Anxiety Therapists in Ipswich, MA

Photo of Elizabeth Silveira, LMHC, R-DMT, Counselor
Elizabeth Silveira
Counselor, LMHC, R-DMT
Verified Verified
1 Endorsed
Ipswich, MA 01938
Do you want to find ways to relieve both the physical and mental aspects of your anxiety? Or is your child struggling with regulating their emotions which is effecting learning or relationships? My therapeutic studio is designed to learn mind/body awareness techniques, to engage in sensory motor activities or to feel supported in a therapeutic swing. Evidence based body oriented techniques and verbal psychotherapy are blended to treat your whole being. Parents can also learn essential skills through cognitive behavioral techniques and nonverbal attunement skills.
Do you want to find ways to relieve both the physical and mental aspects of your anxiety? Or is your child struggling with regulating their emotions which is effecting learning or relationships? My therapeutic studio is designed to learn mind/body awareness techniques, to engage in sensory motor activities or to feel supported in a therapeutic swing. Evidence based body oriented techniques and verbal psychotherapy are blended to treat your whole being. Parents can also learn essential skills through cognitive behavioral techniques and nonverbal attunement skills.
(978) 253-4722 View (978) 253-4722
Photo of Michelle L Gracey, MSW, LICSW, Clinical Social Work/Therapist
Michelle L Gracey
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Ipswich, MA 01938
My experience in these areas also lends itself to assisting those with anxiety and depression.
*TELEHEALTH AVAILABLE * I enjoy working with clients to identify and implement positive change in their lives. Working together, we will identify a client's strengths, areas of challenge, and goals. Once we have built this framework, we develop a plan to work on areas that are getting in the way of the client achieving his/her stated goals and use therapy sessions to understand current patterns and how change can be attained.
My experience in these areas also lends itself to assisting those with anxiety and depression.
*TELEHEALTH AVAILABLE * I enjoy working with clients to identify and implement positive change in their lives. Working together, we will identify a client's strengths, areas of challenge, and goals. Once we have built this framework, we develop a plan to work on areas that are getting in the way of the client achieving his/her stated goals and use therapy sessions to understand current patterns and how change can be attained.
(351) 200-0624 View (351) 200-0624
Photo of Angela Marie Wilson, LMHC, LPC, Counselor
Angela Marie Wilson
Counselor, LMHC, LPC
Verified Verified
1 Endorsed
Ipswich, MA 01938  (Online Only)
Sometimes the hardest part about therapy and accepting help is not the therapy itself. It can actually be in the very first moments we meet: knowing you are in a safe space. Feeling comfortable. Viewing me, at first a stranger, as someone you can trust and open up to. We engage with new people and strangers daily, but how many of them do we confide in? How many times are we asked how we’re doing and we can’t bring ourselves to share the truth? “I’m barely coping with my depression.” “My anxiety is taking over my life.” “I have too much to deal with right now.” “Nobody understands.” I understand.
Sometimes the hardest part about therapy and accepting help is not the therapy itself. It can actually be in the very first moments we meet: knowing you are in a safe space. Feeling comfortable. Viewing me, at first a stranger, as someone you can trust and open up to. We engage with new people and strangers daily, but how many of them do we confide in? How many times are we asked how we’re doing and we can’t bring ourselves to share the truth? “I’m barely coping with my depression.” “My anxiety is taking over my life.” “I have too much to deal with right now.” “Nobody understands.” I understand.
(978) 307-7699 View (978) 307-7699
Photo of Suzanne MacPhail - Hands to Healing, MEd, LMHC, Counselor
Hands to Healing
Counselor, MEd, LMHC
Verified Verified
Ipswich, MA 01938
Suzanne has 27 years of experience working with Veterans, children, families and adults who suffer from PTSD, grief and loss and anxiety disorders. Suzanne has worked in juvenile settings, in an adult prison setting, school settings, residential settings, with Veterans, outpatient settings, as well as an administrator and supervisor to interns and licensed eligible clinicians. Suzanne approaches clinical work with compassion and is especially skilled in treating trauma and the symptoms presented in trauma sufferers. Suzanne has 13 years of experience as an Adjunct Professor at the graduate level.
