Anxiety Therapists in Holmdel, NJ

Photo of Courtney DeMaio, Clinical Social Work/Therapist
Courtney DeMaio
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Holmdel, NJ 07733  (Online Only)
No matter what struggles one's past might hold, I believe all people have the power to improve their lives once they gain insight and skills through therapy. While I have worked successfully with clients experiencing a variety of concerns, I specialize in helping people who are interested in overcoming symptoms related to trauma and anxiety. In addition to my advanced training and individual work with this population, I have also developed and facilitated therapeutic groups for adult survivors of childhood sexual abuse and women who have experienced trauma of any kind.
No matter what struggles one's past might hold, I believe all people have the power to improve their lives once they gain insight and skills through therapy. While I have worked successfully with clients experiencing a variety of concerns, I specialize in helping people who are interested in overcoming symptoms related to trauma and anxiety. In addition to my advanced training and individual work with this population, I have also developed and facilitated therapeutic groups for adult survivors of childhood sexual abuse and women who have experienced trauma of any kind.
(848) 400-4712 View (848) 400-4712
Photo of Sherry L. Goldman - Sherry Goldman, LCSW, Clinical Social Work/Therapist
Sherry Goldman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Holmdel, NJ 07733
Anxiety, depression, and worry are making you miserable and keeping you up at night. Nothing you have tried is helping, and you've tried everything. There's never enough time to get it all done, and the pressure never ends. You’re at your wits ends. When you play it forward you only see things getting worse. The unavoidable consequences to your relationships and family, your work, and your health are constant lurking threats. You keep your stress buried inside because you don’t know what else to do. Everyone thinks you have it all figured out. But the truth is you feel lost. You've worked too hard to feel so unhappy.
Anxiety, depression, and worry are making you miserable and keeping you up at night. Nothing you have tried is helping, and you've tried everything. There's never enough time to get it all done, and the pressure never ends. You’re at your wits ends. When you play it forward you only see things getting worse. The unavoidable consequences to your relationships and family, your work, and your health are constant lurking threats. You keep your stress buried inside because you don’t know what else to do. Everyone thinks you have it all figured out. But the truth is you feel lost. You've worked too hard to feel so unhappy.
(732) 217-4834 View (732) 217-4834
Photo of Saba Khan, PsyD, PSYPACT, Psychologist
Saba Khan
Psychologist, PsyD, PSYPACT
Verified Verified
Holmdel, NJ 07733  (Online Only)
If you embrace your emotions in a way that is restorative and healing rather than anxiety-proving or depleting, then you can live life meaningfully.
Creating the space for reflection is hard, especially in the midst of our busy lives. Many people feel stuck in difficult patterns, not knowing how to be happy. In a collaborative atmosphere, I can help you develop a healthy relationship with yourself and others. With sensitivity, compassion, and attention to your strengths, together we can identify your goals and help you meet these. Using emotion-focused work is particularly helpful because our feelings offer us a roadmap to our psyche. In other words, our emotions clue us in to what motivates, reinforces, or is aversive to us. Emotions drive our reactivity, thoughts, and mood.
If you embrace your emotions in a way that is restorative and healing rather than anxiety-proving or depleting, then you can live life meaningfully.
Creating the space for reflection is hard, especially in the midst of our busy lives. Many people feel stuck in difficult patterns, not knowing how to be happy. In a collaborative atmosphere, I can help you develop a healthy relationship with yourself and others. With sensitivity, compassion, and attention to your strengths, together we can identify your goals and help you meet these. Using emotion-focused work is particularly helpful because our feelings offer us a roadmap to our psyche. In other words, our emotions clue us in to what motivates, reinforces, or is aversive to us. Emotions drive our reactivity, thoughts, and mood.
