Find Depression Counselors Serving
Salem, MA

Compare depression counselors serving Salem

Zip Code
2 Local Depression Counselors
210 Virtual Depression Counselors
1 Near Salem, MA

213 Depression Counselors Serving Salem, MA

2 depression counselors offer in-person sessions in Salem, MA, and many more are available online. Compare profiles, specialties, and pricing — see real-time availability and book, or message a provider directly.

Last updated 9-9-26

Find Depression Counselors Serving Salem, MA

Compare depression counselors serving Salem

2 Local Depression Counselors
210 Virtual Depression Counselors
1 Near Salem, MA

Depression Counselors in Salem, MA

2 available

Book in-person sessions with depression counselors based in Salem.

Lynn MA US Inner Body Awareness
Kat Dejesus
Emotional Awareness Coach, Relieving Suffering through the practice of the Eight Fold Path
Sofia Verified
Serves Lynn, MA

It is true that life is suffering, but it is also true that life is beautiful, a gift to us from th… Read bio

Emotional Awareness CoachRelieving Suffering through the practice of the Eight Fold Path Life CoachTeen Life CoachSpiritual Life CoachRelationship CounselorSpiritual CounselorAnxiety TherapistPersonal CoachRelationship CoachHolistic HealthMental Health CoachCounselingGrief CounselingBehavioral Health CounselingSocial Anxiety TherapyGrief CoachSleep TherapyMental Health TherapistAnger Management ClassStress CounselingSelf Esteem CoachGrief Recovery SpecialistMindset CoachAnxiety CoachGoal SettingVisualization TechniqueStress CoachChronic Fatigue SpecialistInsomniaPain ManagementDepression CounselingAnxiety Treatment

Next available on Wed, Sep 23

Tue Sep 22 No appts
Wed Sep 23 7 appts
Thu Sep 24 7 appts
Fri Sep 25 4 appts
Sat Sep 26 No appts
Sun Sep 27 No appts
Mon Sep 28 16 appts
More

Middleton MA US 12-Session Group Package — Transformation & Empowerment4-Session Group Package — Foundation & Connection60 min Session8-Session Group Package — Integration & GrowthAnger & Irritability Support — Mind–Body Regulation Techniques
Tania Palacios
Integrative Behavioral Health and Wellness Counselor, Yoga Therapist, Trauma-Informed Educator & Practitioner, Life MAP Coach (Specializing in Transition and Development for Service Members, Veterans and Their Families), Stress Management Specialist
4021 bookings on Sofia Health
Sofia Verified
Serves Middleton, MA Free intro consult Virtual available

With over a decade of experience in trauma-informed mental health and yoga therapy, Tania Palacios … Read bio

Integrative Behavioral Health and Wellness CounselorYoga TherapistTrauma-Informed Educator & PractitionerLife MAP Coach (Specializing in Transition and Development for Service Members, Veterans and Their Families)Stress Management Specialist Yoga InstructorYoga TherapistAnxiety TherapistMeditation TeacherMeditationMeditation StudioBreathworkMental Health CoachVinyasa YogaPrenatal YogaHatha YogaHot YogaBikram YogaAerial YogaRaja YogaBeginner YogaYoga ClassAshtanga YogaPostnatal YogaAshtanga FlowGrief CounselingChristian Premarital CounselingSocial Anxiety TherapyGrief CoachSleep TherapyMental Health TherapistObesity CareAnger Management ClassStress CounselingSelf Esteem CoachGrief Recovery SpecialistMindset CoachWomen's HealthAnxiety CoachTrauma ClassRelaxation TechniqueGoal SettingMindfulness ClassPCOS SpecialistStress CoachChronic Fatigue SpecialistAcne SpecialistMenopause SpecialistPMS SpecialistBrain Fog SpecialistADHD SpecialistJoint Pain SpecialistDepression TherapistSomatic Experiencing TherapyYoga NidraTrauma Informed YogaInsomniaSleep DoctorIBS SpecialistFibromyalgia SpecialistOsteoporosis SpecialistChronic Pain SpecialistDigestive IssuesBlood Pressure SpecialistStress Management ClassHeadache SpecialistWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentWomen's Health SpecialistTrauma Informed CoachMigraine SpecialistBack Pain SpecialistShoulder Pain SpecialistHip Pain SpecialistKnee Pain DoctorNerve Pain SpecialistPelvic Pain SpecialistSciatica Pain ReliefNeck Pain TreatmentSports Injury DoctorArthritis DoctorScoliosis DoctorTrauma-Informed TherapistiRest Yoga NidraPTSD TreatmentPanic Disorder SpecialistDialectical Behavior TherapyBody PositivityPersonal Growth WorkshopBreathing Exercise

