Hello, my name is Isabelle Cantave, and I am a Licensed Marriage and Family Therapist (LMFT) in the state of Florida. Originally from Haiti, I am fluent in both English and Kreyol, which allows me to connect with and support a diverse range of clients. I earned my Master’s degree in Marriage and Family Therapy from Nova Southeastern University in 2018, and I have spent the past seven years helping individuals navigate life’s challenges and achieve meaningful personal growth. My passion lies in empowering clients to uncover the best versions of themselves, find purpose in their experiences, and build healthier, more fulfilling lives
Talking to someone new can be extremely difficult. Are you looking to talk to someone non-judgmental and authentic. Someone who will guide you in making changes in your behavior, thought process and emotions. You may have been impacted by life circumstances, stressors, or even a traumatic event that wasn’t within your control. It's important to be patient with yourself as you set goals. My name is Melissa Bryant. I am a Licensed Mental Health Counselor with 14 years of experience.
It takes courage to talk with someone new. I am convinced you can face each obstacle and be victorious. Please be patient with yourself, as you take the next steps. I invite you to join me as I help you bring to light your strengths and overcome challenges that may have stagnated you from reaching your full potential.
Hi, I am a licensed Mental Health Counselor in Florida with over 25 years of professional work experience. I have experience in helping clients with stress and anxiety, family conflicts, trauma and abuse, & parenting issues. 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 takes courage and I am proud of you for getting started!
Hi there, my name is Kellyn.
Are you not quite feeling like your best self? Are you struggling with feelings of anxiety, depression, sadness, or just plain feeling overwhelmed? Struggling with that voice inside your head that is telling you that you’re not good enough? I can help provide you with the tools necessary to let go of that negative self-talk and start living a more balanced life. We will work together to uncover the underlying issues while also finding the tools that best work for you and your lifestyle.
Whether you’re dealing with pressure at work, in a relationship, or anxiety, I’m here to help. Admitting that you need help and seeking it can seem scary, but you’re making the right decision. You deserve to explore what is keeping you stagnant in order to be able to heal, grow, and move forward.
I provide a nonjudgmental and safe environment so you can flourish. I utilize a variety of evidence based approaches such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and Motivational Interviewing, among others, to assist you in finding your hidden potential and become the person you envision yourself to be. I will provide an environment in which you will feel heard and understood and together, we will be able to help you live a full and purposeful life.
Are you tired of feeling overwhelmed with your emotions and anxiety, feeling frequently out of control? Does the negative self talk impacts your life, relationship and performance? I hear you!
I help busy and driven individuals to restore the balance within themselves and relationship with loved ones so you can become a new "upgraded" version of yourself.
Whether you are experiencing increased anxiety or fear of failure or judgement from others. I am here to help you improve quality of your thoughts that impact your actions to bring quality results.
VirtualOffers in-person in Lake Park, FL - Accepting clients in FLAvailable
Greetings! I'm a Licensed Mental Health Counselor (LMHC) based in Florida and the owner/CEO of Breaking BHAD Counseling, LLC. I am a US Army veteran and graduate of Webster University with a Master of Arts in Counseling (Clinical Mental Health Track). I have been practicing in various mental health settings for six years, working with diverse adult populations from a wide range of demographics. I am seriously passionate about helping people overcome challenges like addiction, anxiety, depression, adjustment to life after long periods of incarceration, and relationship issues.
Hello! I'm Stacie, a Licensed Therapist in Florida & Delaware offering telehealth and in person. As a devoted therapist, my mission is to empower individuals, couples, and families to thrive amidst life's challenges, offering guidance, support, and valuable insights. Let's embark on a journey of growth and well-being together! Let's see if we are a good fit, schedule a consultation TODAY!
VirtualOffers in-person in Orlando, FL - Accepting clients in FLAvailable
Hi! I'm a licensed counselor in Florida (LMHC), Texas (LPC-Supervisor), and Utah (LCMHC). With over a decade of experience, my journey in mental health began with a passion for helping individuals overcome life's challenges and achieve their fullest potential.
Throughout my career, I have dedicated myself to continuous learning and professional development. I have specialized training in trauma-informed therapies, which allows me to provide compassionate and effective support to clients who have experienced trauma. Understanding the profound impact trauma can have on an individual's life, I am committed to creating a safe and nurturing environment where clients can explore their experiences and find healing.
