Humana Dual (Medicare & Medicaid) Therapists in Virginia

Hi! My name is Diane Bales MS, LMHC, LPC. I am passionate about what I do. I love walking with clients through their journey of healing. I am known for really caring about my patients and I think that shows. I use an eclectic approach to treatment. I feel that everyone is different and not one approach works for everyone. I want my clients to feel that they have accomplished or overcome something during their time in therapy. Note I do charge for No show and Late Cancellations $70.00

Hi there! I’m Jenny, a Licensed Clinical Social Worker (LCSW), and I specialize in working with young adults, veterans, military families, and those who are still figuring out who they are. Whether you're dealing with anxiety, trauma, or trying to navigate life’s transitions, I’m here to help. My approach is all about creating a laid-back, supportive space where you can feel safe to explore what’s really going on. When I’m not in session, I’m usually wrangling my four dogs—Jessie, Shelby, Lexi, and Koda. Let’s work together to help you find your way to clarity and peace.

I am licensed in Virginia as a Licensed Clinical Social Worker with over 15 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, anger management, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs.

When counseling, I look at the whole person not just the current situation. I take time to get to know you and understand your situation and/or concerns. I treat all my clients with the utmost respect and compassion. I use motivational skills to help my patients see their strengths and help them create achievable goals. I believe in breaking the big goal into smaller goals that lead to meeting that larger goal. I believe this creates positive reinforcement for my clients and improves their emotional health, during what could be a difficult time in their life. I look forward to helping you improve your mental health, one step at a time. I have 6 years of experience working with depression, anxiety, bipolar, addictions and co-occurring.

I am a Licensed Clinical Social Worker in Florida and Virginia with experience in child welfare, medical social work, family counseling, military life, couple/relationship therapy, and individual counseling. I have have experience working with various issues and age groups. I have had specific training to work with grief/loss, relationship issues, depression, anxiety, military life, and behavioral concerns with children. My approach is a strength based approach with goal setting and work in between sessions to help make progress with identified challenges, issues, and needs.

As an Indigenous person, female entrepreneur, partner, parent, and constant pursuer of knowledge, I know what it's like to be so busy that your struggles, traumas, stressors, etc. feel isolating. My whole life has been a passionate healing journey to understand how to tap into the body's natural ability to heal itself and share that with as many people as I can.

Hello, I am a Licensed Clinical Social Worker with over 25 years of experience who is licensed in both Virginia and North Carolina. I am currently providing individual therapy with adults. I take a client centered approach to help people identify their biggest stressor and then work with them to find a way to address and alleviate that stressor. One of my favorite moments is when the client begins to realize they can do all of this on their own and they can fly through life.

Hi! I am a licensed clinical social worker based in the State of Virginia. I received my Masters degree from NC A&T State University & UNC Greensboro Joint Social Work Masters Program . I have been practicing 16 years. I have worked with children, adults, and Geriatric populations. My practice also includes caring for family members diagnosed with dementia, Alzheimer’s, grief, and bereavement matters. I help clients to become empowered, and less alone.

Hi there, I’m Carrie! I’m a Licensed Clinical Social Worker with 9 years of experience helping individuals navigate life’s ups and downs. I’m passionate about creating a safe, supportive space where you can be yourself and feel truly heard. I specialize in working with young adults facing trauma, stress, life transitions, anxiety, depression, family challenges, low self-esteem, and relationship or friendship struggles. My approach is compassionate, nonjudgmental, and centered on your needs and pace. In our sessions, we’ll work together to better understand what you’re going through, make sense of your experiences, and build tools to support emotional well-being. Whether you're processing past pain or just trying to figure out the next step, I’m here to walk alongside you as you move toward healing and self-discovery.

Dr. Deidre Whittle holds a B.S. in Psychology, a Master of Education degree, and a PhD in Psychology. She is a Licensed Mental Health Professional (LMHP) as well. She has been providing intensive in-home counseling services since 2001 and has gained a great deal of knowledge and insight in how to successfully provide these services.The struggles and problems that you face in life are only temporary. That is why you do not have to worry about them. Instead, you just have to face them head on so that you could find ways to fix them.

