Photo of Ava Hanson, Marriage & Family Therapist in Box Elder County, UT
Ava Hanson
Marriage & Family Therapist, MS, LMFT, CTRS
Verified Verified
Brigham City, UT 84302
Are you worried about your teen? Do you need help fixing a relationship? Do you feel like you've lost interest in things that you usually find rewarding? Ava Hanson at RecreateTherapy.com is dedicated to helping your family, your adolescent, and you get the tools you need to make changes, find solutions, and feel better. Ava believes that you have resources to help you through problems you are facing such as relationship conflicts, depression, anxiety, trauma, suicidal thoughts, and grief. You will leave treatment with an arsenal of coping skills to help you get through the problem and flourish.
Are you worried about your teen? Do you need help fixing a relationship? Do you feel like you've lost interest in things that you usually find rewarding? Ava Hanson at RecreateTherapy.com is dedicated to helping your family, your adolescent, and you get the tools you need to make changes, find solutions, and feel better. Ava believes that you have resources to help you through problems you are facing such as relationship conflicts, depression, anxiety, trauma, suicidal thoughts, and grief. You will leave treatment with an arsenal of coping skills to help you get through the problem and flourish.
(435) 580-8124 View (435) 580-8124
Photo of Adriana Carolina Zarate, Counselor in Box Elder County, UT
Adriana Carolina Zarate
Counselor, ACMHC
Verified Verified
1 Endorsed
Brigham City, UT 84302
I collaboratively work with clients on recovering from trauma, anxiety, depression, addiction, or relationship issues.
My primary goal is to create a therapeutic space where you feel genuinely seen and understood. In this space, your unique cultural background isn't just acknowledged but celebrated. Together, we will delve into the complexities of your identity and experiences, recognizing how they shape your thoughts, emotions, and behaviors. Through this exploration, I aim to help you cultivate a deeper sense of self-awareness and self-acceptance. Your story matters deeply. Every aspect of who you are is valid and deserving of respect. Together, we will navigate the challenges you're facing and work collaboratively towards your goals for growth.
I collaboratively work with clients on recovering from trauma, anxiety, depression, addiction, or relationship issues.
My primary goal is to create a therapeutic space where you feel genuinely seen and understood. In this space, your unique cultural background isn't just acknowledged but celebrated. Together, we will delve into the complexities of your identity and experiences, recognizing how they shape your thoughts, emotions, and behaviors. Through this exploration, I aim to help you cultivate a deeper sense of self-awareness and self-acceptance. Your story matters deeply. Every aspect of who you are is valid and deserving of respect. Together, we will navigate the challenges you're facing and work collaboratively towards your goals for growth.
(435) 580-8277 View (435) 580-8277
Photo of QYS Clinical Services, Clinical Social Work/Therapist in Box Elder County, UT
QYS Clinical Services
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Brigham City, UT 84302
As a therapist group, we focus on restoring balance to daily life. It is our belief that trauma inhibits our ability to function to full capacity. Trauma reactions often create issues such as addiction, avoidance, anger, and panic. We utilize a simple method to reduce trauma reactions to triggers which creates a better balance in life, work, relationships, and self. We offer telehealth on a secure HIPPA-compliant platform for new and existing clients. All paperwork and payments can be performed via the telehealth platform.
As a therapist group, we focus on restoring balance to daily life. It is our belief that trauma inhibits our ability to function to full capacity. Trauma reactions often create issues such as addiction, avoidance, anger, and panic. We utilize a simple method to reduce trauma reactions to triggers which creates a better balance in life, work, relationships, and self. We offer telehealth on a secure HIPPA-compliant platform for new and existing clients. All paperwork and payments can be performed via the telehealth platform.
(801) 935-8886 View (801) 935-8886
Photo of Laurel Carter, Marriage & Family Therapist in Box Elder County, UT
Laurel Carter
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Brigham City, UT 84302
I am most experienced in working with anxiety, depression, self-concept, abuse, trauma, family and relationship issues.
