James Foley

Clinical Psychotherapist MSW LCSW-R

About

Sexual Misbehavior Absolute Expert.
I bring 28 years of Expert, Elite, Speciality, Highly Trained, Experience in clinical treatment of Sexual misbehavior, affairs, and other behaviors, to help you stop creating painful consequences.

My preeminent expert status had "The Adam Friedland Show” put me on 1st episode of 2nd season re: sexual addiction behaviors, I was interviewed by Rolling Stone Magazine on "virtual companions". I enjoy being the go to clinician and thought leader on high functioning men acting out sexual misbehaviors such as Infidelity, Prostitution use, Sugar Babies, etc

SEXUAL MISBEHAVIOR TELEHEALTH TO
New York
New Jersey
Connecticut
California
Texas
Ohio
Utah

$400 per full one hour session/no insurance

I have an elite, non-insurance, self pay practice, a higher quality sexual misbehavior treatment for clients who want the much higher level of skills, knowledge and sexual misbehavior specialist insight that only decades of my experience can offer.

My clients are often high functioning successful men accustomed to superior services and results. With over a quarter century & 40k hours of expert treatment for all types of sexual misbehaviors provided.

I give you an evidence based, research oriented treating of...
“sex addiction”
Out of Control Sexual Behavior
App Hook-Ups
Strip Clubs
Massage Parlors
sexual compulsivity
Professional Sexual Misconduct
serial affairs
illegal porn

....as a Certified sexual misbehavior professional.
My unique level of insight in this specific issue brings skills that have clients create lasting change, faster improvements in self management, improved mood, and reduced recidivism.

I have been studying and treating this from when persons would still seek illegal deviant material via US Mail. I have done program development, clinical assistance to other agencies, complex case consultation, development of theory, and the training and clinical supervision of other highly skilled sexual behavior experts.

I developed and oversaw a Government psychiatric outpatient sexual misbehavior program. I and my subordinates used “Good Lives Model”, a deep level of understanding of these behaviors, and a culturally informed perspective took into account the disorder, and culture that enabled it.

There is no sexual misbehavior I have not seen a great many times, and no consequence that I have not seen many times.

Although most “certifications” in so called sex addiction or sex therapy held by other clinicians are not issued by Universities or government, mine in fact are issued by Universities.

Sexual Misbehavior is NOT at all under the umbrella of “sex therapists”.

“Coaches” are NOT , ever, in any way qualified for clinical matters, as hype is not skill and confidence is not education.

Sexual Misbehavior is NOT to be treated with “Marriage” therapy. One person acted out, one person created this, one person is where most of the work is needed.

Brick and mortar Fordham University trained, licensed psychotherapist, certified Ohio University also certified University of Louisville, in this issue.

That is, I am a highly trained, non judgmental, clinician that will use my superior insights to help you improve faster.

$400 per session no insurance.

I can see you with TELE-HEALTH to
California
New York
New Jersey
Texas
Connecticut
Utah
Florida
Ohio

CALL ME at 718-208-6135 FOR FREE 20 MINUTE PHONE CONSULT TO SPEAK WITH THIS EXPERT $400 per one hour session, sorry-no insurance.

*Appointments available, I can see you within three days, sometimes even see you the same day you call, giving you very fast access to the expert level treatment for sexual misbehavior.

Call me at 718-208-6135 for a free twenty minute evaluation to see if I am the right sexual misbehavior expert for you or your loved one, I would love to help

www.sexuallycompulsive.com

https://www.youtube.com/channel/UCnNNehrVYzn2mgMNgSV7Ndg

https://www.linkedin.com/in/james-foley-psychotherapist-clinical-consultant-t-0004607b/

Sexual Misbehavior Absolute Expert.
I bring 28 years of Expert, Elite, Speciality, Highly Trained, Experience in clinical treatment of Sexual misbehavior, affairs, and other behaviors, to help you stop creating painful consequences.

My preeminent expert status had "The Adam Friedland Show” put me on 1st episode of 2nd season re: sexual addiction behaviors, I was interviewed by Rolling Stone Magazine on "virtual companions". I enjoy being the go to clinician and thought leader on high functioning men acting out sexual misbehaviors such as Infidelity, Prostitution use, Sugar Babies, etc

SEXUAL MISBEHAVIOR TELEHEALTH TO
New York
New Jersey
Connecticut
California
Texas
Ohio
Utah

$400 per full one hour session/no insurance

I have an elite, non-insurance, self pay practice, a higher quality sexual misbehavior treatment for clients who want the much higher level of skills, knowledge and sexual misbehavior specialist insight that only decades of my experience can offer.