Next available on Wed, Sep 30

Thu Sep 24 No appts
Fri Sep 25 No appts
Sat Sep 26 No appts
Sun Sep 27 No appts
Mon Sep 28 No appts
Tue Sep 29 No appts
Wed Sep 30 1 appts
More

View all depression counselors in Salem, MA →

Online Depression Counselors Serving Salem, MA

210 available

Meet with experienced depression counselors who serve clients in Salem through virtual appointments.

Mesa Arizona US Initial ConsultMorning Sickness IVNourished & Ready | 12-Week Private Pregnancy CoachingPregnancy Hydration IVPregnancy Wellness Mapping Session | RN-Led
Adriana St.Germain
Registered Nurse
14 bookings on Sofia Health
Sofia Verified
Serves Mesa, Arizona Free intro consult Virtual available

Hi, I’m Adriana, a Registered Nurse and co-owner of Glowline Sisters Beauty & Wellness. I provide p… Read bio

Registered Nurse Anxiety TherapistLactation ConsultantSleep TherapyMental WellnessObesity CareStress CounselingGoal SettingAutoimmune SpecialistStress CoachGas and Bloating SpecialistChronic Fatigue SpecialistAcne SpecialistMenopause SpecialistThyroid SpecialistHormone SpecialistBrain Fog SpecialistADHD SpecialistJoint Pain SpecialistAnemia SpecialistDigestive Health SpecialistInsomniaIBS SpecialistWeight Loss ProgramRheumatoid Arthritis DoctorNurseFibromyalgia SpecialistChronic Pain SpecialistDiabetes SpecialistDigestive IssuesOsteoarthritis SpecialistCholesterol SpecialistCancer SpecialistBlood Pressure SpecialistHeart Health SpecialistAutoimmune Disease DoctorPregnancy NutritionPostpartum NutritionConstipation DoctorHeadache SpecialistWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentMigraine SpecialistBack Pain SpecialistArthritis DoctorNurse PractitionerHormone Balancing DoctorsSelf CareSkin CareImmune SupportBody PositivityPersonal Growth WorkshopEmotional Wellness

Next available on Wed, Sep 23

Tue Sep 22 No appts
Wed Sep 23 30 appts
Thu Sep 24 60 appts
Fri Sep 25 60 appts
Sat Sep 26 24 appts
Sun Sep 27 60 appts
Mon Sep 28 60 appts
More

NA NA US Alleviate anxiety with aromatherapy treatmentsAlleviate migraine symptoms with essential oilsAromatherapy and Essential Oils for advanced and serious illness (Coming Soon)Aromatherapy for BeginnersBoost your immunity with essential oils & aromatherapy
Alaura Pittman
Aromatherapist, Herbalist
13 bookings on Sofia Health
Sofia Verified
Serves NA, NA Free intro consult Virtual available

I am Alaura Pittman, an aromatherapist, and student of herbs. I believe plants are our greatest all… Read bio

AromatherapistHerbalist AromatherapistDoulaDeath DoulaAnxiety TherapistHerbalistEssential OilHolistic HealthMental Health CoachHolistic MedicineGrief CounselingSocial Anxiety TherapyGrief CoachManifestation CoachSleep TherapyMental Health TherapistMental WellnessAromatherapy MassageStress CounselingGrief Recovery SpecialistMindset CoachWomen's HealthAnxiety CoachRelaxation TechniqueStress CoachChronic Fatigue SpecialistSleep CoachInflammation SpecialistDepression TherapistInsomniaChinese MedicineHeadache SpecialistDepression CounselingAnxiety TreatmentPlant MedicineHerbal TeaMens HealthMigraine SpecialistBack Pain SpecialistShoulder Pain SpecialistHip Pain SpecialistKnee Pain DoctorPelvic Pain SpecialistBack and Spine SpecialistNeck Pain TreatmentWhiplash TreatmentArthritis DoctorPTSD TreatmentPanic Disorder SpecialistWellness PractitionerSpiritual WellnessSelf CareSkin CareImmune SupportBody PositivityPersonal Growth WorkshopHerbal RemediesEmotional Wellness

