Anxiety Treatment Centers in Royal Oak, MI
We offer compassionate, confidential and skillful psychotherapeutic counseling to individuals of all ages, couples and families. Our licensed and experienced professionals help people every day with issues such as anxiety, depression, grief, relationship problems, disordered eating, self harm, suicidal ideation and trauma, among others. We know that life can be difficult, and also know that the human capacity for growth and change is truly remarkable. We are here to help you every step of the way.
We offer compassionate, confidential and skillful psychotherapeutic counseling to individuals of all ages, couples and families. Our licensed and experienced professionals help people every day with issues such as anxiety, depression, grief, relationship problems, disordered eating, self harm, suicidal ideation and trauma, among others. We know that life can be difficult, and also know that the human capacity for growth and change is truly remarkable. We are here to help you every step of the way.
We provide outpatient individual sessions in a therapeutic, professional, and safe environment. We bring nearly 20 years of expertise, specializing in anxiety, depression, relationship struggles, divorce, shame, trauma, abuse, anger, panic, and addiction. We take all the necessary steps to ensure clients feel open and comfortable to explore and identify their unique goals. Services are always individualized and always client-driven.
We provide outpatient individual sessions in a therapeutic, professional, and safe environment. We bring nearly 20 years of expertise, specializing in anxiety, depression, relationship struggles, divorce, shame, trauma, abuse, anger, panic, and addiction. We take all the necessary steps to ensure clients feel open and comfortable to explore and identify their unique goals. Services are always individualized and always client-driven.
Do you feel shame about your sexual interests? Do you and your partner have sexual desire differences? Do you love your partner but are not "in love" with your partner? Psychotherapy services to individuals and couples. Specialties include sexual dysfunctions in both men and women including erectile dysfunction and desire disorders, Out of Control Sexual Behaviors/Sexual Addiction, Affairs, Internet Infidelity, Imago Relationship Therapy, LGBTQ Affirmative Therapy and Mixed Orientation Marriages. We also treat mood disorders such as depression and anxiety.
Do you feel shame about your sexual interests? Do you and your partner have sexual desire differences? Do you love your partner but are not "in love" with your partner? Psychotherapy services to individuals and couples. Specialties include sexual dysfunctions in both men and women including erectile dysfunction and desire disorders, Out of Control Sexual Behaviors/Sexual Addiction, Affairs, Internet Infidelity, Imago Relationship Therapy, LGBTQ Affirmative Therapy and Mixed Orientation Marriages. We also treat mood disorders such as depression and anxiety.
Services are available regardless of race, religion, age, gender, disability, national origin, or income. Providing help and giving hope with family life cycle concerns like: Anxiety, depression, and obsessive compulsive disorder, anger management, substance abuse and addiction behaviors, adoption, pregnancy, marital challenges, pre-marriage counseling, relationship conflicts (school, family, work), court ordered counseling, attention deficit disorders (ADHD), problems resulting from unemployment, aging issues, life changes, stress management, grief and loss, illness or chronic illness adjustments, adolescent/childhood problems, loneliness or inability to socially interact school related problems, domestic violence, abuse or neglect of children, and work/industry issues. Our therapists respond to each person or family with a tailored approach based on their particular need to help address and resolve the issues that hinder or disrupt their lives at home, school and work. The strengths of that person or family are leveraged in their therapy program to promote growth, insight, and autonomy. Professional counseling can help individuals change ideas, behaviors, or relationships that are painful, hurtful, or destructive and help to promote positive mental, spiritual, physical, and emotional wellbeing.
