Art Therapy in Larkspur, CA

Photo of Sasha Georgeson, Marriage & Family Therapist in Larkspur, CA
Sasha Georgeson
Marriage & Family Therapist, LMFT, ATR, REAT
Verified Verified
Larkspur, CA 94977
I am a registered Art Therapist, my style is warm, collaborative, interactive and trauma informed.
I believe that life’s challenges, whether external or internal, are opportunities for self-discovery and for becoming more aligned with your inner wisdom. My role as a therapist is to create an environment in which you can express yourself, feel deeply heard and connect to your authentic self. I believe that when we can meet ourselves with love and respect, we can heal from many issues. My focus is on supporting you to gain a deeper understanding of who you are, including your resources and strengths, your unique perspective, and your unconscious patterns so you can create the change and healing that you desire.
I am a registered Art Therapist, my style is warm, collaborative, interactive and trauma informed.
I believe that life’s challenges, whether external or internal, are opportunities for self-discovery and for becoming more aligned with your inner wisdom. My role as a therapist is to create an environment in which you can express yourself, feel deeply heard and connect to your authentic self. I believe that when we can meet ourselves with love and respect, we can heal from many issues. My focus is on supporting you to gain a deeper understanding of who you are, including your resources and strengths, your unique perspective, and your unconscious patterns so you can create the change and healing that you desire.
(415) 326-1913 View (415) 326-1913
Photo of Megan Fuller O'Donnell, Marriage & Family Therapist in Larkspur, CA
Megan Fuller O'Donnell
Marriage & Family Therapist, MA, LMFT
Verified Verified
Larkspur, CA 94939
Hello! I work with adolescents, parents, adults and couples. I create a safe space for individuals to explore and learn more about themselves. I aim to understand each individual's motivations and experience. I provide clients with insights that will help them get clarity about their circumstances in hopes of reducing symptoms. I provide psycho-education about the client's behavior and help them connect the links between their thoughts, feelings and actions. I utilize my clinical experience to determine what interventions and theoretical orientation makes the most sense for each individual to help support their progress.
Hello! I work with adolescents, parents, adults and couples. I create a safe space for individuals to explore and learn more about themselves. I aim to understand each individual's motivations and experience. I provide clients with insights that will help them get clarity about their circumstances in hopes of reducing symptoms. I provide psycho-education about the client's behavior and help them connect the links between their thoughts, feelings and actions. I utilize my clinical experience to determine what interventions and theoretical orientation makes the most sense for each individual to help support their progress.
(415) 915-2486 View (415) 915-2486
Photo of Daniel R Clifford, Marriage & Family Therapist in Larkspur, CA
Daniel R Clifford
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Larkspur, CA 94939
My focus is on relationships, the relationships we have with ourselves and others, and what is blocking them from feeling joy. I work with individuals and couples primarily focusing on the communication styles and how to improve upon them. I work with the hope of each relationship eventually finding different ways to cope, deepen, and advance into something different and rewarding. I feel all of our experiences in life have led to this moment. Whether the experience was a good one, or a bad one, they have informed our decisions about how to move forward.
My focus is on relationships, the relationships we have with ourselves and others, and what is blocking them from feeling joy. I work with individuals and couples primarily focusing on the communication styles and how to improve upon them. I work with the hope of each relationship eventually finding different ways to cope, deepen, and advance into something different and rewarding. I feel all of our experiences in life have led to this moment. Whether the experience was a good one, or a bad one, they have informed our decisions about how to move forward.
(415) 662-0969 View (415) 662-0969
Photo of Michael J. Mesmer, Marriage & Family Therapist in Larkspur, CA
Michael J. Mesmer
Marriage & Family Therapist, MA, MFT
Verified Verified
Larkspur, CA 94939
Alternatives increase our choices in life. Alternative psychotherapy considers all aspects of living, including work, lifestyle and spiritual practice, as well as thoughts and feelings, in healing our mind, body and spirit.
Alternatives increase our choices in life. Alternative psychotherapy considers all aspects of living, including work, lifestyle and spiritual practice, as well as thoughts and feelings, in healing our mind, body and spirit.
(458) 231-8560 View (458) 231-8560
Photo of Jessica Potter, Marriage & Family Therapist in Larkspur, CA
Jessica Potter
Marriage & Family Therapist, LMFT
Verified Verified
Larkspur, CA 94939
I am versatile in my clinical experience with clients of different ages and cultures. I have particular training in working with individuals struggling with trauma and the many symptoms related to trauma. I also have many years of experience working with those who struggle with addictions. I enjoy providing support groups for adults and teenagers. I have worked in schools, outpatient clinics, and private practice. I also have experience in suicide prevention work with teenagers and young adults.
I am versatile in my clinical experience with clients of different ages and cultures. I have particular training in working with individuals struggling with trauma and the many symptoms related to trauma. I also have many years of experience working with those who struggle with addictions. I enjoy providing support groups for adults and teenagers. I have worked in schools, outpatient clinics, and private practice. I also have experience in suicide prevention work with teenagers and young adults.
(415) 689-1017 View (415) 689-1017

