Therapists in New York
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Cheyenne Skinner
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10001 (Online Only)
I also work with those who are struggling with Complex Post-Traumatic Stress Disorder (CPTSD), substance use and sobriety, ADHD, grief/loss, self-esteem issues, BIPOC-specific concerns, anxiety, health issues and stress management.
As a licensed psychotherapist with a Master’s degree in Social Work, my approach is client-centered and holistically focused, encouraging clients to leverage their strengths to achieve mind-body balance through various modalities. I draw from Solution Focused Brief Therapy (SFBT), Mindfulness-Based Therapy, the Seeking Safety model, Cognitive-Behavioral Therapy (CBT) and Motivational Interviewing (MI). With years of experience in the field, I have worked with diverse populations, addressing a wide range of mental health issues. I typically work with young and middle-aged adults, experiencing various life changes.
I also work with those who are struggling with Complex Post-Traumatic Stress Disorder (CPTSD), substance use and sobriety, ADHD, grief/loss, self-esteem issues, BIPOC-specific concerns, anxiety, health issues and stress management.
As a licensed psychotherapist with a Master’s degree in Social Work, my approach is client-centered and holistically focused, encouraging clients to leverage their strengths to achieve mind-body balance through various modalities. I draw from Solution Focused Brief Therapy (SFBT), Mindfulness-Based Therapy, the Seeking Safety model, Cognitive-Behavioral Therapy (CBT) and Motivational Interviewing (MI). With years of experience in the field, I have worked with diverse populations, addressing a wide range of mental health issues. I typically work with young and middle-aged adults, experiencing various life changes.
Our specialties include but are not limited to anxiety, depression, ADD/ ADHD, OCD, PTSD, TBI, Asperger's, stress, relationship issues, life transitions, and performance enhancement.
Discover how good you or your child can feel without medication! Normalize behavior, enhance cognitive and/ or physical performance, stabilize mood and learn self-regulation. We are psychotherapists who have extensive experience working collaboratively with adults, adolescents, children, and elders. We have developed a system, in which we incorporate various therapeutic approaches including psychotherapy, EMDR, clinical hypnosis, neurotherapy, and mindfulness meditation to accelerate the healing process. We work with the source of the problems, not just the symptoms. We help you improve your lives by encouraging insight, empathy and loving kindness.
Our specialties include but are not limited to anxiety, depression, ADD/ ADHD, OCD, PTSD, TBI, Asperger's, stress, relationship issues, life transitions, and performance enhancement.
Discover how good you or your child can feel without medication! Normalize behavior, enhance cognitive and/ or physical performance, stabilize mood and learn self-regulation. We are psychotherapists who have extensive experience working collaboratively with adults, adolescents, children, and elders. We have developed a system, in which we incorporate various therapeutic approaches including psychotherapy, EMDR, clinical hypnosis, neurotherapy, and mindfulness meditation to accelerate the healing process. We work with the source of the problems, not just the symptoms. We help you improve your lives by encouraging insight, empathy and loving kindness.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Have you wondered if your child or adolescent would benefit from therapy? I offer a complimentary consultation to discuss any questions you may have. I can help your child explore their feelings, make sense of their experience, and develop their full potential. I can help your child become their own therapist by learning techniques and coping strategies to learn how to deal with their challenges in their lives. I work well with children and adolescents struggling with anxiety, depression, social issues, learning issues, attention deficit disorder, and body image issues. Clients often see improved well-being early on in therapy.
Have you wondered if your child or adolescent would benefit from therapy? I offer a complimentary consultation to discuss any questions you may have. I can help your child explore their feelings, make sense of their experience, and develop their full potential. I can help your child become their own therapist by learning techniques and coping strategies to learn how to deal with their challenges in their lives. I work well with children and adolescents struggling with anxiety, depression, social issues, learning issues, attention deficit disorder, and body image issues. Clients often see improved well-being early on in therapy.
Fatigate specializes in treating mood and anxiety disorders, ADHD, high-risk behaviors, burnout, OCD, trauma, work/school issues, and family problems.
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
Fatigate specializes in treating mood and anxiety disorders, ADHD, high-risk behaviors, burnout, OCD, trauma, work/school issues, and family problems.
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Marlene Small
Clinical Social Work/Therapist, LCSW-R, BC-TMH
Verified Verified
Forest Hills, NY 11375 (Online Only)
**TELEMENTAL HEALTH THERAPY** Life got you down? Life's demands and expectations in the world today can be very overwhelming, resulting in depression and anxiety. Both greatly influence how we communicate with ourselves and the outside world (spouse/partner, children, co-workers, friends). Seeking support is the first step in recognizing you don't have to "LIFE" alone. Via on-line therapy, we can identify coping skills to gain symptom relief. We will work to gain insight to your patterns of behaviors to make changes so you can feel hopeful and in control of your life again.
