Cancer/Oncology Nutritionists and Dietitians in 07103

Photo of Elizabeth Rothschild, Nutritionist/Dietitian, MS, RDN, LDN
Elizabeth Rothschild
Nutritionist/Dietitian, MS, RDN, LDN
Serves Area
Accepting clients in New Jersey, Pennsylvania and Missouri. I have an office option in Missouri. I specializing in diabetes management, blood sugar stability, and weight concerns. If you’re feeling overwhelmed by blood sugar spikes, food rules, or inconsistent results — you’re not alone. I specialize in helping adults with type 2 diabetes, prediabetes, and weight-related health issues gain confidence in their eating habits, lower their A1C, and feel better after meals — no strict diets required. My approach is realistic, flexible, and rooted in evidence.
Accepting clients in New Jersey, Pennsylvania and Missouri. I have an office option in Missouri. I specializing in diabetes management, blood sugar stability, and weight concerns. If you’re feeling overwhelmed by blood sugar spikes, food rules, or inconsistent results — you’re not alone. I specialize in helping adults with type 2 diabetes, prediabetes, and weight-related health issues gain confidence in their eating habits, lower their A1C, and feel better after meals — no strict diets required. My approach is realistic, flexible, and rooted in evidence.
(573) 828-2177 View (573) 828-2177

More Dietitians and Nutritionists Nearby

Photo of John Bock, Nutritionist/Dietitian, DCN, RD, CNSC
John Bock
Nutritionist/Dietitian, DCN, RD, CNSC
Serves Area
As a Doctor of Clinical Nutrition and over 15 years of experience as a registered dietitian, I have implemented specialty nutrition-focused programs for gastrointestinal disorders, cancer, congestive heart failure, lipid management, diabetes, autoimmune diseases, weight management, bariatric surgery, and women's health.
John specializes in treating gastrointestinal disorders, heart disease, cancer, diabetes, and other nutrition-related health conditions. John provides one-on-one behavioral modification sessions focused on individual client needs. John also provides anthropometric measurements, blood pressure checks and metabolic testing through indirect calorimetry.
As a Doctor of Clinical Nutrition and over 15 years of experience as a registered dietitian, I have implemented specialty nutrition-focused programs for gastrointestinal disorders, cancer, congestive heart failure, lipid management, diabetes, autoimmune diseases, weight management, bariatric surgery, and women's health.
John specializes in treating gastrointestinal disorders, heart disease, cancer, diabetes, and other nutrition-related health conditions. John provides one-on-one behavioral modification sessions focused on individual client needs. John also provides anthropometric measurements, blood pressure checks and metabolic testing through indirect calorimetry.
(609) 642-1442 View (609) 642-1442
Photo of Lori Kolodin, Nutritionist/Dietitian, MPH, RD
Lori Kolodin
Nutritionist/Dietitian, MPH, RD
Martinsville, NJ 08836
Whether you are struggling with weight issues or are faced with a medical diagnosis which requires nutrition intervention, I offer quality advice and support based upon years of clinical experience. I provide a comfortable, warm and friendly office environment in beautiful Martinsville, NJ with an individually patient focused practice.
Whether you are struggling with weight issues or are faced with a medical diagnosis which requires nutrition intervention, I offer quality advice and support based upon years of clinical experience. I provide a comfortable, warm and friendly office environment in beautiful Martinsville, NJ with an individually patient focused practice.
(908) 988-0621 View (908) 988-0621
Photo of Elisa England, Nutritionist/Dietitian, MS, RDN
Elisa England
Nutritionist/Dietitian, MS, RDN
Warren, NJ 07059
Elisa has experience in a variety of settings with clinical specialties in oncology, weight management, cardiovascular disease and diabetes management.
Coverage for nutrition counseling is available through many health insurance policies and Elisa is a provider for most major health insurances. Elisa's nutrition counseling services are offered onsite at the office or via telehealth phone counseling for your convenience.
Elisa has experience in a variety of settings with clinical specialties in oncology, weight management, cardiovascular disease and diabetes management.
Coverage for nutrition counseling is available through many health insurance policies and Elisa is a provider for most major health insurances. Elisa's nutrition counseling services are offered onsite at the office or via telehealth phone counseling for your convenience.
