Trauma and PTSD Therapists in Hoover, AL

Photo of Jackie Moore DeVine, Licensed Professional Counselor in Hoover, AL
Jackie Moore DeVine
Licensed Professional Counselor, MA, MDiv, LPC, NCC
Verified Verified
10 Endorsed
Hoover, AL 35244
It's been a weird last couple of years, hasn't it? In addition to the chaos and uncertainty in our world, you may also be feeling chaos and uncertainty in your personal life. Many people are feeling uneasy and out of sorts; you may benefit from short term therapy in order to cope with all these changes. Anxiety, depression, trauma, relationships, career issues, stress, grief and transitions are among the issues I address in therapy. You may realize something needs to change, but you're not sure what. An ideal time to consider therapy and that objective input. Therapy is voluntary; let's sort out what you want to change.
It's been a weird last couple of years, hasn't it? In addition to the chaos and uncertainty in our world, you may also be feeling chaos and uncertainty in your personal life. Many people are feeling uneasy and out of sorts; you may benefit from short term therapy in order to cope with all these changes. Anxiety, depression, trauma, relationships, career issues, stress, grief and transitions are among the issues I address in therapy. You may realize something needs to change, but you're not sure what. An ideal time to consider therapy and that objective input. Therapy is voluntary; let's sort out what you want to change.
(205) 209-4450 View (205) 209-4450
Photo of Marisa Holland, Licensed Professional Counselor in Hoover, AL
Marisa Holland
Licensed Professional Counselor, MEd, LPC-S, NCC, BC-TMH
Verified Verified
4 Endorsed
Hoover, AL 35216
Update as of 4/19/24: Accepting potential slots for tweens, teens, or ladies looking for Saturday appointment with a recently added Counselor to the practice! Looking to change negative or challenging aspects of your life? Trauma, depression, anxiety, low self esteem, and recent life changes are just a few examples of daily ups and downs that everyone can struggle with from time to time. How to begin making any changes can be hard and/or overwhelming but you and I will work together to develop approaches that work to solve or manage these challenges.
Update as of 4/19/24: Accepting potential slots for tweens, teens, or ladies looking for Saturday appointment with a recently added Counselor to the practice! Looking to change negative or challenging aspects of your life? Trauma, depression, anxiety, low self esteem, and recent life changes are just a few examples of daily ups and downs that everyone can struggle with from time to time. How to begin making any changes can be hard and/or overwhelming but you and I will work together to develop approaches that work to solve or manage these challenges.
(844) 742-0190 View (844) 742-0190
Photo of Kelly Lansden, Counselor in Hoover, AL
Kelly Lansden
Counselor, ALC, NCC
Verified Verified
1 Endorsed
Hoover, AL 35244
I utilize an integrative, trauma-informed approach to working with clients, and can customize techniques to suit your needs.
A few simple words can change everything. "I love you." "You have cancer." "I want a divorce." "You're hired." "We regret to inform you..." Just like that your life has veered onto a new road, and ready or not you must either adjust or crash. Therapy can be integral to navigating life's changes and challenges. You don't have to go it alone!
I utilize an integrative, trauma-informed approach to working with clients, and can customize techniques to suit your needs.
A few simple words can change everything. "I love you." "You have cancer." "I want a divorce." "You're hired." "We regret to inform you..." Just like that your life has veered onto a new road, and ready or not you must either adjust or crash. Therapy can be integral to navigating life's changes and challenges. You don't have to go it alone!
(205) 997-3294 View (205) 997-3294
Photo of Bre Carr, Licensed Professional Counselor in Hoover, AL
Bre Carr
Licensed Professional Counselor, MA, LPC-S, NCC, ICADC
Verified Verified
1 Endorsed
Hoover, AL 35216
Waitlist for new clients
As a TBRI® Practitioner( TBRI® is an attachment-based, trauma-informed intervention designed to meet the complex needs of vulnerable children and adults.
We are all unique and so are the struggles we face daily. Being unique is great, yet there comes a time when we are faced with challenges, feeling stuck, frustrated, angry or simply misunderstood. It is during these times that it is beneficial to seek someone outside of that current situation for fresh insight, an objective perspective and a listening, non-judgmental ear. Sometimes an outsider looking in may be exactly what you need in order to identify and develop the best solution to meet your unique and individual needs. Life is full of ups and downs- in therapy we learn how to maneuver through the waves of life.
As a TBRI® Practitioner( TBRI® is an attachment-based, trauma-informed intervention designed to meet the complex needs of vulnerable children and adults.
We are all unique and so are the struggles we face daily. Being unique is great, yet there comes a time when we are faced with challenges, feeling stuck, frustrated, angry or simply misunderstood. It is during these times that it is beneficial to seek someone outside of that current situation for fresh insight, an objective perspective and a listening, non-judgmental ear. Sometimes an outsider looking in may be exactly what you need in order to identify and develop the best solution to meet your unique and individual needs. Life is full of ups and downs- in therapy we learn how to maneuver through the waves of life.
