There are no results for therapists in Chimacum

Check out therapists located nearby or offering teletherapy in Washington below.

More Therapists Nearby

Photo of Sarah Sterling, Mindfulness-Based Counseling, Licensed Professional Counselor in Chimacum, WA
Sarah Sterling, Mindfulness-Based Counseling
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
2 Endorsed
Port Ludlow, WA 98365  (Online Only)
Many of us come to counseling with some sort of an issue like anxiety, depression, or low self esteem.
As a mindfulness-based counselor, I help individuals, adolescents and couples transform their struggles into opportunities for growth, learning and adventure. I help you turn your problems into pathways. This journey is an opportunity to unearth the home that is your deep and abiding sense of self. Drawing on nature wisdom, archetypal patterns, myth, mindfulness and the mind-body connection, I am here to be a guide as you dive into your own depths. I look forward to accompanying you on your journey toward wholeness, freedom and purpose.
Many of us come to counseling with some sort of an issue like anxiety, depression, or low self esteem.
As a mindfulness-based counselor, I help individuals, adolescents and couples transform their struggles into opportunities for growth, learning and adventure. I help you turn your problems into pathways. This journey is an opportunity to unearth the home that is your deep and abiding sense of self. Drawing on nature wisdom, archetypal patterns, myth, mindfulness and the mind-body connection, I am here to be a guide as you dive into your own depths. I look forward to accompanying you on your journey toward wholeness, freedom and purpose.
(360) 215-2512 View (360) 215-2512
Photo of Carolyn Jeffress Johnston MA-Jungian Psychoanalyst, Marriage & Family Therapist in Chimacum, WA
Carolyn Jeffress Johnston MA-Jungian Psychoanalyst
Marriage & Family Therapist, MA, LMFT
Verified Verified
Port Townsend, WA 98368
My approach as a Jungian analyst/psychotherapist is to facilitate foremost a trusting relationship offering a safe healing environment with my office in my home facing the Olympic National Park. Carl Jung stated: " It is the privilege of a lifetime to become who you truly are." Most people come to therapy seeking relief from depression, anxiety, life transitions, grief, and relationship/family concerns. The clinical process is to identify your unique ways of coping and healing through these life concerns/traumas that occur for most of us at some point. My primary focus is Psychoanalysis/ Psychodynamic and Family Systems therapy.
My approach as a Jungian analyst/psychotherapist is to facilitate foremost a trusting relationship offering a safe healing environment with my office in my home facing the Olympic National Park. Carl Jung stated: " It is the privilege of a lifetime to become who you truly are." Most people come to therapy seeking relief from depression, anxiety, life transitions, grief, and relationship/family concerns. The clinical process is to identify your unique ways of coping and healing through these life concerns/traumas that occur for most of us at some point. My primary focus is Psychoanalysis/ Psychodynamic and Family Systems therapy.
(360) 362-8514 View (360) 362-8514
Photo of Inner Wisdom HLC, LLC in Chimacum, WA
Inner Wisdom HLC, LLC
LMFT
Verified Verified
Port Townsend, WA 98368
Are you ready to free yourself from limiting beliefs that contribute to social, emotional, physical issues or behaviors? I would love to work with you, to help you gain back your freedom. What's holding you back? Are you feeling not enough? Is your weight holding you back? Are you anxious in any way or depressed? If you want to succeed in the most important aspects of your life - in relationships, your job and how you feel about yourself, I can help you be truly happy and free you from self-destructive thoughts and behaviors, living a confident, motivated and happier life. I can help you let go of the past that is holding you back.
Are you ready to free yourself from limiting beliefs that contribute to social, emotional, physical issues or behaviors? I would love to work with you, to help you gain back your freedom. What's holding you back? Are you feeling not enough? Is your weight holding you back? Are you anxious in any way or depressed? If you want to succeed in the most important aspects of your life - in relationships, your job and how you feel about yourself, I can help you be truly happy and free you from self-destructive thoughts and behaviors, living a confident, motivated and happier life. I can help you let go of the past that is holding you back.
