Self-Harming Therapists in Gilbert, AZ

Photo of Kristy D Crabtree, Licensed Professional Counselor in Gilbert, AZ
Kristy D Crabtree
Licensed Professional Counselor, LPC, NCC, MSc
Verified Verified
8 Endorsed
Gilbert, AZ 85234
I use cutting edge practices such as KAP (ketamine), EMDR, IFS (level 2), & hypnosis.
Welcome! I have been in practice over a decade and have learned that by gaining understanding and compassion for ourselves, our innate healing potential will emerge. I love to help other professionals in the field and I am a AZBBHE clinical supervisor. A quote by Rumi expresses it this way "your task is not to seek love, but to merely seek and find all the barriers within yourself that you have built against it" I use a "non-pathologizing lens" to see my clients holistically and help them make connections to how their past experiences have shaped the narratives and emotions they experience today.
I use cutting edge practices such as KAP (ketamine), EMDR, IFS (level 2), & hypnosis.
Welcome! I have been in practice over a decade and have learned that by gaining understanding and compassion for ourselves, our innate healing potential will emerge. I love to help other professionals in the field and I am a AZBBHE clinical supervisor. A quote by Rumi expresses it this way "your task is not to seek love, but to merely seek and find all the barriers within yourself that you have built against it" I use a "non-pathologizing lens" to see my clients holistically and help them make connections to how their past experiences have shaped the narratives and emotions they experience today.
(480) 908-8185 x1 View (480) 908-8185 x1
Photo of Roxanna Teeling, Clinical Social Work/Therapist in Gilbert, AZ
Roxanna Teeling
Clinical Social Work/Therapist, MAS, MSW, LCSW
Verified Verified
5 Endorsed
Gilbert, AZ 85233
She uses CBT, DBT, mindfulness, Heart Coherence and other cutting edge techniques.
Roxanna Teeling has over a decade of experience with dual master's degrees. She uses trauma informed methods such as CBT, DBT, EMDR, Sand Tray, and Psychoanalysis. Specializing in individual, couples, women's issues, depression, and anxiety. Roxanna offers psychotherapy with compassion and care In order to create a more happy, fulfilling life. Working with people to overcome unnecessary attachments, change neural networks, and cope with daily symptoms experienced as feelings of depression, anxiety, and other disorders is her passion. She also has a women's group, a men's group, and an Eckhart Tolle group, both in person and online.
She uses CBT, DBT, mindfulness, Heart Coherence and other cutting edge techniques.
Roxanna Teeling has over a decade of experience with dual master's degrees. She uses trauma informed methods such as CBT, DBT, EMDR, Sand Tray, and Psychoanalysis. Specializing in individual, couples, women's issues, depression, and anxiety. Roxanna offers psychotherapy with compassion and care In order to create a more happy, fulfilling life. Working with people to overcome unnecessary attachments, change neural networks, and cope with daily symptoms experienced as feelings of depression, anxiety, and other disorders is her passion. She also has a women's group, a men's group, and an Eckhart Tolle group, both in person and online.
(480) 568-2494 View (480) 568-2494
Photo of Kyle Burt, Counselor in Gilbert, AZ
Kyle Burt
Counselor, LAC
Verified Verified
Gilbert, AZ 85234
Hello! I am a Licensed Counselor and specialize in treating eating disorders and addiction. It can be hard sometimes to take the first step and reach out for help. I believe everyone can benefit from talking to someone no matter how big or small the problem. I really enjoy working with my patients and helping them get back to a happier and healthier life. I work with teenagers and adults who are dealing with anxiety, depression, self-esteem problems, anger, trauma, self-harming, boundaries, parent-child relationships, domestic violence and grief & loss.
Hello! I am a Licensed Counselor and specialize in treating eating disorders and addiction. It can be hard sometimes to take the first step and reach out for help. I believe everyone can benefit from talking to someone no matter how big or small the problem. I really enjoy working with my patients and helping them get back to a happier and healthier life. I work with teenagers and adults who are dealing with anxiety, depression, self-esteem problems, anger, trauma, self-harming, boundaries, parent-child relationships, domestic violence and grief & loss.
