Weight Loss Therapists in Pepper Pike, OH

Photo of Marc Lynn, LMFT, LPCC, Marriage & Family Therapist
Marc Lynn
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
6 Endorsed
Pepper Pike, OH 44124
It's important to note that I am NOT a Social Media influencer and your therapy will not end up anywhere outside the therapy office! Your feeling comfortable is a goal in therapy. Specifically, I specialize in working with COUPLES IN CRISIS, as well as with Men who are having difficulties in their relationships. I help couples navigate safely and WTHOUT BLAME through relational issues such as reactivity, betrayal, and intimacy issues and work towards a dialogue where both people feel seen and heard. In our work I come from a place that does not see people as problems but rather are suffering the effects of problems.
It's important to note that I am NOT a Social Media influencer and your therapy will not end up anywhere outside the therapy office! Your feeling comfortable is a goal in therapy. Specifically, I specialize in working with COUPLES IN CRISIS, as well as with Men who are having difficulties in their relationships. I help couples navigate safely and WTHOUT BLAME through relational issues such as reactivity, betrayal, and intimacy issues and work towards a dialogue where both people feel seen and heard. In our work I come from a place that does not see people as problems but rather are suffering the effects of problems.
(424) 250-0972 View (424) 250-0972
Photo of Raquel Garrett, ME, LPC, Licensed Professional Counselor
Raquel Garrett
Licensed Professional Counselor, ME, LPC
Verified Verified
Pepper Pike, OH 44124
Are you struggling with anxious or ruminating thoughts, restlessness, difficulty concentrating, lethargy, lack of motivation, or isolation, which may have been manageable previously but now is an issue? You may struggle with creating a support network or having boundaries with others. Are there unresolved trauma issues that you may not be acknowledging? You are looking for insight & help with your active symptoms, like managing your anxiety, ruminating thoughts, or negative self-talk. You would like to develop coping skills that are easily applicable to your daily routine while increasing the quality of your supports.
Are you struggling with anxious or ruminating thoughts, restlessness, difficulty concentrating, lethargy, lack of motivation, or isolation, which may have been manageable previously but now is an issue? You may struggle with creating a support network or having boundaries with others. Are there unresolved trauma issues that you may not be acknowledging? You are looking for insight & help with your active symptoms, like managing your anxiety, ruminating thoughts, or negative self-talk. You would like to develop coping skills that are easily applicable to your daily routine while increasing the quality of your supports.
(216) 424-5598 View (216) 424-5598
Photo of Holly Mundon, MSW , LISWS , CCTP , CDCA, Clinical Social Work/Therapist
Holly Mundon
Clinical Social Work/Therapist, MSW , LISWS , CCTP , CDCA
Verified Verified
Pepper Pike, OH 44124
Are you having struggles in your job or relationship? Have you been diagnosed with a mental illness and need coping skills as you learn to manage all that it entails? Do you need education, support, and encouragement? I work with grief/loss, trauma, Depression, Anxiety, coping skills & boundaries, relationship and job stressors, life transitions, and general support. I am passionate about helping those who are 'helping professions' and work with health professionals and first responders dealing with secondary trauma. We will work together to set goals for taking the next steps to feel better.
Are you having struggles in your job or relationship? Have you been diagnosed with a mental illness and need coping skills as you learn to manage all that it entails? Do you need education, support, and encouragement? I work with grief/loss, trauma, Depression, Anxiety, coping skills & boundaries, relationship and job stressors, life transitions, and general support. I am passionate about helping those who are 'helping professions' and work with health professionals and first responders dealing with secondary trauma. We will work together to set goals for taking the next steps to feel better.
(216) 859-4480 View (216) 859-4480
Photo of Matthew Escano, MA , LPCC, Licensed Professional Counselor
Matthew Escano
Licensed Professional Counselor, MA , LPCC
Verified Verified
Pepper Pike, OH 44124
I specialize in anxiety, depression, ADHD, various forms of addiction, autism, & more. Are your goals oriented towards reducing maladaptive symptoms, identifying the behaviors you wish to engage in, being the person you want to be, and, ultimately, the life you aspire to live? Do you desire change and growth & are willing to put the necessary effort in? As your counselor, I do not effect change; that responsibility belongs to you. I aim to empower you to recognize your innate strengths, develop them further, and effectively use them towards your goals in life.
