Dialectical Behavior (DBT) Treatment Centers in Minneapolis, MN
Center for Families (CFF), a valued member of the Newport Healthcare family of programs, provides guidance, awareness, and education for families in local communities around mental health and substance use struggles. We lead teens ages 13-17 and families to sustainable healing through a continuum of care that includes our Therapeutic Day Program/PHP, Intensive Outpatient Program, and outpatient services. In CFF’s treatment programs, teens begin to build strong relationships, learn and practice healthy coping skills, grow their personal self-worth, and reestablish trust and communication with themselves and their loved ones. Our approach blends behavioral and medical treatment (integrated care) and provides both clinical and experiential modalities (integrative care). Each of our treatment programs encompasses evidence-based and solutions-focused components. Through support groups, clinical therapy, and psychoeducation, we involve the entire family in the healing journey - creating connection, cultivating compassion, igniting hope, and generating lasting change.
Center for Families (CFF), a valued member of the Newport Healthcare family of programs, provides guidance, awareness, and education for families in local communities around mental health and substance use struggles. We lead teens ages 13-17 and families to sustainable healing through a continuum of care that includes our Therapeutic Day Program/PHP, Intensive Outpatient Program, and outpatient services. In CFF’s treatment programs, teens begin to build strong relationships, learn and practice healthy coping skills, grow their personal self-worth, and reestablish trust and communication with themselves and their loved ones. Our approach blends behavioral and medical treatment (integrated care) and provides both clinical and experiential modalities (integrative care). Each of our treatment programs encompasses evidence-based and solutions-focused components. Through support groups, clinical therapy, and psychoeducation, we involve the entire family in the healing journey - creating connection, cultivating compassion, igniting hope, and generating lasting change.
Since 1980, Associated Clinic of Psychology has been known throughout Minnesota and Western Wisconsin as a leader in preventing, diagnosing, and treating mental health issues. ACP is committed to providing a comprehensive suite of mental health services, a single source for all of your mental healthcare needs. With over 200 clinicians, ACP provides: Individual Psychotherapy, Marriage Counseling, Family Counseling, Group Counseling (including DBT), Medication Management, Individual Counseling, Testing, ARMHS and CTSS, Consulting, Workshops and Training.
Since 1980, Associated Clinic of Psychology has been known throughout Minnesota and Western Wisconsin as a leader in preventing, diagnosing, and treating mental health issues. ACP is committed to providing a comprehensive suite of mental health services, a single source for all of your mental healthcare needs. With over 200 clinicians, ACP provides: Individual Psychotherapy, Marriage Counseling, Family Counseling, Group Counseling (including DBT), Medication Management, Individual Counseling, Testing, ARMHS and CTSS, Consulting, Workshops and Training.
Nystrom & Associates provides therapy, psychiatry, and community-based programs to help adults, children, couples, and families struggling with their mental health. We have 60+ locations throughout Iowa, Minnesota, Missouri, North Dakota, and Wisconsin. Our team of 1,000+ clinical providers are here to help you find the right care plan. We work with every health plan to ensure we cover your needs.
Nystrom & Associates provides therapy, psychiatry, and community-based programs to help adults, children, couples, and families struggling with their mental health. We have 60+ locations throughout Iowa, Minnesota, Missouri, North Dakota, and Wisconsin. Our team of 1,000+ clinical providers are here to help you find the right care plan. We work with every health plan to ensure we cover your needs.
Since 2002, MHS has provided intensive Dialectical Behavior Therapy services for individuals with significant difficulties in daily functioning. Many of our clients struggle with severe depression, anxiety, post-traumatic stress, substance abuse, relationship problems and safety issues that require ongoing monitoring and treatment. Our programs can be an alternative to frequent hospitalizations by providing skills training and support designed to manage emotions, thoughts, behaviors, and crises while remaining safe in the community. We collaborate with our clients and their treatment teams with the goal of long-term symptom reduction and improved mental health.
Since 2002, MHS has provided intensive Dialectical Behavior Therapy services for individuals with significant difficulties in daily functioning. Many of our clients struggle with severe depression, anxiety, post-traumatic stress, substance abuse, relationship problems and safety issues that require ongoing monitoring and treatment. Our programs can be an alternative to frequent hospitalizations by providing skills training and support designed to manage emotions, thoughts, behaviors, and crises while remaining safe in the community. We collaborate with our clients and their treatment teams with the goal of long-term symptom reduction and improved mental health.