(480) 482-1838 View (480) 482-1838
Photo of Healing Life Counseling-Mesa, Clinical Social Work/Therapist in Gilbert, AZ
Healing Life Counseling-Mesa
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Gilbert, AZ 85296
Welcome! Our team of therapists all have Master's degrees in counseling or social work and are trained to help with trauma/PTSD, anxiety, depression, OCD, self-esteem, anger, LGBTQ+ and gender identity, self-harming, addiction, life transitions, communication, social skills, grief & loss, eating disorders, boundaries, codependency, parent-child relationships, conflict resolution, school issues, suicidal ideation, ADHD, stress, work challenges, and financial issues.
Welcome! Our team of therapists all have Master's degrees in counseling or social work and are trained to help with trauma/PTSD, anxiety, depression, OCD, self-esteem, anger, LGBTQ+ and gender identity, self-harming, addiction, life transitions, communication, social skills, grief & loss, eating disorders, boundaries, codependency, parent-child relationships, conflict resolution, school issues, suicidal ideation, ADHD, stress, work challenges, and financial issues.
(480) 482-1838 View (480) 482-1838
Photo of Jessica Hagan, Counselor in Gilbert, AZ
Jessica Hagan
Counselor, MA, LPC, NCC
Verified Verified
9 Endorsed
Gilbert, AZ 85295
Some common issues that I can help with are anxiety/worry, ADHD, depression, relationship issues, low self-esteem, bullying, oppositional and defiant behaviors, self-harming, trauma and abuse, grief and loss, eating disorders, addiction, and problems with life transitions.
Let's talk change! My goal is for you to feel safe, supported, and inspired to learn, grow and overcome current obstacles to be your best self. I can help teach you, your child, and your family skills that can be used to help regulate overwhelming emotions, communicate more effectively, and improve meaningful relationships. I will utilize my passion, creativity and objectivity to help you discover your own inner strength and to love yourself first. I am a Certified EMDR therapist and Approved Consultant, with specialized training in childhood trauma, Dialectical Behavior Therapy (DBT), and Play Therapy.
Some common issues that I can help with are anxiety/worry, ADHD, depression, relationship issues, low self-esteem, bullying, oppositional and defiant behaviors, self-harming, trauma and abuse, grief and loss, eating disorders, addiction, and problems with life transitions.
Let's talk change! My goal is for you to feel safe, supported, and inspired to learn, grow and overcome current obstacles to be your best self. I can help teach you, your child, and your family skills that can be used to help regulate overwhelming emotions, communicate more effectively, and improve meaningful relationships. I will utilize my passion, creativity and objectivity to help you discover your own inner strength and to love yourself first. I am a Certified EMDR therapist and Approved Consultant, with specialized training in childhood trauma, Dialectical Behavior Therapy (DBT), and Play Therapy.
(480) 725-5863 View (480) 725-5863
Photo of Christina Collins, Marriage & Family Therapist in Gilbert, AZ
Christina Collins
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Gilbert, AZ 85296
I specialize in working with adolescents, young adults, and adults around a variety of issues. I aim to create an authentic connection with each client that allows us to explore a path towards a higher quality of life. Within a safe and non-judgmental space, we can examine the effectiveness of current thoughts and behaviors to determine potential areas of change, while also identifying those aspects of life that may require acceptance, coping, and tolerance. I strive to balance validation and empathy with a directive approach that offers concrete tools and strategies.
I specialize in working with adolescents, young adults, and adults around a variety of issues. I aim to create an authentic connection with each client that allows us to explore a path towards a higher quality of life. Within a safe and non-judgmental space, we can examine the effectiveness of current thoughts and behaviors to determine potential areas of change, while also identifying those aspects of life that may require acceptance, coping, and tolerance. I strive to balance validation and empathy with a directive approach that offers concrete tools and strategies.
(480) 648-0271 View (480) 648-0271
Photo of Thrive Counseling in Gilbert, AZ
Thrive Counseling
LAMFT
Verified Verified
Gilbert, AZ 85234
Is your child encountering challenges with school or experiencing any changes? Feeling overwhelmed and disconnected? Prioritizing others over yourself? Wondering if life could be happier? In today's fast-paced world, anxiety and uncertainty affect children, parents, and adults. Neglecting your well-being impacts your mental and physical health. But living better shouldn't be a struggle. Hi, I'm Ellis, a therapist dedicated to guiding you through life's challenges and helping you reach your goals. I admire your courage in seeking support. Let's work together to create positive change and build strong connections.
