Exposure Response Prevention (ERP) Therapists in Mesa, AZ

Photo of Brittany Londer, Intern, Pre-Licensed Professional
Brittany Londer
Pre-Licensed Professional, Intern
Verified Verified
1 Endorsed
Mesa, AZ 85212  (Online Only)
I treat children from age 4, teens, and adults using CBT, Solution-Focused, Person-Centered Therapy, EMDR, and ERP, among other evidence-based methods.
I'm pleased you're seeking a mental health professional. Life presents varied challenges; while some we navigate alone, others require support. Remember, facing challenges doesn't mean facing them alone. With guidance, we can pave a path tailored for you. Together, we'll explore solutions, transforming challenges into growth. This journey is an opportunity to deepen your self-understanding and move forward in a more understanding manner.
I treat children from age 4, teens, and adults using CBT, Solution-Focused, Person-Centered Therapy, EMDR, and ERP, among other evidence-based methods.
I'm pleased you're seeking a mental health professional. Life presents varied challenges; while some we navigate alone, others require support. Remember, facing challenges doesn't mean facing them alone. With guidance, we can pave a path tailored for you. Together, we'll explore solutions, transforming challenges into growth. This journey is an opportunity to deepen your self-understanding and move forward in a more understanding manner.
(623) 552-5002 View (623) 552-5002
Photo of Healing Life Counseling - Healing Life Counseling in Mesa, MSW, LCSW, Clinical Social Work/Therapist
Healing Life Counseling in Mesa
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Mesa, AZ 85206
We provide supportive counseling, talk-therapy, CBT, DBT, Crisis Intervention, EMDR for trauma, ERP for OCD, Eating Disorder treatment, Addiction counseling, Expressive Arts and Sand Tray therapy.
Accepting New Clients in Mesa! Welcome! Our team of therapists all have Master's degrees in counseling or social work and are trained to help with trauma/PTSD, anxiety, depression, OCD, self-esteem, anger, LGBTQ+ and gender identity, self-harming, addiction, life transitions, communication, social skills, grief & loss, eating disorders, boundaries, codependency, parent-child relationships, conflict resolution, school issues, suicidal ideation, ADHD, stress, work challenges, and financial issues.
We provide supportive counseling, talk-therapy, CBT, DBT, Crisis Intervention, EMDR for trauma, ERP for OCD, Eating Disorder treatment, Addiction counseling, Expressive Arts and Sand Tray therapy.
Accepting New Clients in Mesa! Welcome! Our team of therapists all have Master's degrees in counseling or social work and are trained to help with trauma/PTSD, anxiety, depression, OCD, self-esteem, anger, LGBTQ+ and gender identity, self-harming, addiction, life transitions, communication, social skills, grief & loss, eating disorders, boundaries, codependency, parent-child relationships, conflict resolution, school issues, suicidal ideation, ADHD, stress, work challenges, and financial issues.
(480) 482-1838 View (480) 482-1838
Photo of Dr. Stephanie Skinner, PhD, Psychologist
Dr. Stephanie Skinner
Psychologist, PhD
Verified Verified
Mesa, AZ 85204  (Online Only)
I provide EMDR, Cognitive Behavior Therapy (CBT), Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT).
Evening and Weekend availability only. Are you struggling but you have no idea why? Unfortunately, many people who deal with mental health problems never receive an appropriate diagnosis and thus can be treated incorrectly. Too many times people come to me with a diagnosis of anxiety or depression, when in fact they are dealing with something else like PTSD or OCD. As a psychologist, I am trained to provide a comprehensive psychological evaluation to accurately determine what you are dealing with so we can treat it appropriately. If you want to make sure you are receiving the right treatment for the right issue I can help.
I provide EMDR, Cognitive Behavior Therapy (CBT), Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT).
Evening and Weekend availability only. Are you struggling but you have no idea why? Unfortunately, many people who deal with mental health problems never receive an appropriate diagnosis and thus can be treated incorrectly. Too many times people come to me with a diagnosis of anxiety or depression, when in fact they are dealing with something else like PTSD or OCD. As a psychologist, I am trained to provide a comprehensive psychological evaluation to accurately determine what you are dealing with so we can treat it appropriately. If you want to make sure you are receiving the right treatment for the right issue I can help.