We understand how heartbreaking it is to watch your adolescent or teen struggle with severe mental health conditions like suicidal thoughts, self-harm, depression and anxiety. As a parent or teen, the weight of these conditions can feel overwhelming, but you're not alone. Our residential treatment center in independence, Missouri provides 24/7 care in a safe, home-like environment for adolescents and teens ages 12-18 of all genders. With constant supervision from a compassionate, experienced team, we offer personalized treatment designed to promote emotional safety and healing. Each day is structured with therapy, therapeutic activities and emotional support to your teen as they move forward toward lasting mental wellness. Our residential treatment centers are here to help your family and are designed to give your teen the structure and support they need to build a healthier life.
We understand how heartbreaking it is to watch your adolescent or teen struggle with severe mental health conditions like suicidal thoughts, self-harm, depression and anxiety. As a parent or teen, the weight of these conditions can feel overwhelming, but you're not alone. Our residential treatment center in independence, Missouri provides 24/7 care in a safe, home-like environment for adolescents and teens ages 12-18 of all genders. With constant supervision from a compassionate, experienced team, we offer personalized treatment designed to promote emotional safety and healing. Each day is structured with therapy, therapeutic activities and emotional support to your teen as they move forward toward lasting mental wellness. Our residential treatment centers are here to help your family and are designed to give your teen the structure and support they need to build a healthier life.
Inspire Services is your comprehensive destination for therapy, assessments, substance use treatment, and community-based programs. Our support extends to adults, children, couples, and families navigating challenges in mental health or substance use. With three physical locations in Minnesota and virtual accessibility via Telehealth, our growing team of licensed clinical providers is dedicated to tailoring the perfect care plan for you. We collaborate with every health plan to ensure your needs are covered. Your well-being is our priority.
Inspire Services is your comprehensive destination for therapy, assessments, substance use treatment, and community-based programs. Our support extends to adults, children, couples, and families navigating challenges in mental health or substance use. With three physical locations in Minnesota and virtual accessibility via Telehealth, our growing team of licensed clinical providers is dedicated to tailoring the perfect care plan for you. We collaborate with every health plan to ensure your needs are covered. Your well-being is our priority.
We understand how heartbreaking it is to watch your adolescent or teen struggle with severe mental health conditions like suicidal thoughts, self-harm, depression and anxiety. As a parent or teen, the weight of these conditions can feel overwhelming, but you're not alone. Our residential treatment center in Marion, Montana provides 24/7 care in a safe, home-like environment for adolescents and teens ages 13-17 of all genders. With constant supervision from a compassionate, experienced team, we offer personalized treatment designed to promote emotional safety and healing. Each day is structured with therapy, therapeutic activities and emotional support to your teen as they move forward toward lasting mental wellness. Our residential treatment centers are here to help your family and are designed to give your teen the structure and support they need to build a healthier life.
We understand how heartbreaking it is to watch your adolescent or teen struggle with severe mental health conditions like suicidal thoughts, self-harm, depression and anxiety. As a parent or teen, the weight of these conditions can feel overwhelming, but you're not alone. Our residential treatment center in Marion, Montana provides 24/7 care in a safe, home-like environment for adolescents and teens ages 13-17 of all genders. With constant supervision from a compassionate, experienced team, we offer personalized treatment designed to promote emotional safety and healing. Each day is structured with therapy, therapeutic activities and emotional support to your teen as they move forward toward lasting mental wellness. Our residential treatment centers are here to help your family and are designed to give your teen the structure and support they need to build a healthier life.
Cultivate Counseling and Wellness
Treatment Center
Verified Verified
1 Endorsed
Minneapolis, MN 55413
At Cultivate Counseling and Wellness, we believe in offering feminist, gender-and-sexuality-affirming, health-at-every-size, non-diet, anti-racist, mental health services for every body. The providers at Cultivate have a particular passion for working with adolescents and young-adults/college-age clients, and bridging the gap between higher levels of care and real-life experiences like sharing a living space, grocery shopping, and keeping a budget. We specialize in age-appropriate guidance for those balancing mental health concerns with their first steps into adulthood. We believe that a good therapeutic relationship can be an anchor through these uncertain times, and are honored to hold space for our clients as they grow.
