Couples Counseling Therapists in Fayetteville, NC
![Photo of Courtenay Y Hall, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4922034a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Courtenay Y Hall
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fayetteville, NC 28302 (Online Only)
My goal is to provide a safe, therapeutic environment, where clients can share their innermost struggles and challenges without feeling judged or criticized. Therapy is an avenue to address the challenges in life that sometimes seem unmanageable. I believe that a strong therapeutic relationship, based on genuine acceptance and unconditional positive regard, can be the pathway for change to occur. I work with individuals, adults, and teens on a variety of issues and disorders including but not limited to depression, anxiety, parenting issues, abuse, grief, trauma, low self-esteem, life cycle transitions, and substance abuse.
My goal is to provide a safe, therapeutic environment, where clients can share their innermost struggles and challenges without feeling judged or criticized. Therapy is an avenue to address the challenges in life that sometimes seem unmanageable. I believe that a strong therapeutic relationship, based on genuine acceptance and unconditional positive regard, can be the pathway for change to occur. I work with individuals, adults, and teens on a variety of issues and disorders including but not limited to depression, anxiety, parenting issues, abuse, grief, trauma, low self-esteem, life cycle transitions, and substance abuse.
![Photo of Chante' Clark - Matters of the Heart & Mind Counseling , MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bb01906c-dcd0-438f-b2c6-d5b8626c2c75/2/320x400.jpeg)
Matters of the Heart & Mind Counseling
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Fayetteville, NC 28314 (Online Only)
I provide individual therapy, family therapy, couples therapy and groups.
If it is on your heart and mind, it matters. We are here to help you with those matters, which may include depression, anxiety, grief or trauma. We want you to find the support you need to make sustainable changes to help you live as you desire.
I provide individual therapy, family therapy, couples therapy and groups.
If it is on your heart and mind, it matters. We are here to help you with those matters, which may include depression, anxiety, grief or trauma. We want you to find the support you need to make sustainable changes to help you live as you desire.
![Photo of Courtney Blackledge, LCMHC, LCAS](https://photos.psychologytoday.com/85ed56bc-edc8-4c6a-a429-6a7694f7a48c/1/320x400.png)
Courtney Blackledge
Licensed Clinical Mental Health Counselor, LCMHC, LCAS
Verified Verified
4 Endorsed
Fayetteville, NC 28301 (Online Only)
I work with couples and individual adults.
Life is hard. Intense emotions, life transitions, difficulty with relationships, mental health concerns, trauma, rejection and loneliness; are only a few of the things we can struggle with at any given time. But you don’t have to deal with these issues alone. Counseling can serve as a place for you to process past hurts and life changes, identify unhelpful relationship patterns, find new coping skills and resources for strong emotions or mental health issues, or provide yourself with the ultimate self-care by setting an hour aside to reflect on where you are, where you want to go, and what obstacles are in the way of your goals.
I work with couples and individual adults.
Life is hard. Intense emotions, life transitions, difficulty with relationships, mental health concerns, trauma, rejection and loneliness; are only a few of the things we can struggle with at any given time. But you don’t have to deal with these issues alone. Counseling can serve as a place for you to process past hurts and life changes, identify unhelpful relationship patterns, find new coping skills and resources for strong emotions or mental health issues, or provide yourself with the ultimate self-care by setting an hour aside to reflect on where you are, where you want to go, and what obstacles are in the way of your goals.
![Photo of Consuela Chapman, LCSW, LCAS, CCS, TTS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/16281038-4ab2-463e-be7b-d5d21838ed7d/1/320x400.jpeg)
Consuela Chapman
Clinical Social Work/Therapist, LCSW, LCAS, CCS, TTS
Verified Verified
Fayetteville, NC 28314
Waitlist for new clients
I enjoy working with clients who are struggling with relationship issues, self -esteem, sexual orientation, acculturating, "adulting", or who find themselves in transition.
The client-therapist rapport is a potent common factor in therapy success. You want to feel comfortable opening up and sharing your truths. Have you found yourself struggling with a change in your life that has left you feeling uncomfortable with your current emotional state. I offer a place to clear your head, organize your thoughts, and express your feelings without judgement. Give yourself permission to pause, process and then progress.