Do you want to feel listened to, valued, and understood as you identify your goals, your strengths, and find solutions to the issues you are facing.... Are you open to learning, growing, changing, and ready to do something different... Then I would love to work with you. Amazing people are faced with life circumstances, ways of thinking, or relationship patterns that can get in the way of the kind of life they desire. I will stand with you as you learn to be more mindful of your thoughts, patterns,and behaviors while then making choices in line with your true self and potential.
I am most experienced in working with anxiety, depression, self-concept, abuse, trauma, family and relationship issues.
Do you want to feel listened to, valued, and understood as you identify your goals, your strengths, and find solutions to the issues you are facing.... Are you open to learning, growing, changing, and ready to do something different... Then I would love to work with you. Amazing people are faced with life circumstances, ways of thinking, or relationship patterns that can get in the way of the kind of life they desire. I will stand with you as you learn to be more mindful of your thoughts, patterns,and behaviors while then making choices in line with your true self and potential.
(435) 612-1046 View (435) 612-1046
Photo of Denise E Kearl, Clinical Social Work/Therapist in Box Elder County, UT
Denise E Kearl
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Brigham City, UT 84302
Having traumatic experiences can completely change your life. If you are struggling with the effects of trauma and it's getting in the way of your mental, emotional, or relational health, I'm here to help you. I use EMDR (Eye Movement Desensitization and Reprocessing) Therapy, a cutting-edge treatment for overcoming trauma to help you go from surviving to thriving. I enjoy using a combination of humor and authenticity to help you face your struggles. We will work together to create therapy goals to help you create the life you've always wanted to lead. Anxiety, depression, eating disorders can also use EMDR therapy for healing
Having traumatic experiences can completely change your life. If you are struggling with the effects of trauma and it's getting in the way of your mental, emotional, or relational health, I'm here to help you. I use EMDR (Eye Movement Desensitization and Reprocessing) Therapy, a cutting-edge treatment for overcoming trauma to help you go from surviving to thriving. I enjoy using a combination of humor and authenticity to help you face your struggles. We will work together to create therapy goals to help you create the life you've always wanted to lead. Anxiety, depression, eating disorders can also use EMDR therapy for healing
(435) 774-0402 View (435) 774-0402
Photo of Heather E Olsen, Clinical Social Work/Therapist in Box Elder County, UT
Heather E Olsen
Clinical Social Work/Therapist, LCSW
Verified Verified
Brigham City, UT 84302
​ I’m experienced in treating trauma/attachment trauma, faith/life transitions, LGBTQ+ population, anxiety, depression, low self-esteem/self-worth, and domestic violence related issues.
I work from a strengths-based perspective; helping you to recognize and utilize your strengths to create change and healing within yourself and your environment.
​ I’m experienced in treating trauma/attachment trauma, faith/life transitions, LGBTQ+ population, anxiety, depression, low self-esteem/self-worth, and domestic violence related issues.
I work from a strengths-based perspective; helping you to recognize and utilize your strengths to create change and healing within yourself and your environment.
(435) 294-3540 View (435) 294-3540
Photo of Chris Wade, Clinical Social Work/Therapist in Box Elder County, UT
Chris Wade
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tremonton, UT 84337
In therapy, even a small change in perspective can make a world of difference. I specialize in working with individuals in treating PTSD, addiction, anxiety, and depression. I enjoy working with children and teens as well as parents that are having a hard time parenting.
In therapy, even a small change in perspective can make a world of difference. I specialize in working with individuals in treating PTSD, addiction, anxiety, and depression. I enjoy working with children and teens as well as parents that are having a hard time parenting.
(435) 466-2905 View (435) 466-2905
Photo of Bright Hope Christian Counseling Center, PLLC, Clinical Social Work/Therapist in Box Elder County, UT
Bright Hope Christian Counseling Center, PLLC
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Verified Verified
Tremonton, UT 84337
As a trauma-competent therapist, Karen combines Biblical principles with evidence-based theoretical approaches to serve Utah residents by helping, comforting, equipping, strengthening, and restoring individuals and families to their desired functioning level and lifestyle.
