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Articles 3511 - 3540 of 9592
Full-Text Articles in Psychiatry and Psychology
Obstetric Patients And Healthcare Providers Perspectives To Inform Mobile App Design For Physical Activity And Weight Control During Pregnancy And Postpartum In A Rural Setting, Rachel Tinius, Cathryn Duchette, Sia Beasley, Maire Blankenship, Nancy Schoenberg
Obstetric Patients And Healthcare Providers Perspectives To Inform Mobile App Design For Physical Activity And Weight Control During Pregnancy And Postpartum In A Rural Setting, Rachel Tinius, Cathryn Duchette, Sia Beasley, Maire Blankenship, Nancy Schoenberg
Behavioral Science Faculty Publications
Background: Mobile health technology offers the opportunity for women to engage with physical activity promotion programs without many of the barriers commonly associated with exercise during and after pregnancy (eg, childcare concerns, rigid schedules, fear of doing harm to fetus or self, access to fitness facilities, uncomfortable with body in front of others) which may be particularly useful in under-resourced rural environments. We conducted the first known study on perspectives of pregnant women, postpartum women, and obstetric healthcare providers in a rural setting on needs related to the development of a mobile app designed to increase physical activity during pregnancy …
The Value Of Community Psychiatric Services For The Elderly’S Dementia Caregiver Group: Exploring The Perspectives Of Participants, Elise Greto
Patient Experience Journal
Community Psychiatric Services for the Elderly (CPSE) at a large teaching hospital in Toronto has offered a monthly support group for caregivers of persons with dementia for over 30 years. Participants were surveyed in January 2018 about group attendance, benefits of attending the group, and areas for improvement. Results are shared in this case study. A total of 8 participants responded to the survey with a response rate of 47%. The feedback was predominantly positive. The most prevailing theme that emerged from the survey responses was group members’ appreciation for the opportunity to meet with one another to discuss relevant …
Effectiveness Of Ehr-Depression Screening Among Adult Diabetics In An Urban Primary Care Clinic, Filipina C. Schnabel Md, Mph, Msn, Fnp-Bc, Danielle Aldridge Msn, Fnp-C, Laura Reed Dnp, Fnp-Bc
Effectiveness Of Ehr-Depression Screening Among Adult Diabetics In An Urban Primary Care Clinic, Filipina C. Schnabel Md, Mph, Msn, Fnp-Bc, Danielle Aldridge Msn, Fnp-C, Laura Reed Dnp, Fnp-Bc
Doctor of Nursing Practice Projects
Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR).
Methods We conducted a retrospective chart review on patients …
What Is The Readiness Potential?, Aaron Schurger, Pengbo 'Ben' Hu, Joanna Pak, Adina L. Roskies
What Is The Readiness Potential?, Aaron Schurger, Pengbo 'Ben' Hu, Joanna Pak, Adina L. Roskies
Psychology Faculty Articles and Research
The readiness potential (RP) has been widely interpreted to indicate preparation for movement and is used to argue that our brains decide before we do. It thus has been a fulcrum for discussion about the neuroscience of free will.
Recent computational models provide an alternative framework for thinking about the significance of the RP, suggesting instead that the RP is a natural result of the operation of a stochastic accumulator process of decision-making, analyzed by time-locking to threshold-crossing events.
