Anxiety Counselling in Cheltenham

Photo of Andy Flack, MSc, MUKCP, Psychotherapist
Andy Flack
Psychotherapist, MSc, MUKCP
Verified Verified
Cheltenham GL51
If you are worrying more than usual, having nightmares or flashbacks to a traumatic event, suffering from disturbed sleep or are more feeling irritable and hyper-vigilant than usual, you may be suffering from a reaction to trauma. If this strikes a cord, visit the website for more information or get in touch by email or phone. I have spent the last twenty years helping clients resolve trauma and anxiety problems and intend to spend the next twenty doing the same. I may be able to help you in London, Cheltenham or worldwide online.
If you are worrying more than usual, having nightmares or flashbacks to a traumatic event, suffering from disturbed sleep or are more feeling irritable and hyper-vigilant than usual, you may be suffering from a reaction to trauma. If this strikes a cord, visit the website for more information or get in touch by email or phone. I have spent the last twenty years helping clients resolve trauma and anxiety problems and intend to spend the next twenty doing the same. I may be able to help you in London, Cheltenham or worldwide online.
020 3870 4638 View 020 3870 4638
Photo of Claire King, MBACP, Counsellor
Claire King
Counsellor, MBACP
Verified Verified
Cheltenham GL50
Counselling for adults, young people 13+ and couples in Cheltenham, Gloucestershire with fully qualified, experienced counsellor. ​Counselling can help with difficult feelings like anxiety, depression, grief, anger, loneliness and low self-esteem. Counselling can help you cope better with issues such as loss, relationship difficulties, stress, past traumas. Counselling can help you learn about yourself- your wants and needs – and how to meet them. ​Counselling for couples can help you remember what is right with your relationship, find ways to communicate more effectively and work together on what is difficult
Counselling for adults, young people 13+ and couples in Cheltenham, Gloucestershire with fully qualified, experienced counsellor. ​Counselling can help with difficult feelings like anxiety, depression, grief, anger, loneliness and low self-esteem. Counselling can help you cope better with issues such as loss, relationship difficulties, stress, past traumas. Counselling can help you learn about yourself- your wants and needs – and how to meet them. ​Counselling for couples can help you remember what is right with your relationship, find ways to communicate more effectively and work together on what is difficult
01242 903215 View 01242 903215
Photo of Anne Coats, DCounsPsych, PNCPS Acc., Counsellor
Anne Coats
Counsellor, DCounsPsych, PNCPS Acc.
Verified Verified
Cheltenham GL52
I am a fully qualified and registered psychotherapist and supervisor working with adults, adolescents and relationships. Sometimes life can be challenging, we can feel lost or stuck or that we have no control over what is happening. Counselling can provide vital relief. If you suffer with depression, anxiety,relationship issues, grief, trauma or anger management, I am hear to support you. I offer a warm, reflective, non-judgemental and confidential space for you to explore your thoughts, feelings and experiences. I will provide the compassionate support you need to find effective solutions to any issue you may have. ​
I am a fully qualified and registered psychotherapist and supervisor working with adults, adolescents and relationships. Sometimes life can be challenging, we can feel lost or stuck or that we have no control over what is happening. Counselling can provide vital relief. If you suffer with depression, anxiety,relationship issues, grief, trauma or anger management, I am hear to support you. I offer a warm, reflective, non-judgemental and confidential space for you to explore your thoughts, feelings and experiences. I will provide the compassionate support you need to find effective solutions to any issue you may have. ​
01242 903657 View 01242 903657
Photo of Julie Ingram, MA, MBACP, Psychotherapist
Julie Ingram
Psychotherapist, MA, MBACP
Verified Verified
Cheltenham GL50
Hello, and welcome to my page. I have been qualified as a psychotherapist and supervisor for over 18 years, with previous experience in mental health and Social Work Management. I work with adults, children, adolescents and have expertise in working with family issues. I can help with a wide range of matters including: anxiety and depression, self esteem, family difficulties, relationship issues, Childhood abuse, Childhood neglect, Life threatening events, eating disorders, self harm, suicide and trauma. I provide a welcoming, safe space (indoors or out doors) which provides a relationship based approach to working together.
