Anxiety Therapists in Vauxhall, NJ
![Photo of Barbara E Neal, LMFT, MEd, Marriage & Family Therapist](https://photos.psychologytoday.com/faee7166-deb7-40a7-9759-eea5e8cb69a8/2/320x400.jpeg)
Barbara E Neal
Marriage & Family Therapist, LMFT, MEd
Verified Verified
1 Endorsed
Vauxhall, NJ 07088 (Online Only)
There is currently a waitlist but I will be accepting new clients from the waitlist starting March/April 2024. Therapy For Black Moms is teletherapy practice in NJ dedicated to supporting the mental and relational health of Black Mothers from pregnancy to empty nest and everything in between. This includes working with Black mothers to empower them as individuals, mothers, and partners as they navigate parenthood, career, and relationships. We also support Black moms as they work through and heal from racial trauma, traumatic birthing experiences, depression, anxiety, and a variety of other mental and relational health concerns.
There is currently a waitlist but I will be accepting new clients from the waitlist starting March/April 2024. Therapy For Black Moms is teletherapy practice in NJ dedicated to supporting the mental and relational health of Black Mothers from pregnancy to empty nest and everything in between. This includes working with Black mothers to empower them as individuals, mothers, and partners as they navigate parenthood, career, and relationships. We also support Black moms as they work through and heal from racial trauma, traumatic birthing experiences, depression, anxiety, and a variety of other mental and relational health concerns.
![Photo of Peterson Pierre-Paul, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/097f1764-98f2-487f-91b8-26cf0ca24d48/1/320x400.jpeg)
Peterson Pierre-Paul
Clinical Social Work/Therapist, LCSW
Verified Verified
Vauxhall, NJ 07088 (Online Only)
Some of my areas of focus are relationship issues, stress management, anxiety, depression, trauma, grief and loss, and personal growth.
Hello! I hope your day is going okay. I compliment you on seeking to improve your psychological health. I have experience working with adults, elderly, military veterans, children, and families at different stages of life as an agent of support and guidance. My professional life also includes a commitment to helping everyday people build resilience. I am also a military veteran who proudly served in the U.S. Army. I am able to partner with you for learning life-long coping skills, improving chronic stress, establishing quality relationships, and for creating optimism.
Some of my areas of focus are relationship issues, stress management, anxiety, depression, trauma, grief and loss, and personal growth.
Hello! I hope your day is going okay. I compliment you on seeking to improve your psychological health. I have experience working with adults, elderly, military veterans, children, and families at different stages of life as an agent of support and guidance. My professional life also includes a commitment to helping everyday people build resilience. I am also a military veteran who proudly served in the U.S. Army. I am able to partner with you for learning life-long coping skills, improving chronic stress, establishing quality relationships, and for creating optimism.
![Photo of Dana DeCarlo, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/db384c91-8c66-454a-9fd8-14e700d7f089/1/320x400.jpeg)
Dana is passionate about her experience working with adolescents, young adults, and families struggling with ADHD, anxiety, depression, special education needs, teen issues, emotional regulation, life adjustments/ transitions, and interpersonal relationships. Using a strengths based, eclectic approach, Dana draws from several evidenced based modalities including but not limited to, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Positive Psychology, and Psychodynamic Therapy while valuing that each client has their own unique qualities and needs.
Dana is passionate about her experience working with adolescents, young adults, and families struggling with ADHD, anxiety, depression, special education needs, teen issues, emotional regulation, life adjustments/ transitions, and interpersonal relationships. Using a strengths based, eclectic approach, Dana draws from several evidenced based modalities including but not limited to, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Positive Psychology, and Psychodynamic Therapy while valuing that each client has their own unique qualities and needs.
![Photo of Stephanie R Scott, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bc5711ba-0916-4f94-857a-4326d6134eda/2/320x400.jpeg)
Stephanie R Scott
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Vauxhall, NJ 07088 (Online Only)
Are you struggling with lifestyle changes or uneasiness with managing your daily routine? Are you tired of chasing perfection, thinking about if your relationship serves you to your core? Are you conflicted about choosing yourself or grappling with feeling unworthy? Do you have feelings of inadequacy regarding your parenting style? You are not alone. We all struggle with managing life's challenges. Sometimes what has worked for us in the past simply does not anymore. Let me help you examine your thoughts, feelings, and behaviors to help improve your self-worth and decision-making skills.
