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Photo of Brian Ledere Psychotherapist Phd Edd Phd2, Registered Psychotherapist in Ozone Park, NY
Brian Ledere Psychotherapist Phd Edd Phd2
Registered Psychotherapist, PhD, EdD, PhD2, MA1 MA2, MA3 MA4
Verified Verified
Astoria, NY 11105
I have had a wonderful career as a NY Licensed Psychotherapist, NeuroPsychotherapist, LMHC, School Psychologist, Trauma Therapist, Behavior Therapist, Reiki Master, Aromatherapist, Hypnotherapist, College/Univ Dept Chair/Professor, & Regional Supt of Schools for Special Needs & Gifted helping Children & Adults "fulfill their potential" and to gently/assertively/aggressively address the obstacles that interfere and develop the skills to cope and self-advocate physically, emotionally, socially, mentally to "fulfill potential and develop resilience" as an individual, couple or family. Midtown NYC+ LI, 917-215-0018 Remote or In Person
I have had a wonderful career as a NY Licensed Psychotherapist, NeuroPsychotherapist, LMHC, School Psychologist, Trauma Therapist, Behavior Therapist, Reiki Master, Aromatherapist, Hypnotherapist, College/Univ Dept Chair/Professor, & Regional Supt of Schools for Special Needs & Gifted helping Children & Adults "fulfill their potential" and to gently/assertively/aggressively address the obstacles that interfere and develop the skills to cope and self-advocate physically, emotionally, socially, mentally to "fulfill potential and develop resilience" as an individual, couple or family. Midtown NYC+ LI, 917-215-0018 Remote or In Person
(646) 897-6012 View (646) 897-6012
Photo of Ari J Perl, Clinical Social Work/Therapist in Ozone Park, NY
Ari J Perl
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Flushing, NY 11367
Have you tried learning strategies and tools to help you manage better, but you have been frustratingly unsuccessful ? My specialties revolve around helping transcend emotional blocks, which enables you to manage stress and use tools and strategies effectively. You then enjoy the intrinsic love and joy of life. Sometimes there are roadblocks that need to be removed or wounds that need to be healed before you can proceed. We can even make roadblocks into steppingstones! Anxiety, depression, impulsivity, trauma whatever it is. Don't let it define you. Let's define it, understand what it means for you and how to get to the good stuff.
Have you tried learning strategies and tools to help you manage better, but you have been frustratingly unsuccessful ? My specialties revolve around helping transcend emotional blocks, which enables you to manage stress and use tools and strategies effectively. You then enjoy the intrinsic love and joy of life. Sometimes there are roadblocks that need to be removed or wounds that need to be healed before you can proceed. We can even make roadblocks into steppingstones! Anxiety, depression, impulsivity, trauma whatever it is. Don't let it define you. Let's define it, understand what it means for you and how to get to the good stuff.
(917) 725-7420 View (917) 725-7420
Photo of Neil (Nahum) Spirn, Counselor in Ozone Park, NY
Neil (Nahum) Spirn
Counselor, LMHC
Verified Verified
New York, NY 10029  (Online Only)
Do you sometimes feel like you have no one to talk to, or no one who understands you? Do you feel there's deeper emotional stuff going on inside that might be causing you physical or emotional pain? Or perhaps you're dealing with difficulties with children or other family members ... or with habits or emotions that may seem beyond your control ... or simply with moving your life in a more positive direction? If you're the kind of person who wants to understand themselves and others better, and is looking for an accepting, non-judgmental therapeutic relationship in which you can be open and honest — then keep reading!
Do you sometimes feel like you have no one to talk to, or no one who understands you? Do you feel there's deeper emotional stuff going on inside that might be causing you physical or emotional pain? Or perhaps you're dealing with difficulties with children or other family members ... or with habits or emotions that may seem beyond your control ... or simply with moving your life in a more positive direction? If you're the kind of person who wants to understand themselves and others better, and is looking for an accepting, non-judgmental therapeutic relationship in which you can be open and honest — then keep reading!
(929) 470-1397 View (929) 470-1397
Photo of Rabia Khara, Marriage & Family Therapist in Ozone Park, NY
Rabia Khara
Marriage & Family Therapist, MA, MS, MFT, PCC, RDT
Verified Verified
New York, NY 10010
As a clinician, the therapeutic process is only meaningful and complete with the reciprocity and engagement of those I work with. Each individual is unique and their stories are interwoven with a rich tapestry of diverse emotions. By balancing the abstract, creative, philosophical, and introspective aspects of life with friendliness, compassion, empathy and care, I walk the path with you on your journey toward peace and happiness.
As a clinician, the therapeutic process is only meaningful and complete with the reciprocity and engagement of those I work with. Each individual is unique and their stories are interwoven with a rich tapestry of diverse emotions. By balancing the abstract, creative, philosophical, and introspective aspects of life with friendliness, compassion, empathy and care, I walk the path with you on your journey toward peace and happiness.
(215) 709-9225 View (215) 709-9225
Photo of Danielle Luz Matias, Counselor in Ozone Park, NY
Danielle Luz Matias
Counselor, LMHC, LPC
Verified Verified
New York, NY 10065
