Therapists in Huntington Beach, CA

Photo of Sydney Haynes, Clinical Social Work/Therapist in Huntington Beach, CA
Sydney Haynes
Clinical Social Work/Therapist, LCSW
Verified Verified
Huntington Beach, CA 92647
I work with many different clients across a variety of settings, I have experience working with individuals who struggle with depression and anxiety as well as trauma, PTSD, domestic violence, grief, coping skills, family conflict, relationship issues, sexual abuse, and addiction.
Hello, my name is Sydney Haynes, and I am a Licensed Clinical Social Worker. I tend to take an integrative approach to therapy which means I take elements from different therapeutic approaches to tailor treatment to your individual needs. I work with most client populations and have a broad area of practice. I want to work with you to find out what you need to live your best life, let's start this journey together!
I work with many different clients across a variety of settings, I have experience working with individuals who struggle with depression and anxiety as well as trauma, PTSD, domestic violence, grief, coping skills, family conflict, relationship issues, sexual abuse, and addiction.
Hello, my name is Sydney Haynes, and I am a Licensed Clinical Social Worker. I tend to take an integrative approach to therapy which means I take elements from different therapeutic approaches to tailor treatment to your individual needs. I work with most client populations and have a broad area of practice. I want to work with you to find out what you need to live your best life, let's start this journey together!
(714) 451-4910 View (714) 451-4910
Photo of Erick Santos, Clinical Social Work/Therapist in Huntington Beach, CA
Erick Santos
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Huntington Beach, CA 92647
Has trauma, anxiety, or depression interfered with the potential to become the best version of yourself? We often feel defined by traumatic or emotionally difficult experiences that often leave us feeling stuck in place rather than moving forward towards our goals. I’m here to provide a safe, affirming space for you to develop an understanding of yourself to overcome past experiences or fears that define you. Our work together will be met with unconditional acceptance, creative approaches, and the utmost compassion.
Has trauma, anxiety, or depression interfered with the potential to become the best version of yourself? We often feel defined by traumatic or emotionally difficult experiences that often leave us feeling stuck in place rather than moving forward towards our goals. I’m here to provide a safe, affirming space for you to develop an understanding of yourself to overcome past experiences or fears that define you. Our work together will be met with unconditional acceptance, creative approaches, and the utmost compassion.
(714) 947-1263 View (714) 947-1263
Photo of Dr. Christine Duquette, Marriage & Family Therapist in Huntington Beach, CA
Dr. Christine Duquette
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Huntington Beach, CA 92646
Do you have a deep sense that you are missing out on the life you are supposed to have? Do you feel that things need to be different but you aren't sure where to start? Do you feel stuck? Your difficulties do not define you. Perhaps you are going through a challenging life transition or loss. It could be that anxiety or depression are keeping you from the things you want and need to do. Or maybe job, family or relationship issues are weighing on you.
Do you have a deep sense that you are missing out on the life you are supposed to have? Do you feel that things need to be different but you aren't sure where to start? Do you feel stuck? Your difficulties do not define you. Perhaps you are going through a challenging life transition or loss. It could be that anxiety or depression are keeping you from the things you want and need to do. Or maybe job, family or relationship issues are weighing on you.
(657) 315-1398 View (657) 315-1398
Photo of Sheron Gershelis, Pre-Licensed Professional in Huntington Beach, CA
Sheron Gershelis
Pre-Licensed Professional, ASW, EMDR
Verified Verified
Huntington Beach, CA 92647
Together, we delve into traumas, anxiety, depression, and family/relationship challenges, understanding how these stressors impact your life.
Are you struggling with work, relational, and life stressors that have overwhelmed you and you are unsure what to do next? You're trying to open the next chapter in your life, but your past traumas and anxiety stop you. This is where I come in and help guide you in making YOUR right decision. I will help you through your journey in becoming worry-free and assist you in processing unresolved feelings and learning healthy coping skills for emotional distress
Together, we delve into traumas, anxiety, depression, and family/relationship challenges, understanding how these stressors impact your life.
Are you struggling with work, relational, and life stressors that have overwhelmed you and you are unsure what to do next? You're trying to open the next chapter in your life, but your past traumas and anxiety stop you. This is where I come in and help guide you in making YOUR right decision. I will help you through your journey in becoming worry-free and assist you in processing unresolved feelings and learning healthy coping skills for emotional distress
