Anxiety Therapists in Centereach, NY

Photo of Lauren Young, LCSW, Clinical Social Work/Therapist
Lauren Young
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Centereach, NY 11720  (Online Only)
Waitlist for new clients
POTS/ Dysautonomia/ EDS Therapist! Accepting new clients at this time! Your life is a journey that can be difficult to handle on your own sometimes. Are you struggling with anxiety, depression or feelings surrounding a chronic illness you have been impacted by? I can help! I specialize in working with the chronic illness community with a focus on the Dysautonomia / POTS and Ehlers Danlos population as I myself also struggle in this area. It is my role to work alongside you to provide support, empathy and tools to assist you on the goals you would like to achieve in therapy.
POTS/ Dysautonomia/ EDS Therapist! Accepting new clients at this time! Your life is a journey that can be difficult to handle on your own sometimes. Are you struggling with anxiety, depression or feelings surrounding a chronic illness you have been impacted by? I can help! I specialize in working with the chronic illness community with a focus on the Dysautonomia / POTS and Ehlers Danlos population as I myself also struggle in this area. It is my role to work alongside you to provide support, empathy and tools to assist you on the goals you would like to achieve in therapy.
(631) 250-8743 View (631) 250-8743
Photo of Kim Hanley, LCSW, Clinical Social Work/Therapist
Kim Hanley
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Centereach, NY 11720  (Online Only)
General Mental Health, Anxiety and Panic Disorders, Depression, Life Coaching,General relationship challenges (family, friends, co-workers) and Learning Disabilities.
I offer a welcoming and nonjudgmental approach in my practice. I have over 20 years of experience working with adults and children and specializes in anxiety, depression, developmental disabilities, and life transitions. I also offer clinical supervision to those that are working towards their license. Please reach out if you have any questions.
General Mental Health, Anxiety and Panic Disorders, Depression, Life Coaching,General relationship challenges (family, friends, co-workers) and Learning Disabilities.
I offer a welcoming and nonjudgmental approach in my practice. I have over 20 years of experience working with adults and children and specializes in anxiety, depression, developmental disabilities, and life transitions. I also offer clinical supervision to those that are working towards their license. Please reach out if you have any questions.
(631) 515-6466 View (631) 515-6466
Photo of Trish J Nauss, LCSW-R, Clinical Social Work/Therapist
Trish J Nauss
Clinical Social Work/Therapist, LCSW-R
Verified Verified
3 Endorsed
Centereach, NY 11720
I'm Trish J. Nauss, LCSW-R, founder of A Different View Psychotherapy, Unique Therapy for the Unique You! Through the healing power of psychotherapy, I provide a unique journey of healing to individuals, couples & families. I treat Anxiety, Past Trauma, Life Transitions/adjustment issues, Relationship /Couples/Marital/ Pre-Marital Issues & other areas that you can find more details about on my website. I’m trained in & use CBT combined with other methods, strategies & approaches tailored to you personally. I’m trained in mindfulness which I use along with a client-centered approach combined with empowerment & self-esteem building.
I'm Trish J. Nauss, LCSW-R, founder of A Different View Psychotherapy, Unique Therapy for the Unique You! Through the healing power of psychotherapy, I provide a unique journey of healing to individuals, couples & families. I treat Anxiety, Past Trauma, Life Transitions/adjustment issues, Relationship /Couples/Marital/ Pre-Marital Issues & other areas that you can find more details about on my website. I’m trained in & use CBT combined with other methods, strategies & approaches tailored to you personally. I’m trained in mindfulness which I use along with a client-centered approach combined with empowerment & self-esteem building.