I specialize in anxiety, depression, ADHD, various forms of addiction, autism, & more. Are your goals oriented towards reducing maladaptive symptoms, identifying the behaviors you wish to engage in, being the person you want to be, and, ultimately, the life you aspire to live? Do you desire change and growth & are willing to put the necessary effort in? As your counselor, I do not effect change; that responsibility belongs to you. I aim to empower you to recognize your innate strengths, develop them further, and effectively use them towards your goals in life.
(216) 616-8505 View (216) 616-8505
Photo of Macey Hawout, LPC, Licensed Professional Counselor
Macey Hawout
Licensed Professional Counselor, LPC
Verified Verified
Pepper Pike, OH 44124
Are you a young adult woman experiencing anxiety, depression, relationship issues, self-esteem issues, and even trauma? Self-discovery and creating/finding identity are goals I work best with. In my most recent job, I have found that domestic violence survivors and women who experience issues specific to being a woman have piqued my interest. As a therapist, the most rewarding thing is to guide women toward embracing themselves for who they are, heal past wounds, and empower them to live fully and authentically. I believe I have been given a purpose in this world to serve others, and that's what I was created to do.
Are you a young adult woman experiencing anxiety, depression, relationship issues, self-esteem issues, and even trauma? Self-discovery and creating/finding identity are goals I work best with. In my most recent job, I have found that domestic violence survivors and women who experience issues specific to being a woman have piqued my interest. As a therapist, the most rewarding thing is to guide women toward embracing themselves for who they are, heal past wounds, and empower them to live fully and authentically. I believe I have been given a purpose in this world to serve others, and that's what I was created to do.
(216) 616-5904 View (216) 616-5904
Photo of Sarah Dietrich, MSSA, LISW-S, Clinical Social Work/Therapist
Sarah Dietrich
Clinical Social Work/Therapist, MSSA, LISW-S
Verified Verified
2 Endorsed
Pepper Pike, OH 44124
Undeniably, I think one of the biggest challenges each of us faces is how to create a life that is fulfilling, meaningful, and authentic in a world that is hard and complicated. While I specialize in working with both men and women who are struggling with eating disorders, I also have experience working with people who are dealing with anxiety, depression, or other mood disorders, and with people who are just simply trying to find a better path both personally and professionally.
Undeniably, I think one of the biggest challenges each of us faces is how to create a life that is fulfilling, meaningful, and authentic in a world that is hard and complicated. While I specialize in working with both men and women who are struggling with eating disorders, I also have experience working with people who are dealing with anxiety, depression, or other mood disorders, and with people who are just simply trying to find a better path both personally and professionally.
(216) 925-4473 View (216) 925-4473
Photo of Suzanne Gord, MSEd, LPC, MA, Licensed Professional Counselor
Suzanne Gord
Licensed Professional Counselor, MSEd, LPC, MA
Verified Verified
Pepper Pike, OH 44124  (Online Only)
If you’re looking for a peaceful space to help you sort out stressful thoughts and discover new insights, I can help. As a person-centered counselor, I believe you have the potential to find the answers you seek. My role is to collaborate and guide you along the way. I’m a Certified Clinical Anxiety Treatment Professional (CCATP). This means I have specialized training in exploring the causes and treatment of anxiety and panic disorders. Along with talk therapy, I use techniques such as mindfulness, movement, grounding, and breathwork.
If you’re looking for a peaceful space to help you sort out stressful thoughts and discover new insights, I can help. As a person-centered counselor, I believe you have the potential to find the answers you seek. My role is to collaborate and guide you along the way. I’m a Certified Clinical Anxiety Treatment Professional (CCATP). This means I have specialized training in exploring the causes and treatment of anxiety and panic disorders. Along with talk therapy, I use techniques such as mindfulness, movement, grounding, and breathwork.
(216) 677-0398 View (216) 677-0398

