Book 100+ of the best EAP:Cigna therapists in New Jersey

Welcome! I'm so glad you are here. Let's take a moment and recognize that you've taken the first step towards improving your mental health, because we both know that therapy can feel daunting, yet hopeful at the same time. My name is Francina and I am here to help you on this journey. I am a licensed professional counselor and I practice in New Jersey and Pennsylvania. I am a board certified art therapist, certified autism spectrum disorder specialist, and certified clinical trauma professional. I provide a safe and inviting environment that enables clients to confront challenges related to anxiety, depression, self-care, trauma, and more. I am welcoming, non judgmental, accepting, and understanding. My focus is on assisting clients in developing self-awareness so they can be empowered to make choices in how they want to live their lives. Therapy can promote what you truly deserve. Someone to hear you, to see you. To believe you. I listen with compassion but I don't just sit there while you talk; rather it is a conversation. If that resonates with you, I'm here whenever you feel ready to take the next step.

I am a psychotherapist with 20 years experience. I have worked with a variety of treatment modalities and age groups in Spanish and English. I help people in their most critical parts of their life and I usually aid in the achievement of release in a quick manner, My goal is to train you as your own therapist so you don't have to see me for the rest of your life.

I am so glad you reached out for help! I am passionate about helping people navigate life's difficulties with compassion and empathy. Oftentimes, it is our difficulties that are the catalyst for big change. I bring over 29 years of counseling experience in a variety of settings (Residential treatment, Intensive outpatient, EAP and private practice) but most enjoy connecting in individual sessions. I look forward to working with you and assisting you with living your best life.

Congratulations on taking such a significant and courageous step in your self-care. My name is Ebony Yelder (she/her/hers), and I am a Licensed Professional Counselor with over 20 years of experience providing counseling and psychiatric services. My mission is to empower my clients through identifying and cultivating their strengths, consequently building upon these qualities to achieve the vision that they have for themselves. I strive to foster a relationship that provides a safe and non-judgmental space for clients to share openly and freely. I have worked in a variety of settings to include, behavioral health hospitals, outpatient clinics, emergency rooms, in home counseling, as well as for the Department of Defense providing counseling services for our service members and their families. I am passionate about helping individuals cope with daily life challenges as well as more complex mental health concerns. "Be willing to take the first step, no matter how small it is. Concentrate on the fact that you are willing to learn. Absolute miracles will happen.” Louise Hay

I am a Licensed Clinical Social Worker in New Jersey with over 27 years of experience as a therapist. I earned my MSW from Widener University in 1997. Since then, I have worked in private practice, and as a therapist in a non-profit agency. I have run successful group therapies as well as working individually with clients. I have had great success with issues of anxiety and trauma, chronic pain, personal empowerment and relationship issues. This year, 2025, I became a Certified Mental Health and Nutrition Clinical Specialist (CMNCS). This means I have knowledge about how food and nutritional supplements affect your mental health. My professional mission has always been to be there for anybody who develops a hiccup in life and needs a helping hand to get through it.

Hello, my name is Sofia and I am an LCSW with 5+ years of experience working with adults and adolescents focusing on anxiety, depression, trauma, and self-esteem issues. I specialize in motivational interviewing where I focus on as asking open-ended questions, provide affirmation and empathy to you. I will also summarize your thoughts and feelings to make sure there is understanding on my part of where you are in your journey and provide my warm guidance to continue on your healing path.

Hi. My name is Christine Toler, Chris, and I earned my Ed.S and LPC- MHSP in the state of Tennessee, and New Jersey. I have been licensed as a Professional Counselor since 2010, and a School Counselor since 2006. I started being a believer in therapy when it first helped me over forty years ago, (as a child). I thought what a wonderful way to get to the root of the problem... and get rid of it. Since then I have been working on myself as a client as well as acquiring a licensure to help others, including teens, adults and families. I focus on solution based and non-judgmental cognitive therapy. I believe understanding a problem is not the end of the work. The action we take to support a positive change... is what changes lives. And while I have experienced that in some very important areas... I continue to grow... daily. I choose to be transparent about that because I believe it is important to the work that my clients know I understand how it feels to be in their chair. If you are struggling with anxiety, depression, stress, doubt, guilt, grief, or all of the above, I believe I can help you.

