Art Therapy in North Palm Beach, FL
![Photo of Kate Merwin, MSW](https://photos.psychologytoday.com/4d2d4685-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Kate Merwin
Registered Clinical Social Worker Intern, MSW
Verified Verified
1 Endorsed
North Palm Beach, FL 33408
My training includes play therapy, art therapy, CBT, and TF-CBT.
Hello, I'm Kate, a dedicated child therapist with a passion for helping children and families overcome challenges and heal from trauma. With a background in working with at-risk adolescents and families, I've honed my skills in creating a safe and supportive environment for children to thrive. I now specialize in using play therapy and a variety of evidence-based techniques to assist children who have faced domestic violence, divorce, traumatic events, behavioral issues, anxiety, fear, and impulsivity. I firmly believe that children communicate through play, and it's through this medium that I listen and connect with them.
My training includes play therapy, art therapy, CBT, and TF-CBT.
Hello, I'm Kate, a dedicated child therapist with a passion for helping children and families overcome challenges and heal from trauma. With a background in working with at-risk adolescents and families, I've honed my skills in creating a safe and supportive environment for children to thrive. I now specialize in using play therapy and a variety of evidence-based techniques to assist children who have faced domestic violence, divorce, traumatic events, behavioral issues, anxiety, fear, and impulsivity. I firmly believe that children communicate through play, and it's through this medium that I listen and connect with them.
![Photo of Vicki Markovitz, LMHC, Counselor](https://photos.psychologytoday.com/4c09c937-5e9a-495d-8399-370425d9d242/1/320x400.jpeg)
I believe real change happens when we face uncomfortable truths head-on. My approach combines tough love with profound empathy, motivating and empowering you towards sustainable recovery. I bring a refreshing blend of directness, compassion, and creativity to therapy. With extensive experience in tackling Eating Disorders, Substance Use, and Trauma, my approach is radically honest and deeply caring. Using a mixture of nature, art, and evidence based interventions, we will cut through barriers and distractions to address the root issues holding you back and explore how the past shows up in the present.
I believe real change happens when we face uncomfortable truths head-on. My approach combines tough love with profound empathy, motivating and empowering you towards sustainable recovery. I bring a refreshing blend of directness, compassion, and creativity to therapy. With extensive experience in tackling Eating Disorders, Substance Use, and Trauma, my approach is radically honest and deeply caring. Using a mixture of nature, art, and evidence based interventions, we will cut through barriers and distractions to address the root issues holding you back and explore how the past shows up in the present.
![Photo of Tara McDonnell, LCSW, RPT-S, EMDR, Clinical Social Work/Therapist](https://photos.psychologytoday.com/43a4d4f8-c954-4e44-b1e0-c2b9c356fa6d/1/320x400.jpeg)
Tara McDonnell
Clinical Social Work/Therapist, LCSW, RPT-S, EMDR
Verified Verified
3 Endorsed
North Palm Beach, FL 33410
I have extensive experience and training in Child-Centered Play Therapy, Brazelton Touchpoints, Infant Mental Health, TF-CBT, EMDR, and art therapy techniques.
Founder of Rising Lotus Therapy Center, I provide developmentally-appropriate and trauma-sensitive therapy services for children under 10. My specialties include interventions that address infant and early childhood mental health, social-emotional difficulties, trauma, and issues related to LGBTQ children, teens, and adults, as well as families connected to adoption.
I have extensive experience and training in Child-Centered Play Therapy, Brazelton Touchpoints, Infant Mental Health, TF-CBT, EMDR, and art therapy techniques.
Founder of Rising Lotus Therapy Center, I provide developmentally-appropriate and trauma-sensitive therapy services for children under 10. My specialties include interventions that address infant and early childhood mental health, social-emotional difficulties, trauma, and issues related to LGBTQ children, teens, and adults, as well as families connected to adoption.
