Anxiety Counselling in Royton

Photo of Nicole Kettle - Voyage Counselling, BACP, Counsellor
Voyage Counselling
Counsellor, BACP
Verified Verified
Royton OL2
Hello, I'm Nicole and I am a Person Centred Counsellor. I offer counselling to adults covering a variety of issues including anxiety, depression and/or emotional trauma, no matter what the cause. I am very passionate about supporting people and provide a safe, private and non-judgmental space for you to explore and talk about your concerns and difficulties. Whatever is holding you back from living life on your terms is worth talking about. I fully believe that everyone has the power within themselves to promote positive change.
Hello, I'm Nicole and I am a Person Centred Counsellor. I offer counselling to adults covering a variety of issues including anxiety, depression and/or emotional trauma, no matter what the cause. I am very passionate about supporting people and provide a safe, private and non-judgmental space for you to explore and talk about your concerns and difficulties. Whatever is holding you back from living life on your terms is worth talking about. I fully believe that everyone has the power within themselves to promote positive change.
0161 524 5283 View 0161 524 5283
Photo of Karen Butterworth, BACP, Counsellor
Karen Butterworth
Counsellor, BACP
Verified Verified
Royton OL2
The fact you’ve read this far suggests you could be ready to do that, but if it seems a step too far, don’t worry, the time may not be right for you.
You may have suffered with mental ill-health on and off for years, or it may be something you’ve noticed recently. To benefit from talking therapy, it’s less about what the issue is, or the severity of your mental/emotional wellbeing but more about your readiness to talk and be open to learning about yourself. It can be an emotionally draining process as you face up to difficulties you’ve experienced during your life. My aim is to provide the support you need throughout the process and to fully accept you for who you are. Even if you find it difficult to accept parts of yourself. Clients often leave sessions feeling much lighter.
The fact you’ve read this far suggests you could be ready to do that, but if it seems a step too far, don’t worry, the time may not be right for you.
You may have suffered with mental ill-health on and off for years, or it may be something you’ve noticed recently. To benefit from talking therapy, it’s less about what the issue is, or the severity of your mental/emotional wellbeing but more about your readiness to talk and be open to learning about yourself. It can be an emotionally draining process as you face up to difficulties you’ve experienced during your life. My aim is to provide the support you need throughout the process and to fully accept you for who you are. Even if you find it difficult to accept parts of yourself. Clients often leave sessions feeling much lighter.
01706 572689 View 01706 572689
Photo of Tina Hadfield - Healing Hearts Counselling , DCounsPsych, BACP, Counsellor
Healing Hearts Counselling
Counsellor, DCounsPsych, BACP
Verified Verified
Royton OL2
My name is Tina i offer a safe space for you to explore your deepest thoughts and feelings. A non judgemental and caring enviroment. Through our journey together we can build on trust and understanding and experience a wonderful therapeutic relationship. Counselling can be a very beautiful and empowering experiance for you and myself. Im very passionate about my job and feel very privileged to be in this position. I would love to hear from you, dont be shy once you take this first step you will wonder why you didnt earlier.
My name is Tina i offer a safe space for you to explore your deepest thoughts and feelings. A non judgemental and caring enviroment. Through our journey together we can build on trust and understanding and experience a wonderful therapeutic relationship. Counselling can be a very beautiful and empowering experiance for you and myself. Im very passionate about my job and feel very privileged to be in this position. I would love to hear from you, dont be shy once you take this first step you will wonder why you didnt earlier.
07507 176923 View 07507 176923
Photo of Eileen Steed, DCounsPsych, MBACP, Counsellor
Eileen Steed
Counsellor, DCounsPsych, MBACP
Verified Verified
Royton OL2
I began my counsellor training just over twelve years ago. I currently hold three qualifications in Person centred Counselling at Certificate level and have gained a level 4 Diploma in Therapeutic Counselling. I also hold a Diploma in Cognitive behaviour therapy(CBT) this training enables me to offer an inclusive counselling service combining therapies as appropriate. I have training in working with couples and relationships and will work with you to try and find a resolution to your difficulties. I have years experience working on the telephone and face to face.
