Anxiety Therapists in Encanto, Phoenix, AZ

Photo of Jennifer Affuso, LCSW, Clinical Social Work/Therapist
Jennifer Affuso
Clinical Social Work/Therapist, LCSW
Verified Verified
Encanto, Phoenix, AZ 85012  (Online Only)
Hi, I am a Licensed Clinical Social Worker. I graduated from Indiana University Northwest with a Post Baccalaureate in substance abuse counseling and a Masters degree in Social work. I have over 15 years experience in the mental health field working with clients who are struggling with addictions, relationship problems, self esteem issues, anxiety, depression, as well as stressors related to life transitions. As a therapist I am committed to working with a diverse population and have experience in various settings. I provide psychotherapy by utilizing an integrative and holistic approach with clients in their healing process.
Hi, I am a Licensed Clinical Social Worker. I graduated from Indiana University Northwest with a Post Baccalaureate in substance abuse counseling and a Masters degree in Social work. I have over 15 years experience in the mental health field working with clients who are struggling with addictions, relationship problems, self esteem issues, anxiety, depression, as well as stressors related to life transitions. As a therapist I am committed to working with a diverse population and have experience in various settings. I provide psychotherapy by utilizing an integrative and holistic approach with clients in their healing process.
(623) 286-3966 View (623) 286-3966
Photo of Danielle Christina Williams, LPC, Licensed Professional Counselor
Danielle Christina Williams
Licensed Professional Counselor, LPC
Verified Verified
Encanto, Phoenix, AZ 85012  (Online Only)
I have over 8 years of experience helping adults, adolescents and families struggling with depression, anxiety, trauma, stress and/or substance abuse.
Welcome! I'm Danielle. Take a moment to acknowledge you've taken the first step towards bettering your mental health because, let's be honest - starting therapy can be empowering, confusing, or scary, all at the same time. Try as we might, sometimes happiness and contentment always seem just out of reach. Depression, anxiety and stress can make getting out of bed in the morning a daunting task. Troubles in your relationship or conflict in the family can make you feel helpless or overwhelmed. Creating a daily routine using strategies that ground you and support moving forward in areas where you feel stuck.
I have over 8 years of experience helping adults, adolescents and families struggling with depression, anxiety, trauma, stress and/or substance abuse.
Welcome! I'm Danielle. Take a moment to acknowledge you've taken the first step towards bettering your mental health because, let's be honest - starting therapy can be empowering, confusing, or scary, all at the same time. Try as we might, sometimes happiness and contentment always seem just out of reach. Depression, anxiety and stress can make getting out of bed in the morning a daunting task. Troubles in your relationship or conflict in the family can make you feel helpless or overwhelmed. Creating a daily routine using strategies that ground you and support moving forward in areas where you feel stuck.
(623) 304-4887 View (623) 304-4887
Photo of Joanne Babich, MA, PhD, ABPP, Psychologist
Joanne Babich
Psychologist, MA, PhD, ABPP
Verified Verified
Encanto, Phoenix, AZ 85015
I hold National Board Certification as a Clinical Psychologist in AZ. Psychotherapy with me helps you discover your preconscious tools. These tools improve your life's journey toward self-actualization. You may be struggling with stress or matters of the heart. You may have a psychological diagnosis for moods, anxiety, trauma or depression. I consult with high functioning clients, such as the very successful or aspiring professionals who want to improve personal strengths and coping skills. Forensic consults are seen through lawyers or Courts. Telepsychology is for counseling now. EMDR is on hold, as no in person help occurs .
I hold National Board Certification as a Clinical Psychologist in AZ. Psychotherapy with me helps you discover your preconscious tools. These tools improve your life's journey toward self-actualization. You may be struggling with stress or matters of the heart. You may have a psychological diagnosis for moods, anxiety, trauma or depression. I consult with high functioning clients, such as the very successful or aspiring professionals who want to improve personal strengths and coping skills. Forensic consults are seen through lawyers or Courts. Telepsychology is for counseling now. EMDR is on hold, as no in person help occurs .
(602) 786-8853 View (602) 786-8853
Photo of Demi Olstad, LPC, Licensed Professional Counselor
Demi Olstad
Licensed Professional Counselor, LPC
Verified Verified
Encanto, Phoenix, AZ 85012  (Online Only)
I help adults struggling with communication, emotion regulation, anxiety and grief.
Hello! I'm a Licensed Professional Counselor (LPC) based in Arizona. I've been practicing mental health therapy for four years, starting out in court ordered treatment and SMI.
I help adults struggling with communication, emotion regulation, anxiety and grief.
