Brainspotting Therapists in Mequon, WI

Photo of Cathy E Ryan, MA, LMFT, Marriage & Family Therapist
Cathy E Ryan
Marriage & Family Therapist, MA, LMFT
Verified Verified
Mequon, WI 53092
Waitlist for new clients
Relationships...with others and ourselves... are at the core of human experience. I work to empower couples, individuals, and families to live lives of meaning, connection, love, and happiness. I have dedicated training in Emotionally-Focused Therapy (EFT) for relationship healing. Grounded in research and regarded as the most effective approach to couple therapy, EFT works to help partners rekindle feelings of love, connection, security, and happiness. The goal is reconnection. I also utilize Brainspotting, one of the new generation therapies, to promote a more rapid and deeper processing, integration and healing from a variety of psychological problems.
Relationships...with others and ourselves... are at the core of human experience. I work to empower couples, individuals, and families to live lives of meaning, connection, love, and happiness. I have dedicated training in Emotionally-Focused Therapy (EFT) for relationship healing. Grounded in research and regarded as the most effective approach to couple therapy, EFT works to help partners rekindle feelings of love, connection, security, and happiness. The goal is reconnection. I also utilize Brainspotting, one of the new generation therapies, to promote a more rapid and deeper processing, integration and healing from a variety of psychological problems.
(262) 229-4953 View (262) 229-4953
Photo of Tricia Damm, MS, LPC, Licensed Professional Counselor
Tricia Damm
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Mequon, WI 53092
Brainspotting and Comprehensive Resource Model) that integrate the mind and the body to alleviate symptoms and create change at a deeper, neurobiological level than traditional talk therapy.
August Availability. Your life is a story of experiences that shape your thoughts, feelings, behaviors and relationships. My passion is to walk along side of you and share in your story to tap into your own internal, self healing capabilities to create the change you are looking for. I build on your strengths and add additional resources to build a solid foundation to support and guide your work. I can help adults who experienced trauma or loss, feeling stuck, anxiety, depression, anger or have relationship struggles.
Brainspotting and Comprehensive Resource Model) that integrate the mind and the body to alleviate symptoms and create change at a deeper, neurobiological level than traditional talk therapy.
August Availability. Your life is a story of experiences that shape your thoughts, feelings, behaviors and relationships. My passion is to walk along side of you and share in your story to tap into your own internal, self healing capabilities to create the change you are looking for. I build on your strengths and add additional resources to build a solid foundation to support and guide your work. I can help adults who experienced trauma or loss, feeling stuck, anxiety, depression, anger or have relationship struggles.
(262) 947-4755 View (262) 947-4755
Photo of Emma Davis, LCSW, Clinical Social Work/Therapist
Emma Davis
Clinical Social Work/Therapist, LCSW
Verified Verified
Mequon, WI 53092
Waitlist for new clients
Within my practice I utilize elements of CBT, brainspotting, talk therapy, play therapy, and motivational interviewing.
I have experience working with clients as young as 1, teens, and adults. I provide support with anxiety, depression, parenting, and navigating life's stressors.
Within my practice I utilize elements of CBT, brainspotting, talk therapy, play therapy, and motivational interviewing.
I have experience working with clients as young as 1, teens, and adults. I provide support with anxiety, depression, parenting, and navigating life's stressors.
(262) 686-4190 View (262) 686-4190
Photo of Susan Wasserman, MSW, LCSW, Clinical Social Work/Therapist
Susan Wasserman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Mequon, WI 53092
Using an in-depth comprehensive approach which includes talk, CRM, brainspotting, somatic experiencing, applied mindfulness, and energy psychology techniques, clients with traditional or spiritually oriented perspectives are well served.
Are you looking for a warm and trusting connection to help you be truly seen and understood? Do you feel depressed, anxious, lost, or stuck? Do you struggle with self-esteem or relationship challenges? With support and compassion I facilitate self-awareness, transformation and a greater sense of well being. I provide tools to work through trauma and grief, diminish negative patterns. and increase self compassion. With over 27 years experience, my approach is holistic. I honor diversity and complexity, I work best with those interested in exploring their inner resources, gaining insight into themselves, and releasing blocks to progress.