My clients are often high functioning successful men accustomed to superior services and results. With over a quarter century & 40k hours of expert treatment for all types of sexual misbehaviors provided.

I give you an evidence based, research oriented treating of...
“sex addiction”
Out of Control Sexual Behavior
App Hook-Ups
Strip Clubs
Massage Parlors
sexual compulsivity
Professional Sexual Misconduct
serial affairs
illegal porn

....as a Certified sexual misbehavior professional.
My unique level of insight in this specific issue brings skills that have clients create lasting change, faster improvements in self management, improved mood, and reduced recidivism.

I have been studying and treating this from when persons would still seek illegal deviant material via US Mail. I have done program development, clinical assistance to other agencies, complex case consultation, development of theory, and the training and clinical supervision of other highly skilled sexual behavior experts.

I developed and oversaw a Government psychiatric outpatient sexual misbehavior program. I and my subordinates used “Good Lives Model”, a deep level of understanding of these behaviors, and a culturally informed perspective took into account the disorder, and culture that enabled it.

There is no sexual misbehavior I have not seen a great many times, and no consequence that I have not seen many times.

Although most “certifications” in so called sex addiction or sex therapy held by other clinicians are not issued by Universities or government, mine in fact are issued by Universities.

Sexual Misbehavior is NOT at all under the umbrella of “sex therapists”.

“Coaches” are NOT , ever, in any way qualified for clinical matters, as hype is not skill and confidence is not education.

Sexual Misbehavior is NOT to be treated with “Marriage” therapy. One person acted out, one person created this, one person is where most of the work is needed.

Brick and mortar Fordham University trained, licensed psychotherapist, certified Ohio University also certified University of Louisville, in this issue.

That is, I am a highly trained, non judgmental, clinician that will use my superior insights to help you improve faster.

$400 per session no insurance.

I can see you with TELE-HEALTH to
California
New York
New Jersey
Texas
Connecticut
Utah
Florida
Ohio

CALL ME at 718-208-6135 FOR FREE 20 MINUTE PHONE CONSULT TO SPEAK WITH THIS EXPERT $400 per one hour session, sorry-no insurance.

*Appointments available, I can see you within three days, sometimes even see you the same day you call, giving you very fast access to the expert level treatment for sexual misbehavior.

Call me at 718-208-6135 for a free twenty minute evaluation to see if I am the right sexual misbehavior expert for you or your loved one, I would love to help

www.sexuallycompulsive.com

https://www.youtube.com/channel/UCnNNehrVYzn2mgMNgSV7Ndg

https://www.linkedin.com/in/james-foley-psychotherapist-clinical-consultant-t-0004607b/

Jennie Armstrong

Professional counseling

About

Dr. Jennie Armstrong is a Licensed Professional Counselor, who provides therapy for individuals, couples, and families. She graduated as a Doctor of Ministry in Spiritual Formation and Leadership from Portland Seminary of George Fox University. She holds a Master of Arts in Professional Counseling, with certifications in Christian Sex Therapy and Spirituality and Counseling, from Richmont Graduate University. She received a certification in Spiritual Formation with the London Cohort of the Renovaré Institute for Spiritual Formation. Jennie is a certified Facilitator for Prepare Enrich Pre-marital Counseling Program. She is certified in Christian Sex Education from the Christian Association of Sexual Educators. She graduated with a Bachelor of Business Administration degree in Finance from the University of Georgia.

Dr. Armstrong is devoted to using the tools of Christian psychotherapy, prayer ministry, and spiritual formational resources to help individuals discover a deeper relationship with God in the midst of their life struggles. She is dedicated to the continual development of excellent, individualized clinical services for her clients. Jennie’s special interest areas include spiritual formation, anxiety, depression, understanding identity and self-concept, communication skills, sexual concerns, career development, spiritual growth, relationship counseling, conflict skills, life transitions, women’s health, student challenges, time management, stress-related issues, pre-engagement counseling, and pre-marital counseling.

