Chronic Illness Therapists in 10025

Photo of Dr. Cindy D. Ness, Clinical Social Work/Therapist in 10025, NY
Dr. Cindy D. Ness
Clinical Social Work/Therapist, PhD, EdD
Verified Verified
New York, NY 10025
In addition to working with folks who have a cancer or chronic illness diagnosis, I of course work with individuals and couples without such a diagnosis.
If there ever was a good time to "do" you, this is it. Research documents that social connection and emotional wellbeing play an important role in staving off recurrence and even reversing physical illness - said another way, your mental state can work both for or against your physical health. People come to see me to unpack emotions that've been weighing them down sometimes for years as well as to deal with the uncertainty they're feeling in the present. Perhaps this includes discovering a sense of purpose that has eluded them till now. I don’t just work to help people get out of pain: I work to help them thrive.
In addition to working with folks who have a cancer or chronic illness diagnosis, I of course work with individuals and couples without such a diagnosis.
If there ever was a good time to "do" you, this is it. Research documents that social connection and emotional wellbeing play an important role in staving off recurrence and even reversing physical illness - said another way, your mental state can work both for or against your physical health. People come to see me to unpack emotions that've been weighing them down sometimes for years as well as to deal with the uncertainty they're feeling in the present. Perhaps this includes discovering a sense of purpose that has eluded them till now. I don’t just work to help people get out of pain: I work to help them thrive.
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Photo of Jessica Kreitman, Clinical Social Work/Therapist in 10025, NY
Jessica Kreitman
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10025  (Online Only)
I have worked in Oncology and Palliative Care providing me a lens into chronic illness, caregiver burnout and grief/bereavement.
Are you dealing with challenging life transitions or serious illness in your family? Is it hard for you to see your voice amongst the changes in your life? My hope is to create this space with you, build rapport and trust that you deserve. I am here to join you in this experience, where I strive to empower you to make effective and meaningful changes in your life. My experience in anxiety, depression, and grief/bereavement has helped me to work with my clients to work to find their voice, find new coping strategies or empower the ones they already have.
I have worked in Oncology and Palliative Care providing me a lens into chronic illness, caregiver burnout and grief/bereavement.
Are you dealing with challenging life transitions or serious illness in your family? Is it hard for you to see your voice amongst the changes in your life? My hope is to create this space with you, build rapport and trust that you deserve. I am here to join you in this experience, where I strive to empower you to make effective and meaningful changes in your life. My experience in anxiety, depression, and grief/bereavement has helped me to work with my clients to work to find their voice, find new coping strategies or empower the ones they already have.
(347) 286-4521 View (347) 286-4521
Photo of Karen Winkler in 10025, NY
Karen Winkler
PhD, MS, RN
Verified Verified
New York, NY 10025  (Online Only)
Living with chronic illness can feel overwhelming at times, whether you’re newly diagnosed or have been managing your illness for years. As a nurse-psychotherapist, I understand the loneliness, fear, anger, shame, and vulnerability that may surface, often at unexpected moments. Yet managing life with chronic illness also presents tremendous opportunities for growth and insight, creativity and humor. Attention to the emotional aspects of illness and the body can lead in therapy to discovering new ways of caring for one's self, of moving through the world with more agency and joy, of being more genuinely, fully, with others.
Living with chronic illness can feel overwhelming at times, whether you’re newly diagnosed or have been managing your illness for years. As a nurse-psychotherapist, I understand the loneliness, fear, anger, shame, and vulnerability that may surface, often at unexpected moments. Yet managing life with chronic illness also presents tremendous opportunities for growth and insight, creativity and humor. Attention to the emotional aspects of illness and the body can lead in therapy to discovering new ways of caring for one's self, of moving through the world with more agency and joy, of being more genuinely, fully, with others.
(646) 600-8047 View (646) 600-8047
Photo of Gabriela Lupatkin, Clinical Social Work/Therapist in 10025, NY
Gabriela Lupatkin
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10025  (Online Only)
I work with my clients to create an authentic and collaborative relationship while enabling clients to develop insight and coping strategies. I work with individuals and couples dealing with a range of concerns including depression, anxiety, fertility treatment and chronic illness. I help clients explore their stressors, gain insight into their patterns and develop solutions. I am trained in Internal Family Systems (IFS) and implement an active and psychodynamic approach to help clients explore challenges and reach their goals.
