Dissociative Disorders (DID) Therapists in Garden Oaks, Houston, TX

Photo of Alexis Campbell, LCSW, Clinical Social Work/Therapist in Garden Oaks, Houston, TX
Alexis Campbell, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Garden Oaks, Houston, TX 77018
Life, relationships, and trauma can have an impact on the way you perceive yourself and/or the world. If you are interested in reaching goals of self-prioritization, getting the life and relationship you deserve, managing your mental health and healing from past and/or recent life transitions or trauma then start your healing journey today! Every relationship is a teaching relationship, especially the relationship you have with yourself. Your mental health matters. Let's figure out what balance and management means to you.
Life, relationships, and trauma can have an impact on the way you perceive yourself and/or the world. If you are interested in reaching goals of self-prioritization, getting the life and relationship you deserve, managing your mental health and healing from past and/or recent life transitions or trauma then start your healing journey today! Every relationship is a teaching relationship, especially the relationship you have with yourself. Your mental health matters. Let's figure out what balance and management means to you.
(832) 558-3109 View (832) 558-3109
Photo of Andrea T. Johnson, Licensed Professional Counselor in Garden Oaks, Houston, TX
Andrea T. Johnson
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
2 Endorsed
Garden Oaks, Houston, TX 77018
Are you suffering with feelings of anxiety, depression or grief? Have you been through traumatic experiences? Looking for change? Looking for healing? The answer you are looking for is already within you. I believe you are the expert in your life. We will partner using therapeutic tools, to help in your discovery and personal growth. I believe in a holistic approach to your wellness. In a safe and supportive environment, we will work together to reveal your best you.
Are you suffering with feelings of anxiety, depression or grief? Have you been through traumatic experiences? Looking for change? Looking for healing? The answer you are looking for is already within you. I believe you are the expert in your life. We will partner using therapeutic tools, to help in your discovery and personal growth. I believe in a holistic approach to your wellness. In a safe and supportive environment, we will work together to reveal your best you.
(346) 444-1960 View (346) 444-1960
Photo of Sarah Reid, Clinical Social Work/Therapist in Garden Oaks, Houston, TX
Sarah Reid
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Garden Oaks, Houston, TX 77018
When we reach the limits of our emotional pain tolerance, we may see that the way we’ve been coping with our stress and pain is not sustainable. This can look like disordered eating, self-harm, self-medicating, perfectionism, self-sabotage, or isolation. This realization is particularly hard when our ways of coping feel like a lifeline and the idea of change feels at best theoretical and at worst like an invitation for impending doom. Our inner beliefs of being unworthy, unlovable, unsafe, out of control, and powerless ensure that we keep choosing the same self-destructive coping strategies over and over.
When we reach the limits of our emotional pain tolerance, we may see that the way we’ve been coping with our stress and pain is not sustainable. This can look like disordered eating, self-harm, self-medicating, perfectionism, self-sabotage, or isolation. This realization is particularly hard when our ways of coping feel like a lifeline and the idea of change feels at best theoretical and at worst like an invitation for impending doom. Our inner beliefs of being unworthy, unlovable, unsafe, out of control, and powerless ensure that we keep choosing the same self-destructive coping strategies over and over.
(346) 233-1625 View (346) 233-1625
Photo of Maria E Torres, Provisionally Licensed Psychologist in Garden Oaks, Houston, TX
Maria E Torres
Provisionally Licensed Psychologist, PhD, LPC-A
Verified Verified
Garden Oaks, Houston, TX 77092
In life, we go through adverse or challenging situations. My purpose is to accompany you with acceptance in your growth process so that you can achieve your personal goals. You deserve to build a life worth living. I have experience working with adults, adolescents, and children. The intervention models I use are Cognitive Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, and Acceptance and Commitment Therapy (ACT). Also, I'm fully trained in Eye Movement and Desensitization and Reprocessing Therapy (EMDR).
