Therapists in New York

Hello! I’m Michelina, though you can call me Michelle. I’m a Licensed Clinical Social Worker (LCSW) with 12 years of experience, based in Pennsylvania. I hold a Master’s degree from Fordham University, and my focus is on helping adults navigate the challenges of anxiety and depression. Together, we work as a team to manage symptoms and guide you toward becoming the best version of yourself.

Hello! I’m Aida Valerio. I am a Licensed Clinical Social Worker who found my calling 11 years ago having discovered that I wanted to provide people with a therapeutic space to heal, grow, and ultimately transform. Are you going through a personal challenge or major life transition? Do you need a safe space to have your experiences affirmed and validated? Do you feel overwhelmed by your emotions and in need of support? Have you considered speaking to someone but are unsure of how to begin? Wherever you are in your journey, I want to congratulate you on exploring possibilities to receive help. Therapy, like anything new or unknown, can feel scary. When Wendy was learning how to fly in Peter Pan, her fear of “what if I fall?” was met with Peter’s response of “oh, darling, what if you fly?” Not only did she fly, but she also transformed. My therapeutic approach is gentle, warm, and trauma-informed to ensure your comfort every step of the way. I listen attentively and non-judgmentally, welcoming your authentic self. You can express yourself in English and/or Spanish as I am fluent in both languages.

I’m a Licensed Mental Health Counselor (LMHC) specializing in supporting children, teens, young adults, and families navigating eating disorders, anxiety, OCD, ADHD, and related challenges. Using evidence-based approaches such as CBT, DBT, ACT, ERP, and family therapy, I create personalized treatment plans that foster both immediate coping skills and long-term growth. My style is collaborative and compassionate—I strive to meet each client where they are, building trust, resilience, and self-understanding. I believe healing happens not only within the individual but also within the systems of support around them, and I’m committed to guiding clients and families toward lasting, meaningful change.

Hi, I’m Amanda! I am a Licensed Clinical Social Worker (LCSW) since 2018, specializing in helping adults navigate trauma, anxiety, relationship challenges, and the patterns that hold us back. I employ evidence-based approaches that are compassionate, respectful, and non-pathologizing, focusing on understanding the organization and function of your inner world. In our work together, you will gain powerful and practical tools to heal and address the wounded or burdened parts of your internal system. Connect with me to explore your inner experiences, build insight, and discover effective strategies for growth and healing. Together, we can create a path toward greater understanding, balance, and emotional resilience.

I’m a marriage and family therapist who helps individuals and couples navigate the complexities of relationships—whether that’s improving communication, rebuilding trust, or finding clarity during times of change. I help people make sense of their relationships—when things feel confusing, distant, or stuck. I support clients in building healthy patterns that lead to meaningful, resilient connections. My goal is to help people create stronger, more authentic connections with themselves and others.

Amidst the chaos and confusion, choosing to begin therapy is a powerful and courageous step, and welcome. I specialize in working with individuals navigating life transitions, anxiety, depression, ADHD, and trauma. I take an eclectic approach that tailors to your unique needs and goals. I am here to work with you to provide a safe and supportive environment to help guide you through the challenges you are facing. Whether you’re working through trauma, building coping skills, or managing depression and anxiety, we work together where I empower you with insight to help you get to where you want to be.

Hi! I am a licensed clinical social worker with over 8 years of experience. I received my Masters from Adelphi University, where I honed my passion for mental health advocacy. Specializing and certified in anger management and anxiety, I weave a tapestry of support for diverse populations, employing a compassionate and evidence-based approach to guide individuals towards lasting mental well-being. With a commitment to fostering resilience, I am dedicated to helping others rewrite their stories and embrace the full spectrum of their mental health journey.

I absolutely love what I do as a therapist and I love working with people within all stages of change. Whether you've explored multiple resources and feel stuck in a revolving door or you're just curious about therapy for the first time, I want to hear your unique story and personal goals. I'm a musician and athlete and have a huge passion for health and fitness which has also influenced my holistic approach. I also love exploring spirituality and learning more about people's unique experiences. While I take therapy seriously, I also naturally have a warm, light-hearted approach.