I began my counsellor training just over twelve years ago. I currently hold three qualifications in Person centred Counselling at Certificate level and have gained a level 4 Diploma in Therapeutic Counselling. I also hold a Diploma in Cognitive behaviour therapy(CBT) this training enables me to offer an inclusive counselling service combining therapies as appropriate. I have training in working with couples and relationships and will work with you to try and find a resolution to your difficulties. I have years experience working on the telephone and face to face.
01706 580104 View 01706 580104

More Therapists Nearby

Photo of Sultana Begum - Care for me Counselling Services, MBACP, Counsellor
Care for me Counselling Services
Counsellor, MBACP
Verified Verified
Oldham OL2
My name is Sultana I am an experienced MBACP Integrative Person-Centred Counsellor, I offer a private, confidential, and non-judgemental space for you to explore and discuss your concerns and difficulties. I offer therapeutic intervention on Mental Health Issues such as depression, anxiety, schizophrenia, and phobias. I have high success in couples counselling and have supported clients going through loss, trauma, separation and divorce. Whatever the issue I hope to work together to explore and unpack the patterns of thought, core beliefs and behaviours that are preventing you from living your life fully and authentically.
My name is Sultana I am an experienced MBACP Integrative Person-Centred Counsellor, I offer a private, confidential, and non-judgemental space for you to explore and discuss your concerns and difficulties. I offer therapeutic intervention on Mental Health Issues such as depression, anxiety, schizophrenia, and phobias. I have high success in couples counselling and have supported clients going through loss, trauma, separation and divorce. Whatever the issue I hope to work together to explore and unpack the patterns of thought, core beliefs and behaviours that are preventing you from living your life fully and authentically.
07449 850608 View 07449 850608
Photo of Dr Sheeba Ehsan, PsychD, HCPC - Clin. Psych., Psychologist
Dr Sheeba Ehsan
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Oldham OL1
I am a Chartered Clinical psychologist (HCPC registered), providing assessment and therapy in Manchester. I have over 20 years of experience working with a range of psychological presentations e.g. anxiety, depression, OCD, personality disorder, trauma, PTSD etc. I have worked with adults, young people and families. If you are looking for that individualised, tailored approach look no further, give me a call to see if I can help you. The initial consultation is free of charge as I believe it is important to find the right therapist for you.
I am a Chartered Clinical psychologist (HCPC registered), providing assessment and therapy in Manchester. I have over 20 years of experience working with a range of psychological presentations e.g. anxiety, depression, OCD, personality disorder, trauma, PTSD etc. I have worked with adults, young people and families. If you are looking for that individualised, tailored approach look no further, give me a call to see if I can help you. The initial consultation is free of charge as I believe it is important to find the right therapist for you.
0161 850 7995 View 0161 850 7995
Photo of J Rafiq, MBACP, Counsellor
J Rafiq
Counsellor, MBACP
Verified Verified
Oldham OL8
Throughout life we all suffer from personal, emotional and psychological issues. Usually we overcome these but sometimes we can get stuck, tangled up and become negatively affected. If you are finding yourself experiencing anxiety or depression, or struggling with any other issues, then know that help is always available. Whatever it is, I am here to listen attentively, with empathy, without any judgement, and in complete confidence. There are multiple approaches to counselling, but rather than push a particular one (that may not be suitable for you) I prefer we work together to decide which is the best way forward for you.
Throughout life we all suffer from personal, emotional and psychological issues. Usually we overcome these but sometimes we can get stuck, tangled up and become negatively affected. If you are finding yourself experiencing anxiety or depression, or struggling with any other issues, then know that help is always available. Whatever it is, I am here to listen attentively, with empathy, without any judgement, and in complete confidence. There are multiple approaches to counselling, but rather than push a particular one (that may not be suitable for you) I prefer we work together to decide which is the best way forward for you.
