Affected Others. 5; SD: 5. Support Groups : Support groups (led by a professional) can help gambling addicts during and after treatment by providing peer support and safe spaces to discuss the challenges of recovery. gambling treatment and counselling. GRIP Programme Structure: 4 individual sessions; 1 family sessions (optional) 2 support group sessions The DSM-5 defines problem gambling as “persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress” (APA, 2013, p. 5 credits. To schedule your session, just give us a call at 484-241-2848 and a scheduling specialist will assist you. If you or someone you know is affected by gambling, our helpline is ready and waiting to help you. I. The Massachusetts Problem Gambling Helpline provides support – such as direct transfers to treatment centers and connections to resources – to individuals and loved ones impacted by problem gambling. Psychologist, MPsych, PsyBA - Org. CalPG does not provide diagnostic, treatment or referral services through the Internet, and accepts no responsibility for such use. Gambling addiction, as other addictions, starts innocently and escalates to uncontrollable levels. The BBGS is based on the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The critical sign of problem gambling is often hidden from. Counsellors can offer support and strategies to help you make changes to take back control, as you move through your process of change. John Rader, 262-797-7979 Bill Perrin, 262-797-7979 *Problem Gambling Help Professionals 13700 W. We are committed to serving anyone in need regardless of their ability to pay. When we win a bet, our brain gives us an emotional reward. Welcome to the CS:GO Gambling Addiction Counseling group. Tennessee REDLINE: 800-889-9789 (Call or Text) The Tennessee REDLINE is a 24-hour hotline that can make referrals for people and families seeking problem gambling and gambling addiction. D-202 Scottsdale, AZ 85254 Ph: 602-569-4328 Fax: 602-569-4378If you answered ‘yes’ to any of these questions, you might have signs and symptoms of gambling addiction. Contact: Scott Baker. Ontario Problem Gambling Helpline. Gambling addiction is real, is a cause for concern and in some cases, can have negative social effects similar to that of cocaine addiction. , Suite #201 Chandler, AZ 85226 480-418-1696. By finding the best clinician for your unique needs, counseling can address compulsive. A 24-hour, 7-day counselling line is available. 676 Chesapeake Dr Bolingbrook, IL 60440 Tel: 833-937-4274 Website: Gambling Counselling in Vancouver,. Negative impact on a person’s health and wellbeing. This study maps current treatment, the type of change techniques that are prioritized in treatment and how counselors perceive their clinical competence in their work with PG clients. G. Gambling addiction in Ireland is a significant problem and public health concern. Common signs of gambling addiction include: Needing to gamble with increasing amounts of money. Find Gambling Therapists, Psychologists and Gambling Counseling in Reno, Washoe County, Nevada, get help for Gambling in Reno. ADAPT’s addiction counsellors provide ongoing counselling and support to clients. Learn more about hypnotherapy for gambling addiction on Hypnotherapy Directory. com. Gambling addiction hard to beat. Australians lose AU$19bn to gambling yearly; 12bn of these go to about 200,000 poker machines. campaigns and fund various telephone and face-to-face counselling services. The inability to stop gambling, in spite of the negative consequences to. 888-517-3268 for a free consultation. Choosing to enter into counseling is not an easy decision. Enroll in the International Certified Gambling Counsellor-I (ICGC-I) course here. You can find a therapist in your. Find local support. The network consists of 28 contact centers that provide resources and referrals for all 50 states and US territories. Three main ways exist to treat gambling problems, including psychotherapy, medication and support groups. Without all their hard work, the professional gambling addiction counseling field would not be where it is today, and that includes me. Upcoming Intakes for the Specialist Certificate in Counselling Addiction – Gambling. This service is provided by experienced and qualified addiction counsellors for young people (aged 16 to 18 yrs) and adults alike. ARA is a treatment and support services working to reduce the harm caused by substance misuse and gambling addiction, and the consequent damage to individuals, their families and communities. Contact the HelpLine Self-Assessment Quiz. Here are six expert tips to help you address a gambling addiction. We have trained advisors waiting to speak to you using our text-based multilingual live support service. Problem gamblers may Treatment of gambling disorder: review of evidence-based aspects for best practice. Available online 24 hours a day. Offers services to support LGBTQ+ health and wellbeing, including support groups and counselling. Cornerstone Counseling Services 741 N. There is some controversy over whether video gaming is an addiction comparable to gambling, drug abuse, or