**TELEMENTAL HEALTH THERAPY** Life got you down? Life's demands and expectations in the world today can be very overwhelming, resulting in depression and anxiety. Both greatly influence how we communicate with ourselves and the outside world (spouse/partner, children, co-workers, friends). Seeking support is the first step in recognizing you don't have to "LIFE" alone. Via on-line therapy, we can identify coping skills to gain symptom relief. We will work to gain insight to your patterns of behaviors to make changes so you can feel hopeful and in control of your life again.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Christina Mickalauskas
Mental Health Counselor, LMHC
Verified Verified
1 Endorsed
Flushing, NY 11378 (Online Only)
Welcome! As an experienced mental health therapist in New York, I specialize in providing collaborative and non-judgmental therapy to adolescents and young adults struggling with anxiety, depression, stress management, and ADHD. My therapeutic approach integrates evidence-based techniques such as cognitive-behavioral therapy (CBT), positive psychology, and mindfulness to facilitate long-lasting changes in your personal life, relationships, and overall well-being. I'm committed to helping you feel empowered to reclaim your life from self-doubt and anxiety.
Welcome! As an experienced mental health therapist in New York, I specialize in providing collaborative and non-judgmental therapy to adolescents and young adults struggling with anxiety, depression, stress management, and ADHD. My therapeutic approach integrates evidence-based techniques such as cognitive-behavioral therapy (CBT), positive psychology, and mindfulness to facilitate long-lasting changes in your personal life, relationships, and overall well-being. I'm committed to helping you feel empowered to reclaim your life from self-doubt and anxiety.
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My practice specializes in empowering the individual to regain the perceived loss of control over their life. The main avenue is through the use of state of the art Biofeedback, Neurofeedback, Hypnosis, Cognitive Behavioral Therapy and Mindfulness Techniques. The conditions treated include anxiety disorders, depression, phobias, insomnia and various neurological issues including ADHD and Tourette's Syndrome. I also specialize in various stress related conditions including headaches, gastrointestinal disorders, chronic pain, TMJ and cardiovascular problems.
My practice specializes in empowering the individual to regain the perceived loss of control over their life. The main avenue is through the use of state of the art Biofeedback, Neurofeedback, Hypnosis, Cognitive Behavioral Therapy and Mindfulness Techniques. The conditions treated include anxiety disorders, depression, phobias, insomnia and various neurological issues including ADHD and Tourette's Syndrome. I also specialize in various stress related conditions including headaches, gastrointestinal disorders, chronic pain, TMJ and cardiovascular problems.
Fatigate specializes in treating mood and anxiety disorders, ADHD, high-risk behaviors, burnout, OCD, trauma, work/school issues, and family problems.
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
Fatigate specializes in treating mood and anxiety disorders, ADHD, high-risk behaviors, burnout, OCD, trauma, work/school issues, and family problems.
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
Fatigate specializes in treating mood and anxiety disorders, ADHD, high-risk behaviors, burnout, OCD, trauma, work/school issues, and family problems.
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
Fatigate specializes in treating mood and anxiety disorders, ADHD, high-risk behaviors, burnout, OCD, trauma, work/school issues, and family problems.
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
Fatigate specializes in treating mood and anxiety disorders, ADHD, high-risk behaviors, burnout, OCD, trauma, work/school issues, and family problems.
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
Fatigate specializes in treating mood and anxiety disorders, ADHD, high-risk behaviors, burnout, OCD, trauma, work/school issues, and family problems.
Dr. Fatigate is a passionate therapist who utilizes highly effective treatments, such as CBT, DBT, and ACT, to empower her clients to achieve their goals. She has had extensive training at a renowned CBT/DBT training center and through Mount Sinai’s esteemed therapy programs. Through relationship building, collaboration, and adapting to each client’s needs, she provides holistic, tailored, and client-centered treatment. Her diverse experiences across outpatient, private practice, and hospitals allow her to connect with clients, regardless of what they are experiencing, and help them achieve symptom reduction and holistic well-being.
Adelyn is a seasoned therapist dedicated to guiding individuals toward a life of fulfillment, purpose, and personal growth. Specializing in Cognitive Behavioral Therapy, Adelyn brings extensive experience from working in Mt. Sinai Hospital system’s top CBT and therapy programs. She has treated a diverse set of adult clients across all life stages, navigating a wide range of psychiatric and medical challenges in both outpatient and inpatient settings. She specializes in trauma- and stressor-related disorders, anxiety, depression, OCD, ADHD, executive functioning, and the intersection of medical conditions and mental health.
