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Best Psychiatrists and Psychologists (Behavioral Medicine Clinicians) in Stamford

Written by Andrew Le, MD

Updated December 14, 2024

Introduction to Behavioral Medicine in Stamford

Definition and scope of behavioral medicine

Behavioral medicine is an interdisciplinary field that integrates behavioral and biomedical sciences to promote health, prevent illness, and improve patient care. In Stamford, this field encompasses a wide range of specialties, including counseling, psychology, social work, and psychiatry.

The importance of behavioral medicine in modern healthcare cannot be overstated. It plays a key role in addressing the complex interplay between psychological factors and physical health, helping patients manage chronic conditions, cope with stress, and improve their overall well-being.

The landscape of behavioral medicine in Stamford

Stamford offers a diverse array of healthcare options, including several highly-rated behavioral medicine specialists. The city boasts professionals with expertise in various areas such as counseling, psychotherapy, social work, and psychiatry.

There is an increasing demand for behavioral medicine specialists in Stamford, reflecting a broader trend in healthcare that recognizes the significant impact of behavioral factors on overall health outcomes. This growing need highlights the essential role these professionals play in the community's well-being.


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List of Psychiatrists and Psychologists (Behavioral Medicine Clinicians) in Stamford

LD

Lenore Dweck

5.0

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 202-7654

English

Behavior Analysis

LS

Dr. Lisa Sullivan

5.0

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 609-5692

English

Counseling

Psychology

Maureen Jacquot

Maureen Jacquot

5.0

Stamford, CT

Sex

Female

Languages

English

Phone

(323) 676-1233

English

Counseling

Anxiety Disorders

Behavioral Therapy

TB

Taryn Biondo

5.0

Stamford, CT

Sex

Female

Languages

English

English

Counseling

ES

Elissa Stein

5.0

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 329-3759

English

Counseling

LI

Dr. Louis Amato I

5.0

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 967-9292

English

Counseling

PS

Pamela Sperling

5.0

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 892-5867

English

Counseling

EO

Elizabeth O'Brien

5.0

Stamford, CT

Sex

Female

Languages

English

Phone

(914) 393-1202

English

Counseling

VL

Vanessa Love

5.0

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 300-7193

English

Counseling

LD

Laura Dermer

5.0

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 536-6555

Columbia University School Of Social Work-Master Of Science Social Work (1995)

English

Social Work

Marriage & Family Therapy

Psychotherapy

Nathalie Hausman

Nathalie Hausman

4.7

Stamford, CT

Sex

Female

Languages

English, French

The Nyu Silver School Of Social Work (2004)

Rose F Kennedy Ctr-A Einstein College of Medicine (Internship Hospital, 2004)

Teachers College Columbia University-Masters In Organizational Psychology (2003)

Columbia university (Undergraduate School, 2002)

English

French

Psychotherapy

Social Work

Clinical Social Work

Mental Health

Dr. Teo-Carlo Straun

Dr. Teo-Carlo Straun

4.7

Stamford, CT

Sex

Male

Languages

English, Spanish

American Board of Psychiatry & Neurology

Yale School of Medicine (Fellowship Hospital, 2013)

University of Massachusetts Chan Medical School (Residency Hospital, 2011)

University of Massachusetts Chan Medical School (Internship Hospital, 2008)

Rutgers Robert Wood Johnson Medical School (Medical School, 2007)

English

Spanish

Integrative Psychiatry

Addiction Psychiatry

Psychotherapy

Grief and Bereavement

CG

Carine Goor

4.0

Stamford, CT

Sex

Female

Languages

English

Phone

(914) 671-5414

English

Counseling

Angela Kaufman

Angela Kaufman

3.9

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 363-0793

Columbia University School of Social Work ()

English

Social Work

Psychotherapy

Mendim Zhuta

Mendim Zhuta

3.7

Stamford, CT

Sex

Male

Languages

English, Albanian, Spanish

Phone

(203) 318-4438

Connecticut Institute For Gestalt Psychotherapy Training (2007)

N/A (Fellowship Hospital, 2007)

SOUTHERN CONNECTICUT STATE UNIVERSITY (Undergraduate School, 2006)

Fairfield Counseling Services (Internship Hospital, 2006)

English

Albanian

Spanish

Psychotherapy

Counseling

Psychology

Marriage & Family Therapy

Addiction and Substance Abuse Counseling

KR

Kevin Root

3.7

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 622-7406

English

Counseling

Psychology

Dayna Dibiasi

Dayna Dibiasi

3.0

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 539-0751

Fordham University ()