Are you struggling with lifestyle changes or uneasiness with managing your daily routine? Are you tired of chasing perfection, thinking about if your relationship serves you to your core? Are you conflicted about choosing yourself or grappling with feeling unworthy? Do you have feelings of inadequacy regarding your parenting style? You are not alone. We all struggle with managing life's challenges. Sometimes what has worked for us in the past simply does not anymore. Let me help you examine your thoughts, feelings, and behaviors to help improve your self-worth and decision-making skills.
![Photo of Jessica Deutsch - Lifebulb Counseling & Therapy, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1d350f93-3def-408a-aaa1-55ee32de6d5d/1/320x400.jpeg)
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Vauxhall, NJ 07088
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
![Photo of Thomas McCarthy - Lifebulb Counseling & Therapy, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/07fbf71f-f1a9-4b97-a2c4-3a5730d8e61b/1/320x400.jpeg)
Lifebulb Counseling & Therapy
Licensed Professional Counselor, LPC
Verified Verified
Vauxhall, NJ 07088 (Online Only)
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
We're here to help you reach your therapy goals at Lifebulb! We’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
![Photo of Patricia A Carter-Bridges, LPC, NCC, ACS, Licensed Professional Counselor](https://photos.psychologytoday.com/66a0202b-6ca4-4c80-8842-590a5b74a74f/1/320x400.jpeg)
Patricia A Carter-Bridges
Licensed Professional Counselor, LPC, NCC, ACS
Verified Verified
1 Endorsed
Vauxhall, NJ 07088
My ideal client would be open to growing, desire to know their true selves, and would accept the healing at would come with consistent attention. A client that would be brave enough to look deeply at their inner strength, would emerge strengthened and filled. The hope is that one comes out from whatever is hindered from past experiences and courageously move forward into your now and beyond.
My ideal client would be open to growing, desire to know their true selves, and would accept the healing at would come with consistent attention. A client that would be brave enough to look deeply at their inner strength, would emerge strengthened and filled. The hope is that one comes out from whatever is hindered from past experiences and courageously move forward into your now and beyond.
![Photo of Us At - Owen Health Care, MD, APN, LCSW, LCADC, LPC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/af0d5a42-1af9-42b1-b406-1c03c3e2031f/2/320x400.jpeg)
Owen Health Care
Clinical Social Work/Therapist, MD, APN, LCSW, LCADC, LPC
Verified Verified
Vauxhall, NJ 07088
Mental health and/or substance use issues can arise for a variety of reasons. Traumatic incidents, life events, genetics, relationships, and much more can trigger or worsen a person's condition. Whatever the reason, our clinicians can help you through the issues you are facing, and get you to a place of healing and feeling more like yourself. We provide individualized treatment for any and all mental health or substance use concerns. We help our clients plan for the future and learn how to manage stress, cravings, thoughts, and triggers so that you can discover more of who you are and find a healthy, happy way to live.
Mental health and/or substance use issues can arise for a variety of reasons. Traumatic incidents, life events, genetics, relationships, and much more can trigger or worsen a person's condition. Whatever the reason, our clinicians can help you through the issues you are facing, and get you to a place of healing and feeling more like yourself. We provide individualized treatment for any and all mental health or substance use concerns. We help our clients plan for the future and learn how to manage stress, cravings, thoughts, and triggers so that you can discover more of who you are and find a healthy, happy way to live.
More Therapists Nearby
![Photo of Denise Pertuz - Psychotherapy & Immigration Evaluations, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d416f252-c964-4f52-8341-60b4b7b96f59/1/320x400.jpeg)
Psychotherapy & Immigration Evaluations
Clinical Social Work/Therapist, LCSW
Verified Verified
Union, NJ 07083
At ARIS Behavioral Health LLC, your overall well-being is our priority. We have conducted hundreds of clinical assessments, evaluations, and psychotherapy for individuals struggling with various psychiatric disorders and challenges, including post-traumatic stress, depression, anxiety, life transitions, and all forms of domestic violence. We also specialize in immigration clinical evaluation for Asylum, U-Visas, VAWA, and Extreme Hardship Cases.
