This is Farah Westbrook's avatar and link to their profile

Farah Westbrook

Clinical therapist offering therapy in WA, Long Beach
Counselor License Type(s): LMHC,LPC,LCPC
Stress, AnxietyLGBTTrauma and abuseSelf esteemDepression
14 years of experience

Thank you for taking the time out to view my profile. Finding the right therapist to meet your individual needs is a very important step and I am hopeful that I will be able to assist you. I find great passion in assisting my clients in meeting and surpassing their full potential. After I obtained my Bachelors degree in Psychology, I continued my education and received a Masters degree in Clinical Mental Health Counseling. I am licensed in multiple states, a National Certified Counselor, a Certified Clinical Supervisor, and a Certified Clinical Telemental Health Provider. I have experience with working with individuals of all ages, ethnicities, races, religions, sexual orientations, and genders. Although I use multiple counseling techniques (Narrative Therapy, Person-Centered, Solution Focused, etc) in order to meet my client's individual needs, my work with clients is primarily from a Cognitive Behavioral Therapy and Psychodynamic Psychotherapy perspective. I believe that the connections between rationality and emotion as well as mind and body are essential in accomplishing behavioral change through logical thinking. Becoming more aware of damaging automatic thoughts and acquiring the ability to revise cognitions impacts one’s behaviors and ultimately may lead to positive change. In addition, I hold a great appreciation for the unconscious and the power it has over one’s thoughts, feelings, and behaviors. The intimate process of making the unconscious conscious is a fundamental step toward growth, development, and change. Being able to recognize how unresolved conflicts from the past influence the present and manifests in unhealthy cyclical patterns gives one the power and confidence to take control.​​ It is my belief that therapy is an intense, engaging, rewarding, and collaborative process. One of the main purposes of therapy is for one to gain a deeper understanding of self by exploring personal experiences, perspectives, and expectations. Regardless of the presenting issue, I provide my clients with a high level of respect, honesty, and genuineness. After successful completion of therapy, it is my hope that my clients will be able to incorporate what will be presented throughout therapy sessions into multiple life circumstances.

Get started View profile
This is Dallas Norman's avatar and link to their profile

Dallas Norman

Clinical therapist offering therapy in WA, Long Beach
Counselor License Type(s): MS,LPC
Stress, AnxietyRelationship issuesTrauma and abuseSelf esteemDepression
11 years of experience

Experienced Solution Focused based healthcare professional. Thirteen years experience working independently as part of multidisciplinary teams with clients of varying multi-cultural and socio-economic backgrounds. Has worked with adults, couples, families, children and adolescents. Proven work ethic, constructive clinical judgment and has responded appropriately to high stress crisis situations. Demonstrated experience in many environments including inpatient clinical, outpatient clinical telehealth and government installations. Clinical duties have included outreach based counseling, diagnostic care as well as long term therapy. Education includes a Masters of Science in Applied Psychology from Eastern Washington University, a nationally accredited program. Client feedback indicates that my therapeutic strength is adapting skills and techniques to a person's unique circumstance, identifying realistic and tangible action steps and providing a client with an easy to understand approach to personal growth.

Get started View profile
This is Jeannette Horton's avatar and link to their profile

Jeannette Horton

Clinical therapist offering therapy in WA, Long Beach
Stress, AnxietyTrauma and abuseGriefSelf esteemDepression
14 years of experience

My name is Jeannette Horton, although most people call me Jean. I have worked in the mental health field in various capacities since 2008 including outpatient chemical dependency treatment, community mental health agencies and long-term care communities. I work with adults and specialize in depression, anxiety, trauma, substance abuse, older adult issues, self-esteem, anger, grief and loss, women’s issues and more. I am also a veteran with experience being deployed overseas and specialize in veteran’s issues as well. Seeing a therapist can be scary. To benefit from therapy, it's critical that you feel safe. In fact, you deserve to be safe. So, while I very much want to help you with whatever challenges you have, please know that helping you feel safe in our relationship will be the first step. And throughout our time together, it will be one of my main priorities. What I’m most known for is my ability to have comfortable, candid, down to earth conversations about really tough stuff along with a sense of humor. Trust is key in the therapeutic relationship and to me, trust is best developed when both people feel safe to really say what’s on their mind and heart. That is how I will speak to you, and I will do everything I can to help you feel like you can speak that way to me. Clients have often told me that working with me is “like working with a real person.” I welcome the opportunity to become a safe, real person in your life whom you can trust.