![Photo of Sally J Dorpfeld, LMHC, LPC, MCAP, ICADC, Counselor](https://photos.psychologytoday.com/448ccd81-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sally Dorpfeld(She/Her) LMHC, LPC, Master Level Addiction Professional, Florida Telehealth Provider, Licensed Mental Health Counselor , Licensed Professional Counselor Location: 537 US HWY 1, Suite 2, North Palm Beach, FL 33408. In-person sessions & Virtual sessions Specializing in: Anxiety, Depression, Substance Use/Addiction, Mood disorders, and Trauma Great to meet you! I am 53 years old, married, and have three adult children, and one granddaughter. I have an MS in Licensed Professional Counseling, am a Licensed LMHC in FL, and have MCAP and ICADC certifications in FL.
Sally Dorpfeld(She/Her) LMHC, LPC, Master Level Addiction Professional, Florida Telehealth Provider, Licensed Mental Health Counselor , Licensed Professional Counselor Location: 537 US HWY 1, Suite 2, North Palm Beach, FL 33408. In-person sessions & Virtual sessions Specializing in: Anxiety, Depression, Substance Use/Addiction, Mood disorders, and Trauma Great to meet you! I am 53 years old, married, and have three adult children, and one granddaughter. I have an MS in Licensed Professional Counseling, am a Licensed LMHC in FL, and have MCAP and ICADC certifications in FL.
![Photo of Katrina Ventola, CAC, ICADC, ERYT200, Drug & Alcohol Counselor](https://photos.psychologytoday.com/e1c02780-57f5-4827-9406-fe2345146794/4/320x400.jpeg)
Katrina Ventola
Drug & Alcohol Counselor, CAC, ICADC, ERYT200
Verified Verified
North Palm Beach, FL 33408
It take courage to reach out for help! Congratulations for making it this far. Contact me to begin your healing journey. My expertise extends well beyond the treatment substance use disorders; I am well-versed in working with a diverse population including eating disorders, depression, anxiety, personality disorders and other more acute mental health issues. My practice is centered on holistic and mindfulness-based approaches which have been found to be extremely effective in helping her clients achieve their true potential.
It take courage to reach out for help! Congratulations for making it this far. Contact me to begin your healing journey. My expertise extends well beyond the treatment substance use disorders; I am well-versed in working with a diverse population including eating disorders, depression, anxiety, personality disorders and other more acute mental health issues. My practice is centered on holistic and mindfulness-based approaches which have been found to be extremely effective in helping her clients achieve their true potential.
![Photo of Daniela Riccelli - Startliving, DSW, LCSW, MCAP, Eng, Clinical Social Work/Therapist](https://photos.psychologytoday.com/51b5e80b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Startliving
Clinical Social Work/Therapist, DSW, LCSW, MCAP, Eng
Verified Verified
North Palm Beach, FL 33408
If you are struggling with feelings of depression, anxiety, racing thoughts, lack of purpose, substance use, or just need to process life circumstances, please contact me 561-543-1028. I specialize in childhood trauma issues, mental health, and addiction.
If you are struggling with feelings of depression, anxiety, racing thoughts, lack of purpose, substance use, or just need to process life circumstances, please contact me 561-543-1028. I specialize in childhood trauma issues, mental health, and addiction.
![Photo of Brittney Morales, MS, RMHCI, RMFTI](https://photos.psychologytoday.com/4622f381-bf39-4954-9d2f-bfb91008f41a/1/320x400.jpeg)
Brittney Morales
Registered Marriage & Family Therapist Intern, MS, RMHCI, RMFTI
Verified Verified
7 Endorsed
North Palm Beach, FL 33408 (Online Only)
Tired of therapists who just listen but provide no feedback? I offer a different approach. If you're feeling overwhelmed, struggling with typical coping methods, and seeking positive results, it’s time for a change. Specializing in individual and couples therapy, trauma, life challenges and transitions, gender dysphoria, sexually related struggles, identity issues, anxiety, depression, or just seeking a safe space to vent, you can count on holistic care where I integrate mind, body, nutrition, movement, and spirituality to provide the support you, or you and your partner, deserve.
