Self-Harming Therapists in Saint Louis, MO

Photo of Edward Donald Flynn, Licensed Professional Counselor, ABS, MA, LPC, NBCCH, DBTC
Edward Donald Flynn
Licensed Professional Counselor, ABS, MA, LPC, NBCCH, DBTC
Verified Verified
1 Endorsed
Saint Louis, MO 63129
In Dialectical treatment, we first work with the most immediately damaging behavior, such as Suicidal Thoughts, or Self-Harming and then work with Depression or Anxiety.
I am a nationally certified DBT therapist. Dialectical Behavior Therapy is my orientation and specialty. My orientation and personal experiences have inspired me to work toward the treatment of clients struggling with childhood trauma, PTSD, anxiousness, distress tolerance, emotion regulation, relationship issues, LGBTQ concerns, NSSI(Self-Injury) and Borderline Personality Disorder.
In Dialectical treatment, we first work with the most immediately damaging behavior, such as Suicidal Thoughts, or Self-Harming and then work with Depression or Anxiety.
I am a nationally certified DBT therapist. Dialectical Behavior Therapy is my orientation and specialty. My orientation and personal experiences have inspired me to work toward the treatment of clients struggling with childhood trauma, PTSD, anxiousness, distress tolerance, emotion regulation, relationship issues, LGBTQ concerns, NSSI(Self-Injury) and Borderline Personality Disorder.
(314) 254-9322 View (314) 254-9322
Photo of Michelle Marie Seliner, Clinical Social Work/Therapist, MSW, LCSW
Michelle Marie Seliner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63105
My practice provides treatment and resources for adolescents and adults who are struggling with mood, anxiety, and trauma-related disorders while engaging in self-injury ( cutting, burning, scratching, picking and trichotillomania), disordered eating, sexual promiscuity, substance abuse and other risky, impulsive behaviors.
I was trained by Dr. Wendy Lader and Karen Conterio, founders of S.A.F.E. and authors of Bodily Harm, and I specialize in self-injury. I have worked exclusively with this population for over 15 years. Self- injury is the symptom (coping strategy) of a mood, anxiety or trauma-related disorder.
My practice provides treatment and resources for adolescents and adults who are struggling with mood, anxiety, and trauma-related disorders while engaging in self-injury ( cutting, burning, scratching, picking and trichotillomania), disordered eating, sexual promiscuity, substance abuse and other risky, impulsive behaviors.
I was trained by Dr. Wendy Lader and Karen Conterio, founders of S.A.F.E. and authors of Bodily Harm, and I specialize in self-injury. I have worked exclusively with this population for over 15 years. Self- injury is the symptom (coping strategy) of a mood, anxiety or trauma-related disorder.
(630) 503-6721 View (630) 503-6721
Photo of Lisa Sanderson, Clinical Social Work/Therapist
Lisa Sanderson
Clinical Social Work/Therapist
Verified Verified
Online Only
I specialize in a wide range of areas, including addiction, anger management, antisocial behavior, anxiety, bipolar disorder, borderline personality disorder, depression, family relationships, gender identity, grief/bereavement, life transitions, military/veteran support, PTSD, psychosis/schizophrenia, stress, suicidal ideation and self-harming behaviors,
Hello, I'm Lisa. I want to help you find joy and adventure in your life because I believe life is short, and we should live it to the fullest each day. With 20 years of experience in the mental health field, I specialize in working with clients facing mild to severe mental illness. My journey has allowed me to work closely with children separated from their families due to abuse, neglect, or parental substance abuse, as well as clients involved in the criminal justice system. I hold a Master's in Social Work (MSW) and am a Licensed Clinical Social Worker. My approach to therapy is rooted in the belief that there is real power
I specialize in a wide range of areas, including addiction, anger management, antisocial behavior, anxiety, bipolar disorder, borderline personality disorder, depression, family relationships, gender identity, grief/bereavement, life transitions, military/veteran support, PTSD, psychosis/schizophrenia, stress, suicidal ideation and self-harming behaviors,
Hello, I'm Lisa. I want to help you find joy and adventure in your life because I believe life is short, and we should live it to the fullest each day. With 20 years of experience in the mental health field, I specialize in working with clients facing mild to severe mental illness. My journey has allowed me to work closely with children separated from their families due to abuse, neglect, or parental substance abuse, as well as clients involved in the criminal justice system. I hold a Master's in Social Work (MSW) and am a Licensed Clinical Social Worker. My approach to therapy is rooted in the belief that there is real power
(314) 876-8349 View (314) 876-8349
Photo of Lacey McDannald Gillis, Licensed Professional Counselor
Lacey McDannald Gillis
Licensed Professional Counselor
Verified Verified
Online Only
With a Master’s degree (MA) and as a Licensed Professional Counselor, I specialize in helping clients with anxiety, depression, LGBTQIA+ support, PTSD, intimate and romantic relationships, stress, suicidal ideation and/or self-harming, and trauma.