In our daily lives, we face numerous challenges, turmoil, and trouble. We may feel triggered, alone, anxious, frustrated, depressed, irritated, stressed, overwhelmed, and conflicted. We may believe we cannot get out of our dark, deep hole. GOOD NEWS: YOU ARE NOT ALONE! At Bright Hope Christian Counseling Center (BHCCC), we believe that God is our ultimate healer and restorer of broken hearts and lives. Together with God, we can find the freedom to help us restart our life and relationships that have brought us down and devastated us for generations.
As a trauma-competent therapist, Karen combines Biblical principles with evidence-based theoretical approaches to serve Utah residents by helping, comforting, equipping, strengthening, and restoring individuals and families to their desired functioning level and lifestyle.
In our daily lives, we face numerous challenges, turmoil, and trouble. We may feel triggered, alone, anxious, frustrated, depressed, irritated, stressed, overwhelmed, and conflicted. We may believe we cannot get out of our dark, deep hole. GOOD NEWS: YOU ARE NOT ALONE! At Bright Hope Christian Counseling Center (BHCCC), we believe that God is our ultimate healer and restorer of broken hearts and lives. Together with God, we can find the freedom to help us restart our life and relationships that have brought us down and devastated us for generations.
(385) 247-3176 View (385) 247-3176
Photo of Scott Hull, Clinical Social Work/Therapist in Box Elder County, UT
Scott Hull
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tremonton, UT 84337
Now accepting new clients. Sometimes we just need a boost and a new perspective on things. I love to meet people where they are at to help navigate personal challenges. I have a lot of experience with children, teens and adults. I can definitely help with most anxiety and depression struggles. I enjoy also working those who are challenged with situations stemming from major changes in life, to loss/grief, addictions, anger/stress management, family discord, and trauma.
Now accepting new clients. Sometimes we just need a boost and a new perspective on things. I love to meet people where they are at to help navigate personal challenges. I have a lot of experience with children, teens and adults. I can definitely help with most anxiety and depression struggles. I enjoy also working those who are challenged with situations stemming from major changes in life, to loss/grief, addictions, anger/stress management, family discord, and trauma.
(435) 220-5353 View (435) 220-5353
Photo of Carolina Brog, Clinical Social Work/Therapist in Box Elder County, UT
Carolina Brog
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tremonton, UT 84337
My experience is broad and includes depression, anxiety, disruptive behaviors, relationship issues, grief, trauma, and Perinatal/Postpartum.
For various reasons life can seem overwhelming, difficult to understand, and disruptive to your life. One might feel a sense of loss of control, fear, hopelessness, anger, or even shame. Some may even feel they have to cope with all of those emotions and feelings on their own. If you are experiencing any of these emotions and feel lost – I am here to help you. I want to help you learn and believe that you are not alone, you are not to blame, and with help – you will be well and happy again.
My experience is broad and includes depression, anxiety, disruptive behaviors, relationship issues, grief, trauma, and Perinatal/Postpartum.
For various reasons life can seem overwhelming, difficult to understand, and disruptive to your life. One might feel a sense of loss of control, fear, hopelessness, anger, or even shame. Some may even feel they have to cope with all of those emotions and feelings on their own. If you are experiencing any of these emotions and feel lost – I am here to help you. I want to help you learn and believe that you are not alone, you are not to blame, and with help – you will be well and happy again.
(833) 549-2596 View (833) 549-2596
Photo of Gina N Shields, Counselor in Box Elder County, UT
Gina N Shields
Counselor, CMHC
Verified Verified
Brigham City, UT 84302
I have extensive experience in domestic abuse and addiction, victim/perpetrator, acute mental illnesses, personality disorders, mood disorders, autism, ADHD, suicide, PTSD, military, and first responders.