Next available on Wed, Sep 23

Tue Sep 22 No appts
Wed Sep 23 4 appts
Thu Sep 24 4 appts
Fri Sep 25 No appts
Sat Sep 26 14 appts
Sun Sep 27 14 appts
Mon Sep 28 No appts
More

Baton Rouge LA US Chair yogaChakra BalanceGentle YogaInitial ConsultMindfulness
Alesah Richardson
Wellness Practitioner
3122 bookings on Sofia Health
Sofia Verified
Serves Baton Rouge, LA Free intro consult Virtual available

Greetings, Alesah Richardson is a holistic practitioner with over ten years of experience guiding … Read bio

Wellness Practitioner Reiki MasterChakra HealerYoga InstructorLife CoachTeen Life CoachWellness CoachMental Health CounselorEnergy HealerSound HealerHolistic Health CoachAnxiety TherapistHealth and Wellness CoachReikiHealerIntuitive HealerMeditation TeacherPrivate Yoga InstructorVirtual Energy HealerMeditationMeditation StudioBreathworkHolistic HealthMental Health CoachVinyasa YogaPrenatal YogaHatha YogaHot YogaBikram YogaAerial YogaRaja YogaBeginner YogaYoga ClassAshtanga YogaPostnatal YogaAshtanga FlowSocial Anxiety TherapyGrief CoachManifestation CoachSleep TherapyMental Health TherapistSound TherapySpiritual CleansingMental WellnessObesity CareAnger Management ClassStress CounselingSelf Esteem CoachGrief Recovery SpecialistMindset CoachWomen's HealthAnxiety CoachTrauma ClassRelaxation TechniqueGoal SettingVisualization TechniqueMindfulness ClassStress CoachChronic Fatigue SpecialistSleep CoachEnergy CoachBrain Fog SpecialistDepression TherapistResilience CoachYoga NidraTrauma Informed YogaInsomniaSleep DoctorHolistic TherapistStress Management ClassDepression CounselingAnxiety TreatmentWomen's Health SpecialistiRest Yoga NidraPTSD TreatmentWellness PractitionerHolistic HealerSpiritual WellnessEnergy BalancingHolistic Health PractitionerSelf CareOnline Fitness ClassBody PositivityExercise ClassBreathing Exercise

Next available on Tue, Sep 22

Tue Sep 22 12 appts
Wed Sep 23 No appts
Thu Sep 24 18 appts
Fri Sep 25 24 appts
Sat Sep 26 No appts
Sun Sep 27 No appts
Mon Sep 28 No appts
More

Oakland CA US Avoid permanent joint damage from goutChronic Joint Pain?Defy Aging through your 50s & 60sEliminate gout lifestyle restrictionsEnd gout flare ups for good
Alex Fischer
Health Coach
Sofia Verified
Serves Oakland, CA Free intro consult Virtual available

I thought I was following a healthy diet when I had my first gout attack, and the only resources I… Read bio

Health Coach Health CoachWellness CoachHolistic Health CoachHealth and Wellness CoachPersonal CoachHolistic HealthNutrition CounselingSleep TherapyMental Health TherapistWeight Loss CoachMental WellnessObesity CareStress CounselingSelf Esteem CoachMindset CoachWomen's HealthAnxiety CoachGoal SettingLiver SupportAutoimmune SpecialistStress CoachGas and Bloating SpecialistChronic Fatigue SpecialistSleep CoachGut Health SpecialistAdrenal Gland SpecialistBrain Fog SpecialistJoint Pain SpecialistGout SpecialistDepression TherapistDigestive Health SpecialistEpigenetic TestInsomniaIBS SpecialistWeight Loss ProgramRheumatoid Arthritis DoctorFibromyalgia SpecialistOsteoporosis SpecialistMindful EatingChronic Pain SpecialistDiabetes SpecialistCholesterol SpecialistBlood Pressure SpecialistStress Management ClassConstipation DoctorWellness CounselingHeadache SpecialistWeight Management DoctorPain ManagementDepression CounselingAnxiety TreatmentGut HealthMens HealthMetabolic SpecialistMigraine SpecialistBack Pain SpecialistShoulder Pain SpecialistHip Pain SpecialistKnee Pain DoctorVertigo DoctorPTSD TreatmentPanic Disorder SpecialistWellness PractitionerSelf CareFood Sensitivity DoctorImmune SupportBody Positivity

