Chronic Illness Therapists in Wabash, IN

Photo of Christine Curless, MA, LMHC, NCC, Counselor
Christine Curless
Counselor, MA, LMHC, NCC
Verified Verified
Wabash, IN 46992
I have a passion for helping people find the comfort of individual uniqueness - your “sweet spot”. I seek to help you work past the stresses and demands of our culture to find joy and peace. Finding healthy coping techniques will enable you to successfully navigate the hard and hurtful experiences that life dumps on us. As Rachel Naomi Remen says, "Healing may not be so much about getting better, as about letting go of everything that isn't you - all of the expectations, all of the beliefs - and becoming who you are." Your journey is uniquely you, and I want to help you find peace and comfort in the life you’ve been given.
I have a passion for helping people find the comfort of individual uniqueness - your “sweet spot”. I seek to help you work past the stresses and demands of our culture to find joy and peace. Finding healthy coping techniques will enable you to successfully navigate the hard and hurtful experiences that life dumps on us. As Rachel Naomi Remen says, "Healing may not be so much about getting better, as about letting go of everything that isn't you - all of the expectations, all of the beliefs - and becoming who you are." Your journey is uniquely you, and I want to help you find peace and comfort in the life you’ve been given.
(765) 740-4986 View (765) 740-4986
Photo of Teena Morrow - Friends Counseling Center, Inc, MSW, LSW, Clinical Social Work/Therapist
Friends Counseling Center, Inc
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Wabash, IN 46992
Teena enjoys working with individuals regardless of where they are in their journeys, she has a passion for helping children and adolescents as well as empowering individuals and families as they navigate life’s complexities. Alongside Teena, Haleah Heater, MSW, and Linzy Underwood MA offer clinician services, in which they are passionate about meeting people where they are and allowing God to work through them so that individuals can find healing and wholeness in their lives.
Teena enjoys working with individuals regardless of where they are in their journeys, she has a passion for helping children and adolescents as well as empowering individuals and families as they navigate life’s complexities. Alongside Teena, Haleah Heater, MSW, and Linzy Underwood MA offer clinician services, in which they are passionate about meeting people where they are and allowing God to work through them so that individuals can find healing and wholeness in their lives.
(765) 204-0839 View (765) 204-0839
Photo of Creation Desautels - Ex Nihilo, LMFT, MA, Marriage & Family Therapist
Ex Nihilo
Marriage & Family Therapist, LMFT, MA
Verified Verified
Wabash, IN 46992
Creation Desautels is a Licensed Marriage & Family Therapist As a clinician, Creation works from a spiritually integrated family systems and psychoanalytic perspective. She is seeking to live, and guide others toward relational health and wholeness.. She seeks to live and work, in other words to do-relationship with self and other, in ways that reflect these integrated principals. To best align with these principal Creation sees a limited number of clients and centers her practice around long-format and intensive treatment formats. Though virtual appointments are available, Creation focuses on face-to-face in person care.
Creation Desautels is a Licensed Marriage & Family Therapist As a clinician, Creation works from a spiritually integrated family systems and psychoanalytic perspective. She is seeking to live, and guide others toward relational health and wholeness.. She seeks to live and work, in other words to do-relationship with self and other, in ways that reflect these integrated principals. To best align with these principal Creation sees a limited number of clients and centers her practice around long-format and intensive treatment formats. Though virtual appointments are available, Creation focuses on face-to-face in person care.
(765) 764-9608 View (765) 764-9608
Photo of Tim Gilleand, MA, LMHC, Counselor
Tim Gilleand
Counselor, MA, LMHC
Verified Verified
Wabash, IN 46992
Tim has experience working with adults and adolescents in a variety of mental health needs including anxiety, depression, PTSD, bipolar, and more. He also enjoys marital and premarital couples counseling and is an EMDR trained therapist. Tim has been involved in various ministry positions for over 25 years, and is comfortable addressing spiritual concerns. He brings a passion for forgiveness therapy and confidence building to empower our clients for future success.
Tim has experience working with adults and adolescents in a variety of mental health needs including anxiety, depression, PTSD, bipolar, and more. He also enjoys marital and premarital couples counseling and is an EMDR trained therapist. Tim has been involved in various ministry positions for over 25 years, and is comfortable addressing spiritual concerns. He brings a passion for forgiveness therapy and confidence building to empower our clients for future success.
(260) 433-5235 View (260) 433-5235