Hello, I'm Lacey, and I'm glad you're here. Life can be challenging in many ways, and choosing to seek help in addressing mental health and emotional wellness concerns is a difficult first step on the path to healing. Whether you’re looking to build some coping skills, process a recent life event, heal past trauma, or improve your intimate relationships, counseling can be a powerful and transformative part of your growth. I work with individuals and couples, and as a client-centered counselor, I believe it is important to meet you where you’re at and to walk with you on your journey to wholly healthy living. You are the expert
With a Master’s degree (MA) and as a Licensed Professional Counselor, I specialize in helping clients with anxiety, depression, LGBTQIA+ support, PTSD, intimate and romantic relationships, stress, suicidal ideation and/or self-harming, and trauma.
Hello, I'm Lacey, and I'm glad you're here. Life can be challenging in many ways, and choosing to seek help in addressing mental health and emotional wellness concerns is a difficult first step on the path to healing. Whether you’re looking to build some coping skills, process a recent life event, heal past trauma, or improve your intimate relationships, counseling can be a powerful and transformative part of your growth. I work with individuals and couples, and as a client-centered counselor, I believe it is important to meet you where you’re at and to walk with you on your journey to wholly healthy living. You are the expert
(314) 936-3390 View (314) 936-3390
Photo of Dr. Robin Moore-Chambers, Licensed Professional Counselor, MSW, PhD, LPC
Dr. Robin Moore-Chambers
Licensed Professional Counselor, MSW, PhD, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63136
Are you depressed, anxious with panic attacks, self-harming, angry, or distressed from past or current abuse/trauma?
If any of these symptoms reflect how you or a loved one has been feeling, then I may be the therapist for you. I have over 25 years of experience in the helping field and specialize in trauma, grief, depression, anxiety, self-harm, and troubled youth. I believe people can indeed grow, change, be healed and can AWAKEN to every possibility available.
Are you depressed, anxious with panic attacks, self-harming, angry, or distressed from past or current abuse/trauma?
If any of these symptoms reflect how you or a loved one has been feeling, then I may be the therapist for you. I have over 25 years of experience in the helping field and specialize in trauma, grief, depression, anxiety, self-harm, and troubled youth. I believe people can indeed grow, change, be healed and can AWAKEN to every possibility available.
(314) 582-0246 View (314) 582-0246
Photo of Denise Richards, Licensed Professional Counselor
Denise Richards
Licensed Professional Counselor
Verified Verified
Online Only
I specialize in a range of areas including addiction, adolescent and teen mental and behavioral health, anger management, anxiety, children's mental and behavioral health, depression, family relationships, stress, suicidal ideation and self-harming behaviors, and trauma.
Hello, I'm Denise, a Licensed Professional Counselor and Certified Addiction Specialist in the state of Missouri. With a Master's degree and years of hands-on experience, I've had the privilege of working in various settings, including inpatient treatment facilities where I've facilitated both individual and group therapy sessions. Additionally, I've spent several years supporting students, parents, and families through their unique challenges, helping them navigate difficult times with compassion and understanding.
