Chronic Illness Therapists in Elkins Park, PA

Photo of Rebecca N Cherry, MD, MPH
Rebecca N Cherry
MD, MPH
Verified Verified
1 Endorsed
Elkins Park, PA 19027
I now offer medically informed treatment of children and adults with a wide range of symptoms related to chronic illness and anxiety.
Patients with chronic symptoms are often told by doctors that there is nothing wrong with them, or that they "just have to live with it." Parents are told that they should wait for their child to "outgrow it." Those answers are dismissive and inadequate. I welcome those with the kind of frustrating, persistent symptoms which have not been resolved with standard medical care alone, and those who wish to enhance their medical care with directed mind-body techniques. Please be aware that I am NOT a psychotherapist or psychiatrist and that I do NOT prescribe antidepressants or do psychiatric medication management.
I now offer medically informed treatment of children and adults with a wide range of symptoms related to chronic illness and anxiety.
Patients with chronic symptoms are often told by doctors that there is nothing wrong with them, or that they "just have to live with it." Parents are told that they should wait for their child to "outgrow it." Those answers are dismissive and inadequate. I welcome those with the kind of frustrating, persistent symptoms which have not been resolved with standard medical care alone, and those who wish to enhance their medical care with directed mind-body techniques. Please be aware that I am NOT a psychotherapist or psychiatrist and that I do NOT prescribe antidepressants or do psychiatric medication management.
(484) 209-1845 View (484) 209-1845
Photo of Miriam Franco, PsyD, MSW, MSCS, Psychologist
Miriam Franco
Psychologist, PsyD, MSW, MSCS
Verified Verified
Elkins Park, PA 19027  (Online Only)
In my practice with adults, I address a range of issues from emotional stress, grief, anxiety, depression, and relational issues. I also specialize in helping people cope with health conditions and chronic illness/pain. I incorporate a psycho-dynamic and relational analytic orientation to my work. I engage clients in a process of greater reflection and mindfulness and guide them to learn how to lower reactivity, stress and anxiety. I provide a holistic approach including reducing symptoms that limit quality of life and improving one's awareness of self-experiences that hinder greater personal freedom, growth and healing.
In my practice with adults, I address a range of issues from emotional stress, grief, anxiety, depression, and relational issues. I also specialize in helping people cope with health conditions and chronic illness/pain. I incorporate a psycho-dynamic and relational analytic orientation to my work. I engage clients in a process of greater reflection and mindfulness and guide them to learn how to lower reactivity, stress and anxiety. I provide a holistic approach including reducing symptoms that limit quality of life and improving one's awareness of self-experiences that hinder greater personal freedom, growth and healing.
(610) 225-6006 View (610) 225-6006
Photo of Laurel J Buxbaum, PsyD, Psychologist
Laurel J Buxbaum
Psychologist, PsyD
Verified Verified
Elkins Park, PA 19027  (Online Only)
As a dedicated and experienced psychologist, I offer compassionate support for a range of challenges. I have particular expertise in addressing health-related concerns and stress, whether related to personal medical issues or those of a family member. More broadly, my practice focuses on anxiety, depression, relationship issues, life transitions, work-related stress, and family conflicts. While I find great fulfillment working with college-age and young adults, I am passionate about providing guidance and support to individuals of all ages. My goal is to help you navigate your struggles and achieve a healthier, more balanced life.
As a dedicated and experienced psychologist, I offer compassionate support for a range of challenges. I have particular expertise in addressing health-related concerns and stress, whether related to personal medical issues or those of a family member. More broadly, my practice focuses on anxiety, depression, relationship issues, life transitions, work-related stress, and family conflicts. While I find great fulfillment working with college-age and young adults, I am passionate about providing guidance and support to individuals of all ages. My goal is to help you navigate your struggles and achieve a healthier, more balanced life.
