Expressive Arts Therapists in Melbourne, FL

Photo of Rhonda M Bogenschutz, LPCC, LMHC, CSAT, CCTP, CCPS
Rhonda M Bogenschutz
Licensed Professional Clinical Counselor, LPCC, LMHC, CSAT, CCTP, CCPS
Verified Verified
Melbourne, FL 32901
By using Mindfulness Based stress reduction techniques along with Cognitive Behavioral therapy, EMDR (Eye movement desensitization and reprocessing) Expressive Arts as well as other approaches, I will assist you to reach your goal in therapy.
Are you struggling with a recent crisis related to sexual addiction, pornography or infidelity? The discovery of sexual betrayal in your relationship can leave you shocked and traumatized. As a Certified Sex Addiction Therapist and APSats Clinical Partner Specialist, I provide treatment to individuals and couples whose relationship has been impacted by infidelity, sexual addiction or compulsive pornography. As a Certified Clinical Trauma specialist & EMDR Certified Practitioner I provide a supportive, calm and serene environment for my client's to process any trauma that may be causing distress in their life.
By using Mindfulness Based stress reduction techniques along with Cognitive Behavioral therapy, EMDR (Eye movement desensitization and reprocessing) Expressive Arts as well as other approaches, I will assist you to reach your goal in therapy.
Are you struggling with a recent crisis related to sexual addiction, pornography or infidelity? The discovery of sexual betrayal in your relationship can leave you shocked and traumatized. As a Certified Sex Addiction Therapist and APSats Clinical Partner Specialist, I provide treatment to individuals and couples whose relationship has been impacted by infidelity, sexual addiction or compulsive pornography. As a Certified Clinical Trauma specialist & EMDR Certified Practitioner I provide a supportive, calm and serene environment for my client's to process any trauma that may be causing distress in their life.
(321) 233-9483 View (321) 233-9483
Photo of Tracey Spradling - Journey Pure Outpatient Addiction Therapies, Alcohol, & Drugs, Marriage & Family Therapist
Journey Pure Outpatient Addiction Therapies
Marriage & Family Therapist, Alcohol, & Drugs
Verified Verified
Melbourne, FL 32901
The process is simple. It starts with a friendly conversation to see if you'd be a good fit. You deserve treatment that actually helps you get your life back on track (for good). JourneyPure is backed by 6K+ success stories and hundreds of positive reviews online.
The process is simple. It starts with a friendly conversation to see if you'd be a good fit. You deserve treatment that actually helps you get your life back on track (for good). JourneyPure is backed by 6K+ success stories and hundreds of positive reviews online.
(321) 587-3794 View (321) 587-3794
Photo of Rebecca Thipsingh - Allies in Wellness, LLC, LCSW, TCT, LMHC, Clinical Social Work/Therapist
Allies in Wellness, LLC
Clinical Social Work/Therapist, LCSW, TCT, LMHC
Verified Verified
Melbourne, FL 32901
Allies in Wellness believes each day is an opportunity to become a better version of yourself. We serve children, adolescents, adults, couples / partners, and families who seek clarity, balance, insight, and self-acceptance. We're proud to offer specialized and individualized therapeutic services that are affirming to all and made accessible to many in a private practice group setting. We provide a supportive space to sort through the things that are impacting your daily life, the life of your children, and those you love.
Allies in Wellness believes each day is an opportunity to become a better version of yourself. We serve children, adolescents, adults, couples / partners, and families who seek clarity, balance, insight, and self-acceptance. We're proud to offer specialized and individualized therapeutic services that are affirming to all and made accessible to many in a private practice group setting. We provide a supportive space to sort through the things that are impacting your daily life, the life of your children, and those you love.
(321) 248-1846 View (321) 248-1846
Photo of Kiara Nieves, LCMHC, Counselor
Kiara Nieves
Counselor, LCMHC
Verified Verified
Melbourne, FL 32940
My name is Kiara Nieves, MH21027. I have a master's degree in clinical psychology with a Specialization in Clinical Counseling. I specialize in working with trauma, PTSD, anxiety, and depression. I have worked in psychiatric facilities, private practice, and clinical research. My clients are looking for someone to openly listen, help them overcome challenges, and help them better understand themselves. I often work with clients with self-esteem concerns, anxiety, and depression.
