Jungian Therapists in Stouffville, ON

Photo of Kimberley Cochrane, MA, dipTIRP, RP, TEB, SEP, Registered Psychotherapist
Kimberley Cochrane
Registered Psychotherapist, MA, dipTIRP, RP, TEB, SEP
Verified Verified
Stouffville, ON L4A
Everyone experiences emotional pain and may feel anxious or depressed at different times in life. During these times, it is comforting to know that someone is there to listen and hold your heart with care, kindness and sensitivity. Deciding to work with a psychotherapist and somatic practitioner is a courageous step towards understanding yourself and getting to the roots of what may be troubling you. I will see you, perhaps in ways that you've never been seen, and we will make sense of your patterns and struggles, and help you work through the layers of your life to see the beauty that exists within you.
Everyone experiences emotional pain and may feel anxious or depressed at different times in life. During these times, it is comforting to know that someone is there to listen and hold your heart with care, kindness and sensitivity. Deciding to work with a psychotherapist and somatic practitioner is a courageous step towards understanding yourself and getting to the roots of what may be troubling you. I will see you, perhaps in ways that you've never been seen, and we will make sense of your patterns and struggles, and help you work through the layers of your life to see the beauty that exists within you.
(289) 278-8845 View (289) 278-8845
Photo of Tammy Scanlan, RP,  MA, Registered Psychotherapist
Tammy Scanlan
Registered Psychotherapist, RP, MA
Verified Verified
1 Endorsed
Stouffville, ON L4A
For the past 20 years, I have had the privilege of counselling children, youth, adults, couples and families to support overall coping, resiliency, positive change, healing and growth. I have provided counselling in various settings to support clients with issues related to stress, anxiety, anger, depression, sexuality, self-esteem, communication, family and relationship dynamics, as well as traumatic life experiences.
For the past 20 years, I have had the privilege of counselling children, youth, adults, couples and families to support overall coping, resiliency, positive change, healing and growth. I have provided counselling in various settings to support clients with issues related to stress, anxiety, anger, depression, sexuality, self-esteem, communication, family and relationship dynamics, as well as traumatic life experiences.
(289) 272-7424 View (289) 272-7424
Photo of Adrian King Choo - Adrian Choo Integrative Counselling
Adrian Choo Integrative Counselling
Verified Verified
11 Endorsed
Stouffville, ON L4A  (Online Only)
I help individuals who are seeking to address the root of their suffering by breaking the cycles of trauma and emotional repression. I offer an embodied approach to shadow work and supporting the awakening process. This often begins by learning how to get out of our heads and into our bodies. Insights naturally arise when we begin to get beneath our limiting beliefs and assumptions and come into contact with the energetics of our direct experience. Some common areas of exploration include healing relationships, trauma, emotional reactivity, deconstructing the ego, and awakening to your true nature.
I help individuals who are seeking to address the root of their suffering by breaking the cycles of trauma and emotional repression. I offer an embodied approach to shadow work and supporting the awakening process. This often begins by learning how to get out of our heads and into our bodies. Insights naturally arise when we begin to get beneath our limiting beliefs and assumptions and come into contact with the energetics of our direct experience. Some common areas of exploration include healing relationships, trauma, emotional reactivity, deconstructing the ego, and awakening to your true nature.
(647) 370-1806 View (647) 370-1806
Photo of Rachelle Tersigni, RP, CCC, Registered Psychotherapist
Rachelle Tersigni
Registered Psychotherapist, RP, CCC
Verified Verified
Stouffville, ON L4A  (Online Only)
I work with adults and couples with a nervous system-based approach that addresses life-long patterns of how you relate to yourself and others. I help clients who struggle with anxiety, depression, interpersonal challenges, negative self-perception and insecure attachment that impact their ability to safely connect with others. Often, insight alone is not enough to shift patterns we find ourselves stuck in and repeating in ourselves and our relationships.
I work with adults and couples with a nervous system-based approach that addresses life-long patterns of how you relate to yourself and others. I help clients who struggle with anxiety, depression, interpersonal challenges, negative self-perception and insecure attachment that impact their ability to safely connect with others. Often, insight alone is not enough to shift patterns we find ourselves stuck in and repeating in ourselves and our relationships.
(289) 277-6638 View (289) 277-6638

