Photo of Nisha Kagal Jastrzembski, Licensed Professional Clinical Counselor in Sacramento, CA
Nisha Kagal Jastrzembski
Licensed Professional Clinical Counselor, LPCC, LMHC
Verified Verified
2 Endorsed
Sacramento, CA 95818  (Online Only)
Do you often feel weighed down by feelings of anxiety or despair? Do you find that your inner world tends to have a harsh or critical tone to it? Are you in the midst of a transition and having difficulty coping? Or are you on the path to finding a deeper sense of identity, purpose, and fulfillment in life? My expertise lies in working with individuals experiencing difficulties resulting from anxiety, depression, cultural challenges, low self-esteem, interpersonal relationships and trauma. Together, I will work with you to create a more meaningful and fulfilling life.
Do you often feel weighed down by feelings of anxiety or despair? Do you find that your inner world tends to have a harsh or critical tone to it? Are you in the midst of a transition and having difficulty coping? Or are you on the path to finding a deeper sense of identity, purpose, and fulfillment in life? My expertise lies in working with individuals experiencing difficulties resulting from anxiety, depression, cultural challenges, low self-esteem, interpersonal relationships and trauma. Together, I will work with you to create a more meaningful and fulfilling life.
(279) 888-9735 View (279) 888-9735
Photo of Chinmay Surpur, Pre-Licensed Professional in Sacramento, CA
Chinmay Surpur
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Sacramento, CA 94203
Waitlist for new clients
Are you experiencing difficulties concentrating? Do you ever feel that your mood is so low you can’t get out of bed? Do you struggle with anxiety or obsessive thoughts? Are you finding yourself wrestling with existential thoughts? Maybe you’re experiencing a combination of issues that just don’t let you feel like yourself? Whatever you’re experiencing, I’m here to help. Through our work together, we can identify your core issues and make a plan to address them using an individually-tailored and holistic approach to achieve your goals. Let’s embark on this journey of healing together!
Are you experiencing difficulties concentrating? Do you ever feel that your mood is so low you can’t get out of bed? Do you struggle with anxiety or obsessive thoughts? Are you finding yourself wrestling with existential thoughts? Maybe you’re experiencing a combination of issues that just don’t let you feel like yourself? Whatever you’re experiencing, I’m here to help. Through our work together, we can identify your core issues and make a plan to address them using an individually-tailored and holistic approach to achieve your goals. Let’s embark on this journey of healing together!
(510) 422-0827 View (510) 422-0827
Photo of Sarah Astarte in Sacramento, CA
Sarah Astarte
PhD
Verified Verified
Sacramento, CA 95864
It can also be utilized to supplement clinical therapy to address anxiety disorders, mood disorders, personality disorders, psychotic disorders, addictions and relational conflicts.
Spiritual guidance and intuitive counseling includes spirituality with contemporary counseling practices to help with healing, empowerment, and transformation. Understanding of one's spirituality is subjective to each client. My specializations include body image and self-esteem, love and relationships, sacred sexuality, identity formation, self-empowerment, life transitions, grief and loss, death and dying, mind-body connection, archetypes, multiculturalism and GLBT identity and issues, and spirituality and growth. Goddess psychology, creative expression, dream work, Reiki, intuitive readings, and indigenous healing practices.
It can also be utilized to supplement clinical therapy to address anxiety disorders, mood disorders, personality disorders, psychotic disorders, addictions and relational conflicts.
Spiritual guidance and intuitive counseling includes spirituality with contemporary counseling practices to help with healing, empowerment, and transformation. Understanding of one's spirituality is subjective to each client. My specializations include body image and self-esteem, love and relationships, sacred sexuality, identity formation, self-empowerment, life transitions, grief and loss, death and dying, mind-body connection, archetypes, multiculturalism and GLBT identity and issues, and spirituality and growth. Goddess psychology, creative expression, dream work, Reiki, intuitive readings, and indigenous healing practices.