Hello, and welcome to my page. I have been qualified as a psychotherapist and supervisor for over 18 years, with previous experience in mental health and Social Work Management. I work with adults, children, adolescents and have expertise in working with family issues. I can help with a wide range of matters including: anxiety and depression, self esteem, family difficulties, relationship issues, Childhood abuse, Childhood neglect, Life threatening events, eating disorders, self harm, suicide and trauma. I provide a welcoming, safe space (indoors or out doors) which provides a relationship based approach to working together.
01981 200129 View 01981 200129
Photo of Shelley Marie Alcock - Cheltenham’s Counselling Centre  , DCounsPsych, BACP, Counsellor
Cheltenham’s Counselling Centre
Counsellor, DCounsPsych, BACP
Verified Verified
Cheltenham GL50
I have experience with working with adults of all ages, teenagers and younger children on a wide range of issues including: anxiety, identity, depression, trauma, low self-esteem, stress, grief, domestic abuse, sexual abuse, relationship issues, eating disorders, self-harm, and more.
Hello my name is Shelley and I am a qualified adult and child Therapeutic Counsellor. I have a vast amount of experience as a pastoral worker working in schools and as a counsellor working for a charity. I am a member of the BACP (British Association for Counselling and Psychotherapy) and offer face to face or online sessions . These sessions provide a confidential, supportive environment where clients can feel safe and explore the work through any emotional or life difficulties. I believe by offering online counselling this gives each individual the ability to reach their true potential within the safety of their chosen space.
I have experience with working with adults of all ages, teenagers and younger children on a wide range of issues including: anxiety, identity, depression, trauma, low self-esteem, stress, grief, domestic abuse, sexual abuse, relationship issues, eating disorders, self-harm, and more.
Hello my name is Shelley and I am a qualified adult and child Therapeutic Counsellor. I have a vast amount of experience as a pastoral worker working in schools and as a counsellor working for a charity. I am a member of the BACP (British Association for Counselling and Psychotherapy) and offer face to face or online sessions . These sessions provide a confidential, supportive environment where clients can feel safe and explore the work through any emotional or life difficulties. I believe by offering online counselling this gives each individual the ability to reach their true potential within the safety of their chosen space.
01242 339245 View 01242 339245
Photo of Harvey Lidstone-Lane, MBACP, Counsellor
Harvey Lidstone-Lane
Counsellor, MBACP
Verified Verified
Cheltenham GL50
Hello, my name is Harvey and I am a therapist working in Cheltenham, Gloucestershire and Birmingham. I currently work for Here for you Counselling, a private practice therapeutic service I founded. I have experience working with many different presenting issues, including; depression, anxiety, stress, relationship problems, bereavement, low self-esteem, PTSD, abuse and many more. I have worked with I wide range of clients, however I have particular experience working with young people, aged 18-35. I am able to work in a traditional face-to-face setting or remotely via Skype/Zoom. I offer both 25 minute or 50 minute sessions.
Hello, my name is Harvey and I am a therapist working in Cheltenham, Gloucestershire and Birmingham. I currently work for Here for you Counselling, a private practice therapeutic service I founded. I have experience working with many different presenting issues, including; depression, anxiety, stress, relationship problems, bereavement, low self-esteem, PTSD, abuse and many more. I have worked with I wide range of clients, however I have particular experience working with young people, aged 18-35. I am able to work in a traditional face-to-face setting or remotely via Skype/Zoom. I offer both 25 minute or 50 minute sessions.
020 3958 4304 View 020 3958 4304
Photo of Regina Tipping - Regina Tipping, MA
Regina Tipping
MA
Verified Verified
Cheltenham GL50
Talking therapies for different difficulties like depression, anxiety and other behaviour difficulties from structured assessments to treatment including other holistic methods to signposting.