At Cultivate Counseling and Wellness, we believe in offering feminist, gender-and-sexuality-affirming, health-at-every-size, non-diet, anti-racist, mental health services for every body. The providers at Cultivate have a particular passion for working with adolescents and young-adults/college-age clients, and bridging the gap between higher levels of care and real-life experiences like sharing a living space, grocery shopping, and keeping a budget. We specialize in age-appropriate guidance for those balancing mental health concerns with their first steps into adulthood. We believe that a good therapeutic relationship can be an anchor through these uncertain times, and are honored to hold space for our clients as they grow.
Founded in 2011, Catalyst Mental Health was started with the goal of serving clients with mental health issues and concerns that don't fit easily into any single box: clients who either have multiple issues occurring simultaneously or who have complex conditions that don't align well with traditional diagnostic definitions. This includes individuals with anxiety, depression, post-traumatic stress, chemical dependency issues, sexual and gender identity issues, compulsive behavior, autism spectrum disorders, attention or focusing problems, relationship or marital conflict, and much more. Catalyst Mental Health is also proud supporter and ally of the LGBT community.
Founded in 2011, Catalyst Mental Health was started with the goal of serving clients with mental health issues and concerns that don't fit easily into any single box: clients who either have multiple issues occurring simultaneously or who have complex conditions that don't align well with traditional diagnostic definitions. This includes individuals with anxiety, depression, post-traumatic stress, chemical dependency issues, sexual and gender identity issues, compulsive behavior, autism spectrum disorders, attention or focusing problems, relationship or marital conflict, and much more. Catalyst Mental Health is also proud supporter and ally of the LGBT community.
With full continuum options available for addiction treatment (Residential, Partial Hospitalization, Intensive Outpatient) PRIDE Institute provides a treatment program that is designed especially for members of the LGBTQ+ community. Our staff understands the unique factors surrounding LGBTQ+ health, nurtures personal growth, resiliency, and overall wellness to provide you with a safe space while you heal. Clients are able, sometimes for the first time in their lives, to be – or to find - their true self. They are immersed in an environment where there is no need to self-censor or explain their authentic experience. Each client’s recovery program is custom tailored for their journey. PRIDE’s recovery programs provide solutions for all types of substance abuse, trauma, sexual and behavioral issues. These are holistic, inclusive, evidence-based practices steeped in measured results. PRIDE is a dual diagnosis, unlocked facility, where the primary diagnosis must be chemical dependency related. The Institute is licensed by the State of Minnesota and accredited by CARF. Pride Institute has been on the listed as of Best Addiction Treatment Centers by Newsweek and by The Star Tribune.
With full continuum options available for addiction treatment (Residential, Partial Hospitalization, Intensive Outpatient) PRIDE Institute provides a treatment program that is designed especially for members of the LGBTQ+ community. Our staff understands the unique factors surrounding LGBTQ+ health, nurtures personal growth, resiliency, and overall wellness to provide you with a safe space while you heal. Clients are able, sometimes for the first time in their lives, to be – or to find - their true self. They are immersed in an environment where there is no need to self-censor or explain their authentic experience. Each client’s recovery program is custom tailored for their journey. PRIDE’s recovery programs provide solutions for all types of substance abuse, trauma, sexual and behavioral issues. These are holistic, inclusive, evidence-based practices steeped in measured results. PRIDE is a dual diagnosis, unlocked facility, where the primary diagnosis must be chemical dependency related. The Institute is licensed by the State of Minnesota and accredited by CARF. Pride Institute has been on the listed as of Best Addiction Treatment Centers by Newsweek and by The Star Tribune.
Founded in 2011, Catalyst Mental Health was started with the goal of serving clients with mental health issues and concerns that don't fit easily into any single box: clients who either have multiple issues occurring simultaneously or who have complex conditions that don't align well with traditional diagnostic definitions. This includes individuals with anxiety, depression, post-traumatic stress, chemical dependency issues, sexual and gender identity issues, compulsive behavior, autism spectrum disorders, attention or focusing problems, relationship or marital conflict, and much more. Catalyst Mental Health is also proud supporter and ally of the LGBT community.