Hello! I'm a Licensed Professional Counselor (LPC) based in Arizona. I've been practicing mental health therapy for four years, starting out in court ordered treatment and SMI.
(623) 292-2738 View (623) 292-2738
Photo of Yamile Daher, LPC, Licensed Professional Counselor
Yamile Daher
Licensed Professional Counselor, LPC
Verified Verified
Encanto, Phoenix, AZ 85012  (Online Only)
More recently, I worked extensively with teens facing depression and anxiety, including group work with their families.
Hi! I am Yami Daher, a Licensed Professional Counselor (LPC) based in Arizona. I received my Masters in Counseling Psychology from Argosy University in 2015 and have been practicing for over 10 years. My career began as a suicide prevention crisis counselor at Didi Hirsch Mental Health Services in Los Angeles, CA.
More recently, I worked extensively with teens facing depression and anxiety, including group work with their families.
Hi! I am Yami Daher, a Licensed Professional Counselor (LPC) based in Arizona. I received my Masters in Counseling Psychology from Argosy University in 2015 and have been practicing for over 10 years. My career began as a suicide prevention crisis counselor at Didi Hirsch Mental Health Services in Los Angeles, CA.
(623) 343-1736 View (623) 343-1736
Photo of Julie Huffman, LCSW, Clinical Social Work/Therapist
Julie Huffman
Clinical Social Work/Therapist, LCSW
Verified Verified
Encanto, Phoenix, AZ 85004
Accepting New Clients. I am a compassionate therapist with over 10 years of counseling experience specializing in working with teenagers and adults with trauma, depression, anxiety, low self-esteem, family relationship problems, anger, grief and loss, life changes and navigating adulthood. I am EMDR trained and use EMDR to help process trauma. I can help you move from feeling stuck and incapable of change to a place of freedom and relief. In addition to EMDR, I use Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT), Motivational Interviewing, Polyvagal Theory, Solution Focused and Internal Family Systems.
Accepting New Clients. I am a compassionate therapist with over 10 years of counseling experience specializing in working with teenagers and adults with trauma, depression, anxiety, low self-esteem, family relationship problems, anger, grief and loss, life changes and navigating adulthood. I am EMDR trained and use EMDR to help process trauma. I can help you move from feeling stuck and incapable of change to a place of freedom and relief. In addition to EMDR, I use Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT), Motivational Interviewing, Polyvagal Theory, Solution Focused and Internal Family Systems.
(480) 482-1838 View (480) 482-1838
Photo of Kaelynn Buchanan, LMSW, Clinical Social Work/Therapist
Kaelynn Buchanan
Clinical Social Work/Therapist, LMSW
Verified Verified
Encanto, Phoenix, AZ 85012
I am passionate about helping individuals work through difficult life transitions and overcoming challenging pasts. My goal is to empower clients through the development of skills to improve emotional regulation, interpersonal relationships, and life satisfaction. I provide psychotherapy focused on unresolved core issues that lead to difficulties with one's self-esteem, anxiety, and depression. Using a combination of EMDR Psychotherapy, Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Mindfulness I help teens and adults explore their internal experiences and find emotional healing and stability.
I am passionate about helping individuals work through difficult life transitions and overcoming challenging pasts. My goal is to empower clients through the development of skills to improve emotional regulation, interpersonal relationships, and life satisfaction. I provide psychotherapy focused on unresolved core issues that lead to difficulties with one's self-esteem, anxiety, and depression. Using a combination of EMDR Psychotherapy, Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, and Mindfulness I help teens and adults explore their internal experiences and find emotional healing and stability.
(928) 842-8963 View (928) 842-8963
Photo of Jessica Shetzen - Castle Counseling, LCSW, CCATP, Clinical Social Work/Therapist
Castle Counseling
Clinical Social Work/Therapist, LCSW, CCATP
Verified Verified
1 Endorsed
Encanto, Phoenix, AZ 85012  (Online Only)
Has anxiety left you feeling stuck? Do you worry about things that are out of your control? I am passionate about working with individuals who struggle with anxiety, depressive disorders. I enjoy connecting with others and talking them through the ups and downs of life's everyday stressors, as well as drawing connections between past and present experiences. I am a "realist" in that I act like myself in sessions, not like the stuffy armchair psychotherapist you might imagine from movies.
Has anxiety left you feeling stuck? Do you worry about things that are out of your control? I am passionate about working with individuals who struggle with anxiety, depressive disorders. I enjoy connecting with others and talking them through the ups and downs of life's everyday stressors, as well as drawing connections between past and present experiences. I am a "realist" in that I act like myself in sessions, not like the stuffy armchair psychotherapist you might imagine from movies.
