This is Dr. Paul Wright's avatar and link to their profile

Dr. Paul Wright

Clinical therapist offering therapy in MO, Loch Lloyd
Counselor License Type(s): PhD, LPC, NBCCH
Stress, AnxietyRelationship issuesEating disordersSelf esteemDepression
10 years of experience

I am a Licensed Professional Counselor based in Missouri. For over ten years, I have been offering counseling and life coaching services to individuals, couples, and families. Some of my specializations include working with depression, anxiety, eating disorders, relationship difficulties, emotional trauma, work-related problems, arousal dysregulation, OCD issues, self-sabotaging thought processes, clinical mental health issues, career struggles, and many other significant life challenges. As a mental health specialist and performance consultant, I also enjoy the challenge of working with athletes, businessmen/women, musicians, teachers, artists, and members of the military forces. My professional orientation centers on cognitive-behavioral therapy (CBT), dialectical behavioral therapy (DBT) and solution-focused counseling. I believe that therapy is much like a beautiful choreographed dance step. Client and counselor work together to achieve success through a reciprocal relationship built upon respect, trust, and positivity. Entering into the counseling relationship takes extraordinary courage and strength of character. I pride my practice on being welcoming, positive, genuine, and client-centered. This responsibility to help my clients is a sacred trust not taken lightly. Counseling sessions are generally a combination of talk therapy, discussion, problem-solving exercises, and experiential activities designed specifically to help each client overcome their unique challenges. Some of the tools used in the counseling process include mindfulness training, cognitive reframing, goal setting, positive self-talk, communication skill building, introspection, motivational interviewing, and traditional narrative discourse. In addition to the more traditional approaches, I carry specializations and certifications in performance psychology, clinical hypnotherapy, wellness coaching, and career counseling. I have spent many years living in Europe, Asia, and North America. As such, I enjoy the opportunity to work with clients from very diverse backgrounds. I truly look forward to working beside you through the counseling relationship. I truly count it as an honor and a privilege to share your life experience.

This is Kimberly Donihue's avatar and link to their profile

Kimberly Donihue

Clinical therapist offering therapy in MO, Loch Lloyd
Counselor License Type(s): LMFT-S,LPC-S,CRAADC
Stress, AnxietyTrauma and abuseGriefDepressionADHD
16 years of experience

Welcome and let's get started! I'm glad you are here. Life can be stressful, uncertain, even painful. Maybe you are hopeful things will change, have little support, or out of options. Over time, stress can negatively affect one's health, well-being, and outlook. It takes courage to try again. Whatever you are going through, I welcome you. You are worth it. I am a Licensed Professional Counselor (LPC); Licensed Marital and Family Therapist (LMFT); a Certified Reciprocal Advanced Alcohol and Drug Counselor (CRAADC); and a Medication Assisted Recovery Specialist; (MARS). I also hold two national post-masters' credentials: Registered Play Therapist-Supervisor, and AAMFT Approved Supervisor. I stay current on the latest evidenced-based treatments and protocols. I have a Master of Arts degree in Clinical Psychology from Antioch University Santa Barbara and a BA in English Literature from UCSB. Individuals, couples, families, children and Supervisees. I have extensive experience in the areas of anxiety, depression, trauma, PTSD, relational trauma, ADHD, family dynamics, and addiction (chemical and process). Previous positions include director of a local counseling center; women's program director at a faith-based residential treatment center; primary therapist at a hospital; 28-day residential treatment center counselor, and case manager with Substance Abuse Treatment Court (SATC). My approach is to cultivate safety for the foundation of our work. My style is warm, attentive, & non-judgmental. Through assessments, discussions, and mutually agreed-upon goals, I tailor an individualized treatment plan. Together, we discuss the plan and if agreed upon, move forward, staying attuned to levels of motivation, and mindful of your pace. You can have a life worth living. Your individualized plan reflects an integration of treatment models, which allows for drawing from a menu of treatment options to best serve the client and specific needs. I use CBT; DBT; EMDR; Motivational Interviewing, faith-based counseling; MARS; TF-CBT; Exposure Therapy; play therapy; Sandplay; family systems; and Clinical Supervision. You've taking a valuable step towards bettering your life today. Feel free to contact me for more information. I typically check messages every 1 -2 hours during the day. I return messages within the hour, with the exception of Tuesday afternoons. I am looking forward to meeting you!

