ADHD Therapists in Bedford, OH

Photo of Cynthia E. Woods, LPCC-S
Cynthia E. Woods
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
2 Endorsed
Bedford, OH 44146
With extensive years of experience working with individuals, couples and families in a variety of areas such as but not limited to Anxiety, Depression, ADHD, Grief, PTSD, Adoption-related Attachment issues.
It is important to navigate through the domains of life. Emotional, physical, occupational, social, spiritual, intellectual, environmental and financial.I focus on trauma, anxiety, depression, and day-to-day stress to help you manage it. I use evidence-based approaches, including CBT and EMDR, to empower clients with practical skills and emotional resilience. My goal is to guide clients towards self-assuredness, emotional balance, and effective stress management during this transformative phase. By changing the way we view life and stressors we are able to change how they affect us. Stress is inevitable, how you allow it to affect
With extensive years of experience working with individuals, couples and families in a variety of areas such as but not limited to Anxiety, Depression, ADHD, Grief, PTSD, Adoption-related Attachment issues.
It is important to navigate through the domains of life. Emotional, physical, occupational, social, spiritual, intellectual, environmental and financial.I focus on trauma, anxiety, depression, and day-to-day stress to help you manage it. I use evidence-based approaches, including CBT and EMDR, to empower clients with practical skills and emotional resilience. My goal is to guide clients towards self-assuredness, emotional balance, and effective stress management during this transformative phase. By changing the way we view life and stressors we are able to change how they affect us. Stress is inevitable, how you allow it to affect
(216) 415-6612 View (216) 415-6612
Photo of Niesha Perry, MEd, LPCC-S, LICDCCS, Counselor
Niesha Perry
Counselor, MEd, LPCC-S, LICDCCS
Verified Verified
1 Endorsed
Bedford, OH 44146
Waitlist for new clients
My name is Niesha Perry, M.Ed,LPCC-S, LICDC-CS. I specialize in providing both mental health and substance abuse counseling for individuals in need to healing and growth. Individuals facing life stressors should have a dedicated and empathic relationship with someone they can trust. I have been providing counseling services in residential, community and school settings since 2010. My areas of competence include but are not limited to depression, PTSD, anxiety, ADHD, conduct disorder, ODD and DMDD. My goal is to increase each client's level of functioning and assist them with identifying the missing piece in their lives.
My name is Niesha Perry, M.Ed,LPCC-S, LICDC-CS. I specialize in providing both mental health and substance abuse counseling for individuals in need to healing and growth. Individuals facing life stressors should have a dedicated and empathic relationship with someone they can trust. I have been providing counseling services in residential, community and school settings since 2010. My areas of competence include but are not limited to depression, PTSD, anxiety, ADHD, conduct disorder, ODD and DMDD. My goal is to increase each client's level of functioning and assist them with identifying the missing piece in their lives.
(440) 276-3175 View (440) 276-3175
Photo of Kathleen Goosmann, MEd,  LPCC
Kathleen Goosmann
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
Bedford, OH 44146
Katie is passionate about treating a range of mental health issues, including anxiety, depression, and PTSD/trauma. Her expertise also extends to addressing couples' issues, helping partners improve their communication and strengthen their relationships. She works with a diverse clientele, including teens, young adults, adults, and seniors, ensuring that each age group receives the care and support they need.
Katie is passionate about treating a range of mental health issues, including anxiety, depression, and PTSD/trauma. Her expertise also extends to addressing couples' issues, helping partners improve their communication and strengthen their relationships. She works with a diverse clientele, including teens, young adults, adults, and seniors, ensuring that each age group receives the care and support they need.
(234) 595-3021 View (234) 595-3021
Photo of Michael Guyer, LPCC, NCC, Counselor
Michael Guyer
Counselor, LPCC, NCC
Verified Verified
Bedford, OH 44146
The goal in life is to express ones abilities and unique personality characteristics in a way that achieves fulfillment over the lifespan. Sometimes that entails seeking assistance to promote that journey if/when the individual believes they are not achieving progress. Whether it's developmental, school and career building, or family and relationship issues over the lifespan one can feel stuck and need the services of a professional. Don't let procrastination or other circumstances deprive you of a life where you have not fulfilled your goals and ambitions.
The goal in life is to express ones abilities and unique personality characteristics in a way that achieves fulfillment over the lifespan. Sometimes that entails seeking assistance to promote that journey if/when the individual believes they are not achieving progress. Whether it's developmental, school and career building, or family and relationship issues over the lifespan one can feel stuck and need the services of a professional. Don't let procrastination or other circumstances deprive you of a life where you have not fulfilled your goals and ambitions.
(440) 510-3452 View (440) 510-3452
Photo of Anthony W McWilliams, MSW, LSW
Anthony W McWilliams
Licensed Social Worker, MSW, LSW
Verified Verified
1 Endorsed
Bedford, OH 44146
I have experience working with adolescents, young adults, and adult men and women. Each person carries a ton of pressure from internal and external forces. Why go down that road alone? I am here to be a helper in your journey. The goal is to help you be the person you want to be. My primary focus is mood disorders, anxiety, and post-traumatic stress. Overall, we shall look to assist you in becoming emotionally and mentally sound.
I have experience working with adolescents, young adults, and adult men and women. Each person carries a ton of pressure from internal and external forces. Why go down that road alone? I am here to be a helper in your journey. The goal is to help you be the person you want to be. My primary focus is mood disorders, anxiety, and post-traumatic stress. Overall, we shall look to assist you in becoming emotionally and mentally sound.
(216) 282-3733 View (216) 282-3733
Photo of Jenny Slattery, MSW, LISW, Clinical Social Work/Therapist
Jenny Slattery
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Bedford, OH 44146
Not accepting new clients
Wherever you are in your life journey as an adult, grief, loss, anxiety, depression, relationship, work and everyday life stress can often feel overwhelming. My clinical approach works to build a safe, honest, and respectful space to honor whatever you may be going through. I am certified in and have extensive experience using the lens of EMDR therapy.
Wherever you are in your life journey as an adult, grief, loss, anxiety, depression, relationship, work and everyday life stress can often feel overwhelming. My clinical approach works to build a safe, honest, and respectful space to honor whatever you may be going through. I am certified in and have extensive experience using the lens of EMDR therapy.
(440) 571-7801 View (440) 571-7801
Photo of Mikki Anderson, MSW, LSW, Clinical Social Work/Therapist
Mikki Anderson
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Bedford, OH 44146
Not accepting new clients
***I AM NOT CURRENTLY ACCEPTING NEW CLIENTS!!*** Are you are dealing with depression, anxiety, trouble in your marriage, or have children that are battling issues? Let me help you get to the root of your problems. I am 100% committed to helping you find peace, let go of the past, and find a better sense of self.
***I AM NOT CURRENTLY ACCEPTING NEW CLIENTS!!*** Are you are dealing with depression, anxiety, trouble in your marriage, or have children that are battling issues? Let me help you get to the root of your problems. I am 100% committed to helping you find peace, let go of the past, and find a better sense of self.
(216) 284-8502 View (216) 284-8502

