Therapists in Florida

Welcome to this page, I'm so glad you made it here. My name is Dedra McIntosh and I am a Licensed Clinical Social Worker. I am dedicated to providing a safe and supportive space where clients feel heard and valued. I serve my clients by offering compassionate, evidence-based care tailored to their unique needs, helping them navigate challenges and discover their strengths. My goal is to empower clients to heal, grow, and build lasting skills that create positive change in their lives and relationships.

Hi there! My name is Natalie, I am a Licensed Clinical Social Worker. I have worked in the mental health field for 12 years. I would say my strong suit is working with clients dealing with: mens Issues, military populations, prenatal/postpartum depression and anxiety, low self- esteem, and social anxiety. My passion is working with people going through their toughest moments and watching them transform into the best version of themselves in the process. I really believe that each client deserves individualized treatment, not just a "cookie cutter" approach. I take my time building trust with my clients so they feel safe to be vulnerable in sessions with me. My ultimate goal is to create an environment where healing can happen.

Struggling with stress, anxiety, trauma, feeling stuck, or low self-esteem? I’m here to help. As an experienced therapist, I offer evidence-based, person-centered therapy to guide you toward balance and growth. Whether you’re facing career or relationship challenges, or seeking faith-based therapy, we’ll work together to create a personalized path forward. As a Certified Clinical Trauma Professional trained in EMDR (Eye Movement Desensitization and Reprocessing), I specialize in helping clients heal from trauma and painful experiences that may be holding them back. I also integrate techniques like breathwork, mindfulness, and actionable steps to enhance healing. Taking the first step is courageous—let’s work together to achieve lasting change and well-being.

Ready to start your journey toward a healthier mind? As a dedicated licensed mental health counselor. I'm here to provide a safe and supportive space for you to explore your thoughts and feelings. I specialize in helping individuals navigate common challenges such as anxiety, depression, stress, and relationship issues. Using evidence-based therapeutic approaches, I work collaboratively with my clients to develop personalized coping strategies and achieve lasting positive change. Let's work together to help you find clarity and emotional well-being.

I am a Licensed Mental Health Counselor in the state of Florida, I received my Master's degree from Florida Atlantic University, and I have been practicing for about 5 years. I help adults with a variety of concerns, from simply becoming a better and more effective version of themselves to struggling with mood or anxiety disorders, substance use or addiction, relational and attachment conflict, or educational and career stressors. I'll meet you where you are and we we can agree on your treatment goals based on what prompted you to seek therapy. We'll then focus on one issue (or more, related issues) at a time to promote your growth to the best version of yourself, over time.

Lawrence Devine Sr. is a licensed mental health counselor (LMHC) in Florida with a Master's in psychology from Carlos Albizu University, practicing psychotherapy for over 16+ years. Specializing in authenticity, humor, and compassion, he acknowledges the bravery in seeking support. Offering therapy to adults, seniors, adolescents, and the LGBTQ community, Lawrence has extensive experience in community mental health clinics, juvenile diversion programs, and residential programs.

Hello! I am a Licensed Mental Health Counselor. I received my Master’s at Lynn University. I am also trained in EMDR. I work with adult clients who may feel lost or struggle with spirituality, work, or life stress and assist them in learning more about themselves and develop/grow the desire and willingness to grow and become better versions of themselves.

Hi! I'm a Licensed Mental Health Counselor based in Florida. I received my Masters from Argosy University have been practicing for 7 years, licensed for 3 years. I aim to help adolescents (ages 13-17) and adults (18-65+) struggling with mental health and emotional challenges, problematic behaviors, and stressors with additional benefits of increasing insight and awareness to the mental health population.

Have you ever felt like you cannot find the energy or motivation to do the most basic tasks? Or felt like your brain will not shut off? Have you ever struggled with losing someone that you love and feel as if you will never make it out of the fog? Have you experienced a traumatic event and need help managing the thoughts and feelings that come up after the experience? Are you feeling stuck in your life, or just listless? Are you struggling with substance abuse and the impact of usage in your professional and personal life? Do you have a history of self-harm or self-harming thoughts? If any of the above questions resonated with you, I am here for you. I bring over ten years of clinical counseling experience focused on depression, anxiety, end-of-life, grief therapy, substance abuse, self-harming thoughts and attempts, insomnia, and trauma therapy. I am seasoned in case management and navigating medical crises in the hospital environment. I enjoy helping my patients and families navigate end-of-life care planning. I am trained in using Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), brief CBT-I to treat Insomnia, and Guided Imagery to assist my patients with navigating a multitude of treatment needs. I am also certified in providing sexual assault survivor group counseling and psychoeducation. I love helping my patients see that they do have a purpose in this life and a reason to live it with happiness. I love seeing my clients learn techniques that they can independently use to continue to help themselves outside of the one-on-one time we have together. I find joy in seeing you succeed in your goals.

