Anxiety Therapists in Carrollwood, FL

Photo of Ashley Carr, MA, LMHC, Counselor
Ashley Carr
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Carrollwood, FL 33618
I work with teens & twenty-something’s navigating perfectionism and anxiety as highly sensitive people. You aren’t sure if you’re actually depressed or just feeling stuck. You know you’re likely highly sensitive (HSP), but are worried you’re feeling more overwhelmed than you should. As an emerging adult, you may be struggling with college stress or career decisions, romantic relationships, family dynamics, or all of the above.
I work with teens & twenty-something’s navigating perfectionism and anxiety as highly sensitive people. You aren’t sure if you’re actually depressed or just feeling stuck. You know you’re likely highly sensitive (HSP), but are worried you’re feeling more overwhelmed than you should. As an emerging adult, you may be struggling with college stress or career decisions, romantic relationships, family dynamics, or all of the above.
(813) 819-7159 View (813) 819-7159
Photo of David Grabau, PsyD, EdM, Psychologist
David Grabau
Psychologist, PsyD, EdM
Verified Verified
Carrollwood, FL 33618
I specialize in treating depression, anxiety disorders, behavioral excesses and deficiencies, relationship problems, and chronic emotional disorders; loss, grief and trauma.
I think of my work as a way of helping patients make friends with themselves. I believe that we torture ourselves by holding onto memories that are painful. We play endless "tape recordings" in our minds that create anxiety, depression or compulsive behaviors. We repeat destructive patterns in our relationships which lead to isolation, shame, regret and guilt. Our choices in life become narrow and limited. Keeping unpleasant feelings at bay becomes our priority thus sapping us of energy. With the release of that energy prosperity can develop in all areas of life.
I specialize in treating depression, anxiety disorders, behavioral excesses and deficiencies, relationship problems, and chronic emotional disorders; loss, grief and trauma.
I think of my work as a way of helping patients make friends with themselves. I believe that we torture ourselves by holding onto memories that are painful. We play endless "tape recordings" in our minds that create anxiety, depression or compulsive behaviors. We repeat destructive patterns in our relationships which lead to isolation, shame, regret and guilt. Our choices in life become narrow and limited. Keeping unpleasant feelings at bay becomes our priority thus sapping us of energy. With the release of that energy prosperity can develop in all areas of life.
(813) 452-4159 View (813) 452-4159
Photo of Lorraine Kushner
Lorraine Kushner
Verified Verified
Carrollwood, FL 33618  (Online Only)
I am a Licensed Mental Health Counselor and have been in practice since 1994. My specialties include birth related problems such as postpartum depression, miscarriage, and infertility, as well as issues relating to death, dying and bereavement. I also work with clients who are depressed and are experiencing anxiety, panic,attacks, adjustment and mood disorders. If you are currently taking psychotropic medications prescribed by your physician, talk therapy will be a positive adjunct to your present regimen of help. I am a Lamaze Certified Childbirth Educator and have taught childbirth classes in the past.
I am a Licensed Mental Health Counselor and have been in practice since 1994. My specialties include birth related problems such as postpartum depression, miscarriage, and infertility, as well as issues relating to death, dying and bereavement. I also work with clients who are depressed and are experiencing anxiety, panic,attacks, adjustment and mood disorders. If you are currently taking psychotropic medications prescribed by your physician, talk therapy will be a positive adjunct to your present regimen of help. I am a Lamaze Certified Childbirth Educator and have taught childbirth classes in the past.
(813) 690-5788 View (813) 690-5788
Photo of Ana Aluisy - Come Get Help, LLC, PhD, LMHC, LMFT, Counselor
Come Get Help, LLC
Counselor, PhD, LMHC, LMFT
Verified Verified
7 Endorsed
Carrollwood, FL 33625
While you're there, you can also take a FREE anxiety, depression, and relationship test, and view our availability through our online calendar.
