I am a licensed marriage and family therapist in California. I offer therapy sessions online via video on weeknights and Saturday. I received my Master from the National University and have been practicing for 7 years. I help adults struggling with anxiety and depression to learn coping strategies so that they can become the better versions of themselves as well as an ability to regulate their mood.

My name is Isai (E-sai-EE), and I’m a Therapist based out of Southern California. I have experience working with all ages and backgrounds. My training as a social worker focuses on individual therapy, couples therapy, and family therapy. My professional interests and specialities include working with teens, young adults, older adults, family therapy, and those who struggle with anxiety, depression, marital/relationship issues, men’s issues, autism, anger management, and those with difficulty understanding/controlling big emotions. As a male therapist, I try to make my sessions feel like a conversation with a friend and offer a calm space to talk about difficult issues, a new perspective to help better understand situations, and can help you identify and understand how you might be feeling.

I am a client-centered professional with 15 years of experience providing broad mental health services to diverse populations of children, adolescents, adults, and families. I am a licensed marriage and family therapist and certified art therapist with specialization in utilizing multiple evidence-based modalities to address substance abuse, dual diagnoses, depression, anxiety, trauma, and domestic violence. I work with couples to increase effective communication skills in order to understand each other as well as grow emotional intimacy.

I am a lantinx female Licensed Marriage and Family Therapist, who enjoys hearing others stories and helping people discover their strength and authentic selves. My approach is rooted in the belief that you are the expert on your own life. As a compassionate-client centered therapist, I provide a safe, non-judgemental space where we will work together to uncover your inner wisdom, build your unique strengths, and collaboratively navigate a path towards growth, healing and balance. My work is primarily working with people who have some level of neuro-diversity (ADHD, Anxiety, ASD) themselves or love and care for a person who is neurodivergent.

I am a straight-forward but empathic therapist, who also appreciates the same from her clients. I also believe in the social work mission of starting where the client is, so sessions are based upon that analogy. I have experience in many areas, including hospital, foster care, group homes, forensics, Veterans, home health, etc. I received my Masters of Social Science Administration from Case Western Reserve Univerity, and my Doctorate of Psychology from California Southern University. Although I have a doctorate degree, my scope of practice does not fall under psychological testing, pharmacological practices, nor community services. I only do individual therapy so if you need case management (such as letters), family/couples therapy, psychologicial testing, or medication, please refer to those licensed or practicing in those areas.

Hi, I'm Eva. Are you feeling overwhelmed, anxious, tired and just not as active in your life as you would like to be? Feeling challenged with just keeping up with everyday activities. Seem to forget to take care of yourself, that everybody else comes before you? I help people like yourself to get back to feeling more positive, less tired, burnt out, isolated and lonely. We will together come up with a plan for how to best work on the issues that you want to change. We will use an approach that you feel most comfortable with, and work toward a life that gives back pleasure, harmony and ease. Whether you are dealing with a situational situation or a longer-term struggle I'll be there to support you through your work. You have already taken a big step in the right direction just by reading through different clinicians' statements. The next step is to choose a clinician, contact Growth Therapy and set up an appointment. Sometimes these are the hardest steps to take. One of my most important goals is to provide you with a safe space where you feel validated, and supported and provide you with no judgment, compassion and respect.

Hello I am a Licensed Clinical Social Worker and have been practicing in the field of Social Work for over 30 years. I have worked with many different people from a variety of cultures. I have helped both children, adolescents and adults with various concerns from criminal behaviors, addiction, and serious mental illness. I have helped people change their behavior and thinking so they can reach their potential, achieve their goals and heal emotionally, spiritually, and physically.

Your present circumstances don't determine where you go; they merely determine where you start. -Nido Qubein I take a whole person and collaborative approach to therapy, catering therapy to the individual sitting in front of me. My specialties are in the field of grief and loss. Grief is not just bereavement, it is also the loss of a job, a relationship or a dream.

Hi! I am a licensed Clinical Psychologist based in California. I have worked in the mental health field for over 15 years and received my Ph.D. from Walden University in 2021. I specialize in helping children and adolescents with a variety of mental health conditions including but not limited to anxiety, depression, trauma, ADHD, stress, and anger. I also have extensive experience working with parents of children with ADHD.