The goal of my practice is to improve the quality of life of my clients and assist them reach their full potential and personal goals. Specializing in family and couple therapy. I also specialize in depression and anxiety. The ideal client will be dedicated to their own treatment and have a strong desire to feel better. Together with my client we work as a team to achieve the therapeutic goals and make life worth living and enjoying. I have been working in mental health for over a decade and it's my greatest passion in lifeI work to improve the life of my clients daily and I am very successful at achieving therapeutic goals.
The goal of my practice is to improve the quality of life of my clients and assist them reach their full potential and personal goals. Specializing in family and couple therapy. I also specialize in depression and anxiety. The ideal client will be dedicated to their own treatment and have a strong desire to feel better. Together with my client we work as a team to achieve the therapeutic goals and make life worth living and enjoying. I have been working in mental health for over a decade and it's my greatest passion in lifeI work to improve the life of my clients daily and I am very successful at achieving therapeutic goals.
(646) 204-2295 View (646) 204-2295
Photo of Footprints Mental Health Counseling, Pre-Licensed Professional in Ozone Park, NY
Footprints Mental Health Counseling
Pre-Licensed Professional
Verified Verified
Brooklyn, NY 11207
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities where confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities where confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
(646) 204-2295 View (646) 204-2295
Photo of Point Clarity Services, Clinical Social Work/Therapist in Ozone Park, NY
Point Clarity Services
Clinical Social Work/Therapist, LCSW, CFSW, SIFI
Verified Verified
Brooklyn, NY 11218
We are a group of Psychotherapists, each one specializing in a different area, to be able to provide expert treatment in specific needed areas. We have specialists trained in modalities such as Forensic, Addictions, Trauma, EMDR, Etc.We provide ongoing assessment, diagnosis, psychotherapy and treatment planning to a socio-culturally diverse adult and adolescent population diagnosed with a full-spectrum of psychiatric disorders including bipolar disorder, major depressive disorder, anxiety-related disorders, substance abuse and dependence, PTSD, ADHD, Post-Partum Depression, Trauma related issues, Family and relationship issues etc.
We are a group of Psychotherapists, each one specializing in a different area, to be able to provide expert treatment in specific needed areas. We have specialists trained in modalities such as Forensic, Addictions, Trauma, EMDR, Etc.We provide ongoing assessment, diagnosis, psychotherapy and treatment planning to a socio-culturally diverse adult and adolescent population diagnosed with a full-spectrum of psychiatric disorders including bipolar disorder, major depressive disorder, anxiety-related disorders, substance abuse and dependence, PTSD, ADHD, Post-Partum Depression, Trauma related issues, Family and relationship issues etc.
(718) 790-4290 View (718) 790-4290
Photo of Leah Grunwald, Clinical Social Work/Therapist in Ozone Park, NY
Leah Grunwald
Clinical Social Work/Therapist, LCSW, LCFP, SIFI, FORENSI
Verified Verified
New York, NY 10001
I have trained and specialize in several modalities such as EMDR, Forensic, DBT, CBT, Family Therapy, Addictions etc. I provide ongoing assessment, diagnosis, psychotherapy and treatment planning to a socio-culturally diverse adult and adolescent population diagnosed with a full-spectrum of psychiatric disorders including bipolar disorder, major depressive disorder, anxiety-related disorders, substance abuse and dependence, PTSD, ADHD, Post-Partum Depression, Trauma related issues, Family and relationship issues etc.
I have trained and specialize in several modalities such as EMDR, Forensic, DBT, CBT, Family Therapy, Addictions etc. I provide ongoing assessment, diagnosis, psychotherapy and treatment planning to a socio-culturally diverse adult and adolescent population diagnosed with a full-spectrum of psychiatric disorders including bipolar disorder, major depressive disorder, anxiety-related disorders, substance abuse and dependence, PTSD, ADHD, Post-Partum Depression, Trauma related issues, Family and relationship issues etc.
(347) 321-9011 View (347) 321-9011
Photo of Footprints to Feel Better, Pre-Licensed Professional in Ozone Park, NY
Footprints to Feel Better
Pre-Licensed Professional
Verified Verified
New York, NY 10029
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
(646) 204-2295 View (646) 204-2295
Photo of Footprints to Feel Better, Pre-Licensed Professional in Ozone Park, NY
Footprints to Feel Better
Pre-Licensed Professional, LMHC
Verified Verified
Brooklyn, NY 11212
Rize-Up Together was started by three women of The Bronx who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities where confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Rize-Up Together began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
Rize-Up Together was started by three women of The Bronx who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities where confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Rize-Up Together began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
(718) 550-8535 View (718) 550-8535
Photo of Mental Health Counseling Services of Manhattan, Licensed Mental Health Counselor in Ozone Park, NY
Mental Health Counseling Services of Manhattan
Licensed Mental Health Counselor, LMHC, MA
Verified Verified
New York, NY 10016
The therapist's at our center offer a focus in evidence based approached to therapy including CBT, and strength based, solution focused work. The center specialized in treating Obsessive Compulsive Disorder (OCD), Attention Deficit/Hyperactivity Disorder (ADHD), anxiety spectrum disorders, self esteem challenges, school/work based issues, Post Traumatic Stress Disorder and people with T1D. The practice works with children, adolescents, teenagers, young adults and college students as well people navigating work related stress. Additional specialties of our clinicians include DBT, addiction recovery treatment, art therapy, and more.