(267) 458-2576 View (267) 458-2576
Photo of Robert F. X. O'Brien, MS, ATR, LPC, Licensed Professional Counselor
Robert F. X. O'Brien
Licensed Professional Counselor, MS, ATR, LPC
Verified Verified
1 Endorsed
Elkins Park, PA 19027
To me, therapy is a precious gift we give ourselves. It's an invaluable tool that enables us to enrich and make sense of our lives. During times of uncertainty, it can help us find comfort and clarity. I believe that human beings have an innate ability to create, know, and love our lives and ourselves. I work with my clients to build a supportive relationship outside the context of their family or loved ones. Together, we explore and seek self-understanding. We use creativity as our vehicle to stay open to possibility even in the most challenging of circumstances.
To me, therapy is a precious gift we give ourselves. It's an invaluable tool that enables us to enrich and make sense of our lives. During times of uncertainty, it can help us find comfort and clarity. I believe that human beings have an innate ability to create, know, and love our lives and ourselves. I work with my clients to build a supportive relationship outside the context of their family or loved ones. Together, we explore and seek self-understanding. We use creativity as our vehicle to stay open to possibility even in the most challenging of circumstances.
(267) 297-4311 View (267) 297-4311
Photo of Doris Ferleger, PhD, MFA, Psychologist
Doris Ferleger
Psychologist, PhD, MFA
Verified Verified
Elkins Park, PA 19027
INDIVIDUAL THERAPY With compassion and understanding gained from over 38 years of professional experience, and over fifteen years studying compassion and mindfulness-based healing approaches, I provide empathetic support, deep listening and insight, constructive feedback, and effective coping and communication skills to help clients address current life challenges and long-standing inner and outer conflicts.
INDIVIDUAL THERAPY With compassion and understanding gained from over 38 years of professional experience, and over fifteen years studying compassion and mindfulness-based healing approaches, I provide empathetic support, deep listening and insight, constructive feedback, and effective coping and communication skills to help clients address current life challenges and long-standing inner and outer conflicts.
(267) 710-9033 View (267) 710-9033
Photo of Tina E Presbery - Aadeliya Counseling Practice LLC, LPC, RN, CAADC, Licensed Professional Counselor
Aadeliya Counseling Practice LLC
Licensed Professional Counselor, LPC, RN, CAADC
Verified Verified
1 Endorsed
Elkins Park, PA 19027
You desire to improve your mental health wellness, empower yourself in everyday life decisions, and confront unresolved childhood trauma, family dynamics, relationships, and/or trust issues. You long for a life filled with peace, inner joy that makes you smile, love, loyalty, and respect of family, romantic partner, and friends. You have been searching for a therapist who can comprehend your history, offer assistance, and support you through your healing journey concerning the matters of your heart.
You desire to improve your mental health wellness, empower yourself in everyday life decisions, and confront unresolved childhood trauma, family dynamics, relationships, and/or trust issues. You long for a life filled with peace, inner joy that makes you smile, love, loyalty, and respect of family, romantic partner, and friends. You have been searching for a therapist who can comprehend your history, offer assistance, and support you through your healing journey concerning the matters of your heart.
(267) 443-6377 View (267) 443-6377
Photo of Loretta Eberle, MA, LPC, Licensed Professional Counselor
Loretta Eberle
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Elkins Park, PA 19027  (Online Only)
I successfully work with adults, adolescents, children, and families by using evidence-based techniques such as Cognitive Behavioral (CBT), Mindfulness, Trauma-Focused Cognitive Behavioral (TF-CBT), and Eco-Systemic Family (ESFT) therapies. I implement these techniques by personalizing them to your specific therapeutic journey so that you and your family can learn the skills needed to persevere over depression, anxiety, and trauma while also mastering interventions that can aid you in improving your communication and social skills.