Tired of therapists who just listen but provide no feedback? I offer a different approach. If you're feeling overwhelmed, struggling with typical coping methods, and seeking positive results, it’s time for a change. Specializing in individual and couples therapy, trauma, life challenges and transitions, gender dysphoria, sexually related struggles, identity issues, anxiety, depression, or just seeking a safe space to vent, you can count on holistic care where I integrate mind, body, nutrition, movement, and spirituality to provide the support you, or you and your partner, deserve.
![Photo of Sandra (Sandy) L Perkins, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/609aee37-721e-4ad7-a9d5-10ae425ab484/1/320x400.jpeg)
Sandra (Sandy) L Perkins
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
North Palm Beach, FL 33408 (Online Only)
You're not sure how things got so out of control with your relationship with your teenage child. You tried to connect, set limits, and find compromise, but nothing seems to work. The relationship remains difficult or perhaps even volatile. Maybe your child doesn’t listen or actively seek your advice or trust. Perhaps they have left the house and not returned for hours at a time, nor have they returned your calls or texts, and now you’re really worried. Either way, you have come to the realization that you can not do this alone.
You're not sure how things got so out of control with your relationship with your teenage child. You tried to connect, set limits, and find compromise, but nothing seems to work. The relationship remains difficult or perhaps even volatile. Maybe your child doesn’t listen or actively seek your advice or trust. Perhaps they have left the house and not returned for hours at a time, nor have they returned your calls or texts, and now you’re really worried. Either way, you have come to the realization that you can not do this alone.
![Photo of Nina Kosubevsky](https://photos.psychologytoday.com/739078b9-d2b5-415b-8ce6-38b64e81a2e0/2/320x400.jpeg)
You feel as though you have lost control over your life. At times, you have racing negative thoughts that keep you from functioning. Maybe you're struggling to have healthy, fulfilling relationships with yourself and others. Maybe it's your child who is out of control and you don't know what to do to connect with them anymore. Regardless, you have come to the realization that you can't do this alone. If so, I welcome you into my safe space where I will help you develop new skills and empower you or your child to bring about a positive change.
You feel as though you have lost control over your life. At times, you have racing negative thoughts that keep you from functioning. Maybe you're struggling to have healthy, fulfilling relationships with yourself and others. Maybe it's your child who is out of control and you don't know what to do to connect with them anymore. Regardless, you have come to the realization that you can't do this alone. If so, I welcome you into my safe space where I will help you develop new skills and empower you or your child to bring about a positive change.
![Photo of Steven E Adlen - Steve Adlen, Drug and Alcohol Counselor , CAC, ICRC AD, CCAR, Drug & Alcohol Counselor](https://photos.psychologytoday.com/16b1e113-393c-44ef-93be-c3ad9a561314/3/320x400.jpeg)
Steve Adlen, Drug and Alcohol Counselor
Drug & Alcohol Counselor, CAC, ICRC AD, CCAR
Verified Verified
1 Endorsed
North Palm Beach, FL 33408
As a Certified Addiction Counselor, I bring personal experience and over 10 years of expertise to help those struggling with addiction and life challenges. My compassionate approach focuses on uncovering root causes, addressing toxic relationships, and navigating the complexities of addiction and divorce. I'm here to guide you toward recovery and personal transformation.
As a Certified Addiction Counselor, I bring personal experience and over 10 years of expertise to help those struggling with addiction and life challenges. My compassionate approach focuses on uncovering root causes, addressing toxic relationships, and navigating the complexities of addiction and divorce. I'm here to guide you toward recovery and personal transformation.