Hello! I'm a Licensed Clinical Psychologist based in California. I am also a Marine Corps veteran. I received my Doctorate of Psychology (Psy.D.) from the California Professional School of Psychology (CSPP) at Alliant International University in 2017. I have been practicing in settings like the California Department of Corrections and the Department of Veterans Affairs, Central California Health Care System for nine years. My experience is primarily with adults who have a severe mental illness, or merely symptoms that are disrupting their sense of wellness and are a barrier to their happiness.

I am a Licensed Marriage and Family Therapist with a background in school-based mental health and private practice telehealth, working with children, adolescents, and adults. I hold a Master’s degree in Marriage and Family Therapy and draw from evidence-based approaches including CBT, Motivational Interviewing, Emotionally Focused Therapy (EFT), Internal Family Systems (IFS), and EMDR to support clients navigating trauma, anxiety, emotional regulation, and life transitions. I also have specialized training in child-centered play therapy with a neurorelational focus.

Welcome! I'm Patricia Soto, a compassionate Licensed Marriage & Family Therapist committed to guiding individuals towards mental well-being and empowerment though all seasons in life. With a focus on addressing depression, self-esteem, anxiety, grief, life transitions, work-related stress, and challenges within relationships and families, I'm dedicated to helping you harness your innate strengths and work on your journey to healing and happiness.

Hi! My name is Frances and I am a licensed marriage and family therapist practicing for the last 7 years. I received my master’s from California State University Northridge. I help client’s work on whatever aspects of their lives they want to improve, increasing coping tools to manage difficulties in life. Being able to work as a therapist has been a dream come true and something I am so grateful I have been able to pursue. Outside of the therapy room, you can find me walking my dog, hiking, enjoying good coffee, and enjoying the simple pleasures of life.

Hello, I’m a Licensed Clinical Social Worker who offers therapy in both English and Spanish. I work with adults navigating anxiety, trauma, relationship stress, low self-esteem, and life transitions. My approach is warm, collaborative, and grounded in both emotional insight and practical tools. I help clients develop a deeper understanding of themselves, shift unhelpful patterns, and feel more steady and confident in their day-to-day lives.

I am a caring and skilled therapist. I have a great deal of experience and a well of therapeutic techniques to draw from depending on what works best for you. I specialize in individual and couples work with adults. I accept people where they are at and provide them with empathy regardless of their background. I am curious and compassionate.

I'm proud of you for seeking support and grateful you're considering working with me. I specialize in helping individuals and families from diverse backgrounds identify ways to improve themselves, their relationships, and their overall experience of life. I look forward to hearing from you so we can start collaborating for your greatness. Our work together is collaborative. We'll identify measurable goals for our time together. As we work, your goals may shift to include new aspects of your life, which is natural and encouraged. I want to ensure your goals remain meaningful and relevant for you.

Welcome! My name is Elana Rezmovitch. I am a Licensed Clinical Social Worker and am passionate about helping you achieve your best self through therapy and support. My approach is personalized and designed to help you build healthy tools to manage life's challenges. Within the therapeutic setting I provide a safe and supportive environment with a focus on helping each individual build on their strengths and feel empowered.

Hello and Welcome! I’m a Licensed Marriage and Family Therapist based in California. I have received my Masters and Doctorate from California School of Professional Psychology. I help adults and children struggling with mental health concerns and addictions to improve various aspects of their life, such as interpersonal relationships, and employment. I offer a safe, non-judgemental environment where a person can be themself.

Hi, I'm Melissa! I'm a therapist in California, and I have 13 years of experience supporting clients of all ages. I specialize in working with young adults, and enjoy helping clients navigate life transitions. I'm also passionate about working with survivors of trauma, and have particular experience helping people work through developmental and childhood trauma. My approach integrates practical, day-to-day strategies combined with emotional exploration, helping you gain insights into your thoughts and feelings. When I'm not wearing my therapist hat, I love reading, watching too much reality TV, and spending time with my family.

My name is Erika Ragland, LCSW and I have been working in mental health for 15 years. I grew up in a Military family and lived all over the world. The world is an incredibly beautiful and complex place full of wisdom and possibility. Life looks different for everyone, and no one's challenges are the same, but everyone can benefit from objective, honest communication and clinical expertise.