(732) 561-5046 View (732) 561-5046
Photo of Lisa Manns Howard, MS, LPC, LCADC, Licensed Professional Counselor
Lisa Manns Howard
Licensed Professional Counselor, MS, LPC, LCADC
Verified Verified
1 Endorsed
Holmdel, NJ 07733
Are you struggling with anxiety, stress, depression, grief, difficult emotions, family/interpersonal conflict or low self-esteem? Empowered Life Counseling can collaborate with you to help you formulate strategies and coping skills to heal your past, improve your mental health and set you on the path to wellness.
Are you struggling with anxiety, stress, depression, grief, difficult emotions, family/interpersonal conflict or low self-esteem? Empowered Life Counseling can collaborate with you to help you formulate strategies and coping skills to heal your past, improve your mental health and set you on the path to wellness.
(732) 365-0494 View (732) 365-0494
Photo of Matthew Berman, MA, LPC, ACS, Licensed Professional Counselor
Matthew Berman
Licensed Professional Counselor, MA, LPC, ACS
Verified Verified
3 Endorsed
Holmdel, NJ 07733
I see therapy as a way to develop a deeper understanding of the patterns that hold you back, get in the way of your goals, and keep you feeling depressed, anxious, and overwhelmed.
When you think about a better future for yourself, what do you envision? Are you feeling less stressed? Are you more confident? Is your relationship thriving? Are you getting more time to do the things you love? Therapy is a journey to find a path towards those goals. Therapy is an individualized process. Sometimes, we aren’t always aware of the thoughts, beliefs, and situations that prevent us from feeling better or getting our needs met. Other times, we are aware of these things but unsure on how to limit how much they impact us and how we can manage them.
I see therapy as a way to develop a deeper understanding of the patterns that hold you back, get in the way of your goals, and keep you feeling depressed, anxious, and overwhelmed.
When you think about a better future for yourself, what do you envision? Are you feeling less stressed? Are you more confident? Is your relationship thriving? Are you getting more time to do the things you love? Therapy is a journey to find a path towards those goals. Therapy is an individualized process. Sometimes, we aren’t always aware of the thoughts, beliefs, and situations that prevent us from feeling better or getting our needs met. Other times, we are aware of these things but unsure on how to limit how much they impact us and how we can manage them.
(848) 276-7662 View (848) 276-7662
Photo of Kathleen Berman, MA, LPC, Licensed Professional Counselor
Kathleen Berman
Licensed Professional Counselor, MA, LPC
Verified Verified
Holmdel, NJ 07733
I have worked in a variety of agency, community and school settings to help others alleviate their symptoms of anxiety, depression, OCD, relationship, and parenting issues.
What does a better tomorrow look like to you? Can you imagine your world with less stress and more enjoyment? More effective communication and stronger relationships with others? Therapy can help guide you towards these goals.
I have worked in a variety of agency, community and school settings to help others alleviate their symptoms of anxiety, depression, OCD, relationship, and parenting issues.
What does a better tomorrow look like to you? Can you imagine your world with less stress and more enjoyment? More effective communication and stronger relationships with others? Therapy can help guide you towards these goals.
(848) 360-3970 View (848) 360-3970
Photo of Melissa Rivera Marano - MRM Psychological Testing and Clinical Services, PsyD, Psychologist
MRM Psychological Testing and Clinical Services
Psychologist, PsyD
Verified Verified
Holmdel, NJ 07733
MRM Psychological Testing and Clinical Services provides comprehensive, goal directed treatment in order to improve emotional health and well being. I focus on the connection between what we think, feel and do and how adjustments and changes in these areas can improve one's life. While my practice is diverse, I specialize in the treatment of Anxiety Disorders. Other areas of focus include Mood Disorders, Child/Adolescent related behaviors and disorders, and Adjustment Disorders. My clinical staff also specialize in addictions and family therapy.
MRM Psychological Testing and Clinical Services provides comprehensive, goal directed treatment in order to improve emotional health and well being. I focus on the connection between what we think, feel and do and how adjustments and changes in these areas can improve one's life. While my practice is diverse, I specialize in the treatment of Anxiety Disorders. Other areas of focus include Mood Disorders, Child/Adolescent related behaviors and disorders, and Adjustment Disorders. My clinical staff also specialize in addictions and family therapy.
