Photo of Katie Barton, Licensed Professional Counselor in Bullard, TX
Katie Barton
Licensed Professional Counselor, MA, LPC, CRC
Verified Verified
Bullard, TX 75757  (Online Only)
For the past 6+ years, I have specialized primarily in PTSD and Complex Trauma, Mood Disorders, Life Transitions, Conflicts in Relationships, Self- Esteem, Self Worth, Self- Harm and/or Suicidal Ideations.
Everyone has a unique and individual story. Sometimes this story has deep and dark moments or complex traumas affecting the course of an individual's life. If you have moments in your story triggering PTSD, anxiety or depression, I would love to assist you through this and help change the areas no longer deserving of so much power in your life. I enjoy helping to empower individuals work past areas in their mind causing them to feel stuck. I hope to be able to work with you to feel empowered and brave enough to implement changes in your life.
For the past 6+ years, I have specialized primarily in PTSD and Complex Trauma, Mood Disorders, Life Transitions, Conflicts in Relationships, Self- Esteem, Self Worth, Self- Harm and/or Suicidal Ideations.
Everyone has a unique and individual story. Sometimes this story has deep and dark moments or complex traumas affecting the course of an individual's life. If you have moments in your story triggering PTSD, anxiety or depression, I would love to assist you through this and help change the areas no longer deserving of so much power in your life. I enjoy helping to empower individuals work past areas in their mind causing them to feel stuck. I hope to be able to work with you to feel empowered and brave enough to implement changes in your life.
(903) 225-8796 View (903) 225-8796
Photo of Ashlee Coleman, Licensed Professional Counselor in Bullard, TX
Ashlee Coleman
Licensed Professional Counselor, LPC-S, NCC
Verified Verified
2 Endorsed
Bullard, TX 75757
I enjoy working with the full life span (my client's ages range from 2-years-old to 94-years-old) through a wide variety of concerns. I consider it a deep honor to be entrusted on your path to wellness and enjoy when you are able to pursue wholeness, even when you have no words. It is my honor to walk alongside my clients toward hope and healing from a variety of complex experiences, including attachment concerns, prolonged grieving, adoption issues, challenging parenting situations, vicarious trauma, and complex trauma & dissociation, including dissociative identity disorder.
I enjoy working with the full life span (my client's ages range from 2-years-old to 94-years-old) through a wide variety of concerns. I consider it a deep honor to be entrusted on your path to wellness and enjoy when you are able to pursue wholeness, even when you have no words. It is my honor to walk alongside my clients toward hope and healing from a variety of complex experiences, including attachment concerns, prolonged grieving, adoption issues, challenging parenting situations, vicarious trauma, and complex trauma & dissociation, including dissociative identity disorder.
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Photo of Rebecca Schall, Licensed Professional Counselor in Bullard, TX
Rebecca Schall
Licensed Professional Counselor
Verified Verified
Bullard, TX 75757
If you’re like me, you know what the right thing is. After all, you’re the expert on you. But that’s just the problem, isn’t it? You know the right thing, you know what’s true, and yet still you struggle with self-criticism and doubt. You know you can’t be perfect, and yet you feel shame for not being enough. And you don’t know how to reconcile what you know with what you feel. Truthfully, this is a common problem. But just because it’s common, doesn’t mean you have to go along with it.
If you’re like me, you know what the right thing is. After all, you’re the expert on you. But that’s just the problem, isn’t it? You know the right thing, you know what’s true, and yet still you struggle with self-criticism and doubt. You know you can’t be perfect, and yet you feel shame for not being enough. And you don’t know how to reconcile what you know with what you feel. Truthfully, this is a common problem. But just because it’s common, doesn’t mean you have to go along with it.
(903) 730-6408 View (903) 730-6408
Photo of Denise Hazen, Licensed Professional Counselor in Bullard, TX
Denise Hazen
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Bullard, TX 75757
Welcome! I’m so happy that you have taken this step to create change in your life. Due to negative experiences, many times we learn unhelpful behaviors and beliefs over time. I believe that healing takes place when you have someone to walk alongside to create space where you can safely deal with what concerns you without shame and without judgement. My goal is to create that space and to be that person who will walk with you as you confront what is no longer serving you and develop lasting change.