Welcome! I'm a Licensed Marriage and Family Therapist (LMFT) currently living in Pennsylvania, but was born and raised in California (Bay Area). I have been practicing as a Marriage and Family Therapist for 19 years, and am licensed in both states. I find therapy rewarding at all ages, but specifically enjoy working with adults and families. My goal is to help you build up the confidence you need to be successful.

I have over a decade of experience working with a wide variety of clients to address what matters most to them regarding their mental health journey. I work from a collaborative, strengths-based approach. Let's figure out what is going well and build on that. I have lived all over the country and have had to privilege to work with many excellent mentors who have helped me grow in my knowledge and skills.

My approach centers on deep listening, empathy, and honoring each client’s lived experience. I intentionally consider cultural, environmental, and systemic influences, ensuring therapy is respectful, collaborative, and client-led. I believe in creating a comfortable space that supports growth while affirming each person’s identity and self-determination. I am especially enthusiastic about returning to a practice setting focused on working with adults, where I can support clients in exploring identity, healing, and growth.

When life's challenges - work, relationships, money troubles, illness or injury become too much to manage, or when the pain of the past pops up when you least expect it to disrupt sleep, or when daily stressors build up and make it hard to cope, that's when more than a friendly ear is needed. That's when a professional can help you heal the compounding effects of life experiences. If you are seeking long-term relief from anxiety, trauma, depression, low self-esteem, relationship issues, grief or loss, I will help you heal those emotional injuries that compound over a lifetime and make life lose its meaning. And I will empower you to heal the emotional pain that is preventing you from living your best life.

I am a licensed clinical psychotherapist offering individual consultation and therapy in English and Farsi. My areas of expertise include trauma and complex trauma, narcissistic abuse, mood and anxiety disorders, codependency, and substance use. I am dedicated to providing culturally sensitive and evidence-based care tailored to each individual’s unique needs, fostering a safe, supportive environment that empowers clients toward growth, healing, and lasting change.

There is a way out. Those who come to see me are often at a crossroads, frustrated at how they are trying to deal with problems and seeking workable strategies and solutions to cope. Therapy is meant to be a space to feel welcome to talk about thoughts, feelings, and behaviors that are problematic. Understanding unhealthy behaviors, frustrations with life, and/or unsuccessful efforts to cope can help reveal the obstacles that may block your path to growth and desired outcomes. I have over 15 years experience providing therapy and case management including in the areas of: Couples counseling; Anxiety issues; Medical and chronic pain issues; Phobias; Eating disorders and body image challenges; Post-residential and outpatient maintenance therapy for continued abstinence and sobriety from substance use and eating disorders; Fertility and conception issues; LGBTQ and gender concerns; and Couples counseling (without legal involvement). I am distinguished by my training in Strengths Based Therapy, Cognitive Behavioral, Pain Reprocessing Therapy, Emotional Freedom "Tapping" technique, Acceptance and Commitment, Mindfulness, and Contemplative Care. I am licensed in CA, ID, VA, FL, TX, NJ, WA, and UT. Why do we explore? So you can live a life YOU want to live! ** I do not provide forensically-focused clinical services for individuals/couples involved in active litigation, divorce proceedings, or child custody disputes, nor do I provide court-ordered evaluations or expert testimony**

Do you feel unseen or unheard? Maybe you feel like you don't quite belong? Or maybe you don't feel anything at all? — Often, my clients arrive at sessions, overwhelmed from trying to juggle societal pressures and their own cultural or familial expectations. — Others are burdened with the effects of childhood trauma or intergenerational trauma. — Others may feel like impostors in their workplaces or post-grad programs. — Still others struggle to have healthy, thriving relationships with themselves or with others. As a professional therapist, I am ready to journey alongside you with humor, grace, and empathy. I hope to bring renewed hope to your path towards healing, peace, and contentment. If you value direct feedback, wholehearted encouragement, and compassionate challenges from an honest coach, don't delay and let's get started today. So, are you ready to like yourself? Are you ready to unlock your true potential? Are you ready to treat yourself to deeper healing and greater fulfillment? I am ready when you are! Reach out for a FREE 15-minute phone consultation today! Better yet, if you're ready to get started, book your first session with me to jumpstart your healing journey now!

Hola, I'm a bilingual Spanish-English Speaking LMFT who has been providing care and support to people for over 10 years. I graduated with my B.A. from CSULA and then graduated from National University with my Master's. As a therapist, I will accompany you on your journey of healing and empower you in reaching your mental health goals. We are complex beautiful creatures, molded from cultural expectations, social norms, relationships, and childhood experiences, therefore I use a multi-therapeutic approach -Psychodynamic, CBT, DBT, Family Systems, and Solution focus.