(732) 847-2423 View (732) 847-2423
Photo of Robin Hyson, LPC, LCADC, ACS, Licensed Professional Counselor
Robin Hyson
Licensed Professional Counselor, LPC, LCADC, ACS
Verified Verified
Holmdel, NJ 07733
Our work together will help you feel empowered to reduce anxiety, increase satisfaction in relationships and accomplish your personal and professional best!.
Anxiety & self-doubt can affect our ability to perform at the top of our game. Therapy can help to reduce anxiety & increase self-confidence. The process can help you become your personal and professional best! We will explore anxiety, relationships, & other concerns... explore past & present events & feelings that are interfering with reaching your full capacity... & we will make a plan to help you accomplish the goals that you set.
Our work together will help you feel empowered to reduce anxiety, increase satisfaction in relationships and accomplish your personal and professional best!.
Anxiety & self-doubt can affect our ability to perform at the top of our game. Therapy can help to reduce anxiety & increase self-confidence. The process can help you become your personal and professional best! We will explore anxiety, relationships, & other concerns... explore past & present events & feelings that are interfering with reaching your full capacity... & we will make a plan to help you accomplish the goals that you set.
(732) 365-3254 View (732) 365-3254
Photo of Kara Zlotnick, PhD, Psychologist
Kara Zlotnick
Psychologist, PhD
Verified Verified
Holmdel, NJ 07733
I work with children, adolescents, young adults and families who want to make their lives happier. I specialize in cognitive behavioral therapy (CBT) to help children and adolescents who are feeling sad, irritable, frustrated, angry, or anxious. Through therapy, I work with families to help children cope with school, social, family, or health problems. In addition to CBT, I incorporate other treatment techniques to best help you and your child (e.g., play therapy, interpersonal therapy, dialectical behavior therapy, family systems, and psychodynamic techniques).
I work with children, adolescents, young adults and families who want to make their lives happier. I specialize in cognitive behavioral therapy (CBT) to help children and adolescents who are feeling sad, irritable, frustrated, angry, or anxious. Through therapy, I work with families to help children cope with school, social, family, or health problems. In addition to CBT, I incorporate other treatment techniques to best help you and your child (e.g., play therapy, interpersonal therapy, dialectical behavior therapy, family systems, and psychodynamic techniques).
(732) 820-3312 View (732) 820-3312
Photo of Jan Waters, MA, LPC, RPT, Licensed Professional Counselor
Jan Waters
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
1 Endorsed
Holmdel, NJ 07733
Whether you or your child or adolescent is struggling with anxiety, depression, abuse/trauma, academic pressures, ADHD, social challenges, self-esteem or behavior issues; I can help develop strategies and skills to feel better.
Are you worried about your child and struggling to find ways to help him/her? Does your son or daughter seem unusually sad, angry, have trouble making and keeping friends, or following rules? Sometimes after a change or trauma children express their difficulties through negative behaviors. As parents, we all want our kids to feel good about themselves and be successful. Sometimes its easy to lose sight of a child's strengths and positive attributes. I'm passionate about helping struggling kids and families get back on a positive track in a fun and engaging way.
Whether you or your child or adolescent is struggling with anxiety, depression, abuse/trauma, academic pressures, ADHD, social challenges, self-esteem or behavior issues; I can help develop strategies and skills to feel better.
Are you worried about your child and struggling to find ways to help him/her? Does your son or daughter seem unusually sad, angry, have trouble making and keeping friends, or following rules? Sometimes after a change or trauma children express their difficulties through negative behaviors. As parents, we all want our kids to feel good about themselves and be successful. Sometimes its easy to lose sight of a child's strengths and positive attributes. I'm passionate about helping struggling kids and families get back on a positive track in a fun and engaging way.