Hello, I’m Jose and I am a Licensed Mental Health psychotherapist. As a therapist, I believe that a kind and supportive, client-focused approach is fundamental in helping navigate the many challenges that life can bring. I like to provide my clients with a warm, nonjudgmental, safe, and supportive space where we can explore and address the various thoughts, emotions, experiences, etc. that pose a challenge in everyday life. Life can bring about many challenges and at times, seeking professional support can help manage these challenges. I take pride in being able to meet my clients where they are as we explore what therapy has to offer.

Hi, I’m Dr. Lynne Santiago, a licensed mental health counselor with over 30 years of experience helping individuals and couples navigate life’s transitions with compassion and clarity. My approach is grounded in Integrative Psychotherapy, which means I draw from a variety of evidence-based methods—tailoring each session to meet your unique needs, values, and goals. I specialize in Integrative psychotherapy, Spiritually Integrative Therapy, Ketamine-Assisted Psychotherapy (KAP), and betrayal trauma in relationships, offering a safe and supportive space for deep healing and transformation. Whether you're facing anxiety, depression, PTSD, or relationship challenges, I’m here to walk alongside you with empathy and expertise. As an Army veteran and former federal employee, I understand the complexities of trauma, identity shifts, and life after service. My personal and professional journey has shaped a practice that honors resilience, growth, and the power of conscious choice. I also offer couples therapy through my Love Evolved programs, including the Power Couple Challenge and The Loving Exit, designed to help partners either deepen their bond or part with grace. These programs reflect my belief that love can evolve—even through conflict, change, or separation. If you’re ready to explore healing, growth, or a new chapter in your life or relationship, I’d be honored to support you.

I am a Licensed Mental Health Counselor with a master’s in Mental Health Counseling from Carlos Albizu University, earned in 2021. With over three years of experience, I work with teens, young adults, and adults navigating anxiety, depression, ADHD, stress, and life transitions. I’m dedicated to helping clients build skills, find clarity, and feel more in control of their lives.

Hi, I’m Nicole! Are overwhelming thoughts and emotions keeping you stuck? I’ve been there, and I want to help you break free from those mental barriers and unlock your true potential. I help people like you find balance, nurture self-love, and release anger and resentments that hold them back. Together, we’ll tap into your strengths, create healthier relationships, and manage negative thoughts. We’ll explore the behaviors and patterns that have been keeping you stuck, and work through them to create lasting change. I’m direct, but bring a healthy sense of humor to make the journey easier. The work can be tough, but it's so worth it! Let's make those changes together!

My name is Berthovena (Bertha for short) and I am a Licensed Clinical Social Worker (LCSW) based in South Florida. I originally received my Masters in Social Work from Hunter College and have been professionally working in the field for over 23 years now. Since I was a child I loved serving others, and this passion is a large part of what has maintained my deep drive and love for Social Work not only as a career, but as a way of life.

Hello! I am an experienced, licensed psychologist who has helped many individuals, couples, and families to navigate various life transitions. I enjoy serving clients who are willing to assess their value systems to determine if their values are still consistent with who they want to be. To some extent, our personal styles are genetically determined. However, I also believe we base our values on early learning, whether that education was positive or not.

Hi, I’m glad you’re here. I’m a Licensed Clinical Social Worker and a proud Army veteran. My time in the military taught me resilience, discipline, and how to face challenges head on and I bring that same mindset into my work as a therapist. I understand that reaching out for support takes courage, and my goal is to honor that step by providing a space where you feel seen, heard, and supported. I work with adults and fellow veterans navigating anxiety, depression, trauma, and life transitions, helping them find tools that create real change in everyday life.