I specialize in a range of areas including addiction, adolescent and teen mental and behavioral health, anger management, anxiety, children's mental and behavioral health, depression, family relationships, stress, suicidal ideation and self-harming behaviors, and trauma.
Hello, I'm Denise, a Licensed Professional Counselor and Certified Addiction Specialist in the state of Missouri. With a Master's degree and years of hands-on experience, I've had the privilege of working in various settings, including inpatient treatment facilities where I've facilitated both individual and group therapy sessions. Additionally, I've spent several years supporting students, parents, and families through their unique challenges, helping them navigate difficult times with compassion and understanding.
(314) 697-2077 View (314) 697-2077
Photo of Nicole Barhorst, Licensed Professional Counselor
Nicole Barhorst
Licensed Professional Counselor
Verified Verified
Online Only
I specialize in a wide range of areas, including family relationships, grief and bereavement, learning disorders, stress, suicidal ideation and self-harming behaviors, and traumatic brain injury.
Hello, I'm Nicole, a Licensed Professional Counselor with a passion for helping individuals navigate life's challenges and achieve their goals. With a Master's degree and extensive experience, I am dedicated to supporting you through difficult experiences and guiding you towards a brighter future. My therapeutic approach is grounded in Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, and Solution-Focused Therapy. I believe in creating a safe and supportive environment where you can explore your thoughts and feelings, develop coping strategies, and work towards meaningful change. Whether you're dealing with anxiety, ADHD.
I specialize in a wide range of areas, including family relationships, grief and bereavement, learning disorders, stress, suicidal ideation and self-harming behaviors, and traumatic brain injury.
Hello, I'm Nicole, a Licensed Professional Counselor with a passion for helping individuals navigate life's challenges and achieve their goals. With a Master's degree and extensive experience, I am dedicated to supporting you through difficult experiences and guiding you towards a brighter future. My therapeutic approach is grounded in Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, and Solution-Focused Therapy. I believe in creating a safe and supportive environment where you can explore your thoughts and feelings, develop coping strategies, and work towards meaningful change. Whether you're dealing with anxiety, ADHD.
(314) 949-7506 View (314) 949-7506
Photo of Tara Lusby, Clinical Social Work/Therapist, LCSW
Tara Lusby
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I have experience working with individuals who experience self-harming behaviors or suicidal thoughts.
Sessions can be expected to be conversational with client leading treatment. Clients will set their goals for treatment which allows me to choose a treatment modality that is most effective.
I have experience working with individuals who experience self-harming behaviors or suicidal thoughts.
Sessions can be expected to be conversational with client leading treatment. Clients will set their goals for treatment which allows me to choose a treatment modality that is most effective.
(314) 661-5145 View (314) 661-5145
Photo of Tara Lusby, Licensed Professional Counselor, LCSW
Tara Lusby
Licensed Professional Counselor, LCSW
Verified Verified
Online Only
I have experience working with individuals who experience self-harming behaviors or suicidal thoughts.
Sessions can be expected to be conversational with client leading treatment. Clients will set their goals for treatment which allows me to choose a treatment modality that is most effective.
I have experience working with individuals who experience self-harming behaviors or suicidal thoughts.
Sessions can be expected to be conversational with client leading treatment. Clients will set their goals for treatment which allows me to choose a treatment modality that is most effective.
(636) 422-6183 View (636) 422-6183
Photo of Rachele Maheu, Clinical Social Work/Therapist
Rachele Maheu
Clinical Social Work/Therapist
Verified Verified
Online Only
Hello! I'm a Licensed Clinical Social Worker with almost a decade of experience working with parents, young adults, and families with a variety of concerns. Adapting to life changes, parenting challenges, anxiety and depression, self harming thoughts and behaviors, trauma/abuse history, family conflict, and ADHD are areas that I feel most comfortable helping clients navigate through. I help support children and parents after trauma or abuse, experiencing anxiety, depression, grief or with autism, Reactive Attachment Disorder (RAD) and other mental health diagnoses or developmental delays.