(714) 316-7563 View (714) 316-7563
Photo of Justine Gordon, Marriage & Family Therapist Associate in Huntington Beach, CA
Justine Gordon
Marriage & Family Therapist Associate, AMFT, EMDR
Verified Verified
Huntington Beach, CA 92647
Navigating life's challenges is never easy, but reaching out for help is a brave first step to living a more genuine and fulfilling life. I have expertise in working with individuals struggling with childhood trauma and trauma-related symptoms such as grief, anxiety, depression, low self-esteem, and relational conflict. I believe every client is unique and deserves to be listened to and understood in an empathetic way. I am passionate about creating a safe, kind, collaborative and judgment-free space where clients can attain new insights, experience new feelings, and find a renewed sense of physical and mental well-being.
Navigating life's challenges is never easy, but reaching out for help is a brave first step to living a more genuine and fulfilling life. I have expertise in working with individuals struggling with childhood trauma and trauma-related symptoms such as grief, anxiety, depression, low self-esteem, and relational conflict. I believe every client is unique and deserves to be listened to and understood in an empathetic way. I am passionate about creating a safe, kind, collaborative and judgment-free space where clients can attain new insights, experience new feelings, and find a renewed sense of physical and mental well-being.
(714) 912-1875 View (714) 912-1875
Photo of Holly Joy Argott, Marriage & Family Therapist in Huntington Beach, CA
Holly Joy Argott
Marriage & Family Therapist, MS, LMFT
Verified Verified
Huntington Beach, CA 92647  (Online Only)
Waitlist for new clients
If you're reading this, you are most likely feeling overwhelmed with stress and anxiety. You may be in the midst of a crisis, re-living traumas or depressed from repeating the same unhealthy patterns that are holding you back. Looking for help can be a daunting experience, my hope is to make that process easier for you.
If you're reading this, you are most likely feeling overwhelmed with stress and anxiety. You may be in the midst of a crisis, re-living traumas or depressed from repeating the same unhealthy patterns that are holding you back. Looking for help can be a daunting experience, my hope is to make that process easier for you.
(714) 695-5196 View (714) 695-5196
Photo of Veronica Calkins, Clinical Social Work/Therapist in Huntington Beach, CA
Veronica Calkins
Clinical Social Work/Therapist, LCSW
Verified Verified
Huntington Beach, CA 92649
A Licensed Psychotherapist specializing in trauma, crisis, grief, anxiety, depression, and relationships. Veronica provides an empathetic and caring environment to work through challenges without judgment. Veronica obtained her B.A. in Psychology with a minor in Applied Developmental Psychology and Master’s in Social Welfare at the University of California, Los Angeles (UCLA). She is trained in CBT, DBT, and family and couples therapy. She is also certified in Eye Movement Desensitization and Reprocessing (EMDR) and the administration of Transcranial Magnetic Stimulation (TMS) and Deep-Brain Theta Stimulation.
A Licensed Psychotherapist specializing in trauma, crisis, grief, anxiety, depression, and relationships. Veronica provides an empathetic and caring environment to work through challenges without judgment. Veronica obtained her B.A. in Psychology with a minor in Applied Developmental Psychology and Master’s in Social Welfare at the University of California, Los Angeles (UCLA). She is trained in CBT, DBT, and family and couples therapy. She is also certified in Eye Movement Desensitization and Reprocessing (EMDR) and the administration of Transcranial Magnetic Stimulation (TMS) and Deep-Brain Theta Stimulation.
(562) 268-1303 View (562) 268-1303
Photo of Cindy Anderson, Marriage & Family Therapist in Huntington Beach, CA
Cindy Anderson
Marriage & Family Therapist, LMFT
Verified Verified
Huntington Beach, CA 92647
I am here to provide you a safe place to work through those difficult issues and situations that are keeping you from having the optimum mental health and emotional well being you deserve. Whether you want help with a short-term situation, or something that has kept you stuck and traumatized for years, you can be assured there is help here. I am EMDR certified, and work with individuals, couples, and families with issues such as trauma, grief and loss, anxiety, depression, and bipolar disorder. If you’re feeling unheard and invisible, and need help with communication matters and relationship conflicts, I am here for you.
I am here to provide you a safe place to work through those difficult issues and situations that are keeping you from having the optimum mental health and emotional well being you deserve. Whether you want help with a short-term situation, or something that has kept you stuck and traumatized for years, you can be assured there is help here. I am EMDR certified, and work with individuals, couples, and families with issues such as trauma, grief and loss, anxiety, depression, and bipolar disorder. If you’re feeling unheard and invisible, and need help with communication matters and relationship conflicts, I am here for you.