(916) 520-6292 View (916) 520-6292
Photo of Nona Khara, Clinical Social Work/Therapist in Sacramento, CA
Nona Khara
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95834  (Online Only)
I specialize in working with children, teens, adults, & couples that struggle with life issues like school, work, family, relationships, past trauma, identity or sexual orientation and different stages, transitions or adversities of life that cause stress, fear, anxiety, depression, and/or trauma.
We all endure challenges at some point or another in our lives yet we continue to strive forward to find peace, solace, content, or happiness. Therapy can help identify those goals, overcome barriers, and henceforth, head toward betterment & enrichment via personal growth.
I specialize in working with children, teens, adults, & couples that struggle with life issues like school, work, family, relationships, past trauma, identity or sexual orientation and different stages, transitions or adversities of life that cause stress, fear, anxiety, depression, and/or trauma.
We all endure challenges at some point or another in our lives yet we continue to strive forward to find peace, solace, content, or happiness. Therapy can help identify those goals, overcome barriers, and henceforth, head toward betterment & enrichment via personal growth.
(916) 472-0960 View (916) 472-0960
Photo of Jasleen Kaur, Marriage & Family Therapist in Sacramento, CA
Jasleen Kaur
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95816
I specialize in working with trauma, adverse life experiences, grief, depression, anxiety, cultural issues, and family and relationship conflict.
As a therapist, I strive to provide an accepting, safe space where you can bring your authentic self without fear of judgment. I enjoy working with individuals of diverse backgrounds who are seeking to better understand themselves and the causes of suffering and discontent in their lives. Many feel alone when experiencing difficult life moments, but connection can make the journey feel lighter. I am interpersonal, warm, and empathetic in my approach, and I will work collaboratively with you to support emotional healing and foster empowerment in you to create the change you desire.
I specialize in working with trauma, adverse life experiences, grief, depression, anxiety, cultural issues, and family and relationship conflict.
As a therapist, I strive to provide an accepting, safe space where you can bring your authentic self without fear of judgment. I enjoy working with individuals of diverse backgrounds who are seeking to better understand themselves and the causes of suffering and discontent in their lives. Many feel alone when experiencing difficult life moments, but connection can make the journey feel lighter. I am interpersonal, warm, and empathetic in my approach, and I will work collaboratively with you to support emotional healing and foster empowerment in you to create the change you desire.
(530) 418-6181 View (530) 418-6181
Photo of Asmita Paudel, Associate Professional Clinical Counselor in Sacramento, CA
Asmita Paudel
Associate Professional Clinical Counselor, APCC
Verified Verified
1 Endorsed
Sacramento, CA 95825  (Online Only)
My passion is helping clients manage their anxiety, substance use, cope with depression, and improve marriage, dating, and relationships. This can be a messy process, and I am not afraid to sit and be present in the mess. The goal of therapy is to help you heal from your experiences. Insight is just the first step. Following insight, we can work together to find ways to manage and moderate the effects of past or current stressors. As a multicultural clinical mental health therapist, I bring diverse perspectives and a deep understanding of cultural nuances to my practice, fostering healing and growth for clients from all backgrounds.
My passion is helping clients manage their anxiety, substance use, cope with depression, and improve marriage, dating, and relationships. This can be a messy process, and I am not afraid to sit and be present in the mess. The goal of therapy is to help you heal from your experiences. Insight is just the first step. Following insight, we can work together to find ways to manage and moderate the effects of past or current stressors. As a multicultural clinical mental health therapist, I bring diverse perspectives and a deep understanding of cultural nuances to my practice, fostering healing and growth for clients from all backgrounds.
