Anxiety Therapists in Simi Valley, CA

Photo of Shari Balbien, LMFT, Marriage & Family Therapist
Shari Balbien
Marriage & Family Therapist, LMFT
Verified Verified
Simi Valley, CA 93063
Hi there! My name is Shari Balbien, and I am a licensed marriage and family therapist (LMFT) based in Southern California and working with clients statewide via telehealth. I work with children as young as five years of age, adolescents, families, and couples struggling with anxiety, depression, relationship conflict, as well as issues related to trauma, self-esteem, and grief. I have found that my style and approach are a good match for young children, families, and couples, who may be dealing with anxiety, depression, trauma, and communication issues.
Hi there! My name is Shari Balbien, and I am a licensed marriage and family therapist (LMFT) based in Southern California and working with clients statewide via telehealth. I work with children as young as five years of age, adolescents, families, and couples struggling with anxiety, depression, relationship conflict, as well as issues related to trauma, self-esteem, and grief. I have found that my style and approach are a good match for young children, families, and couples, who may be dealing with anxiety, depression, trauma, and communication issues.
(805) 855-1505 View (805) 855-1505
Photo of Ravreet (Ruby) Cheema, PsyD, MA, Psychological Associate
Ravreet (Ruby) Cheema
Psychological Associate, PsyD, MA
Verified Verified
Simi Valley, CA 93065  (Online Only)
Welcome! I am Ruby, I am so glad you made it to my page. I am a relational psychotherapist, which means I value human connection and the client-therapist relationship. I typically work with individuals who have experienced childhood trauma, family/cultural stressors, identity and major life transitions, and anxiety and depression. My approach is holistic and person-centered, often integrating psychodynamic, CBT, mindfulness, and values-based approaches. Together, I hope to unpack past and present challenges and develop a greater sense of self and belonging.
Welcome! I am Ruby, I am so glad you made it to my page. I am a relational psychotherapist, which means I value human connection and the client-therapist relationship. I typically work with individuals who have experienced childhood trauma, family/cultural stressors, identity and major life transitions, and anxiety and depression. My approach is holistic and person-centered, often integrating psychodynamic, CBT, mindfulness, and values-based approaches. Together, I hope to unpack past and present challenges and develop a greater sense of self and belonging.
(805) 301-9882 View (805) 301-9882
Photo of Scott T Barrella, MS, LMFT, sbarrella, Marriage & Family Therapist
Scott T Barrella
Marriage & Family Therapist, MS, LMFT, sbarrella
Verified Verified
Simi Valley, CA 93065
Cornerstone has been in business for over 28 years - we have served over 5000 families! We specialize in treating anxiety, depression, and anger management issues. New clients will learn tools and workable solutions for handling conflict. Our goal is to help you focus on your present journey and where you would like your journey to lead. We work with adults and children. At Cornerstone Counseling we treat depression, anxiety, and a wide variety of mental health challenges. Experience Counts so call 805-390-6384 today for a free consult!
Cornerstone has been in business for over 28 years - we have served over 5000 families! We specialize in treating anxiety, depression, and anger management issues. New clients will learn tools and workable solutions for handling conflict. Our goal is to help you focus on your present journey and where you would like your journey to lead. We work with adults and children. At Cornerstone Counseling we treat depression, anxiety, and a wide variety of mental health challenges. Experience Counts so call 805-390-6384 today for a free consult!
(805) 390-6384 View (805) 390-6384
Photo of Oriyan Maor, LMFT, Marriage & Family Therapist
Oriyan Maor
Marriage & Family Therapist, LMFT
Verified Verified
8 Endorsed
Simi Valley, CA 93063
You no longer know who you are or what you want in life. You constantly feel as though something is missing, or you’re just going through the motions. You may be in a toxic relationship, romantic or otherwise. You may be stuck at a dead-end job, not know where to go career wise, or maybe you aren’t sure if school is right for you. You constantly are told what to do, who to be, and have difficulty speaking and choosing for yourself. Or perhaps you have to do everything. You have no support and feel as though you are juggling a million things with no help in sight. Don’t worry, you’re not alone.