I work with my clients to create an authentic and collaborative relationship while enabling clients to develop insight and coping strategies. I work with individuals and couples dealing with a range of concerns including depression, anxiety, fertility treatment and chronic illness. I help clients explore their stressors, gain insight into their patterns and develop solutions. I am trained in Internal Family Systems (IFS) and implement an active and psychodynamic approach to help clients explore challenges and reach their goals.
(646) 535-7243 View (646) 535-7243
Photo of Jennifer Warner, Clinical Social Work/Therapist in 10025, NY
Jennifer Warner
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
3 Endorsed
New York, NY 10025  (Online Only)
Waitlist for new clients
My practice is dedicated to working with adults living with stress related to complex chronic illness (including COVID and post acute COVID syndrome, POTS, dysautonomia, vestibular disorders, migraine, Ehlers-Danlos Syndrome, MCAS, IBD, a) as well as with the caregivers, medical providers, and allied professionals who serve this population.
Asking for help is one of the strongest things you can do, but it can also be one of the hardest because of past experience of not being heard, believed, or supported. Extreme stressors and traumatic events - including new or ongoing health conditions - affect every aspect of our lives and can make relationships - with family, friends, colleagues, and even healthcare providers - very challenging. The impact of these events can make us feel isolated, misunderstood, and unsupported (even by the well-intentioned). They can lead us to make choices we aren't proud of and limit our enjoyment of life in general.
My practice is dedicated to working with adults living with stress related to complex chronic illness (including COVID and post acute COVID syndrome, POTS, dysautonomia, vestibular disorders, migraine, Ehlers-Danlos Syndrome, MCAS, IBD, a) as well as with the caregivers, medical providers, and allied professionals who serve this population.
Asking for help is one of the strongest things you can do, but it can also be one of the hardest because of past experience of not being heard, believed, or supported. Extreme stressors and traumatic events - including new or ongoing health conditions - affect every aspect of our lives and can make relationships - with family, friends, colleagues, and even healthcare providers - very challenging. The impact of these events can make us feel isolated, misunderstood, and unsupported (even by the well-intentioned). They can lead us to make choices we aren't proud of and limit our enjoyment of life in general.
(312) 584-1771 View (312) 584-1771
Photo of Karen Landmann, LCSW, PC, Clinical Social Work/Therapist in 10025, NY
Karen Landmann, LCSW, PC
Clinical Social Work/Therapist, BA, MPhil, LCSW
Verified Verified
New York, NY 10025  (Online Only)
I am an extensively published, world-travelled expert on trauma and chronic illness. I conduct therapy in English, Spanish, French, Russian, Portuguese, German, and Dutch. For the past 25 years, I have been assisting individuals with ADHD/behavioral challenges, trauma, PTSD, dissociation, depression, bipolar disorder, and physical illness. My clients range in age from 3 to 103. Early in my career, I developed a support group curriculum for AIDS orphans now available in 35 countries. Review of my work as a therapist are available online. Kindly employ email to contact me initially if possible. Thank you.
I am an extensively published, world-travelled expert on trauma and chronic illness. I conduct therapy in English, Spanish, French, Russian, Portuguese, German, and Dutch. For the past 25 years, I have been assisting individuals with ADHD/behavioral challenges, trauma, PTSD, dissociation, depression, bipolar disorder, and physical illness. My clients range in age from 3 to 103. Early in my career, I developed a support group curriculum for AIDS orphans now available in 35 countries. Review of my work as a therapist are available online. Kindly employ email to contact me initially if possible. Thank you.
(646) 846-2620 View (646) 846-2620
Photo of Alexandra Lamm, Psychologist in 10025, NY
Alexandra Lamm
Psychologist, PhD
Verified Verified
1 Endorsed
New York, NY 10025
I have worked with diverse patients with a wide range of concerns including grief, life transitions, relationship distress, dating, cancer, chronic illness, insomnia, caregiver distress, anxiety, depression, and trauma.
