Anxiety Therapists in Jamestown, CO
![Photo of Peter A. Maves, PhD, Psychologist](https://photos.psychologytoday.com/3ba24c27-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
In addition to dissociative reactions, I also work with more severe anxiety, depression and mood disorders.
I am a licensed Clinical Psychologist and have been in practice since 1982, and a graduate of the University of Colorado at Boulder. I have done a great deal of work in community mental health and hospitals: I was the Assistant Director of the emergency psychiatric service in Boulder; a Clinical Director of a mental health center; and the Clinical Director of two hospital trauma and dissociative disorders treatment programs. I am the President-Elect of The International Society for the Study of Dissociation.
In addition to dissociative reactions, I also work with more severe anxiety, depression and mood disorders.
I am a licensed Clinical Psychologist and have been in practice since 1982, and a graduate of the University of Colorado at Boulder. I have done a great deal of work in community mental health and hospitals: I was the Assistant Director of the emergency psychiatric service in Boulder; a Clinical Director of a mental health center; and the Clinical Director of two hospital trauma and dissociative disorders treatment programs. I am the President-Elect of The International Society for the Study of Dissociation.
![Photo of Erica L Brann - Erica Brann, LCSW, Psychotherapy, LLC, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/37bcf4ca-163d-43ef-9698-fd97ed29cb2a/2/320x400.jpeg)
Erica Brann, LCSW, Psychotherapy, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Jamestown, CO 80455
The desire to be connected to others is innate, and yet we sometimes find ourselves alone, hopeless, sad, scared, and angry. I believe that being connected to ourselves and others is part of the human experience, and recovery from symptoms that interrupt our ability to live our lives to the fullest is possible. I have over 20 years of experience working with individuals who struggle with issues related to depression, anxiety, trauma and addiction. I believe change and insight are possible, and freedom from pain and suffering is attainable.
The desire to be connected to others is innate, and yet we sometimes find ourselves alone, hopeless, sad, scared, and angry. I believe that being connected to ourselves and others is part of the human experience, and recovery from symptoms that interrupt our ability to live our lives to the fullest is possible. I have over 20 years of experience working with individuals who struggle with issues related to depression, anxiety, trauma and addiction. I believe change and insight are possible, and freedom from pain and suffering is attainable.
![Photo of Karen Wilding, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c4fb5c3-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My approach is direct, supportive and caring. I believe that effective psychotherapy is based upon mutual curiosity and genuineness in discovering how to meet life’s challenges - including family issues, anxiety, depression and other mental health issues. The path through these difficulties includes facing them with humor, gentleness and
bravery. The fruition of this exploration is a greater awareness of self and an appreciation of others.
My approach is direct, supportive and caring. I believe that effective psychotherapy is based upon mutual curiosity and genuineness in discovering how to meet life’s challenges - including family issues, anxiety, depression and other mental health issues. The path through these difficulties includes facing them with humor, gentleness and
bravery. The fruition of this exploration is a greater awareness of self and an appreciation of others.
![Photo of Peg Shippert, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/923bcb55-7893-4a57-a733-98e40a2b86b2/1/320x400.jpeg)
Peg Shippert
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Jamestown, CO 80455
When you or someone you love has been through horrible experiences, your whole life can be turned upside down. As an extensively trained trauma therapist, I have the education, background, and passion to help you heal. There are proven approaches we can use to help you heal from your past. My clients learn to deeply understand how past experiences have affected them, and to feel in control and at peace in the present. You don't have to figure this out by yourself.
When you or someone you love has been through horrible experiences, your whole life can be turned upside down. As an extensively trained trauma therapist, I have the education, background, and passion to help you heal. There are proven approaches we can use to help you heal from your past. My clients learn to deeply understand how past experiences have affected them, and to feel in control and at peace in the present. You don't have to figure this out by yourself.
More Therapists Nearby
![Photo of Abigail White, MA, UP, Registered Psychotherapist](https://photos.psychologytoday.com/54318ac5-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I specialize in using mindfulness-based approaches to treat clients struggling with general & social anxiety; depression; identity development; authentic self-expression & embodiment; coping with life transitions; identifying best choices for life path & finding one's purpose; integrating psychedelic or spiritual experiences; boundary setting; & communicating effectively in relationship. My approach to therapy focuses on empowering clients by to direct their life's course with confidence & know-how, providing skills for successful emotional regulation & creating therapeutic opportunities for developing self-knowledge & inner-wisdom.