![Photo of Margaret (Mary) Stanley, MSW, MCAP, EMDR, Pre-Licensed Professional](https://photos.psychologytoday.com/2779def9-fada-486e-940d-fdd3fb4cdf6a/1/320x400.jpeg)
Margaret (Mary) Stanley
Pre-Licensed Professional, MSW, MCAP, EMDR
Verified Verified
1 Endorsed
North Palm Beach, FL 33408
Are you struggling with addiction, anxiety depression after receiving treatment. EMDR can assist with underlying unresolved issues and help in your journey forward. Everyone can obtain personal growth and positive change in ways that are most comfortable to them. Working closely with all clients ensures a specific treatment approach is developed based on your unique needs and therapy goals. The therapy experience will aid in learning about oneself, relationships, and how to strive towards positive changes.
Are you struggling with addiction, anxiety depression after receiving treatment. EMDR can assist with underlying unresolved issues and help in your journey forward. Everyone can obtain personal growth and positive change in ways that are most comfortable to them. Working closely with all clients ensures a specific treatment approach is developed based on your unique needs and therapy goals. The therapy experience will aid in learning about oneself, relationships, and how to strive towards positive changes.
![Photo of Stacy Jo Poffenbarger, MA, RMHCI, CAP, ICADC, CET, Drug & Alcohol Counselor](https://photos.psychologytoday.com/45e1b18a-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Stacy Jo Poffenbarger
Drug & Alcohol Counselor, MA, RMHCI, CAP, ICADC, CET
Verified Verified
2 Endorsed
North Palm Beach, FL 33403
An ideal client is anyone who shows up at your door understanding that something in their life is not working the way they want it to and having the desire to change that. I have been working in the substance abuse and mental health field for over a decade and have encountered many people with many different life situations and stories. Each person is unique and I believe that once we identify the core issue, we are well on our way to removing the block and creating the life a client truly desires. I use talk therapy along with EMDR to assist clients in achieving the goals they have set for themselves.
An ideal client is anyone who shows up at your door understanding that something in their life is not working the way they want it to and having the desire to change that. I have been working in the substance abuse and mental health field for over a decade and have encountered many people with many different life situations and stories. Each person is unique and I believe that once we identify the core issue, we are well on our way to removing the block and creating the life a client truly desires. I use talk therapy along with EMDR to assist clients in achieving the goals they have set for themselves.
![Photo of Carol w Waldenburg, MS, MDiv, LMHC, Counselor](https://photos.psychologytoday.com/4395ee0b-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Carol w Waldenburg
Counselor, MS, MDiv, LMHC
Verified Verified
North Palm Beach, FL 33408 (Online Only)
The clients I work with come to me with many concerns. These may have been going on for months or years or could even be immediate situations. People who are motivated to talk openly about the real depth of their issues or pain do best in therapy. I will give you the attention and support you need while I help you gain the tools you need to make changes in your life for the long term. I am highly interactive with my clients and believe that we are partners in the process towards better mental health, healing, and wholeness.
The clients I work with come to me with many concerns. These may have been going on for months or years or could even be immediate situations. People who are motivated to talk openly about the real depth of their issues or pain do best in therapy. I will give you the attention and support you need while I help you gain the tools you need to make changes in your life for the long term. I am highly interactive with my clients and believe that we are partners in the process towards better mental health, healing, and wholeness.
![Photo of Brittnee Kay Stone, MA, LMHC, QS, Counselor](https://photos.psychologytoday.com/5fd9f755-fe22-4e86-8a0b-0cabebcfdce1/2/320x400.jpeg)
Those who are suffering from trauma may find relief. Trained in eye movement desensitization and reprocessing (EMDR), I have seen firsthand the positive treatment outcomes from EMDR. While working in residential treatment for alcohol and substance use. Along with family members struggling with issues brought on by addiction, anxiety, depression, co-dependency, unresolved grief/loss, and relationship issues. Let’s work together to develop healthy coping skills & explore the root of the problem. Therapy is an open process in which one must be honest with both themselves & the therapist to get results they seek.
