Ankur Saraiya
Psychiatrist, MD Verified
New York, NY 10001
Offers video visits
I specialize in working with clients who are going through some trying time in their lives - relationship stress/breakup, career frustration, health problems, or any life crisis. Sometimes this is a new issue and for others it can be a new event that triggers a long-standing issue. Either way, I work to stabilize symptoms as quickly as possible with medications as needed but also through diet and exercise. I then try to teach my clients how to avoid a return of their symptoms.
(646) 663-4051
Verified
View Profile

New York, NY 10001
Offers video visits
I specialize in working with clients who are going through some trying time in their lives - relationship stress/breakup, career frustration, health problems, or any life crisis. Sometimes this is a new issue and for others it can be a new event that triggers a long-standing issue. Either way, I work to stabilize symptoms as quickly as possible with medications as needed but also through diet and exercise. I then try to teach my clients how to avoid a return of their symptoms.
Photo of Manhattan Wellness Psychiatry, Psychiatrist
Manhattan Wellness Psychiatry
Psychiatrist, MD Verified
New York, NY 10001
Offers video visits
$295
Providing Tele psych help due to COVID19 pandemic. A perfect sync in mind, body and soul is needed for a balanced and healthy life style and that is what I strive to look for and achieve during evaluation, psychiatric assessment and treatment of my patients. I am a dually board certified physician by ABPN and specialize in Adult and Geriatric Psychiatry. I will do a comprehensive assessment and see how the biological, psychological, and social issues in someone's past and present are interacting and contributing in presentation of psychiatric symptoms and will provide psychopharmacological treatment and brief psychotherapy if needed
(917) 920-5014
Verified
View Profile

New York, NY 10001
Offers video visits
$295 Per Session
Providing Tele psych help due to COVID19 pandemic. A perfect sync in mind, body and soul is needed for a balanced and healthy life style and that is what I strive to look for and achieve during evaluation, psychiatric assessment and treatment of my patients. I am a dually board certified physician by ABPN and specialize in Adult and Geriatric Psychiatry. I will do a comprehensive assessment and see how the biological, psychological, and social issues in someone's past and present are interacting and contributing in presentation of psychiatric symptoms and will provide psychopharmacological treatment and brief psychotherapy if needed
Photo of elevate medical, Psychiatrist
elevate medical
Psychiatrist, MD Verified
New York, NY 10001
Offers video visits
$289
We provide mental wellness for everyone by making it accessible and affordable. Our goal is your goal: to get you to a place where you feel balanced and where you thrive.
(646) 461-3895
Verified
View Profile

New York, NY 10001
Offers video visits
$289 Per Session
We provide mental wellness for everyone by making it accessible and affordable. Our goal is your goal: to get you to a place where you feel balanced and where you thrive.
Photo of Rebecca Kostopoulos, Psychiatric Nurse Practitioner
Rebecca Kostopoulos
Psychiatric Nurse Practitioner, PMHNP, BC Verified
New York, NY 10001
Offers video visits
Rebecca is a board certified Staff Psychiatric Mental Health Nurse Practitioner at Talkiatry. She has extensive experience evaluating and treating adults in a variety of settings over the past 10 years. Previously, she's worked at Elmhurst Hospital’s Comprehensive Psychiatric Emergency Program, Gracie Square Hospital on an inpatient unit, and community health settings and skilled nursing facilities. As a nurse practitioner, she believes that addressing mental health concerns is just as important as addressing physical concerns. She values the therapeutic relationship with a collaborative and empathic approach to treatment.
(646) 859-5324
Verified
View Profile

New York, NY 10001
Offers video visits
Rebecca is a board certified Staff Psychiatric Mental Health Nurse Practitioner at Talkiatry. She has extensive experience evaluating and treating adults in a variety of settings over the past 10 years. Previously, she's worked at Elmhurst Hospital’s Comprehensive Psychiatric Emergency Program, Gracie Square Hospital on an inpatient unit, and community health settings and skilled nursing facilities. As a nurse practitioner, she believes that addressing mental health concerns is just as important as addressing physical concerns. She values the therapeutic relationship with a collaborative and empathic approach to treatment.
Photo of Vanessa Reilly, Psychiatric Nurse Practitioner
Vanessa Reilly
Psychiatric Nurse Practitioner, PMHNP Verified
New York, NY 10001
Offers video visits
Vanessa Reilly-Micka is a board certified Staff Psychiatric Mental Health Nurse Practitioner at Talkiatry. Vanessa's practice is treating adults primarily with medication management. She also believes that in most cases, psychiatric medication works best with therapy and asks that you bring a therapist into your care team to provide the best mental health outcome. She received both her Bachelor of Arts in Psychology and her Bachelor of Science in Nursing at Dominican College. She later received her Master of Arts in Psychology at Iona College and later after that her Master of Science in Nursing at Columbia University.
(551) 261-5726
Verified
View Profile

