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Online Therapists

Photo of Tracy Kenela, Counselor in Langley, WA
Tracy Kenela
Counselor, MA, LMHC, CRC, CEDS, ACHT
Verified Verified
Olympia, WA 98502
My counseling practice is structured toward treating each person as individuals. When I treat people who struggle with eating and body image issues and related challenges with anxiety, depression and relationships, every person is treated with their own, individual needs in mind. Treatment modalities range from Cognitive Behavioral Therapy (CBT), Mind-Body Therapy (MBCT), Energetic work using Emotional Freedom Technique (EFT), Hypnotherapy and Subtle Energy work. Additionally, I provide individual, couples and family therapy for work-related support (including Career and Rehabilitation counseling) and troubled relationships.
My counseling practice is structured toward treating each person as individuals. When I treat people who struggle with eating and body image issues and related challenges with anxiety, depression and relationships, every person is treated with their own, individual needs in mind. Treatment modalities range from Cognitive Behavioral Therapy (CBT), Mind-Body Therapy (MBCT), Energetic work using Emotional Freedom Technique (EFT), Hypnotherapy and Subtle Energy work. Additionally, I provide individual, couples and family therapy for work-related support (including Career and Rehabilitation counseling) and troubled relationships.
(360) 320-6986 View (360) 320-6986
Photo of Veronica, EMDR, Hypnotherapist, Supervision, Clinical Social Work/Therapist in Langley, WA
Veronica, EMDR, Hypnotherapist, Supervision
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Bellingham, WA 98225  (Online Only)
Our subconscious mind holds the memories and perceptions of every experience from childhood to adulthood. As we continue our journey, the unresolved past continues to affect our bodies negatively and influence our thoughts, behaviors, and everyday life on an unconscious level. We may not understand why we feel or react as we do to certain situations or why the same patterns show up every time and unexplained symptoms and circumstances keep repeating themselves. Often this prevents us from moving forward with our lives, achieving clarity and authenticity.
Our subconscious mind holds the memories and perceptions of every experience from childhood to adulthood. As we continue our journey, the unresolved past continues to affect our bodies negatively and influence our thoughts, behaviors, and everyday life on an unconscious level. We may not understand why we feel or react as we do to certain situations or why the same patterns show up every time and unexplained symptoms and circumstances keep repeating themselves. Often this prevents us from moving forward with our lives, achieving clarity and authenticity.
(360) 997-2723 View (360) 997-2723
Photo of Carla Grace, Counselor in Langley, WA
Carla Grace
Counselor, LMHC, LPC, DBTC, CAMF
Verified Verified
Seattle, WA 98117  (Online Only)
My specialties include Equine Assisted Psychotherapy, EMDR, Hypnotherapy, Rapid Transformational Therapy, Brain Gym, Psych-K, and Sandtray.
Hi, my name is Carla Grace. My therapeutic style is interactive, inclusive and supportive. I facilitate my client's exploration of the root of traumatic events from a nurturing and empowering perspective. I view the healing process as a sacred and vulnerable experience and create a safe and empowering environment for exploration and healing. Initially, I help the client create supportive scaffolding by identifying and implementing healthy effective coping skills and identifying triggers. It is a privilege to walk alongside a person through their healing journey.
My specialties include Equine Assisted Psychotherapy, EMDR, Hypnotherapy, Rapid Transformational Therapy, Brain Gym, Psych-K, and Sandtray.
Hi, my name is Carla Grace. My therapeutic style is interactive, inclusive and supportive. I facilitate my client's exploration of the root of traumatic events from a nurturing and empowering perspective. I view the healing process as a sacred and vulnerable experience and create a safe and empowering environment for exploration and healing. Initially, I help the client create supportive scaffolding by identifying and implementing healthy effective coping skills and identifying triggers. It is a privilege to walk alongside a person through their healing journey.
(206) 759-7511 View (206) 759-7511
Photo of Minju Kim, Counselor in Langley, WA
Minju Kim
Counselor, MA, LMHC
Verified Verified
Bellevue, WA 98004
My specialties include low self-esteem, anxiety, trauma-related issues, insecurity, attachment styles, and FOO (Family of origin) issues. I tend to work well with clients who appreciate connection, honesty, and humor; who are interested in learning new things; who are into music and arts; who possess sensitivity, intuition, and a spiritual inclination. I particularly enjoy working with bilingual/bicultural individuals experiencing an identity crisis; college students or young professionals feeling stuck; and parents/couples who wish to improve their parenting/partnership by healing their own emotional wounds.