Welcome! I’m so happy that you have taken this step to create change in your life. Due to negative experiences, many times we learn unhelpful behaviors and beliefs over time. I believe that healing takes place when you have someone to walk alongside to create space where you can safely deal with what concerns you without shame and without judgement. My goal is to create that space and to be that person who will walk with you as you confront what is no longer serving you and develop lasting change.
(903) 730-6289 View (903) 730-6289
Photo of Jess Bentley, LPC Associate in Bullard, TX
Jess Bentley
LPC Associate, MEd, LPC-A
Verified Verified
Bullard, TX 75757
Today, we all have times of struggle, and need a trusting helper in our lives. I believe in forming a trusting relationship where you get to become a partner in achieving total wellness. Together we will cultivate and create a plan to move forward to your best self. Every story is different, every person unique, and in my practice we honor and value you, all the pieces to your story, and can't wait to help in your journey. I utilize a variety of therapeutic interventions to meet the needs of each unique client. My years of experience and passion for helping others creates an open and inviting environment for you and your loved ones.
Today, we all have times of struggle, and need a trusting helper in our lives. I believe in forming a trusting relationship where you get to become a partner in achieving total wellness. Together we will cultivate and create a plan to move forward to your best self. Every story is different, every person unique, and in my practice we honor and value you, all the pieces to your story, and can't wait to help in your journey. I utilize a variety of therapeutic interventions to meet the needs of each unique client. My years of experience and passion for helping others creates an open and inviting environment for you and your loved ones.
(903) 321-4666 View (903) 321-4666
Photo of Desiree L Martin, Licensed Professional Counselor in Bullard, TX
Desiree L Martin
Licensed Professional Counselor, MS, LPC-S, TF-CBT, EMDR
Verified Verified
2 Endorsed
Bullard, TX 75757
Deciding to begin therapy can be a vulnerable time in life. I am here to help you, as your therapist, identify your goals, find your strengths, and implement healthy coping skills. I work with children, adults, and families to focus on healing. I enjoy working with all ages, and specialize in working with children (and their caregivers) and individuals with an abuse history. In therapy, we will utilize your strengths and interests, such as art or play for children, to individualize treatment!
Deciding to begin therapy can be a vulnerable time in life. I am here to help you, as your therapist, identify your goals, find your strengths, and implement healthy coping skills. I work with children, adults, and families to focus on healing. I enjoy working with all ages, and specialize in working with children (and their caregivers) and individuals with an abuse history. In therapy, we will utilize your strengths and interests, such as art or play for children, to individualize treatment!
(430) 205-8642 View (430) 205-8642
Photo of Santanna Tave, Licensed Professional Counselor in Bullard, TX
Santanna Tave
Licensed Professional Counselor, MS, LPC
Verified Verified
Bullard, TX 75757  (Online Only)
I have been working in mental health for 13 years. Working with my clients and supporting my clients has been a privilege and such a joy. I received my Bachelor of Science in Psychology degree in 2008 from Southern Arkansas University. In 2012, I pursued a Masters of Science in Addiction Counseling and in 2014 I received a Masters of Science in Professional Counseling. Most recently I obtained a Post Masters Certification in Marriage and Family Counseling.
I have been working in mental health for 13 years. Working with my clients and supporting my clients has been a privilege and such a joy. I received my Bachelor of Science in Psychology degree in 2008 from Southern Arkansas University. In 2012, I pursued a Masters of Science in Addiction Counseling and in 2014 I received a Masters of Science in Professional Counseling. Most recently I obtained a Post Masters Certification in Marriage and Family Counseling.
(903) 636-8470 View (903) 636-8470
Photo of Charla R Killian, Licensed Professional Counselor in Bullard, TX
Charla R Killian
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Bullard, TX 75757
Is your child struggling with his/her relationships? Does he/she exhibit negative behaviors in school and/or home? Is your child experiencing depression, anxiety, low self-esteem, and personality changes? Do you hear your child complaining of feeling overwhelmed? Has your child experienced trauma? I work with children/adolescents/teenagers/young adults every day and my goal is to utilize strong relationships centered on nurture and trust between the child and family to help the child reach their highest potential.
