Anxiety Therapists in Rittenhouse Square, Philadelphia, PA

Photo of Michelle Perna, LPC, Licensed Professional Counselor
Michelle Perna
Licensed Professional Counselor, LPC
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103
I am experienced in depression, anxiety, stress, trauma, relational conflict, family systems, addiction, criminal justice, anger management, eating disorders/body image, and mood disorders. The ideal client actively wants to explore their behaviors and thinking patterns and identify the underlying causes of these behaviors. In addition, the ideal client will be willing to tackle goals inside & outside therapy sessions. My ideal client would be an individual who is internally and externally motivated to change their life. They show up to sessions on time consistently and make a conscious effort to engage in the therapeutic process.
I am experienced in depression, anxiety, stress, trauma, relational conflict, family systems, addiction, criminal justice, anger management, eating disorders/body image, and mood disorders. The ideal client actively wants to explore their behaviors and thinking patterns and identify the underlying causes of these behaviors. In addition, the ideal client will be willing to tackle goals inside & outside therapy sessions. My ideal client would be an individual who is internally and externally motivated to change their life. They show up to sessions on time consistently and make a conscious effort to engage in the therapeutic process.
(267) 692-8421 View (267) 692-8421
Photo of Andie Loiseau, LCSW, Clinical Social Work/Therapist
Andie Loiseau
Clinical Social Work/Therapist, LCSW
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103
My ideal client is the client that has an idea of what they want in life but is overwhelmed with life stressors such as anxiety and depression. This client needs a safe space to explore their life options and the triggers that are causing negative thinking patterns, self-doubt, and low self-confidence. This client needs support, encouragement, and a non-judgmental approach to achieve their goals.
My ideal client is the client that has an idea of what they want in life but is overwhelmed with life stressors such as anxiety and depression. This client needs a safe space to explore their life options and the triggers that are causing negative thinking patterns, self-doubt, and low self-confidence. This client needs support, encouragement, and a non-judgmental approach to achieve their goals.
(267) 352-4834 View (267) 352-4834
Photo of Gary Berkowitz, PhD, Psychologist
Gary Berkowitz
Psychologist, PhD
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103  (Online Only)
I am a licensed psychologist with many years of experience in cognitive behavioral therapy. I have had success using CBT for anxiety, panic, insomnia, and chronic pain. Treatment is goal oriented, skill based, and backed by research. I will teach you to replace ineffective, automatic thoughts and behaviors with more functional ones. You will learn techniques to quiet your mind. We will also explore the scientific principles of learning and behavior that will help you make long-lasting changes. By practicing these new skills, you can fight back against nagging self-doubt and ruminative thinking.
I am a licensed psychologist with many years of experience in cognitive behavioral therapy. I have had success using CBT for anxiety, panic, insomnia, and chronic pain. Treatment is goal oriented, skill based, and backed by research. I will teach you to replace ineffective, automatic thoughts and behaviors with more functional ones. You will learn techniques to quiet your mind. We will also explore the scientific principles of learning and behavior that will help you make long-lasting changes. By practicing these new skills, you can fight back against nagging self-doubt and ruminative thinking.
(484) 729-8840 View (484) 729-8840
Photo of Michelle Fuentes, MA, LPC, Licensed Professional Counselor
Michelle Fuentes
Licensed Professional Counselor, MA, LPC
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103
Some of my specialities include anxiety, OCD, depression, burn out, relationships, cancer, and grief & loss.
So often we may find ourselves caught in patterns of busying, avoiding, and distraction only to find ourselves anxious, down, exhausted, and stuck. Individual therapy is carved out time for yourself where you can notice habitual patterns, design new thoughts and attitudes, cultivate self-compassion, create space for healing, and access your own wisdom and strength that resides in you. I use a multifaceted approach that promotes a sense of curiosity and self-awareness. I draw from cognitive-behavioral, trauma-informed, and body and mindfulness-based models.
Some of my specialities include anxiety, OCD, depression, burn out, relationships, cancer, and grief & loss.
So often we may find ourselves caught in patterns of busying, avoiding, and distraction only to find ourselves anxious, down, exhausted, and stuck. Individual therapy is carved out time for yourself where you can notice habitual patterns, design new thoughts and attitudes, cultivate self-compassion, create space for healing, and access your own wisdom and strength that resides in you. I use a multifaceted approach that promotes a sense of curiosity and self-awareness. I draw from cognitive-behavioral, trauma-informed, and body and mindfulness-based models.