My specialties include low self-esteem, anxiety, trauma-related issues, insecurity, attachment styles, and FOO (Family of origin) issues. I tend to work well with clients who appreciate connection, honesty, and humor; who are interested in learning new things; who are into music and arts; who possess sensitivity, intuition, and a spiritual inclination. I particularly enjoy working with bilingual/bicultural individuals experiencing an identity crisis; college students or young professionals feeling stuck; and parents/couples who wish to improve their parenting/partnership by healing their own emotional wounds.
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Photo of Leslie Fleming, Counselor in Langley, WA
Leslie Fleming
Counselor, MA, LMHC
Verified Verified
6 Endorsed
Edmonds, WA 98020
Waitlist for new clients
I offer a unique, holistic approach to transformational healing and growth through a weaving of shamanism, psychotherapy, and coaching. I am direct, compassionate, and intuitive in working with clients, offering deep integrity, fortitude, and over 3 decades of shamanic practice supporting journeys of healing, personal mastery, and authenticity. The transformational work of embodying who you truly are and why you are here is a beautiful, challenging journey of embracing and integrating all of who you are with deep compassion and fierce love. A journey I invite you to take and am honored to support.
I offer a unique, holistic approach to transformational healing and growth through a weaving of shamanism, psychotherapy, and coaching. I am direct, compassionate, and intuitive in working with clients, offering deep integrity, fortitude, and over 3 decades of shamanic practice supporting journeys of healing, personal mastery, and authenticity. The transformational work of embodying who you truly are and why you are here is a beautiful, challenging journey of embracing and integrating all of who you are with deep compassion and fierce love. A journey I invite you to take and am honored to support.
(206) 745-6238 View (206) 745-6238
Photo of Michael E Brouillette, Counselor in Langley, WA
Michael E Brouillette
Counselor, EdD, LMHC, LCHt
Verified Verified
1 Endorsed
Puyallup, WA 98373
I am seeing new clients now. What can I do to help? I specialize in Anxiety, Depression, Anger, PTSD, Emotional, and Relationship issues. I work with individuals and couples. I would love the opportunity to work with you to help you heal. If you are dealing with relationship issues, I can work with one or both of you to get positive results. We will work together to find ways to empower you to resolve your issues. Please go to my website and book your first 50-minute session. When you go there, click Book Now, choose your in-person or virtual session, and then select your date and time. Let's see if we are a good fit.
I am seeing new clients now. What can I do to help? I specialize in Anxiety, Depression, Anger, PTSD, Emotional, and Relationship issues. I work with individuals and couples. I would love the opportunity to work with you to help you heal. If you are dealing with relationship issues, I can work with one or both of you to get positive results. We will work together to find ways to empower you to resolve your issues. Please go to my website and book your first 50-minute session. When you go there, click Book Now, choose your in-person or virtual session, and then select your date and time. Let's see if we are a good fit.
(253) 444-4131 View (253) 444-4131
Photo of Susan P Moser, Counselor in Langley, WA
Susan P Moser
Counselor, MA, LMHC, CHT
Verified Verified
9 Endorsed
Federal Way, WA 98003
Waitlist for new clients
I am a mental health counselor who believes therapy is a process in which you will gain greater self-awareness, that can change how you live in the world and relate to others. We all have issues from our past, big and small traumas, being triggered by our current situations that prevent us from living a more meaningful life. Creating healthy connections with the parts of you that are challenging, builds the resources for you to be more authentic and comfortable in your own skin. By doing this, you find your strengths and face your fears.
I am a mental health counselor who believes therapy is a process in which you will gain greater self-awareness, that can change how you live in the world and relate to others. We all have issues from our past, big and small traumas, being triggered by our current situations that prevent us from living a more meaningful life. Creating healthy connections with the parts of you that are challenging, builds the resources for you to be more authentic and comfortable in your own skin. By doing this, you find your strengths and face your fears.
(253) 252-1671 View (253) 252-1671
Photo of Michael Boltwood, Psychologist in Langley, WA
Michael Boltwood
Psychologist
Verified Verified
Silverdale, WA 98383  (Online Only)
The goal of psychotherapy is to understand, manage and resolve problems of related to stress, anxiety, depression & anger, and also to achieve important positive changes in your life. Mindfulness based psychotherapy can successfully reduce stress, by learning how your Moods/emotions, Thoughts/beliefs, Behavior/lifestyle, and Physical body interact and influence each other. Psychotherapy teaches skills to successfully manage your emotions and daily behavior while feeling better, and improving the quality of your life. Psychotherapy focused on healthy behaviors increases optimism by adding positive activities and people to your life.