(623) 253-7792 View (623) 253-7792
Photo of Gabrielle Ficchi - New Perspectives LLC , PhD, LPC, CRC, Licensed Professional Counselor
New Perspectives LLC
Licensed Professional Counselor, PhD, LPC, CRC
Verified Verified
Encanto, Phoenix, AZ 85004  (Online Only)
I have worked with clients with a wide range of concerns including depression, anxiety, motivation, self-esteem, and confidence. Throughout my career I have also focused on helping individuals with a variety of different physical and emotional disabilities or anyone adjusting to major life changes. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and helping individuals embrace who they are. My approach combines cognitive-behavioral, person centered, and existential counseling.
I have worked with clients with a wide range of concerns including depression, anxiety, motivation, self-esteem, and confidence. Throughout my career I have also focused on helping individuals with a variety of different physical and emotional disabilities or anyone adjusting to major life changes. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and helping individuals embrace who they are. My approach combines cognitive-behavioral, person centered, and existential counseling.
(928) 260-2521 View (928) 260-2521
Photo of Janae Andrew, MA, LPC, Licensed Professional Counselor
Janae Andrew
Licensed Professional Counselor, MA, LPC
Verified Verified
Encanto, Phoenix, AZ 85012
Tiered/sliding scale rates are available! Reach out for more info. Hi there, I’m Janae. I’m a secular, non-binary Licensed Professional Counselor and my pronouns are they/she. If the internet (or someone you know) has sent you to my profile, my guess is that you’ve had to bury your real values and desires in order to survive. You’re depressed, anxious, angry, addicted, and probably fucking exhausted. Possibly in physical pain too. Or maybe just numb. I work with (mostly queer) folx recovering from religious trauma and other oppressive systems because I’ve been there myself - and I can tell you that there is a way out.
Tiered/sliding scale rates are available! Reach out for more info. Hi there, I’m Janae. I’m a secular, non-binary Licensed Professional Counselor and my pronouns are they/she. If the internet (or someone you know) has sent you to my profile, my guess is that you’ve had to bury your real values and desires in order to survive. You’re depressed, anxious, angry, addicted, and probably fucking exhausted. Possibly in physical pain too. Or maybe just numb. I work with (mostly queer) folx recovering from religious trauma and other oppressive systems because I’ve been there myself - and I can tell you that there is a way out.
(623) 263-7162 View (623) 263-7162
Photo of Jennifer Garcia, LMSW, Clinical Social Work/Therapist
Jennifer Garcia
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Encanto, Phoenix, AZ 85013  (Online Only)
Have you struggled to find a therapist you feel comfortable with or one who calls you back? The search for a therapist can be exhausting, especially when you're living with depression or anxiety. Do you grapple with relationships, feel overwhelmed by life, or face challenges impacting your sleep, self-esteem, work performance, or ability to be your best self? Look no further! I’m here to meet you where you are. You don't have to navigate these difficult times alone. I'm here to support you with compassionate accountability as you move towards growth and a brighter future. Let's work together to help you thrive!
Have you struggled to find a therapist you feel comfortable with or one who calls you back? The search for a therapist can be exhausting, especially when you're living with depression or anxiety. Do you grapple with relationships, feel overwhelmed by life, or face challenges impacting your sleep, self-esteem, work performance, or ability to be your best self? Look no further! I’m here to meet you where you are. You don't have to navigate these difficult times alone. I'm here to support you with compassionate accountability as you move towards growth and a brighter future. Let's work together to help you thrive!
(520) 980-9358 View (520) 980-9358
Photo of Vanessa Ann Billegas, LMSW, Clinical Social Work/Therapist
Vanessa Ann Billegas
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Encanto, Phoenix, AZ 85013  (Online Only)
I understand how stressful life can be. The difficulties of everyday life can lead to feelings of depression, anxiety, and burnout. My goal is to work with you and support you on your journey to overcome these hurdles and achieve a sense of peace and fulfillment. Together, we can work towards building a stronger, more resilient you, fostering a positive self-image, and developing strategies to manage life's challenges more effectively. Let us embark on this path to a happier, healthier you, where your well-being is the priority.
I understand how stressful life can be. The difficulties of everyday life can lead to feelings of depression, anxiety, and burnout. My goal is to work with you and support you on your journey to overcome these hurdles and achieve a sense of peace and fulfillment. Together, we can work towards building a stronger, more resilient you, fostering a positive self-image, and developing strategies to manage life's challenges more effectively. Let us embark on this path to a happier, healthier you, where your well-being is the priority.
