Transpersonal Therapists in Adams County, PA

Photo of Nun Sava-Siva Amen-Ra, DrPH, MA, MSEd, MSW, LMSW, Clinical Social Work/Therapist
Nun Sava-Siva Amen-Ra
Clinical Social Work/Therapist, DrPH, MA, MSEd, MSW, LMSW
Verified Verified
Orrtanna, PA 17353
All psychological issues are ultimately existential in origin, entailing a confrontation with death, loss, meaning, purpose and value. All that we do (knowingly or unknowingly) is dedicated to deciphering these daunting and irrepressible demands of existence. Few are successful in resolving or even clearly conceptualizing these existential issues and their minds inevitably descend into despair, depression and anxiety. Some seek to assuage their suffering with psychoactive substances (illicit and licit) and this leads only to addiction and abdication of autonomy over one's authentic self. My System offers a solution.
All psychological issues are ultimately existential in origin, entailing a confrontation with death, loss, meaning, purpose and value. All that we do (knowingly or unknowingly) is dedicated to deciphering these daunting and irrepressible demands of existence. Few are successful in resolving or even clearly conceptualizing these existential issues and their minds inevitably descend into despair, depression and anxiety. Some seek to assuage their suffering with psychoactive substances (illicit and licit) and this leads only to addiction and abdication of autonomy over one's authentic self. My System offers a solution.
(223) 217-2766 View (223) 217-2766