The goal of psychotherapy is to understand, manage and resolve problems of related to stress, anxiety, depression & anger, and also to achieve important positive changes in your life. Mindfulness based psychotherapy can successfully reduce stress, by learning how your Moods/emotions, Thoughts/beliefs, Behavior/lifestyle, and Physical body interact and influence each other. Psychotherapy teaches skills to successfully manage your emotions and daily behavior while feeling better, and improving the quality of your life. Psychotherapy focused on healthy behaviors increases optimism by adding positive activities and people to your life.
(360) 383-5625 View (360) 383-5625
Photo of Dave Schmitz-Binnall in Langley, WA
Dave Schmitz-Binnall
LMHC, CHT
Verified Verified
Lacey, WA 98503  (Online Only)
My clients tell me that my counseling style combines my intelligence, intuitive sense, gentle-ness and "real-ness" in a way that creates trust and produces results. I am non-judgemental and able to adapt my approach to any type of person and any type of need. I work well with all genders, and people from any type of background. I have an affirmative approach to LBTQ issues and challenges. Give me a call, or email me, and we can get together, at no charge, and see if we're a good fit for one another.
My clients tell me that my counseling style combines my intelligence, intuitive sense, gentle-ness and "real-ness" in a way that creates trust and produces results. I am non-judgemental and able to adapt my approach to any type of person and any type of need. I work well with all genders, and people from any type of background. I have an affirmative approach to LBTQ issues and challenges. Give me a call, or email me, and we can get together, at no charge, and see if we're a good fit for one another.
(360) 614-2504 View (360) 614-2504
Photo of Arinnaia Olson, Counselor in Langley, WA
Arinnaia Olson
Counselor, MA, LMHC
Verified Verified
Bellingham, WA 98225  (Online Only)
As a licensed counselor in Washington state helping clients learn how to understand and bring more clarity to their mental, emotional, and physical, challenges. My work focuses on understanding more about how each persons unique life experiences have brought you where you are today. Working with transformative modalities such as EMDR I currently offer many ways to process and find greater relaxation, ease and deep lasting healing. Through my own personal life work, journey and engagement in the field of mind body, somatic and transformational practices, I offer a deep understanding of the depths of being human, here now.
As a licensed counselor in Washington state helping clients learn how to understand and bring more clarity to their mental, emotional, and physical, challenges. My work focuses on understanding more about how each persons unique life experiences have brought you where you are today. Working with transformative modalities such as EMDR I currently offer many ways to process and find greater relaxation, ease and deep lasting healing. Through my own personal life work, journey and engagement in the field of mind body, somatic and transformational practices, I offer a deep understanding of the depths of being human, here now.
(360) 919-0294 View (360) 919-0294
Photo of Shawna Sunday, Counselor in Langley, WA
Shawna Sunday
Counselor, MA, LMHC, SUDP
Verified Verified
Renton, WA 98057
(206) 775-7048 View (206) 775-7048
Arthur Levine
Counselor, MA, LMHC
Verified Verified
Covington, WA 98042  (Online Only)
I have spent hundreds of hours studying such approaches as hypnotherapy, NLP, and Thought Pattern Management, because these are powerful ways of accessing the resources of the Unconscious Mind and enlisting its assistance as a powerful ally.
I am committed to helping people get the results they want quickly and effectively. Toward that end, I have studied a broad range of therapeutic approaches, and I endeavor to tailor my work with you to meet your specific needs and temperament. Through my studies and experience, I have learned that the Unconscious Mind is a great resource, full of all our life's learnings, experiences, and wisdom, and that it can be enlisted in the quest for emotional healing, personal growth, and creating lasting changes in one's life.
I have spent hundreds of hours studying such approaches as hypnotherapy, NLP, and Thought Pattern Management, because these are powerful ways of accessing the resources of the Unconscious Mind and enlisting its assistance as a powerful ally.
I am committed to helping people get the results they want quickly and effectively. Toward that end, I have studied a broad range of therapeutic approaches, and I endeavor to tailor my work with you to meet your specific needs and temperament. Through my studies and experience, I have learned that the Unconscious Mind is a great resource, full of all our life's learnings, experiences, and wisdom, and that it can be enlisted in the quest for emotional healing, personal growth, and creating lasting changes in one's life.
(206) 504-2651 View (206) 504-2651
Photo of Brenda Ruttenberg, Psychologist in Langley, WA
Brenda Ruttenberg
Psychologist, PhD
Verified Verified
Snohomish, WA 98290
Use of hypnotherapy, visualization, and art therapy, in addition to, Interpersonal, Cognitive Behavioral Therapy, Transpersonal and Humanistic techniques.