Using an in-depth comprehensive approach which includes talk, CRM, brainspotting, somatic experiencing, applied mindfulness, and energy psychology techniques, clients with traditional or spiritually oriented perspectives are well served.
Are you looking for a warm and trusting connection to help you be truly seen and understood? Do you feel depressed, anxious, lost, or stuck? Do you struggle with self-esteem or relationship challenges? With support and compassion I facilitate self-awareness, transformation and a greater sense of well being. I provide tools to work through trauma and grief, diminish negative patterns. and increase self compassion. With over 27 years experience, my approach is holistic. I honor diversity and complexity, I work best with those interested in exploring their inner resources, gaining insight into themselves, and releasing blocks to progress.
(414) 369-2930 View (414) 369-2930
Photo of Heather Hart Kennedy, MSW, LCSW, Clinical Social Work/Therapist
Heather Hart Kennedy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Mequon, WI 53092
I view psychotherapy as a powerful tool for breaking out of confusion and pain. I work with people seeking help with depression, anxiety, grief, trauma, performance, life transitions, job problems, relationship issues, loneliness, and unhappiness. I actively and compassionately work with individuals (adults and adolescents) to help them regain a sense of hope, meaning, and connection in their lives, improving their coping skills and to manage daily stress and overcome destructive behaviors. As a therapist, I work with people to create the lives they want, allowing them to interact more successfully in their families, relationships, and the broader community.
I view psychotherapy as a powerful tool for breaking out of confusion and pain. I work with people seeking help with depression, anxiety, grief, trauma, performance, life transitions, job problems, relationship issues, loneliness, and unhappiness. I actively and compassionately work with individuals (adults and adolescents) to help them regain a sense of hope, meaning, and connection in their lives, improving their coping skills and to manage daily stress and overcome destructive behaviors. As a therapist, I work with people to create the lives they want, allowing them to interact more successfully in their families, relationships, and the broader community.
(414) 263-9090 View (414) 263-9090
Photo of Brian Martinezdelacotera, MS, LPC, Licensed Professional Counselor
Brian Martinezdelacotera
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Mequon, WI 53092
Brian is an exceptionally open, kind-hearted therapist providing emotional safety for clients to explore their concerns. With warmth and humor, he assists clients struggling with a wide range of concerns including addictions (heroin, alcohol, cocaine, marijuana, etc.), anxiety, depression, self-worth, trauma, conflicts, and family or other relationship issues. Upon resolving initial concerns, clients are offered time and a safe place to process and work towards developing strategies to maintain a stable mind and a more fulfilling life.
Brian is an exceptionally open, kind-hearted therapist providing emotional safety for clients to explore their concerns. With warmth and humor, he assists clients struggling with a wide range of concerns including addictions (heroin, alcohol, cocaine, marijuana, etc.), anxiety, depression, self-worth, trauma, conflicts, and family or other relationship issues. Upon resolving initial concerns, clients are offered time and a safe place to process and work towards developing strategies to maintain a stable mind and a more fulfilling life.
(262) 404-4511 View (262) 404-4511
Photo of Cedar Lake Counseling - Cedar Lake Counseling
Cedar Lake Counseling
Verified Verified
Mequon, WI 53092
FREE PHONE CONSULTATIONS WITH DR. BLOEMER* will help establish your appointment with a best-fit therapist among our twelve therapists, who possess up to 30 years of experience. Specializations include Advanced Therapies (Brain-based treatment) for complex trauma, anxiety, depression, relationship issues, emotional pain, addictions and more. As symptom relief is achieved as quickly as possible, we assist in helping you improve your significant relationships and support your efforts toward achieving holistic awareness, life balance, and meaningful, personal growth.
FREE PHONE CONSULTATIONS WITH DR. BLOEMER* will help establish your appointment with a best-fit therapist among our twelve therapists, who possess up to 30 years of experience. Specializations include Advanced Therapies (Brain-based treatment) for complex trauma, anxiety, depression, relationship issues, emotional pain, addictions and more. As symptom relief is achieved as quickly as possible, we assist in helping you improve your significant relationships and support your efforts toward achieving holistic awareness, life balance, and meaningful, personal growth.