Next available on Tue, Sep 22

Tue Sep 22 36 appts
Wed Sep 23 108 appts
Thu Sep 24 108 appts
Fri Sep 25 108 appts
Sat Sep 26 No appts
Sun Sep 27 No appts
Mon Sep 28 108 appts
More

View all virtual depression counselors →

Depression Counselors Near Salem, MA

1 available

Meet in person with depression counselors in cities near Salem

Natick MA US Adult ADHD evaluation
Dale Buckman, APRN New on Sofia Health
DNP, PMHNP-BC, AGPCNP-BC
Sofia Verified
Serves Natick, MA Virtual available

Coming Soon… Read bio

DNP, PMHNP-BC, AGPCNP-BC Anxiety TherapistGrief CounselingSubstance Abuse CounselingSocial Anxiety TherapyGrief CoachSleep TherapyObesity CareStress CounselingGrief Recovery SpecialistAnxiety CoachTrauma ClassStress CoachChronic Fatigue SpecialistSleep CoachThyroid SpecialistBrain Fog SpecialistADHD SpecialistDepression TherapistInsomniaSleep DoctorRheumatoid Arthritis DoctorNurseChronic Pain SpecialistDiabetes SpecialistOsteoarthritis SpecialistCholesterol SpecialistHeart Health SpecialistStress Management ClassConstipation DoctorHeadache SpecialistDepression CounselingAnxiety TreatmentBereavement SupportArthritis DoctorNurse PractitionerTrauma-Informed TherapistPTSD TreatmentPanic Disorder Specialist

No availability this week

Tue Sep 22 No appts
Wed Sep 23 No appts
Thu Sep 24 No appts
Fri Sep 25 No appts
Sat Sep 26 No appts
Sun Sep 27 No appts
Mon Sep 28 No appts
More

View all depression counselors near Salem, MA →

Clients trust Sofia Health

★★★★★
Finding the right provider was simple, and booking my appointment took just a few minutes. The whole experience felt easy from start to finish.

— Amanda K.
★★★★★
I loved being able to compare different providers and find someone who matched what I was looking for. Sofia Health made the process so much easier.

— Danielle M.
★★★★★
Everything was straightforward—from finding a provider to scheduling my appointment. I’ll definitely use Sofia Health again.

— Jordan T.

Frequently Asked Questions

How can I make a same-day appointment with a Depression Counseling in Salem?

Same day appointments are available with many Depression Counselors. For the most part, clients who use Sofia to search for a Depression Counseling in Salem can schedule an appointment and see the Depression Counseling within 24 hours. You can search for real-time availability of Depression Counselors in Salem and make an appointment online today.

How can I book an appointment online with a Depression Counseling in Salem?

Sofia is a free online service that helps clients find Depression Counselors in Salem and book appointments instantly. You can search for Salem Depression Counselors by symptom, health goal or visit reason. You can explore Depression Counseling services, book a virtual appointment, join group classes or schedule an initial consultation. 

How can I find a top-rated Depression Counseling in Salem?

You can use Sofia to find Depression Counselors in Salem who are highly rated. View each Depression Counselors education, license and certification credentials. Watch their video introductions and book a virtual consultation see if they are a good fit for you.  

How can I schedule a virtual visit with a Depression Counseling in Salem?

Almost all Depression Counselors in Salem on Sofia have virtual visits available. Every Depression Counseling can be scheduled online for either in-person or virtual appointments. When you book your session, choose in person or online.  

How can I find a Salem Depression Counseling who sees clients after hours?

On Sofia, you can search specifically for Salem Depression Counselors with availability after normal business hours.

How can I find same day appointments near me for Depression Counselors in Salem?

Sofia lets you see real-time availability for Depression Counselors in Salem. Many Depression Counselors offer same day appointments.  

How can I find a Depression Counseling in Salem who sees clients during the weekend?

