Anxiety Therapists in Kenmore, WA

Photo of Sharon Saul, MA, LMHC, Counselor
Sharon Saul
Counselor, MA, LMHC
Verified Verified
Kenmore, WA 98028  (Online Only)
You’ve had ups & downs, successes & failures, you’ve kept getting up when you’ve fallen down & you’ve carried on. But now, you’ve hit the point where you don’t want to keep reaching for the next thing, keep pushing those recurring thoughts & feelings away. You want to transform parts of yourself & experience something different, to find a sense of wholeness. Maybe it’s stuff from childhood that won’t leave you alone, the racing thoughts, the self-criticism, the anxious feelings, the broken relationships with others or with yourself, the anger, the stress, the sadness…Whatever it is, there’s hope for something more, something better.
You’ve had ups & downs, successes & failures, you’ve kept getting up when you’ve fallen down & you’ve carried on. But now, you’ve hit the point where you don’t want to keep reaching for the next thing, keep pushing those recurring thoughts & feelings away. You want to transform parts of yourself & experience something different, to find a sense of wholeness. Maybe it’s stuff from childhood that won’t leave you alone, the racing thoughts, the self-criticism, the anxious feelings, the broken relationships with others or with yourself, the anger, the stress, the sadness…Whatever it is, there’s hope for something more, something better.
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Photo of Zachary G. Shaeffer, LICSW, MSW, MDiv, Clinical Social Work/Therapist
Zachary G. Shaeffer
Clinical Social Work/Therapist, LICSW, MSW, MDiv
Verified Verified
Kenmore, WA 98028
Therapy can help you to cope with heightened anxiety, depression, loneliness, and lack of purpose. With online video conferencing, I provide regular therapy without you coming into the office, in addition to in-person availability. Therapy provides a safe place to ask the questions that scare us, to find connection and healing, to feel good and be authentic, and take charge of our lives. I support clients' efforts to gain insight into the sources of their challenges and pain, find connection, make positive changes in relationships, identify strengths and resources, cope with personal history, and take charge of their life.
Therapy can help you to cope with heightened anxiety, depression, loneliness, and lack of purpose. With online video conferencing, I provide regular therapy without you coming into the office, in addition to in-person availability. Therapy provides a safe place to ask the questions that scare us, to find connection and healing, to feel good and be authentic, and take charge of our lives. I support clients' efforts to gain insight into the sources of their challenges and pain, find connection, make positive changes in relationships, identify strengths and resources, cope with personal history, and take charge of their life.
(206) 558-9085 View (206) 558-9085
Photo of Lili Parman, Pre-Licensed Professional
Lili Parman
Pre-Licensed Professional
Verified Verified
1 Endorsed
Kenmore, WA 98028
I am a holistic psychotherapist who specializes in individuals experiencing anxiety, depression, trauma, relationship issues, and adjustment difficulties. I believe that people and relationships are the most important things in life. I am privileged to have the opportunity to walk with you as I encourage your vision for yourself and your future. I am a Christian counselor, but I also work well with individuals from non-religious or other religious communities.
I am a holistic psychotherapist who specializes in individuals experiencing anxiety, depression, trauma, relationship issues, and adjustment difficulties. I believe that people and relationships are the most important things in life. I am privileged to have the opportunity to walk with you as I encourage your vision for yourself and your future. I am a Christian counselor, but I also work well with individuals from non-religious or other religious communities.
(425) 842-3794 View (425) 842-3794
Photo of Liana Ren - Lighthouse Infusions & Seattle Ketamine, CRNA, ARNP
Lighthouse Infusions & Seattle Ketamine
CRNA, ARNP
Verified Verified
Kenmore, WA 98028
We specialize in IV Ketamine Infusion Therapy for people experiencing treatment resistant depression, anxiety, PTSD, OCD, and other mood disorders. IV Ketamine Therapy has an extremely high efficacy rate of around 70%-80% for most of the mental health conditions we treat. For many people with life-altering conditions, ketamine allows them to resume normal activities and reclaim their lives.