I successfully work with adults, adolescents, children, and families by using evidence-based techniques such as Cognitive Behavioral (CBT), Mindfulness, Trauma-Focused Cognitive Behavioral (TF-CBT), and Eco-Systemic Family (ESFT) therapies. I implement these techniques by personalizing them to your specific therapeutic journey so that you and your family can learn the skills needed to persevere over depression, anxiety, and trauma while also mastering interventions that can aid you in improving your communication and social skills.
(267) 733-6060 x701 View (267) 733-6060 x701
Photo of Robert Tanenbaum, PhD, Psychologist
Robert Tanenbaum
Psychologist, PhD
Verified Verified
Elkins Park, PA 19027
Leading a healthy, fulfilling, and successful life often involves managing complex circumstances and responsibilities -- whether personal, family-related, or occupational. With 30 + years of clinical practice, my experience has taught me that each and every person encounters unique challenges requiring creative, committed and broadminded resolutions. You can rest assured that you will receive caring and compassionate assistance with your concerns.
Leading a healthy, fulfilling, and successful life often involves managing complex circumstances and responsibilities -- whether personal, family-related, or occupational. With 30 + years of clinical practice, my experience has taught me that each and every person encounters unique challenges requiring creative, committed and broadminded resolutions. You can rest assured that you will receive caring and compassionate assistance with your concerns.
(610) 572-2252 View (610) 572-2252
Photo of Marsha J Friedman, PhD, Psychologist
Marsha J Friedman
Psychologist, PhD
Verified Verified
Elkins Park, PA 19027
The challenges of recent years and their unique stresses and isolation may have increased the feeling that no one understands the difficult world that you carry around inside. Seeking therapy is an important decision that may mean you are ready to grow and change and understand more fully the roadblocks that get in the way of living the life you want for yourself. You are seeking an experienced, empathic and trusted professional who will come to learn your inner landscape along with you and will support and guide you as you make the changes you seek. Together we will work toward your creating a more joyful and meaningful life.
The challenges of recent years and their unique stresses and isolation may have increased the feeling that no one understands the difficult world that you carry around inside. Seeking therapy is an important decision that may mean you are ready to grow and change and understand more fully the roadblocks that get in the way of living the life you want for yourself. You are seeking an experienced, empathic and trusted professional who will come to learn your inner landscape along with you and will support and guide you as you make the changes you seek. Together we will work toward your creating a more joyful and meaningful life.
(215) 240-1305 View (215) 240-1305
Photo of Jessica B Covitz, MSW, LCSW, Clinical Social Work/Therapist
Jessica B Covitz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Elkins Park, PA 19027  (Online Only)
Sometimes we look around and life is not the way we want it to be: full of disappointment, stress, sadness or loss. Sometimes we need help finding our way. In my practice, I seek to create a compassionate, supportive space for collaborative exploration, growth and positive change. I create a place where you can be seen and acknowledged, and you can give words to feelings and experiences, to discover greater understanding and self- awareness. When we understand our patterns of behaviors and feelings, we can free ourselves of the unwanted burdens that weigh us down, and live more fully and happily in the present.
Sometimes we look around and life is not the way we want it to be: full of disappointment, stress, sadness or loss. Sometimes we need help finding our way. In my practice, I seek to create a compassionate, supportive space for collaborative exploration, growth and positive change. I create a place where you can be seen and acknowledged, and you can give words to feelings and experiences, to discover greater understanding and self- awareness. When we understand our patterns of behaviors and feelings, we can free ourselves of the unwanted burdens that weigh us down, and live more fully and happily in the present.
(215) 740-7681 View (215) 740-7681