Founded in 2011, Catalyst Mental Health was started with the goal of serving clients with mental health issues and concerns that don't fit easily into any single box: clients who either have multiple issues occurring simultaneously or who have complex conditions that don't align well with traditional diagnostic definitions. This includes individuals with anxiety, depression, post-traumatic stress, chemical dependency issues, sexual and gender identity issues, compulsive behavior, autism spectrum disorders, attention or focusing problems, relationship or marital conflict, and much more. Catalyst Mental Health is also proud supporter and ally of the LGBT community.
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Hazelden Betty Ford Center for Young Adults
Treatment Center
Verified Verified
Minneapolis, MN 55401
Welcome to Hazelden Betty Ford’s nationally recognized addiction and mental health treatment center for teens and young adults (ages 12-25), specializing in comprehensive residential and outpatient care for co-occurring disorders. Substance abuse issues can be complex to diagnose and treat in adolescence/young adulthood, especially when other mental health challenges like depression, anxiety or ADHD are also in the picture. For example, symptoms of depression can become more severe with substance use and, vice versa, substance use issues can intensify as depression worsens. At Hazelden Betty Ford, multidisciplinary care teams—psychiatrists, nurses, mental health therapists, addiction counselors—work in concert to develop each patient’s personalized treatment plan and effectively address all the complexities, all together. Unlike most other teen/young adult dual diagnosis rehab centers, our psychiatrists, medical staff and counselors are on site to provide continuous care and address needs as they arise. And, as a national center for behavioral health, we offer services and support for your whole family’s well-being because we understand that families heal and grow best together.
Welcome to Hazelden Betty Ford’s nationally recognized addiction and mental health treatment center for teens and young adults (ages 12-25), specializing in comprehensive residential and outpatient care for co-occurring disorders. Substance abuse issues can be complex to diagnose and treat in adolescence/young adulthood, especially when other mental health challenges like depression, anxiety or ADHD are also in the picture. For example, symptoms of depression can become more severe with substance use and, vice versa, substance use issues can intensify as depression worsens. At Hazelden Betty Ford, multidisciplinary care teams—psychiatrists, nurses, mental health therapists, addiction counselors—work in concert to develop each patient’s personalized treatment plan and effectively address all the complexities, all together. Unlike most other teen/young adult dual diagnosis rehab centers, our psychiatrists, medical staff and counselors are on site to provide continuous care and address needs as they arise. And, as a national center for behavioral health, we offer services and support for your whole family’s well-being because we understand that families heal and grow best together.
Welcome to Hazelden Betty Ford's St. Paul, Minnesota campus where our treatment programs provide a community of hope and health. Our services include outpatient substance abuse treatment, clinically integrated and supervised sober living, and outpatient mental health services. Our programs address the physical, mental, and spiritual aspects of alcohol and drug addiction allowing individuals to return to work and family as they continue to heal.
Welcome to Hazelden Betty Ford's St. Paul, Minnesota campus where our treatment programs provide a community of hope and health. Our services include outpatient substance abuse treatment, clinically integrated and supervised sober living, and outpatient mental health services. Our programs address the physical, mental, and spiritual aspects of alcohol and drug addiction allowing individuals to return to work and family as they continue to heal.
Welcome to Hazelden Betty Ford’s headquarter campus in Center City, Minnesota, specializing in comprehensive residential and outpatient treatment for substance use and co-occurring mental health conditions such as depression, trauma or anxiety. The goal of treatment is to stabilize your health and equip you with the skills, resources and support you need to build and thrive in long-term recovery. At Hazelden Betty Ford, a multidisciplinary team—psychiatrists, nurses, mental health therapists, addiction counselors—works in concert to develop your personalized treatment plan and synchronize all aspects of your care. Unlike most other treatment centers, our psychiatrists, medical staff and counselors are available on site to provide continuous care and address your rehab needs as they arise. We also provide services, resources and support for your whole family’s well-being because we understand that families heal and grow best together.
Welcome to Hazelden Betty Ford’s headquarter campus in Center City, Minnesota, specializing in comprehensive residential and outpatient treatment for substance use and co-occurring mental health conditions such as depression, trauma or anxiety. The goal of treatment is to stabilize your health and equip you with the skills, resources and support you need to build and thrive in long-term recovery. At Hazelden Betty Ford, a multidisciplinary team—psychiatrists, nurses, mental health therapists, addiction counselors—works in concert to develop your personalized treatment plan and synchronize all aspects of your care. Unlike most other treatment centers, our psychiatrists, medical staff and counselors are available on site to provide continuous care and address your rehab needs as they arise. We also provide services, resources and support for your whole family’s well-being because we understand that families heal and grow best together.