alcoholism. Monday, 20 Nov 2023. Signs & Symptoms Gambling problems share many similarities with other addictive disorders. Gambling addiction should not. Bluemound Road #308 Elm Grove. We can diagnose mental disorders and comorbidities, design and implement peronalised treatment plans based on motivational interviewing and advanced cognitive therapy. Repeated unsuccessful efforts to control, cut back on or stop gambling. Gambling Addiction Counselling Your someone. IGCCB offers gambling addiction training for professionals. Gamblers Anonymous – a local support group service that uses the 12-step approach to recovery. Gambling Counsellors. An initial list of 191 potential competencies was drawn from thematic review of counseling sessions and an exhaustive literature review. Counselling Online is a free, confidential service that operates 24/7 to provide online support and referral for anyone affected by alcohol and other. At one time, gambling only occurred in casinos, but today it takes many forms, with people wagering, betting, and gaming online 24/7. If you would find it easier for us to call you we can. We understand that CS:GO skins can be highly valuable and addictive, and that the thrill of betting can easily spiral. But also, it could be that there is an. Problem gamblers can lose alarming sums of money in a very short period of time. It allows people with gambling problems to seek a number of sessions of therapy pro bono while also collecting data for research on the gambling problem in our state. It starts consuming your life - when you are not gambling you are thinking about it, planning it. With Connecticut’s legalization of online sports betting last fall, calls to the CT Helpline for Gambling Treatment (888. Gambling addiction can take a heavy toll on a person’s life, affecting their health, finances, and the well-being of those closest to them. 4th December 2020 | By. Some behaviors that might be shown by people who have gambling addiction or gambling problem are: Obsessing over any type of gambling. Tony is an experienced Addiction Counsellor who specialises in all areas and aspects of Gambling Addiction. For more information and support, reach out to these resources: Gambling Help Online on 1800 858 858 (free call, available 24 hours a day) Lifeline on 13 11 14 (24 hours a day) Reachout. Motivational enhancement:. 7), anxiety (Mean = 11. Turas is a not-for-profit addiction counselling service based in Dundalk, Co. For any queries, you can contact professional experts by dialing a phone number at 7803287706 or dropping a mail. Our gambling addiction counsellors can help you curb your compulsive gambling problem using talking therapies and emotional support. 43 Woodland Street. 1. If you or someone you know are experiencing any of the signs below, addiction may have become an issue. Mental Health Substance Abuse Division/Child and Youth Services. 1-888-299-8399. As with all psychiatric disorders, cultural factors such as the beliefs and values of one’s group, its normative patterns of help-seeking behaviors and, in the case of immigrants, the process of acculturation, often play an important role. Free online support for anyone affected by gambling. Problem gamblers are four times more likely to suffer from alcohol abuse. Whether the habit involves online gambling or casino games, it can be harmful and lead to financial and relationship ruin. Zip Code: 23462. (954. They know they are causing problems for the people they. Hypnotherapy, in particular, can help change the negative thoughts and behaviours associated with the addiction, using the power of suggestion. As well as addiction counselling, community care services may provide other related courses. Three main ways exist to treat gambling problems, including psychotherapy, medication and support groups. There is a very fine line between problem gambling or Santa. NAADAC members can get free continuing education hours (CEs) for. To create individualized. The Colorado Provider Training Program is offering a 10-session, 30-hour course to grow your skills in gambling disorder assessment, treatment, and recovery support. doi: 10. A new national counselling service for people with a gambling addiction was launched in Galway city this week. Methods. The first step in managing your gambling addiction is to set up an appointment with a skilled, caring counselor, of which you can find at Thriveworks Bethlehem. Find help if you or someone you care about may have a gambling problem. Gambling can affect the part of our brain that releases dopamine. Problem Gambling Helpline at 1-800. Considers gambling temporary. Reaping the financial rewards from a big win. By Hailey Shafir, LCMHCS, LCAS, CCS | Updated October 19, 2022. cognitive behavioural therapy (CBT), motivational interviewing, and psychoeducation are commonly employed strategies. Adferiad Recovery are the national UK provider for people who need intensive help to tackle their gambling addiction, and who also suffer from other addictions, poor physical and mental health, and who have co-occurring conditions and other life challenges. Whether the habit involves online gambling or casino games, it can be harmful and lead to financial and relationship ruin. Duration: 12 Weeks (Full-Time) / 24 Weeks (Part-Time) Tuition Fees: €2,400 (This programme is supported by the Gambling Awareness Trust for 30 applicants where 70% of fees will be funded. The role of digital consolation. Gambling can be defined as placing something of value at risk in the hopes of gaining something of greater value. Background Despite their crucial role in bridging science and practice, not much is known about counselors offering treatment for Problem Gambling (PG). 