Photo of Bob Montero, LCSW, Clinical Social Work/Therapist
Bob Montero
Clinical Social Work/Therapist, LCSW
Verified Verified
Northport, NY 11768  (Online Only)
I take a basic trauma approach. Often early in life, circumstances overwhelm us. We can feel unseen and misunderstood or as if we have to perform in order to be loved and accepted. When these situations are chronic, we naturally develop automatic responses to try and solve the problem. These responses arise again and again in adulthood without our bidding, creating varying degrees of anxiety and depression which negatively impact our relationships, careers, and ambitions. The good news is the system wants to find a way to heal itself. That’s what brought you here. It is my goal to help you realize your innate perfection.
I take a basic trauma approach. Often early in life, circumstances overwhelm us. We can feel unseen and misunderstood or as if we have to perform in order to be loved and accepted. When these situations are chronic, we naturally develop automatic responses to try and solve the problem. These responses arise again and again in adulthood without our bidding, creating varying degrees of anxiety and depression which negatively impact our relationships, careers, and ambitions. The good news is the system wants to find a way to heal itself. That’s what brought you here. It is my goal to help you realize your innate perfection.
(516) 701-3467 View (516) 701-3467
Photo of Dorothy S. Hyde, DCSW, LCSW, ACSW, EMDRIA, Clinical Social Work/Therapist
Dorothy S. Hyde
Clinical Social Work/Therapist, DCSW, LCSW, ACSW, EMDRIA
Verified Verified
1 Endorsed
Northport, NY 11768
I believe in the dignity of every person and that we have the answers within ourselves. I will help you make the connections and you will be able to experience your best self. As an EMDRIA Approved Consultant and a Clinical Hypnotherapist , I always use the most recent therapeutic techniques that are are specifically designed for you..
I believe in the dignity of every person and that we have the answers within ourselves. I will help you make the connections and you will be able to experience your best self. As an EMDRIA Approved Consultant and a Clinical Hypnotherapist , I always use the most recent therapeutic techniques that are are specifically designed for you..
(631) 262-9543 View (631) 262-9543
Photo of Herb Cohen, ATR-BC, LCAT, EMDR, Cert, Art Therapist
Herb Cohen
Art Therapist, ATR-BC, LCAT, EMDR, Cert
Verified Verified
1 Endorsed
Northport, NY 11768
I treat people who are suffering because of neglect, abuse or trauma and struggling with emotional regulation, substance abuse or addiction, self injury, eating disorders and phobias. I can facilitate use of spirituality and help people connect to meaning in their lives. I use EMDR, Brain Spotting and Heart Centered Hypnotherapy to get to deeply rooted issues for a complete resolution of traumatic history. I have ways to undiagnosed chronic pain, TMJ, migraines and other head pain. Crime Victims can receive therapy from me free of charge if they go through OVS -NYS Office of Victim Services.
I treat people who are suffering because of neglect, abuse or trauma and struggling with emotional regulation, substance abuse or addiction, self injury, eating disorders and phobias. I can facilitate use of spirituality and help people connect to meaning in their lives. I use EMDR, Brain Spotting and Heart Centered Hypnotherapy to get to deeply rooted issues for a complete resolution of traumatic history. I have ways to undiagnosed chronic pain, TMJ, migraines and other head pain. Crime Victims can receive therapy from me free of charge if they go through OVS -NYS Office of Victim Services.
(631) 392-8926 View (631) 392-8926
Photo of Patricia G Johnson, LCSW, Clinical Social Work/Therapist
Patricia G Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Northport, NY 11768
Many people wait too long to call a therapist. They are suffering and think things might get better on their own. By waiting people just feel worse or relationship issues become even more complicated. Psychotherapy helps you find new pathways for healing, untangling life's challenges to arrive at greater clarity and peace. I make that process as comfortable as possible by being authentically present, connected, & open. An active listener to the issues you bring forth. It is my goal to establish a collaborative alliance with you so we can enable positive change leading to a deep sense of well being.