English

Social Work

Counseling

Clinical Social Work

Marriage & Family Therapy

Anxiety Disorders

Psychotherapy

Adolescent Psychology

Behavioral Therapy

Life Coaching

Couples Counseling

KM

Kevin Makarewicz

1.0

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 698-2465

English

Counseling

JB

Janine Boland

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(914) 374-2601

English

Behavior Analysis

WV

Wendy Vaz

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(914) 522-0557

English

Behavior Analysis

SK

Sandra Kennedy

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 674-8200

English

Behavior Analysis

SM

Shannon Matthews

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(858) 926-9275

English

Behavior Analysis

VV

Victoria Veteri

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 200-7256

English

Behavior Analysis

AM

Amanda Morales

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 674-8200

English

Behavior Analysis

AP

Adam Pakiela

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 674-8200

English

Behavior Analysis

AVD

Alexandra Van Duyne

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 674-8200

English

Behavior Analysis

NK

Natasha Kodiak

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 913-4154

English

Behavior Analysis

CF

Christina Ferrari

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 674-8200

English

Behavior Analysis

ER

Elliot Recchia

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 674-8200

English

Behavior Analysis

GE

Genevieve Eloskof

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 674-8200

English

Behavior Analysis

CK

Cassandra Kassel

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 674-8200

English

Behavior Analysis

JC

Dr. Jessica Cordier

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 883-8827

English

Behavior Analysis

AS

Alexandra Sherburne

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 292-5837

English

Behavior Analysis

JS

Jennifer Street

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(914) 381-3781

English

Behavior Analysis

SC

Siobhan Connelly

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(888) 754-0398

English

Behavior Analysis

MS

Melissa Sumadchat

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 674-8200

English

Behavior Analysis

MC

Michael Camhi

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(866) 752-0899

English

Behavior Analysis

KC

Kaitlyn Cyr

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(800) 578-7906

English

Behavior Analysis

EB

Evangelina Baez

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(860) 613-9930

English

Behavior Analysis

KG

Kristen Green

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(888) 754-0398

English

Behavior Analysis

AS

Allison Summer

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 674-8200

English

Behavior Analysis

BO

Beth O'Malley

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 442-5279

Hunter College School Of Social Work (1991)

Caron Foundation Hospital (Residency Hospital, 1991)

SUNY Albany (Undergraduate School, 1989)

English

Psychotherapy

Child & Adolescent Psychiatry

Counseling

Marriage & Family Therapy

Addiction and Substance Abuse Counseling

Individual Counseling

Barry Herbach

Barry Herbach

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(917) 705-5458

NYU (Undergraduate School)

English

Social Work

Counseling

Psychology

Clinical Psychology

Clinical Social Work

Marriage & Family Therapy

Addiction and Substance Abuse Counseling

Individual Counseling

Behavioral Therapy

Grief and Bereavement

Psychological Trauma

Dr. Charles Whyte

Dr. Charles Whyte

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 708-9299

Dacbn (Fellowship Hospital, 2005)

Ms, Human Nutrition, Ubni (2001)

Ubni (Medical School, 2001)

Ubcc (Residency Hospital, 1999)

Colgate University (Undergraduate School, 1988)

English

Chiropractic

Pain Medicine

Sports Neuromusculoskeletal Medicine

Counseling

Integrative Medicine

Applied Clinical Nutrition

Functional Medicine

SY

Stephen Yeharar

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(475) 221-4859

English

Counseling

Psychology

KR

Katharine Roach

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 323-8560

English

Counseling

SF

Shari Fanelli

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 517-3368

English

Counseling

GH

Georgette Harrison

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 517-3376

English

Counseling

CH

Colleen Hines

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(914) 329-1454

English

Counseling

HC

Helena Chada

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 216-0578

English

Counseling

SS

Susan Sirlin

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 324-3167

English

Counseling

PF

Patricia Ford

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 662-1111

English

Counseling

ML

Mary Lennon

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 629-0910

English

Counseling

AP

Andrea Payo

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 324-3167

English

Counseling

AD

Ashley Dascola

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 998-6223

English

Counseling

KG

Katlyn Griffin

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(914) 417-1406

English

Counseling

GY

Grace Yang

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 674-8200

English

Counseling

KP

Kristin Peck

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 883-0464

English

Counseling

MM

Maureen Matthews

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 323-8560

English

Counseling

LE

Lindsay Eccleston

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 324-6127

English

Counseling

Clinical Social Work

Psychotherapy

EH

Elizabeth Hutchins

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 834-5020

English

Counseling

Kollettia Kelly

Kollettia Kelly

N/A

Stamford, CT

Sex

Female

Languages

English

Fordham University (Medical School)