My name is Kiara Nieves, MH21027. I have a master's degree in clinical psychology with a Specialization in Clinical Counseling. I specialize in working with trauma, PTSD, anxiety, and depression. I have worked in psychiatric facilities, private practice, and clinical research. My clients are looking for someone to openly listen, help them overcome challenges, and help them better understand themselves. I often work with clients with self-esteem concerns, anxiety, and depression.
(904) 780-5331 View (904) 780-5331
Photo of Sarah Tippit - Sarah Tippit, MA, LMFT, MA, LMFT, Marriage & Family Therapist
Sarah Tippit, MA, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Melbourne, FL 32940  (Online Only)
I hold compassion for those who struggle with OCD: the persistent, unwanted, intrusive thoughts, the sometimes paralyzing anxiety, the compulsive actions, rituals, ruminations, avoidances meant to neutralize bad thoughts. I also have an understanding of how often OCD can be misunderstood, misdiagnosed, and the shame and stigma sufferers sometimes feel. Most of my work involves helping people gain control over their OCD and process associated traumas. I also work with related issues, such as BDD, Emetophobia, social anxiety, unwanted habits. I combine a sensitive, client-centered approach with science-backed therapeutic techniques.
I hold compassion for those who struggle with OCD: the persistent, unwanted, intrusive thoughts, the sometimes paralyzing anxiety, the compulsive actions, rituals, ruminations, avoidances meant to neutralize bad thoughts. I also have an understanding of how often OCD can be misunderstood, misdiagnosed, and the shame and stigma sufferers sometimes feel. Most of my work involves helping people gain control over their OCD and process associated traumas. I also work with related issues, such as BDD, Emetophobia, social anxiety, unwanted habits. I combine a sensitive, client-centered approach with science-backed therapeutic techniques.
(321) 248-1831 View (321) 248-1831
Photo of Brianna Doran, MS, LMHC
Brianna Doran
Licensed Mental Health Counselor, MS, LMHC
Verified Verified
2 Endorsed
Melbourne, FL 32935  (Online Only)
Known for my knack for making therapy feel comfortable and less intimidating, I help my clients tackle everything from trauma to self-harm, self-esteem to anxiety/depression, and everything in between! Hi, I’m Brianna! I am a mental health counselor currently pursuing my Ph.D. in Developmental Psychology! I absolutely love what I do, and I especially love working with individuals trying to overcome trauma and emotion dysregulation! With a heart full of empathy, I make sure every session is both meaningful and manageable!
Known for my knack for making therapy feel comfortable and less intimidating, I help my clients tackle everything from trauma to self-harm, self-esteem to anxiety/depression, and everything in between! Hi, I’m Brianna! I am a mental health counselor currently pursuing my Ph.D. in Developmental Psychology! I absolutely love what I do, and I especially love working with individuals trying to overcome trauma and emotion dysregulation! With a heart full of empathy, I make sure every session is both meaningful and manageable!
(321) 321-6144 View (321) 321-6144
Photo of Katie Ziskind, BS, MA, LMFT, RYT500, Marriage & Family Therapist
Katie Ziskind
Marriage & Family Therapist, BS, MA, LMFT, RYT500
Verified Verified
1 Endorsed
Melbourne, FL 32935
Are you fighting or arguing and feeling hopeless afterwards? Do you have a sexless marriage? Wishing you had more frequent sex? Wanting more intimacy and a better sex life? Are you stressed and frustrated with the state of your relationship and feeling sexually rejected, or avoiding sex all together? I help you get to the root of anger issues, betrayal, secret keeping, cheating, alcoholism, and infidelity. Stuck and needing help rebuilding sexual desire? I help distant couples rebuild their emotional bond, emotional security, and sex life. You get a safe place to talk about sex and intimacy in a confident and comfortable way.
Are you fighting or arguing and feeling hopeless afterwards? Do you have a sexless marriage? Wishing you had more frequent sex? Wanting more intimacy and a better sex life? Are you stressed and frustrated with the state of your relationship and feeling sexually rejected, or avoiding sex all together? I help you get to the root of anger issues, betrayal, secret keeping, cheating, alcoholism, and infidelity. Stuck and needing help rebuilding sexual desire? I help distant couples rebuild their emotional bond, emotional security, and sex life. You get a safe place to talk about sex and intimacy in a confident and comfortable way.