You no longer know who you are or what you want in life. You constantly feel as though something is missing, or you’re just going through the motions. You may be in a toxic relationship, romantic or otherwise. You may be stuck at a dead-end job, not know where to go career wise, or maybe you aren’t sure if school is right for you. You constantly are told what to do, who to be, and have difficulty speaking and choosing for yourself. Or perhaps you have to do everything. You have no support and feel as though you are juggling a million things with no help in sight. Don’t worry, you’re not alone.
(805) 954-9020 View (805) 954-9020
Photo of Laurel Drake Fraser, LMFT, Marriage & Family Therapist
Laurel Drake Fraser
Marriage & Family Therapist, LMFT
Verified Verified
Simi Valley, CA 93065  (Online Only)
EMDR and IFS (Internal Family Systems) offer effective and often rapid relief from depression, anxiety, panic attacks, distressing memories, nightmares, etc.
It is my passion and privilege to assist my clients in feeling alive, connected and at peace in their relationships and within themselves. Every day I hear clients say that our work has truly transformed their lives - that they are no longer triggered by old patterns, that their confidence and happiness is greater than they have ever experienced. Changes such as these are possible through a collaborative exploration of past and present issues in an atmosphere of safety, compassion and respect - respect for the individual and respect for the mind's ability to heal.
EMDR and IFS (Internal Family Systems) offer effective and often rapid relief from depression, anxiety, panic attacks, distressing memories, nightmares, etc.
It is my passion and privilege to assist my clients in feeling alive, connected and at peace in their relationships and within themselves. Every day I hear clients say that our work has truly transformed their lives - that they are no longer triggered by old patterns, that their confidence and happiness is greater than they have ever experienced. Changes such as these are possible through a collaborative exploration of past and present issues in an atmosphere of safety, compassion and respect - respect for the individual and respect for the mind's ability to heal.
(805) 995-4643 View (805) 995-4643
Photo of Ogechi Nkwocha, LMFT, Marriage & Family Therapist
Ogechi Nkwocha
Marriage & Family Therapist, LMFT
Verified Verified
Simi Valley, CA 93065
This often takes the form of depression, anxiety, stress, and ultimately living a life unfulfilled.
My name is Ogechi Nkwocha, and I am a Licensed Marriage and Family Therapist (LMFT) based in Riverside County, California, working with clients statewide via telehealth. I work with adults and teens, and I specialize in depression, trauma, anxiety/stress, self-esteem issues, and career counseling. With the use of Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Solution Focused Therapy, Existential Therapy and Strength Based Therapy, I am able to help my clients feel empowered and equipped to take on life’s challenges.
This often takes the form of depression, anxiety, stress, and ultimately living a life unfulfilled.
My name is Ogechi Nkwocha, and I am a Licensed Marriage and Family Therapist (LMFT) based in Riverside County, California, working with clients statewide via telehealth. I work with adults and teens, and I specialize in depression, trauma, anxiety/stress, self-esteem issues, and career counseling. With the use of Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Solution Focused Therapy, Existential Therapy and Strength Based Therapy, I am able to help my clients feel empowered and equipped to take on life’s challenges.
(805) 420-1802 View (805) 420-1802
Sue White
Marriage & Family Therapist, MA, LMFT
Verified Verified
Simi Valley, CA 93063
I offer practical, down to earth counseling using primarily cognitive behavioral and family systems therapy. My main areas of focus are in the treatment of anxiety, depression, loss and grief and relationships. I treat adults with the majority of my referrals coming from previous clients, insurance companies and the church community. I am a graduate of Pepperdine University with a Masters Degree in Clinical Psychology with an Emphasis in Marriage and Family Counseling.
