Timothy Welch
Hello! It can be a scary process to start therapy and I will do my best to respect who you are and what goals you are seeking. I believe therapy should be a two way street where you and I work together to decide what is best for you. Your current emotional struggle does not have to define your future. Working together, my hope is to help empower, encourage and educate you in finding resolution to this struggle. I’ve been a clinical counselor for 20 years and currently work in a private practice. I wrote a book "2bits" which can be found in the online bookstores. I specialize in alcohol and drug issues along with depression, anxiety, grief, trauma, bipolar, work issues, spirituality struggles, family & relationship issues, marriage and divorce struggles, ADHD management for adults and adolescents, teen issues, life transitions, self esteem, anger and stress management. I have extensive experience helping those who are struggling with alcohol or drugs recover, along with helping those heal who have experienced trauma or loss. I have my own Telehealth practice and can accept insurance for sessions through that practice if you live in Ohio or Florida. Please let me know if you would like to utilize your insurance. My aim is to learn from each person’s story and keep an open mind so I can see what is needed to help. I will not presume to know or judge you because of what you’ve been through. I am nationally certified as a Master Addiction Counselor and National Certified Counselor through the National Board Of Certified Counselors and am a Licensed Professional Independent Counselor in Ohio. I received my bachelors degree In Psychology from John Carroll University in Ohio and my Masters Degree in Counseling and Human Development at Walsh University in Ohio. My experience includes: private practice, community mental health, crisis intervention and hospitalizations, alcohol and drug recovery rehab, EAP, DOT, domestic violence groups, anger management groups, alcohol/drug recovery groups, group home for troubled youth, case management, shelter for runaway street kids in New York, Harlem and California, hospice floor for AIDS patient, and terminally ill floor for kids. My goal is to utilize my education and experience to empower and help you navigate anything you feel is holding you back in life. I believe people have the ability to get through adversity, can change and that one approach does not fit all. I have my own Telehealth practice and can accept insurance for sessions through that practice if you live in Ohio or Florida. Please let me know if you would like to utilize your insurance. I look forward to working with you!
Anna Lehew
I realize it feels risky to come to counseling, however, my approach is nonjudgmental and collaborative, working with the you to identify the root cause of problems so we can identify solutions for moving forward! I view my clients as courageous for taking this first step toward change! I have a master of Social Work from the University of Pittsburgh (2014) and am a Licensed Independent Clinical Social Worker in West Virginia and Ohio. I specialize in working with youth and adults who are experiencing mental health symptoms, PTSD, addiction, and/ or behavioral issues. I also work with couples and families to help them make changes that allow them to effectively communicate, work through conflicts in a skilled way and be able to be genuinely affectionate with each other. I work collaboratively with my clients to identify, evaluate, and if necessary, modify problematic patterns of thinking and acquire behavioral skills to manage emotional distress. I provide appropriate diagnostic assessment and evidence based interventions. I am trained in Trauma Focused-Cognitive Behavioral Therapy, Adolescent-Community Reinforcement Approach, Functional Family Therapy and EMDR.
David Affolter
Hello! I’m David Affolter, I have been helping people most of my adult life. It just seems that has been a major motivation for me. After college and service in the Air Force, I really was confronted with the reality that I needed to choose a direction in life. I made a decision that it had to be something that would bring me lasting satisfaction. I would feel good about myself. I became a high school teacher and coach, and I loved doing that for almost twenty years. I experienced the joy of seeing young people do things they thought they couldn’t ever do. In my teaching, I always seemed to be drawn to the students who seemed like they were struggling to find their way. Students came to me for someone to listen to them and help them find their way. I have the joy today of keeping in touch via social media, and I watching as they grow their own families and follow their own path. After those teaching years and my own daughters moved on to college and adult life, I felt the urge to keep helping people, but I felt moved to go into counseling. With the support of my wife, I completed a graduate/professional degree in Community Counseling at The University of Akron in 1994 and became a Licensed Professional Clinical Counselor in Ohio and am also a Licensed Mental Health Counselor in Florida. It really was a smooth transition, and I have learned that a significant part of counseling is giving people new information and perspectives and helping them decide where they want to go and how to get there. I have continued now for over twenty years in helping people deal with a variety of problems in their lives, and the large majority are able to feel good about themselves and able to move in the direction they choose. I have learned how life has wounded people and how to help them heal from those wounds. I have seen people who thought their lives were over but have learned in therapy how to build new ways of being and living that lead them to new destinations—destinations that many never thought they would arrive at in the beginning. I know when I reflect on my own journey over the past fifty years or so, I am amazed at the variety of things life has brought my way, and the lessons I have learned along the way. It is a very humbling experience watching people gain the courage to change and move forward in ways they never believed they could. If this kind of experience is something that you believe would be helpful to you, then you are in the right place. I can join you on your journey and help you find your way to your new destination—a new way of looking at yourself, a new career path, finding new friends, or finding a new spirituality to give new meaning and purpose to your life. I look forward to assisting you on your journey to your new destination!