(855) 239-7441 View (855) 239-7441
Photo of Ashley Kravitz - Nutrition Specialists of New Jersey, Nutritionist/Dietitian, RD, MS
Nutrition Specialists of New Jersey
Nutritionist/Dietitian, RD, MS
Serves Area
I became a Registered Dietitian because I am passionate about food, wellness, and helping others. My passion for nutrition strengthens each and every day, as I grow and gain further knowledge in the field. Throughout the last few years, I have broadened my horizons when it comes to the nutrition field. This has allowed me to grow and realize where my passions lie in the nutrition world. Over the past few years, I have helped countless clients of all ages achieve their goals - whether that be weight loss, diabetes, cardiovascular disease, high cholesterol - you name it, I've treated it!
I became a Registered Dietitian because I am passionate about food, wellness, and helping others. My passion for nutrition strengthens each and every day, as I grow and gain further knowledge in the field. Throughout the last few years, I have broadened my horizons when it comes to the nutrition field. This has allowed me to grow and realize where my passions lie in the nutrition world. Over the past few years, I have helped countless clients of all ages achieve their goals - whether that be weight loss, diabetes, cardiovascular disease, high cholesterol - you name it, I've treated it!
(732) 585-1604 View (732) 585-1604
Photo of Douglas Liner, Nutritionist/Dietitian, RDN, LD
Douglas Liner
Nutritionist/Dietitian, RDN, LD
5 Endorsed
Serves Area
Hello! I am Doug Liner, a Registered Dietitian with 30 years of experience working with others in diabetes care, metabolic health, and weight loss. I work with a wide range of other medical conditions and hold a Certificate of training in Adult and Pediatric Obesity from the Commission on Dietetic Registration. I believe nutritional care should be approached through simple to understand and implement tools for daily living.
Hello! I am Doug Liner, a Registered Dietitian with 30 years of experience working with others in diabetes care, metabolic health, and weight loss. I work with a wide range of other medical conditions and hold a Certificate of training in Adult and Pediatric Obesity from the Commission on Dietetic Registration. I believe nutritional care should be approached through simple to understand and implement tools for daily living.
(551) 291-1247 View (551) 291-1247
Photo of Robert Galarowicz - Robert Galarowicz Clinical & Holistic Nutritionist, Nutritionist/Dietitian, ND, CHN
Robert Galarowicz Clinical & Holistic Nutritionist
Nutritionist/Dietitian, ND, CHN
Wood Ridge, NJ 07075
Discover How Clinical Nutrition Can Help You... If You Just Want To Lost A Few Pounds Or Improve A Chronic Health Condition, I Have The Most Complete Therapeutic Nutrition Service FOR YOU! I ENJOY to help people like you to use diet, nutrition and proper nutritional supplements to improve their health. Discover how I can help you ... lose weight, lower cholesterol, reverse diabetes and have more energy. Improve your digestion, eliminate menopause symptoms, depression, anxiety and decrease inflammation. Manage arthritis pain, autoimmune disease, High Blood Pressure and MORE ...Visit my website for $187 of FREE Goodies! Plus a no-charge
Discover How Clinical Nutrition Can Help You... If You Just Want To Lost A Few Pounds Or Improve A Chronic Health Condition, I Have The Most Complete Therapeutic Nutrition Service FOR YOU! I ENJOY to help people like you to use diet, nutrition and proper nutritional supplements to improve their health. Discover how I can help you ... lose weight, lower cholesterol, reverse diabetes and have more energy. Improve your digestion, eliminate menopause symptoms, depression, anxiety and decrease inflammation. Manage arthritis pain, autoimmune disease, High Blood Pressure and MORE ...Visit my website for $187 of FREE Goodies! Plus a no-charge
(201) 345-7495 View (201) 345-7495
Photo of Joanne Gordon, Nutritionist/Dietitian, RDN, LDN, CH
Joanne Gordon
Nutritionist/Dietitian, RDN, LDN, CH
Serves Area
I offer personalized nutrition and wellness services to support heart health, menopause, weight loss, diabetes management, and overall vitality. Each plan is tailored to your unique needs, helping you feel better, stronger, and more in control. To create lasting change, I also integrate HypnoCounseling—guiding you to break subconscious habits that sabotage progress, like emotional eating, procrastination, or stress-driven choices. Together, we build a healthier mindset and sustainable results.
