Therapists in New York

I have worked for years as a clinician in an acute, inpatient psychiatric setting and have learned that I find working with trauma and stress related issues to be particularly rewarding in addition to working with clients to help manage mood, anxiety, OCD and depression so that individuals, couples and families can live an optimally functioning life. I believe clients are the experts on themselves and I work collaboratively to identify and implement strengths, needs and changes (as well as acceptance when change is not possible).

I like to consider myself a behavioral Psychologist who has deeply studied and is very familiar with the science of behavior and science in general. I use humor, informality and warmth to help people work towards feeling and functioning better. A passionate dog lover, I am the proud owner of English Springer Spaniels. My practice is unique in its pet-friendly approach, encouraging patients to bring their dogs to sessions. I also specializes in pet bereavement, offering dedicated support to those dealing with the loss of a beloved pet.

Hi, I am a Licensed Clinical Social Worker (LCSW) based in New York and Michigan. I earned my Master in Social Work from Hunter College, New York, NY. I have been practicing for 15 years. I welcome clients/patients of all ages and backgrounds. I work with adults and children 8+. I specialize in anxiety, depression, grief/loss, PTSD, and eating disorders. Specific modalities that I may use include CBT, DBT, IPT, Existential therapy, and Supportive feedback. I am a strong ally with the LGBTQ+ community, and I am fluent in both Spanish and English.

Do you often feel stuck in life? Or have a hard time getting to where you KNOW you can be physically, mentally, or emotionally? Navigating the complexities of life, dealing with anxiety, depression or any other mental health challenges can be extremely tough & take a toll on you functioning at your best. We are taught to just push through & everything will be fine, but you know that this rarely works. So here you are asking the question "Can this person actually help me?" To that question, I want to start by introducing myself. My name is Destiny & have spent my 6+ years career as a Licensed Mental Health Counselor, gaining the passion to facilitate the process of healing and hope to individuals who navigate symptoms of anxiety, depression, & trauma-related issues. I also work well with those in need of support with self-esteem issues, stress, and navigating their spiritual walk. Together, we will foster a mindset of resilience, confidence, and self-compassion, allowing you to navigate life's challenges with grace and authenticity. The journey towards healing & growth, starts & will continue with one step at a time.

I’m Kathleen Hobson, a Licensed Mental Health Counselor and the founder of KAT Psychotherapy. I specialize in providing compassionate, evidence-based care tailored to individuals and families, with a focus on helping clients navigate life’s challenges, improve their emotional well-being, and foster healthier relationships. My practice integrates approaches like Cognitive Behavioral Therapy (CBT) and family-focused interventions to support healing and personal growth. At KAT Psychotherapy, we are committed to creating a safe and supportive space for transformation and empowerment.

I have been working with clients for over 10 years from a variety of demographics. I have been providing therapy since 2017. I continually like to expand my knowledge and participate in trainings and further education. Depending on what is discussed in session, I might send home information for further reading or just a handout as a reminder of what was discussed as a referral tool in between sessions. I firmly believe I can help clients break free of negative thoughts and behavior patterns.

Are you feeling stuck, unempowered or overall lost? Pain is a part of life, but you don't have to go through it alone. When life gets too overwhelming, we often experience confusion, disillusionment, disappointment, anger, sadness, fear, addiction, or a sense of numbness. I create a non-judgmental and empathetic environment to explore your thoughts and emotions, where we can find solutions together. My goal is to empower you to uncover your strengths and find your path toward building and reclaiming the healthy life you deserve.

I'm a Licensed Clinical Social Worker and a Credentialed Alcohol and Substance Abuse Counselor (CASAC). I received my Masters in Social Work from Adelphi University and have been in practice for 8 years. I guide clients through life transitions and help them to grow and heal into the best versions of themselves. I believe that therapy can provide the guidance necessary to work through transitions and ultimately, reach your utmost potential. I work collaboratively with clients and utilize a client-centered, strengths-based approach to help them feel empowered to reach their personal goals. My goal as a therapist is to create a safe and welcoming environment, where clients are supported and guided through this process.