More Therapists Nearby

Photo of Yvette Suzanne Williams - Yvette The Coach M.A., CMLC | Narcissistic Abuse , MA, CMLC, CDC, CHC
Yvette The Coach M.A., CMLC | Narcissistic Abuse
MA, CMLC, CDC, CHC
Verified Verified
Willoughby, OH 44095
NARCISSISTIC EMOTIONAL/Psychological abuse & IPV! Dealing with an abusive, hostile, high-profile professional, threatening the entire ecological system of yr life? Your partner, spouse, boss, co-worker, family member? Putting you down and/or threatening you & in the next breath telling you how much they love you? Are you drained, devalued, debilitated to exhaustion? Trivial demands? Isolation? Are you smothered? Is your hair falling out? Are your adrenals pumping? Are you denied sleep? Devouring your will is what the abuser wants so they can control. You must not have any space or feel emotion in the relationship: especially anger.
NARCISSISTIC EMOTIONAL/Psychological abuse & IPV! Dealing with an abusive, hostile, high-profile professional, threatening the entire ecological system of yr life? Your partner, spouse, boss, co-worker, family member? Putting you down and/or threatening you & in the next breath telling you how much they love you? Are you drained, devalued, debilitated to exhaustion? Trivial demands? Isolation? Are you smothered? Is your hair falling out? Are your adrenals pumping? Are you denied sleep? Devouring your will is what the abuser wants so they can control. You must not have any space or feel emotion in the relationship: especially anger.
(216) 284-6178 View (216) 284-6178
Photo of Martha (Marty) Laska, LPCC, LICDC, ACHT, Counselor
Martha (Marty) Laska
Counselor, LPCC, LICDC, ACHT
Verified Verified
Beachwood, OH 44122  (Online Only)
My style of counseling is straightforward and direct, but I do not tell you what to do, but help you to figure out what action is best for you. I use CBT (talk therapy ) and Person Centered Therapy, as well as hypnotherapy. I have helped hundreds of people struggling with depression, anxiety , addiction and those in the LGBTQ+ community. I have been doing this a long time and understand we all make mistakes. I believe the important thing is to be willing to work for change.
My style of counseling is straightforward and direct, but I do not tell you what to do, but help you to figure out what action is best for you. I use CBT (talk therapy ) and Person Centered Therapy, as well as hypnotherapy. I have helped hundreds of people struggling with depression, anxiety , addiction and those in the LGBTQ+ community. I have been doing this a long time and understand we all make mistakes. I believe the important thing is to be willing to work for change.
(216) 465-6231 View (216) 465-6231
Photo of Yocheved Davidowitz, MC, LPCC, INHC, Licensed Professional Counselor
Yocheved Davidowitz
Licensed Professional Counselor, MC, LPCC, INHC
Verified Verified
1 Endorsed
Beachwood, OH 44122
It’s not about me. It’s about you. My goal in therapy is to help my clients with their struggles, whether it be anxiety, relationship issues, or stress and coping. Every client is unique. Therapy is not a one-size-fits-all process. My approach to each client is as individualized as they are. I work with women who are struggling with anxiety, grief, relationships, parenting, and life stressors. I also work with couples seeking marriage and relationship counseling. Emotional health is about having healthy relationships with ourselves, our family, and friends.
It’s not about me. It’s about you. My goal in therapy is to help my clients with their struggles, whether it be anxiety, relationship issues, or stress and coping. Every client is unique. Therapy is not a one-size-fits-all process. My approach to each client is as individualized as they are. I work with women who are struggling with anxiety, grief, relationships, parenting, and life stressors. I also work with couples seeking marriage and relationship counseling. Emotional health is about having healthy relationships with ourselves, our family, and friends.
(347) 658-3981 View (347) 658-3981
Photo of Lauren Kustec, LPCC
Lauren Kustec
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Solon, OH 44139
Lauren Kustec is a Licensed Professional Clinical Counselor who earned her Master’s Degree in Clinical Mental Health Counseling from The University of Akron and her Bachelor’s Degree in Psychology from Franciscan University of Steubenville. Lauren has experience working with individuals, couples, and families from various backgrounds and of all ages. Lauren has provided treatment to individuals with anxiety, depression, mood disorders, adjustment disorders, PTSD, personality disorders, and other mental health issues that impact daily living.
Lauren Kustec is a Licensed Professional Clinical Counselor who earned her Master’s Degree in Clinical Mental Health Counseling from The University of Akron and her Bachelor’s Degree in Psychology from Franciscan University of Steubenville. Lauren has experience working with individuals, couples, and families from various backgrounds and of all ages. Lauren has provided treatment to individuals with anxiety, depression, mood disorders, adjustment disorders, PTSD, personality disorders, and other mental health issues that impact daily living.
(440) 754-7967 View (440) 754-7967
Photo of Laura Burns, PhD, PCC-S, Psychologist
Laura Burns
Psychologist, PhD, PCC-S
Verified Verified
1 Endorsed
Willoughby, OH 44094
When people reach out for help in dealing with life stressors, I respond in a timely, compassionate, respectful manner and seek to form a therapeutic relationship built on acceptance and trust. I help patients to find new ways to use their existing strengths in areas they find stressful and difficult. I seek out and harness their motivation to change and to enhance coping skills to effectively manage ongoing difficulties and to construct a life worth living. Therapy is a partnership that assists in functioning effectively in the present.
