Photo of Krista Green’s Counseling, Counselor in Shelton, WA
Krista Green’s Counseling
Counselor, LMHCA , MHP, CMHS, MA
Verified Verified
1 Endorsed
Shelton, WA 98584
I believe in being culturally aware of the different experiences we all go through in work, school, relationships, or other areas in life. My therapitic style is authentic, resourceful, and strengths-based.
I believe in being culturally aware of the different experiences we all go through in work, school, relationships, or other areas in life. My therapitic style is authentic, resourceful, and strengths-based.
(360) 334-3613 View (360) 334-3613

Online Therapists

Photo of Brenda Ruttenberg, Psychologist in Shelton, WA
Brenda Ruttenberg
Psychologist, PhD
Verified Verified
Snohomish, WA 98290
I specialize in the treatment of depression, anxiety, panic disorder, trauma (simple and complex), and the psychological treatment relating to chronic health issues, grief, loss and bereavement, life transitions, and the struggles relating to multi-cultural adjustment.
My clients seek counseling, guidance, support and new skills to resolve issues. We work together to explore personal and family relationships which can include work-related problems and trauma. A deeper understanding results. We work on improving communication skills, perspectives and attitudes. With therapy, self confidence and depressive states show improvement. I specialize in the treatment of depression and mood disorders, anxiety, panic, trauma, PTSD, and chronic health issues in a safe and comfortable environment. I work mainly with adults of all ages and orientations.
I specialize in the treatment of depression, anxiety, panic disorder, trauma (simple and complex), and the psychological treatment relating to chronic health issues, grief, loss and bereavement, life transitions, and the struggles relating to multi-cultural adjustment.
My clients seek counseling, guidance, support and new skills to resolve issues. We work together to explore personal and family relationships which can include work-related problems and trauma. A deeper understanding results. We work on improving communication skills, perspectives and attitudes. With therapy, self confidence and depressive states show improvement. I specialize in the treatment of depression and mood disorders, anxiety, panic, trauma, PTSD, and chronic health issues in a safe and comfortable environment. I work mainly with adults of all ages and orientations.
(206) 745-0939 View (206) 745-0939
Photo of Mill Creek Family Services - Counseling Group, Counselor in Shelton, WA
Mill Creek Family Services - Counseling Group
Counselor, MA, LMHC
Verified Verified
Mill Creek, WA 98012
Our services are designed to help you and the ones you love overcome personal, relationship and family difficulties. Whether you are experiencing challenges in your personal relationships, or struggling with depression, anxiety, stress or addictions, we are here for you. We help you develop skills and insights that can immediately make a positive difference in your life. We know that everybody needs help through tough times. Our Mill Creek Family Services counselors are here for you, helping you get your life back on track.
Our services are designed to help you and the ones you love overcome personal, relationship and family difficulties. Whether you are experiencing challenges in your personal relationships, or struggling with depression, anxiety, stress or addictions, we are here for you. We help you develop skills and insights that can immediately make a positive difference in your life. We know that everybody needs help through tough times. Our Mill Creek Family Services counselors are here for you, helping you get your life back on track.
(425) 357-9111 x1 View (425) 357-9111 x1
Photo of Abby White, Marriage & Family Therapist in Shelton, WA
Abby White
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
6 Endorsed
Puyallup, WA 98372
I enjoy working with people experiencing difficulty in all elements of life. I look through the lens of family systems which means I incorporate family dynamics and looking at generational patterns to learn more about what is presently impacting the clients ability to function optimally. I specialize in working with families all together to support change longevity. I particularly enjoy working with clients suffering from anxiety, depression, or facing relationship difficulty. I use many methods to help people process their stress and trauma including art, movement, talk, and practicing alternative ways to navigate the world.
I enjoy working with people experiencing difficulty in all elements of life. I look through the lens of family systems which means I incorporate family dynamics and looking at generational patterns to learn more about what is presently impacting the clients ability to function optimally. I specialize in working with families all together to support change longevity. I particularly enjoy working with clients suffering from anxiety, depression, or facing relationship difficulty. I use many methods to help people process their stress and trauma including art, movement, talk, and practicing alternative ways to navigate the world.
(360) 780-3005 View (360) 780-3005
Photo of Katelyn Boschert, Clinical Social Work/Therapist in Shelton, WA
Katelyn Boschert
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Everett, WA 98203
I work with adolescents and young adults from the age of 13 providing support in the areas of anxiety, family and school issues, depression, adjustment, authority, and other issues, which are faced in our changing world. I work closely with families from all background, schools, and community to support clients as they gently work through their areas of healing. Also, as an experienced clinician with broad skills in adjustment, I understand the challenges individuals/families face in transition. As your therapist, I will provide deep support and tools for your emotional health and growth.