I offer personalized nutrition and wellness services to support heart health, menopause, weight loss, diabetes management, and overall vitality. Each plan is tailored to your unique needs, helping you feel better, stronger, and more in control. To create lasting change, I also integrate HypnoCounseling—guiding you to break subconscious habits that sabotage progress, like emotional eating, procrastination, or stress-driven choices. Together, we build a healthier mindset and sustainable results.
(908) 443-9525 View (908) 443-9525
Photo of Madeline Kuras, Nutritionist/Dietitian, RD, LDN
Madeline Kuras
Nutritionist/Dietitian, RD, LDN
1 Endorsed
Jersey City, NJ 07305
Madeline is a registered dietitian who is passionate about empowering individuals to achieve their personal goals and feel in control of their own nutrition journey. She has experience in all levels of eating disorder treatment across all age groups. Madeline has a background in athletics and utilizes this to foster resilience and strength in her clients. She approaches each session with curiosity and drive to understand her clients struggles. She provides a safe space for all individuals to create and define their own definition of health and sustainable change.
Madeline is a registered dietitian who is passionate about empowering individuals to achieve their personal goals and feel in control of their own nutrition journey. She has experience in all levels of eating disorder treatment across all age groups. Madeline has a background in athletics and utilizes this to foster resilience and strength in her clients. She approaches each session with curiosity and drive to understand her clients struggles. She provides a safe space for all individuals to create and define their own definition of health and sustainable change.
(651) 412-7437 View (651) 412-7437
Photo of Elena Ostrovsky, Nutritionist/Dietitian, MS, RDN, CDN
Elena Ostrovsky
Nutritionist/Dietitian, MS, RDN, CDN
Bridgewater, NJ 08807
Elena is a Registered Diettian / Nutritionist with extensive experience of over 15 years. She holds a Master’s degree in Clinical Nutrition and Food Science from Hunter College & City University and completed a dietetic internship program at Beth Israel Medical Center in New York. She is an accredited member of the American Nutrition Academy and completed her Certificate of Training in Weight Management. My areas of expertise are: Weight management - Eating disorders - Stress management - Hormonal imbalances - Diabetes - Hypertension - Cardiovascular disease - Thyroid issues - Skin concerns - Fitnesses and Wellness.
Elena is a Registered Diettian / Nutritionist with extensive experience of over 15 years. She holds a Master’s degree in Clinical Nutrition and Food Science from Hunter College & City University and completed a dietetic internship program at Beth Israel Medical Center in New York. She is an accredited member of the American Nutrition Academy and completed her Certificate of Training in Weight Management. My areas of expertise are: Weight management - Eating disorders - Stress management - Hormonal imbalances - Diabetes - Hypertension - Cardiovascular disease - Thyroid issues - Skin concerns - Fitnesses and Wellness.
(908) 356-4934 View (908) 356-4934
Photo of Lynette M Hem-Lee, Nutritionist/Dietitian, BSc, RDN
Lynette M Hem-Lee
Nutritionist/Dietitian, BSc, RDN
Cliffside Park, NJ 07010
You have tried every diet, and you are not eating because of your chronic disease; you have to avoid certain foods; you are scared!! You want to take control of your health and manage your chronic health issues; you want to keep your blood sugar in the target range to prevent the onset of type 2 diabetes or manage your current diagnosis. No matter what you eat, you are bloated and gassy with digestive discomfort. If that sounds like you, then I am here to help. I am a compassionate dietitian that will work with you to alleviate those fears through virtual or in-person nutrition coaching and counselling.
You have tried every diet, and you are not eating because of your chronic disease; you have to avoid certain foods; you are scared!! You want to take control of your health and manage your chronic health issues; you want to keep your blood sugar in the target range to prevent the onset of type 2 diabetes or manage your current diagnosis. No matter what you eat, you are bloated and gassy with digestive discomfort. If that sounds like you, then I am here to help. I am a compassionate dietitian that will work with you to alleviate those fears through virtual or in-person nutrition coaching and counselling.