Hello, I'm Regent. Do you feel overwhelmed by your current relationships, circumstances, and environment? I work with adolescents and adults struggling with anxieties and depression symptoms utilizing a person-centered approach to create coping strategies and communication skills. I offer a confidential space to vent and work on day-to-day issues that are continually changing and transforming. I will assist with coaching you on finding mindfulness and feeling confident in your mind and spirit. In all of our sessions together, I will provide a judgement-free zone so that you can be comfortable to speak freely and process any concerns, issues, or traumas. Let’s come together and create a plan centered on your needs and help reduce your stress!

I perceive myself as both a guide and a reflective companion, assisting my clients in discovering their personal pathways to well-being. Through a blend of evidence-based methods and insightful dialogues, I empower my clients to harness their unique strengths and facilitate transformative changes in their perspectives and behaviors. In my approach, I aim to embody the authenticity and engagement I encourage in my clients. I thrive when collaborating with those eager to explore deeply and uncover profound insights.

Hello, congrats on taking the first step in your journey to renew your life and/or relationship with wellness! No matter the challenges, there is an array of hope to rejuvenate plus reignite your strength and dream to live the life you desire. Together we can make it happen, by engaging in strength-based collaborative therapy. I am a Licensed and Board Certified Tele-mental Health provider, credentialed to offer traditional mental health and/or behavioral health therapy using computer video and/or telephone counseling. I look forward to working with you in achieving your wellness goals. Committed to working with couples, families, and individuals. I specialize in relationships, conflict resolution, mental health challenges, plus improving school and work performance. Licensed Marriage and Family Therapist in FL, GA, VA, and TX. I am a certified Addiction Professional. AAMFT Approved Supervisor to Interns/Associates seeking licensure. My goal is to provide a supportive and collaborative therapeutic environment, where we can discover solutions that will foster renewed hopes, dreams, values, and quality of life for you, your children, spouse/partner, and/or families/friends. I look forward to assisting you on your journey to wellness.

First of all, I love what I do and to witness the positive changes clients make in their lives as a result of choosing therapy to help them accomplish what they want. Often the goal is to achieve symptom relief so as to not be overwhelmed by anxiety, mood disorders or be better able to manage the challenges of ADHD. Sometimes there is not a specific outcome identified but a need for ongoing support for dealing with life transitions or difficult people. Sometimes clients use therapy as a confidential sounding board where they can talk to an objective outsider about situations and sort out their perception of situations. I offer various ways to see and respond to situations that might otherwise not be considered. Your opinion as a client is the most important one and I will also honestly provide mine when asked for. I believe therapy can actually be something that you can look forward to and an opportunity to learn new skills to use long after you discontinue, and we can even have some fun and laughs along the journey.

I am Marc Lewis, Licensed Clinical Social Worker and Licensed Clinical Addictions Specialist. I completed training in 2003 at the Joint Master of Social Work program at North Carolina A & T State University and the University of NC at Greensboro. I was also part of the NC Child Welfare Collaborative, which provided specific training in NC DSS and child welfare. I began my career practicing as a child protective services social worker. I worked as a front-line worker and as a supervisor with children and families related to abuse and neglect. I have experience working in hospital and community settings. I currently work in private practice with children, adults, and geriatrics. I have experience in cognitive behavioral therapy, motivational interviewing, solution-focused treatment, and dialectical behavioral therapy. I have worked with high conflict custody cases, and family reunification, and provided expert testimony in court proceedings. My Credentials are as follows: Licensed Clinical Social Worker, (LCSW) Licensed Clinical Addictions Specialist, North Carolina Substance Abuse Practice Board, (LCAS) Certified Clinical Supervisor, North Carolina Substance Abuse Practice Board, (CCS) Certified Case Manager, Commission for Case Management, (CCM)