I offer practical, down to earth counseling using primarily cognitive behavioral and family systems therapy. My main areas of focus are in the treatment of anxiety, depression, loss and grief and relationships. I treat adults with the majority of my referrals coming from previous clients, insurance companies and the church community. I am a graduate of Pepperdine University with a Masters Degree in Clinical Psychology with an Emphasis in Marriage and Family Counseling.
(805) 765-2428 View (805) 765-2428
Photo of Allison Jackson, MA, AMFT, Marriage & Family Therapist Associate
Allison Jackson
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
12 Endorsed
Simi Valley, CA 93065
Are you struggling to navigate the intricate emotions of life, grappling with relationship challenges, battling negative self-image, or just feeling overwhelmed by anxious thoughts? If you're seeking a turning point toward a path to self-discovery and personal growth, therapy may be the next step in fostering meaningful insights, cultivating resilience, and building a foundation for positive change in your life.
Are you struggling to navigate the intricate emotions of life, grappling with relationship challenges, battling negative self-image, or just feeling overwhelmed by anxious thoughts? If you're seeking a turning point toward a path to self-discovery and personal growth, therapy may be the next step in fostering meaningful insights, cultivating resilience, and building a foundation for positive change in your life.
(424) 397-2619 View (424) 397-2619
Photo of Dana Fortier, LCSW, Clinical Social Work/Therapist
Dana Fortier
Clinical Social Work/Therapist, LCSW
Verified Verified
Simi Valley, CA 93065
I work with adult women and men dealing with trauma, depression, anxiety, work stress, relationship problems, and issues with actualizing their dreams and goals.
Hello there! I am Dana Suzanne Fortier and am a licensed clinical social worker and registered nurse seeing clients in California via telehealth sessions. I believe in the power of good therapy to help all of us to live the rich and fulfilling lives we deserve. Too often people settle for less than their dreams and then quietly slip into a grey world of indifference and resignation. Or they find they have chased the wrong dreams and are uncertain about how to make the changes their hearts and minds demand. If this describes you, therapy with me can help you.
I work with adult women and men dealing with trauma, depression, anxiety, work stress, relationship problems, and issues with actualizing their dreams and goals.
Hello there! I am Dana Suzanne Fortier and am a licensed clinical social worker and registered nurse seeing clients in California via telehealth sessions. I believe in the power of good therapy to help all of us to live the rich and fulfilling lives we deserve. Too often people settle for less than their dreams and then quietly slip into a grey world of indifference and resignation. Or they find they have chased the wrong dreams and are uncertain about how to make the changes their hearts and minds demand. If this describes you, therapy with me can help you.
(805) 301-6656 View (805) 301-6656
Photo of Joseph K Collins, LMFT, Marriage & Family Therapist
Joseph K Collins
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Simi Valley, CA 93065
As a licensed marriage and family therapist, I specialize in working with adults with stress, depression, and anxiety.
INVEST in yourself! My passion is walking with people through life's victories and difficulties. With a combined 25 years of pastoral counseling and clinical experience, I take a holistic, collaborative, and strength-based approach to counseling. I believe everyone can change and grow.
As a licensed marriage and family therapist, I specialize in working with adults with stress, depression, and anxiety.
INVEST in yourself! My passion is walking with people through life's victories and difficulties. With a combined 25 years of pastoral counseling and clinical experience, I take a holistic, collaborative, and strength-based approach to counseling. I believe everyone can change and grow.
(805) 463-6590 View (805) 463-6590
Photo of Nilofar Mirchi, LMFT, PMH-C, Marriage & Family Therapist
Nilofar Mirchi
Marriage & Family Therapist, LMFT, PMH-C
Verified Verified
Simi Valley, CA 93065  (Online Only)
I have experience working with anxiety, depression, trauma, relationship concerns, parenting, and life transitions.
There are changes in a one’s life that can be overwhelming or difficult to manage. Some life transitions for teens and adults may be so overpowering that it can lead to increased stress, depression, anxiety, feelings of guilt, irritability/anger, grief, and loneliness/isolation. These emotions also come into play on the path to parenthood which is full of surprises. Pregnancy, infertility, loss and becoming a parent can be different than expected. It can bring up unexpected feelings like crying frequently, feeling overwhelmed, disconnected, feelings of guilt/blame, and difficulties with adjustment to pregnancy or postpartum period.
