▁be ▁successfully ▁applied ▁to ▁clients ▁with ▁physical , ▁mental ▁or ▁emot ional ▁problems , ▁dise ases ▁and ▁dis orders . ▁ ▁Any ▁type ▁of ▁visual ▁art ▁and ▁art ▁medium ▁can ▁be ▁employed ▁within ▁the ▁th era pe ut ic ▁process , ▁including ▁painting , ▁drawing , ▁sculpt ing , ▁phot ography , ▁and ▁digital ▁art . ▁Art ▁ther apy ▁may ▁include ▁cre ative ▁exer cis es ▁such ▁as ▁drawing ▁or ▁painting ▁a ▁certain ▁em otion , ▁cre ative ▁journal ing , ▁or ▁fre est yle ▁creation . ▁ ▁One ▁proposed ▁learning ▁mechanism ▁is ▁through ▁the ▁increased ▁exc itation , ▁and ▁as ▁a ▁consequence , ▁strength ening ▁of ▁neur onal ▁connections . ▁ ▁A ▁typical ▁session ▁▁ ▁Art ▁ther apy ▁can ▁take ▁place ▁in ▁a ▁variety ▁of ▁different ▁settings . ▁ ▁Art ▁ther ap ists ▁may ▁vary ▁the ▁goals ▁of ▁art ▁ther apy ▁and ▁the ▁way ▁they ▁provide ▁art ▁ther apy , ▁depending ▁upon ▁the ▁institution ' s ▁or ▁client ' s ▁needs . ▁After ▁an ▁assess ment ▁of ▁the ▁client ' s ▁strength s ▁and ▁needs , ▁art ▁ther apy ▁may ▁be ▁offered ▁in ▁either ▁an ▁individual ▁or ▁group ▁format , ▁according ▁to ▁which ▁is ▁better ▁su ited ▁to ▁the ▁person . ▁ ▁Art ▁ther ap ist ▁Dr . ▁Ellen ▁G . ▁Hor ov itz ▁wrote , ▁" My ▁respons ib ilities ▁vary ▁from ▁job ▁to ▁job . ▁It ▁is ▁wh olly ▁different ▁when ▁one ▁works ▁as ▁a ▁consult ant ▁or ▁in ▁an ▁ag ency ▁as ▁opposed ▁to ▁private ▁practice . ▁In ▁private