Gottman Method Therapists in Long Beach, NY

Photo of David Mark, MS, LCSW, Clinical Social Work/Therapist
David Mark
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
1 Endorsed
Long Beach, NY 11561
Given my certifications in the Gottman method and Emotion Focused Therapy (EFT) I am trained in helping couples build and rebuild friendship and intimacy, manage conflict better and create increased shared meaning. Research indicates that secure attachment and emotionally fulfilling relationships are integral components of mental and physical health, and that emotionally focused interventions have the power to establish and recreate supportive bonds among individuals. I am therefore dedicated to the understanding of individual health and dysfunction in the context of relationship with others and the enhancement of couple and family
Given my certifications in the Gottman method and Emotion Focused Therapy (EFT) I am trained in helping couples build and rebuild friendship and intimacy, manage conflict better and create increased shared meaning. Research indicates that secure attachment and emotionally fulfilling relationships are integral components of mental and physical health, and that emotionally focused interventions have the power to establish and recreate supportive bonds among individuals. I am therefore dedicated to the understanding of individual health and dysfunction in the context of relationship with others and the enhancement of couple and family
(516) 788-7487 View (516) 788-7487
Photo of Chelsea Shoshana, MHC-LP, Counselor
Chelsea Shoshana
Counselor, MHC-LP
Verified Verified
Long Beach, NY 11561
Together we can help you become the best version of yourself. I work with Children, Teens, & Adults. Through insight and awareness into thoughts, emotions, and relationships patterns; You will begin to experience profound growth. This is a warm & empathetic space for you to identify concerns, manage emotions, create realistic goals. I believe trust and unconditional acceptance are essential for therapeutic growth. Our group practice is located in Long Beach as well as within Concierge Pediatrics in Roslyn & Woodbury.
Together we can help you become the best version of yourself. I work with Children, Teens, & Adults. Through insight and awareness into thoughts, emotions, and relationships patterns; You will begin to experience profound growth. This is a warm & empathetic space for you to identify concerns, manage emotions, create realistic goals. I believe trust and unconditional acceptance are essential for therapeutic growth. Our group practice is located in Long Beach as well as within Concierge Pediatrics in Roslyn & Woodbury.
(516) 908-8038 View (516) 908-8038
Photo of Diana Hajjar-Grossman, MA, LMFT, Marriage & Family Therapist
Diana Hajjar-Grossman
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Long Beach, NY 11561
Do you feel challenged or stuck? Are you overwhelmed with life stresses? Do you yearn for a better relationship with your partner or family? You have probably tried working out these problems yourself, but let me help you and your loved ones meet life's challenges and create meaningful relationships. As a Licensed Marriage and Family Therapist, I believe that trust, understanding and acceptance help create a safe and secure therapy environment. Together we will work to build on your strengths and create attainable therapeutic goals.
Do you feel challenged or stuck? Are you overwhelmed with life stresses? Do you yearn for a better relationship with your partner or family? You have probably tried working out these problems yourself, but let me help you and your loved ones meet life's challenges and create meaningful relationships. As a Licensed Marriage and Family Therapist, I believe that trust, understanding and acceptance help create a safe and secure therapy environment. Together we will work to build on your strengths and create attainable therapeutic goals.
(516) 272-4885 View (516) 272-4885
Photo of David J Mark, MS, MSW, LCSW, Clinical Social Work/Therapist
David J Mark
Clinical Social Work/Therapist, MS, MSW, LCSW
Verified Verified
2 Endorsed
Long Beach, NY 11561
Our primary goal in working together is guiding you toward a more happy, meaningful and fulfilling life. From work, to marriage, to social relationships, and raising children, you will learn effective emotion coaching skills that you will be able to apply across all areas of your life. My overarching approach includes chasing the good life not just looking at what's not working. Together we will increase positive emotions, engagement, meaning, and relationships in your life. I believe that good practice is based in scientifically supported interventions.
Our primary goal in working together is guiding you toward a more happy, meaningful and fulfilling life. From work, to marriage, to social relationships, and raising children, you will learn effective emotion coaching skills that you will be able to apply across all areas of your life. My overarching approach includes chasing the good life not just looking at what's not working. Together we will increase positive emotions, engagement, meaning, and relationships in your life. I believe that good practice is based in scientifically supported interventions.
(516) 265-7853 View (516) 265-7853
Photo of Mitch Blum - Dr. Mitch and Lisa Marriages/Couples Workshops, PsyD, MSW, Life, Coach
Dr. Mitch and Lisa Marriages/Couples Workshops
PsyD, MSW, Life, Coach
Verified Verified
Long Beach, NY 11561
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
(516) 604-5107 View (516) 604-5107
Photo of Tiffany P Sachmechi, LMHC, CASAC, NCC, Counselor
Tiffany P Sachmechi
Counselor, LMHC, CASAC, NCC
Verified Verified
2 Endorsed
Long Beach, NY 11561  (Online Only)
The Decision to enter therapy and select a therapist that fits your needs is a meaningful and important step towards self discovery. Clients who seek my services desire effective and positive change in their lives. I utilize empathy and warmth to help navigate unexpected challenges that leave you feeling stuck, in a safe nonjudgmental space. Unconditional trust and support allows a strong therapeutic bond to build in order to achieve rewarding and life changing progress. Through self-reflection and understanding, we will work to resolve unhealthy patterns that contribute to poor self-worth, relationship issues, and distress.
The Decision to enter therapy and select a therapist that fits your needs is a meaningful and important step towards self discovery. Clients who seek my services desire effective and positive change in their lives. I utilize empathy and warmth to help navigate unexpected challenges that leave you feeling stuck, in a safe nonjudgmental space. Unconditional trust and support allows a strong therapeutic bond to build in order to achieve rewarding and life changing progress. Through self-reflection and understanding, we will work to resolve unhealthy patterns that contribute to poor self-worth, relationship issues, and distress.
(516) 619-2887 View (516) 619-2887

