Anxiety Therapists in Kemah, TX

Photo of Victoria Scott - ADHD & Neurofeedback Clinic: Houston & Woodlands , MS, LMFT, Marriage & Family Therapist
ADHD & Neurofeedback Clinic: Houston & Woodlands
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Kemah, TX 77565
Are you exhausted and feel stuck in life? Do you want more targeted therapy and a treatment plan? Perhaps, you have been in talk therapy for a while, maybe you already have a diagnosis of ADHD, Depression, Anxiety, PTSD, or Substance Abuse disorder, or perhaps you are in the stage where you know something is off, and you can't pinpoint it. If you are 12 and older, Neurofeedback might be for you! Our brain map system can identify parts of the brain that need more balance and regulation.
Are you exhausted and feel stuck in life? Do you want more targeted therapy and a treatment plan? Perhaps, you have been in talk therapy for a while, maybe you already have a diagnosis of ADHD, Depression, Anxiety, PTSD, or Substance Abuse disorder, or perhaps you are in the stage where you know something is off, and you can't pinpoint it. If you are 12 and older, Neurofeedback might be for you! Our brain map system can identify parts of the brain that need more balance and regulation.
(832) 979-9024 View (832) 979-9024
Photo of Emily Paultz, MS, LPC-A
Emily Paultz
Licensed Professional Counselor Associate, MS, LPC-A
Verified Verified
7 Endorsed
Kemah, TX 77565
Waitlist for new clients
I get it, because I've been there. I was diagnosed with an eating disorder, major depression, and generalized anxiety right out of high school. I had no idea what was happening and quickly fell into some of the darkest spaces of my life. I floundered around wondering "what's the point?" and relied heavily on unhealthy coping mechanisms to make it worth waking up each day. Today, I use my experiences to help others.
I get it, because I've been there. I was diagnosed with an eating disorder, major depression, and generalized anxiety right out of high school. I had no idea what was happening and quickly fell into some of the darkest spaces of my life. I floundered around wondering "what's the point?" and relied heavily on unhealthy coping mechanisms to make it worth waking up each day. Today, I use my experiences to help others.
(281) 357-9053 View (281) 357-9053
Photo of Channing Carpenter, MA, LCSW, Clinical Social Work/Therapist
Channing Carpenter
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
1 Endorsed
Kemah, TX 77565  (Online Only)
I specialize in treating depression, anxiety, Post Traumatic Stress Disorder, codependency, self-harm, relationship issues, and low self-esteem.
Have you been looking for a therapist that helps you become your own therapist? If your automatic thought was yes…then you have come to the right place. I offer individual telehealth therapy to adults seeking assistance in their healing process. Beginning therapy can be a very challenging step as it can be incredibly vulnerable to open your world up to a complete stranger. Therefore, I am committed to creating a safe, genuine, and culturally sensitive space for those struggling with life’s hardships. I will collaboratively work with you to identify, explore, and process challenges and to learn healthy ways to manage stressors.
I specialize in treating depression, anxiety, Post Traumatic Stress Disorder, codependency, self-harm, relationship issues, and low self-esteem.
Have you been looking for a therapist that helps you become your own therapist? If your automatic thought was yes…then you have come to the right place. I offer individual telehealth therapy to adults seeking assistance in their healing process. Beginning therapy can be a very challenging step as it can be incredibly vulnerable to open your world up to a complete stranger. Therefore, I am committed to creating a safe, genuine, and culturally sensitive space for those struggling with life’s hardships. I will collaboratively work with you to identify, explore, and process challenges and to learn healthy ways to manage stressors.
