A common question that’s asked is: should a person start with therapy or with medication? As with so many things, there’s no one-size-fits-all right answer, but there are some things to consider: therapy works well. Medications work well. The combination of the two seems to work better than either one by itself, and so oftentimes they will be combined. I often recommend it to patients if the clinical situation is appropriate to start with therapy. Therapy being a little bit more of a conservative option without the side effects that you necessarily could see from medication. If a course of therapy really doesn’t seem to be helping, then consider adding on medication. That being said, every situation is unique and it has to be assessed individually, so there are no hard and fast rules, but that is one potential way to consider.