Therapists in Kaufman, TX
![Photo of Donna Rial-Baker, DMin, MEd, MA, LPC-S, Licensed Professional Counselor](https://photos.psychologytoday.com/42c31304-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Donna Rial-Baker
Licensed Professional Counselor, DMin, MEd, MA, LPC-S
Verified Verified
Kaufman, TX 75142
Dr. Rial-Baker is a Licensed Professional Counselor and Doctor of Ministry. She is a practical, interactive therapist who uses an array of therapeutic techniques. Her treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns. She incorporates a blend of conventional, spiritual, and alternative approaches, drawing upon a variety of styles and techniques to incorporate what will be most helpful for each client. With sensitivity and compassion, she works with clients to help them to build upon their strengths to bring life and blessings into all that they experience.
Dr. Rial-Baker is a Licensed Professional Counselor and Doctor of Ministry. She is a practical, interactive therapist who uses an array of therapeutic techniques. Her treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns. She incorporates a blend of conventional, spiritual, and alternative approaches, drawing upon a variety of styles and techniques to incorporate what will be most helpful for each client. With sensitivity and compassion, she works with clients to help them to build upon their strengths to bring life and blessings into all that they experience.
Online Therapists
![Photo of Desiree Frazier, PsyD, Psychologist](https://photos.psychologytoday.com/3ec85a9b-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am a licensed psychologist who specializes in treatment for children and adolescents (including young adults up to age 25) and their families, especially regarding trauma, self-harm, suicidal ideation, and mood disorders. I have an extensive history of working with issues related to history of depression, anxiety, bipolar disorder, Borderline Personality Disorder, OCD, and issues related to abuse, death, and divorce. My primary objective is to improve family functioning and overall quality of life. I am passionate about helping individuals and families work toward their vision of cohesion and happiness.
I am a licensed psychologist who specializes in treatment for children and adolescents (including young adults up to age 25) and their families, especially regarding trauma, self-harm, suicidal ideation, and mood disorders. I have an extensive history of working with issues related to history of depression, anxiety, bipolar disorder, Borderline Personality Disorder, OCD, and issues related to abuse, death, and divorce. My primary objective is to improve family functioning and overall quality of life. I am passionate about helping individuals and families work toward their vision of cohesion and happiness.
![Photo of Casey Leamy, LMFT, LCDC, EMDR, Marriage & Family Therapist](https://photos.psychologytoday.com/521e3957-03b8-406c-9b83-c7ece5a0cc17/1/320x400.jpeg)
Casey Leamy
Marriage & Family Therapist, LMFT, LCDC, EMDR
Verified Verified
1 Endorsed
Dallas, TX 75252
My experience encompasses substance abuse, self-harm, domestic violence, trauma, adolescent behavioral issues, relational issues, family conflict, parenting, depression, anxiety, suicidal ideation, Adjustment Disorders, Bipolar, Borderline, and ADHD.
Nothing in life is one size fits all; therapy is no exception. My first priority is to establish a trusting relationship with you, then together create goals tailored to your individual needs. As humans, we tend to shy away from uncomfortable, unwanted, or overwhelming feelings/thoughts. We all develop habits to cope; sometimes those habits may no longer be helpful. In a non-judgmental and safe environment, we will work together, unlock your potential and create the change you desire. I am a Licensed Marriage and Family Therapist, Licensed Chemical Dependency Counselor and fully trained in EMDR in Texas.
My experience encompasses substance abuse, self-harm, domestic violence, trauma, adolescent behavioral issues, relational issues, family conflict, parenting, depression, anxiety, suicidal ideation, Adjustment Disorders, Bipolar, Borderline, and ADHD.
Nothing in life is one size fits all; therapy is no exception. My first priority is to establish a trusting relationship with you, then together create goals tailored to your individual needs. As humans, we tend to shy away from uncomfortable, unwanted, or overwhelming feelings/thoughts. We all develop habits to cope; sometimes those habits may no longer be helpful. In a non-judgmental and safe environment, we will work together, unlock your potential and create the change you desire. I am a Licensed Marriage and Family Therapist, Licensed Chemical Dependency Counselor and fully trained in EMDR in Texas.
![Photo of Brannon S La Force - Brannon La Force, LPC & Associates, MS, LPCC, LPC, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/63c61985-57bf-401e-9f01-55b0ac49dfad/2/320x400.png)
Brannon La Force, LPC & Associates
Licensed Professional Counselor, MS, LPCC, LPC, LCPC
Verified Verified
Dallas, TX 75204 (Online Only)
I specialize in treating clients with trauma, relationship issues, and borderline personality disorder.