Many people wait too long to call a therapist. They are suffering and think things might get better on their own. By waiting people just feel worse or relationship issues become even more complicated. Psychotherapy helps you find new pathways for healing, untangling life's challenges to arrive at greater clarity and peace. I make that process as comfortable as possible by being authentically present, connected, & open. An active listener to the issues you bring forth. It is my goal to establish a collaborative alliance with you so we can enable positive change leading to a deep sense of well being.
(631) 706-4042 View (631) 706-4042
Photo of Helen Ballas, PhD, Clinical Social Work/Therapist
Helen Ballas
Clinical Social Work/Therapist, PhD
Verified Verified
Northport, NY 11768
My theoretical orientation is integrative, which means I use a combination of humanistic, solution-focused, person-centered, cognitive behavioral, mindfulness based /contemplative approaches, stress management, and insight oriented techniques-depending on the needs of the client. I understand how critical the relationship between client and therapist is to the success of the therapeutic experience. As such, my hope always is to provide a warm, empathetic, supportive, and nonjudgmental environment-one in which my clients will feel safe and encouraged to build trust and work towards self-empowerment. To that end, I employ a collaborative, strengths-oriented approach.
My theoretical orientation is integrative, which means I use a combination of humanistic, solution-focused, person-centered, cognitive behavioral, mindfulness based /contemplative approaches, stress management, and insight oriented techniques-depending on the needs of the client. I understand how critical the relationship between client and therapist is to the success of the therapeutic experience. As such, my hope always is to provide a warm, empathetic, supportive, and nonjudgmental environment-one in which my clients will feel safe and encouraged to build trust and work towards self-empowerment. To that end, I employ a collaborative, strengths-oriented approach.
(631) 593-4369 View (631) 593-4369

More Therapists Nearby

Photo of Carline M Napolitano, LCSW, R, BCD, Clinical Social Work/Therapist
Carline M Napolitano
Clinical Social Work/Therapist, LCSW, R, BCD
Verified Verified
1 Endorsed
Syosset, NY 11791
Waitlist for new clients
Using emotionally focused treatment, I help people clarify needs, develop improved coping strategies and heal from conditions such as anxiety, depression, and chronic illness.
There is no need to face some of life's challenges alone. The mission of my practice is to offer individuals, couples and families, a safe place to explore all of life's possibilities.
Using emotionally focused treatment, I help people clarify needs, develop improved coping strategies and heal from conditions such as anxiety, depression, and chronic illness.
There is no need to face some of life's challenges alone. The mission of my practice is to offer individuals, couples and families, a safe place to explore all of life's possibilities.
(516) 450-5946 View (516) 450-5946
Photo of Marissa Sherov, LCSW, PMH-C, Clinical Social Work/Therapist
Marissa Sherov
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Melville, NY 11747
I believe that the therapeutic relationship is an integral part to the healing journey. I work hard at creating trust and safety with those that I work with by providing an honest, authentic, and nonjudgmental presence. It is my goal to accept whatever a person may bring to therapy while also seeing the possibility of change. I work with adults to help them navigate challenges along their journey to parenthood.  I help them cope with the emotional and mental load of trying to conceive; manage feelings of grief, loss, anxiety, and depression; to heal from trauma; adjust to motherhood; and so much more.
I believe that the therapeutic relationship is an integral part to the healing journey. I work hard at creating trust and safety with those that I work with by providing an honest, authentic, and nonjudgmental presence. It is my goal to accept whatever a person may bring to therapy while also seeing the possibility of change. I work with adults to help them navigate challenges along their journey to parenthood.  I help them cope with the emotional and mental load of trying to conceive; manage feelings of grief, loss, anxiety, and depression; to heal from trauma; adjust to motherhood; and so much more.