New York, NY 10001
Offers video visits
Vanessa Reilly-Micka is a board certified Staff Psychiatric Mental Health Nurse Practitioner at Talkiatry. Vanessa's practice is treating adults primarily with medication management. She also believes that in most cases, psychiatric medication works best with therapy and asks that you bring a therapist into your care team to provide the best mental health outcome. She received both her Bachelor of Arts in Psychology and her Bachelor of Science in Nursing at Dominican College. She later received her Master of Arts in Psychology at Iona College and later after that her Master of Science in Nursing at Columbia University.
Photo of Marlynn Wei, MD, JD, Psychiatrist
Marlynn Wei, MD, JD
Psychiatrist, MD, JD Verified
New York, NY 10001
Offers video visits
Are you looking for a compassionate and holistic approach to psychotherapy with virtual meetings? I am a Harvard and Yale-trained board-certified psychiatrist and certified yoga teacher who specializes in treating anxiety and stress management. I work with clients on a range of areas, including career development, self-esteem, and relationship issues. I specialize in working with professionals, entrepreneurs and executives in fast-paced, visionary, and innovative fields, including tech/ startups, finance, law, medicine, and creative industries.
(646) 553-6342
Verified
View Profile

New York, NY 10001
Offers video visits
Are you looking for a compassionate and holistic approach to psychotherapy with virtual meetings? I am a Harvard and Yale-trained board-certified psychiatrist and certified yoga teacher who specializes in treating anxiety and stress management. I work with clients on a range of areas, including career development, self-esteem, and relationship issues. I specialize in working with professionals, entrepreneurs and executives in fast-paced, visionary, and innovative fields, including tech/ startups, finance, law, medicine, and creative industries.
Photo of Bismarck NP Psychiatric Services , Psychiatric Nurse Practitioner
Bismarck NP Psychiatric Services
Psychiatric Nurse Practitioner, PMHNP Verified
New York, NY 10001
Offers video visits
I am a Board Certified Psychiatric Nurse practitioner with over ten years of experience in mental health. I have over five years’ experience in tele psychiatry services. I specialize in providing quality psychiatric services via tele med platform from the comfort of your home or work. I am well versed in medication management of various diagnosis from Bipolar Depression PTSD, Anxiety, OCD and ADHD.
(315) 277-6459
Verified
View Profile

New York, NY 10001
Offers video visits
I am a Board Certified Psychiatric Nurse practitioner with over ten years of experience in mental health. I have over five years’ experience in tele psychiatry services. I specialize in providing quality psychiatric services via tele med platform from the comfort of your home or work. I am well versed in medication management of various diagnosis from Bipolar Depression PTSD, Anxiety, OCD and ADHD.
Nancy O'Dell
Psychiatric Nurse Practitioner, NP, MSN Verified
New York, NY 10001
Offers video visits
Nurse Practitioner-Board Certified by the ANCC. I integrate evidenced-based practices and provide a holistic approach.The initial meeting consists of a comprehensive assessment. I will prepare a customized treatment plan which may include pharmacological and non-pharmacological modalities for the treatment of several mental health issues. I utilize the most current and comprehensive regimens. I also provide evaluation/letters for emotional support animals. I am a NYS certified Medical cannabis prescriber in New York State for several health conditions.
(917) 809-7415
Verified
View Profile