(267) 644-3003 View (267) 644-3003
Photo of Sharifa Martin, LPC, Counselor
Sharifa Martin
Counselor, LPC
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103
I specialize in Depression, Anxiety, & Trauma/Substance Use. I introduce therapeutic interventions appropriate for an individual's comfort level, leading to long-term personal growth. I allow you to "take the wheel" and work with you as you define your therapy goals. I encourage you to have a voice, to speak up if an area of your treatment is not working for you, and to ask questions. I am candid in that if there is an answer to a question I do not know, I will research and consult with my supervisor to get you the best answer possible.
I specialize in Depression, Anxiety, & Trauma/Substance Use. I introduce therapeutic interventions appropriate for an individual's comfort level, leading to long-term personal growth. I allow you to "take the wheel" and work with you as you define your therapy goals. I encourage you to have a voice, to speak up if an area of your treatment is not working for you, and to ask questions. I am candid in that if there is an answer to a question I do not know, I will research and consult with my supervisor to get you the best answer possible.
(267) 641-9852 View (267) 641-9852
Photo of Lauren B. Rosner, LCSW, Clinical Social Work/Therapist
Lauren B. Rosner
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Rittenhouse Square, Philadelphia, PA 19102
I am especially skilled in treating depression, anxiety, anger management, grief and loss, trauma, life cycle transitions, and self-esteem.
Throughout my diverse experience there remains one constant: the human capacity for resilience. As your therapist, I will strive to nourish your resilience. I will approach you with curiosity and attention to your uniqueness. I am dedicated to supporting you in utilizing your strengths to reach your goals. I believe that establishing a sense of safety within the therapeutic relationship is the first step towards allowing us to address difficult emotions and dynamics, which can lead to healing and growth. I will also support you in developing concrete tools and in gaining deeper understanding and acceptance of yourself and others.
I am especially skilled in treating depression, anxiety, anger management, grief and loss, trauma, life cycle transitions, and self-esteem.
Throughout my diverse experience there remains one constant: the human capacity for resilience. As your therapist, I will strive to nourish your resilience. I will approach you with curiosity and attention to your uniqueness. I am dedicated to supporting you in utilizing your strengths to reach your goals. I believe that establishing a sense of safety within the therapeutic relationship is the first step towards allowing us to address difficult emotions and dynamics, which can lead to healing and growth. I will also support you in developing concrete tools and in gaining deeper understanding and acceptance of yourself and others.
(215) 330-5055 View (215) 330-5055
Photo of Autumn Genrette, MA, LPC, LBS, Licensed Professional Counselor
Autumn Genrette
Licensed Professional Counselor, MA, LPC, LBS
Verified Verified
1 Endorsed
Rittenhouse Square, Philadelphia, PA 19103  (Online Only)

 Autumn’s main goals for her patients include developing and strengthening coping skills, managing anxiety, and finding and maintaining balance in different areas of life.
Are you finding it difficult to maintain balance in your life? Wanting to understand why you do some of the things you do? Autumn Genrette, is a Licensed Professional Counselor from Philadelphia, PA who has experience working with all age groups and offers care for clients who struggle with life transitions, anxiety, depression, and managing stress. 
Autumn has extensive experience with counseling youth and young adults, and providing mental health services for people of all ages. Autumn has been a board certified Licensed Behavioral Specialist for 11 years and a Licensed Professional Counselor for nearly 2 years.

 Autumn’s main goals for her patients include developing and strengthening coping skills, managing anxiety, and finding and maintaining balance in different areas of life.
Are you finding it difficult to maintain balance in your life? Wanting to understand why you do some of the things you do? Autumn Genrette, is a Licensed Professional Counselor from Philadelphia, PA who has experience working with all age groups and offers care for clients who struggle with life transitions, anxiety, depression, and managing stress. 
Autumn has extensive experience with counseling youth and young adults, and providing mental health services for people of all ages. Autumn has been a board certified Licensed Behavioral Specialist for 11 years and a Licensed Professional Counselor for nearly 2 years.
(484) 537-7636 View (484) 537-7636
Photo of Denise Botcheos, LCSW, Clinical Social Work/Therapist
Denise Botcheos
Clinical Social Work/Therapist, LCSW
Verified Verified
Rittenhouse Square, Philadelphia, PA 19146  (Online Only)
I’m a down-to-earth therapist with 25 years of experience, guided by empathy and authenticity. I’m passionate about helping people improve their lives and well-being. My expertise includes addiction, anxiety, depression, and trauma. If you’re feeling out of control or have a loved one struggling with addiction, reach out. I’m committed to helping you feel empowered, more alive, rebalanced, and connected to your vision for your life. Let’s work together to create a brighter future for you.