In life, we go through adverse or challenging situations. My purpose is to accompany you with acceptance in your growth process so that you can achieve your personal goals. You deserve to build a life worth living. I have experience working with adults, adolescents, and children. The intervention models I use are Cognitive Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, and Acceptance and Commitment Therapy (ACT). Also, I'm fully trained in Eye Movement and Desensitization and Reprocessing Therapy (EMDR).
(832) 653-9638 View (832) 653-9638
Photo of Rolinder C Wright, Clinical Social Work/Therapist in Garden Oaks, Houston, TX
Rolinder C Wright
Clinical Social Work/Therapist, LCSW
Verified Verified
Garden Oaks, Houston, TX 77092
It is imperative for individuals to have non-judgmental, empathetic, and compassionate source to deal with the inevitable challenges that arise in life. I enjoy helping clients develop healthy coping strategies and prosocial skills to maximize their quality of life. I value development; therefore, I meet each client where they are and allow them to be actively involved in their therapeutic process. Counseling is a personal experience and finding the right person with whom one can connect with is important. It is my mission to provide a safe and welcoming space for clients to feel comfortable.
It is imperative for individuals to have non-judgmental, empathetic, and compassionate source to deal with the inevitable challenges that arise in life. I enjoy helping clients develop healthy coping strategies and prosocial skills to maximize their quality of life. I value development; therefore, I meet each client where they are and allow them to be actively involved in their therapeutic process. Counseling is a personal experience and finding the right person with whom one can connect with is important. It is my mission to provide a safe and welcoming space for clients to feel comfortable.
(832) 979-8011 View (832) 979-8011
Photo of Cortnee Wright, Licensed Professional Counselor in Garden Oaks, Houston, TX
Cortnee Wright
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Garden Oaks, Houston, TX 77018
Waitlist for new clients
Have you experienced an event that has drastically shaken your thoughts, beliefs, and feelings? Are there days that you are overcome with anxiety that you just can not seem to shake? Have you experienced a loss that has robbed you of hope? Robert Frost said "the only way out is through", you do not have to go through it alone. I specialize in helping clients navigate complex trauma, grief, life transitions, and anxiety/depression, all which can have a negative impact on finding your must fulfilled life. I enjoy working with adult individuals and couples, veterans, first responders, and gender and sexual minorities.
Have you experienced an event that has drastically shaken your thoughts, beliefs, and feelings? Are there days that you are overcome with anxiety that you just can not seem to shake? Have you experienced a loss that has robbed you of hope? Robert Frost said "the only way out is through", you do not have to go through it alone. I specialize in helping clients navigate complex trauma, grief, life transitions, and anxiety/depression, all which can have a negative impact on finding your must fulfilled life. I enjoy working with adult individuals and couples, veterans, first responders, and gender and sexual minorities.
(832) 536-6710 View (832) 536-6710
Photo of Samantha Gordon, Marriage & Family Therapist in Garden Oaks, Houston, TX
Samantha Gordon
Marriage & Family Therapist, LMFT
Verified Verified
Garden Oaks, Houston, TX 77092
Hi, my name is Samantha Gordon and I am a Licensed Marriage and Family Therapist. In my practice, I focus on helping others to manage issues related to relationships with themselves and others, family dynamics, body image, disordered eating, eating disorders, substance abuse, depression, anxiety, ADHD, and all that goes along with this. I help individuals, couples, and their families manage issues related to relationships with themselves and others, family dynamics, body image, disordered eating, eating disorders, substance abuse, depression, anxiety, ADHD, and all that goes along with this.