I work with adolescents and young adults from the age of 13 providing support in the areas of anxiety, family and school issues, depression, adjustment, authority, and other issues, which are faced in our changing world. I work closely with families from all background, schools, and community to support clients as they gently work through their areas of healing. Also, as an experienced clinician with broad skills in adjustment, I understand the challenges individuals/families face in transition. As your therapist, I will provide deep support and tools for your emotional health and growth.
(360) 743-4274 View (360) 743-4274
Photo of Diana Quinn, Counselor in Shelton, WA
Diana Quinn
Counselor, MA, LMHC, CMHS
Verified Verified
1 Endorsed
Tacoma, WA 98409
I work with angry kids, frustrated parents, depressed, anxious individuals and people who are feeling disconnected.
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
I work with angry kids, frustrated parents, depressed, anxious individuals and people who are feeling disconnected.
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
(253) 242-6619 View (253) 242-6619
Photo of Bluestone Psychological Services, LLC, Counselor in Shelton, WA
Bluestone Psychological Services, LLC
Counselor, PsyD, LMHC
Verified Verified
1 Endorsed
Edmonds, WA 98026
Help for adults: Depression, anxiety, trauma, coping with chronic illness, LGBTQI concerns, postpartum transition/depression, grief and loss, stress, work stress, aging parents, life transitions & more.
Find us at: www.BluestonePS.com. At Bluestone you have access to a group of independent, private practitioners who offer a wide variety of services so you can get the type of help you need in one location. Each of us has many years of experience and advanced training within our specialty areas so you know you or your loved one are working with someone who is highly skilled and can help facilitate reaching your goals.
Help for adults: Depression, anxiety, trauma, coping with chronic illness, LGBTQI concerns, postpartum transition/depression, grief and loss, stress, work stress, aging parents, life transitions & more.
Find us at: www.BluestonePS.com. At Bluestone you have access to a group of independent, private practitioners who offer a wide variety of services so you can get the type of help you need in one location. Each of us has many years of experience and advanced training within our specialty areas so you know you or your loved one are working with someone who is highly skilled and can help facilitate reaching your goals.
(425) 385-0106 View (425) 385-0106
Photo of Kids and Family Counseling PLLC., Counselor in Shelton, WA
Kids and Family Counseling PLLC.
Counselor, MS, MA, LMHC, BCBA, MHP
Verified Verified
1 Endorsed
Duvall, WA 98019
Empowering children, teens and adults to overcome challenges in their everyday life and help them rediscover their strengths and interpersonal competencies is the focus of my practice. Are you or someone you know, experiencing lack of motivation, facing friendship and self worth challenges, are defiant, aggressive, anxious, depressed, moody and lonely? Is your family in crisis? If so, do give me a call. People come to me for help with mood/ anxiety issues, Autism, ADHD, Anger problems, depression, OCD, PTSD , stress., multicultural and relational issues, social skills support and behavioral, parenting and school based challenges.
Empowering children, teens and adults to overcome challenges in their everyday life and help them rediscover their strengths and interpersonal competencies is the focus of my practice. Are you or someone you know, experiencing lack of motivation, facing friendship and self worth challenges, are defiant, aggressive, anxious, depressed, moody and lonely? Is your family in crisis? If so, do give me a call. People come to me for help with mood/ anxiety issues, Autism, ADHD, Anger problems, depression, OCD, PTSD , stress., multicultural and relational issues, social skills support and behavioral, parenting and school based challenges.
(425) 549-9710 View (425) 549-9710
Photo of Manoshi Vin, Clinical Social Work/Therapist in Shelton, WA
Manoshi Vin
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Bellevue, WA 98004
Hello! My name is Manoshi and I am Licensed Independent Clinical Social Worker. I hold a degree from Boston University School of Social Work with a focus on Behavioral Medicine from BU school of Medicine. I have over 15 plus years of experience working with kids and adults in clinics, hospitals, schools and communities. I specialize in working children, teens and adults suffering from depression, anxiety and a variety of mood disorders. I also specialize in supporting kids and teens with issues such as bullying, school related stressors, life transitions, high conflict divorce, grief and loss.
Hello! My name is Manoshi and I am Licensed Independent Clinical Social Worker. I hold a degree from Boston University School of Social Work with a focus on Behavioral Medicine from BU school of Medicine. I have over 15 plus years of experience working with kids and adults in clinics, hospitals, schools and communities. I specialize in working children, teens and adults suffering from depression, anxiety and a variety of mood disorders. I also specialize in supporting kids and teens with issues such as bullying, school related stressors, life transitions, high conflict divorce, grief and loss.
