Photo of Danielle Mikeska, LPC, Licensed Professional Counselor
Danielle Mikeska
Licensed Professional Counselor, LPC
Verified Verified
Alpine, TX 79830
I enjoy working with clients struggling with a wide range of issues including but not limited to anxiety, depression, self-esteem, couples, and stress.
My name is Danielle Mikeska, M.Ed, LPC. I enjoy working with clients struggling with a wide range of issues including but not limited to anxiety, depression, self-esteem, couples issues, and stress. Life is full of ups, downs, twists, and turns. Maybe you are worried that no one can understand or relate to your situation. Whether you need help navigating the turns of life, bringing yourself up from the downs, or just celebrating the ups, I am here. We all handle life differently, and that is perfectly okay! My focus is to help you figure out what is not working and find what will.
I enjoy working with clients struggling with a wide range of issues including but not limited to anxiety, depression, self-esteem, couples, and stress.
My name is Danielle Mikeska, M.Ed, LPC. I enjoy working with clients struggling with a wide range of issues including but not limited to anxiety, depression, self-esteem, couples issues, and stress. Life is full of ups, downs, twists, and turns. Maybe you are worried that no one can understand or relate to your situation. Whether you need help navigating the turns of life, bringing yourself up from the downs, or just celebrating the ups, I am here. We all handle life differently, and that is perfectly okay! My focus is to help you figure out what is not working and find what will.
(469) 472-5031 View (469) 472-5031
Photo of Gena Howle, MEd, LPC, ACT, PCIT, Licensed Professional Counselor
Gena Howle
Licensed Professional Counselor, MEd, LPC, ACT, PCIT
Verified Verified
1 Endorsed
Alpine, TX 79830
My specializations include adolescents and problems unique to them, anxiety and depressive disorders, and addictive disorders.
I work together with individuals and youngsters in a cooperative setting to identify, prioritize and solve problems. I believe that growth occurs through the examining and embracing of the total person (spiritual, emotional, mental and physical) in a nurturing and friendly environment. I use animal therapies in a experiencial setting to help facilitate lasting value changes and personal growth. I look forward to each and every client experience as a wonderful opportunity to experience change and growth!
My specializations include adolescents and problems unique to them, anxiety and depressive disorders, and addictive disorders.
I work together with individuals and youngsters in a cooperative setting to identify, prioritize and solve problems. I believe that growth occurs through the examining and embracing of the total person (spiritual, emotional, mental and physical) in a nurturing and friendly environment. I use animal therapies in a experiencial setting to help facilitate lasting value changes and personal growth. I look forward to each and every client experience as a wonderful opportunity to experience change and growth!
(970) 517-3732 View (970) 517-3732
Photo of Brittany Miles Jacquote, LMFT, Marriage & Family Therapist
Brittany Miles Jacquote
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Alpine, TX 79831
My name is Brittany Miles Jacquote, but I go by Joyce. I am a licensed marriage and family therapist and a licensed chemical dependency counselor with eight years of clinical experience. I typically work with clients experiencing Family Conflict, Divorce, Relationship Issues, LGBTQIA+, and Marital/Pre-Marital issues. I utilize a variety of therapeutic modalities such as Clinical Supervision and Licensed, Family Therapy, Couples Therapy, Gottman Method, and Narrative therapies. I believe that goals are only practical if a client is entirely on board; therefore, goal setting is a collaborative process.
My name is Brittany Miles Jacquote, but I go by Joyce. I am a licensed marriage and family therapist and a licensed chemical dependency counselor with eight years of clinical experience. I typically work with clients experiencing Family Conflict, Divorce, Relationship Issues, LGBTQIA+, and Marital/Pre-Marital issues. I utilize a variety of therapeutic modalities such as Clinical Supervision and Licensed, Family Therapy, Couples Therapy, Gottman Method, and Narrative therapies. I believe that goals are only practical if a client is entirely on board; therefore, goal setting is a collaborative process.
(806) 482-1625 View (806) 482-1625

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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.