I enjoy working with clients who are struggling with relationship issues, self -esteem, sexual orientation, acculturating, "adulting", or who find themselves in transition.
The client-therapist rapport is a potent common factor in therapy success. You want to feel comfortable opening up and sharing your truths. Have you found yourself struggling with a change in your life that has left you feeling uncomfortable with your current emotional state. I offer a place to clear your head, organize your thoughts, and express your feelings without judgement. Give yourself permission to pause, process and then progress.
![Photo of Marissa Cox, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/50f13c43-3fa2-47fc-975d-21a48fa7673a/3/320x400.jpeg)
Marissa Cox
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Fayetteville, NC 28306
Are you experiencing stress from everyday life? Do you struggle with juggling the demands of life? Do have difficulty navigating stress, anxiety, and/or depression? Do your thoughts prevent you from being the best you, you can be? Have you tried everything you know to try and nothing seems to be changing? Maybe you are dealing with grief, relationship difficulties, or divorce? Are you finding it difficult to navigate parenting? Maybe you have even tried therapy before? Whether you answered yes to all of these questions, a few of these questions, or maybe even one of these questions, there is hope and ways that can help you navigate.
Are you experiencing stress from everyday life? Do you struggle with juggling the demands of life? Do have difficulty navigating stress, anxiety, and/or depression? Do your thoughts prevent you from being the best you, you can be? Have you tried everything you know to try and nothing seems to be changing? Maybe you are dealing with grief, relationship difficulties, or divorce? Are you finding it difficult to navigate parenting? Maybe you have even tried therapy before? Whether you answered yes to all of these questions, a few of these questions, or maybe even one of these questions, there is hope and ways that can help you navigate.
![Photo of Jennifer Sutton - Chronic Hope Counseling PLLC, LCMHC](https://photos.psychologytoday.com/b370ae0e-94c3-4e20-89c5-449940e4334a/1/320x400.jpeg)
Chronic Hope Counseling PLLC
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
1 Endorsed
Fayetteville, NC 28301 (Online Only)
We offer individual, couples, family, play therapy and group counseling that all focus around overcoming pain personally or with loved ones.
We have interns for sliding scale sessions, play therapy for children and everything in-between! If you are feeling overwhelmed. anxious, isolated, lonely or simply want to learn how to live your best life with your pain Chronic Hope is the place to be. We offer counseling services for those with chronic pain and illness. Your pain/illness effects everything you do, so it needs to be taken into every consideration as you heal. We can help you learn to live beyond you pain by getting you in your best place mentally. All of our clinicians and interns have personal experience with pain creating a unique, empathetic experience.
We offer individual, couples, family, play therapy and group counseling that all focus around overcoming pain personally or with loved ones.
We have interns for sliding scale sessions, play therapy for children and everything in-between! If you are feeling overwhelmed. anxious, isolated, lonely or simply want to learn how to live your best life with your pain Chronic Hope is the place to be. We offer counseling services for those with chronic pain and illness. Your pain/illness effects everything you do, so it needs to be taken into every consideration as you heal. We can help you learn to live beyond you pain by getting you in your best place mentally. All of our clinicians and interns have personal experience with pain creating a unique, empathetic experience.
![Photo of Jarrod Gray - Oceanside Counseling, MA, LCMHC](https://photos.psychologytoday.com/4967dc3c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Oceanside Counseling
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Fayetteville, NC 28306
Specialties include: -Marriage Counseling, Relationship Issues, Communication Problems, Divorce, Separation, Child Custody, Split Parenting, Infidelity, Narcissism, Sociopathy, Psychopathy, Post Traumatic Stress Disorder/PTSD, Abuse, Military Families, PCS, Deployment, Retirement, Combat Stress, Addiction, Substance Abuse, Porn Addiction, Mood Disorders.