(346) 788-6851 View (346) 788-6851
Photo of Heather M. Madrid, MA, LPC-A, MHP
Heather M. Madrid
Licensed Professional Counselor Associate, MA, LPC-A, MHP
Verified Verified
6 Endorsed
Kemah, TX 77565  (Online Only)
Heather is passionate about helping clients find solutions. As an LPC-Associate supported by her Master's Degree in Clinical Mental Health Counseling, she specializes in working with a wide range of issues including anxiety, relationship issues, depression, abuse, PTSD, low self-esteem, divorce, and difficult life transitions. She believes in developing goals unique to each client and uses techniques supported by empirical research. Her services cater to adult individuals, couples, and families. Start your journey of growth with Heather by reaching out for an appointment today!
Heather is passionate about helping clients find solutions. As an LPC-Associate supported by her Master's Degree in Clinical Mental Health Counseling, she specializes in working with a wide range of issues including anxiety, relationship issues, depression, abuse, PTSD, low self-esteem, divorce, and difficult life transitions. She believes in developing goals unique to each client and uses techniques supported by empirical research. Her services cater to adult individuals, couples, and families. Start your journey of growth with Heather by reaching out for an appointment today!
(281) 609-3984 View (281) 609-3984
Photo of Victoria C Scott, LMFT, Marriage & Family Therapist
Victoria C Scott
Marriage & Family Therapist, LMFT
Verified Verified
Kemah, TX 77565
I specialize in anxious attachment, low self-esteem, and poor boundaries.
Are you feeling overwhelmed by guilt, burdened by the responsibilities of others, or paralyzed by the fear of disappointing those around you, know that you’re not alone. Many clients feel out of control in their lives, plagued by self-doubt, and afraid to assert their own needs. you may avoid conflict at all costs, fearing judgment or rejection from others. We’ll explore coping strategies to help you manage overwhelming feelings of guilt and self-criticism, and learn to accept and embrace who you are without fear of judgment from others. Through our sessions, you’ll develop the skills and resilience needed to stand up for yourself.
I specialize in anxious attachment, low self-esteem, and poor boundaries.
Are you feeling overwhelmed by guilt, burdened by the responsibilities of others, or paralyzed by the fear of disappointing those around you, know that you’re not alone. Many clients feel out of control in their lives, plagued by self-doubt, and afraid to assert their own needs. you may avoid conflict at all costs, fearing judgment or rejection from others. We’ll explore coping strategies to help you manage overwhelming feelings of guilt and self-criticism, and learn to accept and embrace who you are without fear of judgment from others. Through our sessions, you’ll develop the skills and resilience needed to stand up for yourself.
(346) 483-2856 View (346) 483-2856
Photo of Earlene Riser, PhD, Marriage & Family Therapist
Earlene Riser
Marriage & Family Therapist, PhD
Verified Verified
Kemah, TX 77565
I earned a PhD in Marital and Family Therapy with a minor in Psychology in addition to a Master's degrees in behavioral science. Having practiced for 34 years, doing over 51,000 sessions in my career, I have accumulated extensive experience in working with individuals, couples, and families struggling with depression, anxiety, anger and grief, along with the stresses of everyday life. As a certified hypnotherapist and teacher of those skills, I find hypnosis very useful in the treatment of a number of issues including, PTSD, addictions, and anxiety. New research is showing marked improvement in some cases of IBS with hypnotherapy.
I earned a PhD in Marital and Family Therapy with a minor in Psychology in addition to a Master's degrees in behavioral science. Having practiced for 34 years, doing over 51,000 sessions in my career, I have accumulated extensive experience in working with individuals, couples, and families struggling with depression, anxiety, anger and grief, along with the stresses of everyday life. As a certified hypnotherapist and teacher of those skills, I find hypnosis very useful in the treatment of a number of issues including, PTSD, addictions, and anxiety. New research is showing marked improvement in some cases of IBS with hypnotherapy.
(832) 905-9022 View (832) 905-9022
Photo of Alyssa Hanzon, LMFT-A, Marriage & Family Therapist Associate
Alyssa Hanzon
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
Kemah, TX 77565
The negative self-talk is becoming hard to ignore. You're exhausted from constant feelings of failure or inadequacy. You're ashamed at what a mess you feel you've become. You're certain others are judging, comparing, and harshly labeling you. You wish you had more confidence in yourself and hope for your future. You realize life cannot be completely free of some worry or concern, but you are frustrated that you feel anxious about everything. The increased disappointment, anger, fear, and sadness are driving you to disconnect or isolate from those you love in order to shield them from what you are going through. You feel alone.