I have experience working with anxiety, depression, trauma, relationship concerns, parenting, and life transitions.
There are changes in a one’s life that can be overwhelming or difficult to manage. Some life transitions for teens and adults may be so overpowering that it can lead to increased stress, depression, anxiety, feelings of guilt, irritability/anger, grief, and loneliness/isolation. These emotions also come into play on the path to parenthood which is full of surprises. Pregnancy, infertility, loss and becoming a parent can be different than expected. It can bring up unexpected feelings like crying frequently, feeling overwhelmed, disconnected, feelings of guilt/blame, and difficulties with adjustment to pregnancy or postpartum period.
(805) 624-3708 View (805) 624-3708
Photo of Yashwanthi Mirji, MS, LMFT, Marriage & Family Therapist
Yashwanthi Mirji
Marriage & Family Therapist, MS, LMFT
Verified Verified
Simi Valley, CA 93065
Are you anxious, depressed or sad? Have you experienced a traumatic event? Are you finding yourself stuck in unhealthy patterns in your relationships/career ? Recognizing that you need help, can be difficult as well as intimidating. As a Licensed Marriage and Family Therapist I have had extensive training and experience working with adults (individuals and couples), children and adolescents for over 10 years.
Are you anxious, depressed or sad? Have you experienced a traumatic event? Are you finding yourself stuck in unhealthy patterns in your relationships/career ? Recognizing that you need help, can be difficult as well as intimidating. As a Licensed Marriage and Family Therapist I have had extensive training and experience working with adults (individuals and couples), children and adolescents for over 10 years.
(805) 262-9147 View (805) 262-9147
Photo of Wendy Kish, LCSW, Clinical Social Work/Therapist
Wendy Kish
Clinical Social Work/Therapist, LCSW
Verified Verified
Simi Valley, CA 93063
My Name is Wendy. I have been a licensed therapist since 2008, working with adolescents, adults, and couples. I have helped cients struggling with anxiety, depression, relationship issues, codependency, and spirituality. I use an integrative approach and person-centered therapy modalities and utilize your strengths to build on your areas of improvement. I have experience with community resources, grief counseling, and medical social work.
My Name is Wendy. I have been a licensed therapist since 2008, working with adolescents, adults, and couples. I have helped cients struggling with anxiety, depression, relationship issues, codependency, and spirituality. I use an integrative approach and person-centered therapy modalities and utilize your strengths to build on your areas of improvement. I have experience with community resources, grief counseling, and medical social work.
(805) 262-8307 View (805) 262-8307
Photo of Jaayda Ellingham, MA, LMFT, Marriage & Family Therapist
Jaayda Ellingham
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Simi Valley, CA 93065  (Online Only)
Whether you're struggling with anxiety or depression, or feel you've hit a wall to progress, these states can create stress and disconnection, making personal fulfillment in career and relationships challenging. As we understand that physical exercise builds and strengthens our physical endurance, psychotherapy is a process of building and strengthening the mind's capacity to endure and respond. The therapeutic process is rooted in connection, transparency, and authenticity. I work from a collaborative and mindfulness approach to help guide my clients in understanding the relationship between their thoughts, feelings, and actions to effect change.
Whether you're struggling with anxiety or depression, or feel you've hit a wall to progress, these states can create stress and disconnection, making personal fulfillment in career and relationships challenging. As we understand that physical exercise builds and strengthens our physical endurance, psychotherapy is a process of building and strengthening the mind's capacity to endure and respond. The therapeutic process is rooted in connection, transparency, and authenticity. I work from a collaborative and mindfulness approach to help guide my clients in understanding the relationship between their thoughts, feelings, and actions to effect change.