New York, NY 10001
Offers video visits
Nurse Practitioner-Board Certified by the ANCC. I integrate evidenced-based practices and provide a holistic approach.The initial meeting consists of a comprehensive assessment. I will prepare a customized treatment plan which may include pharmacological and non-pharmacological modalities for the treatment of several mental health issues. I utilize the most current and comprehensive regimens. I also provide evaluation/letters for emotional support animals. I am a NYS certified Medical cannabis prescriber in New York State for several health conditions.
Photo of Matt Buttigieg, Psychiatric Nurse Practitioner
Matt Buttigieg
Psychiatric Nurse Practitioner, PMHNP Verified
New York, NY 10001
Offers video visits
I am an ANCC Board Certified Psychiatric-Mental Health Nurse Practitioner specializing in psychopharmacology and psychotherapy. My approach to treatment focuses on the whole person and meeting each person where they are at to foster a successful therapeutic experience. I know that each individual is unique and benefits from a personalized treatment plan, which enables me to help my clients reach their goals and make positive changes. I always create a safe, supportive, and non-judgmental environment for each and every client, and understand the importance of empathy, trust, and kindness.
(646) 395-9987
Verified
View Profile

New York, NY 10001
Offers video visits
I am an ANCC Board Certified Psychiatric-Mental Health Nurse Practitioner specializing in psychopharmacology and psychotherapy. My approach to treatment focuses on the whole person and meeting each person where they are at to foster a successful therapeutic experience. I know that each individual is unique and benefits from a personalized treatment plan, which enables me to help my clients reach their goals and make positive changes. I always create a safe, supportive, and non-judgmental environment for each and every client, and understand the importance of empathy, trust, and kindness.
Photo of Lauren Devins, Psychiatric Nurse Practitioner
Lauren Devins
Psychiatric Nurse Practitioner, PMHNPBC Verified
New York, NY 10001
Offers video visits
Lauren Devins, NP is a board-certified psychiatric nurse practitioner who is dedicated to helping people who struggle with mental health concerns and will find a way for them to live a full and balanced life. She has vast experience and has specialized in Women's health including Post Partum, Infertility emotional support and other areas of maternal health. She also treats depression, anxiety disorders, PTSD and much more. Lauren's practice focuses on medication management. Typically she offers this in conjunction with supportive or emotionally focused therapy in 30 minute follow-up visits.
(929) 543-5807
Verified
View Profile

New York, NY 10001
Offers video visits
Lauren Devins, NP is a board-certified psychiatric nurse practitioner who is dedicated to helping people who struggle with mental health concerns and will find a way for them to live a full and balanced life. She has vast experience and has specialized in Women's health including Post Partum, Infertility emotional support and other areas of maternal health. She also treats depression, anxiety disorders, PTSD and much more. Lauren's practice focuses on medication management. Typically she offers this in conjunction with supportive or emotionally focused therapy in 30 minute follow-up visits.
Photo of Duy Tran, Psychiatrist
Duy Tran
Psychiatrist, MD Verified
New York, NY 10001
Offers video visits
Dr. Tran has extensive experience treating psychiatric disorders in diverse populations, including college students, LGBT, perinatal, veterans, and those with socioeconomic disadvantages. He also worked with experts in treatment-resistant depression and provided consultations for patients considering procedural interventions such as transcranial magnetic stimulation (TMS), electroconvulsive therapy (ECT), and ketamine infusion.
(929) 430-2230
Verified
View Profile

New York, NY 10001
Offers video visits
Dr. Tran has extensive experience treating psychiatric disorders in diverse populations, including college students, LGBT, perinatal, veterans, and those with socioeconomic disadvantages. He also worked with experts in treatment-resistant depression and provided consultations for patients considering procedural interventions such as transcranial magnetic stimulation (TMS), electroconvulsive therapy (ECT), and ketamine infusion.
Photo of Anna Kim, Psychiatrist
Anna Kim
Psychiatrist, MD Verified
New York, NY 10001
Offers video visits
I'm a board-certified adult psychiatrist who provides psychotherapy and medication management. I treat individuals struggling with depression, anxiety, trauma, grief, self-esteem, medical illness, work or relationship difficulties. I also focus on individuals with identity issues and cross-cultural concerns. I have training in psychodynamic psychotherapy and use medications when necessary. Of note, at this time all sessions are virtual. More information at https://annakimmd.com and https://secure.helloalma.com/providers/anna-kim/.
(769) 242-7211
Verified
View Profile