English

Counseling

Individual Counseling

Couples Counseling

JW

Dr. James Wisecup

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 602-9969

English

Counseling

AC

Andee Cantavero

N/A

Stamford, CT

Sex

Female

Languages

English

English

Counseling

MC

Margaret Canada

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 355-1238

English

Counseling

AG

Andrew Golden

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 571-4985

English

Counseling

DB

Daria Blackham

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 247-2508

English

Counseling

NG

Nancy Gruener

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 883-0464

English

Counseling

RK

Rebekah Kanefsky

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(646) 334-2420

English

Counseling

JM

Joanne Martin

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 324-6127

English

Counseling

AO

Amy Owen

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 693-4917

English

Counseling

VG

Veruzca Guzman

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 323-8160

English

Counseling

DL

Deena Landau-Graber

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 912-5383

University Of Connecticut School Of Family Studies (Undergraduate School, 1986)

English

Counseling

MM

Dr. Marianela Medrano

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 770-4338

English

Counseling

MM

Madeline Mantilla

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 517-3375

English

Counseling

RM

Ranya Marjieh

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 834-5020

English

Counseling

CC

Christopher Cholko

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 883-0464

English

Counseling

BR

Brittany Rivera

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 856-1820

English

Counseling

KB

Kayla Berube

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 202-7654

English

Counseling

GC

Gicel Corado

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 324-6127

English

Counseling

JHJ

Jeffrey Harris Jr

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 324-3167

English

Counseling

JP

Judith Pazmino

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(475) 419-5696

English

Counseling

ST

Sarah Turney

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 898-2806

English

Counseling

PS

Paul Sorensen

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 340-9816

English

Counseling

TJ

Tara Jogee

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(609) 272-0909

English

Counseling

RB

Dr. Roslyn Burton-Robertson

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 550-6350

English

Counseling

Pastoral Counseling

FC

Fernanda Couto

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 202-7654

English

Counseling

GC

Ginelle Carsillo

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 969-0802

English

Counseling

Annie Tarnasky

Annie Tarnasky

N/A

Stamford, CT

Sex

Female

Languages

English

English

Counseling

Individual Counseling

Couples Counseling

JM

Jennifer Molina

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 388-1657

English

Counseling

JC

Dr. Jodi Costenbader

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 329-3759

English

Counseling

JA

Janaina Allimant

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 621-3700

English

Counseling

MS

Melissa Stagnetta

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 321-9293

English

Counseling

KR

Katherine Ryan

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 834-5020

English

Counseling

PC

Paola Cerruto

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 834-5020

English

Counseling

SB

Samantha Bernstein

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 834-5020

English

Counseling

KW

Karen Wakeley

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 834-5020

English

Counseling

SB

Shannon Bazelais

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 883-0464

English

Counseling

MG

Matt Greenberg

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 921-4161

M.S Counseling and Psychological Services (1992)

Msw, Licensed Clinical Social Work, Certified Psychoanalyst, Addictions Counselor, Eft Practioner (1984)

English

Counseling

DR

Daniela Rosales

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 324-6127

English

Counseling

EV

Elizabeth Vargas

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 883-0464

English

Counseling

HW

Heather Wright

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 340-9816

English

Counseling

MN

Dr. Mohammed Nor

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 276-7147

English

Counseling

CS

Cynthia Steele-Pucci

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 325-8791

English

Counseling

RK

Rita Koenig

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 324-3167

English

Counseling

SE

Susan Elliott

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 858-8834

English

Counseling

Pamela English

Pamela English

N/A

Stamford, CT

Sex

Female

Languages

English

Fordham University (Medical School)

English

Counseling

Individual Counseling

Couples Counseling

AT

Allison Tables

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 539-1541

English

Counseling

SM

Schuyler Manhattan

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(914) 768-3520

English

Counseling

SDY

Shannon De Ycaza

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(646) 397-0486

English

Counseling

RB

Robyn Buschini

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 997-4469

English

Counseling

LS

Lauren Sadighi

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(475) 223-2473

English

Counseling

SG

Stephanie Garcia

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 324-6127

English

Counseling

AB

Amanda Brown

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(845) 325-5511

English

Counseling

Michelle Woodward

Michelle Woodward

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 649-8131

University of New Hampshire (Undergraduate School)