More Therapists Nearby

Photo of Neil Wolfson, MEd, LCSW, Clinical Social Work/Therapist
Neil Wolfson
Clinical Social Work/Therapist, MEd, LCSW
Verified Verified
Bellmore, NY 11710  (Online Only)
Do you feel stuck? Are you struggling with anxiety, depression, stress, trauma, chronic illness, or relationship challenges? If you’re in pain, overwhelmed, or feel unable to pull yourself out of your circumstances, I can help. Using a combination of Cognitive Behavioral Therapy (CBT), Mindfulness, EMDR Therapy, Motivational Interviewing, and the Gottman Method for couples counseling, I can help you feel relief from your pain, gain more control of your life, and find a sense of purpose and direction.
Do you feel stuck? Are you struggling with anxiety, depression, stress, trauma, chronic illness, or relationship challenges? If you’re in pain, overwhelmed, or feel unable to pull yourself out of your circumstances, I can help. Using a combination of Cognitive Behavioral Therapy (CBT), Mindfulness, EMDR Therapy, Motivational Interviewing, and the Gottman Method for couples counseling, I can help you feel relief from your pain, gain more control of your life, and find a sense of purpose and direction.
(516) 908-5316 View (516) 908-5316
Photo of Jennifer Mezey, LCSW, Clinical Social Work/Therapist
Jennifer Mezey
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
East Meadow, NY 11554
I am trained in different behavioral therapies, Conflict Resolution/Mediation and Level 3 trained in Gottman Method Couple's Therapy.
Lao Tzu said, "The journey of a thousand miles begins with a single step." Today you took that step, and the journey has begun to a better you. My job on the journey is to be your map, guiding you to where you want to be in your life. Along the way you will learn tools and techniques to navigate through life's sometimes rough terrain. Utilizing these tools will help you to feel empowered and start to see your true ability.
I am trained in different behavioral therapies, Conflict Resolution/Mediation and Level 3 trained in Gottman Method Couple's Therapy.
Lao Tzu said, "The journey of a thousand miles begins with a single step." Today you took that step, and the journey has begun to a better you. My job on the journey is to be your map, guiding you to where you want to be in your life. Along the way you will learn tools and techniques to navigate through life's sometimes rough terrain. Utilizing these tools will help you to feel empowered and start to see your true ability.
(516) 272-4219 View (516) 272-4219
Photo of Fraydee Putter - Fraydee Putter, Clinical Social Work/Therapist
Fraydee Putter
Clinical Social Work/Therapist
Verified Verified
Woodmere, NY 11598
Throughout life, most people will experience turmoil and emotional pain. Some may be able to overcome such challenges with the support of family and friends. Others are significantly affected and are unable to live life optimally. As a therapist, I am very passionate about helping people in dealing with and overcoming tribulations with the aim of improving their quality of life. Many people come to therapy when they have hit rock bottom. They must be given the proper guidance and assistance in order to move forward. I specialize in trauma and trained in EMDR, IFS, EFT, Sand tray therapy, Theraplay, DBT, CBT and Gottman Method.
Throughout life, most people will experience turmoil and emotional pain. Some may be able to overcome such challenges with the support of family and friends. Others are significantly affected and are unable to live life optimally. As a therapist, I am very passionate about helping people in dealing with and overcoming tribulations with the aim of improving their quality of life. Many people come to therapy when they have hit rock bottom. They must be given the proper guidance and assistance in order to move forward. I specialize in trauma and trained in EMDR, IFS, EFT, Sand tray therapy, Theraplay, DBT, CBT and Gottman Method.
(516) 774-2083 View (516) 774-2083
Photo of Benjamin Sloviter, LMFT, CASAC, CSAT, Marriage & Family Therapist
Benjamin Sloviter
Marriage & Family Therapist, LMFT, CASAC, CSAT
Verified Verified
Woodmere, NY 11598  (Online Only)
Trained in the Gottman Method, I can help couples build a life of shared meaning together.
Understanding how your behavior impacts your family and relationship with your spouse or partner is an important step towards change. From the start, I intend to establish a strong relationship that empowers you to believe in your ability to transform. Our work together is a journey to find meaning in life and make sense of the struggles you face. By finding strength in these challenges, I allow you to realize and embrace the actions that will fuel your growth and healing.
Trained in the Gottman Method, I can help couples build a life of shared meaning together.
