Self-Harming Psychiatrists in Aventura, FL

Photo of Anna Binder, MD, Psychiatrist
Anna Binder
Psychiatrist, MD
Verified Verified
Aventura, FL 33180  (Online Only)
I am a board certified psychiatrist and an esteemed Diplomate of the ABPN. I am fully trained in both Adult and Child and Adolescent Psychiatry. I received my psychiatry training at University of Maryland and attended Johns Hopkins Child and Adolescent Psychiatry fellowship program. I offer a thoughtful, comprehensive assessment to discuss and weigh out the role that medications could play to support your process of change. My goal is to provide the expert psychiatric care that will allow you to perform at your personal and professional best.
I am a board certified psychiatrist and an esteemed Diplomate of the ABPN. I am fully trained in both Adult and Child and Adolescent Psychiatry. I received my psychiatry training at University of Maryland and attended Johns Hopkins Child and Adolescent Psychiatry fellowship program. I offer a thoughtful, comprehensive assessment to discuss and weigh out the role that medications could play to support your process of change. My goal is to provide the expert psychiatric care that will allow you to perform at your personal and professional best.
(443) 231-4633 View (443) 231-4633
Photo of Neelam Varshney, MD, Psychiatrist
Neelam Varshney
Psychiatrist, MD
Verified Verified
4 Endorsed
Aventura, FL 33180
Dr. Varshney is Board Certified in General Psychiatry, Addiction Medicine and Forensic Psychiatry. Dr. Varshney was born and raised in Sikkim, India. She graduated from Jawaharlal Nehru Medical College, where she obtained her Bachelor of Medicine, Bachelor of Surgery (MBBS) degree. Dr. Varshney completed her residency in psychiatry at the Mount Sinai School of Medicine/ Elmhurst Hospital Center, in New York City. She then went on to complete a fellowship in forensic psychiatry at the University of Massachusetts Medical School Worcester, Massachusetts, Department of Law and Psychiatry.
Dr. Varshney is Board Certified in General Psychiatry, Addiction Medicine and Forensic Psychiatry. Dr. Varshney was born and raised in Sikkim, India. She graduated from Jawaharlal Nehru Medical College, where she obtained her Bachelor of Medicine, Bachelor of Surgery (MBBS) degree. Dr. Varshney completed her residency in psychiatry at the Mount Sinai School of Medicine/ Elmhurst Hospital Center, in New York City. She then went on to complete a fellowship in forensic psychiatry at the University of Massachusetts Medical School Worcester, Massachusetts, Department of Law and Psychiatry.
(786) 382-0532 View (786) 382-0532
Photo of Dr. Nicolas D Sikaczowski, Psychiatrist
Dr. Nicolas D Sikaczowski
Psychiatrist
Verified Verified
1 Endorsed
Aventura, FL 33180
I'm a Board-Certified Psychiatrist and Physician with same-month availability. I provide medication management and Cognitive Behavioral Therapy for both children and adults in Miami & throughout Florida. I completed 5 years of residency/fellowship training in General and Child and Adolescent Psychiatry after completing medical school and see child, adolescent, and adult patients. I take time to provide quality, unrushed, evidence-based treatment and it shows in my patient's results. I allocate 90 minutes of intake appointments and 30 minutes for follow-up visits in addition to communication via phone and direct message.
I'm a Board-Certified Psychiatrist and Physician with same-month availability. I provide medication management and Cognitive Behavioral Therapy for both children and adults in Miami & throughout Florida. I completed 5 years of residency/fellowship training in General and Child and Adolescent Psychiatry after completing medical school and see child, adolescent, and adult patients. I take time to provide quality, unrushed, evidence-based treatment and it shows in my patient's results. I allocate 90 minutes of intake appointments and 30 minutes for follow-up visits in addition to communication via phone and direct message.