(732) 733-4920 View (732) 733-4920
Photo of Jenna Rinaldi, MA, LPC, Licensed Professional Counselor
Jenna Rinaldi
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Holmdel, NJ 07733  (Online Only)
Life events are sometimes beyond our control. We can only change the way we cope with it, the way we view it and what we choose to learn from it. In a comfortable and supportive environment, I can provide you with the tools you need to thrive. I treat anxiety, depression, as well as many other symptoms and disorders that affect people for all different reasons. Whether it is a relationship, life transition, illness, loss or other life circumstance, together we can make great changes.
Life events are sometimes beyond our control. We can only change the way we cope with it, the way we view it and what we choose to learn from it. In a comfortable and supportive environment, I can provide you with the tools you need to thrive. I treat anxiety, depression, as well as many other symptoms and disorders that affect people for all different reasons. Whether it is a relationship, life transition, illness, loss or other life circumstance, together we can make great changes.
(732) 844-8465 View (732) 844-8465
Photo of Marie E Chece, MSW, LCSW, Clinical Social Work/Therapist
Marie E Chece
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Holmdel, NJ 07733
My practice handles a broad spectrum of clients and among my areas of expertise are child & adolescent counseling; group therapy for teenagers; separation, divorce, specifically co-parenting coaching, mediation; couples; mood & anxiety disorders; and crisis and abuse & trauma counseling including Post Traumatic Stress Disorder and Trauma Focused Cognitive Behavioral Therapy.
With extensive experience assisting people at every stage in life, my therapeutic approach will provide support and practical feedback to help you effectively address personal life challenges. I have extensive post graduate experience in the treatment of children and families impacted by abuse, neglect and other significant traumatic events such as divorce, death, chronic illness or substance abuse. I integrate complementary methodologies to offer a personalized approach. With compassion and understanding, I will work with you to help build on your strengths and attain the personal growth you and/or your family are committed to accomplishing.
My practice handles a broad spectrum of clients and among my areas of expertise are child & adolescent counseling; group therapy for teenagers; separation, divorce, specifically co-parenting coaching, mediation; couples; mood & anxiety disorders; and crisis and abuse & trauma counseling including Post Traumatic Stress Disorder and Trauma Focused Cognitive Behavioral Therapy.
With extensive experience assisting people at every stage in life, my therapeutic approach will provide support and practical feedback to help you effectively address personal life challenges. I have extensive post graduate experience in the treatment of children and families impacted by abuse, neglect and other significant traumatic events such as divorce, death, chronic illness or substance abuse. I integrate complementary methodologies to offer a personalized approach. With compassion and understanding, I will work with you to help build on your strengths and attain the personal growth you and/or your family are committed to accomplishing.
(732) 823-6962 View (732) 823-6962
Photo of Stephanie Englander, MS, LPC, LCADC, ACS, SAC, Licensed Professional Counselor
Stephanie Englander
Licensed Professional Counselor, MS, LPC, LCADC, ACS, SAC
Verified Verified
5 Endorsed
Holmdel, NJ 07733
If you are having difficulty overcoming struggles in your life, you are not alone. I can help navigate you through these difficult times in a safe, comfortable, and confidential space. I believe therapy is an avenue to address the challenges in life that sometimes seem unmanageable. Whether a change in your life is causing you discomfort, or you are struggling with substance use, anxiety, depression, low self-esteem, or relationship issues, I am here to support you and help you cope with life's struggles.
If you are having difficulty overcoming struggles in your life, you are not alone. I can help navigate you through these difficult times in a safe, comfortable, and confidential space. I believe therapy is an avenue to address the challenges in life that sometimes seem unmanageable. Whether a change in your life is causing you discomfort, or you are struggling with substance use, anxiety, depression, low self-esteem, or relationship issues, I am here to support you and help you cope with life's struggles.