Hi, my name is Samantha Gordon and I am a Licensed Marriage and Family Therapist. In my practice, I focus on helping others to manage issues related to relationships with themselves and others, family dynamics, body image, disordered eating, eating disorders, substance abuse, depression, anxiety, ADHD, and all that goes along with this. I help individuals, couples, and their families manage issues related to relationships with themselves and others, family dynamics, body image, disordered eating, eating disorders, substance abuse, depression, anxiety, ADHD, and all that goes along with this.
(346) 485-3884 View (346) 485-3884
Photo of Matthew F Tritico, Licensed Professional Counselor in Garden Oaks, Houston, TX
Matthew F Tritico
Licensed Professional Counselor, LPC
Verified Verified
Garden Oaks, Houston, TX 77018  (Online Only)
You’re going through something, which is why you’re here. Trauma, grief, loss, depression, anxiety, fear, stress, anger, hopelessness, confusion, or even something you may not fully understand. There could be struggles with self-worth, self-esteem, identity, relationship issues, dissatisfaction with a career path, or your direction in life. Working together, we will go on a journey and begin the process. The process is your own unique journey through therapy. If you have a problem, I want to help you find the solution.
You’re going through something, which is why you’re here. Trauma, grief, loss, depression, anxiety, fear, stress, anger, hopelessness, confusion, or even something you may not fully understand. There could be struggles with self-worth, self-esteem, identity, relationship issues, dissatisfaction with a career path, or your direction in life. Working together, we will go on a journey and begin the process. The process is your own unique journey through therapy. If you have a problem, I want to help you find the solution.
(713) 489-0715 View (713) 489-0715
Photo of Patience Simms, Licensed Professional Counselor in Garden Oaks, Houston, TX
Patience Simms
Licensed Professional Counselor, LPC, LMFT-A, MA
Verified Verified
2 Endorsed
Garden Oaks, Houston, TX 77018
My goal is to create an environment for my clients where change and healing can happen. Many of my clients come to me because nothing else has worked and they're ready to give up. Whether I am working with a a couple trying to stay married or considering divorce or an adolescent struggling with self harm, I believe clients can surpass coping, heal from trauma and thrive. And, I believe that challenging marriages can grow into healthy connected relationships.
My goal is to create an environment for my clients where change and healing can happen. Many of my clients come to me because nothing else has worked and they're ready to give up. Whether I am working with a a couple trying to stay married or considering divorce or an adolescent struggling with self harm, I believe clients can surpass coping, heal from trauma and thrive. And, I believe that challenging marriages can grow into healthy connected relationships.
(713) 903-2764 View (713) 903-2764
Photo of InTown Counseling + Consulting, Clinical Social Work/Therapist in Garden Oaks, Houston, TX
InTown Counseling + Consulting
Clinical Social Work/Therapist, MSW, LCSW-S, TTS
Verified Verified
Garden Oaks, Houston, TX 77018  (Online Only)
Experience across various social aspects including mental health, substance abuse, and trauma.Treatment modalities depend on patient needs from depression, to anxiety, to issues related to life changes. My goal is to provide all services compassionately with each individual's best interest at heart. Experiencia en diversos aspectos incluyendo salud mental, problemas de abusos de sustancias, control de impulsos, trauma, problemas de pareja, trastornos relacionados con la infancia y mas. Las modalidades de tratamiento varían de las necesidades del paciente. Mi objetivo es ofrecer servicios con empatía y asistir a encontrar claridad.
Experience across various social aspects including mental health, substance abuse, and trauma.Treatment modalities depend on patient needs from depression, to anxiety, to issues related to life changes. My goal is to provide all services compassionately with each individual's best interest at heart. Experiencia en diversos aspectos incluyendo salud mental, problemas de abusos de sustancias, control de impulsos, trauma, problemas de pareja, trastornos relacionados con la infancia y mas. Las modalidades de tratamiento varían de las necesidades del paciente. Mi objetivo es ofrecer servicios con empatía y asistir a encontrar claridad.