More Therapists Nearby

Photo of Annie Danberg, Marriage & Family Therapist in Larkspur, CA
Annie Danberg
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94915
My approach to psychotherapy and art therapy will open the way for you to feel and express your emotions safely, gain new perspectives, and feel the joy of creativity in your life.
Life’s difficulties – when held properly – are like the grains of sand that form the pearl in the oyster. I am here to help you discover that pearl. Are you feeling tossed and confused by life’s sea changes? I’m here to guide you into discovering what generates the whirlwind in your mind, the ache in your body, the weight and grip in your belly. We’ll use art-making, mindfulness, dreamwork, and inner listening to dip beneath the surface.
My approach to psychotherapy and art therapy will open the way for you to feel and express your emotions safely, gain new perspectives, and feel the joy of creativity in your life.
Life’s difficulties – when held properly – are like the grains of sand that form the pearl in the oyster. I am here to help you discover that pearl. Are you feeling tossed and confused by life’s sea changes? I’m here to guide you into discovering what generates the whirlwind in your mind, the ache in your body, the weight and grip in your belly. We’ll use art-making, mindfulness, dreamwork, and inner listening to dip beneath the surface.
(415) 521-3756 View (415) 521-3756
Photo of Boe Elizabeth Roberts, Marriage & Family Therapist in Larkspur, CA
Boe Elizabeth Roberts
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Mill Valley, CA 94941
Clinical psychotherapy is a process of deepening self awareness and strengthening authenticity. The subtle art of therapy occurs by taking an honest look at emotional patterns and behaviors, and understanding and liberating any shame that exists at the core which frequently fuels mental health disorders. I specialize in working with teens and their families, and am trained in EMDR and Attachment Based Family Therapy. I have been in practice for over 10 years in this community. The gift of psychotherapy is the ability to be in charge of ourselves with confidence, emotional intelligence, and deep inner peace.
Clinical psychotherapy is a process of deepening self awareness and strengthening authenticity. The subtle art of therapy occurs by taking an honest look at emotional patterns and behaviors, and understanding and liberating any shame that exists at the core which frequently fuels mental health disorders. I specialize in working with teens and their families, and am trained in EMDR and Attachment Based Family Therapy. I have been in practice for over 10 years in this community. The gift of psychotherapy is the ability to be in charge of ourselves with confidence, emotional intelligence, and deep inner peace.
(415) 630-4538 View (415) 630-4538
Photo of Casey Hineline, Marriage & Family Therapist in Larkspur, CA
Casey Hineline
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Rafael, CA 94901
Specializing in child/teen therapy. Specializing in attachment concerns, suicidal ideation, self-harm, relational issues and more... I treat the whole child/teen by providing our youth in the greater community with a space to explore, process and express their own emotional experiences through play, art and talk therapies. Therapy has proven to help kids improve self-esteem, identify their strengths, lean into their growing edges, learn perspective, process trauma, develop healthy coping strategies and find and maintain healthy relationships.
Specializing in child/teen therapy. Specializing in attachment concerns, suicidal ideation, self-harm, relational issues and more... I treat the whole child/teen by providing our youth in the greater community with a space to explore, process and express their own emotional experiences through play, art and talk therapies. Therapy has proven to help kids improve self-esteem, identify their strengths, lean into their growing edges, learn perspective, process trauma, develop healthy coping strategies and find and maintain healthy relationships.
(415) 200-2913 View (415) 200-2913
Photo of Amy Backos, Psychologist in Larkspur, CA
Amy Backos
Psychologist, PhD, ATR-BC
Verified Verified
3 Endorsed
Mill Valley, CA 94942
With over 26 years experience as a creativity psychologist, author, researcher, board-certified art therapist, and professor, I bring modern, creative, and evidence-based strategies to our sessions.
Are you longing for more energy and mental clarity to thrive in both your professional and personal life? Do you find yourself carrying the weight of past pain, unwanted thoughts, and strained relationships? If you're ready to overcome past traumas and unlock a life filled with joy, ease, balance, and success, I invite you to explore an effective and creative approach. At my practice, you can harness the power of both sides of your brain – creativity & logic, focus & curiosity, thoughts & emotions. Through a unique combination of Acceptance and Commitment Therapy and Art Therapy, you become flexible, creative, and mindfully aware.
With over 26 years experience as a creativity psychologist, author, researcher, board-certified art therapist, and professor, I bring modern, creative, and evidence-based strategies to our sessions.