I’m a down-to-earth therapist with 25 years of experience, guided by empathy and authenticity. I’m passionate about helping people improve their lives and well-being. My expertise includes addiction, anxiety, depression, and trauma. If you’re feeling out of control or have a loved one struggling with addiction, reach out. I’m committed to helping you feel empowered, more alive, rebalanced, and connected to your vision for your life. Let’s work together to create a brighter future for you.
(215) 996-7640 View (215) 996-7640
Photo of David Skowronski, MA, LPC, LPCMH, Licensed Professional Counselor
David Skowronski
Licensed Professional Counselor, MA, LPC, LPCMH
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103
We provide treatment to assist our clients work through a wide variety of issues from relationship problems, depression, anxiety, mood disorder, eating disorders, post-traumatic stress disorder, anger management, work problems, stress management and couples.
Mr. Skowronski and PhilaTherapy is an established practice located in Center City Philadelphia and surrounding areas. We established the practice to meet the growing mental health needs of individuals in the Greater Philadelphia area. We provide psychotherapy and educational services. Our clinicians and staff are here to help you overcome various mental health conditions and everyday challenges and concerns. Locations: 255 S 17th St. Phila, PA., 230 S. Broad St. Phila, PA., 43 Leopard Rd. Paoli, PA., 717 Bethlehem Pike, Erdenheim, PA.
We provide treatment to assist our clients work through a wide variety of issues from relationship problems, depression, anxiety, mood disorder, eating disorders, post-traumatic stress disorder, anger management, work problems, stress management and couples.
Mr. Skowronski and PhilaTherapy is an established practice located in Center City Philadelphia and surrounding areas. We established the practice to meet the growing mental health needs of individuals in the Greater Philadelphia area. We provide psychotherapy and educational services. Our clinicians and staff are here to help you overcome various mental health conditions and everyday challenges and concerns. Locations: 255 S 17th St. Phila, PA., 230 S. Broad St. Phila, PA., 43 Leopard Rd. Paoli, PA., 717 Bethlehem Pike, Erdenheim, PA.
(484) 214-2421 View (484) 214-2421
Photo of Christina Taymullah, LPC, Licensed Professional Counselor
Christina Taymullah
Licensed Professional Counselor, LPC
Verified Verified
Rittenhouse Square, Philadelphia, PA 19102  (Online Only)
Christina Taymullah is a Licensed Professional Counselor (LPC) who has 12 years of experience helping others work through issues of spiritual confusion, stage of life issues, addictions, depression, and anxiety. Christina completed her Bachelor of Arts (BA) in Psychology at Temple University and her Master of Arts (MA) in Counseling Psychology at Rosemont College.
Christina Taymullah is a Licensed Professional Counselor (LPC) who has 12 years of experience helping others work through issues of spiritual confusion, stage of life issues, addictions, depression, and anxiety. Christina completed her Bachelor of Arts (BA) in Psychology at Temple University and her Master of Arts (MA) in Counseling Psychology at Rosemont College.
(215) 910-4853 View (215) 910-4853
Photo of Jennifer S Brey, MA, LPC, Licensed Professional Counselor
Jennifer S Brey
Licensed Professional Counselor, MA, LPC
Verified Verified
Rittenhouse Square, Philadelphia, PA 19102  (Online Only)
I have extensive training and experience in helping people manage and recover from anxiety, Posttraumatic Stress Disorder (PTSD) and addictive behaviors.
My goals are your goals! The therapeutic relationship is a unique partnership and the most important place to start this journey. I use an individualized approach, drawing from several therapeutic theories and techniques to meet your specific needs. I can help you manage and reduce anxiety, heal from trauma, and decrease addictive behaviors. Other areas of focus are managing depression, decreasing PNES episodes, processing grief and loss, improving communication, and self-esteem.
I have extensive training and experience in helping people manage and recover from anxiety, Posttraumatic Stress Disorder (PTSD) and addictive behaviors.
My goals are your goals! The therapeutic relationship is a unique partnership and the most important place to start this journey. I use an individualized approach, drawing from several therapeutic theories and techniques to meet your specific needs. I can help you manage and reduce anxiety, heal from trauma, and decrease addictive behaviors. Other areas of focus are managing depression, decreasing PNES episodes, processing grief and loss, improving communication, and self-esteem.
