy communication patterns and relationships. Kathryn primarily uses CBT, as well as well as solution focused approaches.
Kathryn is a Licensed Professional Counselor, who received her Masters Degree from Rivier University. Kathryn has over 7 years of clinical experience treating children, adolescents and families. Kathryn has extensive experience working with those experiencing depression, anxiety, phobias, dealing with traumatic experiences, significant life changes, and childhood behavioral outbursts. Kathryn likes to help children and parents who are struggling to communicate their needs to each other to better develop healthy communication patterns and relationships. Kathryn primarily uses CBT, as well as well as solution focused approaches.
(512) 489-9790 View (512) 489-9790
Photo of Rocio Avila Salinas, Clinical Social Work/Therapist in Austin, TX
Rocio Avila Salinas
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Austin, TX 78705
I specialize in working with individuals with anxiety disorders, depression, trauma, posttraumatic stress disorder, and other co-occurring disorders. I enjoy working with pre-teens, adolescents, and adults. I am particularly passionate about working with BIPOC individuals and family systems. I strive to empower and support you in your journey towards healing and wellness. If you are looking for support, building coping skills, and simply want to understand and manage your mental health and wellbeing I would be happy to help collaborate with you to achieve your goals.
I specialize in working with individuals with anxiety disorders, depression, trauma, posttraumatic stress disorder, and other co-occurring disorders. I enjoy working with pre-teens, adolescents, and adults. I am particularly passionate about working with BIPOC individuals and family systems. I strive to empower and support you in your journey towards healing and wellness. If you are looking for support, building coping skills, and simply want to understand and manage your mental health and wellbeing I would be happy to help collaborate with you to achieve your goals.
(737) 264-6013 View (737) 264-6013
Photo of Emily Karpinski, Clinical Social Work/Therapist in Austin, TX
Emily Karpinski
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Austin, TX 78756
I specialize in working with individuals with early life trauma or hardship, as well as those experiencing anxiety and low self-esteem.
As a therapist, I work to create a safe and nurturing environment that allows for self-inquiry and for exploration of the many parts that make up our beings. Together, we can explore and build upon your existing strength and capabilities in order to cultivate greater happiness and fulfillment. We will also work to nurture and make peace with the parts of yourself that you may fear or dislike. I believe that each individual and family brings to therapy everything that they need to make change, and it is my privilege to help you discover those parts of yourself that may lie deep within.
I specialize in working with individuals with early life trauma or hardship, as well as those experiencing anxiety and low self-esteem.
As a therapist, I work to create a safe and nurturing environment that allows for self-inquiry and for exploration of the many parts that make up our beings. Together, we can explore and build upon your existing strength and capabilities in order to cultivate greater happiness and fulfillment. We will also work to nurture and make peace with the parts of yourself that you may fear or dislike. I believe that each individual and family brings to therapy everything that they need to make change, and it is my privilege to help you discover those parts of yourself that may lie deep within.
(737) 252-7272 View (737) 252-7272
Photo of Crystal Lillard, Licensed Professional Counselor in Austin, TX
Crystal Lillard
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Austin, TX 78719  (Online Only)
I believe life can be challenging enough as is, without having to navigate it with anxiety, depression and racing thoughts. I believe reaching out for help, or just someone to talk to, is the most important thing you can do. Life is stressful, life is messy and sometimes having someone to talk to can help clear your head. Please don’t overthink things, don’t spend hours looking for the “perfect therapist, and over analyze the therapy process. I’m here to help, just reach out that’s the first step!
I believe life can be challenging enough as is, without having to navigate it with anxiety, depression and racing thoughts. I believe reaching out for help, or just someone to talk to, is the most important thing you can do. Life is stressful, life is messy and sometimes having someone to talk to can help clear your head. Please don’t overthink things, don’t spend hours looking for the “perfect therapist, and over analyze the therapy process. I’m here to help, just reach out that’s the first step!
(512) 559-6958 View (512) 559-6958
Photo of Krissy Wappler, Clinical Social Work/Therapist in Austin, TX
Krissy Wappler
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78738
I work with clients with anxiety & depression issues including eating disorders, OCD, generalized anxiety, & transitional issues.
There are many reasons people seek therapy. You are not alone. Are you feeling confused, overwhelmed, falling back into your old thoughts and behaviors? Are you exhausted from a history of dealing with anxiety and/or depression? Or are you concerned for a loved one that may be going through something like this and you are affected but not quite sure how to address what's happening?
I work with clients with anxiety & depression issues including eating disorders, OCD, generalized anxiety, & transitional issues.
There are many reasons people seek therapy. You are not alone. Are you feeling confused, overwhelmed, falling back into your old thoughts and behaviors? Are you exhausted from a history of dealing with anxiety and/or depression? Or are you concerned for a loved one that may be going through something like this and you are affected but not quite sure how to address what's happening?