I founded Saltaire Psychology PLLC because I believe everyone can use a little help dealing with the chaotic moments in life, including breakups, medical issues, or deaths of loved ones. I’m here to help you get through those difficult moments and grow from them. The key to building a strong therapeutic relationship is being genuine, providing unconditional support, and showing empathy, and that’s what I try to provide in my practice. My integrative approach utilizes humanistic, existential, psychodynamic, and cognitive-behavioral techniques.
I have worked with diverse patients with a wide range of concerns including grief, life transitions, relationship distress, dating, cancer, chronic illness, insomnia, caregiver distress, anxiety, depression, and trauma.
I founded Saltaire Psychology PLLC because I believe everyone can use a little help dealing with the chaotic moments in life, including breakups, medical issues, or deaths of loved ones. I’m here to help you get through those difficult moments and grow from them. The key to building a strong therapeutic relationship is being genuine, providing unconditional support, and showing empathy, and that’s what I try to provide in my practice. My integrative approach utilizes humanistic, existential, psychodynamic, and cognitive-behavioral techniques.
(917) 993-5571 View (917) 993-5571
Photo of Christine Kenny, Clinical Social Work/Therapist in 10025, NY
Christine Kenny
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10025
I specialize in treating those with anxiety, depression, trauma, chronic illness, and those going through life transitions.
The first step is often the hardest. If you’ve come across this, you have decided to take that first step and that takes courage! I am a licensed clinical social worker with over 16 years of experience. I consider my style to be warm, eclectic and collaborative. I believe that one of the most important things in therapy is the relationship between the client and the therapist. I provide a welcoming, empathic and supportive presence. I understand that each client is unique and has their own personal story to tell. My goal is to help you develop insight and gain a deeper understanding of your relationship/behavior patterns.
I specialize in treating those with anxiety, depression, trauma, chronic illness, and those going through life transitions.
The first step is often the hardest. If you’ve come across this, you have decided to take that first step and that takes courage! I am a licensed clinical social worker with over 16 years of experience. I consider my style to be warm, eclectic and collaborative. I believe that one of the most important things in therapy is the relationship between the client and the therapist. I provide a welcoming, empathic and supportive presence. I understand that each client is unique and has their own personal story to tell. My goal is to help you develop insight and gain a deeper understanding of your relationship/behavior patterns.
(845) 482-0109 View (845) 482-0109
Photo of Miriam Kose, Licensed Psychoanalyst in 10025, NY
Miriam Kose
Licensed Psychoanalyst, LP, NCPsyA, MS
Verified Verified
New York, NY 10025
I am a compassionate and engaging therapist with 30+ years of experience integrating psychodynamic and body-based modalities. The therapeutic relationship and the sacred, generative space that is shared, physically or virtually, can facilitate profound growth and transformation. My practice is comprised of adolescents, young adults, and adults in Individual, Family, and Group Therapy. I often work with trauma and abuse, attachment and relational issues, anxiety disorders, depression, pain and chronic illness, learning disabilities, and various somatic issues and health concerns.
I am a compassionate and engaging therapist with 30+ years of experience integrating psychodynamic and body-based modalities. The therapeutic relationship and the sacred, generative space that is shared, physically or virtually, can facilitate profound growth and transformation. My practice is comprised of adolescents, young adults, and adults in Individual, Family, and Group Therapy. I often work with trauma and abuse, attachment and relational issues, anxiety disorders, depression, pain and chronic illness, learning disabilities, and various somatic issues and health concerns.
(646) 492-8824 View (646) 492-8824
Photo of Jamie Leone, Clinical Social Work/Therapist in 10025, NY
Jamie Leone
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10025
Encountering struggles in our lives is a universal part of our humanity. Sometimes we feel overwhelmed and alone, whether going through a painful breakup, dealing with grief from a tragic loss, coping with the pressures of career or chronic illness, or dealing with family and relationship situations. Sometimes we just need someone to talk to, who is impartial, can listen, and who can help us somehow make sense of it all. Therapy can act as a bridge of compassion and hope, to get us through to the other side to a greater understanding of our authentic selves and to help us reach the potential to live our best lives.
