Anxiety Therapists in Comstock Park, MI
![Photo of Marcie Dullea, MA, LPC, NCC, Counselor](https://photos.psychologytoday.com/59a233a9-2bc7-42f9-9a5b-3a9531f02ec3/2/320x400.jpeg)
If you are struggling with issues with anxiety, depression, life transitions, self-esteem, suicidal ideation, PTSD, or OCD I am able to guide you to a better place. I work with individuals, families, and couples. My therapeutic style is eclectic, which means I strive to fit your needs and your lifestyle. I also have over 20 years experience working with families that struggle with parenting skills and children with defiance issues.
If you are struggling with issues with anxiety, depression, life transitions, self-esteem, suicidal ideation, PTSD, or OCD I am able to guide you to a better place. I work with individuals, families, and couples. My therapeutic style is eclectic, which means I strive to fit your needs and your lifestyle. I also have over 20 years experience working with families that struggle with parenting skills and children with defiance issues.
![Photo of Benjamin A Taylor, MDiv, LLPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4c671ddb-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Benjamin A Taylor
Licensed Professional Counselor, MDiv, LLPC
Verified Verified
Comstock Park, MI 49321
Waitlist for new clients
My experience includes the following areas: Pre-marital, marriage and family, anxiety/depression, faith-specific issues, grief/loss, communication skills, anger, stress, substance abuse, obsessive-compulsive disorder, and other mental illnesses.
My role as a therapist is to help you recognize your needs and wants, and to offer you support during the process of healing and growth. My therapeutic philosophy is a strength-based approach that is based on my belief that you are the expert of your life. We will work together to discover the best way for you to find answers to your problems.
My experience includes the following areas: Pre-marital, marriage and family, anxiety/depression, faith-specific issues, grief/loss, communication skills, anger, stress, substance abuse, obsessive-compulsive disorder, and other mental illnesses.
My role as a therapist is to help you recognize your needs and wants, and to offer you support during the process of healing and growth. My therapeutic philosophy is a strength-based approach that is based on my belief that you are the expert of your life. We will work together to discover the best way for you to find answers to your problems.
![Photo of Donna Kay VanderKodde - Begin Anew Counseling, LLC & Kodde Counseling, LLC, MA, LPC, Counselor](https://photos.psychologytoday.com/4057b4d0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Begin Anew Counseling, LLC & Kodde Counseling, LLC
Counselor, MA, LPC
Verified Verified
1 Endorsed
Comstock Park, MI 49321
Are you struggling, confused, depressed, or anxious about your circumstances and relationships? Life is complicated and I am committed to truly hear you in a safe, non-judgmental environment. I am a skilled, caring, compassionate, counselor who will give you exceptional care, offer solution-based, holistic treatment that gives hope for change, and uses carefully selected therapy to best meet your unique needs.
Are you struggling, confused, depressed, or anxious about your circumstances and relationships? Life is complicated and I am committed to truly hear you in a safe, non-judgmental environment. I am a skilled, caring, compassionate, counselor who will give you exceptional care, offer solution-based, holistic treatment that gives hope for change, and uses carefully selected therapy to best meet your unique needs.
![Photo of Myangela Jenkins - Counseling Center of West Michigan, MA, LPC, Counselor](https://photos.psychologytoday.com/496a808d-064b-4627-9d51-048291248fb8/3/320x400.jpeg)
Hi and welcome! I am here to help with an array of concerns and issues including anxiety, day to day concerns, coping skills, life transitions and decisions, depression, relationships, and many others- including just needing someone to talk to! We will work together with compassion and honesty to reach your goals, and I am happy to give you a little kick in the bum if you need it.
Hi and welcome! I am here to help with an array of concerns and issues including anxiety, day to day concerns, coping skills, life transitions and decisions, depression, relationships, and many others- including just needing someone to talk to! We will work together with compassion and honesty to reach your goals, and I am happy to give you a little kick in the bum if you need it.
![Photo of Stacey Williamson Nichols, LMSW, CAADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/55293edf-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Stacey Williamson Nichols
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
1 Endorsed
Comstock Park, MI 49321 (Online Only)
My clients come to me with emotional pain. They may not like themselves, feel alone or different, and worried/depressed. They may feel like they have no control or have lost the control that they used to have. They feel stuck or like they don't belong. We work together so that the leave with a sense of freedom and empowerment. They feel like they can be their true selves. They have hope. Clients have told me "I feel safe now", "I never knew I could feel this good", "I actually like myself now. I didn't know I could".