When people reach out for help in dealing with life stressors, I respond in a timely, compassionate, respectful manner and seek to form a therapeutic relationship built on acceptance and trust. I help patients to find new ways to use their existing strengths in areas they find stressful and difficult. I seek out and harness their motivation to change and to enhance coping skills to effectively manage ongoing difficulties and to construct a life worth living. Therapy is a partnership that assists in functioning effectively in the present.
(440) 544-5040 View (440) 544-5040
Photo of Tara N. Tozzi, PsyD, Psychologist
Tara N. Tozzi
Psychologist, PsyD
Verified Verified
4 Endorsed
Solon, OH 44139
Thank you for viewing my profile. I specialize in working with children, adolescents, and young adults with a wide range of presenting issues and specialize in treating eating disorders, body image disturbances, depression and other mood disorders, personality difficulties, relationship struggles, and anxiety/panic disorder. I also specialize in psychological/psychoeducational testing to assess learning abilities, attention, cognitive skills, and intelligence. My treatment approach is very individualized and I tend to focus on both current symptoms/behaviors and the origins of a person's struggles. I also believe in creating a relaxed and natural relationship full of compassion and humor.
Thank you for viewing my profile. I specialize in working with children, adolescents, and young adults with a wide range of presenting issues and specialize in treating eating disorders, body image disturbances, depression and other mood disorders, personality difficulties, relationship struggles, and anxiety/panic disorder. I also specialize in psychological/psychoeducational testing to assess learning abilities, attention, cognitive skills, and intelligence. My treatment approach is very individualized and I tend to focus on both current symptoms/behaviors and the origins of a person's struggles. I also believe in creating a relaxed and natural relationship full of compassion and humor.
(330) 248-7899 View (330) 248-7899
Photo of Jenny Eish, LPC, R-DMT, Licensed Professional Counselor
Jenny Eish
Licensed Professional Counselor, LPC, R-DMT
Verified Verified
Chagrin Falls, OH 44022  (Online Only)
The struggles we face as we travel through life may leave us feeling like a piece of the self has been cracked, chipped away, covered up, or like shadows have formed within one’s self. In relationships it may feel like there is something wrong, but difficult to pinpoint what. Whatever brought you here, you have taken the first step, moving towards becoming more whole and changing your life for the better. Through a collaborative approach, my goal is to help you put the pieces together in a way that feels best to you, so that you may move forward in your life towards a happier and more fulfilling future.
The struggles we face as we travel through life may leave us feeling like a piece of the self has been cracked, chipped away, covered up, or like shadows have formed within one’s self. In relationships it may feel like there is something wrong, but difficult to pinpoint what. Whatever brought you here, you have taken the first step, moving towards becoming more whole and changing your life for the better. Through a collaborative approach, my goal is to help you put the pieces together in a way that feels best to you, so that you may move forward in your life towards a happier and more fulfilling future.
(440) 271-8512 View (440) 271-8512
Photo of Leah Schilling - Beyond Healthcare - Westlake, OH, LPCC-S
Beyond Healthcare - Westlake, OH
LPCC-S
Verified Verified
Beachwood, OH 44122
Adolescent Mental Healthcare with No Wait! Beyond Healthcare specializes in full-day and afterschool mental health programs for youth ages 8-17 years old. Med Evaluation and follow-up. We support youth navigating complex emotional and behavioral challenges. Our comprehensive programs cater to adolescents struggling with issues like ODD, ADHD, depression, anxiety, and more. By offering both diagnosis and targeted treatment, we ensure each youth receives the personalized care they need in a structured, nurturing environment.
Adolescent Mental Healthcare with No Wait! Beyond Healthcare specializes in full-day and afterschool mental health programs for youth ages 8-17 years old. Med Evaluation and follow-up. We support youth navigating complex emotional and behavioral challenges. Our comprehensive programs cater to adolescents struggling with issues like ODD, ADHD, depression, anxiety, and more. By offering both diagnosis and targeted treatment, we ensure each youth receives the personalized care they need in a structured, nurturing environment.
(330) 574-8647 View (330) 574-8647
Photo of Patricia Lynn Saddle, MA, LSW, Clinical Social Work/Therapist
Patricia Lynn Saddle
Clinical Social Work/Therapist, MA, LSW
Verified Verified
Woodmere, OH 44122
Feeling overwhelmed and stuck? Looking to make changes but not sure how to move forward? Perhaps I can help. My experience working in business, healthcare, college counseling, and mental health has given me a range of skills and the ability to work with issues related to adolescents and adults dealing with life transitions. My role as a counselor is to empower clients so they can move forward. Depending on the situation, my approach ranges from a gentle nudge to direct suggestions. I specialize in working with students, adult clients, adults with perfectionist thinking and ADHD, and high functioning autism. LGBTQ+ friendly.
