The challenge you are facing now, presents an opportunity for you to discover your hidden strengths and abilities. The difficulty is overhwelming and is upsetting to you, and my approach is to work in partnership with you to allow you to emerge and rise above it. I work with people of all faiths. I believe in a spirituality that transcends religion. With my guidance, you can transform negative energy into positive growth. You are unique, and your struggles have never been experienced by anyone else in the world. That's why I am committed to helping you on your journey towards finding meaning, purpose, and self-actualization. I will guide you towards a happier, more fulfilling life. If you are ready to take the first step towards a better tomorrow, please reach out to me to schedule an appointment. I have developed a transformative program called Consiousness that helps individuals overcome feelings of sadness, anger, and loss. My approach acknowledges that crises can be opportunities to tap into hidden strengths and abilities, rather than mere setbacks that can break us. I will help you embrace a more positive, hopeful and enrgetic approach to life. You can learn more about Consciousness in my book StayWoke and Ignite Your Soul. The challange you are currently facing is your special project or mission. You can do this. I will help guide you on your continuing journey toward meaning, purpose and self-actulization. Take the first step toward growth and a better life.

Hello, thanks for visiting my page. I am Dr. Banigo, and I love to collaborate with patients and render needed assistance. I am a skilled clinician, and I provide clinical supervision to clinicians focused on sharpening their clinical skills. I am an adjunct professor. I encourage patients to actively participate in their care with me and other treatment providers such as primary care physicians, psychiatrists, and others. I do not complete disability forms (Social Security, work excuse, FMLA, Court papers/legal papers, emotional support letters, etc).

Hi!, I am a Licensed Clinical Social Worker based in Maryland. I received my Masters from Howard University in Washington DC and have been practicing for the last 13 years. I help people struggling with life issues cope and overcome their struggles and continue to function as best as they can.

Hello, I'm Shashana Carter. I am a Licensed Clinical Social Worker and board-approved supervisor, with over 15 years of professional, life and clinical experience. I work with individuals 18-70 to resolve conflict and improve functioning in the lives of my clients. My specialty areas include depression, trauma, grief, life direction, excessive eating, stress, anxiety and relationship issues. Using an evidence-based person-centered approach, and solution-focused perspective will empower clients to overcome obstacles achieve realistic goals and provide solutions to problematic issues getting in the way of living a healthier lifestyle and having a more positive mindset.

Duarte Aguiar is licensed in the state of Maryland as a Licensed Clinical Professional Counselor (LCPC). He is a graduate of Loyola University with a master’s degree in Clinical Mental Health Counseling and has 5 years’ experience providing therapy in Maryland to a diverse client-base in a variety of clinical settings including school-based (adolescent and adult), substance abuse/recovery clinic, marriage and family, individual, groups, and psychoeducation. Duarte specializes in the use of Cognitive Behavioral Therapy (CBT) and Trauma-Focused CBT, Motivational Interviewing, Person-Centered Approach, and Pastoral Counseling to treat various diagnoses. Duarte’s philosophy of care as a spiritually oriented therapist consists of a holistic perspective of the person(s) present in therapy. Inspired and informed by the person-centered approach, Duarte believes in the value of being present in a non-judgmental, therapeutic relationship while helping to challenge the client(s) to live up to THEIR own expectations. Duarte comes from the Catholic tradition and is ready, willing, and able to incorporate spirituality in sessions insofar as the client is desiring to do so. With that said, Duarte believes in bringing the client’s own beliefs, aspirations, and values to the forefront and using those unique aspects of the client’s virtues to guide the development of a trusting and open therapeutic atmosphere. Duarte is committed to providing a safe space where the client can feel heard, accepted, encouraged and even challenged.

Hello, I am a licensed therapist with more than 9 years of experience working with individuals, couples and families. I work with adults and teenagers who seek help with depression, anxiety, trauma and relationship concerns. I also have experience working with those in crisis and those looking for support in tough times. I also work with clients of diverse cultural backgrounds. I am a male therapist of Asian Indian background and work with clients from various backgrounds. My style of therapy is centered around your preferences and can be tailored to meet your needs. I work with you so that you can set the agenda and goals and pace of therapy.