(773) 694-9509 View (773) 694-9509
Photo of Virginia James, MA, LAC, Counselor
Virginia James
Counselor, MA, LAC
Verified Verified
2 Endorsed
Mesa, AZ 85206
I draw from several therapeutic modalities, including EMDR, CBT, DBT, ERP, and Gottman Level 2 Training.
Reaching out to a therapist can feeling overwhelming. I'm glad you did! I'm here to hold space for you, to help you grow and expand with caring support, and to gently challenge you. Whether you're looking to heal from trauma, reduce anxiety, navigate a life transition, get unstuck from an unhelpful thinking pattern, or you want a nonjudgemental space, I am here for you. I will show up for you non-judgmentally and empathetically.
I draw from several therapeutic modalities, including EMDR, CBT, DBT, ERP, and Gottman Level 2 Training.
Reaching out to a therapist can feeling overwhelming. I'm glad you did! I'm here to hold space for you, to help you grow and expand with caring support, and to gently challenge you. Whether you're looking to heal from trauma, reduce anxiety, navigate a life transition, get unstuck from an unhelpful thinking pattern, or you want a nonjudgemental space, I am here for you. I will show up for you non-judgmentally and empathetically.
(602) 878-3138 View (602) 878-3138
Photo of Lily Wilhelm, LPC, Counselor
Lily Wilhelm
Counselor, LPC
Verified Verified
1 Endorsed
Mesa, AZ 85204  (Online Only)
My primary interventions include CBT, DBT, ERP, Client-Centered Therapy, Solution Oriented Approaches and Mindfulness Based Grounding.
Welcome! I approach therapy with compassion, empathy, and a solution-oriented mindset. My specialized interests and focus are in body image and disordered eating, self-esteem, OCD, life transitions, stress, anxiety, depression, and family issues. I have experience within community mental health agencies, traditional outpatient settings, integrated healthcare and on college campuses. I believe that by providing a safe and non-judgmental space I support clients in gaining the courage to build confidence in themselves and their abilities to succeed.
My primary interventions include CBT, DBT, ERP, Client-Centered Therapy, Solution Oriented Approaches and Mindfulness Based Grounding.
Welcome! I approach therapy with compassion, empathy, and a solution-oriented mindset. My specialized interests and focus are in body image and disordered eating, self-esteem, OCD, life transitions, stress, anxiety, depression, and family issues. I have experience within community mental health agencies, traditional outpatient settings, integrated healthcare and on college campuses. I believe that by providing a safe and non-judgmental space I support clients in gaining the courage to build confidence in themselves and their abilities to succeed.
(480) 482-1838 View (480) 482-1838
Photo of Jeff Fulkerson, M Ed, MS, LAC, Licensed Professional Counselor
Jeff Fulkerson
Licensed Professional Counselor, M Ed, MS, LAC
Verified Verified
1 Endorsed
Mesa, AZ 85203
These include: CBT, DBT, Motivational Interviewing, Sand Tray, Play, ERP and EMDR.
As a therapist I believe that we all have untapped potential to overcome challenges and live a happy life. I want to help individuals tap into the strengths they possess to be who they are meant to be. I have a strong background working with kids, teenagers, parents and adults. I enjoy working with individuals who face emotional challenges in life for one reason or another and need some help developing strategies and coping skills to deal with these issues.
These include: CBT, DBT, Motivational Interviewing, Sand Tray, Play, ERP and EMDR.
As a therapist I believe that we all have untapped potential to overcome challenges and live a happy life. I want to help individuals tap into the strengths they possess to be who they are meant to be. I have a strong background working with kids, teenagers, parents and adults. I enjoy working with individuals who face emotional challenges in life for one reason or another and need some help developing strategies and coping skills to deal with these issues.
(480) 405-0516 View (480) 405-0516
Photo of Jennifer Szabo, MS, LPC, Licensed Professional Counselor
Jennifer Szabo
Licensed Professional Counselor, MS, LPC
Verified Verified
5 Endorsed
Mesa, AZ 85204  (Online Only)
I am trained in EXRP, DBT, CBT and Motivational Interviewing.
