Anxiety Therapists in Tioga County, PA

Photo of Alison Sihler, Pre-Licensed Professional in Tioga County, PA
Alison Sihler
Pre-Licensed Professional, BS, MS, CSC
Verified Verified
Wellsboro, PA 16901  (Online Only)
I have first-hand knowledge on the effect that unresolved mental health issues can endure on daily living. I have worked with all ages and my expertise is related to working with individuals who have had difficulties with life’s stressors such as, dealing with relationships, & negative self-perceptions, as well as symptoms of depression, anxiety, adjustment issues, Attention Deficit/Hyperactivity, and other concerns. Outside of individual therapy; I facilitate group therapy for adolescents involved in intensive outpatient (IOP) therapy, focusing on Trauma, behavioral issues & LGBTQIA+.
I have first-hand knowledge on the effect that unresolved mental health issues can endure on daily living. I have worked with all ages and my expertise is related to working with individuals who have had difficulties with life’s stressors such as, dealing with relationships, & negative self-perceptions, as well as symptoms of depression, anxiety, adjustment issues, Attention Deficit/Hyperactivity, and other concerns. Outside of individual therapy; I facilitate group therapy for adolescents involved in intensive outpatient (IOP) therapy, focusing on Trauma, behavioral issues & LGBTQIA+.
(570) 539-7086 View (570) 539-7086
Photo of Kimberly Allen, Clinical Social Work/Therapist in Tioga County, PA
Kimberly Allen
Clinical Social Work/Therapist, LCSW
Verified Verified
Covington, PA 16917  (Online Only)
I have been working with individuals of all ages for over 15 years. I have always been passionate about helping others and would love to support you whether you are simply going through some tough times, needs some motivation in making a change in your life or are struggling with some more difficult challenges. I have worked with a variety of populations including victims of trauma; parents, adolescents and children struggling with mental health or other neurodivergent individuals (ADHD, autism, etc). and individuals working to make lifestyle changes such as diet and nutritional changes.
I have been working with individuals of all ages for over 15 years. I have always been passionate about helping others and would love to support you whether you are simply going through some tough times, needs some motivation in making a change in your life or are struggling with some more difficult challenges. I have worked with a variety of populations including victims of trauma; parents, adolescents and children struggling with mental health or other neurodivergent individuals (ADHD, autism, etc). and individuals working to make lifestyle changes such as diet and nutritional changes.
(570) 605-4546 View (570) 605-4546
Photo of Brian Shrawder, Marriage & Family Therapist in Tioga County, PA
Brian Shrawder
Marriage & Family Therapist, PhD, LMFT, CCTP, CHT
Verified Verified
1 Endorsed
Wellsboro, PA 16901  (Online Only)
Telehealth therapy only but immediate openings- My ideal clients are couples ages 25-60 years of age that are having relationship issues and feel stuck in the negative interactions over and over. I am of the belief my primary role is to help you improve your responses to each other without breaking your core values and or deeply held principles. Your job is to create your own individual goals for being in therapy.  MY job is to help you reach them. I have many tools to help you become a more effective partner – they work best when you are clear about how you desire to be in your relationship.
Telehealth therapy only but immediate openings- My ideal clients are couples ages 25-60 years of age that are having relationship issues and feel stuck in the negative interactions over and over. I am of the belief my primary role is to help you improve your responses to each other without breaking your core values and or deeply held principles. Your job is to create your own individual goals for being in therapy.  MY job is to help you reach them. I have many tools to help you become a more effective partner – they work best when you are clear about how you desire to be in your relationship.
(570) 206-8110 View (570) 206-8110
Photo of Tina M Cole, Licensed Professional Counselor in Tioga County, PA
Tina M Cole
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Gaines, PA 16921  (Online Only)
Are you finally ready to do the work and want to try a more integrative approach. Are you tired of cookie cutter approaches that aren't enough. Ready to get off the merry-go-round and stop telling and retelling that same stories that are keeping you stuck. The road ahead of you will be challenging, but I will navigate this terrain with you. Brainspotting is a somatic/body/brain based approach, and is my favorite intervention to use. I'd love to meet you and give you a small taste of what it is like to work with me, and see if you might be willing to work on you. Call me or schedule a free consultation from my website.