Hello my name is Constance,
I am a Licensed Clinical Social Worker (LCSW) in the states of Virginia, Maryland, DC and Florida. I have 9 years of experience employed in behavioral health facilities, outpatient therapy clinics, correctional centers, and also providing medical social work/ therapy to oncology, emergent, and crisis patients in the hospital setting. Focusing on the client through a strength-based approach, building resilience and rapport is key in obtaining a therapeutic relationship and striving for successfully outcome. My professional experience includes working with adolescents & adults with minor to severe mental illness, survivors of traumatic experiences, individuals with major medical conditions, suicidal ideations, domestic violence, substance misuse, and crisis management.

Hello, My name Is Reginald Burgess. I am a Licensed Clinical Professional Counselor. My specialty of interest is providing brief, short term counseling services to individuals seeking counseling to address anger issues, self esteem issues, and depression. I utilize many therapeutic techniques including Cognitive Behavioral Therapy, Solutions Focused Therapy, Rational Emotive Therapy, Client-Centered Therapy and Motivational Interviewing. I hope you will consider me as someone who can assist you in addressing the issues and concerns you are struggling with. I have experience working with people from all different backgrounds. My primary focus is working with men who are having difficulty with expressing and processing negative thoughts and feelings. I have a particular interest in working with first responders and members of the military. I am motivated to join anyone who is motivated to take on life's challenges to become a better version of themselves! I am ready to take this journey with you!

Hello, my name is Ronak Makadia, and I am a licensed clinical psychologist with additional training in social work. As a second-generation, Asian American I quickly learned the stigma and shame attached to attending therapy, especially within the Asian American community. As a cis-gender woman of color, I value and will provide culturally competent services. Please note that I only accept adults and older adults who are high-functioning but need support to overcome barriers. Due to the nature of my private practice, I am unable to accept clients who are seeking treatment for trauma, substance use or severe mental illness. I work alongside patients to overcome any barriers they may be facing. I will always encourage you to create, learn, and consistently use healthy coping mechanisms. To avoid staying stuck, I collaborate with you in developing solutions to aid you in moving forward in your life. We all get stuck sometimes and I am here to help. Therapy does not have to be a painful experience and I will be here to guide you toward improvement in a welcoming, affirmative environment. I support the movement to destigmatize therapy and make mental health care accessible for all. I will continue to support this mission and provide quality counseling. Talk to me about scheduling a first appointment if you are interested in working together. I look forward to working with you!

Hi! I’m Marsha and thank you for visiting my profile. I am an LCSW-C in Maryland and have been practicing for over 9 years. I have a Bachelor of Arts in Psychology from Columbia College and a Master of Social Work in Advanced Clinical Practice from Saint Leo University. I specialize in teaching individuals the skills and strategies to identify, challenge, cope and hopefully resolve maladaptive thoughts, feelings, and behaviors and help them live more balanced, healthy, and fulfilling lives. What has prompted you to seek therapy…unpredictable moods, pervasive sadness, feelings of anxiety or panic, difficulty with concentration and focus? Or needing a safe person to talk to? Whatever your reasons, I commend you for taking this first step. I'm looking forward to our partnership!

Now I am taking on new clients!!! Also, I am available on Saturdays!!! I, Kumi Pledger, LCPC work with all ages: children, adolescents, couples, LGBTQ Clients, families and adults for various issues including, hearing from traumatic experiences, relationship challenges such as dealing with narcissistic abuse, struggling to manage anxiety, having no motivations, supporting new and expectant mothers, eating disorders, adjustment to new places/new jobs, grief and loss. I use personal insight and professional experience to provide clients with a safe place to be heard, find themselves again, free of fears, reduce anxieties, have a stress-free life, find happiness and joy in their lives, eliminate unwanted behaviors, grow, improve and conquer insomnia

Hello there, I'm Latoya. Do you feel overwhelmed with everyday tasks or just struggling to keep up? Are you taking care of everyone else's needs and neglecting your own? Do you feel you need a change but just don't know where to start? I am a passionate licensed mental health therapist dedicated to providing individualized therapy to my clients to assist them in achieving a sense of well-being and relief from their struggles. I am here to assist you with issues of life stressors, anxiety, depression, and women's issues. My approach to counseling involves creating a safe, collaborative, and non-judgmental environment for clients to share their thoughts and feelings, and to build resilience to help them navigate through life's challenges. I believe everyone has the right to be heard, and I am passionate about empowering and motivating my clients to take control of their mental and emotional health.