Online Therapists

Photo of Doug Richard, MA, LMFT, AAMFT, ICEEFT, Marriage & Family Therapist
Doug Richard
Marriage & Family Therapist, MA, LMFT, AAMFT, ICEEFT
Verified Verified
Mifflinburg, PA 17844
Doug utilizes transcontextual and systems thinking to integrate and synthesize more than 100 theories from Developmental and Transpersonal Psychology, Personality Typing Theories, Family Systems, Spirituality, Cybernetics, and more in order to help people and organizations rethink, recover, and reorganize themselves in healthier ways.
Struggling with relationship difficulties? Depression, anxiety, stress? Dealing with grief, loss, or trauma? Feeling overwhelmed? Losing hope that things will change? You can trust us to help you! Rooted exists to help you experience growth, healing, and wholeness in your life and relationships. Whether you want to feel less stressed, experience less conflict, enjoy better communication, fall more deeply in love, or enjoy better self-esteem and more satisfying relationships with partners, friends, family, or kids (even adult children), our experienced and highly trained therapists can help you reach your goals.
Doug utilizes transcontextual and systems thinking to integrate and synthesize more than 100 theories from Developmental and Transpersonal Psychology, Personality Typing Theories, Family Systems, Spirituality, Cybernetics, and more in order to help people and organizations rethink, recover, and reorganize themselves in healthier ways.
Struggling with relationship difficulties? Depression, anxiety, stress? Dealing with grief, loss, or trauma? Feeling overwhelmed? Losing hope that things will change? You can trust us to help you! Rooted exists to help you experience growth, healing, and wholeness in your life and relationships. Whether you want to feel less stressed, experience less conflict, enjoy better communication, fall more deeply in love, or enjoy better self-esteem and more satisfying relationships with partners, friends, family, or kids (even adult children), our experienced and highly trained therapists can help you reach your goals.
(570) 884-4662 x1 View (570) 884-4662 x1
Photo of Holly Copeland, MA, LPC, Licensed Professional Counselor
Holly Copeland
Licensed Professional Counselor, MA, LPC
Verified Verified
Holly is a Licensed Professional Counselor with over 30 years’ experience guiding adolescents, adults, children and families. She is an adept listener who has worked extensively in private practice and in a variety of clinical settings including outpatient clinics, residential treatment facilities and schools. She uses mind-body techniques and maintains a holistic healing perspective to help you achieve mental, physical and spiritual well-being. Holly is trained in a variety of modalities, including EMDR, Flash Technique, Transpersonal and Mindfulness Based Stress Reduction.
Holly is a Licensed Professional Counselor with over 30 years’ experience guiding adolescents, adults, children and families. She is an adept listener who has worked extensively in private practice and in a variety of clinical settings including outpatient clinics, residential treatment facilities and schools. She uses mind-body techniques and maintains a holistic healing perspective to help you achieve mental, physical and spiritual well-being. Holly is trained in a variety of modalities, including EMDR, Flash Technique, Transpersonal and Mindfulness Based Stress Reduction.
(484) 209-6648 View (484) 209-6648
Photo of Deborah Redmond - Online Therapy With Deborah Redmond, MA, LMFT, Marriage & Family Therapist
Online Therapy With Deborah Redmond
Marriage & Family Therapist, MA, LMFT
Verified Verified
Radnor, PA 19087  (Online Only)
My toolbox includes these therapeutic modalities: Cognitive Behavioral, Solution Focused, Mindfulness, Gottman, Family Systems, Transpersonal, and Yoga Psychology.
Telehealth in California, Florida, Ohio, Pennsylvania, South Carolina, Texas, Washington, and Canada. You are warmly invited you to share in the amazing possibilities of psychotherapy. Psychotherapy can be instrumental in recovery from challenges of mind and heart including: depression, anxiety, trauma, finding purpose, life transitions, and many more. It can make heartbreak understandable, tolerable, and even growth-producing. It can provide the foundation for creating new healthier relationships based on respect, trust, compromise, and compassion. It can take an ordinary life and make it extraordinarily rich and purposeful.
My toolbox includes these therapeutic modalities: Cognitive Behavioral, Solution Focused, Mindfulness, Gottman, Family Systems, Transpersonal, and Yoga Psychology.
Telehealth in California, Florida, Ohio, Pennsylvania, South Carolina, Texas, Washington, and Canada. You are warmly invited you to share in the amazing possibilities of psychotherapy. Psychotherapy can be instrumental in recovery from challenges of mind and heart including: depression, anxiety, trauma, finding purpose, life transitions, and many more. It can make heartbreak understandable, tolerable, and even growth-producing. It can provide the foundation for creating new healthier relationships based on respect, trust, compromise, and compassion. It can take an ordinary life and make it extraordinarily rich and purposeful.
(442) 239-1174 View (442) 239-1174
Photo of Lucy Heggenstaller, MSW, LCSW, BCD, Clinical Social Work/Therapist
Lucy Heggenstaller