(631) 380-1617 View (631) 380-1617
Photo of Stacy Pellettieri - Long Island Counseling, LCSW-R, Clinical Social Work/Therapist
Long Island Counseling
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Melville, NY 11747
Sometimes all that stands in the way of your happiness and peace of mind is the way you think about things. It's remarkable how our own thoughts can work against us creating anxiety, depression and an overall feeling of being trapped or stuck. The happiness that you truly want and deserve is actually within your control! Whether it's getting rid of your fears, understanding why you feel sad, finally having that healthy relationship you have been yearning for, reducing stress, finding balance, or finally being able to answer the question "what will make me happy?".
Sometimes all that stands in the way of your happiness and peace of mind is the way you think about things. It's remarkable how our own thoughts can work against us creating anxiety, depression and an overall feeling of being trapped or stuck. The happiness that you truly want and deserve is actually within your control! Whether it's getting rid of your fears, understanding why you feel sad, finally having that healthy relationship you have been yearning for, reducing stress, finding balance, or finally being able to answer the question "what will make me happy?".
(631) 250-2805 View (631) 250-2805
Photo of Joseph Bush, LCSW, Clinical Social Work/Therapist
Joseph Bush
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Smithtown, NY 11787
People begin to heal when they feel heard. This is the first step on your journey to healing. Have you been surrounded by feelings of anxiety, stress or depression? Have you experienced grief or loss in your life? Have you encountered a traumatic event? You do not have to go through this alone. In my sessions, I strive to create a non-judgmental and empathetic environment where you can safely explore these challenges. At first these hurdles seem impossible to overcome, but by working together we can make individualized, achievable goals that will provide the tools for you to conquer these barriers.
People begin to heal when they feel heard. This is the first step on your journey to healing. Have you been surrounded by feelings of anxiety, stress or depression? Have you experienced grief or loss in your life? Have you encountered a traumatic event? You do not have to go through this alone. In my sessions, I strive to create a non-judgmental and empathetic environment where you can safely explore these challenges. At first these hurdles seem impossible to overcome, but by working together we can make individualized, achievable goals that will provide the tools for you to conquer these barriers.
(631) 212-9328 View (631) 212-9328
Photo of Kisha Heron, LMHC, CASAC-T, Counselor
Kisha Heron
Counselor, LMHC, CASAC-T
Verified Verified
1 Endorsed
Commack, NY 11725  (Online Only)
Do you ever feel like something is missing? Like there is a void that nothing seems to fill? Ever feel bound or trapped by the failures of your past? The regrets of your mistakes? The pressure and weight of depression, anxiety, family strain, and stress ever wear you down and wear you out? Well I believe there is an answer and it is found in wholeness! It is found in the truth of who you are! The unity of the family system. The healing from the past. The acceptance of the present. The hope of the future.
Do you ever feel like something is missing? Like there is a void that nothing seems to fill? Ever feel bound or trapped by the failures of your past? The regrets of your mistakes? The pressure and weight of depression, anxiety, family strain, and stress ever wear you down and wear you out? Well I believe there is an answer and it is found in wholeness! It is found in the truth of who you are! The unity of the family system. The healing from the past. The acceptance of the present. The hope of the future.
(631) 881-4710 View (631) 881-4710
Photo of Sean Tendler - North Star Mental Health Counseling Services, LMHC, Counselor
North Star Mental Health Counseling Services
Counselor, LMHC
Verified Verified
1 Endorsed
Commack, NY 11725
At North Star, we help and empower adults, adolescents, and children facing stressful life challenges. Our expertise spans anxiety, depression, trauma, addiction, OCD, PTSD, relationship issues, and difficulties with ADHD, procrastination, and motivation. Our diverse and experienced team of over 30 therapists provides personalized in-person care in Commack and Jericho. We also offer comprehensive telehealth services throughout New York State. This ensures the perfect therapeutic match to light your path to wellness. We tailor our approaches to meet your unique needs, helping you achieve personal breakthroughs and lasting wellbeing.