(360) 821-9901 View (360) 821-9901
Photo of Paula L Casey, Marriage & Family Therapist in Chimacum, WA
Paula L Casey
Marriage & Family Therapist, LMFT, CMHS, AT
Verified Verified
Port Townsend, WA 98368
Paula, is a licensed Marriage & Family Therapist, Child Mental Health Specialist,Art Therapist and Psychedelic Assisted Psychotherapist. with graduate degree in Psychology and BA in Biology and Psychology. Paula has trained extensively in complex trauma, childhood neurodevelopment, attachment, developmental trauma, parent/child interactionalTherapy (PCIT), and generational trauma. As a Psychedelic Assisted Psychotherapy, she helps identify and support the development of healing intentions and ongoing integration of insights gained through the sacred journey.
Paula, is a licensed Marriage & Family Therapist, Child Mental Health Specialist,Art Therapist and Psychedelic Assisted Psychotherapist. with graduate degree in Psychology and BA in Biology and Psychology. Paula has trained extensively in complex trauma, childhood neurodevelopment, attachment, developmental trauma, parent/child interactionalTherapy (PCIT), and generational trauma. As a Psychedelic Assisted Psychotherapy, she helps identify and support the development of healing intentions and ongoing integration of insights gained through the sacred journey.
(360) 361-8596 View (360) 361-8596
Photo of Claire Maria Chambers, Counselor in Chimacum, WA
Claire Maria Chambers
Counselor, MA, LMHC
Verified Verified
Port Townsend, WA 98368
Life is a meaning-filled adventure. But encountering meaningful change can be painful as often as it can be joyful. Each one of us struggles to find integration between challenging problems and fulfilment. Each one of us also holds the tools for our own healing. Your unique story is about learning to be fully you in the reality of this living, breathing world. You can choose to become more interconnected, more fully alive, and more free. With a background in theatre, drama, and literature, I work with children, teens, and adults to uncover creative potential in our own healing, strengthen relationships, and discover our stories.
Life is a meaning-filled adventure. But encountering meaningful change can be painful as often as it can be joyful. Each one of us struggles to find integration between challenging problems and fulfilment. Each one of us also holds the tools for our own healing. Your unique story is about learning to be fully you in the reality of this living, breathing world. You can choose to become more interconnected, more fully alive, and more free. With a background in theatre, drama, and literature, I work with children, teens, and adults to uncover creative potential in our own healing, strengthen relationships, and discover our stories.
(360) 854-3302 View (360) 854-3302
Photo of Laila Josephine Ayyoub, Clinical Social Work/Therapist in Chimacum, WA
Laila Josephine Ayyoub
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Port Townsend, WA 98368
Not accepting new clients
I specialize in treating trauma, grief, anxiety and chronic health issues.
All people are one of a kind, but here's where we're all alike: All of us come from a personal history and context: A past that got us through to where we are now. And "Right Now" is where all the choices and opportunities are. Some things we may want to change, other things we may choose to accept as they are. Therapy can be helpful in understanding yourself well enough to know which is which. And therapy can offer some things you may need to go forward with your choices: Hope, perspective and someone who believes in you while you practice believing in yourself.
I specialize in treating trauma, grief, anxiety and chronic health issues.
All people are one of a kind, but here's where we're all alike: All of us come from a personal history and context: A past that got us through to where we are now. And "Right Now" is where all the choices and opportunities are. Some things we may want to change, other things we may choose to accept as they are. Therapy can be helpful in understanding yourself well enough to know which is which. And therapy can offer some things you may need to go forward with your choices: Hope, perspective and someone who believes in you while you practice believing in yourself.
(458) 207-2062 View (458) 207-2062

Online Therapists

Photo of Michelle Brown, Clinical Social Work/Therapist in Chimacum, WA
Michelle Brown
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Bellevue, WA 98004
Waitlist for new clients
I provide support to clients with a variety of mental health concerns, including trauma, social justice & identity issues, attachment, anxiety & depression, relationship issues, women’s issues, self-esteem & self-harm.
