Self-Harming Therapists in 80209

Photo of Elizabeth M Wellington, Licensed Professional Counselor in 80209, CO
Elizabeth M Wellington
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Denver, CO 80209
Waitlist for new clients
Life can be hard, and no one knows this better than adolescents, young adults, and the families who love and support them. Intense emotions; urges to engage in impulsive behaviors; navigating social situations and the stress of school; difficulty getting along with parents; the politics of Snapchat, etc! The instability of this time of life offers both challenge and opportunity. Therapy can support young people to harness the chaotic yet formative nature of this time as a catalyst for lasting wellness and growth: Explore one's identity; develop effective coping strategies, practice interpersonal relationship, heal trauma, and more.
Life can be hard, and no one knows this better than adolescents, young adults, and the families who love and support them. Intense emotions; urges to engage in impulsive behaviors; navigating social situations and the stress of school; difficulty getting along with parents; the politics of Snapchat, etc! The instability of this time of life offers both challenge and opportunity. Therapy can support young people to harness the chaotic yet formative nature of this time as a catalyst for lasting wellness and growth: Explore one's identity; develop effective coping strategies, practice interpersonal relationship, heal trauma, and more.
(856) 291-5133 View (856) 291-5133
Photo of Lyndsey M Klemme, Licensed Professional Counselor in 80209, CO
Lyndsey M Klemme
Licensed Professional Counselor, MA, LPC, LAC, ACS
Verified Verified
Denver, CO 80209
Availability update: Sun-Wed AM + early afternoon in-person and/or telehealth. Finding a therapist is so much fun! Said no one, ever...We're likely a fit if you feel like others' don't get you/your lifestyle, consider yourself an outlier, or identify with a marginalized community, and/or is a high-risk/risk-taker. Also, if you use substances recreationally, medicinally, spiritually, and/or problematically I'd love to hear more and support your relationship with those substances. Contact me to schedule a free consultation and we can discuss more in detail than what 640 characters allow. Stay rad & be kind.
Availability update: Sun-Wed AM + early afternoon in-person and/or telehealth. Finding a therapist is so much fun! Said no one, ever...We're likely a fit if you feel like others' don't get you/your lifestyle, consider yourself an outlier, or identify with a marginalized community, and/or is a high-risk/risk-taker. Also, if you use substances recreationally, medicinally, spiritually, and/or problematically I'd love to hear more and support your relationship with those substances. Contact me to schedule a free consultation and we can discuss more in detail than what 640 characters allow. Stay rad & be kind.
(303) 529-6796 View (303) 529-6796
Photo of Jen Meyer, Licensed Professional Counselor in 80209, CO
Jen Meyer
Licensed Professional Counselor, MA, LPC, LMFT, CST
Verified Verified
5 Endorsed
Denver, CO 80209
Waitlist for new clients
I help my clients find their way to more authentic and fulfilling lives. Whether it's through improving personal relationships, increasing individual self-awareness, or building upon pre-exisiting resiliency, I assist my clients in finding positive and pragmatic solutions to the relational and sexual difficulties in their lives. I tend to approach my interventions in a collaborative and humanistic way. Empathic support, unconditional acceptance and gentle challenging guide my therapeutic process. I offer support to individuals and couples and aim to enhance each client's insight, resiliency and hope.
I help my clients find their way to more authentic and fulfilling lives. Whether it's through improving personal relationships, increasing individual self-awareness, or building upon pre-exisiting resiliency, I assist my clients in finding positive and pragmatic solutions to the relational and sexual difficulties in their lives. I tend to approach my interventions in a collaborative and humanistic way. Empathic support, unconditional acceptance and gentle challenging guide my therapeutic process. I offer support to individuals and couples and aim to enhance each client's insight, resiliency and hope.
