Therapists in Burlington, ON
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Burlington, ON L7N (Online Only)
Currently, we provide online counseling services exclusively, featuring a talented team of counselors from diverse backgrounds who can tackle a wide range of mental health issues. Our primary goal is to nurture the holistic well-being of our clients, addressing their physical, mental, emotional, and spiritual aspects through exceptional counseling services. We cater to individuals, couples, and families, tailoring our approach for each unique client. In the event of client dissatisfaction with a therapist, we pledge to either find an appropriate replacement or suggest an unaffiliated alternative expert to ensure their needs are met.
Currently, we provide online counseling services exclusively, featuring a talented team of counselors from diverse backgrounds who can tackle a wide range of mental health issues. Our primary goal is to nurture the holistic well-being of our clients, addressing their physical, mental, emotional, and spiritual aspects through exceptional counseling services. We cater to individuals, couples, and families, tailoring our approach for each unique client. In the event of client dissatisfaction with a therapist, we pledge to either find an appropriate replacement or suggest an unaffiliated alternative expert to ensure their needs are met.
More Therapists Nearby
Flourish Psychotherapy
Registered Psychotherapist, MA, RP
Verified Verified
1 Endorsed
Hamilton, ON L8P
Our therapists all work from a person-centered lens and can incorporate various evidence-based modalities including ACT, CBT, DBT, EFT, IFS, EMDR, and Brainspotting.
Flourish Psychotherapy is proud to offer in-person counselling services in Central Hamilton, Ontario as well as virtual counselling services across the province of Ontario. At Flourish Psychotherapy, we aim to create a safe, welcoming, and non-judgmental space where processing, healing, and growth can begin to take place. We are able to provide support for a variety of life challenges including anxiety, stress, depression, life transitions, trauma, family issues, relationship issues, ADHD, and more. Whether you are seeking support on your own or with your partner, our growing team of registered therapists is here to support you.
Our therapists all work from a person-centered lens and can incorporate various evidence-based modalities including ACT, CBT, DBT, EFT, IFS, EMDR, and Brainspotting.
Flourish Psychotherapy is proud to offer in-person counselling services in Central Hamilton, Ontario as well as virtual counselling services across the province of Ontario. At Flourish Psychotherapy, we aim to create a safe, welcoming, and non-judgmental space where processing, healing, and growth can begin to take place. We are able to provide support for a variety of life challenges including anxiety, stress, depression, life transitions, trauma, family issues, relationship issues, ADHD, and more. Whether you are seeking support on your own or with your partner, our growing team of registered therapists is here to support you.
The Therapy Centre
Psychologist, PhD
Verified Verified
Oakville, ON L6M
The Therapy Centre is a full service psychology practice. We offer services to children, teens, adults, couples, and families. We offer psychological and neuropsychological assessment and treatment services for a wide variety of issues listed below. All of our clinicians are well trained in empirically validated treatment models, including: Cognitive Behavioural Therapy (CBT), Emotion-Focused Therapy (EFT), Relational Therapy, Motivational Interviewing, Dialectical Behaviour Therapy (DBT) and EMDR. Each of our clinicians has an area of expertise and tailors treatment to target therapeutic goals.
The Therapy Centre is a full service psychology practice. We offer services to children, teens, adults, couples, and families. We offer psychological and neuropsychological assessment and treatment services for a wide variety of issues listed below. All of our clinicians are well trained in empirically validated treatment models, including: Cognitive Behavioural Therapy (CBT), Emotion-Focused Therapy (EFT), Relational Therapy, Motivational Interviewing, Dialectical Behaviour Therapy (DBT) and EMDR. Each of our clinicians has an area of expertise and tailors treatment to target therapeutic goals.