Feeling consumed by intrusive, unwanted thoughts that interrupt your daily living? Are you wanting to regain power over your thoughts and life? I understand how difficult it may seem to begin the healing process. But, you do not need to do it alone. When you meet with me you will be welcomed into a nonjudgmental space that will allow you to explore the possible source of your current challenges and ways you can enhance your well-being. I do not believe therapy has to be a painful experience, it can be a healing and rewarding journey. I can walk along side you as you begin to regain control of your life.
I am trained in EXRP, DBT, CBT and Motivational Interviewing.
Feeling consumed by intrusive, unwanted thoughts that interrupt your daily living? Are you wanting to regain power over your thoughts and life? I understand how difficult it may seem to begin the healing process. But, you do not need to do it alone. When you meet with me you will be welcomed into a nonjudgmental space that will allow you to explore the possible source of your current challenges and ways you can enhance your well-being. I do not believe therapy has to be a painful experience, it can be a healing and rewarding journey. I can walk along side you as you begin to regain control of your life.
(480) 878-7894 View (480) 878-7894
Photo of Laura Carrillo, LPC, MS, CCTP, Licensed Professional Counselor
Laura Carrillo
Licensed Professional Counselor, LPC, MS, CCTP
Verified Verified
1 Endorsed
Mesa, AZ 85206  (Online Only)
I will provide you with high quality of care and utilizing evidence-based treatment modalities such as: CBT, DBT, EMDR, Attachment theory, and ERP.
Not Accepting Clients. Hi and Welcome! My name is Laura Carrillo. I'm a licensed therapist in AZ. I was raised biculturally in both the United States and México. As a bilingual therapist, I approach therapy from an empathetic, compassionate, and integrative approach to provide you with techniques from different therapeutic orientations that best suits your presenting problem. I provide mental health services to adults who struggle with Depression, Trauma, Anxiety, Relationship issues, OCD, Codependency, Grief and Loss among others.
I will provide you with high quality of care and utilizing evidence-based treatment modalities such as: CBT, DBT, EMDR, Attachment theory, and ERP.
Not Accepting Clients. Hi and Welcome! My name is Laura Carrillo. I'm a licensed therapist in AZ. I was raised biculturally in both the United States and México. As a bilingual therapist, I approach therapy from an empathetic, compassionate, and integrative approach to provide you with techniques from different therapeutic orientations that best suits your presenting problem. I provide mental health services to adults who struggle with Depression, Trauma, Anxiety, Relationship issues, OCD, Codependency, Grief and Loss among others.
(480) 448-1204 View (480) 448-1204
Photo of Dr. Heather A. Okvat, PhD, Psychologist
Dr. Heather A. Okvat
Psychologist, PhD
Verified Verified
Mesa, AZ 85274  (Online Only)
I work with individual adults with a variety of problems in living and believe in intermittent therapy throughout the life course. If you're looking to enhance your self-esteem and self-kindness, learning to be assertive, or wanting to be seen for who you really are - and knowing yourself who this is, I am here to support you. My private practice is small and focused on people coping with anxiety, chronic illness including chronic pain, and depression. It's not easy being a human, and you don't have to go it alone. If you are motivated to better manage life's challenges, I look forward to hearing from you.
I work with individual adults with a variety of problems in living and believe in intermittent therapy throughout the life course. If you're looking to enhance your self-esteem and self-kindness, learning to be assertive, or wanting to be seen for who you really are - and knowing yourself who this is, I am here to support you. My private practice is small and focused on people coping with anxiety, chronic illness including chronic pain, and depression. It's not easy being a human, and you don't have to go it alone. If you are motivated to better manage life's challenges, I look forward to hearing from you.
(480) 531-9809 View (480) 531-9809
Photo of Elle Fultz, LPC, Licensed Professional Counselor
Elle Fultz
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Mesa, AZ 85201  (Online Only)
Currently accepting new clients! Love, self-care, healthy relationships, and communication are essential for people to thrive. We all struggle from time to time in life with relationships, personal growth, setting boundaries, managing stress and difficult emotions. I can help you navigate through each of these challenges. It can be difficult to ask for help, but in doing so you are taking the first step in creating a healthier and more fulfilling life. If what you have tried isn’t working, reach out and get the guidance that you have been searching for. I welcome all identities, orientations, and backgrounds.