(714) 563-4110 View (714) 563-4110
Photo of Farbod Khalafi, Marriage & Family Therapist in Huntington Beach, CA
Farbod Khalafi
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Huntington Beach, CA 92647  (Online Only)
I have worked with a range of disorders, including anxiety and depression for all ages.
My goal as a therapist is to create a supportive space where my clients can be brave with their feelings and be the best version of themselves. I approach therapy compassionately and collaboratively to guide my clients through the challenges they face. Whether you want to heal from your past, support for your present, or hope for the future I can gladly help!
I have worked with a range of disorders, including anxiety and depression for all ages.
My goal as a therapist is to create a supportive space where my clients can be brave with their feelings and be the best version of themselves. I approach therapy compassionately and collaboratively to guide my clients through the challenges they face. Whether you want to heal from your past, support for your present, or hope for the future I can gladly help!
(657) 301-3398 View (657) 301-3398
Photo of Liana Huang, Clinical Social Work/Therapist in Huntington Beach, CA
Liana Huang
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Huntington Beach, CA 92647
When we are exposed to trauma at an early age, it can seriously impact how we feel about ourselves and our relationships with others. Trauma can also profoundly affect whether we feel this is a safe world and can contribute to depression, anxiety, and relational/familial issues. My practice is from a strengths-based, trauma-informed perspective with a non-judgmental framework. I aim to understand clients’ internal responses and to provide more options for emotional regulation and problem-solving.
When we are exposed to trauma at an early age, it can seriously impact how we feel about ourselves and our relationships with others. Trauma can also profoundly affect whether we feel this is a safe world and can contribute to depression, anxiety, and relational/familial issues. My practice is from a strengths-based, trauma-informed perspective with a non-judgmental framework. I aim to understand clients’ internal responses and to provide more options for emotional regulation and problem-solving.
(714) 361-0969 View (714) 361-0969
Photo of Elmer Ivan Rapalo, Marriage & Family Therapist in Huntington Beach, CA
Elmer Ivan Rapalo
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Huntington Beach, CA 92647
Beginning therapy can be scary and is a courageous step toward making proactive changes in your life. I have worked with clients experiencing depression, anxiety, and other sources of emotional pain such as life transitions, stress, trauma, and emotional abuse. I also have extensive experience working with adults, adolescents, couples, and LGBTQ. I am dedicated to working with individuals from diverse ethnic, cultural, and socio-economic backgrounds. I work from an evidence-based psychotherapy orientation that has been proven to be effective for people with mood disorders.
Beginning therapy can be scary and is a courageous step toward making proactive changes in your life. I have worked with clients experiencing depression, anxiety, and other sources of emotional pain such as life transitions, stress, trauma, and emotional abuse. I also have extensive experience working with adults, adolescents, couples, and LGBTQ. I am dedicated to working with individuals from diverse ethnic, cultural, and socio-economic backgrounds. I work from an evidence-based psychotherapy orientation that has been proven to be effective for people with mood disorders.
(714) 278-3847 View (714) 278-3847
Photo of Quynh Pham, Clinical Social Work/Therapist in Huntington Beach, CA
Quynh Pham
Clinical Social Work/Therapist, LCSW
Verified Verified
Huntington Beach, CA 92647  (Online Only)
I have deep compassion and empathy for individuals and families with mental illnesses. As your healing partner, I will use my skillsets to guide/coach, and empower you so that you can be a better you for today and tomorrow. I can help you when you are burdened by anxiety or panic attacks when depression and loneliness prevent you from being who you want to be, and process through all trauma.
I have deep compassion and empathy for individuals and families with mental illnesses. As your healing partner, I will use my skillsets to guide/coach, and empower you so that you can be a better you for today and tomorrow. I can help you when you are burdened by anxiety or panic attacks when depression and loneliness prevent you from being who you want to be, and process through all trauma.
(714) 276-6663 View (714) 276-6663
Photo of Sonya Adams, Clinical Social Work/Therapist in Huntington Beach, CA
Sonya Adams
Clinical Social Work/Therapist, LCSW
Verified Verified
Huntington Beach, CA 92646
I am most comfortable treating clients challenged by anxiety, depression, suicidal ideation, and PTSD.
Hello! My name is Sonya Adams, and I am a Licensed Clinical Social Worker. I am also trained in Eye Movement Desensitization and Reprocessing (EMDR). My focus areas include; trauma, PTSD, anxiety, and depression. I believe you are the expert on your experiences, and I look forward to helping you reach your goals! I enjoy helping clients develop their goals for therapy and then meet those goals. I have previously worked with high-acuity clients; many of these clients were challenged with depression, anxiety, PTSD, or Suicidal thoughts (ideation).