At ARIS Behavioral Health LLC, your overall well-being is our priority. We have conducted hundreds of clinical assessments, evaluations, and psychotherapy for individuals struggling with various psychiatric disorders and challenges, including post-traumatic stress, depression, anxiety, life transitions, and all forms of domestic violence. We also specialize in immigration clinical evaluation for Asylum, U-Visas, VAWA, and Extreme Hardship Cases.
![Photo of Shaynna Hunter, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3fccfac0-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
My name is Shaynna Hunter, LCSW I have been providing counseling services for over 20 years. If you are feeling anxious, sad, worried, and uncertain as to what to do to feel better, I can help. We will work together to uncover the past/present issues in your life where you feel stuck. I will assist you with developing healthy coping skills to successfully reduce and/or eliminate anxiety and feelings of depression. I have a therapeutic style that is supportive, empathetic and engaging.
My name is Shaynna Hunter, LCSW I have been providing counseling services for over 20 years. If you are feeling anxious, sad, worried, and uncertain as to what to do to feel better, I can help. We will work together to uncover the past/present issues in your life where you feel stuck. I will assist you with developing healthy coping skills to successfully reduce and/or eliminate anxiety and feelings of depression. I have a therapeutic style that is supportive, empathetic and engaging.
![Photo of Sarah Nunn - Sarah Nunn: Adults, MSW, LSW](https://photos.psychologytoday.com/7a9ff3e6-0ae8-4e40-8a24-de6a9bb473f1/4/320x400.jpeg)
I focus on teens and adults and specialize in things like emotional challenges, relationship issues, family conflict, anxiety, depression, and trauma like abuse, going to college, divorce, or loss. I use approaches like mindfulness, cognitive behavioral therapy (CBT), and making sense of the past to nurture self-compassion and gain insight. My goal is to create a warm, non-judgmental space where you can safely explore your thoughts and emotions. See if I am accepting new clients and book online at www.resolutioncc.com/team.
I focus on teens and adults and specialize in things like emotional challenges, relationship issues, family conflict, anxiety, depression, and trauma like abuse, going to college, divorce, or loss. I use approaches like mindfulness, cognitive behavioral therapy (CBT), and making sense of the past to nurture self-compassion and gain insight. My goal is to create a warm, non-judgmental space where you can safely explore your thoughts and emotions. See if I am accepting new clients and book online at www.resolutioncc.com/team.
![Photo of Jennifer Gorman, PsyD, Psychologist](https://photos.psychologytoday.com/c9b95e21-3bab-40f7-98d3-553809049f91/2/320x400.jpeg)
I am a clinical psychologist experienced in working with individuals around a variety of emotional and life challenges, including anxiety, depression, parenting, postpartum adjustment, relationship issues, health issues, and grief. I believe therapy is a creative process in which a therapist must utilize a variety of techniques to create a unique treatment plan for each patient. I am trained in many different modalities, including Cognitive Behavioral Therapy, Psychodynamic Theory, ACT, Dialectical Behavioral Therapy, and Mindfulness.
I am a clinical psychologist experienced in working with individuals around a variety of emotional and life challenges, including anxiety, depression, parenting, postpartum adjustment, relationship issues, health issues, and grief. I believe therapy is a creative process in which a therapist must utilize a variety of techniques to create a unique treatment plan for each patient. I am trained in many different modalities, including Cognitive Behavioral Therapy, Psychodynamic Theory, ACT, Dialectical Behavioral Therapy, and Mindfulness.
![Photo of Ghalia Zelfo, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/00a60291-c960-4906-8b98-5771950d1fba/2/320x400.jpeg)
Are you stressed, stuck, and burned out? Are past events haunting you? Stress, depression, anxiety, relational issues, and life happens. When life gets tough, a therapist is a great resource for help and support. I hope you will let me be a part of your journey and allow me to assist you in overcoming mental health obstacles.
Are you stressed, stuck, and burned out? Are past events haunting you? Stress, depression, anxiety, relational issues, and life happens. When life gets tough, a therapist is a great resource for help and support. I hope you will let me be a part of your journey and allow me to assist you in overcoming mental health obstacles.