(631) 212-0358 View (631) 212-0358
Photo of David Zerella, LCSW, Clinical Social Work/Therapist
David Zerella
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Centereach, NY 11720
Struggling with anxiety, obsessive thinking, self-doubt, and/or perfectionism? Learn to take control of your mental health and create a more accepting and happier life through Cognitive Behavioral Therapy. The idea of therapy can seem like a daunting, overwhelming experience but taking the first step doesn't have to be. Asking for help is a major challenge for many, my goal is help people turn challenges into a positive opportunity for learning, self reflection, and personal growth. If you are looking for a humanistic approach to Cognitive Behavioral Therapy (learning how to change your thinking) you are in the right place.
Struggling with anxiety, obsessive thinking, self-doubt, and/or perfectionism? Learn to take control of your mental health and create a more accepting and happier life through Cognitive Behavioral Therapy. The idea of therapy can seem like a daunting, overwhelming experience but taking the first step doesn't have to be. Asking for help is a major challenge for many, my goal is help people turn challenges into a positive opportunity for learning, self reflection, and personal growth. If you are looking for a humanistic approach to Cognitive Behavioral Therapy (learning how to change your thinking) you are in the right place.
(631) 496-1814 View (631) 496-1814
Photo of Nancy Clark, LCSW, Clinical Social Work/Therapist
Nancy Clark
Clinical Social Work/Therapist, LCSW
Verified Verified
Centereach, NY 11720  (Online Only)
I am comfortable treating panic and anxiety symptoms, depression, substance abuse, codependency, family conflict, survivors of childhood/adult trauma and domestic violence.
My name is Nancy Clark and I am a Licenced Clinical Social Worker (LSCW-R) accepting new patients in New York State via telehealth. I have 14 years of outpatient counseling experience and I work with a variety of ages from adolescents to adults. I offer a gentle, non-judgemental approach to exploring symptoms, life challenges and barriers to mental health wellness. I enjoy working with a mix of various age groups. I have extensive experience working with adolescents and young adults.
I am comfortable treating panic and anxiety symptoms, depression, substance abuse, codependency, family conflict, survivors of childhood/adult trauma and domestic violence.
My name is Nancy Clark and I am a Licenced Clinical Social Worker (LSCW-R) accepting new patients in New York State via telehealth. I have 14 years of outpatient counseling experience and I work with a variety of ages from adolescents to adults. I offer a gentle, non-judgemental approach to exploring symptoms, life challenges and barriers to mental health wellness. I enjoy working with a mix of various age groups. I have extensive experience working with adolescents and young adults.
(646) 718-2943 View (646) 718-2943
Photo of Alexa Sadowsky, MA, LMFT, Marriage & Family Therapist
Alexa Sadowsky
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Centereach, NY 11720
Do you feel like you’re in a constant struggle with worry, ​low motivation, panic, unpredictable moods, or with your past? Is the daily struggle​ dragging down your quality of life like an anchor? Are you in a relationship where you feel you’re not being heard, or you’re tired of the same issues coming up, or someone has been unfaithful​ and you agonize over how could you ever rebuild what you two had before? I approach every client with an open mind without assumptions about your life. I will help relieve those struggles, forming a trusting, collaborative relationship with you on this journey towards peace.
Do you feel like you’re in a constant struggle with worry, ​low motivation, panic, unpredictable moods, or with your past? Is the daily struggle​ dragging down your quality of life like an anchor? Are you in a relationship where you feel you’re not being heard, or you’re tired of the same issues coming up, or someone has been unfaithful​ and you agonize over how could you ever rebuild what you two had before? I approach every client with an open mind without assumptions about your life. I will help relieve those struggles, forming a trusting, collaborative relationship with you on this journey towards peace.
(516) 614-3375 View (516) 614-3375
Photo of Jessica Russo, LCSW, Clinical Social Work/Therapist
Jessica Russo
Clinical Social Work/Therapist, LCSW
Verified Verified
8 Endorsed
Centereach, NY 11720
I am dedicated to empowering you to boost self-esteem, manage guilt, and ease anxiety and depression.