0161 519 4251 View 0161 519 4251
Photo of Deborah Pennington, MBACP, Counsellor
Deborah Pennington
Counsellor, MBACP
Verified Verified
Oldham OL2
I’m an experienced and qualified Person-Centred Counsellor / Psychotherapist. As your counsellor I offer a safe, respectful space for you, where you can explore personal issues and emotions, within a gentle and warm approach. It may be that you are feeling anxious or stressed and would like to explore these in order to move towards a feeling of emotional well being. Perhaps you might want to talk about difficulties at work, with family, personal relationships or sexual difficulties. Counselling can support you to find the resilience to work through these with courage and to find coping methods.
I’m an experienced and qualified Person-Centred Counsellor / Psychotherapist. As your counsellor I offer a safe, respectful space for you, where you can explore personal issues and emotions, within a gentle and warm approach. It may be that you are feeling anxious or stressed and would like to explore these in order to move towards a feeling of emotional well being. Perhaps you might want to talk about difficulties at work, with family, personal relationships or sexual difficulties. Counselling can support you to find the resilience to work through these with courage and to find coping methods.
01743 298038 View 01743 298038
Photo of Clare Nelson - MYND Integrative Counselling, MNCPS Acc., Counsellor
MYND Integrative Counselling
Counsellor, MNCPS Acc.
Verified Verified
Oldham OL2
I am an Accredited Integrative Counsellor specialising in adult mental health, and currently working for the NHS and Private Practice. With many years of experience, we will work together to specifically tailor treatment to follow you in the moment, meeting your requirements and your journey. With 1st hand experience of mental health issues myself I understand the difficulties in finding a Counsellor. All I can say is, try me. Depression, anxiety/stress, historic abuse, childhood problems, attachment, relationship issues, bereavement/loss, complex grief, Long-Covid. Call me with a FREE 15min consultation.
I am an Accredited Integrative Counsellor specialising in adult mental health, and currently working for the NHS and Private Practice. With many years of experience, we will work together to specifically tailor treatment to follow you in the moment, meeting your requirements and your journey. With 1st hand experience of mental health issues myself I understand the difficulties in finding a Counsellor. All I can say is, try me. Depression, anxiety/stress, historic abuse, childhood problems, attachment, relationship issues, bereavement/loss, complex grief, Long-Covid. Call me with a FREE 15min consultation.
01706 619203 View 01706 619203
Photo of Naeem Akhtar, BACP, Counsellor
Naeem Akhtar
Counsellor, BACP
Verified Verified
Milnrow OL16
Counselling offers a space to talk about the issues in your life and there are many reasons for coming. Talking things through with a supportive and non-judgemental therapist can help you gain clarity and make sense out of where you currently find yourself. This in itself can provide some relief and open up the potential for positive change. Whether you are having difficulties at work, have anxiety or depression, have had a major life event/trauma, an addiction, experienced loss, or just need to make sense of your current situation I can offer you a warm, confidential and welcoming space where you feel safe, respected and supported.
Counselling offers a space to talk about the issues in your life and there are many reasons for coming. Talking things through with a supportive and non-judgemental therapist can help you gain clarity and make sense out of where you currently find yourself. This in itself can provide some relief and open up the potential for positive change. Whether you are having difficulties at work, have anxiety or depression, have had a major life event/trauma, an addiction, experienced loss, or just need to make sense of your current situation I can offer you a warm, confidential and welcoming space where you feel safe, respected and supported.
01706 580462 View 01706 580462
Photo of Bridget Worster-Boone, DCounsPsych, MBACP, Counsellor
Bridget Worster-Boone
Counsellor, DCounsPsych, MBACP
Verified Verified
1 Endorsed
Oldham OL2  (Online Only)
I have a wealth of experience and success in working with many life issues such as anxiety, bereavement, grief, loss, depression, family issues, relationships and trauma. Plus, for many years, I've supported people in the work environment, understanding how tough processes such as redundancy, investigations etc, can be. There are many reasons why people come to me for counselling. Do you feel confused, or overwhelmed, exhausted by worry? Perhaps you feel misunderstood, unheard, or fear telling others? Maybe you know what the issue is but can't see your way through.