More Therapists Nearby

Photo of Jasany Jenkins Lisw-S Asdcs, MSSA, LISW, Clinical Social Work/Therapist
Jasany Jenkins Lisw-S Asdcs
Clinical Social Work/Therapist, MSSA, LISW
Verified Verified
1 Endorsed
Beachwood, OH 44122  (Online Only)
Whether you need support with managing neurodevelopmental conditions (autism, ADHD, Dyslexia, etc.
Do you feel lost, as if others have some sort of cheat code to life that no one passed to you? Maybe you've always felt different than most, leaving you to question your identity and intuition. I've been there and even continue to do the work that allows me to feel grounded in my identity, and befriend my authentic self. At 31, all my quirky traits and unpopular opinions finally made sense, once I learned about and embraced my neurodivergent brain. There is no specific blueprint on who to be or how to live. We all have varying identities that make life exciting, challenging, and rewarding.
Whether you need support with managing neurodevelopmental conditions (autism, ADHD, Dyslexia, etc.
Do you feel lost, as if others have some sort of cheat code to life that no one passed to you? Maybe you've always felt different than most, leaving you to question your identity and intuition. I've been there and even continue to do the work that allows me to feel grounded in my identity, and befriend my authentic self. At 31, all my quirky traits and unpopular opinions finally made sense, once I learned about and embraced my neurodivergent brain. There is no specific blueprint on who to be or how to live. We all have varying identities that make life exciting, challenging, and rewarding.
(216) 279-6861 View (216) 279-6861
Photo of Lawrence J Nichta Jr, PhD, Psychologist
Lawrence J Nichta Jr
Psychologist, PhD
Verified Verified
Lyndhurst, OH 44124
I have extensive training and experience in assessment of adult and child ADHD.
My education and background in philosophy and clinical psychology, and over 30 years in the field, help me assist individuals with a broad range of life difficulties (anxiety, depression, relationship difficulties), taking a rather wholistic approach to the person. I see my goal as helping individuals learn more about themselves (their hidden strengths and weaknesses) so they can build upon their strengths, minimize the effects of their weaknesses, and thus more efficiently and effectively face the concerns that are causing stress. To this end a number of self-report personality measures are administered which help identify strengths and weaknesses.
I have extensive training and experience in assessment of adult and child ADHD.
My education and background in philosophy and clinical psychology, and over 30 years in the field, help me assist individuals with a broad range of life difficulties (anxiety, depression, relationship difficulties), taking a rather wholistic approach to the person. I see my goal as helping individuals learn more about themselves (their hidden strengths and weaknesses) so they can build upon their strengths, minimize the effects of their weaknesses, and thus more efficiently and effectively face the concerns that are causing stress. To this end a number of self-report personality measures are administered which help identify strengths and weaknesses.
(216) 600-0826 View (216) 600-0826
Photo of Stephanie Brooke, LPCC, MSEd
Stephanie Brooke
Licensed Professional Clinical Counselor, LPCC, MSEd
Verified Verified
2 Endorsed
Cleveland, OH 44128  (Online Only)
Often, my clients are looking for support with anxiety, depression, trauma/PTSD, neurodivergence (ADHD/Autism), low self-esteem, postpartum depression/OCD, domestic violence survivors, grief, as well as many others.
Please go to my website for more information about us! I am SO proud of you for making it this far! I am passionate about working with teens and adults. I aim to provide supportive and understanding care while helping you reach all of your goals. It can be really challenging to learn new habits, process past trauma, hold ourselves accountable, and reach even the smallest of goals. My goal is to help you get to a point where you can be your best self. Healing isn't linear and sometimes we just need a little help reaching our goals!
Often, my clients are looking for support with anxiety, depression, trauma/PTSD, neurodivergence (ADHD/Autism), low self-esteem, postpartum depression/OCD, domestic violence survivors, grief, as well as many others.