This is Paula Moore's avatar and link to their profile

Paula Moore

Clinical therapist offering therapy in MO, Loch Lloyd
Counselor License Type(s): MSW,LCSW
Stress, AnxietyTrauma and abuseGriefSelf esteemDepression
8 years of experience

I am a Licensed Clinical Social Worker in Illinois and Missouri. I graduated from Southern Illinois University at Edwardsville in 2016, and have been working with a variety of clients and issues. I live and work in Alton, Illinois, about 30 miles north of St. Louis on the Mississippi River. My treatment approach is client-centered, goal-oriented, collaborative, and strengths-based. I believe that most mental health issues can be traced back to trauma; it’s not what is wrong with you, but what has happened to you. I use CBT and EMDR as my main therapy modalities, but also incorporate somatic processing, motivational interviewing, exposure therapy, and positive psychology. Once the negative beliefs are identified, the work is to create more adaptive beliefs, and process the actual traumas. Self-care, and coping skills for symptoms are extremely important, too, especially in the beginning of therapy. I am affirming, and believe that people get to decide who they are. I also believe that growth and evolution are inherent in our human nature. Reaching out for help with life’s challenges is one of the most important things one can do for their long-term health and well-being. I walk with you, never judging, and always supporting you with your goals. I look forward to helping you find relief from symptoms, needed solutions, and ultimately, true healing.

This is Dawn Tegeler 's avatar and link to their profile

Dawn Tegeler

Clinical therapist offering therapy in MO, Loch Lloyd
Counselor License Type(s): LPC
Relationship issuesIntimacy-related issuesParenting issuesSelf esteem
10 years of experience

As a counselor, I believe it is my role to provide a safe and compassionate space for each person that chooses to share their experience with me. My job is to help each person I see to explore past hurts, to put voice to feelings, and to help each person make meaning out of their life. It is my belief that many of us walk this world not fully allowing ourselves to come into our own, due to a fear of not being accepted and due to limiting beliefs given to us by others and society. As a counselor, I will provide a space of unconditional acceptance and compassion, in order to allow others to begin to see their authentic self. I will use different methods that suit each person and will encourage each person to make this process their own. When participating in couple's counseling, we will explore each person and what they bring to the relationship and how to build and enhance the relationship. Unity, learning love, and understanding are key to a long lasting relationship.

This is Veronica Durdello's avatar and link to their profile

Veronica Durdello

Clinical therapist offering therapy in MO, Loch Lloyd
Stress, AnxietyAddictionsTrauma and abuseIntimacy-related issuesDepression
6 years of experience

I am licensed in Missouri with 6 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, trauma and abuse, & intimacy related issues. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

This is LaJuana Walker-McGill's avatar and link to their profile

LaJuana Walker-McGill

Clinical therapist offering therapy in MO, Loch Lloyd
Relationship issuesAnger managementSelf esteemDepressionCoping with life changes
24 years of experience

I am licensed in Florida with 24 years of professional work experience. I have experience in helping clients with relationship issues, anger management, motivation, self esteem, and confidence, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

This is Natalie McQuinn's avatar and link to their profile

Natalie McQuinn

Clinical therapist offering therapy in MO, Loch Lloyd
Stress, AnxietyAddictionsLGBTTrauma and abuseDepression
12 years of experience

I am licensed in Missouri with 10+ years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, trauma and abuse, & bipolar disorder. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started! We will work together to develop the treatment that works for you.

This is Jeffrey  Myers's avatar and link to their profile

Jeffrey Myers

Clinical therapist offering therapy in MO, Loch Lloyd
Counselor License Type(s): LPC,MCB Qualified Supervisor,Qualified Peer Specialist Supervisor
AddictionsRelationship issuesFamily conflictsTrauma and abuseParenting issues
13 years of experience

I am a Licensed Professional Counselor in Missouri and started my work in this field in the late 2000’s. I have experience helping individuals and families attempting to cope with addiction, depression, anxiety, relationship issues, family conflicts, trauma and grief. While I've worked in a variety of setting, I was attracted to working with BetterHelp because of the way it makes quality mental health support so private and accessible. I can appreciate that talking to others about things you normally just keep in your head is difficult and uncomfortable. However, having a trained, balanced and objective person to do this with in life is quite valuable. That is the service I aim to provide for those I work with - a safe place to talk where you can expect to be heard, challenged and encouraged.