I am a Licensed Mental Health Counselor since 2011. I work with adults struggling with depression, anxiety and life stressors / transitions along with those looking to gain greater self confidence, establish better boundaries and improve their relationships. I provide both in person and virtual 60 minute sessions. I have office space in Albany, NY. I will provide you the support, encouragement and feedback needed to take the next step in your life. Together we will work through your life challenges and obstacles. It would be an honor to join you on your journey towards a happier, healthier life.

I am passionate about guiding you on a transformative journey towards emotional well-being by understanding how you operate and issues you may have developed from your experiences. As well as understanding the people around you and their issues and how they operate. Also by learning how to best care for yourself by setting boundaries enabling you to establish stronger, more connected relationships with the people in your life. My mission is to create a nurturing, safe space where individuals, couples, and families can explore their inner worlds and discover the power to heal, grow, and thrive as individuals and within their relationships.

Hi, I'm Tara! I provide teletherapy for young adults who want to learn skills for navigating relationship issues and managing anxiety and stress. Virtual therapy offers the convenience of prioritizing your mental health, even with a busy schedule. I help my clients build self-esteem, cultivate confidence, and work through relationship challenges, empowering them to become their best selves. Life transitions can be overwhelming, but you don't have to face them alone. Therapy can provide the support and guidance you deserve.

I'm a Licensed Clinical Social Worker (LCSW) licensed in Illinois and New York. I received my Masters in Social Work from New York University and have been practicing for over 10 years. My experience includes helping children and young adults struggling with their emotions and relationships to find their strengths, accomplish their goals, manage their emotions, and helping them build a support system.

As a Clinical Social Worker for more than a decade, I have assisted many individuals like yourself navigate through various difficult life transitions. It would be an honor for me to start collaborating with you on achieving your desired transformation. Working together, you will gain the support and tools to approach your personal journey with hope, confidence and peace so you may ultimately gain mastery over your life.

Hi! My name is Tawanna Peacock and I am a Licensed Psychotherapist {LCSW}. I am licensed and certified to practice in the state of New York. I received my Masters degree from the Hunter College School of Social Work and have been practicing since 2005. I have worked in human services for over 27 years and have been afforded a wealth of opportunities to help others. Each wonderful opportunity has allowed me to further utilize and develop my skills and assist my clients with reaching their personal goals.

I am a family counselor licensed in New York, Massachusetts, Maine, New Hampshire, and Utah with over 15 years of experience working as a Clinical Social Worker. I have worked with clients with a wide range of concerns including depression, social anxiety, childhood trauma, relationship issues, parenting problems, career challenges, and emotional abuse. I provide telehealth therapy and am flexible with the time needed to meet the clients individual schedule

I’m a licensed mental health counselor, based in New York. I have been in the mental health field for over 10 years, working in different settings from transitional housing for individuals with severe mental challenges to our patience services. I believe my experience helps me in taking a holistic approach. My aim is to help my clients develop the necessary skills to effectively address life’s challenges and barriers.

I am a licensed clinical social worker and integrative mental health therapist. What does that mean? I work holistically and believe truly in the "mind body" connection when working with my clients to find healing and their individual path forward. I also am a firm believer in practicing what I preach. In my every day life I use a ton of integrative and mindfulness tools to support my own self care and need for balance.

Hello! I am a Licensed Clinical Social Worker (LCSW) in the NY area, with over a decade of experience dedicated to individuals and families searching for mental health wellness, with a commitment to emotion management. My focus is to listen generously to the client in order to build a therapeutic relationship that will provide the right techniques and skills to develop mental well-being.

I'll help you process, organize, and clarify your own set of values and priorities to make choices and decisions that will help you accomplish your major life goals. We can look at the experiences in your life that are causing you to feel indecisive and stuck. And together, we will create a realistic plan of action that feels right for you.

Good Day. I'm Karen. Learning how to cope with change can be difficult. Are there times where you feel as if friends and family misunderstand you? Do you find yourself struggling with change making it hard to adapt to new environments? If so, I am here to help! I have worked in social services and mental health for over 10 years. As a Certified Alcohol and Substance Abuse Counselor for over 7 years, I have collaborated with agencies and organizations within New York City area to address the needs of individuals and families; including those who are struggling to heal from the impact of anxiety, depression and various addictions that can cause damage to the lives of both young people and adults alike. When collaborating with an individual, I provide support no matter your socio-economic, cultural, ethnic, educational, and other personal backgrounds. I am particularly sensitive to clients facing moments of transition, such as stress, loss, academic issues, employee issues, coping skills, marriage and family conflict; when the delicate balance can seem to tremble, and symptoms of anxiety, depression, and self-doubt can emerge.