Please go to my website for more information about us! I am SO proud of you for making it this far! I am passionate about working with teens and adults. I aim to provide supportive and understanding care while helping you reach all of your goals. It can be really challenging to learn new habits, process past trauma, hold ourselves accountable, and reach even the smallest of goals. My goal is to help you get to a point where you can be your best self. Healing isn't linear and sometimes we just need a little help reaching our goals!
(330) 449-4292 View (330) 449-4292
Photo of Jeffrey Michael Turell - Strive Mental Health and Wellness LLC, MD, MPH
Strive Mental Health and Wellness LLC
MD, MPH
Verified Verified
Shaker Heights, OH 44120
I have a deep understanding of the treatment of depression, anxiety, and ADHD.
Are you suffering while also getting the runaround? Are you given recommendations without being told how or where to accomplish them? Strive offers mental health services with a holistic perspective. We encourage optimized nutrition, physical activity, and sleep hygiene as the foundation for your mental health. Nutrition services and group fitness classes are available onsite. Next we address your mental health concerns, which may include medication, counseling, Transcranial Magnetic Stimulation(TMS), or acupuncture. Substance treatment services, including Suboxone for opiate addiction, are available.
I have a deep understanding of the treatment of depression, anxiety, and ADHD.
Are you suffering while also getting the runaround? Are you given recommendations without being told how or where to accomplish them? Strive offers mental health services with a holistic perspective. We encourage optimized nutrition, physical activity, and sleep hygiene as the foundation for your mental health. Nutrition services and group fitness classes are available onsite. Next we address your mental health concerns, which may include medication, counseling, Transcranial Magnetic Stimulation(TMS), or acupuncture. Substance treatment services, including Suboxone for opiate addiction, are available.
(216) 208-4536 View (216) 208-4536
Photo of Amanda Cheravitch, MA, LPC, Licensed Professional Counselor
Amanda Cheravitch
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Beachwood, OH 44122
Amanda specializes in ADHD assessments, but also focuses on anxiety disorders, as well as depression.
Amanda enjoys working with all ages but particularly likes working with 14 year olds up to adulthood.
Amanda specializes in ADHD assessments, but also focuses on anxiety disorders, as well as depression.
Amanda enjoys working with all ages but particularly likes working with 14 year olds up to adulthood.
(440) 659-2640 View (440) 659-2640
Photo of Amanda Vogel, MA,  LPCC
Amanda Vogel
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Beachwood, OH 44122
Amanda Vogel, LPCC, is a dedicated therapist at LifeStance Health, offering compassionate and personalized mental health services to clients in Ohio. She helps clients by first understanding the unique issues troubling them, providing support and validation for their struggles. Amanda’s approach includes gentle confrontation, skill development, and the transformation of unhelpful thoughts, empowering clients to make meaningful changes and achieve success in their lives. Amanda is particularly passionate about working with adolescents and young adults, especially those dealing with ADHD, anxiety, and PTSD.
Amanda Vogel, LPCC, is a dedicated therapist at LifeStance Health, offering compassionate and personalized mental health services to clients in Ohio. She helps clients by first understanding the unique issues troubling them, providing support and validation for their struggles. Amanda’s approach includes gentle confrontation, skill development, and the transformation of unhelpful thoughts, empowering clients to make meaningful changes and achieve success in their lives. Amanda is particularly passionate about working with adolescents and young adults, especially those dealing with ADHD, anxiety, and PTSD.
(216) 238-0091 View (216) 238-0091
Photo of Julie Janco-Gidley, PsyD, Psychologist
Julie Janco-Gidley
Psychologist, PsyD
Verified Verified
Beachwood, OH 44122
Her specialty areas include psychological testing, child and adolescent services, school issues (preschool thru graduate school), adjustment disorders/life transitions, anxiety disorders, attention deficit-hyperactivity disorder (ADHD), depression, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD) and women's issues.
Dr. Julie Janco-Gidley is a licensed psychologist who has been practicing since 2010. She received her B.A. in psychology from Case Western Reserve University, her M. A. from Cleveland State University in Clinical/Counseling Psychology, and her Ph.D. from The University of Akron in Counseling Psychology.