(551) 308-0964 View (551) 308-0964
Photo of Alka Sheth, Nutritionist/Dietitian, MS, RDN
Alka Sheth
Nutritionist/Dietitian, MS, RDN
South Plainfield, NJ 07080
"Eat Smart, Live Well" is my motto - a really practical and fun way to help you achieve great health! I believe in holistic approach to nutrition - wholesome, natural, minimally processed foods. Not fad diets, diet pills, or quick weight-loss gimmicks. A well-balanced, nutritious diet doesn't have to be a punishment. You can eat smart AND enjoy it too. I would love to show you how! With 20+ years of experience in nutrition counseling for management of weight, diabetes, obesity, heart disease and other medical conditions, I'm dedicated to helping you achieve healthy eating and lifestyle habits.
"Eat Smart, Live Well" is my motto - a really practical and fun way to help you achieve great health! I believe in holistic approach to nutrition - wholesome, natural, minimally processed foods. Not fad diets, diet pills, or quick weight-loss gimmicks. A well-balanced, nutritious diet doesn't have to be a punishment. You can eat smart AND enjoy it too. I would love to show you how! With 20+ years of experience in nutrition counseling for management of weight, diabetes, obesity, heart disease and other medical conditions, I'm dedicated to helping you achieve healthy eating and lifestyle habits.
(609) 450-3026 View (609) 450-3026
Photo of Maddie McSweeney, Nutritionist/Dietitian, MS, RDN
Maddie McSweeney
Nutritionist/Dietitian, MS, RDN
3 Endorsed
Jersey City, NJ 07302
Maddie is a Registered Dietitian dedicated to helping people achieve their goals while feeling inspired and empowered. She is committed to enhancing individuals' quality of life and guiding them toward becoming the best, healthiest version of themselves through diet and lifestyle changes.
Maddie is a Registered Dietitian dedicated to helping people achieve their goals while feeling inspired and empowered. She is committed to enhancing individuals' quality of life and guiding them toward becoming the best, healthiest version of themselves through diet and lifestyle changes.
(312) 374-5399 View (312) 374-5399
Photo of Jenna Brown, Nutritionist/Dietitian, MS, RD, CSSD
Jenna Brown
Nutritionist/Dietitian, MS, RD, CSSD
3 Endorsed
Newark, NJ 07108
Jenna is a Registered Dietitian and Certified Specialist in Sport Dietetics. She focuses on fueling for exercise/athletic performance, health, and weight management. She utilizes a food first approach and recommends supplements as needed to fill in micronutrient gaps. She builds individualized nutrition plans for weight management, and body composition changes. She provides a judgement free zone where you can feel comfortable to share your goals, current dietary practices, and exercise regimen. Jenna believes there are no healthy and unhealthy, good or bad foods, rather every day foods and every now and then foods.
Jenna is a Registered Dietitian and Certified Specialist in Sport Dietetics. She focuses on fueling for exercise/athletic performance, health, and weight management. She utilizes a food first approach and recommends supplements as needed to fill in micronutrient gaps. She builds individualized nutrition plans for weight management, and body composition changes. She provides a judgement free zone where you can feel comfortable to share your goals, current dietary practices, and exercise regimen. Jenna believes there are no healthy and unhealthy, good or bad foods, rather every day foods and every now and then foods.
(351) 208-1409 View (351) 208-1409
Photo of Stephanie A. Leonetti - PlaNutrition, Nutritionist/Dietitian, BS, CSN
PlaNutrition
Nutritionist/Dietitian, BS, CSN
Serves Area
My ideal client is someone who has struggled with weight loss or maintaining their results, feels frustrated by diets that don’t work, and wants a sustainable approach that fits their lifestyle. They are ready for personalized guidance, real-food strategies, and ongoing support to achieve lasting weight loss, improve energy, and build healthy habits that stick. Their goal is not just to lose weight, but to gain confidence, feel healthier, and maintain results long-term.
My ideal client is someone who has struggled with weight loss or maintaining their results, feels frustrated by diets that don’t work, and wants a sustainable approach that fits their lifestyle. They are ready for personalized guidance, real-food strategies, and ongoing support to achieve lasting weight loss, improve energy, and build healthy habits that stick. Their goal is not just to lose weight, but to gain confidence, feel healthier, and maintain results long-term.