Is your child encountering challenges with school or experiencing any changes? Feeling overwhelmed and disconnected? Prioritizing others over yourself? Wondering if life could be happier? In today's fast-paced world, anxiety and uncertainty affect children, parents, and adults. Neglecting your well-being impacts your mental and physical health. But living better shouldn't be a struggle. Hi, I'm Ellis, a therapist dedicated to guiding you through life's challenges and helping you reach your goals. I admire your courage in seeking support. Let's work together to create positive change and build strong connections.
(480) 573-6578 View (480) 573-6578
Photo of Erin Steck, Counselor in Gilbert, AZ
Erin Steck
Counselor, NCC, LAC
Verified Verified
Gilbert, AZ 85295
Choosing a therapist is the first step in your mental health journey and one I believe takes courage. I have a passion for mental health as I have personally gone on this journey, and it has been such a tremendous healing experience for myself and my family. As a therapist, I feel listening to and acknowledging another’s human experience is one of the greatest services I can provide. It is important to me that you find therapy to be a safe space where you feel heard and find healing.
Choosing a therapist is the first step in your mental health journey and one I believe takes courage. I have a passion for mental health as I have personally gone on this journey, and it has been such a tremendous healing experience for myself and my family. As a therapist, I feel listening to and acknowledging another’s human experience is one of the greatest services I can provide. It is important to me that you find therapy to be a safe space where you feel heard and find healing.
(480) 571-7427 View (480) 571-7427
Photo of Stephen M Alger Counseling, Marriage & Family Therapist in Gilbert, AZ
Stephen M Alger Counseling
Marriage & Family Therapist, MAS-MFT, LMFT
Verified Verified
Gilbert, AZ 85234
I take clients from all different backgrounds and presenting problems. Most of my clients have complex problems that start as internal struggles from depression, poor mood regulation, anxiety, racing thoughts, over-active anger, poor self-esteem, and judgment of self and others. These issues turn into interpersonal and relational problems that create felt chaos and cyclically feed those internal struggles. Clients often come in focusing on the outside chaos and miss the internal factors.
I take clients from all different backgrounds and presenting problems. Most of my clients have complex problems that start as internal struggles from depression, poor mood regulation, anxiety, racing thoughts, over-active anger, poor self-esteem, and judgment of self and others. These issues turn into interpersonal and relational problems that create felt chaos and cyclically feed those internal struggles. Clients often come in focusing on the outside chaos and miss the internal factors.
(480) 418-5762 View (480) 418-5762
Photo of Stephanie Wogomon, Clinical Social Work/Therapist in Gilbert, AZ
Stephanie Wogomon
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Gilbert, AZ 85296
Is your child experiencing difficulties with adjustment to difficult experiences, such as trauma, grief or loss? Does your child worry a lot, have constant complaints of not feeling well, separation anxiety, issues forming close relationships or not doing well at school? Do they have a hard time regulating their emotions, act out physically or verbally, have a hard time with respecting authority or getting in trouble with the law? What about you as their parent? Do you need support, skills and encouragement to help your child? There is hope!
Is your child experiencing difficulties with adjustment to difficult experiences, such as trauma, grief or loss? Does your child worry a lot, have constant complaints of not feeling well, separation anxiety, issues forming close relationships or not doing well at school? Do they have a hard time regulating their emotions, act out physically or verbally, have a hard time with respecting authority or getting in trouble with the law? What about you as their parent? Do you need support, skills and encouragement to help your child? There is hope!
(928) 764-7908 View (928) 764-7908
Photo of Jasmine Lucas, Counselor in Gilbert, AZ
Jasmine Lucas
Counselor, LPC
Verified Verified
1 Endorsed
Gilbert, AZ 85296
I understand that coming to therapy can be challenging and scary. Knowing this, I work to provide a safe and welcoming environment that allows my clients a safe space to openly express themselves freely. Through psycho-education and different treatment modalities, I work to help clients learn healthy therapeutic techniques to manage their emotions in a healthy manner. I work to help my clients identify their strengths and develop healthy lifestyles. I believe assisting clients in identifying their strengths is a step in helping clients become the best version of themselves.