More Therapists Nearby

Photo of Cindy Hayen, PhD, RP, Registered Psychotherapist
Cindy Hayen
Registered Psychotherapist, PhD, RP
Verified Verified
2 Endorsed
Richmond Hill, ON L4E
Are you unhappy and seeking a more meaningful life? Do you want your relationships to be deeper and more fulfilling? Maybe you are feeling stuck, or feeling emotions such as sadness, anxiety, fear, or emptiness.I work with clients to help them find peace and meaning in their lives, work towards personal growth, and build successful relationships.Not only do I help you work towards symptom relief,but also to look at the deeper, underlying origins of your problems. My therapy dog will help you feel comfortable if you wish to have him in the room with us.
Are you unhappy and seeking a more meaningful life? Do you want your relationships to be deeper and more fulfilling? Maybe you are feeling stuck, or feeling emotions such as sadness, anxiety, fear, or emptiness.I work with clients to help them find peace and meaning in their lives, work towards personal growth, and build successful relationships.Not only do I help you work towards symptom relief,but also to look at the deeper, underlying origins of your problems. My therapy dog will help you feel comfortable if you wish to have him in the room with us.
(647) 933-9733 View (647) 933-9733
Photo of Todd Hayen, PhD, RP, Registered Psychotherapist
Todd Hayen
Registered Psychotherapist, PhD, RP
Verified Verified
1 Endorsed
Richmond Hill, ON L4E
I hold a PhD in psychotherapy and practice from a more person-oriented perspective. My clients come to me with a variety of issues, including depression, anxiety, anger, relationship issues, and work issues.. I focus on the cause of their suffering rather than just putting a band-aid on the symptoms. I help my clients see meaning in their lives and a purpose behind their current situation. We work together to find something beyond the usual, and beyond the typical things they may attribute to their suffering. I offer weekend and evening hours.
I hold a PhD in psychotherapy and practice from a more person-oriented perspective. My clients come to me with a variety of issues, including depression, anxiety, anger, relationship issues, and work issues.. I focus on the cause of their suffering rather than just putting a band-aid on the symptoms. I help my clients see meaning in their lives and a purpose behind their current situation. We work together to find something beyond the usual, and beyond the typical things they may attribute to their suffering. I offer weekend and evening hours.
(855) 409-6254 View (855) 409-6254
Photo of Emmanuelle Trudeau Lipende - Purpose Coaching with Emmanuelle, BSoc SC, Coach
Purpose Coaching with Emmanuelle
BSoc SC, Coach
Verified Verified
Markham, ON L6C
Are you putting everyone else needs above your own? Are you an entrepreneur dealing with anxiety/stress? Are you a mom having trouble finding yourself back to you? Maybe you are struggling with baby blues? Or maybe you are "stuck" in a role, forgetting sometimes that you also are a person, a friend or a colleague? Do you sometimes find it difficult to manage your emotions when they reach the boiler point? Would you enjoy having more self-worth to love & invest in you as well? What about having more time for what truly lights your heart? Or do the things you promised you'll do "sometime later" while holding less guilt and shame ?
Are you putting everyone else needs above your own? Are you an entrepreneur dealing with anxiety/stress? Are you a mom having trouble finding yourself back to you? Maybe you are struggling with baby blues? Or maybe you are "stuck" in a role, forgetting sometimes that you also are a person, a friend or a colleague? Do you sometimes find it difficult to manage your emotions when they reach the boiler point? Would you enjoy having more self-worth to love & invest in you as well? What about having more time for what truly lights your heart? Or do the things you promised you'll do "sometime later" while holding less guilt and shame ?
(343) 453-8422 View (343) 453-8422
Photo of Danicia Clarke, MACP, RP(Q), Registered Psychotherapist (Qualifying)
Danicia Clarke
Registered Psychotherapist (Qualifying), MACP, RP(Q)
Verified Verified
1 Endorsed
Markham, ON L3R
Understanding who you are and the challenges that you face is no easy feat. Deciding to unpack this with the support of another individual means that you see yourself as valuable. I am incredibly happy that you are here. Those who work with me may be having a tough time managing their day-to-day responsibilities, grieving a loss, or needing skills to help them regulate their emotions – to name a few. Our lives unfold at rates that can sometimes feel overwhelming. “Stillness in the noise is where strength is found”. These words came to my awareness when I found myself feeling defeated in my own life.
Understanding who you are and the challenges that you face is no easy feat. Deciding to unpack this with the support of another individual means that you see yourself as valuable. I am incredibly happy that you are here. Those who work with me may be having a tough time managing their day-to-day responsibilities, grieving a loss, or needing skills to help them regulate their emotions – to name a few. Our lives unfold at rates that can sometimes feel overwhelming. “Stillness in the noise is where strength is found”. These words came to my awareness when I found myself feeling defeated in my own life.