(720) 571-4343 View (720) 571-4343
Photo of Nicole Dunas, Licensed Professional Counselor in 80209, CO
Nicole Dunas
Licensed Professional Counselor, MFA, MA, LPC
Verified Verified
14 Endorsed
Denver, CO 80209
Creating a safe environment is where I begin. I see therapy as a collaborative process that can lead you toward a greater capacity for self-awareness, trust, clarity, a sense of meaning and freedom. Life gives us surprising obstacles, which can make us feel stuck, depressed, alone or scared. With therapeutic presence, creativity and guidance, we can change our relationship to obstacles and transform. Our darkest point may mark the moment we realize we want to change. I use yoga and creative writing in my practice, and have training in mindfulness/somatic approaches, gestalt therapy, family systems, DBT, & depth psychology.
Creating a safe environment is where I begin. I see therapy as a collaborative process that can lead you toward a greater capacity for self-awareness, trust, clarity, a sense of meaning and freedom. Life gives us surprising obstacles, which can make us feel stuck, depressed, alone or scared. With therapeutic presence, creativity and guidance, we can change our relationship to obstacles and transform. Our darkest point may mark the moment we realize we want to change. I use yoga and creative writing in my practice, and have training in mindfulness/somatic approaches, gestalt therapy, family systems, DBT, & depth psychology.
(720) 613-6799 View (720) 613-6799
Photo of Jenna Gershen, Psychologist in 80209, CO
Jenna Gershen
Psychologist, PsyD
Verified Verified
Denver, CO 80209
Life can be difficult at times. Every so often people need a safe environment to express their worries and frustrations. I enjoy working with adults and young adults to help alleviate anxiety, depression, and relationship issues. I see a client's full potential and hold onto that vision for them until they can begin to see it for themselves. I will challenge you in various ways to help increase your self-esteem and view yourself in a more positive light.
Life can be difficult at times. Every so often people need a safe environment to express their worries and frustrations. I enjoy working with adults and young adults to help alleviate anxiety, depression, and relationship issues. I see a client's full potential and hold onto that vision for them until they can begin to see it for themselves. I will challenge you in various ways to help increase your self-esteem and view yourself in a more positive light.
(719) 423-4379 View (719) 423-4379
Photo of Marisa Kraft, Clinical Social Work/Therapist in 80209, CO
Marisa Kraft
Clinical Social Work/Therapist, MSW, LCSW, AASW
Verified Verified
2 Endorsed
Denver, CO 80209  (Online Only)
When was the last time you felt safe? When you could really relax, and not worry about anything? Sometimes, the impacts of trauma are clear. The constant tension, panic, nightmares... Other signs of trauma can be trickier to recognize. Maybe you feel like you always have to be perfect. Maybe you don't know how to let yourself be vulnerable around others. Trauma can make it hard to speak up for yourself, can convince you that you are unlovable, or drive you to serve others while ultimately neglecting yourself. It can even make you sick or feel pain. Healing from trauma IS possible. It would be my privilege to help you learn how.
When was the last time you felt safe? When you could really relax, and not worry about anything? Sometimes, the impacts of trauma are clear. The constant tension, panic, nightmares... Other signs of trauma can be trickier to recognize. Maybe you feel like you always have to be perfect. Maybe you don't know how to let yourself be vulnerable around others. Trauma can make it hard to speak up for yourself, can convince you that you are unlovable, or drive you to serve others while ultimately neglecting yourself. It can even make you sick or feel pain. Healing from trauma IS possible. It would be my privilege to help you learn how.
(720) 712-3921 View (720) 712-3921
Photo of Hayley Roberts, Psychologist in 80209, CO
Hayley Roberts
Psychologist, PsyD
Verified Verified
Denver, CO 80209  (Online Only)
It's always a good time to begin some reflection and get started with therapy! I am a pschologist who does teletherapy with young professionals and teens. My focus is to help you feel heard in the stress of school, work, relationships, etc. and to help you commit to a life that feels fulfilling and valuable. I achieve this by working from a values-based approach (ACT) with humor and compassion. Teletherapy allows you the flexibility to receive treatment - from school, work, or home - without the commute! I would love for you to reach out, or go to my website, to set up a free consult call!