Hi, I'm Gabriella, I have been a Licensed Clinical Professional Counselor (LCPC) since 2013, but I have been in the mental health field since 2006. We all know that in recent years, specifically starting in 2020, our life as we knew it drastically changed. Our relationships with our family, friends, coworkers and even ourselves appeared to stall indefinitely. We had to learn to maneuver in different ways to try and have a sense of "normalcy." But as we tried to navigate this new way of life, our mental health has suffered. We have noticed that depression, anxiety, and relationship/interpersonal issues have been rising because we have isolated ourselves for so long. As people, we are social beings and tend to gravitate towards social situations. Within the last year, rules and mandates have eased, and we are resuming to our "new normal," and maybe we are feeling hesitant and vulnerable to step out. Reaching out for help is very difficult but the most rewarding decisions you make. We can work together to make step by step goals so you can achieve your success.

Welcome! I am Kimberly. I am a licensed clinical social worker with over 14 years of experience providing therapy. Many of us desire a sense of peace, connection, and well-being within ourselves and in our life. Yet life circumstances and even parts of ourselves can prevent us from having these experiences in our day to day lives. Providing a safe and non-judgmental place to explore your struggles and emotional pain is essential to my practice. I feel grateful to be able to support those who desire to grow and heal.

Hi, my name is Efraim Eshaghian. I have been in therapy myself, and I have come to realize what allows one to live the life he would like to live. We work on allowing the client recognize his/her own solutions and path to greatness. Together, we create the amazing experience of being empowered, which is so powerful. Self discovery and self awareness of one's strengths is the key to open a world that one never knew existed. We try to find that hidden key and access this unbelievable world which is filled with one's positive qualities which ultimately allows one to change around his/her life. The experience is unbelievable.

Are you feeling depressed and anxious? Are you finding your life is in turmoil because you have to make a change? Maybe you are changing careers or jobs, you’re recently divorced, your home is now an empty nest, or you are retiring. These are only a few of life’s transitions that can bring on depression and anxiety. Cognitive Behavioral Therapy, the therapy I use most often, states that A (Antecedent action or event) + B (our belief about that antecedent action or event) = Consequences, (depression or happiness). If you think of a transition or event (A) as a negative experience (B), you will experience the consequences of your belief, as depression and anxiety (C-negative) or as happiness and excitement (C-positive). Unfortunately, many of us view a transition or change as a bad thing, a time when we are facing the unknown without a map. I would like to help you see change as an opportunity, a time for growth and exploration. Come with me. Together we can make change a positive force for a bright future. please schedule appoints only on the hour.😀

My name is Dr. Olushola Bakare, and I'm a board-certified Psychotherapist. I attended St Joseph College. I'm happy to help you today with any of your concerns. I enjoy empowering people and digging out their strengths. I don't ask fish to fly, neither do I ask birds to swim. I respect everyone's strengths and help my client recognize them. I love to highlight my client's strengths. I offer a safe, warm, therapeutic, judgment-free space for Adults (18+) and Older Adults (65+). I am sorry, but I do not accept clients who pay in cash. Also, every late cancellation or no-show accrues a late charge fee. It is my ethical duty to officially terminate our therapeutic relationship when it is reasonably clear that the client is no longer beneficent, services are no longer required, counseling no longer serves the client's needs and interests, or Dr. Olushola Bakare, LMFT limits do not allow the provision of further counseling services. It is the policy of Dr. Olushola Bakare, LMFT, that our professional relationship will be terminated after a one-month consistent lapse of meeting with a client. Dr. Olushola Bakare, LMFT, will attempt to notify you of this change in status as soon as possible after one month. My ethical duty is identifying, being available, and caring for current clients. It could feel awkward for our relationship to end, yet it is not meant to be discourteous in any way.