I have a wealth of experience and success in working with many life issues such as anxiety, bereavement, grief, loss, depression, family issues, relationships and trauma. Plus, for many years, I've supported people in the work environment, understanding how tough processes such as redundancy, investigations etc, can be. There are many reasons why people come to me for counselling. Do you feel confused, or overwhelmed, exhausted by worry? Perhaps you feel misunderstood, unheard, or fear telling others? Maybe you know what the issue is but can't see your way through.
0161 524 5660 View 0161 524 5660
Photo of Diane Judith Adderley, MUKCP, Psychotherapist
Diane Judith Adderley
Psychotherapist, MUKCP
Verified Verified
Oldham OL1
Anxiety, depression, bereavement, relationships, work goals, issues and ways forward - these are just some of the stressors I have helped clients to tackle.
I am a qualified psychotherapist, life coach, trainer and supervisor, with over 20 years experience in private practice. I work with adults who may be encountering life's stressors to a greater-than-usual degree or may be struggling to find their way forward in a diverse range of circumstances. These may be from personal or professional sources but usually involve our own, perhaps not very helpful, habitual ways of dealing with such difficulties - we all can revert to old habits in times of trouble. I am available to do both short- and long-term work according to need.
Anxiety, depression, bereavement, relationships, work goals, issues and ways forward - these are just some of the stressors I have helped clients to tackle.
I am a qualified psychotherapist, life coach, trainer and supervisor, with over 20 years experience in private practice. I work with adults who may be encountering life's stressors to a greater-than-usual degree or may be struggling to find their way forward in a diverse range of circumstances. These may be from personal or professional sources but usually involve our own, perhaps not very helpful, habitual ways of dealing with such difficulties - we all can revert to old habits in times of trouble. I am available to do both short- and long-term work according to need.
01890 230083 View 01890 230083
Photo of Favor Emeka Alexander - Paramount Therapy Center Limited, MSc, BACP, Psychotherapist
Paramount Therapy Center Limited
Psychotherapist, MSc, BACP
Verified Verified
Oldham OL4
My services also provide an alternative approach through which people can address their difficulties, unpack their emotional fears, and achieve greater psychological and emotional wellbeing.
I work as a Psychological Wellbeing Practitioner. I have experience assessing and assisting people with mental health conditions and hidden disabilities within their workplaces. I have specialist knowledge and experience in Personality Disorder, Dialectical Behavioral Therapy and Acceptance & Commitment Therapy. I follow the BACP code of ethics. This means that I work with honesty, integrity, mission, and values. I offer Counselling and Psychotherapy on a short- and long-term basis using Person-centered therapeutic Approach. I work with Young People, Couple in Relationship, Families, Domestic Violence, SPIP.
My services also provide an alternative approach through which people can address their difficulties, unpack their emotional fears, and achieve greater psychological and emotional wellbeing.
I work as a Psychological Wellbeing Practitioner. I have experience assessing and assisting people with mental health conditions and hidden disabilities within their workplaces. I have specialist knowledge and experience in Personality Disorder, Dialectical Behavioral Therapy and Acceptance & Commitment Therapy. I follow the BACP code of ethics. This means that I work with honesty, integrity, mission, and values. I offer Counselling and Psychotherapy on a short- and long-term basis using Person-centered therapeutic Approach. I work with Young People, Couple in Relationship, Families, Domestic Violence, SPIP.
0113 487 2354 View 0113 487 2354
Photo of Sarah Greaves - Sarah Greaves Counselling MBACP, MBACP, Counsellor
Sarah Greaves Counselling MBACP
Counsellor, MBACP
Verified Verified
Oldham OL1
I'm an extensively experienced, fully qualified BACP registered counsellor for adults and young people. I work with everyone individually, helping you to explore and make sense of your feelings, needs and relationships, and make positive changes in your life. The world can sometimes feel stressful and we can feel sad, confused, disconnected and stuck. I am an integrative therapist which means I can use different methods and techniques to help you explore your needs, uncertainties and fears. I work inclusively and respectfully, validating and accepting your individuality. I am happy to chat with you before booking a session.