I have been a counselor for more than 30 years. I remain passionate about making a difference in the lives of others and believe that genuine caring is an essential element to an effective counseling relationship. Over the years I have worked with clients with significant trauma and loss. I consider it a privilege to stand with another individual as he or she resolves great pain. I am currently seeing clients exclusively via telemedicine (secure video platform). I am able to see clients in Texas, Kansas, Alabama, and California.
I specialize in treating clients with trauma, relationship issues, and borderline personality disorder.
I have been a counselor for more than 30 years. I remain passionate about making a difference in the lives of others and believe that genuine caring is an essential element to an effective counseling relationship. Over the years I have worked with clients with significant trauma and loss. I consider it a privilege to stand with another individual as he or she resolves great pain. I am currently seeing clients exclusively via telemedicine (secure video platform). I am able to see clients in Texas, Kansas, Alabama, and California.
![Photo of Tammy Hyde, MA, LPC, DBT-LBC, Licensed Professional Counselor](https://photos.psychologytoday.com/458fe7d5-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Tammy Hyde
Licensed Professional Counselor, MA, LPC, DBT-LBC
Verified Verified
1 Endorsed
Dallas, TX 75206
I am a Certified Dialectical Behavior Therapist through the Linehan Institute. I specialize in treating individuals with Borderline Personality Disorder, chronic suicidal behaviors, self injurers, and eating disorders. I also specialize in treating trauma and have been trained intensively in DBT based Prolonged Exposure therapy. Most of the clients I treat have co occurring diagnosis including Bipolar, Major Depression, PTSD, and/or Anxiety. I work with adolescents, young adults, and adults. I presently lead DBT skills trainning groups for young adults, adults, and parents/family members. My goal is to help my patients to create a life with living.
I am a Certified Dialectical Behavior Therapist through the Linehan Institute. I specialize in treating individuals with Borderline Personality Disorder, chronic suicidal behaviors, self injurers, and eating disorders. I also specialize in treating trauma and have been trained intensively in DBT based Prolonged Exposure therapy. Most of the clients I treat have co occurring diagnosis including Bipolar, Major Depression, PTSD, and/or Anxiety. I work with adolescents, young adults, and adults. I presently lead DBT skills trainning groups for young adults, adults, and parents/family members. My goal is to help my patients to create a life with living.
![Photo of Kevin J. Goldberg, PsyD, Psychologist](https://photos.psychologytoday.com/4414bb97-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am a Licensed Psychologist in Texas (in person & virtual sessions) & Illinois (virtual only sessions) providing short and long-term therapy to adults (ages 18 and up). I have worked with individuals from all ranges of life including varying socio-economic status and different stages of life in settings like college counseling centers, community mental health, and forensic detention facilities. Some areas of interest to me are depression or difficult moods, troubling thought processes, low self-esteem, anxiety, anger management, recovery from trauma, and chronic relationship problems/marriage difficulties.
I am a Licensed Psychologist in Texas (in person & virtual sessions) & Illinois (virtual only sessions) providing short and long-term therapy to adults (ages 18 and up). I have worked with individuals from all ranges of life including varying socio-economic status and different stages of life in settings like college counseling centers, community mental health, and forensic detention facilities. Some areas of interest to me are depression or difficult moods, troubling thought processes, low self-esteem, anxiety, anger management, recovery from trauma, and chronic relationship problems/marriage difficulties.
![Photo of Salena White, PsyD, Psychologist](https://photos.psychologytoday.com/65153b68-df1d-4ce0-912a-daa45d1c22d3/2/320x400.jpeg)
Dr. White provides psychological services, including psychotherapy and assessment, to tweens, adolescents, and adults. She uses Cognitive-Behavioral Therapy, Acceptance Commitment Therapy, and other evidence-based treatments to treat a variety of mental health concerns including, anxiety, depression, eating disorders, ADHD, relationship issues, and stress.
Dr. White provides psychological services, including psychotherapy and assessment, to tweens, adolescents, and adults. She uses Cognitive-Behavioral Therapy, Acceptance Commitment Therapy, and other evidence-based treatments to treat a variety of mental health concerns including, anxiety, depression, eating disorders, ADHD, relationship issues, and stress.
![Photo of Kylee Rae Olvera, MS, LPC, CART, Licensed Professional Counselor](https://photos.psychologytoday.com/62f77cdd-9732-4e73-81e4-155bbbc08aca/2/320x400.jpeg)
I am currently offering both telehealth options via a phone or video session, as well as in person counseling. I work with clients of all ages, from those under 12 who need play therapy to those who may be retired. I love the variety of all ages! I see clients struggling with depression, anxiety, anger issues, grief, marital issues, and a number of others. You deserve to live a meaningful and fulfilling life, not just surviving day to day. My hope is to come along side of you on this path we call life and guide you to become your best self!