(262) 947-4378 View (262) 947-4378
Photo of Drea Straw, MS, LPC, Licensed Professional Counselor
Drea Straw
Licensed Professional Counselor, MS, LPC
Verified Verified
Mequon, WI 53092
Are you looking for the right fit in your next next therapist? Hello, my name is Drea and I am a proud three-time graduate of Mount Mary University. I have 15 years of experience treating clients of all ages. I received my Master’s Degree in Counseling and Clinical Mental Health. Choosing and trusting someone to help you move forward through difficult times is a big decision. Everyone who enters therapy is looking for their “right fit” when looking for a therapist, which I fully acknowledge and take very seriously. My top priority is ensuring you feel comfortable enough to be open during our time together.
Are you looking for the right fit in your next next therapist? Hello, my name is Drea and I am a proud three-time graduate of Mount Mary University. I have 15 years of experience treating clients of all ages. I received my Master’s Degree in Counseling and Clinical Mental Health. Choosing and trusting someone to help you move forward through difficult times is a big decision. Everyone who enters therapy is looking for their “right fit” when looking for a therapist, which I fully acknowledge and take very seriously. My top priority is ensuring you feel comfortable enough to be open during our time together.
(262) 233-9243 View (262) 233-9243
Photo of Drea Straw - Drea Straw, MS, LPC, NCC, Licensed Professional Counselor
Drea Straw
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Mequon, WI 53092
Are you looking for the right fit in your next next therapist? Hello, my name is Drea and I am a proud three-time graduate of Mount Mary University. I have 15 years of experience treating clients of all ages. I received my Master’s Degree in Counseling and Clinical Mental Health. Choosing and trusting someone to help you move forward through difficult times is a big decision. Everyone who enters therapy is looking for their “right fit” when looking for a therapist, which I fully acknowledge and take very seriously. My top priority is ensuring you feel comfortable enough to be open during our time together.
Are you looking for the right fit in your next next therapist? Hello, my name is Drea and I am a proud three-time graduate of Mount Mary University. I have 15 years of experience treating clients of all ages. I received my Master’s Degree in Counseling and Clinical Mental Health. Choosing and trusting someone to help you move forward through difficult times is a big decision. Everyone who enters therapy is looking for their “right fit” when looking for a therapist, which I fully acknowledge and take very seriously. My top priority is ensuring you feel comfortable enough to be open during our time together.
(262) 228-4390 View (262) 228-4390
Photo of Cynthia J Carlson, MA, MFT, LPC, Licensed Professional Counselor
Cynthia J Carlson
Licensed Professional Counselor, MA, MFT, LPC
Verified Verified
2 Endorsed
Mequon, WI 53092
I have over 20 years of experience in working with children, adolescents (and their families) with behavioral challenges in the Treatment Foster System and private practice. I believe that a systemic approach to healing provides the most lasting benefits to the entire family. I also use a client centered approach to promote self-acceptance, improve self-esteem and increase confidence in relationships through positive communication skills. I believe in taking a collaborative approach with clients and using their strengths to encourage change and overcome difficulties.
I have over 20 years of experience in working with children, adolescents (and their families) with behavioral challenges in the Treatment Foster System and private practice. I believe that a systemic approach to healing provides the most lasting benefits to the entire family. I also use a client centered approach to promote self-acceptance, improve self-esteem and increase confidence in relationships through positive communication skills. I believe in taking a collaborative approach with clients and using their strengths to encourage change and overcome difficulties.
(920) 264-0087 View (920) 264-0087
Dr. Lauri C. Gebhard
Psychologist, PhD
Verified Verified
Mequon, WI 53097
Are you stressed? Depressed? Anxious? Angry? Do you suffer from fatigue? Insomnia? Perfectionism? Low self esteem? Infertility? Weight Problems? Trauma? ADD? or Memory Problems? I can help. I am a clinical health psychologist with a specialty in behavioral medicine and am dedicated to empowering patients to positively heal their mind, body and spirit. With the specialty training I received in mind body medicine across the country, including through Harvard Medical School/Cambridge Hospital and University of Miami/Jackson Memorial Medical Center, I founded the Mind Body Program over 25 years ago. We employ innovative practices