Are you finally ready to do the work and want to try a more integrative approach. Are you tired of cookie cutter approaches that aren't enough. Ready to get off the merry-go-round and stop telling and retelling that same stories that are keeping you stuck. The road ahead of you will be challenging, but I will navigate this terrain with you. Brainspotting is a somatic/body/brain based approach, and is my favorite intervention to use. I'd love to meet you and give you a small taste of what it is like to work with me, and see if you might be willing to work on you. Call me or schedule a free consultation from my website.
(814) 648-6025 View (814) 648-6025
Photo of Rebecca L Blunt, Counselor in Tioga County, PA
Rebecca L Blunt
Counselor, MS, LMHC
Verified Verified
Mansfield, PA 16933
On the practical level, we strive to overcome and surpass ("soar-past") our challenges. On the deeper level, we hope to gain wisdom from our challenges, moving us towards greater meaning and intentionality.
On the practical level, we strive to overcome and surpass ("soar-past") our challenges. On the deeper level, we hope to gain wisdom from our challenges, moving us towards greater meaning and intentionality.
(607) 523-4234 View (607) 523-4234

Online Therapists

Photo of Megan Greenwald, Licensed Professional Counselor in Tioga County, PA
Megan Greenwald
Licensed Professional Counselor, MA, LPC, NCC, , CGCS
Verified Verified
2 Endorsed
Scranton, PA 18504
Waitlist for new clients
I have experience working with adolescents and adults, who experience situations or symptoms related to grief work, trauma, eating disorders, anxiety, depression, codependency, anger management, bipolar disorder and attachment work. I work to provide a warm and unconditional environment that will allow clients to feel safe, accepted and free to explore their current life circumstances and come to know the strength within them. I currently work in office and telehealth sessions if needed.
I have experience working with adolescents and adults, who experience situations or symptoms related to grief work, trauma, eating disorders, anxiety, depression, codependency, anger management, bipolar disorder and attachment work. I work to provide a warm and unconditional environment that will allow clients to feel safe, accepted and free to explore their current life circumstances and come to know the strength within them. I currently work in office and telehealth sessions if needed.
(272) 206-2860 View (272) 206-2860
Photo of Fauve Luckey, Psychologist in Tioga County, PA
Fauve Luckey
Psychologist, PsyD
Verified Verified
Clarks Summit, PA 18411
Hello! I am a licensed psychologist in the state of Pennsylvania. I offer psychological services to children, adolescents, adults, couples, and families. I serve a variety of people and can help with many presenting issues. These include: ADHD, Oppositional Defiance Disorder, Autistic Spectrum Disorder Anxiety, Depression, Bereavement/Grief, Post Traumatic Stress Disorder, Eating Disorders, and marital issues.
Hello! I am a licensed psychologist in the state of Pennsylvania. I offer psychological services to children, adolescents, adults, couples, and families. I serve a variety of people and can help with many presenting issues. These include: ADHD, Oppositional Defiance Disorder, Autistic Spectrum Disorder Anxiety, Depression, Bereavement/Grief, Post Traumatic Stress Disorder, Eating Disorders, and marital issues.
(570) 316-0929 View (570) 316-0929
Photo of Kimberly Carlin, Licensed Professional Counselor in Tioga County, PA
Kimberly Carlin
Licensed Professional Counselor, LPC, NCC
Verified Verified
Saint Marys, PA 15857  (Online Only)
Are you a woman whose anxiety, unmet expectations or comparison of others is causing you to feel emotionally drained? Do you struggle with disordered eating, body image issues or behaviors that make you want to hide and isolate from others? Are you dealing with unresolved trauma, grief and loss, difficult life transitions or unhealthy boundaries that are causing problems in your relationships? Are you a friend, mother, or significant other who never feels good enough or appreciated so you react with anger, defensiveness and then feel guilt and shame afterwards? If any of this sounds like you, I can help!