Understanding how your behavior impacts your family and relationship with your spouse or partner is an important step towards change. From the start, I intend to establish a strong relationship that empowers you to believe in your ability to transform. Our work together is a journey to find meaning in life and make sense of the struggles you face. By finding strength in these challenges, I allow you to realize and embrace the actions that will fuel your growth and healing.
(516) 219-9430 View (516) 219-9430
Photo of Marisa T. Cohen, PhD, LMFT, Marriage & Family Therapist
Marisa T. Cohen
Marriage & Family Therapist, PhD, LMFT
Verified Verified
2 Endorsed
Floral Park, NY 11001  (Online Only)
I am also a certified Prepare Enrich facilitator and have completed Level 1 and Level 2 training in Gottman Method Couples Therapy and the EFT Externship.
Therapy provides a safe place for exploration and a greater depth of understanding of both yourself and your relationships. It is also an avenue to enhance social connections, and a way to set goals and chart a path to achieve them. I work with clients to address any obstacles they may be facing and in helping them to enact a plan to achieve their desired outcomes. This partnership is different from person to person, because it’s about identifying any stumbling blocks clients may be facing and working through them. I value approaching people from a place of curiosity, empathetic understanding, and use a collaborative approach.
I am also a certified Prepare Enrich facilitator and have completed Level 1 and Level 2 training in Gottman Method Couples Therapy and the EFT Externship.
Therapy provides a safe place for exploration and a greater depth of understanding of both yourself and your relationships. It is also an avenue to enhance social connections, and a way to set goals and chart a path to achieve them. I work with clients to address any obstacles they may be facing and in helping them to enact a plan to achieve their desired outcomes. This partnership is different from person to person, because it’s about identifying any stumbling blocks clients may be facing and working through them. I value approaching people from a place of curiosity, empathetic understanding, and use a collaborative approach.
(516) 219-1796 View (516) 219-1796
Photo of Jennifer Siegfried, LCSW, Clinical Social Work/Therapist
Jennifer Siegfried
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Rockville Centre, NY 11570  (Online Only)
Taking the first step is always the hardest. I'm here to help and so excited to work with you! I have experience working with adults and adolescents with depression, anxiety and those who are navigating through the grieving process. I also have experience working in a hospital setting with individuals who have chronic and ongoing health issues. I practice couples therapy as well utilizing the Gottman Method; which focuses on improving communication.
Taking the first step is always the hardest. I'm here to help and so excited to work with you! I have experience working with adults and adolescents with depression, anxiety and those who are navigating through the grieving process. I also have experience working in a hospital setting with individuals who have chronic and ongoing health issues. I practice couples therapy as well utilizing the Gottman Method; which focuses on improving communication.
(516) 613-3310 View (516) 613-3310
Photo of Linda Foran, LMFT, Marriage & Family Therapist
Linda Foran
Marriage & Family Therapist, LMFT
Verified Verified
Lawrence, NY 11559  (Online Only)
For more than a decade, I've worked with individuals and couples in crisis due to infidelity, abusive relationships and recent loss. I also help premarital couples get off to a good start, and assist established couples seeking to improve their relationships in the areas of communication, conflict resolution, intimacy and parenting. As a trauma-informed MFT, I believe our past experiences impact the way we form our identity and relate to each other in the present. As a Christian therapist, I integrate spirituality with IFS, EMDR and the Gottman Method.
For more than a decade, I've worked with individuals and couples in crisis due to infidelity, abusive relationships and recent loss. I also help premarital couples get off to a good start, and assist established couples seeking to improve their relationships in the areas of communication, conflict resolution, intimacy and parenting. As a trauma-informed MFT, I believe our past experiences impact the way we form our identity and relate to each other in the present. As a Christian therapist, I integrate spirituality with IFS, EMDR and the Gottman Method.
(516) 928-6469 View (516) 928-6469
Photo of Tamara Fass, LMSW
Tamara Fass
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Merrick, NY 11566
