![Click here to view David Demorest's profile 1 This is David Demorest's avatar and link to their profile](https://d3ez4in977nymc.cloudfront.net/avatars/58218e2dacedc04f6326c17363b93ea18928.jpg)
David Demorest
David has a very diverse background. In addition to Masters in Mental Health Counseling, he has a Maters in Biology/Biochemistry and worked in Research. David changed fields and worked 25 years as a radiochemist which combined nuclear chemistry and physics. As a counselor his background has been very beneficial in understanding the processes underlying behavior and mental health. As a result of his work in industry David has good people skills which are essential in working with clients with mental health issues. David provides an eclectic approach in counseling theory and uses Rational Emotive Behavioral Therapy, Cognitive Behavioral Counseling, Schema Therapy and Person-Centered Therapy. He is trained in Biofeedback and Neurofeedback which are good tools to help clients with issues such as depression, anxiety disorders and addiction. David’s initial approach is to develop a trusting relationship with the client. He then works with the client to identify the specific issues. A treatment plan is developed to address these issues. As treatment proceeds this plan may be revised as specific issues come up. When the client completes the plan, he will be reassessed. Depending on the clients progress the client may be discharged with specific goals to work on. If there are still unresolved issues a new treatment plan will be developed and treatment continued. If there are issues that require a different approach David may refer the client to another counselor that specializes in the client’s specific issues. On a personal level David has three adult children and two grandsons. David was raised in the mountains of Wyoming and has a place south of Jackson Hole which he spends as much time as he can. There his closest neighbors are elk, moose, and wolves. David lives most of the time in Boise. He has been fortunate to have traveled the world a great deal spending time in South East Asia and China. He recently spent time in Tuscany and in Malta. He still skis, canoes, loves to fly fish and generally spend time in nature.
![Click here to view Henry "Jay" Swedlaw's profile 1 This is Henry "Jay" Swedlaw's avatar and link to their profile](https://d3ez4in977nymc.cloudfront.net/avatars/4c1fbd57a0850b34b7e55d9e2dbbd10e.jpg)
Henry "Jay" Swedlaw
With eight years of experience on the BetterHelp platform, six state licenses, and thousands of clients served, I know that it is not always easy to come to therapy and talk about difficult issues. While virtual/messaging based therapy may be a bit unfamiliar, I have extensive experience on this platform. Over the past eight years I have developed a very high degree of comfort and confidence in my ability to deliver high quality clinical services to my clients. I am here to help you with whatever life has thrown your way, and I am in this journey to self-improvement with you. Additionally, I want to teach you the skills I use to work through these problems so that you will come away from therapy with a better understanding of yourself, and how to independently work through your issues in the future. I am direct, goal driven, and results oriented. I specialize in relationship issues, couples, stress and anxiety management, anger/aggression management, depression and bipolar, and LBGT issues. For any new client wishing to have their intake session, I can accommodate that within 48 hours. My passion is helping people, and I would be happy to help you. https://www.facebook.com/Jay-Swedlaw-MSEdS-LPC-LMHC-971275126239636/ https://www.linkedin.com/in/jay-swedlaw-b61618bb/
![Click here to view Stormy Filson's profile 1 This is Stormy Filson's avatar and link to their profile](https://d3ez4in977nymc.cloudfront.net/avatars/f72669a1833dc4389378380c25fd235474296.jpg)
Stormy Filson
I am a Licensed Professional Counselor with over 15 years experience working in Behavioral Health. I have assisted individuals ranging in age from 5-85 with a variety of issues including managing and resolving anxiety and depression, behavioral problems in children, stress management, marital concerns/communication, grief and loss, and trauma. I believe in creating trusting relationships and empowering those I work with to be their most authentic, healthy and balanced selves. My style is warm, accepting and non-judgmental. I typically use CBT, DBT, and trauma-focused techniques, but we will work together to find the interventions best suited for you. Thank you for taking the time to learn more about me. I look forward to hearing from you!
![Click here to view Dr. Crystal "Crysy" Nelson's profile 1 This is Dr. Crystal "Crysy" Nelson's avatar and link to their profile](https://d3ez4in977nymc.cloudfront.net/avatars/988794c608c24a9f571d893503182d98.jpg)
Dr. Crystal "Crysy" Nelson
Mother to three kitties and one Angel boy I adopted in Germany and had for 18 years. Divorced, educated (working on a PhD), caring, trauma survivor (ACE score of 7). Licensed in Wyoming. Spent 15 years as a "dorm mother" on college campuses then switched gears to provide substance abuse treatment to prison inmates. Very client-centered, and I will meet you where you are and walk beside you as we navigate the path together.
![Click here to view Joshua Borer's profile 1 This is Joshua Borer's avatar and link to their profile](https://d3ez4in977nymc.cloudfront.net/avatars/39699778181e4e3ccb173332242fb4f6.jpg)
Joshua Borer
I am licensed in Wyoming with 7 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, coping with grief and loss, & sleeping disorders. 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.