Services are available regardless of race, religion, age, gender, disability, national origin, or income. Providing help and giving hope with family life cycle concerns like: Anxiety, depression, and obsessive compulsive disorder, anger management, substance abuse and addiction behaviors, adoption, pregnancy, marital challenges, pre-marriage counseling, relationship conflicts (school, family, work), court ordered counseling, attention deficit disorders (ADHD), problems resulting from unemployment, aging issues, life changes, stress management, grief and loss, illness or chronic illness adjustments, adolescent/childhood problems, loneliness or inability to socially interact school related problems, domestic violence, abuse or neglect of children, and work/industry issues. Our therapists respond to each person or family with a tailored approach based on their particular need to help address and resolve the issues that hinder or disrupt their lives at home, school and work. The strengths of that person or family are leveraged in their therapy program to promote growth, insight, and autonomy. Professional counseling can help individuals change ideas, behaviors, or relationships that are painful, hurtful, or destructive and help to promote positive mental, spiritual, physical, and emotional wellbeing.
Day One is a program of Oakland Family Services, a private, non-profit human service agency that has been providing quality services to families and the community since 1921. We offer caring, confidential, research-based mental health and substance use disorder therapy for all ages.
Day One is a program of Oakland Family Services, a private, non-profit human service agency that has been providing quality services to families and the community since 1921. We offer caring, confidential, research-based mental health and substance use disorder therapy for all ages.
Since 2016 we have been the leader of co-occurring addiction/mental health treatment services in Michigan. Our passionate team at Skywood is clinically prepared to facilitate medically supervised Detox, Residential Inpatient, Partial Hospitalization, Intensive outpatient, and/or Virtual outpatient services. Our serene 300-acre campus provides patients the ultimate tranquil experience with miles of walking trails, fishing ponds, climbing walls, yoga, bicycle rides, disc golf and plenty of sober activities. Skywood utilizes a multi-modality approach featuring the following: · Individual Psychotherapy · Acceptance and Commitment · Cognitive Behavioral Therapy · Refuge Recovery · Dialectical Behavioral Therapy · Equine Therapy · Motivational Interviewing · Adventure Therapy · Art Therapy · Music Therapy · Family Therapy · Relapse Prevention · Wellbriety · S.M.A.R.T. Recovery
Since 2016 we have been the leader of co-occurring addiction/mental health treatment services in Michigan. Our passionate team at Skywood is clinically prepared to facilitate medically supervised Detox, Residential Inpatient, Partial Hospitalization, Intensive outpatient, and/or Virtual outpatient services. Our serene 300-acre campus provides patients the ultimate tranquil experience with miles of walking trails, fishing ponds, climbing walls, yoga, bicycle rides, disc golf and plenty of sober activities. Skywood utilizes a multi-modality approach featuring the following: · Individual Psychotherapy · Acceptance and Commitment · Cognitive Behavioral Therapy · Refuge Recovery · Dialectical Behavioral Therapy · Equine Therapy · Motivational Interviewing · Adventure Therapy · Art Therapy · Music Therapy · Family Therapy · Relapse Prevention · Wellbriety · S.M.A.R.T. Recovery
Sanford Behavioral Health is a residential and outpatient addiction, mental health, and eating disorder treatment center in Greater Grand Rapids, Michigan. Our newest facility, Sanford West Behavioral Health Campus, is 12 minutes from downtown Grand Rapids in Marne, Michigan. Sanford West is well positioned to treat high acuity patients with an integrated, individualized approach to treatment, Our programs are backed by a psychiatrist-led multi-disciplinary team of medical and clinical professionals, and most of our programs are available in person or via telehealth. Our continuum of care includes Detox; Residential Treatment, Partial Hospitalization ( day programs or PHP), Intensive Outpatient Programs (half-day programs or IOP); Medication-Assisted Treatment (MAT) and Medical Management; Outpatient Programs; and one-on-one and family counseling. In addition, Sanford West houses the first standalone residential eating disorder treatment center in Michigan. And although it is a big, sprawling campus, program areas are strategically divided into more intimate spaces.
Sanford Behavioral Health is a residential and outpatient addiction, mental health, and eating disorder treatment center in Greater Grand Rapids, Michigan. Our newest facility, Sanford West Behavioral Health Campus, is 12 minutes from downtown Grand Rapids in Marne, Michigan. Sanford West is well positioned to treat high acuity patients with an integrated, individualized approach to treatment, Our programs are backed by a psychiatrist-led multi-disciplinary team of medical and clinical professionals, and most of our programs are available in person or via telehealth. Our continuum of care includes Detox; Residential Treatment, Partial Hospitalization ( day programs or PHP), Intensive Outpatient Programs (half-day programs or IOP); Medication-Assisted Treatment (MAT) and Medical Management; Outpatient Programs; and one-on-one and family counseling. In addition, Sanford West houses the first standalone residential eating disorder treatment center in Michigan. And although it is a big, sprawling campus, program areas are strategically divided into more intimate spaces.