In addition to my work with individuals, I have a deep commitment to helping couples strengthen their relationships. I am trained in the Gottman Method, a research-based approach to couples therapy that focuses on building strong, healthy relationships. Using this method, I assist couples in navigating and healing from betrayals, enhancing their communication, and fostering a deeper connection. Witnessing couples transform their relationships and rediscover trust and intimacy is incredibly rewarding.
Outside of my professional life, I am passionate about self-care and mindfulness. I often incorporate these practices into my therapy sessions, empowering clients to develop their own self-care routines. I believe that a holistic approach to mental health, which includes attention to physical, emotional, and mental well-being, is essential for achieving lasting positive change.
Whether working with individuals or couples, my goal is to help my clients build resilience, find balance, and lead fulfilling lives. By providing a supportive and empathetic space, I strive to guide my clients on their journey towards healing and personal growth.
Hi. I'm Nichole. I am a licensed counselor in the state of Florida. I specialize in stress management, ADHD, women's issues, domestic violence, and relationship issues (for the individual). I do not work with couples at this time.
I like to take an individualized, eclectic approach and tailor our sessions to the best approach for you. My background includes work in hospital settings, community mental health, substance use, case management, health care workers and CPI. I enjoy exploring underlying issues and finding ways to increase overall joy and peace in your life.
I will meet you where you're at and assist you in identifying strengths and ways to apply them to reaching your goals.
VirtualOffers in-person in Trinity, FL - Accepting clients in FLAvailable
I am a Licensed Marriage & Family Therapist (LMFT) passionate about helping individuals find hope and healing during the most difficult times of their lives. These difficult experiences can leave one feeling lost, depressed, anxious, fearful, and emotionally wounded. Feeling "stuck" with any of these emotions can be very overwhelming and life-altering. However, I believe that no matter the circumstances there is always hope and the possibility of Moving Forward!
I have been a therapist for 10+ years specializing in the field of trauma, specifically Sexual Abuse trauma. My specialties include the treatment of Anxiety, Depression, and Post-Traumatic Stress Disorder (PTSD). Additionally, I have experience in providing counseling services to individuals, couples, and families with a range of emotional and behavioral issues such as Adoption Related Issues, Attachment Disorders, Crisis Intervention, Conflict Resolution, Depression, Grief & Loss, and Parenting.
Hi, I am a licensed mental health counselor who focuses on identity transformation! I work with those who feel the achievements are there, yet still feels misaligned in what you do versus who you truly are. This identity crisis shows up in subtle ways - the anxiety that greets you before meetings, the exhaustion from maintaining the "strong Black woman" image, the longing for relationships where you can finally be real.
I want you to know that transformation is possible. That having more alignment and authenticity in the way you show up is possible. In our work together, we'll move beyond just understanding why you code-switch or people-please and help your system find its way back to your truth using Internal Family Systems therapy.
Imagine walking into any room fully grounded in who you are. Picture making decisions from your core self, not from old wounds. It's time to transform your relationship with yourself - to heal those outdated identities and create a life that truly feels like yours.
As adults, we are responsible for resolving the traumas that have happened to us, to pick up the pieces and put ourselves back together, not because we are to blame for our experiences, but because we are the only ones who CAN change them. That can feel unfair, and it is, there is no doubt about that. On the flipside it can also be empowering- you are the catalyst for personal change, you can always take a turn or step in a different direction, you can always act differently, feel differently, and (with the right tools and assistance) start the healing process. I am here to help you with this noble, and sometimes difficult work. As a mental health professional, I am passionate about helping others feel more whole, hopeful and effective by developing deeper self-knowledge, self-respect, compassion, resilience and further developing our coping skills to take on the challenged life throws your way.
I am a licensed clinical social worker who specializes in treating anxiety, depression, trauma, and grief to assist clients in reducing distressing thoughts and emotions. Drawing from evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance and Commitment Therapy (ACT), I collaborate with my clients to identify and challenge negative thought patterns contributing to their symptoms. Through a combination of cognitive restructuring, emotion regulation techniques, and mindfulness practices, I help my clients develop healthier coping mechanisms and increase resilience in the face of life's challenges.