Suzanne has 27 years of experience working with Veterans, children, families and adults who suffer from PTSD, grief and loss and anxiety disorders. Suzanne has worked in juvenile settings, in an adult prison setting, school settings, residential settings, with Veterans, outpatient settings, as well as an administrator and supervisor to interns and licensed eligible clinicians. Suzanne approaches clinical work with compassion and is especially skilled in treating trauma and the symptoms presented in trauma sufferers. Suzanne has 13 years of experience as an Adjunct Professor at the graduate level.
(978) 312-9734 View (978) 312-9734
Photo of Jennifer Pugh, LICSW, Clinical Social Work/Therapist
Jennifer Pugh
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Ipswich, MA 01938  (Online Only)
Current Availability for Individuals & Couples - Do you feel stuck in behaviors or routines that no longer serve you? Is your mindset preventing you from leading the life you wish to lead? Do you catch yourself comparing your life to those around you? I have the expertise to help you navigate life transitions, build your self-esteem, cope with depression and anxiety, and resolve any recurring patterns of conflict with your significant other. Learn more at jppsych.com or participate in a telephone consultation today and begin a treatment that will help you build the skills and insights you need to achieve your goals.
Current Availability for Individuals & Couples - Do you feel stuck in behaviors or routines that no longer serve you? Is your mindset preventing you from leading the life you wish to lead? Do you catch yourself comparing your life to those around you? I have the expertise to help you navigate life transitions, build your self-esteem, cope with depression and anxiety, and resolve any recurring patterns of conflict with your significant other. Learn more at jppsych.com or participate in a telephone consultation today and begin a treatment that will help you build the skills and insights you need to achieve your goals.
(781) 676-3199 View (781) 676-3199
Photo of Jonathan P. Hall, PsyD, Psychologist
Jonathan P. Hall
Psychologist, PsyD
Verified Verified
Ipswich, MA 01938
My primary goal for psychotherapy places an emphasis on developing a strong, empathic, and collaborative therapeutic relationship with my clients, as I believe this is essential in facilitating the process of change. Through working with my clients to explore sources of emotional conflict, effective strategies to cope with life's various stressors are developed, thereby enhancing personal growth. Whether it is coping with life transitions, sources of anxiety or depression, relationship issues, or health concerns, I strive to help my clients overcome the obstacles that have impeded upon achieving their life goals.
My primary goal for psychotherapy places an emphasis on developing a strong, empathic, and collaborative therapeutic relationship with my clients, as I believe this is essential in facilitating the process of change. Through working with my clients to explore sources of emotional conflict, effective strategies to cope with life's various stressors are developed, thereby enhancing personal growth. Whether it is coping with life transitions, sources of anxiety or depression, relationship issues, or health concerns, I strive to help my clients overcome the obstacles that have impeded upon achieving their life goals.
(978) 633-1662 View (978) 633-1662
Photo of Jennifer Zaniboni, LICSW, Clinical Social Work/Therapist
Jennifer Zaniboni
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Ipswich, MA 01938  (Online Only)
I specialize in providing insight-oriented therapy for the treatment of depression, anxiety, trauma, relationship issues, life transition issues, and parenting, family and marital issues.
I offer the benefit of 20 years of experience effectively treating men, women and adolescents through individual, family, and marital therapy. I treat depression, anxiety, relationship and family issues, divorce and parenting issues, trauma, life transition and women's issues. My areas of specialization include treatment of anxiety and depression, cognitive behavioral therapy, developing effective coping and problem solving skills, developing insight into behavior and relational patterns, increasing self-actualization, self-acceptance, and self-advocacy. I also provide personal coaching, mediation and conflict resolution services.
I specialize in providing insight-oriented therapy for the treatment of depression, anxiety, trauma, relationship issues, life transition issues, and parenting, family and marital issues.
