Author: Rebecca E. Williams
Publisher: New Harbinger Publications
ISBN: 1608823423
Category : Self-Help
Languages : en
Pages : 242
Book Description
Most addictive behavior is rooted in some type of loss, be it the death of a loved one, coming to terms with limitations set by chronic health problems, or the end of a relationship. By turning to drugs and alcohol, people who have suffered a loss can numb their grief. In the process, they postpone their healing and can drive themselves further into addiction. The Mindfulness Workbook for Addiction offers readers an effective program for working through their addiction and grief with cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and acceptance and commitment therapy (ACT). Created by a psychologist who works for the Department of Veterans Affairs and a marriage and family therapist who works for Sharp Mesa Vista Hospital, this mindfulness training workbook is effective for treating the emotion dysregulation, stress, depression, and grief that lie at the heart of addiction. No matter the loss, the mindfulness skills in this workbook help readers process their grief, determine the function their addiction is serving, and replace the addiction with healthy coping behaviors.
The Mindfulness Workbook for Addiction
Author: Rebecca E. Williams
Publisher: New Harbinger Publications
ISBN: 1608823423
Category : Self-Help
Languages : en
Pages : 242
Book Description
Most addictive behavior is rooted in some type of loss, be it the death of a loved one, coming to terms with limitations set by chronic health problems, or the end of a relationship. By turning to drugs and alcohol, people who have suffered a loss can numb their grief. In the process, they postpone their healing and can drive themselves further into addiction. The Mindfulness Workbook for Addiction offers readers an effective program for working through their addiction and grief with cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and acceptance and commitment therapy (ACT). Created by a psychologist who works for the Department of Veterans Affairs and a marriage and family therapist who works for Sharp Mesa Vista Hospital, this mindfulness training workbook is effective for treating the emotion dysregulation, stress, depression, and grief that lie at the heart of addiction. No matter the loss, the mindfulness skills in this workbook help readers process their grief, determine the function their addiction is serving, and replace the addiction with healthy coping behaviors.
Publisher: New Harbinger Publications
ISBN: 1608823423
Category : Self-Help
Languages : en
Pages : 242
Book Description
Most addictive behavior is rooted in some type of loss, be it the death of a loved one, coming to terms with limitations set by chronic health problems, or the end of a relationship. By turning to drugs and alcohol, people who have suffered a loss can numb their grief. In the process, they postpone their healing and can drive themselves further into addiction. The Mindfulness Workbook for Addiction offers readers an effective program for working through their addiction and grief with cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and acceptance and commitment therapy (ACT). Created by a psychologist who works for the Department of Veterans Affairs and a marriage and family therapist who works for Sharp Mesa Vista Hospital, this mindfulness training workbook is effective for treating the emotion dysregulation, stress, depression, and grief that lie at the heart of addiction. No matter the loss, the mindfulness skills in this workbook help readers process their grief, determine the function their addiction is serving, and replace the addiction with healthy coping behaviors.
Mindfulness Skills Workbook for Clinicians and Clients
Author: Debra Burdick, LCSWR, BCN
Publisher: PESI Publishing & Media
ISBN: 1936128454
Category : Psychology
Languages : en
Pages : 231
Book Description
Most Comprehensive Mindfulness Skills Workbook Available Like no other resource, Mindfulness Skills Workbook combines the latest research and best practices -- all in a simple guide to successfully teach mindfulness to your clients. This comprehensive workbook provides the theory behind each tool, a step-by-step process to implement, and expert guidance on processing client results. Features:Experiential exercises you can integrate into practiceHighly effective collection of mindfulness toolsSpecial section to guide understanding of neurobiology behind mindfulnessDozens of reproducible activities, exercises, techniques and toolsNew meditationsSteps for increasing client use at homeBasic through advanced mindfulness skillsSkills for specific disordersJournal promptsUnique templates to monitor progress Improve Treatment Outcomes:DepressionAnxietyADHDPTSDOCDBipolarPanicPainSleepStressAngerChronic Medical and Mental Illness Reviews: "Debra Burdick has written a gem of a book on mindfulness. As a guide for clinicians, the book has everything: no-nonsense, clear style; plenty of background info; tie-ins with research; excellent illustrations; and plenty of original experiential tools for introducing mindfulness and leveraging motivation and compliance. This is the kind of resource on mindfulness that you are not just going to skim through: you are going to copy and dog-ear and share this book with your colleagues and your clients. This just might be the last guide to teaching mindfulness that you buy." -Pavel Somov, Ph.D., author of Present Perfect, Reinventing the Meal and Anger Management Jumpstart