(512) 710-0075 View (512) 710-0075
Photo of Katelyn Williams, Licensed Professional Counselor in Austin, TX
Katelyn Williams
Licensed Professional Counselor, MA, LPC-S, RPT-S™, NCC
Verified Verified
2 Endorsed
Austin, TX 78735
As a Board Certified Counselor, an LPC-Supervisor and RPT-Supervisor my passion is helping clients overcome life's hurdles and achieve greater levels of satisfaction in their everyday lives. I specialize in working with kids, teens, adults and families who are grappling with anxiety, depression, grief, ADHD, dyslexia, autism, life transitions (new job/loss of a job, recent move, impending marriage/divorce, shifting family dynamics, etc), complicated peer relationships, family communication, finding success at school, emotional regulation, and parent coaching. I also provide supervision to LPC-A's and those wanting to earn their RPT.
As a Board Certified Counselor, an LPC-Supervisor and RPT-Supervisor my passion is helping clients overcome life's hurdles and achieve greater levels of satisfaction in their everyday lives. I specialize in working with kids, teens, adults and families who are grappling with anxiety, depression, grief, ADHD, dyslexia, autism, life transitions (new job/loss of a job, recent move, impending marriage/divorce, shifting family dynamics, etc), complicated peer relationships, family communication, finding success at school, emotional regulation, and parent coaching. I also provide supervision to LPC-A's and those wanting to earn their RPT.
(512) 967-0916 View (512) 967-0916
Photo of Brooke Butler, Marriage & Family Therapist Associate in Austin, TX
Brooke Butler
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
1 Endorsed
Austin, TX 78703
I help my clients learn to cope with adversity related to anxiety, depression, grief, bullying, eating disorders, relational issues and trauma, to name a few.
As a relational therapist, I believe subconscious beliefs and programming are responsible for many of our self-sabotaging behaviors. These impact our relationships and are typically inherited during our upbringing. I choose to work with clients who are struggling with the same patterns that have plagued them for far too long, and who are looking to make a serious change in their lives. I also work with clients who are simply feeling lost and looking for guidance in finding themselves. My ideal client is anyone looking to empower themselves and care for themselves, or their relationship mind, body, and soul.
I help my clients learn to cope with adversity related to anxiety, depression, grief, bullying, eating disorders, relational issues and trauma, to name a few.
As a relational therapist, I believe subconscious beliefs and programming are responsible for many of our self-sabotaging behaviors. These impact our relationships and are typically inherited during our upbringing. I choose to work with clients who are struggling with the same patterns that have plagued them for far too long, and who are looking to make a serious change in their lives. I also work with clients who are simply feeling lost and looking for guidance in finding themselves. My ideal client is anyone looking to empower themselves and care for themselves, or their relationship mind, body, and soul.
(512) 543-2790 View (512) 543-2790
Photo of Amanda C Smith, Licensed Professional Counselor in Austin, TX
Amanda C Smith
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Austin, TX 78746
Therapy is a special relationship that fosters behavioral and thought changes while increasing personal growth through the creation of a secure environment. Through effective communication, therapeutic techniques, and positive support together we can work on the difficulties and struggles in your and your family's lives. I enjoy working with individuals and families struggling with a variety of issues. I specialize in anxiety, depression, PTSD, ADHD, self-esteem and trauma. I have been working with children, adolescents and adults for the past 10 years in a variety of therapeutic settings.
Therapy is a special relationship that fosters behavioral and thought changes while increasing personal growth through the creation of a secure environment. Through effective communication, therapeutic techniques, and positive support together we can work on the difficulties and struggles in your and your family's lives. I enjoy working with individuals and families struggling with a variety of issues. I specialize in anxiety, depression, PTSD, ADHD, self-esteem and trauma. I have been working with children, adolescents and adults for the past 10 years in a variety of therapeutic settings.
(512) 489-6792 View (512) 489-6792
Photo of Karla Ayers, Marriage & Family Therapist in Austin, TX
Karla Ayers
Marriage & Family Therapist, LMFT
Verified Verified
Austin, TX 78749
HI, I'm Karla Ayers, a Licensed Marriage and Family Therapist. I am glad that you have decided to take the first step toward therapy. I am certain that you can improve areas of your life through therapy, and I will be with you every step of the way with the needed information, support, and encouragement it takes in this journey. I have experience working with all ages and backgrounds of clients. I have experience in helping with depression, anxiety, ADHD, childhood trauma and neglect, adjustments to life circumstances, stress, school and workplace issues, and chronic health issues.
HI, I'm Karla Ayers, a Licensed Marriage and Family Therapist. I am glad that you have decided to take the first step toward therapy. I am certain that you can improve areas of your life through therapy, and I will be with you every step of the way with the needed information, support, and encouragement it takes in this journey. I have experience working with all ages and backgrounds of clients. I have experience in helping with depression, anxiety, ADHD, childhood trauma and neglect, adjustments to life circumstances, stress, school and workplace issues, and chronic health issues.
