Anxiety Therapists in San Jose, CA

Photo of Kathleen A Bonal, PhD, Psychologist
Kathleen A Bonal
Psychologist, PhD
Verified Verified
San Jose, CA 95125
I know that reaching out to someone new can be anxiety-provoking.
Struggling with anxiety, depression, relationship issues, work issues, OCD, or stressful life circumstances is challenging and can be isolating and overwhelming. I can help you navigate through these challenges, gain insight and understanding of your situation, and develop ways of coping that are adaptive and empowering. Psychotherapy is an opportunity to learn more about yourself and your patterns of behavior, and to make changes that feel healthy for you.
I know that reaching out to someone new can be anxiety-provoking.
Struggling with anxiety, depression, relationship issues, work issues, OCD, or stressful life circumstances is challenging and can be isolating and overwhelming. I can help you navigate through these challenges, gain insight and understanding of your situation, and develop ways of coping that are adaptive and empowering. Psychotherapy is an opportunity to learn more about yourself and your patterns of behavior, and to make changes that feel healthy for you.
(408) 335-4535 View (408) 335-4535
Photo of Elizabeth Mueller, MS, LMFT, Marriage & Family Therapist
Elizabeth Mueller
Marriage & Family Therapist, MS, LMFT
Verified Verified
6 Endorsed
San Jose, CA 95128
Waitlist for new clients
My specialties include: anger management, anxiety, depression, communication, family dynamics, grief and loss, life transitions, relationship stressors, and stress.
Seeking therapy can be a challenging step, because opening up about intimate issues to a stranger is both terrifying, brave, and can leave you feeling vulnerable. That's why it's important to find somebody with whom you feel comfortable. It is my priority to make you feel at ease, because reaching your goal is more difficult when this is not at the foundation of the therapeutic experience. This approach has enabled me to work with a wide array of teens, adults, couples, and families.
My specialties include: anger management, anxiety, depression, communication, family dynamics, grief and loss, life transitions, relationship stressors, and stress.
Seeking therapy can be a challenging step, because opening up about intimate issues to a stranger is both terrifying, brave, and can leave you feeling vulnerable. That's why it's important to find somebody with whom you feel comfortable. It is my priority to make you feel at ease, because reaching your goal is more difficult when this is not at the foundation of the therapeutic experience. This approach has enabled me to work with a wide array of teens, adults, couples, and families.
(831) 246-8278 View (831) 246-8278
Photo of Julian J. Lee - Access Mental Health, Inc, LMFT, LCSW, LPCC, MD, Marriage & Family Therapist
Access Mental Health, Inc
Marriage & Family Therapist, LMFT, LCSW, LPCC, MD
Verified Verified
1 Endorsed
San Jose, CA 95123
Thus, we offer expansive specialties and modalities that provide the most effective treatment for each individual, including depression, anxiety, stress management, relationship conflict, family challenges, mood disorders.
We understand asking for help may not come easy and can be a difficult process. We believe taking those first few steps are one of many ways we believe can impact your quality of life. We take note of each significant accomplishment and celebrate success and help individuals increase self-confidence and awareness.
Thus, we offer expansive specialties and modalities that provide the most effective treatment for each individual, including depression, anxiety, stress management, relationship conflict, family challenges, mood disorders.
We understand asking for help may not come easy and can be a difficult process. We believe taking those first few steps are one of many ways we believe can impact your quality of life. We take note of each significant accomplishment and celebrate success and help individuals increase self-confidence and awareness.
(855) 799-4647 View (855) 799-4647
Photo of Melody Culhane, LMFT, Marriage & Family Therapist
Melody Culhane
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95148
My name is Melody Culhane and I am a Licensed Marriage and Family Therapist (LMFT). I have several years of experience in treating a variety of symptoms impacting individuals including anxiety, depression, PTSD, post-partum depression, and more. I have training in Cognitive Behavioral Therapy, UCSD: Mindfulness-Based Stress Reduction (MBSR), EMDR (Level II), Dialectical Behavioral Therapy, and The Gottman Method. I work with adults who are often trying to cope with anxiety, depression, life transitions, relationship struggles, and job stress. I take a strengths-based, holistic approach.
My name is Melody Culhane and I am a Licensed Marriage and Family Therapist (LMFT). I have several years of experience in treating a variety of symptoms impacting individuals including anxiety, depression, PTSD, post-partum depression, and more. I have training in Cognitive Behavioral Therapy, UCSD: Mindfulness-Based Stress Reduction (MBSR), EMDR (Level II), Dialectical Behavioral Therapy, and The Gottman Method. I work with adults who are often trying to cope with anxiety, depression, life transitions, relationship struggles, and job stress. I take a strengths-based, holistic approach.