The majority of my career has been spent working in an emergency department & inpatient hospital setting. As an outpatient therapist, I combine these skills with additional therapeutic interventions to define, build, and complete your treatment goals. I work from a strength-based, solution-focused approach & utilize a variety of therapeutic techniques to best support the needs of my clients.
I provide support to clients with a variety of mental health concerns, including trauma, social justice & identity issues, attachment, anxiety & depression, relationship issues, women’s issues, self-esteem & self-harm.
The majority of my career has been spent working in an emergency department & inpatient hospital setting. As an outpatient therapist, I combine these skills with additional therapeutic interventions to define, build, and complete your treatment goals. I work from a strength-based, solution-focused approach & utilize a variety of therapeutic techniques to best support the needs of my clients.
(206) 785-3205 View (206) 785-3205
Photo of Laura Grant, Counselor in Chimacum, WA
Laura Grant
Counselor, MA, LPC, LMHC
Verified Verified
Seattle, WA 98103  (Online Only)
Welcome! I primarily treat older adolescents, young adults, and adults across the lifespan who have been diagnosed with Obsessive Compulsive Disorder (OCD), OC Related Disorders, and Anxiety Disorders. In addition, I have experience treating Generalized Anxiety Disorder, Phobias (Fear of vomiting, swallowing, choking and panic related to agoraphobia), Panic Disorder, Social Anxiety, BFRB's (Skin picking and Trichotillomania), perfectionism, health anxiety, emotional dysregulation, distressing intrusive thoughts, and excessive worry.
Welcome! I primarily treat older adolescents, young adults, and adults across the lifespan who have been diagnosed with Obsessive Compulsive Disorder (OCD), OC Related Disorders, and Anxiety Disorders. In addition, I have experience treating Generalized Anxiety Disorder, Phobias (Fear of vomiting, swallowing, choking and panic related to agoraphobia), Panic Disorder, Social Anxiety, BFRB's (Skin picking and Trichotillomania), perfectionism, health anxiety, emotional dysregulation, distressing intrusive thoughts, and excessive worry.
(206) 472-1753 View (206) 472-1753
Photo of Corey Griffin, Clinical Social Work/Therapist in Chimacum, WA
Corey Griffin
Clinical Social Work/Therapist, LICSW, PMH-C, SUDP
Verified Verified
1 Endorsed
Everett, WA 98208
Waitlist for new clients
I love to support people navigating big life transitions and working on integrating past experiences with who they are. I specialize in helping folks navigating through their perinatal period and into parenthood while coping with mood & anxiety disorders and past trauma. When facing significant loss or big life changes there is potential for growth and self-discovery. I offer an anti-oppressive lens and strive for cultural humility, hoping to be a source of support to anyone who might reach out.
I love to support people navigating big life transitions and working on integrating past experiences with who they are. I specialize in helping folks navigating through their perinatal period and into parenthood while coping with mood & anxiety disorders and past trauma. When facing significant loss or big life changes there is potential for growth and self-discovery. I offer an anti-oppressive lens and strive for cultural humility, hoping to be a source of support to anyone who might reach out.
(425) 357-2253 View (425) 357-2253
Photo of Lexi Cress, Counselor in Chimacum, WA
Lexi Cress
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Marysville, WA 98270
In my work with clients, I have focused on unresolved grief, life transitions, anxiety, depression, abuse and trauma, issues with spirituality, mind/body connection, perinatal issues, and relationship concerns.
I approach therapy from a relational, psychodynamic model, meaning the relationship between client and therapist can be a healing vessel in your therapeutic process. I pull from attachment theory, neuroscience, somatic approaches, and utilize EMDR in my work. My therapeutic approach also draws from my personality, which integrates humor, playfulness, and authenticity.