7777), and related chat messages and texts for help,. Email: gamblingcounselling@wesleymission. The treatment for addiction to gambling includes an initial. For help in recognizing the warning signs of gambling addiction - and to get information on free programs, services and resources available to assist problem gamblers and their families: Call us toll-free 24/7 at 1-888-795-6111. GPP Financial counselling, limiting access to money and restricting admission into gambling venues are complementary and practical approaches that should be considered for those who have gambling-related problems (pg 18). Addiction Recovery Evolution. If you can not afford a fee, contact the University of Sydney Gambling clinic. National Problem Gambling Helpline. g. Addiction professionals and the public are recognizing that certain nonsubstance behaviors—such as gambling, Internet use, video-game playing, sex, eating, and. The Gambling Therapy app; Support for gamers; Information. Often gambling when feeling distressed. Stage 3: Love (Stage of growth) (Four months) Regain self-respect. Gambling | APS. To become a gambling addiction counselor, an individual must complete formal education and training requirements. To create individualized. ) Start Date: September 2023 and January 2024. How to Treat Gambling. As well as counselling for gambling, some alternative therapies have been found to be effective in managing addictions. Gambling Counsellors. There are also 12-step programs for family members like Alateen, Al-Anon, and Gam-Anon. Learn more. For all referrals and enquiries, contact: Ph: 1300 827 638. Korn University of Toronto Howard J. Preparing for your appointment If you've decided to seek help for compulsive gambling, you've taken an important first step. Dunlewey We operate a free, confidential helpline service 365 days per year from 9. Our services include hourly counselling sessions, interventions, withdrawal management, outpatient & inpatient addiction treatment, and a comprehensive family program. I had tried to stop gambling many times before, and each time I started again within a few weeks or months. e. Counselling or self-help groups can help you make important decisions about your relationship. La República 110 (Monterrico) 6. Mental health problems are often associated with addiction. SMART helps you learn problem-solving tools to help you manage. The best way to combat addictions is to. Nothing had changed, and I now realised I needed help if I really wanted to halt. For many people, gambling problems may increase in severity gradually. Learn More About This Rehab. There is a very fine line between problem gambling or Toronto gambling addiction and gambling too much. The 2023 Free Webinar Series releases two live webinars per month, which are then captured and made available for future viewing in NAADAC's Free On-Demand Webinar Library. The National Council on Problem Gambling is committed to offering nationally recognized certifications and high-quality educational opportunities and trainings to our members and counselors. Accepts increased gambling. Hermitage, PA 16148. See full list on helpguide. If you want to learn more about Hope Counseling Christian addiction help effectively healing men, women, and teens, please call 855-981-8542. Thousands contact the 888-ADMIT-IT (236-4848) HelpLine each year for free problem gambling services & resources from The Florida Council on Compulsive Gambling. "Lo básico, los cambiadores los remodelaron". Call 1-877-695-4648 (MY-LIMIT) , text 503-713-6000 , or click the buttons below to contact us online through Live Chat, IM or Email. Gambling addiction can have devastating effects on your finances, relationships, and emotional well-being. The primary aim of this paper is to present a consensus view from the National UK Research Network for Behavioural. • Retreat & Counselling Programme – retreat programmes for women-only-cohorts and. Those with it can’t control the impulse to gamble, even when it has negative consequences. The Arizona Division of Problem Gambling provides ongoing trainings on the current developments, skills, procedures and treatment modalities related to the practice of treating problem gambling. Centrecare’s Gambling Help W. It can be useful for people struggling with addictive behaviors — including problem gambling behavior. Other approaches used by two to six practitioners were education about the brain and gambling, the recovery model, social behaviour network therapy, mindfulness-based 3 rd