Online Therapists

Photo of Tammi L Imel, MA, LMHC, Counselor
Tammi L Imel
Counselor, MA, LMHC
Verified Verified
1 Endorsed
New Castle, IN 47362  (Online Only)
I specialize in helping women of all ages (18+) process trauma (PTSD/C-PTSD), cope with grief, autoimmune and other chronic illness.
I specialize in working with women who have experienced trauma, are having relationship issues, or suffer with mood or anxiety disorders, and need help transitioning to a more authentic, enjoyable, & harmonious life; unencumbered by mental health struggles. We will create a warm, positive space where it’s safe to be vulnerable & honest. From there, we co-create a roadmap to address your therapy needs. Together, we will discuss your self-identity and core beliefs, how these formed, and how they help or hold you back. We will explore new coping skills and new narratives as we move through therapy. We work in session to heal.
I specialize in helping women of all ages (18+) process trauma (PTSD/C-PTSD), cope with grief, autoimmune and other chronic illness.
I specialize in working with women who have experienced trauma, are having relationship issues, or suffer with mood or anxiety disorders, and need help transitioning to a more authentic, enjoyable, & harmonious life; unencumbered by mental health struggles. We will create a warm, positive space where it’s safe to be vulnerable & honest. From there, we co-create a roadmap to address your therapy needs. Together, we will discuss your self-identity and core beliefs, how these formed, and how they help or hold you back. We will explore new coping skills and new narratives as we move through therapy. We work in session to heal.
(765) 577-6484 View (765) 577-6484
Photo of Erica W Paulin, LCSW, Clinical Social Work/Therapist
Erica W Paulin
Clinical Social Work/Therapist, LCSW
Verified Verified
Greenwood, IN 46143
I enjoy assisting people coping with anxiety and depression, chronic illness, and adjustment to major life changes.
I enjoy working with teens and adults dealing with anxiety, depression and adjustment to life changes. I utilize a solution focused approach to assist people in building coping skills quickly, while also supporting individuals who are seeking a deeper understanding of the roots of their symptoms or concerns. I enjoy working with people who appreciate humor and are open to making change in order to cope more effectively and improve their relationships.
I enjoy assisting people coping with anxiety and depression, chronic illness, and adjustment to major life changes.
I enjoy working with teens and adults dealing with anxiety, depression and adjustment to life changes. I utilize a solution focused approach to assist people in building coping skills quickly, while also supporting individuals who are seeking a deeper understanding of the roots of their symptoms or concerns. I enjoy working with people who appreciate humor and are open to making change in order to cope more effectively and improve their relationships.
(317) 576-3203 View (317) 576-3203
Photo of Whitney Hacker, Counselor
Whitney Hacker
Counselor
Verified Verified
Indianapolis, IN 46240  (Online Only)
I especially enjoy working with those who have been impacted by complex traumas in childhood and/or adulthood; are struggling to reconcile issues with identity, relationships, transitions, and/or spirituality; and those that are working through life with neurodiversity or chronic illness.
If you have made it here, you may be feeling stuck, disappointed, confused, or even indifferent to the world around you. Whether you're battling the challenges of a difficult environment or the heaviness of unprocessed wounds, you do not have to do it alone. Therapy can provide you with a space for sorting through those struggles in a safe and open way.
I especially enjoy working with those who have been impacted by complex traumas in childhood and/or adulthood; are struggling to reconcile issues with identity, relationships, transitions, and/or spirituality; and those that are working through life with neurodiversity or chronic illness.
If you have made it here, you may be feeling stuck, disappointed, confused, or even indifferent to the world around you. Whether you're battling the challenges of a difficult environment or the heaviness of unprocessed wounds, you do not have to do it alone. Therapy can provide you with a space for sorting through those struggles in a safe and open way.
View
Photo of Amy Amico, MSW, LCSW, Clinical Social Work/Therapist
Amy Amico
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Indianapolis, IN 46227
Navigating challenges in life can leave one feeling exhausted and stressed. Anxiety, depression, and negative self-talk can become a struggle, and leave one feeling unsupported and alone. Whether it is caring for a loved one, journeying through the foster care or adoption systems, a life change, facing mental health symptoms as a result of chronic illness, grief and loss, or an unexpected circumstance that you would never choose for yourself, I am here to support and promote resiliency, growth, and self-confidence. I provide a safe place for you to courageously unpack your story to gain clarity and reach goals. www.pathwaysindy.com