(623) 462-5197 View (623) 462-5197
Photo of Jessica Spittle, LPC, MA, NCC, Licensed Professional Counselor
Jessica Spittle
Licensed Professional Counselor, LPC, MA, NCC
Verified Verified
1 Endorsed
Encanto, Phoenix, AZ 85012  (Online Only)
Are you ready for a change but don't know where to start? Do you want to reduce feelings of anxiety, depression, stress and guilt to increase peace and self-confidence but don't know how to get there? I am committed to helping you sort out your life experiences in a safe, accepted and respected space.
Are you ready for a change but don't know where to start? Do you want to reduce feelings of anxiety, depression, stress and guilt to increase peace and self-confidence but don't know how to get there? I am committed to helping you sort out your life experiences in a safe, accepted and respected space.
(623) 257-6593 View (623) 257-6593
Photo of Paula M. DeMore, JD, LPC, NCC, Licensed Professional Counselor
Paula M. DeMore
Licensed Professional Counselor, JD, LPC, NCC
Verified Verified
Encanto, Phoenix, AZ 85012
I specialize in the treatment of anxiety, depression, trauma, life transitions and loss, and relationship issues.
Life can definitely go sideways; I’m here to help you right what’s gone wrong. I’m probably not your typical therapist. I’m a lawyer, a mother and a mid-life divorce survivor. I’m transparent and a little unorthodox at times. You will never wonder if you are sitting with a real person. We will laugh, we may cry, and I won't mind if you drop an f-bomb or two. I will never judge you or presume to know more about you than you know yourself. Your story matters; I want to know how you show up in your life and how your history and experience coalesced to bring you here. I will not waste your time chatting; we have work to do.
I specialize in the treatment of anxiety, depression, trauma, life transitions and loss, and relationship issues.
Life can definitely go sideways; I’m here to help you right what’s gone wrong. I’m probably not your typical therapist. I’m a lawyer, a mother and a mid-life divorce survivor. I’m transparent and a little unorthodox at times. You will never wonder if you are sitting with a real person. We will laugh, we may cry, and I won't mind if you drop an f-bomb or two. I will never judge you or presume to know more about you than you know yourself. Your story matters; I want to know how you show up in your life and how your history and experience coalesced to bring you here. I will not waste your time chatting; we have work to do.
(602) 910-2059 View (602) 910-2059
Photo of Dorothy Hurd, MC, LPC, Licensed Professional Counselor
Dorothy Hurd
Licensed Professional Counselor, MC, LPC
Verified Verified
Encanto, Phoenix, AZ 85004  (Online Only)
I don't think of myself as specializing in one area but I do have special knowledge about anxiety, depression and trauma.
Life is often difficult and sometimes you may need help. It is my goal to provide a safe, comfortable and non-judgmental place for you to explore your own thoughts and feelings about your concerns. Whatever you are dealing with; relationships, work, family or individual problems such as grief, anxiety, depression or substance abuse, together we can identify options and create a plan that can help you to feel and function better. You can rediscover the joy in your life.
I don't think of myself as specializing in one area but I do have special knowledge about anxiety, depression and trauma.
Life is often difficult and sometimes you may need help. It is my goal to provide a safe, comfortable and non-judgmental place for you to explore your own thoughts and feelings about your concerns. Whatever you are dealing with; relationships, work, family or individual problems such as grief, anxiety, depression or substance abuse, together we can identify options and create a plan that can help you to feel and function better. You can rediscover the joy in your life.
(480) 725-0758 View (480) 725-0758
Photo of Blake Beams, MC, NCC, LAC, Counselor
Blake Beams
Counselor, MC, NCC, LAC
Verified Verified
1 Endorsed
Encanto, Phoenix, AZ 85012
I specialize in working with children, adolescents and adults addressing challenges with anxiety, depression, trauma, self-harm, and eating disorders. I utilize EMDR, expressive art therapy, and Dialectical Behavioral Therapy (DBT) skills to help you improve your coping skills and work through your core issues for lasting healing.
I specialize in working with children, adolescents and adults addressing challenges with anxiety, depression, trauma, self-harm, and eating disorders. I utilize EMDR, expressive art therapy, and Dialectical Behavioral Therapy (DBT) skills to help you improve your coping skills and work through your core issues for lasting healing.
(928) 693-4266 View (928) 693-4266
Photo of Barbara Beck, LPC, Licensed Professional Counselor
Barbara Beck
Licensed Professional Counselor, LPC
Verified Verified
Encanto, Phoenix, AZ 85004  (Online Only)
Now Accepting New Clients! Check my most up to date availability on my website! My expertise lies in helping people who are experiencing symptoms of anxiety and/or depression. Together we can discover the root cause, make changes if necessary, and move forward into a life full of confidence and freedom. There are many factors that can take away from our emotional and mental well-being, such as unresolved past experiences, relationship issues, or physical pain. Whatever the underlying factors might be, I believe in assisting others to address them. I believe everyone deserves the best quality of life possible.