Do you struggle to balance the expectations of your parents with your own desire and aspirations, leading to conflict and feeling guilty? Are you feeling caught between two cultures and struggling between your identity and societal expectations, leading to feeling worry and self doubt? Feeling obligated to meet our family's expectations leads to immense pressure and believing we're not good enough when we fall short. Let's empower you to cultivate self-worth and shed the burden of guilt. Fostering a sense of confidence and belonging, let's liberate you to pursue your passions and identity unapologetically.
I am dedicated to empowering you to boost self-esteem, manage guilt, and ease anxiety and depression.
Do you struggle to balance the expectations of your parents with your own desire and aspirations, leading to conflict and feeling guilty? Are you feeling caught between two cultures and struggling between your identity and societal expectations, leading to feeling worry and self doubt? Feeling obligated to meet our family's expectations leads to immense pressure and believing we're not good enough when we fall short. Let's empower you to cultivate self-worth and shed the burden of guilt. Fostering a sense of confidence and belonging, let's liberate you to pursue your passions and identity unapologetically.
(845) 305-6668 View (845) 305-6668
Photo of Shannon Harvey, MA, MS, PsyD, Psychologist
Shannon Harvey
Psychologist, MA, MS, PsyD
Verified Verified
Centereach, NY 11720
I am a NYS licensed clinical psychologist specializing in CBT for children, adolescents, and adults. Specialty areas that I treat consist of anxiety disorders, OCD, autism, attention-deficit/hyperactivity disorder (ADHD), and other behavioral and developmental disorders. In addition, I have specialized training in applied behavioral analysis, parent training, motivational interviewing, and mindfulness. I take pride in being empathic, genuine, and creative in my approaches with my clients. I believe in utilizing the latest empirical research and technological advances in the field to provide the best quality of care.
I am a NYS licensed clinical psychologist specializing in CBT for children, adolescents, and adults. Specialty areas that I treat consist of anxiety disorders, OCD, autism, attention-deficit/hyperactivity disorder (ADHD), and other behavioral and developmental disorders. In addition, I have specialized training in applied behavioral analysis, parent training, motivational interviewing, and mindfulness. I take pride in being empathic, genuine, and creative in my approaches with my clients. I believe in utilizing the latest empirical research and technological advances in the field to provide the best quality of care.
(631) 354-4386 View (631) 354-4386
Photo of Virginia L. Medina-Lomas, LCSW-R, Clinical Social Work/Therapist
Virginia L. Medina-Lomas
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Centereach, NY 11720
Virginia speaks English and Spanish, she looks forward to helping you express your life's journey and assisting you in developing productive ways to handle depression, stress, anxiety, disappointments and trauma. As needed Spiritual Mentoring is offered since Virginia is an Ordained Minister under the Order of Melchizedek. Please be aware that I do not accept criminal, custody and do not accept CPS court cases.
Virginia speaks English and Spanish, she looks forward to helping you express your life's journey and assisting you in developing productive ways to handle depression, stress, anxiety, disappointments and trauma. As needed Spiritual Mentoring is offered since Virginia is an Ordained Minister under the Order of Melchizedek. Please be aware that I do not accept criminal, custody and do not accept CPS court cases.
(631) 993-4107 View (631) 993-4107
Photo of Melissa Coyle, LCSW-R, Clinical Social Work/Therapist
Melissa Coyle
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Centereach, NY 11720
Melissa Coyle is a Licensed Clinical Social Worker (LCSW-R) in private practice and has worked in behavioral health for over 20 years. She works with adults on a multitude of issues including anxiety, depression, trauma, coping skills, grief and loss. She has a special place in her heart for grief survivors and enjoys helping them transition from a journey of loss and pain to one of hope and growth. In addition to being a psychotherapist, Melissa is a Certified Clinical Trauma Professional, Certified Grief and Loss Specialist and a published author.
Melissa Coyle is a Licensed Clinical Social Worker (LCSW-R) in private practice and has worked in behavioral health for over 20 years. She works with adults on a multitude of issues including anxiety, depression, trauma, coping skills, grief and loss. She has a special place in her heart for grief survivors and enjoys helping them transition from a journey of loss and pain to one of hope and growth. In addition to being a psychotherapist, Melissa is a Certified Clinical Trauma Professional, Certified Grief and Loss Specialist and a published author.
