Therapists in Skillman, NJ
Jean M Robinson
Licensed Professional Counselor, LPC, MA
Verified Verified
Skillman, NJ 08558
I create a supportive, non-judgmental, compassionate environment for client's to feel safe, respected and free to discuss any topic brought to counseling. My approach to counseling is client-centered & integrates various modalities using Internal Family Systems Therapy (IFS). I provide counseling that is direct and goal oriented, yet compassionate, focusing on strengths and building on success. I enjoy working with teens/parents & couples to facilitate conscious communication which enhances their intimate relationships. I help connect clients with their own inner wisdom, enhance their clarity & decision making so that they can experience real transformation in their lives.
I create a supportive, non-judgmental, compassionate environment for client's to feel safe, respected and free to discuss any topic brought to counseling. My approach to counseling is client-centered & integrates various modalities using Internal Family Systems Therapy (IFS). I provide counseling that is direct and goal oriented, yet compassionate, focusing on strengths and building on success. I enjoy working with teens/parents & couples to facilitate conscious communication which enhances their intimate relationships. I help connect clients with their own inner wisdom, enhance their clarity & decision making so that they can experience real transformation in their lives.
Erin Webb
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Skillman, NJ 08558
I believe that each client that I work with deserves individualized care and attention as they reach out in times of stress or difficulty. I strive to make the process of seeking help as smooth and welcoming as possible. My approach to counseling is client-centered & integrates various modalities through an Internal Family Systems Therapy (IFS) framework. I meet clients where they are at and work collaboratively with them to establish realistic goals for treatment, to identify and build on strengths, and to create a supportive environment where clients feel safe to connect to their emotions or express vulnerabilities.
I believe that each client that I work with deserves individualized care and attention as they reach out in times of stress or difficulty. I strive to make the process of seeking help as smooth and welcoming as possible. My approach to counseling is client-centered & integrates various modalities through an Internal Family Systems Therapy (IFS) framework. I meet clients where they are at and work collaboratively with them to establish realistic goals for treatment, to identify and build on strengths, and to create a supportive environment where clients feel safe to connect to their emotions or express vulnerabilities.
Safe Place Therapy
Licensed Professional Counselor, LPC, NCC, LCADC, LCSW
Verified Verified
2 Endorsed
Skillman, NJ 08558
At our practice, you will be supported by a dedicated team of compassionate and caring therapists. We are a trauma-informed, community-oriented practice that only uses evidence and research-based treatment modalities for depression, anxiety, trauma/PTSD, and other life challenges and transitions. We believe in mind/body connection, so body-oriented skills are taught and incorporated into our therapy sessions. We will teach you/work with you on integrating mindfulness, meditation, grounding, and other effective coping skills to address emotional distress, change behavioral patterns and enhance relationships. All are welcome.
At our practice, you will be supported by a dedicated team of compassionate and caring therapists. We are a trauma-informed, community-oriented practice that only uses evidence and research-based treatment modalities for depression, anxiety, trauma/PTSD, and other life challenges and transitions. We believe in mind/body connection, so body-oriented skills are taught and incorporated into our therapy sessions. We will teach you/work with you on integrating mindfulness, meditation, grounding, and other effective coping skills to address emotional distress, change behavioral patterns and enhance relationships. All are welcome.
More Therapists Nearby
Ruth Homer
Clinical Social Work/Therapist, LCSW, LCADC, CCTP
Verified Verified
Hillsborough, NJ 08844 (Online Only)
My ideal clients are facing challenges in relationships, emotional regulation and behavioral addiction. I have 12 years experience in counseling and have been in private practice for 3 years. I offer a warm and supportive (virtual) environment where clients feel heard and understood. Together we explore interactions in relationships, old personal narratives and develop skillful practices and responses. We discover childhood connections, "parts" and faulty feedback loops, all while aimed at the goal of integration into a more accepting state of being. My approach is experiential, DBT supported and IFS/Attachment informed.