The Therapy Centre
Psychologist, PhD
Verified Verified
Oakville, ON L6M
The Therapy Centre is a full service psychology practice. We offer services to children, teens, adults, couples, and families. We offer psychological and neuropsychological assessment and treatment services for a wide variety of issues listed below. All of our clinicians are well trained in empirically validated treatment models, including: Cognitive Behavioural Therapy (CBT), Emotion-Focused Therapy (EFT), Relational Therapy, Motivational Interviewing, Dialectical Behaviour Therapy (DBT) and EMDR. Each of our clinicians has an area of expertise and tailors treatment to target therapeutic goals.
The Therapy Centre is a full service psychology practice. We offer services to children, teens, adults, couples, and families. We offer psychological and neuropsychological assessment and treatment services for a wide variety of issues listed below. All of our clinicians are well trained in empirically validated treatment models, including: Cognitive Behavioural Therapy (CBT), Emotion-Focused Therapy (EFT), Relational Therapy, Motivational Interviewing, Dialectical Behaviour Therapy (DBT) and EMDR. Each of our clinicians has an area of expertise and tailors treatment to target therapeutic goals.
Heather Montgomery
Registered Psychotherapist (Qualifying), RP(Q), MA, BSc
Verified Verified
1 Endorsed
Oakville, ON L6K
Do you struggle with finding your next step or worry that the plans you made are out of reach? You want to appear confident and joyful, but deep down you are struggling with stress, and wrestling with fatigue. You might not remember a time things didn’t feel this way. But one thing is for sure: you’re ready to make a change. You’re ready to let go of guilt, self-doubt, and fear. Most of all, you want to live purposefully in the present.
Do you struggle with finding your next step or worry that the plans you made are out of reach? You want to appear confident and joyful, but deep down you are struggling with stress, and wrestling with fatigue. You might not remember a time things didn’t feel this way. But one thing is for sure: you’re ready to make a change. You’re ready to let go of guilt, self-doubt, and fear. Most of all, you want to live purposefully in the present.
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Hamilton, ON L8K (Online Only)
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
Online Therapists
Natalie Florence
Registered Social Worker, MSW, RSW
Verified Verified
Guelph, ON N1H
I have been comprehensively trained in Dialectical Behaviour Therapy (DBT), Cognitive Behaviour Therapy (CBT), Acceptance Commitment Therapy (ACT), Compassion Focused Therapy (CFT), addictions counselling, and Brainspotting.
I am not accepting new clients at this time. Please check back in late Spring 2024. Thank you for taking the first step and reaching out. Making change can be hard and many times we cannot do it alone. I support adults looking for support with their mental health or addiction concerns. Some key groups I support including perinatal mental health, those living with trauma, and specialize in the area of emotion dyregulation concerns, including Borderline Personality Disorder. I have a particular interest in helping other helpers, including First Responders, medical professionals, and fellow mental health workers.
I have been comprehensively trained in Dialectical Behaviour Therapy (DBT), Cognitive Behaviour Therapy (CBT), Acceptance Commitment Therapy (ACT), Compassion Focused Therapy (CFT), addictions counselling, and Brainspotting.
I am not accepting new clients at this time. Please check back in late Spring 2024. Thank you for taking the first step and reaching out. Making change can be hard and many times we cannot do it alone. I support adults looking for support with their mental health or addiction concerns. Some key groups I support including perinatal mental health, those living with trauma, and specialize in the area of emotion dyregulation concerns, including Borderline Personality Disorder. I have a particular interest in helping other helpers, including First Responders, medical professionals, and fellow mental health workers.
Gillian Saunders
Registered Social Worker, MSW, RSW, CSAT(C)
Verified Verified
1 Endorsed
Toronto, ON M4S (Online Only)
Trained in EMDR, brainspotting, CBT, DBT and CPT, there is not a one size fits all approach.
Welcome! Like most of us, you are likely juggling work, family and other responsibilities. My goal as a therapist is not to keep you in therapy forever, but to help you overcome obstacles that are getting in the way of being the best version of you. The clients I work with live busy lives, both personally and professional and often either grappling with addiction, or are closely linked to someone that may be struggling. My hope is to assist you in discovering and naming these challenges, process and find closure around them, while working towards your transformation to be free of shame, distress and difficult memories.
