Integrative Psychiatrists in Gainesville, VA

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Check out psychiatrists located nearby or offering teletherapy in Virginia below.

More Psychiatrists Nearby

Photo of Stacey Lambour, Psychiatric Nurse Practitioner in Gainesville, VA
Stacey Lambour
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
1 Endorsed
Haymarket, VA 20169
I am a board certified Psychiatric Mental Health Nurse Practitioner and have a Doctorate in Nursing Practice (DNP) from the University of Virginia. I provide extensive psychiatric evaluation, ongoing individual therapy, and psychopharmacological treatment initiation and monitoring to individuals of all ages. My goal is to help you customize a plan that enables you to find lasting change. This plan may involve medication, therapy, or a combination of both. Ultimately, developing a collaborative treatment plan with you is the best way to meet your needs.
I am a board certified Psychiatric Mental Health Nurse Practitioner and have a Doctorate in Nursing Practice (DNP) from the University of Virginia. I provide extensive psychiatric evaluation, ongoing individual therapy, and psychopharmacological treatment initiation and monitoring to individuals of all ages. My goal is to help you customize a plan that enables you to find lasting change. This plan may involve medication, therapy, or a combination of both. Ultimately, developing a collaborative treatment plan with you is the best way to meet your needs.
(703) 844-9798 View (703) 844-9798
Photo of Upnext Psychiatric Associates, Psychiatric Nurse Practitioner in Gainesville, VA
Upnext Psychiatric Associates
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
1 Endorsed
Manassas, VA 20108
As a Board-Certified Psychiatric Mental Health Nurse Practitioner with diverse clinical experiences, I prioritize evidence-based practices, medication management, and patient-centered approaches in transformative mental health care. Committed to delivering detailed and personalized care, my unique work background fuels my dedication to assisting individuals facing mental health challenges. I aspire to empower people of all ages to lead more fulfilling lives through a comprehensive approach that integrates evidence-based practices and supportive psychotherapy.
As a Board-Certified Psychiatric Mental Health Nurse Practitioner with diverse clinical experiences, I prioritize evidence-based practices, medication management, and patient-centered approaches in transformative mental health care. Committed to delivering detailed and personalized care, my unique work background fuels my dedication to assisting individuals facing mental health challenges. I aspire to empower people of all ages to lead more fulfilling lives through a comprehensive approach that integrates evidence-based practices and supportive psychotherapy.
(833) 400-0120 View (833) 400-0120