Hi ! I am Justine Hale. I am a Licensed Mental Health Counselor based in New York City. I completed my undergraduate at John Jay College. I attended NYU for my Masters. I have 8 years in the Human Service field, with 3 of those years being exclusive to being a therapist. I utilize an integrative approach with clients, framing therapy based on an individual’s needs at that time.

I am an LCSW with extensive experience in supporting individuals through grief, loss, and illness. Drawing on a deep understanding of the emotional complexities surrounding life’s most challenging transitions, I provide empathetic care and evidence-based interventions tailored to each client’s unique needs. I work to empower my clients with the skills they need to navigate these changes. I am licensed in NYS and hold an additional certification in Meaning-Centered Psychotherapy.

My name is Madeline Almonte, and I am a Bilingual Licensed Mental Health Counselor from New York with extensive experience in educational and therapeutic roles. My Mental Health practice is named THRIVE Wellness & Coaching, LLC, because my vision and approach emphasizes inspiring and guiding clients to THRIVE in life by realizing their true potential through self-reflection and tailored strategies. I work to enhance self-esteem and confidence, alleviate anxiety and depression, and address the impact of traumatic experiences. By focusing on positive development and personal growth, I aim to empower individuals to achieve their aspirations and thrive in all aspects of their lives. Let’s THRIVE together!

I am a NYS Licensed Clinical Social Worker. I work with clients to manage symptoms of Depression, Anxiety, Grief. I also helped people dealing with domestic violence, trauma, school issues, challenges with relationships, work stress, low self-esteem, and life transitions. I use a strengths based approach as well as CBT interventions and techniques. I have worked with people of all ages.

Hi! I'm an NYU graduate and mental health therapist based in New York City. I have gained significant experience working in a community mental health clinic. I have an easy going and laid back approach. I pride myself creating a down to earth and nonjudgmental environment. My main area of focus is working with people struggling with anxiety, stress, heartbreak, relationship conflicts, and self-esteem issues. Feeling overwhelmed can be tough but you don't have to navigate this alone. Imagine feeling lighter and approaching challenges with more confidence. Ready to take the first step? I'm here to support you on your journey.

Hi ! I am a licensed clinical social worker who has worked in the field of mental health and healing for over 15 years. I love hearing the life stories of others and exploring with them how they can get some healing from life's challenges. I am also big on looking at one's strengths and accomplishments in life. I believe that many people already are on their journey.

I am a licensed marriage and family therapist, currently licensed in Florida and New York. I received my masters from Iona University, where I started my clinical experience with couples, individuals, and families. I work with couples who are navigating challenges in their relationships, families who are facing challenges with communicating and engaging in healthy conflict resolution, and individuals experiencing anxiety and/or depression.

Hello, I'm Natalia. Are you feeling overwhelmed, tired, and worn with all your responsibilities as a young adult woman (ages 18-35)? Maybe feeling anxious, down or depressed and wondering how you will manage it all? Whether you’re a mother, a daughter, a student or an employee, you matter and behind all that you do is a woman wanting to be seen and heard. You Are Not Alone and you don’t have to do life alone. In our sessions, you will be listened to, understood, and given practical evidence-based tools and techniques to manage those difficult emotions while you learn to care for your physical, emotional, and mental well-being. This is your life, your decision to make it better, and you can be empowered to live it at your best. If you’re ready for that empowerment or even considering it , I am here to help. ----------------------------------------------------------------------------- Hola, soy Natalia. ¿Te sientes abrumada, cansada, y desgastada con todas tus responsabilidades como joven adulta? ¿Probablemente te estas sintiendo ansiosa, decaída o deprimida y pensando como vas a manejar todo lo que tienes en tu plato? Si eres madre, hija, estudiante o empleada, tú importas y detrás de todo lo qué haces esta una mujer que quiere ser reconocida. No estás sola y no tienes que vivir la vida sola. En nuestras sesiones, serás escuchada, entendida, y te daré herramientas y técnicas prácticas que han sido comprobadas para manejar esas emociones difíciles mientras cuidas tu bien estar físico, emocional, y mental. Esta es tu vida, tu decisión para mejorarla, y puedes ser empoderada para vivirla mejor. Si estas lista para ese empoderamiento o lo estás considerando, estoy aquí para ayudarte.