In my work with clients, I have focused on unresolved grief, life transitions, anxiety, depression, abuse and trauma, issues with spirituality, mind/body connection, perinatal issues, and relationship concerns.
I approach therapy from a relational, psychodynamic model, meaning the relationship between client and therapist can be a healing vessel in your therapeutic process. I pull from attachment theory, neuroscience, somatic approaches, and utilize EMDR in my work. My therapeutic approach also draws from my personality, which integrates humor, playfulness, and authenticity.
(360) 997-2352 View (360) 997-2352
Photo of Janet Douglas in Chimacum, WA
Janet Douglas
LSWAIC, ACHT
Verified Verified
1 Endorsed
Issaquah, WA 98027  (Online Only)
Are you struggling with depression, anxiety, relationship issues, or a past that's holding you back? I can help. Are you wanting to make a change, and are feeling stuck, or out of control? Are you ready to heal yourself from within? I can help! Counselling and hypnotherapy allow you to get to the source of negative beliefs and patterns so that you can heal from old wounds. You are better able to see how these patterns may have carried forward and left you feeling stuck in your current situation. Through this healing, you can release what no longer serves you and become who we truly want to be.
Are you struggling with depression, anxiety, relationship issues, or a past that's holding you back? I can help. Are you wanting to make a change, and are feeling stuck, or out of control? Are you ready to heal yourself from within? I can help! Counselling and hypnotherapy allow you to get to the source of negative beliefs and patterns so that you can heal from old wounds. You are better able to see how these patterns may have carried forward and left you feeling stuck in your current situation. Through this healing, you can release what no longer serves you and become who we truly want to be.
(425) 292-5064 View (425) 292-5064
Photo of Olivia Park-Sargent, Marriage & Family Therapist in Chimacum, WA
Olivia Park-Sargent
Marriage & Family Therapist, LMFT, PMH-C
Verified Verified
Seattle, WA 98122  (Online Only)
My practice welcomes all people who may be struggling with anxiety, depression and navigating the challenges of life’s transitions.
We are wired for connection; we need it to survive, but more importantly, we need it to thrive. To experience ourselves in connection when perhaps we have disconnected, as a way to survive our hurts or traumas, is an important part of healing. Working with a therapist is one great way to do this. I see therapy as a collaborative process that relies on trust and authenticity to foster insight and growth. I believe that you are the expert in your own healing, and I aim to provide a safe, non-judgmental, space to unpack difficult emotions, and expand awareness of your unique personality, strengths, and patterns of relating.
My practice welcomes all people who may be struggling with anxiety, depression and navigating the challenges of life’s transitions.
We are wired for connection; we need it to survive, but more importantly, we need it to thrive. To experience ourselves in connection when perhaps we have disconnected, as a way to survive our hurts or traumas, is an important part of healing. Working with a therapist is one great way to do this. I see therapy as a collaborative process that relies on trust and authenticity to foster insight and growth. I believe that you are the expert in your own healing, and I aim to provide a safe, non-judgmental, space to unpack difficult emotions, and expand awareness of your unique personality, strengths, and patterns of relating.
(206) 338-2800 View (206) 338-2800
Photo of Jennifer Wootsick, Clinical Social Work/Therapist in Chimacum, WA
Jennifer Wootsick
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Mountlake Terrace, WA 98043
I provide therapy for infants, children up to age 12, adults 18+, & pregnant/expecting/perinatal folks. Most of my clients are struggling with stress, anxiety, depression, emotion regulation, parenting, ADHD, & trauma related to their relationships or family. In addition, I provide: parent support, Circle of Security Parenting group facilitation a few times a year, & consultation for early learning centers & other providers & therapists. Uniquely, I provide home visiting mental health services for the perinatal/0-6 age group.
I provide therapy for infants, children up to age 12, adults 18+, & pregnant/expecting/perinatal folks. Most of my clients are struggling with stress, anxiety, depression, emotion regulation, parenting, ADHD, & trauma related to their relationships or family. In addition, I provide: parent support, Circle of Security Parenting group facilitation a few times a year, & consultation for early learning centers & other providers & therapists. Uniquely, I provide home visiting mental health services for the perinatal/0-6 age group.