LaShay Dupree is a Licensed Clinical Social Worker in Texas and has over 20 years of professional experience. LaShay prides herself in normalizing mental health and ensuring she is present and accessible to her clients. Lashay’s clients describe her as a responsive clinician whom they feel comfortable with communicating with and will respond within 24 hours as promised. Lashay has a bachelors degree in Psychology from the University of Houston and a masters in Social Work from the University of New England. LaShay’s professional background spans throughout a multitude of professional settings and varying populations. She has been employed by the state of Texas as a surveyor investigating small group homes and large state supportive living centers advocating for the rights of individuals who cannot advocate for themselves. LaShay has worked with veterans, at-risk youth, teen moms, seniors, homeless and domestic violence victims. She has worked in community mental health organizations, hospital settings, long term care facilities, managed care organizations, insurance companies, hospice, home health and in private practice providing individual, couple and family therapy. On her free time, LaShay enjoys mentoring others in the field of social work, taking road trips, and listening to music. LaShay enjoys life and loves to make people laugh. She prides herself on being the light someone need every single day. LaShay embodies what it means to be a well-rounded individual, but most of all she loves sharing her compassionate, holistic approach to therapy with her clients in an effort to empower them to live life more abundantly and unapologetically.

Welcome and hello! I am a Licensed Marriage and Family Therapist. I have found an incredible passion for help individuals. I have worked extensively in substance abuse, with woman's issues (infertility), trauma, couples and family therapy. I feel it is an honor to get to work with someone during their decision to grow. I feel that my desire to help others come from my own personal experience.

My name is LaTonya Thomas and I am a license clinical social worker. I have been in the mental health field for over 14 years and has worked with clients with anxiety, depression, grief, life transition and many more diagnosis. My goal is to help the clients become aware of what may be going on with them and ways to handle it.

Michael J. di Salvo, (He/Him/His), Psychotherapist, LICSW, LCSW-IC, LCSW-QS, C-DBT, CTTP, C-GIP, CCATP, EMDR, is a Nationally Board Certified Licensed Clinical Independent Social Worker with over thirty-year's experience. He is licensed and certified in multiple states and works with adults (18 Years +). He has several specialty care areas in mental health therapy, including but not limited to Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, Person-Centered, Trauma-Focused, Grief and Loss Therapy, Psychodynamic Therapy, Positive Psychology and EMDR. He works with various Life Transitions, Coming-Out, Sexual Orientation, Gender Issues, Transitioning, Men's Issues, Mood Disorders, Anxiety, Depression, Geriatrics, LGBTQ+, Bias, Race, Ethnicity, Discrimination, Trauma, Career, Vets/Emergency Responders and Co-Occurring Disorders. Mr. di Salvo works with many diverse populations and works with persons who have experienced trauma, discrimination, racism, defamation, prejudice, hate and bias in any form. He is also a long-time advocate and mental health treatment provider for persons within the LGBTQ+ Community and many other minority populations. Mr. di Salvo provides a safe, supportive, welcoming, affirming, and nonjudgmental space for all people. If you have any questions, please schedule a "FREE" 15-minute virtual consultation today! If you do not see an available slot, please contact customer care with your availability so that we may accommodate your needs. *Virtual Sessions are available to all patients at this time in the following states: DE, FL, GA, MA, MD, NJ, NY, NV, PA, SC, VA, & WA. Mr. di Salvo graduated with honors. He obtained his undergraduate and post-graduate studies, research and internships through The Catholic University of America in Washington, D.C.

Hi! I'm a LCSW based in Virginia. I have over 20 years of experience supporting individuals through emotional experiences using empathic approaches and personalized tools and techniques. My interests focus on how learning, memory, perception, cognition and motivation influence health behaviors and impact physical illness, injury, and disability. I aim to develop a strong relationship with clients, helping you feel safe and respected.

Welcome! With over 18 years of experience and a Doctorate in Counseling Psychology granted at the Interamerican University of Puerto Rico, I am best positioned to serve individuals and families navigating challenges such as family conflicts, trauma, PTSD, and anxiety. My therapeutic expertise extends across various cultural contexts, having practiced in Puerto Rico and Massachusetts, and currently holding active licenses in Maryland and Virginia.