I am currently offering both telehealth options via a phone or video session, as well as in person counseling. I work with clients of all ages, from those under 12 who need play therapy to those who may be retired. I love the variety of all ages! I see clients struggling with depression, anxiety, anger issues, grief, marital issues, and a number of others. You deserve to live a meaningful and fulfilling life, not just surviving day to day. My hope is to come along side of you on this path we call life and guide you to become your best self!
![Photo of Peter Elliott Goldstein - Austin City Family Practice, MD](https://photos.psychologytoday.com/318a7564-6071-4118-93ef-73f41333307a/2/320x400.jpeg)
I'm a doctor, (MD) who enjoys Psych medication management as well as supportive counseling. Like to work with Depression, Anxiety, Bipolar Disorder, ADHD, PTSD, Substance Abuse issues, Schizophrenia, other.
I'm a doctor, (MD) who enjoys Psych medication management as well as supportive counseling. Like to work with Depression, Anxiety, Bipolar Disorder, ADHD, PTSD, Substance Abuse issues, Schizophrenia, other.
![Photo of Chris T Lorenc, MS, LPC-S, NCC, CSAT, CPTT, Counselor](https://photos.psychologytoday.com/428886f0-2f34-4201-9a66-63d097ddf713/1/320x400.jpeg)
I provide sexual addiction help in an atmosphere that is encouraging and accepting and meet the client and his or her family where they are. My specialty is sexual addiction, and I am a Dallas area Certified Sex Addiction Therapist (CSAT) trained personally by Dr Patrick Carnes. I treat drug and alcohol dependence, and associated trauma, grief, and depression as well. I treat cybersex addiction, pornography addiction, multiple affairs, and other sexually compulsive behavior. Sexual addiction, like other addictions, affects the whole family system, especially the partner. I am a CPTT, Certified Partner Trauma Therapist as well.
I provide sexual addiction help in an atmosphere that is encouraging and accepting and meet the client and his or her family where they are. My specialty is sexual addiction, and I am a Dallas area Certified Sex Addiction Therapist (CSAT) trained personally by Dr Patrick Carnes. I treat drug and alcohol dependence, and associated trauma, grief, and depression as well. I treat cybersex addiction, pornography addiction, multiple affairs, and other sexually compulsive behavior. Sexual addiction, like other addictions, affects the whole family system, especially the partner. I am a CPTT, Certified Partner Trauma Therapist as well.
![Photo of Dr. Michael Contreras, LPC-S, LCDC, ADC, ICADC, DOT-SAP, Licensed Professional Counselor](https://photos.psychologytoday.com/46167fda-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dr. Michael Contreras
Licensed Professional Counselor, LPC-S, LCDC, ADC, ICADC, DOT-SAP
Verified Verified
1 Endorsed
Bedford, TX 76021 (Online Only)
Waitlist for new clients
My client population includes children, adolescents and adults. I work with individuals as well as families. I facilitate numerous groups and skills training curriculum in various topics including adolescent first offenders, anger management, divorce and separation, parenting, and teen issues.
My client population includes children, adolescents and adults. I work with individuals as well as families. I facilitate numerous groups and skills training curriculum in various topics including adolescent first offenders, anger management, divorce and separation, parenting, and teen issues.
![Photo of Samantha A Goss, MS, LPC, LCDC, Licensed Professional Counselor](https://photos.psychologytoday.com/f69a3f02-cc58-48e4-962c-f765ef2736e1/3/320x400.jpeg)
Samantha A Goss
Licensed Professional Counselor, MS, LPC, LCDC
Verified Verified
Gun Barrel City, TX 75156 (Online Only)
I will help you learn strategies to replace hurtful or self-defeating thoughts, feelings, and actions with healthy, adaptive, alternatives. Such counseling is a highly individualized process focusing on specific areas of concern that you and I will identify together.
I will help you learn strategies to replace hurtful or self-defeating thoughts, feelings, and actions with healthy, adaptive, alternatives. Such counseling is a highly individualized process focusing on specific areas of concern that you and I will identify together.