These models call for a reevaluation of: (i) the ontological standing of the RP as reflecting a real, causally efficacious signal …
Intelligence Of Bearded Dragons, Sydney Herndon
Intelligence Of Bearded Dragons, Sydney Herndon
Honors College Theses
The purpose of this thesis is to study and explain the intelligence of bearded dragons. Bearded dragons (Pogona spp.) are a species of reptile that have been popular in recent years as pets. Until recently, not much was known about their intelligence levels due to lack of appropriate research and studies on the species. Scientists have been studying the physical and social characteristics of bearded dragons to determine if they possess a higher intelligence than previously thought. One adaptation that makes bearded dragons unique is how they respond to heat. Bearded dragons optimize their metabolic functions through a …
Telemedicine In Schizophrenia, Stacy H. Williams
Telemedicine In Schizophrenia, Stacy H. Williams
MSN Capstone Projects
Schizophrenia is a chronic neurological brain disorder that affects approximately 2.6 million adults in the United States alone. This condition affects twenty million people worldwide according to the World Health Organization. “Patients with schizophrenia often die at a considerably younger age than the rest of the population,” (Wallace, 2017). The treatment of this condition is complex because of the array of different symptoms and presented behaviors. Treatment consists of targeting the symptoms. This is done with medication and psychotherapeutics treatments. ‘Despite continued therapeutic advances, the life expectancy of patients with schizophrenia is reduced by approximately 10-25 years compared to that …
Building Community-Engaged Multidisciplinary Partnerships To Improve Medication Management In Elderly Patients With Multiple Chronic Conditions, Ivy O. Poon, Felicia Skelton, Lena R. Bean, Dominique Guinn, Terica L. Jemerson, Ngozi D. Mbue, Creaque V. Charles, Uche Anadu Ndefo
Building Community-Engaged Multidisciplinary Partnerships To Improve Medication Management In Elderly Patients With Multiple Chronic Conditions, Ivy O. Poon, Felicia Skelton, Lena R. Bean, Dominique Guinn, Terica L. Jemerson, Ngozi D. Mbue, Creaque V. Charles, Uche Anadu Ndefo
Journal of Patient-Centered Research and Reviews
Purpose: Many studies in preventing adverse drug events have been researcher-driven, yet few have engaged patients in the development of a project. This project aims to engage minority elderly patients with multiple chronic conditions in the development of research questions and strategies to improve medication safety.
Methods: Elderly patients (≥ 65 years old) who were prescribed 7 or more chronic medications were recruited through a university-based aging resource network in a historically African American community in Houston, Texas. Patients and a caregiver participated in a multidisciplinary workgroup comprised of a physician, pharmacists, a nurse, health educators, and a social worker. …
Surface-Eroding Drug Delivery Films For Sequential And/Or Intermittent Release Of Psychoactive Drugs, Jason Price
Surface-Eroding Drug Delivery Films For Sequential And/Or Intermittent Release Of Psychoactive Drugs, Jason Price
Honors Theses
ABSTRACT JASON BLAKE PRICE: Surface-Eroding Drug Delivery Films for Sequential and/or
Intermittent Release of Psychoactive Drugs For patients with psychiatric diseases, adherence to medication schedules, medication
errors, and abuse are common issues. Promising new forms of therapy for these patients, such as micro-dosed lysergic acid diethylamide (LSD), where patients receive 10-20% of a full dose every third day, present further drug delivery challenges. Sequential or intermittent release of drugs from an implanted device could ensure long-term drug compliance, automate drug dosing during the life of the implant, and eliminate potential for abuse and medication errors. To this end, we generated …
Sensory Processing, Chronic Pain, And Recovery From Substance Use, Claire Ruth, Susan Macdermott, Becki Cohill, Karen Park
Sensory Processing, Chronic Pain, And Recovery From Substance Use, Claire Ruth, Susan Macdermott, Becki Cohill, Karen Park
Spring 2021 Virtual OTD Capstone Symposium
Background: Those with chronic pain have worse drug and alcohol treatment outcomes and higher rates of relapse compared to those without pain or with reduced pain (Ilgen et al., 2020).
Methods: A descriptive study was employed with the aim of determining what are the sensory processing pattens of those with co-morbid chronic pain and in recovery for substance use. All participants completed the Adolescent and Adult Sensory Profile, the Brief Pain Inventory, and the Personal Recovery Outcome Measure (PROM).