Hi! I am a Licensed Clinical Social Worker based in New Jersey. I specialize in working with adults to provide therapeutic support to manage life transitions, improve self-esteem, and positive coping mechanisms. I completed a certificate in sport social work to further my knowledge to work with athletes who may experience anxiety, depression, stress, difficulty with time management and adjustment. I have extensive experience working therapeutically with students to empower them to reach their individual, athletic and academic goals. In addition, I am a mom of two kids that are middle school and high school age. I understand through life experience, the work, resilience, time management and the responsibilities in the role of being a parent. With a holistic and collaborative approach, I empower clients to recognize and build their personal resilience when facing life challenges. As a mental health provider, I believe in the importance of self-care and finding opportunities to continue my education to best support my clients. I am fluent in English, Spanish and Portuguese.

So great to meet you. My name is Kim, and I would love to work with you to solve and work through things that are keeping you up at night and things that are stopping you from reaching your full potential. Are you feeling sad, anxious, stressed or "fed up"? Many people are feeling just like you. Come and share those feelings and find ways to deal with the stressors that are holding you back. Over the past 18 years, I have worked with people from every walk of life who struggled with a large array of obstacles and together we were able to work with them in an enlightening, safe and positive space.

Hi! I'm a Licensed Clinical Social Worker (LCSW) based in New Jersey. I’ve worked with children, teens, and families for several years in both community and outpatient settings. I specialize in helping individuals navigate anxiety, depression, trauma, and life transitions. Being a therapist is more than just a job for me—it’s my passion. I truly love helping people, and it brings me joy to see my clients grow, heal, and overcome life’s challenges. My goal is to create a compassionate, supportive space where clients from all backgrounds feel safe, heard, and empowered.

TaMara brings a wealth of experience in an unconventional way. As a former owner of a home healthcare company, that primarily provided services to the elderly, TaMara found herself assisting families, particularly adult children, who had to make tough healthcare and financial decisions for their parent(s). She helped families establish goals on how best to support their parents in maintaining dignity and independence while simultaneously identifying the next steps in the event of their parents’ passing. While families had to come to terms with the physical, mental, and/or psychological changes seen in their parents, taking on the parental role was quite emotionally challenging for adult children. TaMara supported the entire family in managing these delicate issues.

Hello, I am a mental health professional licensed in New Jersey and Florida with 30-plus years of experience. I help people grow and learn to overcome both personal and professional challenges to build a thriving life. If you can imagine building a life that is filled with happiness and success, reach out to me. I am here to help you do more than just survive. I am here to help you build a life that embodies flourishing in various aspects of life. Thriving encompasses emotional resilience and reaching one's potential, and experiencing fulfillment.

My name is Miriam Gottlieb. I'm a therapist in NY and NJ with 15 years of experience. I received my masters in mental health counseling and an advanced certificate in grief counseling at Brooklyn College. I have worked in outpatient mental health and substance use clinics. I help adult clients work on negative thought patterns, develop better coping skills and learn relaxation techniques.

Hi! I'm a Licensed Professional Counsellor (LPC) based in New Jersey. I received my Master's from Montclair State University and additional courses from other colleges. I have been practicing for 8 years and have several years prior experience. I help adults with anxiety, depression, mood disorders, struggling with career stress and burnout. The client have felt improvement from my psychotherapy.

"As a license professional counselor (LPC) based out of New Jersey, I am passionate about helping individuals navigate life’s challenges and discover their inner strength. I specialize in working with clients from diverse backgrounds who are seeking support with anxiety, depression, trauma, and personal growth. My approach is rooted in empathy, collaboration, and evidence-based practices, tailored to meet each client’s unique needs. Through our work together, I aim to empower you to build resilience, foster self-awareness, and create lasting, positive change, helping you live a more balanced and fulfilling life."

I am licensed in Pennsylvania with 7 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & trauma and abuse. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

Hello, I am a Licensed Clinical Social Worker and have been in the field for over twenty years. I have experience in a variety of settings and with a variety of clients. Many of the people with whom I have worked are struggling with some kind of change, whether it's children growing up, seeking abstinence from a drug or coping with divorce or our own aging process. All these changes can impact our mood and I can help a person cope with the resultant depression or anxiety for instance.