Isabel Sanchez Cummings
Hello, I am a Licensed Independent Social Worker with Supervisory Designation (LISW-S). I have over 10 yrs of direct mental health experience. I am grounded in a commitment to social justice, personal well-being, and the development of the whole person. I focus on depression, anxiety, stress, life changes and parenting (especially for those who care for individuals w/special needs). Typical areas of concern are emotional well-being, managing stress, relationship or family issues, identifying/exploring patterns and making desired changes. I work with clients through the process of becoming healthy individuals, offering them a place to receive both nurture and compassionate challenge. My goals are to assist individuals in the areas of 1) Self-Empowerment and Acceptance, 2) Decision-making, 3) Developing and implementing coping skills, 4) Identifying and using internal and external resources and 5) Improved positive well-being. I work with individuals (straight or LGBTQIA). I am highly competent in a variety of cultures, religions, and social and interpersonal issues. My practice core values are: 1) Autonomy - Self-determination; behavior an individual stands behind and, if reflective, would endorse and value. Autonomy is the process of doing something by one’s own decision or initiative. 2) Competence - Providing high quality, professional counseling services provided by a qualified LISW-S. 3) Effectiveness - A commitment to on-going education. It is knowing, understanding and implementing the best treatment practices available, practicing within my areas of expertise, and referring clients to other resources whenever it is in their best interest. 4) Integrity - Upholding a professional ethic regarding respect, privacy and confidentiality. 5) Respect & Diversity - Recognizing all aspects of our humanity and honor that all of these aspects remain salient to every life. This includes age, physical abilities and cognitive talents, socioeconomic status, political viewpoints, religious/spiritual and/or philosophical beliefs, sexuality, gender, racial/ethnic identities, and other unique characteristics. I offer a safe and non-judgmental place, and I would be happy to work with you.
Kate Conochan
I am an Independently licensed Social Worker licensed in the state of Ohio. I have been in the field for over 15 years having worked with a number of populations. I have provided therapy for both youth and adults with a wide range of presenting concerns. I have experience working with children in the foster care system as well as children involved in the juvenile justice system. Most of my experience providing therapy has been with adults struggling with addiction, trauma, life changes, depression, anxiety, and psychotic disorders. I take a client centered approach to therapy and believe that each individual should determine what their goals are! I will work along side you and assist you in achieving your goals on your timeline. I feel strongly about developing a therapeutic alliance which allows for an open, honest working relationship. I know it can be difficult to start this journey but I look forward to working with you and making these first couple steps seamless and helpful!
Sarah Hershey
I am licensed in Ohio with 17 years of professional work experience. I have experience in helping clients with stress and anxiety, depression, trauma and abuse, coping with grief and loss, and parenting issues. I work with my clients to create an open and safe environment where thoughts and feelings can be shared, as new avenues for hope and healing take root. Taking the first step to sign up for therapy takes courage and I am so glad you have taken this step. Hope and healing can become a beautiful chapter in your life story, and I am here to walk alongside you in this process.
Denetta Harris
I am an African American Social Worker who has been licensed in the state of Ohio, and has 12 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, and coping with grief and loss. I believe in treating everyone with respect, sensitivity, and compassion. I am willing to work together as a team to help with your clinical issues. Considering mental health counseling is a major step and I'm honored to assist you with your issues.
Dianna Zuniga
Hello, my name is Dianna Zuniga and I am a Licensed Clinical Social Worker (LCSW) in the state of California. I have 20 years of experience providing individual, group, couples counseling and family counseling. I have worked within a multitude of settings such as mental health clinics, substance abuse clinic, as well as working in public and private school settings. I have experience in evidenced based practice therapies, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), solution focused therapy, and trauma focused therapy. I would describe my therapeutic approach as warm and empathic. I meet my clients where they are while providing therapy and support that empowers my clients. I strive to provide a safe, respectful, and nonjudgemental environment. My goal is to assist my clients in building practice and use of skills that can help when dealing with life challenges, as well as becoming the best versions of themselves. Together we will collaborative to discover strategies and solutions that work best for you. You took the first step by beginning the exploration for better well-being. I look forward to working with you to help you heal, obtain insight for personal growth, and become the best version of yourself.
Sean Stumbo
I am a licensed counselor in Alabama and Ohio. I have 3 years of post-licensure experience and more than a decade of total experience working in various mental health related positions. I have provided individual and group counseling in both inpatient and outpatient settings. I am currently a part-time instructor as well as pursuing my Ph.D. in Counselor Education and Supervision at the University of Alabama. My treatment approach integrates humanistic and cognitive-behavioral therapies. I believe in treating each client with respect, sensitivity, and compassion. I tailor a treatment plan to meet the unique needs of each individual. I have experience helping clients with stress, adjustments/transitions/stage of life issues, anxiety, depression, addictions, motivation, self-esteem and confidence issues. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started! If you are struggling and in need of support, I would be honored to work with you. Please reach out to discuss how I may be able to help. I look forward to joining you on the path to healing and positive transformation!
Dr. James Helmuth
I am licensed in Ohio with 40 years of professional work experience. 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.
How to find a therapist for counseling in West Alexandria
Finding the best therapist close by in West Alexandria 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 West Alexandria 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 West Alexandria. 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 West Alexandria, 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 West Alexandria region and in the state of Ohio. 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 West Alexandria 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 West Alexandria 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 West Alexandria 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 West Alexandria, elsewhere in Preble, or in the greater state of Ohio. 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 West Alexandria 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 West Alexandria 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 West Alexandria 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 West Alexandria may not take health insurance, some in the state of Ohio 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 Ohio 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 West Alexandria online therapy platform verified?
Therapists in West Alexandria, Ohio 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 West Alexandria 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 West Alexandria 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 West Alexandria 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 West Alexandria?
One of the potentially rewarding aspects of working with a West Alexandria 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 West Alexandria 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 West Alexandria 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 OH, 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 45381 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 West Alexandria counselor?
Before seeing your West Alexandria 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. West Alexandria 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 West Alexandria 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 West Alexandria 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 West Alexandria, Ohio 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.
West Alexandria 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 West Alexandria, Ohio
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 West Alexandria 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 West Alexandria:
45381