Creative Therapy Counselling in Rainham

Photo of Lorraine Alison Faisal, MBACP, Counsellor
Lorraine Alison Faisal
Counsellor, MBACP
Verified Verified
Rainham RM13
How many minutes, hours, days, weeks, months or years have you spent wanting to change the way you live your life? How many different methods have you tried to silence your inner critic ? But failed because self doubt, guilt, anger, shame, procrastination or fear has kept you psychologically paralysed? How many times have you told yourself that you are going to stop your self destructive behaviour, only to find yourself embroiled in the same self defeating habits the next day, week or month? Do you see yourself ebbing further and further away from your life goals, dreams and ambitions?
How many minutes, hours, days, weeks, months or years have you spent wanting to change the way you live your life? How many different methods have you tried to silence your inner critic ? But failed because self doubt, guilt, anger, shame, procrastination or fear has kept you psychologically paralysed? How many times have you told yourself that you are going to stop your self destructive behaviour, only to find yourself embroiled in the same self defeating habits the next day, week or month? Do you see yourself ebbing further and further away from your life goals, dreams and ambitions?
01708 983522 View 01708 983522
Photo of Bobbie Marley, BACP, Counsellor
Bobbie Marley
Counsellor, BACP
Verified Verified
Rainham RM13  (Online Only)
Hey! Im Bobbie an integrative counsellor with level 6 BA HONs degree, i can tailor sessions to suit you as i’am fully trained in all three counselling theories! I hold a confidential safe space for my clients to offload and explore there feelings and worries.
Hey! Im Bobbie an integrative counsellor with level 6 BA HONs degree, i can tailor sessions to suit you as i’am fully trained in all three counselling theories! I hold a confidential safe space for my clients to offload and explore there feelings and worries.
01375 803724 View 01375 803724
Photo of Claire Huzzey, MBACP Accred, Counsellor
Claire Huzzey
Counsellor, MBACP Accred
Verified Verified
2 Endorsed
Rainham RM13
Everyone of us can face challenges and dilemmas that can leave us confused. If you feel that you are ready to make changes, whatever it is that you are facing at this time, there is a good chance that counselling may help. I offer you a safe, confidential, non-judgemental environment to explore any issues, I focus on helping you to explore feelings and emotions that are often related to your experiences, allowing time to reflect on what is happening to you, to consider alternative ways of doing things, or thinking styles. I help you to view things from different perspectives. This can lead to an increased sense of self awareness.
Everyone of us can face challenges and dilemmas that can leave us confused. If you feel that you are ready to make changes, whatever it is that you are facing at this time, there is a good chance that counselling may help. I offer you a safe, confidential, non-judgemental environment to explore any issues, I focus on helping you to explore feelings and emotions that are often related to your experiences, allowing time to reflect on what is happening to you, to consider alternative ways of doing things, or thinking styles. I help you to view things from different perspectives. This can lead to an increased sense of self awareness.
01708 963878 View 01708 963878
Photo of Diane Munday, MBACP, Counsellor
Diane Munday
Counsellor, MBACP
Verified Verified
Rainham RM13
Most clients that I see are suffering with anxiety, depression and stress. Most of this is caused by underlying issues such as low self-esteem, relationships issues and addiction to name a few. We're often aware of what our problems are but do not feel able to cope and need some support. Distressing situations and feelings can have such a destructive impact on our lives and therapy works by accepting your feelings, helping you to gain a different perspective, whilst challenging old negative beliefs; so you can move forward with a happier and healthier outlook on life.
Most clients that I see are suffering with anxiety, depression and stress. Most of this is caused by underlying issues such as low self-esteem, relationships issues and addiction to name a few. We're often aware of what our problems are but do not feel able to cope and need some support. Distressing situations and feelings can have such a destructive impact on our lives and therapy works by accepting your feelings, helping you to gain a different perspective, whilst challenging old negative beliefs; so you can move forward with a happier and healthier outlook on life.
01708 989896 View 01708 989896
Photo of Debby Ann Kirby, MNCPS Acc., Psychotherapist
Debby Ann Kirby
Psychotherapist, MNCPS Acc.
Verified Verified
Rainham RM13  (Online Only)
Hey there welcome to the beginning of your new Journey. It takes a huge amount of courage to come to therapy and open up your mind body and soul to a another human being. I really want to assure you that by having lots of experience from both sides of the coin I can really relate on many levels. I have worked in a number of areas, bereavement, CPTSD, but am essentially a Trauma Specialist. Working with women and Their specific issues,- body confidence, image, perimenopause menopausal symptoms, relationships and Sexual and Domestic abuse call now for your free 15min consultation Take care D x
Hey there welcome to the beginning of your new Journey. It takes a huge amount of courage to come to therapy and open up your mind body and soul to a another human being. I really want to assure you that by having lots of experience from both sides of the coin I can really relate on many levels. I have worked in a number of areas, bereavement, CPTSD, but am essentially a Trauma Specialist. Working with women and Their specific issues,- body confidence, image, perimenopause menopausal symptoms, relationships and Sexual and Domestic abuse call now for your free 15min consultation Take care D x
01708 204787 View 01708 204787
Photo of Jackie Meyer, MBACP Accred, Counsellor
Jackie Meyer
Counsellor, MBACP Accred
Verified Verified
Rainham RM13
I have been working as a qualified & accredited Therapist for 15years, I offer a safe place where confidentiality is agreed, my values are offering a non-judgemental attitude, honest, and caring, trust enables the therapeutic relationship to build, which enables you to explore issues on a deep level. Through exploring issues, reflecting and eventually letting go, you are able to set new goals and build a better quality of life. This can be an empowering experience and help build your self esteem and confidence and access your power within, this starts the process of believing in self, "Self belief is everything”
I have been working as a qualified & accredited Therapist for 15years, I offer a safe place where confidentiality is agreed, my values are offering a non-judgemental attitude, honest, and caring, trust enables the therapeutic relationship to build, which enables you to explore issues on a deep level. Through exploring issues, reflecting and eventually letting go, you are able to set new goals and build a better quality of life. This can be an empowering experience and help build your self esteem and confidence and access your power within, this starts the process of believing in self, "Self belief is everything”
01708 983495 View 01708 983495
Photo of Joanne Louise Gibson, MSc, MBACP, Counsellor
Joanne Louise Gibson
Counsellor, MSc, MBACP
Verified Verified
2 Endorsed
Rainham RM13
I am an Accredited Integrative adult and child counsellor, clinical supervisor and positive psychology coach. I also have a team of integrative practitioners, meaning we are able to draw on several approaches to best suit your needs. We are based in Hornchurch. We also offer coaching and ADHD coaching. If you are you constantly tense, worried or on edge, unable to concentrate, or experiencing negative thought patterns, this can be overwhelming. Maybe you have a Low self-esteem, no confidence, no motivation or anxiety. We can help. Are you experiencing narcissistic abuse and gaslighting! We can support you with your mental health.
I am an Accredited Integrative adult and child counsellor, clinical supervisor and positive psychology coach. I also have a team of integrative practitioners, meaning we are able to draw on several approaches to best suit your needs. We are based in Hornchurch. We also offer coaching and ADHD coaching. If you are you constantly tense, worried or on edge, unable to concentrate, or experiencing negative thought patterns, this can be overwhelming. Maybe you have a Low self-esteem, no confidence, no motivation or anxiety. We can help. Are you experiencing narcissistic abuse and gaslighting! We can support you with your mental health.
01708 963138 View 01708 963138