Sherry Miller, M.S., LPC (OK, TX,WI), LCPC, (IL), LMHC (FL, MA), CSADC (IL), CSAC (WI), LADC (OK), M-CAP (FL), ICS (WI), BC-TMH. Hi there. My name is Sherry Miller. I have a Master of Science in Human Service Community Counseling from National Louis University at Chicago, IL. I pride myself in strict confidentiality; with a unique insight into my consumers. Because I have been in a program of Recovery from Alcohol, Drugs, and Codependency for the past 28 plus years I knows firsthand what it takes to find the truth of oneself and want assist you with your own unique and personal journey of self-awareness. I am dually licensed to treat mental health and substance abuse concerns. I am also licensed as an Independent Clinical Supervisor in the field of Addictions. My clinical interests include family dysfunction, addiction treatment, co-dependency, domestic violence, sexual abuse, and family, individual, or group counseling. I have over 28 years’ experience in the treatment of anger, anxiety, depression, grief and loss, behavioral issues, parent education, fearfulness, addiction issues, and co-occurring disorders. I am board certified to do telehealth (counseling over the internet) for clients that cannot make it to the office for their counseling appointment or prefer the comfort of having their counseling session in the privacy of their own home. I am experienced working with all ages, genders, and the LGBTQ community. In addition, I have experience working on a college campus with college age persons. In my free time you will find me spending time with my cats, and dogs, riding my horses, riding my bike or working out at the gym.
Hello, My name is Najja Cummings. I have been providing psychotherapy for 5 years. I have worked in a multitude of settings with diverse populations. I have worked in community agency, child welfare, jails, private practice, hospice, etc. I have worked with athletes (collegiate and high school). I have worked with a diverse range of diagnoses from your basic adjustment disorders to your more severe such as schizophrenia. I am committed to aiding individuals in their quest to better deal with life stressors and getting a grasp of their mental health. I would love the opportunity to be able to assist on your journey of self-improvement.
My roles have included case management, management, and professional counseling. The numerous professional opportunities I have experienced with various populations has allowed me to find a place to dedicate myself to a career of serving exceptional individuals and working with numerous health care providers in the community.
My approach is holistic and refers to the whole-person rather than focusing on specific ailments, although topic specific symptoms will also be addressed and discussed as necessary.
Imagine a life where it wasn't a struggle to get out of bed. A life where you feel confident in your own skin. You trust and love yourself for who you are, not who others want you to be. Your relationships are working and you are capable of setting healthy boundaries. Right now, life may not look anything like that. You may feel depressed, anxious, worthless, lost, or even stuck. I'm Kendra, a Licensed Therapist, and I help women who struggle with boundary setting, self-love and relationship issues. If you're a woman struggling with self-esteem, difficulty establishing healthy boundaries within your relationships, or work-life balance, then you're in the right place. My virtual space is free of judgment for women like you. I provide a compassionate and culturally sensitive approach by integrating evidenced based treatment specific for your needs.
I’m a Licensed Clinical Social Worker and Certified Clinical Trauma Professional with a Doctorate in Clinical Social Work. I specialize in supporting women who are carrying the weight of the world—juggling responsibilities, managing emotional wounds, and trying to hold it all together. My approach is rooted in compassion, cultural sensitivity, and evidence-based practices. I create a space where women feel safe to unpack their pain, process life’s challenges, and reconnect with their inner strength. My goal is to help you move from surviving to thriving—on your terms.
I’m a warm, insight-oriented therapist who offers a steady, compassionate space for adults navigating grief, relational wounds, and the impact of growing up around emotional chaos or inconsistency. My approach is grounded in deep listening and curiosity—I help clients slow down and make sense of their inner experience, uncovering patterns that may have once been protective but now feel limiting. Together, we create room for new ways of relating—to yourself, to others, and to your story. Healing, in my work, begins with being deeply seen and understood.
I view my work as a therapist through a multicultural lens, and I customize my approach depending on the unique needs of every individual I work with. Many people have told me they’ve been frustrated by therapists in the past who sat quietly and provided very little feedback. In response, I’ve developed a forthright, solutions-oriented style of engaging with my clients that encourages them to set goals for themselves and empowers them to work toward them. I also have experience working with clients who prefer a softer, less structured approach, so I can customize the therapy experience to each person.