My clients seek counseling, guidance, support and new skills to resolve issues. We work together to explore personal and family relationships which can include work-related problems and trauma. A deeper understanding results. We work on improving communication skills, perspectives and attitudes. With therapy, self confidence and depressive states show improvement. I specialize in the treatment of depression and mood disorders, anxiety, panic, trauma, PTSD, and chronic health issues in a safe and comfortable environment. I work mainly with adults of all ages and orientations.
Use of hypnotherapy, visualization, and art therapy, in addition to, Interpersonal, Cognitive Behavioral Therapy, Transpersonal and Humanistic techniques.
My clients seek counseling, guidance, support and new skills to resolve issues. We work together to explore personal and family relationships which can include work-related problems and trauma. A deeper understanding results. We work on improving communication skills, perspectives and attitudes. With therapy, self confidence and depressive states show improvement. I specialize in the treatment of depression and mood disorders, anxiety, panic, trauma, PTSD, and chronic health issues in a safe and comfortable environment. I work mainly with adults of all ages and orientations.
(206) 745-0939 View (206) 745-0939
Photo of Chere Clark, Counselor in Langley, WA
Chere Clark
Counselor, MA, MSEd, LMHC
Verified Verified
Lacey, WA 98503  (Online Only)
Waitlist for new clients
Life challenges can become struggles. Normal transitions, like a job change or an “empty nest” can be daunting--maybe even overwhelming. Big issues, like relationship stress, illness, divorce, job loss, losing someone close, can weigh heavily, steal our energy, derail us. You may suffer from depression, anxiety, or other difficulties. For struggles with food and body issues, or distressing habits, I would love to help you with these challenges, as well. Accepting new clients; teletherapy appts available.
Life challenges can become struggles. Normal transitions, like a job change or an “empty nest” can be daunting--maybe even overwhelming. Big issues, like relationship stress, illness, divorce, job loss, losing someone close, can weigh heavily, steal our energy, derail us. You may suffer from depression, anxiety, or other difficulties. For struggles with food and body issues, or distressing habits, I would love to help you with these challenges, as well. Accepting new clients; teletherapy appts available.
(360) 842-8840 View (360) 842-8840
Photo of Andrew Zorich, Pre-Licensed Professional in Langley, WA
Andrew Zorich
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Have you been seeking greater calm, clarity, and centeredness? Are you carrying deep traumas or stresses that continually hinder you from living life to the fullest? If so, I want to assure you that you are not alone. Seeking help takes courage, and I want you to feel at ease throughout the process. Whether you are dealing with trauma, PTSD, C-PTSD, panic, anxiety, grief, depression, or relational issues, my approach is individualized, inclusive, and strengths-based. Every step of the way, I want you to feel deeply seen, heard, and empowered.
Have you been seeking greater calm, clarity, and centeredness? Are you carrying deep traumas or stresses that continually hinder you from living life to the fullest? If so, I want to assure you that you are not alone. Seeking help takes courage, and I want you to feel at ease throughout the process. Whether you are dealing with trauma, PTSD, C-PTSD, panic, anxiety, grief, depression, or relational issues, my approach is individualized, inclusive, and strengths-based. Every step of the way, I want you to feel deeply seen, heard, and empowered.
(425) 655-1463 View (425) 655-1463
Photo of Kevala Keller, Marriage & Family Therapist in Langley, WA
Kevala Keller
Marriage & Family Therapist, MA, LMFT, LMHC, ACHt
Verified Verified
1 Endorsed
Lacey, WA 98503
I provide individual counseling, couples therapy, hypnotherapy, EMDR, Mind Clearing and Emotion Clearing .
There are a variety of therapeutic techniques I use to bring relief to current life issues, help resolve early life patterns and help clients create a new way of being in life and feeling they are now in control of themselves and their choices. There is a release in these techniques that normal "talk" therapy is not able to provide. This journey is about self discovery and self mastery. Those that wish to address a specific issue or symptom in their life can do so and those who want to embark on the larger path of personal transformation are also served by this work.
I provide individual counseling, couples therapy, hypnotherapy, EMDR, Mind Clearing and Emotion Clearing .
There are a variety of therapeutic techniques I use to bring relief to current life issues, help resolve early life patterns and help clients create a new way of being in life and feeling they are now in control of themselves and their choices. There is a release in these techniques that normal "talk" therapy is not able to provide. This journey is about self discovery and self mastery. Those that wish to address a specific issue or symptom in their life can do so and those who want to embark on the larger path of personal transformation are also served by this work.
(360) 545-3989 View (360) 545-3989
Photo of Jessica E Frost, Counselor in Langley, WA
Jessica E Frost
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98418  (Online Only)