Dr. Jennie Armstrong is a Licensed Professional Counselor, who provides therapy for individuals, couples, and families. She graduated as a Doctor of Ministry in Spiritual Formation and Leadership from Portland Seminary of George Fox University. She holds a Master of Arts in Professional Counseling, with certifications in Christian Sex Therapy and Spirituality and Counseling, from Richmont Graduate University. She received a certification in Spiritual Formation with the London Cohort of the Renovaré Institute for Spiritual Formation. Jennie is a certified Facilitator for Prepare Enrich Pre-marital Counseling Program. She is certified in Christian Sex Education from the Christian Association of Sexual Educators. She graduated with a Bachelor of Business Administration degree in Finance from the University of Georgia.

Dr. Armstrong is devoted to using the tools of Christian psychotherapy, prayer ministry, and spiritual formational resources to help individuals discover a deeper relationship with God in the midst of their life struggles. She is dedicated to the continual development of excellent, individualized clinical services for her clients. Jennie’s special interest areas include spiritual formation, anxiety, depression, understanding identity and self-concept, communication skills, sexual concerns, career development, spiritual growth, relationship counseling, conflict skills, life transitions, women’s health, student challenges, time management, stress-related issues, pre-engagement counseling, and pre-marital counseling.

Courtney Salter

Counseling

About

You want to keep moving on with your life, but something is in the way. You may feel stuck, unmotivated, depressed, anxious, scared, and so much more. Life can be so challenging, and it isn't fair that you don't get instructions. At GROW, we understand that life can throw some unexpected curveballs that you were never prepared to handle. We want to help equip you with the tools to manage the challenges and wounds life can bring to move towards healing.

Courtney Salter loves helping people move forward. She is passionate about the potential that you have in your life, and works diligently to become a safe place to find and develop the tools within yourself and heal past wounds. Courtney earned her Master's Degree in Clinical Mental Health Counseling from Liberty University. She is a Licensed Professional Counselor, a Nationally Certified Counselor, and has extensive training in Dialectical Behavior Therapy (DBT). Courtney has worked in a psychiatric hospital with a range of disorders in the inpatient and outpatient units. Her experience extends to working with adults, teens, women, trauma, anxiety, addiction, depression, mood disorders, psychotic disorders, boundaries, communication, career, codependency, and relationships.

You are not broken in need of fixing; you may be healing and in need of care. Caring for yourself and your emotional/mental health is often a difficult thing to do. Yet unattended, the wounds and destructive coping mechanisms tear away the chance of healthy relationships, life-giving work, daily functioning, and effective parenting.

As your therapist, Courtney is determined to help you find your place in the healing process. You may wonder if you need counseling or if it will make a difference. Here at GROW, we have seen things get better. We are passionate about the potential that you have in your life. Life happens, but together we can find the next steps forward.

You want to keep moving on with your life, but something is in the way. You may feel stuck, unmotivated, depressed, anxious, scared, and so much more. Life can be so challenging, and it isn't fair that you don't get instructions. At GROW, we understand that life can throw some unexpected curveballs that you were never prepared to handle. We want to help equip you with the tools to manage the challenges and wounds life can bring to move towards healing.

Courtney Salter loves helping people move forward. She is passionate about the potential that you have in your life, and works diligently to become a safe place to find and develop the tools within yourself and heal past wounds. Courtney earned her Master's Degree in Clinical Mental Health Counseling from Liberty University. She is a Licensed Professional Counselor, a Nationally Certified Counselor, and has extensive training in Dialectical Behavior Therapy (DBT). Courtney has worked in a psychiatric hospital with a range of disorders in the inpatient and outpatient units. Her experience extends to working with adults, teens, women, trauma, anxiety, addiction, depression, mood disorders, psychotic disorders, boundaries, communication, career, codependency, and relationships.

You are not broken in need of fixing; you may be healing and in need of care. Caring for yourself and your emotional/mental health is often a difficult thing to do. Yet unattended, the wounds and destructive coping mechanisms tear away the chance of healthy relationships, life-giving work, daily functioning, and effective parenting.

As your therapist, Courtney is determined to help you find your place in the healing process. You may wonder if you need counseling or if it will make a difference. Here at GROW, we have seen things get better. We are passionate about the potential that you have in your life. Life happens, but together we can find the next steps forward.