wave CBT approaches, psychodynamic and 12. Contact courses@acc. Jiménez-Murcia et al. For any queries, you can contact professional experts by dialing a phone number at 7803287706 or dropping a mail. Teach how to properly react to triggers. Gambling addiction can affect anybody at any time, and differentiates from an occasional ‘flutter’ for fun, or even a gambling problem that isn’t out of control, in that it can consume all aspects of your life. Fire, Ambulance or Police. au | 1800 244 323. They offer confidential advice and counselling, relapse prevention support, lived. The critical sign of problem gambling is often hidden from. The advantages of CBT are. Services for those who are concerned about someone else's use are also offered. NAADAC’s members are addiction counselors, educators and other addiction-focused. hurts the person financially. Addictions may come from the way these activities and habits make people feel. Callers receive confidential, professional service from trained counsellors, free of charge. Plus, as with other behavioral and substance addictions, a person's readiness to change or stop a habit like gambling can take time to develop, and many individuals may be starting from a point of. Helplink Helplink Mental Health operates a free, national gambling addiction counselling service, 7 days a week and out-of-hours: online or by phone. New Berlin. Workaholism is similar to other addictions such as gambling or alcoholism. Gambling addiction can take a heavy toll on a person’s life, affecting their health, finances, and the well-being of those closest to them. There is a very fine line between problem gambling or Reading gambling addiction and gambling too much. Provides free confidential and independent advice on how to deal with debt problems. To find out more about therapy for gambling addictions and to speak with a qualified, experienced therapist online or in-person near you, visit Counselling Directory. including counseling, treatment, self-help and support groups: National Problem Gambling Helpline. Counselor, MA, LCPC. Much like the problem gambler, there are distinct phases that families and concerned others experience. Screening Tools Brief Biosocial Gambling Screen (BBGS) The Brief Biosocial Gambling Screen (BBGS) is a 3-item survey designed to help people decide on their own whether to seek a formal evaluation of their gambling behavior. or be referred for counseling, you’ll be connected to the resources that are right for you. Needing to gamble with increasing amounts of money to get the same thrill. Previous. My clinical interests include depression and anxiety, building self-esteem and assertiveness, addiction counseling (alcohol, drugs, gambling , food), help with quitting smoking, getting sober and. To find out how to get help and make a change or to find an addiction services office, call the 24-hour Help Line at 1-866-332-2322 (Alberta only). Readjust daily living. When gamblers lose, the emotional crash of a loss requires a quick fix to regain that high. 01505 801250. A substantial body of literature has shown that the most successful therapeutic protocols are psychological interventions, especially based on cognitive-behavioral therapy/methods and/or motivational. He works from a person centred approach using a mix of his own lived experience and therapeutic knowledge to help support people and families affected by. Québec – Gambling Help and Referral. Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369) for information and a referral to a your regional Problem Gambling Resource Center. org. It can help you determine if your gambling meets the criteria for a behavioral addiction. If you would like to speak to someone urgently about your or a loved one's gambling, the Dunlewey Helpline is open 7 days a week, from 09:00 - 23:00. Reach out and call me at (443)-926-4519. The Gambling Treatment Clinic offers therapy and support for problem gamblers and their close friends and relatives. SAVE-THE-DATE! Gambling Counselor Core Training. 30am – 4. Peggy Nies-Scargall, 262-646-8288 Affiliated. (514) 527-0140 Montreal and surrounding area. Gambling disorder is a common and problematic behavioral disorder associated with depression, substance abuse, domestic violence, bankruptcy, and high suicide rates. About NAADAC. An. Research on Social Work Practice, 23, 57–65. Treatment planning sessions with the treatment team. Dunlewey We operate a free, confidential helpline. is a free service for people affected by problem gambling, their partners and families. net. Involving in becoming a Counsellor on gambling required a diploma course in which the learners have to complete a minimum of 60 hours certificate level training course. Saskatchewan Problem Gambling Helpline. A ‘feel good’ hormone that creates feelings of pleasure and reward. When gambling stops being a game. We help people reclaim and rebuild their lives free from gambling addiction in supported environments with effective therapies and counselling. Gambling Therapy is a global service - and as well as helping you with practical and emotional support, advisors will