![Photo of Danielle Heilweil - Positive Change Therapy, MA, LPC, LPAT, ATR-BC, Licensed Professional Counselor](https://photos.psychologytoday.com/b963f5fa-9b86-46f6-93cf-2cd70fbd9fee/1/320x400.jpeg)
Danielle Heilweil - Positive Change Therapy
Licensed Professional Counselor, MA, LPC, LPAT, ATR-BC
Verified Verified
2 Endorsed
Short Hills, NJ 07078 (Online Only)
Are you spiraling with "what if" questions, overthinking, and imagining worst case scenarios? Maybe you feel tempted to avoid situations that cause nervousness at best, or panic at worst. Anxiety can be all-consuming, negatively impacting your thoughts, feelings, behaviors and can even cause physical symptoms. If this weren't hard enough, your inner critic puts you down for having anxiety at all. You're not alone; in fact, anxiety is the most common mental health issue in the US. I want you to know learning how to overcome anxiety is well within reach. You reading this right now and seeking out support is a courageous first step.
Are you spiraling with "what if" questions, overthinking, and imagining worst case scenarios? Maybe you feel tempted to avoid situations that cause nervousness at best, or panic at worst. Anxiety can be all-consuming, negatively impacting your thoughts, feelings, behaviors and can even cause physical symptoms. If this weren't hard enough, your inner critic puts you down for having anxiety at all. You're not alone; in fact, anxiety is the most common mental health issue in the US. I want you to know learning how to overcome anxiety is well within reach. You reading this right now and seeking out support is a courageous first step.
![Photo of Ashley Beaton-Joseph, LPC, CMHC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/e31dc451-225a-4770-b213-ef7829fe1fc4/2/320x400.jpeg)
Ashley Beaton-Joseph
Licensed Professional Counselor, LPC, CMHC, NCC
Verified Verified
1 Endorsed
Short Hills, NJ 07078
Navigating the twists and turns of life can be overwhelming, for children and adults alike. Therapy can help provide a road map to guide you or your child through these difficult moments and to whatever destination awaits you. Whether you are struggling with anxiety, depression, anger, or other stressors, therapy can help you gain a better understanding of yourself and develop tools to cope with challenges. Working together, we will figure out a route to help you get to the best version of yourself.
Navigating the twists and turns of life can be overwhelming, for children and adults alike. Therapy can help provide a road map to guide you or your child through these difficult moments and to whatever destination awaits you. Whether you are struggling with anxiety, depression, anger, or other stressors, therapy can help you gain a better understanding of yourself and develop tools to cope with challenges. Working together, we will figure out a route to help you get to the best version of yourself.
![Photo of Darcie Long, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4401c310-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
I have experience in the assessment and treatment of anxiety, depression, obsessive compulsive disorders, social phobia, developmental disorders, learning disorders, ADD, and academic underachievement.
In my psychotherapy work I utilize a mind body integrative approach combined with a traditional academic training in Clinical Social Work, Systemic Family Therapy and Cognitive Behavioral Therapy. I received my MSSW from Columbia University School of Social Work and completed a clinical internship in the Child and Adolescent Psychiatric Unit of Columbia Presbyterian Hospital in New York. I have been a psychotherapist in private practice since 1998. I believe that the best thing that I can offer to my clients is the hope and belief that their problems can be solved and the techniques to do it.
I have experience in the assessment and treatment of anxiety, depression, obsessive compulsive disorders, social phobia, developmental disorders, learning disorders, ADD, and academic underachievement.
In my psychotherapy work I utilize a mind body integrative approach combined with a traditional academic training in Clinical Social Work, Systemic Family Therapy and Cognitive Behavioral Therapy. I received my MSSW from Columbia University School of Social Work and completed a clinical internship in the Child and Adolescent Psychiatric Unit of Columbia Presbyterian Hospital in New York. I have been a psychotherapist in private practice since 1998. I believe that the best thing that I can offer to my clients is the hope and belief that their problems can be solved and the techniques to do it.