Emily Fogleman

LCMHCA

About

Emily's passion for mental health began when she was just a child who saw how much counseling helped those in her family. Since then, her passion has only grown for helping others respond to life and its challenges. Emily believes in the importance of building a strong relationship with her clients, understanding how their identities impact their lives, and ensuring that she is always learning and growing as a person and counselor.

From her experiences in an on-campus clinic and a hospital support center, Emily has developed an approach to counseling that combines Cognitive- Behavioral Therapy, Acceptance and Commitment Therapy, and Person Centered Therapy. While everyone has different therapeutic needs, Emily tends to draw mostly from these approaches. Emily's professional interests include grief and loss, anxiety, body image concerns, stress management, and life transitions.

Emily's passion for mental health began when she was just a child who saw how much counseling helped those in her family. Since then, her passion has only grown for helping others respond to life and its challenges. Emily believes in the importance of building a strong relationship with her clients, understanding how their identities impact their lives, and ensuring that she is always learning and growing as a person and counselor.

From her experiences in an on-campus clinic and a hospital support center, Emily has developed an approach to counseling that combines Cognitive- Behavioral Therapy, Acceptance and Commitment Therapy, and Person Centered Therapy. While everyone has different therapeutic needs, Emily tends to draw mostly from these approaches. Emily's professional interests include grief and loss, anxiety, body image concerns, stress management, and life transitions.

Jackie Dunagan

Licensed Marriage and Family Therapist, AAMFT Approved Supervisor

About

Life’s transitions—whether in relationships, family, or discovering a renewed sense of self—can feel both overwhelming and full of possibility. Many couples find themselves caught between love and conflict, unsure how to move forward, while individuals may be seeking clarity in a new season. With thoughtful support, it is possible to rebuild trust, strengthen communication, and create deeper, more secure connections. My work focuses on guiding couples and individuals through these pivotal moments with insight, compassion, and strategies that foster resilience and lasting change.

I became a therapist because I value the meaningful relationships I’ve built with my clients. It is an honor each time someone chooses me to walk alongside them—through the difficult parts of life and in celebrating their growth and successes. My approach is collaborative and compassionate, yet at times more directive with couples when it supports their goals. I draw from proven frameworks, including the Gottman Method, Emotionally Focused Therapy (EFT), Attachment-based approaches, and Narrative therapy. This allows me to tailor each session to your unique story, always with the aim of strengthening connection and creating lasting transformation.

I am also the host of Everything is Clinical, a podcast for mental health pros, where we explore challenges in the field and dive deeper into important clinical topics. Sponsored by The Right Counselor, this work extends my passion for advancing clinical excellence and supporting the growth of other professionals in the field.

As a Licensed Marriage and Family Therapist (LMFT) and AAMFT Approved Supervisor, I bring both expertise and empathy to my practice. I hold a Master of Family Therapy degree from Mercer University School of Medicine and am a Gottman Level 3 trained couples therapist as well as a Gottman 7 Principles Educator. I specialize in working with couples—including step-couples and blended families—navigating remarriage, co-parenting, and loyalty binds, as well as individuals facing life transitions such as launching adult children, grief and loss, redefining purpose, or caring for aging parents.

I provide counseling for couples, individuals, and families across Georgia, Florida, and South Carolina through secure telehealth sessions. This gives clients the flexibility to receive high-quality care from the comfort of their own home while maintaining privacy and convenience. For new clients, I offer a complimentary 20-minute consultation via HIPAA-compliant video. While my schedule often books a few weeks in advance, I can typically schedule this introductory meeting within the week. If you are ready to take the next step toward healing, clarity, and lasting connection, schedule an introductory meeting at dunagancollective.janeapp.com

Life’s transitions—whether in relationships, family, or discovering a renewed sense of self—can feel both overwhelming and full of possibility. Many couples find themselves caught between love and conflict, unsure how to move forward, while individuals may be seeking clarity in a new season. With thoughtful support, it is possible to rebuild trust, strengthen communication, and create deeper, more secure connections. My work focuses on guiding couples and individuals through these pivotal moments with insight, compassion, and strategies that foster resilience and lasting change.