Results: From the preliminary findings, individuals with co-morbid chronic pain and substance use may have atypical sensory processing in areas of …
Occupational Therapy In Youth Violence: An Occupation-Based Program For At-Risk Youth, Jasmine Shahin, Pam Kasyan-Howe, Kristin Domville
Occupational Therapy In Youth Violence: An Occupation-Based Program For At-Risk Youth, Jasmine Shahin, Pam Kasyan-Howe, Kristin Domville
Spring 2021 Virtual OTD Capstone Symposium
Throughout the years, youth participating in violence has become an increased concern around the nation as there is an increase in media outlets displaying tragedies, such as mass school shootings caused by students. The at-risk youth population is a specific population disadvantaged in engaging in safe and health-promoting activities due to limited resources or opportunities. As a result, at-risk youth make decisions based on their disadvantaged environment (Farajzadegan et al., 2018; Gallagher et al., 2015a). Factors including socioeconomic status, social support from family or friends, and mental health impact an individual’s opinions, attitudes, and interests as well as their occupational …
Fears And Barriers: Problems In Breast Cancer Diagnosis And Treatment In Pakistan, Sidra Saeed, Muhammad Asim, Malik Muhammad Sohail
Fears And Barriers: Problems In Breast Cancer Diagnosis And Treatment In Pakistan, Sidra Saeed, Muhammad Asim, Malik Muhammad Sohail
Community Health Sciences
Background: Women in Pakistan lack appropriate awareness about diagnosis and treatment for breast cancer due to a range of multifaceted barriers. There is a dearth of literature examining the socio-cultural factors that inhibit women from breast cancer screening, diagnosis and treatment in Punjab, Pakistan. Addressing this gap, this qualitative study sought to identify and explore the barriers that hinder women from seeking timely screening and treatment.
Methods: In this process 45 women (age = 18-50 years) with breast cancer were purposively sampled and interviewed from the Punjab Institute of Nuclear Medicine (PINUM) hospital, Faisalabad, Pakistan.
Results: An inductive approach was …
Efficacy Of A Yfv-Specific Monoclonal Antibody In The Treatment Of Yf In A Hamster Model, Ryne Christiansen
Efficacy Of A Yfv-Specific Monoclonal Antibody In The Treatment Of Yf In A Hamster Model, Ryne Christiansen
Student Research Symposium
The yellow fever virus (YFV) is a flavivirus found mainly in South America and Africa. Infection may result in fever, chills, jaundice, nausea, and vomiting. Outbreaks may have up to 50% case mortality. Although Yellow Fever (YF) is a highly preventable disease through the use of an effective vaccine, there are no approved antivirals for this disease. An effective antiviral is necessary to treat infected individuals in areas where the YF vaccine was not used and an outbreak of YF occurs. In this study, female Syrian golden hamsters were infected with YFV and treated with YFV-specific monoclonal antibodies (mAbs). Weight …
A Case Examination Of Factors Impacting Charges In Vehicular Heatstroke, Jennifer Gray, Monica L. Mccoy
A Case Examination Of Factors Impacting Charges In Vehicular Heatstroke, Jennifer Gray, Monica L. Mccoy
SC Upstate Research Symposium
Abstract — Since the 1990s, preventing vehicular heatstroke has been the focus of many public health campaigns. Parents are implored to never leave their young children unattended in the car, and to check the backseat before getting out of the car. Despite the increase in awareness about child fatalities due to hyperthermia, children continue to be left or forgotten in vehicles with tragic consequences. Interestingly, the decision to charge the negligent caregiver in cases of vehicular heatstroke is not widely studied. While some evidence indicates that case factors (e.g., intentionality and caregiver intoxication) are relevant in the decision to charge …
The Social And The Psychological Impact Of Endometriosis On The Romanian Urban Population, Iulia Baciu, Alecsandra Irimie-Ana, Anca Maria Panaitescu, Gheorghe Peltecu, Corina Gica, Nicolae Gica
The Social And The Psychological Impact Of Endometriosis On The Romanian Urban Population, Iulia Baciu, Alecsandra Irimie-Ana, Anca Maria Panaitescu, Gheorghe Peltecu, Corina Gica, Nicolae Gica
Journal of Mind and Medical Sciences
Objectives. Our study assesses the social and psychological impact of the symptoms of endometriosis. Materials and methods. This crosssectional study was conducted from January 2014 to January 2016. The research involved two groups. The study instrument, the EHP-5 questionnaire, was completed by the respondents on the admission date or on the routine gynecological visit day. Results. Endometriosis has a negative social and psychological impact on women’s life, the most affected areas being work, fertility and sexual activity. Moreover, pain and the negative perception of self-image are major sources of distress. Conclusion. The symptoms and effects of endometriosis, especially chronic pelvic …
A Comprehensive Analysis Of Postpartum Depression And Delivery Characteristics: A Cross-Sectional Study, Navdar Dogus Uzun, Mustafa Tekin, Fulya Uzun
A Comprehensive Analysis Of Postpartum Depression And Delivery Characteristics: A Cross-Sectional Study, Navdar Dogus Uzun, Mustafa Tekin, Fulya Uzun