Oceanside Counseling was created to give you hope and to help you feel listened to and supported in your pursuit of health and healing. At Oceanside you are not just another number. Your mental health matters to us and we value and treat you like we would want to be treated ourselves. Recent events have increased stress for people throughout the world and many people are struggling with overwhelming emotions and fears. If you are in need, please reach out to us. We are currently providing virtual services (video/telephone) to anyone living in North Carolina and we are accepting new patients.
Specialties include: -Marriage Counseling, Relationship Issues, Communication Problems, Divorce, Separation, Child Custody, Split Parenting, Infidelity, Narcissism, Sociopathy, Psychopathy, Post Traumatic Stress Disorder/PTSD, Abuse, Military Families, PCS, Deployment, Retirement, Combat Stress, Addiction, Substance Abuse, Porn Addiction, Mood Disorders.
Oceanside Counseling was created to give you hope and to help you feel listened to and supported in your pursuit of health and healing. At Oceanside you are not just another number. Your mental health matters to us and we value and treat you like we would want to be treated ourselves. Recent events have increased stress for people throughout the world and many people are struggling with overwhelming emotions and fears. If you are in need, please reach out to us. We are currently providing virtual services (video/telephone) to anyone living in North Carolina and we are accepting new patients.
![Photo of Talaya Mclean - Changing Lives Therapeutic Service, LCMHC, LCAS, Licensed Professional Counselor](https://photos.psychologytoday.com/9b43e5b0-6b36-461a-8f64-cc31d3da2795/1/320x400.jpeg)
Changing Lives Therapeutic Service
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
Fayetteville, NC 28314
Individual counseling is a personal opportunity to receive support to help deal with many personal topics in life such as anger, depression, anxiety, substance abuse, relationship challenges, parenting problems, behavioral issues and school difficulties.
Changing Lives Therapeutic Service is dedicated to providing the highest quality clinical services to assist individuals with reaching their fullest potentials. We at Changing Lives provides service to the following individuals: child, adolescents, adults, geriatric and the LGBTQ populations. Our staff consists of highly qualified. experienced and knowledgeable Licensed Clinical Mental Health Counselors (Associates) and Licensed Clinical Social Workers (Associates). Our licensed staff provide community based, office based and remote counseling. CLTS also works with preferred providers to provide medication to our patients.
Individual counseling is a personal opportunity to receive support to help deal with many personal topics in life such as anger, depression, anxiety, substance abuse, relationship challenges, parenting problems, behavioral issues and school difficulties.
Changing Lives Therapeutic Service is dedicated to providing the highest quality clinical services to assist individuals with reaching their fullest potentials. We at Changing Lives provides service to the following individuals: child, adolescents, adults, geriatric and the LGBTQ populations. Our staff consists of highly qualified. experienced and knowledgeable Licensed Clinical Mental Health Counselors (Associates) and Licensed Clinical Social Workers (Associates). Our licensed staff provide community based, office based and remote counseling. CLTS also works with preferred providers to provide medication to our patients.
![Photo of Mijin Gina Wall, MACC, LCMHC, NCC, Counselor](https://photos.psychologytoday.com/437c20b5-db27-482b-9489-16d5dabe26be/3/320x400.jpeg)
I enjoy working with individuals at all ages facing, with strength and courage, issues including depression, anxiety, stress, trauma, relationship challenges, grief and loss, and other mental health and life concerns.
As your counselor, I am here to support you and collaborate with you in making meaning, experiencing growth and healing and uncovering resources to help you be your best self. Taking an evidenced-based, client-centered, trauma-informed, attachment based approach. I provide a safe and supportive space where we can collaborate and work at your own pace to help you reach your goals. I am an English-Korean bilingual with rich lived experiences in both cultures.
I enjoy working with individuals at all ages facing, with strength and courage, issues including depression, anxiety, stress, trauma, relationship challenges, grief and loss, and other mental health and life concerns.
As your counselor, I am here to support you and collaborate with you in making meaning, experiencing growth and healing and uncovering resources to help you be your best self. Taking an evidenced-based, client-centered, trauma-informed, attachment based approach. I provide a safe and supportive space where we can collaborate and work at your own pace to help you reach your goals. I am an English-Korean bilingual with rich lived experiences in both cultures.