Publisher: PESI Publishing & Media
ISBN: 1936128454
Category : Psychology
Languages : en
Pages : 231
Book Description
Most Comprehensive Mindfulness Skills Workbook Available Like no other resource, Mindfulness Skills Workbook combines the latest research and best practices -- all in a simple guide to successfully teach mindfulness to your clients. This comprehensive workbook provides the theory behind each tool, a step-by-step process to implement, and expert guidance on processing client results. Features:Experiential exercises you can integrate into practiceHighly effective collection of mindfulness toolsSpecial section to guide understanding of neurobiology behind mindfulnessDozens of reproducible activities, exercises, techniques and toolsNew meditationsSteps for increasing client use at homeBasic through advanced mindfulness skillsSkills for specific disordersJournal promptsUnique templates to monitor progress Improve Treatment Outcomes:DepressionAnxietyADHDPTSDOCDBipolarPanicPainSleepStressAngerChronic Medical and Mental Illness Reviews: "Debra Burdick has written a gem of a book on mindfulness. As a guide for clinicians, the book has everything: no-nonsense, clear style; plenty of background info; tie-ins with research; excellent illustrations; and plenty of original experiential tools for introducing mindfulness and leveraging motivation and compliance. This is the kind of resource on mindfulness that you are not just going to skim through: you are going to copy and dog-ear and share this book with your colleagues and your clients. This just might be the last guide to teaching mindfulness that you buy." -Pavel Somov, Ph.D., author of Present Perfect, Reinventing the Meal and Anger Management Jumpstart
The Addiction Recovery Skills Workbook
Author: Suzette Glasner-Edwards
Publisher: New Harbinger Publications
ISBN: 1626252807
Category : Self-Help
Languages : en
Pages : 211
Book Description
An Association for Behavioral and Cognitive Therapies (ABCT) Self-Help Book Recommendation. Winner of the 4Th International Beverly Hills Book Awards in the category of Addiction & Recovery! Is your addiction taking control of your life? This book provides an integrative, seven-step program to help you finally overcome drug and alcohol addiction, once and for all. If you struggle with addiction, seeking treatment is a powerful, positive first step toward eventual recovery. But gaining an understanding of the causes of addiction—such as feelings of helplessness or loss of control—is also crucial for recovery. In this book, addiction expert Suzette Glasner-Edwards offers evidence-based techniques fusing cognitive behavioral therapy (CBT), motivational interviewing, and mindfulness-based relapse prevention to help you move past your addictive behaviors. On the long road to addiction recovery, you need as many tools as possible to help you stay sober and reach your destination. That’s why this is the first book to combine research-proven motivational techniques, CBT, and mindfulness-based strategies to help you create your own unique recovery plan. The book can be used on its own or as an adjunct to rehab or therapy. It also makes a wonderful resource for loved ones and professionals treating addiction. If you're ready to take that important first step toward recovery, this book can help you beat your addiction and get back to living a full, meaningful life.
Publisher: New Harbinger Publications
ISBN: 1626252807
Category : Self-Help
Languages : en
Pages : 211
Book Description
An Association for Behavioral and Cognitive Therapies (ABCT) Self-Help Book Recommendation. Winner of the 4Th International Beverly Hills Book Awards in the category of Addiction & Recovery! Is your addiction taking control of your life? This book provides an integrative, seven-step program to help you finally overcome drug and alcohol addiction, once and for all. If you struggle with addiction, seeking treatment is a powerful, positive first step toward eventual recovery. But gaining an understanding of the causes of addiction—such as feelings of helplessness or loss of control—is also crucial for recovery. In this book, addiction expert Suzette Glasner-Edwards offers evidence-based techniques fusing cognitive behavioral therapy (CBT), motivational interviewing, and mindfulness-based relapse prevention to help you move past your addictive behaviors. On the long road to addiction recovery, you need as many tools as possible to help you stay sober and reach your destination. That’s why this is the first book to combine research-proven motivational techniques, CBT, and mindfulness-based strategies to help you create your own unique recovery plan. The book can be used on its own or as an adjunct to rehab or therapy. It also makes a wonderful resource for loved ones and professionals treating addiction. If you're ready to take that important first step toward recovery, this book can help you beat your addiction and get back to living a full, meaningful life.