Now Accepting New Clients! Check my most up to date availability on my website! My expertise lies in helping people who are experiencing symptoms of anxiety and/or depression. Together we can discover the root cause, make changes if necessary, and move forward into a life full of confidence and freedom. There are many factors that can take away from our emotional and mental well-being, such as unresolved past experiences, relationship issues, or physical pain. Whatever the underlying factors might be, I believe in assisting others to address them. I believe everyone deserves the best quality of life possible.
(480) 351-6417 View (480) 351-6417
Photo of James Heiskell, MA, LPC, Licensed Professional Counselor
James Heiskell
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Encanto, Phoenix, AZ 85012
I utilize solutions focused motivational interviewing, DBT, CBT and creative arts therapy, to support adolescents and adults experiencing anxiety, anger, substance, and complications of depression.
My clients gain long lasting benefits from solution focus, DBT, and actualization principles, purposed to renew perspective, manage, behavior, and heighten cognition. We have 2,000 thoughts per day, and each one is capable of changing our circumstances for the better. Why wait? Individuals "want to feel better now, not some time in the distant future." Tap into your natural resources for dynamic change. Use this opportunity to forge a new path, establish a new partnership, and change the environment to meet your needs.
I utilize solutions focused motivational interviewing, DBT, CBT and creative arts therapy, to support adolescents and adults experiencing anxiety, anger, substance, and complications of depression.
My clients gain long lasting benefits from solution focus, DBT, and actualization principles, purposed to renew perspective, manage, behavior, and heighten cognition. We have 2,000 thoughts per day, and each one is capable of changing our circumstances for the better. Why wait? Individuals "want to feel better now, not some time in the distant future." Tap into your natural resources for dynamic change. Use this opportunity to forge a new path, establish a new partnership, and change the environment to meet your needs.
(480) 725-2796 View (480) 725-2796
Photo of Mar M Navarro, LPC-S, TAD, Counselor
Mar M Navarro
Counselor, LPC-S, TAD
Verified Verified
1 Endorsed
Encanto, Phoenix, AZ 85012
My clinical specializations include attachment, anxiety, depression, behavioral problems, social and relationship issues, and trauma.
It is a privilege and an honor for me to be able to be part of your healing process and growth. I am a Licensed Professional Counselor and Doctor of Behavioral Health working with children, families, and adults. I'm an attachment and trauma-based counselor and bilingual in English and Spanish. My focus is to work with patients and identify and alleviate root causes associated with social, emotional, behavioral, and psychological challenges in various stages of development. I utilize a solution focused, strength-based approach to make progress towards the goals that we create together.
My clinical specializations include attachment, anxiety, depression, behavioral problems, social and relationship issues, and trauma.
It is a privilege and an honor for me to be able to be part of your healing process and growth. I am a Licensed Professional Counselor and Doctor of Behavioral Health working with children, families, and adults. I'm an attachment and trauma-based counselor and bilingual in English and Spanish. My focus is to work with patients and identify and alleviate root causes associated with social, emotional, behavioral, and psychological challenges in various stages of development. I utilize a solution focused, strength-based approach to make progress towards the goals that we create together.
(928) 683-4004 View (928) 683-4004
Photo of Kelly N Bennett, LMSW, Clinical Social Work/Therapist
Kelly N Bennett
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Encanto, Phoenix, AZ 85007  (Online Only)
Anxiety has caused you to experience exhaustion and isolation. You constantly have doubts and worries floating around in your thoughts. It feels like your mind won’t stop thinking about everything at once. You doubt yourself because every little decision feels monumentally consequential. Normal tasks that used to bring you joy no longer do, even your hobbies have fallen by the wayside. Friends try reaching out to you, but you end up withdrawing further away from them. You wish there were a way to go back to when you were happy and sure of yourself, but there seems to be this massive gap that just can't be bridged.
Anxiety has caused you to experience exhaustion and isolation. You constantly have doubts and worries floating around in your thoughts. It feels like your mind won’t stop thinking about everything at once. You doubt yourself because every little decision feels monumentally consequential. Normal tasks that used to bring you joy no longer do, even your hobbies have fallen by the wayside. Friends try reaching out to you, but you end up withdrawing further away from them. You wish there were a way to go back to when you were happy and sure of yourself, but there seems to be this massive gap that just can't be bridged.
(623) 624-1317 View (623) 624-1317

See more therapy options for Encanto, Phoenix

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.