WE ARE ACCEPTING NEW CLIENTS. We have immediate openings for tele-therapy (video or phone sessions) and would be honored to support you during this time of uncertainty. We're living a difficult time in history, where our stress levels can affect all areas of our lives. If you feel hopeless about a better future and have done everything in your power to make things better, maybe we can help. You don't have to go through this alone. Looking for professional help is the first step towards a better future.
While you're there, you can also take a FREE anxiety, depression, and relationship test, and view our availability through our online calendar.
WE ARE ACCEPTING NEW CLIENTS. We have immediate openings for tele-therapy (video or phone sessions) and would be honored to support you during this time of uncertainty. We're living a difficult time in history, where our stress levels can affect all areas of our lives. If you feel hopeless about a better future and have done everything in your power to make things better, maybe we can help. You don't have to go through this alone. Looking for professional help is the first step towards a better future.
(813) 364-0741 View (813) 364-0741
Photo of Susan Morhard Posada, PhD, LMHC, LMFT, Counselor
Susan Morhard Posada
Counselor, PhD, LMHC, LMFT
Verified Verified
5 Endorsed
Carrollwood, FL 33618
Are you struggling with relationship issues at home or in the workplace; having difficulty with parenting, post-divorce issues, anger, stress management, anxiety, depression or alcoholism? Is your teen having self-esteem issues, peer problems or recently become more difficult to get along with? Do you have unresolved trauma that is effecting your? I provide counseling services to adults, teens, couples (gay and straight), and families. "Investing in yourself and your relationships is investing in your future." When you are your best, you provide your best for other's.
Are you struggling with relationship issues at home or in the workplace; having difficulty with parenting, post-divorce issues, anger, stress management, anxiety, depression or alcoholism? Is your teen having self-esteem issues, peer problems or recently become more difficult to get along with? Do you have unresolved trauma that is effecting your? I provide counseling services to adults, teens, couples (gay and straight), and families. "Investing in yourself and your relationships is investing in your future." When you are your best, you provide your best for other's.
(813) 438-4692 View (813) 438-4692
Photo of Jessika Czverencz (Redman), DBH, NCC, CO-LPC, FL-LMFT, Counselor
Jessika Czverencz (Redman)
Counselor, DBH, NCC, CO-LPC, FL-LMFT
Verified Verified
3 Endorsed
Carrollwood, FL 33625  (Online Only)
Counseling can help you alleviate depression, worry less, change problematic patterns, evaluate and/or improve relationships, and heal from difficult experiences or losses.
On the outside, maybe it seems like you're ok. But internally, you're depleted, overwhelmed, and not sure where to start. Most of us have experienced times in our lives were we get stuck. Sometimes laying awake night after night overthinking every worry and fear. Other times, we feel hopeless. Depressed. Lost. You know something has to change, and sometimes you might even know what has to change, but you just can't seem to muster up the energy or will to make it happen. If life isn't everything you hoped it would be there is hope. Connecting with the right therapist may be one of the greatest investments in yourself
Counseling can help you alleviate depression, worry less, change problematic patterns, evaluate and/or improve relationships, and heal from difficult experiences or losses.
On the outside, maybe it seems like you're ok. But internally, you're depleted, overwhelmed, and not sure where to start. Most of us have experienced times in our lives were we get stuck. Sometimes laying awake night after night overthinking every worry and fear. Other times, we feel hopeless. Depressed. Lost. You know something has to change, and sometimes you might even know what has to change, but you just can't seem to muster up the energy or will to make it happen. If life isn't everything you hoped it would be there is hope. Connecting with the right therapist may be one of the greatest investments in yourself
(813) 694-4690 View (813) 694-4690
Photo of Adaliz Garces, LMHC, CCTS-I, C-DBT, CGCS, Counselor
Adaliz Garces
Counselor, LMHC, CCTS-I, C-DBT, CGCS
Verified Verified
2 Endorsed
Carrollwood, FL 33625  (Online Only)
*Accepting New Teletherapy Clients* Feeling constantly stressed, anxious, irritable, and easily angered by others or with yourself? You find yourself frustrated by the challenges of managing your emotions and asking yourself, "Why am I having such a hard time controlling my emotions?" or telling yourself "I should be able to handle this!" You've found that managing anxiety and the stress from everyday life feels overwhelming, and, you're exhausted. You want to be able to manage how you respond to daily stress and worry in ways that help you live a better quality of life and improve your relationship with others. I can help!