Sofia let's you see real-time availability for Depression Counselors in Salem. Many Depression Counselors offer appointments on Saturdays and Sundays.

How can I find group classes near me from Depression Counselors in Salem?

Sofia lets you search for live group classes from the leading Depression Counselors. You can sign up for individual virtual group classes from Depression Counselors today or you can purchase a membership to Sofia Prime for access to unlimited monthly classes.

How can I search for Depression Counseling products in Salem?

Sofia lets you shop for Depression Counselors products. You can shop health and wellness products from the Sofia Marketplace or go to your favorite Depression Counselors page directly. 

How can I find live classes near me with Depression Counselors in Salem?

Sofia lets you take live classes from leading Depression Counselors. You can sign up for virtual group classes from Depression Counselors today.

Where can I find a licensed and credentialed Depression Counseling near me in Salem?

Sofia lets you search for educated, licensed, and credentialed Depression Counselors professionals. You can ensure you are booking with the right Depression Counseling for you based on credentials, language, and more.

Frequently asked questions

 

Salem, MA

 

Salem is a historic coastal city in Essex County, Massachusetts, United States, located on the North Shore of Greater Boston. Continuous settlement by Europeans began in 1626 with English colonists. Salem was one of the most significant seaports trading commodities in early American history. Before the dissolution of county governments in Massachusetts in 1999, it served as one of two county seats for Essex County, alongside Lawrence.

Today, Salem is a residential and tourist area that is home to the House of Seven Gables, Salem State University, Pioneer Village, the Salem Maritime National Historic Site, Salem Willows Park, and the Peabody Essex Museum. It features historic residential neighborhoods in the Federal Street District and the Charter Street Historic District. The city's population was 44,480 at the 2020 census.

Salem is widely noted for the infamous Salem witch trials of 1692. Some of Salem's police cars are adorned with witch logos, a public elementary school is known as Witchcraft Heights, and the Salem High School athletic teams are named the Witches. Gallows Hill Park was originally believed to be the site of the executions during the Witch Trials, but in 2016 a site nearby called Proctor's Ledge was identified as the true site of the executions. Gallows Hill Park now serves as a town park, with baseball fields, tennis courts, and other amenities.

Salem is located at 42°31′1″N 70°53′55″W (42.516845, −70.898503). According to the United States Census Bureau, the city has a total area of 18.1 square miles (47 km2), of which 8.1 square miles (21 km2) is land and 9.9 square miles (26 km2), or 55.09%, is water. Salem lies on Massachusetts Bay between Salem Harbor, which divides the city from much of neighboring Marblehead to the southeast, and Beverly Harbor, which divides the city from Beverly along with the Danvers River, which feeds into the harbor. Between the two harbors lies Salem Neck and Winter Island, which are divided from each other by Cat Cove, Smith Pool (located between the two land causeways to Winter Island), and Juniper Cove. The city is further divided by Collins Cove and the inlet to the North River. The Forest River flows through the south end of town, along with Strong Water Brook, which feeds Spring Pond at the town's southwest corner. The town has several parks, as well as conservation land along the Forest River and Camp Lion, which lies east of Spring Pond.

The city is divided by its natural features into several small neighborhoods. The Salem Neck neighborhood lies northeast of downtown, and North Salem lies to the west of it, on the other side of the North River. South Salem is south of the South River, lying mostly along the banks of Salem Harbor southward. Downtown Salem lies 15 miles (24 km) northeast of Boston, 16 miles (26 km) southwest of Gloucester and Cape Ann, and 19 miles (31 km) southeast of Lawrence, the other county seat of Essex County. Salem is bordered by Beverly to the north, Danvers to the northwest, Peabody to the west, Lynn to the south, Swampscott to the southeast, and Marblehead to the southeast. The town's water rights extend along a channel into Massachusetts Bay between the water rights of Marblehead and Beverly.

North Shore Medical Center (NSMC) is located in Salem and is the second-largest community hospital system in Massachusetts. It offers comprehensive medical and surgical services and includes emergency/trauma departments, advanced cardiac surgery, and a birthplace. It includes NSMC Salem Hospital and NSMC Union Hospital, as well as outpatient care and urgent care. NSMC's medical staff includes nearly 600 affiliated physicians representing primary care, family practice, and 50 additional sub-specialties.