I became a therapist because I value the meaningful relationships I’ve built with my clients. It is an honor each time someone chooses me to walk alongside them—through the difficult parts of life and in celebrating their growth and successes. My approach is collaborative and compassionate, yet at times more directive with couples when it supports their goals. I draw from proven frameworks, including the Gottman Method, Emotionally Focused Therapy (EFT), Attachment-based approaches, and Narrative therapy. This allows me to tailor each session to your unique story, always with the aim of strengthening connection and creating lasting transformation.

I am also the host of Everything is Clinical, a podcast for mental health pros, where we explore challenges in the field and dive deeper into important clinical topics. Sponsored by The Right Counselor, this work extends my passion for advancing clinical excellence and supporting the growth of other professionals in the field.

As a Licensed Marriage and Family Therapist (LMFT) and AAMFT Approved Supervisor, I bring both expertise and empathy to my practice. I hold a Master of Family Therapy degree from Mercer University School of Medicine and am a Gottman Level 3 trained couples therapist as well as a Gottman 7 Principles Educator. I specialize in working with couples—including step-couples and blended families—navigating remarriage, co-parenting, and loyalty binds, as well as individuals facing life transitions such as launching adult children, grief and loss, redefining purpose, or caring for aging parents.

I provide counseling for couples, individuals, and families across Georgia, Florida, and South Carolina through secure telehealth sessions. This gives clients the flexibility to receive high-quality care from the comfort of their own home while maintaining privacy and convenience. For new clients, I offer a complimentary 20-minute consultation via HIPAA-compliant video. While my schedule often books a few weeks in advance, I can typically schedule this introductory meeting within the week. If you are ready to take the next step toward healing, clarity, and lasting connection, schedule an introductory meeting at dunagancollective.janeapp.com

Jennifer Hampton

LCSW

About

My formal education focused on psychology and clinical social work. My professional experiences have been in public schools, hospitals and outpatient clinics, the Military, international nonprofits, universities and various community settings. I currently have a private practice with offices in Napa, in addition to my virtual office, where I provide "teletherapy" to clients in both California and Texas.

My therapy training began in public schools with special education, K-12. I counseled children with mental health concerns and led life skills groups. I worked intensively with adolescents (and their caregivers) in alternative school programs burdened by emotional concerns.

I spent most of the next decade working in hospitals, both pediatric and adult, assessing and responding to a variety of issues including devastating diagnoses, chronic health conditions, end of life issues, infertility and pregnancy loss, postpartum depression, drug and alcohol abuse, domestic violence, sexual assault and mental health crises. During this time, I taught and supervised students for the University of Texas at Austin Graduate School of Social Work. After ten years, I shifted out of the hospital setting to therapist lead of an integrated behavioral healthcare network where I helped build a program for providing mental health and case management to a pediatric and family medical practice serving 30,000 low income families.

An opportunity led me to England for two years, where I managed a prevention and education campaign related to new parent support and family violence prevention. I educated US Air Force members and families on topics such as stress and anger management, PTSD, resilience, healthy dating, couple's communication and parenting, while co-facilitating support groups on chronic medical conditions. During this time, I also worked with Airmen and families on managing stress before and after deployments and transitioning to civilian life after a military career.

After a brief return to the U.S. to study Spanish at the Defense Language Institute of Monterey, I moved to South America and worked for the U.S. Embassy while volunteering with a Chilean nonprofit. During this time, I researched advances in counseling and coaching methodology. Although I have a working knowledge of Spanish, I do not provide services in Spanish at this time.

In 2014, I relocated to Napa, pregnant again after experiencing pregnancy loss. After treating parents for postpartum depression and anxiety, I experienced it first-hand and became aware of a need for expanded maternal mental health support in my community. So I added services to my private practice that would address infertility, pregnancy and postpartum mental health support, Moxie Motherhood, and co-founded a pregnant and postpartum peer support program.
​​
For almost two decades, I have honed my clinical expertise from problem-focused to possibility-focused. I remain current on research and active in the professional dialogue of wellness, balancing my time between counseling, coaching, teaching, volunteering and parenting. Read more here.

I welcome the opportunity to support you.

My formal education focused on psychology and clinical social work. My professional experiences have been in public schools, hospitals and outpatient clinics, the Military, international nonprofits, universities and various community settings. I currently have a private practice with offices in Napa, in addition to my virtual office, where I provide "teletherapy" to clients in both California and Texas.

My therapy training began in public schools with special education, K-12. I counseled children with mental health concerns and led life skills groups. I worked intensively with adolescents (and their caregivers) in alternative school programs burdened by emotional concerns.