This is Kevin Wilson's avatar and link to their profile

Kevin Wilson

Clinical therapist offering therapy in MO, Loch Lloyd
Stress, AnxietyTrauma and abuseSelf esteemDepressionADHD
17 years of experience

I am licensed in Missouri with 17 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, motivation, self esteem, and confidence, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

This is Elva 'Julia' Garafola's avatar and link to their profile

Elva 'Julia' Garafola

Clinical therapist offering therapy in MO, Loch Lloyd
Counselor License Type(s): LCSW
Stress, AnxietyRelationship issuesGriefDepressionCoping with life changes
12 years of experience

Ms. Garafola received her Bachelor's degree in Psychology from Texas Woman's University and earned her Master's degree in Mental Health and Social Work from the University of Texas at Arlington, as well as her Associate's degree in Nutrition from Tarrant County College. Over the past ten years, she has had the opportunity to work with seniors and their families in a myriad of settings to include end of life issues, chronic illness, grief and loss, life transitions, caregiver issues and aging parents. Ms. Garafola practices client-centered philosophy, utilizing cognitive behavior therapy, mindfulness, and solution-focused therapy. She believes in developing a non-judgmental and trusting therapeutic relationship with each client in order to provide guidance in discovering qualities and strengths, tools, and skills they can use in maneuvering life's challenges. Ms. Garafola's happy place is the beach has relocated from Texas to Florida where she lives with her husband and 15 year old pup Lola. Spending time outside in the sunshine biking and gardening are activities of choice, as well as dining out, shopping, traveling, and family vacations with her adult children. She is active in her church as well as her husband's vacation property business.

How to find a therapist for counseling in Loch Lloyd

Finding the best therapist close by in Loch Lloyd can feel challenging, but know that once you narrow your search for a counselor serving your area, you can find a therapist in your city that is accepting new clients and fits your goals. Whether you're struggling with depression, anxiety, marriage, family issues, or other emotional challenges, feel proud that you have begun your search to find the mental health care services with therapists in Loch Lloyd that work best for you in order to begin your personal journey towards emotional healing with a therapist.

Understanding the type of therapy you'd like to search for is crucial before finding a therapist or psychologist in Loch Lloyd. Perhaps you're interested in narrowing your search for a psychotherapist that can offer psychodynamic, cognitive-behavioral (CBT), talk therapy, provide group therapy, marriage and family therapy for individuals or couples, or couples therapy. Each type of support of this kind with BetterHelp therapists can offer various benefits and address or treat different disorders. If you're still unsure or are new to counseling in Loch Lloyd, feel free to contact the provider via email to find out which methods they practice.

It is also important to understand that mental health professionals in the United States are accredited to provide care, helping individuals and couples, with a variety of licenses for therapists. These include licensed marriage and family therapist (LMFT), licensed clinical social worker (LCSW), and clinical psychologist or doctor of psychology (PsyD). Regardless of their licensure, they are trained able to treat individuals and couples counseling, and sometimes children, in any type of therapy in the Loch Lloyd region and in the state of Missouri. Find a therapist under any of these distinctions and know that the sessions they offer can provide a safe place to heal.

A mental health counselor working through their own in-person therapy practice in Loch Lloyd or online may assist clients in improving healthy relationships, communication skills, working through life transitions, couples counseling, managing a mood disorder, improving coping skills, self help tips, offer life coaching, family therapy, or change in negative thinking patterns. A Loch Lloyd therapist may also provide a safe place and validation for clients experiencing emotional pain, or that simply want a psychological assessment. Verified providers and therapists can provide licensed marriage and couples therapy, tailor to individual needs, and create a therapeutic relationship as a National Certified Counselor.

