Therapists in North Little Rock, AR

Photo of Brooke Fixler, LPC, PMH-C, Licensed Professional Counselor
Brooke Fixler
Licensed Professional Counselor, LPC, PMH-C
Verified Verified
North Little Rock, AR 72114
I specialize in helping adults who struggle with trauma/PTSD, depression, anxiety, self-injury, postpartum mood disorders, and navigating the transition into adulthood.
I believe healing can happen within relationships. I strive to create a safe, non-judgmental environment by providing empathy and understanding where healing and growth can occur. If you are feeling overwhelmed, stressed, or are struggling with depression, anxiety, trauma, and self-injury, there is hope. You are not alone, and you do not have to face this alone. My approach to therapy is collaborative, holistic, and compassionate. Within the safety of a therapeutic relationship, I help my clients learn new ways of relating, understanding past trauma, and coping with the difficulties and stressors of life.
I specialize in helping adults who struggle with trauma/PTSD, depression, anxiety, self-injury, postpartum mood disorders, and navigating the transition into adulthood.
I believe healing can happen within relationships. I strive to create a safe, non-judgmental environment by providing empathy and understanding where healing and growth can occur. If you are feeling overwhelmed, stressed, or are struggling with depression, anxiety, trauma, and self-injury, there is hope. You are not alone, and you do not have to face this alone. My approach to therapy is collaborative, holistic, and compassionate. Within the safety of a therapeutic relationship, I help my clients learn new ways of relating, understanding past trauma, and coping with the difficulties and stressors of life.
(501) 356-3575 x10 View (501) 356-3575 x10
Photo of Rachel Pinto - Cardinal Counseling Services, PLLC, Licensed Professional Counselor
Cardinal Counseling Services, PLLC
Licensed Professional Counselor
Verified Verified
North Little Rock, AR 72114
Cardinal Counseling Services, PLLC, is a mental health counseling clinic providing therapy services in the areas of depression, anxiety, grief, trauma recovery and relationship issues. Cardinal counselors are highly educated, trained in evidence-based practices by industry experts, and committed to integrating client feedback in every session to make sure we stay on track towards your goals.
Cardinal Counseling Services, PLLC, is a mental health counseling clinic providing therapy services in the areas of depression, anxiety, grief, trauma recovery and relationship issues. Cardinal counselors are highly educated, trained in evidence-based practices by industry experts, and committed to integrating client feedback in every session to make sure we stay on track towards your goals.
(501) 263-2295 View (501) 263-2295
Photo of Jasmin J Davis, MS, LPC, Licensed Professional Counselor
Jasmin J Davis
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
North Little Rock, AR 72117
I specialize in assisting with managing anxiety and anger, improving self-esteem and reducing stress.
Life can throw us curve balls. Some of these situations are inevitable but with counseling you can gain the tools to help you through one situation at a time. As a licensed professional counselor my approach is warm, empathetic, personalized, and evidenced-based. I am dedicated to working collaboratively and building on your strengths to encourage growth and change, increase positive coping strategies, and to eliminate harmful patterns. I would love to assist you in achieving your goals.
I specialize in assisting with managing anxiety and anger, improving self-esteem and reducing stress.
Life can throw us curve balls. Some of these situations are inevitable but with counseling you can gain the tools to help you through one situation at a time. As a licensed professional counselor my approach is warm, empathetic, personalized, and evidenced-based. I am dedicated to working collaboratively and building on your strengths to encourage growth and change, increase positive coping strategies, and to eliminate harmful patterns. I would love to assist you in achieving your goals.
(501) 300-9535 View (501) 300-9535
Photo of Crystal Hart, MS, EdS, LPC, Licensed Professional Counselor
Crystal Hart
Licensed Professional Counselor, MS, EdS, LPC
Verified Verified
2 Endorsed
North Little Rock, AR 72116
I specialize in LGBTQ issues, infertility, same sex couples/families, grief, trauma, depression, anxiety, ADHD/Autism and adolescent behavioral issues.