At North Star, we help and empower adults, adolescents, and children facing stressful life challenges. Our expertise spans anxiety, depression, trauma, addiction, OCD, PTSD, relationship issues, and difficulties with ADHD, procrastination, and motivation. Our diverse and experienced team of over 30 therapists provides personalized in-person care in Commack and Jericho. We also offer comprehensive telehealth services throughout New York State. This ensures the perfect therapeutic match to light your path to wellness. We tailor our approaches to meet your unique needs, helping you achieve personal breakthroughs and lasting wellbeing.
(631) 557-0675 View (631) 557-0675
Photo of Stacy Pellettieri, LCSW-R, Clinical Social Work/Therapist
Stacy Pellettieri
Clinical Social Work/Therapist, LCSW-R
Verified Verified
3 Endorsed
Melville, NY 11747
Sometimes all that stands in the way of your happiness and peace of mind is your own thoughts. It's remarkable how our thoughts work against us creating anxiety, depression, and an overall feeling of being trapped or stuck. The good news is that having the happiness you want and deserve is actually within your control. Whether it is getting rid of your fear, understanding why you are so sad, dreaming of a healthier relationship, or just trying to figure out what will actually make you happy, I am here to help you learn how to take control of your life.
Sometimes all that stands in the way of your happiness and peace of mind is your own thoughts. It's remarkable how our thoughts work against us creating anxiety, depression, and an overall feeling of being trapped or stuck. The good news is that having the happiness you want and deserve is actually within your control. Whether it is getting rid of your fear, understanding why you are so sad, dreaming of a healthier relationship, or just trying to figure out what will actually make you happy, I am here to help you learn how to take control of your life.
(516) 714-5386 View (516) 714-5386
Photo of Denise DeMattia, MS, LMHC, Counselor
Denise DeMattia
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Commack, NY 11725  (Online Only)
I have aided these individuals in working through suicidal ideation, self-harm, depression, anxiety and trauma.
Your life is an ongoing journey and it's time to make yourself a priority. Are you not living the life you dreamed of? Or do you often feel frustrated that your relationships, home life, and career are less than satisfying? Have you ever wondered what is stopping you from feeling happier, more confident, and in control of your future? We live in a society so busy that we can barely hear ourselves think. Its rare that anyone feels truly heard and listened to. I can help you to learn to lead a more authentic, self-actualizing life that works for you. Perhaps you're looking to take steps towards healing, but are unsure where to start.
I have aided these individuals in working through suicidal ideation, self-harm, depression, anxiety and trauma.
Your life is an ongoing journey and it's time to make yourself a priority. Are you not living the life you dreamed of? Or do you often feel frustrated that your relationships, home life, and career are less than satisfying? Have you ever wondered what is stopping you from feeling happier, more confident, and in control of your future? We live in a society so busy that we can barely hear ourselves think. Its rare that anyone feels truly heard and listened to. I can help you to learn to lead a more authentic, self-actualizing life that works for you. Perhaps you're looking to take steps towards healing, but are unsure where to start.
(631) 212-0776 View (631) 212-0776
Photo of Lauren Rothman - Visiting Counselors of NY - Neurodiversity Program, LCSW, Clinical Social Work/Therapist
Visiting Counselors of NY - Neurodiversity Program
Clinical Social Work/Therapist, LCSW
Verified Verified
Melville, NY 11747
VCNY Neurodiversity Program offers in-home and telehealth counseling for adults (21+) with Neurodevelopmental disorders: Autism Spectrum Disorder, Intellectual Developmental Disability Disorders, ADHD, Epilepsy, seizure disorders, learning disabilities, and Traumatic Brain Injury. Our Licensed Clinical Social Workers use person-first approaches and evidence-based interventions to address co-occurring mental health symptoms like depression, anxiety, mood impairments, trauma, and life stressors such as grief, loss, job, and relationship issues. Quality care tailored to your needs.