*Accepting New Teletherapy Clients* Feeling constantly stressed, anxious, irritable, and easily angered by others or with yourself? You find yourself frustrated by the challenges of managing your emotions and asking yourself, "Why am I having such a hard time controlling my emotions?" or telling yourself "I should be able to handle this!" You've found that managing anxiety and the stress from everyday life feels overwhelming, and, you're exhausted. You want to be able to manage how you respond to daily stress and worry in ways that help you live a better quality of life and improve your relationship with others. I can help!
(813) 694-5256 View (813) 694-5256
Photo of Carol Mirones - Seasons Psychotherapy Associates, LCSW, LMHC, LMFT, PhD, Clinical Social Work/Therapist
Seasons Psychotherapy Associates
Clinical Social Work/Therapist, LCSW, LMHC, LMFT, PhD
Verified Verified
1 Endorsed
Carrollwood, FL 33618
Seasons Psychotherapy Assoc is a unique community of 30+ heart-centered mental health professionals with a common goal of helping you transform your life. We work with people from diverse backgrounds and with a variety of emotional or mental health struggles. Life is challenging, and each and every one of us struggle in some way at some point. We cannot heal and improve that which we ignore. Getting help and support is a strength. Some of our particular areas of expertise include grief & loss, anxiety, LGBTQ+, first responder issues, mental health and addiction, trauma, relationship counseling, parenting struggles, and teen issues.
Seasons Psychotherapy Assoc is a unique community of 30+ heart-centered mental health professionals with a common goal of helping you transform your life. We work with people from diverse backgrounds and with a variety of emotional or mental health struggles. Life is challenging, and each and every one of us struggle in some way at some point. We cannot heal and improve that which we ignore. Getting help and support is a strength. Some of our particular areas of expertise include grief & loss, anxiety, LGBTQ+, first responder issues, mental health and addiction, trauma, relationship counseling, parenting struggles, and teen issues.
(954) 342-0982 View (954) 342-0982
Photo of Callie Hill, MA, RMHCI, Pre-Licensed Professional
Callie Hill
Pre-Licensed Professional, MA, RMHCI
Verified Verified
1 Endorsed
Carrollwood, FL 33625
Life can get extremely difficult, leaving you feeling depressed, anxious, and alone. Asking for help doesn't mean you failed or that you are weak, it's quite the opposite. Our strength lies in our ability to be vulnerable and take steps towards change. As your therapist, my first priority is making you feel comfortable and supported sharing your life with me. My therapy room is an open space for you to open up without feeling judged or criticized. With every client I see, I aim to instill hope, trust, self-compassion, and self-acceptance.
Life can get extremely difficult, leaving you feeling depressed, anxious, and alone. Asking for help doesn't mean you failed or that you are weak, it's quite the opposite. Our strength lies in our ability to be vulnerable and take steps towards change. As your therapist, my first priority is making you feel comfortable and supported sharing your life with me. My therapy room is an open space for you to open up without feeling judged or criticized. With every client I see, I aim to instill hope, trust, self-compassion, and self-acceptance.
(813) 592-7083 View (813) 592-7083
Photo of Jessica Klein, MA, RMHCI, Pre-Licensed Professional
Jessica Klein
Pre-Licensed Professional, MA, RMHCI
Verified Verified
Carrollwood, FL 33618
I use a combination of evidence-based therapy approaches along with mindfulness to focus on healing anxiety, communication issues, attachment work, and complex trauma work.
Let's Get Unstuck. I believe you have the innate ability to become the best version of yourself. I'm here to guide you towards developing the skills you need to get there. I'm passionate about seeing my clients thrive and have been mental health advocate throughout my life.
