Anxiety Therapists in Freeland, WA

Photo of Diane Elizabeth, LMT, CST, HYP, MFA
Diane Elizabeth
LMT, CST, HYP, MFA
Verified Verified
Freeland, WA 98249
What word would you use to describe what you are struggling with most right now? Anxiety, Stress, and feeling Overwhelmed are the most common answers I get from people who come to see me for help.
As helpful as traditional talk therapy can be, your mind is in every cell of your body, so creating shifts in your mind or body requires working with both. I work with mind and body at the same time: with bodywork (CranioSacral Therapy techniques) I can sense and help you release physical and energetic restrictions so your body can function more optimally, and with therapeutic dialoguing (Hypnotherapy techinques) I can help discover and transform internal conflict to help you feel at ease within yourself. My goal is to help you feel better from the very first session.
What word would you use to describe what you are struggling with most right now? Anxiety, Stress, and feeling Overwhelmed are the most common answers I get from people who come to see me for help.
As helpful as traditional talk therapy can be, your mind is in every cell of your body, so creating shifts in your mind or body requires working with both. I work with mind and body at the same time: with bodywork (CranioSacral Therapy techniques) I can sense and help you release physical and energetic restrictions so your body can function more optimally, and with therapeutic dialoguing (Hypnotherapy techinques) I can help discover and transform internal conflict to help you feel at ease within yourself. My goal is to help you feel better from the very first session.
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Photo of Hannah Guggenheim, MSW, MFA, Clinical Social Work/Therapist
Hannah Guggenheim
Clinical Social Work/Therapist, MSW, MFA
Verified Verified
Freeland, WA 98249
Waitlist for new clients
Intuitive, culturally sensitive, solution-based therapy can help you cultivate gratitude, understand nuance and heal. Our focus: wellbeing, self acceptance and your quest for ongoing transformation. I am a trauma informed practitioner supporting life transitions for individuals, couples and families. I work with adjustment difficulties and disorders, anxiety/depression, grief and loss, PTSD, ADHD, SPD, infertility and parent coaching. LGBTQ2SIA, gender affirming mental health therapy. I am a certified technology addiction specialist.
Intuitive, culturally sensitive, solution-based therapy can help you cultivate gratitude, understand nuance and heal. Our focus: wellbeing, self acceptance and your quest for ongoing transformation. I am a trauma informed practitioner supporting life transitions for individuals, couples and families. I work with adjustment difficulties and disorders, anxiety/depression, grief and loss, PTSD, ADHD, SPD, infertility and parent coaching. LGBTQ2SIA, gender affirming mental health therapy. I am a certified technology addiction specialist.
(360) 288-4772 View (360) 288-4772
Photo of Nancy M Kaplan, MSW, LICSW, DCSW, Clinical Social Work/Therapist
Nancy M Kaplan
Clinical Social Work/Therapist, MSW, LICSW, DCSW
Verified Verified
Freeland, WA 98249
Waitlist for new clients
My special interests include working with multi-cultural clients, child guidance work, divorce counseling, adoption and foster care issues, mediation, and work with individuals experiencing depression, anxiety, and stress.
I have many years experience counseling children, youth, and adults. I work with individuals, couples, families, and groups. I am also experienced in working with people from multi-cultural backgrounds. I offer a broad spectrum of approaches to help you understand yourself and make positive changes that will make your life a more fulfilling experience. I use a variety of techniques including psychodynamic, behavioral, and cognitive therapy as well as mediation and conflict resolution techniques.
My special interests include working with multi-cultural clients, child guidance work, divorce counseling, adoption and foster care issues, mediation, and work with individuals experiencing depression, anxiety, and stress.
I have many years experience counseling children, youth, and adults. I work with individuals, couples, families, and groups. I am also experienced in working with people from multi-cultural backgrounds. I offer a broad spectrum of approaches to help you understand yourself and make positive changes that will make your life a more fulfilling experience. I use a variety of techniques including psychodynamic, behavioral, and cognitive therapy as well as mediation and conflict resolution techniques.