(832) 924-0480 View (832) 924-0480
Photo of Andetria Hampton, Licensed Professional Counselor in Garden Oaks, Houston, TX
Andetria Hampton
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
Garden Oaks, Houston, TX 77018
Author Helen Keller once stated, "Only through experience of trials and suffering can the soul be strengthened, ambition inspired and success achieved." I am passionate about helping individuals improve the way that they feel and take back total control of their lives. I'm able to offer you a safe space (online or in-person) to help you work through the difficult feelings and develop the necessary skills to improve your life. In all, I have a HUGE heart for people and value building connections that will ultimately lead to emotional growth.
Author Helen Keller once stated, "Only through experience of trials and suffering can the soul be strengthened, ambition inspired and success achieved." I am passionate about helping individuals improve the way that they feel and take back total control of their lives. I'm able to offer you a safe space (online or in-person) to help you work through the difficult feelings and develop the necessary skills to improve your life. In all, I have a HUGE heart for people and value building connections that will ultimately lead to emotional growth.
(346) 226-2707 View (346) 226-2707
Photo of Shannon Martin-Let's Talk, I'll Listen Counseling , Licensed Professional Counselor in Garden Oaks, Houston, TX
Shannon Martin-Let's Talk, I'll Listen Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Garden Oaks, Houston, TX 77092
Are you looking for relief from life’s daily stressors? How about a change from your current situation? There's no better time than now to start your new beginning. Let me assist you in your new journey. My therapeutic style is Integrated which entails blending and tailoring different but complimentary theories to best serve your unique and individual needs. Genuineness, Empathetic Understanding and Unconditional positive regard are the pillars of my therapeutic approach. Together we can implement and improve goal-setting and goal striving abilities, build and maintain healthy relationships with others and reconnect to self.
Are you looking for relief from life’s daily stressors? How about a change from your current situation? There's no better time than now to start your new beginning. Let me assist you in your new journey. My therapeutic style is Integrated which entails blending and tailoring different but complimentary theories to best serve your unique and individual needs. Genuineness, Empathetic Understanding and Unconditional positive regard are the pillars of my therapeutic approach. Together we can implement and improve goal-setting and goal striving abilities, build and maintain healthy relationships with others and reconnect to self.
(346) 263-0906 View (346) 263-0906
Photo of Healing Childhood Trauma- Chelsea McDonald, Licensed Professional Counselor in Garden Oaks, Houston, TX
Healing Childhood Trauma- Chelsea McDonald
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Garden Oaks, Houston, TX 77018
Another day, same routine, same uncertainty of what today will hold. Which will flare up first, your anxiety, chronic pain, or digestive issues? You’re tired of putting life on hold because you might have a flare up, but don’t have the bandwidth to do everything you once did. You struggle to claw yourself out of the thoughts of “I’m too much”, “something is wrong me”, and “I’m not worthy” and find the only time these thoughts don’t haunt you is when you are helping other people. You put on a brave face, even though you wish people could see your soul is suffering as you feel hijacked by your body. It feels like you can't win.
Another day, same routine, same uncertainty of what today will hold. Which will flare up first, your anxiety, chronic pain, or digestive issues? You’re tired of putting life on hold because you might have a flare up, but don’t have the bandwidth to do everything you once did. You struggle to claw yourself out of the thoughts of “I’m too much”, “something is wrong me”, and “I’m not worthy” and find the only time these thoughts don’t haunt you is when you are helping other people. You put on a brave face, even though you wish people could see your soul is suffering as you feel hijacked by your body. It feels like you can't win.