(408) 692-6742 View (408) 692-6742
Photo of Meggie Zanger, MA, LPCC, PMH-C
Meggie Zanger
Licensed Professional Clinical Counselor, MA, LPCC, PMH-C
Verified Verified
San Jose, CA 95153
You may have found that due to some recent life circumstance, you are feeling stressed, anxious, lonely, overwhelmed, or even ashamed. These are natural, human emotions, which can arise from a host of reasons including fertility challenges, reproductive loss, adjusting to parenthood, work-related stress, starting college, or relationship issues. It can feel isolating, and you deserve to be seen and understood. The good news is you don’t have to go through it alone, and you were never meant to.
You may have found that due to some recent life circumstance, you are feeling stressed, anxious, lonely, overwhelmed, or even ashamed. These are natural, human emotions, which can arise from a host of reasons including fertility challenges, reproductive loss, adjusting to parenthood, work-related stress, starting college, or relationship issues. It can feel isolating, and you deserve to be seen and understood. The good news is you don’t have to go through it alone, and you were never meant to.
(831) 249-9898 View (831) 249-9898
Photo of Anahita Mazdiyassni, LCSW, Clinical Social Work/Therapist
Anahita Mazdiyassni
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95120
As someone who has experienced depression and anxiety first hand, I understand the challenges & also the value of being heard & guided.
If you feel overwhelmed, lost, lonely, depressed or anxious, you are not alone. In our world today, many people experience these feelings. I have dedicated the past 16 years of my life working with and helping individuals, couples, families, children and older adults facing different challenges in their lives, such as grief, relationship issues and mental illnesses. I use therapeutic approaches & techniques such as, family system, cognitive behavior therapy (CBT), attachment-based therapy and mindfulness. In addition, I have trainings in Emotion-focused therapy (EFT & EFIT) a useful therapeutic approach for couples and individuals.
As someone who has experienced depression and anxiety first hand, I understand the challenges & also the value of being heard & guided.
If you feel overwhelmed, lost, lonely, depressed or anxious, you are not alone. In our world today, many people experience these feelings. I have dedicated the past 16 years of my life working with and helping individuals, couples, families, children and older adults facing different challenges in their lives, such as grief, relationship issues and mental illnesses. I use therapeutic approaches & techniques such as, family system, cognitive behavior therapy (CBT), attachment-based therapy and mindfulness. In addition, I have trainings in Emotion-focused therapy (EFT & EFIT) a useful therapeutic approach for couples and individuals.
(562) 386-0870 View (562) 386-0870
Photo of Benjamin Raskin, AMFT, Marriage & Family Therapist Associate
Benjamin Raskin
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Jose, CA 95124  (Online Only)
I help individuals struggling with depression, anxiety, codependency, compulsivity, pornography/sexual addiction, and trauma.
I provide individual therapy to treat pornography/sexual addiction, anxiety, depression, impulse control, and other symptoms. I provide couples therapy for betrayal/infidelity, adjustment issues, communication and intimacy issues, and other relationship struggles. I am currently accepting new clients. I offer free consultation.
I help individuals struggling with depression, anxiety, codependency, compulsivity, pornography/sexual addiction, and trauma.
I provide individual therapy to treat pornography/sexual addiction, anxiety, depression, impulse control, and other symptoms. I provide couples therapy for betrayal/infidelity, adjustment issues, communication and intimacy issues, and other relationship struggles. I am currently accepting new clients. I offer free consultation.
(669) 219-2306 View (669) 219-2306
Photo of Ellen Ross, PsyD, Psychologist
Ellen Ross
Psychologist, PsyD
Verified Verified
3 Endorsed
San Jose, CA 95126
Are you feeling anxious or overwhelmed? Have you tried everything you can think of to solve the problem, change your circumstances, or just feel better on your own? If you're deep in the mire of anxiety and depression, trying to make a positive change, or just barely managing to make it through the day, it can be tough to think that things could be different. You can feel frustrated, disconnected, and stuck. Getting the right support can be the ticket to moving out of being stuck and taking steps toward living the life you'd like to be living.
Are you feeling anxious or overwhelmed? Have you tried everything you can think of to solve the problem, change your circumstances, or just feel better on your own? If you're deep in the mire of anxiety and depression, trying to make a positive change, or just barely managing to make it through the day, it can be tough to think that things could be different. You can feel frustrated, disconnected, and stuck. Getting the right support can be the ticket to moving out of being stuck and taking steps toward living the life you'd like to be living.