(360) 523-7029 View (360) 523-7029
Photo of Paula Lintin - Breathing Space Counseling PLLC, LMHC, LPCC, Counselor
Breathing Space Counseling PLLC
Counselor, LMHC, LPCC
Verified Verified
1 Endorsed
Freeland, WA 98249
TMS (Transcranial Magnetic Stimulation) Therapy now available in the outpatient clinic on Whidbey Island to treat Major Depression, Anxiety and OCD for Adolescents and Adults.
TMS Transcranial Magnetic Stimulation - Outpatient Mental Health Clinic on Whidbey Island serving Island County and mainland regions for Neurostar TMS treatments, now treating adolescents and adults for Major Depression, Anxiety, OCD. Therapists available to treat Individuals, Teens, Couples and Families in person and virtually focus areas, Depression, Anxiety, OCD, PTSD, ADD, Addictions, Relationships.
TMS (Transcranial Magnetic Stimulation) Therapy now available in the outpatient clinic on Whidbey Island to treat Major Depression, Anxiety and OCD for Adolescents and Adults.
TMS Transcranial Magnetic Stimulation - Outpatient Mental Health Clinic on Whidbey Island serving Island County and mainland regions for Neurostar TMS treatments, now treating adolescents and adults for Major Depression, Anxiety, OCD. Therapists available to treat Individuals, Teens, Couples and Families in person and virtually focus areas, Depression, Anxiety, OCD, PTSD, ADD, Addictions, Relationships.
(360) 997-2006 View (360) 997-2006
Photo of Sarah B Manchester - Sarah Manchester Therapy, LLC, MA, LMHC, Counselor
Sarah Manchester Therapy, LLC
Counselor, MA, LMHC
Verified Verified
Freeland, WA 98249  (Online Only)
Waitlist for new clients
I have worked successfully with many people with many different diagnoses. Whether it's past trauma or abuse, depression, grief and loss, anger, anxiety, mood instability or low self esteem, I compassionately guide my clients in re-claiming their natural state of health and well being. I am committed to and respect the inherent human quality in all of my clients.
I have worked successfully with many people with many different diagnoses. Whether it's past trauma or abuse, depression, grief and loss, anger, anxiety, mood instability or low self esteem, I compassionately guide my clients in re-claiming their natural state of health and well being. I am committed to and respect the inherent human quality in all of my clients.
(360) 529-4794 View (360) 529-4794
Photo of Robert Peterson, LCSW, Clinical Social Work/Therapist
Robert Peterson
Clinical Social Work/Therapist, LCSW
Verified Verified
Freeland, WA 98249  (Online Only)
He specializes in teaching practical coping skills for stress management, anxiety, depression, anger issues, and personal growth.
Robert Peterson is a Licensed Independent Clinical Social Worker with over 30 years of experience helping children, adolescents, and adults overcome life's challenges. Having spent much of his career in international school settings, Robert has deep expertise in helping youth cope with cultural adjustment, displacement, isolation, and stress. Utilizing evidence-based approaches including CBT and solution-focused therapy, Robert develops resilience in clients facing trauma, grief, relationship conflicts, and other crises.
He specializes in teaching practical coping skills for stress management, anxiety, depression, anger issues, and personal growth.
Robert Peterson is a Licensed Independent Clinical Social Worker with over 30 years of experience helping children, adolescents, and adults overcome life's challenges. Having spent much of his career in international school settings, Robert has deep expertise in helping youth cope with cultural adjustment, displacement, isolation, and stress. Utilizing evidence-based approaches including CBT and solution-focused therapy, Robert develops resilience in clients facing trauma, grief, relationship conflicts, and other crises.
(509) 400-5795 View (509) 400-5795
Photo of Jaqueline Oliveira, MA, LMHC
Jaqueline Oliveira
Licensed Mental Health Counselor , MA, LMHC
Verified Verified
1 Endorsed
Freeland, WA 98249  (Online Only)
Are you experiencing persistent fatigue throughout the day? Do you find yourself caught in a cycle of worry and fear? Are you seeking to understand the underlying sources of stress, anxiety, or sadness in your life in order to develop effective coping mechanisms? Are you in search of a therapeutic setting characterized by compassion, empathy, and safety? Look no further.