I specialize in using mindfulness-based approaches to treat clients struggling with general & social anxiety; depression; identity development; authentic self-expression & embodiment; coping with life transitions; identifying best choices for life path & finding one's purpose; integrating psychedelic or spiritual experiences; boundary setting; & communicating effectively in relationship. My approach to therapy focuses on empowering clients by to direct their life's course with confidence & know-how, providing skills for successful emotional regulation & creating therapeutic opportunities for developing self-knowledge & inner-wisdom.
![Photo of Logan Newens - SOL Positive Mindful Therapy, Logan Newens, MACP, LPC, LAC, Licensed Professional Counselor](https://photos.psychologytoday.com/c8785e67-9bf1-4118-a064-892e0b306798/1/320x400.jpeg)
SOL Positive Mindful Therapy, Logan Newens
Licensed Professional Counselor, MACP, LPC, LAC
Verified Verified
Boulder, CO 80304
There is a way to move out of suffering toward healing, and you deserve to find it. Specializing in addiction counseling and therapy for co-occurring mood disorders, I offer substance use counseling and addiction therapy and treat anxiety, depression, bipolar disorders, trauma, grief & loss, life transitions, anger issues, and self-confidence/esteem issues. I am trained in humanistic, positive, mindfulness-based psychotherapy and use a strengths-based and trauma-informed approach.
There is a way to move out of suffering toward healing, and you deserve to find it. Specializing in addiction counseling and therapy for co-occurring mood disorders, I offer substance use counseling and addiction therapy and treat anxiety, depression, bipolar disorders, trauma, grief & loss, life transitions, anger issues, and self-confidence/esteem issues. I am trained in humanistic, positive, mindfulness-based psychotherapy and use a strengths-based and trauma-informed approach.
![Photo of Steven B. Kutash - Steven B. Kutash, Psy.D., PLLC, PsyD, Psychologist](https://photos.psychologytoday.com/3d8df113-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
You may come to see me for help with anxiety or depression, your personal relationships, or simply because you're feeling stuck.
My approach to therapy is collaborative and based in a genuine and caring relationship with my clients. During our meetings, we will work together to better understand who you are -- your desires and aspirations, your beliefs and feelings, and the patterns that occur in your relationships. My goal is to help you uncover your true self and live a satisfying and successful life in harmony with who you are. Opening up to a therapist can be an intimidating prospect. As such, I strive to create an atmosphere of safety and connectedness where creativity and humor have a place.
You may come to see me for help with anxiety or depression, your personal relationships, or simply because you're feeling stuck.
My approach to therapy is collaborative and based in a genuine and caring relationship with my clients. During our meetings, we will work together to better understand who you are -- your desires and aspirations, your beliefs and feelings, and the patterns that occur in your relationships. My goal is to help you uncover your true self and live a satisfying and successful life in harmony with who you are. Opening up to a therapist can be an intimidating prospect. As such, I strive to create an atmosphere of safety and connectedness where creativity and humor have a place.
![Photo of Annie Vail, MA, LPC, CHT, Licensed Professional Counselor](https://photos.psychologytoday.com/4c4279a5-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Annie Vail
Licensed Professional Counselor, MA, LPC, CHT
Verified Verified
2 Endorsed
Boulder, CO 80302
Waitlist for new clients
I believe in your capacity to find the healing you seek and create the life you envision. Perhaps you are dealing with anxiety or depression, grieving the death of a loved one or a painful breakup, struggle with belonging, or just feel stuck and know that you are ready to do something about it. Do you want more intimacy, connection, and joy in your relationships? Let me help you uncover unconscious patterns and beliefs and heal from old wounds that may be keeping you from living from your best self. Together we can bring more love, capacity, skill, and presence into your relationships.
I believe in your capacity to find the healing you seek and create the life you envision. Perhaps you are dealing with anxiety or depression, grieving the death of a loved one or a painful breakup, struggle with belonging, or just feel stuck and know that you are ready to do something about it. Do you want more intimacy, connection, and joy in your relationships? Let me help you uncover unconscious patterns and beliefs and heal from old wounds that may be keeping you from living from your best self. Together we can bring more love, capacity, skill, and presence into your relationships.
![Photo of Abigail Blackburn Green, LPC, Counselor](https://photos.psychologytoday.com/335bc9ed-408a-450f-a8d0-b388197ca5a3/1/320x400.jpeg)
Do you struggle with focusing heavily on the negative, fearing the worst possible outcome in situations, or blaming yourself for events outside of your control? Maybe you have a tendency to assume what others are thinking or feeling and jump to conclusions, often for the worse. If you're constantly ruminating and being hard on yourself, you're not alone. This is normal. When these neural pathways are left undisrupted, you may get stuck feeling anxious, depressed, or lacking hope that things can get better. It doesn't have to be this way.