Life is full of ups and downs that can be overwhelming at times. While learning to manage and adapt is important to personal growth, so is having someone walk that journey with you. I base my therapeutic approach around building a solid foundation of trust and acceptance with my clients. I value individuality and will encourage first and foremost that you accept “you as you” and not what today’s societal norms tell you what you should or shouldn’t be. I look forward to working with you and/or your family and being a resource to help you continue your journey.
I specialize in LGBTQ issues, infertility, same sex couples/families, grief, trauma, depression, anxiety, ADHD/Autism and adolescent behavioral issues.
Life is full of ups and downs that can be overwhelming at times. While learning to manage and adapt is important to personal growth, so is having someone walk that journey with you. I base my therapeutic approach around building a solid foundation of trust and acceptance with my clients. I value individuality and will encourage first and foremost that you accept “you as you” and not what today’s societal norms tell you what you should or shouldn’t be. I look forward to working with you and/or your family and being a resource to help you continue your journey.
(501) 254-7671 x101 View (501) 254-7671 x101
Photo of Nakia D Williams, LCSW, Clinical Social Work/Therapist
Nakia D Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
North Little Rock, AR 72117
Have you ever felt like a stranger in your own home or all alone in a room with close family members and friends? It’s normal to feel that way at times, but how you respond is pivotal. It is so easy to lose sight of self care when you are busy caring for others. If you can relate, take proactive measures before those challenges turn into severe medical issues such as major depression, anxiety, anger management issues or grief. Free yourself from psychological bondage.
Have you ever felt like a stranger in your own home or all alone in a room with close family members and friends? It’s normal to feel that way at times, but how you respond is pivotal. It is so easy to lose sight of self care when you are busy caring for others. If you can relate, take proactive measures before those challenges turn into severe medical issues such as major depression, anxiety, anger management issues or grief. Free yourself from psychological bondage.
(501) 267-9059 View (501) 267-9059
Photo of Emily Bass, LCSW, Clinical Social Work/Therapist
Emily Bass
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
North Little Rock, AR 72116
Understanding the world around you can be challenging, especially when faced with anxiety, depression, self-esteem issues, or general life stress. Children, teens, and young adults may have even more of a challenge if they are still learning about themselves or have experienced stressors beyond their control. Learning skills to overcome these stressors or wanting to create a deeper understanding of the self are two reasons young adults or parents (of children in need) may seek out therapy.
Understanding the world around you can be challenging, especially when faced with anxiety, depression, self-esteem issues, or general life stress. Children, teens, and young adults may have even more of a challenge if they are still learning about themselves or have experienced stressors beyond their control. Learning skills to overcome these stressors or wanting to create a deeper understanding of the self are two reasons young adults or parents (of children in need) may seek out therapy.
(501) 645-8279 View (501) 645-8279
Photo of Kellee McCoy, MS, LPC, LMFT, Licensed Professional Counselor
Kellee McCoy
Licensed Professional Counselor, MS, LPC, LMFT
Verified Verified
3 Endorsed
North Little Rock, AR 72114
A few of my specialties include life coaching, treating anxiety, depression, high-conflict couples, blended family issues, premarital counseling, single parenting issues, affair recovery, sex/intimacy issues, codependency, anger management, mindfulness training, PTSD, trauma resolution, bad habits/addictions, and issues dealing with spirituality.
Are you Stuck? Maybe your professional life is thriving, but your relationships are a mess. Maybe it's the other way around. I welcome your rough edges, embarrassing mistakes, relationship drama, or shameful experiences. I am passionate about helping people get unstuck. Whether it's a relationship issue, a personal hangup, grief and loss, professional burnout, or difficulty overcoming a traumatic experience, together, we will take some significant steps toward you feeling better and toward your life goals.