Journal of Mind and Medical Sciences
Objective: We attempted to identify risk factors for postpartum depression (PPD) by evaluating individuals in terms of their birth patterns, as well as other characteristics, including income level, smoking habits, number of children, age, and history of antidepressants. Methods and results: Participants completed a questionnaire consisting of three sections: demographic characteristics, delivery characteristics, and Edinburgh Postpartum Depression Scale. Participants with a depression medical history had a higher depression level during the postpartum. There were significant correlations between postpartum depression, the husband’s working status, the desire fo r the pregnancy, and the patient’s depression medical history. PPD levels did not differ …
Alexithymia And Physical Outcomes In Psychosomatic Subjects: A Cross-Sectional Study, Liam Alexander Mackenzie Myles, Emanuele Maria Merlo
Alexithymia And Physical Outcomes In Psychosomatic Subjects: A Cross-Sectional Study, Liam Alexander Mackenzie Myles, Emanuele Maria Merlo
Journal of Mind and Medical Sciences
Backgrounds. Alexithymia is a relevant phenomenon, occurring transversally to healthy subjects and individuals affected by several conditions. Its role is considerable, according to current state of the art several conditions emerged as influenced, maintained and worsened by alexithymic structures and figures. The present study was aimed at highlighting the existing relations, the differences and the directions assumed by alexithymic factors and health status in patients affected by psychosomatic conditions. Methods. The sample consisted of 150 participants, 42 males (28.0%) and 108 females (72.0%), aged 26 to 78 years old with a mean of 42.24 years old (SD = 12.39). Subjects …
Alcohol Consumption And Cognitive Aging: Can It Be Beneficial?, Margarita Velikova, Bistra Galunska, Raya Dimitrova, Zlatislav Stoyanov
Alcohol Consumption And Cognitive Aging: Can It Be Beneficial?, Margarita Velikova, Bistra Galunska, Raya Dimitrova, Zlatislav Stoyanov
Journal of Mind and Medical Sciences
We present a literature review which summarizes the data supporting one of the alternative perspectives on the effect of alcohol consumption on cognitive aging – the possible positive effect of low to moderate drinking. Some of the main theories about aging, the mechanisms of brain aging, and the pathogenesis of cognitive decline and dementia are briefly described. In this context, the putative mechanisms of the protective action of non-alcoholic components in alcoholic beverages or low doses of ethanol against oxidative stress, inflammation, mitochondrial dysfunction, brain insulin resistance, and production of amyloid-β peptides are presented. The review article does not favor …
Modes Of Birth And Their Impact On The Psychological And Physical Health Of Women, Myriam Natascha Wieser, Kleanthi Gourounti, Antigoni Sarantaki
Modes Of Birth And Their Impact On The Psychological And Physical Health Of Women, Myriam Natascha Wieser, Kleanthi Gourounti, Antigoni Sarantaki
Journal of Mind and Medical Sciences
Objective. The aim of this review was to evaluate the literature concerning modes of birth and their impact on the psychological and physical health of women. Methods. A search was conducted in PubMed Central and Scopus to identify relevant studies in the literature. The searching phrases were “mode of birth” AND “maternal health”. No date restriction was applied. The languages were restricted to English, German, and Greek. Results. Women giving birth through assisted vaginal births, especially by means of forceps, had a higher risk of dealing with different health problems in the postpartum period. Caesarean sections are not able to …
Mental Health Issues In First Responders: Their Causes And How To Help Treat Them, Anna M. Hoffnagle
Mental Health Issues In First Responders: Their Causes And How To Help Treat Them, Anna M. Hoffnagle
English Department: Research for Change - Wicked Problems in Our World
In recent years mental health issues and how to deal with them has become a widely discussed topic in society. Causes and treatments tend to be major factors in the discussion, but they also tend to be far too general. The broadness of the targeted audience for these discussions often creates more issues than it solves due to treatments not being effective for every population. This paper highlights the causes of mental health issues in first responders while also discussing treatment methods designed specifically for this population that have had promising outcomes. Causes and treatments discussed are given solidity through …
Mental Health Affects Of The Covid-19 Pandemic, Mia Kepler
Mental Health Affects Of The Covid-19 Pandemic, Mia Kepler
English Department: Research for Change - Wicked Problems in Our World
Over the past year worldwide everyone has experienced the Covid-19 pandemic in one way or another. As time evolves during the pandemic mental health is getting worse every day. People are experiencing feelings of loneliness and uneasiness. Mental health professionals are trying to find solutions to this major issue in today's society. Change is needed to prevent people's mental health from worsening during these unprecedented times and to help the people who are already suffering.
