Anxiety Therapists in Alachua, FL

Photo of Charmaine Weatherly, LCSW, Clinical Social Work/Therapist
Charmaine Weatherly
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Alachua, FL 32615
I have spent the last 30 years working with individuals and families on a wide range of emotional issues from substance abuse to grief in providing psychotherapeutic support. My background as a Licensed Clinical Social Worker (LCSW) has made it possible for me to lend emotional know how around Depression, Anxiety, Addiction, Relationships and Life’s Challenges at any stage. I have also spent several years working as an EAP Counselor in navigating workplace issues. I realize that these are stressful times and getting the right kind of help is most important. My approach is simple, it’s walking with you through this difficult time.
I have spent the last 30 years working with individuals and families on a wide range of emotional issues from substance abuse to grief in providing psychotherapeutic support. My background as a Licensed Clinical Social Worker (LCSW) has made it possible for me to lend emotional know how around Depression, Anxiety, Addiction, Relationships and Life’s Challenges at any stage. I have also spent several years working as an EAP Counselor in navigating workplace issues. I realize that these are stressful times and getting the right kind of help is most important. My approach is simple, it’s walking with you through this difficult time.
(352) 436-6140 View (352) 436-6140
Photo of Karen J Epple, LCSW, Clinical Social Work/Therapist
Karen J Epple
Clinical Social Work/Therapist, LCSW
Verified Verified
Alachua, FL 32615  (Online Only)
I am a Clinical Social Worker with almost 30 years of professional experience in a wide variety of settings, helping clients cope with depression, anxiety, grief and loss, as well as the challenges of life changes.
I would like to help you reclaim your joy. I understand that life isn't always easy, and I assist people of all ages who are feeling depressed, anxious, overwhelmed or lonely to find their way back to their best life. I provide a warm and friendly environment and feel that there can even be room in therapy for gentle humor. I value each person's story and am dedicated to providing an open-minded, safe and compassionate therapeutic relationship with my clients to enable you to share your thoughts and feelings, and to create a comfortable, open and safe environment where you can move forward towards a happier, more fulfilling life.
I am a Clinical Social Worker with almost 30 years of professional experience in a wide variety of settings, helping clients cope with depression, anxiety, grief and loss, as well as the challenges of life changes.
I would like to help you reclaim your joy. I understand that life isn't always easy, and I assist people of all ages who are feeling depressed, anxious, overwhelmed or lonely to find their way back to their best life. I provide a warm and friendly environment and feel that there can even be room in therapy for gentle humor. I value each person's story and am dedicated to providing an open-minded, safe and compassionate therapeutic relationship with my clients to enable you to share your thoughts and feelings, and to create a comfortable, open and safe environment where you can move forward towards a happier, more fulfilling life.
(352) 667-6261 View (352) 667-6261
Photo of Nicole French, MEd, EdS, LMHC, Counselor
Nicole French
Counselor, MEd, EdS, LMHC
Verified Verified
2 Endorsed
Alachua, FL 32615
Hi! I am Nicole French. I have been a counselor for the last 10 years and have worked with some of the most diverse clients helping them to find a path toward health and mental wellness. For some this has looked like freeing themselves from old hurts, finding value in themselves again or possibly for the first time, setting healthy boundaries in various types of relationships, learning skills to manage specific symptoms like anxiety or depression, and building achievable goals in all areas of their lives.
Hi! I am Nicole French. I have been a counselor for the last 10 years and have worked with some of the most diverse clients helping them to find a path toward health and mental wellness. For some this has looked like freeing themselves from old hurts, finding value in themselves again or possibly for the first time, setting healthy boundaries in various types of relationships, learning skills to manage specific symptoms like anxiety or depression, and building achievable goals in all areas of their lives.
(352) 306-2337 View (352) 306-2337
Photo of Hailey Brown, MA, LMHC
Hailey Brown
Licensed Mental Health Counselor, MA, LMHC
Verified Verified
2 Endorsed
Alachua, FL 32615  (Online Only)
I specialize in coping with anxiety or depression related to school, work, or family that can create extra weight on top of your existing daily life.