A few of my specialties include life coaching, treating anxiety, depression, high-conflict couples, blended family issues, premarital counseling, single parenting issues, affair recovery, sex/intimacy issues, codependency, anger management, mindfulness training, PTSD, trauma resolution, bad habits/addictions, and issues dealing with spirituality.
Are you Stuck? Maybe your professional life is thriving, but your relationships are a mess. Maybe it's the other way around. I welcome your rough edges, embarrassing mistakes, relationship drama, or shameful experiences. I am passionate about helping people get unstuck. Whether it's a relationship issue, a personal hangup, grief and loss, professional burnout, or difficulty overcoming a traumatic experience, together, we will take some significant steps toward you feeling better and toward your life goals.
(501) 215-5861 View (501) 215-5861
Photo of Rachel Brown, LCSW, Clinical Social Work/Therapist
Rachel Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
North Little Rock, AR 72120
I use a person centered approach to provide interventions using Cognitive Behavioral Therapy, Strengths Perspective, SandTray Therapy, and Play Therapy to aid anxiety, depression, anger management, chronic illness, low self-esteem, relationship issues, codependency, child behavior issues, and family conflict.
I am proud to be a Licensed Certified Social Worker who enjoys partnering with individuals and families to help overcome difficult seasons of life. I have experience working with children as young as 5 years old, families, and adults. I am known for my genuine, non-judgmental approach, meeting my clients where they are in life with compassion and empathy. My ultimate goal is to help guide my clients to become the best version of themselves, equipping them with skills to regulate difficult emotions and learn effective communication so their desires and dreams become a reality.
I use a person centered approach to provide interventions using Cognitive Behavioral Therapy, Strengths Perspective, SandTray Therapy, and Play Therapy to aid anxiety, depression, anger management, chronic illness, low self-esteem, relationship issues, codependency, child behavior issues, and family conflict.
I am proud to be a Licensed Certified Social Worker who enjoys partnering with individuals and families to help overcome difficult seasons of life. I have experience working with children as young as 5 years old, families, and adults. I am known for my genuine, non-judgmental approach, meeting my clients where they are in life with compassion and empathy. My ultimate goal is to help guide my clients to become the best version of themselves, equipping them with skills to regulate difficult emotions and learn effective communication so their desires and dreams become a reality.
(501) 430-3358 View (501) 430-3358
Photo of Peggy P Miller, LCSW, Clinical Social Work/Therapist
Peggy P Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
North Little Rock, AR 72118
If you are having a problem with relationships, depression or anxiety, decision making or in solving problems with friends or family, come see me.
Life is much easier when we learn that we can improve or even control our reaction to most difficulties facing us. Learn to change "reaction" to "response," indicating a thoughtful, healthful method of reply. The ideal client will begin therapy with an open mind, a need for change, and a willingness to participate in his/her own growth process. Once you get curious about yourself, we can go places!
If you are having a problem with relationships, depression or anxiety, decision making or in solving problems with friends or family, come see me.
Life is much easier when we learn that we can improve or even control our reaction to most difficulties facing us. Learn to change "reaction" to "response," indicating a thoughtful, healthful method of reply. The ideal client will begin therapy with an open mind, a need for change, and a willingness to participate in his/her own growth process. Once you get curious about yourself, we can go places!
(501) 305-0766 View (501) 305-0766
Photo of Chanda Camden, LCSW, Clinical Social Work/Therapist
Chanda Camden
Clinical Social Work/Therapist, LCSW
Verified Verified
North Little Rock, AR 72113
It takes courage and integrity to recognize when we're not happy and to do something positive about it. There are times in all our lives when we feel there is something holding us back from reaching our potentials. We may have fears, anxieties, or other sources of emotional pain that seem to keep us from fulfilling roles in our lives in the ways we would like--in our careers, in our relationships, as a parents, etc. Psychotherapy is a pathway to creating the life you want by identifying and removing obstacles and working toward the positive changes you need.