You are here because something is just not working in your life as it sits right now. You are feeling overwhelmed, stuck and hopeless. You think if you just keep pushing, keep striving, keep working on it, it will get better, but you are still struggling to stay afloat. I am here to help. Here you can breathe, you can pinpoint and work through the trouble spots, and you can learn new tools to handle these overwhelming emotions that keep nagging at you in your day to day. Here, you can find guidance to get back on your feet and moving in the right direction. Whether it is a new life event, anxiety or depression symptoms overwhelming you, things from your past resurfacing, or another difficult conversation that drew you to therapy, welcome.

Walesca Marmolejos is a Licensed Clinical Social Worker and has over a decade of experience working with individuals and groups across the lifespan. Walesca's approach is holistic, relational, collaborative, and trauma informed. Walesca is also a certified yoga instructor who believes in focusing on the whole individual (mind AND body), not just their circumstances. Walesca's approach is open, relational, and collaborative. An environment that is safe and non-judgmental, where a person can develop a sense of trust and well-being is a priority and of utmost importance. Together, we take a deeply personal journey, exploring possibilities and facing what has been difficult. The goal is to help you heal and guide you toward increased self-knowledge and emotional comfort. Walesca offers supportive counseling and psychotherapy for individuals including children/adolescents dealing with stress, depression, grief and loss, and family issues and one of my chief areas of interest is in the field of trauma. I offer evening hours and virtual sessions only.

Hi, I'm Barbel Paredes, a Licensed Mental Health Counselor with ten years of experience in Cognitive Behavior Therapy. My goal is to help you understand the connection between your thoughts, emotions, and behaviors so you can break free from helpful patterns. Together, we'll work on practical strategies to manage challenges, build resilience, and create lasting positive change in your life.

I am an LCSW, Columbia university graduate. I discovered the field of social through my sister's chronic illness as a child. The hospital social worker who worked with my sister and family opened my eyes to the compassion that is needed in caring for and connecting to families undergoing unanticipated difficulties. From a young age, I knew I wanted to help others with processing difficult life experiences.

Welcome! I'm Debra Sollitto. I am a Licensed Clinical Social Worker from New York. I graduated from New York University with a Master's Degree in Social Work. I have been treating clients with depression, anxiety, PTSD, and various other psychiatric conditions for almost 30 years. Take a moment to acknowledge you've taken the first step towards bettering your mental health because, let's be honest - starting therapy can be empowering, confusing, or scary, all at the same time. I strive to create a safe and welcoming environment that allows clients to explore obstacles with concerns related to anxiety, depression, and/or self-care. I focus on helping clients develop assertive communication & boundaries with themselves and those around them that can help improve their quality of life. Counseling can foster personal development in whatever way you may be seeking and help build the life you so deeply deserve. If that's what you're looking for, I'm here when you're ready to share.

Hi there. I’m Marlene, I am a Licensed Clinical Social Worker based in Florida and licensed in Florida and New York. I work with young and older adults and specialize in anxiety, depression, loneliness, family issues, relationship issues and loss. I utilize Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Strength- Based Therapy and Psychodynamic Therapy to help you make progress and start feeling better. Throughout my over 15 years of experience, I have been fortunate to work with children, and adults including home-bound adults, and seniors. Some of my areas of specialization include mood disorders, anxiety, relationship issues, family issues, working to reduce depressive symptoms and strengthening self-esteem. I am certified in Dialectical Behavior Therapy and a Certified Grief Informed Professional.

I am a Licensed Marriage and Family Therapist in the state of New York and Indiana. I have a Masters degree in Clinical Psychology from Antioch University-Los Angeles. Previously, I had a 30 year career in the Film & Television industry. My passions were, the Film business & Psychology. I said to myself, the day I become disinterested in the Film business, I'll go to graduate school, get my degree in psychology and become a psychotherapist. That day came and here I am. I have been practicing since 2009.

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.