(205) 273-5403 View (205) 273-5403
Photo of Perdue Counseling & Consulting, LLC , Licensed Professional Counselor in Hoover, AL
Perdue Counseling & Consulting, LLC
Licensed Professional Counselor, LPC, RPT, IMH-E®
Verified Verified
2 Endorsed
Hoover, AL 35244
We all go through different seasons in our lives, whether it’s the birth of a child or the death of a loved one, I can assist you through each transition. I provide services to children, adolescents, and adults with issues related to anxiety, depression, trauma and PTSD. Allow me to join you on your journey to health and healing.
We all go through different seasons in our lives, whether it’s the birth of a child or the death of a loved one, I can assist you through each transition. I provide services to children, adolescents, and adults with issues related to anxiety, depression, trauma and PTSD. Allow me to join you on your journey to health and healing.
(833) 406-0680 View (833) 406-0680
Photo of Inspire Counseling, LLC in Hoover, AL
Inspire Counseling, LLC
Verified Verified
Hoover, AL 35244
We serve individuals, couples, and families, across the state of Alabama, and New Jersey (online). Our office is located in Hoover, Alabama. We also offer telehealth services. Our clients typically present with a history of trauma (PTSD/CPTSD), depression, anxiety, relationship issues, grief, perfectionism, and poor boundaries. Many of our clients are women identifying as Black, Indengious, or a Person of Color (BIPOC); however, we value inclusivity.
We serve individuals, couples, and families, across the state of Alabama, and New Jersey (online). Our office is located in Hoover, Alabama. We also offer telehealth services. Our clients typically present with a history of trauma (PTSD/CPTSD), depression, anxiety, relationship issues, grief, perfectionism, and poor boundaries. Many of our clients are women identifying as Black, Indengious, or a Person of Color (BIPOC); however, we value inclusivity.
(205) 270-7868 View (205) 270-7868
Photo of BLISS Counseling & Consulting, Licensed Professional Counselor in Hoover, AL
BLISS Counseling & Consulting
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Hoover, AL 35216
Having trouble focusing because you're anxious, having racing thoughts, fatigued, and/or stressed? Are you finding it difficult to accept changes as you transition through life? Grieving the loss of a loved one? From postpardum depression to managing trauma triggers, we are here to help you learn how to navigate the obstacles in your life. Allow us provide support & guidance as you sort through your issues, build healthy coping skills, and move in your purpose the safest way possible.
Having trouble focusing because you're anxious, having racing thoughts, fatigued, and/or stressed? Are you finding it difficult to accept changes as you transition through life? Grieving the loss of a loved one? From postpardum depression to managing trauma triggers, we are here to help you learn how to navigate the obstacles in your life. Allow us provide support & guidance as you sort through your issues, build healthy coping skills, and move in your purpose the safest way possible.
(205) 772-5314 View (205) 772-5314
Photo of Jeffrey L Eiland, Clinical Social Work/Therapist in Hoover, AL
Jeffrey L Eiland
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Hoover, AL 35226  (Online Only)
I specialize in Post Traumatic Stress Disorder (PTSD), Complex Trauma (C-PTSD), Anxiety, and Substance Use Disorders (SUDs).
With years of knowledge and experience working with clients who have experienced abuse, trauma, anxiety, relationship challenges, substance abuse, depression, and a variety of other mental health disorders. I offer a safe and supportive space to explore your struggles and work with you to find a path forward. Life has taught me that everyone has struggles and is either going through something or has been through something. I know it takes courage to ask for help... I respect and admire that courage. I will meet you where you are non-judgmentally and together, we can work toward your healing and growth.
I specialize in Post Traumatic Stress Disorder (PTSD), Complex Trauma (C-PTSD), Anxiety, and Substance Use Disorders (SUDs).
With years of knowledge and experience working with clients who have experienced abuse, trauma, anxiety, relationship challenges, substance abuse, depression, and a variety of other mental health disorders. I offer a safe and supportive space to explore your struggles and work with you to find a path forward. Life has taught me that everyone has struggles and is either going through something or has been through something. I know it takes courage to ask for help... I respect and admire that courage. I will meet you where you are non-judgmentally and together, we can work toward your healing and growth.
(205) 927-6838 View (205) 927-6838
Photo of Krystal Smith, Clinical Social Work/Therapist in Hoover, AL
Krystal Smith
Clinical Social Work/Therapist, LICSW-S, PIP
Verified Verified
1 Endorsed
Hoover, AL 35226  (Online Only)
By decreasing avoidance and challenging negative thoughts, recovery from trauma is possible.