Hello! I'm a Licensed Clinical Social Worker with almost a decade of experience working with parents, young adults, and families with a variety of concerns. Adapting to life changes, parenting challenges, anxiety and depression, self harming thoughts and behaviors, trauma/abuse history, family conflict, and ADHD are areas that I feel most comfortable helping clients navigate through. I help support children and parents after trauma or abuse, experiencing anxiety, depression, grief or with autism, Reactive Attachment Disorder (RAD) and other mental health diagnoses or developmental delays.
(816) 542-2238 View (816) 542-2238
Photo of Tara Lusby, Clinical Social Work/Therapist, LCSW
Tara Lusby
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I have experience working with individuals who experience self-harming behaviors or suicidal thoughts.
Sessions can be expected to be conversational with client leading treatment. Clients will set their goals for treatment which allows me to choose a treatment modality that is most effective.
I have experience working with individuals who experience self-harming behaviors or suicidal thoughts.
Sessions can be expected to be conversational with client leading treatment. Clients will set their goals for treatment which allows me to choose a treatment modality that is most effective.
(314) 648-3777 View (314) 648-3777
Photo of Jennifer Corbin-Daulton, Clinical Social Work/Therapist
Jennifer Corbin-Daulton
Clinical Social Work/Therapist
Verified Verified
Online Only
My specialties include addiction, anxiety, ADHD, bipolar disorder, borderline personality disorder, children's mental/behavioral health, adolescent & teen mental/behavioral health, depression, grief/bereavement, life transitions, OCD, phobias, PTSD, psychosis/schizophrenia, somatic symptom disorder, stress, suicidal ideation and/or self-harming, and trauma.
Hello! My name is Jennifer, and I live in Missouri. I am glad you have taken the time to read a little bit about me and what I can offer. First, I fully believe that authenticity is one of the most important things we can offer to ourselves and others. I am a clinician who is 'what you see is what you get.' I won't be dressed in fancy clothes and I will never act as if I am above or better than you, because I'm not. I am a real human who wants to help other humans get to the place where they can live their best life.
My specialties include addiction, anxiety, ADHD, bipolar disorder, borderline personality disorder, children's mental/behavioral health, adolescent & teen mental/behavioral health, depression, grief/bereavement, life transitions, OCD, phobias, PTSD, psychosis/schizophrenia, somatic symptom disorder, stress, suicidal ideation and/or self-harming, and trauma.
Hello! My name is Jennifer, and I live in Missouri. I am glad you have taken the time to read a little bit about me and what I can offer. First, I fully believe that authenticity is one of the most important things we can offer to ourselves and others. I am a clinician who is 'what you see is what you get.' I won't be dressed in fancy clothes and I will never act as if I am above or better than you, because I'm not. I am a real human who wants to help other humans get to the place where they can live their best life.
(816) 310-0969 View (816) 310-0969
Photo of Christina Spies, Clinical Social Work/Therapist
Christina Spies
Clinical Social Work/Therapist
Verified Verified
Online Only
I specialize in a range of areas including anger management, anxiety, borderline personality disorder, depression, family relationships, life transitions, military and veteran support, PTSD, sleep disorders, stress, suicidal ideation and self-harming behaviors, and trauma.
Hello and welcome! I'm Christina, a Licensed Clinical Social Worker with over 10 years of experience in social work. While I primarily speak English, I also understand Patois, which can be helpful in connecting with a broader range of clients. My journey in mental health has led me to specialize in trauma treatment and substance use, areas where I feel deeply committed to making a difference. I also hold an additional license as a Clinical Addictions Specialist, which allows me to provide comprehensive care for those struggling with addiction.
I specialize in a range of areas including anger management, anxiety, borderline personality disorder, depression, family relationships, life transitions, military and veteran support, PTSD, sleep disorders, stress, suicidal ideation and self-harming behaviors, and trauma.
