Anxiety Counselling in Cumnor

Photo of Gabrielle Lees, MBACP, Psychotherapist
Gabrielle Lees
Psychotherapist, MBACP
Verified Verified
Cumnor OX2
I have experience of working with most psychological difficulties, but have special interests in adolescence, pre and post natal issues, anxiety and low mood, problematic family relationships, life cycle changes, parenting and bereavement.
I am a fully trained and registered psychotherapist with over 20 years experience in the NHS (ongoing). I run a small evening clinic in Jericho offering time limited and open ended work. I also offer a very popular 4 session 'fast response' intervention for adolescents and young adults for £220. This treatment can be extremely helpful at times of crisis and change. I am registered with ACP, BACP and the Professional Standards Authority; PSA. I teach and supervise other therapists.
I have experience of working with most psychological difficulties, but have special interests in adolescence, pre and post natal issues, anxiety and low mood, problematic family relationships, life cycle changes, parenting and bereavement.
I am a fully trained and registered psychotherapist with over 20 years experience in the NHS (ongoing). I run a small evening clinic in Jericho offering time limited and open ended work. I also offer a very popular 4 session 'fast response' intervention for adolescents and young adults for £220. This treatment can be extremely helpful at times of crisis and change. I am registered with ACP, BACP and the Professional Standards Authority; PSA. I teach and supervise other therapists.
01865 954062 View 01865 954062
Photo of Paul Hughes, MUKCP, Psychotherapist
Paul Hughes
Psychotherapist, MUKCP
Verified Verified
Cumnor OX2
I see clients from across all ages, ethnicities and with an extremely wide range of issues. I help clients to come to grips with substance abuse, depression, all forms of anxiety and much more besides. I help my clients to summon the strength to put their issues behind them. I help them to find new ways of feeling, thinking and behaving. Whatever their goals might be, I help them to realise that they're strong enough, good enough and able to achieve them. I particularly specialise in working with clients on the high functioning end of the autistic spectrum.
I see clients from across all ages, ethnicities and with an extremely wide range of issues. I help clients to come to grips with substance abuse, depression, all forms of anxiety and much more besides. I help my clients to summon the strength to put their issues behind them. I help them to find new ways of feeling, thinking and behaving. Whatever their goals might be, I help them to realise that they're strong enough, good enough and able to achieve them. I particularly specialise in working with clients on the high functioning end of the autistic spectrum.
0118 207 2581 View 0118 207 2581
Photo of Michael William Cowdry, MBACP Accred, Psychotherapist
Michael William Cowdry
Psychotherapist, MBACP Accred
Verified Verified
Cumnor OX2
I work with people who feel ready to address some kind of dis-ease in their lives, whether that is an anxiety, addiction, relationship question or stress-related physical pain. Many of these issues take time to address properly although people often experience relief relatively quickly. I worked as a teacher before becoming a psychotherapist, and still like the Greek word for teaching: pedagogy, which has at its heart the idea of accompanying. I accompany people in-person and online, on their journey; I rarely offer advice but work with people to help them understand themselves, what they want, and the best way forward for them.
I work with people who feel ready to address some kind of dis-ease in their lives, whether that is an anxiety, addiction, relationship question or stress-related physical pain. Many of these issues take time to address properly although people often experience relief relatively quickly. I worked as a teacher before becoming a psychotherapist, and still like the Greek word for teaching: pedagogy, which has at its heart the idea of accompanying. I accompany people in-person and online, on their journey; I rarely offer advice but work with people to help them understand themselves, what they want, and the best way forward for them.
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Photo of John-Henry Carter, MSc, MBACP, Psychotherapist
John-Henry Carter
Psychotherapist, MSc, MBACP
Verified Verified
Cumnor OX2
John-Henry works with individuals and couples suffering from a range mental health issues including: anxiety, depression, eating disorders, addictions, relationship issues, trauma, grief and change, anger issues, identity and self-esteem, self-harm, suicidal and existential issues.