The negative self-talk is becoming hard to ignore. You're exhausted from constant feelings of failure or inadequacy. You're ashamed at what a mess you feel you've become. You're certain others are judging, comparing, and harshly labeling you. You wish you had more confidence in yourself and hope for your future. You realize life cannot be completely free of some worry or concern, but you are frustrated that you feel anxious about everything. The increased disappointment, anger, fear, and sadness are driving you to disconnect or isolate from those you love in order to shield them from what you are going through. You feel alone.
(832) 934-9470 View (832) 934-9470
Photo of Alice Campbell, DBH, LPC, Licensed Professional Counselor
Alice Campbell
Licensed Professional Counselor, DBH, LPC
Verified Verified
Kemah, TX 77565  (Online Only)
My work targets ineffective behaviors, limiting beliefs, anxiety, depression, and life adjustments.
Are you affected by confusion, family issues, work/life balance, isolation, and many more stressful life events that keep you stuck with no answers? I believe in working together to help you reach your goals. Let’s put in the work to come up with solutions to life’s problems. If limiting beliefs, past trauma, and unexplained behavioral patterns keep you in a state of uncertainty, then you have come to the right person. I will create a safe, supportive space for you to talk through areas that are keeping you stuck. I will empower you by helping to reframe the negative narrative and create a clear path to self-love.
My work targets ineffective behaviors, limiting beliefs, anxiety, depression, and life adjustments.
Are you affected by confusion, family issues, work/life balance, isolation, and many more stressful life events that keep you stuck with no answers? I believe in working together to help you reach your goals. Let’s put in the work to come up with solutions to life’s problems. If limiting beliefs, past trauma, and unexplained behavioral patterns keep you in a state of uncertainty, then you have come to the right person. I will create a safe, supportive space for you to talk through areas that are keeping you stuck. I will empower you by helping to reframe the negative narrative and create a clear path to self-love.
(281) 957-3458 View (281) 957-3458
Photo of Diana Lozano, LPC, Licensed Professional Counselor
Diana Lozano
Licensed Professional Counselor, LPC
Verified Verified
Kemah, TX 77565
Do you often struggle with stress and feel weighed down by feelings of anxiety? Are you feeling down and need to talk about what you are experiencing? Maybe it is time to take that first step and embark on a journey to mental wellness. I am Diana Lozano and I am a Licensed Professional Counselor and I am here to listen with an open mind, acceptance, respect, and without judgement. Together we can take that journey towards healing and clarity. I will provide a safe place for you to process everything that has happened, so that you can stay centered in such an unpredictable time that is filled with unknowns.
Do you often struggle with stress and feel weighed down by feelings of anxiety? Are you feeling down and need to talk about what you are experiencing? Maybe it is time to take that first step and embark on a journey to mental wellness. I am Diana Lozano and I am a Licensed Professional Counselor and I am here to listen with an open mind, acceptance, respect, and without judgement. Together we can take that journey towards healing and clarity. I will provide a safe place for you to process everything that has happened, so that you can stay centered in such an unpredictable time that is filled with unknowns.
(361) 233-1134 View (361) 233-1134
Photo of A. Clare Zaborowski, Intern, Pre-Licensed Professional
A. Clare Zaborowski
Pre-Licensed Professional, Intern
Verified Verified
2 Endorsed
Kemah, TX 77565
Not accepting new clients
I strive to support my clients when they are in the midst of a big life change, have anxiety, depression, adjustment issues and other life challenges.