Encountering struggles in our lives is a universal part of our humanity. Sometimes we feel overwhelmed and alone, whether going through a painful breakup, dealing with grief from a tragic loss, coping with the pressures of career or chronic illness, or dealing with family and relationship situations. Sometimes we just need someone to talk to, who is impartial, can listen, and who can help us somehow make sense of it all. Therapy can act as a bridge of compassion and hope, to get us through to the other side to a greater understanding of our authentic selves and to help us reach the potential to live our best lives.
(646) 760-7248 View (646) 760-7248
Photo of Claire Sharkey, Clinical Social Work/Therapist in 10025, NY
Claire Sharkey
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10025  (Online Only)
I have worked in schools, hospitals, and non-profits with children, adolescents, young people, women across the perinatal journey, and young parents in both individual and group counseling. I have a specific expertise in perinatal support and maternal wellness; chronic illness in the family especially in children; grief and bereavement especially in pregnancy, infant, and child loss and supporting children processing the death of a family member; and support of healthcare workers facing compassion fatigue, especially in pediatrics, intensive care units, and in the context of the COVID-19 pandemic.
I have worked in schools, hospitals, and non-profits with children, adolescents, young people, women across the perinatal journey, and young parents in both individual and group counseling. I have a specific expertise in perinatal support and maternal wellness; chronic illness in the family especially in children; grief and bereavement especially in pregnancy, infant, and child loss and supporting children processing the death of a family member; and support of healthcare workers facing compassion fatigue, especially in pediatrics, intensive care units, and in the context of the COVID-19 pandemic.
(646) 512-8613 View (646) 512-8613
Photo of Liz (Anne Elizabeth) Hirky, Psychologist in 10025, NY
Liz (Anne Elizabeth) Hirky
Psychologist, PhD
Verified Verified
New York, NY 10025
Is this one of those times you might need some extra help to manage what life has thrown at you? If so, you'll find me to be warm, empathic, and down-to-earth, with extensive training, skill, and experience. We'll be collaborative and flexible as we work to identify and shift those habits that have outlived their usefulness and now create obstacles to you living a fuller and more satisfying life. I work well with those seeking either or both problem-solving and insight-oriented approaches.
Is this one of those times you might need some extra help to manage what life has thrown at you? If so, you'll find me to be warm, empathic, and down-to-earth, with extensive training, skill, and experience. We'll be collaborative and flexible as we work to identify and shift those habits that have outlived their usefulness and now create obstacles to you living a fuller and more satisfying life. I work well with those seeking either or both problem-solving and insight-oriented approaches.
(917) 794-3554 View (917) 794-3554
Photo of Diabetes Focused Psychotherapist Eliot LeBow, Clinical Social Work/Therapist in 10025, NY
Diabetes Focused Psychotherapist Eliot LeBow
Clinical Social Work/Therapist, LCSW, CDE
Verified Verified
3 Endorsed
New York, NY 10025
Diabetes-Focused Psychotherapy takes a holistic approach, combining traditional talk therapy with diabetes education and diabetes management support. It addresses both the physical and emotional aspects of living life with diabetes while still addressing other non-diabetes related life problems. To help people with diabetes live a healthier and happier life.
Diabetes-Focused Psychotherapy takes a holistic approach, combining traditional talk therapy with diabetes education and diabetes management support. It addresses both the physical and emotional aspects of living life with diabetes while still addressing other non-diabetes related life problems. To help people with diabetes live a healthier and happier life.
(646) 392-8599 View (646) 392-8599
Photo of Nabila Baytore, Licensed Master Social Worker in 10025, NY
Nabila Baytore
Licensed Master Social Worker, LMSW
Verified Verified
New York, NY 10025
I work with adults, young adults and teens utilizing a range of modalities including relational psychodynamic psychotherapy, cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). My approach is to create a calm and relaxed collaborative environment. I have a wide range of experience, including with diverse client populations and specialize in working with clients who have chronic illnesses, are experiencing life transitions, and are struggling with anxiety and depression.
I work with adults, young adults and teens utilizing a range of modalities including relational psychodynamic psychotherapy, cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). My approach is to create a calm and relaxed collaborative environment. I have a wide range of experience, including with diverse client populations and specialize in working with clients who have chronic illnesses, are experiencing life transitions, and are struggling with anxiety and depression.