(747) 229-0207 View (747) 229-0207
Photo of Caroline Enciso, MA, LMFT, Marriage & Family Therapist
Caroline Enciso
Marriage & Family Therapist, MA, LMFT
Verified Verified
Simi Valley, CA 93063  (Online Only)
As an experienced anxiety/depression therapist, I believe that unconditional support and practical strategies to cope w/ life's triggers will guide you to a place of feeling empowered & hopeful.
You want to appear successful and like you have it "all together" but deep down are struggling to feel confident in who you are or effectively cope with daily stressors. You may be fed up with feeling unimportant and overthinking everything. You might not even remember a time things didn't feel this way. One thing you do know is that you're ready for change. You're ready to live your life confidently without questioning every decision you make. You're ready to start putting yourself first without feeling guilty. Most of all, you're ready to love yourself and take control of your life again.
As an experienced anxiety/depression therapist, I believe that unconditional support and practical strategies to cope w/ life's triggers will guide you to a place of feeling empowered & hopeful.
You want to appear successful and like you have it "all together" but deep down are struggling to feel confident in who you are or effectively cope with daily stressors. You may be fed up with feeling unimportant and overthinking everything. You might not even remember a time things didn't feel this way. One thing you do know is that you're ready for change. You're ready to live your life confidently without questioning every decision you make. You're ready to start putting yourself first without feeling guilty. Most of all, you're ready to love yourself and take control of your life again.
(747) 294-3261 View (747) 294-3261
Photo of Jillian Zamora, MSW, ACSW, Pre-Licensed Professional
Jillian Zamora
Pre-Licensed Professional, MSW, ACSW
Verified Verified
1 Endorsed
Simi Valley, CA 93063  (Online Only)
Life transitions and stressful events can cause us to feel anxious or isolated. We often realize in times of transition or high stress that unhealed pain from the past rises to the surface. This can be an ideal time to reach out for support and a safe place to process your feelings. I can help you cope with your present challenges and make sense of unresolved emotions from the past. Whether you are looking to enter therapy as an individual to find your own sense of peace, as a couple to reconnect or repair a relationship, or as a family to achieve harmony and understanding, it would be an honor to be a part of your journey.
Life transitions and stressful events can cause us to feel anxious or isolated. We often realize in times of transition or high stress that unhealed pain from the past rises to the surface. This can be an ideal time to reach out for support and a safe place to process your feelings. I can help you cope with your present challenges and make sense of unresolved emotions from the past. Whether you are looking to enter therapy as an individual to find your own sense of peace, as a couple to reconnect or repair a relationship, or as a family to achieve harmony and understanding, it would be an honor to be a part of your journey.
(805) 749-5395 View (805) 749-5395
Photo of Melissa Ramirez-Pavano, PsyD, Psychologist
Melissa Ramirez-Pavano
Psychologist, PsyD
Verified Verified
Simi Valley, CA 93065  (Online Only)
Welcome! I am a bilingual (English/Spanish) licensed psychologist and Certified Clinical Trauma Professional who provides individual telehealth mental health services for older adolescents (16+), young adults, and adults experiencing depression, stress, and anxiety due to history of trauma, chronic health conditions, relationship issues, work stress/ burnout, current events, family/generational issues, and racism. Unresolved stress and trauma can wreak havoc on your physical and mental health, as well as your relationships. Together in therapy, we will work on finding meaning, strength, and building resiliency.
Welcome! I am a bilingual (English/Spanish) licensed psychologist and Certified Clinical Trauma Professional who provides individual telehealth mental health services for older adolescents (16+), young adults, and adults experiencing depression, stress, and anxiety due to history of trauma, chronic health conditions, relationship issues, work stress/ burnout, current events, family/generational issues, and racism. Unresolved stress and trauma can wreak havoc on your physical and mental health, as well as your relationships. Together in therapy, we will work on finding meaning, strength, and building resiliency.