Hi! I help clients who experience ongoing stress, depression, anxiety, low self-esteem, suicidal ideation, difficult life transitions, racial trauma, and perinatal or post-partum difficulty. I have worked with clients who have experienced recent and historical trauma, difficulty within relationships, low motivation, anxiety, and difficulty regulating emotions. I want to empower you to find your own inner strength to heal because you are strong and worthy. My work is to understand your experiences and create a safe and warm environment for you. Book with me now by clicking on my website
I specialize in coping with anxiety or depression related to school, work, or family that can create extra weight on top of your existing daily life.
Hi! I help clients who experience ongoing stress, depression, anxiety, low self-esteem, suicidal ideation, difficult life transitions, racial trauma, and perinatal or post-partum difficulty. I have worked with clients who have experienced recent and historical trauma, difficulty within relationships, low motivation, anxiety, and difficulty regulating emotions. I want to empower you to find your own inner strength to heal because you are strong and worthy. My work is to understand your experiences and create a safe and warm environment for you. Book with me now by clicking on my website
(352) 706-4583 View (352) 706-4583
Photo of Debbi Dykes-Howe - Debbi Dykes-Howe, EdS, LMHC, EdS, LMHC, Counselor
Debbi Dykes-Howe, EdS, LMHC
Counselor, EdS, LMHC
Verified Verified
Alachua, FL 32615
I work with trauma, anxiety, depression, anger, attention problems, relationship issues as well as other emotional challenges which relate to self esteem and self empowerment.
Call me if you are looking to experience your life more fully and positively. It is a normal experience to find ourselves at a crossroad and feel unsure as to what the next step is. You've already taken that step! By seeking answers, you are already opening doors within yourself which can lead to clarity, confidence and peace. With over 25 years of experience in the counseling field, I can help you increase self awareness and discover new ways of being. I enjoy working with children, adolescents and adults.
I work with trauma, anxiety, depression, anger, attention problems, relationship issues as well as other emotional challenges which relate to self esteem and self empowerment.
Call me if you are looking to experience your life more fully and positively. It is a normal experience to find ourselves at a crossroad and feel unsure as to what the next step is. You've already taken that step! By seeking answers, you are already opening doors within yourself which can lead to clarity, confidence and peace. With over 25 years of experience in the counseling field, I can help you increase self awareness and discover new ways of being. I enjoy working with children, adolescents and adults.
(352) 578-2923 View (352) 578-2923
Photo of David Cox, PhD, EdS, MA, Counselor
David Cox
Counselor, PhD, EdS, MA
Verified Verified
1 Endorsed
Alachua, FL 32615
I am also trained in EMDR, an efective treatment for high stress, anxiety disorders and trauma.
I work with men, women, students, and couples. My master's focus was in mental health and trauma, my PhD internship focused on community mental health. I treat anxiety and stress, along with trauma disorders using EMDR. I can help clients with a wide range of issues. My approach to therapy is client centered. I treat the whole person, not just a symptom profile of the person. Results from my work include symptom reduction and clients feeling more confident and focused. Clients also report not feeling so burdened internally, thus freeing them to be more alive and present, thus increasing quality of life experience,
I am also trained in EMDR, an efective treatment for high stress, anxiety disorders and trauma.
I work with men, women, students, and couples. My master's focus was in mental health and trauma, my PhD internship focused on community mental health. I treat anxiety and stress, along with trauma disorders using EMDR. I can help clients with a wide range of issues. My approach to therapy is client centered. I treat the whole person, not just a symptom profile of the person. Results from my work include symptom reduction and clients feeling more confident and focused. Clients also report not feeling so burdened internally, thus freeing them to be more alive and present, thus increasing quality of life experience,
(352) 378-3000 View (352) 378-3000
Jenny Land
Psychologist, PhD
Verified Verified
Alachua, FL 32615
I have worked extensively with clients struggling with depression, anxiety, ADHD, life transitions, and grief.