I am a master’s level licensed clinical mental health counselor (LMHC), (LPC) and credentialed SUD Counselor (CASAC-A) (CADC II) with training and expertise in both Cognitive Behavior Therapy as well as psychodynamic treatment. I work with young adults and adults and have expertise in treating patients with depression, anxiety, PTSD, compulsive, addictive behaviors and domestic violence. I have specialized training in various evidence-based treatments for trauma such as Cognitive Behavioral Therapy (CBT) and Cognitive Processing Therapy (CPT). I hope to help patients learn effective ways to cope with stress, manage difficult emotions and communicate well with others. We have all acquired ways of coping that get in the way of our development, and manifest as emotional pain, such as anxiety and depression. I work with clients to identify and reduce these painful symptoms. Clients are then freer to use their energy in pursuit of their goals. I work with young, midlife, and older adults. I develop a safe and collaborative relationship with clients. In that context, I do short and long-term psychotherapy and train clients to use specific protocols to modify symptoms that are in the way of personal and professional functioning. My approach provides support, guidance, and education to help you become the best version of yourself and work towards achieving your goals. I consider it an honor to work alongside you, and I look forward to meeting you soon.

I am a psychotherapist who has been in the field for over 20 years. I thrive on helping my clients reduce their anxiety and increase their sense of worth. I love working with clients who are ready to commit to the healing journey. Therapy is a partnership and it is most affective when clients are open to putting in the work.

Hi! My name is Sam and I am a Licensed Mental Health Counselor (LMHC) based in New York. I received my Masters from Pace University and have been practicing post-graduate for 5 years. I am dedicated to creating a safe and supportive environment for my clients. With a compassionate approach and evidence-based techniques, I work collaboratively to help people navigate life’s challenges, improve their mental well-being, and achieve personal growth. Whether you’re dealing with anxiety, depression, relationship issues, or simply seeking to understand yourself better, I’m here to guide you on your journey toward healing and self-discovery.

Hi, I’m Mia. With over seven years of clinical experience, I’m committed to creating a warm, nonjudgmental space where you can feel supported and truly heard. I’ve worked with clients of all ages, couples, high-risk populations, and the LGBTQIA community. Together, we’ll explore what’s weighing you down, build on your strengths, and work toward healing, balance, and lasting personal growth.

A genuine and progressive therapist with real world experience. Authenticity. Self-acceptance. Empathy. Mutual trust and respect. These are the cornerstones of my approach! Not ready to book a session? Learn more about me on Instagram @patricelcsw or Psychology Today (https://www.psychologytoday.com/profile/1077447). Send me a message and we'll chat to see if we're a good fit. I embrace an affirming approach to therapy which includes validation and advocacy across the spectrum of gender identity and sexual orientation. As a Racial Justice Ally, I make efforts to open up healing discussions around race in therapy and take a de-centering approach to addressing the impact of racial injustice in our society. You are the expert in your own life experiences. I will listen and explore in a way that creates a safe space for healing and diving deeper into what weighs you down. My aim is to empower you, helping you tap into your inner strength and wisdom. Your journey towards resilience is a personal one, and I am here to support you in uncovering the strength that has always resided within you. With over two decades of experience as a Licensed Clinical Social Worker, I bring a wealth of knowledge and expertise in the field of mental health. I am well-versed in various Evidence Based Treatment Models. Healing is not one size fits all. So, we will work together to find the approach that fits you.

My name is Maria. I have been practicing therapy for 20 years. I have worked in a variety of settings such as, a hospital emergency room seeing individuals struggling with mental health issues. I have also work with children and adults. I feel privileged to have you allow me into your life and share your experiences and struggles with me.

Hi There, Perrin here, If you are reading this short bio, I want to first congratulate you on the first step towards self discovery. I was born in The Bronx, NY which has inducted me naturally into a world that did not always make sense. I am mixed with African American and Native American heritage so this has allowed me to be both culturally sensitive as well as unbiased towards the human experience. I have a great appreciation for humanity which has led me to this field and assisting individuals in recognizing their innate abilities to push through tough challenges is my most treasured goal. My practice embodies the three core processes I have concluded to be effective during my 13 years of experience. These processes are; explore, grow, and maintain and through these processes, individuals will understand and explore where they have come from, growing through their experiences, and using the skills along the way in maintaining effective change.