I am most comfortable treating clients challenged by anxiety, depression, suicidal ideation, and PTSD.
Hello! My name is Sonya Adams, and I am a Licensed Clinical Social Worker. I am also trained in Eye Movement Desensitization and Reprocessing (EMDR). My focus areas include; trauma, PTSD, anxiety, and depression. I believe you are the expert on your experiences, and I look forward to helping you reach your goals! I enjoy helping clients develop their goals for therapy and then meet those goals. I have previously worked with high-acuity clients; many of these clients were challenged with depression, anxiety, PTSD, or Suicidal thoughts (ideation).
(714) 252-4749 View (714) 252-4749
Photo of Barbara Sprayregen, Psychologist in Huntington Beach, CA
Barbara Sprayregen
Psychologist, PsyD
Verified Verified
Huntington Beach, CA 92647
Every-day living presents us with much stress and multiple challenges. Therapy is a valuable way to develop abilities for coping, growth, and self-understanding. It is often a process of discovering additional ways of solving problems and of gaining new awareness about yourself and your life. I specialize in health psychology, which targets such problems in living as anxiety, stress, depression, eating and body image issues, illness, life crisis, life transition and loss. Therapy is a collaborative effort requiring trust and a good rapport, with the goal of experiencing a sense of well-being, vitality and enjoyment.
Every-day living presents us with much stress and multiple challenges. Therapy is a valuable way to develop abilities for coping, growth, and self-understanding. It is often a process of discovering additional ways of solving problems and of gaining new awareness about yourself and your life. I specialize in health psychology, which targets such problems in living as anxiety, stress, depression, eating and body image issues, illness, life crisis, life transition and loss. Therapy is a collaborative effort requiring trust and a good rapport, with the goal of experiencing a sense of well-being, vitality and enjoyment.
(714) 375-1045 View (714) 375-1045
Photo of Yaffa Rosner, Marriage & Family Therapist in Huntington Beach, CA
Yaffa Rosner
Marriage & Family Therapist, MA, LMFT
Verified Verified
Huntington Beach, CA 92646
I help people overcome anxiety attacks, depression, and losses.
Feeling sad, isolated, and anxious? Relief and solutions are within reach. I'll help you get in control of your situation, uncover the causes of your pain, and teach you effective ways to resolve past, present, and future problems. You'll be heard and listened to in a safe, warm environment, while receiving constructive feedback. You'll learn how to create happier relationships with the significant people in your life by addressing past losses and reevaluating expectations. You'll create and realize a vision for your life by setting and implementing goals via baby steps.
I help people overcome anxiety attacks, depression, and losses.
Feeling sad, isolated, and anxious? Relief and solutions are within reach. I'll help you get in control of your situation, uncover the causes of your pain, and teach you effective ways to resolve past, present, and future problems. You'll be heard and listened to in a safe, warm environment, while receiving constructive feedback. You'll learn how to create happier relationships with the significant people in your life by addressing past losses and reevaluating expectations. You'll create and realize a vision for your life by setting and implementing goals via baby steps.
(714) 919-9965 View (714) 919-9965
Photo of Leya Navarro Solis, Marriage & Family Therapist in Huntington Beach, CA
Leya Navarro Solis
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Huntington Beach, CA 92615
Do you have difficulty managing your love life, work stress, and/or children? Are you feeling anxious and/or depressed? Need help getting through a traumatic event, or just life itself? If you are feeling tired of the same symptoms and behavioral patterns - therapy will help! From a trauma-informed and attachment-based lens, we delve into underlying core issues and improve your overall mental health and emotional wellbeing. You can elevate your mood, heal past trauma, have healthier relationships, regulate your emotions, communicate effectively, and more. Learn to love your mind and life, and be the very best version of yourself.
Do you have difficulty managing your love life, work stress, and/or children? Are you feeling anxious and/or depressed? Need help getting through a traumatic event, or just life itself? If you are feeling tired of the same symptoms and behavioral patterns - therapy will help! From a trauma-informed and attachment-based lens, we delve into underlying core issues and improve your overall mental health and emotional wellbeing. You can elevate your mood, heal past trauma, have healthier relationships, regulate your emotions, communicate effectively, and more. Learn to love your mind and life, and be the very best version of yourself.
(562) 521-8442 View (562) 521-8442
Photo of Jay Gattis, Psychologist in Huntington Beach, CA