(669) 238-2777 View (669) 238-2777
Photo of Katharine Shiota, LCSW, Clinical Social Work/Therapist
Katharine Shiota
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95128  (Online Only)
Therapy with me is rooted in Cognitive Behavioral Therapy and I am a certified diplomat through the Academy of Cognitive and Behavioral Therapies. I work hard to provide a non-judgmental and safe space and I welcome feedback from clients. I have experience and training working with clients who are struggling with anxiety, depression, OCD, difficulties with emotion regulation, and trauma. I want to collaboratively identify areas of difficulty and create a plan of treatment that makes you feel comfortable and confident about improvement in your mental health.
Therapy with me is rooted in Cognitive Behavioral Therapy and I am a certified diplomat through the Academy of Cognitive and Behavioral Therapies. I work hard to provide a non-judgmental and safe space and I welcome feedback from clients. I have experience and training working with clients who are struggling with anxiety, depression, OCD, difficulties with emotion regulation, and trauma. I want to collaboratively identify areas of difficulty and create a plan of treatment that makes you feel comfortable and confident about improvement in your mental health.
(669) 305-7176 View (669) 305-7176
Photo of Veronica Ayala, MA, LMFT, Marriage & Family Therapist
Veronica Ayala
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95123  (Online Only)
I integrate mindfulness and somatic practices to increase self-awareness, build self-compassion, and decrease anxiety.
Do you often feel unseen or misunderstood, anxious about social situations, or hesitant to speak your truth out of fear of judgment? Are you yearning to express your authentic self with confidence and let go of the need to please others? If you’re seeking a safe, supportive space to explore your identity and self-expression, therapy could be the next step in your journey. I’m here to help you uncover the root causes of these feelings, empower you to set healthy boundaries, boost your self-esteem and self-worth, and develop effective coping and communication skills.
I integrate mindfulness and somatic practices to increase self-awareness, build self-compassion, and decrease anxiety.
Do you often feel unseen or misunderstood, anxious about social situations, or hesitant to speak your truth out of fear of judgment? Are you yearning to express your authentic self with confidence and let go of the need to please others? If you’re seeking a safe, supportive space to explore your identity and self-expression, therapy could be the next step in your journey. I’m here to help you uncover the root causes of these feelings, empower you to set healthy boundaries, boost your self-esteem and self-worth, and develop effective coping and communication skills.
(408) 403-5578 View (408) 403-5578
Photo of Melissa Alexander, LMFT, Marriage & Family Therapist
Melissa Alexander
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95127
My hope is that my clients feel comfortable and able to share without worry of judgment.
Hello! My name is Melissa Alexander and I am an LMFT and a Registered Art Therapist. I typically work with adolescents and young adults that are going through stage of life struggles, dealing with depression or with anxiety. I also have some experience working with disordered eating and grief. I believe in a client centered approach, as well as using some creativity in sessions! I use a mixture of CBT and narrative therapy, along with solution focused aspects. I like to embody these theories through the use of Art Therapy.
My hope is that my clients feel comfortable and able to share without worry of judgment.
Hello! My name is Melissa Alexander and I am an LMFT and a Registered Art Therapist. I typically work with adolescents and young adults that are going through stage of life struggles, dealing with depression or with anxiety. I also have some experience working with disordered eating and grief. I believe in a client centered approach, as well as using some creativity in sessions! I use a mixture of CBT and narrative therapy, along with solution focused aspects. I like to embody these theories through the use of Art Therapy.
(408) 715-3622 View (408) 715-3622
Photo of Sharlisa L Byrd, MA, LMFT, TITC-CT, SEPi, CPC, Marriage & Family Therapist
Sharlisa L Byrd
Marriage & Family Therapist, MA, LMFT, TITC-CT, SEPi, CPC
Verified Verified
San Jose, CA 95136  (Online Only)
Sharlisa assists clients on various issues, including but not limited too, trauma, anxiety, OCD, depression, mood regulation, grief, personal recovery and growth, life transitional stages.
It's finally your time to heal. Sharlisa has experience in both the mind and the body providing unique and effective approaches to counseling. Sharlisa is known for providing clients with nurturing tailored therapeutic services that can be integrated into their daily lives. She views herself as a manufacturer of hope and healing. She provides culturally competent, holistic, and wellness focused services that promote transformative healing through transformative change by optimizing a client centered approach that utilizes knowledge, early interventions, open communication, somatic experiencing & increased awareness. It's your time.
Sharlisa assists clients on various issues, including but not limited too, trauma, anxiety, OCD, depression, mood regulation, grief, personal recovery and growth, life transitional stages.