New York, NY 10001
Offers video visits
I'm a board-certified adult psychiatrist who provides psychotherapy and medication management. I treat individuals struggling with depression, anxiety, trauma, grief, self-esteem, medical illness, work or relationship difficulties. I also focus on individuals with identity issues and cross-cultural concerns. I have training in psychodynamic psychotherapy and use medications when necessary. Of note, at this time all sessions are virtual. More information at https://annakimmd.com and https://secure.helloalma.com/providers/anna-kim/.
Photo of Georgia Gaveras, Psychiatrist
Georgia Gaveras
Psychiatrist, DO Verified
New York, NY 10001
Offers video visits
Dr. Gaveras holds the position of Chief Psychiatrist at Talkiatry. She is board certified in child, adolescent and adult psychiatry as well as in addiction medicine and has been practicing for over 17 years. In addition to general and child and adolescent psychiatry, Dr. Gaveras is also board certified in addiction medicine and trained in the Eating Disorders, Compulsions and Addictions Service (EDCAS) at the William Alanson White Institute. While having treated a wide variety of patients, her primary clinical focus has been in the treatment of adolescents and young adults with co-occuring substance use disorders.
(646) 859-5327
Verified
View Profile

New York, NY 10001
Offers video visits
Dr. Gaveras holds the position of Chief Psychiatrist at Talkiatry. She is board certified in child, adolescent and adult psychiatry as well as in addiction medicine and has been practicing for over 17 years. In addition to general and child and adolescent psychiatry, Dr. Gaveras is also board certified in addiction medicine and trained in the Eating Disorders, Compulsions and Addictions Service (EDCAS) at the William Alanson White Institute. While having treated a wide variety of patients, her primary clinical focus has been in the treatment of adolescents and young adults with co-occuring substance use disorders.
Photo of Ilisse Perlmutter, Psychiatrist
Ilisse Perlmutter
Psychiatrist, MD, DLFAPA, DFAACAP Verified
New York, NY 10001
Offers video visits
Dr. Perlmutter is the Director of Child and Adolescent Psychiatry at Talkiatry. She is double board certified in adult and child and adolescent psychiatry and adult psychiatry. Prior to joining Talkiatry, Dr. Perlmutter was the Chair of Behavioral Health and Addiction Services at Bergen New Bridge Medical Center. Prior to Bergen New Bridge, she was the Director of Inpatient Psychiatry at Montefiore Medical Center-Wakefield, in New York. Over 35 years, Dr. Perlmutter has held numerous leadership roles with some of the largest hospital systems in the New York Metro Area.
(646) 542-0451
Verified
View Profile

New York, NY 10001
Offers video visits
Dr. Perlmutter is the Director of Child and Adolescent Psychiatry at Talkiatry. She is double board certified in adult and child and adolescent psychiatry and adult psychiatry. Prior to joining Talkiatry, Dr. Perlmutter was the Chair of Behavioral Health and Addiction Services at Bergen New Bridge Medical Center. Prior to Bergen New Bridge, she was the Director of Inpatient Psychiatry at Montefiore Medical Center-Wakefield, in New York. Over 35 years, Dr. Perlmutter has held numerous leadership roles with some of the largest hospital systems in the New York Metro Area.
Photo of Roey Pasternak, Psychiatrist
Roey Pasternak
Psychiatrist, MD Verified
New York, NY 10001
Offers video visits
Dr. Pasternak is a child, adolescent and adult psychiatrist currently practicing in Manhattan, New York and Englewood, New Jersey. He is dually Board certified by the American Board of Psychiatry and Neurology in both Adult Psychiatry and Child & Adolescent Psychiatry and is licensed to practice in the both the State of New York and New Jersey. Pasternak incorporates psycho-dynamic, cognitive behavioral, supportive therapies, and psychopharmacological management, tailoring his approach to meet the specific needs of each client. Dr. Pasternak is very experienced in treating anxiety disorders utilizing psychopharmacological management in conjunction with cognitive behavioral therapy.
(917) 688-4070
Verified
View Profile