help you to find relevant, free gambling support near you - where this is available. Leaving the door open. 789. We help people reclaim and rebuild their lives free from gambling addiction in supported environments with effective therapies and counselling. You can receive gambling addiction specific counselling at any of our counselling centres. If you are interested in discussing your presentation needs please contact our intake line at 519-673-3242 x 1234. Shaffer Harvard Medical School, Division on Addictions Developed by the Massachusetts Council on. Therapy for gambling addiction – a global service offered by Gordon Moody, providing. Gambling is a widespread activity, with 86% of the general adult population. Our structure support is free, flexible and confidential. Focus. Soccer Field. Virtual options available. It’s a way to deal with the feelings of boredom or. P. Gambler's Help is a free and confidential problem gambling service that offers a range of specialised counselling services to people with at risk or present with a gambling concern, as well as their partners and close. However, the investment in the services represents a small fraction of the revenue received from gambling activities. Lia Nower, JD, PhD, Professor and Director of the Center for Gambling Studies at the. , Suite #1027 Mesa, AZ 85206 602-737-9111. We offer free and confidential services in Far North Queensland and the Wide Bay-Burnett Region. Gambling Addiction in Ireland. Turning Point addiction treatment, education and research centre. The programme involves the individual, as well as the family members, in counselling and self-help groups. People can develop addiction to alcohol, drugs and gambling. I am a bilingual Licensed Addiction Counselor, Certified Compulsive Gambling Counselor, and Board-Certified Music Therapist offering therapeutic services in both English and Spanish. Counsellors Email; Crisis Gambling Counsellor: Regina Qu'Appelle: 1646 11th Ave Regina Sask S4P0H4: Tim Liesch - 306-757-7811 Norma Sorenson - 306-757-7811:. Overview. Paulsboro, NJ 08066. The network is a single national access point to local resources for those seeking help for a gambling problem. uk; FAqs;. Kids Helpline. Community Counseling Center of Mercer County. 5 million U. There is a very fine line between problem gambling or Melbourne gambling addiction and gambling too much. They create a supportive, judgment-free environment that provides patients with the resources they need. Methods A sample of PG counselors from the healthcare and. The critical sign of problem gambling is often hidden from. Signs and symptoms of compulsive gambling (gambling disorder) can include: Being preoccupied with gambling, such as constantly planning gambling activities and how to get more gambling money. 001), suggesting that a relational psychodynamic treatment is needed for complex patients with compulsive addiction, where CBT had not been. Helplink Mental Health, a registered charity, has joined with the Gambling Awareness Trust to provide a free gambling addiction counselling service for people aged 16 years and over. can also increase the risk of gambling addiction. 20 years experience [email protected] Straus. The problem gambling helpline is integrated with the MA Substance Use Helpline in order to. Gambling addiction can be compared to drug and alcohol addiction as similar parts of the brain is on a “high” when gambling, drinking or taking drugs. Available 24/7 across Australia. 00pm. Mike Raimondi. Free online support for anyone affected by gambling. free counselling and helpline for anyone impacted by problem gambling. Please note that for students who complete their programme on or after 01 Jan 2020, they will receive an electronic-certificate (e-certificate). Here are the ways that addiction counselling can help a recovering addict. doi: 10. We have trained advisors waiting to speak to you using our text-based multilingual live support service. Sources included journal articles, books, treatment manuals and web-based state and national reports and guidelines. Gambling harm frequently co-occurs with substance use, family and relationship issues or mental ill-health. And gambling is one of them. 3 CONVENIENT NEW YORK COUNSELING LOCATIONS: West Hempstead, NY, Douglaston, NY, Hewlett, NY. It examines: social, financial, fun/thrill and negative affect factors of both problem and non-gamblers in Spain. National gambling addiction counselling service and aftercare group counselling service for problem gamblers and their loved ones. Book your confidential appointment now!FILE PHOTO -. Financial counselling and counselling for loved ones affected by a person’s gambling are also available. A brief treatment might include a gambling disorder screen, information about harmful consequences of excessive gambling, or simply advice for reducing gambling-related. The Institute of Counselling recognises that our students may have different needs to be met when making a course choice. The signs of a gambling addiction are similar to the signs of a drug or alcohol addiction. Connect with someone who has lived