I offer the benefit of 20 years of experience effectively treating men, women and adolescents through individual, family, and marital therapy. I treat depression, anxiety, relationship and family issues, divorce and parenting issues, trauma, life transition and women's issues. My areas of specialization include treatment of anxiety and depression, cognitive behavioral therapy, developing effective coping and problem solving skills, developing insight into behavior and relational patterns, increasing self-actualization, self-acceptance, and self-advocacy. I also provide personal coaching, mediation and conflict resolution services.
(978) 716-2819 View (978) 716-2819
Photo of Anita Pandolfe Ruchman, NP, MSN
Anita Pandolfe Ruchman
NP, MSN
Verified Verified
Ipswich, MA 01938
Your life may be very stressful, with anxiety, sleeplessness, depression, grief and isolation preventing you from experiencing happiness and joy. you may long for deeper meaning and connection with yourself and others. Physical and emotional hardships may seem endless and beyond your ability to manage. I am a seasoned, wise and knowledgeable, clinician/therapist who brings her decades of Nursing experience to her unique individualized Psychotherapy Practice. Together we explore and utilize many therapeutic modalities to foster a greater sense of health and well being. Call my office today: A Tender Place-mind,body,spirit, Therapy
Your life may be very stressful, with anxiety, sleeplessness, depression, grief and isolation preventing you from experiencing happiness and joy. you may long for deeper meaning and connection with yourself and others. Physical and emotional hardships may seem endless and beyond your ability to manage. I am a seasoned, wise and knowledgeable, clinician/therapist who brings her decades of Nursing experience to her unique individualized Psychotherapy Practice. Together we explore and utilize many therapeutic modalities to foster a greater sense of health and well being. Call my office today: A Tender Place-mind,body,spirit, Therapy
(978) 308-0415 View (978) 308-0415
Photo of Danielle Meyers, LMHC, MS, Counselor
Danielle Meyers
Counselor, LMHC, MS
Verified Verified
1 Endorsed
Ipswich, MA 01938
Many of us experience stress and anxiety on a daily basis. While sometimes we feel in control of these emotions, other times it can feel like they are controlling us. Whether you are dealing with day-to-day stressors, or those brought on by major life transitions, learning how to identify and manage the feelings you experience can be vital to having happy, healthy relationships with others and with yourself.
Many of us experience stress and anxiety on a daily basis. While sometimes we feel in control of these emotions, other times it can feel like they are controlling us. Whether you are dealing with day-to-day stressors, or those brought on by major life transitions, learning how to identify and manage the feelings you experience can be vital to having happy, healthy relationships with others and with yourself.
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Photo of Danielle Conti, MEd , LMHC, LADCI, Counselor
Danielle Conti
Counselor, MEd , LMHC, LADCI
Verified Verified
Ipswich, MA 01938
I am currently taking new clients for the treatment of depression, anxiety, relationship issues, life transitions, behavior changes needed for wellness and health, stress management, and sobriety maintenance. I also work with individuals who are affected by a loved one's substance use and/or mental health issues. I provide consultations to individuals and families who are experiencing mental health, school and behavioral issues for the first time, to provide information re: utilizing community and clinical resources and potential treatment options.
I am currently taking new clients for the treatment of depression, anxiety, relationship issues, life transitions, behavior changes needed for wellness and health, stress management, and sobriety maintenance. I also work with individuals who are affected by a loved one's substance use and/or mental health issues. I provide consultations to individuals and families who are experiencing mental health, school and behavioral issues for the first time, to provide information re: utilizing community and clinical resources and potential treatment options.
(978) 288-1844 View (978) 288-1844
Photo of Ann Creilson, LMHC, Counselor
Ann Creilson
Counselor, LMHC
Verified Verified
Ipswich, MA 01938
I specialize in working with complex trauma, anxiety, relationship and parenting challenges, and women's issues. Many of my clients come to me feeling stuck, unsure of how to navigate their way through a deep sense of overwhelm. Whether their emotional pain stems from past trauma, interpersonal challenges, current life stressors, loss, anxiety or a combination of these, they are longing for a deeper connection to themselves and a path forward. Trained in Somatic Experiencing, I offer a safe and supportive space where you can explore your emotions, reconnect with your body and discover new pathways to personal growth.