![Photo of Pamela Adkins, LCMHCA, CCC, MA, MS, NCC](https://photos.psychologytoday.com/9d797061-22f1-40fd-bf9c-988010f93a76/1/320x400.jpeg)
Pamela Adkins
Lic Clinical Mental Health Counselor Associate, LCMHCA, CCC, MA, MS, NCC
Verified Verified
Fayetteville, NC 28301
As a Black wife, mother, and mental health counselor, I aim to help my clients design balanced lives focusing on holistic wellness. I specialize in couple and family counseling, career and life preparation, and individual therapy. My work involves addressing and managing personal, emotional, professional, and relationship issues to help my clients achieve their goals. I show up to each session as my authentic self, understanding the power of diversity, inclusion, and representation. My intersecting identity is a powerful resource for those who share my similar identities and those who do not but desire authenticity.
As a Black wife, mother, and mental health counselor, I aim to help my clients design balanced lives focusing on holistic wellness. I specialize in couple and family counseling, career and life preparation, and individual therapy. My work involves addressing and managing personal, emotional, professional, and relationship issues to help my clients achieve their goals. I show up to each session as my authentic self, understanding the power of diversity, inclusion, and representation. My intersecting identity is a powerful resource for those who share my similar identities and those who do not but desire authenticity.
![Photo of Joseph Rengifo - Wilmington Mental Health, LCMHC, LCAS, LCSW, NPMHNP, FNP, Counselor](https://photos.psychologytoday.com/0b3a32f4-7ef5-468b-8e8a-a75816bb4b25/3/320x400.jpeg)
Wilmington Mental Health
Counselor, LCMHC, LCAS, LCSW, NPMHNP, FNP
Verified Verified
1 Endorsed
Fayetteville, NC 28301
Wilmington Mental Health (WMH) provides evidence-based and person-centered treatment to residents of Southeastern North Carolina. Our mission is to offer accessible universal mental health treatment so that everyone in our community has access to the services they need, when and where they need them. WMH integrates multiple therapeutic techniques to create optimal patient experience. WMH understands that life presents difficulties that can reduce the quality of life and happiness of those in our community. These challenges can be detrimental if left on unresolved. Hence, it is critical that access to mental health care exist when individuals need it most. WMH has developed a platform that provides therapeutic support for teenagers, college students, adults, couples, and families. Our compassionate counselors are ready to meet with you to help you resolve challenges and move forward in your life. Get on the road to recovery with Wilmington Mental Health Today! Book a confidential consultation, call 910-777-5575 or email us at info@wmhwc.com.
Wilmington Mental Health (WMH) provides evidence-based and person-centered treatment to residents of Southeastern North Carolina. Our mission is to offer accessible universal mental health treatment so that everyone in our community has access to the services they need, when and where they need them. WMH integrates multiple therapeutic techniques to create optimal patient experience. WMH understands that life presents difficulties that can reduce the quality of life and happiness of those in our community. These challenges can be detrimental if left on unresolved. Hence, it is critical that access to mental health care exist when individuals need it most. WMH has developed a platform that provides therapeutic support for teenagers, college students, adults, couples, and families. Our compassionate counselors are ready to meet with you to help you resolve challenges and move forward in your life. Get on the road to recovery with Wilmington Mental Health Today! Book a confidential consultation, call 910-777-5575 or email us at info@wmhwc.com.
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4 Love Counseling & Consulting, PLLC
Marriage & Family Therapist, MA, LMFT, CCTP-II
Verified Verified
3 Endorsed
Fayetteville, NC 28306
Need Saturday appointments to begin your journey to overcoming negative events or an inability to fully live life? Seeking to improve your marriage? Looking for guidance on parenting your child? We believe we can help!
Need Saturday appointments to begin your journey to overcoming negative events or an inability to fully live life? Seeking to improve your marriage? Looking for guidance on parenting your child? We believe we can help!