It's finally your time to heal. Sharlisa has experience in both the mind and the body providing unique and effective approaches to counseling. Sharlisa is known for providing clients with nurturing tailored therapeutic services that can be integrated into their daily lives. She views herself as a manufacturer of hope and healing. She provides culturally competent, holistic, and wellness focused services that promote transformative healing through transformative change by optimizing a client centered approach that utilizes knowledge, early interventions, open communication, somatic experiencing & increased awareness. It's your time.
(408) 359-1814 View (408) 359-1814
Photo of Alisa Eisenberg, LMFT, Marriage & Family Therapist
Alisa Eisenberg
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95112
My name is Alisa Eisenberg, and I am a Licensed Marriage & Family Therapist (LMFT) based in Southern California. I work with individuals statewide via telehealth. I specialize in stress management, how to develop a healthy lifestyle, increase resilience, and a variety of stress related disorders including depression, anxiety, symptoms of PTSD as well as medical and health issues. I have worked with individuals of varying ages as my approach benefits all age groups, from late teens to older adults.
My name is Alisa Eisenberg, and I am a Licensed Marriage & Family Therapist (LMFT) based in Southern California. I work with individuals statewide via telehealth. I specialize in stress management, how to develop a healthy lifestyle, increase resilience, and a variety of stress related disorders including depression, anxiety, symptoms of PTSD as well as medical and health issues. I have worked with individuals of varying ages as my approach benefits all age groups, from late teens to older adults.
(408) 413-1675 View (408) 413-1675
Photo of Mary Jordan, AMFT, EMDR, Marriage & Family Therapist Associate
Mary Jordan
Marriage & Family Therapist Associate, AMFT, EMDR
Verified Verified
San Jose, CA 95125
Do you find yourself shut down or suppress your feelings? Do you struggle in relationships due to your trauma? Are you unsure of where you belong? I work with people of all identities to process unresolved feelings due to trauma. I strive to provide you a safe and non-judgmental space, in order for you to develop coping mechanisms for trauma symptoms ( anxiety, depression, addiction, etc.) and to explore aspects of yourself. I can help you let go of past HURTS and develop tools to find RELIEF.
Do you find yourself shut down or suppress your feelings? Do you struggle in relationships due to your trauma? Are you unsure of where you belong? I work with people of all identities to process unresolved feelings due to trauma. I strive to provide you a safe and non-judgmental space, in order for you to develop coping mechanisms for trauma symptoms ( anxiety, depression, addiction, etc.) and to explore aspects of yourself. I can help you let go of past HURTS and develop tools to find RELIEF.
(408) 351-5721 View (408) 351-5721
Photo of Melissa Satram, LMFT, Marriage & Family Therapist
Melissa Satram
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95125
Do you ever struggle with feeling like you’re not enough? Do you feel like you have to prove yourself? Do you feel stuck and triggered by childhood trauma? The symptoms of trauma include anxiety, depression, high conflict relationships, occupational impairment, addiction, and much more. I believe therapy can help you develop a more self-awareness and actionable plan to alleviate these symptoms. I specialized in working with people who are willing to explore past, present, and future challenges and to find tools for personal growth.
Do you ever struggle with feeling like you’re not enough? Do you feel like you have to prove yourself? Do you feel stuck and triggered by childhood trauma? The symptoms of trauma include anxiety, depression, high conflict relationships, occupational impairment, addiction, and much more. I believe therapy can help you develop a more self-awareness and actionable plan to alleviate these symptoms. I specialized in working with people who are willing to explore past, present, and future challenges and to find tools for personal growth.
(408) 359-1686 View (408) 359-1686
Silicon Valley Psychotherapy & Consulting Svcs
Psychologist, PhD
Verified Verified
1 Endorsed
San Jose, CA 95126
For over 10 years, I have offered individual and couples therapy to people who are challenged by depression and anxiety, particularly due to relationship issues and struggles in making major life decisions (e.g. divorce, career change, becoming a parent). I have special expertise in sexual acting out and, in addition to other treatment modalities, lead groups to treat this.
For over 10 years, I have offered individual and couples therapy to people who are challenged by depression and anxiety, particularly due to relationship issues and struggles in making major life decisions (e.g. divorce, career change, becoming a parent). I have special expertise in sexual acting out and, in addition to other treatment modalities, lead groups to treat this.
(408) 622-1070 View (408) 622-1070
Photo of Nicole Egan, LMFT, Marriage & Family Therapist
Nicole Egan
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
San Jose, CA 95126
I’ll meet you where you are on your unique journey and offer you the support you need to understand where your anxiety comes from and find power over it.