(732) 631-8805 View (732) 631-8805
Photo of Nicole Hallissey, Nutritionist/Dietitian, MS, RDN, CDN
Nicole Hallissey
Nutritionist/Dietitian, MS, RDN, CDN
3 Endorsed
Mahwah, NJ 07430
Nearly 95 percent of my insurance clients pay $0 out of pocket for their sessions! When we work together I'll give you the tools needed to feel confident in your food choices and in control around food. I'll guide you through creating a plan that works for YOU, based on your body's needs, lifestyle, and food preferences. Together, we'll simplify cooking with quick, easy recipes, and I'll share realistic strategies to make meal planning a breeze. Let's make your wellness adventure enjoyable, achievable, and sustainable! Currently, I only offer virtual sessions. Get started ASAP, book directly using this link: bit.ly/bookRDnow
Nearly 95 percent of my insurance clients pay $0 out of pocket for their sessions! When we work together I'll give you the tools needed to feel confident in your food choices and in control around food. I'll guide you through creating a plan that works for YOU, based on your body's needs, lifestyle, and food preferences. Together, we'll simplify cooking with quick, easy recipes, and I'll share realistic strategies to make meal planning a breeze. Let's make your wellness adventure enjoyable, achievable, and sustainable! Currently, I only offer virtual sessions. Get started ASAP, book directly using this link: bit.ly/bookRDnow
(551) 272-6869 View (551) 272-6869
Photo of Haleigh Mann, Nutritionist/Dietitian, MS, RDN, LDN
Haleigh Mann
Nutritionist/Dietitian, MS, RDN, LDN
3 Endorsed
Newark, NJ 07105
Haleigh is a registered dietitian who is passionate about helping her clients discover their love for food and their bodies. Haleigh provides evidence-based nutrition education and works to empower clients to make realistic changes that work with their unique lifestyles and preferences. Haleigh approaches each client personally and individually. She has an anti-diet, all-foods-fit, trauma-informed approach to care. She enjoys the challenge of working closely with each client to meet their goals and live their best life while building a healthier relationship with food and their body.
Haleigh is a registered dietitian who is passionate about helping her clients discover their love for food and their bodies. Haleigh provides evidence-based nutrition education and works to empower clients to make realistic changes that work with their unique lifestyles and preferences. Haleigh approaches each client personally and individually. She has an anti-diet, all-foods-fit, trauma-informed approach to care. She enjoys the challenge of working closely with each client to meet their goals and live their best life while building a healthier relationship with food and their body.
(640) 209-4955 View (640) 209-4955
Photo of Julene Stassou, Nutritionist/Dietitian, MS, RD
Julene Stassou
Nutritionist/Dietitian, MS, RD
Fort Lee, NJ 07024
Chosen as Bergen County's Best Nutritionist by Bergen Health & Living & featured on the cover of 201 Magazine as one of 13 best health professionals in Bergen County. MY goal as a NUTRITIONIST is simply to help YOU reach your goals. With over 15 years of counseling experience as a REGISTERED DIETITIAN I individualize each session so that YOU get the MOST out of your time. I guarantee that you will use what you learn to feel better physically & emotionally. I will empower you to reach your WELLNESS goals.With my strong clinical background & my passion to help people, I make EVERY patient a priority.
Chosen as Bergen County's Best Nutritionist by Bergen Health & Living & featured on the cover of 201 Magazine as one of 13 best health professionals in Bergen County. MY goal as a NUTRITIONIST is simply to help YOU reach your goals. With over 15 years of counseling experience as a REGISTERED DIETITIAN I individualize each session so that YOU get the MOST out of your time. I guarantee that you will use what you learn to feel better physically & emotionally. I will empower you to reach your WELLNESS goals.With my strong clinical background & my passion to help people, I make EVERY patient a priority.
(917) 746-4061 View (917) 746-4061
Photo of Roseann Dogas - RoseAnnDogas RD LLC, Nutritionist/Dietitian, RDN
RoseAnnDogas RD LLC
Nutritionist/Dietitian, RDN
Lincroft, NJ 07738
The Well Nourished Life Vision is to empower women and families to cultivate and sustain Life Balance by Nourishing the Body, Mind and Spirit. We believe in a Whole Person approach to health and well-being. We will identify your health concerns such as weight, blood sugar, hormones, stress, heart, gut and brain health, and then explore the healing power of food to re-balance your body. Together, we will co-create a wellness plan with nutrition & lifestyle strategies to achieve your goals. We will identify personal lifestyle barriers that are holding you back, then deconstruct them to reveal your best self.