Hello, my name is Moli and I'm passionate about helping clients overcome mental health concerns related to anxiety, depression, low self-esteem, people pleasing behaviors, and trauma. With a strength-based approach, I help empower my clients to discover and utilize their inherent strengths to help overcome life's challenges. I aim to create a safe and non-judgmental space where my clients can explore their thoughts, emotions, and experiences, while tailoring my therapeutic interventions to meet the specific needs and goals of each client.

Hello, and welcome! I am License Mental Health Counselor in Florida and I’m glad you’re here. With over 15 years of experience in neuropsychological testing, diagnosis, and therapy, I am deeply committed to helping individuals, couples, and families navigate life’s challenges. My goal is to support you in becoming the best version of yourself, fostering growth, resilience, and well-being. Together, we’ll work toward understanding and overcoming obstacles, creating a path toward healing and fulfillment. I look forward to being part of your journey!

Hi my name is Marchella Carter a licensed mental health counselor in Florida with over 10 yrs of experience in the behavioral health field. I have experience treating co-occuring disorders, mood disorders, anger, anxiety, panic, adjustment disorder, unresolved family issues and trauma. Serving Florida counties outside of Escambia, Santa Rosa, Okaloosa and Walton. Seeking therapy can feel scary but you're making the right choice. You deserve a safe space to heal and grow. In our sessions together, I'll meet you with compassion and evidence-based techniques so you can overcome the hangups and habits holding you back. Let's work together!

Hello there! I am Bromwell, a compassionate and experienced Licensed Marriage and Family Therapist (LMFT) in Florida and South Carolina, specializing in anxiety, depression and coping/stress management skills. I’ve earned a Masters Degree in Clinical Psychology from Antioch University Los Angeles and have 25 years of clinical experience. I believe that therapy is not just about addressing symptoms, but also about empowering you with skills and tools to thrive in your daily life. Through our sessions, you will learn practical techniques to manage stress, regulate your emotions, and cultivate a positive mindset. Together, well will explore your strengths and build resilience, enabling you to face life’s challenges with confidence and grace.

Are you constantly feeling anxious, unhappy and overwhelmed? Do you experience intrusive thoughts, Intense emotions and often feel that your emotions and thoughts take over? Are you going through a change in your life right now or confused about where you are heading and would like some guidance from a professional? Hope is right around the corner! Hello there! My name is Jesse Greene and I am a Licensed Mental Health Counselor (#18108) in the state of Florida. In the last 10 years I have helped individuals and families seek meaningful change in their lives. My approach is based on Cognitive Behavioral Therapy, as well as Existential Therapy when appropriate to focus on meaning and purpose in my client's lives. I have worked with clients from all walks of life in my work and in multiple settings in Florida. My experience has provided me with a deep insight and a practical view of the problems people face in their personal lives. It takes courage to seek for a more fulfilling and happier life and to take the first steps towards change. If you are ready to take that step, I am here to support and empower you. I look forward to working with you!

I am a Licensed Mental Health Counselor (LMHC) based in Florida; and a retired U.S. Navy veteran of over 20 years of military service. I attained my master's in clinical mental health counseling at Nova Southeastern University. I provide treatment to adults dealing depression, anxiety, and addictive behaviors and I will work collaboratively with you to create a tailored plan based on your needs that may include helping you clarify your desires, learn new tools that would lead you to a more meaningful and fulfilling lives.

Hi, I’m Kaela Perez, a Licensed Mental Health Counselor based in Florida with over 7 years of experience in the mental health field. I work with individuals navigating anxiety, depression, trauma, self-esteem, and life transitions. My approach is collaborative, compassionate, and tailored to your unique needs—drawing from evidence-based methods like CBT, person-centered therapy, and trauma-informed care to support your healing and growth. I am dedicated to creating a warm, supportive space where you feel truly seen and heard.

Hi! I'm a Licensed Clinical Social Worker based in Florida. I received my Master's from Saint Leo University and have been in private practice since 2023. Prior to this I have worked in the mental health field for the last 6 years. I help clients of all ages, however work mostly with adolescent and young adults especially within the LGBTQ+ community.