(678) 737-6752 View (678) 737-6752
Photo of Kindred Sparrow Counseling, Marriage & Family Therapist in Shelton, WA
Kindred Sparrow Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Stanwood, WA 98292
Hello, welcome to my practice. I offer mental health services in Washington and California via telehealth. I have been working with youth, adults, and families since 2010. Are you going through a difficult time in your life? Have you had experiences that are impacting your ability to thrive? Are you struggling with anxiety and depression? Is your child struggling in school or at home? I want to help you identify your strengths and weaknesses and identify more healthy coping skills and communication techniques. I am committed to supporting you and your family in your journey toward well-being and recovery.
Hello, welcome to my practice. I offer mental health services in Washington and California via telehealth. I have been working with youth, adults, and families since 2010. Are you going through a difficult time in your life? Have you had experiences that are impacting your ability to thrive? Are you struggling with anxiety and depression? Is your child struggling in school or at home? I want to help you identify your strengths and weaknesses and identify more healthy coping skills and communication techniques. I am committed to supporting you and your family in your journey toward well-being and recovery.
(360) 284-1982 View (360) 284-1982
Photo of Onward & Upward Counseling Center, LLC, Licensed Professional Counselor in Shelton, WA
Onward & Upward Counseling Center, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Marysville, WA 98271  (Online Only)
I have a passion to help individuals who have experienced trauma of human trafficking victimization to help them heal through surviving & eventually thriving in a meaningful life they desire to maintain. I offer a safe space to heal & not be judged while building self worth & work through other areas of trauma endured & been exposed to. I am huge on recognizing a person's strengths & empowering others, which gets incorporated into my practice. This specific passion expands to other types of trauma, ADHD, families, couples, anxiety, depression, etc. I enjoy helping those who have been misunderstood & offer emotional validation.
I have a passion to help individuals who have experienced trauma of human trafficking victimization to help them heal through surviving & eventually thriving in a meaningful life they desire to maintain. I offer a safe space to heal & not be judged while building self worth & work through other areas of trauma endured & been exposed to. I am huge on recognizing a person's strengths & empowering others, which gets incorporated into my practice. This specific passion expands to other types of trauma, ADHD, families, couples, anxiety, depression, etc. I enjoy helping those who have been misunderstood & offer emotional validation.
(719) 496-8859 View (719) 496-8859
Photo of Eastside Counseling Center in Shelton, WA
Eastside Counseling Center
LMFT, LMHC, LCSW
Verified Verified
Kirkland, WA 98034
Are relationship issues, anxiety and/or depression keeping you up at night? The counselors at ECC will work with you to help you improve the quality of your your life and your relationships. Our dynamic team of counselors seek to understand and resolve the real-life, everyday challenges many of us face. We work with a wide range of issues and have a diverse team of therapists trained in a variety of specialties. This allows us to create a personalized treatment plan to meet your individual needs.
Are relationship issues, anxiety and/or depression keeping you up at night? The counselors at ECC will work with you to help you improve the quality of your your life and your relationships. Our dynamic team of counselors seek to understand and resolve the real-life, everyday challenges many of us face. We work with a wide range of issues and have a diverse team of therapists trained in a variety of specialties. This allows us to create a personalized treatment plan to meet your individual needs.
(425) 405-7857 View (425) 405-7857
Photo of Rachel Kathleen Ramondetta, Marriage & Family Therapist Associate in Shelton, WA
Rachel Kathleen Ramondetta
Marriage & Family Therapist Associate, MA, LMFTA, MHP
Verified Verified
Lake Forest Park, WA 98155  (Online Only)
I am passionate about supporting individuals, couples, and families as they navigate life's challenges and transitions. My practice focuses on helping clients develop effective coping strategies to overcome challenges related to anxiety, depression, relationships, and family dynamics. As an Associate Marriage and Family Therapist, my primary areas of focus include: distress related to attachment, identity, and adjustment issues, as well as communication difficulties, relationship concerns, healing from traumatic experiences, and family dynamics.
I am passionate about supporting individuals, couples, and families as they navigate life's challenges and transitions. My practice focuses on helping clients develop effective coping strategies to overcome challenges related to anxiety, depression, relationships, and family dynamics. As an Associate Marriage and Family Therapist, my primary areas of focus include: distress related to attachment, identity, and adjustment issues, as well as communication difficulties, relationship concerns, healing from traumatic experiences, and family dynamics.