It's always a good time to begin some reflection and get started with therapy! I am a pschologist who does teletherapy with young professionals and teens. My focus is to help you feel heard in the stress of school, work, relationships, etc. and to help you commit to a life that feels fulfilling and valuable. I achieve this by working from a values-based approach (ACT) with humor and compassion. Teletherapy allows you the flexibility to receive treatment - from school, work, or home - without the commute! I would love for you to reach out, or go to my website, to set up a free consult call!
(720) 432-2144 View (720) 432-2144
Photo of Eric Hilborn, Licensed Professional Counselor in 80209, CO
Eric Hilborn
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
3 Endorsed
Denver, CO 80209
I approach each client with a genuine investment in uncovering his or her unique qualities, strengths, and passions in order to strengthen their sense of autonomy and feelings of positive self-worth. I believe strongly in the tenets of equality, non-judgment, flexibility, and safety within the therapeutic relationship, and my primary aim is to provide an environment in which self-acceptance can be cultivated and personal growth can be nurtured. Treatment will always be a collaborative effort to discover the essential insights necessary for lasting change while simultaneously learning how to treat yourself with more leniency and personal grace.
I approach each client with a genuine investment in uncovering his or her unique qualities, strengths, and passions in order to strengthen their sense of autonomy and feelings of positive self-worth. I believe strongly in the tenets of equality, non-judgment, flexibility, and safety within the therapeutic relationship, and my primary aim is to provide an environment in which self-acceptance can be cultivated and personal growth can be nurtured. Treatment will always be a collaborative effort to discover the essential insights necessary for lasting change while simultaneously learning how to treat yourself with more leniency and personal grace.
(610) 546-2772 View (610) 546-2772
Photo of Alicia Martel, Licensed Social Worker in 80209, CO
Alicia Martel
Licensed Social Worker , LSW
Verified Verified
1 Endorsed
Denver, CO 80209
Getting in touch with your emotional self can feel overwhelming and scary. As your therapist, I will create a safe and supportive space for you to engage deeper with your thoughts and emotions. I believe that we are all experts in our lives, and with the right support and tools, we have the power to make changes to create a meaningful and enriching life. It is crucial to acknowledge the significant role that social, cultural, and environmental factors play in our overall health and ability to cope with stress. My approach combines elements of psychodynamic and cognitive-behavioral therapy.
Getting in touch with your emotional self can feel overwhelming and scary. As your therapist, I will create a safe and supportive space for you to engage deeper with your thoughts and emotions. I believe that we are all experts in our lives, and with the right support and tools, we have the power to make changes to create a meaningful and enriching life. It is crucial to acknowledge the significant role that social, cultural, and environmental factors play in our overall health and ability to cope with stress. My approach combines elements of psychodynamic and cognitive-behavioral therapy.
(866) 232-7328 View (866) 232-7328
Photo of Maura Hall, Clinical Social Work/Therapist in 80209, CO
Maura Hall
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Denver, CO 80209
I strongly believe in the human capacity for resilience, healing, and transformation and I am passionate about tailoring therapy to fit the individual and their strengths. Most of all though I genuinely care and invest myself in the people I serve, I have worked with clients experiencing a variety of conditions such as panic disorder, sexual/physical abuse, anxiety/depression, disturbing memories, trauma, stress reduction, and addiction. I am however particularly passionate in providing therapy to the LGBTQ+ community, a population in which individuals are statistically more likely to experience a mental health condition.
I strongly believe in the human capacity for resilience, healing, and transformation and I am passionate about tailoring therapy to fit the individual and their strengths. Most of all though I genuinely care and invest myself in the people I serve, I have worked with clients experiencing a variety of conditions such as panic disorder, sexual/physical abuse, anxiety/depression, disturbing memories, trauma, stress reduction, and addiction. I am however particularly passionate in providing therapy to the LGBTQ+ community, a population in which individuals are statistically more likely to experience a mental health condition.