The therapist's at our center offer a focus in evidence based approached to therapy including CBT, and strength based, solution focused work. The center specialized in treating Obsessive Compulsive Disorder (OCD), Attention Deficit/Hyperactivity Disorder (ADHD), anxiety spectrum disorders, self esteem challenges, school/work based issues, Post Traumatic Stress Disorder and people with T1D. The practice works with children, adolescents, teenagers, young adults and college students as well people navigating work related stress. Additional specialties of our clinicians include DBT, addiction recovery treatment, art therapy, and more.
(646) 759-0938 View (646) 759-0938
Photo of Ingrid S Nunez, Clinical Social Work/Therapist in Ozone Park, NY
Ingrid S Nunez
Clinical Social Work/Therapist, LCSW-R, CCTP, CAMS-II
Verified Verified
New York, NY 10021
My goal is to guide clients through self-exploration, self-awareness and resilience building that transforms them into self-reliant individuals. I integrate psychodynamic, cognitive-behavioral (CBT), DBT, relational, and mindfulness-based techniques tailored to specific needs. The therapeutic relationship is a partnership explored within a safe, non-judgmental environment, working at a pace that is comfortable for the client; we can explore short or long-term counseling. Together, we can work towards resolving feelings of sadness, anxiety, and understanding maladaptive patterns, gaining insight to change problematic behaviors
My goal is to guide clients through self-exploration, self-awareness and resilience building that transforms them into self-reliant individuals. I integrate psychodynamic, cognitive-behavioral (CBT), DBT, relational, and mindfulness-based techniques tailored to specific needs. The therapeutic relationship is a partnership explored within a safe, non-judgmental environment, working at a pace that is comfortable for the client; we can explore short or long-term counseling. Together, we can work towards resolving feelings of sadness, anxiety, and understanding maladaptive patterns, gaining insight to change problematic behaviors
(917) 382-5015 View (917) 382-5015
Photo of Touchstone SVC Private Practitioners Group, Clinical Social Work/Therapist in Ozone Park, NY
Touchstone SVC Private Practitioners Group
Clinical Social Work/Therapist, LCSW, MAFP, SIFI
Verified Verified
New York, NY 10001
We are a group of Psychotherapists, each one specializing in a different area, to be able to provide expert treatment in specific needed areas. We have specialists trained in modalities such as Forensic, Addictions, Trauma, EMDR, Etc.We provide ongoing assessment, diagnosis, psychotherapy and treatment planning to a socio-culturally diverse adult and adolescent population diagnosed with a full-spectrum of psychiatric disorders including bipolar disorder, major depressive disorder, anxiety-related disorders, substance abuse and dependence, PTSD, ADHD, Post-Partum Depression, Trauma related issues, Family and relationship issues etc.
We are a group of Psychotherapists, each one specializing in a different area, to be able to provide expert treatment in specific needed areas. We have specialists trained in modalities such as Forensic, Addictions, Trauma, EMDR, Etc.We provide ongoing assessment, diagnosis, psychotherapy and treatment planning to a socio-culturally diverse adult and adolescent population diagnosed with a full-spectrum of psychiatric disorders including bipolar disorder, major depressive disorder, anxiety-related disorders, substance abuse and dependence, PTSD, ADHD, Post-Partum Depression, Trauma related issues, Family and relationship issues etc.
(929) 552-4542 View (929) 552-4542
Photo of Fabienne Tavernier, Pre-Licensed Professional in Ozone Park, NY
Fabienne Tavernier
Pre-Licensed Professional
Verified Verified
Brooklyn, NY 11222  (Online Only)
Down bad? Feeling wonky? Lets talk about it. I help clients with a variety of issues by tailoring my therapeutic approach to their unique needs and goals. I want everyone I work with to realize their full potential by restructuring maladaptive thought patterns that lead to distress and poor functioning. I hope to give my clients the space to process their thoughts and emotions, and understand the ways in which their behavior and subconscious beliefs about themselves and the world around them play into false narratives that ultimately keep themselves down. I strive to help my clients to learn to love themselves without condition.
Down bad? Feeling wonky? Lets talk about it. I help clients with a variety of issues by tailoring my therapeutic approach to their unique needs and goals. I want everyone I work with to realize their full potential by restructuring maladaptive thought patterns that lead to distress and poor functioning. I hope to give my clients the space to process their thoughts and emotions, and understand the ways in which their behavior and subconscious beliefs about themselves and the world around them play into false narratives that ultimately keep themselves down. I strive to help my clients to learn to love themselves without condition.
(332) 263-3214 View (332) 263-3214
Photo of Footprints Mental Health Counseling , Pre-Licensed Professional in Ozone Park, NY
Footprints Mental Health Counseling
Pre-Licensed Professional
Verified Verified
New York, NY 10011
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Feel Better Therapy began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
(718) 550-5392 View (718) 550-5392
Photo of Jennifer Schultz, Clinical Social Work/Therapist in Ozone Park, NY
Jennifer Schultz
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011  (Online Only)