(289) 276-8023 View (289) 276-8023
Photo of Michel Justin - Building Bridges Psychotherapy, MA, MSc, RP, Registered Psychotherapist
Building Bridges Psychotherapy
Registered Psychotherapist, MA, MSc, RP
Verified Verified
6 Endorsed
Markham, ON L3R
***ACCEPTING NEW CLIENTS: IN-PERSON & PHONE/VIDEO*** We believe that there is good in every person, and hope in every situation. We have helped individuals, couples, and families heal, grow, and connect. As relational therapists, we appreciate the impact that our relationships have on our well-being. We do not see clients as having something wrong with their minds that necessarily needs to be fixed. Rather, we see our clients as unique individuals, each with their own stories and perspectives, embedded in important relationships and contexts that impact them. We see strengths and we see hope, even when it feels like there is none.
***ACCEPTING NEW CLIENTS: IN-PERSON & PHONE/VIDEO*** We believe that there is good in every person, and hope in every situation. We have helped individuals, couples, and families heal, grow, and connect. As relational therapists, we appreciate the impact that our relationships have on our well-being. We do not see clients as having something wrong with their minds that necessarily needs to be fixed. Rather, we see our clients as unique individuals, each with their own stories and perspectives, embedded in important relationships and contexts that impact them. We see strengths and we see hope, even when it feels like there is none.
(289) 210-5106 View (289) 210-5106
Photo of Amanda Dewar - Strength Counselling Services, MEd, RCC, CCC, RSW, RP, Counsellor
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Markham, ON L3P  (Online Only)
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
(249) 202-2308 View (249) 202-2308
Photo of Ingrid Cryns, RP, CBT, BES, BArch
Ingrid Cryns
RP, CBT, BES, BArch
Verified Verified
1 Endorsed
Aurora, ON L4G
I offer a safe, non-judgmental, healing space, to help you understand your soul's unique journey. Do you feel stuck, in conflict or in a crisis? Are you feeling overwhelmed, anxious, or maybe defeated by depression? When you find that talk-only therapy is not shifting you, then you are ready to work at a deeper, core level, working with the implicit memory or history that is in your body. I am a guide that can help you to find your true soul essence and grounded authentic self. This form of body / soul healing and psycho-therapeutic inquiry can support you if you experience • Stress. A difficult life transition • Or a critical illness • Challenging relationships or communication problems • Self-esteem or self-image issues • Emotional or physical abuse • Depression, grief or loss • Despair, hopeless or stuck • Fear, anxiety or panic attacks • Difficulty to feel love, joy or pleasure • Addictions or shame • Accessing or managing anger, or affect regulation • Healthy boundary development or how to say ‘No’ • Emotional or physical trauma • PTSD symptoms • Disconnected or confused spirituality issues • Ungrounded spirituality.
I offer a safe, non-judgmental, healing space, to help you understand your soul's unique journey. Do you feel stuck, in conflict or in a crisis? Are you feeling overwhelmed, anxious, or maybe defeated by depression? When you find that talk-only therapy is not shifting you, then you are ready to work at a deeper, core level, working with the implicit memory or history that is in your body. I am a guide that can help you to find your true soul essence and grounded authentic self. This form of body / soul healing and psycho-therapeutic inquiry can support you if you experience • Stress. A difficult life transition • Or a critical illness • Challenging relationships or communication problems • Self-esteem or self-image issues • Emotional or physical abuse • Depression, grief or loss • Despair, hopeless or stuck • Fear, anxiety or panic attacks • Difficulty to feel love, joy or pleasure • Addictions or shame • Accessing or managing anger, or affect regulation • Healthy boundary development or how to say ‘No’ • Emotional or physical trauma • PTSD symptoms • Disconnected or confused spirituality issues • Ungrounded spirituality.
(647) 691-4846 View (647) 691-4846
Photo of Aziz Iman, MPsy, RP, Registered Psychotherapist
Aziz Iman
Registered Psychotherapist, MPsy, RP
Verified Verified
1 Endorsed
Richmond Hill, ON L4E
Anxiety is a mode of being, our call for growth. We find ourselves in a world and relate to our surroundings through desire and care. Within the frame of our cultural conditioning, we tend to invest in people and things that foster attachments. Out of these attachments and the desire to pursue the sort of happiness that we are conditioned to thrive for emerges a sense of dependency that often deprives us of the opportunity to actualize our true potentials.
Anxiety is a mode of being, our call for growth. We find ourselves in a world and relate to our surroundings through desire and care. Within the frame of our cultural conditioning, we tend to invest in people and things that foster attachments. Out of these attachments and the desire to pursue the sort of happiness that we are conditioned to thrive for emerges a sense of dependency that often deprives us of the opportunity to actualize our true potentials.
(289) 274-9479 View (289) 274-9479