(425) 842-3370 View (425) 842-3370
Photo of HorizonView Health, Licensed Professional Counselor in Chimacum, WA
HorizonView Health
Licensed Professional Counselor
Verified Verified
Puyallup, WA 98371
Maggie Eastman, LMFTA, specializes in identity, medical management, anxiety, depression, and post-traumatic stress for adults and couples.
At Horizonview Health’s Behavioral Health practice, four therapists offer a variety of approaches to meet your needs. All of our therapists believe in a client centered approach to therapy. Sessions are 50 minutes in length and we are in network with many insurance providers. We also offer cash pay and super bill options. We offer both in person and telehealth sessions. All clinicians are trained in taking Bariatric assessments for clients to qualify for medical weight loss surgery.
Maggie Eastman, LMFTA, specializes in identity, medical management, anxiety, depression, and post-traumatic stress for adults and couples.
At Horizonview Health’s Behavioral Health practice, four therapists offer a variety of approaches to meet your needs. All of our therapists believe in a client centered approach to therapy. Sessions are 50 minutes in length and we are in network with many insurance providers. We also offer cash pay and super bill options. We offer both in person and telehealth sessions. All clinicians are trained in taking Bariatric assessments for clients to qualify for medical weight loss surgery.
(253) 331-2547 View (253) 331-2547
Photo of Sibel Ulger, Counselor in Chimacum, WA
Sibel Ulger
Counselor, MA , LMHCA
Verified Verified
2 Endorsed
Sammamish, WA 98074  (Online Only)
I use person-centered therapy, create a safe space, aiming to help with anxiety, self-discovery, and relationship struggles.
I'm a positive, approachable, and multicultural mental health professional who understands challenges. Being multicultural and bilingual, I'm culturally sensitive, working well with diverse backgrounds.
I use person-centered therapy, create a safe space, aiming to help with anxiety, self-discovery, and relationship struggles.
I'm a positive, approachable, and multicultural mental health professional who understands challenges. Being multicultural and bilingual, I'm culturally sensitive, working well with diverse backgrounds.
(425) 584-5988 View (425) 584-5988
Photo of Marianne Esterly, Counselor in Chimacum, WA
Marianne Esterly
Counselor, MACP, LMHC
Verified Verified
2 Endorsed
Kirkland, WA 98033
Life leaves us feeling stuck, anxious, confused and alone. Instead of living, you are just surviving, life does not have to be survived, it can be lived with freedom. You learned how to be in this world through relationship, and it is through a safe relationship that new ways of relating are created. I am committed to creating a safe place to work with individuals to regain a sense of fullness and purpose for their lives
Life leaves us feeling stuck, anxious, confused and alone. Instead of living, you are just surviving, life does not have to be survived, it can be lived with freedom. You learned how to be in this world through relationship, and it is through a safe relationship that new ways of relating are created. I am committed to creating a safe place to work with individuals to regain a sense of fullness and purpose for their lives
(425) 441-3090 View (425) 441-3090
Photo of Annalisa Ochiltre, Counselor in Chimacum, WA
Annalisa Ochiltre
Counselor, LMHC
Verified Verified
Bellingham, WA 98229
Waitlist for new clients
I'm glad you are looking into counseling, it can take awhile to find the right therapist but its worth it. Are you struggling to balance your responsibilities and still find joy? Are depression, anxiety, the past, and or the future all getting in the way of you living the life you want in this present moment? Otherwise know as the human condition. We all have times when we need to explore and shift patterns and perspectives, and therapy is a great way to make these changes.
I'm glad you are looking into counseling, it can take awhile to find the right therapist but its worth it. Are you struggling to balance your responsibilities and still find joy? Are depression, anxiety, the past, and or the future all getting in the way of you living the life you want in this present moment? Otherwise know as the human condition. We all have times when we need to explore and shift patterns and perspectives, and therapy is a great way to make these changes.