I have a history of working with many different types of people and concerns. I work best with people who are willing to do self-observation as that is the key to learning about your own thinking and feeling patterns, which is what we are trying to modify. I take a holistic approach and self-observation provides the basis for all of the other work. It is important to start noticing and working with the sensations in the body that accompany our thoughts and feelings, as our body holds the memories of everything we have ever experienced and is the vehicle in which we move and feel in the world.
I have a history of working with many different types of people and concerns. I work best with people who are willing to do self-observation as that is the key to learning about your own thinking and feeling patterns, which is what we are trying to modify. I take a holistic approach and self-observation provides the basis for all of the other work. It is important to start noticing and working with the sensations in the body that accompany our thoughts and feelings, as our body holds the memories of everything we have ever experienced and is the vehicle in which we move and feel in the world.
(253) 398-8472 View (253) 398-8472
Photo of Meredith Jan Tackett, Psychologist in Langley, WA
Meredith Jan Tackett
Psychologist, PhD, ABPP-RP
Verified Verified
Seattle, WA 98107
As a specialist in Rehabilitation Psychology, I most often work closely with patients who are managing complex social and medical situations. I build trust and connect with patients about their concerns, fears, and hopes. Most clients are striving to feel more connected to their community and building meaning in their lives. We can all improve in these areas and the science of psychology offers wonderful tools to accomplish these goals. I believe strongly in the power of human resilience in the face of adversity.
As a specialist in Rehabilitation Psychology, I most often work closely with patients who are managing complex social and medical situations. I build trust and connect with patients about their concerns, fears, and hopes. Most clients are striving to feel more connected to their community and building meaning in their lives. We can all improve in these areas and the science of psychology offers wonderful tools to accomplish these goals. I believe strongly in the power of human resilience in the face of adversity.
(206) 875-2303 x1002 View (206) 875-2303 x1002
Photo of Meara Harrington, Counselor in Langley, WA
Meara Harrington
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Mountlake Terrace, WA 98043  (Online Only)
I'm trained in Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, Hypnotherapy, Gottman Method, and Acceptance & Commitment Therapy.
Congratulations on taking the first steps to becoming the person you want to be. I believe in empowering people to overcome the difficulties in their lives. My passion is helping clients to overcome barriers to living their best life by bringing out their inner strength, using therapy for insight, self-exploration, healing, and personal growth. My theoretical approach is eclectic and relational. Together we can explore how your personal history and learned habits may influence your emotions, coping patterns, and behaviors,- ultimately affecting your sense of self for the better.
I'm trained in Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, Hypnotherapy, Gottman Method, and Acceptance & Commitment Therapy.
Congratulations on taking the first steps to becoming the person you want to be. I believe in empowering people to overcome the difficulties in their lives. My passion is helping clients to overcome barriers to living their best life by bringing out their inner strength, using therapy for insight, self-exploration, healing, and personal growth. My theoretical approach is eclectic and relational. Together we can explore how your personal history and learned habits may influence your emotions, coping patterns, and behaviors,- ultimately affecting your sense of self for the better.
(425) 225-3775 View (425) 225-3775
Photo of Donna Jacobs, Clinical Social Work/Therapist in Langley, WA
Donna Jacobs
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Hi, I’m Donna, MSW Therapist and Wholistic Life Coach. I’m elated to serve you during your most vital transitions and help you succeed on the path that best suits your ability to live optimally. Life can be a challenge, I know. I am also aware that with every obstacle comes solutions that are viable for maintaining better outcomes. Particularly, there are times when we have to identify and examine uncomfortable behavioral patterns and dynamics that impede on our ability to function at our best. Confronting these limitations can often times feel like shame and guilt, and disassemble our ability to possess compassion for our process
Hi, I’m Donna, MSW Therapist and Wholistic Life Coach. I’m elated to serve you during your most vital transitions and help you succeed on the path that best suits your ability to live optimally. Life can be a challenge, I know. I am also aware that with every obstacle comes solutions that are viable for maintaining better outcomes. Particularly, there are times when we have to identify and examine uncomfortable behavioral patterns and dynamics that impede on our ability to function at our best. Confronting these limitations can often times feel like shame and guilt, and disassemble our ability to possess compassion for our process
(360) 502-4111 View (360) 502-4111