John-Henry graduated with distinction from Oxford University with an MSt in Psychodynamic Psychotherapy. He is currently completing doctoral research at Oxford University on the psychoanalysis of dreams. Prior to becoming a psychotherapist, John-Henry played professional rugby in several successful teams, winning the Guinness Premiership, European Cup and Varsity matches as Captain at Oxford University. He works privately in Oxford and in a clinic on Harley Street in London. He also offers online sessions, which can be combined with face to face meetings at your convenience.
John-Henry works with individuals and couples suffering from a range mental health issues including: anxiety, depression, eating disorders, addictions, relationship issues, trauma, grief and change, anger issues, identity and self-esteem, self-harm, suicidal and existential issues.
John-Henry graduated with distinction from Oxford University with an MSt in Psychodynamic Psychotherapy. He is currently completing doctoral research at Oxford University on the psychoanalysis of dreams. Prior to becoming a psychotherapist, John-Henry played professional rugby in several successful teams, winning the Guinness Premiership, European Cup and Varsity matches as Captain at Oxford University. He works privately in Oxford and in a clinic on Harley Street in London. He also offers online sessions, which can be combined with face to face meetings at your convenience.
01865 950946 View 01865 950946
Photo of Eleanor Minney - Eleanor Minney Resource, UKCP Trainee, Psychotherapist
Eleanor Minney Resource
Psychotherapist, UKCP Trainee
Verified Verified
Cumnor OX2
Current Availability: Wednesdays. I’m a warm and respectful practitioner who will welcome you as you are. I work in an organic and creative way, so each person’s therapeutic journey will be unique to them. I have experience supporting people with challenges including (not limited to): anxiety, communication, expressing yourself, confidence, self-esteem and self-worth, depression, grief and loss, past trauma, traumatic experiences, relationship issues, showing up as you are – particularly if you don’t conform to ‘norms’, expectations or assumptions, stress, spiritual emergence, uncertainty.
Current Availability: Wednesdays. I’m a warm and respectful practitioner who will welcome you as you are. I work in an organic and creative way, so each person’s therapeutic journey will be unique to them. I have experience supporting people with challenges including (not limited to): anxiety, communication, expressing yourself, confidence, self-esteem and self-worth, depression, grief and loss, past trauma, traumatic experiences, relationship issues, showing up as you are – particularly if you don’t conform to ‘norms’, expectations or assumptions, stress, spiritual emergence, uncertainty.
020 4538 2034 View 020 4538 2034
Photo of Esther Jackson, MA, BPC, Psychotherapist
Esther Jackson
Psychotherapist, MA, BPC
Verified Verified
1 Endorsed
Cumnor OX2
Sometimes we can feel unhappy but not know why, or maybe we know why but feel unable to change. We may have physical symptoms but suspect that psychological factors underlie them. We might recognise behaviours in ourselves that may obstruct our capacity to work, or make and maintain relationships. Or we may have doubts about ourselves, an underlying feeling that we are not getting the most from life. Whatever the issue, talking can help make your problems clearer, enabling you to understand and resolve them better.
Sometimes we can feel unhappy but not know why, or maybe we know why but feel unable to change. We may have physical symptoms but suspect that psychological factors underlie them. We might recognise behaviours in ourselves that may obstruct our capacity to work, or make and maintain relationships. Or we may have doubts about ourselves, an underlying feeling that we are not getting the most from life. Whatever the issue, talking can help make your problems clearer, enabling you to understand and resolve them better.
020 3835 5499 View 020 3835 5499

More Therapists Nearby

Photo of David Pringle, MA, MBACP Accred, Psychotherapist
David Pringle
Psychotherapist, MA, MBACP Accred
Verified Verified
Oxford OX1  (Online Only)
Hi, my name is David and I am an experienced therapist offering a safe, non-judgmental space to work through whatever it is that is troubling you. However big or small your problems may seem, you deserve to be listened to, and talking to a professional who is outside of your social and family circle can be an effective way of exploring your thoughts and feelings in a safe and respectful environment. If you are feeling stuck in your life and are experiencing low moods, anxiety or self-worth issues, please get in touch so we can get to work on making a positive change.