I specialize in working with complex trauma, anxiety, relationship and parenting challenges, and women's issues. Many of my clients come to me feeling stuck, unsure of how to navigate their way through a deep sense of overwhelm. Whether their emotional pain stems from past trauma, interpersonal challenges, current life stressors, loss, anxiety or a combination of these, they are longing for a deeper connection to themselves and a path forward. Trained in Somatic Experiencing, I offer a safe and supportive space where you can explore your emotions, reconnect with your body and discover new pathways to personal growth.
(978) 882-9889 View (978) 882-9889
Photo of Darryl Lemus - Clipper City Counseling, LMHC, Counselor
Clipper City Counseling
Counselor, LMHC
Verified Verified
Ipswich, MA 01938
I utilize a mixture of therapeutic approaches to help address individuals experiencing depression, anxiety, self-esteem issues, daily personal performance, adjustments and/or life transitions (relationship, career, other), depression, and insomnia.
William Arthur Ward once said, "We can choose to throw stones, to stumble on them, to climb over them, or to build with them." The passion I carry for the therapeutic process is not only founded on my training and education but also my personal experience. I have faith in one's capacity for growth that comes from the willingness to be honest and courage to face difficult issues. In this life we will encounter many stones in our path. It is up to each individual to choose what they will do with them.
I utilize a mixture of therapeutic approaches to help address individuals experiencing depression, anxiety, self-esteem issues, daily personal performance, adjustments and/or life transitions (relationship, career, other), depression, and insomnia.
William Arthur Ward once said, "We can choose to throw stones, to stumble on them, to climb over them, or to build with them." The passion I carry for the therapeutic process is not only founded on my training and education but also my personal experience. I have faith in one's capacity for growth that comes from the willingness to be honest and courage to face difficult issues. In this life we will encounter many stones in our path. It is up to each individual to choose what they will do with them.
(978) 255-3625 View (978) 255-3625
Photo of Deborah Dubowy, MEd, LMHC, Counselor
Deborah Dubowy
Counselor, MEd, LMHC
Verified Verified
Ipswich, MA 01938  (Online Only)
It is all too common to be struggling with stress, worry, low mood, and uncertainty in our world today. I work with people around issues of anxiety and depression, loss, the suffering of trauma, struggles with relationships or family or work, life changes and transitions, and creative blocks. Sometimes people come to therapy because of past issues. Sometimes they are stuck in repetitive patterns of thinking and feeling without even knowing it. Sometimes they don't feel true to themselves or they have lost their way or zest for life.
It is all too common to be struggling with stress, worry, low mood, and uncertainty in our world today. I work with people around issues of anxiety and depression, loss, the suffering of trauma, struggles with relationships or family or work, life changes and transitions, and creative blocks. Sometimes people come to therapy because of past issues. Sometimes they are stuck in repetitive patterns of thinking and feeling without even knowing it. Sometimes they don't feel true to themselves or they have lost their way or zest for life.
(978) 288-1708 View (978) 288-1708
Photo of Laura Appleton, MEd, LMHC, Counselor
Laura Appleton
Counselor, MEd, LMHC
Verified Verified
Ipswich, MA 01938  (Online Only)
I'm an LMHC specializing in women’s mental health, though I work with individuals of all backgrounds, genders, and identities. With 15+ years in biotech/research, and experience as a Reiki Master, Polarity Practitioner, and licensed Massage Therapist, I blend science with holistic approaches to help clients manage stress, anxiety, depression, and recover from trauma. I believe mental health challenges often stem from external pressures, not personal fault. I create a safe space to uncover root causes, replace self-criticism with compassion, and turn evidence-based insights into a flexible path for sustainable growth.
