One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): Ph.D. Clinical, Health, Forensic & Neuro; LCPC, LIMHP, LPCC, LPC, NCC, BCTMH, & Nutritionist
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): Ph.D. Clinical, Health, Forensic & Neuro; LCPC, LIMHP, LPCC, LPC, NCC, BCTMH, & Nutritionist
Therapy Specialties: Stress, Anxiety, Relationship issues, Trauma and abuse, Bipolar disorder, Depression
Years of Experience: 30
With over 25 years of extensive mental health experience, I hold a Ph.D. (APA accredited) in Clinical, Health, Forensic, & Neuropsychology. I am also a Certified Nutritionist, a Board-Certified TeleMental Health Provider (BC-TMH); a Board-Certified Licensed Professional Counselor (LPC) in Texas, Illinois, and New Jersey; a Licensed Professional Clinical Counselor (LPCC) in Kentucky; a Licensed Independent Mental Health Practitioner (LIMHP) in Nebraska; a Licensed Clinical Professional Counselor (LCPC) in Montana and Illinois; a Licensed Sex Offender Treatment Prov...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): MA, LMHP, LADC
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): MA, LMHP, LADC
Therapy Specialties: Stress, Anxiety, Addictions, Relationship issues, Depression, Coping with life changes
Years of Experience: 19
My name is Tammie Jensen and I am a Licensed Mental Health Practitioner and a Licensed Alcohol and Drug Counselor practicing in the state of Nebraska. I have worked in the mental health field for nearly twenty years. I have experience working with adults, couples and families from diverse backgrounds and in helping them learn ways to skillfully navigate the ever changing circumstances of life. My focus in working with clients is to assist them in reaching their full potential and to equip them to be able to live the kind of life they most desire. I am str...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): MSW,LMPH,PCDGC
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): MSW,LMPH,PCDGC
Therapy Specialties: Stress, Anxiety, Family conflicts, Grief, Intimacy-related issues, Depression
Years of Experience: 35
My purpose in counseling is to provide encouragement, insight, and guidance to individuals and families so they find resolution and peace. In addition, I am versed in Grief and loss counseling, developing problem solving skills, gender issues and marriage/couples' counseling. I am also versed in Veterans issues, having work with all types of Veterans through the VA for 5 years. I enjoy my work, as you may have noticed, I have been counseling for 31 years. I typically use Cognitive Behavior Therapy, which is an evidenced based therapy for most mental health ...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP,LADC
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP,LADC
Therapy Specialties: Stress, Anxiety, Addictions, Trauma and abuse, Self esteem, Depression
Years of Experience: 20
I am a licensed mental health and substance abuse counselor in Nebraska with 20 years of experience. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, trauma, and substance abuse issues. My counseling style is empathic and client-centered. I believe in treating clients with respect, sensitivity, and compassion. My approach combines cognitive-behavioral, humanistic, and psychodynamic approaches . I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP,LPC
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP,LPC
Therapy Specialties: Stress, Anxiety, Self esteem, Bipolar disorder, Depression, Coping with life changes
Years of Experience: 9
I am a Licensed Independent Mental Health Practitioner and Licensed Professional Counselor, licensed in Nebraska, and have been in practice for over 9 years. I have owned my own private practice for over six years and previous to that I worked for another private practice. Prior to being a therapist I worked in the mental health field as staff in a residential Treatment center for females where I found my love of therapy. I have worked with a variety of individuals dealing with many different issues for example: anxiety, depression, relationships, self est...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP (Nebraska),LMHC (Iowa) ,LADC (Nebraska)
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP (Nebraska),LMHC (Iowa) ,LADC (Nebraska)
Therapy Specialties: Stress, Anxiety, Family conflicts, Parenting issues, Self esteem, Depression
Years of Experience: 3
Hello! I completed my Bachelor of Science degree in Human Services/Management in 2012 from the University of Phoenix. I earned my Master of Science degree in Clinical Counseling in 2016 from Bellevue University in Nebraska. I have worked in a variety of mental and behavioral health venues, including at-risk and detained youth as a support specialist, a mental health crisis responder, outpatient therapist, intensive in-home therapist, and foster care therapist. My recent primary focus has been on behavioral modification, therapeutic skills building with implementat...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): MA,LIMHP,LPC