I hold compassion for those who struggle with OCD: The persistent, unwanted, unpleasant thoughts, the sometimes paralyzing anxiety, the compulsive actions, rituals, ruminations, avoidances meant to neutralize the thoughts. I also have an understanding of how often OCD can be misunderstood, misdiagnosed, and the shame and stigma sufferers sometimes feel. Most of my work involves helping people gain control over their OCD and process traumas including interpersonal abuse from friends, family and coworkers (sometimes related to OCD, unfortunately), adverse childhood experiences, and bullying -- past or present. I also work issues related to OCD, such as body dysmorphia, eating disorders that intersect with their OCD, emetophobia, social anxiety, generalized anxiety.
I am currently licensed in Florida (MT 4081) and in California (MFC 103044) and accept telehealth clients through a secure HIPAA compliant video platform. In addition to OCD and anxiety treatment I provide support to people coping with chronic illness such as cancer and autoimmune disease, self esteem issues, grief and loss.
I welcome neurodivergent people -- many of my clients are autistic or have tic disorders or ADHD diagnoses in addition to some of the other issues detailed above.
Hey! I am Dr. Martecia "Tecii" Oates and I am a licensed professional counselor servicing clients in CO, FL and OK. I work primarily with athletes, college students, young professionals, and teenagers. I work with ages (14-40). I aim to be a helping hand to clients who are navigating life transitions, experiencing symptoms related to anxiety and depression, as well as clients who are struggling with self-esteem and low confidence.
I specialize in working with individuals dealing with anxiety, sexual addiction, pornography addiction, and emotional pain from past experiences. My goal is to provide a safe, supportive environment where you can heal, regain control, and start living the full life you were meant to live. With a background as both a pastor and therapist, I bring a compassionate, understanding approach to therapy. I use evidence based, personalized strategies to help you overcome the issues you’re facing.
I bring extensive experience from various settings, including treatment centers, community programs, group therapy, and correctional facilities, where I've had the privilege of working with adolescents, young adults, and adults. My approach is rooted in evidence-based therapies, tailored to support meaningful behavioral changes. I deeply understand the mental health challenges that can emerge from incarceration and the unique stressors that accompany the journey of rebuilding life afterward.
I’m also dedicated to supporting the family members and loved ones of those struggling with addiction or incarceration, helping them navigate their own emotional journeys with compassion and care. Additionally, I work closely with parents and families of children with complex behavioral issues, providing guidance and support to help them create a nurturing environment for their child’s growth and well-being.
In addition to this, I have experience helping clients through significant life transitions, such as starting a family, navigating college, or going through a divorce. I understand how overwhelming these changes can be and am here to provide empathetic support and practical tools to help my clients find stability and confidence during these times. I’m committed to walking alongside my clients and their families as they navigate these difficult transitions, offering understanding and support every step of the way.
Hello! I am so glad you came across my profile; and that you are considering taking this very important step towards changing your life. I am a licensed clinical social worker, based in the Raleigh Durham area of North Carolina. I am licensed in North Carolina, Connecticut, Florida, and Texas. I received my undergraduate degree from the University of North Carolina at Wilmington and my graduate degree from the University of Georgia.
I have spent the majority of my career in healthcare settings and working with adults who are experiencing challenges with mental health. I help clients with long-term health conditions find effective coping skills as well as meaning and acceptance in their diagnosis. I have also worked with children who have a loved one facing a life-altering medical diagnosis.
My experience is not limited to working with individuals who are facing a medical diagnosis, as I also have worked extensively with clients facing depression, anxiety, interpersonal challenges, self-esteem issues, and end-of-life challenges. I view therapy as a collaboration, as you are the expert of your own life; we will work jointly to create a treatment that is both realistic and meaningful so that you can live a full and value-driven life!
I have a certificate to provide tobacco cessation counseling for individuals looking to live a smoke-free lifestyle.
I have been licensed as a Licensed Professional Clinical Counselor since 2004, and have held a supervision designation since 2015. I have also held a Licensed Independent Chemical Dependency Counselor with a supervision/training designation license since 2018. I have maintained a private counseling practice in Chillicothe since 2000, and I continue to work with individuals and families in that capacity. I have dedicated my career to helping others and to working with the community to ensure the well-being of families and children.