Navigating challenges in life can leave one feeling exhausted and stressed. Anxiety, depression, and negative self-talk can become a struggle, and leave one feeling unsupported and alone. Whether it is caring for a loved one, journeying through the foster care or adoption systems, a life change, facing mental health symptoms as a result of chronic illness, grief and loss, or an unexpected circumstance that you would never choose for yourself, I am here to support and promote resiliency, growth, and self-confidence. I provide a safe place for you to courageously unpack your story to gain clarity and reach goals. www.pathwaysindy.com
(463) 222-0858 View (463) 222-0858
Photo of Kim Jones, LCSW, Clinical Social Work/Therapist
Kim Jones
Clinical Social Work/Therapist, LCSW
Verified Verified
Indianapolis, IN 46240  (Online Only)
I have seen people do great things out of great struggle, and you can too! Whether you are adjusting to chronic illness or adapting to the many transitions that life gives us, we can figure out the routines you need.
I believe health and wellbeing are essential to a quality life. When we don't feel well it's hard to meet our goals. Counseling can help restore harmony to your routine. I am grateful that I can share this space with my clients and hope you get that experience, too.
I have seen people do great things out of great struggle, and you can too! Whether you are adjusting to chronic illness or adapting to the many transitions that life gives us, we can figure out the routines you need.
I believe health and wellbeing are essential to a quality life. When we don't feel well it's hard to meet our goals. Counseling can help restore harmony to your routine. I am grateful that I can share this space with my clients and hope you get that experience, too.
(317) 699-8225 View (317) 699-8225
Photo of Tiffany Mattick, LMHC-A, Counselor
Tiffany Mattick
Counselor, LMHC-A
Verified Verified
Greenwood, IN 46142
Whether you're grappling with anxiety, depression, navigating a major life transition, or coping with the aftermath of trauma or chronic illness, I am here to support you.
Life is full of transitions. Some of those transitions we handle with ease and others we struggle to find our way through. Drawing from evidence-based therapeutic approaches and a deep understanding of human behavior, I specialize in supporting individuals and couples grappling with the multifaceted challenges of anxiety, depression, and trauma. I believe in the power of empathy, active listening, and collaborative goal-setting to empower clients in their therapeutic journey.
Whether you're grappling with anxiety, depression, navigating a major life transition, or coping with the aftermath of trauma or chronic illness, I am here to support you.
Life is full of transitions. Some of those transitions we handle with ease and others we struggle to find our way through. Drawing from evidence-based therapeutic approaches and a deep understanding of human behavior, I specialize in supporting individuals and couples grappling with the multifaceted challenges of anxiety, depression, and trauma. I believe in the power of empathy, active listening, and collaborative goal-setting to empower clients in their therapeutic journey.
(317) 664-7850 View (317) 664-7850
Photo of Connie R Mountfield, MS, LMFT, LPN , Marriage & Family Therapist
Connie R Mountfield
Marriage & Family Therapist, MS, LMFT, LPN
Verified Verified
Angola, IN 46703  (Online Only)
My passion is walking along side clients in their journey to work through chronic illness such as POTS, Ehlers Danlos, MCAS, along with many other chronic conditions.
Are you struggling with excess worry and/or feelings of sadness/hopelessness related to chronic pain or illness? Do you notice your relationships with family or friends are suffering since you began physical symptoms? Chronic illness can impact all aspects of our lives and the struggle to maintain your desired lifestyle can often lead to distress.
My passion is walking along side clients in their journey to work through chronic illness such as POTS, Ehlers Danlos, MCAS, along with many other chronic conditions.
Are you struggling with excess worry and/or feelings of sadness/hopelessness related to chronic pain or illness? Do you notice your relationships with family or friends are suffering since you began physical symptoms? Chronic illness can impact all aspects of our lives and the struggle to maintain your desired lifestyle can often lead to distress.
(260) 231-1734 View (260) 231-1734
Photo of Ríana Golder, LSW, Clinical Social Work/Therapist
Ríana Golder
Clinical Social Work/Therapist, LSW
Verified Verified
Indianapolis, IN 46256
I specialize in helping people through life’s stressors including relationship problems, anxiety, stress, depression, burnout, exhaustion, & chronic illness.
Life and relationships can be stressful and overwhelming. My experiences as a mother and professional fueled my passion for helping individuals and families of all populations work through trauma and life’s everyday stressors.
I specialize in helping people through life’s stressors including relationship problems, anxiety, stress, depression, burnout, exhaustion, & chronic illness.
Life and relationships can be stressful and overwhelming. My experiences as a mother and professional fueled my passion for helping individuals and families of all populations work through trauma and life’s everyday stressors.
(463) 283-7328 View (463) 283-7328
Photo of Courtney Terrell, MA, LMHC, Counselor
Courtney Terrell
Counselor, MA, LMHC
Verified Verified
Fishers, IN 46038
I’m certified in EMDR to treat anxiety, trauma, chronic illness, and negative self-worth.