Is your child struggling with his/her relationships? Does he/she exhibit negative behaviors in school and/or home? Is your child experiencing depression, anxiety, low self-esteem, and personality changes? Do you hear your child complaining of feeling overwhelmed? Has your child experienced trauma? I work with children/adolescents/teenagers/young adults every day and my goal is to utilize strong relationships centered on nurture and trust between the child and family to help the child reach their highest potential.
(903) 623-6303 View (903) 623-6303
Photo of Britney Monahan, Licensed Professional Counselor in Bullard, TX
Britney Monahan
Licensed Professional Counselor, MA, LPC, CCTSI
Verified Verified
Bullard, TX 75757  (Online Only)
Not accepting new clients
Have you experienced something traumatic, stressful, and/or life-altering? Maybe it happened yesterday or 20 years ago. Maybe you've had a lifetime of challenges to overcome. You may have intrusive thoughts, your emotions may be all over the place, things that used to be enjoyable aren't anymore, and your body seems to respond as if it has a mind of its own. Life's too short to settle for an unfulfilling existence. We can work collaboratively and holistically to help you take your power back using simple techniques and tools. You're not alone, and together we can work towards improving your quality of life.
Have you experienced something traumatic, stressful, and/or life-altering? Maybe it happened yesterday or 20 years ago. Maybe you've had a lifetime of challenges to overcome. You may have intrusive thoughts, your emotions may be all over the place, things that used to be enjoyable aren't anymore, and your body seems to respond as if it has a mind of its own. Life's too short to settle for an unfulfilling existence. We can work collaboratively and holistically to help you take your power back using simple techniques and tools. You're not alone, and together we can work towards improving your quality of life.
(430) 261-3059 View (430) 261-3059
Photo of J. Nicole Abell, Licensed Professional Counselor in Bullard, TX
J. Nicole Abell
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Bullard, TX 75757
Not accepting new clients
My goals in therapy center around two ideas: helping you feel better and helping you get better. Life gets complicated for all of us (either throughout our lives or during parts of our lives). Sometimes we just need someone else to help guide us through it and teach us a new way to approaching our difficulties. One part involves helping you gain confidence that you can have control of your life, & the other involves challenging your beliefs and world views that keep you from living life to the fullest. Helping you feel better involves compassionate listening and understanding your concerns through your worldview.
My goals in therapy center around two ideas: helping you feel better and helping you get better. Life gets complicated for all of us (either throughout our lives or during parts of our lives). Sometimes we just need someone else to help guide us through it and teach us a new way to approaching our difficulties. One part involves helping you gain confidence that you can have control of your life, & the other involves challenging your beliefs and world views that keep you from living life to the fullest. Helping you feel better involves compassionate listening and understanding your concerns through your worldview.
(430) 220-0177 View (430) 220-0177
Photo of Christina Loeffler, Licensed Professional Counselor in Bullard, TX
Christina Loeffler
Licensed Professional Counselor, MA, LPC-S, EMDR, TF-CBT
Verified Verified
3 Endorsed
Bullard, TX 75757
Not accepting new clients
Trauma can make it feel like there’s a constant rain cloud following you around, impacting your relationships, sleep, work, and outlook on life. You might feel like you're on a never ending roller coaster and it can be scary to take that first step in meeting someone new to help you find sunnier days and a way off that never ending roller coaster - there is hope. I believe in teamwork and genuine human connection as an essential part of counseling. I hope you’ll take a moment to connect by giving me a call or sending me an email to see how we can work together to find sunnier days.
Trauma can make it feel like there’s a constant rain cloud following you around, impacting your relationships, sleep, work, and outlook on life. You might feel like you're on a never ending roller coaster and it can be scary to take that first step in meeting someone new to help you find sunnier days and a way off that never ending roller coaster - there is hope. I believe in teamwork and genuine human connection as an essential part of counseling. I hope you’ll take a moment to connect by giving me a call or sending me an email to see how we can work together to find sunnier days.
(903) 730-6423 View (903) 730-6423