Clinical Social Work/Therapist, MSW, LCSW, BCD
Verified Verified
Loganton, PA 17747
I enjoy helping people bring their best into the world. Whether that means to be a better partner, a more effective parent or simply to release negative beliefs that hold you back from using your talents to their fullest, I am honored to help. My warmth and curiosity can help you face whatever gets in your way. Sometimes that is grief, or trauma, sometimes unfinished business from childhood. I believe that everyone can tap into inner strength and wisdom, gaining confidence and greater joy in the process. A shift in consciousness can make a world of difference.
I enjoy helping people bring their best into the world. Whether that means to be a better partner, a more effective parent or simply to release negative beliefs that hold you back from using your talents to their fullest, I am honored to help. My warmth and curiosity can help you face whatever gets in your way. Sometimes that is grief, or trauma, sometimes unfinished business from childhood. I believe that everyone can tap into inner strength and wisdom, gaining confidence and greater joy in the process. A shift in consciousness can make a world of difference.
(570) 763-4607 View (570) 763-4607
Photo of Lisa M Angelini, MAPC, LPC, ACCHT,  CLC, , Counselor
Lisa M Angelini
Counselor, MAPC, LPC, ACCHT, CLC
Verified Verified
King Of Prussia, PA 19406  (Online Only)
Frustrated? Out-of-control eating ? Feeling lost after divorce or breakup of a relationship? You try over and over again and say to yourself, "This time it will be different". But, inevitably the diet or relationship fails and you are back where you started feeling alone, overwhelmed and sad. Maybe you are confused about how this could happen again. If you are fed up with having the same experience and want to take your life to optimal levels, now is the time to take care of YOU first.
Frustrated? Out-of-control eating ? Feeling lost after divorce or breakup of a relationship? You try over and over again and say to yourself, "This time it will be different". But, inevitably the diet or relationship fails and you are back where you started feeling alone, overwhelmed and sad. Maybe you are confused about how this could happen again. If you are fed up with having the same experience and want to take your life to optimal levels, now is the time to take care of YOU first.
(602) 910-2379 View (602) 910-2379
Photo of Erika Gray, MFT, LPC, ADHD-CC, C-DBT, Licensed Professional Counselor
Erika Gray
Licensed Professional Counselor, MFT, LPC, ADHD-CC, C-DBT
Verified Verified
Allentown, PA 18104
Exploring emotions can be a profound journey, often beginning with the simplest of questions: How do you describe an emotion without using other emotional terms? This question underscores the instinctual nature of our feelings, guiding my approach to therapy. I believe in bringing awareness to these emotions, recognizing their inherent nature, and harnessing the strengths each person carries within them.
Exploring emotions can be a profound journey, often beginning with the simplest of questions: How do you describe an emotion without using other emotional terms? This question underscores the instinctual nature of our feelings, guiding my approach to therapy. I believe in bringing awareness to these emotions, recognizing their inherent nature, and harnessing the strengths each person carries within them.
(610) 439-9345 View (610) 439-9345
Photo of Dawn Altman, MS, LPC, Licensed Professional Counselor
Dawn Altman
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
Are you feeling lost, bored with life, disconnected from yourself? As a Jungian psychotherapist, I specialize in working with individuals experiencing life transitions, be it midlife changes, divorce, new parenthood, or grief. Anxiety, depression, loss of vitality, disordered eating, and addictions are all symptoms of a deeper issue whose root cause must be treated in order to fully heal. Together, we will work to understand and heal the issues that are impeding your well-being to bring you back to a state of balance. Additionally, I work with adult individuals struggling with symptoms of ADHD, anxiety, depression and trauma.
Are you feeling lost, bored with life, disconnected from yourself? As a Jungian psychotherapist, I specialize in working with individuals experiencing life transitions, be it midlife changes, divorce, new parenthood, or grief. Anxiety, depression, loss of vitality, disordered eating, and addictions are all symptoms of a deeper issue whose root cause must be treated in order to fully heal. Together, we will work to understand and heal the issues that are impeding your well-being to bring you back to a state of balance. Additionally, I work with adult individuals struggling with symptoms of ADHD, anxiety, depression and trauma.
(610) 991-7737 View (610) 991-7737
Photo of Kaitlyn Farrell, MA, LPC, Licensed Professional Counselor
Kaitlyn Farrell
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Macungie, PA 18062
Therapy is a journey you and I take together. In times of pain and discomfort, we have the potential to grow into a stronger version of ourselves. My goal as your therapist will be to create a safe space where we can explore ways to decrease distress, so that you can live life feeling lighter and unburdened.