Boston College Ma Counseling Psychology ()

Boston College, Chestnut Hill, MA ()

English

Counseling

Cognitive & Behavioral Psychology

Anxiety Disorders

Individual Counseling

Group Counseling

Psychological Trauma

SC

Sara Callahan

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 202-7654

English

Counseling

HB

Dr. Hillary Bercovici

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 413-7804

English

Counseling

Pastoral Counseling

Louis Damora

Louis Damora

N/A

Stamford, CT

Sex

Male

Languages

English

SOUTHERN CONNECTICUT STATE UNIVERSITY (Medical School)

English

Counseling

Individual Counseling

Clinical Social Work

JL

Judith Liu

N/A

Stamford, CT

Sex

Female

Languages

English

English

Counseling

Social Work

Edward Ruiz II

Edward Ruiz II

N/A

Stamford, CT

Sex

Male

Languages

English

Phone

(203) 299-6767

Liberty University, Lynchburg, Virginia (Undergraduate School, 2009)

English

Christian Counseling

Anxiety Disorders

Mental Health

Shelley Cooper

Shelley Cooper

N/A

Stamford, CT

Sex

Female

Languages

English

Phone

(203) 722-4405

Fordham University (Medical School, 2000)

English

Clinical Psychology

Cognitive & Behavioral Psychology

Psychotherapy

Top-Rated Behavioral Medicine Specialists in Stamford

Dr. Louis Amato I

Specialization and Practice Details

  • Focused on Counseling
  • Contact: (203) 967-9292
  • Gender: Male

Patient Ratings

  • 5-star rating
  • 4 patient reviews

Laura Dermer, LCSW

Areas of Expertise

  • Social Work
  • Marriage & Family Therapy
  • Psychotherapy

Qualifications and Ratings

  • Education: Columbia University School Of Social Work (1995)
  • 5-star rating with 5 reviews
  • Contact: (203) 536-6555

Dr. Teo-Carlo Straun

Specializations

  • Integrative Psychiatry
  • Addiction Psychiatry
  • Psychotherapy
  • Grief and Bereavement

Credentials and Patient Feedback

  • Board Certified: American Board of Psychiatry & Neurology
  • 4.7-star rating based on 24 reviews
  • Languages: English, Spanish

Nathalie Hausman, LCSW

Areas of Focus

  • Psychotherapy
  • Social Work
  • Clinical Social Work
  • Mental Health

Professional Background

  • Education: NYU Silver School of Social Work, Teachers College Columbia University
  • 4.7-star rating from 23 reviews
  • Languages: English, French

Additional Notable Specialists

Dr. Lisa Sullivan

  • Specializes in Counseling and Psychology
  • 5-star rating (1 review)
  • Contact: (203) 609-5692

Elissa Stein, MA

  • Focuses on Counseling
  • 5-star rating (2 reviews)
  • Contact: (203) 329-3759

Additional Resources for Finding the Right Behavioral Medicine Doctor in Stamford

Tips for Evaluating Potential Doctors

Preparing Questions for Initial Consultations

  • Create a list of specific concerns and treatment goals
  • Inquire about the doctor's experience with your particular issues
  • Ask about their approach to treatment and therapeutic methods

Assessing Communication Style and Patient Approach

  • Observe how the doctor listens and responds to your concerns
  • Evaluate their ability to explain complex concepts clearly
  • Consider how comfortable you feel discussing personal matters with them

Understanding Insurance Coverage and Payment Options

Verifying In-Network Providers

  • Contact your insurance company to confirm coverage
  • Ask the doctor's office about their experience with your insurance plan
  • Inquire about any potential out-of-pocket costs

Exploring Telehealth Options for Behavioral Medicine

  • Check if the doctor offers virtual consultations
  • Inquire about the platforms used for telehealth services
  • Discuss the effectiveness of telehealth for your specific needs

The Importance of Patient-Doctor Compatibility in Behavioral Medicine

Considering Personal Preferences and Treatment Styles

  • Reflect on your preferred therapeutic approach
  • Consider the doctor's specializations and how they align with your needs
  • Think about the importance of factors like gender, age, or cultural background

The Role of Trust and Comfort in Successful Treatment

  • Assess your initial rapport with the doctor
  • Consider the importance of feeling heard and understood
  • Recognize that building trust may take time but is essential for progress