(669) 239-2387 View (669) 239-2387
Photo of Guillaume Marriage and Family Counseling of CA, Marriage & Family Therapist in Sacramento, CA
Guillaume Marriage and Family Counseling of CA
Marriage & Family Therapist, AMFT, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95825  (Online Only)
Are you in need of premarital or marital counseling? Are you struggling with anxiety, depression, or past trauma? Are you currently pregnant, just gave birth, or just lost a child and in need of some support to deal with the various emotions you are experiencing? Are you a parent of a child with mental illness and need some support or therapy for yourself? Do you have a long history of mental health struggles and would like to break the cycle? If so, we can help! We work with moms, dads, wives, husbands and partners. We are culturally and spiritually minded in our work. We integrate your faith and culture in our work together.
Are you in need of premarital or marital counseling? Are you struggling with anxiety, depression, or past trauma? Are you currently pregnant, just gave birth, or just lost a child and in need of some support to deal with the various emotions you are experiencing? Are you a parent of a child with mental illness and need some support or therapy for yourself? Do you have a long history of mental health struggles and would like to break the cycle? If so, we can help! We work with moms, dads, wives, husbands and partners. We are culturally and spiritually minded in our work. We integrate your faith and culture in our work together.
(669) 202-2286 View (669) 202-2286
Photo of Amita Khare, Marriage & Family Therapist in Sacramento, CA
Amita Khare
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Sacramento, CA 95815
I specialize in working with complex trauma, emotional imbalance, depression, and anxiety.
I provide evidence-based trauma therapy for CA residents with a focus on women and children. Trauma can be crippling. Your trauma experience has changed you. You would like to wake up in the morning without feelings of dread, hopelessness, and despair. You might be thinking to yourself that you are a slave to your past and nothing can set you free. Your professional success feels unreal because of the unbearable anxiety, imposter syndrome, and persistent sadness. Thank you for showing up for yourself. It is a courageous act. Let us work together to achieve your goals.
I specialize in working with complex trauma, emotional imbalance, depression, and anxiety.
I provide evidence-based trauma therapy for CA residents with a focus on women and children. Trauma can be crippling. Your trauma experience has changed you. You would like to wake up in the morning without feelings of dread, hopelessness, and despair. You might be thinking to yourself that you are a slave to your past and nothing can set you free. Your professional success feels unreal because of the unbearable anxiety, imposter syndrome, and persistent sadness. Thank you for showing up for yourself. It is a courageous act. Let us work together to achieve your goals.
(916) 623-1254 View (916) 623-1254
Photo of Razdeep Kaur, Pre-Licensed Professional in Sacramento, CA
Razdeep Kaur
Pre-Licensed Professional, ACSW, ASW, MSW
Verified Verified
Sacramento, CA 95823
Hi! I'm Razdeep, South Asian therapist providing therapy in California. I work with heart-centered, sensitive, creative, or highly empathic teen and adult individuals who are experiencing stress, life transitions, anxiety, trauma, or struggling with ADHD symptoms. As a sensitive soul, your ability to feel so deeply is your greatest gift and superpower. Even though it may feel like a burden at times, please know that this is what makes you such a warm and wonderful. I invite you to unfasten your burdens and know it’s safe to take a deep breath. In therapy sessions with me, you will be seen and you are warmly welcomed to just BE.
Hi! I'm Razdeep, South Asian therapist providing therapy in California. I work with heart-centered, sensitive, creative, or highly empathic teen and adult individuals who are experiencing stress, life transitions, anxiety, trauma, or struggling with ADHD symptoms. As a sensitive soul, your ability to feel so deeply is your greatest gift and superpower. Even though it may feel like a burden at times, please know that this is what makes you such a warm and wonderful. I invite you to unfasten your burdens and know it’s safe to take a deep breath. In therapy sessions with me, you will be seen and you are warmly welcomed to just BE.
(626) 784-7364 View (626) 784-7364
Photo of Neeru Madan, Psychologist in Sacramento, CA
Neeru Madan
Psychologist, PhD
Verified Verified
Sacramento, CA 95819
I might be a good fit for you if you would like to (a) overcome feelings of depression and anxiety, and rediscover satisfaction and meaning in your life.