Adelyn is a seasoned therapist dedicated to guiding individuals toward a life of fulfillment, purpose, and personal growth. Specializing in Cognitive Behavioral Therapy, Adelyn brings extensive experience from working in Mt. Sinai Hospital system’s top CBT and therapy programs. She has treated a diverse set of adult clients across all life stages, navigating a wide range of psychiatric and medical challenges in both outpatient and inpatient settings. She specializes in trauma- and stressor-related disorders, anxiety, depression, OCD, ADHD, executive functioning, and the intersection of medical conditions and mental health.
Adelyn is a seasoned therapist dedicated to guiding individuals toward a life of fulfillment, purpose, and personal growth. Specializing in Cognitive Behavioral Therapy, Adelyn brings extensive experience from working in Mt. Sinai Hospital system’s top CBT and therapy programs. She has treated a diverse set of adult clients across all life stages, navigating a wide range of psychiatric and medical challenges in both outpatient and inpatient settings. She specializes in trauma- and stressor-related disorders, anxiety, depression, OCD, ADHD, executive functioning, and the intersection of medical conditions and mental health.
Adelyn is a seasoned therapist dedicated to guiding individuals toward a life of fulfillment, purpose, and personal growth. Specializing in Cognitive Behavioral Therapy, Adelyn brings extensive experience from working in Mt. Sinai Hospital system’s top CBT and therapy programs. She has treated a diverse set of adult clients across all life stages, navigating a wide range of psychiatric and medical challenges in both outpatient and inpatient settings. She specializes in trauma- and stressor-related disorders, anxiety, depression, OCD, ADHD, executive functioning, and the intersection of medical conditions and mental health.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dobbs is highly skilled in psychological evaluations, specializing in learning disorders, ADHD, and social-emotional functioning.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Are you overwhelmed by persistent worries that interfere with your daily life? Are you grappling with a heavy burden of sadness that seems to linger despite your best efforts to shake it off? Have past traumatic experiences left you replaying distressing memories? Do you want more out of your relationships? Are you overwhelmed with being a support system for those around you? Do you find yourself struggling through your daily routines and obligations? As a licensed clinical psychologist, I work with clients suffering from depression, anxiety, bipolar disorder, personality disorders, OCD, and adult ADHD.
Are you overwhelmed by persistent worries that interfere with your daily life? Are you grappling with a heavy burden of sadness that seems to linger despite your best efforts to shake it off? Have past traumatic experiences left you replaying distressing memories? Do you want more out of your relationships? Are you overwhelmed with being a support system for those around you? Do you find yourself struggling through your daily routines and obligations? As a licensed clinical psychologist, I work with clients suffering from depression, anxiety, bipolar disorder, personality disorders, OCD, and adult ADHD.
See more therapy options for New York
ADHD Therapists
When should I seek treatment for ADHD?
You should seek treatment for ADHD if you consistently have difficulty with attention, hyperactivity, or impulsivity that interferes with your daily life. Symptoms of ADHD include the inability to sustain attention during tasks, difficulty organizing tasks and activities, being easily distracted, frequent fidgeting or squirming, and talking or interrupting excessively. If these symptoms interfere with your career, academics, or relationships—for example, consistently failing to complete professional projects on time—you should seek an evaluation for ADHD.
How does treatment for ADHD work?
Effective treatment for ADHD often consists of medication, behavioral therapy, and lifestyle changes. Stimulant medications such as Adderall and Ritalin work by altering levels of neurotransmitters in the brain; higher levels of dopamine and norepinephrine are known to improve attention and focus. Therapy works by helping people with ADHD understand the condition, discuss their areas of difficulty, and develop behavioral strategies to manage their symptoms. In some cases, modifying one’s diet and exercise can also help improve symptoms.
Are there specific medications for ADHD?
Medications to treat ADHD are generally stimulants, the most common are Adderall and Ritalin. There are two categories of stimulants: Amphetamines include Adderall, Dyanavel, Vyvanse, and Dexedrine, and methylphenidates include Ritalin, Concerta, Daytrana, Focalin, Quillichew, Quillivant, and Metadate. Non-stimulants and antidepressants may be used as an alternative if stimulants aren’t effective or viable for a particular patient.
How long does treatment for ADHD take?
It’s tough to give an exact time frame because everyone varies. In terms of medications, stimulants begin to work very soon after you take them, generally within the hour. It may take time to identify the right medication and dosage, but the medication itself is fast-acting. In terms of therapy, it takes time to develop skills and put them into practice, but you will likely see improvements within a few weeks or months.