(305) 680-5376 View (305) 680-5376
Photo of Caryn B Schorr, MD, DFAPA, Psychiatrist
Caryn B Schorr
Psychiatrist, MD, DFAPA
Verified Verified
Aventura, FL 33180
I am a double boarded psychiatrist, a psychotherapist and a psychoanalyst. I treat adults who despite their innate capabilities are experiencing difficulties in their relationships, academics or career. Together our work focuses on identifying and dealing with those issues which are outside of awareness and are interfering with the freedom to succeed. Seeking therapy is often a difficult decision, but it can be one of the most important emotional investments you make.
I am a double boarded psychiatrist, a psychotherapist and a psychoanalyst. I treat adults who despite their innate capabilities are experiencing difficulties in their relationships, academics or career. Together our work focuses on identifying and dealing with those issues which are outside of awareness and are interfering with the freedom to succeed. Seeking therapy is often a difficult decision, but it can be one of the most important emotional investments you make.
(754) 704-4431 View (754) 704-4431
Photo of Noam Koenigsberg, MD, Psychiatrist
Noam Koenigsberg
Psychiatrist, MD
Verified Verified
Aventura, FL 33160  (Online Only)
I am a board certified psychiatrist with a telepsychiatric practice seeing patients in Florida and NY. I am licensed in Both Florida and New York states. My concierge practice specializes in medication management to treat psychiatric issues including ADHD, anxiety, depression, and all other psychiatric needs of the patient. I approach each client in a nonjudgmental manner to help decrease and eliminate symptoms and achieve treatment goals. I integrate complementary methodologies and techniques to offer a highly personalized approach tailored to each individual.
I am a board certified psychiatrist with a telepsychiatric practice seeing patients in Florida and NY. I am licensed in Both Florida and New York states. My concierge practice specializes in medication management to treat psychiatric issues including ADHD, anxiety, depression, and all other psychiatric needs of the patient. I approach each client in a nonjudgmental manner to help decrease and eliminate symptoms and achieve treatment goals. I integrate complementary methodologies and techniques to offer a highly personalized approach tailored to each individual.
(332) 263-3922 View (332) 263-3922

More Psychiatrists Nearby

Photo of Adil Mohammed - Harmony United Psychiatric Care , Psychiatrist
Harmony United Psychiatric Care
Psychiatrist
Verified Verified
Opa Locka, FL 33054
Our providers stay informed and up to date on the latest developments in psychiatric care and are well informed of cutting edge treatment modalities in the field of psychiatry.
We provide in-person and telepsychiatry services, offering accessible care from our offices or via a secure online platform. New clients are welcome, with same-day or next-day appointments available across Florida. Our 24/7 on-call providers address urgent needs. We offer Medication Management, Counseling, and Neuropsychological Testing for adults, adolescents, and children aged 5 and up. Our team includes Psychiatrists, Psychologists, Nurse Practitioners, Physician Assistants, and Licensed Therapists. Most insurance plans, including Medicare, are accepted.
Our providers stay informed and up to date on the latest developments in psychiatric care and are well informed of cutting edge treatment modalities in the field of psychiatry.
We provide in-person and telepsychiatry services, offering accessible care from our offices or via a secure online platform. New clients are welcome, with same-day or next-day appointments available across Florida. Our 24/7 on-call providers address urgent needs. We offer Medication Management, Counseling, and Neuropsychological Testing for adults, adolescents, and children aged 5 and up. Our team includes Psychiatrists, Psychologists, Nurse Practitioners, Physician Assistants, and Licensed Therapists. Most insurance plans, including Medicare, are accepted.
(786) 998-6088 View (786) 998-6088
Photo of Adil Mohammed - Harmony United Psychiatric Care, Psychiatrist
Harmony United Psychiatric Care
Psychiatrist
Verified Verified
Carol City, FL 33056
Our providers stay informed and up to date on the latest developments in psychiatric care and are well informed of cutting edge treatment modalities in the field of psychiatry.
We provide in-person and telepsychiatry services, offering accessible care from our offices or via a secure online platform. New clients are welcome, with same-day or next-day appointments available across Florida. Our 24/7 on-call providers address urgent needs. We offer Medication Management, Counseling, and Neuropsychological Testing for adults, adolescents, and children aged 5 and up. Our team includes Psychiatrists, Psychologists, Nurse Practitioners, Physician Assistants, and Licensed Therapists. Most insurance plans, including Medicare, are accepted.