I enjoy working with diverse clients from all backgrounds and needs. I like to take a Person-Centered approach to help my clients utilize their own strengths through the therapeutic process and in everyday life.
I have extensive experience in domestic abuse and addiction, victim/perpetrator, acute mental illnesses, personality disorders, mood disorders, autism, ADHD, suicide, PTSD, military, and first responders.
I enjoy working with diverse clients from all backgrounds and needs. I like to take a Person-Centered approach to help my clients utilize their own strengths through the therapeutic process and in everyday life.
(385) 758-5175 View (385) 758-5175
Photo of Ashley Bell, Marriage & Family Therapist in Box Elder County, UT
Ashley Bell
Marriage & Family Therapist, MMFT, LMFT
Verified Verified
4 Endorsed
Brigham City, UT 84302
I specialize in women's issues, PTSD, depression, anxiety, people-pleasing, perfectionism, low self-esteem, body image, etc.
Struggles in life are often related to the connections we have with ourselves, others, and how we make meaning. My passion and sincere privilege is working alongside women to improve these connections to create healing. I enjoy infusing warmth, honesty, humor, and current research-based methods to help produce changes. Together we can explore where you feel stuck and how I can best serve you in creating desired outcomes.
I specialize in women's issues, PTSD, depression, anxiety, people-pleasing, perfectionism, low self-esteem, body image, etc.
Struggles in life are often related to the connections we have with ourselves, others, and how we make meaning. My passion and sincere privilege is working alongside women to improve these connections to create healing. I enjoy infusing warmth, honesty, humor, and current research-based methods to help produce changes. Together we can explore where you feel stuck and how I can best serve you in creating desired outcomes.
(435) 210-5713 View (435) 210-5713
Photo of Balanced Behavioral Therapy, Counselor in Box Elder County, UT
Balanced Behavioral Therapy
Counselor, LCMHC, BCBA, LBA
Verified Verified
Tremonton, UT 84337
Welcome! As a Licensed Clinical Mental Health Counselor (LCMHC) and Board-Certified Behavior Analyst (BCBA), I am deeply committed to creating positive change and fostering growth in individuals and families. With over a decade of experience, I have honed my expertise in working with children and families, while also guiding adults through the complexities of relationships, parenting, stress management, ADHD, anxiety, depression, and PTSD.
Welcome! As a Licensed Clinical Mental Health Counselor (LCMHC) and Board-Certified Behavior Analyst (BCBA), I am deeply committed to creating positive change and fostering growth in individuals and families. With over a decade of experience, I have honed my expertise in working with children and families, while also guiding adults through the complexities of relationships, parenting, stress management, ADHD, anxiety, depression, and PTSD.
(435) 228-7053 View (435) 228-7053
Photo of Travis Christensen, Clear Direction Counseling, Counselor in Box Elder County, UT
Travis Christensen, Clear Direction Counseling
Counselor, LCMHC
Verified Verified
4 Endorsed
Brigham City, UT 84302
Trauma is real, relationships are complex and life can at times feel daunting Take your power back and take action today, and with courage, faith, and action change is finally possible and well deserved.
ACCEPTING NEW CLIENTS: Whatever you resist will persist! I invite those who have an open mind for new ideas and seek to create long-lasting success to start that journey today. I believe that individuals have the right to achieve and be all they desire. We have the power and capacity to make a decision about what we are going to tolerate in our lives. I challenge each of us to get into a great, beautiful state of thinking, and living and fully enjoy the fruits of our labors. I believe that knowledge is only potential power, and we become powerful when we are courageous enough to execute that knowledge.
Trauma is real, relationships are complex and life can at times feel daunting Take your power back and take action today, and with courage, faith, and action change is finally possible and well deserved.