I use a combination of evidence-based therapy approaches along with mindfulness to focus on healing anxiety, communication issues, attachment work, and complex trauma work.
Let's Get Unstuck. I believe you have the innate ability to become the best version of yourself. I'm here to guide you towards developing the skills you need to get there. I'm passionate about seeing my clients thrive and have been mental health advocate throughout my life.
(813) 592-1345 View (813) 592-1345
Photo of Lindsey O'Brennan, PhD, Psychologist
Lindsey O'Brennan
Psychologist, PhD
Verified Verified
Carrollwood, FL 33625
Welcome! I'm a licensed psychologist who is passionate about helping high achieving teens and adults find balance and improve their overall wellbeing. I work with a variety of clients, but specialize in helping high achieving individuals - entrepreneurs, high-performing athletes, graduate students, IB students, perfectionists, and leaders - who excel but struggle with overwhelm, anxiety, and burnout. I aim to give my clients the tools to manage their moods, find more work/school/life balance, enhance their relationships, and cultivate a life that aligns with their values.
Welcome! I'm a licensed psychologist who is passionate about helping high achieving teens and adults find balance and improve their overall wellbeing. I work with a variety of clients, but specialize in helping high achieving individuals - entrepreneurs, high-performing athletes, graduate students, IB students, perfectionists, and leaders - who excel but struggle with overwhelm, anxiety, and burnout. I aim to give my clients the tools to manage their moods, find more work/school/life balance, enhance their relationships, and cultivate a life that aligns with their values.
(813) 547-5474 View (813) 547-5474
Photo of Mary Joye - Mary Joye, LMHC, MA, LMHC, LPCC, Counselor
Mary Joye, LMHC
Counselor, MA, LMHC, LPCC
Verified Verified
Carrollwood, FL 33618
Anxiety, trauma and panic symptoms can be relieved.
If you're stuck, stressed, depressed, anxious, have relationship issues or have experienced a trauma or life changing event, there is help and hope. You may simply be in need of brief life coaching for decision making. You'll be in a nonjudgmental environment and we will work together to help you live your most authentic and best life moving forward. As a solution-focused therapist, we don't just work on how you feel now but how you want to feel in the future. You have your own answers and it's my job to help you listen to yourself and make your best choices.
Anxiety, trauma and panic symptoms can be relieved.
If you're stuck, stressed, depressed, anxious, have relationship issues or have experienced a trauma or life changing event, there is help and hope. You may simply be in need of brief life coaching for decision making. You'll be in a nonjudgmental environment and we will work together to help you live your most authentic and best life moving forward. As a solution-focused therapist, we don't just work on how you feel now but how you want to feel in the future. You have your own answers and it's my job to help you listen to yourself and make your best choices.
(813) 696-3518 View (813) 696-3518
Photo of Jessica V. White - Jessica V. White Therapy of Tampa, LMHC, Licensed Professional Counselor
Jessica V. White Therapy of Tampa
Licensed Professional Counselor, LMHC
Verified Verified
2 Endorsed
Carrollwood, FL 33618
I focus on strengthening relationships, improving listening/communication, reducing conflict, healing past pains, coping strategies, and creating closeness and fun! I focus on play therapy with children supporting emotion regulation, mindfulness, stress relief, anxiety reduction, and more.
You want to find someone who can understand you. Who can hear you, your frustrations, your pain and needs in a way that offers care and meaningful support. You want to feel better, be happier, and want clarity about what you should do moving forward. Or you both may be wondering...how did OUR relationship get here? How do we navigate what’s happening with our child? I imagine you’ve been giving it your best but still feel like you’re falling short. But you’re not. Take comfort in your efforts and realize sometimes it’s the smallest change that makes the difference. It’s time. Let’s do this together. Visit jvwhitetherapy.com for more
I focus on strengthening relationships, improving listening/communication, reducing conflict, healing past pains, coping strategies, and creating closeness and fun! I focus on play therapy with children supporting emotion regulation, mindfulness, stress relief, anxiety reduction, and more.