Online Psychiatrists

Photo of Ifreke Williams, Psychiatrist in Gainesville, VA
Ifreke Williams
Psychiatrist, MD
Verified Verified
1 Endorsed
Arlington, VA 22203
Hello, I'm an adult Psychiatrist with a passion for wellness and integrative care. It would be my pleasure to work with you to address your behavioral health needs. My goal is to improve your mental and emotional health, help you feel better, happier and function at your best. I utilize a holistic person-centered approach to provide quality compassionate, culturally sensitive and evidence-based psychiatric care. I take time to listen, ensure that you feel heard not rushed, and develop an appropriate treatment plan in collaboration with you. I take pride in helping my patients achieve better quality of life and a sense of well-being.
Hello, I'm an adult Psychiatrist with a passion for wellness and integrative care. It would be my pleasure to work with you to address your behavioral health needs. My goal is to improve your mental and emotional health, help you feel better, happier and function at your best. I utilize a holistic person-centered approach to provide quality compassionate, culturally sensitive and evidence-based psychiatric care. I take time to listen, ensure that you feel heard not rushed, and develop an appropriate treatment plan in collaboration with you. I take pride in helping my patients achieve better quality of life and a sense of well-being.
(202) 816-6648 View (202) 816-6648
Photo of Agnes M. Zorniak, M.D., Psychiatrist in Gainesville, VA
Agnes M. Zorniak, M.D.
Psychiatrist, MD
Verified Verified
1 Endorsed
Vienna, VA 22182  (Online Only)
I am a Georgetown University trained psychiatrist with an extensive postgraduate training and experience. I practice evidence-based psychopharmacology, psychodynamic psychotherapy and integrative medicine. I specialize in intense short-term dynamic psychotherapy (ISTDP) that can lead to rapid and permanent recovery from a wide range of problems including anxiety, depression, loneliness, self-esteem and relationship problems, anger management issues, self-destructive behaviors and psychosomatic conditions. This model of therapy is very efficient and often works, even when previous therapies failed, or were only partially successful.
I am a Georgetown University trained psychiatrist with an extensive postgraduate training and experience. I practice evidence-based psychopharmacology, psychodynamic psychotherapy and integrative medicine. I specialize in intense short-term dynamic psychotherapy (ISTDP) that can lead to rapid and permanent recovery from a wide range of problems including anxiety, depression, loneliness, self-esteem and relationship problems, anger management issues, self-destructive behaviors and psychosomatic conditions. This model of therapy is very efficient and often works, even when previous therapies failed, or were only partially successful.
(703) 893-6077 View (703) 893-6077
Photo of Umu Benjamin-Integrative Nutritional Psychiatry, Psychiatric Nurse Practitioner in Gainesville, VA
Umu Benjamin-Integrative Nutritional Psychiatry
Psychiatric Nurse Practitioner, ARNP, PMHNP
Verified Verified
1 Endorsed
Arlington, VA 22209  (Online Only)
I am a holistic, nutritional, metabolic, and Integrative psychiatry nurse practitioner with 21 years of medical nursing experience ranging from critical care medicine, and emergency room to in and outpatient psychiatry.
I understand that you may be tired of countless doctor's visits and ongoing symptoms that drain you mentally and physically. You may have felt confused, concerned, and unsafe about considering treatment or about your treatments, unsure of the possibility of overcoming these challenges. Let me assure you that there is hope for your health. Your brain and body can heal within the right environment, and I am here to help you embark on that journey, especially with a provider that understands the biochemical and cellular adaptations that can occur during times of high stress and the impact it has on producing symptoms of mental health.
I am a holistic, nutritional, metabolic, and Integrative psychiatry nurse practitioner with 21 years of medical nursing experience ranging from critical care medicine, and emergency room to in and outpatient psychiatry.
I understand that you may be tired of countless doctor's visits and ongoing symptoms that drain you mentally and physically. You may have felt confused, concerned, and unsafe about considering treatment or about your treatments, unsure of the possibility of overcoming these challenges. Let me assure you that there is hope for your health. Your brain and body can heal within the right environment, and I am here to help you embark on that journey, especially with a provider that understands the biochemical and cellular adaptations that can occur during times of high stress and the impact it has on producing symptoms of mental health.
(571) 946-8234 View (571) 946-8234
Photo of Sonia Palmieri, Psychiatric Nurse Practitioner in Gainesville, VA
Sonia Palmieri
Psychiatric Nurse Practitioner, ANP- BC, MSN , RN
Verified Verified
3 Endorsed
Alexandria, VA 22301
As an integrative mental health nurse practitioner, I offer ketamine & ketamine assisted psychotherapy in IV, Intramuscluar (IM) or lozenge form for treatment approach for depression, PTSD, trauma, anxiety, and OCD work. I also offer Psychedelic Assisted Therapy (PAT), Integration & harm reduction. Tranquil Healthcare is an Integrative Mental Health & Wellness practice focusing on anxiety & depression disorders as well as improving over all health, lifestyle & wellness. Practicing conventional medicine as well as integrative and functional medicine approaches to your mental health & overall health.