(914) 430-4184 View (914) 430-4184
Photo of Nick Galef, Psychologist in 10025, NY
Nick Galef
Psychologist, PsyD
Verified Verified
2 Endorsed
New York, NY 10025
People often seek therapy when feeling stuck: painfully alienated from what they desire, torn between conflicting impulses, and stuck with a version of themselves they find confusing and dissatisfying. Through careful listening and exploration, our work will help to illuminate how old wounds and ways of surviving have restricted your ability to feel, work, love, and even play freely. Moments of vulnerability in therapy can be opportunities to shut down, or they can be opportunities for introspection and transformation – I pay close attention to each patient’s needs, wishes, and fears to help steer you towards the latter outcome.
People often seek therapy when feeling stuck: painfully alienated from what they desire, torn between conflicting impulses, and stuck with a version of themselves they find confusing and dissatisfying. Through careful listening and exploration, our work will help to illuminate how old wounds and ways of surviving have restricted your ability to feel, work, love, and even play freely. Moments of vulnerability in therapy can be opportunities to shut down, or they can be opportunities for introspection and transformation – I pay close attention to each patient’s needs, wishes, and fears to help steer you towards the latter outcome.
(646) 980-4008 View (646) 980-4008
Photo of Barbara Willinger, Clinical Social Work/Therapist in 10025, NY
Barbara Willinger
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
New York, NY 10025
Highly experienced and knowledgeable therapist working with an interactive approach to clearly identify the obstacles holding you back and support the breakthroughs to your goals. Using a collaborative, psycho-dynamic framework that is focused on your specific needs, discovery of greater emotional stability and well-being is within reach. I provide empathy and deep understanding around circumstances relating to a broad spectrum of personal challenges including relationship issues, work-related challenges, loss of a loved one or dealing with the natural process of aging.
Highly experienced and knowledgeable therapist working with an interactive approach to clearly identify the obstacles holding you back and support the breakthroughs to your goals. Using a collaborative, psycho-dynamic framework that is focused on your specific needs, discovery of greater emotional stability and well-being is within reach. I provide empathy and deep understanding around circumstances relating to a broad spectrum of personal challenges including relationship issues, work-related challenges, loss of a loved one or dealing with the natural process of aging.
(646) 259-3623 View (646) 259-3623
Photo of Daniel Ratner, Psychologist in 10025, NY
Daniel Ratner
Psychologist, PsyD, MA
Verified Verified
2 Endorsed
New York, NY 10025  (Online Only)
I specialize in the alleviation of physical symptoms deriving from, or exacerbated by, psychological causes, working collaboratively to build a strong, genuine connection -- one of trust, empathy, and warmth -- with my clients. The mind body understanding allows us unique opportunities to reach profoundly new insights and self-awareness, making changes, even with long-standing difficulties, easily attainable. In many cases, symptoms can be reduced very quickly. I now work in a short term consultation model with numerous resources to help, including teaching seminars and individual & group consultations. Visit www.crushingdoubt.org.
I specialize in the alleviation of physical symptoms deriving from, or exacerbated by, psychological causes, working collaboratively to build a strong, genuine connection -- one of trust, empathy, and warmth -- with my clients. The mind body understanding allows us unique opportunities to reach profoundly new insights and self-awareness, making changes, even with long-standing difficulties, easily attainable. In many cases, symptoms can be reduced very quickly. I now work in a short term consultation model with numerous resources to help, including teaching seminars and individual & group consultations. Visit www.crushingdoubt.org.
(347) 669-5006 View (347) 669-5006
Photo of Amanda Parker, Psychologist in 10025, NY
Amanda Parker
Psychologist, PhD
Verified Verified
New York, NY 10025
Are you in need of some additional help to manage a situation or stressor that life has handed you? Are you looking to talk to someone who understands how to manage the obstacles you may be facing? If so, you will find me to be warm, empathic, and down-to-earth, with extensive training, skill, and experience. We will work collaboratively, with a flexible approach, to identify, explore, and address any challenges you are facing to help you live a more fulfilled and productive life. I work well with those who are motivated to make explorations about their lives using problem solving and insight-oriented approaches.