Positive Psychological Well‐Being And Cardiovascular Disease: Exploring Mechanistic And Developmental Pathways, Julia K. Boehm
Positive Psychological Well‐Being And Cardiovascular Disease: Exploring Mechanistic And Developmental Pathways, Julia K. Boehm
Psychology Faculty Articles and Research
Empirical research regarding the health benefits of positive psychological well‐being (e.g., positive emotions, life satisfaction, purpose in life, and optimism) has flourished in recent years, particularly with regard to cardiovascular disease. This paper reviews the state of evidence for well‐being's association with cardiovascular disease in both healthy individuals and those diagnosed with a disease. Prospective studies consistently indicate well‐being reduces cardiovascular events in healthy and, to a lesser extent, patient populations. Potential pathways that link well‐being with cardiovascular disease are discussed (including health behaviors, physiological processes, and stress buffering), although the existing evidence is mostly cross‐sectional which limits conclusions about …
Reducing Patient Risk For Suicidal Behaviors With A Safety Bundle Of Best Practices With Non-Psychiatric Patients, Olayemi Akindele
Reducing Patient Risk For Suicidal Behaviors With A Safety Bundle Of Best Practices With Non-Psychiatric Patients, Olayemi Akindele
Student Scholarly Projects
Practice Problem: Suicide is a public health condition that affects people globally. The increased suicidal behaviors of patients in a medical-surgical unit demanded an effective screening protocol to identify high-risk patients.
PICOT: In patients 18 years and older on a medical-surgical unit, does the implementation of the Columbia Suicide Severity Rating Scale (C-SSRS) tool and application of a Safety Bundle of Best Practices (SBBP) increase early identification of suicide risk with decreased patient self-harm behaviors, compared to the current standard practice of no assessment tool or safety bundle of best practices within 12 weeks?
Evidence: Ten studies served as evidence …
The Emotional Effects Of Mindfulness, Meditation, And Worldview, Jason Katz
The Emotional Effects Of Mindfulness, Meditation, And Worldview, Jason Katz
Honors Projects in Applied Psychology
Much research on mindfulness and meditation investigates the relationship between mindfulness practices and health in physiological, psychological, and neurological contexts and organizations have implemented mindfulness training programs, possibly after learning of the apparent benefits. Researchers should use caution when assessing the practice’s benefits and consider extraneous variables such as the possibility that meditators tend towards spirituality; theologians argue that underlying beliefs might contribute to mindfulness practitioners’ reactions to the physical and psychological changes that result from mindfulness practices. This study investigates if and how religious beliefs modify mindfulness’s emotional outcomes for Bryant University students. The findings suggest that mindfulness and …
Improving The Quality Of Care For Pediatric Psychiatric Patients In The Emergency Department, Joseph L. Greene
Improving The Quality Of Care For Pediatric Psychiatric Patients In The Emergency Department, Joseph L. Greene
Doctor of Nursing Practice Projects
Pediatric patients (17 years and younger) in mental health crisis are arriving in the emergency department in increasing numbers because there is a lack of mental health crisis care in the community setting. The emergency department is crowded, lacks a dedicated area for psychiatric patients that is quiet and safe, and staff are inadequately trained in psychiatric competencies. A quality improvement project was approved by Boise State IRB to train RNs in psychiatric competencies. Telepsychiatry provided timely evaluation by a qualified psychiatric provider. Patients’ perceived meaning of the ED visit was evaluated using the Patient Evaluation of Emotional Comfort Experienced …
An Interdisciplinary Approach: Schizophrenia Derails Heteronormative Expectations In Psychological Narratives 2021, Bobbie Jo Weaver
An Interdisciplinary Approach: Schizophrenia Derails Heteronormative Expectations In Psychological Narratives 2021, Bobbie Jo Weaver
Master's Theses