(727) 732-4947 View (727) 732-4947
Photo of Kimberly Mehl, MS, NCC, RMHCI
Kimberly Mehl
Registered Mental Health Counselor Intern, MS, NCC, RMHCI
Verified Verified
1 Endorsed
Melbourne, FL 32940
Life comes with an array of challenges and building resilience is the key to navigating these stressors. I work with individuals, couples, and children to help build healthy coping skills, a strong self-esteem, and skills to assist with success in life. Using many strategies, I focus on strengths and current issues while helping you find happiness through various techniques, interventions, and fun activities while providing a safe space for you to feel comfortable sharing your personal stories and struggles.
Life comes with an array of challenges and building resilience is the key to navigating these stressors. I work with individuals, couples, and children to help build healthy coping skills, a strong self-esteem, and skills to assist with success in life. Using many strategies, I focus on strengths and current issues while helping you find happiness through various techniques, interventions, and fun activities while providing a safe space for you to feel comfortable sharing your personal stories and struggles.
(321) 323-9069 View (321) 323-9069
Photo of Lauren Whitworth, LCSW, Clinical Social Work/Therapist
Lauren Whitworth
Clinical Social Work/Therapist, LCSW
Verified Verified
Melbourne, FL 32901
Are you looking for relief from symptoms of PTSD, seeking emotional validation, or even yearning to feel "just a little bit better"? Are you ready to explore your emotions, practice new strategies for healing, find forgiveness for yourself, and learn to set and work towards achieving your own treatment goals? My specialty is treating anxiety, depression, PTSD, relationship conflicts, and more. Anyone who is ready to feel empowered and take back control of their life is my ideal client.
Are you looking for relief from symptoms of PTSD, seeking emotional validation, or even yearning to feel "just a little bit better"? Are you ready to explore your emotions, practice new strategies for healing, find forgiveness for yourself, and learn to set and work towards achieving your own treatment goals? My specialty is treating anxiety, depression, PTSD, relationship conflicts, and more. Anyone who is ready to feel empowered and take back control of their life is my ideal client.
(321) 306-6371 View (321) 306-6371
Photo of Michele Leone, RN-DNP, MA-LMHC, Counselor
Michele Leone
Counselor, RN-DNP, MA-LMHC
Verified Verified
Melbourne, FL 32935
In my practice, I prioritize understanding the unique needs of each client, tailoring my approach to address specific challenges. My goal is to provide a safe space where you can openly explore thoughts and emotions. What sets me apart is my holistic approach, integrating evidence-based therapies with a genuine, compassionate connection. I believe in empowering individuals to harness their inner strengths and resilience. I am here to guide you through your journey of self-discovery, offering tools and strategies to enhance your mental well-being.
In my practice, I prioritize understanding the unique needs of each client, tailoring my approach to address specific challenges. My goal is to provide a safe space where you can openly explore thoughts and emotions. What sets me apart is my holistic approach, integrating evidence-based therapies with a genuine, compassionate connection. I believe in empowering individuals to harness their inner strengths and resilience. I am here to guide you through your journey of self-discovery, offering tools and strategies to enhance your mental well-being.
(321) 384-5215 View (321) 384-5215
Photo of Amy Jordan - Waterside Counseling, MA, LMHC, Counselor
Waterside Counseling
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Melbourne, FL 32940
Amy Jordan is a passionate practitioner of Mental Health Counseling specializing in work with adolescents and adults. Amy delivers Cognitive Behavioral Therapy and other evidence-based treatments for individuals with a wide range of emotional, behavioral, and adjustment difficulties, such as anxiety, depression, grief and loss, acute stress, social adjustment and relationship problems. In addition to her experience as a mental health counselor and therapist, Amy's background includes 13+ years of work as a School Counselor, helping families and youth work through various challenges. Amy is also a cancer survivor.
Amy Jordan is a passionate practitioner of Mental Health Counseling specializing in work with adolescents and adults. Amy delivers Cognitive Behavioral Therapy and other evidence-based treatments for individuals with a wide range of emotional, behavioral, and adjustment difficulties, such as anxiety, depression, grief and loss, acute stress, social adjustment and relationship problems. In addition to her experience as a mental health counselor and therapist, Amy's background includes 13+ years of work as a School Counselor, helping families and youth work through various challenges. Amy is also a cancer survivor.