For over a decade, I've immersed myself in the realm of mental health care, where I meet my clients in the place they are in their emotional/psychological struggles. I am passionate about making a lasting positive impact in each and every client's life. To that end, I obtained a bachelor's, a master’s and a doctorate degrees in psychology. My therapeutic approach is as diverse as the stories I encounter, tailored to resonate with each person’s unique journey.

I'm a Licensed Clinical Social Worker (LCSW) based in New Jersey. I received my Masters from the University of Connecticut and have been practicing for 5 years. I stive to help teens and adults struggling with life stressors, anxiety, and/or depression to learn coping skills and aid in shifting their perspectives so that they can go from surviving to thriving.

Hi, I’m Tyisha. I’m an African American amazing Licensed Professional Counselor (LPC) in New Jersey, and I’ve spent the last four years walking alongside individuals and families as they work through life’s challenges. Before becoming an LPC, I worked in the mental health and developmental disabilities (DDD) field for over 19 years, supporting people across Essex, Morris, Dover Township, Union, and Warren Counties. I’ve had the privilege of working with children, families, and individuals from all walks of life—each with their own story, culture, and history. My approach to therapy is grounded in Person-Centered Therapy, which means I focus on the here and now, value of self, re-shaping your thinking, offering empathy, acceptance, support without judgment, and how to bring focus to your best self. I also draw from an eclectic therapeutic approach, because no two individuals are the same just familiar experiences.

Hello there! My name is Becky, and I am a Licensed Marriage and Family Therapist. Along with this license, I am also a Certified Grief Professional (CGP), a Certified Clinical Trauma Professional (CCTP), a Certified Addictions-Informed Mental Health Professional (CAIMHP), a Certified Clinical Anxiety Treatment Professional (CCATP), a Certified Mood Disorder Professional (CMDP), and a Certified Specialist in Anger Management (CSAM). As a therapist, it is my privilege to connect with you and assist you in developing your own journey throughout the therapeutic process. My stance on therapy is person centered, with a focus on compassion and understanding, while also trying to find that balance of "telling it like it is" in certain situations. While I do believe humor is a good source of medicine, I also believe in using various forms of systems theory, where there is an understanding that your issues and presenting problems do not happen in a vacuum. We will discuss how life's challenges, whether they occurred in childhood or during your morning walk to get coffee, have impacted your view of self and others and what that means for you moving forward. Together, we will dive into your thoughts and emotions and develop healthy ways to express yourself and manage what you have been experiencing.

Hi! I am a Licensed Clinical Social Worker (LCSW) based in New Jersey. I received my Master of Social Work from Kean University and have been practicing for 12 plus years. I am the founder and owner of Therapeutically Fit Counseling, LLC. I help children, adolescents, and adults to become the best version of themselves by providing quality and reliable mental, emotional, and behavioral health services to help you navigate through difficult times and improve your quality of life. My mission is to help heal, empower, and evolve individuals and families by providing quality and culturally competent psychotherapy that transforms and renews your mind and body that leaves you therapeutically fit.

Hi! I am a licensed mental health therapist, currently practicing in 5 states (NJ, NC, FL, GA and TX). I received my Master's Degree in Clinical Counseling and Psychology from LaSalle University, over 10 years ago. My goal is to give you the tools needed to stop surviving, and start living an authentic life. In a safe and secure place, we will face the past, heal it and bring you to become the best version of yourself.

Hi, I am an LCSW with over 40 years of experience. I have worked with all age groups through the years and various human conditions. I love to hear peoples stories and help with anxiety and depression. I primarily focus on how automatic thoughts effect behavior and create our perspective on life. I also employ mindfulness techniques and motivational counseling .

Seeking therapy can be daunting and the process to find the right therapist can take time. I strive to provide an empathic and warm environment for my clients and work with culturally sensitive approach in mind. Building the therapeutic relationship is important so I welcome you to book an assessment with me to see if you feel I am the right fit for you. I work from a person centered approach and prefer to spend the first two sessions getting an idea of my client's background, pertinent life experiences and what brought them to therapy. From there I use Cognitive Behavior Therapy and use Solution Focused techniques to help my client work towards their long and short term goals.