I believe that psychotherapy is one of the best gifts you can give yourself. Whether you are interested in therapy in order to deal with challenges you have already identified in your life, or you are seeking therapy to connect to yourself, my aim is help you carve out a path and live a more meaningful life. Together we can work closely to deepen your understanding about your struggles and their underlying causes. I can provide you with a safe space to analyze your thought patterns and behaviors while supporting you through the process of making important changes in your life.
I might be a good fit for you if you would like to (a) overcome feelings of depression and anxiety, and rediscover satisfaction and meaning in your life.
I believe that psychotherapy is one of the best gifts you can give yourself. Whether you are interested in therapy in order to deal with challenges you have already identified in your life, or you are seeking therapy to connect to yourself, my aim is help you carve out a path and live a more meaningful life. Together we can work closely to deepen your understanding about your struggles and their underlying causes. I can provide you with a safe space to analyze your thought patterns and behaviors while supporting you through the process of making important changes in your life.
(530) 298-0307 View (530) 298-0307
Photo of Meghana Tembe, Psychologist in Sacramento, CA
Meghana Tembe
Psychologist, PsyD
Verified Verified
1 Endorsed
Sacramento, CA 95831
The wound is the place where the Light enters you.... Rumi. "Are you experiencing sadness, anxiety/fear, or chronic unhappiness"? "Feeling unloved or unvalued in your relationships"? I believe that our wounds, our suffering & challenges can be a profound catalyst for awakening, for learning to love more deeply and for healing & transformation. And it will be my privilege to assist you in your healing journey...to alleviate suffering, awaken the heart towards self-compassion/loving-kindness and shape the brain towards greater joy & happiness!
The wound is the place where the Light enters you.... Rumi. "Are you experiencing sadness, anxiety/fear, or chronic unhappiness"? "Feeling unloved or unvalued in your relationships"? I believe that our wounds, our suffering & challenges can be a profound catalyst for awakening, for learning to love more deeply and for healing & transformation. And it will be my privilege to assist you in your healing journey...to alleviate suffering, awaken the heart towards self-compassion/loving-kindness and shape the brain towards greater joy & happiness!
(916) 866-7530 View (916) 866-7530
Photo of Roshni Patel, Marriage & Family Therapist in Sacramento, CA
Roshni Patel
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95825
I have been providing and managing behavioral health care services in the Sacramento Metropolitan area since 2000. I am a professionally trained therapist whose goal is to help individuals, couples, and families face their emotional issues with courage and strength while learning to grow and change in a motivating and safe environment. I use multiple treatment modalities which draw upon the personal strengths of my clientele. In addition to English, I speak Gujarati and Hindi, and am comfortable working with people from many cultured and backgrounds.
I have been providing and managing behavioral health care services in the Sacramento Metropolitan area since 2000. I am a professionally trained therapist whose goal is to help individuals, couples, and families face their emotional issues with courage and strength while learning to grow and change in a motivating and safe environment. I use multiple treatment modalities which draw upon the personal strengths of my clientele. In addition to English, I speak Gujarati and Hindi, and am comfortable working with people from many cultured and backgrounds.
(916) 512-1914 View (916) 512-1914
Guneet Kaur
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95823  (Online Only)
Highly motivated; willing to take responsibility for their life; prioritize therapy work; willing to be challenged; exploring gender identity, living authentically, self compassion; people who are wanting support with making changes in their life; transitions; boundaries + interdependence; relationships; practical coping skills;
Highly motivated; willing to take responsibility for their life; prioritize therapy work; willing to be challenged; exploring gender identity, living authentically, self compassion; people who are wanting support with making changes in their life; transitions; boundaries + interdependence; relationships; practical coping skills;
(916) 623-7489 View (916) 623-7489
Photo of Jasmeen Kairam, Pre-Licensed Professional in Sacramento, CA
Jasmeen Kairam
Pre-Licensed Professional, AMFT, MA
Verified Verified
1 Endorsed
Sacramento, CA 95825
I have a strong interest in working with individuals who have faced trauma, especially sexual trauma, to help them rediscover their voice and feel heard. As well as, couples who are struggling with connection, infidelity and more. I acknowledge that every individual is unique and has their own story. As someone who identifies as South Asian, I understand being at the crossroads of societal pressures while trying to balance multiple expectations with various cultural considerations and the stigma that may come around mental health.