Congratulations on taking the first courageous step towards improving things in your life. I have been providing psychotherapy services to people for over three decades as a Licensed Psychologist. In that time, I have learned that each person is unique; with their own combination of strengths, struggles and histories. We start with getting to know each other and then focus on what you want to change/improve. We work together to set goals and then to achieve those goals. I view this process as a collaborative process.
I have worked extensively with clients struggling with depression, anxiety, ADHD, life transitions, and grief.
Congratulations on taking the first courageous step towards improving things in your life. I have been providing psychotherapy services to people for over three decades as a Licensed Psychologist. In that time, I have learned that each person is unique; with their own combination of strengths, struggles and histories. We start with getting to know each other and then focus on what you want to change/improve. We work together to set goals and then to achieve those goals. I view this process as a collaborative process.
(352) 633-4069 View (352) 633-4069
Photo of Sharell D Arneaud, LCSW, Clinical Social Work/Therapist
Sharell D Arneaud
Clinical Social Work/Therapist, LCSW
Verified Verified
Alachua, FL 32615  (Online Only)
I have helped clients with trauma, anxiety, implementing coping skills, life transitions, stress management, conflict resolutions, communication issues, depression, & adjustment disorders.
Dealing with past trauma, your relationships struggling, struggling with low self-esteem, facing life transitions, feeling angry, in a funk, everything seeming to go wrong, walls are caving in? Perhaps gaining the coping skills to find your place of peace, and become more productive in life is what you need. My experiences have provided me with extensive exposure to the diverse needs individuals to work towards healing, hope, and gaining the ability to function in life again. Many people encounter challenging seasons in life, need encouragement, a chance to be heard, & a chance to work through the issues of life in a safe place.
I have helped clients with trauma, anxiety, implementing coping skills, life transitions, stress management, conflict resolutions, communication issues, depression, & adjustment disorders.
Dealing with past trauma, your relationships struggling, struggling with low self-esteem, facing life transitions, feeling angry, in a funk, everything seeming to go wrong, walls are caving in? Perhaps gaining the coping skills to find your place of peace, and become more productive in life is what you need. My experiences have provided me with extensive exposure to the diverse needs individuals to work towards healing, hope, and gaining the ability to function in life again. Many people encounter challenging seasons in life, need encouragement, a chance to be heard, & a chance to work through the issues of life in a safe place.
(386) 356-4036 View (386) 356-4036
Photo of Miranda Johnson, LCSW, Clinical Social Work/Therapist
Miranda Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Alachua, FL 32615  (Online Only)
I’m here to help you improve focus, manage anxiety, and build your self esteem.
You’re driven and ambitious, but sometimes find yourself stuck on the couch, overwhelmed by anxiety, procrastination, and perfectionism. Some days you’re on top of the world, and others, you constantly second-guess yourself. You feel the pressure to keep it together, balancing your job, relationships, and life... and you are tired. You get in your own head and escape through mindless eating, drinking, doom scrolling, and sleepless nights, but deep down, you have big goals. The fog of self-doubt and fear of failure makes it hard to get started, and you’re ready for a change.
I’m here to help you improve focus, manage anxiety, and build your self esteem.
You’re driven and ambitious, but sometimes find yourself stuck on the couch, overwhelmed by anxiety, procrastination, and perfectionism. Some days you’re on top of the world, and others, you constantly second-guess yourself. You feel the pressure to keep it together, balancing your job, relationships, and life... and you are tired. You get in your own head and escape through mindless eating, drinking, doom scrolling, and sleepless nights, but deep down, you have big goals. The fog of self-doubt and fear of failure makes it hard to get started, and you’re ready for a change.
(407) 214-4845 View (407) 214-4845
Photo of Sasson Batatt, RMHCI
Sasson Batatt
Registered Mental Health Counselor Intern, RMHCI
Verified Verified
1 Endorsed
Alachua, FL 32615
My focus includes addiction, anxiety, depression, and life transitions.