There are all kinds of therapists working with clients today across the United States and in the greater Loch Lloyd area offering:

  • CBT
  • DBT
  • Substance use therapy
  • Couples therapy

When you're ready to start your search keep in mind what support you'd like your provider to be most experienced with and choose an experienced provider with a practice located near you in the city of Loch Lloyd, elsewhere in Cass, or in the greater state of Missouri. Get matched with one of the therapists working on the BetterHelp platform today.

Frequently asked questions (FAQs) about therapists and mental health services

Some other commonly asked questions on therapy with a licensed counselor and BetterHelp serving the Loch Lloyd area can be found below:

How does the cost of in-person counseling with a therapist compare to the cost of BetterHelp with a licensed Loch Lloyd therapist?

The average price of an in-person therapy session in the US with most therapists is $100 to $200 per hour. These prices may be higher in Loch Lloyd due to a higher cost of living, and a limited number of therapists taking new clients. The price also depends on the type of provider you are looking for. See the following average prices for various mental health providers without insurance:

  • Counseling with a psychiatrist: $150-$500
  • Counseling with therapists: $100-300
  • Therapy with a psychologist: $100

While many psychologists in Loch Lloyd may not take health insurance, some in the state of Missouri may work on a sliding scale, meaning they'll factor in your income and charge what you can afford per session. With a BetterHelp therapist throughout the state of Missouri you can expect significantly more affordable options, with therapists sessions ranging from $65 to $100 per week (billed every four weeks). 

How is a licensed therapist on this Loch Lloyd online therapy platform verified?

Therapists in Loch Lloyd, Missouri working on BetterHelp are licensed, trained, experienced, and accredited as a doctor of psychology (PhD / PsyD), licensed marriage and family therapists (LMFT), licensed clinical social worker (LCSW / LICSW), or licensed professional counselors (LPC). All of these psychology clinicians have a Masters Degree or a Doctorate Degree in their field of psychology sciences, and follow the APA Code of Ethics. Therapists have been qualified and certified by their state's professional board after successfully completing the necessary education, exams, training and practice with a patient, and extensive experience in a healthcare clinic or treatment centers, in order to become a mental health provider. While their lived experience, expertise, careers, and background vary, therapists here all possess at least 3 years and 1,000 hours of hands-on experience with adult and sometimes teen patients, and have the necessary therapist credentials to provide a safe space for long lasting emotional healing in therapy. 

Please note BetterHelp does not offer or provide care from Loch Lloyd psychiatrists to prescribe a drug or medication as treatment, or perform psychological assessments and other psychiatric services.

How does working with a professional counselor in BetterHelp online therapy sessions work?

BetterHelp clinicians and therapists treat clients online across the United States (individuals and couples) through life transitions, inner child exploration, long term depression or anxiety, post traumatic stress disorder, and more. An online mental health professional, including the therapists in Loch Lloyd above, can work with young adults, children, adolescents, and adults virtually as an accredited licensed clinical social worker (LCSW) or licensed marriage and family therapist (LMFT). You do not have to commute to a an office as a psychotherapy client.

Through BetterHelp therapy, you can partake in video, phone, or live chat therapy sessions with your licensed therapist. You can work through various symptoms, use the in app journaling feature, and receive worksheets. You'll also find support groups or group therapy helping individuals on topics including managing life transitions, symptoms affecting sexual health, behavioral health, coping skills for anxiety, depression, trauma, stress, marriage counseling, and more. Get matched today.

What mental health issues can psychotherapy address with the help of psychologists?

BetterHelp's verified therapists specialize and have clinical experience in a wide range of mental health issues and modalities, helping clients to feel better and improve their lives every day. See below for examples.