Feeling overwhelmed and stuck? Looking to make changes but not sure how to move forward? Perhaps I can help. My experience working in business, healthcare, college counseling, and mental health has given me a range of skills and the ability to work with issues related to adolescents and adults dealing with life transitions. My role as a counselor is to empower clients so they can move forward. Depending on the situation, my approach ranges from a gentle nudge to direct suggestions. I specialize in working with students, adult clients, adults with perfectionist thinking and ADHD, and high functioning autism. LGBTQ+ friendly.
(216) 584-9302 View (216) 584-9302
Photo of Carrie R Burick, ATR, PCC-S, S, Counselor
Carrie R Burick
Counselor, ATR, PCC-S, S
Verified Verified
1 Endorsed
Solon, OH 44139
I am a registered art therapist and professional clinical counselor and enjoy working collaboratively with clients to harness your own personal empowerment. I believe that self-care and wellness are a personal and professional priority. I help to teach clients how to embrace wellness techniques, while building awareness, in order to reach your own therapeutic goals.
I am a registered art therapist and professional clinical counselor and enjoy working collaboratively with clients to harness your own personal empowerment. I believe that self-care and wellness are a personal and professional priority. I help to teach clients how to embrace wellness techniques, while building awareness, in order to reach your own therapeutic goals.
(216) 592-8634 View (216) 592-8634
Photo of Ja' Nitta Marbury, PhD, PCC-S, CHT, Counselor
Ja' Nitta Marbury
Counselor, PhD, PCC-S, CHT
Verified Verified
3 Endorsed
Maple Heights, OH 44137
I have more than 10 years of experience working in the mental health field. My experience in the field includes research, private practice, community service, publication, professional presentation nationally and internationally, academic instruction, and mentoring. Marbury & Associates is located in Maple Heights, Ohio. I provide in-person and telehealth counseling services. I provide specialized services for counseling the culturally diverse. We also provide hypnosis and NeuroAdvantage trainer services.
I have more than 10 years of experience working in the mental health field. My experience in the field includes research, private practice, community service, publication, professional presentation nationally and internationally, academic instruction, and mentoring. Marbury & Associates is located in Maple Heights, Ohio. I provide in-person and telehealth counseling services. I provide specialized services for counseling the culturally diverse. We also provide hypnosis and NeuroAdvantage trainer services.
(216) 586-6183 View (216) 586-6183
Photo of Tom Gigliotti, LISW-S, ACHT, SAP, Clinical Social Work/Therapist
Tom Gigliotti
Clinical Social Work/Therapist, LISW-S, ACHT, SAP
Verified Verified
5 Endorsed
Lyndhurst, OH 44124
I have 38 years experience as a life change specialist. If you want to feel better today book an appointment now. The experience I have as teacher and research specialist will give you the life you want today. My clients come from all walks of life and have indicated what they most like is my client-centered approach to treatment. If you are ready to do a deep dive into life and and create the life you have been aspiring to by removing blocks to healthy living then call me and set up an appt. I provide video mental health tips also on my YouTube channel which is (use the character (at) tomgigliotti6677.
I have 38 years experience as a life change specialist. If you want to feel better today book an appointment now. The experience I have as teacher and research specialist will give you the life you want today. My clients come from all walks of life and have indicated what they most like is my client-centered approach to treatment. If you are ready to do a deep dive into life and and create the life you have been aspiring to by removing blocks to healthy living then call me and set up an appt. I provide video mental health tips also on my YouTube channel which is (use the character (at) tomgigliotti6677.
(714) 582-4009 View (714) 582-4009
Photo of Dr. Psyche (Huanzhen) Xu Clinical Psychologist, PhD, Psychologist
Dr. Psyche (Huanzhen) Xu Clinical Psychologist
Psychologist, PhD
Verified Verified
Cleveland Heights, OH 44106
Waitlist for new clients
Thank you for reviewing my page, and a round of applause to you for showing up for your psychological wellbeing today. I am Dr. Psyche and I came from a multicultural background. My personal life experience and my precious encounters with a diverse clientele have taught me one of the most important elements of any effective interpersonal interactions - flexibility. I strive to offer a flexible space for the exploration of "self", a voice that may have been drowned out over time by the constant distractions surrounding us and changes that we endured, yet a voice so important that guide your actions and create the life you are living.
Thank you for reviewing my page, and a round of applause to you for showing up for your psychological wellbeing today. I am Dr. Psyche and I came from a multicultural background. My personal life experience and my precious encounters with a diverse clientele have taught me one of the most important elements of any effective interpersonal interactions - flexibility. I strive to offer a flexible space for the exploration of "self", a voice that may have been drowned out over time by the constant distractions surrounding us and changes that we endured, yet a voice so important that guide your actions and create the life you are living.
(216) 677-4060 View (216) 677-4060