You keep replaying the incident in your mind even when you don’t want to. The event has left you feeling on edge and afraid. You can’t relax and it’s impossible to be in public without looking over your shoulder. You can’t stay anywhere too long, or you fear you will come apart. People around you don’t understand and tell you to get over it. You wish you could simply get over it, but this event has taken over your life. You don’t recognize yourself, and you don’t think you can ever be the person you were before. You can’t sleep or focus. You believe the incident was your fault and think of things you should have done differently.
By decreasing avoidance and challenging negative thoughts, recovery from trauma is possible.
You keep replaying the incident in your mind even when you don’t want to. The event has left you feeling on edge and afraid. You can’t relax and it’s impossible to be in public without looking over your shoulder. You can’t stay anywhere too long, or you fear you will come apart. People around you don’t understand and tell you to get over it. You wish you could simply get over it, but this event has taken over your life. You don’t recognize yourself, and you don’t think you can ever be the person you were before. You can’t sleep or focus. You believe the incident was your fault and think of things you should have done differently.
(205) 273-5083 View (205) 273-5083
Photo of New Journey Counseling Services, Licensed Professional Counselor in Hoover, AL
New Journey Counseling Services
Licensed Professional Counselor, M Ed, LPC
Verified Verified
Hoover, AL 35244  (Online Only)
The ideal client is honest, open-minded, willing, and invested in the counseling process. Heath has experience helping individuals with a variety of problems, including anxiety, depression, grief, trauma, poor self-esteem, addictions, and relationship issues. Heath understands people are on different pathways and he tailors his approach to the client's specific needs. He provides an atmosphere that is warm, safe, inviting, motivating, and challenging, in which clients will feel supported, heard, accepted, valued, and validated. These things converge to create an optimal environment for client goal attainment.
The ideal client is honest, open-minded, willing, and invested in the counseling process. Heath has experience helping individuals with a variety of problems, including anxiety, depression, grief, trauma, poor self-esteem, addictions, and relationship issues. Heath understands people are on different pathways and he tailors his approach to the client's specific needs. He provides an atmosphere that is warm, safe, inviting, motivating, and challenging, in which clients will feel supported, heard, accepted, valued, and validated. These things converge to create an optimal environment for client goal attainment.
(205) 850-1018 View (205) 850-1018
Photo of Alexandra Baugh, Licensed Professional Counselor in Hoover, AL
Alexandra Baugh
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Hoover, AL 35226
As a therapist and human, I strive to create a safe, grounded space that promotes connection and healing. My passion is supporting individuals around identity and LGBTQIA+ issues, trauma-related disorders, psychedelic integration therapy, substance use disorders, and eating disorders. I value the power of relation through vulnerability and take a holistic approach to therapy that encompasses physical, mental, emotional, and spiritual aspects of each of my clients.
As a therapist and human, I strive to create a safe, grounded space that promotes connection and healing. My passion is supporting individuals around identity and LGBTQIA+ issues, trauma-related disorders, psychedelic integration therapy, substance use disorders, and eating disorders. I value the power of relation through vulnerability and take a holistic approach to therapy that encompasses physical, mental, emotional, and spiritual aspects of each of my clients.
(205) 953-6747 View (205) 953-6747
Photo of Amber Martin, Associate Licensed Counselor in Hoover, AL
Amber Martin
Associate Licensed Counselor, PhD, MPH, MA, ALC, NCC
Verified Verified
Hoover, AL 35226
I work with individuals, couples, and families dealing with trauma/PTSD, grief, anxiety, depression, relational issues, anger/pain management, and adjustment issues.
Everyone experiences emotional pain that comes by virtue of living life. We face transitions, are met with difficulties, or experience stressors that bring frustration, hurt, and uncertainty. As a therapist, my role is to support you in identifying ways to use your strengths and utilize resources you have to find unique and tailored solutions aligned with your values. I will also provide perspective through situations with strong belief that every person has purpose, passion, and potential awaiting discovery. I believe in honoring the emotional vulnerability of each client by fostering a space of safety and connection.
I work with individuals, couples, and families dealing with trauma/PTSD, grief, anxiety, depression, relational issues, anger/pain management, and adjustment issues.
Everyone experiences emotional pain that comes by virtue of living life. We face transitions, are met with difficulties, or experience stressors that bring frustration, hurt, and uncertainty. As a therapist, my role is to support you in identifying ways to use your strengths and utilize resources you have to find unique and tailored solutions aligned with your values. I will also provide perspective through situations with strong belief that every person has purpose, passion, and potential awaiting discovery. I believe in honoring the emotional vulnerability of each client by fostering a space of safety and connection.