The Well Nourished Life Vision is to empower women and families to cultivate and sustain Life Balance by Nourishing the Body, Mind and Spirit. We believe in a Whole Person approach to health and well-being. We will identify your health concerns such as weight, blood sugar, hormones, stress, heart, gut and brain health, and then explore the healing power of food to re-balance your body. Together, we will co-create a wellness plan with nutrition & lifestyle strategies to achieve your goals. We will identify personal lifestyle barriers that are holding you back, then deconstruct them to reveal your best self.
(609) 375-0425 View (609) 375-0425
Photo of Lauren Minchen, Nutritionist/Dietitian, MPH, RDN, CDN
Lauren Minchen
Nutritionist/Dietitian, MPH, RDN, CDN
Serves Area
Lauren is committed to offering you nutritional guidance and meal support on your journey to optimal wellness. She will work with you to develop a personalized nutrition and menu plan that addresses your needs and works with your lifestyle. Lauren's nutrition counseling sessions include analysis of current meal patterns, lifestyle factors, medical diagnoses, medication regimen, food allergies and preferences, and your personal wellness goals. And her culinary services make achieving your health goals even easier. If you want to begin taking the right steps to achieve optimal health, contact Lauren to discuss what works for you.
Lauren is committed to offering you nutritional guidance and meal support on your journey to optimal wellness. She will work with you to develop a personalized nutrition and menu plan that addresses your needs and works with your lifestyle. Lauren's nutrition counseling sessions include analysis of current meal patterns, lifestyle factors, medical diagnoses, medication regimen, food allergies and preferences, and your personal wellness goals. And her culinary services make achieving your health goals even easier. If you want to begin taking the right steps to achieve optimal health, contact Lauren to discuss what works for you.
(646) 863-5398 View (646) 863-5398
Cancer/Oncology Nutritionists and Dietitians
Why is nutrition important for cancer treatment?
Nutrition can play a key role in cancer treatment. The symptoms of cancer and its treatments—such as nausea, vomiting, and loss of appetite—can lead to malnutrition, resulting in weight loss and potential nutrient deficiencies. This can hinder the patient's ability to combat cancer and respond effectively to treatment. Therefore, ensuring sufficient caloric intake is critical and may require specific dietary strategies to ensure high-enough caloric and protein intake. This might involve the consumption of high-calorie foods and beverages. In some cases, tube feeding may be required to ensure the patient receives sufficient calories during the cancer treatment process.

Can diet help prevent cancer?
Diet is a significant lifestyle factor that research has shown to influence the risk of certain cancers. One of the strongest links is between obesity and cancer, with about 4-8% of cancers being related to obesity. Specifically, breast, colorectal, esophageal, pancreatic, kidney, and liver cancers are most strongly associated with obesity. Thus, maintaining a healthy diet that prevents obesity can be highly effective in reducing the risk of these cancers. Other than obesity, certain foods, such as processed meats, have been linked to colorectal cancer specifically. In general, lifestyle modifications that lower the risk of other chronic diseases, such as consuming a primarily plant-based diet and getting enough exercise, are also highly effective habits in reducing the risk of developing cancer.

Can cancer be cured with proper nutrition?
While there is no evidence to suggest that nutrition alone can cure cancer, a proper diet can be a crucial component of successful treatment for certain types of cancer. For cancers linked to obesity, weight loss through a healthy diet can lead to more positive treatment outcomes. Even for cancers not related to obesity, diet can still play a significant role by influencing the effectiveness of certain cancer treatments, such as chemotherapy. Most experts recommend that cancer patients focus on eating enough to prevent malnutrition, as maintaining sufficient strength is vital for the body to effectively combat cancer and respond to therapies such as chemotherapy. Thus, while nutrition is not a cure, it is an important part of the cancer recovery process.

What role does a dietitian play in a cancer patient's care team?
Because diet plays a significant role in the successful treatment of cancer, either through lifestyle modification or through the prevention of malnutrition, dietitians can be a crucial member of a cancer patient's care team. Dietitians who specialize in working with cancer patients often have a deep understanding of how certain cancer treatments, such as chemotherapy and radiation, can impact a patient's ability to meet their nutritional needs. They can thus assist patients in developing nutrition strategies that help alleviate common cancer treatment symptoms like nausea and vomiting. For patients with cancers linked to obesity, dietitians can suggest lifestyle modification strategies that aid in both the treatment process and lead to lasting positive changes after treatment.