Jay Gattis
Psychologist, PsyD
Verified Verified
1 Endorsed
Huntington Beach, CA 92647
I have been very effective in helping people find relief from anxiety, depression, and trauma, as well as improving the quality of their life and relationships. I provide a thorough assessment followed by a collaboratively developed treatment plan to effectively address your individual situation. My Goal is to treat you as a whole person - biological, psychological, relational and spiritual. Often talk therapy alone will not be as effective as it could be when combined with appropriate adjunctive treatment(s) and I will refer you to the appropriate specialist(s) or resources when needed.
I have been very effective in helping people find relief from anxiety, depression, and trauma, as well as improving the quality of their life and relationships. I provide a thorough assessment followed by a collaboratively developed treatment plan to effectively address your individual situation. My Goal is to treat you as a whole person - biological, psychological, relational and spiritual. Often talk therapy alone will not be as effective as it could be when combined with appropriate adjunctive treatment(s) and I will refer you to the appropriate specialist(s) or resources when needed.
(949) 943-3416 View (949) 943-3416
Photo of Deborah L Wieland, Marriage & Family Therapist in Huntington Beach, CA
Deborah L Wieland
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
6 Endorsed
Huntington Beach, CA 92646
Are you stressed out by your circumstances. You are not alone as an EMDR Christian Therapist I'll help you in your journey to make sense of the confusion, hurt, and pain in your life. I specialize in those struggling with trauma, substance abuse, dual diagnosis, anger, anxiety and depression. I provide Individual therapy for adults in person or via telehealth. I believe healing starts with genuine compassion, to listen & support the pain of others. sufficit unum lumen intenebris means a single light suffices in the darkness, therapy can bring light to your darkened world.
Are you stressed out by your circumstances. You are not alone as an EMDR Christian Therapist I'll help you in your journey to make sense of the confusion, hurt, and pain in your life. I specialize in those struggling with trauma, substance abuse, dual diagnosis, anger, anxiety and depression. I provide Individual therapy for adults in person or via telehealth. I believe healing starts with genuine compassion, to listen & support the pain of others. sufficit unum lumen intenebris means a single light suffices in the darkness, therapy can bring light to your darkened world.
(714) 793-0724 View (714) 793-0724
Photo of Karie Peel, Clinical Social Work/Therapist in Huntington Beach, CA
Karie Peel
Clinical Social Work/Therapist, LCSW
Verified Verified
Huntington Beach, CA 92649
Karie Peel is a Licensed Clinical Social Worker with over 20 years of experience with a background in trauma, serious mental illness, and substance abuse. I have assisted clients with various clinical needs, such as relational stress, attachment issues, anxiety, depression, trauma, severe mental illness, substance use, psychological distress related to chronic medical illness, and personality disorders. I have experience working with adults of various ages.
Karie Peel is a Licensed Clinical Social Worker with over 20 years of experience with a background in trauma, serious mental illness, and substance abuse. I have assisted clients with various clinical needs, such as relational stress, attachment issues, anxiety, depression, trauma, severe mental illness, substance use, psychological distress related to chronic medical illness, and personality disorders. I have experience working with adults of various ages.
(909) 308-2722 View (909) 308-2722
Photo of Nicole Moriarty: Trauma Resolution Therapy, Licensed Professional Clinical Counselor in Huntington Beach, CA
Nicole Moriarty: Trauma Resolution Therapy
Licensed Professional Clinical Counselor, MS, LPCC
Verified Verified
Huntington Beach, CA 92647
There is a solution. There is hope. And there is healing. Anxiety, depression, disordered eating, self-harm, suicidal thoughts, disruption in relationships, substance abuse, and on and on. These are curable, changeable, healable issues. When you go straight to the root of the issue, you can bring deep, lasting change. And we now know that the root of every mental health disorder (and many physical diseases as well) is some form of unresolved trauma. Trauma refers to any moment in our lives that we were unsafe in some way. Big or small, single events or years-long patterns-if we aren't able to process it, we store it.
There is a solution. There is hope. And there is healing. Anxiety, depression, disordered eating, self-harm, suicidal thoughts, disruption in relationships, substance abuse, and on and on. These are curable, changeable, healable issues. When you go straight to the root of the issue, you can bring deep, lasting change. And we now know that the root of every mental health disorder (and many physical diseases as well) is some form of unresolved trauma. Trauma refers to any moment in our lives that we were unsafe in some way. Big or small, single events or years-long patterns-if we aren't able to process it, we store it.
(949) 534-0813 View (949) 534-0813