My ideal clients are facing challenges in relationships, emotional regulation and behavioral addiction. I have 12 years experience in counseling and have been in private practice for 3 years. I offer a warm and supportive (virtual) environment where clients feel heard and understood. Together we explore interactions in relationships, old personal narratives and develop skillful practices and responses. We discover childhood connections, "parts" and faulty feedback loops, all while aimed at the goal of integration into a more accepting state of being. My approach is experiential, DBT supported and IFS/Attachment informed.
Mindful Minds
Licensed Professional Counselor, MEd, MA, LPC
Verified Verified
1 Endorsed
Princeton, NJ 08540 (Online Only)
Different modalities used Parts Work, Internal Family Systems, Mindfulness, Play Therapy, Dialectal Behavioral Therapy, and Restorative Justice.
The primitive brain can take over, when it does we can be harsh on ourselves and carry feelings like an anchor. When one area of our life is off, it impacts others areas like a leaky faucet too slow to notice and life begins to flood. We know to swim to survive but don't think float to save our energy. This struggle leads to exhaustion and a series of emotions that create new issues. Hurt people; hurt people. Becoming present & reflecting, leads to peace. If we could take a step back to see what needs solving? Things are not black and white, there is a lot of gray in between; things can co-exist. www.mindfulmindscounseling.com
Different modalities used Parts Work, Internal Family Systems, Mindfulness, Play Therapy, Dialectal Behavioral Therapy, and Restorative Justice.
The primitive brain can take over, when it does we can be harsh on ourselves and carry feelings like an anchor. When one area of our life is off, it impacts others areas like a leaky faucet too slow to notice and life begins to flood. We know to swim to survive but don't think float to save our energy. This struggle leads to exhaustion and a series of emotions that create new issues. Hurt people; hurt people. Becoming present & reflecting, leads to peace. If we could take a step back to see what needs solving? Things are not black and white, there is a lot of gray in between; things can co-exist. www.mindfulmindscounseling.com
Ciera J Cuevas
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Blawenburg, NJ 08504 (Online Only)
When appropriate, Dialectical behavioral therapy (DBT), Cognitive Behavioral therapy (CBT), Internal Family System (IFS)and Acceptance Commitment Therapy (ACT).
Welcome Traveler. Jasmine Dragon Counseling LLC (JDC) offers telehealth sessions for adolescents and adults in search of guidance and a creative approach to battling mental health challenges and relational stressors. Through play therapy and expressive arts interventions, JDC supports clients to process emotional pain and learn effective coping techniques to manage depression, anxiety, stress, ADD/ADHD, grief, and PTSD symptoms. A JDC approach to counseling is one that establishes a safe space for active collaboration to target problems and facilitate healing through the creative arts process and exploration of cultural artifacts.
When appropriate, Dialectical behavioral therapy (DBT), Cognitive Behavioral therapy (CBT), Internal Family System (IFS)and Acceptance Commitment Therapy (ACT).
Welcome Traveler. Jasmine Dragon Counseling LLC (JDC) offers telehealth sessions for adolescents and adults in search of guidance and a creative approach to battling mental health challenges and relational stressors. Through play therapy and expressive arts interventions, JDC supports clients to process emotional pain and learn effective coping techniques to manage depression, anxiety, stress, ADD/ADHD, grief, and PTSD symptoms. A JDC approach to counseling is one that establishes a safe space for active collaboration to target problems and facilitate healing through the creative arts process and exploration of cultural artifacts.
Michael Libertazzo
Psychologist, EdD, ABPP
Verified Verified
Princeton, NJ 08540
I have primarily treated patients with issues related to relationships, intimacy, anxiety, depression, identity, existential, religious, spiritual, gender, racial, adolescence, family systems, and organizational issues while focusing on productive goals.
I had my first position as a counselor when I was just 20 and the compassion that lived through me then continues 48 years later. While developing professionally I enrolled in a personal individual and group training analysis and had a deep and caring experience as a patient. I consider it an incredible responsibility to practice as an integrative healer as I believe the therapeutic relationship is a privilege between two people. I continue to cultivate my personal practice, evolving throughout my life with an open heart, and open mind. My mother, and father remain central influences in my practice as a psychologist/psychoanalyst.