Hi! I'm a Black and Queer Licensed Professional Counselor (LPC) and Licensed Mental Health Counselor (LMHC) based in Atlanta, GA (also licensed in New York). I received my Bachelors degree in Psychology from Kennesaw State University, following up with my Masters from Fordham University, and have been practicing for 10 years. I help adults struggling with anxiety, depression, identity, and life adjustments become the best versions of themselves.

Welcome! I'm a licensed mental health counselor based in New York. I'm also a Credentialed Alcoholism and Substance Abuse Counselor and Licensed Art Therapist. My practice is primarily psychodynamic while incorporating elements of cognitive and behavioral therapies as needed to assist in restructuring self-defeating patterns. My role is to travel your path with you, to create a space and relationship that is welcoming and safe.

I am a Licensed Mental Health Counselor, dual licensed in New York and Florida. I am also a certified New York MASTER CASAC and a Florida MCAP for substance abuse. I have been in the field since 2014 and I help those who struggle with substance use, anxiety, day to day life, returning from incarceration/military into the community, mood swings, and depression. I can help you reach your goals at you own pace through guidance and positive reinforcement. I look forward to watching you grow and succeed

I’m a licensed mental health clinician who understands what it’s like to juggle real-life stress, family dynamics, and the desire to live with integrity. My work blends solid therapeutic tools with a warm, relational style shaped by my background in ministry, music, and helping people reconnect with the parts of themselves they’ve pushed aside. I walk with clients through anxiety, identity struggles, burnout, and the pull toward unhealthy coping, offering a space that’s honest, grounded, and hopeful. My goal is to help you feel seen, supported, and capable of lasting change—one step at a time, at a pace that feels right for you.

I’m Jackie a licensed therapist dedicated to supporting adults through life’s challenges and transitions. I work with clients experiencing anxiety, depression, codependency, relationship difficulties, and major life changes, helping them understand how their thoughts, emotions, and behaviors interact and impact their daily lives. My approach is trauma-informed, collaborative, and tailored to each person’s unique needs, providing a safe and supportive space to explore experiences and develop practical coping strategies. My goal in therapy is to help clients develop tools and strategies that promote lasting change, resilience, and self-confidence. Together, we work toward understanding challenges, setting achievable goals, and creating a plan to support growth and well-being. Whether you’re managing day-to-day stress, working through a life transition, or seeking to improve relationships and emotional health, I aim to provide guidance, support, and practical skills to help you feel more balanced, empowered, and confident in your life.

I'm a relatable, no-fluff therapist who brings a bit of quirk, fun, warmth, and authenticity to session. I have a passion for real, human conversations and believe healing works best when you can show exactly who you are. I am a Clinical Social Worker with 8yr of experience. I graduated from Binghamton University with my MSW, and have professional experience with people of all ages in a community mental health setting.

I’m Elsie DaCruz, a Licensed Mental Health Counselor (LMHC) dedicated to helping individuals and couples find balance, healing, and clarity. I create a warm, supportive space where clients can explore their thoughts and emotions freely. My approach combines practical tools with genuine empathy, helping clients strengthen self-awareness, improve emotional regulation, and build healthier relationships. I work collaboratively to empower clients toward growth, resilience, and lasting change.

Hi! I'm a Licensed Clinical Social Worker (LCSW) based in New York. I received my Masters from the University at Albany (SUNY) and have been practicing for 8 years. I work with adults (18+) on an individual basis who are dealing with depression, anxiety, adjustment, and stress-related disorders. I like to work with the whole person utilizing my background in Medical Social Work to address Medical Comorbidities that impact a person's emotional and mental well-being.

I am a Hispanic female who has experienced many life challenges. I’m very family oriented, I enjoy traveling, spending time with family and friends; especially my dog “Harley” who is a rescue from Korea and I share a special bond with. I don’t assume to be an expert on anyone’s life or their own experiences. The therapeutic process has taught me to listen and help others find their way through difficult situations. To make sense or not and to hopefully become a better versions of they are and live life to the fullest.

Hello! I am a licensed clinical social worker. I have provided counseling services to children and adolescents for the past 25 years in a school and outpatient setting. I love working with this population. I have experience addressing issues related to ADHD, divorce, depression, anxiety, autism and social skills. I work hard to ensure that each child/adolescent that I see feels understood and supported. I work to empower my clients to feel success and pride in their accomplishments.