Get started View profile
This is Akira Taylor's avatar and link to their profile

Akira Taylor

Clinical therapist offering therapy in WA, Long Beach
AddictionsTrauma and abuseSelf esteemCoping with life changesCoaching
20 years of experience

I firmly believe that connecting with clients on a deep level and truly understanding their perspective is the cornerstone of effective support. My passion lies in illuminating the path for others along their personal journey, empowering them to heal and thrive. My professional background encompasses a diverse range of settings, including addiction treatment centers, in-patient psychiatric care, medical social work, crisis intervention, hospice care, and business, personal, and life coaching. Recognizing the pervasive role of trauma in many of these challenges, I have completed specialized training. This includes a comprehensive year-long course in Compassionate Inquiry led by Dr. Gabor Maté and an Internal Family Systems Course by Dr. Richard Schwartz. I am also a Certified Associate Coach in the International Coaching Federation. My approach is centered around assisting clients in shedding their old narratives and reframing what may initially appear as hardships into newfound sources of strength. This reflects my commitment to a client-centric and holistic approach to fostering personal growth and healing.

Get started View profile
This is Terri Caicedo's avatar and link to their profile

Terri Caicedo

Clinical therapist offering therapy in WA, Long Beach
Stress, AnxietyAddictionsGriefSelf esteemCoping with life changes
20 years of experience

I am a licensed clinical social worker in Washington with 20 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, coping with grief and loss, & 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!

Get started View profile
This is Bree May's avatar and link to their profile

Bree May

Clinical therapist offering therapy in WA, Long Beach
Stress, AnxietyFamily conflictsAnger managementSelf esteemCoping with life changes
20 years of experience

I am a licensed therapist in Washington with 20 years of experience in the helping field. I have experience in helping clients with any of their life goals. I utilize a variety of client-centered, interpersonal, out-come focused approaches. I view each of my clients through their unique personalities, experiences and relationships. And I can work with you on a solution focused, behavioral level or where my greatest strengths and passions lie, from a spiritual focused, expansive perspective. I create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I would love to you help you find lasting happiness and fulfillment. Whether you are seeking support to work through a specific problem or area of focus or you are seeking to explore deeper areas of yourself to create a more enjoyable life, I may be the ally you've been looking for. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

Get started View profile
This is Rochelle DiConti's avatar and link to their profile

Rochelle DiConti

Clinical therapist offering therapy in WA, Long Beach
Stress, AnxietyAddictionsRelationship issuesFamily conflictsTrauma and abuse
10 years of experience

My name is Rochelle DiConti and I am a Licensed Mental Health Counselor and Substance Use Disorder Professional, with 10 years of clinical experience. I graduated from Eastern Washington University with my Master of Science in Clinical Psychology. I am a Christian counselor and I specialize in work with codependency, problematic relationships, assertiveness training, and addiction treatment with help from 12 Step principles. I primarily use DBT and CBT therapies, but also utilize several other therapeutic approaches. I rely heavily on faith based and 12 Step principles. I have a wide variety of experience in treating trauma, psychosis, depression, anxiety, autism, and have an extensive history in working with military families. I have a very direct communication style and do not believe in beating around the bush, but I have worked hard to present this in a soft and warm manor that's easy to digest and meets you wherever you're at in your journey. I have an easy going and calm style. If you choose to work with me, please be prepared for appropriately timed humor and nerd references that will make concepts and tools easier to grasp and remember.