I have primarily treated patients with issues related to relationships, intimacy, anxiety, depression, identity, existential, religious, spiritual, gender, racial, adolescence, family systems, and organizational issues while focusing on productive goals.
I had my first position as a counselor when I was just 20 and the compassion that lived through me then continues 48 years later. While developing professionally I enrolled in a personal individual and group training analysis and had a deep and caring experience as a patient. I consider it an incredible responsibility to practice as an integrative healer as I believe the therapeutic relationship is a privilege between two people. I continue to cultivate my personal practice, evolving throughout my life with an open heart, and open mind. My mother, and father remain central influences in my practice as a psychologist/psychoanalyst.
Ariel K Merillat
Counselor, MA, LAC
Verified Verified
Princeton, NJ 08540 (Online Only)
I utilize interventions such as Cognitive Behavior Therapy (CBT), Rational Emotive Behavior Therapy (REBT), Interpersonal Family Systems (IFS), and Acceptance and Commitment Therapy (ACT).
It is no secret that life can test us at any given moment. One minute we can be living our best lives and the next we can be dealing with a challenge we thought we would never have to face. As humans, during times of anguish and heartache, we tend to focus on the negatives instead of the positives. Questions like, “why is this happening to me?”, “is this ever going to get better?”, and “why is it always one thing after another?” tend to fill our minds, making it seem impossible to be happy again. My goal as your therapist is to ensure you get back to living your best life!
I utilize interventions such as Cognitive Behavior Therapy (CBT), Rational Emotive Behavior Therapy (REBT), Interpersonal Family Systems (IFS), and Acceptance and Commitment Therapy (ACT).
It is no secret that life can test us at any given moment. One minute we can be living our best lives and the next we can be dealing with a challenge we thought we would never have to face. As humans, during times of anguish and heartache, we tend to focus on the negatives instead of the positives. Questions like, “why is this happening to me?”, “is this ever going to get better?”, and “why is it always one thing after another?” tend to fill our minds, making it seem impossible to be happy again. My goal as your therapist is to ensure you get back to living your best life!
Lisa Kestler
Psychologist, PhD
Verified Verified
Princeton, NJ 08540
I include elements of CBT, ACT, DBT, & family systems.
I offer therapy and assessment to people of all ages, 6 and up, who might be struggling with inattention, mood or anxiety, executive functioning, learning differences, family problems, or social difficulties. Therapy can help to develop self-knowledge and acceptance, confidence, and empowerment to make meaningful change. The goal of assessment is to identify a person’s unique neurodivergent strengths, challenges and needs. When I work with families, we look for solutions that respect the autonomy of all family members and addresses the emotional needs of kids - and their parents - who may be struggling with meeting expectations.
I include elements of CBT, ACT, DBT, & family systems.
I offer therapy and assessment to people of all ages, 6 and up, who might be struggling with inattention, mood or anxiety, executive functioning, learning differences, family problems, or social difficulties. Therapy can help to develop self-knowledge and acceptance, confidence, and empowerment to make meaningful change. The goal of assessment is to identify a person’s unique neurodivergent strengths, challenges and needs. When I work with families, we look for solutions that respect the autonomy of all family members and addresses the emotional needs of kids - and their parents - who may be struggling with meeting expectations.
Mark J. Ludwig
Marriage & Family Therapist, MA, LMFT, MS, CAADC
Verified Verified
14 Endorsed
Princeton, NJ 08540
I specialize in working with children, teen and adult individuals as well as family systems being impacted by depression, anxiety, ADHD, substance abuse, eating disorders, LGBTQ+ topics, trauma processing/PTSD, relational challenges and behavioral disorders. Drawing from a variety of treatment styles and approaches including Experiential, Acceptance and Cognitive Behavioral Therapy (one of the most effective treatments for many chronic, recurring, and challenging mental health conditions), I focus on establishment of systemic connection and the emotional experience, authenticity, empathic understanding and compassion.