Are you stressed? Depressed? Anxious? Angry? Do you suffer from fatigue? Insomnia? Perfectionism? Low self esteem? Infertility? Weight Problems? Trauma? ADD? or Memory Problems? I can help. I am a clinical health psychologist with a specialty in behavioral medicine and am dedicated to empowering patients to positively heal their mind, body and spirit. With the specialty training I received in mind body medicine across the country, including through Harvard Medical School/Cambridge Hospital and University of Miami/Jackson Memorial Medical Center, I founded the Mind Body Program over 25 years ago. We employ innovative practices
(262) 214-5777 View (262) 214-5777
Photo of Rachel Beam, MA, LPC, Licensed Professional Counselor
Rachel Beam
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Mequon, WI 53097
Something traumatic happened to you. Sometimes, you get triggered and feel like you’re back in the same situation, even though you know you’re not. Whether it was a sexual assault, a car accident, or a natural disaster, today, you’re anxious, depressed, on high alert, and not feeling like yourself. You can’t control it. Frustration is your daily companion as you try to live your life, and it derails you at every turn. You desperately want to move forward in your life, but you just don’t know how. You feel like you’ve tried everything.
Something traumatic happened to you. Sometimes, you get triggered and feel like you’re back in the same situation, even though you know you’re not. Whether it was a sexual assault, a car accident, or a natural disaster, today, you’re anxious, depressed, on high alert, and not feeling like yourself. You can’t control it. Frustration is your daily companion as you try to live your life, and it derails you at every turn. You desperately want to move forward in your life, but you just don’t know how. You feel like you’ve tried everything.
(414) 206-5843 View (414) 206-5843
Photo of Dr. lauri Christine Gebhard - Mind Body Spirit Program, PhD, Psychologist
Mind Body Spirit Program
Psychologist, PhD
Verified Verified
Mequon, WI 53092
Immediate Appointments Available Visit www.mindbodyspiritprogram.com. We treat each client with the the respect and compassion they deserve. We work as a team to help each client accomplish their goals, fulfill their potential and live their best life. Each client has rheir own story and we collaboratively design a plan to accomplish success. We believe that providing a ZERO judgement zone is crucial. We will be your guide, mentor, and biggest cheerleader. Together we will accomplish your goals so you can live the life you were meant to live
Immediate Appointments Available Visit www.mindbodyspiritprogram.com. We treat each client with the the respect and compassion they deserve. We work as a team to help each client accomplish their goals, fulfill their potential and live their best life. Each client has rheir own story and we collaboratively design a plan to accomplish success. We believe that providing a ZERO judgement zone is crucial. We will be your guide, mentor, and biggest cheerleader. Together we will accomplish your goals so you can live the life you were meant to live
(262) 217-7809 View (262) 217-7809
Photo of Emily Aleksy - ERA Wellness - Integrative Psychotherapy, LCSW, PMH-C, Clinical Social Work/Therapist
ERA Wellness - Integrative Psychotherapy
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Mequon, WI 53092
Waitlist for new clients
You’re at your limit. No, you’re PAST your limit. You’re running on empty. You feel like you’re totally just breaking. You don't really have time for therapy, but things just aren't getting better. Maybe no one seems to understand how you feel. Things are really REALLY freaking hard right now. But they don’t have to stay that way any longer. Is therapy hard? YUP, for sure. But not as hard as continuing to live with the way things are now. You’re been suffering for too long. You deserve to heal and be well. You deserve to leave this behind you and enjoy your life. You deserve to feel like YOU.
You’re at your limit. No, you’re PAST your limit. You’re running on empty. You feel like you’re totally just breaking. You don't really have time for therapy, but things just aren't getting better. Maybe no one seems to understand how you feel. Things are really REALLY freaking hard right now. But they don’t have to stay that way any longer. Is therapy hard? YUP, for sure. But not as hard as continuing to live with the way things are now. You’re been suffering for too long. You deserve to heal and be well. You deserve to leave this behind you and enjoy your life. You deserve to feel like YOU.
(262) 518-9050 View (262) 518-9050