Welcome, I'm Brian, and I am a Florida licensed mental health counselor. For over ten years, I have worked with clients to explore and resolve depression, anxiety, and relationship conflicts. To do so, I focus on helping my clients identify their strengths and maximize those strengths to overcome obstacles. I also work with my clients to challenge negative automatic thoughts that often drive or maintain personal difficulties. Being in the moment, as well as relaxation, body awareness, and other coping skills have helped my client's to cope with difficult thoughts and feelings while we get to the bottom of the issues. When are ready to begin your journey, I'm ready to help. We can work together to improve your well-being and quality of life.

Hello! I work with people who want help finding ways to live a more fulfilling life. As a therapist, I help people recognize their strengths as we work together to overcome difficulties. Almost all of us struggle with many of the same questions. "Am I good enough?" "Why do I feel like I don't matter?" "Will I ever be truly happy when I seem to make the same choices over and over again?" Do you want to manage anxiety? Do you feel depressed? Have you experienced a trauma? Do you find yourself unable to finish projects or find your car keys? Are the kids struggling? Whatever is going wrong, a safe place to talk, knowing your trust will never be compromised, is a wonderful gift you can give yourself. During the first visit, we'll talk about what you want to see happen. Together will come up with a plan. Lasting change is possible. You can create a happy and fulfilling life.

Social work chose me! When I wrote my personal essay for my MSW, I realized social work had always surrounded me. I remember helping elderly neighbors, teaching friends how to count money, and researching services for my autistic brother. There were so many events between those gaps and yet to come. I always desired to help people. My brother’s diagnosis widened my eyes to my calling, but life had other plans for me and I became a secretary. As a secretary, I found myself being hired in the mental health arena, including the areas of AIDS research, mental health, addiction services, and college counseling. Social work is my second career but it's always been my first passion. I pull from both my personal and professional experiences and allow these experiences to teach and mold me.

Hi! I’m Jessica, a therapist passionate about helping people find healing, clarity, and confidence. I work with clients who may feel stuck in negative thought patterns, weighed down by emotions, or unsure of how to move forward. In therapy, I provide a supportive environment where you can process, heal, and grow. My approach blends practical strategies with deeper exploration, so you not only learn new tools but also create lasting changes. The impact of this work is helping you feel more in control, more connected, and more at peace in your daily life.

My Journey to becoming a therapist began after a career in teaching and raising my three boys. My passion has always been working with children, but as a therapist, I have the ability to help people of all ages. I have a background in working with trauma, adoption, divorce, parent coaching, and the child welfare system, and I have experience working with young children, teens and adults. I specialize in working with children and families who are struggling with child behaviors, life circumstances, family dynamics, adult, relationships, or parent, child relationships, and seek greater connection, harmony, and resiliency in life.

Hi, I’m Francia Alexandre-Mertilus, a Licensed Mental Health Counselor and the founder of Blessed Heart Counseling. I specialize in supporting Black and Caribbean women navigating anxiety, burnout, trauma, and life transitions. My approach is warm, culturally sensitive, and faith-affirming for those who seek it. You deserve a space where you can be fully seen and safely supported — and I’d be honored to walk with you on your healing journey.

I am a Bilingual licensed mental health counselor focused on providing support through the different transitions and challenges of life. I am specialized in the treatment of substance abuse, trauma, anxiety, depression, and family/peer relationships. I provide services to children, adolescents, adults, and individuals in the LGBTQ community. My goal is to provide a safe space for you to explore the changes necessary to live a fulfilling life.

Hello, my name is Jenna Bekier. I am a Licensed Clinical Social Worker (LCSW) in the states of California and Florida, and have been practicing for 8 years. I received my Bachelors in Psychology from SUNY New Paltz (native New Yorker!) and Masters in Social Work at Florida Atlantic University. My clinical experience includes providing individual, group and family therapy in private practice, CMH, and residential-based treatment for teens with involvement in the foster and juvenile justice system.

I am a licensed clinical social worker currently based in Florida, with an MSW degree from New York University. I have 30 years of experience in providing mental health services in community mental health clinics, psychiatric facilities and criminal justice facilities. For the past several years I have focused on providing individual teletherapy sessions to persons who are motivated to make positive changes in their lives.