(833) 994-2746 View (833) 994-2746
Photo of Kimberly Minton, Clinical Social Work/Therapist in Chimacum, WA
Kimberly Minton
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98119  (Online Only)
I am an independently licensed clinician aiming to provide many clients with care. I am passionate about providing excellent care to vulnerable communities and individuals who traditionally have not have access. I'm here to walk with you on your path to well-being. As a mental health professional, my practice centers around evidence-based therapeutic approaches such as ACT (Acceptance and Commitment Therapy) and CBT (Cognitive Behavioral Therapy). I specialize in providing support for anxiety, depression, and disordered eating, tailoring my approach to meet your unique needs.
I am an independently licensed clinician aiming to provide many clients with care. I am passionate about providing excellent care to vulnerable communities and individuals who traditionally have not have access. I'm here to walk with you on your path to well-being. As a mental health professional, my practice centers around evidence-based therapeutic approaches such as ACT (Acceptance and Commitment Therapy) and CBT (Cognitive Behavioral Therapy). I specialize in providing support for anxiety, depression, and disordered eating, tailoring my approach to meet your unique needs.
(206) 312-4714 View (206) 312-4714
Photo of Lexi Marquardt Hill, Clinical Social Work/Therapist in Chimacum, WA
Lexi Marquardt Hill
Clinical Social Work/Therapist, LCSW, LICSW, CCTP
Verified Verified
Bellingham, WA 98229  (Online Only)
I also treat anxiety, depression, ADHD, substance use and most other mental health issues.
From the very beginning, I work to build trust and a foundation for my clients that allows them to feel safe to share and explore their personal narrative. I empower individuals to recognize that they have the ability to change negative ways of thinking, create new patterns of relationships with themselves and others, and set boundaries that allow them to move through the world feeling supported. My main focus is treating eating disorders using the HAES foundation. I am a certified clinical trauma professional currently working on my EMDR certification. Other modalities I utilize are CBT, DBT, IFS, Solution Focused, MI, and more.
I also treat anxiety, depression, ADHD, substance use and most other mental health issues.
From the very beginning, I work to build trust and a foundation for my clients that allows them to feel safe to share and explore their personal narrative. I empower individuals to recognize that they have the ability to change negative ways of thinking, create new patterns of relationships with themselves and others, and set boundaries that allow them to move through the world feeling supported. My main focus is treating eating disorders using the HAES foundation. I am a certified clinical trauma professional currently working on my EMDR certification. Other modalities I utilize are CBT, DBT, IFS, Solution Focused, MI, and more.
(971) 328-3338 View (971) 328-3338
Photo of Rye Gottesman, Clinical Social Work/Therapist in Chimacum, WA
Rye Gottesman
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98403
I offer psychoanalysis/psychoanalytic psychotherapy, which is a treatment that considers how your unconscious thoughts and feelings contribute to suffering. I meet with individuals from one to four times a week. Increased session frequency can provide a deeper understanding of your experience and uncover long standing underlying issues that may previously have been unreachable. I work with patients who are struggling with interpersonal and romantic relationship issues of all constellations, depression, anxiety, overwhelming feelings, self harm, extensive cumulative or acute trauma, issues related to family of origin and parenting.
I offer psychoanalysis/psychoanalytic psychotherapy, which is a treatment that considers how your unconscious thoughts and feelings contribute to suffering. I meet with individuals from one to four times a week. Increased session frequency can provide a deeper understanding of your experience and uncover long standing underlying issues that may previously have been unreachable. I work with patients who are struggling with interpersonal and romantic relationship issues of all constellations, depression, anxiety, overwhelming feelings, self harm, extensive cumulative or acute trauma, issues related to family of origin and parenting.
(253) 461-0588 View (253) 461-0588

See more therapy options for Chimacum

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.