Reaching out for help in the form of therapy is not an easy thing to do as many can attest, but by reading this biography, you are taking the first step in getting help for yourself or a loved one. At times, life offers many struggles and obstacles that can be difficult to overcome alone. Engaging in therapy will provide opportunities to explore and process the thoughts and feelings that prevent you from living your best life. Though the thought of therapy may be intimidating and even nerve-wrecking for some, I believe once a person finds the right therapist, they find a trusting confidant who seeks to understand and problem solve.

Hello I am Laura Cahill! I am a passionate, energetic, and dedicated Licensed Clinical Social Worker with a love for the art of engagement in the work of therapy. Do you feel like your emotions have taken over and pushed you out of the driver's seat in life? In life, we often experience challenges, unexpected stress and transitions, trauma, hurt, grief and loss. Understandably, we may struggle with powerful emotions that seem to almost overtake us. Part of the human experience is wanting to feel in control of our inner and outer lives. And when our natural emotional responses to difficult experiences and circumstances threaten that sense of control, we may find ourselves fighting our feelings. It’s time to step back from the battle-not by retreating, but by re-framing. Our emotions and feelings are not our enemies, they are messengers. This is where our work begins. We will focus on how to hear those messages by learning the skills needed to hear, manage and interact with these feelings to help calm the turmoil that life has taken on, understand and recover from the past, and to be fully present to our current experiences. To have the opportunity to create a life that is built on your terms and not defined by what has happened to you. Entering into the world of therapy can feel overwhelming and a bit scary (well done making it this far). I applaud your bravery and commitment to your process of healing and recovery and I would be honored to have the opportunity to get to know you better and to be a part of this journey with you.

Greetings, My name is Louise, I am located in Virginia, and I hope this message finds you well. I am married, the mother of one grown child, and the grandmother of one. I want to introduce myself as someone who is passionate about helping others overcome life's challenges. If you've experienced childhood trauma, the loss of a loved one, or are struggling with work/life balance, I would be honored to collaborate with you. Using evidenced-based tools, we can explore your biopsychosocial and spiritual world to find your resources and areas to strengthen. My goal is to help you feel more at peace and understand why you react to certain situations the way you do. During our time together, I will provide a safe, empathetic, and objective environment for you to explore these areas of your life. With a background in teaching, biochemistry, and mental health treatment, as well as personal life experiences, I am here to help you discuss areas that are stressing you and utilize tools that will grow your toolbox. I look forward to the opportunity to work with you. Take care!

Do you find yourself stuck and not knowing where to start to achieve the best version of your authentic self? Are you in a transition in life and looking to find direction? Have you felt broken and are now ready to begin the process of healing? I am ready to embark on this journey with you. I have been practicing in the area of counseling and coaching for more than 15 years. I have experience with all populations from ages 3-80. My experience includes substance abuse, court-mandated counseling, family and relationship counseling, parenting, coaching, trauma and life transitions. Therapy with me is a personal journey with the client. My theoretical orientation is very person-centered and designed to surround the client's needs. I use an innovative approach that combines orientations such as CBT, Motivational interviewing, and client-centered therapy to create the best outcomes for the client.

Hi! I'm Jasmine and I am a Licensed Clinical Social Worker that has been practicing therapy for 6 years. I obtained a Bachelors in Psychology in 2010 at Eastern Michigan University and completed my Master of Social Work at Johnson C. Smith University, graduating in 2017. Do you have a hard time with change and life transitions? Do you feel overstimulated and unable to ground yourself? Do you feel isolated or "different" from everybody else? Are you exploring your identity, sexuality, or self-image? Are you seeking a therapist who can provide an atmosphere where you feel comfortable enough to vent, find relief, and explore your story– however unconventional it may be? Do you crave a space where you can find yourself or be encouraged to be the expert on your life while being held accountable for your goals? If you want to live a life that aligns with your values or true identity while communicating and reinforcing your boundaries, I can help you get there. Together, using strength-based and person-centered therapy with a psychodynamic touch (and a healthy dose of humor), we can partner and begin your journey to building the confidence to be who you are and enhancing your strengths. Finally, feel self-assured in your value and speak up for what you want in your life, relationships, and career. If you’re ready to build a happy, thriving life while being true to yourself, let’s chat today. I come from a military family that has been located throughout the United States, allowing me the opportunity to meet people from varying cultures and backgrounds. This has contributed to my ability to become more culturally competent and open-minded when working with different clients. When I’m not in therapist mode, I’m... Either out and about on the town attending open mics, enjoying brunch, having fun at concerts or at home watching the Food Network, cartoons, dramas, and comedies.