Trained in EMDR, brainspotting, CBT, DBT and CPT, there is not a one size fits all approach.
Welcome! Like most of us, you are likely juggling work, family and other responsibilities. My goal as a therapist is not to keep you in therapy forever, but to help you overcome obstacles that are getting in the way of being the best version of you. The clients I work with live busy lives, both personally and professional and often either grappling with addiction, or are closely linked to someone that may be struggling. My hope is to assist you in discovering and naming these challenges, process and find closure around them, while working towards your transformation to be free of shame, distress and difficult memories.
Brenda Boulton
Registered Social Worker, MSW, RSW, EMDR
Verified Verified
3 Endorsed
Waterloo, ON N2L
Waitlist for new clients
Approaches may include: EMDR, Brainspotting, CBT, ACT, Brief/Solution, EFT, Grief/Loss, Mindfulness.
IMAGINE THE POSSIBILITY - that there is a way to think differently; to feel differently; to live differently. Within each of us, we possess the tools we need to heal & be happy. But sometimes we make unhealthy choices in order to cope with emotional &/or physical pain. Despite our best intentions we can spiral downward, negatively impacting our relationships, careers, physical health & lifestyle. I believe that with support, change can happen. I am registered with a Master of Social Work & over 30yrs of clinical experience in the areas of trauma, addictions, anxiety, depression, grief/loss, parenting, life transitions & mindfulness.
Approaches may include: EMDR, Brainspotting, CBT, ACT, Brief/Solution, EFT, Grief/Loss, Mindfulness.
IMAGINE THE POSSIBILITY - that there is a way to think differently; to feel differently; to live differently. Within each of us, we possess the tools we need to heal & be happy. But sometimes we make unhealthy choices in order to cope with emotional &/or physical pain. Despite our best intentions we can spiral downward, negatively impacting our relationships, careers, physical health & lifestyle. I believe that with support, change can happen. I am registered with a Master of Social Work & over 30yrs of clinical experience in the areas of trauma, addictions, anxiety, depression, grief/loss, parenting, life transitions & mindfulness.
Himel Das - Anxiety, Depression, Trauma Specialty
Registered Psychotherapist, MACP, OAMHP, BSP, EMDR
Verified Verified
1 Endorsed
Toronto, ON M2N (Online Only)
I also have specialized training in Brainspotting and EMDR Therapy and often use modalities such as Cognitive Behavioural Therapy (CBT), Dialectical Behavioural Therapy (DBT), Acceptance & Commitment Therapy (ACT) and Psychodynamic.
Do you often feel anxious, worried, and depressed? How about frustrated or even guilty? Perhaps you have experienced trauma, feel lost trying to understand your mind, and want to reduce the impact of painful thoughts and feelings. My work focuses on anxiety, depression, trauma and emotional issues. I can help you to find calm and peace in your life, and create a rich, full and meaningful life. I am a Registered Psychotherapist and a member of the Ontario Association of Mental Health Professionals. I also hold a master's degree in counselling psychology, certification in counselling skills, MBCT, hypnosis, telehealth and trauma.
I also have specialized training in Brainspotting and EMDR Therapy and often use modalities such as Cognitive Behavioural Therapy (CBT), Dialectical Behavioural Therapy (DBT), Acceptance & Commitment Therapy (ACT) and Psychodynamic.
Do you often feel anxious, worried, and depressed? How about frustrated or even guilty? Perhaps you have experienced trauma, feel lost trying to understand your mind, and want to reduce the impact of painful thoughts and feelings. My work focuses on anxiety, depression, trauma and emotional issues. I can help you to find calm and peace in your life, and create a rich, full and meaningful life. I am a Registered Psychotherapist and a member of the Ontario Association of Mental Health Professionals. I also hold a master's degree in counselling psychology, certification in counselling skills, MBCT, hypnosis, telehealth and trauma.