Are you a woman whose anxiety, unmet expectations or comparison of others is causing you to feel emotionally drained? Do you struggle with disordered eating, body image issues or behaviors that make you want to hide and isolate from others? Are you dealing with unresolved trauma, grief and loss, difficult life transitions or unhealthy boundaries that are causing problems in your relationships? Are you a friend, mother, or significant other who never feels good enough or appreciated so you react with anger, defensiveness and then feel guilt and shame afterwards? If any of this sounds like you, I can help!
(610) 756-2403 View (610) 756-2403
Photo of Dr. Jennifer Harp, Psychologist in Tioga County, PA
Dr. Jennifer Harp
Psychologist, PhD, CGP
Verified Verified
State College, PA 16801
Waitlist for new clients
Areas of Specialty: Adult Life Issues, Consultation for Medical Professionals and Mental Health Professionals, Perfectionism and Achievement, Anxiety and Depression, Life Transitions, Loss and Grief Experiences, Work/Group Relationship Issues, Career Concerns, Mindfulness, Wellness, Creativity, and Dream Work.
Dr. Jennifer Harp provides depth-oriented, psychodynamic consultation and psychotherapy that includes respectful and sensitive exploration of your concerns and related areas of challenge or difficulty. While providing focus and structure for therapeutic work, Dr. Harp also values and emphasizes your unique contributions to the process including your own particular insights, perspectives, and experiences. Treatment approaches include Individual, Couple, and Group Psychotherapy. Dr. Harp is also a Certified Group Psychotherapist and a practitioner of Mindfulness-based and Contemplative Psychotherapy.
Areas of Specialty: Adult Life Issues, Consultation for Medical Professionals and Mental Health Professionals, Perfectionism and Achievement, Anxiety and Depression, Life Transitions, Loss and Grief Experiences, Work/Group Relationship Issues, Career Concerns, Mindfulness, Wellness, Creativity, and Dream Work.
Dr. Jennifer Harp provides depth-oriented, psychodynamic consultation and psychotherapy that includes respectful and sensitive exploration of your concerns and related areas of challenge or difficulty. While providing focus and structure for therapeutic work, Dr. Harp also values and emphasizes your unique contributions to the process including your own particular insights, perspectives, and experiences. Treatment approaches include Individual, Couple, and Group Psychotherapy. Dr. Harp is also a Certified Group Psychotherapist and a practitioner of Mindfulness-based and Contemplative Psychotherapy.
(814) 813-2450 View (814) 813-2450
Photo of Joseph Monczewski, Licensed Professional Counselor in Tioga County, PA
Joseph Monczewski
Licensed Professional Counselor, MS, LPC, CAADC, CCS
Verified Verified
Dickson City, PA 18519
Joseph Monczewski, MS, LPC, CAADC, CCS is a Licensed Professional Counselor with 30 years of experience. Areas of practice include the following: depression, anxiety, trauma/PTSD, grief/loss, drug & alcohol treatment-recovery, co-dependency, adult children issues, adjustment issues, bi-polar disorder, couples, marital. Counseling can occur in-person or through tele-therapy.
Joseph Monczewski, MS, LPC, CAADC, CCS is a Licensed Professional Counselor with 30 years of experience. Areas of practice include the following: depression, anxiety, trauma/PTSD, grief/loss, drug & alcohol treatment-recovery, co-dependency, adult children issues, adjustment issues, bi-polar disorder, couples, marital. Counseling can occur in-person or through tele-therapy.
(570) 300-7021 View (570) 300-7021
Photo of Fred Benner, Licensed Professional Counselor in Tioga County, PA
Fred Benner
Licensed Professional Counselor, PhD, LPC, NCC, CAADC, SAP
Verified Verified
Lewistown, PA 17044
I am accepting Face-2-Face AND telehealth clients. I am equipped to provide HIPAA compliant telehealth services by voice or video. This has now been approved by all insurance carriers, and is an option which extends flexibility, but our office is also open . I have broad experience in working with mood and anxiety disorders, trauma, substance use disorders, and families struggling with addiction. I also help those with problems caused by alcohol or drugs, couples trying to save a relationship. and those in child custody disputes because of divorce or separation. I also help with process addictions like gambling and pornography.