Therapy is a journey you and I take together. In times of pain and discomfort, we have the potential to grow into a stronger version of ourselves. My goal as your therapist will be to create a safe space where we can explore ways to decrease distress, so that you can live life feeling lighter and unburdened.
(215) 709-7957 View (215) 709-7957
Photo of Cären L. Rosser-Morris - 'Dr. Cären' Rosser-Morris, PhD, Psychologist
'Dr. Cären' Rosser-Morris
Psychologist, PhD
Verified Verified
Lemoyne, PA 17043
Waitlist for new clients
Stress can be psychologically toxic, even for helpers. Loss, trauma, injury/Illness anger, shame & fatigue can lead to anxiety and depression as well as relationship and behavior problems. Therapeutic relationships improve health by assisting with psychological detoxification and with the establishment of healthy emotional, interpersonal/social, mental, and physical habits to help inoculate against these "toxins." Sometimes natural healthy defenses against toxic stress break down and fail to protect us against painful or maladaptive feelings, thoughts, and beliefs about ourselves, others, and the world around us.
Stress can be psychologically toxic, even for helpers. Loss, trauma, injury/Illness anger, shame & fatigue can lead to anxiety and depression as well as relationship and behavior problems. Therapeutic relationships improve health by assisting with psychological detoxification and with the establishment of healthy emotional, interpersonal/social, mental, and physical habits to help inoculate against these "toxins." Sometimes natural healthy defenses against toxic stress break down and fail to protect us against painful or maladaptive feelings, thoughts, and beliefs about ourselves, others, and the world around us.
(717) 347-0930 View (717) 347-0930
Photo of Laura Boyer, MA, BC-DMT, LPC, CMT-200, Licensed Professional Counselor
Laura Boyer
Licensed Professional Counselor, MA, BC-DMT, LPC, CMT-200
Verified Verified
Coatesville, PA 19320  (Online Only)
You are a deeply introspective human who seems to have it all together, AND you’re struggling to cope with stress, overwhelm, worry, or burnout. I see you . . . Are you ready to: get out of your head and drop down into your body, learn skills to increase calm and find your center, recognize and use your natural strengths, change negative thoughts and limiting patterns, realign and empower yourself?
You are a deeply introspective human who seems to have it all together, AND you’re struggling to cope with stress, overwhelm, worry, or burnout. I see you . . . Are you ready to: get out of your head and drop down into your body, learn skills to increase calm and find your center, recognize and use your natural strengths, change negative thoughts and limiting patterns, realign and empower yourself?
(610) 467-2994 View (610) 467-2994
Photo of Susan LeBoutillier, MA, CADC, Drug & Alcohol Counselor
Susan LeBoutillier
Drug & Alcohol Counselor, MA, CADC
Verified Verified
Audubon, PA 19403
Would you like to reach for your highest potential? I passionately love working with people who have an innate desire to better themselves and their lives. People who are looking for direction, possibly a little bit of hope, suggestions, encouragement and support on setting goals for their personal journey. My intention, utilizing a holistic approach, is to create and develop a relationship with each individual. Developing trust that can honor, guide and help transform each client. In providing a safe & supportive environment I consider it a privilege to hold space, validate, witness your experiences and encourage you.
Would you like to reach for your highest potential? I passionately love working with people who have an innate desire to better themselves and their lives. People who are looking for direction, possibly a little bit of hope, suggestions, encouragement and support on setting goals for their personal journey. My intention, utilizing a holistic approach, is to create and develop a relationship with each individual. Developing trust that can honor, guide and help transform each client. In providing a safe & supportive environment I consider it a privilege to hold space, validate, witness your experiences and encourage you.
(610) 365-4347 View (610) 365-4347
Photo of Heather Bridges Moshier, MBA, LCSW, Clinical Social Work/Therapist
Heather Bridges Moshier
Clinical Social Work/Therapist, MBA, LCSW
Verified Verified
1 Endorsed
Lemoyne, PA 17043
Seeking therapy takes courage; people often feel vulnerable when reaching out for help. I believe the therapy process is a collaboration, and you are the expert on your lived experience. Together we can create a space that honors your values and beliefs and help you live fully in the present moment, manage painful emotions and symptoms, develop self-compassion, and build more genuine relationships so that you can not only survive, but thrive.
Seeking therapy takes courage; people often feel vulnerable when reaching out for help. I believe the therapy process is a collaboration, and you are the expert on your lived experience. Together we can create a space that honors your values and beliefs and help you live fully in the present moment, manage painful emotions and symptoms, develop self-compassion, and build more genuine relationships so that you can not only survive, but thrive.
(717) 276-4908 View (717) 276-4908
Photo of Katie Henson, MSW, LCSW, Clinical Social Work/Therapist
Katie Henson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Harrisburg, PA 17110