Our therapists specialties on BetterHelp include:

  • Cognitive behavioral therapy - This is provided by professional counselors, helping clients identify and change negative thought patterns through structured sessions.
  • Behavior therapy - Behavior therapy techniques are used to help clients modify harmful behaviors and develop healthier habits, often through the guidance of a professional counselor.
  • EMDR therapy - EMDR therapists assist clients in processing traumatic memories to alleviate emotional distress and improve overall well-being, utilizing the expertise of a professional counselor.
  • Talk therapy - Clients explore their feelings and develop strategies for dealing with various mental health issues, often guided by a professional counselor.
  • Depression - This counseling is designed to help individuals manage symptoms of depression and improve their mood and functioning, often working closely with a professional counselor.
  • Anxiety disorders - Sessions for anxiety disorders, offer strategies to manage and reduce anxiety symptoms effectively, often through counseling sessions with a professional counselor.
  • Stress - Tools and techniques to help clients cope with stress and improve their mental resilience, frequently under the supervision of a professional counselor.
  • Eating disorders - Professionals experienced in eating disorders offer specialized counseling to address unhealthy eating patterns and body image issues, with the support of a professional counselor.
  • Grief - Support and guidance are offered to clients experiencing grief, helping them navigate the stages of loss, often in collaboration with a counselor.
  • Attachment therapy - Therapists use this to help clients understand and improve their emotional bonds and relationships, often with the assistance of a counselor.
  • Relationships - Therapists work with clients to improve communication, resolve conflicts, and strengthen their connections with others, often using the skills of a counselor.
  • Children, adolescents, and teens - Therapists specializing in youth therapy address the unique mental health needs of children, adolescents, and teens, often involving a counselor in the process.
  • Addiction (substance abuse) - Therapists offer counseling for addiction, helping clients overcome substance abuse and maintain long-term recovery, often under the guidance of a counselor.
  • Divorce - Therapists support individuals through the emotional and practical challenges of ending a marriage, often working with a psychologist to provide comprehensive care.
  • Trauma or PTSD - Therapists specializing in trauma and PTSD help clients process traumatic experiences and reduce their symptoms, frequently collaborating with a psychologist.
  • Bipolar disorder - Therapists provide counseling to manage the mood swings and challenges associated with bipolar disorder, often in consultation with a psychologist.
  • Psychodynamic treatment - Therapists use psychodynamic treatment to explore unconscious processes and how they affect current behavior, often guided by psychologists.
  • Career counseling - Therapists assist clients in making informed decisions about their professional paths and resolving work-related issues, often with the help of psychologists.
  • Alcohol use disorders - Therapists offer specialized counseling to help clients manage and overcome alcohol use disorders, frequently under the supervision of psychologists.
  • OCD - Therapists provide strategies and support to manage obsessive-compulsive disorder symptoms, often via psychotherapy.
  • ADHD - Therapists offer counseling to help clients with ADHD improve focus, organization, and overall functioning, often via psychotherapy.
  • Mood disorders - Therapists work with clients to stabilize and improve mood through various therapeutic approaches, frequently in psychotherapy.
  • Sex addiction
  • Complex trauma
  • Life transitions

You may also be struggling with relationship problems that could be addressed in couples therapy or with a sex therapist. In that case, you may choose to work with one of BetterHelp's experienced cognitive-behavioral therapists or licensed marriage family therapists (LMFT) who work with clients in relationships. You can also try a Loch Lloyd provider through BetterHelp's sister platform, ReGain, which is dedicated to couples and spouses worldwide with licensed therapists. 

How do I know if online counseling is right for my family in Loch Lloyd?

One of the potentially rewarding aspects of working with a Loch Lloyd therapist is the validation and active listening they can provide. Your friends and loved ones may also be available to listen, but you may feel that they may lack the skills to provide objective guidance. Counselors and therapists are trained to respond to various concerns, symptoms, and mental health conditions.

Therapists in your city can support you toward a healthier emotional state, regardless of your mental health, life concerns, or healing needs. While supporting individuals in developing healthier habits, another good benefit of Loch Lloyd therapy is having an understanding, safe space with a non-judgmental party who can support you through challenging experiences.

Many people have sensitive topics that they may feel ashamed to discuss with their friends or partner. A Loch Lloyd therapist can help you confront these concerns and open up through unique methods of support. There are also many types of therapy, such as art therapy, where you may find you can express yourself through creativity instead of words with a psychotherapist.