My name is Lisa and I'm a Licensed Clinical Social Worker in the state of New York. I am Puerto Rican, bilingual (Spanish and English), and have been conducting psychotherapy sessions for the last 6 years. I have experience working with people of all races, backgrounds, ages, and socioeconomic status. My approach to therapy is meeting a client where they are, what their goals are for therapy, and I remind them that they are the expert of their life (knowing themselves the best). Mi nombre es Lisa y soy trabajadora social clínica autorizada en el estado de Nueva York. Soy puertorriqueña, bilingüe (español e inglés) y he realizado sesiones de psicoterapia durante los últimos 6 años. Tengo experiencia trabajando con personas de todas las razas, orígenes, edades y niveles socioeconómicos. Mi enfoque de la terapia es encontrar al cliente dónde se encuentra, cuáles son sus objetivos para la terapia y recordarle que eres el experto de su vida (conociéndose mejor a sí mismo).

I have over 9 years of experience providing therapy and in a variety of settings including inpatient hospitals, outpatient clinics and telehealth platforms. I have treated individuals with depression, anxiety, panic disorder, life transitions and stress. I also have a passion for maternal mental health and able to work with those experiencing postpartum and peripartum mood and anxiety disorders. I am also familiar in working with those who have suffered perinatal loss and infertility. My belief is that therapy is a collaborative process. I will work with you by creating an individualized plan to help achieve your goals! My years of experience have given me a wealth of knowledge on how to treat various mental health concerns.

I am a compassionate, empathetic and intuitive licensed mental health counselor. I enjoy working with clients who are ready to embark on their journey of self-discovery which will allow them to make changes that will ultimately make them feel better and inspired to accomplish their goals. I earned an Ed.M in Counseling Psychology at Teachers College, Columbia University. I have held my NYS Mental Health Counselor License for over 25 years. I am also bilingual English and Spanish for clients who may have a preference or would like to have the option to express their thoughts and feelings in either or both languages

Hi, I'm a Licensed Mental Health Counselor based in Western New York, with over 13 years of experience in the mental health field. Throughout my career, I’ve had the opportunity to work in a variety of settings, which helped me discover where my heart truly lies—supporting women through life’s many transitions. Are you navigating the uncertainty of post-college life, wondering who you are outside the classroom? Have you recently started a new job and find yourself second-guessing every move? Maybe you’re a mom juggling countless responsibilities, trying your best while feeling stretched thin. Change can be overwhelming—especially when it’s accompanied by self-doubt, confusion, or shame. My passion is helping women better understand themselves, build confidence, and improve their mental health as they move through life’s inevitable shifts. My counseling style is warm, patient, and open-minded. I am trauma-informed and draw on a range of evidence-based modalities to support healing from trauma, anxiety, depression, and behavioral challenges. Above all, I aim to create a safe, supportive space where you feel empowered to grow.

I am a licensed clinical social worker that has focused strictly on mental health counseling for 14 years. I graduated from Adelphi University with a graduate degree in 2014. I look to help you identify your strengths and apply them so that you can increase your knowledge of self to live to your full potential and achieve your desired outcomes. We do this by forming a trusting and caring relationship within a safe and secure space. I support clients to explore their habitual beliefs and behaviors that have been causing personal distress and/or relational problems. It can be challenging and even bring up fearful thoughts and feeling to start the counseling process. I invite you to push past your boundaries and allow me to support you on the journey towards knowing yourself and healing. This is so you can experience joy in the life you choose to make. I look forward to meeting you, Lisa Hotchkiss LCSW

Hello! I am a Licensed Clinical Social Worker with 26 years of experience as a therapist. I have worked with adults, adolescents, and children from various backgrounds in community mental health clinics and private practices. I understand that having the courage to seek help can be challenging. I believe in the importance of establishing a safe therapeutic relationship. I am here to support you by applying my knowledge and expertise to help you identify the core of your difficulties and effectively cope with your challenges. I use evidence-based tools that empower you to improve your overall functioning.

I'm a Licensed Clinical Social Worker (LCSW) based in New York I’m dedicated to empowering clients. I provide a compassionate space for healing and voice. I help clients identify the emotions that keep them stuck. I am here to help you unlock that potential. Together, we will forge a path toward confidence, empowerment, and healthy coping strategies. From age 15, my dedication to psychotherapy became evident. I passionately believe in the transformative power of healing and resilience. My life's mission is to support those navigating trauma, anxiety, significant relationship challenges, and self-doubt.