Currently accepting new clients! Love, self-care, healthy relationships, and communication are essential for people to thrive. We all struggle from time to time in life with relationships, personal growth, setting boundaries, managing stress and difficult emotions. I can help you navigate through each of these challenges. It can be difficult to ask for help, but in doing so you are taking the first step in creating a healthier and more fulfilling life. If what you have tried isn’t working, reach out and get the guidance that you have been searching for. I welcome all identities, orientations, and backgrounds.
(480) 210-7723 View (480) 210-7723
Photo of Tara Beach, LMFT, ATR-BC, PMH-C, Marriage & Family Therapist
Tara Beach
Marriage & Family Therapist, LMFT, ATR-BC, PMH-C
Verified Verified
Mesa, AZ 85215  (Online Only)
My clients describe me as easy to talk to, insightful, warm, and occasionally funny. I strive to help my clients find balance as they struggle with major life transitions, like early adulthood and becoming a parent. If mood swings and negative thoughts start to trigger earlier traumas or anxieties, I will be there to help my clients navigate a path forward to a better future. I work to help my clients heal from the past, organize the present, and grow into the best versions of themselves. I support clients in developing healthier relationships with their families, friends, and most importantly: themselves.
My clients describe me as easy to talk to, insightful, warm, and occasionally funny. I strive to help my clients find balance as they struggle with major life transitions, like early adulthood and becoming a parent. If mood swings and negative thoughts start to trigger earlier traumas or anxieties, I will be there to help my clients navigate a path forward to a better future. I work to help my clients heal from the past, organize the present, and grow into the best versions of themselves. I support clients in developing healthier relationships with their families, friends, and most importantly: themselves.
(520) 600-6220 View (520) 600-6220
Photo of Timothy L Cox, MSW, LCSW, Clinical Social Work/Therapist
Timothy L Cox
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Mesa, AZ 85213
Timothy L. Cox, LCSW, is a psychotherapist with 40 years experience. He has worked in a variety of clinical settings such as the Arizona State Hospital, St. Luke's Behavioral Health Center, Family Services of Phoenix, City of Tempe, Adjunct Faculty at Arizona State University, and private practice. He specializes in individual, family and marital counseling, focusing on effective resolution of conflict, cooperation, and communication. Extensive experience addressing anxiety, depression, trauma, and neurophysiological functioning in stress management. Takes an eclectic approach using CBT, NLP, MABT and Solution Focused therapies.
Timothy L. Cox, LCSW, is a psychotherapist with 40 years experience. He has worked in a variety of clinical settings such as the Arizona State Hospital, St. Luke's Behavioral Health Center, Family Services of Phoenix, City of Tempe, Adjunct Faculty at Arizona State University, and private practice. He specializes in individual, family and marital counseling, focusing on effective resolution of conflict, cooperation, and communication. Extensive experience addressing anxiety, depression, trauma, and neurophysiological functioning in stress management. Takes an eclectic approach using CBT, NLP, MABT and Solution Focused therapies.
(480) 508-9630 View (480) 508-9630
Photo of Angela Allen, MC, LPC, Licensed Professional Counselor
Angela Allen
Licensed Professional Counselor, MC, LPC
Verified Verified
6 Endorsed
Mesa, AZ 85204
With over 10 years of experience as a therapist, I have had the privilege of witnessing profound transformations in the lives of my clients. I use an intuitive approach to therapy, and focus on what is needed by each individual. With a strong foundation in Trauma Work, EMDR, CBT, DBT, and Relationship Counseling (EFT), I am equipped to tailor therapy to meet the unique needs and goals of each person. I have worked extensively with trauma, anxiety, depression, and couples. I also have a background in Expressive Art Therapy, Music, Nutrition, Integrative Mental Health and Spirituality. I incorporate these in therapy when appropriate.
With over 10 years of experience as a therapist, I have had the privilege of witnessing profound transformations in the lives of my clients. I use an intuitive approach to therapy, and focus on what is needed by each individual. With a strong foundation in Trauma Work, EMDR, CBT, DBT, and Relationship Counseling (EFT), I am equipped to tailor therapy to meet the unique needs and goals of each person. I have worked extensively with trauma, anxiety, depression, and couples. I also have a background in Expressive Art Therapy, Music, Nutrition, Integrative Mental Health and Spirituality. I incorporate these in therapy when appropriate.