We specialize in IV Ketamine Infusion Therapy for people experiencing treatment resistant depression, anxiety, PTSD, OCD, and other mood disorders. IV Ketamine Therapy has an extremely high efficacy rate of around 70%-80% for most of the mental health conditions we treat. For many people with life-altering conditions, ketamine allows them to resume normal activities and reclaim their lives.
(425) 835-2363 View (425) 835-2363
Photo of Larissa Severson, LMHC, CN
Larissa Severson
Licensed Mental Health Counselor, LMHC, CN
Verified Verified
5 Endorsed
Kenmore, WA 98028
I am passionate about working with women around the psychological toll of health issues, especially pain, infertility, and postpartum depression and anxiety.
You don’t have to hold big things on your own. I help take off some of the burden that humans carry. I am passionate about helping clients work through complex trauma, including medical trauma; women’s health and LGBTQIA+ well-being; couples and non-traditional relationships; identity and self-expression; and anyone who finds it challenging to live in a neurotypical world. Together we will dismantle external forces that impact how you move through the world and discover and embrace each chapter in your story that makes you uniquely you.
I am passionate about working with women around the psychological toll of health issues, especially pain, infertility, and postpartum depression and anxiety.
You don’t have to hold big things on your own. I help take off some of the burden that humans carry. I am passionate about helping clients work through complex trauma, including medical trauma; women’s health and LGBTQIA+ well-being; couples and non-traditional relationships; identity and self-expression; and anyone who finds it challenging to live in a neurotypical world. Together we will dismantle external forces that impact how you move through the world and discover and embrace each chapter in your story that makes you uniquely you.
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Photo of Dr. Kimberley McBride - Envision Counseling, PLLC, PhD, LMFT, Marriage & Family Therapist
Envision Counseling, PLLC
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Kenmore, WA 98028
Clients have the option to choose from a variety of clinicians and services to treat anxiety and depression, grief, trauma, relationship distress, workplace performance anxiety, career uncertainty, culturally targeted oppression, perinatal stress, social isolation, parenting challenges, and family-owned business relationship discord.
Envision Counseling offers unparalleled therapeutic services provided by mental health counselors, couple therapists, and social workers residing in Washington State. Our dedicated team delivers personalized care of the highest quality in a supportive, respectful, and culturally responsive environment. Recognizing the importance of balancing personal and family responsibilities with the demands of modern life, Envision Counseling clinicians offer evening and weekend appointments for pre-teens, adolescents, and adults.
Clients have the option to choose from a variety of clinicians and services to treat anxiety and depression, grief, trauma, relationship distress, workplace performance anxiety, career uncertainty, culturally targeted oppression, perinatal stress, social isolation, parenting challenges, and family-owned business relationship discord.
Envision Counseling offers unparalleled therapeutic services provided by mental health counselors, couple therapists, and social workers residing in Washington State. Our dedicated team delivers personalized care of the highest quality in a supportive, respectful, and culturally responsive environment. Recognizing the importance of balancing personal and family responsibilities with the demands of modern life, Envision Counseling clinicians offer evening and weekend appointments for pre-teens, adolescents, and adults.
(206) 858-1177 View (206) 858-1177
Photo of Matt Chamberlain, MA, LMFT, Marriage & Family Therapist
Matt Chamberlain
Marriage & Family Therapist, MA, LMFT
Verified Verified
Kenmore, WA 98028  (Online Only)
I work with individuals with depression, anxiety and stress, and work related issues.
Hello! I am a licensed Marriage and Family Therapist in Seattle, WA. Psychotherapy is a trusting collaboration between therapist and client. In a safe and supportive environment we work together to identify problem areas, determine strategies and options that make sense to you and work toward real, immediate and long-term solutions. My goal is to provide immediate relief from a stressful situation while understanding the problem in the larger context of your life. I want to help you discover a process of working through issues that leads to a real, long-term solution--to really correct the problem!
I work with individuals with depression, anxiety and stress, and work related issues.