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): MA,LIMHP,LPC
Therapy Specialties: Stress, Anxiety, Relationship issues, Family conflicts, Trauma and abuse, Depression
Years of Experience: 8
Counseling is about you. Most people have a vision of what they want their lives to contain but don't know how to make the vision a reality. I provide a safe space where you can talk about fears, troubles, insecurities. Using a strengths-based approach, we will identify, set, and achieve goals. Creating a life for you, that is balanced and whole. I enjoy working with individuals, couples, families & children who are impacted by a variety of conditions, who are struggling with life issues. Life balance is the goal and that is done through my work, with anxiety, dep...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP
Therapy Specialties: Stress, Anxiety, Grief, Parenting issues, Self esteem, Depression
Years of Experience: 18
Hello and Welcome to BetterHelp! I am so glad you've taken this step to seek out support for whatever you are going through. My name is Karla Burgess. I am a licensed independent mental health practitioner (LIMHP) in the great state of Nebraska. My 19 years of experience have taken place in either a hospital setting or in my private practice in a rural community. Being the only mental health practitioner in my area has given me experience with a wide range of mental health concerns such as anxiety/depression, behavioral concerns, parenting, relationship issue...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LMHP,NCP,LPC
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LMHP,NCP,LPC
Therapy Specialties: Stress, Anxiety, Family conflicts, Grief, Parenting issues, Depression
Years of Experience: 5
Karrie Barnes holds a master’s degree in counseling from the University of Nebraska – Omaha and a bachelor’s degree in education from the University of Nebraska – Lincoln. She is a provisionally licensed mental health practitioner, and a k-12 certified school counselor. Karrie has extensive experience working with children, young adults and families and is trained facilitator for the Love and Logic Parenting program. She is well-versed in many therapeutic approaches and especially embraces strength-based and positive counseling techniques. With a combined total of...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP,MAC
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP,MAC
Therapy Specialties: Stress, Anxiety, Self esteem, Bipolar disorder, Depression, Coping with life changes
Years of Experience: 15
Welcome and so glad you are here today. I am a dually licensed Mental Health and Addictions therapist in the State of Nebraska. I have decades of experience in the human services field working with people who are sure there is more to life than struggle, heartache, pain, and frustration. My approach to therapy is strength-based, person-centered, and solution-focused. I have a strong background in Acceptance and Commitment therapy but work from a plethora of strategies to help my clients find what works best for them as they move towards their goals. Therapy ...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP ,LADC
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP ,LADC
Therapy Specialties: Stress, Anxiety, Addictions, Trauma and abuse, Anger management, Depression
Years of Experience: 10
Hello! I am an independently licensed mental health practitioner with over 10 years of experience working as a counselor. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, etc. I am certified in EMDR (Eye Movement Desensitization and Reprocessing) which is incredible for trauma. My counseling style is warm and interactive but also no nonsense. I believe in treating everyone with respect, sensitivity and compassion and I don't believe in stigmatizing labels. My app...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP,LADC
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP,LADC
Therapy Specialties: Stress, Anxiety, Grief, Anger management, Self esteem, Depression
Years of Experience: 8
Hello, I have had 14 years experience in the mental health field, 8 years being a licensed therapist and drug and alcohol counselor. I graduated from Doane University, Nebraska in 2015 with a Masters in Counseling. Most of my experience has been with Older Adults, adolescents, Adults, Families, Couples, and Substance Abuse. I utilize treatment approaches of CBT, DBT, Existential, Client-Centered, Reality, Narrative, and Solution-Focused. I focus on the approach that works best with my clients. Building a great rapport with my clients is important to me to hel...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LMHP,CMSW,LCSW