(480) 900-1086 View (480) 900-1086
Photo of Chloe Johnston, MC, LPC, Counselor
Chloe Johnston
Counselor, MC, LPC
Verified Verified
1 Endorsed
Mesa, AZ 85209
I specialize in working with teenagers, college students, and young adults who are struggling with depression, anxiety, trauma, and relationship concerns. I value providing a strong therapeutic alliance to encourage healing from various mental health concerns and have experience working with clients of various ages, multicultural identities, and clinical needs. Therapy can be a vulnerable experience and I strive to support you in feeling comfortable every step of the way.
I specialize in working with teenagers, college students, and young adults who are struggling with depression, anxiety, trauma, and relationship concerns. I value providing a strong therapeutic alliance to encourage healing from various mental health concerns and have experience working with clients of various ages, multicultural identities, and clinical needs. Therapy can be a vulnerable experience and I strive to support you in feeling comfortable every step of the way.
(480) 568-2193 x715 View (480) 568-2193 x715
Photo of Sherry Meacom, Pre-Licensed Professional
Sherry Meacom
Pre-Licensed Professional
Verified Verified
1 Endorsed
Mesa, AZ 85207
Waitlist for new clients
Please see more at my facebook page "Therapy with Sherry"
Please see more at my facebook page "Therapy with Sherry"
(480) 418-5442 View (480) 418-5442
Photo of Krista Caprisecca, LAC, MS, Counselor
Krista Caprisecca
Counselor, LAC, MS
Verified Verified
1 Endorsed
Mesa, AZ 85209
One of the bravest things that you can do, is to advocate for yourself. This can also be one of the most challenging things. If you find yourself feeling stuck or in need of support, therapy may be the boost that you need! In my sessions, I aim to create a space that is both comforting and collaborative to facilitate support, validation, and grace. As a client, you are the expert in your life, and with some guidance and support, you are able to achieve the goals that you set out for yourself.
One of the bravest things that you can do, is to advocate for yourself. This can also be one of the most challenging things. If you find yourself feeling stuck or in need of support, therapy may be the boost that you need! In my sessions, I aim to create a space that is both comforting and collaborative to facilitate support, validation, and grace. As a client, you are the expert in your life, and with some guidance and support, you are able to achieve the goals that you set out for yourself.
(480) 933-1334 View (480) 933-1334
Photo of Danica Brazaitis, LPC, Licensed Professional Counselor
Danica Brazaitis
Licensed Professional Counselor, LPC
Verified Verified
Mesa, AZ 85212
Danica works with GMH issues, including depression, anxiety, trauma, grief, self-esteem, emotion regulation, and personality disorders. She works mostly with adults, but also ODD teens. Danica encourages clients to follow their compass. She recognizes clients are the experts; she is not there to tell them what to do with their lives. Progress in counseling is a team effort. Danica guides her clients out of the forest in order to have a clearer view of the trees. If you don't know where you're going, any path will get you there. Danica holds clients accountable to get back on the right path to meet their goals.
Danica works with GMH issues, including depression, anxiety, trauma, grief, self-esteem, emotion regulation, and personality disorders. She works mostly with adults, but also ODD teens. Danica encourages clients to follow their compass. She recognizes clients are the experts; she is not there to tell them what to do with their lives. Progress in counseling is a team effort. Danica guides her clients out of the forest in order to have a clearer view of the trees. If you don't know where you're going, any path will get you there. Danica holds clients accountable to get back on the right path to meet their goals.
(602) 351-5108 View (602) 351-5108
Photo of Avi Vieira, PsyD, Psychologist
Avi Vieira
Psychologist, PsyD
Verified Verified
Mesa, AZ 85210
I earned both my masters and doctoral degrees in Clinical Psychology from the Arizona School of Professional Psychology at Argosy University - Phoenix. I completed my clinical internship at The University of Colorado Boulder's Counseling and Psychological Services Center where I created an integrated mental health and medical program for LGBTQ+ students and Trans Care Specialty Team. I have experience working with community agencies and supports addressing a wide variety of mental health issues, including mood disorders, adolescent/young adult issues, substance use, eating disorders, and Sexual/Gender Identity concerns.