Hi, my name is David and I am an experienced therapist offering a safe, non-judgmental space to work through whatever it is that is troubling you. However big or small your problems may seem, you deserve to be listened to, and talking to a professional who is outside of your social and family circle can be an effective way of exploring your thoughts and feelings in a safe and respectful environment. If you are feeling stuck in your life and are experiencing low moods, anxiety or self-worth issues, please get in touch so we can get to work on making a positive change.
020 4538 0333 View 020 4538 0333
Photo of Zoe Bell, MBACP, Counsellor
Zoe Bell
Counsellor, MBACP
Verified Verified
Bicester OX25
Hello and welcome. Are you feeling anxious or overwhelmed right now? Or are you a parent/carer trying to find help for your anxious child? I am an experienced psychotherapeutic counsellor who works with adults & teens aged 11+. I offer a calm and accepting, confidential space for my clients to look at things that currently feel difficult for them. Together we explore these and I will support you to make sense of what is happening using both talking therapies and creative activities depending on your preferences. We will work together to find out what it is you wish to change and how you can create those changes for a better life
Hello and welcome. Are you feeling anxious or overwhelmed right now? Or are you a parent/carer trying to find help for your anxious child? I am an experienced psychotherapeutic counsellor who works with adults & teens aged 11+. I offer a calm and accepting, confidential space for my clients to look at things that currently feel difficult for them. Together we explore these and I will support you to make sense of what is happening using both talking therapies and creative activities depending on your preferences. We will work together to find out what it is you wish to change and how you can create those changes for a better life
01869 943775 View 01869 943775
Photo of Celestia Spong Mindfulness Life Therapy, MBACP, Psychotherapist
Celestia Spong Mindfulness Life Therapy
Psychotherapist, MBACP
Verified Verified
Oxford OX1  (Online Only)
I can help you discover & awaken your inner strength & wisdom, develop more self awareness, live mindfully, change adverse patterns that persistently arise in relationships, work through deep fears & limited belief systems, build self compassion, develop greater coping skills/ self-regulation techniques & lifelong strategies for transformation & true healing.
My mission is to provide an authentic, safe therapeutic space to help you navigate the challenges & complexities of life. Whether you’re experiencing overwhelm, stress, anxiety, relationship issues, trauma or PTSD, existential crisis or spiritual awakening, lack of boundaries, repeating unhealthy patterns, or dealing with grief & loss, I can help you find some relief from these challenges, and help you to move towards deep personal healing and growth. I predominantly use a combination of the following psychotherapeutic modalities: Internal family systems (IFS), Mindfulness based approaches, Gestalt Psychotherapy, & Somatic therapy.
I can help you discover & awaken your inner strength & wisdom, develop more self awareness, live mindfully, change adverse patterns that persistently arise in relationships, work through deep fears & limited belief systems, build self compassion, develop greater coping skills/ self-regulation techniques & lifelong strategies for transformation & true healing.
My mission is to provide an authentic, safe therapeutic space to help you navigate the challenges & complexities of life. Whether you’re experiencing overwhelm, stress, anxiety, relationship issues, trauma or PTSD, existential crisis or spiritual awakening, lack of boundaries, repeating unhealthy patterns, or dealing with grief & loss, I can help you find some relief from these challenges, and help you to move towards deep personal healing and growth. I predominantly use a combination of the following psychotherapeutic modalities: Internal family systems (IFS), Mindfulness based approaches, Gestalt Psychotherapy, & Somatic therapy.
020 3872 2709 View 020 3872 2709
Photo of Richard Neil Papworth, MBACP, Counsellor
Richard Neil Papworth
Counsellor, MBACP
Verified Verified
Oxford OX4  (Online Only)
I offer help with stress, depression, anxiety, and feelings of being angry, upset, stuck, or confused, and have a particular interest in making my practice autism-friendly.