Hello! I am a licensed Marriage and Family Therapist in Seattle, WA. Psychotherapy is a trusting collaboration between therapist and client. In a safe and supportive environment we work together to identify problem areas, determine strategies and options that make sense to you and work toward real, immediate and long-term solutions. My goal is to provide immediate relief from a stressful situation while understanding the problem in the larger context of your life. I want to help you discover a process of working through issues that leads to a real, long-term solution--to really correct the problem!
(253) 271-4133 View (253) 271-4133
Photo of Melanie - Eastside Counseling Center, LMFT, LMHC, LCSW
Eastside Counseling Center
LMFT, LMHC, LCSW
Verified Verified
Kenmore, WA 98028
Are relationship issues, anxiety and/or depression keeping you up at night? The counselors at ECC will work with you to help you improve the quality of your your life and your relationships. Our dynamic team of counselors seek to understand and resolve the real-life, everyday challenges many of us face. We work with a wide range of issues and have a diverse team of therapists trained in a variety of specialties. This allows us to create a personalized treatment plan to meet your individual needs.
Are relationship issues, anxiety and/or depression keeping you up at night? The counselors at ECC will work with you to help you improve the quality of your your life and your relationships. Our dynamic team of counselors seek to understand and resolve the real-life, everyday challenges many of us face. We work with a wide range of issues and have a diverse team of therapists trained in a variety of specialties. This allows us to create a personalized treatment plan to meet your individual needs.
(425) 405-7857 View (425) 405-7857
Photo of Teresa (Terie) Clement, MEd, LMHC, CMHS, CDWF, Counselor
Teresa (Terie) Clement
Counselor, MEd, LMHC, CMHS, CDWF
Verified Verified
Kenmore, WA 98028  (Online Only)
I help people learn to understand themselves and others better, and how to soothe and do self care when they feel anxious, depressed, frustrated, angry or out of control.
Everyone has the capacity to change no matter what their present difficulty, and adversity can offer a new chance for growth. I am an experienced, non-judgmental clinical therapist devoted to helping my clients improve their quality of life.
I help people learn to understand themselves and others better, and how to soothe and do self care when they feel anxious, depressed, frustrated, angry or out of control.
Everyone has the capacity to change no matter what their present difficulty, and adversity can offer a new chance for growth. I am an experienced, non-judgmental clinical therapist devoted to helping my clients improve their quality of life.
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Photo of Michelle Woodward, LCPC, LMHC, NCC, Counselor
Michelle Woodward
Counselor, LCPC, LMHC, NCC
Verified Verified
Kenmore, WA 98028
I help individuals learn to accept themselves and others as they are, manage their emotions, and improve relationships. Acceptance allows for growth. I specialize in helping individuals resolve symptoms of trauma, anxiety, depression, and insomnia. I believe we all have the capacity to heal given the right tools and environment. My work with clients is grounded in mindfulness based, cognitive behavioral theory. Counseling is provided in a private, comfortable, non-judgmental environment. Telehealth sessions are available at this time. Together, we will use your existing strengths to move you toward optimal health.
I help individuals learn to accept themselves and others as they are, manage their emotions, and improve relationships. Acceptance allows for growth. I specialize in helping individuals resolve symptoms of trauma, anxiety, depression, and insomnia. I believe we all have the capacity to heal given the right tools and environment. My work with clients is grounded in mindfulness based, cognitive behavioral theory. Counseling is provided in a private, comfortable, non-judgmental environment. Telehealth sessions are available at this time. Together, we will use your existing strengths to move you toward optimal health.
(509) 519-3089 View (509) 519-3089
Photo of Sanaz Amini, LMHC, Counselor
Sanaz Amini
Counselor, LMHC
Verified Verified
1 Endorsed
Kenmore, WA 98028
Armed with a decade of experience and a passion for helping others, I work with children, teens, and adults struggling with anxiety, depression, ADHD, relational challenges, and problematic social media use. My education in counseling psychology and speech-language pathology equips me with a holistic approach and unique perspective on communication challenges.