New York, NY 10001
Offers video visits
Dr. Pasternak is a child, adolescent and adult psychiatrist currently practicing in Manhattan, New York and Englewood, New Jersey. He is dually Board certified by the American Board of Psychiatry and Neurology in both Adult Psychiatry and Child & Adolescent Psychiatry and is licensed to practice in the both the State of New York and New Jersey. Pasternak incorporates psycho-dynamic, cognitive behavioral, supportive therapies, and psychopharmacological management, tailoring his approach to meet the specific needs of each client. Dr. Pasternak is very experienced in treating anxiety disorders utilizing psychopharmacological management in conjunction with cognitive behavioral therapy.
Photo of Stephanie Powers, Psychiatrist
Stephanie Powers
Psychiatrist, DO Verified
New York, NY 10001
Offers video visits
Dr. Powers is a board-eligible Psychiatrist. She received her advanced medical degree from Adelphi University and completed her psychiatry residency training at SUNY Stony Brook University Hospital and Medical Center. She also holds a master’s degree in Developmental Psychology from Columbia University. She has practiced in various settings over her career including treating adults in psychiatric inpatient, outpatient, and ER settings. She has worked intensively with PTSD in veterans. Dr. Powers has instructed and supervised residents and medical students at multiple locations.
(646) 787-1667
Verified
View Profile

New York, NY 10001
Offers video visits
Dr. Powers is a board-eligible Psychiatrist. She received her advanced medical degree from Adelphi University and completed her psychiatry residency training at SUNY Stony Brook University Hospital and Medical Center. She also holds a master’s degree in Developmental Psychology from Columbia University. She has practiced in various settings over her career including treating adults in psychiatric inpatient, outpatient, and ER settings. She has worked intensively with PTSD in veterans. Dr. Powers has instructed and supervised residents and medical students at multiple locations.
Photo of Navjot Khinda, Psychiatrist
Navjot Khinda
Psychiatrist, MD Verified
New York, NY 10001
Offers video visits
Dr. Khinda is a Staff Psychiatrist at Talkiatry and is double board-certified in Child & Adolescent, and Adult Psychiatry. She completed her medical training at Ross University School of Medicine. Upon completion of medical studies, Dr. Khinda spent 2 years in medical research heavily focused on addiction treatment. She went on to complete Psychiatry residency training at Mount Sinai St. Luke’s and Roosevelt Hospitals. She completed Fellowship training in Child and Adolescent Psychiatry at Mount Sinai Hospital, where she served as Chief Fellow in her final year.
(551) 261-7351
Verified
View Profile

New York, NY 10001
Offers video visits
Dr. Khinda is a Staff Psychiatrist at Talkiatry and is double board-certified in Child & Adolescent, and Adult Psychiatry. She completed her medical training at Ross University School of Medicine. Upon completion of medical studies, Dr. Khinda spent 2 years in medical research heavily focused on addiction treatment. She went on to complete Psychiatry residency training at Mount Sinai St. Luke’s and Roosevelt Hospitals. She completed Fellowship training in Child and Adolescent Psychiatry at Mount Sinai Hospital, where she served as Chief Fellow in her final year.
Photo of Niru Nahar, Psychiatrist
Niru Nahar
Psychiatrist, MD Verified
New York, NY 10001
Offers video visits
Dr. Nahar is a Board certified Staff Psychiatrist at Talkiatry. She completed her psychiatry residency training at Harlem hospital/Columbia University and NYSPI/Columbia university. She worked in different settings (In-patient, Out-patient, Community mental health, Private practice, addiction psychiatry, Telepsychiatry) and held leadership and teaching positions . She has more than 16 years experience in dealing with clients with anxiety, depression, grief, family and relationship issues, career changes, and other mental health issues. She uses pharmacotherapy along with CBT, psychodynamic and supportive therapy.
(929) 284-2821
Verified
View Profile

New York, NY 10001
Offers video visits
Dr. Nahar is a Board certified Staff Psychiatrist at Talkiatry. She completed her psychiatry residency training at Harlem hospital/Columbia University and NYSPI/Columbia university. She worked in different settings (In-patient, Out-patient, Community mental health, Private practice, addiction psychiatry, Telepsychiatry) and held leadership and teaching positions . She has more than 16 years experience in dealing with clients with anxiety, depression, grief, family and relationship issues, career changes, and other mental health issues. She uses pharmacotherapy along with CBT, psychodynamic and supportive therapy.
Photo of Shaneika Lindsay, Psychiatric Nurse Practitioner
Shaneika Lindsay
Psychiatric Nurse Practitioner, PMHNP, BC Verified
New York, NY 10001
Offers video visits
Shaneika is a board certified Staff Psychiatric Mental Health Nurse Practitioner at Talkiatry. Her primary focus is holistic care, taking into consideration all physical, psychological, interpersonal, and environmental factors when creating unique treatment plans. She strongly believes that each of these areas are interconnected and play a significant role in the mental health and vitality of any individual. Her goal is to work simultaneously with clients to create a safe, non-judgmental, and collaborative treatment environment that will be effective in achieving sustained healing and positive self-development.
(646) 859-5251
Verified
View Profile