Hazelden Betty Ford has been saving lives and restoring families from substance abuse for more than 60 years. We offer the best chance at lifelong recovery. Our outpatient programs offers a treatment model that allows for individuals to fully experience treatment and incorporate it with their lives, whether working, volunteering, caring for family, or going to school. Our treatment team of licensed addiction counselors also includes mental health professionals so that our clients with co-occurring mental health disorders can get an integrated treatment plan and services.
Hazelden Betty Ford has been saving lives and restoring families from substance abuse for more than 60 years. We offer the best chance at lifelong recovery. Our outpatient programs offers a treatment model that allows for individuals to fully experience treatment and incorporate it with their lives, whether working, volunteering, caring for family, or going to school. Our treatment team of licensed addiction counselors also includes mental health professionals so that our clients with co-occurring mental health disorders can get an integrated treatment plan and services.
Solara Veterans Psychological Program
Treatment Center
Not Verified Not Verified
Minneapolis, MN 55401
Premier Veterans exclusive Psychological Treatment Program treating Veteran specific, as well as broad spectrum psychiatric disorders. Are you a Veteran suffering from PTSD, general anxiety, depression, trauma, borderline personality disorder, depression, suicidal thinking, anxiety, schizophrenia, or any other mental illness? Has a life without purpose or fulfillment become almost unbearable to you? You are not alone, and most importantly, there is hope for successful and lasting healing - we observe this success every day in our Veterans. We are an unparalleled and Veteran exclusive, both in-residence and outpatient psychiatric treatment program in beautiful Pacific Beach. We are a team of highly experienced, professional psychiatric treatment providers with expertise with Veteran issues. We treat with absolute honor, integrity, and compassionate respect. Get the help and care you need and deserve in a safe, confidential, and supportive environment. Please don't suffer any longer - Call now to start healing. 844.600.9747 JCAHO accredited at the highest level. Consistently in the 'Top Rated' treatment programs.
Premier Veterans exclusive Psychological Treatment Program treating Veteran specific, as well as broad spectrum psychiatric disorders. Are you a Veteran suffering from PTSD, general anxiety, depression, trauma, borderline personality disorder, depression, suicidal thinking, anxiety, schizophrenia, or any other mental illness? Has a life without purpose or fulfillment become almost unbearable to you? You are not alone, and most importantly, there is hope for successful and lasting healing - we observe this success every day in our Veterans. We are an unparalleled and Veteran exclusive, both in-residence and outpatient psychiatric treatment program in beautiful Pacific Beach. We are a team of highly experienced, professional psychiatric treatment providers with expertise with Veteran issues. We treat with absolute honor, integrity, and compassionate respect. Get the help and care you need and deserve in a safe, confidential, and supportive environment. Please don't suffer any longer - Call now to start healing. 844.600.9747 JCAHO accredited at the highest level. Consistently in the 'Top Rated' treatment programs.
At Rogers Behavioral Health, we’ve been helping people find a path to recovery for more than 110 years. We’re here to do the same today by providing effective treatment and compassionate care for each patient and family entering our doors. Because together, we can not only face the challenges of mental illness and addiction, we can help you rise above them. By working closely with patients and families, our multidisciplinary teams, led by board-certified psychiatrists, develop a personalized treatment plan with clinically effective therapies for addiction, depression and other mood disorders, eating disorders, OCD, anxiety, and trauma recovery. Rogers offers inpatient and residential care in Wisconsin, as well as intensive outpatient care in a growing number of communities nationwide.
At Rogers Behavioral Health, we’ve been helping people find a path to recovery for more than 110 years. We’re here to do the same today by providing effective treatment and compassionate care for each patient and family entering our doors. Because together, we can not only face the challenges of mental illness and addiction, we can help you rise above them. By working closely with patients and families, our multidisciplinary teams, led by board-certified psychiatrists, develop a personalized treatment plan with clinically effective therapies for addiction, depression and other mood disorders, eating disorders, OCD, anxiety, and trauma recovery. Rogers offers inpatient and residential care in Wisconsin, as well as intensive outpatient care in a growing number of communities nationwide.