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LMHP,CMSW,LCSW
Therapy Specialties: Stress, Anxiety, Addictions, Grief, Depression
Years of Experience: 3
I am a licensed clinical social worker in Nebraska with 10 years of experience working as a counselor addressing social and emotional needs of my clients. I have worked with clients with a wide range of concerns including end of life, bereavement, depression, anxiety, relationship issues, parenting problems, career challenges, self -love, and drug and alcohol addiction. My therapy style is light and interactive. I believe in treating anyone with respect, sensitivity, and compassion. My approach combines cognitive-behavioral, and rational-emotive therapy. I wil...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LCPC
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LCPC
Therapy Specialties: Stress, Anxiety, Addictions, Self esteem
Years of Experience: 8
Hello, my name is Luke. I am a 36-year-old father and husband that has been a counselor since 2013. I was in the military from 2003-2010 and previously worked at a veterans hospital. Along with my counseling education and experience with various individuals, I have a Master's Degree in Theological Studies. Studying theology helps me incorporate these beliefs into sessions. I have experience in substance abuse disorders, including pornography addiction and eating disorders. I have experience with depression management, anxiety, mindfulness techniques, practical co...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): MS,LMHP
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): MS,LMHP
Therapy Specialties: Stress, Anxiety, Family conflicts, Trauma and abuse, Depression, Coping with life changes
Years of Experience: 10
Hello! I'm Sadie, and I hope I can be helpful in whatever has brought you here today. I am a Licensed Mental Health Practitioner in Nebraska. I have 17 years of experience working in the mental health field in residential, outpatient, in-home, and hospital settings. The largest part of that time has been spent working with children and families dealing with trauma, abuse, relationship conflicts, depression, and anxiety, among other issues. I received my Master of Science in Family and Youth Services/Clinical Counseling in 2012 from Bellevue University in Belle...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): Psy.D.
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): Psy.D.
Therapy Specialties: Stress, Anxiety, Family conflicts, Parenting issues, Anger management, Depression
Years of Experience: 15
Dr. Jill Hackley is a Licensed Psychologist. She is licensed in Iowa, Missouri, Kansas, Minnesota and Nebraska. She is an Iowa Health Services Provider with diverse clinical experiences. She obtained her Doctoral Degree in Clinical Psychology from Forest Institute of Professional Psychology. She obtained a Master’s Degree from Drake University in Community Counseling. She uses a variety of treatment modalities such as Cognitive Behavior Therapy and Solution Focused Therapy. Dr. Hackley’s areas of focus include anxiety, depression, adoption/attachment, foster care...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): Clinical Counseling,MS LIMHP
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): Clinical Counseling,MS LIMHP
Therapy Specialties: Stress, Anxiety, Trauma and abuse, Grief, Depression
Years of Experience: 13
I am a bilingual English and Spanish licensed therapist with over 13 years of experience working with people of all ages from diverse backgrounds. I believe that the therapeutic relationship between client and counselor is a very important part to finding success in therapy. I strive to provide an environment where together we can process your experiences to promote healing. The approach I use is tailored to the individual needs of my clients to provide custom holistic therapy. I look forward to starting this journey with you. I use therapeutic strategies from a...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP,LPC,LADC
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Type Of Therapy License(s): LIMHP,LPC,LADC
Therapy Specialties: Stress, Anxiety, Trauma and abuse, Grief, Self esteem, Depression
Years of Experience: 12
Hello! Thank you for checking out my profile. My name is Nicole Turner Beardslee. I am an LIMHP, LPC and LADC. I am a licensed independent mental health professional, a licensed professional counselor and a licensed alcohol and drug counselor in the States of Nebraska, Texas and South Dakota. I have been told by my clients that talking with me in therapy is like 'talking to your favorite aunt'. What a nice compliment! I am truly blessed to work with many different individuals from many walks of life. I am passionate about helping my clients feel empowered and ...