I am a licensed clinical psychologist in California, and I help adults navigate burned out, anxiety, and life transitions. I don't believe in one-size-fits-all therapy. My approach combines evidence-based cognitive behavioral therapy (CBT) with mindfulness techniques, helping you build practical tools while also understanding the deeper patterns that keep you stuck. In our sessions, you can expect a space that is both compassionate and practical-no nodding silently for 50 minutes. I'm here to help you get back to feeling like yourself, only more grounded and resilient. I offer secure, convenient virtual therapy throughout California. Please, reach out to see if we are a good fit.

As a licensed therapist of more than thirty years, I have the experience and expertise to work with clients on a variety of issues. I provide a safe therapeutic environment that builds trust and openness. Clients who engage in the counseling process discover new energy for life and relationships. This results in positive change and increased self-awareness. I’m actively involved in the sessions, providing guidance, structuring interventions, and setting goals. Positive change happens one step at a time, trusting that life can get better. I also have expertise in anger management/domestic violence treatment.

My name is Nana-Stella Eugene, and I am a licensed clinical social worker and also have a doctorate degree in clinical psychology. I was born and raised on the beautiful island of Haiti. I am ready to work with you to identify coping strategies and teach you the skills necessary to achieve your goal of living your best life. Change begins with hope, hope for a better outcome and a glimmer of possibility that something good will come to those who believe and take action.

I am a clinical psychologist with 18 years of experience working with a variety for people from young adult to older adults. I like to create a supportive environment that fosters growth, exploration, and healing. Building resiliency and adapting to life circumstance is an important aspect of what I do. I like to help people feel better while promoting independence and insight.

Do you notice that you're feeling sad, or have extreme anxiety, have you noticed things getting to you more often than usual and have a difficult time handling situations? Have you been "traumatized" recently or in the past, are you dealing with diversity, are you having relationship issues? My name is Judy Manfredi and I am a licensed marriage and family therapist in the state of California. I have provided therapy services for 16 years, I have worked in Government based clinics and non-profit clinics, and I am now working remote "Private Practice" However if you live near siskiyou county I can see you face to face. I often utilize a client-centered approach to collaborate with you and your families in supporting you through the therapeutic relationship and help assist each person build on your existing strength and live their best possible life. I see teens and adults, I use different therapeutic modalities throughout my practice.

Hi! I'm a Licensed Clinical Social Worker (LCSW). I received my Masters from the University of Southern California and have been practicing for over 10 years. I help adults struggling with stress and mental health issues become the best versions of themselves. I am passionate about meeting people where they are at and helping them feel better and reach their goals.

I’m a licensed therapist with a background in education and school counseling, dedicated to helping individuals navigate life’s most challenging transitions with clarity and confidence. With over a decade of experience working with adolescents, young adults, and adults, I specialize in anxiety, depression, trauma, identity exploration, and life transitions. Through Easy Peasy Counseling, I create a supportive, approachable space where clients feel understood, empowered, and equipped with practical tools for growth.

My name is Ana Maldonado and I am a Licensed Marriage and Family Therapist (LMFT) based in Ventura, California. I am currently working with clients statewide via telehealth. I work with adults, adolescents, couples and families, and specialize in anxiety, stress, and family conflict. I utilize Cognitive Behavioral Therapy and Acceptance and Strength Based Therapy to help my clients make progress and start feeling better.

Starting therapy can feel like a big step—especially if you’re not totally sure what to say or where to begin. My job is to make that part easier. I’m a licensed therapist who works with people dealing with stress, anxiety, relationship issues, burnout, low motivation, and feeling stuck or overwhelmed. Some clients come in with something specific going on, while others just know something feels off and want to figure it out. Both are completely welcome here. In our work together, we focus on what’s actually happening in your day-to-day life and how to create real, noticeable changes—not just talk in circles. I aim to keep sessions practical, collaborative, and grounded so you leave with clarity and a better sense of direction. Clients often tell me they appreciate having a space where they can be honest without feeling judged or analyzed. You don’t need to have the “right words” or a clear plan before starting—we’ll figure that out together. If you’re looking for therapy that feels straightforward, supportive, and focused on helping you move forward, I’d be glad to work with you.