Are you longing for more energy and mental clarity to thrive in both your professional and personal life? Do you find yourself carrying the weight of past pain, unwanted thoughts, and strained relationships? If you're ready to overcome past traumas and unlock a life filled with joy, ease, balance, and success, I invite you to explore an effective and creative approach. At my practice, you can harness the power of both sides of your brain – creativity & logic, focus & curiosity, thoughts & emotions. Through a unique combination of Acceptance and Commitment Therapy and Art Therapy, you become flexible, creative, and mindfully aware.
(415) 592-6406 View (415) 592-6406
Photo of Lisa Spivack, Marriage & Family Therapist in Larkspur, CA
Lisa Spivack
Marriage & Family Therapist, LMFT, ATR
Verified Verified
Corte Madera, CA 94925
As a licensed Psychotherapist and Art Therapist, I strive to provide a safe and warm environment that utilizes both artistic and verbal expression as ways to communicate in therapy.
Do you have a child or “tween” that is highly sensitive, bright, and a bit overwhelmed? Do they have trouble identifying and managing strong feelings? Could they use help developing positive coping strategies? Are they struggling to communicate with peers, parents, or siblings? In my private practice office, I specialize in helping children understand the benefits of their sensitivity and how to manage its inherent challenges. And I can help you… help them.
As a licensed Psychotherapist and Art Therapist, I strive to provide a safe and warm environment that utilizes both artistic and verbal expression as ways to communicate in therapy.
Do you have a child or “tween” that is highly sensitive, bright, and a bit overwhelmed? Do they have trouble identifying and managing strong feelings? Could they use help developing positive coping strategies? Are they struggling to communicate with peers, parents, or siblings? In my private practice office, I specialize in helping children understand the benefits of their sensitivity and how to manage its inherent challenges. And I can help you… help them.
(415) 508-4621 View (415) 508-4621
Photo of Jason Delgadillo, Clinical Social Work/Therapist in Larkspur, CA
Jason Delgadillo
Clinical Social Work/Therapist, LCSW
Verified Verified
Mill Valley, CA 94941
I started by studying religion, art, and philosophy then took an interest in culture, humanities, and history, then moved to psychology.
My name is Jason Delgadillo and I have enjoyed working as a clinical therapist for the past 8 years in the county of Los Angeles. I have worked with a wide breadth of clientele, mainly focusing on supporting the unique needs of individuals and helping them to find balance, stability, and self-compassion. I have worked with adults including people living with mental illness, college students, veterans, LGBTQIA2s, people experiencing homelessness, older individuals, and people from the BIPOC communities. My focus is PTSD, anxiety, relationship issues, childhood/adult trauma, dream analysis, wellness, and addiction.
I started by studying religion, art, and philosophy then took an interest in culture, humanities, and history, then moved to psychology.
My name is Jason Delgadillo and I have enjoyed working as a clinical therapist for the past 8 years in the county of Los Angeles. I have worked with a wide breadth of clientele, mainly focusing on supporting the unique needs of individuals and helping them to find balance, stability, and self-compassion. I have worked with adults including people living with mental illness, college students, veterans, LGBTQIA2s, people experiencing homelessness, older individuals, and people from the BIPOC communities. My focus is PTSD, anxiety, relationship issues, childhood/adult trauma, dream analysis, wellness, and addiction.
(951) 330-7265 View (951) 330-7265
Photo of Theresa Hall, Marriage & Family Therapist in Larkspur, CA
Theresa Hall
Marriage & Family Therapist, MA, LMFT, ART-BC
Verified Verified
Greenbrae, CA 94904
I am also a Board Certified Art Therapist.
My goal as a therapist is to help my clients learn how to effectively manage anxiety and stress, decrease depression, support positive life transitions, improve social connections, and build effective parenting skills. I use Cognitive Behavioral Therapy, combined with Mindfulness, Psychodynamic, and Client-Centered therapy techniques to help clients navigate the challenges they face. This allows my clients to learn from their life experiences, understand the impacts of their current patterns and decision making, and explore and develop new ways of thinking and acting.
I am also a Board Certified Art Therapist.
My goal as a therapist is to help my clients learn how to effectively manage anxiety and stress, decrease depression, support positive life transitions, improve social connections, and build effective parenting skills. I use Cognitive Behavioral Therapy, combined with Mindfulness, Psychodynamic, and Client-Centered therapy techniques to help clients navigate the challenges they face. This allows my clients to learn from their life experiences, understand the impacts of their current patterns and decision making, and explore and develop new ways of thinking and acting.
(415) 324-4332 View (415) 324-4332
Photo of J Findlay, Marriage & Family Therapist in Larkspur, CA
J Findlay
Marriage & Family Therapist, MA, MFT, ATR
Verified Verified
Mill Valley, CA 94941
I believe passionately that we can change and that genuine lasting transformation needs to happen at the level of our thinking, our feelings and our behaviors. Through my training in psychotherapy, art therapy and mindfulness I seek to actively give understanding, tools and resources to help you reach your goals. I offer a safe, nurturing and non judgmental environment. I also propose a unique at home service.