Whatever obstacles and struggles someone may be going through in life, I consider it a privilege to help them cope. I understand that the clients I see are entrusting me to give them the right resources to guide them down a new path, with a new perspective, so they can achieve their own goals. With a healthy balance of listening, guiding, and even learning, I take pride in using my own experience and resources to help people really start off on the right foot on that path. Whether you, or someone you know struggles with something like anxiety, or simply wants a different outlook on their life, it’s something to work through together, and by setting up a consultation, we can get started.

My name is Kristina Howard and I am an experienced therapist. I received my Masters in Social Work from Adelphi University in 2010. Since graduating, I have worked in the field of community mental health (Care Manager, Day Treatment as a therapist and Director, Helpline Counselor, Geriatric Psychotherapist and Hospital Social Work Case Manager) Recently, I shifted focus to include Maternal Mental Health and Health & Wellness Coaching to support women during the Perinatal phase of life.

I am a Clinical Therapist with over a decade of experience in counseling, leadership, and mentoring. I have my Masters in Clinical Social Work and specialize in Trauma and PTSD, Relationships, Grief and Loss, Life Transitions, and mood-related concerns. I work with clients from all age groups, focusing on finding practical and meaningful solutions for difficult situations. I offer a strengths-oriented and trauma-informed perspective grounded on various therapeutic techniques. I am very aware of the dynamics culture, gender, and other external factors play on our life choices. Treatment is approached holistically and includes all the different pieces of who you are so that change can be meaningful and long-lasting. As a Certified Christian Counselor, I have experience integrating faith with clinical treatment. I believe spiritual and emotional wellness go hand-in-hand and actively work towards bridging the gap between spirituality and mental health. For my clients who identify as Christian, we will focus on spiritual growth alongside of developing clinical skills. Therapy is tailored to your specific needs and filled with compassion and respect. I aim to create a challenging yet encouraging space so my clients feel empowered as they work towards healing and growth. Let's get a session scheduled and discuss your needs. I am looking forward to meeting you and being part of your journey.

*Currently accepting new adult individual clients via telehealth* I am a licensed mental health counselor in NY and FLA working in the field for 8 years in various different roles. I have experience with children, adolescents, and adults. I have worked in group practices to hospital settings helping clients suffering from anxiety, depression, relationship issues, impulsivity, and more. I use a cognitive behavioral approach to therapy helping clients understand their thoughts and develop ways that they can change their negative thought process to more positive thoughts to better their overall well being. In our first session, we will get to know one another better and decide what goals are important to work towards making the positive life changes that help you become the best version of yourself.

I am a seasoned therapist with over 16 years of experience, specializing in Trauma-Informed, Compassion-Focused, Culturally Sensitive, and Strengths-Based approaches. My passion lies in supporting individuals through their healing journey, drawing on a deep understanding of how past experiences shape current behaviors and emotions. I am committed to creating a safe, inclusive space where clients can explore their strengths, build resilience, and work towards a more fulfilling life

For over 17 years, I have dedicated my life to supporting the healing and empowerment of people from marginalized communities (including LGBTQ+, POC and WOC.) My work is rooted in the belief that each person is an expert in their own lives. As a therapist I work in holistic collaboration with my clients to create a life they love, regardless of if whatever is arising in the current moment is pleasant, unpleasant or neutral. I bring an anti-oppressive and social justice lens to the work with a focus on holistic wellness in mind, body and spirit. I am an LCSW trained in DBT, Emotional Release Work, EMDR and Mediation. Also, I am an Ordained Interfaith Minister, Holistic Health Counselor, Reiki Teacher and Community Dharma (Mindfulness) Instructor, 200hr Yoga teacher and licensed (inactive) attorney.

Destony is a Harlem native and a licensed clinical social worker. She received her graduate degree in Social Welfare from the University at Albany, State University of New York. As a clinician, Destony has worked with diverse populations including children, adolescents, and adults living with emotional and mental challenges. She has also worked with teens and young adults in school settings as well as homes for adults living with severe mental illnesses.