I provide therapy that works. My holistic approach helps clients overcome anxiety, insecurity, and trauma. I offer traditional sessions and specialize in EMDR intensives, which provide rapid, focused healing from trauma. Because I am focused on my client’s strengths, they rise above hardships, achieve their goals, and cultivate authentic relationships. My self-empowerment model helps people identify patterns and get unstuck. Our work together is collaborative and individualized. I draw on IFS, psychodynamic theories, and EMDR to help you live intentionally and joyfully.
I’m certified in EMDR to treat anxiety, trauma, chronic illness, and negative self-worth.
I provide therapy that works. My holistic approach helps clients overcome anxiety, insecurity, and trauma. I offer traditional sessions and specialize in EMDR intensives, which provide rapid, focused healing from trauma. Because I am focused on my client’s strengths, they rise above hardships, achieve their goals, and cultivate authentic relationships. My self-empowerment model helps people identify patterns and get unstuck. Our work together is collaborative and individualized. I draw on IFS, psychodynamic theories, and EMDR to help you live intentionally and joyfully.
(317) 458-9320 View (317) 458-9320
Photo of Amber Summers, MA, LMFT, Marriage & Family Therapist
Amber Summers
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Noblesville, IN 46060
I really enjoy working with individual, couple, and athletes to address issues such as anxiety, depression, trauma, chronic illness, addiction, marriage, and communication .
Life can be difficult. A marriage that's just okay. A chronic illness that has stolen the life you thought you would live. A shining star in your sport now succumbing to anxiety and doubt. You don't know who you are anymore and what purpose you have. You want to be able to see the good in life and not dwell on the negative. You want a significant marriage or relationship. You know you have what it takes to be the best in your sport “if only”. You're ready to LIVE and learn how to find purpose in your suffering. You want hope. You want to understand YOU better and in return have more fulfilling relationships.
I really enjoy working with individual, couple, and athletes to address issues such as anxiety, depression, trauma, chronic illness, addiction, marriage, and communication .
Life can be difficult. A marriage that's just okay. A chronic illness that has stolen the life you thought you would live. A shining star in your sport now succumbing to anxiety and doubt. You don't know who you are anymore and what purpose you have. You want to be able to see the good in life and not dwell on the negative. You want a significant marriage or relationship. You know you have what it takes to be the best in your sport “if only”. You're ready to LIVE and learn how to find purpose in your suffering. You want hope. You want to understand YOU better and in return have more fulfilling relationships.
(317) 606-3583 View (317) 606-3583
Photo of Carla Louise Robinson, LSW, Clinical Social Work/Therapist
Carla Louise Robinson
Clinical Social Work/Therapist, LSW
Verified Verified
Indianapolis, IN 46240
I work with a diverse range of clients who need support working through challenges such as couples conflict, pre-marriage relationships, depression, anxiety, ADHD, PTSD, processing childhood trauma, grief, family conflict, new parent difficulties, processing divorce, co-parenting, parent and child relationship, child rearing, Level 1 Late Diagnosis ASD, behavioral issues, MDD, PMDD, and chronic illness. My approach ensures each individual feels understood and supported as we navigate these difficulties together.
I work with a diverse range of clients who need support working through challenges such as couples conflict, pre-marriage relationships, depression, anxiety, ADHD, PTSD, processing childhood trauma, grief, family conflict, new parent difficulties, processing divorce, co-parenting, parent and child relationship, child rearing, Level 1 Late Diagnosis ASD, behavioral issues, MDD, PMDD, and chronic illness. My approach ensures each individual feels understood and supported as we navigate these difficulties together.
(872) 266-3178 View (872) 266-3178
Photo of Megan Stevenson, LCSW, CFSW, Clinical Social Work/Therapist
Megan Stevenson
Clinical Social Work/Therapist, LCSW, CFSW
Verified Verified
2 Endorsed
West Lafayette, IN 47906  (Online Only)
Do you experience a racing heart, shortness of breath, or overwhelming feelings of dread or panic as you approach doctor appointments? Are you struggling with the uncertainty of living with chronic illness, and the resulting anxiety it causes? Now might be the time to talk with a therapist as the emotional costs of medical care are often overlooked. The life you once knew, filled with the freedom from constant medical interventions, can feel like a distant memory. You want to be able to get needed medical care without feeling like you need to escape.
Do you experience a racing heart, shortness of breath, or overwhelming feelings of dread or panic as you approach doctor appointments? Are you struggling with the uncertainty of living with chronic illness, and the resulting anxiety it causes? Now might be the time to talk with a therapist as the emotional costs of medical care are often overlooked. The life you once knew, filled with the freedom from constant medical interventions, can feel like a distant memory. You want to be able to get needed medical care without feeling like you need to escape.
(812) 615-2381 View (812) 615-2381
Photo of Taylor Lewis, Clinical Social Work/Therapist
Taylor Lewis
Clinical Social Work/Therapist
Verified Verified