The Salem NSMC is a general medical and surgical hospital, which has 395 beds. The hospital had 19,467 admissions in the latest year for which data are available. It performed 4,409 annual inpatient and 7,955 outpatient surgeries. Its emergency department had 90,149 visits in 2012. The helipad at North Shore Medical Center is a helicopter transportation hub, with multiple daily flights to hospitals all over Boston.

Captain John Bertram (1796–1882) lived in Salem and was the founder of Salem Hospital, which was later renamed North Shore Medical Center (NSMC). In 1873, Captain John Bertram gave a gift of $25,000 in cash, plus a brick mansion on Charter Street to create Salem Hospital. From the original building on Charter Street, Salem Hospital moved to its current location on Highland Avenue in 1917. After John Bertram died in March 1882, his widow donated their home, a mansion built in the High Style Italianate with brick and brownstone for materials at 370 Essex Street, and this became the Salem Public Library. In addition, the John Bertram House is now a home for the elderly.

Salem places a strong emphasis on health and wellness for its residents. Salem Hospital is the largest healthcare provider on the North Shore, offering exceptional medical and surgical care, innovative advances, and a deep-rooted commitment to the community. Salem Fitness offers a variety of gym memberships that can work with almost any time and budget needs. The Rock Boxx Climbing Gym provides an exhilarating way to stay fit through indoor climbing. Soak Float Center offers sensory deprivation tanks for relaxation and stress relief. MDB Massage & Wellness provides therapeutic massage services to ease muscle tension and promote relaxation. Yoga Escape offers various yoga classes to enhance flexibility, strength, and mindfulness. Andrew Michaels Salon & Spa offers a range of spa treatments for pampering and rejuvenation. Envy Lash Studio provides eyelash extensions and other beauty services for enhancing self-care routines  

Top sites in Salem, MA are The House of the Seven Gables, The Witch House at Salem, Salem Witch Trials Memorial, and Peabody Essex Museum.

Population: 45,677 (2024). ZIP code: 01970. Area code(s): 351, 978. Elevation: 26 ft (8 m). Area: 18.1 square miles (47 km2).

 

FAQs

Why is Salem, MA famous?

Salem is widely noted for the infamous Salem witch trials of 1692. Some of Salem's police cars are adorned with witch logos, a public elementary school is known as Witchcraft Heights, and the Salem High School athletic teams are named the Witches. Gallows Hill Park was originally believed to be the site of the executions during the Witch Trials, but in 2016 a site nearby called Proctor's Ledge was identified as the true site of the executions.

 

Is Salem, MA worth the trip?

Dubbed “Witch City,” there’s more history and supernatural speculation here than just about anywhere else in the country. That said, it’s not all witches and ghosts. Salem is a beautiful seaside town with excellent food, beautiful architecture, stunning hotels, and bed and breakfasts. October is prime time to visit, with the Haunted Happenings celebration in full swing. Parades, film nights, haunted houses… and huge crowds might be your thing.

 

What is the best time of year to go to Salem, Massachusetts?

The best time to visit Salem is from September through November. September and October offer comfortable daytime highs in the 60s and 70s, and while temps cool down in November (average highs rest in the 50s), it is still pleasant enough for a brisk stroll through Salem Willow Park. Plus, the fall season is when you'll experience the majority of Salem's iconic festivals and events. Salem Haunted Happenings lasts the whole month of October and includes can't-miss events such as Salem Horror Fest and the Haunted Happenings Grand Parade. While October is certainly Salem's liveliest time of year (think: elaborate Halloween decorations and swarms of costumed tourists), it is also the busiest, so expect crowds.

 

Sources

Wikipedia

City of Salem

Samantha Brown

Travel US News

The House of the Seven Gables 

The Witch House at Salem 

Salem Witch Trials Memorial 

Peabody Essex Museum

Salem Hospital

Salem Fitness

The Rock Boxx Climbing Gym

Soak Float Center

MDB Massage & Wellness

Yoga Escape

Andrew Michaels Salon & Spa

Envy Lash Studio

The content herein is provided for general informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Medical information changes constantly, and therefore the content on this website should not be assumed to be current, complete or exhaustive. Always seek the advice of your doctor before starting or changing treatment. If you think you may have a medical emergency, please call your doctor or 9-1-1 (in the United States) immediately.