The work I do is unique to each individual. Your life story is your own and finding a place to feel empowered, validated, challenged, and grown in healthy and supportive ways is waiting for you. By utilizing numerous modalities, approaches, techniques, and skills, I am able to offer you a place to reconnect with or discover your worth and value. I typically see individuals ages 16 and over as well as couples.
The work I do is unique to each individual. Your life story is your own and finding a place to feel empowered, validated, challenged, and grown in healthy and supportive ways is waiting for you. By utilizing numerous modalities, approaches, techniques, and skills, I am able to offer you a place to reconnect with or discover your worth and value. I typically see individuals ages 16 and over as well as couples.
(223) 332-4590 View (223) 332-4590
Photo of Allison Brunner, MSW, LCSW, Clinical Social Work/Therapist
Allison Brunner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
8 Endorsed
Kennett Square, PA 19348  (Online Only)
“I love my therapist, but we’ve hit a plateau,” potential clients often say when reaching out to me. Or they’re tired of being treated like they’re broken. If you’ve spent years in therapy and are ready to go deeper and experience profound shifts and lasting change, try mindfulness-based, somatic (body-mind) psychotherapy and inner parts work. In short time, most new clients say, “Wow, that was very different from what I expected!”—in a positive way. If you’re a highly sensitive person (HSP), empath, or old soul yearning to be truly understood and are ready to process more deeply and talk and analyze less, welcome!
“I love my therapist, but we’ve hit a plateau,” potential clients often say when reaching out to me. Or they’re tired of being treated like they’re broken. If you’ve spent years in therapy and are ready to go deeper and experience profound shifts and lasting change, try mindfulness-based, somatic (body-mind) psychotherapy and inner parts work. In short time, most new clients say, “Wow, that was very different from what I expected!”—in a positive way. If you’re a highly sensitive person (HSP), empath, or old soul yearning to be truly understood and are ready to process more deeply and talk and analyze less, welcome!
(267) 225-1367 View (267) 225-1367
Photo of Joel A Gides - Mindfulscribe - Joel Gides, MS, LPC, MS, LPC, Licensed Professional Counselor
Mindfulscribe - Joel Gides, MS, LPC
Licensed Professional Counselor, MS, LPC
Verified Verified
Altoona, PA 16602
Welcome! My name is Joel Gides. I am a licensed professional counselor, trauma certified, and mindfulness instructor. I have 16+ years experience integrating meditation and psychotherapy to adults with depression, anxiety, attention problems, relationship problems, unstable moods, and trauma. I maintain a growth-oriented view - honoring that each person travels their own unique journey through the spiral of their development. I love to see the moments of personal growth and transformation realized in each person through our work together, and aiding them toward their highest potentials.
Welcome! My name is Joel Gides. I am a licensed professional counselor, trauma certified, and mindfulness instructor. I have 16+ years experience integrating meditation and psychotherapy to adults with depression, anxiety, attention problems, relationship problems, unstable moods, and trauma. I maintain a growth-oriented view - honoring that each person travels their own unique journey through the spiral of their development. I love to see the moments of personal growth and transformation realized in each person through our work together, and aiding them toward their highest potentials.
(814) 283-5550 View (814) 283-5550
Photo of Alexandra Milspaw - Alexandra Milspaw, Ph.D., LLC, PhD, MEd, LPC, Licensed Professional Counselor
Alexandra Milspaw, Ph.D., LLC
Licensed Professional Counselor, PhD, MEd, LPC
Verified Verified
Macungie, PA 18062
I am a licensed professional counselor (LPC) and AASECT-Certified Sex Therapist specializing in anxiety, trauma, sexuality, and chronic pain issues. I utilize Mindfulness, Neuro-Linguistic Programming, and Hypnosis techniques in my strength-based approach. I have a Masters degree in Counseling Psychology from Lehigh University and a PhD in Human Sexuality from Widener University. Please visit my website for more information: www.dralexmilspaw.com
I am a licensed professional counselor (LPC) and AASECT-Certified Sex Therapist specializing in anxiety, trauma, sexuality, and chronic pain issues. I utilize Mindfulness, Neuro-Linguistic Programming, and Hypnosis techniques in my strength-based approach. I have a Masters degree in Counseling Psychology from Lehigh University and a PhD in Human Sexuality from Widener University. Please visit my website for more information: www.dralexmilspaw.com
(610) 839-8563 View (610) 839-8563
Photo of Deborah Coulston - The Family Wellness Center, MA, MATS, LMFT, Marriage & Family Therapist
The Family Wellness Center
Marriage & Family Therapist, MA, MATS, LMFT
Verified Verified
Harrisburg, PA 17109  (Online Only)
Deborah Coulston, MA, MATS, CIMHP, LMFT, is an experienced professional psychotherapist, marital and family therapist, expressive arts therapist, and pioneer in the field of nutrition psychology, integrative mental health and alternative health modalities. Ms. Coulston is well known for her work in the treatment field of eating disorders & weight management, and for her expertise in both childhood and adult trauma, as well as the field of behavioral addictions. As the owner of The Family Wellness Center, she brings a diversified background to the practice of expressive arts therapy, clinical counseling, & holistic psychotherapy.