New York, NY 10001
Offers video visits
Shaneika is a board certified Staff Psychiatric Mental Health Nurse Practitioner at Talkiatry. Her primary focus is holistic care, taking into consideration all physical, psychological, interpersonal, and environmental factors when creating unique treatment plans. She strongly believes that each of these areas are interconnected and play a significant role in the mental health and vitality of any individual. Her goal is to work simultaneously with clients to create a safe, non-judgmental, and collaborative treatment environment that will be effective in achieving sustained healing and positive self-development.
Photo of Alana Bunnag, Psychiatrist
Alana Bunnag
Psychiatrist, MD Verified
New York, NY 10001
Offers video visits
I am a Harvard and Mount Sinai trained, double board certified adult, child and adolescent psychiatrist. I have extensive experience treating ADHD, anxiety and adjustment disorders throughout the lifespan. Areas of interest include academic difficulties, career/professional burnout, family and relationship stressors. For children, I focus on play therapy in combination with developmentally appropriate cognitive and psychodynamic therapy. I provide CBT, organizational skills training, psychodynamic and supportive therapies to adolescents and adults. Treatment is tailored to the unique strengths and values of each individual.
(844) 855-1725
Verified
View Profile

New York, NY 10001
Offers video visits
I am a Harvard and Mount Sinai trained, double board certified adult, child and adolescent psychiatrist. I have extensive experience treating ADHD, anxiety and adjustment disorders throughout the lifespan. Areas of interest include academic difficulties, career/professional burnout, family and relationship stressors. For children, I focus on play therapy in combination with developmentally appropriate cognitive and psychodynamic therapy. I provide CBT, organizational skills training, psychodynamic and supportive therapies to adolescents and adults. Treatment is tailored to the unique strengths and values of each individual.

Teletherapy Psychiatrists
Teletherapy and Online counseling have grown enormously as a medium for therapy since the advent of social distancing. Most therapists are happy to provide sessions by video or phone.

All professionals are licensed to provide video therapy to clients within the State in which they hold their license. Cross State licensing exists, but is rare.

So if you're a client in 10001, this list of teletherapists are licensed to provide therapy to you online (by phone, video or text based chat) because they are within your state. They are sorted nearest to furthest, with professionals in 10001 listed first.

Teletherapy via phone or video can be very similar to conventional in person sessions. The message is the same, even if the medium is different. There are some advantages in the form of convenience, lack of travel and being in comfort of your own home. Set against those, professionals find it more difficult to read non-verbal signals of their clients, and you may find you yourself can be more easily distracted.

About Psychiatrists, meds and Psychiatric Nurses.

A Psychiatrist in 10001 is a qualified medical doctor who specializes in treating mental health issues and diagnosable disorders.

10001 Psychiatrists differ from other mental health professionals in that they may prescribe medication as well as practice psychotherapy in treatment. Sometimes, Psychiatrists form part of a clinical team in which they will diagnose and prescribe, while psychologists or therapists provide the client's psychotherapy.

As part of a clinical assessment, Psychiatrists may conduct physical examinations, take blood tests, and order and interpret lab tests and brain image scans, such as CT scans, CAT Scans and MRIs.

The field of psychiatry in 10001 has many sub specialties including pediatric psychiatry (so check for 10001 child psychiatrists or adolescent psychiatrists in 10001). Those who work with the elderly are called geriatric psychiatrists.

Other related sub specialties include cognition psychiatry, addiction psychiatry, psychosomatic, forensic, reproductive medicine specialties, psychopharmacology (certain states license Psychopharmacologists), psychiatric genetics, neuroimaging, and clinical neurophysiology.

Psychiatric nurse practitioners in 10001, or mental health nurse practitioners, generally have a MS degree in nursing (MSN) and a number of years training to become certified. Psychiatric nurse practitioners are able to assess and diagnose mental health conditions and prescribe medication. 10001 Psychiatric nurse practitioners also have training that enables them to include psychotherapy with treatment.