Required introductory psychology courses teach students a general and oversimplified version of the immense number of subfields within Psychology studies, much like introductory literature classes compress different genera throughout history into a miniscule number of “representative” texts. Nevertheless, these footholds generate an entryway into a whole new world of (specialized) exploration. Reading a text such as The Quiet Room: A Journey out of the Torment of Madness by Lori Schiller and Amanda Bennett provides a window for many students to crawl into one of Psychology’s darkest shadows, the field of abnormal psychology. Schiller’s non-fictional memoir, The Quiet Room, tells readers …
Healthcare Altruism And Dysconscious Healthism In The Delivery Of Integrated Healthcare Services To Individuals Who Are Deaf, Hard Of Hearing, And Deafblind, Jaime A.B. Wilson, Michael John Gournaris
Healthcare Altruism And Dysconscious Healthism In The Delivery Of Integrated Healthcare Services To Individuals Who Are Deaf, Hard Of Hearing, And Deafblind, Jaime A.B. Wilson, Michael John Gournaris
JADARA
Healthcare altruism and dysconscious healthism are terms proposed to recognize the barriers to healthcare access faced by not only individuals with hearing loss but also all minority populations. The implications of an integrated healthcare model to provide services to individuals who are d/Deaf, hard of hearing, or DeafBlind (D/HH/DB) are explored. Unique insights are then offered regarding existing barriers to healthcare access and the next steps.
Lovingkindness Meditation Alters Sense Of Self In Non-Meditators, John Watt
Lovingkindness Meditation Alters Sense Of Self In Non-Meditators, John Watt
Undergraduate Research Symposium Podium Presentations
The COVID-19 pandemic and civil unrest have increased individuals’ stress, anxiety, and social isolation. In response, a resounding call has gone out for more resources to buffer the effects of this psychological burden. One free and accessible resource is meditation; lovingkindness meditation is particularly beneficial and increases positive emotionality, psychological well-being, prosocial behavior, and social connectedness. Meditation is theorized to confer these benefits through fostering an allocentric spatial frame of reference. An allocentric spatial frame of reference is a view of the self that extends beyond the boundary of the body and is accompanied by a heightened sense of connection …
Eds202 Psychological Foundations Of Secondary Education, Kelly Conover
Eds202 Psychological Foundations Of Secondary Education, Kelly Conover
Open Educational Resources
This syllabus was created for undergraduate students majoring in Secondary Education. The class topics and accompanying readings were organized to create a comprehensive overview of adolescent development as it relates to educators teaching adolescent students. The readings were picked specifically to encourage critical thinking and analysis of the class topics.
Case Study: Using A Contingency-Based Delay Procedure To Decrease Tantrums During Periods Of Delayed Reinforcement, Lindsey Snyder
Case Study: Using A Contingency-Based Delay Procedure To Decrease Tantrums During Periods Of Delayed Reinforcement, Lindsey Snyder
USF Tampa Graduate Theses and Dissertations
Functional Communication Training (FCT) involves reinforcing a functional communicative response (FCR) while placing problem behaviors on extinction (Carr & Durrand, 1985). When reinforcement for the FCR is delayed or unavailable, the individual’s problem behavior may return to previous levels (i.e., resurgence of previously reinforced problem behavior; Briggs et al., 2018) or the participant may exhibit emotional responding consistent with an extinction burst (Lerman & Iwata, 1996). A contingency-based delay procedure was introduced which increased the participant’s percentage of trials without tantrums and decreased the overall duration of tantrums.
The Role Of Interior Design In The Psychotherapist's Office, Vincent Ylagan
The Role Of Interior Design In The Psychotherapist's Office, Vincent Ylagan
Senior Theses
A growing body of research in environmental and design psychology indicates that our surroundings can have subtle but significant effects on how we feel and think. One setting where thoughts and feelings are at the forefront of the work done is the psychotherapist’s office, where clients go to process stressors and learn strategies to overcome emotional difficulties. The current study aimed to investigate how therapists and clients view the therapist office and identify the features associated with the “ideal” therapist office. Therapists, current or past therapy clients, and individuals who have not been to therapy completed short surveys. Surveys asked …