Our providers stay informed and up to date on the latest developments in psychiatric care and are well informed of cutting edge treatment modalities in the field of psychiatry.
We provide in-person and telepsychiatry services, offering accessible care from our offices or via a secure online platform. New clients are welcome, with same-day or next-day appointments available across Florida. Our 24/7 on-call providers address urgent needs. We offer Medication Management, Counseling, and Neuropsychological Testing for adults, adolescents, and children aged 5 and up. Our team includes Psychiatrists, Psychologists, Nurse Practitioners, Physician Assistants, and Licensed Therapists. Most insurance plans, including Medicare, are accepted.
(239) 893-7399 View (239) 893-7399
Photo of M. Asim Nisar, MD, Psychiatrist
M. Asim Nisar
Psychiatrist, MD
Verified Verified
Miami Beach, FL 33140
Triple Board Certified Psychiatrist - Adult , Consultation, Addiction Medicine. I offer comprehensive diagnostic evaluations, emphasizing modern interventions -Transcranial Magnetic Stimulation (TMS) for non-pharmacological treatment. My focus is on treatment of Depression, Anxiety, Bipolar, Substance Abuse, Personality Disorders, Obsessive-Compulsive Disorder, Attention Deficit/Hyperactivity, Disruptive Mood Dysregulation, and Post-Traumatic Stress Disorders. My practice integrates cutting-edge clinical research, particularly focused on Schizophrenia, Depression, Anxiety, Bipolar and Dementia.
Triple Board Certified Psychiatrist - Adult , Consultation, Addiction Medicine. I offer comprehensive diagnostic evaluations, emphasizing modern interventions -Transcranial Magnetic Stimulation (TMS) for non-pharmacological treatment. My focus is on treatment of Depression, Anxiety, Bipolar, Substance Abuse, Personality Disorders, Obsessive-Compulsive Disorder, Attention Deficit/Hyperactivity, Disruptive Mood Dysregulation, and Post-Traumatic Stress Disorders. My practice integrates cutting-edge clinical research, particularly focused on Schizophrenia, Depression, Anxiety, Bipolar and Dementia.
(786) 610-5040 View (786) 610-5040
Photo of Adil Mohammed - Harmony United Psychiatric Care, Psychiatrist
Harmony United Psychiatric Care
Psychiatrist
Verified Verified
Miami, FL 33161
Our providers stay informed and up to date on the latest developments in psychiatric care and are well informed of cutting edge treatment modalities in the field of psychiatry.
We provide in-person and telepsychiatry services, offering accessible care from our offices or via a secure online platform. New clients are welcome, with same-day or next-day appointments available across Florida. Our 24/7 on-call providers address urgent needs. We offer Medication Management, Counseling, and Neuropsychological Testing for adults, adolescents, and children aged 5 and up. Our team includes Psychiatrists, Psychologists, Nurse Practitioners, Physician Assistants, and Licensed Therapists. Most insurance plans, including Medicare, are accepted.
Our providers stay informed and up to date on the latest developments in psychiatric care and are well informed of cutting edge treatment modalities in the field of psychiatry.
We provide in-person and telepsychiatry services, offering accessible care from our offices or via a secure online platform. New clients are welcome, with same-day or next-day appointments available across Florida. Our 24/7 on-call providers address urgent needs. We offer Medication Management, Counseling, and Neuropsychological Testing for adults, adolescents, and children aged 5 and up. Our team includes Psychiatrists, Psychologists, Nurse Practitioners, Physician Assistants, and Licensed Therapists. Most insurance plans, including Medicare, are accepted.
(786) 964-4510 View (786) 964-4510
Photo of Adil Mohammed - Harmony United Psychiatric Care, Psychiatrist
Harmony United Psychiatric Care
Psychiatrist
Not Verified Not Verified
Pembroke Pines, FL 33024
Our providers stay informed and up to date on the latest developments in psychiatric care and are well informed of cutting edge treatment modalities in the field of psychiatry.