I believe passionately that we can change and that genuine lasting transformation needs to happen at the level of our thinking, our feelings and our behaviors. Through my training in psychotherapy, art therapy and mindfulness I seek to actively give understanding, tools and resources to help you reach your goals. I offer a safe, nurturing and non judgmental environment. I also propose a unique at home service.
(415) 980-4056 View (415) 980-4056
Photo of Marianne Shine Therapy, Marriage & Family Therapist in Larkspur, CA
Marianne Shine Therapy
Marriage & Family Therapist, MA, LMFT, RDT, CHT
Verified Verified
5 Endorsed
Mill Valley, CA 94941
I work with adults and teens who are stuck and want to try something different. Come if you're anxious, depressed, grieving, dealing with relationship issues, low self esteem or one of life's many transitions. I appreciate clients who are willing to participate in their self-exploration. This might include trying some art, music, writing, guided imagery or EMDR. My clinical experience includes: intensive in-patient and out-patient treatment at UCSF Langley Porter, Bereavement Counseling at Hospice, on-site school counselor at elementary and middle schools and personal growth through social justice performances with incarcerated men
I work with adults and teens who are stuck and want to try something different. Come if you're anxious, depressed, grieving, dealing with relationship issues, low self esteem or one of life's many transitions. I appreciate clients who are willing to participate in their self-exploration. This might include trying some art, music, writing, guided imagery or EMDR. My clinical experience includes: intensive in-patient and out-patient treatment at UCSF Langley Porter, Bereavement Counseling at Hospice, on-site school counselor at elementary and middle schools and personal growth through social justice performances with incarcerated men
(415) 650-1780 View (415) 650-1780
Photo of Wellspring Psychotherapy Center, Psychologist in Larkspur, CA
Wellspring Psychotherapy Center
Psychologist, PhD
Verified Verified
Greenbrae, CA 94904
We specialize in the treatment of children, teens, adults and families. We use ACT, CBT, art and play therapy to work with children who are struggling with friendships, impulse control issues, the effects of divorce, low self-esteem, anxiety, and depression. Our evidence based practices are especially helpful for children with OCD, separation anxiety, fears and phobias, attachment and adoption issues, sleep issues, and post traumatic stress. As a parent you can also benefit by gaining new insights about your child and getting guidance and consultation.
We specialize in the treatment of children, teens, adults and families. We use ACT, CBT, art and play therapy to work with children who are struggling with friendships, impulse control issues, the effects of divorce, low self-esteem, anxiety, and depression. Our evidence based practices are especially helpful for children with OCD, separation anxiety, fears and phobias, attachment and adoption issues, sleep issues, and post traumatic stress. As a parent you can also benefit by gaining new insights about your child and getting guidance and consultation.
(415) 878-1892 View (415) 878-1892
Photo of Nancie Jordan, Marriage & Family Therapist in Larkspur, CA
Nancie Jordan
Marriage & Family Therapist, MEd, MA, MFT
Verified Verified
Mill Valley, CA 94941
My orientation is psychonalytic and Jungian psychology, and I also am trained in DBT, EMDR and Art Therapy.
Are you feeling dissatisfied with life? Feeling stuck, unhappy with relationships? I work with couples and individuals in all stages of life who have arrived at some sort of impasse. Often they have experienced some kind of loss. The loss of a job, loss of friends, or a divorce, empty nest issues, difficulty with relationships with adult kids. . I help clients work through a variety of issues: intimacy issues, depression, anxiety, addiction issues, unresolved trauma, panic attacks, and career dissatisfaction.
My orientation is psychonalytic and Jungian psychology, and I also am trained in DBT, EMDR and Art Therapy.
Are you feeling dissatisfied with life? Feeling stuck, unhappy with relationships? I work with couples and individuals in all stages of life who have arrived at some sort of impasse. Often they have experienced some kind of loss. The loss of a job, loss of friends, or a divorce, empty nest issues, difficulty with relationships with adult kids. . I help clients work through a variety of issues: intimacy issues, depression, anxiety, addiction issues, unresolved trauma, panic attacks, and career dissatisfaction.
(415) 914-8718 View (415) 914-8718
Photo of Sylvan Streightiff | Emdr | Art Therapist, Marriage & Family Therapist Associate in Larkspur, CA
Sylvan Streightiff | Emdr | Art Therapist
Marriage & Family Therapist Associate, AMFT, AT
Verified Verified
1 Endorsed
Corte Madera, CA 94925  (Online Only)
Within sessions, I use empirically studied techniques to integrate art making alongside talk therapy (Research: scholar.
As a Chronic Illness, Neurodivergence, Anxiety, Depression, and Complex Trauma Specialist, I help individuals, families, and couples overcome challenges by addressing the Mind, Body, and Soul. My therapy space welcomes the expression of all emotions without judgment. My approach uses curiosity to understand any persistent and overwhelming thoughts in order to gain a sense of relief and acceptance. Together we can work collaboratively to meet your needs, understand perceptions, cultivate your strengths, improve relationships and self-esteem, and achieve personal growth.