I have a strong interest in working with individuals who have faced trauma, especially sexual trauma, to help them rediscover their voice and feel heard. As well as, couples who are struggling with connection, infidelity and more. I acknowledge that every individual is unique and has their own story. As someone who identifies as South Asian, I understand being at the crossroads of societal pressures while trying to balance multiple expectations with various cultural considerations and the stigma that may come around mental health.
(916) 586-7019 View (916) 586-7019
Photo of Janani Venkateswaran, Marriage & Family Therapist Associate in Sacramento, CA
Janani Venkateswaran
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
2 Endorsed
Sacramento, CA 95825
Are you feeling overwhelmed with all that you have to do? Are you struggling to maintain your relationships? Does a balanced life seem like a far fetched dream? As someone who has had to balance multiple cultures, I know what it can feel like to straddle more than one. I want to help you find your balance between the "two worlds" of what is important to you and your family without taking away from who you are. I will work with you to tap into your inner voice, channel your strengths and become the most fulfilling version of yourself. I also provide Immigration evaluations for VAWA, Extreme Hardship, Asylum and U Visa
Are you feeling overwhelmed with all that you have to do? Are you struggling to maintain your relationships? Does a balanced life seem like a far fetched dream? As someone who has had to balance multiple cultures, I know what it can feel like to straddle more than one. I want to help you find your balance between the "two worlds" of what is important to you and your family without taking away from who you are. I will work with you to tap into your inner voice, channel your strengths and become the most fulfilling version of yourself. I also provide Immigration evaluations for VAWA, Extreme Hardship, Asylum and U Visa
(916) 237-9366 View (916) 237-9366
Photo of Ashley Singh, Marriage & Family Therapist in Sacramento, CA
Ashley Singh
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95819  (Online Only)
The heart of my work centers around adults of the South Asian Diaspora (individuals from Afghanistan, Pakistan, India, Nepal, Sri Lanka, Bhutan, Myanmar, and Bangladesh). My work includes the voices of those who have navigated a multicultural experience, which commonly includes those who are Fijian, Guyanese, Trinidadian, etc. in addition to their South Asian identity. My familiarity is common amongst the Muslim, Sikh, Hindu, Buddhist, Christian, Catholic, and Agnostic exposure. All of your identities are welcome and celebrated here. It is here where I to continue to guide other South Asians on journeys home to themselves.
The heart of my work centers around adults of the South Asian Diaspora (individuals from Afghanistan, Pakistan, India, Nepal, Sri Lanka, Bhutan, Myanmar, and Bangladesh). My work includes the voices of those who have navigated a multicultural experience, which commonly includes those who are Fijian, Guyanese, Trinidadian, etc. in addition to their South Asian identity. My familiarity is common amongst the Muslim, Sikh, Hindu, Buddhist, Christian, Catholic, and Agnostic exposure. All of your identities are welcome and celebrated here. It is here where I to continue to guide other South Asians on journeys home to themselves.
(415) 926-2202 x1 View (415) 926-2202 x1
Photo of Anushua Mall, Clinical Social Work/Therapist in Sacramento, CA
Anushua Mall
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95814  (Online Only)
I have been licensed since 2012 and have over 15 years of experience working in the field of mental health providing services to children and adults. Over the last several years I have garnered experience in a variety of settings including non-profit settings, outpatient and community mental health. I have experience providing an array of mental health services including individual, family, group, and couple's therapy. I have experience providing services to individuals struggling with symptoms related to their mental health.