(512) 745-5184 View (512) 745-5184
Photo of SPH Counseling, LLC, Licensed Professional Counselor in 80209, CO
SPH Counseling, LLC
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
4 Endorsed
Denver, CO 80209
I work with adults, adolescents, families, and members of the lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) community. I provide individual, family, and limited couples therapy. In my practice I consider a variety of issues and concerns, including but not limited to: Life transitions (career change, early adulthood, self-discovery, etc.); Social, emotional, and behavioral issues; Self-esteem building; Family/systems issues; Developing positive communication; Self-advocacy; Anxiety/depression; Relationship difficulties; Behavioral/Mood disorders; Gender identity; Sexual orientation; and Social skills building.
I work with adults, adolescents, families, and members of the lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) community. I provide individual, family, and limited couples therapy. In my practice I consider a variety of issues and concerns, including but not limited to: Life transitions (career change, early adulthood, self-discovery, etc.); Social, emotional, and behavioral issues; Self-esteem building; Family/systems issues; Developing positive communication; Self-advocacy; Anxiety/depression; Relationship difficulties; Behavioral/Mood disorders; Gender identity; Sexual orientation; and Social skills building.
(720) 358-4136 View (720) 358-4136
Photo of Kate Breslin: Relationship And Sex Therapist, Clinical Social Work/Therapist in 80209, CO
Kate Breslin: Relationship And Sex Therapist
Clinical Social Work/Therapist, LCSW
Verified Verified
Denver, CO 80209  (Online Only)
I believe sex and relationships are the ultimate culmination of connection and vulnerability. This gives them the potential to be a source of actualization, despair and everything in between. I have found that my life purpose is to help others tap into the positive end of that spectrum of potential. Many clients who work with me are ready for their relationships to heal. They notice that they are stuck in the same unhealthy and unproductive patterns in their relationships or dating experiences. They feel motivated to improve their confidence and pleasure with intimacy, but they feel stuck in how to reach these goals on their own.
I believe sex and relationships are the ultimate culmination of connection and vulnerability. This gives them the potential to be a source of actualization, despair and everything in between. I have found that my life purpose is to help others tap into the positive end of that spectrum of potential. Many clients who work with me are ready for their relationships to heal. They notice that they are stuck in the same unhealthy and unproductive patterns in their relationships or dating experiences. They feel motivated to improve their confidence and pleasure with intimacy, but they feel stuck in how to reach these goals on their own.
(720) 573-2254 View (720) 573-2254
Photo of Sarah Long, Psychologist in 80209, CO
Sarah Long
Psychologist, LCP, CEDS
Verified Verified
Denver, CO 80209
Whether you’re suffering from an eating disorder or body dissatisfaction, struggling with the effects of trauma, or need support during a difficult time, you are probably here with the hope for healing and a more balanced and fulfilling life. Perhaps you are ready for change, but the prospect of addressing painful experiences, trauma, or what underlies an eating disorder sounds overwhelming and scary. You are not alone, and there is hope. I appreciate collaboration, honesty and some humor! My style is warm, supportive, and authentic. It would be my honor to support you on your journey.
Whether you’re suffering from an eating disorder or body dissatisfaction, struggling with the effects of trauma, or need support during a difficult time, you are probably here with the hope for healing and a more balanced and fulfilling life. Perhaps you are ready for change, but the prospect of addressing painful experiences, trauma, or what underlies an eating disorder sounds overwhelming and scary. You are not alone, and there is hope. I appreciate collaboration, honesty and some humor! My style is warm, supportive, and authentic. It would be my honor to support you on your journey.
(720) 675-7123 View (720) 675-7123
Photo of Samantha Burns in 80209, CO
Samantha Burns
MA, LPCC, NCC
Verified Verified
Denver, CO 80209  (Online Only)
Do you feel like you are struggling with nightmares, past trauma and flashbacks of negative memories that you have experienced in your life? Are you or your child having difficulties with functioning with daily tasks such as attending school or work because of negative past experiences you have endured? Or do you feel extremely overwhelmed, depressed and experience difficulties with racing thought patterns? These difficulties can limit your ability to live a happy and fulfilling life. Allow me to support you in your therapeutic journey as we work through these experiences together.