Get started View profile
This is Jeffrey Barrett's avatar and link to their profile

Jeffrey Barrett

Clinical therapist offering therapy in WA, Long Beach
Stress, AnxietyAddictionsGriefSelf esteemCoping with life changes
21 years of experience

I am credentialed in the state of Alabama with 20 years of professional work experience as a Licensed Independent Clinical Social Worker. I firmly believe that people have the capacity to substantially improve their situations through developing insight and finding practical solutions to create the change for which they aspire. My experience includes helping clients with stress, anxiety, depression, addiction, and coping with grief and loss. I also have worked with people who are experiencing life changes including cancer and other serious medical conditions. I am a musician and have unique insight into using our creative capacity in the arts to make a better life for ourselves and those around us. 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!

Get started View profile
This is Cheri Rivera's avatar and link to their profile

Cheri Rivera

Clinical therapist offering therapy in WA, Long Beach
Counselor License Type(s): MA,LPC,NCC
Stress, AnxietySelf esteemDepressionCoping with life changesADHD
7 years of experience

I am a Licensed Professional Counselor in the state of Colorado and Louisiana with over 6 years experience providing professional counseling services. My goal is to meet clients where they are and work with them to develop the tools and confidence to tackle life’s hardships, such as stressors, coping with change, and other life challenges. This also includes symptoms of mood disorders, such as depression, anxiety, and trauma. I use a person-centered, humanistic approach, allowing the client to be the expert regarding their life by exploring their feelings and solidifying their sense of self. It takes a great deal of strength to reach out for help, and I believe a client's intrinsic motivation and the therapeutic relationship can be a valuable healing experience.

Get started View profile
This is Heather Boorman-Morris's avatar and link to their profile

Heather Boorman-Morris

Clinical therapist offering therapy in WA, Long Beach
Stress, AnxietyRelationship issuesTrauma and abuseParenting issuesCoping with life changes
17 years of experience

I am licensed in Minnesota and Wisconsin with 17 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, trauma and abuse, & parenting issues. In addition to working with generalized anxiety, stress, depression, etc, I specialize in working with neurodiversity (asd, adhd, gifted, 2e, etc), trauma, and recovery from narcissistic abuse. Within my practice I generally utilize an eclectic approach, rooted in acceptance and commitment therapy, to meet people where they are while also gently encouraging them toward continued growth and wellness. I am also trained as an EMDR therapist, which is an effective therapy to heal from traumatic experiences and shift unhelpful beliefs. In my free time, I enjoy spending time with my family, playing & listening to music, podcasting, writing, hiking, traveling, and playing table-top games. My relational life, as a therapist and otherwise, is guided by the principles of compassion and curiosity. I know we all are doing the best we can and my goal is always to increase compassion, curiously discover what is keeping us from having the life we dream of, and build tools and mindsets to help us move closer to that life. I give you a lot of credit for reaching out and moving closer toward wellness! I look forward to meeting you and determining if we're a good fit to work together!

Get started View profile

How to find a therapist for counseling in Long Beach

Finding the best therapist close by in Long Beach 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 Long Beach 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 Long Beach. 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 Long Beach, 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 Long Beach region and in the state of Washington. 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 Long Beach 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 Long Beach 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 Long Beach 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 Long Beach, elsewhere in Pacific, or in the greater state of Washington. 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 Long Beach 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 Long Beach 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 Long Beach 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 Long Beach may not take health insurance, some in the state of Washington 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 Washington 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 Long Beach online therapy platform verified?

Therapists in Long Beach, Washington 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 Long Beach 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 Long Beach 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 Long Beach 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 Long Beach?

One of the potentially rewarding aspects of working with a Long Beach 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 Long Beach 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 Long Beach 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 WA, 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 98631 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 Long Beach counselor?

Before seeing your Long Beach 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. Long Beach 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 Long Beach 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 Long Beach 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 Long Beach, Washington 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.

Long Beach 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 Long Beach, Washington

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 Long Beach therapists at BetterHelp to understand the services available to you clearly. If you are new to therapy or have any questions about the services and terms, please reach out to customer service through the contact page or send an email to contact@betterhelp.com.

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

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

A woman meets with a therapist online in her home city of Long Beach.

Below are some of the zip codes served by BetterHelp therapists in Long Beach:

98631

Popular cities near Long Beach, WA

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