My most common theoretical approaches are Cognitive Behavior Therapy, Solution-Focused Therapy, and Christian Therapy, but I am proud to be able to use a multitude of approaches, dependent on what works best for the client(s) involved.
I value the individual and the couple regardless of age or philosophical approach to their life or relationship. I see my goal of treatment as improving the individual or couple to be the best they want to be.
My communication tone or approach tends to be direct but laid back. We are in session to work together, not have me tell you what to do or where you need to go.
It can be so difficult to manage the increasing life stressors that exist in today's world. Whether it's overwhelm from too many demands, feeling anxiety and worry or living with feelings of hopelessness and depression, or constant changes- I'm here to help you through it. I support clients also with mood disorders, trauma, grief, emotional dysregulation and related challenges.
In our work, we incorporate DBT, IFS, somatic approaches, inner-child work and mindfulness based CBT. I understand how difficult it can be to regulate emotions, manage anxiety, and/or live with depression. I am here to help you through it.
I approach each client holistically, paying close attention to both the mind and body. I specialize in somatic work, which helps clients regulate their nervous system, process trauma stored in the body, and cultivate a stronger sense of internal safety.
My aim is to help individuals reach a place where difficult emotions feel less overwhelming and easier to manage.
I also specialize in grief, whether that is the loss of a loved one or ambiguous grief - grief that emerges from the end of a relationship, life transitions, or mourning the life you hoped for.
Hi there!! My name is Ayesha Thomas and I am a Licensed Clinical Social Worker in Georgia. The name of my practice is "Purpose Driven Counseling, LLC". I have over four years of counseling individuals from various backgrounds. My experience includes working with potential clients in various settings (home, religious settings, community, and academic environments). I further have experience working with those that are in crisis or who are diagnosed with Depression, Bipolar etc. My nonjudgmental and accepting personality allows for the foundation for an effective therapeutic relationship. Working with me means overcoming and powering through challenges in life by discovering healthier coping mechanisms and thought processes.
Additional Experience:
Stress, Anxiety, Addictions, Trauma and abuse, Grief, Intimacy-related issues, Anger management, Career difficulties, bipolar disorder, coping with life changes, Coaching, ADHD, Abandonment, Attachment Issues, R
Clinical approaches:
Cognitive Behavioral Therapy (CBT), Motivational Interviewing
Online counseling is fairly new and I've found it to be really effective for various issues. My counseling style is pretty laid back. I have been described as supportive, encouraging, caring and compassionate with a good sense of humor. I like to focus on identifying your strengths and helping you to maximize them to overcome your obstacles. I'm here to assist you in sorting through the things that are most difficult for you. I allow a safe place to be open and honest without fear of judgement. I am happy that you have decided to take the first step by reaching out for help.
I help successful, world-class achievers who feel disconnected, frustrated and unsatisfied in their lives, to transform their relationships - to themselves and to others - to create the love, connection and fulfillment they desire deep down.
If you are tired of feeling stuck, misunderstood, and unsatisfied with yourself and/or your relationships, despite your other successes and achievements, I am here for you.
I hold two master’s Degrees from Columbia University and am the inventor of Life Therapy™, a combination of Psychotherapy & Coaching + Mindfulness & Meditation.
For almost 18 years I've had an out-of-pocket only practice, and recently created a concierge model so that you can get a portion of your experience covered by insurance!
Hi, I’m Dr. Nate, a licensed mental health counselor passionate about helping people reconnect with themselves, heal from past wounds, and build relationships that feel safe and meaningful. I specialize in supporting individuals and couples navigating religious trauma, sexuality, identity, and emotional disconnection. Therapy with me is a collaborative, compassionate space where your story matters and your autonomy is honored.
You've made an important decision to start therapy. I'm glad you're here. It has been said therapy with me is like talking to your "auntie". I will help you see yourself but in such a nurturing way you receive it, and it allows you to do your work.
My gifting is in assessment and working with adults and couples. I have always worked in some form of mental health assessment in my career. Most recently I spent 5 years in Grady’s Psychiatric ER. Allowing me to quickly assess needs and develop a life plan with the client.
Couple work is also a skilled area for me. Especially when communication has broken down evidenced by constant arguing. Therapy can break couples out of the destructive tit-for-tat cycle. Broken trust, infidelity and unforgiveness are also areas I specialize in.