Do you feel like you are struggling with nightmares, past trauma and flashbacks of negative memories that you have experienced in your life? Are you or your child having difficulties with functioning with daily tasks such as attending school or work because of negative past experiences you have endured? Or do you feel extremely overwhelmed, depressed and experience difficulties with racing thought patterns? These difficulties can limit your ability to live a happy and fulfilling life. Allow me to support you in your therapeutic journey as we work through these experiences together.
(970) 601-7355 View (970) 601-7355
Photo of Nina Minagawa Psy.d Lac, Psychologist in 80209, CO
Nina Minagawa Psy.d Lac
Psychologist, PsyD, LAC, EMDR
Verified Verified
Denver, CO 80209
My passion in psychotherapy is working with adults who struggle with behavioral and mental health issues, including trauma, anxiety ADHD and a variety of personality disorders, obsessive-compulsive disorder and addictions. My therapeutic approach is drawn from mindfulness-based therapy, cognitive behavioral therapy, behavioral therapy, and a humanistic approach. I also offer Dialectical Behavior Therapy (DBT), and Exposure and Ritual/Response Prevention (EXRP) as well as EMDR and Prolong Exposure (PE) sessions for trauma treatment. I am a Doctor of Psychology in Clinical Psychology with a Master’s Degree in Counseling Psychology.
My passion in psychotherapy is working with adults who struggle with behavioral and mental health issues, including trauma, anxiety ADHD and a variety of personality disorders, obsessive-compulsive disorder and addictions. My therapeutic approach is drawn from mindfulness-based therapy, cognitive behavioral therapy, behavioral therapy, and a humanistic approach. I also offer Dialectical Behavior Therapy (DBT), and Exposure and Ritual/Response Prevention (EXRP) as well as EMDR and Prolong Exposure (PE) sessions for trauma treatment. I am a Doctor of Psychology in Clinical Psychology with a Master’s Degree in Counseling Psychology.
(720) 704-2133 View (720) 704-2133
Photo of Minaret Therapeutic Services LLC, Licensed Professional Counselor in 80209, CO
Minaret Therapeutic Services LLC
Licensed Professional Counselor, MA, LPC, ADDC
Verified Verified
1 Endorsed
Denver, CO 80209
Finding a therapist to aid in your mental health journey is a big step, so I am proud that you made it here. Minaret Therapeutic Services strives to provide a safe space for individuals from various backgrounds and communities to process what they have going on in their lives because it can be immensely difficult to manage all of those thoughts, emotions, relationships and issues alone. Minaret's main goal is to provide quality mental health services to individuals/couples experiencing anxiety, relationship issues, addictions, life adjustments, and more. Experience positive, therapeutic impacts from a therapist that understands.
Finding a therapist to aid in your mental health journey is a big step, so I am proud that you made it here. Minaret Therapeutic Services strives to provide a safe space for individuals from various backgrounds and communities to process what they have going on in their lives because it can be immensely difficult to manage all of those thoughts, emotions, relationships and issues alone. Minaret's main goal is to provide quality mental health services to individuals/couples experiencing anxiety, relationship issues, addictions, life adjustments, and more. Experience positive, therapeutic impacts from a therapist that understands.
(720) 513-2472 View (720) 513-2472
Photo of Gioia Garden, Licensed Professional Counselor in 80209, CO
Gioia Garden
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Denver, CO 80209
I take a holistic and contextual approach to therapy. I want to know your sources of pain - but I also want to know what you value, what has shaped you, where you draw inspiration, your beliefs, and how you feel in your own body. We’ll peel back layers, we'll process distress, and we'll build practical tools to manage the challenges you're facing. Ultimately, we’ll build a more authentic, empowered sense of self. If something is no longer serving you, let’s figure out how to change it. My areas of focus include sexuality, sex, identity, anxiety, depression, relationships, and life-transitions.