Armed with a decade of experience and a passion for helping others, I work with children, teens, and adults struggling with anxiety, depression, ADHD, relational challenges, and problematic social media use. My education in counseling psychology and speech-language pathology equips me with a holistic approach and unique perspective on communication challenges.
(425) 386-7765 View (425) 386-7765
Photo of Becky Robbins - Inner Phoenix Embodied Arts, PLLC, MA, LMHC, CEAT, CYT, Counselor
Inner Phoenix Embodied Arts, PLLC
Counselor, MA, LMHC, CEAT, CYT
Verified Verified
2 Endorsed
Kenmore, WA 98028
You are ready to dive deep and explore the inner workings of your life in order to understand, heal, and thrive. You'll find my services particularly effective if you are going through transition (career/livelihood, relational, geographical, physical, gender, financial, and so on), wanting to explore traumatic experiences, seeking support for learning or acquired physical disabilities, you are struggling with stress, anxiety, depression, and parts of your life that feel out of control. You might also be seeking support through use of nature and mindfulness-based or somatic therapy modalities, dream exploration, and spirituality.
You are ready to dive deep and explore the inner workings of your life in order to understand, heal, and thrive. You'll find my services particularly effective if you are going through transition (career/livelihood, relational, geographical, physical, gender, financial, and so on), wanting to explore traumatic experiences, seeking support for learning or acquired physical disabilities, you are struggling with stress, anxiety, depression, and parts of your life that feel out of control. You might also be seeking support through use of nature and mindfulness-based or somatic therapy modalities, dream exploration, and spirituality.
(425) 786-2726 View (425) 786-2726
Photo of Lisa Farsje, LICSW, Clinical Social Work/Therapist
Lisa Farsje
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Kenmore, WA 98028
Welcoming New Clients! I work with individuals going through a major life transition such as burnout, grief/loss, "empty nester syndrome", a career crisis, break-up/divorce, etc. They are surprised how this change has revealed things about themselves that have been too painful to acknowledge until now. Whether it's underlying anxiety or depression symptoms, perfectionism, "people-pleasing", regret, grief or shame, they want to learn more about who they are so they can have a more fulfilling relationship with themselves and others.
Welcoming New Clients! I work with individuals going through a major life transition such as burnout, grief/loss, "empty nester syndrome", a career crisis, break-up/divorce, etc. They are surprised how this change has revealed things about themselves that have been too painful to acknowledge until now. Whether it's underlying anxiety or depression symptoms, perfectionism, "people-pleasing", regret, grief or shame, they want to learn more about who they are so they can have a more fulfilling relationship with themselves and others.
(425) 952-9542 View (425) 952-9542
Photo of Victoria Rotton, MA, LMHC, Clinical Social Work/Therapist
Victoria Rotton
Clinical Social Work/Therapist, MA, LMHC
Verified Verified
Kenmore, WA 98028
I use a number of treatment modalities and address a wide variety of issues including anxiety, depression, addiction recovery, and trauma.
Emotionally Focused Couples Therapy is a research validated method in which partners learn to identify harmful and entrenched patterns within their marriage and develop the skills to engage in a new way. Your relationship may be highly reactive and conflictual or feel like an emotional desert where closeness disappeared long ago. In either case, EFT can help you create a partnership that is nourishing and a haven for personal growth. I am an advanced practitioner of EFT. I work with both heterosexual and same sex couples.
I use a number of treatment modalities and address a wide variety of issues including anxiety, depression, addiction recovery, and trauma.
Emotionally Focused Couples Therapy is a research validated method in which partners learn to identify harmful and entrenched patterns within their marriage and develop the skills to engage in a new way. Your relationship may be highly reactive and conflictual or feel like an emotional desert where closeness disappeared long ago. In either case, EFT can help you create a partnership that is nourishing and a haven for personal growth. I am an advanced practitioner of EFT. I work with both heterosexual and same sex couples.