My clients come to me with emotional pain. They may not like themselves, feel alone or different, and worried/depressed. They may feel like they have no control or have lost the control that they used to have. They feel stuck or like they don't belong. We work together so that the leave with a sense of freedom and empowerment. They feel like they can be their true selves. They have hope. Clients have told me "I feel safe now", "I never knew I could feel this good", "I actually like myself now. I didn't know I could".
![Photo of Alayna Boomgaard, LMSW-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/524435e6-8553-4437-a8f4-6fad09477370/2/320x400.jpeg)
I specialize in helping individuals rise above traumatic experiences. Additionally, I am passionate about supporting people with overcoming self-harm and suicidality. I also have experience with, and am passionate about, helping individuals who are struggling with anxiety, depression, domestic violence, emotional dysregulation, and identity-related concerns.
I specialize in helping individuals rise above traumatic experiences. Additionally, I am passionate about supporting people with overcoming self-harm and suicidality. I also have experience with, and am passionate about, helping individuals who are struggling with anxiety, depression, domestic violence, emotional dysregulation, and identity-related concerns.
![Photo of Kate Vannier, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4cf74279-dc68-4542-a41d-fc3ee17a9fa3/1/320x400.jpeg)
Kate Vannier
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Comstock Park, MI 49321
I am a Licensed Professional Counselor with over 10 years of clinical experience. I strive to create a warm and trusting environment to empower my clients and help facilitate positive change and growth.
I am a Licensed Professional Counselor with over 10 years of clinical experience. I strive to create a warm and trusting environment to empower my clients and help facilitate positive change and growth.
![Photo of Steven Ward, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/5552f893-720f-4549-adf9-fbb5f9b133f9/2/320x400.jpeg)
My name is Steven Ward and I am a Licensed Professional Counselor. I have been a therapist for over 10 years and an intermittent therapy participant for 30 years. I believe in therapy and its ability to help others become their best selves. I have known since the first time therapy made a significant difference in my life, that I wanted to devote my life, time, and energy to serving and helping others by becoming a therapist. I received an undergraduate degree from Spring Arbor in Management and Organizational Development and utilized this to work my way through my Masters in Counseling, also from Spring Arbor University.
My name is Steven Ward and I am a Licensed Professional Counselor. I have been a therapist for over 10 years and an intermittent therapy participant for 30 years. I believe in therapy and its ability to help others become their best selves. I have known since the first time therapy made a significant difference in my life, that I wanted to devote my life, time, and energy to serving and helping others by becoming a therapist. I received an undergraduate degree from Spring Arbor in Management and Organizational Development and utilized this to work my way through my Masters in Counseling, also from Spring Arbor University.
![Photo of Heather Renee Hess, PhD, LP, Psychologist](https://photos.psychologytoday.com/020ed9a6-c7ba-45da-bde4-ca9a60d2f3ec/1/320x400.jpeg)
The decision to work with a mental health professional can seem overwhelming. My purpose as a psychologist is to help you feel as comfortable and safe as possible so that you are empowered to initiate the changes you want for your life. In a collaborative environment, I strive to help you navigate hurts of the past, deal with stressors of the present, and outline your future goals. Whether you are dealing with depression, trauma, hopelessness, racing thoughts, difficulty concentrating, relationship issues, or other concerns, I provide a trusting relationship in a judgement free atmosphere where I can help you achieve wellness.
The decision to work with a mental health professional can seem overwhelming. My purpose as a psychologist is to help you feel as comfortable and safe as possible so that you are empowered to initiate the changes you want for your life. In a collaborative environment, I strive to help you navigate hurts of the past, deal with stressors of the present, and outline your future goals. Whether you are dealing with depression, trauma, hopelessness, racing thoughts, difficulty concentrating, relationship issues, or other concerns, I provide a trusting relationship in a judgement free atmosphere where I can help you achieve wellness.
![Photo of Taryn Sinclaire, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/cd9f69af-e99d-4291-b22e-391f39b98d71/2/320x400.jpeg)
Taryn Sinclaire
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Comstock Park, MI 49321 (Online Only)
Due to telehealth, I can take clients from anywhere in Michigan. I enjoy working with clients who are up for a little work and challenge. I have a strong belief in the idea that therapy isn't something that is done to us, but rather something we must take an active role in to see any true progress. I view therapy as another way to add more tools to our toolbox in an effort to better ourselves. My goal is that by working together, you will learn things in a manner that allows you to function at your best regardless of what life throws at you.