(206) 207-6622 View (206) 207-6622
Photo of Christina H Rasmussen, Psychologist in Shelton, WA
Christina H Rasmussen
Psychologist, PhD
Verified Verified
University Place, WA 98466
I have been in private practice since 1994, providing services for children, adolescents, adults, families, and couples. As a Licensed Clinical Psychologist, I have learned to treat a variety of conditions including Depression, Anxiety, PTSD, Personality Disorders, marital problems, and other issues. I also provide a variety of assessment services including disability evaluations, psychological evaluations, custody evaluations, intelligence and academic achievement assessment, and personality assessments. I provide in person and telehealth options for treatment.
I have been in private practice since 1994, providing services for children, adolescents, adults, families, and couples. As a Licensed Clinical Psychologist, I have learned to treat a variety of conditions including Depression, Anxiety, PTSD, Personality Disorders, marital problems, and other issues. I also provide a variety of assessment services including disability evaluations, psychological evaluations, custody evaluations, intelligence and academic achievement assessment, and personality assessments. I provide in person and telehealth options for treatment.
(253) 906-1906 View (253) 906-1906
Photo of Don C Clifton, Counselor in Shelton, WA
Don C Clifton
Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98103
Relationship problems? Locked in an unhealthy pattern? Feeling down? Overwhelmed? Depressed? Fearful/anxious? Want more out of life? If you are ready to make some changes, let's get started.
No one wakes up so happy that they decide to change their life. You are suffering in some way and want to do something about it. That's a great place to start our work. I'm a down to earth counselor that will use plain language and, (when appropriate), humor while we do that work. Do you have trouble being assertive with others? Are you feeling stuck or in need of a plan? Having trouble achieving what you want? Disorganized?
Relationship problems? Locked in an unhealthy pattern? Feeling down? Overwhelmed? Depressed? Fearful/anxious? Want more out of life? If you are ready to make some changes, let's get started.
No one wakes up so happy that they decide to change their life. You are suffering in some way and want to do something about it. That's a great place to start our work. I'm a down to earth counselor that will use plain language and, (when appropriate), humor while we do that work. Do you have trouble being assertive with others? Are you feeling stuck or in need of a plan? Having trouble achieving what you want? Disorganized?
(918) 992-3973 View (918) 992-3973
Photo of The Salish Sea Collective, Marriage & Family Therapist in Shelton, WA
The Salish Sea Collective
Marriage & Family Therapist, LMFT, MS
Verified Verified
2 Endorsed
Puyallup, WA 98372
Whether you are struggling with anxiety, depression, trauma, or strained relationships we're here to help.
Life isn’t always easy. Sometimes, we need a little bit of help to work through some of life’s more challenging problems. Everyone has hurdles to overcome at some point. Whether you or your child struggle with anxiety, depression, or unhelpful behaviors, you should know that there is hope for a better tomorrow. The Salish Sea Collective understands that our clients deserve care encompassing physical, mental, emotional, sexual and spiritual health. These human aspects are intrinsically intertwined and require a holistic approach. Our multidisciplinary team create a cohesive atmosphere where clinicians work together for our clients.
Whether you are struggling with anxiety, depression, trauma, or strained relationships we're here to help.
Life isn’t always easy. Sometimes, we need a little bit of help to work through some of life’s more challenging problems. Everyone has hurdles to overcome at some point. Whether you or your child struggle with anxiety, depression, or unhelpful behaviors, you should know that there is hope for a better tomorrow. The Salish Sea Collective understands that our clients deserve care encompassing physical, mental, emotional, sexual and spiritual health. These human aspects are intrinsically intertwined and require a holistic approach. Our multidisciplinary team create a cohesive atmosphere where clinicians work together for our clients.
(253) 655-2757 View (253) 655-2757
Photo of Angela R. Schellenberg, Counselor in Shelton, WA
Angela R. Schellenberg
Counselor, LMHC, EMDR, K-8 cer
Verified Verified
1 Endorsed
Bellevue, WA 98004  (Online Only)
My approach to counseling is holistic, humanistic and client-centered. I am trained in EMDR and trauma. I work with you and together we create an individualized approach to counseling that supports your goals. My professional background is in Trauma, PTSD, Grief, Loss, Early Parent loss. Anxiety, Depression. CBT, Family Systems Counseling, Narrative Therapy, Restorative Retelling, EFT, Matrix Reprinting, Multicultural Cultural Counseling, Feminist, Mindfulness-Based Stress Reduction. Since 2000, I have had the experience of living abroad as an elementary K-8 Certified teacher in Shanghai, China, Chiangmai, and Saudi Arabia.