I am a licensed clinical social worker providing client centered, solution focused therapy for over 25 years with an established private practice since 2005. In my practice, my goal is to provide a supportive environment which allows clients to identify and achieve their goals. In addition to my work as a therapist, I provide training and consultation services regionally and nationally on trauma informed care, adverse childhood experiences (ACEs), sexually harmful behavior, vicarious trauma and self-care.

I am a caring counselor with 10 years of experience in helping individuals navigate their emotional and mental health journeys. My approach is compassionate, client-centered, and tailored to meet each person's unique needs. I specialize in supporting clients through challenges such as anxiety, depression, life transitions, and self-esteem issues. My goal is to provide a safe, supportive space where you can explore your feelings, gain insights, and develop effective coping strategies to create a more fulfilling life. I help people cut through confusion to discover what truly matters in their relationships and lives. Whether you're a couple caught in repetitive conflicts, or an individual navigating life transitions, my approach combines intellectual depth, genuine warmth, and practical structure to create lasting, measurable change.

My name is Dr. Bonnie Floyd. I'm a clinical health psychologist. This profession merges my dual interests in clinical psychology and medicine. I assist clients with chronic illness to attempt to live their best possible lives. I work with them to maximize their strengths, and decrease their weaknesses. Even after more than twenty years, I remain passionate about what I do! I have a longstanding interest in helping individuals who are struggling with depression. Major depressive disorder is such a serious clinical condition, and still undertreated. Even individuals with milder forms of depression may benefit from therapy to achieve a better qualities of life.

Award winning Therapist — Therapist of the Year by St. Vincent Hospital - an acknowledgement demonstrating my commitment to the quality care I provide. I offer therapy for burnout, anxiety, depression, OCD, and trauma. I also work with individuals who simply want personal growth, clarity, and more control over their lives. As someone who’s sat on the other side of the therapy room, I bring not only clinical training, but real, lived experience. I know how hard it can be to ask for help, find good help, and how important it is to feel truly heard. You are the expert on your life. I am here for you — to be your guide and support.

I’m Jinese Haskins, LCSW, a licensed clinical social worker dedicated to creating a safe and authentic space where healing feels possible. My goal is to help clients feel seen, supported, and empowered to create lasting change at their own pace and in their own way. Whether you’re managing life transitions, stress, anxiety, or simply trying to rediscover yourself, I believe therapy should meet you where you are. Together, we’ll explore your story, uncover your strengths, and build practical tools that help you move forward with confidence and clarity.

I am a Licensed Clinical Social Worker for over twenty years. The majority of my clients are dealing with work life balance, stress, anxiety, and other common issues with high stress positions. I also help clients navigate challenging stages in their life. I treat clients with anxiety, ADHD, PTSD, depression, and grief. My clientele is diverse with clients from South Asia, AAPI and Arabic backgrounds. I also have clients who are transitioning from college life and/or new residents to New York. I also have clients who are: neurodivergent (ASD), LGBTQ+ and body positive. I have experience with couples therapy. I have also worked with parents and their adult children. I also see adolescents.

Hi, my name is Samantha and I enjoy the work that I do with my clients. I always say it is a privilege to be a part of someone's journey towards healing and to get to see the vulnerability that therapy opens people to. I am a compassionate therapist that provides space to build in trust and safety for the opportunity of change to grow. Together we can embark on your journey to well-being and grow into the version of yourself you are aspiring to be.

Cynthia Rose has 20 years of experience working within the mental health field in the US and Europe. She has extensive experience treating mental health and substance abuse issues in jail and probation populations, domestic violence offenders, active and retired military personnel, and emergency mental health providers. She is an LMFT, is certified in DBT and is trained in EMDR as well as other modalities that can help.

My name is Eric Yip and I am a Licensed Mental Health Counselor in New York City. I received my Masters from Alliance University. Becoming a therapist is a childhood dream come true for me and with over fifteen years of experience in the mental health field, I have worked in various areas, ranging from depression and personality disorders to child development and end-of-life issues.

As a warm and caring therapist, I’m passionate about helping youth and young adults overcome challenges and discover their strengths. With five years of experience, I combine empathy, evidence-based strategies, and genuine connection to support my clients in building confidence, resilience, and emotional well-being. My approach is collaborative and client-centered, creating a safe and supportive environment where individuals can explore their thoughts, emotions, and experiences without judgment. My goal is to empower clients to develop healthy coping skills, strengthen self-awareness, and create lasting positive change in their lives.