More Therapists Nearby

Photo of Rosanna Cooper, MA, HCPC-Art Therap., Psychotherapist
Rosanna Cooper
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
1 Endorsed
Grays RM16
I recognise that choosing to st art therapy can feel like an unknown and unnerving process.
Do you feel stuck? Wish for more creativity and to use your full potential instead of feeling held back by your fears? I can support you to tap into your own creative flow and work through fears, negative thought patterns and feelings that might be keeping you stuck. We can learn and harvest the messages your patterns are ready to teach you together. Your difficulties do not have to be your way of life and they do not have to define you. You are worth so much more than your worries and I would love to join you in the journey towards resilience, looking after you and discovering who you really are and what you are capable of!
I recognise that choosing to st art therapy can feel like an unknown and unnerving process.
Do you feel stuck? Wish for more creativity and to use your full potential instead of feeling held back by your fears? I can support you to tap into your own creative flow and work through fears, negative thought patterns and feelings that might be keeping you stuck. We can learn and harvest the messages your patterns are ready to teach you together. Your difficulties do not have to be your way of life and they do not have to define you. You are worth so much more than your worries and I would love to join you in the journey towards resilience, looking after you and discovering who you really are and what you are capable of!
020 3870 4348 View 020 3870 4348
Photo of Dolores Forcadell, MA, MBACP, Counsellor
Dolores Forcadell
Counsellor, MA, MBACP
Verified Verified
London E14  (Online Only)
I had extensive training on a variety of therapeutic approaches such as Play-therapy and Art based therapy which now forms p art of my work with children.
I am a Psychodynamic Counsellor that works with Children and Young People from ages 3-18 As a Psychodynamic Counsellor I believe that unconscious processes guide our ways of relating to each other. At the centre of my practice is the child’s well-being and safety. I aim to create a safe space for children to feel able to be themselves without judgment, what Winnicott refers as the 'facilitating environment’, where the child’s inner world can be explored.
I had extensive training on a variety of therapeutic approaches such as Play-therapy and Art based therapy which now forms p art of my work with children.
I am a Psychodynamic Counsellor that works with Children and Young People from ages 3-18 As a Psychodynamic Counsellor I believe that unconscious processes guide our ways of relating to each other. At the centre of my practice is the child’s well-being and safety. I aim to create a safe space for children to feel able to be themselves without judgment, what Winnicott refers as the 'facilitating environment’, where the child’s inner world can be explored.
020 8106 4727 View 020 8106 4727
Photo of Samuel Harris Farleigh - Art Therapy London, MA
Art Therapy London
MA
Verified Verified
London SE7
I utilise the creative expression to build together a world that we can explore in a gentle and Non-Judgmental way without any pressure to make art.
I'm Sam, an Art Psychotherapist using creative expression as a tool to help support you to manage difficulties in you or your child's life. I use art as a way to support the exploration of these difficulties and help express the emotions related to this. I have worked in the NHS with complex mental health issues, as well as mainstream and SEN education. I specialise in working with a range of neurodiversity. Art therapy is suitable for most people and all ages and difficulties regardless previous art experience and skill. We use a wide range of materials and different forms of creative expression.
I utilise the creative expression to build together a world that we can explore in a gentle and Non-Judgmental way without any pressure to make art.
I'm Sam, an Art Psychotherapist using creative expression as a tool to help support you to manage difficulties in you or your child's life. I use art as a way to support the exploration of these difficulties and help express the emotions related to this. I have worked in the NHS with complex mental health issues, as well as mainstream and SEN education. I specialise in working with a range of neurodiversity. Art therapy is suitable for most people and all ages and difficulties regardless previous art experience and skill. We use a wide range of materials and different forms of creative expression.
07723 460550 View 07723 460550
Photo of Jonathan Davis, MA, HCPC-Drama Therap., Psychotherapist
Jonathan Davis
Psychotherapist, MA, HCPC-Drama Therap.
Verified Verified
Dartford DA1
The arts modalities we use are - Drama - creative writing(rap, poetry, spoken word) - art - movement - music - story - and more.