Mental health challenges can make simple things feel hard, and hard things feel impossible. At The Remedy, we promise to meet you wherever you are on your care journey with forward-thinking treatments that offer relief for a range of mental health conditions. We bring together expert guidance, compassionate service, and personalized support in one place, for one reason: To improve the quality of your life.
Mental health challenges can make simple things feel hard, and hard things feel impossible. At The Remedy, we promise to meet you wherever you are on your care journey with forward-thinking treatments that offer relief for a range of mental health conditions. We bring together expert guidance, compassionate service, and personalized support in one place, for one reason: To improve the quality of your life.
Our full continuum of care allows us to provide treatment that meets the needs of each unique young adult—whether they are stepping down from a residential program, require a higher level of care, or are seeking ongoing structure and community through outpatient programming. Newport Institute has residential and outpatient locations around the country, in order to give as many young adults and families as possible access to the treatment they need to thrive. We provide industry-leading residential care, Partial Hospitalization Programs (PHP), Intensive Outpatient Programs (IOP), and outpatient services with flexible schedules, all accredited by the Joint Commission for Behavioral Healthcare, the nation’s most respected healthcare accreditation body. In addition, Newport Institute offers continuing connection once a patient leaves our care, through virtual sessions providing ongoing support for both teens and parents; and through our robust Alumni program, which keeps former clients connected through online and in-person events and support groups.
Our full continuum of care allows us to provide treatment that meets the needs of each unique young adult—whether they are stepping down from a residential program, require a higher level of care, or are seeking ongoing structure and community through outpatient programming. Newport Institute has residential and outpatient locations around the country, in order to give as many young adults and families as possible access to the treatment they need to thrive. We provide industry-leading residential care, Partial Hospitalization Programs (PHP), Intensive Outpatient Programs (IOP), and outpatient services with flexible schedules, all accredited by the Joint Commission for Behavioral Healthcare, the nation’s most respected healthcare accreditation body. In addition, Newport Institute offers continuing connection once a patient leaves our care, through virtual sessions providing ongoing support for both teens and parents; and through our robust Alumni program, which keeps former clients connected through online and in-person events and support groups.
ANEW Chemical Health Services is passionate about treating women with co-occurring substance use disorders. We offer a range of chemical health services from Residential Treatment to Outpatient to Sober Housing free of charge to women and/or women WITH children. It is our mission to keep families together if that is their goal.
ANEW Chemical Health Services is passionate about treating women with co-occurring substance use disorders. We offer a range of chemical health services from Residential Treatment to Outpatient to Sober Housing free of charge to women and/or women WITH children. It is our mission to keep families together if that is their goal.
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Dialectical Behavior (DBT) Treatment Centers
Who is DBT for?
Dialectical Behavior Therapy (DBT) is designed for people who experience extreme emotional suffering because they lack the skills of emotion regulation and distress tolerance. The basic affliction can underlie a wide range of conditions, from borderline and other personality disorders to PTSD and treatment-resistant anxiety and depression. The therapy is helpful to those whose emotional reactivity is so intense it is disruptive to everyday functioning and leads to frequent crises.
Why do people need DBT?
The ability to regulate emotions is a core psychological skill that enables people to function in life and pay attention to the world outside themselves; it is consistently associated with well-being. DBT is designed to help people learn how to manage and regulate their emotions. Originally developed to treat people with borderline personality disorder whose extreme emotional suffering led to self-harming behavior and suicide attempts, the therapy is now applied to other conditions involving emotion dysregulation, particularly when other treatments have failed.
What happens in DBT?
Individuals meet weekly with their therapist to discuss their experiences relating to moods, behavior, and skills. Using checklists they maintain, they review emotional experiences and positive practices they engage in. The diaries help individuals discern what led up to a specific problem encountered, this is followed by discussion of the consequences of their actions. In addition, individuals may meet in class-like small groups to learn skills such as mindfulness, emotion regulation and distress tolerance.
How long does DBT last?
Because it is intended to establish long-lasting behavioral change among those with persistent problems, DBT is designed to last six months to a year. DBT includes both weekly sessions of individual therapy and weekly skills-training sessions conducted in small groups. Studies of DBT have documented improvement within a year of treatment, particularly in controlling self-harmful behavior; nevertheless, individuals may require therapy for several years.