Photo of Anna Sagalchik, OAMHP , BA, MA, CRPO, Registered Psychotherapist
Anna Sagalchik
Registered Psychotherapist, OAMHP , BA, MA, CRPO
Verified Verified
Aurora, ON L4G
We are all going through some tough times right now. Some of us have less energy or feel anxious and hopeless. Words like "anxiety", "stress", "depression" or "sadness" may come to mind. This is a unique period in time and it is natural to feel uneasy. I use a psychodynamic, solution-focused approach, thus, acknowledging your complexity and inherent strengths. Together, we will develop solutions from your unique perspective. I have provided therapy for individuals, teens and couples. I strive to be honest and non-judgmental, enjoy working with everyone and can offer supportive and realistic strategies to improve your life.
We are all going through some tough times right now. Some of us have less energy or feel anxious and hopeless. Words like "anxiety", "stress", "depression" or "sadness" may come to mind. This is a unique period in time and it is natural to feel uneasy. I use a psychodynamic, solution-focused approach, thus, acknowledging your complexity and inherent strengths. Together, we will develop solutions from your unique perspective. I have provided therapy for individuals, teens and couples. I strive to be honest and non-judgmental, enjoy working with everyone and can offer supportive and realistic strategies to improve your life.
View
Photo of Jennifer Schramm, RPC, Coach, BAPsych, Counsellor
Jennifer Schramm
Counsellor, RPC, Coach, BAPsych
Verified Verified
Aurora, ON L4G
It is so easy to lose touch with ourselves in a society that breeds perfectionism, competition and scarcity. It drives us to be in tireless pursuit of personal perfection, never feeling good enough, constantly comparing ourselves to others, knowingly repeating harmful life patterns, feeling depressed, anxious & shameful that life didn't turn out the way it was supposed to. This can leave us feeling emotionally, mentally, spiritually & physically bankrupt. I help you release all that exhausting mental chatter, process toxic emotions & energetic blocks so you can get back in touch with yourself to live a rich & fulfilling life.
It is so easy to lose touch with ourselves in a society that breeds perfectionism, competition and scarcity. It drives us to be in tireless pursuit of personal perfection, never feeling good enough, constantly comparing ourselves to others, knowingly repeating harmful life patterns, feeling depressed, anxious & shameful that life didn't turn out the way it was supposed to. This can leave us feeling emotionally, mentally, spiritually & physically bankrupt. I help you release all that exhausting mental chatter, process toxic emotions & energetic blocks so you can get back in touch with yourself to live a rich & fulfilling life.
(647) 933-2561 View (647) 933-2561
Photo of Bella Pahlevan_ Emergence Psychotherapy, MA, RP, Registered Psychotherapist
Bella Pahlevan_ Emergence Psychotherapy
Registered Psychotherapist, MA, RP
Verified Verified
Markham, ON L6B
If you experienced narcissistic abuse in your family, relationship or any other setting I understand how challenging it might be to heal the wounds, find your voice and self-esteem back. I believe that there's always a way to move forward and start to heal. What matters is that instead of giving up, you are seeking help and that means you are getting ready to use external and internal resources to move past what's causing you distress. I believe in providing a non-judgmental atmosphere where you feel safe to be yourself.
If you experienced narcissistic abuse in your family, relationship or any other setting I understand how challenging it might be to heal the wounds, find your voice and self-esteem back. I believe that there's always a way to move forward and start to heal. What matters is that instead of giving up, you are seeking help and that means you are getting ready to use external and internal resources to move past what's causing you distress. I believe in providing a non-judgmental atmosphere where you feel safe to be yourself.
(437) 747-6250 View (437) 747-6250
Photo of Svetlana Levinta, RP, MEd, Registered Psychotherapist
Svetlana Levinta
Registered Psychotherapist, RP, MEd
Verified Verified
Newmarket, ON L3X
I am a Registered Psychotherapist serving individuals, couples, and families in Ontario. Since starting my practice here in Ontario, I have been given the privilege of helping clients overcome their relationship struggles and move forward with their lives. I work collaboratively to set goals with clients, helping them resolve personal problems, conflict in the family, and more. Each session offers a safe space for you to let it all out. My services are available in two languages: English and Russian. I can offer a more personalized service for those who need, since I know the culture, social processes, values, and traditions.
I am a Registered Psychotherapist serving individuals, couples, and families in Ontario. Since starting my practice here in Ontario, I have been given the privilege of helping clients overcome their relationship struggles and move forward with their lives. I work collaboratively to set goals with clients, helping them resolve personal problems, conflict in the family, and more. Each session offers a safe space for you to let it all out. My services are available in two languages: English and Russian. I can offer a more personalized service for those who need, since I know the culture, social processes, values, and traditions.