We provide in-person and telepsychiatry services, offering accessible care from our offices or via a secure online platform. New clients are welcome, with same-day or next-day appointments available across Florida. Our 24/7 on-call providers address urgent needs. We offer Medication Management, Counseling, and Neuropsychological Testing for adults, adolescents, and children aged 5 and up. Our team includes Psychiatrists, Psychologists, Nurse Practitioners, Physician Assistants, and Licensed Therapists. Most insurance plans, including Medicare, are accepted.
Our providers stay informed and up to date on the latest developments in psychiatric care and are well informed of cutting edge treatment modalities in the field of psychiatry.
We provide in-person and telepsychiatry services, offering accessible care from our offices or via a secure online platform. New clients are welcome, with same-day or next-day appointments available across Florida. Our 24/7 on-call providers address urgent needs. We offer Medication Management, Counseling, and Neuropsychological Testing for adults, adolescents, and children aged 5 and up. Our team includes Psychiatrists, Psychologists, Nurse Practitioners, Physician Assistants, and Licensed Therapists. Most insurance plans, including Medicare, are accepted.
(954) 787-1986 View (954) 787-1986
Photo of Dr. Morgan Alexander, MD, Psychiatrist
Dr. Morgan Alexander
Psychiatrist, MD
Verified Verified
Hollywood, FL 33020  (Online Only)
Meet Dr. Alexander: a psychiatrist with a distinctive blend of empathy and expertise. Trained at Wright State University with a focus on integrating psychotherapy and psychopharmacology, Dr. Alexander excels in delivering personalized treatment plans with proven effectiveness. She actively engages with the narratives that shape patients' lives, forging therapeutic alliances as unique as the individuals she serves. This patient-first approach, combined with a rich background in community engagement, positions Dr. Alexander as a psychiatrist who understands the complexities of the complete human experience - mind, body and spirit.
Meet Dr. Alexander: a psychiatrist with a distinctive blend of empathy and expertise. Trained at Wright State University with a focus on integrating psychotherapy and psychopharmacology, Dr. Alexander excels in delivering personalized treatment plans with proven effectiveness. She actively engages with the narratives that shape patients' lives, forging therapeutic alliances as unique as the individuals she serves. This patient-first approach, combined with a rich background in community engagement, positions Dr. Alexander as a psychiatrist who understands the complexities of the complete human experience - mind, body and spirit.
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Photo of Linda Mays - Family Psychiatric Services, DNP, PMHNP, Psychiatric Nurse Practitioner
Family Psychiatric Services
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Miami, FL 33162
“I believe one of the bravest things you can do for yourself is to take control of your happiness." Whether you are seeking help for yourself or a loved one, feel confident you have made the right decision in choosing me. I listen to you and partner with you to restore you to your healthy place. I am a prescriber, but I am not a pill pusher. I used state-of-the-art clinical research to guide my recommendations to you. If you are looking for a REAL solution to heal your mind, body, and soul, look no further. Call Family Psychiatric Services for medication management, medical cannabis treatment (in KY), and psychiatric evaluations.
“I believe one of the bravest things you can do for yourself is to take control of your happiness." Whether you are seeking help for yourself or a loved one, feel confident you have made the right decision in choosing me. I listen to you and partner with you to restore you to your healthy place. I am a prescriber, but I am not a pill pusher. I used state-of-the-art clinical research to guide my recommendations to you. If you are looking for a REAL solution to heal your mind, body, and soul, look no further. Call Family Psychiatric Services for medication management, medical cannabis treatment (in KY), and psychiatric evaluations.