More Therapists Nearby

Photo of Heather Watkins, Licensed Professional Counselor in Bullard, TX
Heather Watkins
Licensed Professional Counselor, MA, LPC
Verified Verified
Flint, TX 75762
Seeking help and finding the right therapist for you can be a daunting and challenging process. The key to positive, lasting change is finding a therapist who will tailor your treatment based on your individual needs and strengths, and help you overcome the behaviors and thoughts that are getting in your way. You need someone who will listen and understand you without judgment, support you through these changes, be honest with you, and challenge you when needed.
Seeking help and finding the right therapist for you can be a daunting and challenging process. The key to positive, lasting change is finding a therapist who will tailor your treatment based on your individual needs and strengths, and help you overcome the behaviors and thoughts that are getting in your way. You need someone who will listen and understand you without judgment, support you through these changes, be honest with you, and challenge you when needed.
(512) 714-3403 View (512) 714-3403
Photo of Rebekah Walker, Licensed Professional Counselor in Bullard, TX
Rebekah Walker
Licensed Professional Counselor, LPC-S, RPT
Verified Verified
3 Endorsed
Tyler, TX 75703
You're tired, frustrated and just want peace at home! What works for one of your children doesn't work for the other and that's frustrating. Wish your teen girl came with an instruction manual? Your teen seems lonely, withdrawn, struggling with social issues, or can't control their anger and you feel hopeless because you don't know what to do to help. As parents we want our children to be healthy and happy yet sometimes we can't fix the situation for them and that makes us feel a failure as a parent.
You're tired, frustrated and just want peace at home! What works for one of your children doesn't work for the other and that's frustrating. Wish your teen girl came with an instruction manual? Your teen seems lonely, withdrawn, struggling with social issues, or can't control their anger and you feel hopeless because you don't know what to do to help. As parents we want our children to be healthy and happy yet sometimes we can't fix the situation for them and that makes us feel a failure as a parent.
(903) 206-2664 View (903) 206-2664
Photo of Aimee Morris Lpc Lmft, Marriage & Family Therapist in Bullard, TX
Aimee Morris Lpc Lmft
Marriage & Family Therapist, LPC, LMFT
Verified Verified
Flint, TX 75762
Sometimes life can become stressful and challenging. Occasionally, people make choices to try to correct their problems, when in turn, it can make their issues more difficult. Whether these issues stem from a unhealthy marriage/relationship, career/job unhappiness, family problems, or just feeling "stuck", there are answers. My job is to help clients learn more effective methods of dealing with these stressors, assist clients to see the pattern that has been created, and guide them in a different direction. I see clients from age 12-elderly. I take most insurance. Call for an appointment today at (903) 939-2287.
Sometimes life can become stressful and challenging. Occasionally, people make choices to try to correct their problems, when in turn, it can make their issues more difficult. Whether these issues stem from a unhealthy marriage/relationship, career/job unhappiness, family problems, or just feeling "stuck", there are answers. My job is to help clients learn more effective methods of dealing with these stressors, assist clients to see the pattern that has been created, and guide them in a different direction. I see clients from age 12-elderly. I take most insurance. Call for an appointment today at (903) 939-2287.
(903) 225-8508 View (903) 225-8508
Photo of Holli Barron, Licensed Professional Counselor Associate in Bullard, TX
Holli Barron
Licensed Professional Counselor Associate, MA, NCC
Verified Verified
2 Endorsed
Tyler, TX 75703  (Online Only)
Life can be challenging at times and taking that first step of deciding to begin counseling can be intimidating. Kudos to you for beginning that process by looking into finding a counselor! Whether it be anxiety, depression, or just a general feeling of overwhelm that you are battling, I invite you to take that next step toward healing. One small step in the right direction can make all the difference. It is my aim to foster a supportive and safe environment in which pain, challenges, and fears can be safely explored.
Life can be challenging at times and taking that first step of deciding to begin counseling can be intimidating. Kudos to you for beginning that process by looking into finding a counselor! Whether it be anxiety, depression, or just a general feeling of overwhelm that you are battling, I invite you to take that next step toward healing. One small step in the right direction can make all the difference. It is my aim to foster a supportive and safe environment in which pain, challenges, and fears can be safely explored.
(903) 648-5855 View (903) 648-5855
Photo of Evelyn Dillman Counseling/True Path LLC, Marriage & Family Therapist in Bullard, TX
Evelyn Dillman Counseling/True Path LLC
Marriage & Family Therapist, MS, LPC, LMFT
Verified Verified
1 Endorsed
Tyler, TX 75703
Everyone experiences life differently and from their experiences, gain strengths. My goal is to help build on your strengths along your mental wellness journey . I work with high-conflict couples, individuals, adolescents, and families. The focus of my practice is relational wellness, anger management issues, couple conflict, affair recovery/infidelity, PTSD, anxiety, depression, spiritual issues, OCD and addictions. I have an integrative therapeutic approach that includes Client Centered, Solution Focused, Emotionally Focused and Cognitive Behavioral Therapies, as well as Dialectical Behavioral Therapy with high conflict issues.
Everyone experiences life differently and from their experiences, gain strengths. My goal is to help build on your strengths along your mental wellness journey . I work with high-conflict couples, individuals, adolescents, and families. The focus of my practice is relational wellness, anger management issues, couple conflict, affair recovery/infidelity, PTSD, anxiety, depression, spiritual issues, OCD and addictions. I have an integrative therapeutic approach that includes Client Centered, Solution Focused, Emotionally Focused and Cognitive Behavioral Therapies, as well as Dialectical Behavioral Therapy with high conflict issues.
(903) 201-1283 View (903) 201-1283