ACCEPTING NEW CLIENTS: Whatever you resist will persist! I invite those who have an open mind for new ideas and seek to create long-lasting success to start that journey today. I believe that individuals have the right to achieve and be all they desire. We have the power and capacity to make a decision about what we are going to tolerate in our lives. I challenge each of us to get into a great, beautiful state of thinking, and living and fully enjoy the fruits of our labors. I believe that knowledge is only potential power, and we become powerful when we are courageous enough to execute that knowledge.
(435) 238-4520 View (435) 238-4520
Photo of Jennifer R. Bergman LearnGrow, Marriage & Family Therapist in Box Elder County, UT
Jennifer R. Bergman LearnGrow
Marriage & Family Therapist, MA, LMFT
Verified Verified
Brigham City, UT 84302
I have pursued extensive training in the treatment of children/adolescents/adults across the psychotherapeutic spectrum including: crisis intervention, PTSD/trauma recovery, anxiety/depression; gender dysphoria ; academic performance; relationship/partnership/family counseling, religious abuse.
I provide in-person and HIPAA approved telemedicine. If you need to make sense of things, I ensure a safe, supportive environment fostering understanding, exploration and growth. If you want to learn about yourself and/or approach things differently, together, we'll acknowledge your strengths and use your strengths to develop strategies that will help you learn new/different/adaptive ways to live. Step by step, at your pace, I help you learn, grow and evolve. I practice from a positive, strength-based framework that is client-centered, & solution-focused with no room for shame or judgement.
I have pursued extensive training in the treatment of children/adolescents/adults across the psychotherapeutic spectrum including: crisis intervention, PTSD/trauma recovery, anxiety/depression; gender dysphoria ; academic performance; relationship/partnership/family counseling, religious abuse.
I provide in-person and HIPAA approved telemedicine. If you need to make sense of things, I ensure a safe, supportive environment fostering understanding, exploration and growth. If you want to learn about yourself and/or approach things differently, together, we'll acknowledge your strengths and use your strengths to develop strategies that will help you learn new/different/adaptive ways to live. Step by step, at your pace, I help you learn, grow and evolve. I practice from a positive, strength-based framework that is client-centered, & solution-focused with no room for shame or judgement.
(435) 602-4486 View (435) 602-4486
Photo of Ryan Calder, Marriage & Family Therapist in Box Elder County, UT
Ryan Calder
Marriage & Family Therapist, MS, MFT
Verified Verified
4 Endorsed
Brigham City, UT 84302
I am skilled in working with most mental health problems (i.e. depression, anxiety, PTSD, bipolar disorder). I specialize in working with couples (i.e. addictions, affairs, shame). I have been providing therapy since 2000. Schedule now by clicking on the Website button.
I am skilled in working with most mental health problems (i.e. depression, anxiety, PTSD, bipolar disorder). I specialize in working with couples (i.e. addictions, affairs, shame). I have been providing therapy since 2000. Schedule now by clicking on the Website button.
(801) 709-0995 View (801) 709-0995
Photo of Madeleine Pugmire, Clinical Social Work/Therapist in Box Elder County, UT
Madeleine Pugmire
Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Verified Verified
1 Endorsed
Brigham City, UT 84302
I also specialize in anxiety, depression, and trauma.
As a specialist in anxiety, depression, and maternal mental health, I acknowledge the unaddressed concerns surrounding infertility, pregnancy loss, pregnancy complications, and the transition to motherhood. If you're feeling alone, unbalanced, or struggling with overwhelming emotions, I'm here to provide tailored support. Together, we can work towards connection, balance, hope, and healing, ensuring that you feel seen and supported throughout your journey.
I also specialize in anxiety, depression, and trauma.
As a specialist in anxiety, depression, and maternal mental health, I acknowledge the unaddressed concerns surrounding infertility, pregnancy loss, pregnancy complications, and the transition to motherhood. If you're feeling alone, unbalanced, or struggling with overwhelming emotions, I'm here to provide tailored support. Together, we can work towards connection, balance, hope, and healing, ensuring that you feel seen and supported throughout your journey.
