Bridgjette Evans
My name is Bridgjette Evans, and I am a Licensed Professional Counselor. I have experience counseling adolescents and adults in a school and in a clinical environment. I also specialize in helping people in their desire to close the gap between their present state of being while at the same time instilling positive and productive visions of where they want to be in the future with supportive individualized therapy sessions. When it comes to professional counseling, I envision and equate it to a professional coach but instead of coaching athletics, I coach professional life skills to clients. Helping them to cope with life stressors and providing tactics to navigate through the social constructs of society. Moreover, like a sports coach who help athletes train their bodies for strength and conditioning for peak performance, as a professional counselor, I visualize myself training individual’s minds for mental excellence and balance. My theoretical orientation is a person-centered approach. However, I combine cognitive-behavioral therapy, dialectical behavioral therapy, acceptance commitment therapy when needed. I use an integrated approach when creating a treatment plan to address each person as a whole. Furthermore, I keep in mind the needs of my client’s safeguards, symptoms, and personality, as well as, provide an empathetic, safe, trustworthy environment, which allows us collaboratively to identify and conquer concerns. Lastly, I believe that being a therapist is an incredibly rewarding career. Interacting positively and proactively with people helps in the healing process and problem solving. For me, it is deeply satisfying, and time well spent helping people to lead more productive, functional, and happier lives. I am the author of Pleasant Place of Peace: Journal/ Workbook for Anxiety.
Stacy Reynolds
“When life gives you lemons, make lemonade” is a metaphor used to encourage optimism and a positive can-do attitude in the face of adversity. Lemons represent adversity or difficulty in life and making lemonade is turning those difficulties into something sweet or positive. It is estimated that 1 in 4 people will experience a mental health disorder at one point in their lives. Consequently, nearly two-thirds of those people living with a mental disorder never seek help from a health professional. Reaching out for help, demonstrates strength and courage and a willingness to persevere! Stacy Reynolds strives to bring an integrated approach, within her experience, expertise, clarity, goal - setting, and has the knowledge and tools necessary to effectively navigate difficult life issues. She possesses a genuine concern for the client and their pain. Stacy earned a Master of Arts Degree in Rehabilitation Counseling and a Bachelor of Arts in Criminal Justice with an emphasis on Sociology and Psychology from Michigan State University. She is a Licensed Professional Counselor (LPC) in The State of Texas and is a Certified Rehabilitation Counselor (CRC). Stacy has over 3 years counseling experience with diverse populations with varying mental health and physical disabilities in a variety of settings. She has provided evidenced based counseling practices and skills group trainings in a residential treatment facility, private rehabilitation, a program serving clients with varying mental health disorders and physical disabilities and a program that provides educational, employment and independent living services. Stacy brings a wholistic approach with use of Cognitive Behavioral Therapy, Solution Focused Therapy, Reality Therapy, Person Centered Therapy, and Mindfulness Training Therapy. Specialty areas include post-traumatic stress disorder, depression, anxiety, mood disorders, bipolar disorder, borderline personality disorder, self-esteem, schizophrenia and psychosis. Stacy also has significant experience working with adults who have experienced varying degrees of trauma, various types of physical and/or sexual abuse, abandonment and/or neglect, dysfunctional family systems, as well as issues related to mental health and physical disabilities. Help me, help you to effectively deal with stress, anxiety, depression, self-esteem, anger, post-traumatic stress disorder, schizophrenia, psychosis, trauma or other interrelated disorders or phobias.
Sandra Brackenridge
I was a professor of social work for 23 years, and I continue to supervise social workers toward their clinical licensure. I have guided at least 40 social workers in 3 states in this way, and so I am sometimes considered the "therapist's therapist." During my activities in teaching and supervision, I continued to provide therapy to clients with various concerns, so that I continually learned and became current in many approaches and techniques. I have taught, published, and presented at conferences a great deal in the areas of grief and bereavement as well as mental health in the health care field, especially that of veterinary professionals. I have also participated in and published about the impact and mental health concerns during and after natural disasters, including the current pandemic and several hurricanes. As a therapist, I am interested in the mental health of healthcare professionals of all stripes, as well as their significant others. I have worked in these environments, and I understand the stressors which lead to burnout, compassion fatigue, and breakdown in relationships. So if you are looking for a mature therapist who can empathically respond to your unique situation, I would love to meet you.