![Click here to view Dr. Andrew Mendonsa's profile 1 This is Dr. Andrew Mendonsa's avatar and link to their profile](https://d3ez4in977nymc.cloudfront.net/avatars/c59bbd8b6b3e514642286633e12ef25c95772.jpg)
Dr. Andrew Mendonsa
Your Authentic Self, Your Strongest Self: Therapy Tailored in a Safe, Supportive Space Hello! I'm Dr. Andrew Mendonsa, a clinical psychologist and therapist with 20+ years of experience helping folks like you navigate life's complexities and embrace their true potential and authentic self. I specialize in working with LGBTQIA+ individuals, those struggling with problematic sexual behavior, kink/alt lifestyle/polyamory-focused issues, and anyone seeking a male therapist's perspective. My journey through the worlds of mental health and addiction – from community mental health and marginalized groups, to the criminal justice system, to high wealth clients and corporate boardrooms – has equipped me with a deep understanding of the challenges clients, especially men and those from specialized populations, face today. I've helped countless individuals overcome shame, guilt, depression, anxiety, stress, grief, and the unique pressures of modern life. As an LGBTQIA+ affirming therapist, I offer a safe and judgment-free space to explore your identity, gender, relationships, sexual expression, and sexuality. Whether you're questioning, coming out, or navigating the unique stressors of the LGBTQIA+, kink, alt-pop, or straight communities, I'm here to support you on your journey! For those grappling with problematic sexual behavior that is causing issues with your work, relationships, finance, or other areas, I provide a compassionate and non-judgmental approach to recovery. I will not tell you to stop what you are doing or else, instead we will identify what is motivating your behavior and desire to change. Knowing these, we can then develop a tailored treatment plan and achievable goals. Together, we'll address the underlying issues, develop healthy coping mechanisms, and rebuild a fulfilling life free from shame, guilt, and compulsive behaviors. My extensive background working with high-achieving individuals in business and academia makes me uniquely equipped to understand the pressures of professional life. If you're struggling with work-related stress, burnout, or career transitions, I can offer practical strategies for success and well-being. I have owned, sold, and managed companies and worked in high levels within the public sector. My approach to therapy is collaborative, goal-oriented, and results-driven. I believe therapy should be a catalyst for change, not a lifelong commitment. Think of it like a tune-up for your mind – we'll get you back on track and running smoothly. You wouldn't leave your car in the shop forever, would you? So why force yourself into a lifetime of therapy? I invite you to visit my website, www.AndrewMendonsa.com, to learn more about me and my approach. Let's work together to build a life that is authentic, fulfilling, and true to you.
![Click here to view Joseph Bair's profile 1 This is Joseph Bair's avatar and link to their profile](https://d3ez4in977nymc.cloudfront.net/avatars/988b3cad523f316851c0fb6d1f815c17.jpg)
Joseph Bair
I am licensed in Wyoming and South Dakota bringing 5 years of licensed mental health experience and additional years of pastoral counseling experience. I have experience in serving clients struggling with addictions and grief and loss. I work with my clients to create an honest and accepting environment where your thoughts and feelings can be named, shared, and explored 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!
![Click here to view Meaghan Hennings's profile 1 This is Meaghan Hennings's avatar and link to their profile](https://d3ez4in977nymc.cloudfront.net/avatars/6f19a7febde4743e4ab5f3c1c0e7744d191121.jpg)
Meaghan Hennings
I am licensed in Wyoming with 11 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. 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.
![Click here to view Beatriz Grullon's profile 1 This is Beatriz Grullon's avatar and link to their profile](https://d3ez4in977nymc.cloudfront.net/avatars/35381a3c247df691d9f68862a2dfaaea212383.jpg)
Beatriz Grullon
I am a licensed counselor with 4 years of professional work experience. I have experience supporting clients in coping with addictions, trauma and abuse, & depression. I believe that we are the experts of our story and that we have many strengths that assist us in overcoming challenges we face in daily life. It takes courage to seek out a more fulfilling and happier life. It takes courage to take the first steps towards change. I am here to support & empower you in that journey.
![Click here to view Stephanie Marker's profile 1 This is Stephanie Marker's avatar and link to their profile](https://d3ez4in977nymc.cloudfront.net/avatars/2620bda7bd7e9b3156c4854ad6d140cd234695.jpg)
Stephanie Marker
I am licensed in Wyoming with 7 years of professional work experience. I have experience in helping clients with stress and anxiety, 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!
How to find a therapist for counseling in Van Tassell
Finding the best therapist close by in Van Tassell 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 Van Tassell 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 Van Tassell. 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 Van Tassell, 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 Van Tassell region and in the state of Wyoming. 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 Van Tassell 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 Van Tassell area in different types of therapy, including:
- CBT
- DBT
- Substance use therapy
- Couples therapy
When you're ready to start your search and find Van Tassell 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 Van Tassell, elsewhere in Niobrara, or in the greater state of Wyoming.
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 Van Tassell 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 Van Tassell 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 Van Tassell 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 Van Tassell may not take health insurance, some in the state of Wyoming 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 Wyoming 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 Van Tassell online therapy platform verified?
Therapists in Van Tassell, Wyoming 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 Van Tassell 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 Van Tassell 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 Van Tassell 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 Van Tassell 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 Van Tassell 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 Van Tassell?
One of the potentially rewarding aspects of working with a Van Tassell 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.
Van Tassell 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 Van Tassell 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 Van Tassell 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 WY, 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 82242 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 Van Tassell counselor?
Before seeing your Van Tassell 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 Van Tassell.
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 Van Tassell 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 Van Tassell 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 Van Tassell, Wyoming 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.
Van Tassell 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 Van Tassell, Wyoming
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 Van Tassell:
82242