Do you find yourself feeling hopelessly anxious about not being able to get past your perfectionism, no matter what you do? You’re someone who is hard working and insightful. But you still find yourself doubting yourself and the perfectionist voice in your head keeps you feeling anxious and on edge constantly. You struggle to feel good about yourself in relationships. But you’re ready to make a change! You’re ready to feel hopeful again and practice putting yourself first. You’re ready to learn control over your anxiety. Most of all you’re ready to believe in yourself, no matter what. I want to help you get there.
I’ll meet you where you are on your unique journey and offer you the support you need to understand where your anxiety comes from and find power over it.
Do you find yourself feeling hopelessly anxious about not being able to get past your perfectionism, no matter what you do? You’re someone who is hard working and insightful. But you still find yourself doubting yourself and the perfectionist voice in your head keeps you feeling anxious and on edge constantly. You struggle to feel good about yourself in relationships. But you’re ready to make a change! You’re ready to feel hopeful again and practice putting yourself first. You’re ready to learn control over your anxiety. Most of all you’re ready to believe in yourself, no matter what. I want to help you get there.
(408) 763-8737 View (408) 763-8737
Photo of Samantha Crismond, LCSW, Clinical Social Work/Therapist
Samantha Crismond
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95111
My areas of clinical focus are depression, anxiety, and stress. I have experience with adults from all walks of life. I am also a culturally competent therapist and have experience with the LGBTQIA+ and Veteran populations. I have found that the use of technology has greatly improved the ability of therapists and clients to collaborate in mental health treatment. I will often use multimodal strategies to keep you engaged and to increase the understanding of your patterns of behavior, such as videos and worksheets.
My areas of clinical focus are depression, anxiety, and stress. I have experience with adults from all walks of life. I am also a culturally competent therapist and have experience with the LGBTQIA+ and Veteran populations. I have found that the use of technology has greatly improved the ability of therapists and clients to collaborate in mental health treatment. I will often use multimodal strategies to keep you engaged and to increase the understanding of your patterns of behavior, such as videos and worksheets.
(408) 676-4726 View (408) 676-4726
Photo of Gita Rai, MA,  LMFT, Marriage & Family Therapist
Gita Rai
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Jose, CA 95128
Gita Rai is a Licensed Marriage and Family Therapist (LMFT) based in California. Gita earned a Master of Arts in Marriage and Family Therapy from Pacific Oaks College and has been practicing since 2018. Gita is committed to providing evidence-based therapy to individuals, adolescents, and families facing a wide array of challenges. Gita provides telehealth therapy to clients residing in California. Her areas of specialization include mood disorders, life transitions, anxiety, grief, substance abuse, and eating disorders. Gita has extensive experience working in both outpatient and inpatient settings.
Gita Rai is a Licensed Marriage and Family Therapist (LMFT) based in California. Gita earned a Master of Arts in Marriage and Family Therapy from Pacific Oaks College and has been practicing since 2018. Gita is committed to providing evidence-based therapy to individuals, adolescents, and families facing a wide array of challenges. Gita provides telehealth therapy to clients residing in California. Her areas of specialization include mood disorders, life transitions, anxiety, grief, substance abuse, and eating disorders. Gita has extensive experience working in both outpatient and inpatient settings.
(408) 692-0775 View (408) 692-0775
Photo of Salvador R Resendez, LCSW, Clinical Social Work/Therapist
Salvador R Resendez
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95110  (Online Only)
I offer a space to help you reflect and gain insight integrated with learning active coping skills and goal setting to treat a wide range of issues, including depression, anxiety, addictions, out of control sexual behavior, sexuality, and trauma, to foster a positive sense of self and gain confidence.
My approach to therapy is to help men foster a safe, caring therapeutic relationship to help them thrive. I bring compassion and empathy from my own recovery to support healing and growth. Before becoming an LCSW, I worked in media, and living in the Bay Area and New York City provides me an understanding of the stressors working people encounter when trying to find balance in frenetic and competitive environments. My style is active and I will collaborate with you to tap into your identity, strengths, values, and interests in our work together to help you achieve your goals.
I offer a space to help you reflect and gain insight integrated with learning active coping skills and goal setting to treat a wide range of issues, including depression, anxiety, addictions, out of control sexual behavior, sexuality, and trauma, to foster a positive sense of self and gain confidence.
My approach to therapy is to help men foster a safe, caring therapeutic relationship to help them thrive. I bring compassion and empathy from my own recovery to support healing and growth. Before becoming an LCSW, I worked in media, and living in the Bay Area and New York City provides me an understanding of the stressors working people encounter when trying to find balance in frenetic and competitive environments. My style is active and I will collaborate with you to tap into your identity, strengths, values, and interests in our work together to help you achieve your goals.
(408) 539-4793 View (408) 539-4793
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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.