Stephanie Ritcherson
I am a Licensed Professional Counselor in Texas with over 20 years of experience working with individuals, groups, and families. I have worked with clients who were survivors of intimate partner violence and sexual assault, including survivors of human trafficking, as well as individuals who have varied concerns regarding depression, anxiety, relationship issues, intimacy issues, family concerns, sexual difficulties, work and life balance struggles, career challenges, and parenting issues. I have also had many years of experience helping those who have experienced physical trauma or emotional abuse. My counseling style is relaxed and professional. I am warm and inviting with a focus on building rapport to encourage a therapeutic and working relationship. Treating the client with dignity and respect is a priority. I have an appreciation for individual uniqueness and encourage all clients to bring their personal life experience and knowledge into sessions. I have traveled and have worked with clients from varying cultures and acknowledge the beauty of cultures and ethnic backgrounds. My approach combines cognitive-behavioral, humanistic, psychodynamic and trauma-focused counseling. I will tailor our dialog and treatment plan to meet your unique and specific needs. Choosing to take an active role in making changes in your life is admirable and takes courage. I welcome you to your new beginning and will support you as you take the first and most important steps in having the life you deserve. I look forward to working with you!
Jessica Andrews
Hello! I am a Licensed Clinical Social Worker (LCSW) working in Texas, New Mexico and Arizona with over 15 years of professional experience. I have worked with clients with a wide range of concerns including anger management, emotional regulation, anxiety, workplace stressors, blended families, relationship issues, parenting problems, career challenges, communication improvement, body image and self esteem work, just to name a few. I also helped many people who have experienced physical trauma or emotional abuse. My counseling style is warm and interactive. I believe in treating all with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach combines cognitive-behavioral, strengths focused and rational-emotive counseling. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek for a more fulfilling and happier life and to take the first steps towards a change. If you are ready to take that step I am here to support and empower you. I look forward to working with you! Please note that at this time I’m only available for live chat sessions and not phone or video.
Andrea Deases
Hi there! I am so happy you came across my BetterHelp site and are taking steps to take care of your mental health. I am very passionate about providing mental health services and breaking the stigma around taking care of mental health needs. I think it is vital in the therapeutic process to feel comfortable with your therapist and I wanted to share about myself so you can see if I might be a good fit for you. My name is Andrea Kay and I have my Master of Arts in Clinical Mental Health Counseling from the University of Texas at Tyler. I have been a counselor in Texas since 2016 and have worked in a variety of settings and with many different populations. I've counseled in crisis centers working with people in their lowest battles of depression, bipolar disorder or schizophrenia. I've counseled kids, teens and families at a community counseling center to work on improving communication, setting healthy boundaries and creating healthy home environments. I've counseled adults through a range of life experiences from general anxiety, transitions, loss, depression and low self-esteem and I also enjoy working with anyone looking to focus on general self growth regardless of having a specific area of concern. My approach is to listen and understand your experiences and collaborate with you to set goals and work toward a more desirable situation. There are a lot of things that we can not control in our lives which is important to acknowledge, and there are also things we can control like our approach, outlook and perspective on our situations. Using an eclectic approach combining cognitive behavioral therapy, solution focused therapy, narrative therapy and person centered techniques we will work together toward your goals and overall improvement in your mental health. I hope to have the pleasure of meeting you and be well!
Aletha Nelson
Hello! My name is Aletha A. Nelson. I am a licensed professional counselor in Louisiana. I have been a licensed counselor for 7 years. I have worked with a range of individuals struggling with anxiety, depression, anger, stress related issues, self-esteem, and life transitions- just to name a few! I received a Master of Science in Rehab Counseling from University of North Texas. Therapy is an inviting place where every single part of you is welcome, even the parts that are uncomfortable to share. As a therapist, I am honored that you chose this process as your vehicle to healing. Therapy will be difficult sometimes and at others the most enjoyable part of your week. As your therapist. I welcome these opposing states and embrace them. I believe that therapy is a collaborative process between the therapist, individuals, families, groups, and organizations. I can help you identify goals and potential solutions to difficulties which cause emotional turmoil; seek to improve communication and coping skills; strengthen self-esteem; promote behavior change and have optimal mental health. I will tailor your treatment plan based on your needs and goals and move at a pace that is best suited for you. My approach is client-centered, always, with other modalities I use depending on the presenting issues, such as, cognitive behavioral, solution focused and psychodynamic.
Jacqueline Forde
My Name is Jacqueline Forde I am an LPC- LCDC in the State of Texas. Mental strength is not the ability to stay out of darkness, it is the ability to sit present in the darkness knowing the light will shine again. If you are seeking help often times, it can be an overwhelming and a humbling experience. Finding a therapist that you feel comfortable and at ease can be a challenging, but once it is a good match, you will be able to overcome obstacles. Remember you are the expert in your own life. I provide no pressure, safe setting so that you can be yourself without judgement. We would work together customize your therapy experience to gain the value you are seeking. Some people want to work on a specific issue that is blocking their way, while others want to look deeper into their life. My approach is holistic; helping you heal I use a combination of approaches including Cognitive behavioral psychodynamic inner child and humanistic modalities to help you see how the past is impacting some of your difficulties today. By facilitating a process of becoming aware, I will help you relinquish unconsciousness beliefs that are holding you back and identify what you need to make a change. Our wounds are often openings to the best and most beautiful part of ourselves.