As an integrative mental health nurse practitioner, I offer ketamine & ketamine assisted psychotherapy in IV, Intramuscluar (IM) or lozenge form for treatment approach for depression, PTSD, trauma, anxiety, and OCD work. I also offer Psychedelic Assisted Therapy (PAT), Integration & harm reduction. Tranquil Healthcare is an Integrative Mental Health & Wellness practice focusing on anxiety & depression disorders as well as improving over all health, lifestyle & wellness. Practicing conventional medicine as well as integrative and functional medicine approaches to your mental health & overall health.
(202) 335-7240 View (202) 335-7240
Photo of Misty Embrey, Psychiatrist in Gainesville, VA
Misty Embrey
Psychiatrist, MD
Verified Verified
2 Endorsed
Alexandria, VA 22314
Dr. Embrey is an integrative and holistic child and adult psychiatrist in Washington DC. She is also seeing patients in Virginia, Maryland, and Wisconsin (virtually). Having trained at Johns Hopkins, she treats psychiatric illnesses with an approach that involves evaluation and treatment via traditional psychiatric methods, medications, and therapy. She also includes an assessment of how complementary interventions may be helpful toward finding mental, emotional, and spiritual balance and vitality.
Dr. Embrey is an integrative and holistic child and adult psychiatrist in Washington DC. She is also seeing patients in Virginia, Maryland, and Wisconsin (virtually). Having trained at Johns Hopkins, she treats psychiatric illnesses with an approach that involves evaluation and treatment via traditional psychiatric methods, medications, and therapy. She also includes an assessment of how complementary interventions may be helpful toward finding mental, emotional, and spiritual balance and vitality.
(240) 600-1943 View (240) 600-1943
Photo of Megan Marumoto, Psychiatrist in Gainesville, VA
Megan Marumoto
Psychiatrist, MD
Verified Verified
Alexandria, VA 22314  (Online Only)
Dr Megan Marumoto is an integrative psychiatrist board-certified in General Psychiatry, Child & Adolescent Psychiatry, Integrative Medicine, and Lifestyle Medicine with over 20 years of experience. She is also a certified practitioner in Functional Medicine. Dr Marumoto received her medical degree from the John A Burns School of Medicine and completed her Psychiatry Residency and Child & Adolescent Psychiatry fellowship at the University of Hawaii. Wishing to provide comprehensive care beyond medication management and therapy, Dr Marumoto completed a second fellowship in Integrative Medicine at the University of Arizona.
Dr Megan Marumoto is an integrative psychiatrist board-certified in General Psychiatry, Child & Adolescent Psychiatry, Integrative Medicine, and Lifestyle Medicine with over 20 years of experience. She is also a certified practitioner in Functional Medicine. Dr Marumoto received her medical degree from the John A Burns School of Medicine and completed her Psychiatry Residency and Child & Adolescent Psychiatry fellowship at the University of Hawaii. Wishing to provide comprehensive care beyond medication management and therapy, Dr Marumoto completed a second fellowship in Integrative Medicine at the University of Arizona.
(571) 470-6269 View (571) 470-6269
Photo of Monet Ince-Amara, Psychiatric Nurse Practitioner in Gainesville, VA
Monet Ince-Amara
Psychiatric Nurse Practitioner, MSN, CRNP, PMHNP
Verified Verified
1 Endorsed
Ashburn, VA 20147
Have you ever found yourself trapped in the relentless cycle of depression, anxiety, and binge eating, yearning for a breakthrough? What if there was a guiding light towards holistic healing that not only understands your struggles but empowers you to reclaim your life? What if your journey towards healing involved a comprehensive approach that not only focuses on your mental well-being but also embraces the principles of integrative psychiatry for a more balanced and fulfilling life?
Have you ever found yourself trapped in the relentless cycle of depression, anxiety, and binge eating, yearning for a breakthrough? What if there was a guiding light towards holistic healing that not only understands your struggles but empowers you to reclaim your life? What if your journey towards healing involved a comprehensive approach that not only focuses on your mental well-being but also embraces the principles of integrative psychiatry for a more balanced and fulfilling life?
(301) 597-7670 View (301) 597-7670
Photo of Nourish Health & Wellness, Psychiatry, Psychiatric Nurse Practitioner in Gainesville, VA
Nourish Health & Wellness, Psychiatry
Psychiatric Nurse Practitioner, RD, NP, IFMCP
Verified Verified
Richmond, VA 23230
I take an integrative, holistic approach to managing mental health symptoms.
My treatment approach is simple-- help you get to the underlying cause of your mental health symptoms and offer you effective solutions to help manage them. I believe that medications are only one tool among many that can help improve symptoms of mental health-- in my conversations with patients I put equal emphasis on the importance of good nutrition, optimal gut health, stress management, individual talk therapy, regular exercise, and excellent sleep hygiene. I am now pleased to also be offering ketamine-assisted therapy for individuals with treatment-resistant depression, anxiety, OCD, and PTSD.
I take an integrative, holistic approach to managing mental health symptoms.
My treatment approach is simple-- help you get to the underlying cause of your mental health symptoms and offer you effective solutions to help manage them. I believe that medications are only one tool among many that can help improve symptoms of mental health-- in my conversations with patients I put equal emphasis on the importance of good nutrition, optimal gut health, stress management, individual talk therapy, regular exercise, and excellent sleep hygiene. I am now pleased to also be offering ketamine-assisted therapy for individuals with treatment-resistant depression, anxiety, OCD, and PTSD.