We are a privately owned mental health clinic offering a full range of psychological services for children, adolescents, adults and older adults. The highly skilled and experienced staff is comprised of psychiatrists, psychologists, social workers and dieticians that have extensive clinical experience working with significant emotional, developmental, familial and relationship problems. The clinic has several nationally recognized researchers/clinicians that specialize in the treatment of eating disorders, ADD/ADHD and adolescent development.
We are a privately owned mental health clinic offering a full range of psychological services for children, adolescents, adults and older adults. The highly skilled and experienced staff is comprised of psychiatrists, psychologists, social workers and dieticians that have extensive clinical experience working with significant emotional, developmental, familial and relationship problems. The clinic has several nationally recognized researchers/clinicians that specialize in the treatment of eating disorders, ADD/ADHD and adolescent development.
Michigan Center for Traumatic Stress: Rose Program
Treatment Center
Verified Verified
1 Endorsed
Royal Oak, MI 48067
We are dedicated to providing trauma treatment to adults in ways that have never been offered in Michigan before. If outpatient is not quite enough but hospitalization is not the right fit either, our Rose program might be the perfect fit for you. We offer a partial hospitalization program and intensive outpatient program specifically for individuals with trauma. Say goodbye to a general partial day program and hello to the Rose program, specialized trauma treatment.
We are dedicated to providing trauma treatment to adults in ways that have never been offered in Michigan before. If outpatient is not quite enough but hospitalization is not the right fit either, our Rose program might be the perfect fit for you. We offer a partial hospitalization program and intensive outpatient program specifically for individuals with trauma. Say goodbye to a general partial day program and hello to the Rose program, specialized trauma treatment.
River's Bend PC is a full-service outpatient clinic that has been serving children, adolescents and adults for over 25 years. We offer comprehensive treatment services for mental health and chemical dependence at several levels of care. River's Bend PC provides its cost-effective behavioral health treatment in an outpatient setting. Our overall goal is to stabilize and maximize each client's well-being through the use of brief psychotherapy and appropriate psychotropic medications, if needed, in a dignified and respectful way.River's Bend PC is centrally located in the Troy area. Our highly qualified therapeutic staff consists of licensed professionals in Social Work, Psychology, Counseling, Marriage and Family Therapy, Substance Abuse Counseling and Psychiatry. Our offices provide a relaxing environment with convenient hours of operation and a dynamic range of services, from individual to group therapy for a wide variety of situations. River's Bend PC is accredited by The Joint Commission for Behavioral Health Care Services.
River's Bend PC is a full-service outpatient clinic that has been serving children, adolescents and adults for over 25 years. We offer comprehensive treatment services for mental health and chemical dependence at several levels of care. River's Bend PC provides its cost-effective behavioral health treatment in an outpatient setting. Our overall goal is to stabilize and maximize each client's well-being through the use of brief psychotherapy and appropriate psychotropic medications, if needed, in a dignified and respectful way.River's Bend PC is centrally located in the Troy area. Our highly qualified therapeutic staff consists of licensed professionals in Social Work, Psychology, Counseling, Marriage and Family Therapy, Substance Abuse Counseling and Psychiatry. Our offices provide a relaxing environment with convenient hours of operation and a dynamic range of services, from individual to group therapy for a wide variety of situations. River's Bend PC is accredited by The Joint Commission for Behavioral Health Care Services.
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Skywood Recovery
Sanford West Behavioral Health Campus
Michigan Center for Traumatic Stress: Rose Program
Easterseals MORC has been offering disability services since 1920. As one of the largest providers of mental health services in the state, Easterseals MORC evolves to meet the ever-changing needs of the people they serve. By combining the latest mental health therapies along with cutting edge technology, Easterseals MORC is able to offer the best services for most mental health disabilities, serving individuals of all ages.