Mindfulness-Based Sobriety
Author: Nick Turner
Publisher: New Harbinger Publications
ISBN: 1608828557
Category : Psychology
Languages : en
Pages : 298
Book Description
Too often, clients with substance abuse and addiction problems achieve sobriety only to relapse shortly after. As a clinician in the addiction treatment field, you are undoubtedly familiar with this common scenario, and it can be a source of extreme frustration. To make matters worse, clients may see their relapse as evidence of personal failure and inadequacy, and as a result, they may resist more treatment. What if you could break this cycle and help clients maintain their progress? Mindfulness-Based Sobriety presents a breakthrough, integrative approach to addiction recovery to help you treat clients recovering from substance abuse and addiction using mindfulness-based therapy, motivational interviewing, and relapse prevention therapy. Research has indicated that mindfulness-based therapy is highly effective in treating emotion dysregulation, stress, depression, and grief—all emotions that lie at the root of addiction. Motivational interviewing is helpful in treating addiction because it helps clients learn to change the behaviors that cause addiction. And finally, relapse prevention therapy teaches individuals with addiction to anticipate and cope with potential relapse. This book combines all three of these highly effective treatments. This powerful manual was developed by Gateway Foundation clinicians in order to better fulfill the mission of reducing substance abuse and co-occurring mental health problems. The book provides two curricula: an outpatient treatment curriculum and a residential treatment curriculum. Both are user-friendly and can be implemented in an open group format, which means that you can say goodbye to the days of tailoring one-on-one treatment to fit a group setting. The integrative approach outlined in this book will help your clients conquer substance abuse by identifying their own values, strengthening their motivation, and tackling other mental health problems that may lie at the root of their addiction. Furthermore, the book’s strong emphasis on relapse prevention means that you can help clients stay on the path to sobriety.
Publisher: New Harbinger Publications
ISBN: 1608828557
Category : Psychology
Languages : en
Pages : 298
Book Description
Too often, clients with substance abuse and addiction problems achieve sobriety only to relapse shortly after. As a clinician in the addiction treatment field, you are undoubtedly familiar with this common scenario, and it can be a source of extreme frustration. To make matters worse, clients may see their relapse as evidence of personal failure and inadequacy, and as a result, they may resist more treatment. What if you could break this cycle and help clients maintain their progress? Mindfulness-Based Sobriety presents a breakthrough, integrative approach to addiction recovery to help you treat clients recovering from substance abuse and addiction using mindfulness-based therapy, motivational interviewing, and relapse prevention therapy. Research has indicated that mindfulness-based therapy is highly effective in treating emotion dysregulation, stress, depression, and grief—all emotions that lie at the root of addiction. Motivational interviewing is helpful in treating addiction because it helps clients learn to change the behaviors that cause addiction. And finally, relapse prevention therapy teaches individuals with addiction to anticipate and cope with potential relapse. This book combines all three of these highly effective treatments. This powerful manual was developed by Gateway Foundation clinicians in order to better fulfill the mission of reducing substance abuse and co-occurring mental health problems. The book provides two curricula: an outpatient treatment curriculum and a residential treatment curriculum. Both are user-friendly and can be implemented in an open group format, which means that you can say goodbye to the days of tailoring one-on-one treatment to fit a group setting. The integrative approach outlined in this book will help your clients conquer substance abuse by identifying their own values, strengthening their motivation, and tackling other mental health problems that may lie at the root of their addiction. Furthermore, the book’s strong emphasis on relapse prevention means that you can help clients stay on the path to sobriety.