Angie Kingma
Registered Psychotherapist, BA , BHScOT, RP
Verified Verified
Milton, ON L9T
I have an expertise in mindfulness-based interventions -> CBT, MBCT, MBCPM, DBT, ACT, IFS, Brainspotting & Memory Reconsolidation.
Are you feeling overwhelmed, self-critical, having a hard time 'turning off' your thoughts or feeling like you’re 'going through the motions’? Are you just done with feeling the way you’re feeling? It's time for you to restore your confidence, rebuild a sense of holistic well-being and enjoy life again! If you're looking for a therapist, chances are you're hoping to make changes in these or other areas. I will help empower you to learn new ways of dealing with stress, anxiety, depression, low self-esteem, trauma & relationships. Therapy can absolutely help you make room for new ways of coping and feel better again!
I have an expertise in mindfulness-based interventions -> CBT, MBCT, MBCPM, DBT, ACT, IFS, Brainspotting & Memory Reconsolidation.
Are you feeling overwhelmed, self-critical, having a hard time 'turning off' your thoughts or feeling like you’re 'going through the motions’? Are you just done with feeling the way you’re feeling? It's time for you to restore your confidence, rebuild a sense of holistic well-being and enjoy life again! If you're looking for a therapist, chances are you're hoping to make changes in these or other areas. I will help empower you to learn new ways of dealing with stress, anxiety, depression, low self-esteem, trauma & relationships. Therapy can absolutely help you make room for new ways of coping and feel better again!
Carrie Charles
Registered Psychotherapist, RP, OAMHP
Verified Verified
Guelph, ON N1L (Online Only)
I draw from CBT, Acceptance Commitment Therapy, Dialectical Behavioural Therapy, Internal Family Systems, Brainspotting and Somatic Experiencing techniques to address your concerns & struggles.
Explore within. Create connection. Ignite potential. I work with teens (17+) and adults, along with all levels of athletes & performers - from leisure to elite performance. I help clients overcome obstacles of heightened stress due to anxiety disorders, depression, self-esteem, confidence, body image, self-harm, grief & loss, lack of normal routines, performance blocks, motivational issues and life transitions. These issues act as barriers to achieving their goals and keeps them stuck in patterns that don't serve their happiness or success.
I draw from CBT, Acceptance Commitment Therapy, Dialectical Behavioural Therapy, Internal Family Systems, Brainspotting and Somatic Experiencing techniques to address your concerns & struggles.
Explore within. Create connection. Ignite potential. I work with teens (17+) and adults, along with all levels of athletes & performers - from leisure to elite performance. I help clients overcome obstacles of heightened stress due to anxiety disorders, depression, self-esteem, confidence, body image, self-harm, grief & loss, lack of normal routines, performance blocks, motivational issues and life transitions. These issues act as barriers to achieving their goals and keeps them stuck in patterns that don't serve their happiness or success.
Gordon Gates
Registered Social Worker, MA, MSW, RSW, RP
Verified Verified
Aurora, ON L4G
In my strengths-based and trauma-informed practice, I have found Brainspotting to be particularly helpful for all kinds of clients.
If you want to speak to someone who won't judge, really listens, and can help you find your best self, I would love to hear from you. The first priority is finding a therapist you feel safe with. We begin by exploring the issues and understanding the challenges, but the real work is learning to be gentle with ourselves as we acknowledge the need for a shift and begin to implement new practices. If you have had a traumatic experience, try to seek support within 3 months to prevent PTSD and other issues from developing. EMDR can help immensely to decrease distress. There are no distance issues online. Clients from anywhere welcome.
In my strengths-based and trauma-informed practice, I have found Brainspotting to be particularly helpful for all kinds of clients.
If you want to speak to someone who won't judge, really listens, and can help you find your best self, I would love to hear from you. The first priority is finding a therapist you feel safe with. We begin by exploring the issues and understanding the challenges, but the real work is learning to be gentle with ourselves as we acknowledge the need for a shift and begin to implement new practices. If you have had a traumatic experience, try to seek support within 3 months to prevent PTSD and other issues from developing. EMDR can help immensely to decrease distress. There are no distance issues online. Clients from anywhere welcome.