You want to find someone who can understand you. Who can hear you, your frustrations, your pain and needs in a way that offers care and meaningful support. You want to feel better, be happier, and want clarity about what you should do moving forward. Or you both may be wondering...how did OUR relationship get here? How do we navigate what’s happening with our child? I imagine you’ve been giving it your best but still feel like you’re falling short. But you’re not. Take comfort in your efforts and realize sometimes it’s the smallest change that makes the difference. It’s time. Let’s do this together. Visit jvwhitetherapy.com for more
(813) 669-0637 View (813) 669-0637
Photo of Andrea C Taylor, LCSW, CCAPT, Clinical Social Work/Therapist
Andrea C Taylor
Clinical Social Work/Therapist, LCSW, CCAPT
Verified Verified
Carrollwood, FL 33625
I am a Licensed Clinical Social Worker and Certified Clinical Anxiety Treatment Professional based in the Tampa, Florida area. Over the years as a clinician, my experience has taught me that the most important aspect of counseling, is the connection and comfort you feel with the person you choose to share your personal struggles.
I am a Licensed Clinical Social Worker and Certified Clinical Anxiety Treatment Professional based in the Tampa, Florida area. Over the years as a clinician, my experience has taught me that the most important aspect of counseling, is the connection and comfort you feel with the person you choose to share your personal struggles.
(813) 592-7709 View (813) 592-7709
Photo of Sherry L Fidel, MA, LPC, LCDC, Licensed Professional Counselor
Sherry L Fidel
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
Carrollwood, FL 33618  (Online Only)
Are you ready to work past the limits you've set in your mind? Life can get extremely difficult, leaving you feeling depressed, anxious, and alone. Asking for help doesn't mean you failed or that you are weak, it's quite the opposite. Our strength lies in our ability to be vulnerable and take steps towards change. As your therapist, my first priority is making you feel comfortable and supported in sharing your life with me. I want to meet you where you are and work collaboratively with you to meet your goals. With every client I see, I aim to instill hope, trust, self-compassion, and self-acceptance.
Are you ready to work past the limits you've set in your mind? Life can get extremely difficult, leaving you feeling depressed, anxious, and alone. Asking for help doesn't mean you failed or that you are weak, it's quite the opposite. Our strength lies in our ability to be vulnerable and take steps towards change. As your therapist, my first priority is making you feel comfortable and supported in sharing your life with me. I want to meet you where you are and work collaboratively with you to meet your goals. With every client I see, I aim to instill hope, trust, self-compassion, and self-acceptance.
(214) 624-6064 View (214) 624-6064
Photo of Kerry Conca, LMHC, Counselor
Kerry Conca
Counselor, LMHC
Verified Verified
2 Endorsed
Carrollwood, FL 33618
You notice that your tween or teen seems to be struggling to be their usual confident, bubbly, and carefree self. As a parent, you just want to see that spark in your teen again. They seem nervous, worried, and they overthink things. They are having problems fitting in with friends, and finding the right friend group. You notice them standing on the sidelines instead of getting involved. You even hear them being hard on themselves or see them needing to be perfect. You’re concerned that they will miss out on fun experiences because of their worries and anxiety. They are losing sleep, seem tense, and are even irritable at times.
You notice that your tween or teen seems to be struggling to be their usual confident, bubbly, and carefree self. As a parent, you just want to see that spark in your teen again. They seem nervous, worried, and they overthink things. They are having problems fitting in with friends, and finding the right friend group. You notice them standing on the sidelines instead of getting involved. You even hear them being hard on themselves or see them needing to be perfect. You’re concerned that they will miss out on fun experiences because of their worries and anxiety. They are losing sleep, seem tense, and are even irritable at times.
(813) 296-5380 View (813) 296-5380
Photo of Sharon Maisonet, PsyD, Psychologist
Sharon Maisonet
Psychologist, PsyD
Verified Verified
2 Endorsed
Carrollwood, FL 33618
Waitlist for new clients
My approach is integrative as I utilize CBT, DBT, along with other evidence-based interventions focusing on a variety of issues such as anxiety, depression, ADHD, emotional, behavioral difficulties, life transitions, parenting stress, relational and adjustment issues.