Are you experiencing persistent fatigue throughout the day? Do you find yourself caught in a cycle of worry and fear? Are you seeking to understand the underlying sources of stress, anxiety, or sadness in your life in order to develop effective coping mechanisms? Are you in search of a therapeutic setting characterized by compassion, empathy, and safety? Look no further.
(206) 752-4454 View (206) 752-4454
Photo of Patrick Moll-Nevins, LICSW, MSW, Clinical Social Work/Therapist
Patrick Moll-Nevins
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Freeland, WA 98249
Anxiety, depression and other issues can take us off guard, blindsiding us by suddenly challenging our confidence, undermining our autonomy, and bringing to mind some of our most difficult experiences. It is common to assume these problems will go away on their own or if we just take a break. It is my experience that over time these problems reoccur in even more confusing and disorienting ways that might lead to crisis, leaving us feeling even more isolated and vulnerable. Sometimes the most difficult step is just asking for help, to place ourselves in a position of vulnerability.
Anxiety, depression and other issues can take us off guard, blindsiding us by suddenly challenging our confidence, undermining our autonomy, and bringing to mind some of our most difficult experiences. It is common to assume these problems will go away on their own or if we just take a break. It is my experience that over time these problems reoccur in even more confusing and disorienting ways that might lead to crisis, leaving us feeling even more isolated and vulnerable. Sometimes the most difficult step is just asking for help, to place ourselves in a position of vulnerability.
(360) 320-7834 View (360) 320-7834
Photo of Dr. Paula A Lintin, PhD, LMHC, LPCC, Counselor
Dr. Paula A Lintin
Counselor, PhD, LMHC, LPCC
Verified Verified
Freeland, WA 98249  (Online Only)
PTSD, Trauma/Grief and Loss, Anxiety disorders, Depression and mood changes, Domestic violence and relationship conflicts, Sexual, Emotional and Physical Trauma, Workplace trauma.
Dr. Lintin understands how stepping into your truth may be frightening. There is no right way to uncover emotions that may be blocking you from living a fulfilled life. Everyone has stories to tell, unique, inspiring, challenging and sometimes devastating. The shocking thing is that many people walk through life without ever sharing these life events and so often with trauma, the guilt and shame can stop you from telling anyone causing difficulties in your relationships with others in both personal and professional life.
PTSD, Trauma/Grief and Loss, Anxiety disorders, Depression and mood changes, Domestic violence and relationship conflicts, Sexual, Emotional and Physical Trauma, Workplace trauma.
Dr. Lintin understands how stepping into your truth may be frightening. There is no right way to uncover emotions that may be blocking you from living a fulfilled life. Everyone has stories to tell, unique, inspiring, challenging and sometimes devastating. The shocking thing is that many people walk through life without ever sharing these life events and so often with trauma, the guilt and shame can stop you from telling anyone causing difficulties in your relationships with others in both personal and professional life.
(206) 687-4809 View (206) 687-4809
Photo of Colin Ross Lindborg, MA, LMFT, Marriage & Family Therapist
Colin Ross Lindborg
Marriage & Family Therapist, MA, LMFT
Verified Verified
Freeland, WA 98249
I accept most forms of insurance. Are you feeling sad, anxious, overwhelmed, or have you simply found yourself wanting more from your life? People seek therapy for a variety of reasons, and this seeking is often the first brave step toward living into a sense of greater possibility and deeper relationships! I view therapy first and foremost as healing that arises from a conversation. That conversation can be transformative, can take many forms, and is an act of co-creation between you and me. Let's help you create the life you were meant to live!