(321) 248-7998 View (321) 248-7998
Photo of Hailey Sliva, LCSW, Clinical Social Work/Therapist
Hailey Sliva
Clinical Social Work/Therapist, LCSW
Verified Verified
Melbourne, FL 32901
I do really well-reaching clients who have anxiety and depression. I also do well with college-aged clients and young mothers, 20/30-year-old women, and I can empathize with mothers/parents very well, as I am married with a 3-year-old son. My ideal client is motivated to participate in the therapeutic process and has some insight into their problem & what they feel they need to do to solve it. They don't expect me to have all the answers and understand that we will partner together to achieve their goals- but that they are the ones who have to be motivated to create change.
I do really well-reaching clients who have anxiety and depression. I also do well with college-aged clients and young mothers, 20/30-year-old women, and I can empathize with mothers/parents very well, as I am married with a 3-year-old son. My ideal client is motivated to participate in the therapeutic process and has some insight into their problem & what they feel they need to do to solve it. They don't expect me to have all the answers and understand that we will partner together to achieve their goals- but that they are the ones who have to be motivated to create change.
(321) 382-0908 View (321) 382-0908
Photo of Suzie M Ashmead - Ashmead EMDR & Counseling, LPC, NCC, Licensed Professional Counselor
Ashmead EMDR & Counseling
Licensed Professional Counselor, LPC, NCC
Verified Verified
Melbourne, FL 32935  (Online Only)
My work is influenced by the integration of several different forms of psychotherapy as well as mindfulness and holistic practices. I integrate EMDR therapy, eye movement desensitization and reprocessing, into many aspects of my work. I have experience working with trauma, depression, anxiety, ADHD, cutting and self harm, and bereavement. My ongoing professional development includes levels I, II and III of EMDR training. I am currently qualified to practice EMDR based therapy with adults, adolescents, and children. I have received advanced training in attachment trauma in children from the Attachment and Trauma Center of Nebraska.
My work is influenced by the integration of several different forms of psychotherapy as well as mindfulness and holistic practices. I integrate EMDR therapy, eye movement desensitization and reprocessing, into many aspects of my work. I have experience working with trauma, depression, anxiety, ADHD, cutting and self harm, and bereavement. My ongoing professional development includes levels I, II and III of EMDR training. I am currently qualified to practice EMDR based therapy with adults, adolescents, and children. I have received advanced training in attachment trauma in children from the Attachment and Trauma Center of Nebraska.
(484) 588-4291 View (484) 588-4291
Photo of Ilene A Scharf - Ilene A. Scharf, MSW, LCSW, Child Psychotherapist, MSW, LCSW, Clinical Social Work/Therapist
Ilene A. Scharf, MSW, LCSW, Child Psychotherapist
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Melbourne, FL 32940
I work exclusively with children aging 18 months to 18 years. I have been treating children in private practice for over 24 years. I treat ADHD, ADD, Anxiety, Asperger's Syndrome, Depression, Grief/Loss due to death, separation/divorce or deployment, Obsessive Compulsive Disorder, Oppositional Defiant Disorder (ODD), verbal, physical, sexual abuse, and neglect. I have extensive training and experience in treating children of separating & divorcing parents. I work with divorcing parents and their children in the Collaborative Divorce process. I provide them with insight and the tools to make the process go as smoothly as possible.
I work exclusively with children aging 18 months to 18 years. I have been treating children in private practice for over 24 years. I treat ADHD, ADD, Anxiety, Asperger's Syndrome, Depression, Grief/Loss due to death, separation/divorce or deployment, Obsessive Compulsive Disorder, Oppositional Defiant Disorder (ODD), verbal, physical, sexual abuse, and neglect. I have extensive training and experience in treating children of separating & divorcing parents. I work with divorcing parents and their children in the Collaborative Divorce process. I provide them with insight and the tools to make the process go as smoothly as possible.