(416) 823-8037 View (416) 823-8037
Photo of Lara Sigurdson - Psychology Matters, MA, Psychologist
Psychology Matters
Psychologist, MA
Verified Verified
Aurora, ON L4G
Psychology Matters consists of a group of therapists working together to provide psychological services to Barrie and the surrounding regions. Our diversely skilled group consists of members of the College of Psychologists and the College of Registered Psychotherapists. At our location we also have an assessment clinic where we conduct a various assessments for people of all ages. We also provide neuropsychological services.
Psychology Matters consists of a group of therapists working together to provide psychological services to Barrie and the surrounding regions. Our diversely skilled group consists of members of the College of Psychologists and the College of Registered Psychotherapists. At our location we also have an assessment clinic where we conduct a various assessments for people of all ages. We also provide neuropsychological services.
(855) 972-9296 View (855) 972-9296
Photo of Jawhar Iman, Mpsy, BA, Registered Psychotherapist
Jawhar Iman
Registered Psychotherapist, Mpsy, BA
Verified Verified
1 Endorsed
Richmond Hill, ON L4E
It is becoming increasingly difficult to manage all your affairs in the busy modern world. The anxiety from financial uncertainty, troubled relationships with family and friends, a sense of not being understood, not meeting others' expectations, past painful memories, relying on unhealthy coping mechanisms, low mood, lack of motivation, and failures—perhaps you have struggled with some or all of these on a daily basis. I know it's not easy. I understand that you desire peace, self-assurance, focus, fulfillment, and meaningful change in your life.
It is becoming increasingly difficult to manage all your affairs in the busy modern world. The anxiety from financial uncertainty, troubled relationships with family and friends, a sense of not being understood, not meeting others' expectations, past painful memories, relying on unhealthy coping mechanisms, low mood, lack of motivation, and failures—perhaps you have struggled with some or all of these on a daily basis. I know it's not easy. I understand that you desire peace, self-assurance, focus, fulfillment, and meaningful change in your life.
(289) 512-2693 View (289) 512-2693
Photo of Duke Oliogu, MDiv, Clinica, Counsel, RP, Registered Psychotherapist
Duke Oliogu
Registered Psychotherapist, MDiv, Clinica, Counsel, RP
Verified Verified
1 Endorsed
Markham, ON L3S
l have diverse backgrounds as a pastor, Registered Psychotherapist, licensed Supervisor and a Spiritual Care practioner. I offer supervision & case consultations for student interns, RP qualifying registrants & new psychotherapist . For over 10yrs, I also provide evidence based Emotional Counseling Supports to Clients dealing with Mental health concerns: Mood change, neurological issues, Trauma, Tragic pains, ODD, ADHD, ASD, Depression, schizophrenia, bipolar disorder, Anxiety, Fear, Grief/loss, Addiction, and life transitions. Our focus is to help individuals heal, energize, and become aware of their inner strengths &wellness
l have diverse backgrounds as a pastor, Registered Psychotherapist, licensed Supervisor and a Spiritual Care practioner. I offer supervision & case consultations for student interns, RP qualifying registrants & new psychotherapist . For over 10yrs, I also provide evidence based Emotional Counseling Supports to Clients dealing with Mental health concerns: Mood change, neurological issues, Trauma, Tragic pains, ODD, ADHD, ASD, Depression, schizophrenia, bipolar disorder, Anxiety, Fear, Grief/loss, Addiction, and life transitions. Our focus is to help individuals heal, energize, and become aware of their inner strengths &wellness
(289) 207-6256 View (289) 207-6256
Photo of Lillian Benrubi, MSW, RSW, Registered Social Worker
Lillian Benrubi
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Aurora, ON L4G
At different times in our lives, we are handed challenges, and are faced with adversity. In these situations, we may feel like we need some support; someone wise and compassionate who can provide the opportunity to be heard, and the necessary guidance to move forward. You may be dealing with issues of depression, anxiety, problems in a relationship, grief/loss, trauma/post trauma, addiction, parenting, separation/divorce; or maybe you have just lost direction and feel like you need some realignment. Psychotherapy, coaching, or a combination of both offer you the opportunity to explore difficult or confusing terrain, to understand
At different times in our lives, we are handed challenges, and are faced with adversity. In these situations, we may feel like we need some support; someone wise and compassionate who can provide the opportunity to be heard, and the necessary guidance to move forward. You may be dealing with issues of depression, anxiety, problems in a relationship, grief/loss, trauma/post trauma, addiction, parenting, separation/divorce; or maybe you have just lost direction and feel like you need some realignment. Psychotherapy, coaching, or a combination of both offer you the opportunity to explore difficult or confusing terrain, to understand
(289) 512-0131 View (289) 512-0131