I understand that coming to therapy can be challenging and scary. Knowing this, I work to provide a safe and welcoming environment that allows my clients a safe space to openly express themselves freely. Through psycho-education and different treatment modalities, I work to help clients learn healthy therapeutic techniques to manage their emotions in a healthy manner. I work to help my clients identify their strengths and develop healthy lifestyles. I believe assisting clients in identifying their strengths is a step in helping clients become the best version of themselves.
(480) 690-9502 View (480) 690-9502
Photo of Melody Day, Counselor in Gilbert, AZ
Melody Day
Counselor, MA, LPC
Verified Verified
2 Endorsed
Gilbert, AZ 85234
Want someone to help you understand and work through what’s keeping you stuck, really listen to what’s going on and help you make meaningful changes? I can help. Anxiety? Depression? Trauma? PTSD? Codependency? Concerns with; Sexuality? Kinks? Self-esteem? Shifting Relationship? Work/life balance? Grief? Gender identity? Together we can manage and reduce; stress, self-doubt, shame, and guilt, process any trauma or grief, set better boundaries, improve self-esteem, feel good about yourself, see & work through negative patterns, as well as understand & effectively communicate your needs. I can help you experience life happy.
Want someone to help you understand and work through what’s keeping you stuck, really listen to what’s going on and help you make meaningful changes? I can help. Anxiety? Depression? Trauma? PTSD? Codependency? Concerns with; Sexuality? Kinks? Self-esteem? Shifting Relationship? Work/life balance? Grief? Gender identity? Together we can manage and reduce; stress, self-doubt, shame, and guilt, process any trauma or grief, set better boundaries, improve self-esteem, feel good about yourself, see & work through negative patterns, as well as understand & effectively communicate your needs. I can help you experience life happy.
(480) 771-9614 View (480) 771-9614
Photo of Katherine Schneider, Clinical Social Work/Therapist in Gilbert, AZ
Katherine Schneider
Clinical Social Work/Therapist, LCSW
Verified Verified
Gilbert, AZ 85297
People come to me from all walks of life, all seeking something different for themselves. I specialize in helping people working through life transitions. This includes people experiencing faith transitions or healing from religious/spiritual trauma or transitioning away from a high-control group, those transitioning to a new family structure, people entering a new season of life, those coping with a diagnosis or illness, and those navigating new relationships or exploring existing relationships in new ways. As life changes, we change with it. I help my clients explore and navigate this messy, confusing, exhilarating process.
People come to me from all walks of life, all seeking something different for themselves. I specialize in helping people working through life transitions. This includes people experiencing faith transitions or healing from religious/spiritual trauma or transitioning away from a high-control group, those transitioning to a new family structure, people entering a new season of life, those coping with a diagnosis or illness, and those navigating new relationships or exploring existing relationships in new ways. As life changes, we change with it. I help my clients explore and navigate this messy, confusing, exhilarating process.
(480) 530-5093 View (480) 530-5093
Photo of Sara Lewis, Counselor in Gilbert, AZ
Sara Lewis
Counselor, BSW, LAC
Verified Verified
Gilbert, AZ 85295
I am passionate about creating a strong sense of self and connection between mind, body, and soul. Focusing on promoting strength, and resilience in my work with individuals who have experienced trauma. Through a client centered, trauma informed lens I create a safe space for children, adolescents, young adults, and families, to develop healthy views of themselves and strengthen relationships with acceptance and empathy; helping clients to see the beauty within themselves, overcome life's challenges, and enhance their self-worth.
I am passionate about creating a strong sense of self and connection between mind, body, and soul. Focusing on promoting strength, and resilience in my work with individuals who have experienced trauma. Through a client centered, trauma informed lens I create a safe space for children, adolescents, young adults, and families, to develop healthy views of themselves and strengthen relationships with acceptance and empathy; helping clients to see the beauty within themselves, overcome life's challenges, and enhance their self-worth.