I'm an LMHC specializing in women’s mental health, though I work with individuals of all backgrounds, genders, and identities. With 15+ years in biotech/research, and experience as a Reiki Master, Polarity Practitioner, and licensed Massage Therapist, I blend science with holistic approaches to help clients manage stress, anxiety, depression, and recover from trauma. I believe mental health challenges often stem from external pressures, not personal fault. I create a safe space to uncover root causes, replace self-criticism with compassion, and turn evidence-based insights into a flexible path for sustainable growth.
(857) 371-3158 View (857) 371-3158
Photo of Counseling Connections Llc - Paula Kneeland-Chaput, LICSW, CCTS-I, Clinical Social Work/Therapist
Counseling Connections Llc - Paula Kneeland-Chaput
Clinical Social Work/Therapist, LICSW, CCTS-I
Verified Verified
Ipswich, MA 01938
I am so glad you are here! If you are experiencing anxiety or depression, substance use challenges, post-traumatic distress, sadness associated with grief, and loss, or have court-ordered therapy needs then this might be a great match for you. I have worked with clients in many settings and of many diverse backgrounds. I would love the chance to get to know you. A therapeutic experience with me is centered on YOU and together we will do hard things.
I am so glad you are here! If you are experiencing anxiety or depression, substance use challenges, post-traumatic distress, sadness associated with grief, and loss, or have court-ordered therapy needs then this might be a great match for you. I have worked with clients in many settings and of many diverse backgrounds. I would love the chance to get to know you. A therapeutic experience with me is centered on YOU and together we will do hard things.
(508) 906-5590 View (508) 906-5590
Photo of Eliza Goodell, PhD, Psychologist
Eliza Goodell
Psychologist, PhD
Verified Verified
Ipswich, MA 01938
In my practice I frequently test for ADHD, Dyslexia, High Functioning Autism/Asperger's Disorder, and identify related emotional disorders such as anxiety or depression.
TELETHERAPY AVAILABLE--As a Neuropsychologist I can help you find answers to your questions related to learning, organization, memory, and language. I can review your child's IEP and help with educational planning. As a Licensed Psychologist I offer therapy using Internal Family Systems. My areas of interest include: adjustment to life transitions, spirituality, Lyme Disease, chronic pain and illness, depression, mood disorders, anxiety, relationship difficulties, loss and grief, 12-step programs, and learning disabilities. I offer SoulCollage workshops individually and in a group setting.
In my practice I frequently test for ADHD, Dyslexia, High Functioning Autism/Asperger's Disorder, and identify related emotional disorders such as anxiety or depression.
TELETHERAPY AVAILABLE--As a Neuropsychologist I can help you find answers to your questions related to learning, organization, memory, and language. I can review your child's IEP and help with educational planning. As a Licensed Psychologist I offer therapy using Internal Family Systems. My areas of interest include: adjustment to life transitions, spirituality, Lyme Disease, chronic pain and illness, depression, mood disorders, anxiety, relationship difficulties, loss and grief, 12-step programs, and learning disabilities. I offer SoulCollage workshops individually and in a group setting.
(978) 297-6739 View (978) 297-6739
Photo of Jennifer Kelly - Jennifer Kelly Psy.D., PsyD, RN, Psychologist
Jennifer Kelly Psy.D.
Psychologist, PsyD, RN
Verified Verified
Ipswich, MA 01938
Certified in Guided Self-Healing, an intuitive energy therapy, I use a creative blend of traditional, innovative, and psychogenetic testing and techniques to help integrate trauma, reduce anxiety, panic and depression and allow healing to occur at one's own pace.
With over 35 years of experience in the field of mental health, I am interested in working with issues related to performing arts and relational difficulties. At Boston Children's Hospital Medical Center and Landmark School, I developed specialties in eating disorders, trauma and illness exacerbated by stress, and learning disabilities. "Jennifer was very professional and insightful, great with couples therapy as she doesn't take sides and helps each person understand the other's feelings and behaviors. I highly recommend her."