Easterseals MORC has been offering disability services since 1920. As one of the largest providers of mental health services in the state, Easterseals MORC evolves to meet the ever-changing needs of the people they serve. By combining the latest mental health therapies along with cutting edge technology, Easterseals MORC is able to offer the best services for most mental health disabilities, serving individuals of all ages.
Since 2016, Viewpoint has established a strong reputation for exceptional mental health services in Southeast Michigan, with offices in Waterford, West Bloomfield, and Commerce Township. We offer a wide range of services, including individual, group, family, and couples counseling, medication management, and neuropsychological assessments, such as Autism Spectrum Disorder testing. Our dedicated team of clinicians is available seven days a week, including evenings, to ensure accessibility. For more information on our services and therapists, please visit our website. We also accept various insurance plans. We take pride in being an active community partner, engaging in initiatives that promote collaboration and support. Our partnerships with local law enforcement, Youth Assistance programs, coalitions, and Park and Recreation services enhance community well-being. Through these efforts, we contribute to a holistic approach to mental health care focused on prevention, education, and community involvement, fostering a supportive environment for individuals on their mental health journey.
Since 2016, Viewpoint has established a strong reputation for exceptional mental health services in Southeast Michigan, with offices in Waterford, West Bloomfield, and Commerce Township. We offer a wide range of services, including individual, group, family, and couples counseling, medication management, and neuropsychological assessments, such as Autism Spectrum Disorder testing. Our dedicated team of clinicians is available seven days a week, including evenings, to ensure accessibility. For more information on our services and therapists, please visit our website. We also accept various insurance plans. We take pride in being an active community partner, engaging in initiatives that promote collaboration and support. Our partnerships with local law enforcement, Youth Assistance programs, coalitions, and Park and Recreation services enhance community well-being. Through these efforts, we contribute to a holistic approach to mental health care focused on prevention, education, and community involvement, fostering a supportive environment for individuals on their mental health journey.
New Oakland Family Centers has been serving southeast Michigan since 1990. We offer a full continuum of mental health services for adults, children and adolescents with locations in: Center Line, Clarkston, Clinton Township, Farmington Hills, Flint, Livonia, Okemos, Southgate, Bloomfield Hills, Port Huron, Portage and Warren. New Oakland provides a new, holistic and effective approach to mental health and immediate access to mental health services. New Oakland offers: *Fast access for psychiatric evaluations/med reviews *Crisis response/mobile deployment *Transportation *Diverse clinical team *Integration with physical health
New Oakland Family Centers has been serving southeast Michigan since 1990. We offer a full continuum of mental health services for adults, children and adolescents with locations in: Center Line, Clarkston, Clinton Township, Farmington Hills, Flint, Livonia, Okemos, Southgate, Bloomfield Hills, Port Huron, Portage and Warren. New Oakland provides a new, holistic and effective approach to mental health and immediate access to mental health services. New Oakland offers: *Fast access for psychiatric evaluations/med reviews *Crisis response/mobile deployment *Transportation *Diverse clinical team *Integration with physical health
Life Skills Village is a premiere comprehensive outpatient rehabilitation and mental health program. We specialize in challenges, symptoms, and/or behaviors arising from Neurological and Psychological disorders. Our patients seek help in treating feelings of isolation, impulsivity, memory issues, disorganization, feeling stuck, lack of independence, career stagnancy, inability to maintain employment, depression... and other difficult conditions. Using evidenced based practices, Life Skills Village works with patients to overcome issues relative to specific personal goals and needs. Modalities of treatment include Psychology, Occupational Therapy, Speech-Language Pathology, and more. We additionally offer Psychological and Neuropsychological Evaluations to aid in accurate diagnoses and identification of appropriate treatment recommendations.