I spent most of the next decade working in hospitals, both pediatric and adult, assessing and responding to a variety of issues including devastating diagnoses, chronic health conditions, end of life issues, infertility and pregnancy loss, postpartum depression, drug and alcohol abuse, domestic violence, sexual assault and mental health crises. During this time, I taught and supervised students for the University of Texas at Austin Graduate School of Social Work. After ten years, I shifted out of the hospital setting to therapist lead of an integrated behavioral healthcare network where I helped build a program for providing mental health and case management to a pediatric and family medical practice serving 30,000 low income families.

An opportunity led me to England for two years, where I managed a prevention and education campaign related to new parent support and family violence prevention. I educated US Air Force members and families on topics such as stress and anger management, PTSD, resilience, healthy dating, couple's communication and parenting, while co-facilitating support groups on chronic medical conditions. During this time, I also worked with Airmen and families on managing stress before and after deployments and transitioning to civilian life after a military career.

After a brief return to the U.S. to study Spanish at the Defense Language Institute of Monterey, I moved to South America and worked for the U.S. Embassy while volunteering with a Chilean nonprofit. During this time, I researched advances in counseling and coaching methodology. Although I have a working knowledge of Spanish, I do not provide services in Spanish at this time.

In 2014, I relocated to Napa, pregnant again after experiencing pregnancy loss. After treating parents for postpartum depression and anxiety, I experienced it first-hand and became aware of a need for expanded maternal mental health support in my community. So I added services to my private practice that would address infertility, pregnancy and postpartum mental health support, Moxie Motherhood, and co-founded a pregnant and postpartum peer support program.
​​
For almost two decades, I have honed my clinical expertise from problem-focused to possibility-focused. I remain current on research and active in the professional dialogue of wellness, balancing my time between counseling, coaching, teaching, volunteering and parenting. Read more here.

I welcome the opportunity to support you.

Aliya Saulson

LCSW

About

Part of choosing to engage in therapy is choosing to understand yourself more and to seek other perspectives to do so. I engage clients in collaborative processes to assist you not only in improving your relationships with others, but also enriching your relationship with yourself. I collaborate with you to cultivate an intentional life by asking questions you’ve never thought about before. I take great intention in creating a space where you feel supported and accepted, because we must feel a certain level of safety and trust in order to have the courage to change, grow, and be vulnerable.

I am a welcoming therapist with a warm energy committed to providing a client-centered approach that takes into account every aspect of your identity. I particularly enjoy working with young women in emerging adulthood (ages 18-30) but I have experience working with adults of all genders and all ages. I aim to provide LGBTQIA+, sex-positive, affirming services while incorporating a social justice anti-racist framework. In my clinical work, I draw from Acceptance and Commitment Therapy modalities and mindfulness approaches to meet clients “where they are.”

Rupi Kaur writes “What is stronger than the human heart which shatters over and over and still lives?” I consider psychotherapy to be one way that clients strengthen their hearts, and I am continuously inspired by the resilience I see in therapy sessions every day. It is an honor to be a part of my clients’ journeys towards living more meaningful lives.

Part of choosing to engage in therapy is choosing to understand yourself more and to seek other perspectives to do so. I engage clients in collaborative processes to assist you not only in improving your relationships with others, but also enriching your relationship with yourself. I collaborate with you to cultivate an intentional life by asking questions you’ve never thought about before. I take great intention in creating a space where you feel supported and accepted, because we must feel a certain level of safety and trust in order to have the courage to change, grow, and be vulnerable.

I am a welcoming therapist with a warm energy committed to providing a client-centered approach that takes into account every aspect of your identity. I particularly enjoy working with young women in emerging adulthood (ages 18-30) but I have experience working with adults of all genders and all ages. I aim to provide LGBTQIA+, sex-positive, affirming services while incorporating a social justice anti-racist framework. In my clinical work, I draw from Acceptance and Commitment Therapy modalities and mindfulness approaches to meet clients “where they are.”

Rupi Kaur writes “What is stronger than the human heart which shatters over and over and still lives?” I consider psychotherapy to be one way that clients strengthen their hearts, and I am continuously inspired by the resilience I see in therapy sessions every day. It is an honor to be a part of my clients’ journeys towards living more meaningful lives.