I accept most forms of insurance. Are you feeling sad, anxious, overwhelmed, or have you simply found yourself wanting more from your life? People seek therapy for a variety of reasons, and this seeking is often the first brave step toward living into a sense of greater possibility and deeper relationships! I view therapy first and foremost as healing that arises from a conversation. That conversation can be transformative, can take many forms, and is an act of co-creation between you and me. Let's help you create the life you were meant to live!
(360) 614-2287 View (360) 614-2287
Photo of Susan Houck Strom, MA, LMFT, Marriage & Family Therapist
Susan Houck Strom
Marriage & Family Therapist, MA, LMFT
Verified Verified
Freeland, WA 98249
I work with adults and couples who want to better understand themselves as they work through challenges. I gather information and help generate ideas that support autonomy and healthy relationships. I support clients as they find strength in a challenging world, adjust to life transitions, and manage difficulties such as families, illness, grief, depression, and anxiety. Using EMDR therapy I can assist clients in processing and healing from personal trauma(s). I see therapy as an active and collaborative process. I am here to listen and to help you navigate a desired change.
I work with adults and couples who want to better understand themselves as they work through challenges. I gather information and help generate ideas that support autonomy and healthy relationships. I support clients as they find strength in a challenging world, adjust to life transitions, and manage difficulties such as families, illness, grief, depression, and anxiety. Using EMDR therapy I can assist clients in processing and healing from personal trauma(s). I see therapy as an active and collaborative process. I am here to listen and to help you navigate a desired change.
(360) 525-2115 View (360) 525-2115
Photo of Rachel Hilliard - Rachel Hilliard Psychotherapy, MA, LMHC, Counselor
Rachel Hilliard Psychotherapy
Counselor, MA, LMHC
Verified Verified
Freeland, WA 98249
*Accepting new clients*- It can be lonely and overwhelming to find ourselves in emotional struggle. The therapeutic relationship is unique and one that I deeply trust. It's instrumental to have a companion and guide as we traverse these unchartered inner landscapes. The pain we feel invites us on a transformative journey from obscurity to clarity. It's so tempting to contract when we are challenged, but it's critical to soften and trust into the process. This movement through our pain rearranges us into an expanded version of ourselves. I bring the qualities of warmth, openness, and curiosity to this transformative work together.
*Accepting new clients*- It can be lonely and overwhelming to find ourselves in emotional struggle. The therapeutic relationship is unique and one that I deeply trust. It's instrumental to have a companion and guide as we traverse these unchartered inner landscapes. The pain we feel invites us on a transformative journey from obscurity to clarity. It's so tempting to contract when we are challenged, but it's critical to soften and trust into the process. This movement through our pain rearranges us into an expanded version of ourselves. I bring the qualities of warmth, openness, and curiosity to this transformative work together.
(360) 226-5416 View (360) 226-5416
Photo of Maureen Ann (Schuster) Roach - Heart and Soul Therapy, PLLC, LICSW, Clinical Social Work/Therapist
Heart and Soul Therapy, PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Freeland, WA 98249
People are afraid, overwhelmed and "stuck". So many people are dealing with isolation, family difficulties and financial stress. They need to know how to get through to the other side and that they are not alone in their journey. They need a clinical perspective and help developing a blue print for change. They want to live a life being more connected and more at peace.
People are afraid, overwhelmed and "stuck". So many people are dealing with isolation, family difficulties and financial stress. They need to know how to get through to the other side and that they are not alone in their journey. They need a clinical perspective and help developing a blue print for change. They want to live a life being more connected and more at peace.
(360) 523-1755 View (360) 523-1755
Photo of Debby Elwell, LMFT, Marriage & Family Therapist
Debby Elwell
Marriage & Family Therapist, LMFT
Verified Verified
Freeland, WA 98249
My clients are multi-dimensional people - with physical, psychological and spiritual needs - who are doing the best they can to have a gratifying and meaningful life. My role as a therapist is to assist each person to expand their awareness of self and interactions with others, and to identify and change unsatisfying patterns and behaviors. Partners: When couples first start counseling, they often have a lot of anger, hurt, and sadness. Couples therapy is designed to find solutions to problems, express and let go of resentments, rebuild trust through good communication, and learn to live with different points of view.