Born in Hong Kong and raised in Miami, Fl, my passion for helping others came at an early age. I earned a Masters degree in Social Work at Florida International University and later a PhD in Social Welfare at the City University of New York Graduate Center. My clinical training was in adult psychiatry at Columbia University Medical Center. In my private practice, I assist adults with depression, anxiety, health problems, relationship issues, grief/loss, work stress, breakup, infertility, and parenting.

I have been working in the helping field since 2015. I utilize person-centered and positive psychology models and have experience in DBT, CBT and trauma focused care. My experience includes working with children, adolescents and adults in various settings. I enjoy being part of the process of helping individuals make positive changes and exploring issues to have improved understanding and better ways of coping with life’s stressors.

Hi there, I am Rachel a licensed clinical social worker and therapist. Are you struggling to figure out the solution to your internal conflicts, but don’t know where to begin? You don’t like the way things are going, but have fallen into the cultural norm of just pushing through? Do you feel like you’re “just present” or on autopilot? Do you struggle to be intentional? Maybe it’s sleep deprivation from being awake all night with your newborn, the stress of your career is keeping you awake or even the struggle of balancing life, as they say “life keeps life-ing.” Let’s talk about it… My area of expertise includes pregnancy and postpartum support, conception, birth trauma, and loss. In addition, I work with clients experiencing fluctuating self-esteem, imposter syndrome, depression, anxiety and emotions surrounding intergenerational mobility (change in socioeconomic status/income) and generational trauma. 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!

My name is Sharon Green, and I have worked in behavioral health for over 15 years. I have worked with diverse populations in multiple settings and served children, adolescents, young adults and older adults. Therapeutic services are delivered professionally and based on ethical principles. Services are tailored to the individual with implementation of multiple treatment modalities that include cognitive behavioral therapy (CBT), narrative therapy, solution-based therapy, and grief therapy. Rapport and trust are core values.

Hello! Hola! Welcome to New Day New Beginnings, LLC. My name is Ivelisse and I am a bilingual therapist with over 20 years of experience in the mental health field working with teens and adults (young and older). I am a faith-informed (Christian Catholic) therapist and I integrate biblical truth and evidence based techniques in my practice. However, you determine if religion/spirituality will be part of your sessions. I am currently providing in person and telehealth services, working with older teens ages 16+ and adults (18+). My approach is eclectic, insight-oriented, with a focus in strength based and client-centered, because there is no “one size fits all” as we are all unique individuals. Feel free to visit my website: www.newdaynewbeginningsllc.com

Hi, I am a licensed professional counselor in NJ since 2005 but started in the field in 1992. I have worked with people in a number of different settings as well as with different diagnosis. I've spent a large portion of my career helping with loss and grief and another part helping parents navigate the tween and teen years and how to cope with children who might have a mental health diagnosis or challenge. I only have 7am's in the self scheduling part of this page but have other availability- once you book I'll reach out and we'll see if a different day/time works better!

As a 6 year therapist, I believe healing is deeply personal & I feel privileged to help others navigate their respective journeys. I'm committed to creating a space where clients feel supported & respected. I understand that everyone brings a unique set of experiences, strengths, & challenges and I strive to help others develop personal growth with empathy, understanding, professionalism, cultural sensitivity and compassion.

My name is Taja Conover and I am a Licensed Professional Counselor. I hold a Master’s Degree in mental health counseling and certifications in the following areas: Certificate from The National Board for Certified Counselors. *Certified Attachment, Regulation, and Competency (ARC) framework therapist. I have worked with various populations and have a diverse background including people with trauma, depression, anxiety, grief and loss, multicultural and relationship problems.

Summer Post is a Licensed Clinical Mental Health Counselor with over 7years of experience working with individuals who are coping with severe persistent mental illness, depression, anxiety, trauma, family conflict, substance use, and many other presenting issues that individuals may be struggling with. Summer Post utilizes a wide range of tools to address clients' presenting issues. Summer is looking forward to meeting with you.

Hi! I'm a Licensed Clinical Social Worker (LCSW) based in Georgia, Maryland, and New Jersey. I received my Masters from the University of Maryland Baltimore and have been practicing for 25 years. I help young adults, adults, and elderly adults struggling with life transitioning issues that may cause stress, depression, and anxiety through CBT, DBT, and psychoeducation treatment modalities that helps individuals reach their highest potential.