West Lafayette, IN 47906  (Online Only)
My specialties include: fertility/family planning issues, chronic illness, rare disease, anxiety, OCD, interpersonal/relationship difficulties and life changes/adjustments.
Hello, I'm Taylor. My focus is on empowering individuals to live the life they want. Seeking therapy can be an overwhelming experience in itself. My focus is meeting clients where they are at and outlining a plan of action for tackling difficult mental health issues including anxiety, depression etc. Together, my goal is to create a safe and healing place for you to get where you want to be.
My specialties include: fertility/family planning issues, chronic illness, rare disease, anxiety, OCD, interpersonal/relationship difficulties and life changes/adjustments.
Hello, I'm Taylor. My focus is on empowering individuals to live the life they want. Seeking therapy can be an overwhelming experience in itself. My focus is meeting clients where they are at and outlining a plan of action for tackling difficult mental health issues including anxiety, depression etc. Together, my goal is to create a safe and healing place for you to get where you want to be.
(765) 560-1196 View (765) 560-1196
Photo of Caitlin Wolowski, MSW, LCSW, PMH-C, Clinical Social Work/Therapist
Caitlin Wolowski
Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Verified Verified
1 Endorsed
Carmel, IN 46032
I work with those navigating anxiety, depression, chronic illness, life transitions, and grief.
Accepting New Clients! Starting therapy can come with varied emotions, so let me acknowledge the effort it took for you to even begin looking. I believe in the power of the therapeutic relationship, and I am here to help you embark on that journey. With over 13 years of clinical experience in a variety of settings, I have found that each individual has unique strengths and characteristics that influence what therapy may work best for them.
I work with those navigating anxiety, depression, chronic illness, life transitions, and grief.
Accepting New Clients! Starting therapy can come with varied emotions, so let me acknowledge the effort it took for you to even begin looking. I believe in the power of the therapeutic relationship, and I am here to help you embark on that journey. With over 13 years of clinical experience in a variety of settings, I have found that each individual has unique strengths and characteristics that influence what therapy may work best for them.
(317) 204-8534 View (317) 204-8534
Photo of Lisa K. Sexton, MS, LMHC, Counselor
Lisa K. Sexton
Counselor, MS, LMHC
Verified Verified
South Bend, IN 46614  (Online Only)
Many adults feel grief, sadness, guilt, anger and worry. Major events such as diagnosis of chronic illness, divorce, trauma, grief, can contribute to loss of energy and diminished hope for positive change. Even without such dramatic occurrences, depression and anxiety often co-exist. Therapy is a form of self-care, and an opportunity to raise self-awareness that can lead to change. It can provide active listening and non-judgmental regard. Insight into core values can bring clarity, energy and movement toward goals. Mood can improve, decisions can be made with greater confidence, and a feeling of hope can be restored.
Many adults feel grief, sadness, guilt, anger and worry. Major events such as diagnosis of chronic illness, divorce, trauma, grief, can contribute to loss of energy and diminished hope for positive change. Even without such dramatic occurrences, depression and anxiety often co-exist. Therapy is a form of self-care, and an opportunity to raise self-awareness that can lead to change. It can provide active listening and non-judgmental regard. Insight into core values can bring clarity, energy and movement toward goals. Mood can improve, decisions can be made with greater confidence, and a feeling of hope can be restored.
(574) 607-4362 View (574) 607-4362
Photo of Cat Salladin, LSW, Clinical Social Work/Therapist
Cat Salladin
Clinical Social Work/Therapist, LSW
Verified Verified
2 Endorsed
Indianapolis, IN 46250
While I work with a wide range of clients, I specialize in neurodivergence, LGBTQ+ individuals, disability and chronic illness, religious trauma, attachment issues, and athletes/former athletes.
I work with adolescents and young adults, particularly those within in the LGBTQ+ community, neurodivergent individuals, exvangelicals or others with religious trauma, disabled individuals, and athletes/former athletes who are struggling with anxiety, depression, loneliness/rejection, identity, and trauma related symptoms. I provide person-centered, neurodiversity affirming, and LGBTQ+ affirming care. Throughout our time together, you will feel heard, supported and connected so that you can create a meaningful life.
While I work with a wide range of clients, I specialize in neurodivergence, LGBTQ+ individuals, disability and chronic illness, religious trauma, attachment issues, and athletes/former athletes.
I work with adolescents and young adults, particularly those within in the LGBTQ+ community, neurodivergent individuals, exvangelicals or others with religious trauma, disabled individuals, and athletes/former athletes who are struggling with anxiety, depression, loneliness/rejection, identity, and trauma related symptoms. I provide person-centered, neurodiversity affirming, and LGBTQ+ affirming care. Throughout our time together, you will feel heard, supported and connected so that you can create a meaningful life.
(463) 270-4747 View (463) 270-4747