![Photo of Melissa Nicole Simone, MA, LAC, BCBA, Counselor](https://photos.psychologytoday.com/88f348cc-023c-4283-ba37-fab754f6de83/2/320x400.jpeg)
Melissa Nicole Simone
Counselor, MA, LAC, BCBA
Verified Verified
Springfield, NJ 07081 (Online Only)
My areas of expertise include depression, anxiety, PTSD and trauma, relationship conflict, self-esteem, and school issues.
I am a passionate and dedicated mental health counselor working in the field since 2016. My mission is to empower individuals to lead happier, healthier lives by providing an integrative, person-centered approach to help my clients develop and maintain healthy coping skills.
My areas of expertise include depression, anxiety, PTSD and trauma, relationship conflict, self-esteem, and school issues.
I am a passionate and dedicated mental health counselor working in the field since 2016. My mission is to empower individuals to lead happier, healthier lives by providing an integrative, person-centered approach to help my clients develop and maintain healthy coping skills.
![Photo of Carolyn Allen, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/90721f6c-8139-403d-b0b4-fac99572a903/1/320x400.jpeg)
Carolyn Allen
Licensed Professional Counselor, MA, LPC
Verified Verified
Union, NJ 07083 (Online Only)
I treat depression, anxiety, Christian counseling, women's issues, relationship and domestic violence, eating disorders, and stress management.
Whether you are struggling with a particular issue, or just cannot shake the feeling that there may be more to life, I can help. I provide a caring environment in which you can identify and explore those issues that may be getting in the way of a more rewarding home life and career, or of more fulfilling relationships. The goal is to help provide you with the insight and tools you need to move beyond old limiting beliefs and behaviors. "Be careful how you think; your life is shaped by your thoughts." Proverbs 4:23 (NCV
I treat depression, anxiety, Christian counseling, women's issues, relationship and domestic violence, eating disorders, and stress management.
Whether you are struggling with a particular issue, or just cannot shake the feeling that there may be more to life, I can help. I provide a caring environment in which you can identify and explore those issues that may be getting in the way of a more rewarding home life and career, or of more fulfilling relationships. The goal is to help provide you with the insight and tools you need to move beyond old limiting beliefs and behaviors. "Be careful how you think; your life is shaped by your thoughts." Proverbs 4:23 (NCV
![Photo of Sara N Toth, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9389f48e-1ec9-40a6-8319-23dcc10b6fe3/1/320x400.jpeg)
Sara N Toth
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Millburn, NJ 07041
Waitlist for new clients
I am an open and empathic therapist whose style is warm, candid, and collaborative. I treat individuals struggling with depression, anxiety, relationship difficulties, existential crises, life transitions, chronic illness and grief. The main focus for my therapeutic work is to help you feel more at peace with yourself and in your relationships.
I am an open and empathic therapist whose style is warm, candid, and collaborative. I treat individuals struggling with depression, anxiety, relationship difficulties, existential crises, life transitions, chronic illness and grief. The main focus for my therapeutic work is to help you feel more at peace with yourself and in your relationships.
![Photo of Heather Herz, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cd87904-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Thank you for viewing my page and I hope I can help you on the path towards healing and personal growth. I strive to create a safe, genuine, and empathic space for clients to explore their inner experiences. I have expertise in working with issues of depression, anxiety, trauma/post-traumatic stress including complex trauma, relationship issues, reproductive health and infertility, life cycle changes including college transitions, new motherhood, and grief and loss. I have postgraduate certification in integrative trauma studies and EMDR (Eye Movement Desensitization and Reprocessing).
Thank you for viewing my page and I hope I can help you on the path towards healing and personal growth. I strive to create a safe, genuine, and empathic space for clients to explore their inner experiences. I have expertise in working with issues of depression, anxiety, trauma/post-traumatic stress including complex trauma, relationship issues, reproductive health and infertility, life cycle changes including college transitions, new motherhood, and grief and loss. I have postgraduate certification in integrative trauma studies and EMDR (Eye Movement Desensitization and Reprocessing).
See more therapy options for Vauxhall
Nearby Anxiety Therapists Searches for Vauxhall
- Hillside
- Irvington
- Kenilworth
- Maplewood
- Millburn
- Orange
- Roselle Park
- Short Hills
- South Orange
- Springfield
- Summit
- Union
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.