I take a holistic and contextual approach to therapy. I want to know your sources of pain - but I also want to know what you value, what has shaped you, where you draw inspiration, your beliefs, and how you feel in your own body. We’ll peel back layers, we'll process distress, and we'll build practical tools to manage the challenges you're facing. Ultimately, we’ll build a more authentic, empowered sense of self. If something is no longer serving you, let’s figure out how to change it. My areas of focus include sexuality, sex, identity, anxiety, depression, relationships, and life-transitions.
(720) 547-2564 View (720) 547-2564
Photo of Leila Boytler, Counselor in 80209, CO
Leila Boytler
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Denver, CO 80209
I believe that one of the most important components to good therapy is a safe, attuned environment where you can receive strategic support in hearing your own voice. Often, we dismiss our voice or intuition. Therapy can be a place to allow our true emotions to be expressed, enabling us to hear what we may not be listening to in our everyday life. Together, we will uncover the often unspoken and align with your true values. My approach to counseling is collaborative and strengths-based.
I believe that one of the most important components to good therapy is a safe, attuned environment where you can receive strategic support in hearing your own voice. Often, we dismiss our voice or intuition. Therapy can be a place to allow our true emotions to be expressed, enabling us to hear what we may not be listening to in our everyday life. Together, we will uncover the often unspoken and align with your true values. My approach to counseling is collaborative and strengths-based.
(206) 309-1218 View (206) 309-1218
Photo of Kelsey Shane, Licensed Professional Counselor in 80209, CO
Kelsey Shane
Licensed Professional Counselor, MA, LPC, EMDR, AAT
Verified Verified
Denver, CO 80209
I am an easy-going person who uses a lot of humor in session. I have a big dog in my office most of the time, who is a trained and certified therapy dog. My ideal client is someone who is motivated to improve their life and is in it for the long haul. A lot of my clients are struggling to figure out who they are or why they're struggling so much and I encourage people to give themselves permission to not have it all figured out. I try my best to make therapy enjoyable but don't get me wrong; you will definitely grow in the process. I have a team of therapists in my practice so regardless of what you're looking for we've got you.
I am an easy-going person who uses a lot of humor in session. I have a big dog in my office most of the time, who is a trained and certified therapy dog. My ideal client is someone who is motivated to improve their life and is in it for the long haul. A lot of my clients are struggling to figure out who they are or why they're struggling so much and I encourage people to give themselves permission to not have it all figured out. I try my best to make therapy enjoyable but don't get me wrong; you will definitely grow in the process. I have a team of therapists in my practice so regardless of what you're looking for we've got you.
(303) 732-6512 View (303) 732-6512
Photo of Gabrielle Newman, Licensed Professional Counselor in 80209, CO
Gabrielle Newman
Licensed Professional Counselor, MS, LPC
Verified Verified
6 Endorsed
Denver, CO 80209
Initiating therapy can often feel scary, which is why my priority is to create a secure, warm, and welcoming space for you, ensuring your greatest comfort. My therapeutic approach is infused with understanding, empathy, and authenticity. I strive to establish a unique rapport with all my clients, fostering an environment for you to learn, evolve, and actualize the life you desire. It's an honor to observe both the healing and growth that occurs during the process of therapy. I believe magical things can happen when there is a strong therapeutic relationship that is built off trust and a genuine connection.
Initiating therapy can often feel scary, which is why my priority is to create a secure, warm, and welcoming space for you, ensuring your greatest comfort. My therapeutic approach is infused with understanding, empathy, and authenticity. I strive to establish a unique rapport with all my clients, fostering an environment for you to learn, evolve, and actualize the life you desire. It's an honor to observe both the healing and growth that occurs during the process of therapy. I believe magical things can happen when there is a strong therapeutic relationship that is built off trust and a genuine connection.
(720) 782-1226 View (720) 782-1226
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.