See more therapy options for Wabash

Nearby Chronic Illness Therapists Searches for Wabash

See More Chronic Illness Therapists
Chronic Illness Therapists

How does therapy for chronic illness work?

Many people living with a chronic illness may feel they cannot speak honestly about their experience out of embarrassment or fear of being a burden, or because those close to them do not understand, for example, that they may “look good” even if they do not feel good. Therapy sessions are an opportunity to speak openly with someone who knows their symptoms are not in their head and who can offer practical, proven suggestions for managing feelings of grief, shame, or fatigue, such as techniques to challenge unhelpful thoughts about symptoms and develop new ways to respond to them, such as distraction or calming breathing practices.

Can therapy help with physical symptoms of chronic illness?

Yes, especially if an individual with chronic illness has developed depression. People with depression are less likely to maintain their health treatment regimens or to take positive steps to manage physical symptoms when they arise, thereby potentially complicating their medical prognosis. Treatment of depression, through talk therapy, medication, or both, will often improve one’s physical state as it eases the emotional burden of illness.

What are the most effective treatment options for chronic illness?

No one living with a chronic illness, or their loved ones, should see depression as an unavoidable result of their condition. Instead, they should actively seek treatment. Research shows that people with depression are less likely to devote the required time and effort to maintaining or monitoring their health, and so therapy to limit the risk of depression can be vital for physical health as well. Therapeutic approaches such as cognitive behavioral therapy and mindfulness-based stress reduction have been found to help individuals reduce stress and anxiety.

How long does therapy for chronic illness take?

There is no set timeline for therapy for people living with chronic illnesses, but many will see a therapist for a number of weeks or months, typically spanning at least 12 weekly sessions. Some people feel that they experience progress faster than others but even some who quickly feel improvement may continue with sessions for months or years. Some people may benefit from maintenance therapy if their symptoms change or they experience a decline in physical health. Others find that the skills learned in short-term therapy can be used on an ongoing basis, even after therapy has concluded.