(631) 759-8335 View (631) 759-8335
Photo of Naitian Wang, PhD, Psychologist
Naitian Wang
Psychologist, PhD
Verified Verified
Centereach, NY 11720
Something might have happened or be happening in your life and you feel that it is not easy to deal with; You might be suffering from depression, anxiety, or other psychological problems; You might have found that some areas of your life, certain aspects of yourself or your relationship/family are not that satisfying; You might be concerned about your child or your loved one... Those are some of the situations when people come to me and benefit greatly from our contacts. I believe that each individual is uniquely different and I always adjust my approach accordingly to meet your specific needs.
Something might have happened or be happening in your life and you feel that it is not easy to deal with; You might be suffering from depression, anxiety, or other psychological problems; You might have found that some areas of your life, certain aspects of yourself or your relationship/family are not that satisfying; You might be concerned about your child or your loved one... Those are some of the situations when people come to me and benefit greatly from our contacts. I believe that each individual is uniquely different and I always adjust my approach accordingly to meet your specific needs.
(631) 771-7204 View (631) 771-7204
Photo of Danielle McMath, LMSW
Danielle McMath
Licensed Master Social Worker, LMSW
Verified Verified
Centereach, NY 11720  (Online Only)
I provide an empathetic and safe space where my clients can reveal anything without fear of judgement. I specialize in treating anxiety and depression and I do this by helping my clients to reframe negative thoughts. I also provide suggestions on a variety of tools and coping skills that may be beneficial. In addition, I have experience working with clients with Obsessive Compulsive Disorder. This requires a bit of a different approach than other anxiety disorders, such as Acceptance and Commitment Therapy (ACT) where you stay present in the moment and allow the thoughts rather than avoid or fight them.
I provide an empathetic and safe space where my clients can reveal anything without fear of judgement. I specialize in treating anxiety and depression and I do this by helping my clients to reframe negative thoughts. I also provide suggestions on a variety of tools and coping skills that may be beneficial. In addition, I have experience working with clients with Obsessive Compulsive Disorder. This requires a bit of a different approach than other anxiety disorders, such as Acceptance and Commitment Therapy (ACT) where you stay present in the moment and allow the thoughts rather than avoid or fight them.
(631) 769-3169 View (631) 769-3169
Photo of Nick Califano, LCSW, Clinical Social Work/Therapist
Nick Califano
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Centereach, NY 11720
Sometimes life can feel like a rollercoaster as we go through ups and downs. During these times it can be difficult to reach out for help as intrusive thoughts lead us to feel alone, anxious, sad, or afraid. We will work together to explore these thoughts and feelings as well as set and climb towards goals at your pace.
Sometimes life can feel like a rollercoaster as we go through ups and downs. During these times it can be difficult to reach out for help as intrusive thoughts lead us to feel alone, anxious, sad, or afraid. We will work together to explore these thoughts and feelings as well as set and climb towards goals at your pace.
(516) 666-4817 View (516) 666-4817
Photo of Rustum Ibrahim, MHC-LP
Rustum Ibrahim
MHC-LP
Verified Verified
1 Endorsed
Centereach, NY 11720
Whether you're struggling with depression, anxiety, phobias, body image, relationship issues, trauma, or everyday stressors, we can work to identify the source of those feelings and create a plan to help you grow.
If you're seeking therapy, chances are that you're looking for a change or to find ways to cope with your struggles. My approach in therapy is to do my best to understand you and help you toward healing and growth. I've found one of the most powerful things people gain from therapy is recognizing that you're not alone and that change is possible. I have training and experience working with individuals and couples of various identities, backgrounds, and cultures and understand the importance of not having your experiences feel dismissed. I also run a group therapy for those looking to find support through community.