(435) 466-5585 View (435) 466-5585
Photo of Modern Family Therapy Services, Clinical Social Work/Therapist in Box Elder County, UT
Modern Family Therapy Services
Clinical Social Work/Therapist, CSW
Verified Verified
Brigham City, UT 84302
I particularly enjoy working in the ranges of 13+ as it relates to “knowing thyself”, finding a sense of belonging or creating the space for it, life transitions (school, adulthood, relationships, employment, caregivers), and working through trauma resolution.
My experience includes providing counseling and community outreach to a diverse population of various socioeconomic backgrounds, addressing psychological, social, academic, and professional issues that may impact their daily ability to function and/or maintaining self-sustainability. I work well with addressing issues such as faith deconstruction, gender identity, eating disorders, military lifestyle, couples and family dynamics. I am adept at utilizing evidence-based therapeutic approaches to facilitate personal growth and heal
I particularly enjoy working in the ranges of 13+ as it relates to “knowing thyself”, finding a sense of belonging or creating the space for it, life transitions (school, adulthood, relationships, employment, caregivers), and working through trauma resolution.
My experience includes providing counseling and community outreach to a diverse population of various socioeconomic backgrounds, addressing psychological, social, academic, and professional issues that may impact their daily ability to function and/or maintaining self-sustainability. I work well with addressing issues such as faith deconstruction, gender identity, eating disorders, military lifestyle, couples and family dynamics. I am adept at utilizing evidence-based therapeutic approaches to facilitate personal growth and heal
(385) 284-0552 View (385) 284-0552
Photo of Grace & Peace Christian Counseling, Licensed Professional Counselor in Box Elder County, UT
Grace & Peace Christian Counseling
Licensed Professional Counselor, CMHC
Verified Verified
Brigham City, UT 84302
As Christian counselors, we believe Jesus Christ is the Son of God, that He came to reveal the Father’s heart & through His life, death & resurrection He decisively accomplished Gods saving work. He engages us in the Divine Relationship that we were created by, for, through and in. We seek, along with you, the client, loving purpose, healing, & direction of the Trinity in the counseling sessions. As licensed therapist, we consider our efforts inadequate apart from the grace & presence of our Lord Jesus Christ. We are blessed & humbled to go to work each day & see Christ working in people's lives in an intimate way.
As Christian counselors, we believe Jesus Christ is the Son of God, that He came to reveal the Father’s heart & through His life, death & resurrection He decisively accomplished Gods saving work. He engages us in the Divine Relationship that we were created by, for, through and in. We seek, along with you, the client, loving purpose, healing, & direction of the Trinity in the counseling sessions. As licensed therapist, we consider our efforts inadequate apart from the grace & presence of our Lord Jesus Christ. We are blessed & humbled to go to work each day & see Christ working in people's lives in an intimate way.
(888) 801-1556 x1 View (888) 801-1556 x1
Photo of Spencer Dutson, Pre-Licensed Professional in Box Elder County, UT
Spencer Dutson
Pre-Licensed Professional, AMFT
Verified Verified
Brigham City, UT 84302
I recognize your efforts and desire to obtain happiness and healing in your life and relationships and I am so happy that you are here. To help you, I strive to create an environment where you can feel safe to go to your hurt places and navigate your healing processes, whether as an individual, couple, or family seeking therapy. I know this can be difficult, so I work hard to be there with you in the process to help you experience real changes in your life and relationships.
I recognize your efforts and desire to obtain happiness and healing in your life and relationships and I am so happy that you are here. To help you, I strive to create an environment where you can feel safe to go to your hurt places and navigate your healing processes, whether as an individual, couple, or family seeking therapy. I know this can be difficult, so I work hard to be there with you in the process to help you experience real changes in your life and relationships.
(435) 294-3634 View (435) 294-3634

See more therapy options for Box Elder County

Trauma and PTSD Therapists

When should I seek treatment for trauma?

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

How long does trauma therapy take?

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

What happens if trauma is left untreated?

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

Can PTSD come back after treatment?

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