(321) 574-6353 View (321) 574-6353
Photo of Suzi Marsh Meffen, BBA, MSW, LCSW, Clinical Social Work/Therapist
Suzi Marsh Meffen
Clinical Social Work/Therapist, BBA, MSW, LCSW
Verified Verified
1 Endorsed
Melbourne, FL 32901
Welcome to The Center for Codependency Recovery! It is possible to face and change addictive and unfulfilling relationships with the compulsive or emotionally ill. If you struggle with depression or anxiety, a relationship concern, or, you or someone you love has an emotional illness or an addiction problem this type of counseling may be ideal for you. If you find yourself feeling sad, depressed, anxious and unmotivated and want a guide to give you a plan for tackling your issues or if you want to be free of negative thoughts and self doubt , give us a call! Be joyful and at ease with yourself and others again!
Welcome to The Center for Codependency Recovery! It is possible to face and change addictive and unfulfilling relationships with the compulsive or emotionally ill. If you struggle with depression or anxiety, a relationship concern, or, you or someone you love has an emotional illness or an addiction problem this type of counseling may be ideal for you. If you find yourself feeling sad, depressed, anxious and unmotivated and want a guide to give you a plan for tackling your issues or if you want to be free of negative thoughts and self doubt , give us a call! Be joyful and at ease with yourself and others again!
(321) 415-8863 View (321) 415-8863
Photo of Margaret Sahm, LMHC , CAP, Counselor
Margaret Sahm
Counselor, LMHC , CAP
Verified Verified
Melbourne, FL 32901
Are you wrestling with the challenges of past traumatic experiences? Do you want to diminish your anxiety and depression, being able to move forward without always being triggered or being awoken by a panic attack? Your goals may be to enjoy your life, be able to manage your emotions and enjoy healthy relationships. I'm here to listen, understand, and help you feel validated and valued so that you can move forward confidently. We will be working through trauma-informed care, cognitive-behavioral techniques, and exposure-based therapy with a solution-focused approach, along with incorporating your faith, if applicable.
Are you wrestling with the challenges of past traumatic experiences? Do you want to diminish your anxiety and depression, being able to move forward without always being triggered or being awoken by a panic attack? Your goals may be to enjoy your life, be able to manage your emotions and enjoy healthy relationships. I'm here to listen, understand, and help you feel validated and valued so that you can move forward confidently. We will be working through trauma-informed care, cognitive-behavioral techniques, and exposure-based therapy with a solution-focused approach, along with incorporating your faith, if applicable.
(321) 475-7269 View (321) 475-7269
Photo of Joanna Carey, MA, LMFT, NCC, Marriage & Family Therapist
Joanna Carey
Marriage & Family Therapist, MA, LMFT, NCC
Verified Verified
1 Endorsed
Melbourne, FL 32901
Hello! I am glad you are here. Our meetings are a nonjudgmental space for you to resolve traumatic memories; process family experiences, explore your strengths & values; and learn helpful communication and coping skills. I specialize with young adults, including those who grew up in high-control religious and/or homeschooling environments, who want to process their past and create a meaningful future. Wanting to support others from this shared background is the reason I became a therapist.
Hello! I am glad you are here. Our meetings are a nonjudgmental space for you to resolve traumatic memories; process family experiences, explore your strengths & values; and learn helpful communication and coping skills. I specialize with young adults, including those who grew up in high-control religious and/or homeschooling environments, who want to process their past and create a meaningful future. Wanting to support others from this shared background is the reason I became a therapist.
(321) 483-2658 View (321) 483-2658
Photo of Francisco ( Paco ) Garrido, MA, Pre-Licensed Professional
Francisco ( Paco ) Garrido
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Melbourne, FL 32905  (Online Only)
I believe that people have a natural tendency toward growth & self acceptance when given the correct causes and conditions. It’s a process I’ve witnessed in myself and others in my 17 years of studying and practicing Eastern philosophy as well as my work as a psychotherapist. In our work together, we will strive to create a space that allows you to confront challenging & confusing aspects of your life with a renewed sense of purpose and vitality.
I believe that people have a natural tendency toward growth & self acceptance when given the correct causes and conditions. It’s a process I’ve witnessed in myself and others in my 17 years of studying and practicing Eastern philosophy as well as my work as a psychotherapist. In our work together, we will strive to create a space that allows you to confront challenging & confusing aspects of your life with a renewed sense of purpose and vitality.