Psychodynamic psychotherapeutic counselling has a distinct focus on events which have troubled us in the past, although we might not have awareness of them, and continue to trouble us in the present often through repeated patterns. There might not be any defined areas of concern for clients, and issues can be deep-seated; however, the therapeutic relationship aims to bring these aspects into consciousness in a manageable way so that they may be worked through safely. While psychodynamic psychotherapeutic counselling is often open-ended and can span several years, short courses of six months or less have also shown to be effective.
I offer help with stress, depression, anxiety, and feelings of being angry, upset, stuck, or confused, and have a particular interest in making my practice autism-friendly.
Psychodynamic psychotherapeutic counselling has a distinct focus on events which have troubled us in the past, although we might not have awareness of them, and continue to trouble us in the present often through repeated patterns. There might not be any defined areas of concern for clients, and issues can be deep-seated; however, the therapeutic relationship aims to bring these aspects into consciousness in a manageable way so that they may be worked through safely. While psychodynamic psychotherapeutic counselling is often open-ended and can span several years, short courses of six months or less have also shown to be effective.
023 8144 0269 View 023 8144 0269
Photo of Alex Reid, MBACP, Counsellor
Alex Reid
Counsellor, MBACP
Verified Verified
Oxford OX1
If you always seem to be in unhappy relationships; suffer from anxiety or depression; feel angry all the time; are struggling with addictive behaviors; feel in constant emotional pain; or feel like no-one really listens to you properly or notices what you are going through; then I can offer you the time and space to be seen and heard, and start to work through what you are facing.
If you always seem to be in unhappy relationships; suffer from anxiety or depression; feel angry all the time; are struggling with addictive behaviors; feel in constant emotional pain; or feel like no-one really listens to you properly or notices what you are going through; then I can offer you the time and space to be seen and heard, and start to work through what you are facing.
01844 394766 View 01844 394766
Photo of Helma Marlow - Helma Marlow, MBACP, Counsellor
Helma Marlow
Counsellor, MBACP
Verified Verified
2 Endorsed
Oxford OX1
Are you feeling anxious, depressed or stressed? Perhaps you are struggling with bereavement, past trauma or low self esteem? Do you have communication problems in your marriage or other relationships? Do you have negative thoughts? Maybe you feel you need help in making adjustments? These are things I can help you with.. Taking the first step in reaching out for help is often daunting, but I can support you in this. Counselling can lead to exploring other options and choices in your life, whilst rediscovering your unique qualities, and who you really are. I find my clients notice improvements in their lives after a few sessions.
Are you feeling anxious, depressed or stressed? Perhaps you are struggling with bereavement, past trauma or low self esteem? Do you have communication problems in your marriage or other relationships? Do you have negative thoughts? Maybe you feel you need help in making adjustments? These are things I can help you with.. Taking the first step in reaching out for help is often daunting, but I can support you in this. Counselling can lead to exploring other options and choices in your life, whilst rediscovering your unique qualities, and who you really are. I find my clients notice improvements in their lives after a few sessions.
020 3984 7834 View 020 3984 7834
Photo of Mark Morgenroth, MBACP, Psychotherapist
Mark Morgenroth
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Oxford OX2
I work with a range of clients who are exploring questions of meaning and identity and seeking ways to live a more fulfilling life. Many of the clients who come to me are feeling overwhelmed and are looking to make changes in their lives, but do not know where to start and often have never had enough emotional support or space in which to explore their process and the recurring patterns in their life. Together, we work to understand issues such as anxiety, depression, a lack of motivation, authenticity, loss, or low self-esteem and look for a path to healing and growth.
I work with a range of clients who are exploring questions of meaning and identity and seeking ways to live a more fulfilling life. Many of the clients who come to me are feeling overwhelmed and are looking to make changes in their lives, but do not know where to start and often have never had enough emotional support or space in which to explore their process and the recurring patterns in their life. Together, we work to understand issues such as anxiety, depression, a lack of motivation, authenticity, loss, or low self-esteem and look for a path to healing and growth.