Heather Lawlor
Registered Psychotherapist, HBA, MACP, RP
Verified Verified
Bowmanville, ON L1C
Therapeutic interventions I use include: CBT, DBT (mindfulness), EMDR, Flash EMDR, brainspotting, family system techniques, structured relapse prevention, humanistic, narrative therapy, and solution-focused approaches.
Hello! I am so glad you are here! Over the last 8 years, I have been helping children, youth, adults, and families with problems with trauma, stress, anxiety, depression, postpartum depression, parental divorce/separation, communication (relationship struggles), grief, school problems, personality disorders, low self-esteem, grief, substances, addictions, disordered eating, life changes, and supporting indigenous populations and LGBTIQA+ people.
Therapeutic interventions I use include: CBT, DBT (mindfulness), EMDR, Flash EMDR, brainspotting, family system techniques, structured relapse prevention, humanistic, narrative therapy, and solution-focused approaches.
Hello! I am so glad you are here! Over the last 8 years, I have been helping children, youth, adults, and families with problems with trauma, stress, anxiety, depression, postpartum depression, parental divorce/separation, communication (relationship struggles), grief, school problems, personality disorders, low self-esteem, grief, substances, addictions, disordered eating, life changes, and supporting indigenous populations and LGBTIQA+ people.
Stone Silo Counselling & Wellness
Registered Social Worker, MSW, RSW, MA, RP, CRPO
Verified Verified
1 Endorsed
Waterloo, ON N2L
Many of the individuals we counsel seek help with various issues, ranging from emotional to physical well-being. Our team provides support and guidance on these topics for our clients to understand and enhance their overall quality of life, such as emotional support, problem-solving, growth and self-improvement, empowerment, and relief from symptoms. Seeking guidance and understanding is a step towards self-exploration. At Stone Silo, clients can find the support they need to express their innermost distress in an environment of acceptance and security - allowing them to identify new paths for growth with confidence.
Many of the individuals we counsel seek help with various issues, ranging from emotional to physical well-being. Our team provides support and guidance on these topics for our clients to understand and enhance their overall quality of life, such as emotional support, problem-solving, growth and self-improvement, empowerment, and relief from symptoms. Seeking guidance and understanding is a step towards self-exploration. At Stone Silo, clients can find the support they need to express their innermost distress in an environment of acceptance and security - allowing them to identify new paths for growth with confidence.
Jennifer Good
Registered Social Worker, RSW, MSW
Verified Verified
Toronto, ON M5R
Welcome! Congratulations on taking the time to explore the possibility of receiving some support in your mental health journey. Reaching out for support can be challenging, and I commend your courage in taking the time to care for yourself. We all have a 'mental health', and we all deserve a space of non-judgment and empathy to explore what we may need to survive and hopefully recover from the challenges life has presented us with. I would be honoured to walk with you in your process of making sense of your experiences, traumas, challenges and finding your unique pathway through the ups and downs of being human in a complex world.
Welcome! Congratulations on taking the time to explore the possibility of receiving some support in your mental health journey. Reaching out for support can be challenging, and I commend your courage in taking the time to care for yourself. We all have a 'mental health', and we all deserve a space of non-judgment and empathy to explore what we may need to survive and hopefully recover from the challenges life has presented us with. I would be honoured to walk with you in your process of making sense of your experiences, traumas, challenges and finding your unique pathway through the ups and downs of being human in a complex world.
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Milton, ON L9T (Online Only)
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
Rooted Therapy
Registered Social Worker, MSW, RSW, B-Ed, BA
Verified Verified
1 Endorsed
Toronto, ON M9N
You deserve to feel supported. You deserve to be heard. Whether you are coming to therapy in a moment of crisis, years of stress and pain, or just needing another person to share your more guarded thoughts with- therapy is for you. Come as you are.