Additionally, as a couples therapist, I draw upon my expertise in the Gottman Method and utilize the PACT model to help couples not just survive but thrive together.
Envision a life free from the burdens of past trauma, where you connect deeply in your relationships with others and your relationship with yourself. This is the transformative power of trauma therapy that focuses on relationships– it's about transformation from the inside out. As human beings, we need love and connection. When these essential needs are unmet, we may find ourselves feeling spiraling in all areas of our lives, wondering how things got so out of hand. The gift of therapy is the path of freedom, self-discovery, and deep understanding.
Additionally, as a couples therapist, I draw upon my expertise in the Gottman Method and utilize the PACT model to help couples not just survive but thrive together.
Envision a life free from the burdens of past trauma, where you connect deeply in your relationships with others and your relationship with yourself. This is the transformative power of trauma therapy that focuses on relationships– it's about transformation from the inside out. As human beings, we need love and connection. When these essential needs are unmet, we may find ourselves feeling spiraling in all areas of our lives, wondering how things got so out of hand. The gift of therapy is the path of freedom, self-discovery, and deep understanding.
(516) 990-1917 View (516) 990-1917
Photo of Naomi Bernstein, PsyD, Psychologist
Naomi Bernstein
Psychologist, PsyD
Verified Verified
Lynbrook, NY 11563
I specialize in couples and marriage counseling as well as individual therapy for relationship issues (coping with break-ups, exploring unhealthy relationship patterns.) I will support and challenge you; providing a safe place to explore your feelings and make positive changes in your life. Depression, anxiety and relationship stress can leave you feeling hopeless. I can help you understand the underlying cause of these feelings and take back control over your life and your emotions. Take a look at my website naomibernstein.com
I specialize in couples and marriage counseling as well as individual therapy for relationship issues (coping with break-ups, exploring unhealthy relationship patterns.) I will support and challenge you; providing a safe place to explore your feelings and make positive changes in your life. Depression, anxiety and relationship stress can leave you feeling hopeless. I can help you understand the underlying cause of these feelings and take back control over your life and your emotions. Take a look at my website naomibernstein.com
(516) 669-0929 View (516) 669-0929
Photo of Marc J Shulman, PsyD, Psychologist
Marc J Shulman
Psychologist, PsyD
Verified Verified
1 Endorsed
Garden City, NY 11530
You deserve to be better than fine! I am a Long Island psychologist, providing individual, group, and couples counseling, with offices in Garden City, Rockville Centre, and Roslyn Heights, NY. I believe in getting to know you as a person. I offer evidence based treatments, but I account for the personal factor, because you have your own unique needs. My goal is to create a warm environment, work with you on your challenges, and develop solutions that will help you reach your goals. I focus on what will make your life better, and provide support that helps you see results.
You deserve to be better than fine! I am a Long Island psychologist, providing individual, group, and couples counseling, with offices in Garden City, Rockville Centre, and Roslyn Heights, NY. I believe in getting to know you as a person. I offer evidence based treatments, but I account for the personal factor, because you have your own unique needs. My goal is to create a warm environment, work with you on your challenges, and develop solutions that will help you reach your goals. I focus on what will make your life better, and provide support that helps you see results.
(516) 732-0273 View (516) 732-0273
Photo of Dani Cleary, LCSW, Clinical Social Work/Therapist
Dani Cleary
Clinical Social Work/Therapist, LCSW
Verified Verified
Garden City, NY 11530  (Online Only)
Hello! My name is Dani Cleary and I am a Licensed Clinical Social Worker (LCSW), based in Long Island, New York, and working with clients via telehealth. I work with adolescents, adults, and persons 65 years and older. I specialize in anxiety, depression, stress, and grief, using Cognitive Behavioral Therapy, a Psychodynamic Approach, and Strength-Based Perspective. I have found that my approach and style are a good fit for a broad range of ages, as I typically treat adolescents to 65 years and older populations. As broad as those ages are, comes the broad range of conditions and transitions in life.