Mindfulness-Based Relapse Prevention for Addictive Behaviors
Author: Sarah Bowen
Publisher: Guilford Publications
ISBN: 1462545335
Category : Psychology
Languages : en
Pages : 219
Book Description
This authoritative book--now revised and expanded with important clinical and research advances--presents a proven approach for helping people meet the day-to-day challenges of recovery from addiction and maximize their well-being. Mindfulness-based relapse prevention (MBRP) integrates carefully tailored meditation practices with cognitive and behavioral skills building. In a convenient large-size format, the book includes instructions for setting up and running MBRP groups, session-by-session implementation guidelines, sample scripts, and 27 reproducible handouts and forms. Purchasers can download and print the reproducible materials at the companion website, which also features audio recordings of the guided practices. A separate website for clients provides the audio files only. New to This Edition *Reflects clinical refinements, the growing MBRP evidence base, and advances in knowledge about both addictive behaviors and mindfulness. *Section on cutting-edge topics--culturally responsive adaptations, alternative group formats and settings, dual diagnosis groups, behavioral addictions, and uses of technology. *Reproducible appendices: MBRP Fidelity Scale and quick-reference guide to the intentions of each session. *Audio recordings now available online.
Publisher: Guilford Publications
ISBN: 1462545335
Category : Psychology
Languages : en
Pages : 219
Book Description
This authoritative book--now revised and expanded with important clinical and research advances--presents a proven approach for helping people meet the day-to-day challenges of recovery from addiction and maximize their well-being. Mindfulness-based relapse prevention (MBRP) integrates carefully tailored meditation practices with cognitive and behavioral skills building. In a convenient large-size format, the book includes instructions for setting up and running MBRP groups, session-by-session implementation guidelines, sample scripts, and 27 reproducible handouts and forms. Purchasers can download and print the reproducible materials at the companion website, which also features audio recordings of the guided practices. A separate website for clients provides the audio files only. New to This Edition *Reflects clinical refinements, the growing MBRP evidence base, and advances in knowledge about both addictive behaviors and mindfulness. *Section on cutting-edge topics--culturally responsive adaptations, alternative group formats and settings, dual diagnosis groups, behavioral addictions, and uses of technology. *Reproducible appendices: MBRP Fidelity Scale and quick-reference guide to the intentions of each session. *Audio recordings now available online.
The Essential Guidebook to Mindfulness in Recovery
Author: John Bruna
Publisher: Central Recovery Press
ISBN: 1942094868
Category : Self-Help
Languages : en
Pages : 203
Book Description
An inclusive guidebook to help anyone enhance their recovery and cultivate more inner peace, resiliency, and well-being. Living mindfully, people in recovery can learn skills that allow them to recognize and know their own worthiness and value, empowering them to fully engage with life on life's terms in ways that are productive and meaningful to them. Former Buddhist monk John Bruna outlines the seven skills of living mindfully in recovery: values, attention, wisdom, equanimity, compassion, loving-kindness, and action. The Essential Guidebook to Mindfulness in Recovery is a self-paced curriculum that can be integrated into any recovery program. Whether people are new to recovery or in long-term recovery, they will be able to use the mindfulness practices in this guidebook to consciously create healthy habits that support their recovery and the lives they want to live.
Publisher: Central Recovery Press
ISBN: 1942094868
Category : Self-Help
Languages : en
Pages : 203
Book Description
An inclusive guidebook to help anyone enhance their recovery and cultivate more inner peace, resiliency, and well-being. Living mindfully, people in recovery can learn skills that allow them to recognize and know their own worthiness and value, empowering them to fully engage with life on life's terms in ways that are productive and meaningful to them. Former Buddhist monk John Bruna outlines the seven skills of living mindfully in recovery: values, attention, wisdom, equanimity, compassion, loving-kindness, and action. The Essential Guidebook to Mindfulness in Recovery is a self-paced curriculum that can be integrated into any recovery program. Whether people are new to recovery or in long-term recovery, they will be able to use the mindfulness practices in this guidebook to consciously create healthy habits that support their recovery and the lives they want to live.
Mindfulness and Acceptance for Addictive Behaviors
Author: Steven C. Hayes
Publisher: Context Press Mindfulness and
ISBN: 9781608822164
Category : Psychology
Languages : en
Pages : 0
Book Description
The articles in Mindfulness and Acceptance for Addictive Behaviors introduce the latest research on using acceptance and commitment therapy (ACT) and other mindfulness and acceptance approaches for the treatment of a variety of addictions, including substance abuse, gambling addiction, pornography addiction, smoking, and bingeing. This book features articles by Linda Dimeff, Jennifer Sayrs, Kelly Wilson, Jonathan Bricker, and other leading researchers in this field.