Within sessions, I use empirically studied techniques to integrate art making alongside talk therapy (Research: scholar.
As a Chronic Illness, Neurodivergence, Anxiety, Depression, and Complex Trauma Specialist, I help individuals, families, and couples overcome challenges by addressing the Mind, Body, and Soul. My therapy space welcomes the expression of all emotions without judgment. My approach uses curiosity to understand any persistent and overwhelming thoughts in order to gain a sense of relief and acceptance. Together we can work collaboratively to meet your needs, understand perceptions, cultivate your strengths, improve relationships and self-esteem, and achieve personal growth.
(408) 610-1744 View (408) 610-1744
Photo of Janet C Lewis, Marriage & Family Therapist in Larkspur, CA
Janet C Lewis
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Rafael, CA 94901
Begin it now! I am also an Art and Sandtray therapist by training, a very powerful tool.
Our personal lives and the world around us seems to have become more stressful and complicated than ever. If you need help, please don't hesitate to reach out to any of us, on this site, whether it is me, or someone else. With 40 years of experience, I offer guidance in a safe and confidential environment. Together we will explore & clarify issues, developing tools through thoughtful self examination, and insights to take back into your life. I am committed to helping you, with careful and thorough listening, and gentle, yet direct feedback. We are in this together! For a faster response, text me at the above number.
Begin it now! I am also an Art and Sandtray therapist by training, a very powerful tool.
Our personal lives and the world around us seems to have become more stressful and complicated than ever. If you need help, please don't hesitate to reach out to any of us, on this site, whether it is me, or someone else. With 40 years of experience, I offer guidance in a safe and confidential environment. Together we will explore & clarify issues, developing tools through thoughtful self examination, and insights to take back into your life. I am committed to helping you, with careful and thorough listening, and gentle, yet direct feedback. We are in this together! For a faster response, text me at the above number.
(805) 795-4125 View (805) 795-4125
Photo of Marin Youth Therapy, Marriage & Family Therapist in Larkspur, CA
Marin Youth Therapy
Marriage & Family Therapist, LMFT, PPS
Verified Verified
1 Endorsed
Corte Madera, CA 94925
Are you worried about your child, teen or young adult but unsure how to help them? You can see something has changed in them: perhaps they seem depressed, anxious, or isolated in ways they didn’t used to be. You want them to learn skills to deal with life's challenges and resolve the issues that are holding them back. Because more than anything, you want to see your child thrive. My practice focuses on the unique needs of children 4+ through young adulthood and their families. I create developmentally appropriate, customized treatment plans using Dialectical Behavior Therapy (DBT) strategies, art and play therapy interventions.
Are you worried about your child, teen or young adult but unsure how to help them? You can see something has changed in them: perhaps they seem depressed, anxious, or isolated in ways they didn’t used to be. You want them to learn skills to deal with life's challenges and resolve the issues that are holding them back. Because more than anything, you want to see your child thrive. My practice focuses on the unique needs of children 4+ through young adulthood and their families. I create developmentally appropriate, customized treatment plans using Dialectical Behavior Therapy (DBT) strategies, art and play therapy interventions.
(415) 965-4536 View (415) 965-4536
Photo of George Khamis, Limited Licensed Psychologist in Larkspur, CA
George Khamis
Limited Licensed Psychologist, MA, LLP
Verified Verified
Mill Valley, CA 94941  (Online Only)
I utilize a wide variety of evidenced-based treatments alongside holistic interventions tailored to the individual or family to help them get from where they are to where they want to be. I work with my clients to accomplish this change by first addressing foundational basics of mental health, working together to address underlying stressors and trauma, and implementing life-changing daily practices to achieve a greater level of functioning. I offer an integrative approach utilizing CBT, ACT, DBT, polyvagal exercises, Somatic Experiencing, attachment-based neuro-affirmative care, person-centered therapy, and psychodynamic theory.
I utilize a wide variety of evidenced-based treatments alongside holistic interventions tailored to the individual or family to help them get from where they are to where they want to be. I work with my clients to accomplish this change by first addressing foundational basics of mental health, working together to address underlying stressors and trauma, and implementing life-changing daily practices to achieve a greater level of functioning. I offer an integrative approach utilizing CBT, ACT, DBT, polyvagal exercises, Somatic Experiencing, attachment-based neuro-affirmative care, person-centered therapy, and psychodynamic theory.
(734) 215-9550 View (734) 215-9550