VCNY Neurodiversity Program offers in-home and telehealth counseling for adults (21+) with Neurodevelopmental disorders: Autism Spectrum Disorder, Intellectual Developmental Disability Disorders, ADHD, Epilepsy, seizure disorders, learning disabilities, and Traumatic Brain Injury. Our Licensed Clinical Social Workers use person-first approaches and evidence-based interventions to address co-occurring mental health symptoms like depression, anxiety, mood impairments, trauma, and life stressors such as grief, loss, job, and relationship issues. Quality care tailored to your needs.
(631) 919-4987 x2 View (631) 919-4987 x2
Photo of Danielle D Relyea, MSW, LCSW, -R, AF-EMDR, Clinical Social Work/Therapist
Danielle D Relyea
Clinical Social Work/Therapist, MSW, LCSW, -R, AF-EMDR
Verified Verified
Smithtown, NY 11787
It takes courage to seek guidance and can take a few tries to connect with a Mental Health Professional thatcan meet your needs. So keep trying until you meet that person & don't give up Hope!:) I have twenty plus years experience in mental health care, I'm dedicated to decreasing mental health stigma, highly passionate about understanding our mind practicing progressive, advanced, integrative treatment approaches. I'm always learning & growing from my work with clients & consider it a sacred privilege to assist another in their healing journey. I treat a broad range of issues, including but not limited to the most common in human experience: Depression, Anxiety, Trauma, Addiction, Grief & Loss, Relationship Difficulties, & Stress management. Whole Person, Multifaceted approach All the best in your wellness journey Danielle :)
It takes courage to seek guidance and can take a few tries to connect with a Mental Health Professional thatcan meet your needs. So keep trying until you meet that person & don't give up Hope!:) I have twenty plus years experience in mental health care, I'm dedicated to decreasing mental health stigma, highly passionate about understanding our mind practicing progressive, advanced, integrative treatment approaches. I'm always learning & growing from my work with clients & consider it a sacred privilege to assist another in their healing journey. I treat a broad range of issues, including but not limited to the most common in human experience: Depression, Anxiety, Trauma, Addiction, Grief & Loss, Relationship Difficulties, & Stress management. Whole Person, Multifaceted approach All the best in your wellness journey Danielle :)
(631) 734-0415 View (631) 734-0415
Photo of Allison Lebowitz Elkoubi, PhD, Psychologist
Allison Lebowitz Elkoubi
Psychologist, PhD
Verified Verified
1 Endorsed
Commack, NY 11725
My areas of expertise include mood disorders, generalized anxiety disorder, obsessive-compulsive disorder (OCD), specific phobias, posttraumatic stress disorder, and personality disorders.
Hi! I am a licensed clinical psychologist with expertise in providing evidence-based treatments including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Eye-Movement Desensitization and Reprocessing (EMDR) techniques. I specialize in the treatment of adolescents, adults, and families, struggling with a wide range of difficulties including anxiety, depression, emotion dysregulation, impulsive behaviors, self-harm, relationship problems, tolerating distress, and trauma reactions. I truly believe that treatment is most successful when working collaboratively with a client to identify and work towards goals.
My areas of expertise include mood disorders, generalized anxiety disorder, obsessive-compulsive disorder (OCD), specific phobias, posttraumatic stress disorder, and personality disorders.
Hi! I am a licensed clinical psychologist with expertise in providing evidence-based treatments including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Eye-Movement Desensitization and Reprocessing (EMDR) techniques. I specialize in the treatment of adolescents, adults, and families, struggling with a wide range of difficulties including anxiety, depression, emotion dysregulation, impulsive behaviors, self-harm, relationship problems, tolerating distress, and trauma reactions. I truly believe that treatment is most successful when working collaboratively with a client to identify and work towards goals.