(804) 463-5572 View (804) 463-5572
Photo of Karen Ann Overmeyer, Psychiatric Nurse Practitioner in Gainesville, VA
Karen Ann Overmeyer
Psychiatric Nurse Practitioner, APRN-BC, PMHNP-C
Verified Verified
Glen Allen, VA 23059  (Online Only)
Are you experiencing Depression, Anxiety, ADHD, PTSD, or trying to navigate a Life transition? I offer med management & integrative therapy in a compassionate, safe setting.
Welcome! I am so glad you are honoring yourself by seeking some help for the journey! You didn't come this far to only come this far! Now that you recognize some new coping skills or behavioral changes might be helpful to improve your life, let's consider working together! Got a busy schedule? I can get you in quickly and have flexible hours. I'm offering telehealth and evening sessions on Mondays, Tuesdays, and Thursdays to fit into your busy day! I am open to hours by request on Saturdays. I am currently credentialing with GrowTherapy.com for telehealth only visits.
Are you experiencing Depression, Anxiety, ADHD, PTSD, or trying to navigate a Life transition? I offer med management & integrative therapy in a compassionate, safe setting.
Welcome! I am so glad you are honoring yourself by seeking some help for the journey! You didn't come this far to only come this far! Now that you recognize some new coping skills or behavioral changes might be helpful to improve your life, let's consider working together! Got a busy schedule? I can get you in quickly and have flexible hours. I'm offering telehealth and evening sessions on Mondays, Tuesdays, and Thursdays to fit into your busy day! I am open to hours by request on Saturdays. I am currently credentialing with GrowTherapy.com for telehealth only visits.
(804) 902-2136 View (804) 902-2136
Photo of Jc Health Group Pllc, Psychiatric Nurse Practitioner in Gainesville, VA
Jc Health Group Pllc
Psychiatric Nurse Practitioner, PMHNP-C, FNP-BC
Verified Verified
Richmond, VA 23225
I am a doctoral-prepared dual-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). I manage most mental health issues and avoid burnout. Together, we can identify what's not working and get you back to balance. I'll use a whole self-approach, in addressing the needs of your mind, body and spirit. I am passionate about working with diverse populations and strive to create a safe space for all, regardless of gender, religion, race/ethnicity or sexual orientation. I'm privileged to understand culturally conscious care, which has allowed me to help many families who have experienced trauma and cultural barriers.
I am a doctoral-prepared dual-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). I manage most mental health issues and avoid burnout. Together, we can identify what's not working and get you back to balance. I'll use a whole self-approach, in addressing the needs of your mind, body and spirit. I am passionate about working with diverse populations and strive to create a safe space for all, regardless of gender, religion, race/ethnicity or sexual orientation. I'm privileged to understand culturally conscious care, which has allowed me to help many families who have experienced trauma and cultural barriers.
(804) 966-0209 View (804) 966-0209
Photo of Madhu Bhatia, Psychiatrist in Gainesville, VA
Madhu Bhatia
Psychiatrist, MD
Verified Verified
McLean, VA 22102
I have more than 20 years of experience in treating Adults ,Adolescents and children.My goal of treatment is to help the patients become well adjusted emotionally and socially and entails a combination of cognitive therapy and psychopharmacology.My special interest is in treating patients with Mood disorders and Trauma
I have more than 20 years of experience in treating Adults ,Adolescents and children.My goal of treatment is to help the patients become well adjusted emotionally and socially and entails a combination of cognitive therapy and psychopharmacology.My special interest is in treating patients with Mood disorders and Trauma
(703) 810-3494 View (703) 810-3494
Photo of Brittany Chandler, Psychiatric Nurse Practitioner in Gainesville, VA
Brittany Chandler
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
Mechanicsville, VA 23111  (Online Only)
~ACCEPTING NEW PATIENTS - TELE-HEALTH ONLY~ ~SELF-PAY WELCOME~ My ideal client is YOU! Trouble sleeping, depression, mood lability, anxiety, hallucinations, paranoia, trouble concentrating, suicidal, homicidal, grief, drug use, and so many other things each and everyone may experience at some point in their life. However, if these things are not allowing you to live your best life I am here to assist. No one should have to go through these events alone or feel isolated from others. I am here to serve you and provide all resources available to assist with the above symptoms.
~ACCEPTING NEW PATIENTS - TELE-HEALTH ONLY~ ~SELF-PAY WELCOME~ My ideal client is YOU! Trouble sleeping, depression, mood lability, anxiety, hallucinations, paranoia, trouble concentrating, suicidal, homicidal, grief, drug use, and so many other things each and everyone may experience at some point in their life. However, if these things are not allowing you to live your best life I am here to assist. No one should have to go through these events alone or feel isolated from others. I am here to serve you and provide all resources available to assist with the above symptoms.
(804) 409-7965 View (804) 409-7965
Photo of Ryan R. Gorman, Psychiatric Nurse Practitioner in Gainesville, VA
Ryan R. Gorman
Psychiatric Nurse Practitioner, MSN, RN, PMHNP
Verified Verified
Alexandria, VA 22314  (Online Only)
I am an experienced mental health clinician with expertise treating depression, anxiety and post-traumatic stress disorder (PTSD). I prescribe discerningly for adult clients who would benefit from a medication's role in their healing process. Additionally, I offer insight-oriented, strength-based psychotherapies which support the brain's natural ability to recover from trauma and attachment wounds. Whether you are accessing mental health treatment for the first time or wish to pursue your healing on a deeper level, I look forward to working together.