Do you struggle with focusing heavily on the negative, fearing the worst possible outcome in situations, or blaming yourself for events outside of your control? Maybe you have a tendency to assume what others are thinking or feeling and jump to conclusions, often for the worse. If you're constantly ruminating and being hard on yourself, you're not alone. This is normal. When these neural pathways are left undisrupted, you may get stuck feeling anxious, depressed, or lacking hope that things can get better. It doesn't have to be this way.
![Photo of Alex Zobel, MA, LPCC, Counselor](https://photos.psychologytoday.com/16cd48c2-3f1d-47a1-b572-ee147e666fcb/1/320x400.png)
I offer a dynamic approach to psychotherapy. I specialize in working with anxiety, depression and life transitions. I incorporate practices that work with balancing the nervous system through a psychodynamic approach incorporating Gestalt therapy, EMDR, Synergetic Play Therapy, art, somatic practices and neuroscience among other modalities. I am a Licensed Professional Counselor Candidate in the state of Colorado (LPCC).
I offer a dynamic approach to psychotherapy. I specialize in working with anxiety, depression and life transitions. I incorporate practices that work with balancing the nervous system through a psychodynamic approach incorporating Gestalt therapy, EMDR, Synergetic Play Therapy, art, somatic practices and neuroscience among other modalities. I am a Licensed Professional Counselor Candidate in the state of Colorado (LPCC).
![Photo of Dr. Jonathan Fricke, PsyD, Pre-Licensed Professional](https://photos.psychologytoday.com/037b26b1-6a06-4fea-91f3-f935628866e2/1/320x400.jpeg)
Dr. Jonathan Fricke
Pre-Licensed Professional, PsyD
Verified Verified
3 Endorsed
Boulder, CO 80304 (Online Only)
I work with a broad array of people and specialize in individual therapy on issues of: anxiety, depression, stress, burnout, relationship difficulties, grief, trauma, men's issues, and identity.
(Currently Accepting New Clients) I approach therapy with a balance of warmth and directness. My aim is to create an open and lively space where, together, we will explore your hopes and goals, and identify how to move toward them. While integrative in nature, my approach is largely informed by evidenced-based relational, insight-oriented, and behavioral therapies.
I work with a broad array of people and specialize in individual therapy on issues of: anxiety, depression, stress, burnout, relationship difficulties, grief, trauma, men's issues, and identity.
(Currently Accepting New Clients) I approach therapy with a balance of warmth and directness. My aim is to create an open and lively space where, together, we will explore your hopes and goals, and identify how to move toward them. While integrative in nature, my approach is largely informed by evidenced-based relational, insight-oriented, and behavioral therapies.
![Photo of Brenna Cash, LPC, LAC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/ac279176-1d54-404a-ace9-f11507d7b3d6/1/320x400.jpeg)
Brenna Cash
Licensed Professional Counselor, LPC, LAC, NCC
Verified Verified
Boulder, CO 80302 (Online Only)
Do you find yourself struggling with overwhelming anxiety? Are you having a hard time navigating the aftermath of trauma? Maybe a recent life transition has left you feeling lost or unprepared and now you're asking yourself, “What am I supposed to do now?” You want a safe, warm, and neutral space to process everything. You want to feel like you are well-equipped to manage it all moving forward—like your feet are on solid ground again. Times like these can be scary and intimidating. This is a wonderful place to start and I’m so glad you’re taking this first step to healing.
Do you find yourself struggling with overwhelming anxiety? Are you having a hard time navigating the aftermath of trauma? Maybe a recent life transition has left you feeling lost or unprepared and now you're asking yourself, “What am I supposed to do now?” You want a safe, warm, and neutral space to process everything. You want to feel like you are well-equipped to manage it all moving forward—like your feet are on solid ground again. Times like these can be scary and intimidating. This is a wonderful place to start and I’m so glad you’re taking this first step to healing.
![Photo of Josh Medley, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/3ca9c068-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Josh Medley
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Boulder, CO 80302
Specialties: depression, anxiety, grief, trauma, men's issues, couples.
Life difficulties can be challenging - but very positive outcomes can come from facing them. Transformation and healing truly do happen. They come from new experiences and insights, and getting support to try new behaviors in a supportive context. The wholeness of you is capable, unafraid, dynamic and alive - as you get more deeply in touch with your wholeness, things move. Compassion, understanding, and new growth arise. Come for a free first session with no obligation to see if working with me is a good fit.