Certified in Guided Self-Healing, an intuitive energy therapy, I use a creative blend of traditional, innovative, and psychogenetic testing and techniques to help integrate trauma, reduce anxiety, panic and depression and allow healing to occur at one's own pace.
With over 35 years of experience in the field of mental health, I am interested in working with issues related to performing arts and relational difficulties. At Boston Children's Hospital Medical Center and Landmark School, I developed specialties in eating disorders, trauma and illness exacerbated by stress, and learning disabilities. "Jennifer was very professional and insightful, great with couples therapy as she doesn't take sides and helps each person understand the other's feelings and behaviors. I highly recommend her."
(978) 819-9426 View (978) 819-9426
Photo of Samantha Harkey, MS, LMHC, Counselor
Samantha Harkey
Counselor, MS, LMHC
Verified Verified
Ipswich, MA 01938  (Online Only)
I have limited availability for morning/afternoon appointments only. Please EMAIL for inquiry. I work with adults aged 18 and up providing support for issues such as depression, anxiety, relationship difficulties, trauma, and life transitions. I am dedicated to guiding clients in identifying realistic, achievable goals. By focusing on small steps, you can build momentum and avoid disappointment that comes from unrealistic expectations. I support my clients in making healthy lifestyle choices outside of our sessions in order to increase the effectiveness of treatment and overall well-being.
I have limited availability for morning/afternoon appointments only. Please EMAIL for inquiry. I work with adults aged 18 and up providing support for issues such as depression, anxiety, relationship difficulties, trauma, and life transitions. I am dedicated to guiding clients in identifying realistic, achievable goals. By focusing on small steps, you can build momentum and avoid disappointment that comes from unrealistic expectations. I support my clients in making healthy lifestyle choices outside of our sessions in order to increase the effectiveness of treatment and overall well-being.
(781) 737-7722 View (781) 737-7722
Photo of Harry J. Sobel, PhD, Psychologist
Harry J. Sobel
Psychologist, PhD
Verified Verified
Ipswich, MA 01938
Beginning counseling or job coaching is an important life decision and a clear sign of one’s underlying health and resiliency. I find, more often than not, that people can be helped to release a level of optimism and resiliency that leads them to new, “do-able” goals and choices. All of this reflects a natural foundation of health, even when we experience such common challenges as depression, conflicts at work, fears, ongoing stress or anxiety. Counseling requires some risk-taking. It also takes a willingness to become more self-aware.
Beginning counseling or job coaching is an important life decision and a clear sign of one’s underlying health and resiliency. I find, more often than not, that people can be helped to release a level of optimism and resiliency that leads them to new, “do-able” goals and choices. All of this reflects a natural foundation of health, even when we experience such common challenges as depression, conflicts at work, fears, ongoing stress or anxiety. Counseling requires some risk-taking. It also takes a willingness to become more self-aware.
(774) 341-5112 View (774) 341-5112
Photo of Lakshmi Linda Sirois, LMHC, BC-DMT, KRIC, Counselor
Lakshmi Linda Sirois
Counselor, LMHC, BC-DMT, KRIC
Verified Verified
Ipswich, MA 01938
Are you stressed by life, overwhelming feelings, illness, relationships, and/or lack of connection to others/Self/God? I meet you as you are, with presence, compassion, and hope. I help shine a light of awareness onto patterns you no longer want. I help you befriend your shadow - the parts of yourself you don't yet accept. I join with you in a therapeutic relationship to increase connection and acceptance. I work with my clients to find the light at the end of the tunnel by creating new patterns and a more fulfilling, authentic, empowered and present life.
Are you stressed by life, overwhelming feelings, illness, relationships, and/or lack of connection to others/Self/God? I meet you as you are, with presence, compassion, and hope. I help shine a light of awareness onto patterns you no longer want. I help you befriend your shadow - the parts of yourself you don't yet accept. I join with you in a therapeutic relationship to increase connection and acceptance. I work with my clients to find the light at the end of the tunnel by creating new patterns and a more fulfilling, authentic, empowered and present life.
(978) 903-3071 View (978) 903-3071
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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.