I earned both my masters and doctoral degrees in Clinical Psychology from the Arizona School of Professional Psychology at Argosy University - Phoenix. I completed my clinical internship at The University of Colorado Boulder's Counseling and Psychological Services Center where I created an integrated mental health and medical program for LGBTQ+ students and Trans Care Specialty Team. I have experience working with community agencies and supports addressing a wide variety of mental health issues, including mood disorders, adolescent/young adult issues, substance use, eating disorders, and Sexual/Gender Identity concerns.
(602) 313-1615 View (602) 313-1615
Photo of Negar Bayat - Family Strategies, LAMFT, Marriage & Family Therapist Associate
Family Strategies
Marriage & Family Therapist Associate, LAMFT
Verified Verified
1 Endorsed
Mesa, AZ 85210
Life is an incredible expedition encompassing a multitude of obstacles, ranging from simple to complex. My purpose is to equip you with resources and tools to conquer these challenges. As a devoted mother of two, I have encountered many obstacles throughout my journey. Recently, with the expansion of my family to a total of seven, I have personally discovered that from loss can arise tremendous growth and immense happiness.
Life is an incredible expedition encompassing a multitude of obstacles, ranging from simple to complex. My purpose is to equip you with resources and tools to conquer these challenges. As a devoted mother of two, I have encountered many obstacles throughout my journey. Recently, with the expansion of my family to a total of seven, I have personally discovered that from loss can arise tremendous growth and immense happiness.
(480) 525-8334 x1019 View (480) 525-8334 x1019
Photo of Benita DeLuca - Brave Heart Therapy, LCSW, Clinical Social Work/Therapist
Brave Heart Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Mesa, AZ 85210
Have you ever spent sleepless nights lying in bed wondering… What is wrong with me? Why do I feel this way? Why am I like this? Have you ever tried to talk yourself out of the emotional responses that you have and get so frustrated when they don't subside? Have you ever felt like no matter what you just aren't enough or good enough for anybody…or even yourself? You feel like everything is your fault. You feel abandoned or fear being abandoned. You feel like you're too much for anybody. You feel lost and don't know if you will ever find your purpose or even yourself. You want to break free from this unhealthy cycle of suffering.
Have you ever spent sleepless nights lying in bed wondering… What is wrong with me? Why do I feel this way? Why am I like this? Have you ever tried to talk yourself out of the emotional responses that you have and get so frustrated when they don't subside? Have you ever felt like no matter what you just aren't enough or good enough for anybody…or even yourself? You feel like everything is your fault. You feel abandoned or fear being abandoned. You feel like you're too much for anybody. You feel lost and don't know if you will ever find your purpose or even yourself. You want to break free from this unhealthy cycle of suffering.
(602) 610-5861 View (602) 610-5861
1
Exposure Response Prevention (ERP) Therapists

Do I need exposure and response prevention therapy?

Many clients decide to seek help for obsessive thoughts and compulsive behaviors when these symptoms are distressing enough to disrupt everyday life. Any thoughts or behaviors that cause friction in close relationships are also worth addressing. In addition, the client’s symptoms don’t have to be severe for them to benefit from ERP therapy.

Is exposure and response prevention therapy part of cognitive behavioral therapy?

Exposure and response prevention is one specific type of CBT that focuses on behavioral change in response to triggering stimuli. It is related to exposure therapy but adds an additional component of preventing compulsive and harmful responses.

How long does exposure and response prevention therapy take?

While every patient is different, exposure and response prevention therapy typically lasts around 12 sessions, although some treatments can take longer. A therapist will determine if the treatment is complete based on how the client faces their fears, particularly the strongest ones. When a client feels less anxiety about stimuli that once evoked terror or distress, that is generally an indication that they are nearing the end of ERP therapy.

What are the limitations of exposure and response prevention therapy?

The most common pitfalls of exposure and response prevention therapy include not addressing a client’s core fears, allowing the client to avoid their most distressing stimuli, and using imaginary exposure when the client requires real-life exposure (and vice versa). ERP therapy is most effective when the client commits to the full course of treatment; if the client stops early or doesn’t practice what they have learned outside of therapy sessions, they are less likely to have successful outcomes.