Hello and welcome! I'm Christina, a Licensed Clinical Social Worker with over 10 years of experience in social work. While I primarily speak English, I also understand Patois, which can be helpful in connecting with a broader range of clients. My journey in mental health has led me to specialize in trauma treatment and substance use, areas where I feel deeply committed to making a difference. I also hold an additional license as a Clinical Addictions Specialist, which allows me to provide comprehensive care for those struggling with addiction.
(816) 540-1636 View (816) 540-1636
Photo of Erin Elking, Pre-Licensed Professional, PLPC, NCC
Erin Elking
Pre-Licensed Professional, PLPC, NCC
Verified Verified
2 Endorsed
Saint Louis, MO 63108
Welcome! I'm glad you found your way here. I'm a dedicated therapist with a passion for helping individuals discover a life worth living. I hold a PLPC license and am supervised by an LPC. I have been endorsed by the National Board for Certified Counselors. My therapeutic approach is centered around creating a strong therapeutic alliance, practicing unconditional positive regard, empathy, and creating a space where you can feel vulnerable and validated as you work through challenges. I have developed a niche for working with self-harm, mood disorders, personality disorders, and trauma.
Welcome! I'm glad you found your way here. I'm a dedicated therapist with a passion for helping individuals discover a life worth living. I hold a PLPC license and am supervised by an LPC. I have been endorsed by the National Board for Certified Counselors. My therapeutic approach is centered around creating a strong therapeutic alliance, practicing unconditional positive regard, empathy, and creating a space where you can feel vulnerable and validated as you work through challenges. I have developed a niche for working with self-harm, mood disorders, personality disorders, and trauma.
(314) 274-1747 View (314) 274-1747
Photo of Katie Plasmeier, Licensed Professional Counselor, MEd, LPC
Katie Plasmeier
Licensed Professional Counselor, MEd, LPC
Verified Verified
Serves Area
I believe in providing a safe space for my clients to work towards their goals. By providing a safe space to open up about vulnerable topics my goal is to assist you in learning how to challenge maladaptive coping strategies and replace them with adaptive ones. In counseling the process to work towards change can be scary and difficult and that is why my number one goal as a therapist is providing a safe and inviting space to open up.I believe in using a person-centered approach, which means allowing you to guide the sessions. I have found that allowing you to build rapport and work towards your goals it fosters the most change.
I believe in providing a safe space for my clients to work towards their goals. By providing a safe space to open up about vulnerable topics my goal is to assist you in learning how to challenge maladaptive coping strategies and replace them with adaptive ones. In counseling the process to work towards change can be scary and difficult and that is why my number one goal as a therapist is providing a safe and inviting space to open up.I believe in using a person-centered approach, which means allowing you to guide the sessions. I have found that allowing you to build rapport and work towards your goals it fosters the most change.
(314) 328-7801 View (314) 328-7801
Photo of Dr. Caleb S Reese, Psychologist, PsyD, LP, DBT-LBC
Dr. Caleb S Reese
Psychologist, PsyD, LP, DBT-LBC
Verified Verified
1 Endorsed
Saint Louis, MO 63146
Waitlist for new clients
I believe obstacles can be paths and hope to be of service to those who are struggling. The willingness to ask for help requires courage. I strive to provide guidance and support as we explore your inner strengths. I do not ask my clients to do anything that I would not do. I recognize my own fallibilities because I am human, too. Through collaborative work and a desire to push towards change, my goal is to aid in recognizing what you have control over in order to make the most of your time.
I believe obstacles can be paths and hope to be of service to those who are struggling. The willingness to ask for help requires courage. I strive to provide guidance and support as we explore your inner strengths. I do not ask my clients to do anything that I would not do. I recognize my own fallibilities because I am human, too. Through collaborative work and a desire to push towards change, my goal is to aid in recognizing what you have control over in order to make the most of your time.