My name is Marissa Gilbert, and I have been practicing therapy for over ten years. I’m excited to work with you and support you on your journey of personal growth and healing. My goal is to create a safe and welcoming space where you can freely express yourself without fear of judgment. I tailor my approach to therapy based on each client’s unique needs and where they are in their journey. My role is to listen, understand your concerns, and help you gain insights to navigate life’s challenges. Whether you're seeking support for depression, anxiety, family issues, or self-esteem, I am here to help you grow and empower you along the way. I strive to be down-to-earth and authentic so clients feel comfortable and connected during sessions. When a client leaves saying their session felt easy or enjoyable, I know we’re making progress in the right direction.

Hey, I'm Eboni. Do you feel as if you've been caught in a whirlwind lately and are unable to keep yourself firmly grounded? Finding yourself struggling to adjust to all that life is throwing at you? Is it hard to maintain or find that confidence that keeps you going? Being kind to yourself? I help children, adolescents, adults and those in between navigate the challenges that life sometimes provides. Together we can identify what hasn't been working and find what works best for you to get through. We'll use a person-centered approach addressing the needs of you as a whole while incorporating mindfulness to help you gain a better sense of self. whether you're dealing with challenges with friends/family, managing anxiety, depression or any other of life's ups and downs, I'm here to help. Seeking therapy, let alone admitting we need it can be challenging. Congratulations! You've taken the first step. Let's embark on this journey of discovery, healing and growth together.

As a Licensed Clinical Social Worker with over 20 years of experience, I am deeply committed to helping individuals navigate emotional challenges and create meaningful, lasting change. My work is grounded in a compassionate, client-centered approach that honors each person’s unique story and resilience. I specialize in treating anxiety, depression, trauma, and self-esteem issues across the lifespan—from pre-teen (over age 11) to older adults. I primarily use Cognitive Behavioral Therapy (CBT) to help clients identify and shift unhelpful thought patterns that impact their mood, behavior, and relationships. To support holistic healing, I integrate mindfulness-based strategies that enhance emotional awareness and regulation, along with trauma-focused care that prioritizes safety, trust, and empowerment.

Ofrezco servicios en español. I'm a Licensed Mental Health Counselor with significant experience treating children, adolescents and adults struggling with trauma, depression, anxiety, among other concerns. Florida has been my home for many years after leaving my beautiful Dominican Republic. I feel passionate about normalizing therapy and helping my community navigate life challenges. I believe that you are the expert in your life and I would feel honored to help you maximize your potential and find fulfillment through this journey we call life. It takes courage to seek out change and I praised you for allowing yourself to take this first step. Let's work together!

Hi, I’m Andrés and if you’re reading this, you might be the one everyone counts on, the one who gets it done, but lately... it’s been feeling like too much. Maybe sleep is broken, work feels relentless, or you snap at people you love and don’t know why. I work with high-achieving, deeply committed people who are tired of carrying the weight alone. Therapy with me is real, practical, and focused we get to the root of things so you can finally exhale, feel lighter, and show up how you want to at work, at home, and for yourself.

Hi my name is Barbara Hayes but I am called Bobbie I’ve been working in the field of mental health for over 40 years and I am blessed that every day when I get up to go to work I do something that I really love. Doing therapy can be very difficult at times and I know that can be scary for somebody to decide to change their of life. My goal is to help that become easier and smoother for you. And walk alongside you while you do it.

I’m a Licensed Mental Health Counselor with a deep passion for helping others heal, grow, and reconnect with themselves. With over a decade of clinical experience, I bring warmth, empathy, and a calm presence into every session. Clients often describe me as caring, grounded, and approachable. Someone who listens without judgment and offers support with compassion and clarity. My professional journey has been dedicated to supporting children, adolescents, adults, families, and caregivers, particularly those who have experienced trauma or abuse. I’m also a certified Trauma-Focused Cognitive Behavioral Therapist and a Qualified Supervisor, guiding both clients and fellow clinicians with care and intention.

Most of the time the hardest part of change is the decision to do something different. There are times when we need some help to bring focus, clarity, and peace to our lives. At Purple Heart Counseling, I utilize a mindfulness and introspective approach to help identify your thoughts and feelings. We can focus on your goals and strive towards you living a more optimal and healthy life. I would like to be able to help you create a safe place and a safe space that you feel comfortable to work on the issues that are impacting you. I welcome you to begin your journey today to a healthier tomorrow.