(737) 252-3434 View (737) 252-3434
Photo of Lisa Gianandrea, Licensed Professional Counselor in Austin, TX
Lisa Gianandrea
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Austin, TX 78705
Waitlist for new clients
No matter the reason for seeking help, I’m glad you found me. Needing support is not an admission of defeat. Life is tough, and you and I are not excluded from being affected by hardship. You may be feeling scared, or worried, or maybe even excited! These are all normal feelings when looking for a therapist whether you are new to counseling or have been in therapy before. I believe in living authentically, in any way that feels most true to you. Together we will explore what living authentically means to you and work with your strengths to process past trauma and build your life in a way that you are excited about.
No matter the reason for seeking help, I’m glad you found me. Needing support is not an admission of defeat. Life is tough, and you and I are not excluded from being affected by hardship. You may be feeling scared, or worried, or maybe even excited! These are all normal feelings when looking for a therapist whether you are new to counseling or have been in therapy before. I believe in living authentically, in any way that feels most true to you. Together we will explore what living authentically means to you and work with your strengths to process past trauma and build your life in a way that you are excited about.
(512) 881-6352 x78 View (512) 881-6352 x78
Photo of Grace Dowd, Clinical Social Work/Therapist in Austin, TX
Grace Dowd
Clinical Social Work/Therapist, LCSW-S
Verified Verified
4 Endorsed
Austin, TX 78701
I am passionate about helping clients with anxiety, depression, impulsivity, relationship issues, and difficulties with communication.
Are you seeking inner peace and looking to make the first step towards feeling better? I work with teens and adults of all backgrounds and seek to create a warm, safe, and nonjudgmental space for each client. Together, we will work to identify unhelpful thinking patterns and behaviors that hinder you from creating a fulfilling and satisfying life. I meet you where you are and help you build the necessary skills to enhance your emotional health and improve your interpersonal relationships.
I am passionate about helping clients with anxiety, depression, impulsivity, relationship issues, and difficulties with communication.
Are you seeking inner peace and looking to make the first step towards feeling better? I work with teens and adults of all backgrounds and seek to create a warm, safe, and nonjudgmental space for each client. Together, we will work to identify unhelpful thinking patterns and behaviors that hinder you from creating a fulfilling and satisfying life. I meet you where you are and help you build the necessary skills to enhance your emotional health and improve your interpersonal relationships.
(512) 229-9880 View (512) 229-9880
Photo of Ariel Morado, Licensed Professional Counselor in Austin, TX
Ariel Morado
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Austin, TX 78744  (Online Only)
I see you—tweens, teens, and adults navigating the storm of trauma, PTSD, anxiety, and depression. In the midst of the chaos, you're seeking more than just survival; you're seeking connection—with your mind, body, and soul. I understand the weight you carry and the battles you fight within. Your journey is not just about overcoming challenges; it's about discovering the resilient core within you. It's about peeling back the layers of pain to find the essence of who you truly are.
I see you—tweens, teens, and adults navigating the storm of trauma, PTSD, anxiety, and depression. In the midst of the chaos, you're seeking more than just survival; you're seeking connection—with your mind, body, and soul. I understand the weight you carry and the battles you fight within. Your journey is not just about overcoming challenges; it's about discovering the resilient core within you. It's about peeling back the layers of pain to find the essence of who you truly are.
(512) 598-4981 View (512) 598-4981
Photo of Love From Above Counseling, Licensed Professional Counselor in Austin, TX
Love From Above Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
Austin, TX 78705  (Online Only)
I will work collaboratively and compassionately tailored to the unique strengths, struggles, and experiences of my clients. I specialize in working with adolescents and adults that may be struggling with anxiety, depression, anger management, trauma. The treatment modality I focus on using a person centered approach, CBT, Solution Focused. Together we will talk about what your facing and I will assist you in reaching your goals. My goal as your therapist is to create a safe place where your comfortable so, that we can collaboratively resolve the core issues that are holding you back from reaching your goals.
I will work collaboratively and compassionately tailored to the unique strengths, struggles, and experiences of my clients. I specialize in working with adolescents and adults that may be struggling with anxiety, depression, anger management, trauma. The treatment modality I focus on using a person centered approach, CBT, Solution Focused. Together we will talk about what your facing and I will assist you in reaching your goals. My goal as your therapist is to create a safe place where your comfortable so, that we can collaboratively resolve the core issues that are holding you back from reaching your goals.
(512) 960-1893 View (512) 960-1893
Photo of Victoria McCartney, Licensed Professional Counselor in Austin, TX
Victoria McCartney
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78705
Congratulations on taking the first step towards healing! I know the healing process can be uncomfortable, I am here to support you through it. My goal is to help you feel comfortable expressing yourself, processing situations and emotions that may be difficult, and learning new skills to get you to where you want to be. I welcome individuals who are struggling with anxiety, depression, low self-esteem, life-transitions, as well as a variety of other stressors.
Congratulations on taking the first step towards healing! I know the healing process can be uncomfortable, I am here to support you through it. My goal is to help you feel comfortable expressing yourself, processing situations and emotions that may be difficult, and learning new skills to get you to where you want to be. I welcome individuals who are struggling with anxiety, depression, low self-esteem, life-transitions, as well as a variety of other stressors.
(512) 488-1694 View (512) 488-1694
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.