(805) 429-8605 View (805) 429-8605
Photo of Kaidi Liu, LMFT, Marriage & Family Therapist
Kaidi Liu
Marriage & Family Therapist, LMFT
Verified Verified
10 Endorsed
Simi Valley, CA 93063
I am passionate about helping adults and teens with depression, anxiety, and OCD through an integrated approach in therapy, incorporating various theoretical frameworks including person-centered therapy, psychodynamic therapy, and cognitive-behavioral therapy (CBT).
You feel an unexplained sense of hopelessness. You have had better days, but difficult emotions seem to be in control of you. You wonder why it's so difficult to be with your thoughts, why a stable connection with others feels so hard to establish, and why it feels so impossible to please everyone without compromising your own well-being. You want to know how to better relate to yourself and your loved ones. Is it even possible to be happy? Or is it impossible because something is wrong with me? These questions confront you so often, but you are struggling to find the answers.
I am passionate about helping adults and teens with depression, anxiety, and OCD through an integrated approach in therapy, incorporating various theoretical frameworks including person-centered therapy, psychodynamic therapy, and cognitive-behavioral therapy (CBT).
You feel an unexplained sense of hopelessness. You have had better days, but difficult emotions seem to be in control of you. You wonder why it's so difficult to be with your thoughts, why a stable connection with others feels so hard to establish, and why it feels so impossible to please everyone without compromising your own well-being. You want to know how to better relate to yourself and your loved ones. Is it even possible to be happy? Or is it impossible because something is wrong with me? These questions confront you so often, but you are struggling to find the answers.
(805) 301-1829 View (805) 301-1829
Photo of Julie Colfax, LMFT, Marriage & Family Therapist
Julie Colfax
Marriage & Family Therapist, LMFT
Verified Verified
Simi Valley, CA 93065
Hello, I am Julie Pennington (previously Colfax) LMFT. As a Licensed Marriage and Family Therapist, I work with people of all ages, levels of development, abilities, and stages of life. My focus is on you, your goals for yourself, and your family in the therapy space. The majority of the clients I see working to recover from trauma and minimize the impact or development of trauma responses (Acute Stress Disorder or PTSD), dealing with depression (bipolar or unipolar), anxiety, neuro-divergent and differently-abled, wanting to improve emotional management skills or work through substance use and addiction challenges.
Hello, I am Julie Pennington (previously Colfax) LMFT. As a Licensed Marriage and Family Therapist, I work with people of all ages, levels of development, abilities, and stages of life. My focus is on you, your goals for yourself, and your family in the therapy space. The majority of the clients I see working to recover from trauma and minimize the impact or development of trauma responses (Acute Stress Disorder or PTSD), dealing with depression (bipolar or unipolar), anxiety, neuro-divergent and differently-abled, wanting to improve emotional management skills or work through substance use and addiction challenges.
(805) 600-8854 View (805) 600-8854
Photo of Andre Jackson, LMFT, Marriage & Family Therapist
Andre Jackson
Marriage & Family Therapist, LMFT
Verified Verified
Simi Valley, CA 93063
Hello, my name is Andre Jackson. I am a Licensed Marriage and Family Therapist. The goal is to be empathetic and support growth. It is OK to rethink the purpose and make changes that we care to. I am a non-judgmental human being creating a supportive environment to promote mindfulness and understanding. My style is relational and engaging (and so humor healed the world). I strive to meet you where you are at. My focuses are Personal Growth, Building Esteem, Military Families, Trauma, Suicidal Ideation, Vocational Stress, Anxiety, Family, Teens
Hello, my name is Andre Jackson. I am a Licensed Marriage and Family Therapist. The goal is to be empathetic and support growth. It is OK to rethink the purpose and make changes that we care to. I am a non-judgmental human being creating a supportive environment to promote mindfulness and understanding. My style is relational and engaging (and so humor healed the world). I strive to meet you where you are at. My focuses are Personal Growth, Building Esteem, Military Families, Trauma, Suicidal Ideation, Vocational Stress, Anxiety, Family, Teens
(805) 262-9154 View (805) 262-9154
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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.