Due to telehealth, I can take clients from anywhere in Michigan. I enjoy working with clients who are up for a little work and challenge. I have a strong belief in the idea that therapy isn't something that is done to us, but rather something we must take an active role in to see any true progress. I view therapy as another way to add more tools to our toolbox in an effort to better ourselves. My goal is that by working together, you will learn things in a manner that allows you to function at your best regardless of what life throws at you.
![Photo of Sue Glover- Not Accepting Patients At This Time, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e0fc89c4-6429-4d1e-a897-636e303d2f96/2/320x400.jpeg)
Sue Glover- Not Accepting Patients At This Time
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Comstock Park, MI 49321
Not accepting new clients
I have over 20+ years of experience in anxiety, depression, grief & loss, women’s issues, chronic illness, life transitions, and stress management.
Life can be challenging and wonderful at the same time. There are so many ups and downs and sometimes you just want someone to listen and remind you that you are going to be okay. We can’t always control what happens to us, but we can learn how to live our best life despite the difficult times. I want to help you reach your goals and discover your best life. I am a graduate of Loyola University Chicago with a B.S. in Psychology. I am a fully licensed clinical social worker with my Master’s degree from Grand Valley State University.
I have over 20+ years of experience in anxiety, depression, grief & loss, women’s issues, chronic illness, life transitions, and stress management.
Life can be challenging and wonderful at the same time. There are so many ups and downs and sometimes you just want someone to listen and remind you that you are going to be okay. We can’t always control what happens to us, but we can learn how to live our best life despite the difficult times. I want to help you reach your goals and discover your best life. I am a graduate of Loyola University Chicago with a B.S. in Psychology. I am a fully licensed clinical social worker with my Master’s degree from Grand Valley State University.
![Photo of Heather Wiszczur-Johnson, LMSW, CAADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8e87f22c-4e7a-4365-aa99-8c24243a5d0f/1/320x400.jpeg)
Heather Wiszczur-Johnson
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
1 Endorsed
Comstock Park, MI 49321
Not accepting new clients
I have extensive experience providing gender-specific counseling services to women for issues including depression, anxiety, substance abuse, ADHD, domestic violence, relationships, parenting, anger, grief, and sexual orientation issues.
I enjoy working with clients to gain insight into the challenges they face and to develop a plan to overcome them. Because everyone comes to therapy with unique issues and values, I use an individualized approach to meet your specific needs, incorporating research-based techniques that draw from mindfulness-based therapies, cognitive behavioral therapy, interpersonal therapy, and motivational interviewing. Providing compassion, support, and feedback, I create a safe and caring environment that promotes growth, healing, and empowerment. I enjoy helping clients discover their existing strengths, find hope for the future, and overcome difficulties to achieve their goals.
I have extensive experience providing gender-specific counseling services to women for issues including depression, anxiety, substance abuse, ADHD, domestic violence, relationships, parenting, anger, grief, and sexual orientation issues.
I enjoy working with clients to gain insight into the challenges they face and to develop a plan to overcome them. Because everyone comes to therapy with unique issues and values, I use an individualized approach to meet your specific needs, incorporating research-based techniques that draw from mindfulness-based therapies, cognitive behavioral therapy, interpersonal therapy, and motivational interviewing. Providing compassion, support, and feedback, I create a safe and caring environment that promotes growth, healing, and empowerment. I enjoy helping clients discover their existing strengths, find hope for the future, and overcome difficulties to achieve their goals.
More Therapists Nearby
![Photo of Stephen E Craig, PhD, LPC, Counselor](https://photos.psychologytoday.com/212b1496-fd7b-4a89-beba-aed91ca3dd8f/2/320x400.jpeg)
Counseling is an important way to invest in your health and future. For some, counseling can be a way to work through difficult life seasons, including career transition, parenting or relationship stress, divorce, or grief/loss. For others who may have a history of abuse, depression, anxiety, or other condition, counseling can help one learn to manage symptoms and to pursue a life of joy and contentment. For couples or families, for whom old ways of connecting and resolving problems are no longer working, psychotherapy provides a way to explore how a situation began and to develop new ways of resolving difficulties.
Counseling is an important way to invest in your health and future. For some, counseling can be a way to work through difficult life seasons, including career transition, parenting or relationship stress, divorce, or grief/loss. For others who may have a history of abuse, depression, anxiety, or other condition, counseling can help one learn to manage symptoms and to pursue a life of joy and contentment. For couples or families, for whom old ways of connecting and resolving problems are no longer working, psychotherapy provides a way to explore how a situation began and to develop new ways of resolving difficulties.