I specialize in working with children, teen and adult individuals as well as family systems being impacted by depression, anxiety, ADHD, substance abuse, eating disorders, LGBTQ+ topics, trauma processing/PTSD, relational challenges and behavioral disorders. Drawing from a variety of treatment styles and approaches including Experiential, Acceptance and Cognitive Behavioral Therapy (one of the most effective treatments for many chronic, recurring, and challenging mental health conditions), I focus on establishment of systemic connection and the emotional experience, authenticity, empathic understanding and compassion.
Emily Doskow
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Princeton, NJ 08540 (Online Only)
Some specific modalties I may use are Internal Family Systems, DBT, and Somatic work, Neurorelational (polyvagal) for Complex Trauma.
Welcome! I have worked in this field for over 13 years. I work with preteens, adolescents, college students, and adults. My training and clinical specialties include complex trauma, depression, anxiety, and effects of stress on daily functioning at any age. I work with clients who may feel stuck, isolated, and blocked from engaging in life. Throughout life one faces milestones and expectations that may exacerabate past traumas, poor self-image, and ways of coping that feel uncontrollable. In therapy, I believe that even the most intimate aspects of one's life can be safely explored in a collaborative and caring environment.
Some specific modalties I may use are Internal Family Systems, DBT, and Somatic work, Neurorelational (polyvagal) for Complex Trauma.
Welcome! I have worked in this field for over 13 years. I work with preteens, adolescents, college students, and adults. My training and clinical specialties include complex trauma, depression, anxiety, and effects of stress on daily functioning at any age. I work with clients who may feel stuck, isolated, and blocked from engaging in life. Throughout life one faces milestones and expectations that may exacerabate past traumas, poor self-image, and ways of coping that feel uncontrollable. In therapy, I believe that even the most intimate aspects of one's life can be safely explored in a collaborative and caring environment.
Judith Ferlise
Licensed Professional Counselor, MA, LPC
Verified Verified
Lawrenceville, NJ 08648
My primary model of treatment is based on Internal Family Systems therapy (developed by Richard Schwartz, PHD).
I have over 30 years of expertise in working with clients of all ages and with a variety of issues. My goal is to teach you how to get in touch with your innate ability to heal yourself. Once you become centered in your core self you will develop coping skills that will provide you with the ability to handle the multitude of challenges that we all face in our lives.
My primary model of treatment is based on Internal Family Systems therapy (developed by Richard Schwartz, PHD).
I have over 30 years of expertise in working with clients of all ages and with a variety of issues. My goal is to teach you how to get in touch with your innate ability to heal yourself. Once you become centered in your core self you will develop coping skills that will provide you with the ability to handle the multitude of challenges that we all face in our lives.
Nancy L. Douglass
Licensed Professional Counselor, MA, LPC, LCADC, NCC
Verified Verified
Somerville, NJ 08876 (Online Only)
At Stress Management Counseling, we want to assist you in significantly reducing and managing the stressors in your life, and help you develop the tools to restore happiness, satisfaction, and balance in all areas of your life. We will focus on your personal strengths to help you reach your desired goals. You can expect to take away valuable insights, strategies, and renewed hope from each and every session. HOURS: M-F 9-9 by appointment.
At Stress Management Counseling, we want to assist you in significantly reducing and managing the stressors in your life, and help you develop the tools to restore happiness, satisfaction, and balance in all areas of your life. We will focus on your personal strengths to help you reach your desired goals. You can expect to take away valuable insights, strategies, and renewed hope from each and every session. HOURS: M-F 9-9 by appointment.
Psychotherapy; Addiction; Psychological Counseling
Drug & Alcohol Counselor, LCADC, LPC, CRS, FAPA
Verified Verified
Somerset, NJ 08873
Practices that include modalities with Eclectic theoretical orientation. Counseling everyone regardless of background purely on presenting health issues. Using integrative approach to whole person restoration of functioning. Mindfulness, Cognitive,Logotherapy, Motivational Interviewing. Transfigurative Hypnotherapy is strictly for pain management, sleep disorder, anxiety and relaxation. Acceptance and Commitment Therapy (ACT). We proudly embrace the ethical values of the APA, AACC, ACA and NBCC (National Board for Certified Counselors) that respectively advice counselor to practice within their competencies (training).