See more therapy options for Huntington Beach

Depression Therapists

What is the goal of therapy for depression?

Therapy for depression has several major goals. One is to relieve the mental pain of depression, which distorts feeling and thinking so that sufferers cannot see beyond their current state of mind or envision feeling better. Another is to give people the mental tools to recognize and correct the kinds of distorted thinking that turn a problem into a catastrophe and lead to despair. Therapy also teaches people how to process negative emotions in constructive ways, so they have more control over their own emotional reactivity. And it helps people regain the ability to see themselves positively, the motivation to do things, and the capacity for pleasure.

What happens in therapy for depression?

Perhaps most important, no matter the type of therapy, patients form an alliance with the therapist; that connection is therapeutic in itself, plus it becomes an instrument of change. Patients learn to identify and to challenge their own erroneous beliefs and thoughts that amplify the effects of negative experiences. They learn to identify situations in which they are especially vulnerable. And they learn new patterns of thinking and behaving. They may be given “homework” assignments in which they practice their developing skills. In addition, good therapists regularly monitor patients to assess whether and how much the condition is improving.

What therapy types help with depression?

Several types of short-term therapy have been found effective, each targeting one or more areas of dysfunction. Cognitive behavioral therapy (CBT) helps clients challenge their negative thoughts and beliefs, learn new behavioral strategies, and curb reactivity to distressing situations. Behavioral activation (BA) is a form of therapy often used in conjunction with CBT; it focuses on engagement in rewarding activity as a pathway to changing negative feelings and disturbed mood. Another widely used approach is interpersonal therapy (IPT), which targets the social difficulties that both give rise to and get exacerbated by depression. Therapists may combine approaches as needed.

Can therapy for depression be done online?

Studies have found that online therapy can be highly effective for treating depression, although it may be more challenging to build a good therapist-patient alliance on screen than in person—at least at first. However, online therapy can offer considerable advantages. Accessibility and convenience are tops among them. Some people actually find it easier to talk about problems online than in person. While online therapy typically limits visibility of facial expression and body gestures that give important nonverbal cues to a patient’s state of mind, it can give therapists a glimpse into a patient’s world and life, providing information that can be highly useful in guiding therapy.

How effective is therapy for depression?

Many studies show that therapy is highly effective provided that patients complete the prescribed course of therapy, commonly 16 to 20 sessions. Over the long term, it is more effective than medication and the effects are more enduring. As a result, psychotherapy has the power not just to relieve current suffering but to prevent future episodes of the disorder. Therapy reverses the dysfunction in neural circuitry that disposes individuals to a negative view of themselves, the world, and their future and they acquire coping techniques, problem-solving skills, and understanding of their own vulnerabilities that are useful over the course of a lifetime.