(215) 977-4908 View (215) 977-4908
Photo of Maxwell Wagenknecht, LCSW, Clinical Social Work/Therapist
Maxwell Wagenknecht
Clinical Social Work/Therapist, LCSW
Verified Verified
Rittenhouse Square, Philadelphia, PA 19102  (Online Only)
I have experience working with all sorts of issues including anxiety related issues, depressive disorders, substance use disorders, grief and loss, and trauma.
So often anxiety or depression can leave us feeling like there is no way out. I am here to empower you to be able to find hope. Whether it's struggling with a recent life transition or loss, I can provide you with the much needed space to work through these difficult feelings. Whether you have seen a therapist in the past or this is your first time, I am here to help guide you along your path to change and self-discovery. I focus on creating a safe space where we can feel free to express ourselves and work towards the change we desire.
I have experience working with all sorts of issues including anxiety related issues, depressive disorders, substance use disorders, grief and loss, and trauma.
So often anxiety or depression can leave us feeling like there is no way out. I am here to empower you to be able to find hope. Whether it's struggling with a recent life transition or loss, I can provide you with the much needed space to work through these difficult feelings. Whether you have seen a therapist in the past or this is your first time, I am here to help guide you along your path to change and self-discovery. I focus on creating a safe space where we can feel free to express ourselves and work towards the change we desire.
(267) 651-0193 View (267) 651-0193
Photo of James Lavino, Pre-Licensed Professional
James Lavino
Pre-Licensed Professional
Verified Verified
Rittenhouse Square, Philadelphia, PA 19102
James Lavino is a Resident in Counseling (RIC) and board-certified Music Therapist who works with adolescents, adults, and older adults. James has over 5 years of experience and is passionate about helping people overcome the unique challenges in their lives and improve relationships. He specializes in trauma, depression, grief, and anxiety. James holds a Master’s degree in Music Therapy and Counseling from Drexel University, as well as a Master's degree from Yale University.
James Lavino is a Resident in Counseling (RIC) and board-certified Music Therapist who works with adolescents, adults, and older adults. James has over 5 years of experience and is passionate about helping people overcome the unique challenges in their lives and improve relationships. He specializes in trauma, depression, grief, and anxiety. James holds a Master’s degree in Music Therapy and Counseling from Drexel University, as well as a Master's degree from Yale University.
(484) 559-7413 View (484) 559-7413
Photo of Katelyn King, LCSW, Clinical Social Work/Therapist
Katelyn King
Clinical Social Work/Therapist, LCSW
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103
I am adept at supporting clients with anxiety, depression, and trauma-related symptoms, seeking greater self-awareness, clarity, and insight about their current struggles and how to shift them. My ideal client is motivated to change and is interested in co-creating the goals to work towards that change, with the ultimate aim being to reduce distress and build/nurture a rich and meaningful life. I often suggest homework to help practice the skills we are learning together in session. I integrate extensive clinical experience, specialized training, & my unique personality (including a healthy dose of confidence, humility, and humor).
I am adept at supporting clients with anxiety, depression, and trauma-related symptoms, seeking greater self-awareness, clarity, and insight about their current struggles and how to shift them. My ideal client is motivated to change and is interested in co-creating the goals to work towards that change, with the ultimate aim being to reduce distress and build/nurture a rich and meaningful life. I often suggest homework to help practice the skills we are learning together in session. I integrate extensive clinical experience, specialized training, & my unique personality (including a healthy dose of confidence, humility, and humor).
(267) 651-1149 View (267) 651-1149
Photo of Leah Spyker, LPC, Licensed Professional Counselor
Leah Spyker
Licensed Professional Counselor, LPC
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103
I specialize in Substance Use, Anxiety, & Grief. Life can feel overwhelming at times, and it's okay to seek support. Whether you're navigating through difficult emotions, facing challenges in relationships, or simply need someone to listen, know that you're not alone. My ideal client is someone who wants to begin their treatment journey. They might be nervous or scared to begin, but they have made their first step to at least try.
I specialize in Substance Use, Anxiety, & Grief. Life can feel overwhelming at times, and it's okay to seek support. Whether you're navigating through difficult emotions, facing challenges in relationships, or simply need someone to listen, know that you're not alone. My ideal client is someone who wants to begin their treatment journey. They might be nervous or scared to begin, but they have made their first step to at least try.
(267) 849-1369 View (267) 849-1369
Photo of Tara Sullivan-Butrica, LCSW, Clinical Social Work/Therapist
Tara Sullivan-Butrica
Clinical Social Work/Therapist, LCSW
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103
Are you feeling overwhelmed by anxiety, depression, or mood swings? It can be incredibly challenging to manage emotions, especially when you’re unsure where to start. If you’re struggling with negative thinking or need help with committing to growth & healing, you’re not alone. As an LCSW specializing in anxiety, depression, and mood disorders, I’m here to help you navigate these difficult emotions and start your journey toward healing and self-discovery. I also offer TMS Therapy, providing an effective, medication-free option for treating depression.