I'm an extensively experienced, fully qualified BACP registered counsellor for adults and young people. I work with everyone individually, helping you to explore and make sense of your feelings, needs and relationships, and make positive changes in your life. The world can sometimes feel stressful and we can feel sad, confused, disconnected and stuck. I am an integrative therapist which means I can use different methods and techniques to help you explore your needs, uncertainties and fears. I work inclusively and respectfully, validating and accepting your individuality. I am happy to chat with you before booking a session.
01484 598525 View 01484 598525
Photo of Jo Chadwick, MBACP, Counsellor
Jo Chadwick
Counsellor, MBACP
Verified Verified
Oldham OL9
Hi, I'm Jo, welcome to my profile. Are you feeling low, stuck, lost or anxious? I can help. I offer a safe space to help you try to understand your feelings and bring about positive change. Counselling can provide perspective, validation, clarity and a better awareness of self. I commonly deal with low mood, anxiety, loss, family/relationship problems, abuse, low self esteem, midlife/menopausal stresses.
Hi, I'm Jo, welcome to my profile. Are you feeling low, stuck, lost or anxious? I can help. I offer a safe space to help you try to understand your feelings and bring about positive change. Counselling can provide perspective, validation, clarity and a better awareness of self. I commonly deal with low mood, anxiety, loss, family/relationship problems, abuse, low self esteem, midlife/menopausal stresses.
0161 543 0614 View 0161 543 0614
Photo of Chrissy Orson, MA, MBACP Accred, Psychotherapist
Chrissy Orson
Psychotherapist, MA, MBACP Accred
Verified Verified
Oldham OL4
Do you want to be able to better manage anxious feelings, or to understand yourself & your relationships more, or maybe there is a specific issue causing you pain or unhappiness. I am a BACP accredited therapist, offering a safe space for you or your child to work through any challenges or difficulties that you’re having. My role as therapist is to provide the empathic, compassionate, safe space for you to explore the aspects of your life that are preventing you from feeling at your best; those creating stress, tension, unhappiness or loneliness.
Do you want to be able to better manage anxious feelings, or to understand yourself & your relationships more, or maybe there is a specific issue causing you pain or unhappiness. I am a BACP accredited therapist, offering a safe space for you or your child to work through any challenges or difficulties that you’re having. My role as therapist is to provide the empathic, compassionate, safe space for you to explore the aspects of your life that are preventing you from feeling at your best; those creating stress, tension, unhappiness or loneliness.
0161 696 8451 View 0161 696 8451
Photo of Karen Roach - Unwind Counselling, BACP, Counsellor
Unwind Counselling
Counsellor, BACP
Verified Verified
Oldham OL1
Does it feel like life is getting on top of you? Can things sometimes feel overwhelming? Perhaps you can’t actually name what you’re feeling, but just feel low without really understanding why. I am here to help you process these thoughts and feelings to enable you to work towards a better understanding of yourself. This increased self- awareness will help you on the road to managing your life more effectively. I work with adults (any age, gender or sexual orientation) experiencing difficulties such as anxiety, depression, low self-esteem, grief or bereavement, addiction issues or relationship problems.
Does it feel like life is getting on top of you? Can things sometimes feel overwhelming? Perhaps you can’t actually name what you’re feeling, but just feel low without really understanding why. I am here to help you process these thoughts and feelings to enable you to work towards a better understanding of yourself. This increased self- awareness will help you on the road to managing your life more effectively. I work with adults (any age, gender or sexual orientation) experiencing difficulties such as anxiety, depression, low self-esteem, grief or bereavement, addiction issues or relationship problems.
01282 953319 View 01282 953319
Photo of Jerri Trixie Prior - PriorMindset , MA, MBABCP, Psychotherapist
PriorMindset
Psychotherapist, MA, MBABCP
Verified Verified
4 Endorsed
Oldham OL2
Please get in touch if you are struggling with depression, phobias, OCD or any type of anxiety, we can work together to see what type is causing your distress.