![Photo of Sherrita Ried, LCMHC](https://photos.psychologytoday.com/395cb1ff-f7c4-4449-bc0a-2b98807e5f31/2/320x400.jpeg)
Sherrita Ried
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
1 Endorsed
Fayetteville, NC 28314 (Online Only)
If you are a person who is looking for a compassionate provider that will meet you in the mental space you are in I am a good fit for you. I take the time to talk with you and not at you in order to learn more about what brought you to the point of seeing me. The clients that will find the most success with me is one that is open to feedback, ideas, homework and willing to work as hard or harder than I will to make progress for change.
If you are a person who is looking for a compassionate provider that will meet you in the mental space you are in I am a good fit for you. I take the time to talk with you and not at you in order to learn more about what brought you to the point of seeing me. The clients that will find the most success with me is one that is open to feedback, ideas, homework and willing to work as hard or harder than I will to make progress for change.
![Photo of Tonia Locklear, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3358e7ef-6697-47cc-91f1-cd5ad0b0a1cd/1/320x400.jpeg)
As a Licensed Clinical Social Worker, I recognized and value the trust my clients place in me. I strive every day to provide quality and exceptional service. I truly care for all my clients and work diligently to help them find the answers they seek. Ever since I was young, I knew I wanted to get into a career path that would make a difference in people’s lives. This interest led me to study social work and mental health.I transitioned from crisis intervention into counseling because I really enjoy talking with people about their interpersonal relationships. Also, I feel like I have a knack for helping.
As a Licensed Clinical Social Worker, I recognized and value the trust my clients place in me. I strive every day to provide quality and exceptional service. I truly care for all my clients and work diligently to help them find the answers they seek. Ever since I was young, I knew I wanted to get into a career path that would make a difference in people’s lives. This interest led me to study social work and mental health.I transitioned from crisis intervention into counseling because I really enjoy talking with people about their interpersonal relationships. Also, I feel like I have a knack for helping.
![Photo of Leisa Keisha Cook - Benevolent Counseling, PLLC, MS, LCMHC, Licensed Professional Counselor](https://photos.psychologytoday.com/4f98852d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Benevolent Counseling, PLLC
Licensed Professional Counselor, MS, LCMHC
Verified Verified
Fayetteville, NC 28303
I understand that many people suffer from anxiety and depression. When we ignore these issues it can have a negative impact on our daily lives. It can affect our personal relationships, the ability to deal with our work environment and prevent us from feeling good about ourselves. Nobody wants to experience this but many of us do and we often don't know how to deal with these feelings. If you're willing to take the first step and seek guidance there is a way to become better at navigating these issues. Sometimes all you need is someone to help show you the path to a better quality life.
I understand that many people suffer from anxiety and depression. When we ignore these issues it can have a negative impact on our daily lives. It can affect our personal relationships, the ability to deal with our work environment and prevent us from feeling good about ourselves. Nobody wants to experience this but many of us do and we often don't know how to deal with these feelings. If you're willing to take the first step and seek guidance there is a way to become better at navigating these issues. Sometimes all you need is someone to help show you the path to a better quality life.
![Photo of Shanna M Bell, MAED, NCC, LCMHC](https://photos.psychologytoday.com/f0e4d266-773d-40ea-941c-75b786df1131/2/320x400.jpeg)
Shanna M Bell
Licensed Clinical Mental Health Counselor, MAED, NCC, LCMHC
Verified Verified
Fayetteville, NC 28304
Accepting New Clients Making the decision to begin therapy is a hard one. You are choosing to come to a trained specialist in mental health, and regurgitate all of your deepest feelings, emotions, and possibly a traumatic past. Working in mental health for the past 5 years, I have learned that mental health is a part of your personal growth and well being. It's a way to heal mentally, spiritually, and to learn to forgive. Forgiveness and grace may be needed in yourself. You will learn how to be your better and greater self, one day at a time.
Accepting New Clients Making the decision to begin therapy is a hard one. You are choosing to come to a trained specialist in mental health, and regurgitate all of your deepest feelings, emotions, and possibly a traumatic past. Working in mental health for the past 5 years, I have learned that mental health is a part of your personal growth and well being. It's a way to heal mentally, spiritually, and to learn to forgive. Forgiveness and grace may be needed in yourself. You will learn how to be your better and greater self, one day at a time.