Hello! If you need to talk, I can help! I am a friendly, calm, and caring mother of two. I enjoy cooking, arts, and dance and I enjoy helping in community-building activities. I am accredited by the BABCP. I have worked for NHS talking therapies for over five years helping people manage low mood, worry, panic disorder, specific fears, and other behavioural difficulties. I have in-depth experience in using cognitive behavioural therapies and other holistic techniques to help people regain their happiness and confidence. I work with adults and teenagers including people with ADHD, ASD, and other specific needs
Talking therapies for different difficulties like depression, anxiety and other behaviour difficulties from structured assessments to treatment including other holistic methods to signposting.
Hello! If you need to talk, I can help! I am a friendly, calm, and caring mother of two. I enjoy cooking, arts, and dance and I enjoy helping in community-building activities. I am accredited by the BABCP. I have worked for NHS talking therapies for over five years helping people manage low mood, worry, panic disorder, specific fears, and other behavioural difficulties. I have in-depth experience in using cognitive behavioural therapies and other holistic techniques to help people regain their happiness and confidence. I work with adults and teenagers including people with ADHD, ASD, and other specific needs
01242 569946 View 01242 569946
Photo of Martyn Pars, MBACP, Counsellor
Martyn Pars
Counsellor, MBACP
Verified Verified
Cheltenham GL50
During this time I worked with a range of mental health issues from stress, anxiety, depression, relationships through to self harm, suicidal thoughts, gender, autism, ADHD, dyslexia and more.
My Offer To You: Being heard, understood, believed in and supported. We all need this kind of support at some point in our lives. This is my offer to you. I am an accredited professional counsellor (PNCPS acc.) registered through the British Association of Counselling and Psychotherapy (MBACP reg) which means I am held on the Professional Standards Authority Accredited Register thus ensuring protection to the public and helping to ensure their health and wellbeing. I have a particular interest in those with later in life ADHD diagnosis or if you suspect you might be. I am also a professional executive coach.
During this time I worked with a range of mental health issues from stress, anxiety, depression, relationships through to self harm, suicidal thoughts, gender, autism, ADHD, dyslexia and more.
My Offer To You: Being heard, understood, believed in and supported. We all need this kind of support at some point in our lives. This is my offer to you. I am an accredited professional counsellor (PNCPS acc.) registered through the British Association of Counselling and Psychotherapy (MBACP reg) which means I am held on the Professional Standards Authority Accredited Register thus ensuring protection to the public and helping to ensure their health and wellbeing. I have a particular interest in those with later in life ADHD diagnosis or if you suspect you might be. I am also a professional executive coach.
01242 507893 View 01242 507893
Photo of Rachel Power, MBACP, Counsellor
Rachel Power
Counsellor, MBACP
Verified Verified
Cheltenham GL50
I work with adults and children and young people who want to be able to explore their feelings and their thoughts in a safe place. Have you been struggling with feelings that are overwhelming? Maybe you know what is bothering you and you would like to explore the past and how it is affecting your present situation? Sometimes we just don’t know why we are experiencing anxiety and depression or why each day is such a struggle. Maybe you are experiencing difficulties in your relationships? I am here to offer you a guiding hand to enable you to explore in a space that is full of love and understanding and not judgemental.
I work with adults and children and young people who want to be able to explore their feelings and their thoughts in a safe place. Have you been struggling with feelings that are overwhelming? Maybe you know what is bothering you and you would like to explore the past and how it is affecting your present situation? Sometimes we just don’t know why we are experiencing anxiety and depression or why each day is such a struggle. Maybe you are experiencing difficulties in your relationships? I am here to offer you a guiding hand to enable you to explore in a space that is full of love and understanding and not judgemental.
07961 627500 View 07961 627500
Photo of Dr Jess Rayner, PsychD, HCPC - Clin. Psych., Psychologist
Dr Jess Rayner
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Cheltenham GL53
Waitlist for new clients
Welcome, I am a registered Clinical Psychologist offering high quality, compassionate, therapy. You may be here because you are feeling anxious, dealing with the impact of traumatic or difficult events, stressed, or perhaps struggling with low self-esteem or critical self-talk. I aim to create a non-judgemental space where we can work together to explore the source of your troubles, increase understanding, reduce distress, and build new skills and perspectives. Specialist interests include anxiety, trauma, burnout and stress, and long-term health conditions (e.g., pain/fatigue).