See more therapy options for Stouffville

Jungian Counsellors

How does Jungian therapy work?

Jungian therapy, also called analytical psychology, focuses on a patient’s inner experiences and unconscious mind. Exploring a person’s unconscious mind can be achieved through several means, including the analysis of memories and dreams, and through physical exercises, such as art, dance, and word association.

How long does Jungian therapy last?

Jungian therapy is an intensive treatment type. Because its goal is to understand a person as a whole, including the unconscious aspects of them, treatment can range from months to years. Since patients learn the theory behind Jungian therapy during treatment, they can also practice its tenets throughout life after therapy sessions have completed.

Is Jungian therapy effective?

According to studies, many patients find success with Jungian therapy, and the century-old treatment has a devoted following. Researchers note that the therapy is particularly useful in improving relationships, self-esteem, anxiety, and depression. Improvements in problem areas seem to continue even after the end of Jungian therapy, as people are able to continue working on themselves using the tools they’ve learned during the treatment.

Is Jungian therapy evidence-based?

Jungian therapy is theory-based, derived from the theories of Carl Jung, a Swiss psychiatrist often called one of the fathers of psychology, along with Sigmund Freud. Jung developed his theories from observing the problems of patients, and developed many theories of how the mind works. Subsequent psychological research has determined that Jungian therapy can lead to significant improvement in most patients.