I provide online individual therapy to adolescents and adults across California, offering services in both English and Spanish. I have experience assessing and treating a wide range of mental health symptoms and disorders, and I approach therapy as a collaborative process where we work together to identify goals and create meaningful change. I view you as the expert of your own life, and I’m here to offer support, guidance, and a fresh perspective when it’s helpful. My hope is that our therapeutic relationship empowers you to navigate both present and future challenges with confidence. I’m passionate about helping clients build long‑lasting, positive change through Cognitive‑Behavioral interventions, mindfulness practices, and solution‑focused strategies designed to reduce symptoms, alleviate stress, and support you through life’s transitions.

Hello, I'm Heather, a seasoned counselor dedicated to providing compassionate support to individuals navigating life's challenges. With over 20 years of experience in Social Work and Counseling, including service as a Navy Veteran, I bring a wealth of expertise and understanding to my practice. As an Author, I've authored books aimed at simplifying complex medical and mental health issues, such as Hospice, Home Health, and Palliative Care. My commitment to enhancing accessibility and understanding in these areas underscores my passion for empowering individuals to take charge of their well-being. In my counseling approach, I prioritize active listening and client-centered care. Your growth and goals are at the forefront of our sessions, as I work collaboratively with you to navigate the path toward healing and personal fulfillment. In addition to individual counseling, I specialize in couples therapy, helping partners navigate complex issues like communication breakdowns, conflict resolution, and rebuilding trust. Through tailored interventions and empathetic support, I assist couples in cultivating deeper understanding, connection, and resilience within their relationships. I also offer individual counseling for personal growth, healing, and support, providing a safe and nurturing space for clients to explore their innermost thoughts and emotions on their journey towards greater well-being and fulfillment. Insight and progress can often be achieved in just one session, though the benefits of ongoing therapy are profound. Whether you're stepping into counseling for the first time or continuing your therapeutic journey, my objective remains the same: to provide you with the compassionate support and guidance you deserve. Your willingness to engage in therapy is deeply appreciated, and I am here to walk alongside you every step of the way.

I am a licensed Marriage and Family Therapist with 15 years experience. I trained in Somatic Psychology at John F. Kennedy University. I have also trained at the Sensorimotor Institute for Trauma Treatment. I am a grief Counselor. I have a certificate in Nutritional Psychology. I work with adult individuals. My work integrates evidence based approaches like Cognitive Behavioral Therapy (CBT) and Emotionally Focused Therapy (EFT). I work with Anxiety, depression, trauma, life transitions and relationships. I work to help clients build resilience, a safe environment, boundaries and meaningful connections.

Hello, my name is Antolyn Rosales. I am a Licensed Marriage and Family Therapist, in the SF Bay Area in California. I received my Masters from the University of San Francisco. My specialty is providing psychoeducation and therapy to individuals and families to help manage difficult emotions and cope with stressors while fostering meaningful interactions. My therapy style is unique. I utilize principles and strategies from Cognitive Behavior Therapy and Behavior Therapy to help make change. My role is to help one identify the source of the dysfunctional behavior patterns and offer guidance toward more functional behavior patterns and ultimately change.

You might look like you have it together on the outside—but inside, you feel overwhelmed, anxious, or stuck. Maybe you’re constantly overthinking, carrying a lot on your own, or feeling disconnected from yourself or your relationships. I’m a Licensed Marriage and Family Therapist with 10 years of experience. I provide compassionate, trauma-informed care for individuals, couples, and families navigating anxiety, life transitions, relationship challenges, grief/loss, and past trauma. My approach is warm, grounded, and direct. I’ll meet you with empathy, but I’ll also help you understand your patterns, gently challenge what’s no longer serving you, and build practical tools that create real, lasting change. My goal is for you to feel more grounded, understood, and confident in how you move through your life and relationships. I am also a mother of three and the founder of Groundwork Counseling Center, a nonprofit organization focused on expanding access to mental health care.

Hello! I'm a Licensed Marriage and Family Therapist based in California. I received my master's in 2014 and have been practicing for 11 years. I help adults manage their stressors in life and help them reduce their symptoms to be successful in their own life. I have experience working with children from 4 years old to older adults of the age of 80 years old.