Publisher: Context Press Mindfulness and
ISBN: 9781608822164
Category : Psychology
Languages : en
Pages : 0
Book Description
The articles in Mindfulness and Acceptance for Addictive Behaviors introduce the latest research on using acceptance and commitment therapy (ACT) and other mindfulness and acceptance approaches for the treatment of a variety of addictions, including substance abuse, gambling addiction, pornography addiction, smoking, and bingeing. This book features articles by Linda Dimeff, Jennifer Sayrs, Kelly Wilson, Jonathan Bricker, and other leading researchers in this field.
Mindful Recovery
Author: Thomas Bien
Publisher: Turner Publishing Company
ISBN: 0470245573
Category : Self-Help
Languages : en
Pages : 224
Book Description
"This wise book provides practical exercises that will help us to develop conscious awareness and inner understanding, and the ways and means to free us from unsatisfying habits, addictions, and unconscious behavior patterns. I recommend it highly." --Lama Surya Das, author of the bestselling Awakening the Buddha Within "Anyone interested in finding a kind, spiritual guide to recovery that focuses on flexibility rather than the 'one true way' will benefit from this enjoyable and helpful book." --Maia Szalavitz, coauthor with Joseph Volpicelli, M.D., of Recovery Options: The Complete Guide In Mindful Recovery, you'll discover a fresh and effective method for healing from addiction that can help you handle important challenges, from managing anxiety and resisting cravings to dealing with emotional and physical imbalance. Drawing on both ancient spiritual wisdom and the authors' extensive clinical psychological work with their patients over many years, Mindful Recovery shows you how to use the simple Buddhist practice of mindfulness to be aware of-- and enjoy-- life in the present moment without the need to enhance or avoid experience with addictive behaviors. Mindful Recovery guides you step by step through ten powerful "doorways" to mindful recovery, giving you specific strategies that can help you cultivate a sense of calm awareness and balance in your life. Filled with personal stories of recovery, practical exercises, instructions for meditation, and more, Mindful Recovery accompanies you on a journey of exploration and healing that will help you find the strength and the tools to change, leading you to a fresh new experience of everyday living.
Publisher: Turner Publishing Company
ISBN: 0470245573
Category : Self-Help
Languages : en
Pages : 224
Book Description
"This wise book provides practical exercises that will help us to develop conscious awareness and inner understanding, and the ways and means to free us from unsatisfying habits, addictions, and unconscious behavior patterns. I recommend it highly." --Lama Surya Das, author of the bestselling Awakening the Buddha Within "Anyone interested in finding a kind, spiritual guide to recovery that focuses on flexibility rather than the 'one true way' will benefit from this enjoyable and helpful book." --Maia Szalavitz, coauthor with Joseph Volpicelli, M.D., of Recovery Options: The Complete Guide In Mindful Recovery, you'll discover a fresh and effective method for healing from addiction that can help you handle important challenges, from managing anxiety and resisting cravings to dealing with emotional and physical imbalance. Drawing on both ancient spiritual wisdom and the authors' extensive clinical psychological work with their patients over many years, Mindful Recovery shows you how to use the simple Buddhist practice of mindfulness to be aware of-- and enjoy-- life in the present moment without the need to enhance or avoid experience with addictive behaviors. Mindful Recovery guides you step by step through ten powerful "doorways" to mindful recovery, giving you specific strategies that can help you cultivate a sense of calm awareness and balance in your life. Filled with personal stories of recovery, practical exercises, instructions for meditation, and more, Mindful Recovery accompanies you on a journey of exploration and healing that will help you find the strength and the tools to change, leading you to a fresh new experience of everyday living.