I have been licensed since 2012 and have over 15 years of experience working in the field of mental health providing services to children and adults. Over the last several years I have garnered experience in a variety of settings including non-profit settings, outpatient and community mental health. I have experience providing an array of mental health services including individual, family, group, and couple's therapy. I have experience providing services to individuals struggling with symptoms related to their mental health.
(424) 484-7298 View (424) 484-7298
Photo of Sneha R Rao, Associate Professional Clinical Counselor in Sacramento, CA
Sneha R Rao
Associate Professional Clinical Counselor, APCC
Verified Verified
1 Endorsed
Sacramento, CA 95825  (Online Only)
My name is Sneha (Snay-ha). My passion is to help clients break barriers, shine light on their blind spots, learn healthy coping mechanisms and begin to heal in their own way and at their own pace. I am ready to meet you where you are at, whether it is the beginning of your journey, the middle of your journey, whether you want to talk to someone or have someone sit with you in silence. I am here for you. As an Asian-American immigrant, I provide valuable insight and a space for understanding of the diverse nuances that are part of being an older child in the family and having lived in another country.
My name is Sneha (Snay-ha). My passion is to help clients break barriers, shine light on their blind spots, learn healthy coping mechanisms and begin to heal in their own way and at their own pace. I am ready to meet you where you are at, whether it is the beginning of your journey, the middle of your journey, whether you want to talk to someone or have someone sit with you in silence. I am here for you. As an Asian-American immigrant, I provide valuable insight and a space for understanding of the diverse nuances that are part of being an older child in the family and having lived in another country.
(669) 338-2308 View (669) 338-2308
Photo of Amandeep Kaur, Marriage & Family Therapist Associate in Sacramento, CA
Amandeep Kaur
Marriage & Family Therapist Associate, MA , AMFT, APCC
Verified Verified
Sacramento, CA 95815  (Online Only)
I believe in learning, educating and empowering my client along with focusing on their specific issues pertaining to therapy.I have immense experience working with issues involving but not limited to: > Relationship & marital distress > mood disorders, family dysfunction and generational trauma > emotional, physical and sexual trauma >Grief, low self esteem/perfectionism, low self esteem, PTSD, adjustment disorders, major life transitions, work life balance, parenting and life skills >LGBTQ >Coaching and emotional well being.
I believe in learning, educating and empowering my client along with focusing on their specific issues pertaining to therapy.I have immense experience working with issues involving but not limited to: > Relationship & marital distress > mood disorders, family dysfunction and generational trauma > emotional, physical and sexual trauma >Grief, low self esteem/perfectionism, low self esteem, PTSD, adjustment disorders, major life transitions, work life balance, parenting and life skills >LGBTQ >Coaching and emotional well being.
(209) 231-8875 View (209) 231-8875
Photo of Vinder Lallian, Marriage & Family Therapist in Sacramento, CA
Vinder Lallian
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95816
I offer professional counseling for individuals, couples, families, and children. My goal as a therapist is to work with clients to help them achieve their personal goals. I provide a safe environment for my clients. With a positive attitude, open-mindedness, and motivation, you can accomplish anything you set your minds to. I will help you get there! The rapport with your Therapist is key. Ask about my free 30 minute consultation to see if I am a good fit for you. Let's bring laughter back into your home.
I offer professional counseling for individuals, couples, families, and children. My goal as a therapist is to work with clients to help them achieve their personal goals. I provide a safe environment for my clients. With a positive attitude, open-mindedness, and motivation, you can accomplish anything you set your minds to. I will help you get there! The rapport with your Therapist is key. Ask about my free 30 minute consultation to see if I am a good fit for you. Let's bring laughter back into your home.
(916) 550-3816 View (916) 550-3816
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.