More Therapists Nearby

Photo of Michaela Rusch, MS, LPSC, LPC-IT, NCC, Counselor
Michaela Rusch
Counselor, MS, LPSC, LPC-IT, NCC
Verified Verified
1 Endorsed
Grafton, WI 53024
I also am trained in brainspotting and utilize additional trauma-informed approaches such as nervous system regulation and somatic techniques.
Now accepting new clients with immediate availability! What could life look like if you knew there was a place where you could consistently show up as your authentic self? A place where you could feel listened to and supported unconditionally? Maybe you feel burnt out from work, school, or relationships in your life. Maybe you are facing a life transition or a season of grief that feels overwhelming. Perhaps you are feeling lost or stuck and are looking for a path back to yourself. Whatever reason has brought you to this page today, I am glad you are here and are exploring how therapy can help.
I also am trained in brainspotting and utilize additional trauma-informed approaches such as nervous system regulation and somatic techniques.
Now accepting new clients with immediate availability! What could life look like if you knew there was a place where you could consistently show up as your authentic self? A place where you could feel listened to and supported unconditionally? Maybe you feel burnt out from work, school, or relationships in your life. Maybe you are facing a life transition or a season of grief that feels overwhelming. Perhaps you are feeling lost or stuck and are looking for a path back to yourself. Whatever reason has brought you to this page today, I am glad you are here and are exploring how therapy can help.
(262) 218-3450 View (262) 218-3450
Photo of Natalie Brey, MS, Counselor
Natalie Brey
Counselor, MS
Verified Verified
Grafton, WI 53024
I also use Brainspotting, a powerful tool that goes beyond traditional talk therapy to relieve the mind and body of pent-up stress and trauma.
Seeking help to prioritize yourself and your needs can be intimidating and vulnerable. As you embark on this journey towards healing and self-growth, I am honored to offer you support every step of the way. My approach to therapy is relationship-focused, holistic, and strengths-based. Together, we will identify goals you have and collaborate on how we can get you there. As you continue through the therapeutic process, we will adjust our plan as needed to best suit your needs and life circumstances. Along the way, we will celebrate your effort and personal growth as we continue to strive towards you becoming your best self.
I also use Brainspotting, a powerful tool that goes beyond traditional talk therapy to relieve the mind and body of pent-up stress and trauma.
Seeking help to prioritize yourself and your needs can be intimidating and vulnerable. As you embark on this journey towards healing and self-growth, I am honored to offer you support every step of the way. My approach to therapy is relationship-focused, holistic, and strengths-based. Together, we will identify goals you have and collaborate on how we can get you there. As you continue through the therapeutic process, we will adjust our plan as needed to best suit your needs and life circumstances. Along the way, we will celebrate your effort and personal growth as we continue to strive towards you becoming your best self.
(262) 300-4774 View (262) 300-4774
Photo of Andrea Sandora, LCSW, Clinical Social Work/Therapist
Andrea Sandora
Clinical Social Work/Therapist, LCSW
Verified Verified
Whitefish Bay, WI 53217
I also specialize in Brainspotting, a powerful intervention that addresses emotional/body pain, stress, anxiety, depression, and trauma.
I am a certified Licensed Clinical Therapist with more than 20 years' experience working with children, adolescents, adults, and families in both one-on-one and group settings. As a compassionate therapist, I use a personalized approach to establish your treatment plan so you can attain a healthy, balanced lifestyle. As every person and situation is unique, my mission is to help you use your own inner strengths to define your journey, and reach your goals.
I also specialize in Brainspotting, a powerful intervention that addresses emotional/body pain, stress, anxiety, depression, and trauma.
I am a certified Licensed Clinical Therapist with more than 20 years' experience working with children, adolescents, adults, and families in both one-on-one and group settings. As a compassionate therapist, I use a personalized approach to establish your treatment plan so you can attain a healthy, balanced lifestyle. As every person and situation is unique, my mission is to help you use your own inner strengths to define your journey, and reach your goals.
(414) 895-5272 View (414) 895-5272
Photo of Corrin Van Lanen, MEd, LPC, Licensed Professional Counselor
Corrin Van Lanen
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Grafton, WI 53024