See more therapy options for Pepper Pike

Weight Loss Therapists

What is the relationship between weight management and mental health?

Mental health can be significantly influenced by one's physical health, so overall improvements in one's quality of life as a result of improved physical functioning from weight loss can have an overall positive impact on an individual's mental health and allow them to engage more readily in everyday activities. In addition, many strategies used to manage weight, such as exercise and maintaining a healthy diet, are also associated with reducing the symptoms of common mental health conditions, such as anxiety or depression. Individuals may also benefit from the improved self-esteem and self-efficacy that can come with successful weight management.

What is the psychological approach to losing weight?

While there are no specific therapy modalities specifically for weight loss, common psychological therapies can be highly effective in helping clients make lasting lifestyle changes. This may be called the "psychological approach" to weight loss because it does not rely on physical interventions, such as medication or weight loss surgery, to help clients lose weight. Weight loss counseling can be used in addition to or instead of such physical interventions. Some clients simply seek therapy to address the challenges that may accompany weight loss in general, including negative thoughts surrounding their body, disordered eating patterns, or difficulty completing daily tasks as a result of their weight challenges. In such cases, therapists will often utilize behavioral coaching or Cognitive Behavioral Therapy techniques to help clients understand how their thoughts may be influencing their diet and physical activity patterns.

What type of therapy is commonly used in weight loss counseling?

Weight loss counseling often involves a combination of therapy and psychoeducation. Common techniques used by weight loss counselors include journaling, thought diaries, and other Cognitive Behavioral Therapy strategies that encourage clients to consider how their feelings about their weight loss impact their mental health. Weight loss counselors may also teach clients mindfulness exercises, which can be used by clients during and after eating to be more aware of physical cues from their body surrounding eating. Some clients looking for weight loss therapy may also benefit from group therapy approaches, which utilize the power of social connection and accountability to help clients adhere to their weight loss plan.

Is therapy recommended for individuals undergoing bariatric surgery?

While therapy is not a requirement for individuals undergoing bariatric surgery, many individuals undergoing weight loss surgery may benefit from seeing a counselor. Prior to surgery, counselors can help clients decide whether surgical weight loss is a good fit for them and assist in surgery preparation. Post-surgery, counselors can assist clients with the psychological component of maintaining their weight loss, as well as help clients navigate any postoperative pain. Throughout the surgical process, therapists can help clients process body-image challenges that may come with dramatic changes in weight, as well as manage symptoms of anxiety or depression that may accompany the major life changes bariatric surgery can bring.