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Therapy Specialties: Stress, Anxiety, Family conflicts, Trauma and abuse, Depression, Coping with life changes
Years of Experience: 8
I am licensed in Nebraska and Kansas with 8 years of professional work experience. I have experience in helping clients with stress and anxiety, family conflicts, trauma and abuse, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
One Of Many Online Therapists Serving - Snyder, Nebraska (Snyder, NE)
Therapy Specialties: Stress, Anxiety, Trauma and abuse, Grief, Self esteem
Years of Experience: 11
I am licensed in Nebraska with 11 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, & coping with grief and loss. I also have experience working with motivation, self esteem, and confidence. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
Having A Hard Time Selecting A Mental Health Professional In Snyder?
Finding the right therapist can feel intimidating. However, there are a few methods you can try to narrow your search for a counselor in the Snyder area if you find it challenging to find therapists accepting new clients.
First, research what type of therapy you'd like to pursue before finding a therapist or psychologist. You might be interested in psychodynamic, cognitive-behavioral therapy (CBT), group therapy, marriage and family therapy, or couples therapy. Each therapy can offer various benefits. If you're still unsure, consider asking your prospective therapists which methods they practice.
When you're ready to search, search for 'therapist near me in Snyder and scroll through the options. Next, consider your goals for the gender of your therapist, the type of therapy they're most experienced with, and their specialty. Finally, choose a therapist located near you in the city of Snyder or elsewhere in Dodge or the state of Nebraska.
Mental health professionals working through private practice or online may assist clients in improving healthy relationships and communication skills, working through life's obstacles, or changing negative thinking patterns. They may also provide a listening ear and validation. Verified Snyder therapists can provide licensed marriage and compassionate counseling, tailor to individual needs, and create a therapeutic relationship as a National Certified Counselor.
What Is The Cost Difference Between Conventional Therapy And BetterHelp?
Forbes reports that the average price of an in-person therapy session in the US is $100 to $200 per hour. These prices may be higher in Snyder due to a higher cost of living.
Some therapists in the state of Nebraska may work on a sliding scale, meaning they'll factor in your income and charge what you can afford per session. With BetterHelp therapists serving the city of Snyder and elsewhere throughout the state of Nebraska you can expect significantly more affordable options, with sessions ranging from $60 to $90 per week (billed every four weeks).
Did You Know BetterHelp Therapists Are Not Limited To In-Person Visits?
Online therapists, including the US-based therapists above, can work with people like you in or around Snyder to offer creative forms of communication and treatment. You do not have to commute to a therapist's office to meet with one of these counselors.
Through BetterHelp, you can partake in video, phone, or live chat sessions with your licensed therapist. You can work through various symptoms, receive worksheets, and sign up for mental health webinars. Additionally, the BetterHelp app offers a journaling feature.
Suppose you're struggling with relationship problems that could be addressed in couples therapy. In that case, you may choose to work with one of BetterHelp's experienced cognitive-behavioral therapists specializing in behavioral health and relationships. You can also try a provider through BetterHelp's sister platform, ReGain, which is dedicated to couples and spouses worldwide. Look through the available therapists above and consider which might work for you.
San Jose has many professionals who provide client-centered individual counseling in person and through online therapy. If you opt into online therapy, you might also be able to meet with therapists all over the US. Many individuals gain further insight into their lives through internet-based counseling. In Snyder, therapy can be easily accessible and a click away.
How To Know If Therapy Is Right For You?
One of the potentially rewarding aspects of working with a therapist is the validation and active listening they can provide. Your friends and loved ones may also be available to listen, but they may struggle to provide objective guidance as a therapist can. Therapists are also professionals trained to respond to various concerns, symptoms, and mental health conditions.
A therapist may support you toward a healthier emotional state, regardless of your mental health or life concerns. While supporting individuals in developing healthier habits, another benefit of therapy is having a 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 San Jose 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 can express yourself through creativity instead of words.