(832) 536-9498 View (832) 536-9498
Photo of Stephanie Rodriguez-Morales, Licensed Professional Counselor in Garden Oaks, Houston, TX
Stephanie Rodriguez-Morales
Licensed Professional Counselor, PsyD, LPC
Verified Verified
2 Endorsed
Garden Oaks, Houston, TX 77092  (Online Only)
Not accepting new clients
I have experience working with preteens, adolescents, and adults with diverse life experiences. I specialized in providing evidence-based treatments for trauma-related disorders (including Complex Trauma and Post-traumatic stress disorder), depression, anxiety, behavioral disorders, and dissociative disorder. In my treatment sessions. I will guide you and provide you with the tools needed to overcome your situation. I focus on the person’s strength as well as the interaction between biological, cognitive, cultural, social, and spiritual factors that impact the person’s life.
I have experience working with preteens, adolescents, and adults with diverse life experiences. I specialized in providing evidence-based treatments for trauma-related disorders (including Complex Trauma and Post-traumatic stress disorder), depression, anxiety, behavioral disorders, and dissociative disorder. In my treatment sessions. I will guide you and provide you with the tools needed to overcome your situation. I focus on the person’s strength as well as the interaction between biological, cognitive, cultural, social, and spiritual factors that impact the person’s life.
(832) 536-1694 View (832) 536-1694
Photo of Ron Saenz, Licensed Professional Counselor in Garden Oaks, Houston, TX
Ron Saenz
Licensed Professional Counselor, LPC
Verified Verified
Garden Oaks, Houston, TX 77018
Not accepting new clients
Who am I? What is my purpose? What does the science say? Where is the evidence? These are some of my favorite questions I hear as a counselor. My name is Ron Saenz and I'm an LPC passionate about exploring the mind-body connection through DBT, mindfulness meditation, flow, yoga and martial arts. I use my love for psychology and behavioral science to teach clients about how the brain works, while helping them integrate research-proven wellness practices into their everyday lives. I believe that therapy should be both fun and fulfilling, and have made it my mission to share this passion with every client I meet.
Who am I? What is my purpose? What does the science say? Where is the evidence? These are some of my favorite questions I hear as a counselor. My name is Ron Saenz and I'm an LPC passionate about exploring the mind-body connection through DBT, mindfulness meditation, flow, yoga and martial arts. I use my love for psychology and behavioral science to teach clients about how the brain works, while helping them integrate research-proven wellness practices into their everyday lives. I believe that therapy should be both fun and fulfilling, and have made it my mission to share this passion with every client I meet.
(832) 219-7618 View (832) 219-7618
Photo of Jennifer Varela, Clinical Social Work/Therapist in Garden Oaks, Houston, TX
Jennifer Varela
Clinical Social Work/Therapist, MSW, LCSWs
Verified Verified
Garden Oaks, Houston, TX 77292  (Online Only)
Not accepting new clients
I want to get to know you, wherever you'd like to start. Together, we can explore ways to increase your ability to manage and cope and find more happiness and calmness. I've got 30 years of experience helping people navigate through the impact of traumatic situations and serious grief and loss, including sexual assault, domestic violence, abusive childhoods, chronic illness, and tragic death. I understand the crushing weight of hopelessness and thoughts that things will never be better or even different. I know that things can and do change and I strongly believe that we are not simply what happened to us.
I want to get to know you, wherever you'd like to start. Together, we can explore ways to increase your ability to manage and cope and find more happiness and calmness. I've got 30 years of experience helping people navigate through the impact of traumatic situations and serious grief and loss, including sexual assault, domestic violence, abusive childhoods, chronic illness, and tragic death. I understand the crushing weight of hopelessness and thoughts that things will never be better or even different. I know that things can and do change and I strongly believe that we are not simply what happened to us.
(281) 306-1378 View (281) 306-1378