Thank you for stopping by! I specialize in working with adults in different phases of life as well as couple's counseling. I work best with people who are seeking relief from: • Anxiety • Relationship Issues • Bereavement and Loss • Depression •Obsessive Compulsive Disorder • ADD and ADHD I also work with individuals to improve their self-esteem and self-worth . Text Me for a Consolation
Thank you for stopping by! I specialize in working with adults in different phases of life as well as couple's counseling. I work best with people who are seeking relief from: • Anxiety • Relationship Issues • Bereavement and Loss • Depression •Obsessive Compulsive Disorder • ADD and ADHD I also work with individuals to improve their self-esteem and self-worth . Text Me for a Consolation
(914) 353-3097 View (914) 353-3097
Photo of New Patterns Therapy, Clinical Social Work/Therapist in Ozone Park, NY
New Patterns Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Brooklyn, NY 11235  (Online Only)
I am certified in energy medicine and am a quantum healer. Energy medicine helps with physical problems/emotional psychological problems. I have expertise in various conditions such as depression, grief, anxiety disorders, family, behavioral problems in children and teens.My specialty is in the areas of relationships, trauma, behavior modification ,self perception,body image,life transitions such as marriage/divorce.I have a passion for goal oriented therapy and strive to guide my patients towards a clearer mental state and a more comfortable day to day life.I am dedicated to providing patients with a healthier and happier life.
I am certified in energy medicine and am a quantum healer. Energy medicine helps with physical problems/emotional psychological problems. I have expertise in various conditions such as depression, grief, anxiety disorders, family, behavioral problems in children and teens.My specialty is in the areas of relationships, trauma, behavior modification ,self perception,body image,life transitions such as marriage/divorce.I have a passion for goal oriented therapy and strive to guide my patients towards a clearer mental state and a more comfortable day to day life.I am dedicated to providing patients with a healthier and happier life.
(646) 490-1624 View (646) 490-1624
Photo of Tanika M Eason in Ozone Park, NY
Tanika M Eason
MHC-LP, MS
Verified Verified
New York, NY 10035  (Online Only)
I am a dedicated professional driven by a mission to educate, empower, and transform the lives of individuals, placing a special emphasis on men, women, and children of color. I firmly believe that honesty, integrity, and self-acceptance are fundamental principles that foster personal growth and enhance overall well-being. By embracing these values, I strive to create a nurturing and supportive environment where individuals can flourish and reach their fullest potential. Throughout my career, I have had the privilege of working with individuals from diverse backgrounds and age groups, ranging from children to adults.
I am a dedicated professional driven by a mission to educate, empower, and transform the lives of individuals, placing a special emphasis on men, women, and children of color. I firmly believe that honesty, integrity, and self-acceptance are fundamental principles that foster personal growth and enhance overall well-being. By embracing these values, I strive to create a nurturing and supportive environment where individuals can flourish and reach their fullest potential. Throughout my career, I have had the privilege of working with individuals from diverse backgrounds and age groups, ranging from children to adults.
(929) 412-1909 View (929) 412-1909
Photo of Shavon Gaddy- Dalrymple, Clinical Social Work/Therapist in Ozone Park, NY
Shavon Gaddy- Dalrymple
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10013  (Online Only)
I provide a safe therapeutic treatment space for those within and outside the LGBTQ/QI 2-S+ spectrum, GNC/Non-Binary, and BDSM/Kink community. I have extensive experience working with individuals who have been diagnosed as Differently-Abled/Special Needs/ASD/Neuroatypical/ Neurodivergent or with an Intellectual and Emotional Disability.
I provide a safe therapeutic treatment space for those within and outside the LGBTQ/QI 2-S+ spectrum, GNC/Non-Binary, and BDSM/Kink community. I have extensive experience working with individuals who have been diagnosed as Differently-Abled/Special Needs/ASD/Neuroatypical/ Neurodivergent or with an Intellectual and Emotional Disability.
(502) 289-6128 View (502) 289-6128
Photo of At Home Psychedelic Therapy (Instant Insurance Verification), Clinical Social Work/Therapist in Ozone Park, NY
At Home Psychedelic Therapy (Instant Insurance Verification)
Clinical Social Work/Therapist, MD, PhD, LCSW, PDOC
Verified Verified
New York, NY 10011
Feya Health is a woman-owned, Psychedelic Assisted Psychotherapy group practice, featured on MTV. Our Integrative approach helps clients address their self-destructive patterns by getting to the core and root of their issues. The result is a drastic reduction in the initial presenting symptoms over a short period of time. We offer a comprehensive, integrative & customizable approach to the Ketamine & Oxytocin Therapy Process and specialize in EMDR, PTSD, CPTSD, human optimization and Pharmaceutical Medication withdrawal.
Feya Health is a woman-owned, Psychedelic Assisted Psychotherapy group practice, featured on MTV. Our Integrative approach helps clients address their self-destructive patterns by getting to the core and root of their issues. The result is a drastic reduction in the initial presenting symptoms over a short period of time. We offer a comprehensive, integrative & customizable approach to the Ketamine & Oxytocin Therapy Process and specialize in EMDR, PTSD, CPTSD, human optimization and Pharmaceutical Medication withdrawal.
(917) 789-1484 View (917) 789-1484