Welcome, I am a registered Clinical Psychologist offering high quality, compassionate, therapy. You may be here because you are feeling anxious, dealing with the impact of traumatic or difficult events, stressed, or perhaps struggling with low self-esteem or critical self-talk. I aim to create a non-judgemental space where we can work together to explore the source of your troubles, increase understanding, reduce distress, and build new skills and perspectives. Specialist interests include anxiety, trauma, burnout and stress, and long-term health conditions (e.g., pain/fatigue).
01248 663871 View 01248 663871
Photo of Julie Fiona Allan - Thrive:Counselling. Julie Allan, MBACP, Counsellor
Thrive:Counselling. Julie Allan
Counsellor, MBACP
Verified Verified
Cheltenham GL51
I seek to offer you a warm non judgemental, safe space to think and talk about anything which may feel confusing, uncomfortable, painful, traumatic or distressing . You do not necessarily need to be at crisis point to benefit from counselling, you may simply be feeling more anxious, tearful, stressed or angry and wondering how to get back to what feels more normal for you.
I seek to offer you a warm non judgemental, safe space to think and talk about anything which may feel confusing, uncomfortable, painful, traumatic or distressing . You do not necessarily need to be at crisis point to benefit from counselling, you may simply be feeling more anxious, tearful, stressed or angry and wondering how to get back to what feels more normal for you.
01242 903168 View 01242 903168
Photo of Kate Gregory, MA, MBACP, Counsellor
Kate Gregory
Counsellor, MA, MBACP
Verified Verified
Cheltenham GL50
Hello, I'm Kate. I offer 1:1 counselling to adults. This can be short or long term depending on your needs. I work face to face in Cheltenham or online via Zoom. I offer a warm, supportive and confidential space to explore your feelings, thoughts and experiences. Counselling can help you to look at a particular issue that is worrying you, to make sense of difficult feelings, to explore deeply rooted issues, or simply to understand yourself better. I work with clients on many issues including anxiety, depression, grief and loss, low self-esteem, feeling stuck and unmotivated, questions of identity, and adapting to life changes.
Hello, I'm Kate. I offer 1:1 counselling to adults. This can be short or long term depending on your needs. I work face to face in Cheltenham or online via Zoom. I offer a warm, supportive and confidential space to explore your feelings, thoughts and experiences. Counselling can help you to look at a particular issue that is worrying you, to make sense of difficult feelings, to explore deeply rooted issues, or simply to understand yourself better. I work with clients on many issues including anxiety, depression, grief and loss, low self-esteem, feeling stuck and unmotivated, questions of identity, and adapting to life changes.
01242 505859 View 01242 505859
Photo of Jen Edwards, MBACP, Counsellor
Jen Edwards
Counsellor, MBACP
Verified Verified
Cheltenham GL50
I recognise that life is a journey that can sometimes be a struggle. Life in this modern world is often chaotic, stressful and moves at such a fast pace, yet our reptilian brains are still designed to deal with cave man threats. This can lead to our bodies being flooded with fight, flight or freeze responses. In time these can build and lead to conditions such as anxiety, depression and low level trauma if not dealt with correctly. Having the support to help you through is not always easy to find.
I recognise that life is a journey that can sometimes be a struggle. Life in this modern world is often chaotic, stressful and moves at such a fast pace, yet our reptilian brains are still designed to deal with cave man threats. This can lead to our bodies being flooded with fight, flight or freeze responses. In time these can build and lead to conditions such as anxiety, depression and low level trauma if not dealt with correctly. Having the support to help you through is not always easy to find.