I am an experienced mental health clinician with expertise treating depression, anxiety and post-traumatic stress disorder (PTSD). I prescribe discerningly for adult clients who would benefit from a medication's role in their healing process. Additionally, I offer insight-oriented, strength-based psychotherapies which support the brain's natural ability to recover from trauma and attachment wounds. Whether you are accessing mental health treatment for the first time or wish to pursue your healing on a deeper level, I look forward to working together.
(571) 200-2567 View (571) 200-2567
Photo of Baffour Agyeman-Duah, Psychiatric Nurse Practitioner in Gainesville, VA
Baffour Agyeman-Duah
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Sterling, VA 20165
Diagnose and provide overall treatment management of applicable psychiatric conditions. Psychopharmacology and med-management. Health and Physical Evaluation.
Diagnose and provide overall treatment management of applicable psychiatric conditions. Psychopharmacology and med-management. Health and Physical Evaluation.
(571) 200-8699 View (571) 200-8699
Photo of Christopher Alan Sendi, Psychiatrist in Gainesville, VA
Christopher Alan Sendi
Psychiatrist
Verified Verified
Alexandria, VA 22306
We provide Ketamine infusions, ketamine assisted psychotherapy, home-based oral ketamine lozenges, ketamine nasal spray, and Spravato for depression, treatment resistant depression, bipolar disorder, anxiety, PTSD, addiction, OCD, chronic pain, CRPS, Migraines, headache disorders, and other medical problems. We can work with your current providers for medication management of mood disorders and addiction treatment, including Suboxone, Sublocade, and Vivitrol treatments. Ketamine is a rapidly acting and safe medication that diminishes depression within days to weeks as an ongoing therapy. Insurance does not cover this treatment.
We provide Ketamine infusions, ketamine assisted psychotherapy, home-based oral ketamine lozenges, ketamine nasal spray, and Spravato for depression, treatment resistant depression, bipolar disorder, anxiety, PTSD, addiction, OCD, chronic pain, CRPS, Migraines, headache disorders, and other medical problems. We can work with your current providers for medication management of mood disorders and addiction treatment, including Suboxone, Sublocade, and Vivitrol treatments. Ketamine is a rapidly acting and safe medication that diminishes depression within days to weeks as an ongoing therapy. Insurance does not cover this treatment.
(571) 536-7007 View (571) 536-7007
Photo of Sherin Moideen, Psychiatrist in Gainesville, VA
Sherin Moideen
Psychiatrist, MD
Verified Verified
Richmond, VA 23233
Hi, My name is Dr. Sherin Moideen and I started Virginia Psychiatry LLC to provide specialized psychiatric care to women. Women face unique challenges during periods of life and reproductive transitions, career, and parenthood. I strive to take into consideration the biological, psychological, social, and cultural experiences that are unique to women. Certain diagnosis are often overlooked in women. I have been practicing in the Richmond area for over 10 years and I am licensed to practice in both Virginia and Washington D.C. I offer telemedicine appointments throughout the state.
Hi, My name is Dr. Sherin Moideen and I started Virginia Psychiatry LLC to provide specialized psychiatric care to women. Women face unique challenges during periods of life and reproductive transitions, career, and parenthood. I strive to take into consideration the biological, psychological, social, and cultural experiences that are unique to women. Certain diagnosis are often overlooked in women. I have been practicing in the Richmond area for over 10 years and I am licensed to practice in both Virginia and Washington D.C. I offer telemedicine appointments throughout the state.
(804) 369-8236 View (804) 369-8236
Photo of Dr. Weisheng Renee Mao, Psychiatrist in Gainesville, VA
Dr. Weisheng Renee Mao
Psychiatrist, MD
Verified Verified
Alexandria, VA 22314
You don't know exactly how to describe it, but something feels wrong with you. You're withdrawing from friends and family. You can't relax. Sleepless nights are turning into horrible mornings and anxious evenings. You know you need help, but you're instantly overwhelmed by everything you read online. Is it your brain chemistry that's off? Do you need a new job? What exactly is psychotherapy?
You don't know exactly how to describe it, but something feels wrong with you. You're withdrawing from friends and family. You can't relax. Sleepless nights are turning into horrible mornings and anxious evenings. You know you need help, but you're instantly overwhelmed by everything you read online. Is it your brain chemistry that's off? Do you need a new job? What exactly is psychotherapy?
(703) 952-3058 View (703) 952-3058
Photo of Ike Uzowulu, Psychiatric Nurse Practitioner in Gainesville, VA
Ike Uzowulu
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Richmond, VA 23228  (Online Only)
I am a board-certified family psychiatric nurse practitioner. I have verifiable experience in treating variety of psychiatric disorders such as; mood disorders including resistant depression, eating disorders, ADHD, OCD, PTSD, schizophrenia, stress and sleep related disorders.
I am a board-certified family psychiatric nurse practitioner. I have verifiable experience in treating variety of psychiatric disorders such as; mood disorders including resistant depression, eating disorders, ADHD, OCD, PTSD, schizophrenia, stress and sleep related disorders.
(804) 494-4094 View (804) 494-4094