Hi, I’m glad you’re here. Starting therapy can feel like a big step, and I want you to know that you don’t have to do it alone. I’m a Licensed Mental Health Counselor with experience working with kids, teens, adults, and families, and my goal is to create a space where you feel comfortable, supported, and understood. In our work together, I’ll meet you where you are—whether you’re dealing with stress, anxiety, depression, College, relationship challenges, or just feeling stuck. I use a mix of approaches like CBT, mindfulness, and strength-based techniques, but more than anything, I focus on listening to you and tailoring sessions to what you need. I truly believe therapy is about collaboration—you bring your experiences and hopes, and I bring tools and support to help you move forward. My hope is that you’ll leave sessions feeling lighter, more confident, and more connected to yourself. I know it can be hard to open up about yourself so here's some personal things about me: I'm a runner, I enjoy photography, I love the NBA, I'm into anime, and Severance needs to come back already

Hello! My name is Lauren, I am a Licensed Clinical Social Worker (LCSW) with extensive experience supporting individuals through mental health crises and providing individual psychotherapy to clients in need. My background as a crisis therapist has strengthened my ability to meet clients where they are at- utilizing an empathic, calm, clear path forward during challenging times. I take a warm and solution-focused approach, helping clients build on their strengths and move toward meaningful change. I believe in creating a supportive space where you will feel respected and empowered with a primary focus on healing

Hello, I am a licensed clinical social worker in New York state working with children, youth, and young adults for over 10 years. I am Black and originally from Ghana in West Africa. I am a wife and a mother of two young teenagers. I live in New York with my family. I have practiced clinical social work in various settings, including psychiatric hospitals, residential treatment facilities/centers, and an outpatient clinic. I am also an adjunct social work professor and enjoy teaching when I am not doing clinical work. My treatment approach and types of therapy used include acceptance and commitment (ACT), attachment-based, cognitive behavioral (CBT), compassion-focused, emotionally focused, exposure and response prevention, family systems, and trauma-focused therapies.

My approach is collaborative, personalized, and focused on empowering clients with the tools and confidence to manage life’s challenges. I work well with clients who may feel ambivalent about change but are open to support in making healthier, values-based decisions. I believe progress in therapy is built on a client’s motivation, readiness, and active engagement in the process. My approach emphasizes compassion, curiosity, and collaboration in helping clients find their own path forward.

Hi, I'm a Licensed Clinical Social Work with 10+ years of experience working with individuals who struggle with anger, anxiety, depression, developmental disabilities, and personality disorders. I utilize CBT and DBT to help patients challenge automatic negative thoughts and help them learn to regulate their emotions. I have facilitated DBT and Anger Management groups with great success. I received my Master's from Syracuse University.

I have been a social worker in the area of education and in clinical therapy for over 30 years. I have years of experience working with individuals with learning handicaps, anxiety, depression, trauma, self-esteem issues, and codependency. I also provide Christian counseling and teen counseling. I am trustworthy and not judgmental. My main therapeutic style is solution focused. If you are looking for a reliable and conscientious therapist, then look no further! I look forward to working with you.

Hi, I’m Shakira, a Licensed Mental Health Counselor dedicated to helping individuals and families create meaningful change. I provide a safe, supportive, and nonjudgmental space where clients can explore emotions, build self-awareness, and develop practical tools for personal and relational growth. In my work with individuals, I help clients identify patterns that may be keeping them stuck and guide them toward healthier ways of thinking, feeling, and relating. Whether you’re managing anxiety, depression, stress, or relationship challenges, I focus on helping you gain insight and build the confidence to make positive, lasting changes. With families, my approach centers on improving communication, rebuilding trust, and fostering understanding. I use a systemic perspective to help family members recognize how their interactions impact one another and work together to create new patterns of connection and cooperation. My goal is to help families move from conflict and disconnection toward empathy, balance, and mutual respect. My therapeutic style is collaborative, compassionate, and practical. I draw from evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and Functional Family Therapy (FFT), along with mindfulness and solution-focused techniques. Sessions are tailored to each client’s goals and often include hands-on strategies to apply between sessions for continued progress. I believe growth happens when clients feel safe, heard, and supported. My role is to provide guidance, encouragement, and a structured space for reflection and change. Whether you’re seeking personal healing or stronger family relationships, therapy offers the opportunity to gain clarity, strengthen connections, and live with greater purpose and peace. If you’re ready to begin your journey toward emotional wellness and healthier relationships, I’d be honored to work with you.