More Therapists Nearby

Photo of Doris Ferleger, PhD, MFA, Psychologist
Doris Ferleger
Psychologist, PhD, MFA
Verified Verified
Wyncote, PA 19095
Chronic illness.
"Intimate relationships are at the core of our emotional life." Nedra Fetterman. —All of us, born, nurtured, pleasured, disappointed and wounded in relationship. With over 30 years as an individual and couples therapist, trained in Imago and Real Dialogue, I am committed to helping you learn and practice, individually or in a couple, honoring your needds, clarifying clear intentions, honing dialogue tools and co-creating a safe environment for growth, healing, living with more ease and regaining joy.
Chronic illness.
"Intimate relationships are at the core of our emotional life." Nedra Fetterman. —All of us, born, nurtured, pleasured, disappointed and wounded in relationship. With over 30 years as an individual and couples therapist, trained in Imago and Real Dialogue, I am committed to helping you learn and practice, individually or in a couple, honoring your needds, clarifying clear intentions, honing dialogue tools and co-creating a safe environment for growth, healing, living with more ease and regaining joy.
(215) 234-1211 View (215) 234-1211
Photo of Elizabeth McElroy, LCSW, Clinical Social Work/Therapist
Elizabeth McElroy
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Cheltenham, PA 19012
Grief can be related to the death of a loved one; a chronic illness; or as a part of getting older.
Finding a therapist (for the first time ever or just the first time in awhile) can be overwhelming; I can make it easier for you. If you are grieving a loss, managing a chronic illness, or having trouble adjusting to changes in your life, I can help. You are the expert in your own life; I want to empower you to tell your story without fear of judgment. My role in our work together is to listen to your struggles, remind you of your strengths, and find a way to honor your losses.
Grief can be related to the death of a loved one; a chronic illness; or as a part of getting older.
Finding a therapist (for the first time ever or just the first time in awhile) can be overwhelming; I can make it easier for you. If you are grieving a loss, managing a chronic illness, or having trouble adjusting to changes in your life, I can help. You are the expert in your own life; I want to empower you to tell your story without fear of judgment. My role in our work together is to listen to your struggles, remind you of your strengths, and find a way to honor your losses.
(215) 608-6953 View (215) 608-6953
Photo of Wendell Scanterbury, PhD, MFT, CGCS
Wendell Scanterbury
PhD, MFT, CGCS
Verified Verified
Jenkintown, PA 19046
Dr. Wendell Scanterbury is a Marriage and Family Therapist who supports individuals, couples, and families facing various life and relationship setbacks such as strained partnerships, anxiety and depression, grief, phobias, chronic illness, and diminished self-image. His clinical development includes several years working with and caring for people living with cancer, grieving loss, vulnerable youth, and separated families. Dr. Scanterbury’s clinical approaches to therapy include Ecosystemic Structural Family Therapy (ESFT), Emotionally Focused Therapy (EFT), Prepare/Enrich, Gottman Method Couple’s Therapy, and biofeedback.
Dr. Wendell Scanterbury is a Marriage and Family Therapist who supports individuals, couples, and families facing various life and relationship setbacks such as strained partnerships, anxiety and depression, grief, phobias, chronic illness, and diminished self-image. His clinical development includes several years working with and caring for people living with cancer, grieving loss, vulnerable youth, and separated families. Dr. Scanterbury’s clinical approaches to therapy include Ecosystemic Structural Family Therapy (ESFT), Emotionally Focused Therapy (EFT), Prepare/Enrich, Gottman Method Couple’s Therapy, and biofeedback.
(833) 548-1027 View (833) 548-1027
Photo of Kelly McClure, PhD, ABPP, Psychologist
Kelly McClure
Psychologist, PhD, ABPP
Verified Verified
Wyndmoor, PA 19038
Are you struggling with ADHD, cancer, chronic illness, or anxiety & depression, and looking to make some lasting changes in your life? Maybe some of these sound familiar: feeling overwhelmed, your mind constantly racing with thoughts of everything that could go wrong, endlessly scrolling online, procrastinating & scrambling to meet deadlines, or feeling unsure about how to navigate life after a medical diagnosis or treatment. Perhaps you've been hoping things will get better with time. You've tried hard to break free from the cycle you're in, but you’re ready to try something different. I would love to hear from you.