Jonathan Davis is a seasoned professional with years of experience working with individuals with complex needs. He adheres to the philosophy connect before you correct. “Take the first step toward a brighter tomorrow—let's explore your thoughts and feelings together in a safe , supportive space. Are you feeling overwhelmed by life's challenges? I can offer you a safe, confidential space where you can explore your thoughts and emotions without judgment. Whether you're struggling with anxiety, navigating relationship issues, or simply seeking personal growth. Take the first step towards healing, your journey starts here.
The arts modalities we use are - Drama - creative writing(rap, poetry, spoken word) - art - movement - music - story - and more.
Jonathan Davis is a seasoned professional with years of experience working with individuals with complex needs. He adheres to the philosophy connect before you correct. “Take the first step toward a brighter tomorrow—let's explore your thoughts and feelings together in a safe , supportive space. Are you feeling overwhelmed by life's challenges? I can offer you a safe, confidential space where you can explore your thoughts and emotions without judgment. Whether you're struggling with anxiety, navigating relationship issues, or simply seeking personal growth. Take the first step towards healing, your journey starts here.
01322 952706 View 01322 952706
Photo of Rosie Heartland - Rosie at Changing 'Arts and Minds, MA, BACP, Counsellor
Rosie at Changing 'Arts and Minds
Counsellor, MA, BACP
Verified Verified
Gravesend DA11
Expressing yourself through art media allows you to come to terms with the things that are making life difficult for you.
Hi, my name is Rosie Heartland. I am a qualified Transpersonal Arts Therapist and counsellor. In this post pandemic world, many people are suffering from anxiety, depression and the trauma brought on by not only the insecurities of these times, but also by adverse childhood experiences. Taking that leap to enter into therapy is very difficult and I understand how scary the thought of opening up to a stranger can be. I hope to offer you compassion, understanding and a listening ear, so you feel at ease within our therapeutic relationship and your well-being goals can be addressed through non-threatening Creative therapy.
Expressing yourself through art media allows you to come to terms with the things that are making life difficult for you.
Hi, my name is Rosie Heartland. I am a qualified Transpersonal Arts Therapist and counsellor. In this post pandemic world, many people are suffering from anxiety, depression and the trauma brought on by not only the insecurities of these times, but also by adverse childhood experiences. Taking that leap to enter into therapy is very difficult and I understand how scary the thought of opening up to a stranger can be. I hope to offer you compassion, understanding and a listening ear, so you feel at ease within our therapeutic relationship and your well-being goals can be addressed through non-threatening Creative therapy.
01474 556889 View 01474 556889
Photo of Sally Smith - Revive Therapy, MBACP, Psychotherapist
Revive Therapy
Psychotherapist, MBACP
Verified Verified
London SE13
We offer a wide range of talking therapies including person-centered, CBT, psychodynamic and creative art therapies for children.
Are you struggling with anxiety, depression, trauma, grief/loss or relationship difficulties? At Revive Therapy we provide a warm and inviting space for you to explore your challenges and changes that you want to make in your life. Our sessions are non-judgmental, where you are free to be yourself and to discover your potential. We understand that life can be challenging at times and that we all go through periods of difficulty. Whatever the issue that you are facing, you are not alone. Revive Therapy is experienced in supporting our clients to make that transformational change.
We offer a wide range of talking therapies including person-centered, CBT, psychodynamic and creative art therapies for children.
Are you struggling with anxiety, depression, trauma, grief/loss or relationship difficulties? At Revive Therapy we provide a warm and inviting space for you to explore your challenges and changes that you want to make in your life. Our sessions are non-judgmental, where you are free to be yourself and to discover your potential. We understand that life can be challenging at times and that we all go through periods of difficulty. Whatever the issue that you are facing, you are not alone. Revive Therapy is experienced in supporting our clients to make that transformational change.
020 4538 6940 View 020 4538 6940
Photo of Emma Thatcher, MA, HCPC-Art Therap., Psychotherapist
Emma Thatcher
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
London E10
Art Psychotherapy uses a mixture of talking and art-making in the sessions.