Women’s concerns and issues are important to me. I’ve done extensive work in healing their “father wound”. Tapping the spiritual relationship for healing. Topics include relationships, self development and growth. Another very successful service is my therapeutic walkthrough of popular books. Titles have included RC Blakes’ Queenology and Sophia Nelson’s The Woman Code. Currently, I am authoring The Majestic Woman Mindset, which comes from a woman’s empowerment curriculum I developed.
TALK|THERAPY LIVE, is a podcast on my YouTube channel https://www.youtube.com/channel/UCmxgzmGXbnqKKizcNu32WuA
of educational videos and live broadcasts addressing behavioral health and relationships. Sometimes with special guests. I have been a helper/healer my entire career and looking forward to this season working with those I can help the most.
So whether it’s life just happening, grief, a relationship starting or ending, relationship issues and specifically if there are struggles with depression, anxiety, or a disorder, REACH OUT…Success in life is about making good decisions. Starting therapy is always a great decision!!
My name is LaTonya Thomas and I am a license clinical social worker. I have been in the mental health field for over 14 years and has worked with clients with anxiety, depression, grief, life transition and many more diagnosis. My goal is to help the clients become aware of what may be going on with them and ways to handle it.
Evan is a highly skilled psychotherapist who provides the healing space for Individuals and Couples to elevate their relationships. He's an expert at assessing the patterns of relationships and helping his clients experience the communication they deserve. He also specializes in treating Sex & Porn addiction, navigating infidelity & betrayal, and addressing sexual concerns.
Evan is a both a psychotherapist as well as a masters level educator who is trained and experienced as a personal therapist, couple and family therapist, as well as group therapist.
Hello! I’m Belinda Paulicin, a Licensed Clinical Social Worker (LCSW) serving Florida and Indiana with over 20 years of experience. I hold a doctorate and master’s degree in clinical social work. I have advanced certification and training in evidence-based and trauma-focused interventions. I work with families, individuals, and communities from various backgrounds. My focus is on building capacity and resilience to cope with life challenges.
Nicole Beall is a Licensed Professional Counselor (LPC) with over 12 years of experience.
Please make sure you complete intake forms as it helps me understand what you are seeking treatment for. It also helps me get to know you before our intake session.
In some cases this information will be also helpful to determine if I will be able to assist you or if you will need a different Provider.
See you soon! Nicole
My life experiences drew me to become a therapist and gave me a strong desire to help others on their paths. I have worked in a variety of settings, from schools, jails, and hospitals to private practice. I have specialized training in TF-CBT, DBT, ACT, EMDR, autism, and women's issues, including perinatal, postpartum, and perimenopausal/menopausal issues. I look forward to helping you on this journey together!
Hi there, my name’s Ephraim Tokar. I'm a licensed Marriage and Family Therapist with 20+ years of experience. My specialties consist of relationships, men’s issues, career counseling, and psychosomatic illnesses. I received my Bachelors degree in Child Psychology, working initially with the adolescent population before transitioning over to adults. I then received my Masters in Marriage and Family Therapy. Whether it's individuals or couples, I'm happy to get to work with whomever comes my way. I do my best to facilitate a warm, trusting environment. Looking forward to meeting with you soon!
You're not alone in wanting to feel more connected, understood, and at peace. I'm here to walk alongside you as you navigate life’s challenges and rediscover your strength. As a licensed marriage and family therapist, I specialize in helping individuals and couples work through relationship struggles, rebuild after infidelity, emotional disconnection, and overcome anxiety. I offer a compassionate, nonjudgmental space that blends evidence-based care with faith-based insight and holistic tools—honoring your whole self: mind, body, and spirit. Whether you're healing from betrayal, seeking clarity, or longing to reconnect, I'm here to support you every step of the way.
Greetings! As a licensed professional counselor certified by the state of Georgia, New Jersey, Florida, and California, I provide individuals with fresh insights and strengths so they can integrate skills learned in therapy into their lives. I treat a wide range of mental health issues including mood and anxiety disorders, interpersonal difficulties & stress related to life transitions. I work collaboratively with people who struggle to manage depressive thoughts or are caught in a cycle of anxiety and avoidance.