Her specialty areas include psychological testing, child and adolescent services, school issues (preschool thru graduate school), adjustment disorders/life transitions, anxiety disorders, attention deficit-hyperactivity disorder (ADHD), depression, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD) and women's issues.
Dr. Julie Janco-Gidley is a licensed psychologist who has been practicing since 2010. She received her B.A. in psychology from Case Western Reserve University, her M. A. from Cleveland State University in Clinical/Counseling Psychology, and her Ph.D. from The University of Akron in Counseling Psychology.
(216) 810-3072 View (216) 810-3072
Photo of Dr. Lynn Luna Jones, PhD, ABPP, Psychologist
Dr. Lynn Luna Jones
Psychologist, PhD, ABPP
Verified Verified
Hudson, OH 44237
Luna Jones provides psychological testing for a host of clinical issues, including, but not limited to, ADHD, autism, giftedness, learning disabilities, bipolar disorder, and neuropsychological concerns.
Dr. Lynn Luna Jones earned her Ph.D. in Counseling Psychology from Temple University in 2004 and is a licensed psychologist. She has 20 years of experience in the field of psychology and has worked with children, adolescents, and adults, providing individual, family, couples, and group counseling services. She specializes in diagnostic assessment and is skilled in administering intellectual, achievement, personality, vocational, adaptive functioning, and other specialized tests.
Luna Jones provides psychological testing for a host of clinical issues, including, but not limited to, ADHD, autism, giftedness, learning disabilities, bipolar disorder, and neuropsychological concerns.
Dr. Lynn Luna Jones earned her Ph.D. in Counseling Psychology from Temple University in 2004 and is a licensed psychologist. She has 20 years of experience in the field of psychology and has worked with children, adolescents, and adults, providing individual, family, couples, and group counseling services. She specializes in diagnostic assessment and is skilled in administering intellectual, achievement, personality, vocational, adaptive functioning, and other specialized tests.
(440) 306-3419 View (440) 306-3419
Photo of Aminah Brahim-Jimenez, LISW-S, Clinical Social Work/Therapist
Aminah Brahim-Jimenez
Clinical Social Work/Therapist, LISW-S
Verified Verified
Hudson, OH 44236
I assist children with anxiety, depression, ADHD, adjustment issues, and behavioral problems.
I have a master's degree from Case Western Reserve University and I am a supervising licensed independent social worker with over 20 years of experience. I have worked with children, adolescents, and adults in many settings including hospitals, schools, childcare centers, juvenile detention centers, adolescent residential treatment facilities, and outpatient community mental health centers. I especially love working with children and their families, assisting those as young as three years of age.
I assist children with anxiety, depression, ADHD, adjustment issues, and behavioral problems.
I have a master's degree from Case Western Reserve University and I am a supervising licensed independent social worker with over 20 years of experience. I have worked with children, adolescents, and adults in many settings including hospitals, schools, childcare centers, juvenile detention centers, adolescent residential treatment facilities, and outpatient community mental health centers. I especially love working with children and their families, assisting those as young as three years of age.
(234) 269-6200 View (234) 269-6200
Photo of Lauren Marie Roberts, JD, MSSA, LISW, Clinical Social Work/Therapist
Lauren Marie Roberts
Clinical Social Work/Therapist, JD, MSSA, LISW
Verified Verified
South Euclid, OH 44121  (Online Only)
I work with many clients are coping with histories of complex trauma, Post traumatic stress disorder (PTSD), Depression, Anxiety, and Attention-deficit/hyperactivity disorder (ADHD).
As your therapist, it’s my job to meet you where you’re at. What are you hoping to get out of therapy? Together, we can create a treatment plan and goals. Whether you’ve been in therapy for years or this is your first session, we will work together to figure out what will be most beneficial. Therapy sessions can look a variety of ways. Maybe it’s processing a recent trauma, identifying and breaking unhealthy patterns, or building skills. Our sessions will be a safe space where we can learn coping skills, build a better relationship with yourself and your body, figure out effective tactics for managing stress/anxiety, and more.
I work with many clients are coping with histories of complex trauma, Post traumatic stress disorder (PTSD), Depression, Anxiety, and Attention-deficit/hyperactivity disorder (ADHD).