I specialize in guiding emerging adults through life transitions, identity development, and managing mental health challenges like anxiety and depression. Using a compassionate, strengths-based approach, I offer tailored therapy that helps you overcome obstacles and build the life you envision.
My focus includes addiction, anxiety, depression, and life transitions.
I specialize in guiding emerging adults through life transitions, identity development, and managing mental health challenges like anxiety and depression. Using a compassionate, strengths-based approach, I offer tailored therapy that helps you overcome obstacles and build the life you envision.
(352) 646-7387 View (352) 646-7387
Photo of Tammy Morath, LMHC, Counselor
Tammy Morath
Counselor, LMHC
Verified Verified
Alachua, FL 32615
I am a mental health counselor licensed in Florida with over 10 years of experience working as a psychopathologist, clinical sexologist, and transgender care specialist. I have worked with clients with a wide range of concerns, including depression, anxiety, relationship issues, and parenting challenges. I am a gender-affirming therapist with extensive knowledge working with LGBTQI+ clients. I also have experience helping clients who have been sexually traumatized.
I am a mental health counselor licensed in Florida with over 10 years of experience working as a psychopathologist, clinical sexologist, and transgender care specialist. I have worked with clients with a wide range of concerns, including depression, anxiety, relationship issues, and parenting challenges. I am a gender-affirming therapist with extensive knowledge working with LGBTQI+ clients. I also have experience helping clients who have been sexually traumatized.
(386) 272-5071 View (386) 272-5071
Photo of Eric Gilbert - Rising Calm Center, Anxiety, Stress, Adults, Youth, Couples
Rising Calm Center
Anxiety, Stress, Adults, Youth, Couples
Verified Verified
2 Endorsed
Alachua, FL 32615
Young professionals, students, and couples come to Rising Calm Center to handle stress, anxiety, challenges, and relationship issues.
We offer a FREE consultation for first time clients! Most people haven't received proper training on how to calm their fears, focus their thoughts, and experience peace in the midst of stress, anxiety, and pain. Would you like to have a clear path on how to improve your mood, situation, and health? We are a Christian center offering professional, affordable services as low as $75/session.
Young professionals, students, and couples come to Rising Calm Center to handle stress, anxiety, challenges, and relationship issues.
We offer a FREE consultation for first time clients! Most people haven't received proper training on how to calm their fears, focus their thoughts, and experience peace in the midst of stress, anxiety, and pain. Would you like to have a clear path on how to improve your mood, situation, and health? We are a Christian center offering professional, affordable services as low as $75/session.
(352) 507-4581 View (352) 507-4581
Photo of Michelle Pereira, LCMHC, Counselor
Michelle Pereira
Counselor, LCMHC
Verified Verified
Alachua, FL 32615
Hello there, my name is Michelle. I am a US Navy veteran and a licensed Mental Health Counselor in the state of Florida with many years of experience in different healthcare industries. I have gained valuable insights from working in these fields, which assisted me to be highly eclectic in my work. I have worked with clients from all walks of life. Whether the client has been diagnosed with bipolar disorder, anxiety, depression, personality disorders, OCD, ODD, anger management, attachment issues, addiction, trauma, or even going through a divorce, my approach is basically the same.
Hello there, my name is Michelle. I am a US Navy veteran and a licensed Mental Health Counselor in the state of Florida with many years of experience in different healthcare industries. I have gained valuable insights from working in these fields, which assisted me to be highly eclectic in my work. I have worked with clients from all walks of life. Whether the client has been diagnosed with bipolar disorder, anxiety, depression, personality disorders, OCD, ODD, anger management, attachment issues, addiction, trauma, or even going through a divorce, my approach is basically the same.