(732) 800-5603 View (732) 800-5603
Photo of Elaine Kandalepas, PsyD, Psychologist
Elaine Kandalepas
Psychologist, PsyD
Verified Verified
Holmdel, NJ 07733
With the proper support and guidance, therapy helps you cultivate your strengths, regain control, learn ways to overcome challenges, enrich your life, and take steps toward a more fulfilling future. My broad experience as a therapist enables me to offer you professional help for your specific struggles. My specialty areas include self-esteem, self-image, interpersonal and relationship difficulties, developmental and social difficulties, anxiety, depression, trauma, and grief/loss.
With the proper support and guidance, therapy helps you cultivate your strengths, regain control, learn ways to overcome challenges, enrich your life, and take steps toward a more fulfilling future. My broad experience as a therapist enables me to offer you professional help for your specific struggles. My specialty areas include self-esteem, self-image, interpersonal and relationship difficulties, developmental and social difficulties, anxiety, depression, trauma, and grief/loss.
(732) 982-5268 View (732) 982-5268
Photo of Farah N Skow, LPC, Licensed Professional Counselor
Farah N Skow
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Holmdel, NJ 07733
My clinical experience has been in the treatment of anxiety, trauma, depression, ADHD and behavior management, family and school problems, issues related to grief/loss, and issues related to self-esteem and self-image. I primarily work with adolescents and young adults.
My clinical experience has been in the treatment of anxiety, trauma, depression, ADHD and behavior management, family and school problems, issues related to grief/loss, and issues related to self-esteem and self-image. I primarily work with adolescents and young adults.
(732) 507-9751 View (732) 507-9751
Photo of Sara R. Butler, LCSW, CP, PAT, Clinical Social Work/Therapist
Sara R. Butler
Clinical Social Work/Therapist, LCSW, CP, PAT
Verified Verified
2 Endorsed
Holmdel, NJ 07733
I often work with women dealing with anxiety and depression resulting from chronic illness, relationship conflict, perinatal and maternal health concerns, and major life adjustments.
You feel sad, confused, or overwhelmed. You're afraid you will fall apart if you open up. You're stuck and you don't know where to go from here. When you’re trying to hold it all together it's difficult to reach out for help. You deserve a safe place to go, where you can put down all the pain and fear you've been carrying, and begin to find yourself again. It's my personal hope that I can provide this space for you, so you can receive the compassion and support needed to move forward on your journey.
I often work with women dealing with anxiety and depression resulting from chronic illness, relationship conflict, perinatal and maternal health concerns, and major life adjustments.
You feel sad, confused, or overwhelmed. You're afraid you will fall apart if you open up. You're stuck and you don't know where to go from here. When you’re trying to hold it all together it's difficult to reach out for help. You deserve a safe place to go, where you can put down all the pain and fear you've been carrying, and begin to find yourself again. It's my personal hope that I can provide this space for you, so you can receive the compassion and support needed to move forward on your journey.
(732) 507-9738 View (732) 507-9738
Photo of Lisa M Brown, LCSW, Clinical Social Work/Therapist
Lisa M Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Holmdel, NJ 07733
I provide therapy to individuals who are struggling with anxiety, depression, lack of emotional regulation and complex family issues.
Lets work together in a safe, warm and nonjudgemental setting that allows you or your child to meet their fullest potential. I will help you identify goals that are meaningful to you and together we will work towards meeting these goals. Therapy is a partnership and we will embark on the journey and navigate the roadblocks that can make life difficult. I use a client-centered approach along with Acceptance and Commitment Therapy, Cognitive Behavioral Therapy and play therapy.
I provide therapy to individuals who are struggling with anxiety, depression, lack of emotional regulation and complex family issues.
Lets work together in a safe, warm and nonjudgemental setting that allows you or your child to meet their fullest potential. I will help you identify goals that are meaningful to you and together we will work towards meeting these goals. Therapy is a partnership and we will embark on the journey and navigate the roadblocks that can make life difficult. I use a client-centered approach along with Acceptance and Commitment Therapy, Cognitive Behavioral Therapy and play therapy.