(425) 318-7321 View (425) 318-7321
Photo of Anne-Marie Flathers, MA, LMHCA, Counselor
Anne-Marie Flathers
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Kenmore, WA 98028
As you seek therapy, you may have been feeling stuck, dissatisfied, and unhappy for a while. Sometimes it's hard to put your finger on why. Maybe you're ready to dig a little deeper into the journey that has led you here. I enjoy walking with clients toward a greater self-understanding, bringing clarity to experiences and feelings that might have felt overwhelming and confusing. I believe in tending to the underlying wounds that often live at the root of our ongoing fears, sadness, and difficulties.
As you seek therapy, you may have been feeling stuck, dissatisfied, and unhappy for a while. Sometimes it's hard to put your finger on why. Maybe you're ready to dig a little deeper into the journey that has led you here. I enjoy walking with clients toward a greater self-understanding, bringing clarity to experiences and feelings that might have felt overwhelming and confusing. I believe in tending to the underlying wounds that often live at the root of our ongoing fears, sadness, and difficulties.
(425) 529-5873 View (425) 529-5873
Photo of Hannah Carlsrud - Hannah Carlsrud | EMDR Intensives | Postpartum, MACP, LMHCA, Counselor
Hannah Carlsrud | EMDR Intensives | Postpartum
Counselor, MACP, LMHCA
Verified Verified
4 Endorsed
Kenmore, WA 98028  (Online Only)
I believe that trauma is often connected to other struggles, such as anxiety, depression, panic, and OCD.
Accepting new clients virtually in WA state. As a parent and therapist, I understand the messiness and wonder that is being a parent. I also know how valuable time is, and offer therapy intensives ranging from 90 minutes to 3-hour blocks. I can help you process complications in pregnancy, fertility issues, birth trauma, NICU experiences, pregnancy loss, and more. Do you have scary thoughts? Or memories that keep you up at night? Are you having a hard time connecting with your newborn or feel guilty? Do you feel like there are so many new things in parenthood and it is overwhelming? I am here to support you through this time.
I believe that trauma is often connected to other struggles, such as anxiety, depression, panic, and OCD.
Accepting new clients virtually in WA state. As a parent and therapist, I understand the messiness and wonder that is being a parent. I also know how valuable time is, and offer therapy intensives ranging from 90 minutes to 3-hour blocks. I can help you process complications in pregnancy, fertility issues, birth trauma, NICU experiences, pregnancy loss, and more. Do you have scary thoughts? Or memories that keep you up at night? Are you having a hard time connecting with your newborn or feel guilty? Do you feel like there are so many new things in parenthood and it is overwhelming? I am here to support you through this time.
(425) 541-1711 View (425) 541-1711
Photo of Jackie Ahern, LMHCA, MA, RD, Counselor
Jackie Ahern
Counselor, LMHCA, MA, RD
Verified Verified
4 Endorsed
Kenmore, WA 98028
If you're looking to heal the disconnection driven by depression, anxiety, trauma, or diet culture, let's work together.
As both a mental health counselor & registered dietitian, I offer holistic, mind-body connected mental health care for eating disorders, life transitions, depression and trauma. My work focuses on relationships: our relationship with the self, with others, with food, our bodies, and the world around us. This includes our counseling relationship, meaning I deeply prioritize ensuring that you feel connected, heard and seen in our work together. As a sex positive, multiculturally aware and LGBT+ allied provider, it is central to my work to affirm and normalize our human experiences in order to dissipate the burdens of shame.
If you're looking to heal the disconnection driven by depression, anxiety, trauma, or diet culture, let's work together.
As both a mental health counselor & registered dietitian, I offer holistic, mind-body connected mental health care for eating disorders, life transitions, depression and trauma. My work focuses on relationships: our relationship with the self, with others, with food, our bodies, and the world around us. This includes our counseling relationship, meaning I deeply prioritize ensuring that you feel connected, heard and seen in our work together. As a sex positive, multiculturally aware and LGBT+ allied provider, it is central to my work to affirm and normalize our human experiences in order to dissipate the burdens of shame.