(786) 981-8460 View (786) 981-8460
Photo of Emi Lenes, PhD, LMHC, LMFT, Marriage & Family Therapist
Emi Lenes
Marriage & Family Therapist, PhD, LMHC, LMFT
Verified Verified
Alachua, FL 32615  (Online Only)
Sometimes we get lost and confused, misunderstand each other, and need to reconnect after a painful situation. Fears can stand in the way of our progress, and we can struggle personally and/or professionally. Maybe you realize it’s time to get more clear about the next step to take related to a relationship or life milestone. You might be feeling more ready to devote time toward a situation that needs some attention. Or you might be needing to not be alone in this time of grief. Our sessions provide spaciousness for your embodied wisdom to be accessed, and we can explore what might bring you a bit more peace and clarity.
Sometimes we get lost and confused, misunderstand each other, and need to reconnect after a painful situation. Fears can stand in the way of our progress, and we can struggle personally and/or professionally. Maybe you realize it’s time to get more clear about the next step to take related to a relationship or life milestone. You might be feeling more ready to devote time toward a situation that needs some attention. Or you might be needing to not be alone in this time of grief. Our sessions provide spaciousness for your embodied wisdom to be accessed, and we can explore what might bring you a bit more peace and clarity.
(386) 260-4467 View (386) 260-4467
Photo of Felicia Megdal, LCSW, Clinical Social Work/Therapist
Felicia Megdal
Clinical Social Work/Therapist, LCSW
Verified Verified
Alachua, FL 32615  (Online Only)
I am licensed clinical social worker qualified to practice in Florida, California, and Tennessee. My style includes a dynamic, solution-focused approach to help adults address the sources of persistent stress, emotional overload, and relationship difficulties. I possess additional training in treating financial disorders, substance use, compulsive sexual behavior, grief and loss, relationship conflict, and depression and anxiety.
I am licensed clinical social worker qualified to practice in Florida, California, and Tennessee. My style includes a dynamic, solution-focused approach to help adults address the sources of persistent stress, emotional overload, and relationship difficulties. I possess additional training in treating financial disorders, substance use, compulsive sexual behavior, grief and loss, relationship conflict, and depression and anxiety.
(213) 722-3825 View (213) 722-3825
Photo of John K Pitkethly, MA, LMHC, Licensed Professional Counselor
John K Pitkethly
Licensed Professional Counselor, MA, LMHC
Verified Verified
Alachua, FL 32615
I specialize in treating anxiety, depression, trauma, grief and ADHD.
The relationship between a counselor and client is unique. I am a trained therapist who uses modern, evidenced based, therapeutic strategies and techniques and who is also outside of your daily life and social circles. My role is to listen to better understand you, to empathize with you without prejudice and judgment, validate your feelings (because how we feel is how we feel) and to help you develop strategies for overcoming life's obstacles. You cannot offend me in a therapeutic session and you can speak freely and openly about anything you think or feel, being free to express yourself.
I specialize in treating anxiety, depression, trauma, grief and ADHD.
The relationship between a counselor and client is unique. I am a trained therapist who uses modern, evidenced based, therapeutic strategies and techniques and who is also outside of your daily life and social circles. My role is to listen to better understand you, to empathize with you without prejudice and judgment, validate your feelings (because how we feel is how we feel) and to help you develop strategies for overcoming life's obstacles. You cannot offend me in a therapeutic session and you can speak freely and openly about anything you think or feel, being free to express yourself.
(386) 649-2449 View (386) 649-2449
Photo of Samantha Dunn, Clinical Social Work/Therapist
Samantha Dunn
Clinical Social Work/Therapist
Verified Verified
Alachua, FL 32615  (Online Only)
Many of my clients are experiencing anxiety, depression, or difficulty adjusting to new life challenges.
Life can be complicated - if you've been experiencing major life changes, stress, anxiety, or feelings of isolation, you're not alone. Whether you're dealing with parenting difficulties or the strain of daily life, it would be my pleasure to support you on your journey.
Many of my clients are experiencing anxiety, depression, or difficulty adjusting to new life challenges.
Life can be complicated - if you've been experiencing major life changes, stress, anxiety, or feelings of isolation, you're not alone. Whether you're dealing with parenting difficulties or the strain of daily life, it would be my pleasure to support you on your journey.