![Photo of Joel Arnold, LMSW, CAADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d8a00a59-07e7-446b-a9c0-711e8dce30ff/1/320x400.png)
My passion in private practice is treating adults (18 years and older) experiencing depression, anxiety, stress, addiction, trauma, and relationship issues.
Hello, my name is Joel Arnold. I am a fully licensed therapist (LMSW) and Certified Advanced Alcohol and Drug Counselor (CAADC) in Michigan. Finding the right therapist can feel like an overwhelming process. My goal is to provide a warm, welcoming, and nonjudgmental space that is client-centered. You can expect a collaborative approach in our sessions that is tailored to your needs and allows you to share your experiences, learn new skills, and accomplish your goals. Guiding my therapy philosophy is an integrative evidence-based approach (including CBT and DBT) that is trauma-informed and solution-focused.
My passion in private practice is treating adults (18 years and older) experiencing depression, anxiety, stress, addiction, trauma, and relationship issues.
Hello, my name is Joel Arnold. I am a fully licensed therapist (LMSW) and Certified Advanced Alcohol and Drug Counselor (CAADC) in Michigan. Finding the right therapist can feel like an overwhelming process. My goal is to provide a warm, welcoming, and nonjudgmental space that is client-centered. You can expect a collaborative approach in our sessions that is tailored to your needs and allows you to share your experiences, learn new skills, and accomplish your goals. Guiding my therapy philosophy is an integrative evidence-based approach (including CBT and DBT) that is trauma-informed and solution-focused.
![Photo of Ally Stein, LCSW, CAADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d29b46a4-6d7a-4a67-b041-cfd3d8dead58/2/320x400.jpeg)
Ally Stein
Clinical Social Work/Therapist, LCSW, CAADC
Verified Verified
1 Endorsed
Grand Rapids, MI 49525
Life transitions, parenting, anxiety, depression, & substance abuse can all be difficult issues to go through, however, I am here to help you navigate these unchartered waters.
The vulnerability required of therapy can be overwhelming. As someone who has personally experienced not only the benefits of therapy, but the support & compassion of a therapist, I can safely say working with someone who sees you as an individual can truly do wonders. When clients seek my therapeutic services, I don’t view them as having “problems.” I recognize them as individuals, stuck in patterns of behaviors no longer helpful. As an upbeat & energetic person, I provide a safe, open, & validating environment to facilitate change.
Life transitions, parenting, anxiety, depression, & substance abuse can all be difficult issues to go through, however, I am here to help you navigate these unchartered waters.
The vulnerability required of therapy can be overwhelming. As someone who has personally experienced not only the benefits of therapy, but the support & compassion of a therapist, I can safely say working with someone who sees you as an individual can truly do wonders. When clients seek my therapeutic services, I don’t view them as having “problems.” I recognize them as individuals, stuck in patterns of behaviors no longer helpful. As an upbeat & energetic person, I provide a safe, open, & validating environment to facilitate change.
![Photo of Megan Schwab, LLPC, Licensed Professional Counselor](https://photos.psychologytoday.com/17d887b2-d276-465a-8c58-b50753211c3b/1/320x400.jpeg)
I have experience working with adolescents and adults who struggle with trauma, depression, self-harm, suicidal thoughts and urges, borderline personality disorder, and anxiety.
As a Master’s level clinician I strive to help clients improve their lives and learn new skills, techniques, ways of viewing themselves, and the world around them in a way that may reduce pain and suffering. I frequently use Dialectical Behavior Therapy (DBT), and Cognitive Behavior Therapy (CBT) to help empower and guide individuals in their healing journey. I believe we are all capable of finding relief, strength, and a new way of perceiving ourselves and our environment, despite the difficult and unique challenges we face.
I have experience working with adolescents and adults who struggle with trauma, depression, self-harm, suicidal thoughts and urges, borderline personality disorder, and anxiety.
As a Master’s level clinician I strive to help clients improve their lives and learn new skills, techniques, ways of viewing themselves, and the world around them in a way that may reduce pain and suffering. I frequently use Dialectical Behavior Therapy (DBT), and Cognitive Behavior Therapy (CBT) to help empower and guide individuals in their healing journey. I believe we are all capable of finding relief, strength, and a new way of perceiving ourselves and our environment, despite the difficult and unique challenges we face.
![Photo of Ashley Rijfkogel, MA, LPC, Counselor](https://photos.psychologytoday.com/93b5c23f-053d-4e9c-a979-feac7bd6869c/1/320x400.jpeg)
Are you looking for insight? You want to know what’s going on with you and how to move forward. Maybe you’ve had some sort of trauma that left you feeling lost and insecure. You find yourself overwhelmed with so much anxiety you just want to cry. Or maybe your feel sad about your relationships and unsure how to fix them. Let’s sort it out together.