(425) 585-4274 View (425) 585-4274
Photo of Sasha Melnik, M, A, Pre-Licensed Professional
Sasha Melnik
Pre-Licensed Professional, M, A
Verified Verified
2 Endorsed
Kenmore, WA 98028
There is power in connecting deeply and authentically with yourself. I am here to provide a compassionate container for you to explore your truth and feel any and all of the emotions, stories, and sensations that come up. I specialize in working with individuals who are navigating life transitions, healing from emotional, sexual or physical trauma and/or neglect, attachment wounds, inner-child wounds, grief, anxiety, stress, depression, and relationship issues.
There is power in connecting deeply and authentically with yourself. I am here to provide a compassionate container for you to explore your truth and feel any and all of the emotions, stories, and sensations that come up. I specialize in working with individuals who are navigating life transitions, healing from emotional, sexual or physical trauma and/or neglect, attachment wounds, inner-child wounds, grief, anxiety, stress, depression, and relationship issues.
(425) 600-1668 View (425) 600-1668
Photo of Emily Sinclair, MA, LMHC, Counselor
Emily Sinclair
Counselor, MA, LMHC
Verified Verified
5 Endorsed
Kenmore, WA 98028
Waitlist for new clients
I specialize in codependency, women's issues, and couples therapy, and also treat: depression, anxiety, difficulty with life/relationships, family addiction recovery, divorce recovery, grief, trauma, PTSD.
Without judgment or pathologizing, I will help you accept "what is" so you can create "what can be." People naturally move toward healthier lives and choices with the right support: empathy, authentic compassion, sincere curiosity, and validation. Together we will establish a comfort zone in therapy. In the safe haven of my office, you can explore your inner world, discover your voice, put words to your story, and move through and beyond your suffering - to find healing, peace, and joy. My clients report increased self-awareness and personal growth, more meaningful insights, stronger connections, and greater satisfaction in life.
I specialize in codependency, women's issues, and couples therapy, and also treat: depression, anxiety, difficulty with life/relationships, family addiction recovery, divorce recovery, grief, trauma, PTSD.
Without judgment or pathologizing, I will help you accept "what is" so you can create "what can be." People naturally move toward healthier lives and choices with the right support: empathy, authentic compassion, sincere curiosity, and validation. Together we will establish a comfort zone in therapy. In the safe haven of my office, you can explore your inner world, discover your voice, put words to your story, and move through and beyond your suffering - to find healing, peace, and joy. My clients report increased self-awareness and personal growth, more meaningful insights, stronger connections, and greater satisfaction in life.
(206) 735-4876 View (206) 735-4876
Photo of Kellie A Preston, MS, LMFT, CMHS, RPT-S, Marriage & Family Therapist
Kellie A Preston
Marriage & Family Therapist, MS, LMFT, CMHS, RPT-S
Verified Verified
Kenmore, WA 98028
I believe everyone has innate wisdom within themselves to overcome whatever obstacles are in front of them. I specialize in treating children, adolescents, and families that have experienced trauma and consequently suffering from anxiety, depression, attentional difficulties, sleep issues, developmental obstacles. Expressive therapies offers a unique way to language those issues using art, painting, clay work, journal writing, sand tray play and canine therapy, and they begin to externalize worries and concerns, crisis and trauma through symbols and mastery is gained. When families in pain begin to play together, perceptions of each other are changed, communication is accomplished and individuals experience their true potential.
I believe everyone has innate wisdom within themselves to overcome whatever obstacles are in front of them. I specialize in treating children, adolescents, and families that have experienced trauma and consequently suffering from anxiety, depression, attentional difficulties, sleep issues, developmental obstacles. Expressive therapies offers a unique way to language those issues using art, painting, clay work, journal writing, sand tray play and canine therapy, and they begin to externalize worries and concerns, crisis and trauma through symbols and mastery is gained. When families in pain begin to play together, perceptions of each other are changed, communication is accomplished and individuals experience their true potential.
(425) 786-9544 View (425) 786-9544
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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.