![Photo of Dr. LaBoris Cole - Cole Associates and Counselors of Texas, PLLC, PhD, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/7a10f2a5-fd5d-4140-8e36-ef9d08fd24ca/1/320x400.jpeg)
Cole Associates and Counselors of Texas, PLLC
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Carrollton, TX 75010
As you take this step towards achieving wellness, we are honored to walk with you on your personal journey while providing a safe place, healing, hope, restoration, and quality of care. Specifically, Cole Associates and Counselors of Texas are dedicated to providing quality professional care by specializing in prevention, treatment and diagnosis of emotional, behavioral, and mental health issues.CAACOT provides evidence-based counseling and psychiatric services to children, adolescents, adults and couples.
As you take this step towards achieving wellness, we are honored to walk with you on your personal journey while providing a safe place, healing, hope, restoration, and quality of care. Specifically, Cole Associates and Counselors of Texas are dedicated to providing quality professional care by specializing in prevention, treatment and diagnosis of emotional, behavioral, and mental health issues.CAACOT provides evidence-based counseling and psychiatric services to children, adolescents, adults and couples.
![Photo of Dr. Jeff J. Rocker, PhD, NCC, LPC, LMHC, Licensed Professional Counselor](https://photos.psychologytoday.com/4bbe55ce-b72b-4cf5-a283-ae4a8f80e0b6/1/320x400.jpeg)
Dr. Jeff J. Rocker
Licensed Professional Counselor, PhD, NCC, LPC, LMHC
Verified Verified
1 Endorsed
Dallas, TX 75204
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 14 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 14 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
![Photo of Online Virtual Therapy With Charley, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/53ce9769-1534-4428-995e-38a8f112669b/2/320x400.jpeg)
Online Virtual Therapy With Charley
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Fort Worth, TX 76137
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
![Photo of Nicole Porter, LCSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e5d519d3-5c78-4705-a72b-9f0251625bf6/1/320x400.jpeg)
Nicole Porter
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
The Colony, TX 75056 (Online Only)
Hello, I am Nicole Porter, an experienced Licensed Clinical Social Worker with over a decade of experience. I will work with you to create a non-judgmental and empowering space where you can bring your entire self into the room in order to allow healing. The foundation of my work is to build a strong and trusting therapeutic relationship with individuals, couples and families across the lifespan. I combine Person-Centered, Psychodynamic, & Cognitive-Behavioral therapy modalities to efficiently address symptoms (either on a short-term or long-term basis) & meet your needs or goals. Whether you are in pursuit of growth and change.
Hello, I am Nicole Porter, an experienced Licensed Clinical Social Worker with over a decade of experience. I will work with you to create a non-judgmental and empowering space where you can bring your entire self into the room in order to allow healing. The foundation of my work is to build a strong and trusting therapeutic relationship with individuals, couples and families across the lifespan. I combine Person-Centered, Psychodynamic, & Cognitive-Behavioral therapy modalities to efficiently address symptoms (either on a short-term or long-term basis) & meet your needs or goals. Whether you are in pursuit of growth and change.
![Photo of Dr. Emily Dixon, PsyD, LSOTP, Psychologist](https://photos.psychologytoday.com/bae75f2d-f95a-4b94-9c82-a3bbec5bb793/2/320x400.jpeg)
Dixon Psychological Services is a multifaceted psychology practice offering a wide range of psychological services. From therapy to evaluations, Dr. Dixon’s philosophy is simple; it is her belief that all emotions and feelings are valid. Not only are all emotions and feelings valid, they alert you to your inner well-being. Her interpersonal approach and innovative use of the therapeutic environment as a microcosm for your worldview will help you or your loved one explore their patterns of behavior, thoughts, and emotions that can often lead to distress, frustration, or disregulation. depression, or anxiety.
Dixon Psychological Services is a multifaceted psychology practice offering a wide range of psychological services. From therapy to evaluations, Dr. Dixon’s philosophy is simple; it is her belief that all emotions and feelings are valid. Not only are all emotions and feelings valid, they alert you to your inner well-being. Her interpersonal approach and innovative use of the therapeutic environment as a microcosm for your worldview will help you or your loved one explore their patterns of behavior, thoughts, and emotions that can often lead to distress, frustration, or disregulation. depression, or anxiety.
![Photo of Jennifer Gregory, LCSW-S, EMDR, TBRI, RPE, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4887910b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jennifer Gregory
Clinical Social Work/Therapist, LCSW-S, EMDR, TBRI, RPE
Verified Verified
Tyler, TX 75701
My goal is to help my clients find health and healing through introspection and understanding of their history and making active change in their lives.
My goal is to help my clients find health and healing through introspection and understanding of their history and making active change in their lives.