I am a Licensed Clinical Social Worker in Florida, Virginia and Pennsylvania, and have been practicing for 23 years. Within my holistic practice, I incorporate mindfulness techniques such as deep breathing exercises, meditation, positive affirmations as well as utilize creative arts and movement during sessions. I work with clients who are feeling overwhelmed, overstimulated or anxious. I provide support as well as pride myself in a person centered approach, meeting my client where they are, and helping them to meet goals that they wish to achieve. I am compassionate about working with individuals facing infertility or health issues.

Are you feeling down and have little interest or pleasure in doing things you normally do? Do you feel tired or have little energy or so restless that it is hard to sit still and relax? Are you easily annoyed or irritable? If you answer yes to any or all of these questions, then you may be experiencing some depression and anxiety. But I have good news for you! Depression and Anxiety is treatable through talk therapy sessions and can often resolve in the short-term. Therapy does not have to be a long-term process and often you can achieve the goals you set for yourself within a matter of months.

I am a licensed mental health counselor dedicated to helping individuals, couples, and families navigate life’s challenges with confidence and compassion. My goal is to support you in finding balance, improving emotional well-being, and building the tools you need to thrive. Together, we’ll work toward making your life easier, and more fulfilling. I offer a safe, nonjudgmental space where you can feel heard and understood.

I am a new mom to an infant daughter. I love being outdoors, yoga, college basketball, family/friends, sun, and books! I worked as a school counselor for 17 years, and have been seeing clients of all ages via telehealth as an LMHC since 2023. I genuinely enjoy meeting people, hearing their stories, and helping them grow and reach their goals.

Hello, I am here to help you create a healthy internal environment to thrive in your external one. I obtained my MSW from Howard University in Washington, DC and received my clinical social work license in the state of Florida. I love traveling, reading history and sci-fi books, and building Lego sets. I work with clients dealing with trauma related to emotional abuse, neurodivergent struggles, self-esteem, relationships, life transitions, and cultural identity.

Trauma Depression, and anxiety can feel like an unbearable weight on your shoulders. Everyone has the capacity for growth and healing and whether it requires working through the past, being mindful of the present, or prepare for the future, you are capable of creating the life you desire. I am a client centered therapist who utilizes evidenced based, cognitive- behavioral, and mindfulness approaches in order to engage one's body, mind, and spirit for an integrated approach to wellness. Allow me to walk with you through life's obstacles in order to attain better insight and inner peace.

I am a clinical social worker, therapist & life coach. I collaborate with clients in facilitating their ability to navigate their journey through change. I provide clients the opportunity to learn, change and grow, and I provide guidance for them to learn healthy adaptive ways to improve their response to encounters with life stressors and challenging life situations. Clients are engaged in various evidence based therapeutic interventions and the exploration and discovery of their untapped potential, so they can harness the necessary skills and strategies to facilitate behavioral change. In the scope of my practice I aim to empower clients through sessions that are based on a holistic, client driven approach. I view clients through the lens of their personal environment, as their well-being is significantly shaped by their environment. In addressing clients presenting issues, I take into consideration the correlation between their presenting issues and their environment; i.e., social, cultural and physical, that contribute to current challenging life circumstances. Focus is given to past experiences and current situations to help them navigate their therapy encounter and future successfully.

Hi! It takes immense courage to take the first steps toward feeling better, and I commend you for that. Starting therapy can often feel overwhelming, but please know that you are not alone in this journey. If you're experiencing anxiety or depression that feels like a persistent cloud, impacting your daily life and diminishing your sense of peace, I would be honored to support you. My dedication lies in helping people heal from their hurt and improve their quality of life. I am especially passionate about empowering trauma survivors in their recovery, helping them move past feeling stuck and no longer defined by their painful experiences. For the past 13 years, I have had the privilege of supporting a diverse range of clients dealing with issues such as depression, anxiety, trauma, shame, fear-based thinking, anger, grief and loss, and relationship challenges. I received my Master's degree from Nova Southeastern University and have been a Licensed Mental Health Counselor for 9 years.

Hello, I am Maria Milana, a skilled LMHC in Florida who uses integrative and cognitive behavioral approaches tailored to my client's needs. I am collaborative with individuals and couples on their mental health journey toward personal growth through matters of anxiety, depression, life transitions, relationship challenges, grief and loss, and other diverse mental health difficulties. I understand the importance of creating a safe counseling environment and building a trusting, non-judgmental atmosphere to help my clients achieve positive mental health outcomes.