Life Skills Village is a premiere comprehensive outpatient rehabilitation and mental health program. We specialize in challenges, symptoms, and/or behaviors arising from Neurological and Psychological disorders. Our patients seek help in treating feelings of isolation, impulsivity, memory issues, disorganization, feeling stuck, lack of independence, career stagnancy, inability to maintain employment, depression... and other difficult conditions. Using evidenced based practices, Life Skills Village works with patients to overcome issues relative to specific personal goals and needs. Modalities of treatment include Psychology, Occupational Therapy, Speech-Language Pathology, and more. We additionally offer Psychological and Neuropsychological Evaluations to aid in accurate diagnoses and identification of appropriate treatment recommendations.
We recognize the impact of stress, trauma and oppression on the mind, body and spirit. We empathize with navigating everyday spaces and feeling “I am too much” or “ I am not enough.” We relate to the reluctance to disclose parts of our identity and/or experience into therapeutic settings because of the likelihood that this would not be welcome. Or safe. We believe that any and every part of you that calls for healing is worthy of a therapeutic and healing response. We affirm the healer and survivor within you. In this space we offer: A team of qualified therapists who are guided by the belief that self- love is a radical act Group Therapy and Collective/Peer Support Groups Yoga for all bodies Weight inclusive Nutritionist (Non-diet) Reiki/Energetic Healing Services This is a space for individual and collective healing. This is a space for radical wellness and transformation. You are welcome here.
We recognize the impact of stress, trauma and oppression on the mind, body and spirit. We empathize with navigating everyday spaces and feeling “I am too much” or “ I am not enough.” We relate to the reluctance to disclose parts of our identity and/or experience into therapeutic settings because of the likelihood that this would not be welcome. Or safe. We believe that any and every part of you that calls for healing is worthy of a therapeutic and healing response. We affirm the healer and survivor within you. In this space we offer: A team of qualified therapists who are guided by the belief that self- love is a radical act Group Therapy and Collective/Peer Support Groups Yoga for all bodies Weight inclusive Nutritionist (Non-diet) Reiki/Energetic Healing Services This is a space for individual and collective healing. This is a space for radical wellness and transformation. You are welcome here.
More Treatment Centers Nearby
Wayne State University Psychology Clinic
Treatment Center, PhD
Verified Verified
Ferndale, MI 48220
Waitlist for new clients
The Wayne State University Psychology Clinic provides a vast array of services to the metro Detroit area. Within a safe, confidential, and professional environment, a variety of clinical services are offered for children, adolescents, and adults. We are able to provide comprehensive psychological assessments to help identify and provide recommendations for ADHD, trauma, learning disabilities, behavioral problems, and personal and relationship difficulties. In addition, we provide therapy to individuals, couples, and families struggling with a variety of concerns, including trauma, depression and anxiety, substance abuse and other addictions, personality and relationship problems, trauma and posttraumatic stress disorder, grief and loss, identity and career conflicts, and trouble accessing or coping with emotions.
The Wayne State University Psychology Clinic provides a vast array of services to the metro Detroit area. Within a safe, confidential, and professional environment, a variety of clinical services are offered for children, adolescents, and adults. We are able to provide comprehensive psychological assessments to help identify and provide recommendations for ADHD, trauma, learning disabilities, behavioral problems, and personal and relationship difficulties. In addition, we provide therapy to individuals, couples, and families struggling with a variety of concerns, including trauma, depression and anxiety, substance abuse and other addictions, personality and relationship problems, trauma and posttraumatic stress disorder, grief and loss, identity and career conflicts, and trouble accessing or coping with emotions.
StoneCrest Center provides premier inpatient programming for adults ages 18-54 and senior adults age 55 and older who are struggling with mental health disorders, developmental concerns, and co-occurring substance use disorders. In our inpatient programming, we offer intensive support for people who have acute symptoms of a number of behavioral health concerns, such as anxiety, bipolar disorder, dementia, psychosis, self-harm, and suicidal ideation. Those who participate in our inpatient programming can benefit from the combined experience of our expert team, which includes psychiatrists, social workers, therapists, registered nurses, activity coordinators, and dietitians. This team works with each patient to design an individualized treatment plan that is based on the patient’s background and therapeutic goals. Treatment plans at StoneCrest Center may include individual and family therapy sessions as needed as well as daily group therapy sessions. We also provide recreational therapies, such as pet, art, and music therapies. The typical length of stay in our adult inpatient program is around 11-14 days.