Hi I am a Licensed Clinical Social Worker (LCSW) based in Florida. I received my Master's degree in NY and I have been practicing for over 20 years. I am licensed in both Florida and New Jersey. I have diversified experience in the mental health field. I currently focus on helping adults ages 18 -65 years old cope with anxiety and stress in their day to day lives.

Sometimes it is not easy to ask for help, whether dealing with small issues that life presents or with more complicated situations that can arise. Through identifying your natural strengths and emphasizing a solution-based approach, my primary goal as your therapist is to guide you towards finding your own truth and meaning, as well as meeting you where you are at through the process of self-discovery. I am a Licensed Professional Counselor in the Commonwealth of Pennsylvania, and a National Certified Counselor. My background consists of over a decade of experience working with children, adolescents, parents and guardians, families, and adults in the mental health system from varying backgrounds. My experience includes, but is not limited to, treating the following: • Obsessive-Compulsive Disorder • Panic Disorder, Panic Attacks, and Hoarding • Anxiety and Anxiety-Related Disorders, such as Social Anxiety and Phobia • Trauma • ADHD, Anger, Stress Management, and Skill Building • Family and Relationship issues • Child and School related issues • Occupational and Life transitioning • Spirituality and Life Purpose

Kellie brings a wealth of experience and expertise by combining a deep understanding of psychological principles with a genuine empathy for her clients. With a focus on creating a warm and non-judgmental space, she is committed to supporting individuals on their journey to self-discovery and personal growth. Kellie has a keen interest in helping individuals navigate challenges throughout life's challenges. Kellie adopts a client-centered and holistic approach to therapy. She believes in the importance of building a collaborative and trusting relationship with her clients, tailoring her therapeutic interventions to meet their unique needs. Drawing from a range of therapeutic modalities, she guides her clients towards meaningful and sustainable change. Passion for Empowerment: Beyond addressing immediate concerns, Kellie is passionate about empowering her clients to develop the tools and insights needed to navigate life's challenges independently. Through a strengths-based perspective, she encourages individuals to recognize their resilience and unlock their potential for growth. Creating a Safe Space: Confidentiality, respect, and empathy are the cornerstones of Kellie's practice. She is dedicated to creating a safe and supportive environment where clients can explore their thoughts and feelings without judgment.

Mental health is an essential aspect of our overall well-being. As individuals, we go through several changes in our lives. Some of those changes can be very distressing. You may feel stuck, anxious, or depressed. You may not know, where to turn. As a therapist, my goal is dedicated to helping you navigate the right therapeutic path to optimize wellness. No matter how big or small the problem is, we work as a team, to explore past or present issues. I specialize in working with individuals affected by anxiety, depression, trauma, or low self-esteem.

Hi, I am a licensed therapist based in New Jersey. I received my master's degree from Fordham University. I have been working with adults who suffer from depression, anxiety and loss for the last 9 years. I provide a safe judgment free environment for you to discuss your problems. My passion is helping is helping others heal and find solutions.

As a licensed professional counselor, I believe everyone deserves a safe space to heal, grow, and thrive—especially when navigating anxiety, depression, and life’s inevitable challenges. My mission is to provide compassionate, culturally affirming care that truly sees you—your story, your background, and your unique journey. ​ I proudly serve individuals from diverse racial, cultural, and ethnic backgrounds, embracing people from ALL walks of life. Whether you're facing life transitions, feeling overwhelmed, or simply seeking balance, we’re here to walk alongside you with understanding and respect.

Mary received a BA in psychology from Queens College. Then, she attended New York University, where she earned her master's degree in social work. She is a licensed Clinic Social Worker/ Therapist for over 20 years. During the therapeutic process, you will gain a deeper understanding of what you want out of life and develop skills to help you reach your goals.

I am a Licensed Marriage and Family therapist based in Philadelphia. I am originally from California where I worked primarily worked in Group Homes and behavioral hospitals. I recieved my masters from Capella University. My background also includes outpatient, community based outpatient programs, like Family Base, and social work. I take a collaborative approach with my clients to allow them room to develop a sense of safety and security and gradually include holistic and intensive interventions to work through and understand presenting problems.