(205) 875-2518 View (205) 875-2518
Photo of McKenzie Huggins Wheeler, Clinical Social Work/Therapist in Hoover, AL
McKenzie Huggins Wheeler
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Hoover, AL 35244  (Online Only)
I provide services to adults coping with trauma, anxiety, depression, grief, self esteem issues, or general life stressors and transitions.
If you are facing a difficult time in your life and struggling to get through the day to day, or if you are wanting to make a change and wondering where to begin, it may be time to reach out for help. As your therapist, I will work alongside you and take a collaborative approach to identify the steps necessary to achieving your desired outcomes. My goal is to create a compassionate, authentic, and comfortable environment for individuals to explore their current circumstances and build the life they want to live.
I provide services to adults coping with trauma, anxiety, depression, grief, self esteem issues, or general life stressors and transitions.
If you are facing a difficult time in your life and struggling to get through the day to day, or if you are wanting to make a change and wondering where to begin, it may be time to reach out for help. As your therapist, I will work alongside you and take a collaborative approach to identify the steps necessary to achieving your desired outcomes. My goal is to create a compassionate, authentic, and comfortable environment for individuals to explore their current circumstances and build the life they want to live.
(205) 336-6654 View (205) 336-6654
Photo of Jocelyn Stewart, Licensed Professional Counselor in Hoover, AL
Jocelyn Stewart
Licensed Professional Counselor, MA, LPC, NCC, JSOCC
Verified Verified
3 Endorsed
Hoover, AL 35216
There is hope! Have you become stuck in your own personal growth? Are you struggling with the behaviors of a child or adolescent? I am willing to help you learn to overcome these struggles and more. We can work together to achieve your own goals, manage life situations, trauma, anxiety, and depression to get your life back on track. Allow me to help you explore new ways to cope with life's challenges.
There is hope! Have you become stuck in your own personal growth? Are you struggling with the behaviors of a child or adolescent? I am willing to help you learn to overcome these struggles and more. We can work together to achieve your own goals, manage life situations, trauma, anxiety, and depression to get your life back on track. Allow me to help you explore new ways to cope with life's challenges.
(205) 984-4933 View (205) 984-4933
Photo of Cathy Prellwitz, Clinical Social Work/Therapist in Hoover, AL
Cathy Prellwitz
Clinical Social Work/Therapist, LICSW, PIP, CATODSW
Verified Verified
Hoover, AL 35226
I have 20 years of experience treating depression, substance use, trauma/PTSD, and anxiety disorders.
*****COVID-19: TELEHEALTH APPOINTMENTS AVAILABLE***** I am offering telehealth appointments via a secure HIPPA compliant platform. It is easy to use, secure and safe! ACCEPTING NEW CLIENTS!! Are you trying to find balance and healing in your life? Are you struggling with depression, grief and loss? Do you have past traumas that continue to impact your life today? Do you struggle with alcohol/drug use? I can help. In office and telehealth services available.
I have 20 years of experience treating depression, substance use, trauma/PTSD, and anxiety disorders.
*****COVID-19: TELEHEALTH APPOINTMENTS AVAILABLE***** I am offering telehealth appointments via a secure HIPPA compliant platform. It is easy to use, secure and safe! ACCEPTING NEW CLIENTS!! Are you trying to find balance and healing in your life? Are you struggling with depression, grief and loss? Do you have past traumas that continue to impact your life today? Do you struggle with alcohol/drug use? I can help. In office and telehealth services available.
(205) 691-4104 View (205) 691-4104
Photo of Janice E Martin, Licensed Professional Counselor in Hoover, AL
Janice E Martin
Licensed Professional Counselor, EdD, LPC-S
Verified Verified
1 Endorsed
Hoover, AL 35226
Waitlist for new clients
These methods can be used to manage stress, crisis, trauma, overcome challenges and obstacles, and support healing.
Most people are experiencing normal reactions to unusual stress or situations in their lives, past or present. My approaches support working through issues, and building stronger skills for meeting any additional challenges. These can include traditional and mind-body-spirit techniques, including NLP, time-line therapy, rational thinking, meditative and relaxation methods, and overall support for the journey. I work with individuals, parent-child issues, couples, and blended family relationships. Working in areas of physical and mental wellness, we partner together to support mental and physical well-being and ongoing growth.
These methods can be used to manage stress, crisis, trauma, overcome challenges and obstacles, and support healing.
Most people are experiencing normal reactions to unusual stress or situations in their lives, past or present. My approaches support working through issues, and building stronger skills for meeting any additional challenges. These can include traditional and mind-body-spirit techniques, including NLP, time-line therapy, rational thinking, meditative and relaxation methods, and overall support for the journey. I work with individuals, parent-child issues, couples, and blended family relationships. Working in areas of physical and mental wellness, we partner together to support mental and physical well-being and ongoing growth.
