I have helped many people manage, or even alleviate their symptoms through psychotherapy, usually without the use of medication.  Studies show that psychotherapy is more effective in the long run for managing anxiety, depression and insomnia.  I believe that medications simply mask symptoms and, by themselves, don't address the underlying problems.  There are times when medication is indicated in conjunction with therapy, and we would decide together what makes the most sense for you.  If we determine that medication is a path to consider, I will work directly with a physician (one you already have or one that I can refer you to) to make sure you have a thorough evaluation and receive proper care.  (Note: I am not a medical doctor and, therefore, cannot prescribe medication.)  If you are currently taking medication, I will work with your doctor (with your permission, of course) to make sure that you are receiving the best possible care.  Most of the clients I have worked with have learned to manage their symptoms without medication.  A few have used medication in conjunction with therapy, and eventually stop taking medication.