Dr. Viva has substance abuse with/without medication assistance, anti-violence, acute care treatment, crisis stabilization experience, and clinical support expanding school-aged children to the geriatric population. Therapeutic approaches are CBT, Harm Reduction, and Motivational Interviewing. NJ, national, and USDOT clinical credentials which are LCSW, LCADC, CCS, ACS, MAC, and SAP. Dr. Viva is licensed in NJ with 21 years of professional work experience in the areas of mental health, education, and substance abuse. Her experience encompasses helping clients with a variety of concerns such as stress, anxiety, addiction, trauma, abuse, grief, depression, and loss. Dr. Viva is here to support, empower, and facilitate your change process on this wellness journey. Please check out Balm In Gilead Community Services, Inc. website at balmingileadcs.com for additional resources.

Hi! I'm a Licensed Professional Counselor, LPC in the state of Pennsylvania. I received my Master's degree from Chestnut Hill College in Philadelphia. I have 3 years of experience, helping adolescents and adults who are struggling to cope with the effects of mental health disorders, traumatic events, difficult situations or drastic life changes. I have helped my clients increased their ability to cope effectively and increase daily functioning.

I'm a bilingual (Spanish & English) licensed clinical psychologist with experience providing psychotherapy to diverse age & paths of life populations. For me, doing psychotherapy is to create a space in which people can be brave & curious enough to tell our stories from a place of compassion, self-awareness, self-knowledge & accountability. Viewing the world from a critical perspective, where I can integrate intersections, such as gender, culture, power dynamics & systems of oppression, makes my practice a space for awareness, healing with context & transformative action.

Do you struggle with feeling like the weight of the world is on your shoulders? Do you struggle with finding personal and work-life balance? Do you find it hard to cope with current life stressors and situations? Do you struggle with the pain of your past life experiences presenting itself in your day to day? Can you imagine a place where you are free to be yourself, a place where you can share your thoughts and feelings and be open without the fear of judgment? Being seen, heard and understood is important and necessary to taking the steps on the journey to a healthier you. Hello, I am Felicia and as a therapist, I endeavor to create a space to allow self-awareness, true healing and personal growth to happen. We all have different life experiences and sometimes figuring out how to deal and cope with those experiences is challenging and requires a little help. Whether you are struggling with anxiety, depression, low self-esteem, grief, chronic stress, trauma, struggling with relationships or a life transition, change is possible. Through our work together I want to help you meet your goals as you take this journey to feel better. I'll meet you with compassion and evidence-based techniques so you can overcome hurdles in your life. I view therapy as a safe space for processing life experiences, emotions, thoughts, and trauma to achieve one’s goals and necessary growth. My goal as a therapist is to collaborate with you to understand your thought processes, address barriers to wellness, and identify ways in which you can achieve your goals. I believe that clients are the experts of their own lives; however, sometimes need an outside perspective to help re-frame our thinking. Asking for help isn't easy and you are not alone! We all need support at times and I would be honored to be that support for you! Thanks again for taking the first step on this journey to a healthier you.

Hi, I am a licensed clinical social worker (LCSW) with over 20 years of social work and mental health experience. I utilize evidence-based therapy models focused on my clients' strengths, abilities, and unique life experiences in efforts to improve quality of life and restore overall health and wellness. I greatly enjoy my work with clients and the reward in my work is seeing clients succeed and overcome life's challenges.

Hello! My name is Rukiya and I am a Licensed Professional Counselor based in New Jersey. I have been working as an outpatient clinician in community mental health for the past four years and working in the field for the past 6 years. I have my Masters in Clinical Mental Health Counseling from New Jersey City University. I work with a variety of people from different communities who are looking to address their challenges at their own pace. My focus has been helping individuals find healthy ways to reconnect with themselves and their communities.

I am a Bilingual, Creative, and Motivated Counselor who utilizes a range of therapeutic interventions to aid individuals in overcoming obstacles and developing skills to enjoy a rewarding life. For many people, starting counseling can be a scary and intimidating task. I hope to help ease you into finding ways to explore and enhance your abilities and experiences, as well as uncover the obstacles or fears that can hold you back from revealing your strengths and inner resources and managing life stressors and challenges.