Online Therapists

Photo of Rachael Linthicum, Clinical Social Work/Therapist in Bullard, TX
Rachael Linthicum
Clinical Social Work/Therapist, LCSW
Verified Verified
Dallas, TX 75233  (Online Only)
Rachael has a true passion for working with teens, families, and those who feel unheard and marginalized. For over 7 years she worked exclusively with children and their families through a foster care agency, a residential setting, and in an inpatient psychiatric hospital. It is in these work environments that strengthened her abilities in helping clients face deeply rooted traumas that feed their anxiety, depression, negative self talk, and suicidal ideations. It is also through these work experiences that she has become well versed in utilizing suicide risk assessment and interventions, as well as, crisis intervention.
Rachael has a true passion for working with teens, families, and those who feel unheard and marginalized. For over 7 years she worked exclusively with children and their families through a foster care agency, a residential setting, and in an inpatient psychiatric hospital. It is in these work environments that strengthened her abilities in helping clients face deeply rooted traumas that feed their anxiety, depression, negative self talk, and suicidal ideations. It is also through these work experiences that she has become well versed in utilizing suicide risk assessment and interventions, as well as, crisis intervention.
(469) 378-5699 View (469) 378-5699
Photo of Dominguez Psychiatry and Counseling Center, Licensed Professional Counselor in Bullard, TX
Dominguez Psychiatry and Counseling Center
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Dallas, TX 75201
In addition to private practice, I have also worked with multiple psychiatric hospitals as an inpatient therapist with a focus on depression, anxiety, suicidal ideation, self-esteem, and PTSD.
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or a variety of other emotions. Good news, those emotions can be managed, I believe there are two experts in the room: You are the expert of your life and I am the clinical expert. I have had the privilege of working with adults, couples, and adolescents. I use a variety of techniques and theories to guide my work with you depending on what fits your needs. I specialize in CBT and DBT methods. As humans, we not only want to feel understood, but we want to understand ourselves & why we do the things we do.
In addition to private practice, I have also worked with multiple psychiatric hospitals as an inpatient therapist with a focus on depression, anxiety, suicidal ideation, self-esteem, and PTSD.
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or a variety of other emotions. Good news, those emotions can be managed, I believe there are two experts in the room: You are the expert of your life and I am the clinical expert. I have had the privilege of working with adults, couples, and adolescents. I use a variety of techniques and theories to guide my work with you depending on what fits your needs. I specialize in CBT and DBT methods. As humans, we not only want to feel understood, but we want to understand ourselves & why we do the things we do.
(737) 302-4895 View (737) 302-4895
Photo of Whitney Lee, Marriage & Family Therapist in Bullard, TX
Whitney Lee
Marriage & Family Therapist, LMFT
Verified Verified
Dallas, TX 75209  (Online Only)
DBT is effective in treating personality disorders, treatment-resistant depression and anxiety, suicidal ideation, nonsuicidal self-injury, posttraumatic stress disorder (PTSD), substance use disorders, disordered eating, obsessive compulsive disorder (OCD), attention deficit hyperactivity disorder (ADHD), bipolar disorder and severe emotion dysregulation.
Whitney works with adults and adolescents using Dialectical Behavior Therapy to help clients build a life that they believe to be truly worth living! She offers telehealth across the state of Texas. Whitney and her team at North Texas DBT Associates provide comprehensive DBT, which is comprised of highly structured weekly individual sessions, weekly group skills classes, and access to 24/7 phone coaching support. For more information, visit our website, ntxdbt.com.
DBT is effective in treating personality disorders, treatment-resistant depression and anxiety, suicidal ideation, nonsuicidal self-injury, posttraumatic stress disorder (PTSD), substance use disorders, disordered eating, obsessive compulsive disorder (OCD), attention deficit hyperactivity disorder (ADHD), bipolar disorder and severe emotion dysregulation.
Whitney works with adults and adolescents using Dialectical Behavior Therapy to help clients build a life that they believe to be truly worth living! She offers telehealth across the state of Texas. Whitney and her team at North Texas DBT Associates provide comprehensive DBT, which is comprised of highly structured weekly individual sessions, weekly group skills classes, and access to 24/7 phone coaching support. For more information, visit our website, ntxdbt.com.
(214) 751-3063 View (214) 751-3063
Photo of The Place Within Professional Counseling, Licensed Professional Counselor in Bullard, TX
The Place Within Professional Counseling
Licensed Professional Counselor, MS, LPC-S, LCDC
Verified Verified
5 Endorsed
Waxahachie, TX 75165
Some of those are depression and suicidal thoughts, conflicts with adult children and at times abuse.
My passion is seeing people find solutions to their questions. Sometimes the problems of life deplete our resources. Therapy offers opportunities to view our problem from a different perspective gaining insight and ability to solve the problem. I enjoy all ages and backgrounds. I have been involved with prison/homeless/substance abuse/parenting and many more backgrounds. I would welcome the opportunity to work with you helping you gain strength to move forward. Things do not have to be 'bad' before you seek counseling. It is never too late to find new directions and live the new change!.
Some of those are depression and suicidal thoughts, conflicts with adult children and at times abuse.
My passion is seeing people find solutions to their questions. Sometimes the problems of life deplete our resources. Therapy offers opportunities to view our problem from a different perspective gaining insight and ability to solve the problem. I enjoy all ages and backgrounds. I have been involved with prison/homeless/substance abuse/parenting and many more backgrounds. I would welcome the opportunity to work with you helping you gain strength to move forward. Things do not have to be 'bad' before you seek counseling. It is never too late to find new directions and live the new change!.
(979) 256-2692 View (979) 256-2692