You deserve to feel supported. You deserve to be heard. Whether you are coming to therapy in a moment of crisis, years of stress and pain, or just needing another person to share your more guarded thoughts with- therapy is for you. Come as you are.
LifeCycle Counselling
Registered Psychotherapist
Verified Verified
Etobicoke, ON M8X
Accepting New Clients - No Waitlist! When you feel stuck, we can help. At LifeCycle Counselling we recognize how difficult it is to take the first step towards therapy, speak about your difficulties and explore uncomfortable emotions. We are a BIPOC clinic in the GTA that is culturally sensitive. We use client-centered approaches as it is LifeCycles top priority to empower you for you! We understand that everyone has their own battles. We are a team of psychotherapists, who specialize in various areas and offer treatment using evidence-based approaches. You can read each of the therapist’s bio on our website lifecyclecounselling.ca
Accepting New Clients - No Waitlist! When you feel stuck, we can help. At LifeCycle Counselling we recognize how difficult it is to take the first step towards therapy, speak about your difficulties and explore uncomfortable emotions. We are a BIPOC clinic in the GTA that is culturally sensitive. We use client-centered approaches as it is LifeCycles top priority to empower you for you! We understand that everyone has their own battles. We are a team of psychotherapists, who specialize in various areas and offer treatment using evidence-based approaches. You can read each of the therapist’s bio on our website lifecyclecounselling.ca
Annette Bradshaw
Registered Psychotherapist, MA, RP, BCN
Verified Verified
1 Endorsed
Toronto, ON M6G
In starting therapy or returning to it, you may be seeking someone to talk to, psychological perspectives, tools and resources, and change. You may be struggling with depression, anxiety, or any of the long list of names given to conditions we can struggle with. My approach is client-centered as you are the expert on you, and I prefer to not pathologize and stigmatize. My perspective is that there are causes and contributors to the thoughts, feelings and behaviours which we find most difficult, and which can become traits and labels - and yet also - which can be changed.
In starting therapy or returning to it, you may be seeking someone to talk to, psychological perspectives, tools and resources, and change. You may be struggling with depression, anxiety, or any of the long list of names given to conditions we can struggle with. My approach is client-centered as you are the expert on you, and I prefer to not pathologize and stigmatize. My perspective is that there are causes and contributors to the thoughts, feelings and behaviours which we find most difficult, and which can become traits and labels - and yet also - which can be changed.
See more therapy options for Burlington
Nearby Brainspotting Counsellors Searches for Burlington
- Brampton
- Brantford
- Cambridge
- Dundas
- Etobicoke
- Georgetown
- Guelph
- Hamilton
- Milton
- Mississauga
- Oakville
- Saint Catharines
Brainspotting Counsellors
How does brainspotting work?
Brainspotting works by using eye positioning to identify and process traumatic memories so that a client is better able to move forward and live with less fear. The theory behind brainspotting is that by identifying where a person looks when thinking of traumatic memories, a therapist will be able to guide them to focus on that spot and work with the client to get them out of the “fight, flight, freeze” response associated with the traumatic memory.
Is brainspotting an evidence-based therapy?
Brainspotting is a theory-based alternative therapy. It is one of the newest forms of treatment, so very little research has been completed that examines the mechanism by which it works. The theory behind brainspotting is that eye position can be linked to areas of the brain that store and process memory.
How effective is brainspotting?
Because it is such a new treatment, the effectiveness of brainspotting cannot be quantified. Some people have found it to be effective on its own, or in conjunction with other types of therapy. It is considered an alternative therapy, and it is popular with people for whom more traditional therapies have proven ineffective.
How long does brainspotting take to work?
A typical brainspotting session will last between 60 to 90 minutes. There is no required number of sessions needed to complete brainspotting therapy, but in many cases it is delivered over the course of about six sessions. Clients are encouraged to rate their level of distress prior to a session and again following a session, and to track progress.