(205) 301-2774 View (205) 301-2774
Photo of Marie Danner, Clinical Social Work/Therapist in Hoover, AL
Marie Danner
Clinical Social Work/Therapist, MSW, LICSW-S, CCTP-II
Verified Verified
2 Endorsed
Hoover, AL 35216
Waitlist for new clients
I have personal and professional experience facing and overcoming trauma and the related symptoms.
Have you been told you have PTSD? Or, do you have anxiety, depression, low self-esteem, or negative self-talk that all started with a traumatic event(s)? If so, you have come to the right place. People with trauma often find themselves spending countless hours in therapy but not getting lasting relief. That is because not every therapist is specially trained to treat trauma, and not every therapy intervention is able to access the part of the brain where traumatic memories live.
I have personal and professional experience facing and overcoming trauma and the related symptoms.
Have you been told you have PTSD? Or, do you have anxiety, depression, low self-esteem, or negative self-talk that all started with a traumatic event(s)? If so, you have come to the right place. People with trauma often find themselves spending countless hours in therapy but not getting lasting relief. That is because not every therapist is specially trained to treat trauma, and not every therapy intervention is able to access the part of the brain where traumatic memories live.
(205) 858-2694 View (205) 858-2694
Photo of Gina A Thompson, Clinical Social Work/Therapist in Hoover, AL
Gina A Thompson
Clinical Social Work/Therapist, LICSW
Verified Verified
Hoover, AL 35216  (Online Only)
I believe individuals are worthy of experiencing their best quality of life. Sometimes to achieve this, it requires a partnership with another person to help bring change. Together we can set goals and work to address your current stressors that get in the way of you experiencing the life you want to have. Whether you or your loved one have a substance use disorder, a history of trauma, or experience high levels of anger or anxiety, there is relief, and I am here to help you. I also enjoy working with couples to navigate the many stressors relationships encounter and work toward a healthier and more fulfilling connection.
I believe individuals are worthy of experiencing their best quality of life. Sometimes to achieve this, it requires a partnership with another person to help bring change. Together we can set goals and work to address your current stressors that get in the way of you experiencing the life you want to have. Whether you or your loved one have a substance use disorder, a history of trauma, or experience high levels of anger or anxiety, there is relief, and I am here to help you. I also enjoy working with couples to navigate the many stressors relationships encounter and work toward a healthier and more fulfilling connection.
(205) 941-6220 View (205) 941-6220
Photo of Regina Turner, LLC, Licensed Professional Counselor in Hoover, AL
Regina Turner, LLC
Licensed Professional Counselor, LPC, NCC, LPCS
Verified Verified
1 Endorsed
Hoover, AL 35244
There is hope for all! After being a teacher in public schools for 14 years and a director of a faith-based non-profit that helped troubled teens and parents, for 2 years, I decided to go back to school to become a licensed therapist. I enjoy "walking" beside of people who are hurting and struggling with stress, anxiety, trauma, relationships and/or depression. I work with adults, young adults, teens, and couples. I am a wife, mother, and grandmother trying to love others right where they are.
There is hope for all! After being a teacher in public schools for 14 years and a director of a faith-based non-profit that helped troubled teens and parents, for 2 years, I decided to go back to school to become a licensed therapist. I enjoy "walking" beside of people who are hurting and struggling with stress, anxiety, trauma, relationships and/or depression. I work with adults, young adults, teens, and couples. I am a wife, mother, and grandmother trying to love others right where they are.
(205) 509-2562 View (205) 509-2562
Photo of Japonica Bryant, Counselor in Hoover, AL
Japonica Bryant
Counselor, MS, ALC
Verified Verified
Hoover, AL 35244  (Online Only)
As a counselor, I am deeply committed to providing a supportive and empathetic space for individuals navigating life transitions, depression, anxiety, grief, and trauma. My approach is rooted in compassion, collaboration, and evidence-based techniques tailored to each client’s unique needs. In my practice, I prioritize creating a safe and non-judgmental environment where clients feel heard, understood, and empowered to explore their emotions and experiences. I believe in the power of fostering a strong therapeutic alliance built on trust, respect, and authenticity.
As a counselor, I am deeply committed to providing a supportive and empathetic space for individuals navigating life transitions, depression, anxiety, grief, and trauma. My approach is rooted in compassion, collaboration, and evidence-based techniques tailored to each client’s unique needs. In my practice, I prioritize creating a safe and non-judgmental environment where clients feel heard, understood, and empowered to explore their emotions and experiences. I believe in the power of fostering a strong therapeutic alliance built on trust, respect, and authenticity.
(251) 317-2635 View (251) 317-2635