Welcome, I'm glad you are here today. I'm first generation Mexican American of immigrant parents and I bring professional sensitivity to immigration issue. I'm licensed clinical social worker offering therapy in both English and Spanish. I graduated with a master's degree in social worker from California State University, Long Beach. I've been a clinical social worker for the past 8 years and trained in cognitive behavioral therapy. I started my career in mental health community clinic working with adults of severe mental health disorder. I have worked with underserved community, including students, parents, immigrant families, and incarcerated population. I am most comfortable working with mild to moderate client experiencing depression and anxiety.

We are more than conquerors! You already have the capability to make changes that help accomplish your goals, experience healing, and combat the most difficult symptoms. However, we were never meant to go it alone. The therapeutic relationship is a partnership—it is teamwork. It is joining forces with one another. One of the greatest attributes I can offer in this alliance is empathy. Non-judgmental exploration will afford the understanding necessary to determine what is hindering satisfaction. I am Kimberly Jones: Licensed Marriage and Family Therapist. I have over 10 years of experience in offering psychotherapy to all ages. My expertise is couple’s therapy encompassing marriage and relationships. You will be provided a safe space to bring your most complex matters as I am confident in supporting honest dialogue. In addition, mediation during difficult discussions and understanding the anatomy of an affair's impact on both partners can also be provided. I would assist in managing the threat of divorce, post-separation, and co-parenting. In the healing pursuit, individuals will experience neutrality, intimacy repair, trust building, improved communication, and conflict resolution. These are all skills necessary to strengthen the relationship and introduce a new way of seeing life together.

Hello – I am a Licensed Marriage and Family Therapist (LMFT) in the State of California. This is a second career that I started after receiving my Masters in Counseling Psychology from the University of San Francisco. I have been practicing for over 7-years with community based mental health services including County agencies. As a client centered therapist, I utilize a strengths-based, transparent approach to coming alongside others in their individual life journey. I have enjoyed working in the mental health field for almost 9 years using evidence-based practices and collaborating with other professionals such as psychiatrists and psychologists. I have a strong network of fellow therapists and like them, I focus on the positive to assist individuals and families achieve their goals.

I am a Licensed Marriage and Family Therapist (LMFT) based in California with extensive experience supporting children, adolescents, and families through a variety of life challenges. I have been practicing in school-based setting for over 6 years, helping clients build resilience, strengthen coping skills, and move toward meaningful personal growth. I believe therapy is a collaborative process, and I value truly listening to what each client hopes to achieve. My role is to provide a supportive, nonjudgmental space while equipping clients with practical skills to manage daily challenges and move confidently toward their personal goals. I am fully bilingual in English and Spanish and am committed to providing culturally responsive care where clients feel understood and supported. I pride myself on developing strong, authentic relationships with my clients and consider it an honor to be included in their healing journey. My approach is warm, collaborative, and goal oriented.

I bring a unique, well-rounded perspective to my practice, drawing on a diverse professional background to connect with clients. As a parent in a blended family, I deeply understand the complexities of modern relationships and the importance of resilience. Outside of the office, you’ll find me hiking, cooking, spending time with family and friends, listening to live music, and playing pickleball. I am President Elect of RECAMFT (Redwood Empire California Association of Marriage and Family Therapists) and have been on the board for five years. I am dedicated to creating a warm, supportive space where you can feel heard and empowered to grow.

Hello, my name is Lisa. I am an emerging therapist in telehealth services. I am privileged to have the opportunity to help you navigate through difficult and complex life stressors. My approach is collaborative, to ensure that you feel heard and understood. I draw from evidence-based practices while respecting each person’s unique experience. My goal is to help you reconnect with your strengths, gain insight and move forward with greater confidence and clarity.

I provide humor, warmth, and a compassionate, non-judgmental place where you can feel safe to share your concerns. Together, we will work to make goals and through goal-directed activities and conversations, help you make positive changes in your life. I can include faith-based treatment if wanted. This will be work, but it will be worth it. My approach I use an eclectic, person-focused approach tailored to your individual situation and goals. I incorporate CBT, DBT, mindfulness techniques, and solution-focused approaches. This flexibility allows us to form a treatment plan that meets your specific needs and helps you reach your goals. . Treatment goals are set as a team, with you determining what your desired outcome from treatment is, and me assisting you in creating the goals based on how best to assist you with the realistic goal you have set for yourself.