I want to help you or help you find someone who can. Everyone has struggles and sometimes we all need help. As a counselor, I truly believe in my client’s ability to grow, heal, and live their life to its most authentic and fullest potential. I believe that it is my job to support and sometimes challenge my clients to explore their lives, emotions, behaviors, and relationships and help them achieve their own personal wellness. I will strive to provide you with the most sincere and empathetic relationship you need to grow. I think that when a client feels seen and understood without judgement, healing is possible.
I strive to support my clients when they are in the midst of a big life change, have anxiety, depression, adjustment issues and other life challenges.
I want to help you or help you find someone who can. Everyone has struggles and sometimes we all need help. As a counselor, I truly believe in my client’s ability to grow, heal, and live their life to its most authentic and fullest potential. I believe that it is my job to support and sometimes challenge my clients to explore their lives, emotions, behaviors, and relationships and help them achieve their own personal wellness. I will strive to provide you with the most sincere and empathetic relationship you need to grow. I think that when a client feels seen and understood without judgement, healing is possible.
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Photo of Paige Wyatt, LMFT, Marriage & Family Therapist
Paige Wyatt
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Kemah, TX 77565
Paige Wyatt is compassionate Licensed Marriage and Family Therapist practicing in Kemah, Texas. She brings a wealth of experience working with diverse clientele, including adolescents, individuals, couples, and families. Paige is deeply committed to assisting her clients in achieving their therapeutic objectives. Employing a systemic approach, she skillfully integrates various treatment modalities tailored to each client's unique needs. Paige's interactive and non-judgmental style empowers clients to take the lead in identifying their current circumstances and desired outcomes.
Paige Wyatt is compassionate Licensed Marriage and Family Therapist practicing in Kemah, Texas. She brings a wealth of experience working with diverse clientele, including adolescents, individuals, couples, and families. Paige is deeply committed to assisting her clients in achieving their therapeutic objectives. Employing a systemic approach, she skillfully integrates various treatment modalities tailored to each client's unique needs. Paige's interactive and non-judgmental style empowers clients to take the lead in identifying their current circumstances and desired outcomes.
(832) 234-9831 View (832) 234-9831
Photo of Paige Wyatt, LMFT, Marriage & Family Therapist
Paige Wyatt
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Kemah, TX 77565
Paige Wyatt is a Licensed Marriage and Family Therapist practicing in Kemah, Texas. She brings a wealth of experience working with diverse clientele, including adolescents, individuals, couples, and families. Employing a systemic approach, she skillfully integrates various treatment modalities tailored to each client's unique needs. Paige's interactive and non-judgmental style empowers clients to take the lead in identifying their current circumstances and desired outcomes. While candid and honest in her approach, Paige refrains from sugarcoating issues, highlighting her dedication to fostering genuine and transformative experiences
Paige Wyatt is a Licensed Marriage and Family Therapist practicing in Kemah, Texas. She brings a wealth of experience working with diverse clientele, including adolescents, individuals, couples, and families. Employing a systemic approach, she skillfully integrates various treatment modalities tailored to each client's unique needs. Paige's interactive and non-judgmental style empowers clients to take the lead in identifying their current circumstances and desired outcomes. While candid and honest in her approach, Paige refrains from sugarcoating issues, highlighting her dedication to fostering genuine and transformative experiences
(409) 404-0527 View (409) 404-0527
Photo of Kellie Hill, MS, LPC-S, NCC, Licensed Professional Counselor
Kellie Hill
Licensed Professional Counselor, MS, LPC-S, NCC
Verified Verified
2 Endorsed
Kemah, TX 77565
Imagine a life you’re happy waking up to each morning. It’s possible! You hold the power and ability to make it a reality. I’m simply here to help you find the answers within yourself. I just provide an opportunity to work through the issues that are bothering you most. I know the thought of seeing a counselor can be intimidating. However, I hope you give yourself the chance to make each day one you enjoy. I have been working with children, adolescents, adults, and families for 17 years using techniques to help change faulty thinking patterns and behaviors.