I am accepting Face-2-Face AND telehealth clients. I am equipped to provide HIPAA compliant telehealth services by voice or video. This has now been approved by all insurance carriers, and is an option which extends flexibility, but our office is also open . I have broad experience in working with mood and anxiety disorders, trauma, substance use disorders, and families struggling with addiction. I also help those with problems caused by alcohol or drugs, couples trying to save a relationship. and those in child custody disputes because of divorce or separation. I also help with process addictions like gambling and pornography.
(717) 889-7152 View (717) 889-7152
Photo of Rooted Relational Therapy, Marriage & Family Therapist in Tioga County, PA
Rooted Relational Therapy
Marriage & Family Therapist, MA, LMFT
Verified Verified
Mifflinburg, PA 17844
Struggling with depression, anxiety, or stress? Dealing with grief, loss, or trauma? Feeling overwhelmed? Losing hope that things will ever change? WE CAN HELP. We are here to help you experience growth, healing, and wholeness in your life and relationships. Whether you want to feel less stressed, experience less conflict, enjoy better communication, fall more deeply in love, or otherwise enjoy better self-esteem and more satisfying relationships with partners, friends, family, or kids (even adult children), our experienced and highly trained therapists can help you reach your goals.
Struggling with depression, anxiety, or stress? Dealing with grief, loss, or trauma? Feeling overwhelmed? Losing hope that things will ever change? WE CAN HELP. We are here to help you experience growth, healing, and wholeness in your life and relationships. Whether you want to feel less stressed, experience less conflict, enjoy better communication, fall more deeply in love, or otherwise enjoy better self-esteem and more satisfying relationships with partners, friends, family, or kids (even adult children), our experienced and highly trained therapists can help you reach your goals.
(570) 884-4662 x1 View (570) 884-4662 x1
Photo of Kyle Kuzel, Clinical Social Work/Therapist in Tioga County, PA
Kyle Kuzel
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Friendsville, PA 18818
My experience is in working with relationship issues, grief, trauma, abuse, behavioral issues, anxiety, depression, and family conflict.
The first appointment will involve an evaluation of your needs and goals. What you hope to accomplish will direct the course of treatment. As we work together you can expect to gain better self-understanding through thought-provoking dialogue and reflection. The therapeutic process sometimes requires talking about difficult subjects or having challenging conversations so compassion, honesty, and respect will be guiding principles during those times.
My experience is in working with relationship issues, grief, trauma, abuse, behavioral issues, anxiety, depression, and family conflict.
The first appointment will involve an evaluation of your needs and goals. What you hope to accomplish will direct the course of treatment. As we work together you can expect to gain better self-understanding through thought-provoking dialogue and reflection. The therapeutic process sometimes requires talking about difficult subjects or having challenging conversations so compassion, honesty, and respect will be guiding principles during those times.
(570) 630-7178 View (570) 630-7178
Photo of Lori Wieder, Pre-Licensed Professional in Tioga County, PA
Lori Wieder
Pre-Licensed Professional, MEd, NCC, C-IAYT
Verified Verified
State College, PA 16801
Are you struggling with the crush of anxiety and overwhelm? Feeling stuck or directionless? Navigating the tides of loss or a big life change? Craving more peace and ease? I get it. In these challenging times it’s easy to become disconnected from our authentic selves—from purpose, from contentment & joy. Instead, anxiety and stress become constant companions, overpowering everything else. I’m here to support you, and to help you find your way back home to yourself. Together we can explore the big questions of purpose and connection along with practical strategies for current challenges & finding more ease and contentment every day.