![Photo of Eric Hall, MS, MSW, LCSW, LCAS, NADD-CC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fc129006-7674-4b46-9c11-38952209d943/1/320x400.jpeg)
Eric Hall
Clinical Social Work/Therapist, MS, MSW, LCSW, LCAS, NADD-CC
Verified Verified
Fayetteville, NC 28304
I started in the field of counseling in hopes of creating change in the community. Since starting in the field of counseling, I have dedicated my time and effort to making a positive impact in the lives served.
I started in the field of counseling in hopes of creating change in the community. Since starting in the field of counseling, I have dedicated my time and effort to making a positive impact in the lives served.
![Photo of Belisa Kershaw, MA, NCC, LCMHC](https://photos.psychologytoday.com/6c9c203c-a957-4fab-a730-59ea0246c7ba/2/320x400.jpeg)
Belisa Kershaw
Licensed Clinical Mental Health Counselor, MA, NCC, LCMHC
Verified Verified
Fayetteville, NC 28305
Waitlist for new clients
Are you looking for a clinician/therapist who listens, encourages, speaks life and positivity, while helping you identify options? Are you ready to work towards becoming that person you've envisioned yourself to be - the best version of you? Are you ready to make decisions as it relates to resolving issues and concerns? Need assistance with self-advocacy, improving communication skills and self-confidence? Are you ready to move forward?
Are you looking for a clinician/therapist who listens, encourages, speaks life and positivity, while helping you identify options? Are you ready to work towards becoming that person you've envisioned yourself to be - the best version of you? Are you ready to make decisions as it relates to resolving issues and concerns? Need assistance with self-advocacy, improving communication skills and self-confidence? Are you ready to move forward?
![Photo of Hilda L. Dumont, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/251f04e4-5edb-4d01-8642-b6f468d1d92f/2/320x400.jpeg)
Hilda L. Dumont
Marriage & Family Therapist, MA, LMFT
Verified Verified
Fayetteville, NC 28311 (Online Only)
Beginning therapy can be a difficult step. But if you find yourself stuck, repeating the same ineffective, undermining coping mechanisms and unable to manage your emotions, then it might be time to start working together to help you identify more effective and constructive approaches to achieve your goals.
Beginning therapy can be a difficult step. But if you find yourself stuck, repeating the same ineffective, undermining coping mechanisms and unable to manage your emotions, then it might be time to start working together to help you identify more effective and constructive approaches to achieve your goals.
![Photo of Bobette (Bobbie) Smith - All-American Counseling, Wellness and Consulting, LCSW, MSW, BSW, C-SWHC, C-ASWCM, Clinical Social Work/Therapist](https://photos.psychologytoday.com/45f21a80-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
All-American Counseling, Wellness and Consulting
Clinical Social Work/Therapist, LCSW, MSW, BSW, C-SWHC, C-ASWCM
Verified Verified
3 Endorsed
Fayetteville, NC 28311
Clinicians have ties and connections to the military, veterans, LEOs, first responders and surrounding areas for: Cumberland, Moore, Harnett, Robinson, New Hanover, Forsyth and Lee, NC counties. Our contracted clinicians provide a wide range of services and specialties. We appreciate the opportunity to be of help and look forward to all of us working together. Bobette Smith, LCSW, owner, is military connected and a Fayettevillian. Experience with: Service Members and families, first responders, children, adolescents, adults, geriatrics, families, small groups, intensive outpatient groups and clinical inpatient hospital care.
Clinicians have ties and connections to the military, veterans, LEOs, first responders and surrounding areas for: Cumberland, Moore, Harnett, Robinson, New Hanover, Forsyth and Lee, NC counties. Our contracted clinicians provide a wide range of services and specialties. We appreciate the opportunity to be of help and look forward to all of us working together. Bobette Smith, LCSW, owner, is military connected and a Fayettevillian. Experience with: Service Members and families, first responders, children, adolescents, adults, geriatrics, families, small groups, intensive outpatient groups and clinical inpatient hospital care.