Imagine a life you’re happy waking up to each morning. It’s possible! You hold the power and ability to make it a reality. I’m simply here to help you find the answers within yourself. I just provide an opportunity to work through the issues that are bothering you most. I know the thought of seeing a counselor can be intimidating. However, I hope you give yourself the chance to make each day one you enjoy. I have been working with children, adolescents, adults, and families for 17 years using techniques to help change faulty thinking patterns and behaviors.
(346) 476-4241 View (346) 476-4241
Photo of Angela Gray, LCSW, Clinical Social Work/Therapist
Angela Gray
Clinical Social Work/Therapist, LCSW
Verified Verified
Kemah, TX 77565
I am a Licensed Clinical Social Worker who strives to create a calm, safe, and supported environment to discuss difficult things. It is often a struggle to reach out and ask for help and I want to assist you in making the rest of the process as easy as possible.
I am a Licensed Clinical Social Worker who strives to create a calm, safe, and supported environment to discuss difficult things. It is often a struggle to reach out and ask for help and I want to assist you in making the rest of the process as easy as possible.
(832) 979-7528 View (832) 979-7528
Photo of Leslie Ann Shields, MS, LPCS, CBIS, Licensed Professional Counselor
Leslie Ann Shields
Licensed Professional Counselor, MS, LPCS, CBIS
Verified Verified
Kemah, TX 77565  (Online Only)
A favorite saying of mine is "CHANGE... It's One of Life's Only Constants..." Change often signifies growth. Changes often move us from our comfort zone and may trigger stressful or distressing thoughts, behaviors, emotions or physiological responses. Our responses are often unconscious. Except we consciously recognize increased discomfort, pain or unproductive functioning in our daily roles and relationships. If you or a family member are experiencing any social, emotional, mental or behavioral difficulties causing distress & preventing enjoying life or realizing your or their full potential in personal, work or school functioning, I invite you to call me.
A favorite saying of mine is "CHANGE... It's One of Life's Only Constants..." Change often signifies growth. Changes often move us from our comfort zone and may trigger stressful or distressing thoughts, behaviors, emotions or physiological responses. Our responses are often unconscious. Except we consciously recognize increased discomfort, pain or unproductive functioning in our daily roles and relationships. If you or a family member are experiencing any social, emotional, mental or behavioral difficulties causing distress & preventing enjoying life or realizing your or their full potential in personal, work or school functioning, I invite you to call me.
(832) 632-8118 View (832) 632-8118
Photo of Melaney Bright, LCSW, Clinical Social Work/Therapist
Melaney Bright
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Kemah, TX 77565  (Online Only)
Yep, life sure can feel heavy sometimes! Does it seem as though you are in a constant wrestling- match with your feelings, or battling an emotional tug-of-war? Are the daily pressures weighing you down, leaving you discouraged, exhausted or hopeless? Maybe you are fighting to control your racing thoughts & restless energy. Struggling to contain or manage your frustration, disappointment, anger, fear or sadness can feel impossible, even pointless, at times. The stress of it all might even be causing you to disconnect or isolate from those you love in order to shield them from what you are going through.
Yep, life sure can feel heavy sometimes! Does it seem as though you are in a constant wrestling- match with your feelings, or battling an emotional tug-of-war? Are the daily pressures weighing you down, leaving you discouraged, exhausted or hopeless? Maybe you are fighting to control your racing thoughts & restless energy. Struggling to contain or manage your frustration, disappointment, anger, fear or sadness can feel impossible, even pointless, at times. The stress of it all might even be causing you to disconnect or isolate from those you love in order to shield them from what you are going through.