The Pain Management Workbook
Author: Rachel Zoffness
Publisher: New Harbinger Publications
ISBN: 1684036461
Category : Health & Fitness
Languages : en
Pages : 289
Book Description
Change your brain, change your pain with this powerful, evidence-based workbook. If you’re struggling with chronic pain, you’re not alone: more than one hundred million Americans currently live with chronic pain. Yet, despite its prevalence, chronic pain is not well understood. Fortunately, research has emerged showing the effectiveness of a treatment model for pain management grounded in biology, psychology, and social functioning. In this groundbreaking workbook, you’ll find a comprehensive outline of this effective biopsychosocial approach, as well as scientifically supported interventions rooted in cognitive- behavioral therapy (CBT), mindfulness, and neuroscience to help you take control of your pain—and your life! You’ll learn strategies for creating a pain plan for home and work, reducing reliance on medications, and breaking the pain cycle. Also included are tips for improving sleep, nutrition for pain, methods for resuming valued activities, and more. If you’re ready to take your life back from pain, this workbook has everything you need to get started.
Publisher: New Harbinger Publications
ISBN: 1684036461
Category : Health & Fitness
Languages : en
Pages : 289
Book Description
Change your brain, change your pain with this powerful, evidence-based workbook. If you’re struggling with chronic pain, you’re not alone: more than one hundred million Americans currently live with chronic pain. Yet, despite its prevalence, chronic pain is not well understood. Fortunately, research has emerged showing the effectiveness of a treatment model for pain management grounded in biology, psychology, and social functioning. In this groundbreaking workbook, you’ll find a comprehensive outline of this effective biopsychosocial approach, as well as scientifically supported interventions rooted in cognitive- behavioral therapy (CBT), mindfulness, and neuroscience to help you take control of your pain—and your life! You’ll learn strategies for creating a pain plan for home and work, reducing reliance on medications, and breaking the pain cycle. Also included are tips for improving sleep, nutrition for pain, methods for resuming valued activities, and more. If you’re ready to take your life back from pain, this workbook has everything you need to get started.
The Dialectical Behavior Therapy Skills Workbook for PTSD
Author: Kirby Reutter
Publisher: New Harbinger Publications
ISBN: 1684032660
Category : Self-Help
Languages : en
Pages : 270
Book Description
This pragmatic workbook offers evidence-based skills grounded in dialectical behavior therapy (DBT) to help you find lasting relief from trauma and post-traumatic stress disorder (PTSD). If you’ve experienced trauma, you should know that there is nothing wrong with you. Trauma is a normal reaction to an abnormal event. Sometimes, the symptoms of trauma persist long after the traumatic situation has ceased. This is what we call PTSD—in other words, the “trauma after the trauma.” This happens when the aftereffects of trauma—such anxiety, depression, anger, fear, insomnia, and even addiction—end up causing more ongoing harm than the trauma itself. So, how can you start healing? With this powerful and proven-effective workbook, you’ll find practical exercises for overcoming trauma using mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. You’ll learn how to be present in the moment and identity the things that trigger your trauma. You’ll also find activities and exercises to help you cope with stress, manage intense emotions, navigate conflict with others, and change unhealthy thought patterns that keep you stuck. Finally, you’ll find practical materials for review and closure, so you can take what you’ve learned out into the world with you. If you’re ready to move past your trauma and start living your life again, this workbook will help guide you, one step at a time. The practical interventions in this guide can be used on their own or in conjunction with therapy.
Publisher: New Harbinger Publications
ISBN: 1684032660
Category : Self-Help
Languages : en
Pages : 270
Book Description
This pragmatic workbook offers evidence-based skills grounded in dialectical behavior therapy (DBT) to help you find lasting relief from trauma and post-traumatic stress disorder (PTSD). If you’ve experienced trauma, you should know that there is nothing wrong with you. Trauma is a normal reaction to an abnormal event. Sometimes, the symptoms of trauma persist long after the traumatic situation has ceased. This is what we call PTSD—in other words, the “trauma after the trauma.” This happens when the aftereffects of trauma—such anxiety, depression, anger, fear, insomnia, and even addiction—end up causing more ongoing harm than the trauma itself. So, how can you start healing? With this powerful and proven-effective workbook, you’ll find practical exercises for overcoming trauma using mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. You’ll learn how to be present in the moment and identity the things that trigger your trauma. You’ll also find activities and exercises to help you cope with stress, manage intense emotions, navigate conflict with others, and change unhealthy thought patterns that keep you stuck. Finally, you’ll find practical materials for review and closure, so you can take what you’ve learned out into the world with you. If you’re ready to move past your trauma and start living your life again, this workbook will help guide you, one step at a time. The practical interventions in this guide can be used on their own or in conjunction with therapy.