Whether you're struggling with depression, anxiety, phobias, body image, relationship issues, trauma, or everyday stressors, we can work to identify the source of those feelings and create a plan to help you grow.
If you're seeking therapy, chances are that you're looking for a change or to find ways to cope with your struggles. My approach in therapy is to do my best to understand you and help you toward healing and growth. I've found one of the most powerful things people gain from therapy is recognizing that you're not alone and that change is possible. I have training and experience working with individuals and couples of various identities, backgrounds, and cultures and understand the importance of not having your experiences feel dismissed. I also run a group therapy for those looking to find support through community.
(347) 991-8348 View (347) 991-8348
Photo of Theresa Domenichello, LCSW, Clinical Social Work/Therapist
Theresa Domenichello
Clinical Social Work/Therapist, LCSW
Verified Verified
Centereach, NY 11720
Is your anxiety getting in the way of accomplishing your life goals? Do you have a complicated relationship with food & your body? Do you struggle with relationships or feel like you have limited support from people in general? Does life feel like one bad situation after another, almost like you can't catch a break? If any of this resonates, I would be glad to walk with you in your journey of leading a more authentic, fulfilling life. I believe that our early experiences really shape us, and at times (even unknowingly) make us feel stuck.
Is your anxiety getting in the way of accomplishing your life goals? Do you have a complicated relationship with food & your body? Do you struggle with relationships or feel like you have limited support from people in general? Does life feel like one bad situation after another, almost like you can't catch a break? If any of this resonates, I would be glad to walk with you in your journey of leading a more authentic, fulfilling life. I believe that our early experiences really shape us, and at times (even unknowingly) make us feel stuck.
(516) 217-3905 View (516) 217-3905
Photo of Peyton Weiss, LCSW-R, Clinical Social Work/Therapist
Peyton Weiss
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Centereach, NY 11720  (Online Only)
Waitlist for new clients
I am a licensed clinical social worker who has worked in the field for 29 years. I have extensive experience working with individuals who have a history of depression, anxiety, trauma, and relationship issues. I have worked with many families and couples to help improve their communication skills in order to build healthier relationships. I am extremely committed to the therapeutic relationship and in helping you to find the peace and life harmony you desire. It takes tremendous courage to take the step towards healing and I have the skills and training necessary to give you the tools that you will need.
I am a licensed clinical social worker who has worked in the field for 29 years. I have extensive experience working with individuals who have a history of depression, anxiety, trauma, and relationship issues. I have worked with many families and couples to help improve their communication skills in order to build healthier relationships. I am extremely committed to the therapeutic relationship and in helping you to find the peace and life harmony you desire. It takes tremendous courage to take the step towards healing and I have the skills and training necessary to give you the tools that you will need.
(516) 550-4939 View (516) 550-4939
Photo of Jen Signet Yovino, MA,  MPS, LCAT, ATR-BC, LPAT, Art Therapist
Jen Signet Yovino
Art Therapist, MA, MPS, LCAT, ATR-BC, LPAT
Verified Verified
Centereach, NY 11720
I work with individuals who want to alleviate anxiety and improve self-esteem.
We often hold on to thoughts and feelings that seem too overwhelming to talk about. This is a space that welcomes all that you may be keeping inside. There is relief in finally being able to sit down and express whatever is on your mind. I am here to listen. My therapeutic approach integrates talk therapy with creative processes such as drawing, painting, and sculpture to support clients in deepening their self-understanding and in becoming more secure in their authentic self. Through art making and verbal processing we can work through and learn how to cope with difficult emotions and experiences.
I work with individuals who want to alleviate anxiety and improve self-esteem.
We often hold on to thoughts and feelings that seem too overwhelming to talk about. This is a space that welcomes all that you may be keeping inside. There is relief in finally being able to sit down and express whatever is on your mind. I am here to listen. My therapeutic approach integrates talk therapy with creative processes such as drawing, painting, and sculpture to support clients in deepening their self-understanding and in becoming more secure in their authentic self. Through art making and verbal processing we can work through and learn how to cope with difficult emotions and experiences.