Are you feeling overwhelmed by anxiety, depression, or mood swings? It can be incredibly challenging to manage emotions, especially when you’re unsure where to start. If you’re struggling with negative thinking or need help with committing to growth & healing, you’re not alone. As an LCSW specializing in anxiety, depression, and mood disorders, I’m here to help you navigate these difficult emotions and start your journey toward healing and self-discovery. I also offer TMS Therapy, providing an effective, medication-free option for treating depression.
(856) 291-9855 View (856) 291-9855
Photo of Rachel Phelps, LPC, Licensed Professional Counselor
Rachel Phelps
Licensed Professional Counselor, LPC
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103  (Online Only)
I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & trauma and abuse.
I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & trauma and abuse.
I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
(484) 956-7044 View (484) 956-7044
Photo of Sarah Babick, LCSW, Clinical Social Work/Therapist
Sarah Babick
Clinical Social Work/Therapist, LCSW
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103  (Online Only)
Waitlist for new clients
Book with me now by clicking on my website! I'm Sarah Babick, a Licensed Clinical Social Worker in Pennsylvania. I truly enjoy supporting individuals facing mental health challenges like anxiety, depression, and PTSD. Life can feel overwhelming, and having someone to talk to is important. Whether it's struggling to get out of bed or coping with social anxiety, I'm here to help. If you're dealing with the effects of a traumatic experience, know that you're not alone.
Book with me now by clicking on my website! I'm Sarah Babick, a Licensed Clinical Social Worker in Pennsylvania. I truly enjoy supporting individuals facing mental health challenges like anxiety, depression, and PTSD. Life can feel overwhelming, and having someone to talk to is important. Whether it's struggling to get out of bed or coping with social anxiety, I'm here to help. If you're dealing with the effects of a traumatic experience, know that you're not alone.
(484) 591-4691 View (484) 591-4691
Photo of Maria Ximena Cortada, LCSW, Clinical Social Work/Therapist
Maria Ximena Cortada
Clinical Social Work/Therapist, LCSW
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103  (Online Only)
I specialize in anxiety and depressive disorders, codependency and relationship issues, self-esteem, phase of life transitions, personality disorders, and forensics among others.
Hi, my name is Maria Ximena, a licensed psychotherapist, that's passionate about improving the lives of others by fostering mental health well-being. If you're seeking a therapist that works with you side by side, focusing on your strengths while intervening in areas that need attention, then you are in the right place.
I specialize in anxiety and depressive disorders, codependency and relationship issues, self-esteem, phase of life transitions, personality disorders, and forensics among others.
Hi, my name is Maria Ximena, a licensed psychotherapist, that's passionate about improving the lives of others by fostering mental health well-being. If you're seeking a therapist that works with you side by side, focusing on your strengths while intervening in areas that need attention, then you are in the right place.
(484) 739-8277 View (484) 739-8277
Photo of Zora Wesley, LSW, Clinical Social Work/Therapist
Zora Wesley
Clinical Social Work/Therapist, LSW
Verified Verified
Rittenhouse Square, Philadelphia, PA 19103
I am a Licensed Social Worker, and I work with people who struggle with anxiety and self-esteem.
Do you struggle with self-esteem issues and want to be more confident? Are you dealing with a major depressive disorder and have poor sleep & hygiene? Do you want a better life so you can keep your job and have a thriving life? I can help you identify where negative thoughts about yourself and your identity stem from. We will work on identifying negative thoughts and stress triggers. We will review what interventions have worked and have not worked for your mental health. I provide psychoeducation & may give some mini exercises, such as using positive affirmations, coming up with a nighttime routine, & relaxation techniques.
I am a Licensed Social Worker, and I work with people who struggle with anxiety and self-esteem.
Do you struggle with self-esteem issues and want to be more confident? Are you dealing with a major depressive disorder and have poor sleep & hygiene? Do you want a better life so you can keep your job and have a thriving life? I can help you identify where negative thoughts about yourself and your identity stem from. We will work on identifying negative thoughts and stress triggers. We will review what interventions have worked and have not worked for your mental health. I provide psychoeducation & may give some mini exercises, such as using positive affirmations, coming up with a nighttime routine, & relaxation techniques.
(267) 662-1024 View (267) 662-1024
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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.