As your therapist, it’s my job to meet you where you’re at. What are you hoping to get out of therapy? Together, we can create a treatment plan and goals. Whether you’ve been in therapy for years or this is your first session, we will work together to figure out what will be most beneficial. Therapy sessions can look a variety of ways. Maybe it’s processing a recent trauma, identifying and breaking unhealthy patterns, or building skills. Our sessions will be a safe space where we can learn coping skills, build a better relationship with yourself and your body, figure out effective tactics for managing stress/anxiety, and more.
(216) 616-8692 View (216) 616-8692
Photo of Haley Wheeler, LCSW, LISW, Clinical Social Work/Therapist
Haley Wheeler
Clinical Social Work/Therapist, LCSW, LISW
Verified Verified
4 Endorsed
Chagrin Falls, OH 44022  (Online Only)
Navigating ADHD, anxiety, and depression can feel like an uphill battle.
As a Licensed Clinical Social Worker with 20+ years of experience, I provide compassionate support to individuals facing emotional conflicts and daily challenges. My diverse background includes inpatient psychiatric centers and mobile crisis teams, enriching my private practice. I specialize in working with clients managing ADHD, depression, anxiety, bipolar disorder, and postpartum depression. My client-centered, empathic approach helps you achieve your goals and improve your quality of life. Together, we'll create strategies tailored to your needs, fostering resilience and a balanced, fulfilling life.
Navigating ADHD, anxiety, and depression can feel like an uphill battle.
As a Licensed Clinical Social Worker with 20+ years of experience, I provide compassionate support to individuals facing emotional conflicts and daily challenges. My diverse background includes inpatient psychiatric centers and mobile crisis teams, enriching my private practice. I specialize in working with clients managing ADHD, depression, anxiety, bipolar disorder, and postpartum depression. My client-centered, empathic approach helps you achieve your goals and improve your quality of life. Together, we'll create strategies tailored to your needs, fostering resilience and a balanced, fulfilling life.
(440) 530-6437 View (440) 530-6437
Photo of Jessica Emick, PhD, Psychologist
Jessica Emick
Psychologist, PhD
Verified Verified
Warrensville Heights, OH 44128
Is your child experiencing difficulties with social interactions or do you have concerns about their development? My mission is to provide clarity and insight into your child's developmental journey. With 15 years of experience, my passion is to help children facing developmental and neurodevelopmental challenges, including autism, anxiety, ADHD, and giftedness. By conducting thorough assessments to uncover your child's unique strengths and challenges, I can guide you with personalized, evidence-based recommendations.
Is your child experiencing difficulties with social interactions or do you have concerns about their development? My mission is to provide clarity and insight into your child's developmental journey. With 15 years of experience, my passion is to help children facing developmental and neurodevelopmental challenges, including autism, anxiety, ADHD, and giftedness. By conducting thorough assessments to uncover your child's unique strengths and challenges, I can guide you with personalized, evidence-based recommendations.
(216) 677-0416 View (216) 677-0416
Photo of Jack Arenberg, LSW, Clinical Social Work/Therapist
Jack Arenberg
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Cleveland Heights, OH 44106  (Online Only)
I believe therapy is a collaborative journey, where we set goals together for personal growth and healthy relationships. Every client has unique needs, and my role is to help you identify and understand them. In our sessions, you'll develop lasting coping skills to navigate life's challenges. Whether dealing with anxiety, trauma, ADHD, or other issues, our work together will empower you to lead a more fulfilling life. I help clients understand themselves better, develop resilience, and achieve meaningful change.
I believe therapy is a collaborative journey, where we set goals together for personal growth and healthy relationships. Every client has unique needs, and my role is to help you identify and understand them. In our sessions, you'll develop lasting coping skills to navigate life's challenges. Whether dealing with anxiety, trauma, ADHD, or other issues, our work together will empower you to lead a more fulfilling life. I help clients understand themselves better, develop resilience, and achieve meaningful change.
(216) 616-3005 View (216) 616-3005