(516) 613-2818 View (516) 613-2818
Photo of Simona Noaghiul Yland, MD, MPH, LMFT, Marriage & Family Therapist
Simona Noaghiul Yland
Marriage & Family Therapist, MD, MPH, LMFT
Verified Verified
Huntington, NY 11743
My choices of therapeutic models are specific to depression, anxiety, OCD, ADHD, PTSD, BPD, eating disorders, DID, bipolarity, or personality disorders.
Finding the right psychotherapist is challenging and can be a lengthy process. Once the search is completed and the therapy is under way, it will become rewarding and healing. My approach to psychotherapy is mindful, accepting and supportive. Trained in individual, couple, and family therapy, complex trauma, as well as clinical medicine and public health epidemiology, I provide treatment from an individualized integrative perspective, based on what is most beneficial to each person. My cultural and crosscultural perspectives allow me to factor in the cultural impact on human behavior.
My choices of therapeutic models are specific to depression, anxiety, OCD, ADHD, PTSD, BPD, eating disorders, DID, bipolarity, or personality disorders.
Finding the right psychotherapist is challenging and can be a lengthy process. Once the search is completed and the therapy is under way, it will become rewarding and healing. My approach to psychotherapy is mindful, accepting and supportive. Trained in individual, couple, and family therapy, complex trauma, as well as clinical medicine and public health epidemiology, I provide treatment from an individualized integrative perspective, based on what is most beneficial to each person. My cultural and crosscultural perspectives allow me to factor in the cultural impact on human behavior.
(631) 850-3051 View (631) 850-3051
Photo of Lori Bellan, MA, LMHC, Counselor
Lori Bellan
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Huntington, NY 11743
We will practice these new behaviors until integrated into your life, ultimately leading to less conflict, anxiety and stress.
I provide a safe, caring environment for my clients where we work together to build a mutually respectful and trusting relationship. My job is to help remove the obstacles in your way so self-realization can take place.
We will practice these new behaviors until integrated into your life, ultimately leading to less conflict, anxiety and stress.
I provide a safe, caring environment for my clients where we work together to build a mutually respectful and trusting relationship. My job is to help remove the obstacles in your way so self-realization can take place.
(516) 628-7364 View (516) 628-7364
Photo of Melanie C Saulle, LCSW, Clinical Social Work/Therapist
Melanie C Saulle
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Huntington, NY 11743  (Online Only)
I’m Melanie and so happy to welcome you to my page. I’m a New York State Licensed Clinical Social Worker, EMDR certified & a certified yoga instructor. Being a therapist reflects a core part of me that enjoys making authentic connections with people. I treasure the people who have positively impacted my life and work to be that person for others.
I’m Melanie and so happy to welcome you to my page. I’m a New York State Licensed Clinical Social Worker, EMDR certified & a certified yoga instructor. Being a therapist reflects a core part of me that enjoys making authentic connections with people. I treasure the people who have positively impacted my life and work to be that person for others.
(516) 774-1392 View (516) 774-1392
Photo of Dr. Alyssa A. Sceppaguercio, PhD, LMHC, EMDR, Counselor
Dr. Alyssa A. Sceppaguercio
Counselor, PhD, LMHC, EMDR
Verified Verified
4 Endorsed
Commack, NY 11725  (Online Only)
I believe in creating genuine and authentic relationships through the counseling process. It is important to build trust, and I am patient when clients decide to take on this next step. It takes courage and strength to reach out for support, and I truly commend you for doing so. My approach to counseling is allowing individuals the opportunity to sit in the driver seat and take control of their destination. I see myself as the passenger where I am able to provide support and guidance, as well as new tools and techniques to assist for a smoother ride.
I believe in creating genuine and authentic relationships through the counseling process. It is important to build trust, and I am patient when clients decide to take on this next step. It takes courage and strength to reach out for support, and I truly commend you for doing so. My approach to counseling is allowing individuals the opportunity to sit in the driver seat and take control of their destination. I see myself as the passenger where I am able to provide support and guidance, as well as new tools and techniques to assist for a smoother ride.
(631) 336-2824 View (631) 336-2824
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.