(305) 547-8548 View (305) 547-8548
Photo of Safir Azam Md, MD, Psychiatrist
Safir Azam Md
Psychiatrist, MD
Verified Verified
Miami, FL 33137
Finding a Top-notched Psychiatrist known for seamless communication and excellence in treatment is just a click away. I carry out an in depth evaluation and provide treatment that’s effective and affordable . I advise & Consult on most General Psychiatric issues especially ADHD, Anxety. Sleep and Mood disorders . I offer various modalities of treatments mainly medication management and counseling.I formulate a treatment plan that is tailored to each individual's needs and wishes . I work with my patients to help achieve the personal growth they wish to achieve .Web: Precisionfocuspsychiatry.com
Finding a Top-notched Psychiatrist known for seamless communication and excellence in treatment is just a click away. I carry out an in depth evaluation and provide treatment that’s effective and affordable . I advise & Consult on most General Psychiatric issues especially ADHD, Anxety. Sleep and Mood disorders . I offer various modalities of treatments mainly medication management and counseling.I formulate a treatment plan that is tailored to each individual's needs and wishes . I work with my patients to help achieve the personal growth they wish to achieve .Web: Precisionfocuspsychiatry.com
(321) 450-4291 View (321) 450-4291
Photo of Dinapoles Galvan, DNP, Psychiatric Nurse Practitioner
Dinapoles Galvan
Psychiatric Nurse Practitioner, DNP
Verified Verified
North Miami Beach, FL 33169  (Online Only)
Dr. Galvan is an English and Spanish speaking provider who services clients 5 years old and up dealing with depression, anxiety, insomnia, ADHD and other mental health conditions.
Dr. Galvan is an English and Spanish speaking provider who services clients 5 years old and up dealing with depression, anxiety, insomnia, ADHD and other mental health conditions.
(786) 504-7362 View (786) 504-7362
Photo of Jose A Cancio, PMHNP, Psychiatric Nurse Practitioner
Jose A Cancio
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
2 Endorsed
North Miami, FL 33181
Hello! My name is Jose Cancio, and I am a Psychiatric Mental Health Nurse Practitioner passionate about helping individuals achieve their best mental health. I have been working in the field of psychiatry for several years and have experience treating a wide range of mental health conditions. My approach to therapy is centered around building a solid and trusting relationship with each of my patients.
Hello! My name is Jose Cancio, and I am a Psychiatric Mental Health Nurse Practitioner passionate about helping individuals achieve their best mental health. I have been working in the field of psychiatry for several years and have experience treating a wide range of mental health conditions. My approach to therapy is centered around building a solid and trusting relationship with each of my patients.
(954) 884-8028 View (954) 884-8028
Photo of Marie Carline Oseh, APRN, PMHNP-C, FNP-BC, DNP, MSN, Psychiatric Nurse Practitioner
Marie Carline Oseh
Psychiatric Nurse Practitioner, APRN, PMHNP-C, FNP-BC, DNP, MSN
Verified Verified
Davie, FL 33314  (Online Only)
As a person, social coherence is our order of the day. With it brings a lot of challenges that affect every one of us. This is the calling that drew me to psychiatry, where I can navigate how to help individuals and families cope with their daily issues. As a professional with both psychiatric and clinical knowledge (Psychiatric Board-Certified Mental Health Nurse Practitioner and Master of Science in Nursing- FNP), I understand the mental strains in our lives. The good news is that I have specialized in depression, anxiety, and bipolar disorder which I am happy to help with the healing journey for both individuals and families.
As a person, social coherence is our order of the day. With it brings a lot of challenges that affect every one of us. This is the calling that drew me to psychiatry, where I can navigate how to help individuals and families cope with their daily issues. As a professional with both psychiatric and clinical knowledge (Psychiatric Board-Certified Mental Health Nurse Practitioner and Master of Science in Nursing- FNP), I understand the mental strains in our lives. The good news is that I have specialized in depression, anxiety, and bipolar disorder which I am happy to help with the healing journey for both individuals and families.