(848) 294-2418 View (848) 294-2418
Ross E Brutman
Licensed Professional Counselor, MA, LPC, NCC, ACS
Verified Verified
Holmdel, NJ 07733
As such, we usually begin to work on the client's anxiety, in a hierarchal format, towards the end of the first session.
My practice is dedicated to anxiety disorders with emphasis on OCD and OCD Related disorders. As such, approximately 85-90% of the clients that I am currently treating have this diagnosis. I have treated a significant amount of individuals and families who have been afflicted with the aforementioned challenges. This includes in an office setting, out in the community, and in the homes of the client. I'm up-to-date on the latest treatments. I treat clients on the Autism Spectrum, in all capacities ( anxiety related and otherwise.) I also provide clinical supervision to other therapists on how to effectively treat their own clients.
As such, we usually begin to work on the client's anxiety, in a hierarchal format, towards the end of the first session.
My practice is dedicated to anxiety disorders with emphasis on OCD and OCD Related disorders. As such, approximately 85-90% of the clients that I am currently treating have this diagnosis. I have treated a significant amount of individuals and families who have been afflicted with the aforementioned challenges. This includes in an office setting, out in the community, and in the homes of the client. I'm up-to-date on the latest treatments. I treat clients on the Autism Spectrum, in all capacities ( anxiety related and otherwise.) I also provide clinical supervision to other therapists on how to effectively treat their own clients.
(646) 859-5231 View (646) 859-5231
Photo of Andrea Evgeniou, LPC, MS, Licensed Professional Counselor
Andrea Evgeniou
Licensed Professional Counselor, LPC, MS
Verified Verified
2 Endorsed
Holmdel, NJ 07733  (Online Only)
I specialize in helping adults who have experienced trauma, especially when traditional talk therapy hasn’t been enough. With 16 years of experience, I know that healing is not one-size-fits-all. You might still face challenges with your anxiety, ADHD, depression, or PTSD. My approach blends EMDR, somatic healing, and other integrative techniques to uncover the roots of these struggles. Together, we’ll find new ways to reconnect, build resilience, and move forward. Healing isn’t always easy, but it’s possible, and you don’t have to do it alone.
I specialize in helping adults who have experienced trauma, especially when traditional talk therapy hasn’t been enough. With 16 years of experience, I know that healing is not one-size-fits-all. You might still face challenges with your anxiety, ADHD, depression, or PTSD. My approach blends EMDR, somatic healing, and other integrative techniques to uncover the roots of these struggles. Together, we’ll find new ways to reconnect, build resilience, and move forward. Healing isn’t always easy, but it’s possible, and you don’t have to do it alone.
(856) 409-7107 View (856) 409-7107
Photo of Alicia Zielinski Straub, MS, LPC, NCC, Licensed Professional Counselor
Alicia Zielinski Straub
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Holmdel, NJ 07733
You are tired of struggling. Self-doubt, anxiety and sadness serve as internal barriers to functioning in more healthy ways. Tremendous uncertainty can feel paralyzing and you have trouble coping with change. If you no longer want to be fearful but are caught in repetitive patterns, conflict, and emotional pain, know that there is hope and you are not alone. As your therapist, I am your instrument for change and will help you reach your fuller potential. You will change old behaviors and develop new ones that contribute to increased confidence and self-esteem. You will learn how to better trust yourself and in the process of life.
You are tired of struggling. Self-doubt, anxiety and sadness serve as internal barriers to functioning in more healthy ways. Tremendous uncertainty can feel paralyzing and you have trouble coping with change. If you no longer want to be fearful but are caught in repetitive patterns, conflict, and emotional pain, know that there is hope and you are not alone. As your therapist, I am your instrument for change and will help you reach your fuller potential. You will change old behaviors and develop new ones that contribute to increased confidence and self-esteem. You will learn how to better trust yourself and in the process of life.
(732) 408-6879 View (732) 408-6879
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.