It takes courage and integrity to recognize when we're not happy and to do something positive about it. There are times in all our lives when we feel there is something holding us back from reaching our potentials. We may have fears, anxieties, or other sources of emotional pain that seem to keep us from fulfilling roles in our lives in the ways we would like--in our careers, in our relationships, as a parents, etc. Psychotherapy is a pathway to creating the life you want by identifying and removing obstacles and working toward the positive changes you need.
(501) 550-2587 View (501) 550-2587
Photo of Elizabeth Buchman, EdS, LPC-TA, TCYM, Licensed Professional Counselor
Elizabeth Buchman
Licensed Professional Counselor, EdS, LPC-TA, TCYM
Verified Verified
3 Endorsed
North Little Rock, AR 72116
Waitlist for new clients
We all struggle to find balance in the roles we are trying to maintain in our lives. Our past, relationship struggles, motivation, anxiety and depression can all complicate our attempts to navigate how to be the best version of ourselves. Many of us "know" what to do, but have not successfully identified ways to manifest that into action. While we cannot change the things we have experienced, or the behavior of those around us, we can identify successful ways to approach our difficulties. A part of moving forward can be gaining more awareness of the mind/body connection and exploring insight and behaviors to make lasting change.
We all struggle to find balance in the roles we are trying to maintain in our lives. Our past, relationship struggles, motivation, anxiety and depression can all complicate our attempts to navigate how to be the best version of ourselves. Many of us "know" what to do, but have not successfully identified ways to manifest that into action. While we cannot change the things we have experienced, or the behavior of those around us, we can identify successful ways to approach our difficulties. A part of moving forward can be gaining more awareness of the mind/body connection and exploring insight and behaviors to make lasting change.
(501) 712-1902 View (501) 712-1902
Photo of Stephanie Anne Johnston, LCSW, Clinical Social Work/Therapist
Stephanie Anne Johnston
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
North Little Rock, AR 72116  (Online Only)
Spicy? Artsy? Neurodivergent? Hypermobile? Me too. Those on the fringe are my favorite kinds of people. Your emotions are intense. You see the best and worst in life. It can get hard though; the anxiety, rage, and sadness hurt. You get impulsive - say and do things you regret. You can be a hot mess. The emotional roller coaster is exhausting - you've been riding it all your life and want off. Familiar? The good news is it's gonna be ok. You're not "crazy". You don't have to live in misery. If you think you might have Borderline Personality Disorder, or are just a highly sensitive person, Dialectical Behavior Therapy can help.
Spicy? Artsy? Neurodivergent? Hypermobile? Me too. Those on the fringe are my favorite kinds of people. Your emotions are intense. You see the best and worst in life. It can get hard though; the anxiety, rage, and sadness hurt. You get impulsive - say and do things you regret. You can be a hot mess. The emotional roller coaster is exhausting - you've been riding it all your life and want off. Familiar? The good news is it's gonna be ok. You're not "crazy". You don't have to live in misery. If you think you might have Borderline Personality Disorder, or are just a highly sensitive person, Dialectical Behavior Therapy can help.
(501) 510-6014 View (501) 510-6014
Photo of Sarah Parent - Hinton, Parent & Associates, LCSW, Clinical Social Work/Therapist
Hinton, Parent & Associates
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
North Little Rock, AR 72113
We've worked with clients ages 5-65+ struggling with various issues including depression, anxiety, trauma, and many more.
Admitting that you need help can be a very difficult thing. Trying to get help can be even harder, so the fact that you are looking at this profile now means that you or a loved one are ready to take the next step towards receiving help and healing. Life can be so difficult at times and even seem hopeless. It can feel like you're lost in a dark wilderness. We want to partner with you to help you find your way out of the darkness...one baby step at a time.
We've worked with clients ages 5-65+ struggling with various issues including depression, anxiety, trauma, and many more.