Deborah Coulston, MA, MATS, CIMHP, LMFT, is an experienced professional psychotherapist, marital and family therapist, expressive arts therapist, and pioneer in the field of nutrition psychology, integrative mental health and alternative health modalities. Ms. Coulston is well known for her work in the treatment field of eating disorders & weight management, and for her expertise in both childhood and adult trauma, as well as the field of behavioral addictions. As the owner of The Family Wellness Center, she brings a diversified background to the practice of expressive arts therapy, clinical counseling, & holistic psychotherapy.
(717) 229-0492 x1 View (717) 229-0492 x1
Photo of Dr. Sonia Schilling-Mansour, MSW, LCSW, EdD, Clinical Social Work/Therapist
Dr. Sonia Schilling-Mansour
Clinical Social Work/Therapist, MSW, LCSW, EdD
Verified Verified
Sidman, PA 15955  (Online Only)
My approach is personalized for individuals committed to personal growth and open to new experiences. Join me in a journey of self-discovery, empowerment, and healing as I provide compassionate guidance through life's ups and downs. I specialize in assisting primary children (ages 8-12) adolescents (ages 13+), adults, and couples who are seeking guidance in navigating life's complexities. I focus on addressing issues such as depression, anxiety, co-dependency, anger management, self-esteem, trauma, peer issues, school issues, divorce, and relationship challenges.
My approach is personalized for individuals committed to personal growth and open to new experiences. Join me in a journey of self-discovery, empowerment, and healing as I provide compassionate guidance through life's ups and downs. I specialize in assisting primary children (ages 8-12) adolescents (ages 13+), adults, and couples who are seeking guidance in navigating life's complexities. I focus on addressing issues such as depression, anxiety, co-dependency, anger management, self-esteem, trauma, peer issues, school issues, divorce, and relationship challenges.
(814) 787-1932 View (814) 787-1932
Photo of Cyndie Westrich, MA, LPC, ATR-BC, CCATP, Licensed Professional Counselor
Cyndie Westrich
Licensed Professional Counselor, MA, LPC, ATR-BC, CCATP
Verified Verified
Malvern, PA 19355
As a woman, life pulls you in many different directions. Pleasing everyone leaves you feeling overwhelmed especially after loss or sudden change. Worry, fear, guilt, & obligation spiral. Life hits a tipping point: You need time to yourself, but you feel guilty & yet continuing to avoid how you feel, only makes things worse. Now you're at a turning point. I specialize in helping women, who feel anxious & depressed from major life challenges, transitions, trauma & losses, move forward with renewed confidence & hope. With 30 years of experience, I collaborate with you to decrease anxiety & help you reach your personal goals.
As a woman, life pulls you in many different directions. Pleasing everyone leaves you feeling overwhelmed especially after loss or sudden change. Worry, fear, guilt, & obligation spiral. Life hits a tipping point: You need time to yourself, but you feel guilty & yet continuing to avoid how you feel, only makes things worse. Now you're at a turning point. I specialize in helping women, who feel anxious & depressed from major life challenges, transitions, trauma & losses, move forward with renewed confidence & hope. With 30 years of experience, I collaborate with you to decrease anxiety & help you reach your personal goals.
(610) 329-1684 View (610) 329-1684

See more therapy options for Adams County

Transpersonal Therapists

How does transpersonal therapy work?

Transpersonal therapy focuses on a patient’s spirituality and meaning in life. Transpersonal therapists might borrow from Eastern traditions as well as Western psychology. They may incorporate techniques including meditation, visualization, hypnotherapy, dream analysis, and or breathwork to produce altered states of consciousness. The therapist helps the patient to access their consciousness and spirituality to work through difficult mental states.

How long does transpersonal therapy last?

Because the goal is to understand a person as a whole, including their spirituality, treatment can range from months to a year or beyond. While patients learn the philosophy behind transpersonal therapy during treatment, they can also practice its principles throughout life after therapy sessions have ended.

Is transpersonal therapy effective?

Patients have found success with transpersonal therapy; this method is useful in improving anxiety, depression, self-esteem, identity, fears, relationship problems, and other concerns. Improvements in problem areas can continue even after transpersonal therapy ends, as individuals can utilize the tools they’ve learned during treatment sessions.

What are the limitations of transpersonal therapy?

There is some research on the effectiveness of transpersonal therapy, but empirical support for this therapy approach is sparse. It does not have the robust evidence base of other forms of therapy, such as cognitive behavioral therapy or acceptance and commitment therapy.