Are you feeling stuck or lost? attempting to find mental health or school support for your child, or your family unit? Are you struggling with NHS waiting lists for Cognitive Behavioural Therapy, or Autism and ADHD guidance? Attempting to navigate the complex health and educational system is stressful and confusing for most families. Well, I see YOU! I encourage and welcome you to get in touch with me. I am an NHS award-winning family mental health, and CBT practitioner, with 14 years of experience. I am here to support you and your family unit through these difficult barriers; getting you back, on your road to recovery!
Please get in touch if you are struggling with depression, phobias, OCD or any type of anxiety, we can work together to see what type is causing your distress.
Are you feeling stuck or lost? attempting to find mental health or school support for your child, or your family unit? Are you struggling with NHS waiting lists for Cognitive Behavioural Therapy, or Autism and ADHD guidance? Attempting to navigate the complex health and educational system is stressful and confusing for most families. Well, I see YOU! I encourage and welcome you to get in touch with me. I am an NHS award-winning family mental health, and CBT practitioner, with 14 years of experience. I am here to support you and your family unit through these difficult barriers; getting you back, on your road to recovery!
01706 335998 View 01706 335998
Photo of Adeela Irfan - Diverse Wellbeing Services Ltd, MSc, GMBPsS, Psychotherapist
Diverse Wellbeing Services Ltd
Psychotherapist, MSc, GMBPsS
Verified Verified
Oldham OL1
My area of expertise in Anxiety, Depression and Post Traumatic disorders, Narcissistic Personality disorder, Sexual abuse, Domestic violence, Eating disorders couples and relationship issues, Sexual addiction and Psycho-sexual disorders.
As a specialist psychologist and psychotherapist, I work with the National Health Services UK, focusing on services for adults with autism/ADHD, PTSD, couples, psychosexual therapy, and psychological therapy for comorbid mental health conditions. I am deeply interested in the efficacy of psychological therapies for these groups and the necessary adaptations in therapy. My extensive experience in assessment, formulation, and clinical management allows me to contribute to service development, supervision, safeguarding, and the creation of innovative client engagement methods in therapy.
My area of expertise in Anxiety, Depression and Post Traumatic disorders, Narcissistic Personality disorder, Sexual abuse, Domestic violence, Eating disorders couples and relationship issues, Sexual addiction and Psycho-sexual disorders.
As a specialist psychologist and psychotherapist, I work with the National Health Services UK, focusing on services for adults with autism/ADHD, PTSD, couples, psychosexual therapy, and psychological therapy for comorbid mental health conditions. I am deeply interested in the efficacy of psychological therapies for these groups and the necessary adaptations in therapy. My extensive experience in assessment, formulation, and clinical management allows me to contribute to service development, supervision, safeguarding, and the creation of innovative client engagement methods in therapy.
01706 300329 View 01706 300329
Photo of Jay Lever-King, MSc, GMBPsS, Psychologist
Jay Lever-King
Psychologist, MSc, GMBPsS
Verified Verified
3 Endorsed
Oldham OL1
I’m Jay, a therapist who celebrates authenticity, creativity and individuality. As somebody who doesn’t quite ‘fit in’, I have experienced first-hand how it feels to be held back by debilitating anxiety, fear of abandonment, rejection and low self-worth as a result of societal messages that are all-too-often received. Feeling confused, doubtful and uncertain lead me to get the help I needed, recognising the value this brings to people's livelihood and encouraging me to give what I had received.
I’m Jay, a therapist who celebrates authenticity, creativity and individuality. As somebody who doesn’t quite ‘fit in’, I have experienced first-hand how it feels to be held back by debilitating anxiety, fear of abandonment, rejection and low self-worth as a result of societal messages that are all-too-often received. Feeling confused, doubtful and uncertain lead me to get the help I needed, recognising the value this brings to people's livelihood and encouraging me to give what I had received.
01457 601794 View 01457 601794

See more therapy options for Royton

Anxiety Counsellors

What are the most common treatments for anxiety?

Talk therapy, particularly cognitive behavioural therapy, is the most common treatment for anxiety. Studies have shown it is equally effective as medication. Other 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 Behavioural 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.