See more therapy options for Langley

HypnoTherapy

How does hypnotherapy work?

Hypnotherapy works by using guided hypnosis to help you reach a state of focus and concentration through mental imagery and soothing verbal repetition. The state is somewhat like being absorbed in a book, a movie, or your own thoughts. You are not under a therapist’s “control,” but they can help you relax and turn your attention inward to discover the resources to achieve behavior change or better manage psychological concerns. Therapy sessions may involve guiding you through recognizing a problem, releasing problematic thoughts about it, and considering and accepting more productive alternatives before returning to normal awareness. Hypnotherapy is typically used by a therapist along with traditional forms of talk therapy. Eventually, your therapist can help you learn hypnotherapy techniques yourself so you can establish a stronger sense of control on your own in stressful or challenging moments.

Is hypnotherapy the same as hypnosis?

Hypnotherapy, which is sometimes called hypnotic suggestion, is a therapeutic technique in which a therapist uses hypnosis to help patients. It is not the kind of hypnosis portrayed in stage shows, or in movies or on television. You will not be unconscious or asleep during hypnotherapy, you will not lose control of yourself, your thoughts, or your free will, and you will be able to fully recall your experience. And while you will hear your therapist’s suggestions, it is always up to you to decide whether to act on them. Hypnosis by a trained mental-health professional is not a form of mind control, which is impossible to achieve anyway.

Can everyone be hypnotized?

The most common challenge of hypnotherapy is that as many as one in four people cannot be hypnotized. Brain imaging has confirmed differences in patterns of brain connectivity between those who respond to hypnotism and those who do not. Other people who could potentially be hypnotized may not respond to the technique because of their skepticism or resistance to entering a hypnotic state. If a therapist’s “post-hypnotic suggestion” is effective, it’s because they are suggesting something you want to achieve.

Does hypnotherapy work?

Through hypnotherapy, you can achieve changes that are real and sustainable. Like other talk therapy techniques, when hypnotherapy succeeds, it’s a case of mind over matter. Effective hypnotherapy involves self-healing because you access resources you need to change inside of yourself and learn how to tap into them whenever you need. Hypnotherapy has been shown to be an effective therapy for anxiety, phobias, stress, panic attacks, post-traumatic stress disorder, sexual dysfunction, and undesirable behaviors like smoking. It can be used to help improve sleep or to address relationship challenges, and to aid with pain management, digestive disorders, skin conditions, and the gastrointestinal side effects of pregnancy or chemotherapy.