(720) 903-1548 View (720) 903-1548
Photo of Shetress Woods, LMHC, Counselor
Shetress Woods
Counselor, LMHC
Verified Verified
Melbourne, FL 32901
Counseling is a therapeutic relationship that is developed between the therapist and the patient to achieve victory over challenges in life. Shetress Woods is a Christian Licensed Mental Health Counselor and a PH.D student in clinical sexology. She has had the pleasure, of providing therapeutic and social support for over 10 years. She desires to continue to assist others in achieving victory with a non-judgmental attitude, empathy, and encouragement. Shetress provides therapeutic services in areas that consist of, depression, anxiety, grief, domestic violence, and mental, emotional, and sexual abuse.
Counseling is a therapeutic relationship that is developed between the therapist and the patient to achieve victory over challenges in life. Shetress Woods is a Christian Licensed Mental Health Counselor and a PH.D student in clinical sexology. She has had the pleasure, of providing therapeutic and social support for over 10 years. She desires to continue to assist others in achieving victory with a non-judgmental attitude, empathy, and encouragement. Shetress provides therapeutic services in areas that consist of, depression, anxiety, grief, domestic violence, and mental, emotional, and sexual abuse.
(321) 684-5172 View (321) 684-5172
Photo of Kimberly Hintz, MA, ITDS , CHT, LMHC, Counselor
Kimberly Hintz
Counselor, MA, ITDS , CHT, LMHC
Verified Verified
1 Endorsed
Melbourne, FL 32901
Kimberly specializes in working with children, teens, and women covering a variety of issues. ADHD, Trauma, Anxiety, and Womens are just a few areas she specializes in. Kimberly is a Neurodiversity Affirmating therapist that believes treatment should be centered on a client's strengths, not their weaknesses. Kimberly's approach is to serve client needs through a holistic and client centered approach that fosters hope and recovery. Kimberly utilizes evidenced-based treatments such as cognitive behavioral therapy, trauma-focused behavior therapy, play therapy, EMDR, and EFT (tapping), hypnotherapy, and brainspotting.
Kimberly specializes in working with children, teens, and women covering a variety of issues. ADHD, Trauma, Anxiety, and Womens are just a few areas she specializes in. Kimberly is a Neurodiversity Affirmating therapist that believes treatment should be centered on a client's strengths, not their weaknesses. Kimberly's approach is to serve client needs through a holistic and client centered approach that fosters hope and recovery. Kimberly utilizes evidenced-based treatments such as cognitive behavioral therapy, trauma-focused behavior therapy, play therapy, EMDR, and EFT (tapping), hypnotherapy, and brainspotting.
(321) 635-0701 View (321) 635-0701
1
Expressive Arts Therapists

What happens in expressive arts therapy?

In an expressive arts therapy session, the therapist will provide the space and materials necessary to encourage the client to express themselves creatively. These can include art supplies, musical instruments, a journal, a camera, and more. The therapist offers careful guidance throughout the creative process, often noticing and talking about psychological issues as they arise. Many clients also benefit from the mind-body connection—the physical act of making art can help them feel more grounded and present.

How long does expressive arts therapy take?

An expressive arts therapy session will typically last between 50 minutes and an hour. Group sessions may run longer. Sometimes, a client might only need one or two sessions of expressive arts therapy in conjunction with talk therapy to resolve a psychological issue. Others might find a fixed number of sessions over the course of either weeks or months to be beneficial. The duration depends on the client and their individual needs and goals for therapy.

How does expressive arts therapy help children?

Creativity is an important part of normal child development. Expressive arts therapy proves a safe outlet for child clients to learn to identify their emotions and express them in healthy ways. In expressive arts therapy, children can build their self-esteem, discover more about their personality and strengths, and feel a sense of normalcy in an otherwise chaotic world. This therapeutic approach can be particularly helpful for children with developmental disabilities, autism, ADHD, speech impairments, and other conditions.

What are the limitations of expressive arts therapy?

Sometimes individuals have physical limitations that can affect their ability to express themselves artistically in certain mediums. For example, someone with hearing problems might find it difficult to make music. Sickness and mobility issues can make some types of art physically inaccessible (e.g., sculpting, dancing, etc.). Sometimes, clients are overly skeptical and have trouble letting go and engaging with the creative process. Individuals who require a higher level of care may be better served with other types of therapy.