Hi, everyone. I'm Susan. Welcome to my world – an experience in which we engage in a unique partnership on what may be one of the most important journeys of your life. Are you feeling unloved, unappreciated, helpless, hopeless due to some unplanned reality in your life. Do you need healing from adversity such as the ending of a relationship, the loss of employment, an unexpected debilitating illness, the death of a loved one, post-partum depression. These are a few of life occurrences that may have us feeling we will never see the light in the darkness or rise out of the flood of emotion. No matter what the adversity, we each have the inborn resilience to either return to a previous "normal" or carve out a new "normal." On this journey, we are truly partners. Each of us has a part in the process of healing. I rely on my knowledge and skills to guide me in EMDR, CBT, CPT, DPT, or Mindfulness. New coping strategies help to reduce the intensity of symptoms and permit you to face whatever painful occurrence has come into your life. So…I invite you to invite me to share this journey.

Hello, To schedule an appointment with Patrice, please register online at Grow Therapy. If you prefer an appointment sooner than is available on the online calendar, please email patriceflagle@gmail.com. I'm Patrice Flagle, a licensed clinical social worker, who has been providing individual, couple and family therapy for over 30 years. It seems like life is constantly changing, especially with the current challenges in the world the past few years. Whether your current stress is related to life events, or more personal issues, together we can work together to improve your mood, and achieve balance and overall wellness in your life. I am a life-long practitioner of yoga and meditation, having studied in India in 1985. In addition to my MSW degree in 1983, I earned my Doctor of Naturopathy (N.D.) degree in 2003 and Yoga Teacher certification in 2014, with various certifications and trainings in divorce mediation, the Gottman Method for couples, trauma-focused cognitive behavioral therapy, and Gestalt therapy. I specialize in relationship, couple, and family issues, as well as individuals with anxiety, depression, bipolar disorder, issues regarding adjustment to life’s changes, stress management, women’s issues, and grief and loss. Utilizing a holistic, integrative approach, I am committed to helping you find the best possible you. Together, we will work to consciously define goals to help you develop creative strategies for new challenges and opportunities. I look forward to speaking with you! Please email me at patriceflagle@gmail.com to schedule an appointment as soon as possible. https://doxy.me/patriceflagle

Are you struggling with feelings of anxiety, depression or other uncomfortable emotions? Has something happened in your life recently (or even long ago) that is causing you distress, interfering perhaps with your work, school, relationships or otherwise? To begin with, you're not alone! Also, there is help available. I'm Lynn, a Licensed Clinical Social Worker in the states of Maryland and Florida. I've been a practicing psychotherapist for the past 25 years. Having worked in private practice, hospitals, mental health centers and hospice, I am familiar and comfortable working with all ages, stages of life, sexual orientation, cultural and ethnic backgrounds. I have found the single most important factor in achieving successful outcomes in counseling is the connection between therapist and client. Therefore, I strive to bring my authentic, caring, and non judgmental self to each and every encounter I have with my clients. My diverse therapeutic background allows me to use multiple modalities in counseling clients. I strive to tailor my counseling techniques to match each individual's needs. Typically, using Cognitive Behavioral Therapy as well as Dialectical Behavior Therapy help clients grow, gain insights into their behavior(s) as well as others and gain tools and skills in managing difficult emotions or situations in their lives. Deciding to enter into counseling can be a scary thought for many. If you are thinking about therapy, I encourage you to give yourself the gift of self-care and good mental and emotional health by taking that first step. I look forward to meeting and working with you!

Welcome and thank you for visiting my profile! I am Latonya Moore. Are you feeling "stressed out", and/or anxious ? Are you having difficulty in your relationships? Would you like to learn coping skills to manage your life more effectively? I am an experienced licensed therapist and I am excited that you have decided to focus on improving your health/wellness. Be mindful that the change you are seeking requires commitment and a willingness to participate in a supportive, collaborative process.

I have a master of science in mental health counseling from Capella University. I am trained to work with individuals, groups, families and couples. I also have extensive knowledge and sensitivity in working with individuals experiencing anxiety, depression, bipolar, difficult life transitions, parenting issues, relationship problems, LGBTQIA issues and other life challenges. My understanding of counseling comes from many different theoretical orientations. I believe that the client or clients have the solutions to their dilemmas within one’s self. Therefore the counselor does not have the “answers” to the client’s “problem” but is a facilitator of the process that helps the client take responsibility and action and come to a resolution. I am here to support and guide you on that journey.

Stress and trauma take a toll on our bodies both mentally and physically. Therapy can help release that energy and process emotions. Some things I can help with are managing stress, healing from past trauma, identity exploration, and just navigating how to function and find joy in this crazy world. I tend to connect and work well with professionals with autism.