Online Therapists

Photo of Andrew Trujillo, Clinical Social Work/Therapist in Garden Oaks, Houston, TX
Andrew Trujillo
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Houston, TX 77005  (Online Only)
It is often said that, "time heals all wounds". Well,..NOT if that wound is infected! Find a place of True Healing. We live in stressful times. Many people are tired of pushing through life wearing the mask/facade that "everything is fine", when underneath it isn't. It would be an honor for me to be invited to walk alongside you in your journey to restoring joy in life and getting closer to being the person you want to be. I encourage you to take the step of caring for yourself by starting therapy. Instead of continuing the facade, put on your "oxygen mask" FIRST, so you can continue to help and care for the people in your life.
It is often said that, "time heals all wounds". Well,..NOT if that wound is infected! Find a place of True Healing. We live in stressful times. Many people are tired of pushing through life wearing the mask/facade that "everything is fine", when underneath it isn't. It would be an honor for me to be invited to walk alongside you in your journey to restoring joy in life and getting closer to being the person you want to be. I encourage you to take the step of caring for yourself by starting therapy. Instead of continuing the facade, put on your "oxygen mask" FIRST, so you can continue to help and care for the people in your life.
(281) 918-4081 View (281) 918-4081
Photo of Dolores Ituarte Valenzuela Lpc, Licensed Professional Counselor in Garden Oaks, Houston, TX
Dolores Ituarte Valenzuela Lpc
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77002
My work with clients is determined by the problem brought to therapy, beginning where you find yourself – cognitively, emotionally, physically or spiritually. The outcome of your therapy depends greatly on your willingness to actively participate in the therapeutic process. My work with clients offers a moment to slow down and spend time looking at the story from a different perspective and to develop new accessible skills and choices. Whether you are interested in addressing particular events or wanting to continue ongoing healing work, I provide a safe and encouraging space.
My work with clients is determined by the problem brought to therapy, beginning where you find yourself – cognitively, emotionally, physically or spiritually. The outcome of your therapy depends greatly on your willingness to actively participate in the therapeutic process. My work with clients offers a moment to slow down and spend time looking at the story from a different perspective and to develop new accessible skills and choices. Whether you are interested in addressing particular events or wanting to continue ongoing healing work, I provide a safe and encouraging space.
(915) 900-6562 View (915) 900-6562
Photo of Dr. Dilek Wise, Marriage & Family Therapist in Garden Oaks, Houston, TX
Dr. Dilek Wise
Marriage & Family Therapist, PhD, LMFT, LMFT-S
Verified Verified
Houston, TX 77006
Wish to be happier? Want to communicate effectively? Recovering from affairs or addictions? Feeling anxious or depressed? Life changes? Previous therapy didn't work? Specializing in relationships, my passion is to help you to build a healthy life style with your loved ones. I will help you to learn the very basics of your relational dynamics and understand the nature of your struggle as a person/couple so you can tackle your immediate issues, and prevent the future ones.
Wish to be happier? Want to communicate effectively? Recovering from affairs or addictions? Feeling anxious or depressed? Life changes? Previous therapy didn't work? Specializing in relationships, my passion is to help you to build a healthy life style with your loved ones. I will help you to learn the very basics of your relational dynamics and understand the nature of your struggle as a person/couple so you can tackle your immediate issues, and prevent the future ones.
(281) 916-3296 View (281) 916-3296
Photo of The Resilience Center of Houston, Licensed Professional Counselor in Garden Oaks, Houston, TX
The Resilience Center of Houston
Licensed Professional Counselor, PhD, LMFT, LPC
Verified Verified
2 Endorsed
Houston, TX 77070
We believe in the resilience of people and the human capacity to overcome even the most difficult of circumstances. We each have the ability to tap-in to our inner power to heal, and therapy can offer an ideal environment for transformation to happen. In therapy, the client is always the most powerful instrument for change. Therapy is not fixing problems or giving advice, it's walking with people in their journey and bearing witness to their deepest truth. Providing a securely attached relationship, the therapeutic bond offers a healthy templet for future relationships and can transform how I see ourselves, others, and the world.
We believe in the resilience of people and the human capacity to overcome even the most difficult of circumstances. We each have the ability to tap-in to our inner power to heal, and therapy can offer an ideal environment for transformation to happen. In therapy, the client is always the most powerful instrument for change. Therapy is not fixing problems or giving advice, it's walking with people in their journey and bearing witness to their deepest truth. Providing a securely attached relationship, the therapeutic bond offers a healthy templet for future relationships and can transform how I see ourselves, others, and the world.
(832) 742-6391 View (832) 742-6391

See more therapy options for Garden Oaks, Houston

Dissociative Disorders (DID) Therapists

How does therapy for dissociative disorders work?

Dissociation may be triggered by stress or other upsetting circumstances, and therapy can address the traumatic events at the core of an individual’s dissociation. Understanding why a person may dissociate can help the therapist and the individual come up with alternative methods of coping. A person with a dissociative disorder may get stuck on negative thinking, for example, and treatment like Cognitive behavioral therapy is a gold standard for breaking such thinking. And dialectical behavior therapy, for example, can help a person manage their anguish through better emotion regulation.

Which therapies are best for dissociative disorders?

Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, schema therapies, among others. Cognitive behavioral and dialectical behavior therapies are two widely used therapies that can help individuals with painful memories and past traumas. These therapies work to integrate an individual's different identities into one person.

Are there specific medications for dissociation?

There are no specific medications prescribed for dissociative disorders. However, psychosis, depression, anxiety, and/or panic often co-occur in dissociative disorders. A psychiatrist may prescribe medications for any accompanying symptom—which may include antipsychotics like aripiprazole, antidepressants like selective serotonin reuptake inhibitors, or anti-anxiety drugs like benzodiazepines.

How often and how long are therapy sessions?

Like any type of therapy, sessions depend on the individual. Patients may see improvement within 15 to 20 sessions, at an average of 50 minutes per session, others may opt for 20 to 30 sessions over, perhaps, a six-month period. There are still other patients, especially those who have co-occurring conditions like depression and anxiety, who may need to continue sessions for up to 12 to 18 months.