My clients are multi-dimensional people - with physical, psychological and spiritual needs - who are doing the best they can to have a gratifying and meaningful life. My role as a therapist is to assist each person to expand their awareness of self and interactions with others, and to identify and change unsatisfying patterns and behaviors. Partners: When couples first start counseling, they often have a lot of anger, hurt, and sadness. Couples therapy is designed to find solutions to problems, express and let go of resentments, rebuild trust through good communication, and learn to live with different points of view.
(360) 663-4222 View (360) 663-4222
Photo of Aida Olavario Hartshorn - Hartshorn Counseling Services, MFTA, Marriage & Family Therapist Associate
Hartshorn Counseling Services
Marriage & Family Therapist Associate, MFTA
Verified Verified
Freeland, WA 98249  (Online Only)
Hello, and welcome! Life can be very challenging and overwhelming at times. I know and I get it. For some, we tend to try to solve our problems on our own and reaching out for help is out of the question; sometimes it works. If you haven't been able to solve it on your own, I would love to meet you, and together we can create ways towards hope and begin the healing process. I believe that therapy can assist you by helping to identify what has worked in the past, what you already have within that you can draw upon in helping to obtain what you are hoping for in life.
Hello, and welcome! Life can be very challenging and overwhelming at times. I know and I get it. For some, we tend to try to solve our problems on our own and reaching out for help is out of the question; sometimes it works. If you haven't been able to solve it on your own, I would love to meet you, and together we can create ways towards hope and begin the healing process. I believe that therapy can assist you by helping to identify what has worked in the past, what you already have within that you can draw upon in helping to obtain what you are hoping for in life.
(360) 230-7348 View (360) 230-7348
Photo of Elisa Stone, MA, MHP, LMHC, Counselor
Elisa Stone
Counselor, MA, MHP, LMHC
Verified Verified
Freeland, WA 98249  (Online Only)
I specialize in working with individuals and couples experiencing life transitions, mental health challenges, relationship issues, and those wishing to identify life goals, and explore their spirituality. I believe strongly in the power of positivity and the mind, body, spirit connection. Practicing a holistic and unique approach to achieving well-being, I blend traditional psychotherapy with spiritual practices. Within therapy, a relationship of trust and compassion is built, creating a safe space for growth to occur. No matter where you are in life and your healing, I will meet you there.
I specialize in working with individuals and couples experiencing life transitions, mental health challenges, relationship issues, and those wishing to identify life goals, and explore their spirituality. I believe strongly in the power of positivity and the mind, body, spirit connection. Practicing a holistic and unique approach to achieving well-being, I blend traditional psychotherapy with spiritual practices. Within therapy, a relationship of trust and compassion is built, creating a safe space for growth to occur. No matter where you are in life and your healing, I will meet you there.
(360) 234-3909 View (360) 234-3909
Photo of Vanessa Hooper, MA, LMHC, Counselor
Vanessa Hooper
Counselor, MA, LMHC
Verified Verified
Freeland, WA 98249  (Online Only)
As a multicultural therapist, I help individuals and couples recognize how institutions of power, environment, family dynamics and personal histories influence and shape identity, values and decision making. My approach supports clients to identify and challenge narratives negatively impacting their life, allowing them to uncover their path for transformation. I work with individuals and couples of all identities and relationship types, who are wanting a change and a desire to deepen their awareness and connection, work through trauma, explore setbacks, and build a safe space for liberation, empowerment, and resilience.
As a multicultural therapist, I help individuals and couples recognize how institutions of power, environment, family dynamics and personal histories influence and shape identity, values and decision making. My approach supports clients to identify and challenge narratives negatively impacting their life, allowing them to uncover their path for transformation. I work with individuals and couples of all identities and relationship types, who are wanting a change and a desire to deepen their awareness and connection, work through trauma, explore setbacks, and build a safe space for liberation, empowerment, and resilience.