People st art therapy for many different reasons. You may feel dissatisfied, worried or sad, want to explore the past, process difficult events, or achieve goals. By also using art-making, it is possible to explore emotional issues in a different, sometimes deeper way, one that words alone may not allow. You do not need to be an artist to benefit from this, just drawn to the idea of expressing yourself creatively. I have experience of helping with a range of issues, from common life problems, through depression, anxiety, panic attacks, trauma, and experiences of unstable mood.
Art Psychotherapy uses a mixture of talking and art-making in the sessions.
People st art therapy for many different reasons. You may feel dissatisfied, worried or sad, want to explore the past, process difficult events, or achieve goals. By also using art-making, it is possible to explore emotional issues in a different, sometimes deeper way, one that words alone may not allow. You do not need to be an artist to benefit from this, just drawn to the idea of expressing yourself creatively. I have experience of helping with a range of issues, from common life problems, through depression, anxiety, panic attacks, trauma, and experiences of unstable mood.
020 3826 8051 View 020 3826 8051
Photo of Heather Gani, MA, HCPC-Art Therap., Psychotherapist
Heather Gani
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
London SE9
I offer a combination of both talking and art psychotherapy, tailored to suit individual needs.
‘When a flower doesn’t bloom, it is not the flowers fault, you look at the environment in which it grows.’ I am a sensitive, warm, non judgemental, respectful therapist. I provide a relaxed and confidential therapeutic space, professional as well as being personable which provides a secure environment in which to process unresolved feelings. The core element of my practice is offering a reflective environment through a collaborative and therapeutic relationship. This relationship is built on trust in a space/context which includes authenticity and transparency, where you may feel safe to explore your internal or external conflict
I offer a combination of both talking and art psychotherapy, tailored to suit individual needs.
‘When a flower doesn’t bloom, it is not the flowers fault, you look at the environment in which it grows.’ I am a sensitive, warm, non judgemental, respectful therapist. I provide a relaxed and confidential therapeutic space, professional as well as being personable which provides a secure environment in which to process unresolved feelings. The core element of my practice is offering a reflective environment through a collaborative and therapeutic relationship. This relationship is built on trust in a space/context which includes authenticity and transparency, where you may feel safe to explore your internal or external conflict
020 3915 5913 View 020 3915 5913
Photo of Ganiyat Olubowale - TGC Low-Cost Counselling Service , DCounsPsych, MBACP, Counsellor
TGC Low-Cost Counselling Service
Counsellor, DCounsPsych, MBACP
Verified Verified
Barking IG11
I work with individuals and families ages 4 to 65 using CBT, Person-Centered, Psychodynamic, Narrative, Creative and Art, Filial or Family, Relational, and Transpersonal therapies.
Hello, I am Ganiyat. I once was a client, but now, I am an Accredited Integrative Child and Adult Counsellor and a Well-being Practitioner. Adverse life events such as losing interest in activities of daily living, agoraphobia, the loss of loved ones, anxiety, depression, job issues, redundancy, relationship problems, fear, work-related stress, COVID-19 effect, suicidal thoughts/ ideation, or children's behavioural challenges can be overwhelming and appear uneasy to cope with. At TGC Low-Cost Counselling & Psychotherapy Service, you are Never ALONE; I am happy to support you!
I work with individuals and families ages 4 to 65 using CBT, Person-Centered, Psychodynamic, Narrative, Creative and Art, Filial or Family, Relational, and Transpersonal therapies.
Hello, I am Ganiyat. I once was a client, but now, I am an Accredited Integrative Child and Adult Counsellor and a Well-being Practitioner. Adverse life events such as losing interest in activities of daily living, agoraphobia, the loss of loved ones, anxiety, depression, job issues, redundancy, relationship problems, fear, work-related stress, COVID-19 effect, suicidal thoughts/ ideation, or children's behavioural challenges can be overwhelming and appear uneasy to cope with. At TGC Low-Cost Counselling & Psychotherapy Service, you are Never ALONE; I am happy to support you!
020 3772 0903 View 020 3772 0903
Photo of Angela K Bagum, MA, HCPC-Art Therap., Psychotherapist
Angela K Bagum
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
London SE13
My Jungian analytical approach includes both talking and or, art.