![Photo of Kristen Belloni, PhD, LP, LSSP, Psychologist](https://photos.psychologytoday.com/1ebaa3b1-5fc5-4b11-8a51-98616bf4fb57/2/320x400.jpeg)
Dr. Belloni's focus is on providing individuals thorough psychological and neuropsychological evaluations to drive treatment plans for emotional and behavioral improvement. Dr. Belloni works with individuals of all ages throughout the lifespan and those experiencing psychological and behavioral health difficulties. She is experienced in conducting hundreds of Autism Spectrum Disorder, ADHD, neuropsychological, bariatric and pre-operative pain assessments, Veterans compensation and pension, foster/adoptive children, Child Protective Services, and other psychological evaluations for children, adolescents, and adults.
Dr. Belloni's focus is on providing individuals thorough psychological and neuropsychological evaluations to drive treatment plans for emotional and behavioral improvement. Dr. Belloni works with individuals of all ages throughout the lifespan and those experiencing psychological and behavioral health difficulties. She is experienced in conducting hundreds of Autism Spectrum Disorder, ADHD, neuropsychological, bariatric and pre-operative pain assessments, Veterans compensation and pension, foster/adoptive children, Child Protective Services, and other psychological evaluations for children, adolescents, and adults.
![Photo of Jillissa Cooper, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/1b4845f2-45b4-4e59-b427-6def6347f613/1/320x400.jpeg)
Jillissa Cooper
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Plano, TX 75093
Counseling has been Jillissa's passion for years. She specializes in, but is not limited to, issues including: marriage and family, relationship dynamics, boundary issues, adolescent and children's issues, and woman's issues such as eating disorders, depression, anger, anxiety, divorce care, singleness, grief, bitterness, identity and significance issues and mood disorders. She also works with clients struggling with anxiety disorders including Generalized Anxiety Disorder, Post Traumatic Stress Disorder, Obsessive Compulsive Disorder and Adjustment Disorders. Jillissa's philosophy of counseling is the integration of Christianity and psychology, and her counseling methods include: Cognitive-Behavioral Therapy, Family Systems Theory, Psychoeducation, and Child Play Therapy.
Counseling has been Jillissa's passion for years. She specializes in, but is not limited to, issues including: marriage and family, relationship dynamics, boundary issues, adolescent and children's issues, and woman's issues such as eating disorders, depression, anger, anxiety, divorce care, singleness, grief, bitterness, identity and significance issues and mood disorders. She also works with clients struggling with anxiety disorders including Generalized Anxiety Disorder, Post Traumatic Stress Disorder, Obsessive Compulsive Disorder and Adjustment Disorders. Jillissa's philosophy of counseling is the integration of Christianity and psychology, and her counseling methods include: Cognitive-Behavioral Therapy, Family Systems Theory, Psychoeducation, and Child Play Therapy.
See more therapy options for Kaufman
Borderline Personality (BPD) Therapists
What is the most successful approach to treating borderline personality disorder?
Dialectical behavior therapy (DBT) is considered the gold standard of treatment for borderline personality disorder. An evidence-based treatment, it addresses the extreme emotional reactivity, the relationship difficulties, and the acts of self-harm that create so much distress for BPD patients. DBT is a comprehensive program that includes both regular individual psychotherapy sessions and weekly group sessions of skills training.
What happens in treatment of borderline personality disorder?
Treatment typically consists of weekly individual therapy sessions that last an hour and group skill-focused instructional sessions that may last up to two hours. Patients are typically given homework “assignments” in which they are asked to practice in their daily life the skills they acquire in therapy. Patients also keep a diary tracking their emotions and impulses as a way to know which situations are most problematic and to help them gain control over their own behavior. Difficult situations and feelings are typically reviewed in therapy sessions and more constructive solutions found.
What kinds of problems does BPD treatment help with?
DBT was initially developed to dampen the self-destructive impulses of chronically suicidal patients. It is now the treatment of choice for borderline personality disorder, a serious condition marked by extreme emotional reactivity, relationship instability, and self-injurious behaviors. Treatment of BPD helps patients tolerate the flux of emotions without acting on them, often with a specific focus on tolerating negative emotions. DBT addresses the core problems of BPD—fear of abandonment, low self-esteem, and impulsivity.
What is the goal of treatment in borderline personality disorder?
The goal of treatment for borderline personality disorder (BPD) is to relieve the extreme emotional distress that patients experience—to curb their emotional reactivity, to minimize their inclination to self-harm, and to reduce their impulsivity. Toward these ends, patients are not only taught an array of new coping skills and techniques for emotional regulation, they are given opportunities to practice them. Another major goal of treatment is interpersonal effectiveness; patients learn and problem-solve ways to effectively communicate in relationships, especially how to ask for what they need as a way to minimize hurt feelings.