Welcome! The Ebbs and Flows of Life are something we all experience. We flow towards our hopes and dreams, while other times we may flow away. When your life ebbs it is like you are struggling against the current, and fighting your way through the current to grasp what is important to you. Perhaps the times you are flowing away are a result of relationship concerns, addiction, past trauma, anxiety or living with negativity. Like large rocks under the water, you may not be able to see them but they are creating obstacles in achieving your goals while potentially impacting both your health and well-being. I believe that by taking this step in seeking help you are interested in moving forward back to what is important to you. My role is to help you on your journey.

I am a Licensed Clinical Social Worker (LCSW) based in Virginia, but also licensed in Indiana. I received my Masters from Western Kentucky University and have been practicing since 2011. I have worked with adults, adolescents and children throughout my career with the main goal of helping them to make improvements in their lives one step at a time.

I am a Graduate of Howard University and UNC Charlotte, I have a BA in Psychology and a Masters in Social Work. I have a passion for working with individuals, couples and families who seek change to become happier, healthier and gain control over obstacles that are weighing them down. I have several years of experience in working with children, adults, and families, on a broad array of issues ranging from depression, anxiety, bipolar, ADHD, schizophrenia, substance abuse and trauma. I provide culturally competent care and use a Strength Based Approach when working with clients. I also specialize in helping African American males deal with oppressive systems and obstacles.

Hello! I’m a Licensed Clinical Social Worker (LCSW) based in Florida. I’m also licensed in Indiana and in Virginia. I received my Masters degree from Florida International University and have been practicing for over 5 years. I have experience working children, adolescents, and adults. My goal in therapy is to help my clients to improve the quality of their lives.

My name is Arega Gera. I always work to strive to create a safe and welcoming environment that allows clients to explore obstacles with concerns related to anxiety, depression, and/or . 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.

I am a licensed independent clinical social worker with over 13 years of experience working as a clinician, therapist , and crisis interventionist. I have worked with clients with a wide range of concerns including depression, anxiety, substance use problems, psychosis, and ADHD. I also helped people who have experienced trauma or emotional abuse. I would like to clarify my expertise does not include eating disorders, or pornography addiction as of yet, although I do understand some of the symptoms and causes. My therapy style is genuine and solution focused.. I believe in treating everyone with respect, sensitivity, and compassion. My approach is dialectal behavioral based with strengths perspective and motivational interviewing. Any treatment plan to meet your needs will be collaborative, timely, and with measurable goals. I have worked extensively in crisis intervention in the agency and on the streets, in hospitals, and in mental health courts and case management agencies, and have managed in this capacity. I also have many years experience related to substance use disorders and have worked as a therapist utilizing primarily Dialectical Behavioral Therapy as my main approach and utilizing Cognitive Behavior Therapy . Regardless of any experience, upbringing, current, or past situation, everyone has choices they can make that best serves them and the life they want to live. I look forward to working with you!

My name is Liz, and I have 14 years of experience in the mental health field. Over the past 9 months, I have been practicing as a licensed professional counselor. I take an integrative approach to therapy, with a strong emphasis on practicing from a Humanistic stance, by integrating evidenced-based theoretical approaches, such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance and Commitment Therapy (ACT). My eclectic approach allows me to tailor my work to meet the unique needs of each client, fostering a safe, supportive, and effective environment for growth and healing.

I am a Licensed Professional Counselor who is passionate about helping folks on their personal journey by meeting people where they are and working together on their individual goals. I have experience working in a variety of community settings with individuals with differing mental health needs. I also have several years of experience working with survivors of brain injury. In therapy, I use strategies from various modalities, including CBT, DBT, Motivational Interviewing, Mindfulness, etc. to focus on person-centered growth and healing.