See more therapy options for Hoover


Trauma and PTSD Therapists

When should I seek treatment for trauma?

Not everyone who undergoes trauma needs therapy to heal, but many do. If, after experiencing a traumatic event, you find yourself struggling with symptoms such as nightmares, dissociation, irritability, or emotional numbness—especially if these symptoms last more than a month and are severe enough to interfere with your daily functioning—you may benefit from seeking out therapy with a trauma-informed provider.

How long does trauma therapy take?

Different types of therapy for trauma unfold on different timelines. Prolonged exposure therapy and cognitive processing therapy, for example, each take about three months, while trauma-informed CBT may last anywhere from 8 to 25 sessions. Other approaches, especially those that are less structured or that incorporate elements from multiple modalities, may be more open-ended, though many patients report feeling better within the first few months of treatment.

What happens if trauma is left untreated?

Unaddressed trauma can have serious—even devastating—effects on relationships, career, and day-to-day functioning. Post-Traumatic Stress Disorder (PTSD) can lead people to distrust or lash out at others, making it difficult to maintain intimate relationships; it can also trigger symptoms such as flashbacks or hyperreactivity that can interfere with a person’s ability to function effectively, personally and/or professionally. Some sufferers turn to drugs to find relief. Symptoms may lessen on their own with time, but there is no guarantee that PTSD will resolve on its own.

Can PTSD come back after treatment?

It is possible for PTSD symptoms to recur months or years after successful treatment. This is because, like most mental health disorders, it is not possible to “cure” PTSD, and stressful life events may cause symptoms to recur in even the most resilient individuals. There is no shame in re-experiencing PTSD symptoms nor in returning to therapy when such relapses occur; indeed, many forms of trauma therapy explicitly encourage periodic “maintenance sessions” to reinforce coping skills and ensure that symptoms stay manageable.