(509) 776-7438 View (509) 776-7438
Photo of Katie Luetkehans, LMHC, LPC, LAC, Counselor
Katie Luetkehans
Counselor, LMHC, LPC, LAC
Verified Verified
Freeland, WA 98249
Are you ready to find solace and healing on your unique journey towards mental and emotional wellness? I'm Katie Luetkehans, a dedicated psychotherapist specializing in holistic Contemplative Psychotherapy, and I'm here to walk with you on a path towards lasting health. I practice evidence-based therapeutic techniques, including dialectical behavioral therapy, acceptance and commitment therapy, and somatic experiencing. These tools are the pillars of my practice, guiding individuals like you towards positive change and personal growth.
Are you ready to find solace and healing on your unique journey towards mental and emotional wellness? I'm Katie Luetkehans, a dedicated psychotherapist specializing in holistic Contemplative Psychotherapy, and I'm here to walk with you on a path towards lasting health. I practice evidence-based therapeutic techniques, including dialectical behavioral therapy, acceptance and commitment therapy, and somatic experiencing. These tools are the pillars of my practice, guiding individuals like you towards positive change and personal growth.
(360) 404-7967 View (360) 404-7967
Photo of Veronica Rose Connolly-Bagshaw, MA, LMHC, NCC, RYT, Counselor
Veronica Rose Connolly-Bagshaw
Counselor, MA, LMHC, NCC, RYT
Verified Verified
Freeland, WA 98249
Not accepting new clients
Are you struggling with the effects of stress in your body, thoughts, emotions, relationships, and want to respond to stress more skillfully? Are you living with challenges such as anxiety & depression, relationship stress, grief and loss, chronic illness, or are caring for an ill or aging loved one (family caregiving)? Do you have experiences of trauma in your past (or present) that are hindering your quality of life? Are you feeling overwhelmed, unsure of what to do, where to turn to regain your sense of balance and well being? Doing OK yet still want to learn, grow, reach more optimal level of skill, function and quality of life?
Are you struggling with the effects of stress in your body, thoughts, emotions, relationships, and want to respond to stress more skillfully? Are you living with challenges such as anxiety & depression, relationship stress, grief and loss, chronic illness, or are caring for an ill or aging loved one (family caregiving)? Do you have experiences of trauma in your past (or present) that are hindering your quality of life? Are you feeling overwhelmed, unsure of what to do, where to turn to regain your sense of balance and well being? Doing OK yet still want to learn, grow, reach more optimal level of skill, function and quality of life?
(425) 610-9990 View (425) 610-9990
Photo of James F Rodman, MFT, LMFT, LAC, Marriage & Family Therapist
James F Rodman
Marriage & Family Therapist, MFT, LMFT, LAC
Verified Verified
Freeland, WA 98249  (Online Only)
Not accepting new clients
With additional specialized training in the areas of anxiety, ADD/ADHD, depression, and adjustment problems I feel I would be a good match for many people to help make life easier and more enjoyable.
Are you looking to help your family, relationships, at-risk-teen, or yourself? As a licensed therapist, for the last 25 years, specializing in Marriage and Family and also Addictions Counseling, I have experience working with a wide range of people. I have found that tailoring therapy using a combination of solution focused, motivational interviewing and cognitive behavioral therapies are very effective for most. Additionally, if you are looking for someone to help with military related problems I am a disabled former Marine with years of experience working as a counselor with the Navy.
With additional specialized training in the areas of anxiety, ADD/ADHD, depression, and adjustment problems I feel I would be a good match for many people to help make life easier and more enjoyable.
Are you looking to help your family, relationships, at-risk-teen, or yourself? As a licensed therapist, for the last 25 years, specializing in Marriage and Family and also Addictions Counseling, I have experience working with a wide range of people. I have found that tailoring therapy using a combination of solution focused, motivational interviewing and cognitive behavioral therapies are very effective for most. Additionally, if you are looking for someone to help with military related problems I am a disabled former Marine with years of experience working as a counselor with the Navy.
(360) 968-6951 View (360) 968-6951

See more therapy options for Freeland

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.