(516) 260-4837 View (516) 260-4837
Photo of Sherraine A Francis, LCSW, Clinical Social Work/Therapist
Sherraine A Francis
Clinical Social Work/Therapist, LCSW
Verified Verified
Centereach, NY 11720  (Online Only)
I specialize in working with adolescents and adults who are having difficulty adjusting and/or transitional issues related to life events, anxiety, unhappiness, and trauma. Issues of adjustment in young adulthood are areas of particular interest to me. These years have proven to be a crucial time to explore emotions around experiences, so that healthy coping mechanisms can positively influence behavior and thinking during adulthood. I currently work with children, adolescents and adults who are ready to explore these issues in hopes to become a better version of themselves.
I specialize in working with adolescents and adults who are having difficulty adjusting and/or transitional issues related to life events, anxiety, unhappiness, and trauma. Issues of adjustment in young adulthood are areas of particular interest to me. These years have proven to be a crucial time to explore emotions around experiences, so that healthy coping mechanisms can positively influence behavior and thinking during adulthood. I currently work with children, adolescents and adults who are ready to explore these issues in hopes to become a better version of themselves.
(631) 800-7589 View (631) 800-7589
Photo of John Callahan, LCSW-R, MSW, BS, Clinical Social Work/Therapist
John Callahan
Clinical Social Work/Therapist, LCSW-R, MSW, BS
Verified Verified
Centereach, NY 11720
John Callahan has been director of outpatient programs (Crisis and traditional outpatient mental health clinic).....for 30 years and has had extensive experience working with children and families. Treatment issues have been varied and have included various forms of abuse, school issues (including phobias), hospitalization, depression, aggression, anxiety, trauma reaction, marital discord and grief and loss. He has also worked with many couples and holds certification in couples counseling.
John Callahan has been director of outpatient programs (Crisis and traditional outpatient mental health clinic).....for 30 years and has had extensive experience working with children and families. Treatment issues have been varied and have included various forms of abuse, school issues (including phobias), hospitalization, depression, aggression, anxiety, trauma reaction, marital discord and grief and loss. He has also worked with many couples and holds certification in couples counseling.
(845) 393-0189 View (845) 393-0189
Photo of Alice Woodson White - Alice Miriam Marjorie Woodson White, LCSW, P.C., LCSW, Clinical Social Work/Therapist
Alice Miriam Marjorie Woodson White, LCSW, P.C.
Clinical Social Work/Therapist, LCSW
Verified Verified
Centereach, NY 11720  (Online Only)
Distressed individuals explore concerns, fears, dreams, and personal hopes.
Restore your strength and resilience. Maximize your emotional, mental, physical, and spiritual ability. Affirm your inner greatness. Children, teens, adults, military veterans, their families, substance abusers, and the seriously and persistently mentally ill receive help. I am a certified Gottman Seven Principles of Marriage Program Educator, and a NYS Impaired Driver Assessment and Evaluation Provider. Receive the mature experience of a former preschool teacher, home school teacher, police detective, patrol supervisor, bereavement coordinator, college Psychology instructor, substance abuse counselor, and mental health therapist.
Distressed individuals explore concerns, fears, dreams, and personal hopes.
Restore your strength and resilience. Maximize your emotional, mental, physical, and spiritual ability. Affirm your inner greatness. Children, teens, adults, military veterans, their families, substance abusers, and the seriously and persistently mentally ill receive help. I am a certified Gottman Seven Principles of Marriage Program Educator, and a NYS Impaired Driver Assessment and Evaluation Provider. Receive the mature experience of a former preschool teacher, home school teacher, police detective, patrol supervisor, bereavement coordinator, college Psychology instructor, substance abuse counselor, and mental health therapist.
(631) 772-9997 View (631) 772-9997
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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.