With almost one million people in Snyder, NE, finding a therapist can be costly, and therapists may be booked out with clients. Through the list of therapists above and others through BetterHelp, you may be able to find a therapist within 24 to 48 hours. If you're searching for a nearby therapist close to 68057 or the surrounding zip codes, consider other available therapists through the BetterHelp therapist page.
Stay Up To Date With The Leading Online Therapy Platform
To stay up to date with BetterHelp's initiatives through their social channels, you can follow them on Pinterest, LinkedIn, Instagram, Twitter, and Facebook. For mental health tips, check out the BetterHelp YouTube channel.
Take some time to learn more about BetterHelp therapists and counselors to understand the services available to you clearly. If you have any questions, please reach out through the contact page or send an email to contact@betterhelp.com.
If you’re ready to sign up for online counseling, consider signing up with a platform like BetterHelp and get matched with a counselor within 24 to 48 hours.
Emergency Situations
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:
· National Domestic Violence Hotline: 1-800-799-SAFE (7233)
· National Suicide Prevention Lifeline: 1-800-273-TALK (8255)
· Crisis Text Line: Text HOME to 741741
· Veterans Crisis Line: Call 1-800-273-8255 (and press 1) or text 838255. For support for the deaf and hard of hearing community, please use your preferred relay service or dial 711 then 1-800-273-8255.
· Trevor Lifeline (LGBTQ Lifeline): (866)488-7386
· SAMHSA National Helpline (Substance Use): (800)662-4357
· National Eating Disorder Association Helpline:1-800-931-2237 (M-Th: 9 AM-9 PM EST, Fri 9 AM - 5 PM EST)
· Child Help Hotline: Call 1-800-422-4453 or use the online chat feature
· National Anti-Hazing Hotline: 1-888-NOT-HAZE (1-888-668-4293)
· Physician Crisis Support Line: Call 1-888-409-0141 if you are a first responder or medical provider experiencing crises related to Covid-19
· Sexual Assault Hotline: Call RAINN at 1-800-656-4673
Zip Codes Served By BetterHelp Therapists
Below are some of the zip codes served by BetterHelp therapists in Snyder:
68057, 68664
Frequently Asked Questions (FAQs)
Some other commonly asked questions on therapy and BetterHelp can be found below:
How Do I See A Therapist For The First Time?
Before seeing your therapist, prep for your session by reading about the counseling process. You might write a list of questions you want to ask your therapist. When you attend your session, let them know if you have any concerns about therapy or feel unsure about what to talk about. They may help guide you with open-ended therapeutic questions. The first session will often serve as an intake to get to know you as a person and why you're attending therapy.
Should I Attend Therapy If I Feel Fine?
If you don't feel the need to see a therapist, you don't have to. However, some people may avoid attending counseling due to preconceived notions of what therapy entails. Although therapists often support people with mental health conditions, you do not need a diagnosis or condition to attend therapy. You can discuss grief, relationship concerns, stress, or life changes and ask for general advice. A therapist 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 through therapy 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.
Is Crying In Therapy A Breakthrough?
Crying can be a breakthrough for some individuals who struggle to express emotions. Others might find that they often cry during sessions. Crying can be normal and healthy, so whether you cry or not may be a personal aspect of sessions.
Are Therapists Worth It?
We may all be on different paths in life, as each human can be unique in their personality, expression, and goals. A therapist can target various symptoms, experiences, and personalities. Unlike advice from a friend, family member, or non-professional, therapists are trained to meet you where you're at. Therapy can be worth it. Over 41 million adults in the US attend therapy each year, showing it's a popular option and may be often effective.
Do Therapists Judge You?
The boundaries between you and a therapist are in place to protect you and them from ethical concerns. Therapists are held by ethical standards through the American Psychological Association (APA) and are not allowed to judge or harm their clients. Their job is to support you and make you feel safe and respected. You might consider changing therapists if you don't feel safe or respected.
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For Additional Help & Support With Your Concerns
Speak with a Licensed Therapist