See more therapy options for Bullard

Suicidal Ideation Therapists

How does therapy for suicidal ideation work?

Stress, depression, anxiety, or upsetting circumstances can give rise to suicidal thinking. Therapy can address the events at the core of an individual’s suffering. Understanding why a person may be suicidal can help the therapist and the patient discover alternative methods of coping. A person with suicidal ideation may be mired in catastrophic thinking, and treatment like cognitive behavioral therapy is a good choice for breaking such patterns. In addition, treatment such as acceptance and commitment therapy can help a person manage their distress through better emotion regulation.

Which therapies are best for suicidal ideation?

Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, acceptance and commitment therapies, among others. Cognitive behavioral and dialectical behavior therapies are two widely used therapies that can help individuals with painful thoughts and past traumas. These therapies help an individual tolerate distress, regulate emotions, and not act on dangerous urges.

Are there specific medications to be combined with therapy?

The use of medication for suicidal thoughts must be aligned with the underlying cause; conditions such as depression, anxiety, and psychosis may be at the root of suicidal ideation. A psychiatrist may prescribe medications for symptoms, which may include antipsychotics such as aripiprazole or antidepressants such as selective serotonin reuptake inhibitors.

How often and how long are therapy sessions for suicidal ideation?

As with 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, while others may opt for 20 to 30 sessions over, perhaps, a six-month period. Still other patients, especially those with co-occurring conditions like major depression and anxiety, may need to continue sessions for up to 12 to 18 months. In some cases, residential treatment may be recommended for an individual who is judged to be at high risk of self-harm.