020 8629 9676 View 020 8629 9676
Photo of Dmitry Shyla, MBACP, Counsellor
Dmitry Shyla
Counsellor, MBACP
Verified Verified
Oxford OX1
I have supported clients going through a range of problems, with a lot of experience working with: anxiety, depression, relationship troubles both platonic and romantic, self-esteem and bereavement.
Our minds can be confusing places at times. Especially when it comes to issues of mental health. It may feel hard to talk about certain things with friends and loved ones for many reasons, and it can feel like there’s no way to escape these problems. I can offer you a safe, confidential space to help you make more sense of your situation, help you throw your problems into a new light and perhaps give you a new perspective on what’s going on for you. I work in a holistic way, which takes into account you as a whole person and not just a problem that needs to be treated.
I have supported clients going through a range of problems, with a lot of experience working with: anxiety, depression, relationship troubles both platonic and romantic, self-esteem and bereavement.
Our minds can be confusing places at times. Especially when it comes to issues of mental health. It may feel hard to talk about certain things with friends and loved ones for many reasons, and it can feel like there’s no way to escape these problems. I can offer you a safe, confidential space to help you make more sense of your situation, help you throw your problems into a new light and perhaps give you a new perspective on what’s going on for you. I work in a holistic way, which takes into account you as a whole person and not just a problem that needs to be treated.
01689 664667 View 01689 664667
Photo of Adela R Moldovan, PsychD, MBACP, Psychotherapist
Adela R Moldovan
Psychotherapist, PsychD, MBACP
Verified Verified
Oxford OX4
My clinical experience encompasses many years working in a mental health setting and private practice dealing with a broad range of symptoms including, but not limited to, chronic trauma, loss or abuse, stress, anxiety, depression, marital difficulties, child-parent conflicts, self-harm, bi-polar disorder, addiction and border-line states – to name just some of the presenting issues.
My clinical experience encompasses many years working in a mental health setting and private practice dealing with a broad range of symptoms including, but not limited to, chronic trauma, loss or abuse, stress, anxiety, depression, marital difficulties, child-parent conflicts, self-harm, bi-polar disorder, addiction and border-line states – to name just some of the presenting issues.
01782 493877 View 01782 493877
Photo of Dr Helen Care, PhD, HCPC - Clin. Psych., Psychologist
Dr Helen Care
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
Woodstock OX20
I am an experienced Clinical Psychologist who specialises in supporting children and young people through emotional, psychological and educational difficulties. I believe that young people and families have their own insight and skills. My job is to help unlock those skills and to build a toolkit for the future. I use evidence-based approaches to working through difficulties and finding solutions. I have been supporting families for many years and have worked with hundreds of children and young people around difficulties including anxiety, phobia, appearance and low mood.
I am an experienced Clinical Psychologist who specialises in supporting children and young people through emotional, psychological and educational difficulties. I believe that young people and families have their own insight and skills. My job is to help unlock those skills and to build a toolkit for the future. I use evidence-based approaches to working through difficulties and finding solutions. I have been supporting families for many years and have worked with hundreds of children and young people around difficulties including anxiety, phobia, appearance and low mood.
01993 223700 View 01993 223700
Photo of Jelena Richards, MBACP, Counsellor
Jelena Richards
Counsellor, MBACP
Verified Verified
Oxford OX1  (Online Only)
I believe that anyone can benefit from counselling sessions time to time. We all need space to be heard, validated and feel safe to be able to tell our stories. Counselling with me can be that space. Over the years I have provided emotional support and guidance to the clients with issues like anxiety, depression, low self-esteem, low mood as well as difficult childhood memories, PTSD, panic attacks etc. The main aim of the sessions is to give you opportunity to express your worries and feelings in a safe and non-judgmental environment.
I believe that anyone can benefit from counselling sessions time to time. We all need space to be heard, validated and feel safe to be able to tell our stories. Counselling with me can be that space. Over the years I have provided emotional support and guidance to the clients with issues like anxiety, depression, low self-esteem, low mood as well as difficult childhood memories, PTSD, panic attacks etc. The main aim of the sessions is to give you opportunity to express your worries and feelings in a safe and non-judgmental environment.