Are you struggling with ADHD, cancer, chronic illness, or anxiety & depression, and looking to make some lasting changes in your life? Maybe some of these sound familiar: feeling overwhelmed, your mind constantly racing with thoughts of everything that could go wrong, endlessly scrolling online, procrastinating & scrambling to meet deadlines, or feeling unsure about how to navigate life after a medical diagnosis or treatment. Perhaps you've been hoping things will get better with time. You've tried hard to break free from the cycle you're in, but you’re ready to try something different. I would love to hear from you.
(267) 662-1415 View (267) 662-1415
Photo of Susan Karol Martel, EdM
Susan Karol Martel
EdM
Verified Verified
Philadelphia, PA 19119
With 40 years of experience, I work with individuals and couples, straight and gay, African Americans, Caucasians and other racial and ethnic groups as well as other therapists helping with their unique life challenges. I also work with those having chronic illness and cancer. Challenge and loss are inevitable-- whether they be associated with love, family, health or trust or over how we hoped our life would turn out. Living well means learning a repertoire to deal with challenges so we don't remain stuck, angry or depressed.
With 40 years of experience, I work with individuals and couples, straight and gay, African Americans, Caucasians and other racial and ethnic groups as well as other therapists helping with their unique life challenges. I also work with those having chronic illness and cancer. Challenge and loss are inevitable-- whether they be associated with love, family, health or trust or over how we hoped our life would turn out. Living well means learning a repertoire to deal with challenges so we don't remain stuck, angry or depressed.
(215) 995-5164 View (215) 995-5164
Photo of Ashley Borders, PhD, Psychologist
Ashley Borders
Psychologist, PhD
Verified Verified
Wyncote, PA 19095
In addition to working with people struggling with anxiety, depression, relationship problems, loneliness, and chronic illness, I also specialize in helping people cope with minority stressors and identity issues.
Hello. I am a clinical psychologist offering individual, psychodynamic/psychoanalytic therapy to college students, adults, and seniors. I believe that the path to decreased suffering and symptoms lies in understanding how thoughts and feelings (especially those you may be unaware of) influence your behavior, life choices, and relationships. In a caring, collaborative relationship, we work to understand ways that your current struggles reflect repeated patterns derived from your past and inner conflicts...so that you can become more content and confident in who you are, and have a greater sense of freedom in your life.
In addition to working with people struggling with anxiety, depression, relationship problems, loneliness, and chronic illness, I also specialize in helping people cope with minority stressors and identity issues.
Hello. I am a clinical psychologist offering individual, psychodynamic/psychoanalytic therapy to college students, adults, and seniors. I believe that the path to decreased suffering and symptoms lies in understanding how thoughts and feelings (especially those you may be unaware of) influence your behavior, life choices, and relationships. In a caring, collaborative relationship, we work to understand ways that your current struggles reflect repeated patterns derived from your past and inner conflicts...so that you can become more content and confident in who you are, and have a greater sense of freedom in your life.
(267) 376-2348 View (267) 376-2348
Photo of Abigail Abbas - Arcline Associates Counsel Services, LLC, MSW, LCSW, Clinical Social Work/Therapist
Arcline Associates Counsel Services, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Philadelphia, PA 19126
Smile! Our specialties include GeriCare© (older adults with complicated grief/loss); chronic illness/pain; depression; relationships; coping; acceptance; D&A. Conflict Resolution: Adolescent behavioral & school conflict; bicultural, acculturation, assimilation, ethnicity socialization conflict; identity & intergenerational conflict. Stress/Anger Mgmt. Occupational Stress: Welcome Law Enforcement, First Responders, Hospital & Crisis Workers; Aviation Personnel. Parent Child Interaction. Marriage Family Couples Counseling. Emphasis on Family Systems, Relational, Interpersonal, Ecological Theory. Trauma Informed, DBT/CBT. PA Medicare & CHIP Welcome!
Smile! Our specialties include GeriCare© (older adults with complicated grief/loss); chronic illness/pain; depression; relationships; coping; acceptance; D&A. Conflict Resolution: Adolescent behavioral & school conflict; bicultural, acculturation, assimilation, ethnicity socialization conflict; identity & intergenerational conflict. Stress/Anger Mgmt. Occupational Stress: Welcome Law Enforcement, First Responders, Hospital & Crisis Workers; Aviation Personnel. Parent Child Interaction. Marriage Family Couples Counseling. Emphasis on Family Systems, Relational, Interpersonal, Ecological Theory. Trauma Informed, DBT/CBT. PA Medicare & CHIP Welcome!