Hello I'm Angela, a Mental Health Professional with over 20 years experience in the NHS supporting infants, children, adolescents and adults in their emotional wellbeing and mental health thus working with a broad range of presentations. I am also a HCPC Registered Art Psychotherapist and Jungian Analyst in training. You may have varied reasons for accessing therapy at this moment in time, working together through a relational process my role is to assist you in making sense of the experiences in your life as to support growth, development and change.
My Jungian analytical approach includes both talking and or, art.
Hello I'm Angela, a Mental Health Professional with over 20 years experience in the NHS supporting infants, children, adolescents and adults in their emotional wellbeing and mental health thus working with a broad range of presentations. I am also a HCPC Registered Art Psychotherapist and Jungian Analyst in training. You may have varied reasons for accessing therapy at this moment in time, working together through a relational process my role is to assist you in making sense of the experiences in your life as to support growth, development and change.
020 4538 2606 View 020 4538 2606
Photo of Matteo Merla, MA, HCPC-Art Therap., Psychotherapist
Matteo Merla
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
London E3
Hello and thank you for taking the time to read my profile. I am a therapist working with children, young people and adults. I am EMDR trained and a qualified Art Psychotherapist. I have nine years of experience in NHS and private practice. I’m passionate about aiding individuals facing various mental health and social challenges, promoting a safe and nurturing environment, and fostering creativity to facilitate personal growth.
Hello and thank you for taking the time to read my profile. I am a therapist working with children, young people and adults. I am EMDR trained and a qualified Art Psychotherapist. I have nine years of experience in NHS and private practice. I’m passionate about aiding individuals facing various mental health and social challenges, promoting a safe and nurturing environment, and fostering creativity to facilitate personal growth.
020 3866 2588 View 020 3866 2588
Photo of Yuliia Sheremeta, MSc, MUKCP, Psychotherapist
Yuliia Sheremeta
Psychotherapist, MSc, MUKCP
Verified Verified
London E7
We can work together by talking, paying attention to your dreams, listening to bodily sensations, or using art to access a deeper understanding of what is happening, in order to assist you in moving.
The primary goal of psychotherapy is to facilitate individual development, whereby "a person becomes who they have always been." Jungian psychotherapy is a particular form of therapy in which the therapist and client work together to increase the patient's consciousness, move towards psychological equilibrium and wholeness, and bring relief and meaning to psychological suffering. This process can treat a wide range of emotional disorders such as depression and anxiety, as well as help anyone seeking psychological growth.
We can work together by talking, paying attention to your dreams, listening to bodily sensations, or using art to access a deeper understanding of what is happening, in order to assist you in moving.
The primary goal of psychotherapy is to facilitate individual development, whereby "a person becomes who they have always been." Jungian psychotherapy is a particular form of therapy in which the therapist and client work together to increase the patient's consciousness, move towards psychological equilibrium and wholeness, and bring relief and meaning to psychological suffering. This process can treat a wide range of emotional disorders such as depression and anxiety, as well as help anyone seeking psychological growth.
01376 312338 View 01376 312338
Photo of Marie Kinzett - Over The Rainbow Counselling, BACP, Counsellor
Over The Rainbow Counselling
Counsellor, BACP
Verified Verified
Brentwood CM15
Creative therapy can include art therapy, sand play, writing or drama therapy.
Hello and welcome, I am Marie, a person-centred counsellor. I am aware of how anxious you may feel asking for help, and coping with overwhelming feelings. Finding a safe, caring and non-judgemental space within a therapeutic relationship is the first step and a great relief. A space for you to explore your feelings, thoughts and experiences in an unbiased, supportive and confidential environment. I will help you to make sense of your past or present experiences, allowing you to become clear and confident.
Creative therapy can include art therapy, sand play, writing or drama therapy.
Hello and welcome, I am Marie, a person-centred counsellor. I am aware of how anxious you may feel asking for help, and coping with overwhelming feelings. Finding a safe, caring and non-judgemental space within a therapeutic relationship is the first step and a great relief. A space for you to explore your feelings, thoughts and experiences in an unbiased, supportive and confidential environment. I will help you to make sense of your past or present experiences, allowing you to become clear and confident.
01277 674067 View 01277 674067