Are you looking for insight? You want to know what’s going on with you and how to move forward. Maybe you’ve had some sort of trauma that left you feeling lost and insecure. You find yourself overwhelmed with so much anxiety you just want to cry. Or maybe your feel sad about your relationships and unsure how to fix them. Let’s sort it out together.
![Photo of Katie Gendron, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9131206d-3360-44b9-8675-830d559c3d38/6/320x400.jpeg)
I specialize in anxiety, depression, self worth and confidence, relationship issues, family of origin challenges, and work stress.
With 28 years of experience, helping others is not just my job; it is my nature. Life can be stressful at times, leaving you feeling overwhelmed and lost in your own thoughts. In my practice, you will find a warm and empathetic environment so you may share your feelings and your story. I offer coping skills, ways to understand your emotions, and help you find real solutions to daily problems. These tools can help to restore a sense of calm in your life and guide you in finding your way back to yourself.
I specialize in anxiety, depression, self worth and confidence, relationship issues, family of origin challenges, and work stress.
With 28 years of experience, helping others is not just my job; it is my nature. Life can be stressful at times, leaving you feeling overwhelmed and lost in your own thoughts. In my practice, you will find a warm and empathetic environment so you may share your feelings and your story. I offer coping skills, ways to understand your emotions, and help you find real solutions to daily problems. These tools can help to restore a sense of calm in your life and guide you in finding your way back to yourself.
![Photo of Stacey Morgan, PsyD, Psychologist](https://photos.psychologytoday.com/f579c2fd-2af3-4530-acad-b08dfa1e4539/2/320x400.jpeg)
I specialize in helping those with depression, anxiety, relationship issues, grief/loss, and pregnancy-related concerns.
The search for a therapist can be overwhelming, but it’s a courageous first step toward improving your life and overall well-being. Often, people know they are not happy, but they need some help to discover why. Since the success of therapy largely depends on how you feel toward your therapist, I strive to create an environment that feels nonjudgmental, safe, and comfortable. I work alongside you in the therapy, guiding you to your own conclusions with thought-provoking questions and comments, rather than telling you what decisions are best for you. Working in that manner helps build confidence in yourself and your decisions.
I specialize in helping those with depression, anxiety, relationship issues, grief/loss, and pregnancy-related concerns.
The search for a therapist can be overwhelming, but it’s a courageous first step toward improving your life and overall well-being. Often, people know they are not happy, but they need some help to discover why. Since the success of therapy largely depends on how you feel toward your therapist, I strive to create an environment that feels nonjudgmental, safe, and comfortable. I work alongside you in the therapy, guiding you to your own conclusions with thought-provoking questions and comments, rather than telling you what decisions are best for you. Working in that manner helps build confidence in yourself and your decisions.
![Photo of Lacey Twardowski, MA, LLP, Limited Licensed Psychologist](https://photos.psychologytoday.com/260df92f-299a-4352-86a8-ccc8679531df/1/320x400.jpeg)
Lacey Twardowski
Limited Licensed Psychologist, MA, LLP
Verified Verified
4 Endorsed
Grand Rapids, MI 49503 (Online Only)
Much of my work has an emphasis on anxiety and ADHD; acknowledging the varying presentations that often lead to misdiagnoses.
I work with my clients to create a healthy and helping relationship. I approach therapy open-minded and judgment-free; working to promote a safe and supportive space that facilitates growth, discovery and healing. Often in our lives we lose our identities and our paths become blurred; I have worked with a variety of clients from differing backgrounds and have made it my goal to meet people where they are and to offer myself as an instrument in accessing many of the strengths that they already possess. Therapy offers a way to help improve areas in our lives where we feel we need support.
Much of my work has an emphasis on anxiety and ADHD; acknowledging the varying presentations that often lead to misdiagnoses.
I work with my clients to create a healthy and helping relationship. I approach therapy open-minded and judgment-free; working to promote a safe and supportive space that facilitates growth, discovery and healing. Often in our lives we lose our identities and our paths become blurred; I have worked with a variety of clients from differing backgrounds and have made it my goal to meet people where they are and to offer myself as an instrument in accessing many of the strengths that they already possess. Therapy offers a way to help improve areas in our lives where we feel we need support.
See more therapy options for Comstock Park
Nearby Anxiety Therapists Searches for Comstock Park
See More Anxiety TherapistsAnxiety 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.