Hello! My name is Dani Cleary and I am a Licensed Clinical Social Worker (LCSW), based in Long Island, New York, and working with clients via telehealth. I work with adolescents, adults, and persons 65 years and older. I specialize in anxiety, depression, stress, and grief, using Cognitive Behavioral Therapy, a Psychodynamic Approach, and Strength-Based Perspective. I have found that my approach and style are a good fit for a broad range of ages, as I typically treat adolescents to 65 years and older populations. As broad as those ages are, comes the broad range of conditions and transitions in life.
(646) 718-1630 View (646) 718-1630
Photo of Ana M Marsh, LCSW, RRT, RYT, Coach, Clinical Social Work/Therapist
Ana M Marsh
Clinical Social Work/Therapist, LCSW, RRT, RYT, Coach
Verified Verified
1 Endorsed
Lynbrook, NY 11563
At A Mindful Talk Health Services, our goal is to support everyone of our clients to heal, while equipping them with tools so that they can regulate and care for themselves. We love to help people connect to their own light and purpose. We have a vast experience working with issues related to trauma, depression, anxiety, social phobias, eating disorders, academic/test anxiety, among others. We believe that with the right intervention, most people are able to heal from many mental, emotional, and physical ailments, allowing them not just to survive, but to thrive.
At A Mindful Talk Health Services, our goal is to support everyone of our clients to heal, while equipping them with tools so that they can regulate and care for themselves. We love to help people connect to their own light and purpose. We have a vast experience working with issues related to trauma, depression, anxiety, social phobias, eating disorders, academic/test anxiety, among others. We believe that with the right intervention, most people are able to heal from many mental, emotional, and physical ailments, allowing them not just to survive, but to thrive.
(516) 469-3657 View (516) 469-3657
Photo of Elizabeth M Mansdorf, PhD, BCBA, LBA, Psychologist
Elizabeth M Mansdorf
Psychologist, PhD, BCBA, LBA
Verified Verified
4 Endorsed
Garden City, NY 11530
Hello and thank you for visiting my page. I am a graduate of the Clinical Psychology program at Hofstra University. I have also completed a postdoctoral fellowship at the Kennedy Krieger Institute and Johns Hopkins University School of Medicine specializing in the assessment and treatment of severe problem behavior with individuals with developmental disabilities. I am centrally located in Hauppauge, NY. I provide assessment and therapy for individuals with anxiety disorders, depression, and developmental disabilities. My goal is to provide a comprehensive treatment package to fit the needs and aspirations of those I work with.
Hello and thank you for visiting my page. I am a graduate of the Clinical Psychology program at Hofstra University. I have also completed a postdoctoral fellowship at the Kennedy Krieger Institute and Johns Hopkins University School of Medicine specializing in the assessment and treatment of severe problem behavior with individuals with developmental disabilities. I am centrally located in Hauppauge, NY. I provide assessment and therapy for individuals with anxiety disorders, depression, and developmental disabilities. My goal is to provide a comprehensive treatment package to fit the needs and aspirations of those I work with.
(631) 881-4276 View (631) 881-4276
Photo of Gigi Charalambous - Old Brookville Psychotherapy LCSW, PLLC, LCSW-R, Clinical Social Work/Therapist
Old Brookville Psychotherapy LCSW, PLLC
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Levittown, NY 11756  (Online Only)
Hello :) Past traumas may be impacting your current relationships. We are committed to help you heal and gain clarity in making the best decisions for your future. Whether you are deciding to start, stay in, or leave a relationship, we provide compassionate guidance throughout the process. We offer a non-judgmental space to explore your emotions and thoughts, allowing you to understand, and make peace, with your past experiences. From the first sessions, you will be able to discern healthy vs unhealthy patterns and start making empowered decisions with confidence, so you can create a future full of love, trust, and happiness.
Hello :) Past traumas may be impacting your current relationships. We are committed to help you heal and gain clarity in making the best decisions for your future. Whether you are deciding to start, stay in, or leave a relationship, we provide compassionate guidance throughout the process. We offer a non-judgmental space to explore your emotions and thoughts, allowing you to understand, and make peace, with your past experiences. From the first sessions, you will be able to discern healthy vs unhealthy patterns and start making empowered decisions with confidence, so you can create a future full of love, trust, and happiness.
(516) 279-1038 View (516) 279-1038
Gottman Method Therapists