Dr. Tamera Chauvin
I am licensed in Texas with 18 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & coping with grief and loss. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
Shirin Rahimi
I am licensed in Texas with 3 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. 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.
How to find a therapist for counseling in Gordon
Finding the best therapist close by in Gordon 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 in Gordon 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 Gordon. Perhaps you're interested in narrowing your search for a psychotherapist that can offer psychodynamic, cognitive-behavioral therapy (CBT), talk therapy, provide group therapy, marriage and family therapy for individuals or couples, or couples therapy. Each type of therapy can offer various benefits and address or treat different disorders. If you're still unsure or are new to counseling in Gordon, 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. 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 to treat individuals and couples counseling, and sometimes children, in any type of therapy in the Gordon region and in the state of Texas. 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 Gordon 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 therapist may also provide a safe place and validation for clients experiencing emotional pain, or that simply want a psychological assessment. Verified providers 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 Gordon area in different types of therapy, including:
- CBT
- DBT
- Substance use therapy
- Couples therapy
When you're ready to start your search and find Gordon therapists, have in mind what type of therapy 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 Gordon, elsewhere in Palo Pinto, or in the greater state of Texas.
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 Gordon 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 Gordon therapist?
The average price of an in-person therapy session in the US is $100 to $200 per hour. These prices may be higher in Gordon due to a higher cost of living. 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 Gordon may not take health insurance, some in the state of Texas 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 Texas you can expect significantly more affordable options, with sessions ranging from $65 to $100 per week (billed every four weeks). If you're looking for a therapist, Cincinnati offers a variety of professionals who can help with your mental health needs at a price you can afford.
How is a licensed therapist on this Gordon online therapy platform verified?
Therapists in Gordon, Texas 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. They 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, they 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 Gordon 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 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 therapist, including the therapists in Gordon 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 lead by a therapist in Gordon 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.
What mental health issues can psychotherapy address with the help of psychologists?
BetterHelp's verified Gordon 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.
Specialties on BetterHelp include:
- Cognitive behavioral therapy - This type of therapy is provided by therapists who are professional counselors, helping clients identify and change negative thought patterns through structured sessions.
- Behavior therapy - Therapists use behavior therapy techniques 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 - Therapists engage clients in talk therapy to explore their feelings and develop strategies for dealing with various mental health issues, often guided by a professional counselor.
- Depression - Therapists offer counseling to help individuals manage symptoms of depression and improve their mood and functioning, often working closely with a professional counselor.
- Anxiety disorders - Therapists specialize in anxiety disorders, offering strategies to manage and reduce anxiety symptoms effectively, often through counseling sessions with a professional counselor.
- Stress - Therapists provide tools and techniques to help clients cope with stress and improve their mental resilience, frequently under the supervision of a professional counselor.
- Eating disorders - Therapists experienced in eating disorders offer specialized counseling to address unhealthy eating patterns and body image issues, with the support of a professional counselor.
- Grief - Therapists provide support and guidance to clients experiencing grief, helping them navigate the stages of loss, often in collaboration with a counselor.
- Attachment therapy - Therapists use attachment therapy 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 Gordon therapy provider through BetterHelp's sister platform, ReGain, which is dedicated to couples and spouses worldwide.
How do I know if online counseling is right for my family in Gordon?
One of the potentially rewarding aspects of working with a Gordon 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 are trained to respond to various concerns, symptoms, and mental health conditions.
Gordon 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 Gordon 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 Gordon 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 TX, therapists may be booked out with clients. Through the list of profiles 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 76453 or the surrounding zip codes, consider others available through the BetterHelp site. 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 Gordon counselor?
Before seeing your Gordon therapist, prep for your session by reading to understand the therapy 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, 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 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 in Gordon.
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 therapy entails. Although psychologists 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 feedback and advice from a therapist. A Gordon 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 through therapy with a Gordon 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 Gordon, Texas 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.
Gordon has many clinicians who practice person or client-centered individual therapy in-person and through online therapy 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 Gordon, Texas
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 today to learn more about the team of 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:
- 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 for young adults, adolescents, and adults: 1-888-NOT-HAZE (1-888-668-4293)
- Physician Crisis Support Line: Contact 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
Below are some of the zip codes served by BetterHelp therapists in Gordon:
76453