(832) 536-9346 View (832) 536-9346
Photo of Lauren Godfrey, BA, Marriage & Family Therapist Intern
Lauren Godfrey
Marriage & Family Therapist Intern, BA
Verified Verified
1 Endorsed
Kemah, TX 77565
Living with chronic mental health problems can leave one feeling exhausted, isolated, and hopeless. You feel a need to connect with yourself and others, but the stress of your problems can make connection a challenge. You feel frustrated that the distress is spilling into important areas of your life. You try to overcome by yourself, yet sometimes you need someone else to lean on. Regardless of your unique challenges, you are motivated to build on your strengths to meet your goals. You are ready to take action to move toward the life you deserve to live.
Living with chronic mental health problems can leave one feeling exhausted, isolated, and hopeless. You feel a need to connect with yourself and others, but the stress of your problems can make connection a challenge. You feel frustrated that the distress is spilling into important areas of your life. You try to overcome by yourself, yet sometimes you need someone else to lean on. Regardless of your unique challenges, you are motivated to build on your strengths to meet your goals. You are ready to take action to move toward the life you deserve to live.
(832) 639-6892 View (832) 639-6892
Photo of Caroline Tremblay, MA, MSW, LCSW, Clinical Social Work/Therapist
Caroline Tremblay
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
Kemah, TX 77565  (Online Only)
I am a Licensed Clinical Social Worker with experience working with children, teens, and adults. Whether the issues causing distress in your life occur at school, at home, or in the workplace, in between relationships or within yourself, I would be honored to partner with you in your change process. My role in the therapy process is to facilitate a space where you feel supported, accepted, and capable. Together we will work to identify and challenge the narratives that continue to perpetuate distress while refocusing on the many skills and abilities you possess so you can find new hopes for your life.
I am a Licensed Clinical Social Worker with experience working with children, teens, and adults. Whether the issues causing distress in your life occur at school, at home, or in the workplace, in between relationships or within yourself, I would be honored to partner with you in your change process. My role in the therapy process is to facilitate a space where you feel supported, accepted, and capable. Together we will work to identify and challenge the narratives that continue to perpetuate distress while refocusing on the many skills and abilities you possess so you can find new hopes for your life.
(832) 934-8342 View (832) 934-8342
Photo of Laura E. Davison, MS, LPC, CHT, Licensed Professional Counselor
Laura E. Davison
Licensed Professional Counselor, MS, LPC, CHT
Verified Verified
2 Endorsed
Kemah, TX 77565
Using life experience and 17 years of clinical experience Laura provides a relaxed and safe environment. Laura strives to help clients QUICKLY find insight, change and solutions. Laura has been described as passionate, caring and humorous. If you are ready for positive change by an expert, you have found the right place!
Using life experience and 17 years of clinical experience Laura provides a relaxed and safe environment. Laura strives to help clients QUICKLY find insight, change and solutions. Laura has been described as passionate, caring and humorous. If you are ready for positive change by an expert, you have found the right place!
(281) 815-4572 View (281) 815-4572
Photo of Lori Forrest, MA, LMFT-A, Marriage & Family Therapist Associate
Lori Forrest
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
Kemah, TX 77565
Life does not always go the way we plan it. Sometimes life can hit hard and, at times, it can feel overwhelming. Occasionally, we may find ourselves in a challenging life transition, struggling to adjust to a new marriage or marriage difficulties, a new baby, a blended family, or an empty nest, a job promotion or loss, retirement, or the loss of a loved one. At other times in life, we may find ourselves stuck in unproductive and negative patterns, looking for solutions. I am passionate about working with clients who are facing life’s storms, adjusting to life transitions, or are simply ready to make positive changes in their lives.
Life does not always go the way we plan it. Sometimes life can hit hard and, at times, it can feel overwhelming. Occasionally, we may find ourselves in a challenging life transition, struggling to adjust to a new marriage or marriage difficulties, a new baby, a blended family, or an empty nest, a job promotion or loss, retirement, or the loss of a loved one. At other times in life, we may find ourselves stuck in unproductive and negative patterns, looking for solutions. I am passionate about working with clients who are facing life’s storms, adjusting to life transitions, or are simply ready to make positive changes in their lives.
(832) 905-9361 View (832) 905-9361
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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.