Hello, I am a Clinical Psychologist with over ten years of experience helping individuals of various ages to overcome a wide range of diagnoses and mental health struggles including anxiety, depression as well as grief and trauma. I have done so in a number of settings including my own private practice, hospitals, schools and community health centers. I am grateful Growtherapy gives me the opportunity to be able to help individuals such as yourself.

Young, old, rich or poor--- it does not matter your struggle as my virtual doors are open to assist you in achieving optimal wellness. I believe in meeting you where you are and offers therapy and wellness services in the office, home, community and schools. From the child struggling with ADHD, anxiety, or defiance problems to the adult grappling with depression, suicidal thoughts, or marital problems; to the elderly client mentally struggling with losing their independence or limited mobility, I strive to provide seamless and personally meaningful treatment and care. My assessment of clients includes a careful consideration of the importance of fluctuating mental states and key relationships in their life, as well as family and cultural patterns. I strive to develop an understanding of the interconnection of an individual’s mind, body and soul. I join with you to help you discover meaning and purpose in your struggles. Not only am I a Therapist, I’m also a Registered Nurse and currently finishing my studies to become a Psychiatric Nurse Practitioner. I believe that the body heals with play, the mind heals with laughter, and the soul heals with joy.

I am a Licensed Clinical Social Worker (LCSW) with a Master’s in Social Work from Rutgers University and over a decade of experience. I help adults of all ages manage anxiety and depression, with a focus on improving their day-to-day well-being. My strong background in hospice care has given me deep expertise in supporting individuals through the grief process, as well as those facing chronic and terminal illness and caregiver burnout.

Welcome! I'm Zena Jones 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, 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.

Hey, everyone! Welcome! My name is Samantha and I have been a clinician for the past twelve years or so. I love helping my clients to reach their full potential and to achieve their goals, and I find being a clinician to be so special and rewarding. I have experience working with clients of all ages in settings such as K-12 schools, juvenile justice, long-term care/geriatrics, etc. I am a mom, and it is the BEST job in the world and yet is also the most challenging job in the world! What a rollercoaster ride, huh? In my free time I enjoy listening to audiobooks, de-cluttering (it's therapeutic for me!), and spending time with my family. Fun fact- I also have a Bachelor’s degree in Philosophy and I took two years of Japanese language classes in high school!

Hi! I am Tracy Moore a Licensed Clinical Social Worker (LCSW) based in Virginia. I am a dedicated and experienced therapist with over 15 years of experience in the mental health field. A graduate of Norfolk State University’s Master of Social Work program, I have extensively worked with diverse populations, providing compassionate, client-centered care. Specializing in Cognitive Behavioral Therapy, Narrative Therapy, and Attachment-based approaches. Truly committed to empowering clients to overcome challenges and build healthier, more fulfilling lives.

I am a Licensed Professional Counselor (LPC) and Nationally Certified Counselor (NCC). I received a Master of Science in Counseling from Capella University and a Bachelor of Science in Psychology from Virginia Commonwealth University. Treatment modalities in which I have experience include Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR). It has been my observation that since 2020, there has been a growing need for accessibility to services and telehealth platforms help o provide services for client's who might otherwise not get the support that they need.

I'm Rebecca, a Licensed Clinical Social Worker (LCSW) and Licensed Substance Abuse Treatment Practitioner (LSATP). I specialize in trauma, mental health, and substance abuse treatment, utilizing a variety of evidence-based approaches such as CBT, DBT, EMDR, and IFS. My goal is to create a supportive and compassionate environment where you can explore your thoughts and feelings, develop effective coping strategies, and work towards meaningful, lasting change.

I am a Licensed Clinical Social Worker. I am also a Licensed Clinical Addiction Specialist( in NC). I have 24 years’ experience working with children and adults Including those with various mental health and addiction issues. Keith received his Bachelors of Science in Criminal Justice from Northern Arizona University in May 1994 and a his Masters of Social Work from California State University in December 2010. I have been trained with Triple P Level 3, Together Facing the Challenge provider and trainer, Motivational Interviewing, and is certificated in providing assessment and therapy for youth for problem sexual behaviors.