StoneCrest Center provides premier inpatient programming for adults ages 18-54 and senior adults age 55 and older who are struggling with mental health disorders, developmental concerns, and co-occurring substance use disorders. In our inpatient programming, we offer intensive support for people who have acute symptoms of a number of behavioral health concerns, such as anxiety, bipolar disorder, dementia, psychosis, self-harm, and suicidal ideation. Those who participate in our inpatient programming can benefit from the combined experience of our expert team, which includes psychiatrists, social workers, therapists, registered nurses, activity coordinators, and dietitians. This team works with each patient to design an individualized treatment plan that is based on the patient’s background and therapeutic goals. Treatment plans at StoneCrest Center may include individual and family therapy sessions as needed as well as daily group therapy sessions. We also provide recreational therapies, such as pet, art, and music therapies. The typical length of stay in our adult inpatient program is around 11-14 days.
StoneCrest Center - Adolescent Inpatient
Treatment Center
Not Verified Not Verified
Ferndale, MI 48220
At StoneCrest Center, we offer an adolescent inpatient program for youths ages 12-17 who have mental health concerns and co-occurring addictions. Because young people are going through developmental changes, we believe that the most effective behavioral healthcare is age-specific. We strive to provide developmentally appropriate treatments and services that meet each young person where they are in their healing journey. During their time in our inpatient program, adolescent patients can participate in therapy sessions led by social workers and activity therapists. In group therapy sessions, youths get the chance to meet their peers and share support and encouragement. In these sessions, they can also receive education on topics such as trauma, coping skills, self-esteem, and healthy boundaries. Additionally, adolescent patients whose treatment plans include medication can receive daily medication management services from psychiatrists and nurses.
At StoneCrest Center, we offer an adolescent inpatient program for youths ages 12-17 who have mental health concerns and co-occurring addictions. Because young people are going through developmental changes, we believe that the most effective behavioral healthcare is age-specific. We strive to provide developmentally appropriate treatments and services that meet each young person where they are in their healing journey. During their time in our inpatient program, adolescent patients can participate in therapy sessions led by social workers and activity therapists. In group therapy sessions, youths get the chance to meet their peers and share support and encouragement. In these sessions, they can also receive education on topics such as trauma, coping skills, self-esteem, and healthy boundaries. Additionally, adolescent patients whose treatment plans include medication can receive daily medication management services from psychiatrists and nurses.
At StoneCrest Center, we understand that families are impacted when a loved one is struggling. We empathize with and support those who have a family member who is suffering from a mental health disorder, co-occurring addiction, or developmental concern. We also believe that patients can benefit from their families’ participation in the treatment process. Throughout programming, we provide family therapy sessions in virtual and in-person formats to help family members support their loved ones. In family therapy sessions, social workers and other behavioral health staff teach families better communication skills to repair and strengthen their relationships. We encourage families to express their feelings and thoughts. We focus on helping families understand what their loved ones may be experiencing, and we prepare them to provide the most effective support they can after their loved one completes treatment and returns home.
At StoneCrest Center, we understand that families are impacted when a loved one is struggling. We empathize with and support those who have a family member who is suffering from a mental health disorder, co-occurring addiction, or developmental concern. We also believe that patients can benefit from their families’ participation in the treatment process. Throughout programming, we provide family therapy sessions in virtual and in-person formats to help family members support their loved ones. In family therapy sessions, social workers and other behavioral health staff teach families better communication skills to repair and strengthen their relationships. We encourage families to express their feelings and thoughts. We focus on helping families understand what their loved ones may be experiencing, and we prepare them to provide the most effective support they can after their loved one completes treatment and returns home.
See more therapy options for Royal Oak
Anxiety Treatment Centers
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.