Art Therapy

How does art therapy work?

The process of making art allows people to express themselves. Art-making can take many forms, such as painting, collage, or sculpting. The therapist asks questions that the work elicits, such as how the person felt while creating their piece, or if any memories surfaced that they can discuss. The therapist will then work with the patient to process their experience, understand themselves better, and work toward change.

Does art therapy help with trauma?

Art therapy can be a valuable treatment option for those suffering from trauma. Traumatic experiences such as combat, rape, or childhood abuse can be so painful that articulating them can be too scary or painful; creating art allows people to express themselves without words, and tell their story in a different way. The physical nature of creating art can also help people feel rooted in the body, which may benefit those who feel disconnected from their body in the aftermath of trauma.

How long does art therapy last?

The duration of art therapy varies, but a common length for treatment is 10 to 15 weekly sessions. Some people may see improvement in just a few weeks, while others may choose to remain in therapy longer term. Patients should periodically discuss their goals with their therapist to make sure the two are aligned on process and progress.

What are the limitations of art therapy?

Art therapy is helpful for many people, but a limitation is that it doesn’t have as robust an evidence base as other forms of therapy, such as cognitive behavioral therapy or acceptance and commitment therapy. The evidence on art therapy is mixed; some research demonstrates its benefits, while other research suggests that it has little impact on patients.