With a lot of people in MO, therapists may be booked out with clients. Through the list of profiles or therapists above and others within BetterHelp's team, you may be able to find a psychologist within 24 to 48 hours. If you're searching to find a a nearby psychotherapist close to 64012 or the surrounding zip codes, consider others available through the BetterHelp site where you can schedule a session based on your and the therapist's schedule. No matter if you are seeking help from therapists in your area or beyond, online therapy can be a great option.

How should I prepare for my first therapy session with a Loch Lloyd counselor?

Before seeing your Loch Lloyd therapist, prep for your session by reading to understand the process. You might write a list of questions you want to ask your psychotherapist, any emotional pain you may feel, and the ways in which you hope to improve. When you attend your session, you can let our therapists know if you have any concerns or feel unsure about what to talk about. Loch Lloyd therapists here may help guide you with open-ended therapeutic questions while offering mental health services. The first session will often serve as an intake to get to know you as a person and learn why you're attending therapy.

Should I find a therapist or psychologist for therapy if I feel fine? 

Some simply don't feel the need to see a psychologist. However, some people may avoid attending therapy due to stigma or preconceived notions of what it might entail. Although psychologists often support people with mental health conditions, you do not need a diagnosis or specific condition. You can discuss grief, relationship concerns, stress, or life changes and ask for general feedback. A Loch Lloyd licensed clinical social worker may help you gain power over your life and emotions while you navigate day-to-day experiences.

Gaining a new perspective on yourself through various therapies might allow you to improve your self-esteem, work through relationships, and gain a better sense of your mental health goals. The success you may find with a Loch Lloyd counselor can be dependent on your process.

People may also attend therapy for specific motives, such as bullying, an autism diagnosis, a desire to learn mindfulness meditation, personality concerns, trouble with office workers, specific phobias, and many other principles that a counselor can help with.

Is mental health care and therapy with a therapist worth it?

Therapy with a licensed counselor is effective and has the power to change individuals' lives. Each client is at a different stage of their emotional healing journey in life, as each human can be unique in their personality, expression, skills, and goals. A psychologist can target various symptoms, experiences, and personalities to help you feel your best and put you on the path to healing. Unlike advice from a friend, family, or non-professional, a mental health therapist has an understanding of various disorders like ADHD and depression with many hours of experience in treating adults in their practice. For this reason, seeing an evidence based psychologist in Loch Lloyd, Missouri can be worth it. Over 41 million adults in the US attend therapy services each year, showing it's a popular option and is proven to be effective.

Loch Lloyd has many clinicians who practice person or client-centered individual therapy in-person and through online sessions to assist clients in their healing journey. If you opt into online therapy, you might also be able to meet with providers all over the United States and change therapists easily at any time. Many people struggling with anxiety and depression, substance abuse, body image issues, and more find therapists that are a good fit for them, feel supported, and gain further insight into their lives through internet-based therapy.

Do therapists judge you in therapy sessions during telehealth appointments?

The boundaries between you and a therapist are in place to help you and them regarding ethical concerns. Mental health professionals are held by ethical standards through the American Psychological Association (APA) and are not allowed to judge or harm their clients. If you are concerned about sharing details about yourself, feel free to withhold personal information. Their job in the therapeutic relationship is to create a safe place, help you gain a deeper understanding of your mental health, and support you. You might consider changing counselors if you don't feel safe or respected.

Stay up to date with the leading online counseling platform for Loch Lloyd, Missouri

To stay up to date with BetterHelp's initiatives through their social channels, you can follow them on PinterestLinkedInInstagramTwitter, and Facebook. For mental health tips, check out the BetterHelp YouTube channel.

Take some time today to learn more about the team of Loch Lloyd therapists at BetterHelp to understand the services available to you clearly. If you are new to therapy or have any questions about the services and terms, please reach out to customer service through the contact page or send an email to contact@betterhelp.com.

If you’re ready to sign up for online therapy, consider signing up with a platform like BetterHelp and get matched within 24 to 48 hours.

If you are experiencing a crisis or emergency, don't use this site's online services. If you are in life-threatening danger, call 911. If you require support for a crisis, reach out to the hotlines below:

A woman meets with a therapist online in her home city of Loch Lloyd.

Below are some of the zip codes served by BetterHelp therapists in Loch Lloyd:

64012

Find the right therapist for your needs
Match with a qualified therapist