Do you feel that your child or teen has been struggling to express or manage difficult emotions? Or worrying more than usual with school issues or friendships? Do you find yourself distancing from others, unable to concentrate and keep up with life's demands? If so, there is help. As a therapist, my goal is to walk with my clients on their journey towards healing through compassion, communication, and growth. My aim is to create a space of understanding, awareness, and change by establishing a trusting and caring relationship with individuals across the lifespan, from children to adults, to support them in reaching their goals.
My approach is integrative as I utilize CBT, DBT, along with other evidence-based interventions focusing on a variety of issues such as anxiety, depression, ADHD, emotional, behavioral difficulties, life transitions, parenting stress, relational and adjustment issues.
Do you feel that your child or teen has been struggling to express or manage difficult emotions? Or worrying more than usual with school issues or friendships? Do you find yourself distancing from others, unable to concentrate and keep up with life's demands? If so, there is help. As a therapist, my goal is to walk with my clients on their journey towards healing through compassion, communication, and growth. My aim is to create a space of understanding, awareness, and change by establishing a trusting and caring relationship with individuals across the lifespan, from children to adults, to support them in reaching their goals.
(813) 491-9264 View (813) 491-9264
Photo of Adrienne Zwijacz, MA, NCC, RMHCI
Adrienne Zwijacz
Registered Mental Health Counselor Intern, MA, NCC, RMHCI
Verified Verified
1 Endorsed
Carrollwood, FL 33618
My work focuses on helping those struggling with stress, anxiety, depression, perfectionism, and low self-esteem.
I provide individual therapy to adolescents, teenagers, and young adults. My unique blend of personal experience and education allows me to incorporate effective counseling strategies to emphasize personal strengths and values as important driving forces for change.
My work focuses on helping those struggling with stress, anxiety, depression, perfectionism, and low self-esteem.
I provide individual therapy to adolescents, teenagers, and young adults. My unique blend of personal experience and education allows me to incorporate effective counseling strategies to emphasize personal strengths and values as important driving forces for change.
(813) 638-0261 View (813) 638-0261
Photo of Mia Perez, RCSWI, Pre-Licensed Professional
Mia Perez
Pre-Licensed Professional, RCSWI
Verified Verified
1 Endorsed
Carrollwood, FL 33618
Do you feel like you have no control over your life? Like you are never able to relax even when there is nothing to do? Do you feel like you are so caught up in anxiety and stress that you are not able to enjoy the present moment? Or perhaps you are missing out on experiences because of physical or mental health?
Do you feel like you have no control over your life? Like you are never able to relax even when there is nothing to do? Do you feel like you are so caught up in anxiety and stress that you are not able to enjoy the present moment? Or perhaps you are missing out on experiences because of physical or mental health?
(352) 604-4089 View (352) 604-4089
Photo of Danielle Blyden - Bloom Counseling and Therapeutic Services, LCSW, Clinical Social Work/Therapist
Bloom Counseling and Therapeutic Services
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Carrollwood, FL 33625
THERAPY FOR TEENS AND YOUNG ADULTS!! Qualified Supervision for Social Workers. Is your teen struggling with Anxiety, Depression, and all the behaviors that come with it? Are you a young adult who has battled anxiety for what seems like forever? Whether you are a parent watching your child suffer; or if you are a young adult trying to establish yourself while navigating through life, we can help!
THERAPY FOR TEENS AND YOUNG ADULTS!! Qualified Supervision for Social Workers. Is your teen struggling with Anxiety, Depression, and all the behaviors that come with it? Are you a young adult who has battled anxiety for what seems like forever? Whether you are a parent watching your child suffer; or if you are a young adult trying to establish yourself while navigating through life, we can help!
(813) 733-5381 View (813) 733-5381
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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.