01242 903218 View 01242 903218
Photo of Rachel Power The Walk And Talk Therapist, MBACP, Psychotherapist
Rachel Power The Walk And Talk Therapist
Psychotherapist, MBACP
Verified Verified
Cheltenham GL50
I am an experienced counsellor PROVIDING THERAPY IN THE OUTDOORS. Sometimes we want to talk but sitting in a counselling room might not feel like the right space for you. WALKING WHILST TALKING might just give you the space and freedom to begin to understand some uncomfortable feelings and past experiences in the safe hands of myself within nature. Being in nature will help you to learn how to resource yourself whilst processing the past giving you a clearer feel of the future. You may feel anxious or depressed, struggling with relationships. I work from Pittville Park, The Cotswolds and Crickley Hill. I also do home visits.
I am an experienced counsellor PROVIDING THERAPY IN THE OUTDOORS. Sometimes we want to talk but sitting in a counselling room might not feel like the right space for you. WALKING WHILST TALKING might just give you the space and freedom to begin to understand some uncomfortable feelings and past experiences in the safe hands of myself within nature. Being in nature will help you to learn how to resource yourself whilst processing the past giving you a clearer feel of the future. You may feel anxious or depressed, struggling with relationships. I work from Pittville Park, The Cotswolds and Crickley Hill. I also do home visits.
07961 627500 View 07961 627500
Photo of Dr Hannah Barnes, PsychD, HCPC - Clin. Psych., Psychologist
Dr Hannah Barnes
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Cheltenham GL52
13/06/24 - Availability on Monday afternoons - . If you are experiencing self-criticism, low mood, anxiety, or struggling with the impact of trauma, then I can help you. Perhaps you want to feel more confident, have more self-compassion, or want to find a way to better manage anxiety or negative thoughts. Perhaps you never had a chance to talk about or process what has happened to you in your life. You might be doing well in life, successful in your career or with your family, but something is still feeling missing. If any of this sounds like you, then get in touch and we can discuss how I can help you.
13/06/24 - Availability on Monday afternoons - . If you are experiencing self-criticism, low mood, anxiety, or struggling with the impact of trauma, then I can help you. Perhaps you want to feel more confident, have more self-compassion, or want to find a way to better manage anxiety or negative thoughts. Perhaps you never had a chance to talk about or process what has happened to you in your life. You might be doing well in life, successful in your career or with your family, but something is still feeling missing. If any of this sounds like you, then get in touch and we can discuss how I can help you.
01242 569951 View 01242 569951
Photo of Carl Smith, MBACP, Counsellor
Carl Smith
Counsellor, MBACP
Verified Verified
Cheltenham GL50
Hello, I'm Carl, knowing that I can talk to someone about the things that I might be finding difficult is very important to me, especially if those feelings are ones I worry others wont understand. I aim to lessen that worry by providing an open and accepting space for you to be able to discuss the issues that your facing.
Hello, I'm Carl, knowing that I can talk to someone about the things that I might be finding difficult is very important to me, especially if those feelings are ones I worry others wont understand. I aim to lessen that worry by providing an open and accepting space for you to be able to discuss the issues that your facing.
01242 903207 View 01242 903207
Photo of Louise Ann Adamson - Come Alongside, MBACP Accred, Counsellor
Come Alongside
Counsellor, MBACP Accred
Verified Verified
Cheltenham GL53
My aim is to help you understand why you suffer from symptoms such as anxiety, depression, anger and low self-worth; why you might find situations difficult to navigate; why you might find life simply overwhelming and how all these factors affect your attitudes, self-beliefs, behaviour and relationships. I am committed to coming alongside every client; respecting each individual, their experiences and choices. I seek to help clients better understand themselves and find the rest, freedom and opportunities that arise out of this understanding.
My aim is to help you understand why you suffer from symptoms such as anxiety, depression, anger and low self-worth; why you might find situations difficult to navigate; why you might find life simply overwhelming and how all these factors affect your attitudes, self-beliefs, behaviour and relationships. I am committed to coming alongside every client; respecting each individual, their experiences and choices. I seek to help clients better understand themselves and find the rest, freedom and opportunities that arise out of this understanding.