Taking the first step in prioritizing yourself is scary. I'm here to help you through not only the first step, but every step after that. Self-care comes in many forms, & I am happy to be a part of this process with you to discover what is meaningful & beneficial for you to feel your best self. As a mental health professional, I have been blessed to learn & grow with each of my clients. The story & vulnerability each individual brings forward is what makes the process impactful. The willingness to let down one’s guard & be your true self can transform people.
Taking the first step in prioritizing yourself is scary. I'm here to help you through not only the first step, but every step after that. Self-care comes in many forms, & I am happy to be a part of this process with you to discover what is meaningful & beneficial for you to feel your best self. As a mental health professional, I have been blessed to learn & grow with each of my clients. The story & vulnerability each individual brings forward is what makes the process impactful. The willingness to let down one’s guard & be your true self can transform people.
(262) 672-4551 View (262) 672-4551
Photo of Tierra Yonker, LCSW, CSAC, ISC, Clinical Social Work/Therapist
Tierra Yonker
Clinical Social Work/Therapist, LCSW, CSAC, ISC
Verified Verified
1 Endorsed
Milwaukee, WI 53217  (Online Only)
My passion is helping people break free from substance abuse and addiction. There's no judgment here, just a compassionate space for you to reclaim your life, kick addiction to the curb, and find lasting recovery. I will help you manage the here-and-now of your struggles with drugs or alcohol, but we'll also work on healing any issues, like trauma, that could be contributing to your use so that you can start to live a more joy-filled, meaningful life. Addiction does NOT have hold you back forever.
My passion is helping people break free from substance abuse and addiction. There's no judgment here, just a compassionate space for you to reclaim your life, kick addiction to the curb, and find lasting recovery. I will help you manage the here-and-now of your struggles with drugs or alcohol, but we'll also work on healing any issues, like trauma, that could be contributing to your use so that you can start to live a more joy-filled, meaningful life. Addiction does NOT have hold you back forever.
(817) 494-7656 View (817) 494-7656
Photo of Andrea (Andy) Guenther-Pal, JD, LCSW, CCTP, Clinical Social Work/Therapist
Andrea (Andy) Guenther-Pal
Clinical Social Work/Therapist, JD, LCSW, CCTP
Verified Verified
Milwaukee, WI 53217  (Online Only)
You’ve worked hard and invested a lot to get where you are, but something’s missing. You're successful, but not thriving. In fact, most of the time you're exhausted, anxious, overwhelmed, or angry. You may worry that you’ve lost your drive. Or, maybe you find that the goals you once thought mattered most just don’t make you happy anymore. If you’re feeling stressed out, burned out, or unhappy with the life you’ve built, I’m here to help. I’m passionate about helping you tap into your wisdom and rediscover your deepest authenticity and joy.
You’ve worked hard and invested a lot to get where you are, but something’s missing. You're successful, but not thriving. In fact, most of the time you're exhausted, anxious, overwhelmed, or angry. You may worry that you’ve lost your drive. Or, maybe you find that the goals you once thought mattered most just don’t make you happy anymore. If you’re feeling stressed out, burned out, or unhappy with the life you’ve built, I’m here to help. I’m passionate about helping you tap into your wisdom and rediscover your deepest authenticity and joy.
(224) 243-5643 View (224) 243-5643
Brainspotting Therapists

How does brainspotting work?

Brainspotting works by using eye positioning to identify and process traumatic memories so that a client is better able to move forward and live with less fear. The theory behind brainspotting is that by identifying where a person looks when thinking of traumatic memories, a therapist will be able to guide them to focus on that spot and work with the client to get them out of the “fight, flight, freeze” response associated with the traumatic memory.

Is brainspotting an evidence-based therapy?

Brainspotting is a theory-based alternative therapy. It is one of the newest forms of treatment, so very little research has been completed that examines the mechanism by which it works. The theory behind brainspotting is that eye position can be linked to areas of the brain that store and process memory.

How effective is brainspotting?

Because it is such a new treatment, the effectiveness of brainspotting cannot be quantified. Some people have found it to be effective on its own, or in conjunction with other types of therapy. It is considered an alternative therapy, and it is popular with people for whom more traditional therapies have proven ineffective.

How long does brainspotting take to work?

A typical brainspotting session will last between 60 to 90 minutes. There is no required number of sessions needed to complete brainspotting therapy, but in many cases it is delivered over the course of about six sessions. Clients are encouraged to rate their level of distress prior to a session and again following a session, and to track progress.