Are you struggling with the crush of anxiety and overwhelm? Feeling stuck or directionless? Navigating the tides of loss or a big life change? Craving more peace and ease? I get it. In these challenging times it’s easy to become disconnected from our authentic selves—from purpose, from contentment & joy. Instead, anxiety and stress become constant companions, overpowering everything else. I’m here to support you, and to help you find your way back home to yourself. Together we can explore the big questions of purpose and connection along with practical strategies for current challenges & finding more ease and contentment every day.
(814) 929-2606 View (814) 929-2606
Photo of Sara Mays , Clinical Social Work/Therapist in Tioga County, PA
Sara Mays
Clinical Social Work/Therapist, LCSW, CPRP
Verified Verified
Curwensville, PA 16833
I focus on trauma, anxiety, adjustment, grief and loss.
Experiences from the past can impact our present and our future. Reaching out to begin the process of working on our struggles can be a very emotional experience. Using a trauma informed and strength based approach I work to build a trusting relationship with clients while we work as a team throughout the therapeutic process.
I focus on trauma, anxiety, adjustment, grief and loss.
Experiences from the past can impact our present and our future. Reaching out to begin the process of working on our struggles can be a very emotional experience. Using a trauma informed and strength based approach I work to build a trusting relationship with clients while we work as a team throughout the therapeutic process.
(814) 205-9549 View (814) 205-9549
Photo of Doug Richard, Marriage & Family Therapist in Tioga County, PA
Doug Richard
Marriage & Family Therapist, MA, LMFT, AAMFT, ICEEFT
Verified Verified
Mifflinburg, PA 17844
Struggling with relationship difficulties? Depression, anxiety, stress? Dealing with grief, loss, or trauma? Feeling overwhelmed? Losing hope that things will change? You can trust us to help you! Rooted exists to help you experience growth, healing, and wholeness in your life and relationships. Whether you want to feel less stressed, experience less conflict, enjoy better communication, fall more deeply in love, or enjoy better self-esteem and more satisfying relationships with partners, friends, family, or kids (even adult children), our experienced and highly trained therapists can help you reach your goals.
Struggling with relationship difficulties? Depression, anxiety, stress? Dealing with grief, loss, or trauma? Feeling overwhelmed? Losing hope that things will change? You can trust us to help you! Rooted exists to help you experience growth, healing, and wholeness in your life and relationships. Whether you want to feel less stressed, experience less conflict, enjoy better communication, fall more deeply in love, or enjoy better self-esteem and more satisfying relationships with partners, friends, family, or kids (even adult children), our experienced and highly trained therapists can help you reach your goals.
(570) 884-4662 x1 View (570) 884-4662 x1
Photo of Margie Plotts, Licensed Professional Counselor in Tioga County, PA
Margie Plotts
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Muncy, PA 17756
Anchor Counseling Service helps those who are having personal and/or family problems by blending psychotherapy and faith principles. If you are grieving a loss, having feelings of hopelessness, experiencing anxiety and/or depression, having an eating disorder or a victim of abuse, call me today for an appointment. I want to help you make your life more enjoyable and peaceful. Sharing your concerns will be heard and validated. Confidentiality is very important and an objective listener such as myself allows for safety and healthy discernment.
Anchor Counseling Service helps those who are having personal and/or family problems by blending psychotherapy and faith principles. If you are grieving a loss, having feelings of hopelessness, experiencing anxiety and/or depression, having an eating disorder or a victim of abuse, call me today for an appointment. I want to help you make your life more enjoyable and peaceful. Sharing your concerns will be heard and validated. Confidentiality is very important and an objective listener such as myself allows for safety and healthy discernment.
(570) 240-4598 View (570) 240-4598
Photo of Brian Perkins, Marriage & Family Therapist in Tioga County, PA
Brian Perkins
Marriage & Family Therapist, MS, MA, LMFT
Verified Verified
I can analyze why you have anxiety or anger in life, or distance or even infidelity in relationships.