01242 903233 View 01242 903233
Photo of Saskia Penrose
Saskia Penrose
Verified Verified
Cheltenham GL51
10 Years experience as a Cognitive Behavioural Therapist (CBT) with Adults in private practice. In addition to this, I've been working for Teens In Crisis (TIC+) and trained to specialise working with young adults and teenagers. My clients gain strategies, practical & emotional, which help them deal with what was hindering/hurting them. Issues my clients and I work with most, are Low Self Esteem, Anxiety, Depression, Perfectionism, OCD tendencies, Self Harm, Suicidal thoughts. 20 Years ago I started training as an NLP practitioner, which means I have a wide range of tools on my therapeutic tool belt.
10 Years experience as a Cognitive Behavioural Therapist (CBT) with Adults in private practice. In addition to this, I've been working for Teens In Crisis (TIC+) and trained to specialise working with young adults and teenagers. My clients gain strategies, practical & emotional, which help them deal with what was hindering/hurting them. Issues my clients and I work with most, are Low Self Esteem, Anxiety, Depression, Perfectionism, OCD tendencies, Self Harm, Suicidal thoughts. 20 Years ago I started training as an NLP practitioner, which means I have a wide range of tools on my therapeutic tool belt.
015242 36646 View 015242 36646
Photo of Jaimie Marc Cahlil - Jaimie Cahlil, PsychD, MUKCP, Psychotherapist
Jaimie Cahlil
Psychotherapist, PsychD, MUKCP
Verified Verified
1 Endorsed
Cheltenham GL50
Here you are, searching for something that feels right for you. So, to introduce my way of working: as a transpersonal (psychospiritual) psychotherapist, the work of psychotherapy is placed within the immense context, or ultimate reality, of oneness. As you read my words, you may be feeling anxious, depressed, sad, angry, confused, imprisoned, disconnected, numb, lost....or yet something else. However, as you read these words, I suggest you assess your readiness for the spiritual self-development I offer: a courageously self-honest, open-mindedly questioning, process of deepening awakening consciousness.
Here you are, searching for something that feels right for you. So, to introduce my way of working: as a transpersonal (psychospiritual) psychotherapist, the work of psychotherapy is placed within the immense context, or ultimate reality, of oneness. As you read my words, you may be feeling anxious, depressed, sad, angry, confused, imprisoned, disconnected, numb, lost....or yet something else. However, as you read these words, I suggest you assess your readiness for the spiritual self-development I offer: a courageously self-honest, open-mindedly questioning, process of deepening awakening consciousness.
01242 903238 View 01242 903238
Photo of Linzi Worrall - Linzi Worrall - Igloo Counselling, MNCPS Acc., Counsellor
Linzi Worrall - Igloo Counselling
Counsellor, MNCPS Acc.
Verified Verified
Cheltenham GL50
I have experience working within a wide range of areas, including anxiety, depression, bereavement, loss, low self esteem, difficult family relationships, self harm and suicidal thoughts.
Hello, and welcome. I provide a safe, warm, non-judgemental space, where we can work together to explore, with gentle curiosity, what is going on for you, and how to find your own way forward. It is a space where you can be safe to bring yourself exactly as you are - to explore who you are and how you feel. I won't ask you to talk about anything you don't want to, or don't feel ready to. We will work at your pace, with whatever you choose to bring, to help you move towards a sense of understanding, healing and growth.
I have experience working within a wide range of areas, including anxiety, depression, bereavement, loss, low self esteem, difficult family relationships, self harm and suicidal thoughts.
Hello, and welcome. I provide a safe, warm, non-judgemental space, where we can work together to explore, with gentle curiosity, what is going on for you, and how to find your own way forward. It is a space where you can be safe to bring yourself exactly as you are - to explore who you are and how you feel. I won't ask you to talk about anything you don't want to, or don't feel ready to. We will work at your pace, with whatever you choose to bring, to help you move towards a sense of understanding, healing and growth.
01452 923034 View 01452 923034

See more therapy options for Cheltenham

Anxiety Counsellors

What are the most common treatments for anxiety?

Talk therapy, particularly cognitive behavioural therapy, is the most common treatment for anxiety. Studies have shown it is equally effective as medication. Other 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 Behavioural 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.