(314) 804-6951 View (314) 804-6951
Photo of Lex Gandy, Pre-Licensed Professional, MS, PLPC
Lex Gandy
Pre-Licensed Professional, MS, PLPC
Verified Verified
Saint Louis, MO 63128
It can often feel as though our emotions or behaviors control us more than we control them. However, by finding effective ways to manage painful feelings, we can build upon our skills and learn to cope with challenges in our lives. I aim to help identify your own strengths so you can use them to gain control and satisfaction within your life.
It can often feel as though our emotions or behaviors control us more than we control them. However, by finding effective ways to manage painful feelings, we can build upon our skills and learn to cope with challenges in our lives. I aim to help identify your own strengths so you can use them to gain control and satisfaction within your life.
(636) 556-8747 x1039 View (636) 556-8747 x1039
Photo of Janice Mills, Licensed Professional Counselor
Janice Mills
Licensed Professional Counselor
Verified Verified
Online Only
Hello, my name is Janice Mills, LPC, CRAADC, and I’d like to introduce myself and share a little about my background. I bring over 35 years of experience as a social worker and therapist, offering a wealth of knowledge and expertise in guiding individuals through life’s challenges. My approach is rooted in a deep understanding of human behavior, and I am dedicated to helping people navigate difficulties with compassion, insight, and evidence-based strategies tailored to their unique needs. Whether you are seeking support for anxiety, depression, relationship struggles, trauma
Hello, my name is Janice Mills, LPC, CRAADC, and I’d like to introduce myself and share a little about my background. I bring over 35 years of experience as a social worker and therapist, offering a wealth of knowledge and expertise in guiding individuals through life’s challenges. My approach is rooted in a deep understanding of human behavior, and I am dedicated to helping people navigate difficulties with compassion, insight, and evidence-based strategies tailored to their unique needs. Whether you are seeking support for anxiety, depression, relationship struggles, trauma
(314) 912-4855 View (314) 912-4855
Photo of Katie Jensen, Clinical Social Work/Therapist, MSW, LCSW
Katie Jensen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63124
Hi there! Do you feel overwhelmed with the high expectations you've set for yourself? Is your mind often filled with thoughts about how you could do better or be better? Or do you have an amazing child who is so hard on themselves they have trouble enjoying the world around them? I am a Licensed Clinical Social Worker with extensive experience working with the impact of anxiety on the body and the mind. As my client, we will start off by building up our relationship - you need to feel understood and supported before we start talking about those negative thoughts.
Hi there! Do you feel overwhelmed with the high expectations you've set for yourself? Is your mind often filled with thoughts about how you could do better or be better? Or do you have an amazing child who is so hard on themselves they have trouble enjoying the world around them? I am a Licensed Clinical Social Worker with extensive experience working with the impact of anxiety on the body and the mind. As my client, we will start off by building up our relationship - you need to feel understood and supported before we start talking about those negative thoughts.
(314) 451-5703 View (314) 451-5703
Photo of Kelly S Diller, Licensed Professional Counselor, LPC, MAC
Kelly S Diller
Licensed Professional Counselor, LPC, MAC
Verified Verified
Saint Louis, MO 63131
Waitlist for new clients
Kelly brings deep compassion and understanding to the counseling experience and walks with her clients through changes that are meaningful and long-lasting. She is passionate about helping women heal from abuse and betrayal, and she recognizes the importance of instilling hope for desired change with regard to relationships and other goals. She loves to work with relationships, anxiety, self-esteem, family counseling, adolescents, identity issues, grief, trauma, depression, anger, and spiritual struggles. Kelly assists her clients in understanding the full context of their situations and she speaks truth in love.
Kelly brings deep compassion and understanding to the counseling experience and walks with her clients through changes that are meaningful and long-lasting. She is passionate about helping women heal from abuse and betrayal, and she recognizes the importance of instilling hope for desired change with regard to relationships and other goals. She loves to work with relationships, anxiety, self-esteem, family counseling, adolescents, identity issues, grief, trauma, depression, anger, and spiritual struggles. Kelly assists her clients in understanding the full context of their situations and she speaks truth in love.
(314) 219-1724 View (314) 219-1724
1
...

See more therapy options for Saint Louis

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.