See more therapy options for Gainesville

Integrative Psychiatrists

What is integrative therapy?

Integrative therapy is a type of therapy that combines ideas and techniques from different therapeutic approaches depending on the needs of the individual client. By merging elements of different treatments, an integrative therapist aims to offer a more flexible approach than those who practice just one type of therapy.

How does integrative therapy work?

Integrative therapy approaches a client’s mental, physical, and emotional health in a holistic way to discover the sources of their unhealthy behavior patterns or other challenges and considers the approach most likely to lead to improvement. Among the techniques an integrative therapist may practice are cognitive-behavioral therapy, dialectical behavior therapy, EMDR, mindfulness, art or music therapy, psychodynamic therapy, breathwork, family systems therapy, gestalt therapy, and trauma-informed therapy. An integrative therapist regularly evaluates the client’s progress and is prepared to pivot to a different approach if progress stalls.

How long does integrative therapy last?

As with most forms of talk therapy, there is no set duration or end point for integrative therapy; people who find they are making progress typically continue until they feel they’ve addressed the issues that spurred them to seek treatment. New patients should understand that it may take some time for a therapist to land on a treatment approach that best meets their needs, but once they do, they should expect sessions to extend for a number of months, typically including at least 12 sessions.

How effective is integrative therapy?

There are hundreds of types of talk therapy, and research shows that while they vary in form, goals, and frequency, many if not all can produce similarly successful outcomes. But a single approach does not always deliver the greatest, or speediest, benefit, and so even therapists primarily trained in one model will use tools, language, techniques, or exercises from others to shape an effective treatment plan.