See more therapy options for Ozone Park

Exposure Response Prevention (ERP) Therapists

Do I need exposure and response prevention therapy?

Many clients decide to seek help for obsessive thoughts and compulsive behaviors when these symptoms are distressing enough to disrupt everyday life. Any thoughts or behaviors that cause friction in close relationships are also worth addressing. In addition, the client’s symptoms don’t have to be severe for them to benefit from ERP therapy.

Is exposure and response prevention therapy part of cognitive behavioral therapy?

Exposure and response prevention is one specific type of CBT that focuses on behavioral change in response to triggering stimuli. It is related to exposure therapy but adds an additional component of preventing compulsive and harmful responses.

How long does exposure and response prevention therapy take?

While every patient is different, exposure and response prevention therapy typically lasts around 12 sessions, although some treatments can take longer. A therapist will determine if the treatment is complete based on how the client faces their fears, particularly the strongest ones. When a client feels less anxiety about stimuli that once evoked terror or distress, that is generally an indication that they are nearing the end of ERP therapy.

What are the limitations of exposure and response prevention therapy?

The most common pitfalls of exposure and response prevention therapy include not addressing a client’s core fears, allowing the client to avoid their most distressing stimuli, and using imaginary exposure when the client requires real-life exposure (and vice versa). ERP therapy is most effective when the client commits to the full course of treatment; if the client stops early or doesn’t practice what they have learned outside of therapy sessions, they are less likely to have successful outcomes.