Hello, I am Darlena. As a Christian psychotherapist, I am dedicated to helping women navigate their personal journeys of self-love, self-discovery, and growth. I am thrilled to create a sacred space with you, where the transformative power of God's Word intertwines seamlessly with clinically proven strategies. If you find yourself questioning your worth or feeling stuck due to past experiences of hurt, shame, rejection, or humiliation, I'm here to support you. Together, we can rewrite the parts of your story that have given you a false version of yourself, allowing you to live, love, and create from the truest version of who you are. With over 25 years of experience, I have assisted countless individuals, couples, and families in overcoming difficult and unexpected challenges. Life often presents us with opportunities to delve deeper into ourselves, and I am passionate about partnering with you during these transformative moments. I believe that you are the common denominator in your life, and when you initiate change within yourself, every area of your life will follow suit. I invite you to leverage my expertise and embark on a journey of self-discovery and empowerment. Together, we can explore your past experiences, challenge self-limiting beliefs, and develop strategies for lasting change. Let's partner as you create the life you desire and deserve. A Few Notes: My session times are in Central Daylight Time.

Hi There I am Maria Miranda Bilingual Spanish/English Therapist I'm here to help you!!. Seeking therapy can feel scary but you're making the right choice. You deserve a safe space to heal and grow. Whether you're dealing with overwhelm, relationship issues, works issues or cycles of anxiety and depression, PTSD, etc. In our sessions together, I'll meet you with compassion and evidence-based techniques so you can overcome the hang-ups and habits holding you back. Let's work together! Together, we can identify what's not working and get you back to balance. We'll use a whole self approach, addressing the needs of your mind, body and spirit.

My name is Circe Dunwoody. I am a license psychotherapist. In my psychotherapy practice I help couples and individuals to overcome life difficulties by using cognitive behavior therapy. Many couples and individuals feel overwhelmed by the desire to balance the high demands from work and family life. They report feelings of emptiness and loss of drive. Some report feeling of depression, anxiety and low self-esteem. Others contemplate divorce as a solution to decrease the pressure they are internalizing. You can contact me for help if you are experiencing some of the feelings I have mentioned above, and you are ready to make changes in your life. l work with couples and individuals in a safe and confidential platform environment. In life we all need support and understanding from others. Sometimes the best solution is to seek professional help. Having emotional support is extremely helpful. Relying on friends or family members is also helpful. However, you may not want to overwhelm them with problems. The most intelligent solution is seeking professional help.

Have you hit a bump on the road of your life and feel that you are either emotionally paralyzed or moving in slow-motion? Are you feeling overwhelmed and is your mind constantly racing? Do you miss feeling like your old self? As a licensed clinical social worker (LCSW-C) I am passionate about helping individuals overcome anxiety, depression and other feelings that might be posing a burden on you. Issues such as life transitions/adjustments, toxic family relationships, loss and trauma can leave you feeling hopeless and stuck in life. By using a variety of treatment modalities such as: psychodynamic, cognitive-behavioral and solution-focused therapy I want to support you to get to the root of your struggles. Using a strength-based approach I will work to help you understand what aspects of your past have shaped your present behavioral and thinking patterns until you have a broader and deeper understanding of yourself and start finding solutions to feel better. You are the expert of your needs and wants but I am here to provide you with warm support and clinical expertise as you go through this process. I provide psychotherapy in English and Spanish. I congratulate you for taking the first step in your journey towards healing!

I am a new solo mother, private practice owner, and licensed clinical social worker – certified (LCSW-C), with more than 20 years of experience in the Mental Health Field working with a variety of mental and emotional issues such as depression, anxiety, PTSD, anger and stress management, childhood/adolescent developmental stressors, and life transitional stages. Life and soul work is a difficult but rewarding process that should be experienced in a safe, loving, and understanding environment. Life can be remarkable, but it can also be difficult in some obvious ways or in subtle ways that sometimes sneak up on us, causing us to go through life merely surviving or struggling, often feeling alone. As a holder of your pain, your hope, and your light, let me stand by your side and empower you to face obstacles and challenges. Let us go beyond surviving this life, but healing our hearts and mind so we can love and enjoy the moments we have right now.