020 3872 2612 View 020 3872 2612
Photo of Lisa Griffiths - Chrysalis Therapy (Lisa Griffiths), MSc, MBABCP, Psychotherapist
Chrysalis Therapy (Lisa Griffiths)
Psychotherapist, MSc, MBABCP
Verified Verified
Thame OX33
As a psychotherapist I help people experiencing common mental health difficulties such as depression, anxiety, low self-esteem and perfectionism.
We can all feel low and anxious from time to time depending on our life situation and/or previous experiences. However sometimes, feeling low and/or anxious can start to impact and interrupt our day to day lives and activities. Therefore, sometimes seeking help from a qualified professional can be helpful to explore the trigger for your mood and/or anxiety. As a committed, professional psychotherapist, your wellbeing is my number one priority. I am happy to guide, support and coach you, to make the choices and changes that will be beneficial for the maintenance of your wellbeing.
As a psychotherapist I help people experiencing common mental health difficulties such as depression, anxiety, low self-esteem and perfectionism.
We can all feel low and anxious from time to time depending on our life situation and/or previous experiences. However sometimes, feeling low and/or anxious can start to impact and interrupt our day to day lives and activities. Therefore, sometimes seeking help from a qualified professional can be helpful to explore the trigger for your mood and/or anxiety. As a committed, professional psychotherapist, your wellbeing is my number one priority. I am happy to guide, support and coach you, to make the choices and changes that will be beneficial for the maintenance of your wellbeing.
01844 392824 View 01844 392824
Photo of Tanya Lecchi - Inner Citadel, PhD
Inner Citadel
PhD
Verified Verified
Oxford OX44
We work with adolescents, adults and older adults struggling with anxiety, depression, developmental trauma, eating disorders, OCD, PTSD, life crisis, relational difficulties and cultural identity dilemmas.
Inner Citadel is a clinic and training institute founded by Dr Tanya Lecchi (HCPC Clinical Psychologist and Counselling Psychologist). Our mission is to offer evidence-based therapies to people interested in exploring their lived experience in depth, helping our clients manage their clinical symptoms while finding greater authenticity and fulfilment in their daily lives. We offer a safe, quiet and private space.
We work with adolescents, adults and older adults struggling with anxiety, depression, developmental trauma, eating disorders, OCD, PTSD, life crisis, relational difficulties and cultural identity dilemmas.
Inner Citadel is a clinic and training institute founded by Dr Tanya Lecchi (HCPC Clinical Psychologist and Counselling Psychologist). Our mission is to offer evidence-based therapies to people interested in exploring their lived experience in depth, helping our clients manage their clinical symptoms while finding greater authenticity and fulfilment in their daily lives. We offer a safe, quiet and private space.
01865 638842 View 01865 638842
Photo of Dr Sarah Simmonds, HCPC - Clin. Psych., Psychologist
Dr Sarah Simmonds
Psychologist, HCPC - Clin. Psych.
Verified Verified
Oxford OX1
You may have critical thoughts, anxiety, low self esteem, shame or trauma related difficulties that hold you back.
I am a Consultant Clinical Psychologist within the NHS and Director of The Leicestershire Psychology Service in private practice. I have over 20 years experience offering clinical psychology services to adults with mental health difficulties. I specialise in complex trauma, shame, self esteem and anxiety. I am the Lead for Leicestershire NHS Urgent Care Psychology and developing trauma informed care.
You may have critical thoughts, anxiety, low self esteem, shame or trauma related difficulties that hold you back.
I am a Consultant Clinical Psychologist within the NHS and Director of The Leicestershire Psychology Service in private practice. I have over 20 years experience offering clinical psychology services to adults with mental health difficulties. I specialise in complex trauma, shame, self esteem and anxiety. I am the Lead for Leicestershire NHS Urgent Care Psychology and developing trauma informed care.
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See more therapy options for Cumnor

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.