Suppose you returned home one night to your "empty" house on a corner to find the door smashed open, and sounds of someone inside and things falling on the floor. Afraid, you walk around the corner where your neighbor then tells you she saw smoke coming from your window and the firemen are inside finding the cause. Your attitude toward the intruders completely changes when you understand their purpose. I give clients similar insight about the problems hurting them and their relationships. It's tragic to suffer and to fear solvable problems because you don't understand them.
I can analyze why you have anxiety or anger in life, or distance or even infidelity in relationships.
Suppose you returned home one night to your "empty" house on a corner to find the door smashed open, and sounds of someone inside and things falling on the floor. Afraid, you walk around the corner where your neighbor then tells you she saw smoke coming from your window and the firemen are inside finding the cause. Your attitude toward the intruders completely changes when you understand their purpose. I give clients similar insight about the problems hurting them and their relationships. It's tragic to suffer and to fear solvable problems because you don't understand them.
(570) 704-3821 View (570) 704-3821
Photo of Kara Dianne Eberle-Jones, Clinical Social Work/Therapist in Tioga County, PA
Kara Dianne Eberle-Jones
Clinical Social Work/Therapist, LCSW
Verified Verified
Bloomsburg, PA 17815
Waitlist for new clients
My specialties include anxiety, depression, behavioral issues, trauma, ADHD, relational issues, Autism, LGBTQ, self-esteem, and suicidal ideation.
I’m a mental health/ behavioral health therapist that works with various populations including children, teens/ adolescents, adults and geriatrics. We will work together to learn how to overcome challenging thoughts, feelings, and/or experiences. My work focuses on partnering with you, and meeting you where you are, to take steps towards what is meaningful and valuable to you and your family, the way you want your life to look, and the person you want to be. I believe we are always growing, changing and learning in all aspects of our lives.
My specialties include anxiety, depression, behavioral issues, trauma, ADHD, relational issues, Autism, LGBTQ, self-esteem, and suicidal ideation.
I’m a mental health/ behavioral health therapist that works with various populations including children, teens/ adolescents, adults and geriatrics. We will work together to learn how to overcome challenging thoughts, feelings, and/or experiences. My work focuses on partnering with you, and meeting you where you are, to take steps towards what is meaningful and valuable to you and your family, the way you want your life to look, and the person you want to be. I believe we are always growing, changing and learning in all aspects of our lives.
(570) 553-5781 View (570) 553-5781
Photo of Brain Advances LLC, Clinical Social Work/Therapist in Tioga County, PA
Brain Advances LLC
Clinical Social Work/Therapist, LCSW, BCN, QEEG-DL, MEd
Verified Verified
State College, PA 16801
Some Specialties: Neurofeedback, Quantitative Electroencephalograms, Addictions, Sleep Issues, Migraines, Pain Issues, ADHD, Anxiety, Depression, Tinnitus, Stroke Recovery.
With over thirty years of experience in working with a broad range of mental health issues, Rhonda Mateer Ross is a skilled provider of psychotherapy and neurofeedback. Infra Slow Fluctuation Neurofeedback (Google Mark Smith) is especially powerful with autism, bowel issues, migraines, Raynauld's Syndrome, anxiety, sleep disturbances and mood disorders. She is also certified in the Polyvagal Safe and Sound Protocol (SSP) which is especially helpful with autism, trauma and anxiety.
Some Specialties: Neurofeedback, Quantitative Electroencephalograms, Addictions, Sleep Issues, Migraines, Pain Issues, ADHD, Anxiety, Depression, Tinnitus, Stroke Recovery.
With over thirty years of experience in working with a broad range of mental health issues, Rhonda Mateer Ross is a skilled provider of psychotherapy and neurofeedback. Infra Slow Fluctuation Neurofeedback (Google Mark Smith) is especially powerful with autism, bowel issues, migraines, Raynauld's Syndrome, anxiety, sleep disturbances and mood disorders. She is also certified in the Polyvagal Safe and Sound Protocol (SSP) which is especially helpful with autism, trauma and anxiety.
(814) 209-4623 View (814) 209-4623

See more therapy options for Tioga County

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.