(754) 666-8589 View (754) 666-8589
Photo of Smita Bhandari, MD, Psychiatrist
Smita Bhandari
Psychiatrist, MD
Verified Verified
Miami, FL 33138
I am a board certified psychiatrist with 16 years of clinical experience in a variety of medical settings offering expertise in both psychopharmacology and psychotherapy. My practice focus is highly personalized and evidence-based care in a professional environment of genuineness, acceptance and empathy. My goal is only one - to help you achieve your full potential. As a wellness and integrative psychiatrist, my care philosophy centers around understanding and treating the patient as a whole. Currently, I maintain a broad private practice conveniently located in Miami Beach. I offer same day, evening and weekend appointments.
I am a board certified psychiatrist with 16 years of clinical experience in a variety of medical settings offering expertise in both psychopharmacology and psychotherapy. My practice focus is highly personalized and evidence-based care in a professional environment of genuineness, acceptance and empathy. My goal is only one - to help you achieve your full potential. As a wellness and integrative psychiatrist, my care philosophy centers around understanding and treating the patient as a whole. Currently, I maintain a broad private practice conveniently located in Miami Beach. I offer same day, evening and weekend appointments.
(305) 699-8084 View (305) 699-8084
Photo of Monica Estupinan, PMHNP, Psychiatric Nurse Practitioner
Monica Estupinan
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Miami, FL 33137  (Online Only)
I am a dedicated Psychiatric Mental Health Nurse Practitioner (PMHNP) and the founder of Psych M.E. LLC. With a background in nursing and specialized training in mental health, I provide comprehensive outpatient care for individuals struggling with various psychiatric conditions.
I am a dedicated Psychiatric Mental Health Nurse Practitioner (PMHNP) and the founder of Psych M.E. LLC. With a background in nursing and specialized training in mental health, I provide comprehensive outpatient care for individuals struggling with various psychiatric conditions.
(786) 977-9268 View (786) 977-9268
Photo of Magenta Hall - Healthy Self Mental Wellness, DNP, PMHNP , APRN, Psychiatric Nurse Practitioner
Healthy Self Mental Wellness
Psychiatric Nurse Practitioner, DNP, PMHNP , APRN
Verified Verified
3 Endorsed
Miami, FL 33181  (Online Only)
I am the founder of Healthy Self Mental Wellness. I am board certified psychiatric mental health nurse practitioner, with training and experience treating patients with psychiatric disorders across the lifespan and across practice settings, from hospitals to outpatient clinics. I have over 11 years of experience in the mental health setting. My education includes a Bachelor of Science in Nursing from The Florida State University, a Masters of Science in Nursing, psychiatric nurse practitioner specialization, from The University of South Alabama, and a Doctorate of Nursing Practice from The University of South Alabama.
I am the founder of Healthy Self Mental Wellness. I am board certified psychiatric mental health nurse practitioner, with training and experience treating patients with psychiatric disorders across the lifespan and across practice settings, from hospitals to outpatient clinics. I have over 11 years of experience in the mental health setting. My education includes a Bachelor of Science in Nursing from The Florida State University, a Masters of Science in Nursing, psychiatric nurse practitioner specialization, from The University of South Alabama, and a Doctorate of Nursing Practice from The University of South Alabama.
(850) 813-0663 View (850) 813-0663
Photo of Roberto Carmona, DNP, PMHNP, FNP, Psychiatric Nurse Practitioner
Roberto Carmona
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP
Verified Verified
Pembroke Pines, FL 33025
Born and raised in Cuba, Dr. Carmona received his Doctorate of Medicine (MD) in GI & Family Medicine at the Havana Medical School, and practiced as a physician from 2002 to 2009. In 2007, Dr. Carmona moved to the Republic of Namibia in Southern Africa, where for two years he provided critical medical services to roughly twenty-five thousand people living in rural villages and isolated areas.
Born and raised in Cuba, Dr. Carmona received his Doctorate of Medicine (MD) in GI & Family Medicine at the Havana Medical School, and practiced as a physician from 2002 to 2009. In 2007, Dr. Carmona moved to the Republic of Namibia in Southern Africa, where for two years he provided critical medical services to roughly twenty-five thousand people living in rural villages and isolated areas.
(954) 799-3892 View (954) 799-3892
Self-Harming Psychiatrists

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.