Practices that include modalities with Eclectic theoretical orientation. Counseling everyone regardless of background purely on presenting health issues. Using integrative approach to whole person restoration of functioning. Mindfulness, Cognitive,Logotherapy, Motivational Interviewing. Transfigurative Hypnotherapy is strictly for pain management, sleep disorder, anxiety and relaxation. Acceptance and Commitment Therapy (ACT). We proudly embrace the ethical values of the APA, AACC, ACA and NBCC (National Board for Certified Counselors) that respectively advice counselor to practice within their competencies (training).
Sharon D Anuario
Clinical Social Work/Therapist, MSW, LSW, LCSW, License, LCADC
Verified Verified
Readington, NJ 08870
I am an experienced licensced clinical therapist providing counseling services to adults, adolescents & children. I will help give you the skills to improve your life and facilitate positive and effective changes. We will work together to understand and work through the issues. My work experience consists of providing individual, family & group therapy at Somerset Medical Center Outpatient Program (dual diagnosis) helping adults manage their illness. Also, was employed at Princeton Behavioral Health working with Trauma Dialectical Behavioral Therapy (DBT & Process). I am currently seeing clients both in person and virtual.
I am an experienced licensced clinical therapist providing counseling services to adults, adolescents & children. I will help give you the skills to improve your life and facilitate positive and effective changes. We will work together to understand and work through the issues. My work experience consists of providing individual, family & group therapy at Somerset Medical Center Outpatient Program (dual diagnosis) helping adults manage their illness. Also, was employed at Princeton Behavioral Health working with Trauma Dialectical Behavioral Therapy (DBT & Process). I am currently seeing clients both in person and virtual.
Nick Wohlschlegel
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
2 Endorsed
Hillsborough, NJ 08844 (Online Only)
Waitlist for new clients
Welcome, thank you for taking the first step in your journey of self-love. In an ever-changing world filled with twists, turns, and unexpected outcomes it can be challenging to develop a self-care routine that promotes a strong sense of both, self-esteem and self-love. During our work together we will share a safe, confidential, and nonjudgemental space for you to tell your story, as we embark on this journey of discovery and self-love. Collectively we'll work towards developing a deeper understanding of who you are and what it looks like for you to share your story.
Welcome, thank you for taking the first step in your journey of self-love. In an ever-changing world filled with twists, turns, and unexpected outcomes it can be challenging to develop a self-care routine that promotes a strong sense of both, self-esteem and self-love. During our work together we will share a safe, confidential, and nonjudgemental space for you to tell your story, as we embark on this journey of discovery and self-love. Collectively we'll work towards developing a deeper understanding of who you are and what it looks like for you to share your story.
Judith Beebe
Marriage & Family Therapist, MA, LMFT, NJ, NY
Verified Verified
Princeton, NJ 08540
I specialize in couples and family therapy with an emphasis on relationships, anxiety and depression. I also have substantial expertise in helping couples in affair recovery and other trust injuries. I see individuals, couples and families. In person, Zoom or by phone - whatever works best for you. Scheduling is flexible, morning through early evening. Wait time for initial appointment is usually 1 to 5 days. I adhere to the strictest confidentiality standards.
I specialize in couples and family therapy with an emphasis on relationships, anxiety and depression. I also have substantial expertise in helping couples in affair recovery and other trust injuries. I see individuals, couples and families. In person, Zoom or by phone - whatever works best for you. Scheduling is flexible, morning through early evening. Wait time for initial appointment is usually 1 to 5 days. I adhere to the strictest confidentiality standards.
Holistic Health Counseling Center
Psychologist, PhD, CG
Verified Verified
1 Endorsed
Hillsborough, NJ 08844 (Online Only)
Art Therapy Groups are open now. We provide Counseling, Psychotherapy and Art Therapy to adults, children, adolescents, couples, and families. Using a holistic approach to mental health and a client-centered approach to therapy, we use a wide range of therapeutic techniques and interventions to help you overcome the issues that brought you to therapy. Effective therapy is collaborative and interactive. We are here to help you feel better and overcome obstacles with the tools and techniques you need to move forward positively in your life.