Those who are suffering from trauma may find relief. Trained in eye movement desensitization and reprocessing (EMDR), I have seen firsthand the positive treatment outcomes from EMDR. While working in residential treatment for alcohol and substance use. Along with family members struggling with issues brought on by addiction, anxiety, depression, co-dependency, unresolved grief/loss, and relationship issues. Let’s work together to develop healthy coping skills & explore the root of the problem. Therapy is an open process in which one must be honest with both themselves & the therapist to get results they seek.
![Photo of Noeline Coore, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/270c1aeb-8e35-4edf-bba4-071e0d73f869/2/320x400.jpeg)
Noeline Coore
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
North Palm Beach, FL 33403 (Online Only)
Hi! I'm Noeline Coore-mother, friend, therapist. My practice centers primarily on children, adolescents, adults, and LGBTQ+ population. I provide integrated therapies for ADHD, Depression, General Anxiety, family issues, etc.
Hi! I'm Noeline Coore-mother, friend, therapist. My practice centers primarily on children, adolescents, adults, and LGBTQ+ population. I provide integrated therapies for ADHD, Depression, General Anxiety, family issues, etc.
More Therapists Nearby
![Photo of Lori M Oberacker, MS, LMHC, ACC, CNHP, Counselor](https://photos.psychologytoday.com/7b11f4e8-bd48-4ced-a219-bba28b0b25e9/2/320x400.jpeg)
Lori M Oberacker
Counselor, MS, LMHC, ACC, CNHP
Verified Verified
1 Endorsed
Palm Beach Gardens, FL 33410
I have experience in Expressive Art Therapy and utilizes that to facilitate psychological treatment; specifically to promote healing, self-awareness and personal development.
I take a person-centered approach to counseling, while utilizing tools from many other types of therapies. I feel it is important to get to the root of an issue by figuring out where it began, process through it to find healing and acceptance, and then use tools and techniques to make specific changes in thoughts and behaviors. I believe setting goals helps to track progress and can be a great motivator. I see counseling as a holistic process and integrate spiritual, physical, & mental aspects into the process, as you feel comfortable.
I have experience in Expressive Art Therapy and utilizes that to facilitate psychological treatment; specifically to promote healing, self-awareness and personal development.
I take a person-centered approach to counseling, while utilizing tools from many other types of therapies. I feel it is important to get to the root of an issue by figuring out where it began, process through it to find healing and acceptance, and then use tools and techniques to make specific changes in thoughts and behaviors. I believe setting goals helps to track progress and can be a great motivator. I see counseling as a holistic process and integrate spiritual, physical, & mental aspects into the process, as you feel comfortable.
![Photo of Alexandra Connor, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3bdec089-4c8b-49b5-a139-d1947c7815b3/3/320x400.jpeg)
Alexandra Connor
Clinical Social Work/Therapist, LCSW
Verified Verified
Palm Beach Gardens, FL 33403
Each session is tailored to fit your emotional and therapeutic needs by including DBT, CBT, solution-focused, art, and psychodrama interventions.
I truly believe anyone can make a life worth living no matter where they start or where they want to go. If you want to make a change and need support, let me provide an individualized place of acceptance where healing and growth can happen. I work from a systems perspective, which recognizes not only your unique inner self, but how your environment and the systems you exist in profoundly affect your life.
Each session is tailored to fit your emotional and therapeutic needs by including DBT, CBT, solution-focused, art, and psychodrama interventions.
I truly believe anyone can make a life worth living no matter where they start or where they want to go. If you want to make a change and need support, let me provide an individualized place of acceptance where healing and growth can happen. I work from a systems perspective, which recognizes not only your unique inner self, but how your environment and the systems you exist in profoundly affect your life.
![Photo of V. Ellaine Peck, LMHC, ATR, REAT, Counselor](https://photos.psychologytoday.com/517b74e3-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Art therapy can be a powerful tool to explore inner and interpersonal relationships through.