My approach to counseling is holistic, humanistic and client-centered. I am trained in EMDR and trauma. I work with you and together we create an individualized approach to counseling that supports your goals. My professional background is in Trauma, PTSD, Grief, Loss, Early Parent loss. Anxiety, Depression. CBT, Family Systems Counseling, Narrative Therapy, Restorative Retelling, EFT, Matrix Reprinting, Multicultural Cultural Counseling, Feminist, Mindfulness-Based Stress Reduction. Since 2000, I have had the experience of living abroad as an elementary K-8 Certified teacher in Shanghai, China, Chiangmai, and Saudi Arabia.
(206) 278-3407 View (206) 278-3407
Photo of Michael Kaufman, Clinical Social Work/Therapist in Shelton, WA
Michael Kaufman
Clinical Social Work/Therapist, LICSW, MSW, MHP
Verified Verified
5 Endorsed
Seattle, WA 98103
Anxiety.
I have been a child and family therapist since 2009, and volunteered in the field of grief and loss for 14 years, working with grieving children (ages 3 to 18) who lost a loved one. I'm client-centered and strengths-based, and believe my job is to try to understand how my client's brain works, to best assist each individual understand her/ himself. I have learned from the last 9 years working with a wide variety of amazing individuals that I must be very creative and flexible. I'm grateful for how much I have and continue to learn from my clients.
Anxiety.
I have been a child and family therapist since 2009, and volunteered in the field of grief and loss for 14 years, working with grieving children (ages 3 to 18) who lost a loved one. I'm client-centered and strengths-based, and believe my job is to try to understand how my client's brain works, to best assist each individual understand her/ himself. I have learned from the last 9 years working with a wide variety of amazing individuals that I must be very creative and flexible. I'm grateful for how much I have and continue to learn from my clients.
(253) 201-4196 View (253) 201-4196
Photo of April Christine Slocum, Marriage & Family Therapist in Shelton, WA
April Christine Slocum
Marriage & Family Therapist, MA, LMFTA, MAOL, CMHS, MHP
Verified Verified
3 Endorsed
Lacey, WA 98503  (Online Only)
Online & Phone Special Now $68 - Book an Appointment Today. To help in this global time of crisis, I am available extended hours. $10 Discount for Religious Leaders, Military / Veterans & First Responders. Are you suffering from a loss, depression, stress, anxiety, or relationship issues? Together we can work to overcome these issues comfortably and effectively. I am very worldly and have much experience with religions and cultures. Faith based treatment plans are available upon request. Additionally, I am a certified Child and Adolescent Specialist, Couples LMFTA
Online & Phone Special Now $68 - Book an Appointment Today. To help in this global time of crisis, I am available extended hours. $10 Discount for Religious Leaders, Military / Veterans & First Responders. Are you suffering from a loss, depression, stress, anxiety, or relationship issues? Together we can work to overcome these issues comfortably and effectively. I am very worldly and have much experience with religions and cultures. Faith based treatment plans are available upon request. Additionally, I am a certified Child and Adolescent Specialist, Couples LMFTA
(360) 526-8409 View (360) 526-8409
Summit Health Management, PLLC
Counselor, LMHC, CMHS
Verified Verified
Gig Harbor, WA 98335
We offer individual and group therapy for a variety of concerns, including issues related to anxiety, depression, trauma, grief/loss, pandemic issues, adjustment, attachment, behavior, school problems, identity, and substance abuse.
I am a partner in Summit Health Management, a group founded by an eclectic partnership of four established, experienced providers with the vision of offering a variety of therapeutic services to meet the needs of children, adolescents, adults, elders, couples, and families in our community. Our group’s mission is to provide the region with experienced, compassionate, professional, and proficient mental and behavioral health care. We offer a therapy and psychiatric care for all ages, presentations, relationships and disorders, including individual, couples, family and group therapy, as well as substance abuse recovery for all ages.
We offer individual and group therapy for a variety of concerns, including issues related to anxiety, depression, trauma, grief/loss, pandemic issues, adjustment, attachment, behavior, school problems, identity, and substance abuse.
I am a partner in Summit Health Management, a group founded by an eclectic partnership of four established, experienced providers with the vision of offering a variety of therapeutic services to meet the needs of children, adolescents, adults, elders, couples, and families in our community. Our group’s mission is to provide the region with experienced, compassionate, professional, and proficient mental and behavioral health care. We offer a therapy and psychiatric care for all ages, presentations, relationships and disorders, including individual, couples, family and group therapy, as well as substance abuse recovery for all ages.
(253) 215-8451 View (253) 215-8451

See more therapy options for Shelton

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.