(478) 217-4279 View (478) 217-4279
Photo of Wendy Gibbs, LMFT, Marriage & Family Therapist
Wendy Gibbs
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Alachua, FL 32615
I provide therapy for individuals, couples, families, and groups of all orientations, from preteens to elders. I am a trained EMDR therapist and have a passion to care for patients who are the survivors or witnesses of sexual, physical, and emotional abuse. I provide assessment, diagnosis, treatment, and coordination of care for a range of mental health challenges including: PTSD, mood disorders, anxiety, adjustment disorders, dissociative disorders, bereavement, identity struggles, and relational distress. I am also honored to provide therapeutic support for our U.S. military warriors returning home, as well as their families.
I provide therapy for individuals, couples, families, and groups of all orientations, from preteens to elders. I am a trained EMDR therapist and have a passion to care for patients who are the survivors or witnesses of sexual, physical, and emotional abuse. I provide assessment, diagnosis, treatment, and coordination of care for a range of mental health challenges including: PTSD, mood disorders, anxiety, adjustment disorders, dissociative disorders, bereavement, identity struggles, and relational distress. I am also honored to provide therapeutic support for our U.S. military warriors returning home, as well as their families.
(352) 559-5428 View (352) 559-5428
Photo of Sarah Atkinson, EdS, LMFT, LMHC, Counselor
Sarah Atkinson
Counselor, EdS, LMFT, LMHC
Verified Verified
Alachua, FL 32615
I specialize in the following areas: depression and anxiety and management, self esteem and self confidence building, and trauma and abuse related issues, relationship and family issues, eating disorders, OCD, PTSD, and other severe and persistent mental illness.
My goal is to assist clients in making desired changes in their lives to create the difference that leads to lasting happiness, internal peace, and acceptance. I'm a licensed marriage and family therapist, a licensed mental health counselor and founder of Change By Choice Inc., a 100% Telehealth practice. I work with those 12+ and offer counseling services to individuals, couples, and families. I utilize a variety of styles and interventions to meet client's needs and tailor my work to the individual and their presenting issues. I enjoy working with clients who are invested in themselves and motivated to make positive changes.
I specialize in the following areas: depression and anxiety and management, self esteem and self confidence building, and trauma and abuse related issues, relationship and family issues, eating disorders, OCD, PTSD, and other severe and persistent mental illness.
My goal is to assist clients in making desired changes in their lives to create the difference that leads to lasting happiness, internal peace, and acceptance. I'm a licensed marriage and family therapist, a licensed mental health counselor and founder of Change By Choice Inc., a 100% Telehealth practice. I work with those 12+ and offer counseling services to individuals, couples, and families. I utilize a variety of styles and interventions to meet client's needs and tailor my work to the individual and their presenting issues. I enjoy working with clients who are invested in themselves and motivated to make positive changes.
(352) 729-1988 View (352) 729-1988
Photo of Dr. Kelly Aissen, PhD, LMHC, Counselor
Dr. Kelly Aissen
Counselor, PhD, LMHC
Verified Verified
1 Endorsed
Alachua, FL 32615
My specialty areas include: Substance Abuse/Addiction (and family members), Depression/ Anxiety, ADHD, Family of Origin, Gender, the LGBTQIA community, Student & Career Success skills, Relationships, and Life transitions.
In therapy I aim to engage clients in their process of personal growth and meet them where they are in their change process. Various interventions are used to meet the diversity of clientele that I work with. My personal approach to therapy is supportive of self-care and the influences of family and environmental contexts.
My specialty areas include: Substance Abuse/Addiction (and family members), Depression/ Anxiety, ADHD, Family of Origin, Gender, the LGBTQIA community, Student & Career Success skills, Relationships, and Life transitions.
In therapy I aim to engage clients in their process of personal growth and meet them where they are in their change process. Various interventions are used to meet the diversity of clientele that I work with. My personal approach to therapy is supportive of self-care and the influences of family and environmental contexts.
(352) 234-3991 View (352) 234-3991
1
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.