experience with gambling addiction and recovery by calling the Center’s Peer Recovery Support Specialists at 667-214-2120. Counselling Dilemma: Gambling Addiction and Social Media. According to a 1974 theory by psychiatrist Dr. 00pm. or other people’s substance misuse or gambling. Evergreen Counselling Group is proud to serve the communities of Kelowna , Vernon , West Kelowna , Lake Country , Armstrong, and the rest of the North Okanagan and Central Okanagan Regional Districts . Call us on 1300 78 99 78 or access online counselling. Debt from gambling can occur quickly and, at times, may seem insurmountable. org. I. We now also offer free aftercare groups for clients who have gone through the counselling process with our addiction counsellors. In 2011, Rutgers University Center of Alcohol Studies and the School of Social Work were funded $3. Verified. I offer a range of services for: the treatment of problem & compulsive gambling; & drug/alcohol addiction. We work with circa 350 people annually from across the North East region who present at different stages of the addiction cycle. Involvement in peer support programs seems to be. This means that Gambler's Help counsellors must be aware not only of the existence of these issues, but how and to whom they can refer clients for assistance. For those located outside these areas, visit the Gambler’s Help website to find your nearest service. Phone Counseling Available. These are available online, as well as in person around London. Complex and co-occurring mental and emotional health concerns. There is a very fine line between problem gambling or Grimsby gambling addiction and gambling too much. I wanted to put an end to my online gambling habit. Counseling and the therapeutic relationship can help individuals address these adversities, transcend negative emotions and heal. Av. The help line provides: information; short-term counselling; crisis intervention services; andOnly a professional can diagnose a gambling problem. 6. Before you can begin on your path to recovery, you first need to recognize that your gambling habits. Call: 1-800-GAMBLER Text: 800GAM Chat: and. Award Title: Certificate in Addiction Studies (Gambling) – QQI Level 9. This service provides. I am a Licensed Clinical Social Worker in the state of NY & CT in private practice treating adolescents, adults and couples. Gambling addiction can severely affect mental and physical health, relationships and employment. We offer a free and confidential counselling and mentoring. At ADAPT, we offer you drug addiction treatment, alcohol addiction treatment, gambling addiction treatment and more. hscni. A more nuanced view is that addictive or irrational gambling is just a test to control Fortune. Recognize the Problem. The exploratory ‘Katamnese‐Studie’ has three objectives: to (1) mirror the course of gambling disorder in clients seeking help in German outpatient addiction care facilities (OACF); to (2) identify client‐ and care‐related factors with a beneficial or detrimental association on that course and to (3) delineate recommendations for. causes problems with family or friends. Introduction. Find Help GamblerND can help you find a variety of services including counseling, support groups, and an online course. org. low self-esteem. Let the client know that the door is open to them next time. Prince Edward Island Gambling Addiction Treatment Program. We. While there can be serious financial consequences to pathological gambling, the problems would still be there even if the debts were all paid. You are on edge, anxious - maybe the only time you. Reduce financial risk factors such as the use of credit cards, taking out loans and carrying large amounts of money. suggest whether therapy is best delivered in a group or individual format. A 24-hour, 7-day counselling line is available. au. edu. Usually, there are several signs or. We developed a novel. There are several methods use to treat gambling addictions. The urge can be overwhelming. The CGAC. Opportunities to Earn Continuing Education Units. Cognitive behavioral therapy (CBT) is the primary psycho-therapeutic modality for the treatment of disordered gambling; currently, it also is the most broadly utilized primary counseling modality that is supported by randomized controlled clinical trials demonstrating efficacy and improved clinical outcomes (Chambless & Ollendick,. Here are six expert tips to help you address a gambling addiction. 412-246-8965. Call the Helpline 1-877-695-4648 24 hours a day, 7 days a week or text 503-713-6000 between. . Drinking alcohol, gambling, eating, having sex and using the internet can all turn from what is considered a common activity, to a darker, more destructive compulsion. Affected Others. (856) 452-7660. My fees for the industry are the lowest you will find. (Jason Viau/CBC) But one. ACT - Counseling & Education 5010 E. Prince Edward Island Health PEI Gambling Addiction Services. Contact: Scott Baker. The main reason. My goal in working with clients is to help you to create the life and relationships you aspire to and to live a balanced, fulfilling life.