Admitting that you need help can be a very difficult thing. Trying to get help can be even harder, so the fact that you are looking at this profile now means that you or a loved one are ready to take the next step towards receiving help and healing. Life can be so difficult at times and even seem hopeless. It can feel like you're lost in a dark wilderness. We want to partner with you to help you find your way out of the darkness...one baby step at a time.
(501) 392-5285 View (501) 392-5285
Photo of Aaron G Ermert, LCSW, Clinical Social Work/Therapist
Aaron G Ermert
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
North Little Rock, AR 72118
Hey there! I'm on a mission to make happiness a reality for all ages. whether you're a teen tackling adolescence, an adult navigating life's challenges, or a couple seeking a stronger bond. My passion is supporting individuals through depression, anxiety, trauma, and relationship issues. I've noticed that, regardless of size, trauma often underlies various challenges. My ultimate goal is to guide you toward long-lasting happiness. I've seen the transformative power of healing, and I'm committed to creating a space that's supportive, non-judgmental, and comfortable. Let's work together to unlock the happiness you deserve!
Hey there! I'm on a mission to make happiness a reality for all ages. whether you're a teen tackling adolescence, an adult navigating life's challenges, or a couple seeking a stronger bond. My passion is supporting individuals through depression, anxiety, trauma, and relationship issues. I've noticed that, regardless of size, trauma often underlies various challenges. My ultimate goal is to guide you toward long-lasting happiness. I've seen the transformative power of healing, and I'm committed to creating a space that's supportive, non-judgmental, and comfortable. Let's work together to unlock the happiness you deserve!
(870) 493-3924 View (870) 493-3924
Photo of Andre' P Jones, LCSW, Clinical Social Work/Therapist
Andre' P Jones
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
North Little Rock, AR 72120
We work with a wide range of emotional and behavioral issues, providing services that span from therapy for anxiety, depression, and grief counseling to parenting support, couples, marital, and relationship counseling and beyond.
Do you feel "stuck"? Are you tired of struggling with, or worse yet, avoiding things that have bothered you for a while? Are there things in your life you cannot seem to get past? Are you ready to be your best you? Is your relationship not where it once was, or where you would like it to be now?
We work with a wide range of emotional and behavioral issues, providing services that span from therapy for anxiety, depression, and grief counseling to parenting support, couples, marital, and relationship counseling and beyond.
Do you feel "stuck"? Are you tired of struggling with, or worse yet, avoiding things that have bothered you for a while? Are there things in your life you cannot seem to get past? Are you ready to be your best you? Is your relationship not where it once was, or where you would like it to be now?
(501) 456-4025 View (501) 456-4025
Photo of Susan L Bryant, PhD, Psychologist
Susan L Bryant
Psychologist, PhD
Verified Verified
1 Endorsed
North Little Rock, AR 72116
Waitlist for new clients
As a clinical psychologist in central Arkansas for over 20 years, my passion is providing evidence-based cognitive and behavioral therapies to promote real, lasting change. My desire is to help adults, teens, and children develop the skills needed to feel better and live happier lives. I specialize in treating OCD, anxiety disorders, depression, bipolar, trauma and stress disorders as well as ADHD and other child and adolescent behavior problems.
As a clinical psychologist in central Arkansas for over 20 years, my passion is providing evidence-based cognitive and behavioral therapies to promote real, lasting change. My desire is to help adults, teens, and children develop the skills needed to feel better and live happier lives. I specialize in treating OCD, anxiety disorders, depression, bipolar, trauma and stress disorders as well as ADHD and other child and adolescent behavior problems.
(501) 359-5746 View (501) 359-5746
Photo of Skip Hoggard, LPE-I
Skip Hoggard
LPE-I
Verified Verified
North Little Rock, AR 72116
Skip also provides individual therapy with clients experiencing depression, anxiety and other behavioral health challenges.