I am a Licensed Mental Health Counselor located in NYS. I graduated with my Master's degree in mental health counseling in 2015 and my bachelors in psychology in 2011. I began my career as a mental health crisis responder in my local community and worked in that role for a number of years. Following my work in community crisis response I transitioned into a community mental health outpatient, working as an individual therapist. Through my community based work I have been fortunate to work with a wide range of individuals and problems. I did notice a pattern of folks being impacted by past or present traumas which were showing up in relationships and impacting the quality of life for many. This is when I decided to focus my career on building the skills that I needed in order to help my clients resolve traumas. I am a certified EMDR clinician and bring a trauma-informed lens into the work I do with my clients.

Feeling overwhelmed by past traumas, stuck in anxiety or the midst of life transitions? With EMDR, CBT, and mindfulness, I help you find clarity, calm, and renewed purpose. I am dedicated to making therapy accessible and convenient by offering fully remote therapy sessions. This means you can receive the support you need for your mental well-being from the comfort of your own home.

With over 30 years of experience working with military personnel, their families, and individuals facing personal challenges, I understand the complexities of stress, trauma, and relationships. My approach is tailored to your unique needs, fostering trust, self-awareness, and meaningful progress through evidence- based therapeutic techniques. Healing starts with a conversation, and I’m here to provide a supportive, judgment-free space where you can feel heard and validated. Take the first step toward healing today—click the website button to schedule an appointment. Let’s work together to help you navigate your challenges and create a path forward

As a long-term provider of mental health, I feel that therapy is very much like coaching. Together we can affect change using the tenets of CBT. I like to work in a brief, short-term and goal-centered approach. Come with an open mind and let us talk about making minor adjustments that can lead to long term changes. My mantra is -- "How can I help?" And if it sounds like a "Zen" like approach to counseling- maybe it is.

Hi! My name is Sarah, and I’m a Licensed Marriage and Family Therapist (LMFT). I work with individuals, couples, and families who are seeking to improve their relationships with themselves and with others. My approach is grounded in kindness, understanding, and the belief that the stories we tell ourselves can shape our experiences. Therapy with me is a safe, compassionate space where you’ll feel heard and empowered.

Are you feeling overwhelmed, stuck, or weighed down by life’s challenges? Whether you are struggling with depression, anxiety, substance use, trauma, relationship issues, or the stress of everyday life, you do not have to go through it alone. My name is Michael, and I am a licensed therapist with over a decade of experience helping people from all walks of life find clarity, healing, and growth. I have worked extensively with individuals facing depression, anxiety, bipolar disorder, substance use and recovery, childhood and relational trauma, men’s issues, self worth, identity struggles, and relationship difficulties. My approach is compassionate, practical, and supportive. I focus on meeting you where you are and working together to untangle what feels overwhelming, while giving you tools that create real change. Therapy with me is not about quick fixes but about building a life that feels balanced, meaningful, and authentic. I also understand the importance of creativity and personal expression. My background in the arts has shown me how vital it is to have outlets for what we carry inside. Many of my clients are artists, performers, and writers, but creativity is not required. What matters is that you are a human being with a story, and I am here to help you move forward with strength and clarity. When we work together you will find a therapist who listens without judgment, asks thoughtful questions, and collaborates with you to find solutions that fit your life. I look forward to meeting you, learning your story, and helping you take the next step toward healing and growth.

I'm Jennifer Culley, LCSW-R, a licensed clinical social worker in New York with decades of experience providing clinical services. I have a Masters degree from Columbia University and have worked in clinical settings with a variety of clients over my years in the field. My work is always client focused and based on my experience, training, and genuine therapeutic connections I make with my clients.

Hi I'm Rachael and I am a Clinical Social Worker with over 25 years of experience. I help teens, young adults, and adults of all ages work through stress, anxiety, depression, trauma, and emotional challenges so they can gain clarity, confidence, and a stronger sense of self. In addition to private practice, my experience includes both inpatient and outpatient mental health settings, as well as school based settings.