(480) 605-3601 View (480) 605-3601
Photo of Karen Hawk, Psychologist in Gilbert, AZ
Karen Hawk
Psychologist, PsyD, LAC
Verified Verified
Gilbert, AZ 85298
NOW ACCEPTING NEW CLIENTS FOR GROUP AND INDIVIDUAL THERAPY. WEEKEND APPOINTMENTS. Thank you for believing you deserve to feel better! I have extensive experience and training in trauma, family conflict, infidelity, intimacy and communication difficulties, anxiety, depression, substance use, porn addiction, pre-teen and teen challenges, “midlife crisis,” loneliness, fear of abandonment, and rejection, co-parenting, pre-and-post divorce difficulties, grief, ethnic and cultural diversity, and the effects of narcissism in relationships. I hope to instill confidence and agency in survivors of abuse so they can live happy lives!
NOW ACCEPTING NEW CLIENTS FOR GROUP AND INDIVIDUAL THERAPY. WEEKEND APPOINTMENTS. Thank you for believing you deserve to feel better! I have extensive experience and training in trauma, family conflict, infidelity, intimacy and communication difficulties, anxiety, depression, substance use, porn addiction, pre-teen and teen challenges, “midlife crisis,” loneliness, fear of abandonment, and rejection, co-parenting, pre-and-post divorce difficulties, grief, ethnic and cultural diversity, and the effects of narcissism in relationships. I hope to instill confidence and agency in survivors of abuse so they can live happy lives!
(480) 771-9905 View (480) 771-9905
Photo of Grace Judd, Marriage & Family Therapist Associate in Gilbert, AZ
Grace Judd
Marriage & Family Therapist Associate, MA, LAMFT
Verified Verified
1 Endorsed
Gilbert, AZ 85296
I work with couples, individuals, and families. I see children ages 6 and up, teens, and adults. I’m excited to join your mental health journey! As a dedicated therapist and enthusiastic advocate for mental wellness, I believe that everyone deserves the opportunity to be heard and learn the skills needed for a happy and fulfilling life. There's no better way to do that than therapy! It is my goal to help each of my clients as they navigate through the pains of yesterday and worries of tomorrow so that they can live peacefully in the present.
I work with couples, individuals, and families. I see children ages 6 and up, teens, and adults. I’m excited to join your mental health journey! As a dedicated therapist and enthusiastic advocate for mental wellness, I believe that everyone deserves the opportunity to be heard and learn the skills needed for a happy and fulfilling life. There's no better way to do that than therapy! It is my goal to help each of my clients as they navigate through the pains of yesterday and worries of tomorrow so that they can live peacefully in the present.
(480) 550-8340 View (480) 550-8340
Photo of Mary McAllen, Marriage & Family Therapist in Gilbert, AZ
Mary McAllen
Marriage & Family Therapist, MS, LMFT
Verified Verified
Gilbert, AZ 85233  (Online Only)
Are you feeling depressed, anxious, or just not feeling like yourself and are not sure why? Do you feel like you are stuck in your life and constantly repeat the same patterns and are not sure how to move on or improve your life? Do you play it safe, feel like you are not good enough, have issues with your relationships, are a people pleaser or easily angered? Everyone has experiences like these in their lives due to past childhood issues, beliefs from others that they have taken on as their own due to conditioning, and events that have taken place throughout their lives that have caused some type of trauma.
Are you feeling depressed, anxious, or just not feeling like yourself and are not sure why? Do you feel like you are stuck in your life and constantly repeat the same patterns and are not sure how to move on or improve your life? Do you play it safe, feel like you are not good enough, have issues with your relationships, are a people pleaser or easily angered? Everyone has experiences like these in their lives due to past childhood issues, beliefs from others that they have taken on as their own due to conditioning, and events that have taken place throughout their lives that have caused some type of trauma.
(480) 245-5702 View (480) 245-5702
Photo of Josh Harrold, Counselor in Gilbert, AZ
Josh Harrold
Counselor, MC, LPC
Verified Verified
1 Endorsed
Gilbert, AZ 85296
Do you feel like a prisoner in your home? Do you feel your relationship with your teen becoming toxic? Is the emotional challenges your child facing overwhelming and you have no idea how to help? Being a parent myself, I totally understand how hard parenting can be. It is be both exhausting and exhilarating, simultaneously my greatest joy and sorrow. With modern technology, easy access to drugs, identity confusion, and more, we face a generation of kids with new and unique challenges that the world has never known. However, you don't have to face this alone. Start getting the support you deserve and need. Call Bright Life Today!