Specialties: depression, anxiety, grief, trauma, men's issues, couples.
Life difficulties can be challenging - but very positive outcomes can come from facing them. Transformation and healing truly do happen. They come from new experiences and insights, and getting support to try new behaviors in a supportive context. The wholeness of you is capable, unafraid, dynamic and alive - as you get more deeply in touch with your wholeness, things move. Compassion, understanding, and new growth arise. Come for a free first session with no obligation to see if working with me is a good fit.
![Photo of Marley Hill-Filben, LPCC, Counselor](https://photos.psychologytoday.com/8711d118-0157-4a08-a5cb-74c26fc20786/1/320x400.jpeg)
Together we can explore purpose, meaning, and other existential or spiritual questions so that you can find your niche within your unique ecosystem while successfully navigating anxiety, depression, ADHD.
I find that therapy is most impactful when it is collaborative and I base my therapeutic approach on my client’s unique life experiences and individual strengths. If you have been feeling stuck, scared, or just curious, I can help you learn more about yourself, your attachment patterns, and your goals. Emotional growth and healing is a lifelong journey and together we can navigate the low points and celebrate your progress along the way. You deserve to be treated with compassion, warmth, and kindness by those around you, but most importantly by yourself.
Together we can explore purpose, meaning, and other existential or spiritual questions so that you can find your niche within your unique ecosystem while successfully navigating anxiety, depression, ADHD.
I find that therapy is most impactful when it is collaborative and I base my therapeutic approach on my client’s unique life experiences and individual strengths. If you have been feeling stuck, scared, or just curious, I can help you learn more about yourself, your attachment patterns, and your goals. Emotional growth and healing is a lifelong journey and together we can navigate the low points and celebrate your progress along the way. You deserve to be treated with compassion, warmth, and kindness by those around you, but most importantly by yourself.
![Photo of Anna Frost, MA, LPCS, NCPsyA, Licensed Professional Counselor](https://photos.psychologytoday.com/d644f250-34fb-4dbf-8be9-bb3c2d3cbe6d/1/320x400.jpeg)
I am dedicated to work with people who want to get at the root of life suffering and emotional distress. Whether you want to escape intolerable anxiety, depression, despair, hurt, anger or whether you want to improve any aspect of yourself, your work, your relationships - - - like other complex problems, when painful emotional states are sufficiently addressed, they can be sufficiently alleviated. Short-term or long-term, I listen carefully and provide comprehensive, active psychotherapy, psychoanalysis, couples therapy, supervision, mentorship. I very much enjoy my work and the people who come to see me.
I am dedicated to work with people who want to get at the root of life suffering and emotional distress. Whether you want to escape intolerable anxiety, depression, despair, hurt, anger or whether you want to improve any aspect of yourself, your work, your relationships - - - like other complex problems, when painful emotional states are sufficiently addressed, they can be sufficiently alleviated. Short-term or long-term, I listen carefully and provide comprehensive, active psychotherapy, psychoanalysis, couples therapy, supervision, mentorship. I very much enjoy my work and the people who come to see me.
![Photo of Darcy P. Piceu - Darcy Piceu, Therapy in Action, MA, LPC, EMDR](https://photos.psychologytoday.com/4085e4ad-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I specialize in working with individuals and athletes dealing with stress, anxiety, depression, injury, performance anxiety, etc. As a therapist, professional runner, and Mother, I understand the demands on both teens and adults in society today. Through various stress reduction techniques, we work together to reduce stress and anxiety. Specific techniques used are; mindfulness, outdoor therapy, and cognitive behavioral therapy. I also love working with young adults and college students experiencing anxiety and stress related to life transitions and the pressures or demands of school.
I specialize in working with individuals and athletes dealing with stress, anxiety, depression, injury, performance anxiety, etc. As a therapist, professional runner, and Mother, I understand the demands on both teens and adults in society today. Through various stress reduction techniques, we work together to reduce stress and anxiety. Specific techniques used are; mindfulness, outdoor therapy, and cognitive behavioral therapy. I also love working with young adults and college students experiencing anxiety and stress related to life transitions and the pressures or demands of school.
![Photo of Bob Diehl, PhD, LP, Psychologist](https://photos.psychologytoday.com/36ac6b07-6532-482e-abf9-6d5d54589e44/2/320x400.jpeg)
My approach to mental health counseling and high performance psychology does not focus simply on symptom reduction (i.e., removing difficulty), but rather aspires to honor what is good and right about you, and what makes each day worth living according to your beliefs, identities, values, and enriching relationships. My aim is to provide a space that invites exploration of challenging yet vital places of growth in the service of what is most important to you in your life. In particular, I have passions supporting people's resilience to shame, perfectionism, and anxiety.