My clinical experience has been providing individual therapy services to adolescents, adults and seniors. I have worked with clients with a wide range of concerns, including anxiety, depression, low self-esteem, grief and family issues. My goal is to create a space where clients can authentically express themselves without fear of judgment or misunderstanding and to empower individuals to present their true selves confidently to the world. I aim to help clients embrace all parts of themselves as they heal and grow. You are the narrator of your story and I am here to guide and help support you through your journey.

My name is Amber (#TheUrbanConsciousTherapist) I am a Licensed Certified Social Worker-Clinical, graduating from Morgan State University with my Bachelor’s degree in Psychology and a Master’s degree in Social Work. I have experience supporting and working with children, adolescents, and adults who have encountered crises and trauma(s) and those dealing with depression, anxiety, high stress, transitions, grief, relationship problems, women’s issues, and race-gender schema (Strong Black Girl/Woman expectations).

Hi there, my name is Darrius. Do you feel pulled in a million directions, unable to fit it all in? Are you struggling to keep up with your relationships, work and health? Are you feeling overwhelmed or just plain stuck in life? I help people restructure their damaged relationships. Relationships are more than romantic interactions between two people. Relationships as I define it can be with anyone or anything that you exchange energy with. The biggest relationship that we struggle to understand and grow with is the person staring at us in the mirror each morning. No matter what relationship your struggling with ( work, home, family, yourself.) I'm here to help. 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!

Are you feeling a little “off” lately? Down, anxious or unsure what comes next in life, especially after the last year or so? Or it could be you just don’t feel like yourself and you’re not sure why. You are not alone. To have problems means that you are human; but there is hope. I provide a warm, accepting space for people to explore what matters to them and what’s getting in their way. I help clients learn to feel more comfortable with their emotions, to experiment with different ways of relating to their thoughts and feelings, to cultivate resilience, and to develop the self-trust and self-compassion that will support them along their paths. Therapy provides you with a place to work on and work out your concerns, to be heard and reflect, and to take some space for yourself. Together, we will explore the underlying reasons for your troubles, what it might mean for you to “feel better” and begin to live a more productive, meaningful and engaged life. I use an integrative approach consisting of cognitive behavioral therapy, acceptance and commitment therapy and mindfulness-based interventions.

Welcome! Congratulations on taking the courageous first step of seeking out a therapist. It is an act of bravery and courage to explore what is impacting you or your child. Contacting a therapist can feel intimidating and overwhelming, but I hope you will take a minute (and maybe a few deep breaths) to email or call and see how I can help. I specialize in treating children, teens, and young adults. I have been working in the mental health field for over 7 years, including over 4 years in a residential treatment setting treating children struggling with anxiety, depression, ADHD, ASD, and PTSD, as well as other diagnoses. I utilize TF-CBT, mindfulness, and other modalities in my practice. Thank you for considering me to be a part of your journey!

I am so glad you are seeking help for whatever is troubling you. I am passionate about helping individuals feel better and improve their quality of life. Whether it's to solve problems, improve the ability to cope with the enormous difficulties facing us during these very challenging times, or heal from past or recent trauma, I'm ready to work with you to start making a change. I work with people struggling with relationship problems, mood disorders such as Depression, Anxiety, and PTSD, as well as gender affirming therapy for the daily struggles faced by the LGBTQ+ community. --- No judgement here! I have an office for those who are in close enough proximity to visit in person, as well as tele-health, giving access to most everyone. I am free spirited, transparent, and real. I have 20+ years of experience working with various populations in a crisis setting, outpatient behavioral health clinics, school health, and private practice. I attended graduate school at Temple University where I earned my master's degree in Social Work.

Khadejah is a Licensed Clinical Social Worker providing therapy to adults. For more than 10 years, Khadejah has worked with adults and families helping them to overcome anxiety, depression and life transitions. Life transitions such as changing jobs or losing a job, taking on new roles or buying a home for the first time can come with worries, fears and anxieties. ​

Hi! My name is Tiffon and I am a Licensed Clinical Professional Counselor with over a decade of work experience in the mental health and human services field. I provide individual counseling for those seeking to navigate issues associated with trauma, emotional and behavioral health disorders. I believe in maximizing the counseling experience by following a holistic approach that integrates the body, emotions, mind, and spirit to support people in making powerful, lasting changes in their lives.