How does the Gottman method work?

One of the core doctrines of the Gottman method is that negative emotions hurt relationships about five times more than positive emotions help them. Thus, couples require five times more positive interactions than negative interactions with each other. The therapist will guide clients on how to improve communication and understanding of each other to manage conflict and have their emotional needs met. The therapist will also advise couples on how to repair relations with each other when conflict arises, and therefore avoid lasting damage.

Is the Gottman method evidence-based?

Yes, this method is an evidence-based approach to couples therapy. The method is based on more than 40 years of research by Drs. John and Julie Gottman, the psychologists who developed the method. The Gottmans analyzed decades of data to draw conclusions about what types of interactions are likely to lead to specific results, and which interventions are most likely to lead to success. Studies have found that this approach leads to improvements in relationship satisfaction, intimacy, communication skills, and a lower rate of divorce.

How long does the Gottman method take?

The duration of treatment depends on the specific challenges clients face. Sessions are typically 60 to 90 minutes long, and an average course of treatment is around 10 sessions. In some cases, such as for couples dealing with a critical problem, the therapist will suggest an intensive course of treatment, with daily sessions over the first two to four days. Treatment is complete when the couple is satisfied and has met the goals they’ve set, and when the therapist believes they have the skills to continue on their own.

Is the Gottman method effective?

Through the Gottman method, couples can achieve changes that are real and sustainable. This treatment has been used for more than 40 years; the method is supported by empirical research, including randomized controlled trials that have demonstrated effectiveness in improving relationship outcomes for couples. Like any talk therapy, success or failure depends in large part on how committed the clients are to making positive changes and working toward results.