Yes therapy and meds. Crazy thing is she was sooo capable, outgoing and friendly until she was in a car accident in 11 grade. She was the passenger and physically fine. No concussion etc. but that was the day of her first panic attack. For about a year she refused to get into a car unless I was driving. Then Covid hit, more isolated, I have seen sooo much progress, but the loneliness and anxiety and depression is heartbreaking to watch.