My approach to mental health counseling and high performance psychology does not focus simply on symptom reduction (i.e., removing difficulty), but rather aspires to honor what is good and right about you, and what makes each day worth living according to your beliefs, identities, values, and enriching relationships. My aim is to provide a space that invites exploration of challenging yet vital places of growth in the service of what is most important to you in your life. In particular, I have passions supporting people's resilience to shame, perfectionism, and anxiety.
![Photo of Lucy Heller, MA, LPCC](https://photos.psychologytoday.com/e257242b-1a1b-4d9a-84f2-9ed48fc169bf/1/320x400.jpeg)
Lucy Heller
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
9 Endorsed
Boulder, CO 80308 (Online Only)
Hey there! I work with clients who are experiencing challenging emotions (depression, anxiety, anger), feel like they’re on the edge of burnout (compassion fatigue, eco-grief, difficulty with daily routines), or noticing relationship distress (communication issues, identity and sexuality exploration, boundaries and agreements). I feel passionate about supporting people who care about the world and want to make it a better place.
Hey there! I work with clients who are experiencing challenging emotions (depression, anxiety, anger), feel like they’re on the edge of burnout (compassion fatigue, eco-grief, difficulty with daily routines), or noticing relationship distress (communication issues, identity and sexuality exploration, boundaries and agreements). I feel passionate about supporting people who care about the world and want to make it a better place.
![Photo of Caroline Scheiber, PhD, MA, Psychologist](https://photos.psychologytoday.com/4d026efa-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
As a Stanford trained psychologist, I combine skills-based with insight-oriented therapy approaches to help young adults and adults with anxiety, depression, or obsessive-compulsive symptoms find their way back to a fulfilling life. Do you feel down and sad for no apparent reason? Do you feel all alone and as though nobody understands you or sees your pain? Do you tend to overthink things? You are not alone. Through my ability to read between the lines, I can see you and help you better understand yourself. We will work through subconscious challenges that interfere with your joy in life, growth, and path to healing.
As a Stanford trained psychologist, I combine skills-based with insight-oriented therapy approaches to help young adults and adults with anxiety, depression, or obsessive-compulsive symptoms find their way back to a fulfilling life. Do you feel down and sad for no apparent reason? Do you feel all alone and as though nobody understands you or sees your pain? Do you tend to overthink things? You are not alone. Through my ability to read between the lines, I can see you and help you better understand yourself. We will work through subconscious challenges that interfere with your joy in life, growth, and path to healing.
![Photo of Li Brookens - Umbrella Collective, LCSW, CGP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/78ab06b2-1df6-4cbb-9343-f4c46f68587a/1/320x400.png)
Umbrella Collective
Clinical Social Work/Therapist, LCSW, CGP
Verified Verified
5 Endorsed
Boulder, CO 80301
Our specialties include working with adolescents and adults in individual, couples, and group configuration to address patterned issues related to identity, trauma, relationship dissatisfaction, life transition, codependency, attention challenges, anxiety, mood swings, and depression.
Talk therapy for your intersecting identities. We are adept at navigating the difficult and complex conversations about your intersecting identities that can ebb and flow over one's life. In addition, we are committed to ongoing education and skilled at therapeutic intervention for psychological healing. By talking through the challenges you face, we collaborate with you to interrupt old patterned behavior and install new conclusions and behaviors that lead to constructive coping, personal growth, increased self-awareness, and feeling more comfortable within yourself.
Our specialties include working with adolescents and adults in individual, couples, and group configuration to address patterned issues related to identity, trauma, relationship dissatisfaction, life transition, codependency, attention challenges, anxiety, mood swings, and depression.
Talk therapy for your intersecting identities. We are adept at navigating the difficult and complex conversations about your intersecting identities that can ebb and flow over one's life. In addition, we are committed to ongoing education and skilled at therapeutic intervention for psychological healing. By talking through the challenges you face, we collaborate with you to interrupt old patterned behavior and install new conclusions and behaviors that lead to constructive coping, personal growth, increased self-awareness, and feeling more comfortable within yourself.
See more therapy options for Jamestown
Nearby Anxiety Therapists Searches for Jamestown
- Berthoud
- Black Hawk
- Boulder
- Estes Park
- Lafayette
- Longmont
- Louisville
- Lyons
- Nederland
- Niwot
- Superior
- Winter Park
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.