Skip Hoggard is a highly-skilled eating disorder and trauma therapist with 20 years of experience working with adults and older adolescents (16+). Skip’s therapeutic approach with clients experiencing anorexia, bulimia, and binge-eating disorder involves taking a holistic view of health encompassing the body, mind, and emotions. Integrating all aspects of an individual’s thoughts, feelings, and behaviors, and improving flexibility are essential to finding lasting recovery.
Skip also provides individual therapy with clients experiencing depression, anxiety and other behavioral health challenges.
Skip Hoggard is a highly-skilled eating disorder and trauma therapist with 20 years of experience working with adults and older adolescents (16+). Skip’s therapeutic approach with clients experiencing anorexia, bulimia, and binge-eating disorder involves taking a holistic view of health encompassing the body, mind, and emotions. Integrating all aspects of an individual’s thoughts, feelings, and behaviors, and improving flexibility are essential to finding lasting recovery.
(501) 214-5377 View (501) 214-5377
Photo of Tina Shrader, MS, LPC-S, Counselor
Tina Shrader
Counselor, MS, LPC-S
Verified Verified
1 Endorsed
North Little Rock, AR 72113
I have found that at the heart of what I do is connection: connecting with clients so that they feel seen and heard, helping children and parents reconnect when challenging behaviors and emotions get in the way, helping individuals explore and connect with parts of themselves to help them move past their struggles and thrive. Whether you’re struggling with anxiety, depression, behavioral and emotional difficulties with your child, relationship difficulties, grief and loss, trauma and chronic stress, stress management or other phase of life issues, I am here to help.
I have found that at the heart of what I do is connection: connecting with clients so that they feel seen and heard, helping children and parents reconnect when challenging behaviors and emotions get in the way, helping individuals explore and connect with parts of themselves to help them move past their struggles and thrive. Whether you’re struggling with anxiety, depression, behavioral and emotional difficulties with your child, relationship difficulties, grief and loss, trauma and chronic stress, stress management or other phase of life issues, I am here to help.
(501) 429-4103 View (501) 429-4103
Photo of Tiara Miller, LCSW, Clinical Social Work/Therapist
Tiara Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
North Little Rock, AR 72113
My role is to simply hold space for you. Create a safe environment and assist you in making sense of your story. The goal is to find balance between "what to hold on to" and "what to let go of". The evidenced based treatment approaches I use, assist with identifying and exploring underlying factors that continue to cause unwarranted anxiety, trauma, and depression. I am a certified Trust Based Relational Practitioner (TBRI), an attachment-based trauma informed interventionist, the focus is on meeting the complex needs of the vulnerable. It would be an honor to work with you.
My role is to simply hold space for you. Create a safe environment and assist you in making sense of your story. The goal is to find balance between "what to hold on to" and "what to let go of". The evidenced based treatment approaches I use, assist with identifying and exploring underlying factors that continue to cause unwarranted anxiety, trauma, and depression. I am a certified Trust Based Relational Practitioner (TBRI), an attachment-based trauma informed interventionist, the focus is on meeting the complex needs of the vulnerable. It would be an honor to work with you.
(501) 381-5165 View (501) 381-5165
Photo of Briana Harrison, LCSW, Clinical Social Work/Therapist
Briana Harrison
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
North Little Rock, AR 72113
Are you or your child struggling with depression, making relationships work, or worrying all the time? Do you feel like an imposter despite your accomplishments? Are you trying your best as a parent but you still feel like a failure? Do you feel unheard or unseen by others in your life? Do you have a child struggling with bullying, anxiety or behavioral problems?
Are you or your child struggling with depression, making relationships work, or worrying all the time? Do you feel like an imposter despite your accomplishments? Are you trying your best as a parent but you still feel like a failure? Do you feel unheard or unseen by others in your life? Do you have a child struggling with bullying, anxiety or behavioral problems?
(501) 501-4101 View (501) 501-4101
1

See more therapy options for North Little Rock

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.