(267) 460-7146 View (267) 460-7146
Photo of Meghan Kraenbring Comerford, PsyD, Psychologist
Meghan Kraenbring Comerford
Psychologist, PsyD
Verified Verified
Glenside, PA 19038
Welcome! I am Dr. Meghan, a pediatric psychologist, who is licensed in PA and certified by PSYPACT to provide services virtually to individuals in participating states. Life throws many challenges our way, some of which feel easy to manage, some more difficult. When your child or teen is faced with health, academic, or social obstacles, it can be overwhelming. I am here to help you and your child manage these challenges effectively and build a meaningful life. I specialize in working with children, teens, and young adults and am passionate about helping those with acute/chronic health conditions and those who suffer with anxiety.
Welcome! I am Dr. Meghan, a pediatric psychologist, who is licensed in PA and certified by PSYPACT to provide services virtually to individuals in participating states. Life throws many challenges our way, some of which feel easy to manage, some more difficult. When your child or teen is faced with health, academic, or social obstacles, it can be overwhelming. I am here to help you and your child manage these challenges effectively and build a meaningful life. I specialize in working with children, teens, and young adults and am passionate about helping those with acute/chronic health conditions and those who suffer with anxiety.
(267) 209-7750 View (267) 209-7750
Photo of Cynthia Byron - Ujima Life Services, LLC, MEd, MA, LPC, NCC, Counselor
Ujima Life Services, LLC
Counselor, MEd, MA, LPC, NCC
Verified Verified
2 Endorsed
Cheltenham, PA 19012  (Online Only)
I am a Licensed Professional Counselor, National Board Certified Counselor and a Certified Integrative Mental Health Professional. I have been a therapist for over 10 years and I have worked with clients who are experiencing anxiety, depression, and difficulties with handling life’s stressors. As a Certified Integrative Mental Health Professional, I will include discussions about using food as medicine, the use of herbal supplements, and the mental health benefits of exercise.
I am a Licensed Professional Counselor, National Board Certified Counselor and a Certified Integrative Mental Health Professional. I have been a therapist for over 10 years and I have worked with clients who are experiencing anxiety, depression, and difficulties with handling life’s stressors. As a Certified Integrative Mental Health Professional, I will include discussions about using food as medicine, the use of herbal supplements, and the mental health benefits of exercise.
(267) 433-2608 View (267) 433-2608
Photo of Bianca O'Connor McDermott, LPC, Licensed Professional Counselor
Bianca O'Connor McDermott
Licensed Professional Counselor, LPC
Verified Verified
Jenkintown, PA 19046  (Online Only)
Waitlist for new clients
Being a caregiver for a loved one who has a chronic or terminal illness can be a rewarding and fulfilling experience. It also comes with stresses that can be hard for friends and family to understand. Being a person who needs help to manage day to day activities of living can also be hard to handle, even if the help is appreciated. Sudden life changes are difficult to navigate; such as loss of a loved one, death of a pet, or diagnosis of a debilitating disease. Even positive changes like retirement, downsizing, or relocation can be painful at times. Talking it through can help.
Being a caregiver for a loved one who has a chronic or terminal illness can be a rewarding and fulfilling experience. It also comes with stresses that can be hard for friends and family to understand. Being a person who needs help to manage day to day activities of living can also be hard to handle, even if the help is appreciated. Sudden life changes are difficult to navigate; such as loss of a loved one, death of a pet, or diagnosis of a debilitating disease. Even positive changes like retirement, downsizing, or relocation can be painful at times. Talking it through can help.
(215) 486-2674 View (215) 486-2674

See more therapy options for Elkins Park

Chronic Illness Therapists

How does therapy for chronic illness work?

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

Can therapy help with physical symptoms of chronic illness?

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

What are the most effective treatment options for chronic illness?

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

How long does therapy for chronic illness take?

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