Are you in need of some additional help to manage a situation or stressor that life has handed you? Are you looking to talk to someone who understands how to manage the obstacles you may be facing? If so, you will find me to be warm, empathic, and down-to-earth, with extensive training, skill, and experience. We will work collaboratively, with a flexible approach, to identify, explore, and address any challenges you are facing to help you live a more fulfilled and productive life. I work well with those who are motivated to make explorations about their lives using problem solving and insight-oriented approaches.
(646) 681-7585 View (646) 681-7585
Photo of Dr. Matt Samalin, Psychologist in 10025, NY
Dr. Matt Samalin
Psychologist, PsyD
Verified Verified
New York, NY 10025  (Online Only)
I have years of experience working with folks of all ages in various settings towards their mental health and life goals. With curiosity, humor, and compassion, I strive to create a space to explore the oftentimes messy worlds within and around us. I believe we all have an innate profound ability to heal ourselves that can be activated with the right support.
I have years of experience working with folks of all ages in various settings towards their mental health and life goals. With curiosity, humor, and compassion, I strive to create a space to explore the oftentimes messy worlds within and around us. I believe we all have an innate profound ability to heal ourselves that can be activated with the right support.
(914) 817-0906 View (914) 817-0906
Photo of Jeff Gagliardi, Clinical Social Work/Therapist in 10025, NY
Jeff Gagliardi
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
New York, NY 10025
Depression and anxiety hold us back from reaching our potential. So many factors in our daily lives work to develop and reinforce those negative emotions over time. They leave us feeling stuck, overwhelmed, and unfulfilled. In order to cope, we often develop behaviors that we know aren’t good for us but feel impossible to stop. You try to make things better, but moments of change and growth are fleeting. You’re ready to create lasting change and free yourself from what’s holding you back. You deserve to experience a satisfying life filled with joy and happiness!
Depression and anxiety hold us back from reaching our potential. So many factors in our daily lives work to develop and reinforce those negative emotions over time. They leave us feeling stuck, overwhelmed, and unfulfilled. In order to cope, we often develop behaviors that we know aren’t good for us but feel impossible to stop. You try to make things better, but moments of change and growth are fleeting. You’re ready to create lasting change and free yourself from what’s holding you back. You deserve to experience a satisfying life filled with joy and happiness!
(646) 687-4650 View (646) 687-4650
Chronic Illness Therapists

How does therapy for chronic illness work?

Many people living with a chronic illness may feel they cannot speak honestly about their experience out of embarrassment or fear of being a burden, or because those close to them do not understand, for example, that they may “look good” even if they do not feel good. Therapy sessions are an opportunity to speak openly with someone who knows their symptoms are not in their head and who can offer practical, proven suggestions for managing feelings of grief, shame, or fatigue, such as techniques to challenge unhelpful thoughts about symptoms and develop new ways to respond to them, such as distraction or calming breathing practices.

Can therapy help with physical symptoms of chronic illness?

Yes, especially if an individual with chronic illness has developed depression. People with depression are less likely to maintain their health treatment regimens or to take positive steps to manage physical symptoms when they arise, thereby potentially complicating their medical prognosis. Treatment of depression, through talk therapy, medication, or both, will often improve one’s physical state as it eases the emotional burden of illness.

What are the most effective treatment options for chronic illness?

No one living with a chronic illness, or their loved ones, should see depression as an unavoidable result of their condition. Instead, they should actively seek treatment. Research shows that people with depression are less likely to devote the required time and effort to maintaining or monitoring their health, and so therapy to limit the risk of depression can be vital for physical health as well. Therapeutic approaches such as cognitive behavioral therapy and mindfulness-based stress reduction have been found to help individuals reduce stress and anxiety.

How long does therapy for chronic illness take?

There is no set timeline for therapy for people living with chronic illnesses, but many will see a therapist for a number of weeks or months, typically spanning at least 12 weekly sessions. Some people feel that they experience progress faster than others but even some who quickly feel improvement may continue with sessions for months or years. Some people may benefit from maintenance therapy if their symptoms change or they experience a decline in physical health. Others find that the skills learned in short-term therapy can be used on an ongoing basis, even after therapy has concluded.