Navigating through life's transitions can be challenging for anyone. Whether you are healing from grief or trauma, coping with recovery, or choosing a new direction in your life, having someone to support you through the process facilitates healing. As a licensed mental health counselor, registered art therapist, registered expressive arts therapist, certified life coach, grief specialist, I use complementary processes to assist you in building on your strengths and attaining the personal growth you are committed to attaining. For over 34 years, I have assisted individuals, couples and groups with client centered therapy.
Art therapy can be a powerful tool to explore inner and interpersonal relationships through.
Navigating through life's transitions can be challenging for anyone. Whether you are healing from grief or trauma, coping with recovery, or choosing a new direction in your life, having someone to support you through the process facilitates healing. As a licensed mental health counselor, registered art therapist, registered expressive arts therapist, certified life coach, grief specialist, I use complementary processes to assist you in building on your strengths and attaining the personal growth you are committed to attaining. For over 34 years, I have assisted individuals, couples and groups with client centered therapy.
![Photo of Cynthia Lubin Nicolas, MA, LMHC, LPC, NCC, LMHC-QS, Counselor](https://photos.psychologytoday.com/2e2f46da-55f6-4c4d-8388-c0372968c7bb/3/320x400.jpeg)
Cynthia Lubin Nicolas
Counselor, MA, LMHC, LPC, NCC, LMHC-QS
Verified Verified
1 Endorsed
Palm Beach Gardens, FL 33418
I use various approaches, including Child-Centered play therapy, Child-Parent Psychotherapy, Art Therapy, Family Therapy model, Cognitive Behavioral Therapy, and other targeted interventions and strategies.
I work with individuals, couples, children, and their families who are struggling with transitional life changes, anxiety, depression, anger, self-esteem, relationship issues, parenting, and trauma. I also work with clients dealing with abandonment and issues that they have due to childhood and recent traumas, including grief and loss issues and transition. I was born in Haiti and moved to the U.S when I was 12 years old, so I have a clear understanding of the struggles of transition and adaptation. In addition, I am a qualified supervisor for registered mental health interns.
I use various approaches, including Child-Centered play therapy, Child-Parent Psychotherapy, Art Therapy, Family Therapy model, Cognitive Behavioral Therapy, and other targeted interventions and strategies.
I work with individuals, couples, children, and their families who are struggling with transitional life changes, anxiety, depression, anger, self-esteem, relationship issues, parenting, and trauma. I also work with clients dealing with abandonment and issues that they have due to childhood and recent traumas, including grief and loss issues and transition. I was born in Haiti and moved to the U.S when I was 12 years old, so I have a clear understanding of the struggles of transition and adaptation. In addition, I am a qualified supervisor for registered mental health interns.
![Photo of Joann V Hendelman - Alliance for Eating Disorders Psych Services, PhD, RN, FAED, CEDS-S, Psychologist](https://photos.psychologytoday.com/4064c86d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Alliance for Eating Disorders Psych Services
Psychologist, PhD, RN, FAED, CEDS-S
Verified Verified
2 Endorsed
Palm Beach Gardens, FL 33410
Now accepting new patients. Have you been trying to find help for your eating disorder but due to finances you haven't been able to get the treatment you need? Alliance's Services will help with low fee therapy for those who are uninsured or underinsured. We treat all eating disorders and help with the co-occurring anxiety, depression, and other issues that go along with the struggle to recover from an eating disorder. Treatment will be provided by Postdoctoral Fellows under the supervision of experienced eating disorders specialists.
Now accepting new patients. Have you been trying to find help for your eating disorder but due to finances you haven't been able to get the treatment you need? Alliance's Services will help with low fee therapy for those who are uninsured or underinsured. We treat all eating disorders and help with the co-occurring anxiety, depression, and other issues that go along with the struggle to recover from an eating disorder. Treatment will be provided by Postdoctoral Fellows under the supervision of experienced eating disorders specialists.
See more therapy options for North Palm Beach
Nearby Art Therapy Searches for North Palm Beach
- Boynton Beach
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- Palm Beach
- Palm Beach Gardens
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- West Palm Beach
Art Therapy
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 behavioral 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.