See more therapy options for Bedford

ADHD Therapists

When should I seek treatment for ADHD?

You should seek treatment for ADHD if you consistently have difficulty with attention, hyperactivity, or impulsivity that interferes with your daily life. Symptoms of ADHD include the inability to sustain attention during tasks, difficulty organizing tasks and activities, being easily distracted, frequent fidgeting or squirming, and talking or interrupting excessively. If these symptoms interfere with your career, academics, or relationships—for example, consistently failing to complete professional projects on time—you should seek an evaluation for ADHD.

How does treatment for ADHD work?

Effective treatment for ADHD often consists of medication, behavioral therapy, and lifestyle changes. Stimulant medications such as Adderall and Ritalin work by altering levels of neurotransmitters in the brain; higher levels of dopamine and norepinephrine are known to improve attention and focus. Therapy works by helping people with ADHD understand the condition, discuss their areas of difficulty, and develop behavioral strategies to manage their symptoms. In some cases, modifying one’s diet and exercise can also help improve symptoms.

Are there specific medications for ADHD?

Medications to treat ADHD are generally stimulants, the most common are Adderall and Ritalin. There are two categories of stimulants: Amphetamines include Adderall, Dyanavel, Vyvanse, and Dexedrine, and methylphenidates include Ritalin, Concerta, Daytrana, Focalin, Quillichew, Quillivant, and Metadate. Non-stimulants and antidepressants may be used as an alternative if stimulants aren’t effective or viable for a particular patient.

How long does treatment for ADHD take?

It’s tough to give an exact time frame because everyone varies. In terms of medications, stimulants begin to work very soon after you take them, generally within the hour. It may take time to identify the right medication and dosage, but the medication itself is fast-acting. In terms of therapy, it takes time to develop skills and put them into practice, but you will likely see improvements within a few weeks or months.