Art Therapy Groups are open now. We provide Counseling, Psychotherapy and Art Therapy to adults, children, adolescents, couples, and families. Using a holistic approach to mental health and a client-centered approach to therapy, we use a wide range of therapeutic techniques and interventions to help you overcome the issues that brought you to therapy. Effective therapy is collaborative and interactive. We are here to help you feel better and overcome obstacles with the tools and techniques you need to move forward positively in your life.
Dr. Mitch and Lisa Marriages/Couples Workshops
PsyD, MSW, Life, Coach
Verified Verified
Princeton, NJ 08540
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Christine M Ruth
Marriage & Family Therapist, MDiv, MS, LMFT
Verified Verified
West Windsor, NJ 08550
Are you feeling stuck in a difficult circumstance or a relational conflict? Do you find yourself limited by fear, anxiety, lack of motivation or clarity? Are you discerning whether or not to stay in a current relationship? This can be a painful space. I believe we all have access to deep, still waters within us that can guide and direct us to deeper peace and clarity. Sometimes, we struggle to access that "knowing part" of us. I have 20 years of helping guide men, women, couples, adolescents and families gain skills and find deeper, more peaceful waters in seasons of grief, anxiety, depression, divorce & couple's conflict.
Are you feeling stuck in a difficult circumstance or a relational conflict? Do you find yourself limited by fear, anxiety, lack of motivation or clarity? Are you discerning whether or not to stay in a current relationship? This can be a painful space. I believe we all have access to deep, still waters within us that can guide and direct us to deeper peace and clarity. Sometimes, we struggle to access that "knowing part" of us. I have 20 years of helping guide men, women, couples, adolescents and families gain skills and find deeper, more peaceful waters in seasons of grief, anxiety, depression, divorce & couple's conflict.
See more therapy options for Skillman
Nearby Internal Family Systems (IFS) Therapists Searches for Skillman
- Bridgewater
- Flemington
- Hillsborough
- Hopewell
- Lawrence Township
- Lawrenceville
- North Brunswick
- Pennington
- Princeton
- Princeton Junction
- Somerset
- Somerville
Internal Family Systems (IFS) Therapists
What is Internal Family Systems therapy?
Internal Family Systems (IFS) is a type of talk therapy that focuses on sub-personalities, or “families,” within a person, which may be made up of wounded parts and unpleasant emotions like anger and shame. These sub-personalities can come into conflict with each other and with an individual’s core Self, leaving the person feeling detached from positive traits such as the “8 C’s” of confidence, calmness, creativity, clarity, curiosity, courage, compassion, and connectedness. By healing a patient’s wounded parts, a therapist aims to restore balance and bring on positive change.
How does Internal Family Systems therapy work?
An IFS therapist will work with a patient to identify their particular sub-personalities, recognize the emotions powering them, and release them. By doing so, the patient should become more able to address any underlying problems their sub-personalities may have been trying to protect them from. Ultimately, a patient discovers ways to manage internal and external conflicts on their own, through techniques such as relaxation exercises, journaling, and making charts depicting the relationships between their core Self and their distinct parts.
Does Internal Family Systems therapy work?
IFS therapy has been shown to help people address conditions such as depression, anxiety, panic, fears and phobias, trauma, and substance use disorders. Some research has also found that it can help individuals deal with symptoms of physical health conditions like rheumatoid arthritis, such as pain, everyday functioning, depressive feelings, and low self-compassion. There are some conditions for which IFS treatment, specifically discussions of one’s “parts,” may be less appropriate, such as schizophrenia or other states that involve psychosis or paranoia.
How long does Internal Family Systems therapy take?
As with most forms of talk therapy, there is no set duration or end point for IFS therapy. After becoming comfortable with a therapist and the core concepts of IFS, some patients quickly make progress. While experiences vary, most will find that it is a relatively longer-term therapy, involving months and sometimes years of sessions.