See more therapy options for Rainham

Creative Therapy Counsellors

How does art therapy work?

The process of making art allows people to express themselves. Art-making can take many forms, such as painting, collage, or sculpting. The therapist asks questions that the work elicits, such as how the person felt while creating their piece, or if any memories surfaced that they can discuss. The therapist will then work with the patient to process their experience, understand themselves better, and work toward change.

Does art therapy help with trauma?

Art therapy can be a valuable treatment option for those suffering from trauma. Traumatic experiences such as combat, rape, or childhood abuse can be so painful that articulating them can be too scary or painful; creating art allows people to express themselves without words, and tell their story in a different way. The physical nature of creating art can also help people feel rooted in the body, which may benefit those who feel disconnected from their body in the aftermath of trauma.

How long does art therapy last?

The duration of art therapy varies, but a common length for treatment is 10 to 15 weekly sessions. Some people may see improvement in just a few weeks, while others may choose to remain in therapy longer term. Patients should periodically discuss their goals with their therapist to make sure the two are aligned on process and progress.

What are the limitations of art therapy?

Art therapy is helpful for many people, but a limitation is that it doesn’t have as robust an evidence base as other forms of therapy, such as cognitive behavioural therapy or acceptance and commitment therapy. The evidence on art therapy is mixed; some research demonstrates its benefits, while other research suggests that it has little impact on patients.