Do you feel like a prisoner in your home? Do you feel your relationship with your teen becoming toxic? Is the emotional challenges your child facing overwhelming and you have no idea how to help? Being a parent myself, I totally understand how hard parenting can be. It is be both exhausting and exhilarating, simultaneously my greatest joy and sorrow. With modern technology, easy access to drugs, identity confusion, and more, we face a generation of kids with new and unique challenges that the world has never known. However, you don't have to face this alone. Start getting the support you deserve and need. Call Bright Life Today!
(480) 771-9650 View (480) 771-9650
Photo of Dr. Carolyn J Brown, Psychologist in Gilbert, AZ
Dr. Carolyn J Brown
Psychologist, PsyD, CHT
Verified Verified
1 Endorsed
Gilbert, AZ 85234
Danielle LaPorte asked the question best, “Can you remember who you were before the world told you who you should be?” Can you remember when you loved and accepted yourself unapologetically, and embraced all the things about you that make you unique? As we age, we gain knowledge from life experiences and through those experiences we can soar to greatness or we can break and lose sight of who we really are and become someone we were never meant to be. When we become someone less than who we were meant to be we can begin to experience anxiety, depression, substance abuse, loss of relationships and functional distress.
Danielle LaPorte asked the question best, “Can you remember who you were before the world told you who you should be?” Can you remember when you loved and accepted yourself unapologetically, and embraced all the things about you that make you unique? As we age, we gain knowledge from life experiences and through those experiences we can soar to greatness or we can break and lose sight of who we really are and become someone we were never meant to be. When we become someone less than who we were meant to be we can begin to experience anxiety, depression, substance abuse, loss of relationships and functional distress.
(480) 780-1934 View (480) 780-1934
Photo of Alicia Tequida, Licensed Professional Counselor in Gilbert, AZ
Alicia Tequida
Licensed Professional Counselor, MC, LPC
Verified Verified
1 Endorsed
Gilbert, AZ 85233
It has always been my passion to help individuals and families through difficult situations in life and find great fulfillment in improving my community one person at a time. I am dedicated to helping individuals meet their goals by examining the connection between how they think, feel (emotionally and physically), behave, and interact in their various environments. I facilitate growth and change in my clients by teaching mindfulness, cognitive restructuring, emotion regulation, distress tolerance, and interpersonal effectiveness, as well as processing underlying trauma when needed. I provide counseling to individuals of all ages, couples, and families.
It has always been my passion to help individuals and families through difficult situations in life and find great fulfillment in improving my community one person at a time. I am dedicated to helping individuals meet their goals by examining the connection between how they think, feel (emotionally and physically), behave, and interact in their various environments. I facilitate growth and change in my clients by teaching mindfulness, cognitive restructuring, emotion regulation, distress tolerance, and interpersonal effectiveness, as well as processing underlying trauma when needed. I provide counseling to individuals of all ages, couples, and families.
(623) 745-2494 View (623) 745-2494
Self-Harming Therapists

How does therapy for self-harm work?

A person may turn to self-injury so that they can distract themselves from their stress, depression, anxiety, or upsetting circumstances. Therapy can address the cause of an individual’s suffering. A therapist can help a person understand why they may want to self-harm and help the person learn new methods of coping. A person may have poor emotion regulation, and treatment such as cognitive behavioral therapy (CBT) is helpful for breaking this behaviour. In addition, treatment such as dialectical behavior therapy can help a person manage their tolerance of distress.

Which therapies are best for self-harm?

Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, and mentalisation-based therapies, among others. Cognitive behavioral and dialectical behavior therapies are common approaches for people who have painful thoughts and past traumas. These therapies help an individual cope with distress, regulate emotions, and manage impulsive urges.

Does the tendency to self-harm mean the person is suicidal?

Having this urge does not mean the individual suffers from suicidal ideation. People who want to self-injure look to distract or alleviate themselves from the pain they are experiencing. People with suicidal tendencies want to end life altogether. However, this does not mean a person with the intent to self-harm will not attempt suicide.

How often and how long are therapy sessions for self-harm?

As with any type of therapy, sessions depend on the individual. Clients may see improvement within 20 sessions, at an average of 50 minutes per session, while others may opt for 20 to 30 sessions over, maybe, a six-month period. People, especially those with co-occurring conditions like depression and anxiety, may need to continue therapy for up to 12 to 18 months.