Self-Harming Therapists in 97005
![Photo of Tracey L Jones - Tracey L Jones-Agency Has No Waiting List!, MMFT, MABS, MIOP, Pre-Licensed Professional](https://photos.psychologytoday.com/3bb4b6b4-0001-4197-97c5-8961dd8b62d7/2/320x400.png)
Tracey L Jones-Agency Has No Waiting List!
Pre-Licensed Professional, MMFT, MABS, MIOP
Verified Verified
Beaverton, OR 97005 (Online Only)
I have experience working with families/couples, individuals, teens/adolescents (9+) that have experienced family conflicts, relational issues, anxiety, self-harming, narcissistic abuse, grief, behavior issues, and various forms of mental/psychological issues.
Everyone deserves the best quality of care, and I am here to help address your needs/concerns. Whatever your issues and concerns are, I am here to help. I am Accepting New Clients Immediately! There've been so many drastic changes in life and economy, many due to the major impact of COVID-19; In which you may have been trying to find stability in every area of your life. You don't have to do it alone! It's okay to reach out to obtain the tools you need to get you through this uncomfortable segment in your life. I'm honored and delighted to take this journey with you to witness your successful victory! Because you matter!
I have experience working with families/couples, individuals, teens/adolescents (9+) that have experienced family conflicts, relational issues, anxiety, self-harming, narcissistic abuse, grief, behavior issues, and various forms of mental/psychological issues.
Everyone deserves the best quality of care, and I am here to help address your needs/concerns. Whatever your issues and concerns are, I am here to help. I am Accepting New Clients Immediately! There've been so many drastic changes in life and economy, many due to the major impact of COVID-19; In which you may have been trying to find stability in every area of your life. You don't have to do it alone! It's okay to reach out to obtain the tools you need to get you through this uncomfortable segment in your life. I'm honored and delighted to take this journey with you to witness your successful victory! Because you matter!
![Photo of Elizabeth Leah Downs, LCSW, CHT, ACSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d38efb0-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Elizabeth Leah Downs
Clinical Social Work/Therapist, LCSW, CHT, ACSW
Verified Verified
Beaverton, OR 97005
Seeking therapy is an act of courage when your life is not working, when you are feeling overwhelming emotions, or are ready to grow. With over 35 years of experience, I work skillfully with adults, children, families & couples. I am here to compassionately facilitate your learning to live your life with emotional freedom, purpose, creativity, passion & joy! Get in touch with the strength & beauty of your Inner Self & develop more satisfying relationships. Examine your thinking & beliefs & develop mindfulness, transforming your moods & your life. I use a gentle therapeutic style which is an eclectic, psychodynamic, humanistic, transpersonal & holistic wellness approach.
Seeking therapy is an act of courage when your life is not working, when you are feeling overwhelming emotions, or are ready to grow. With over 35 years of experience, I work skillfully with adults, children, families & couples. I am here to compassionately facilitate your learning to live your life with emotional freedom, purpose, creativity, passion & joy! Get in touch with the strength & beauty of your Inner Self & develop more satisfying relationships. Examine your thinking & beliefs & develop mindfulness, transforming your moods & your life. I use a gentle therapeutic style which is an eclectic, psychodynamic, humanistic, transpersonal & holistic wellness approach.
![Photo of Vanessa Baccellieri, MEd, PC-A, Pre-Licensed Professional](https://photos.psychologytoday.com/13d87199-5bc3-446a-a273-eac13f71fe73/3/320x400.jpeg)
Vanessa Baccellieri
Pre-Licensed Professional, MEd, PC-A
Verified Verified
1 Endorsed
Beaverton, OR 97005
I wholeheartedly believe people have the ability to create an authentic and meaningful life worth living. I'd love to work with you to create balance in your life, clarify your values, and identify unhelpful thinking patterns that are connected to your emotions and behaviors. I have a collaborative, strengths-based approach and create a safe space to evaluate the narrative of your life, support you in making edits, and in assigning meaning to your experiences. Whether you are going through a new life transition or have felt like life has been happening to you for a long time, I'd be honored to support you on the path to wholeness.
I wholeheartedly believe people have the ability to create an authentic and meaningful life worth living. I'd love to work with you to create balance in your life, clarify your values, and identify unhelpful thinking patterns that are connected to your emotions and behaviors. I have a collaborative, strengths-based approach and create a safe space to evaluate the narrative of your life, support you in making edits, and in assigning meaning to your experiences. Whether you are going through a new life transition or have felt like life has been happening to you for a long time, I'd be honored to support you on the path to wholeness.
![Photo of Heather Peterson, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/17351462-d35e-4cee-8a4b-39acfa17b4b4/2/320x400.jpeg)
Heather Peterson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Beaverton, OR 97005
Waitlist for new clients
Seeking to know and understand ourselves is one of the bravest things that we can do. You don’t have to do it alone. I believe therapy provides an opportunity to develop a greater sense of self-awareness, and it is my honor to support and empower my clients in this process. I am committed to facilitating a space in which you feel heard, valued, and supported as we prioritize your goals and chart a path toward greater balance and wellbeing. I am a trauma-informed therapist supporting individuals navigating trauma, depression, anxiety, conflict, codependency, grief/loss, and life transitions.
Seeking to know and understand ourselves is one of the bravest things that we can do. You don’t have to do it alone. I believe therapy provides an opportunity to develop a greater sense of self-awareness, and it is my honor to support and empower my clients in this process. I am committed to facilitating a space in which you feel heard, valued, and supported as we prioritize your goals and chart a path toward greater balance and wellbeing. I am a trauma-informed therapist supporting individuals navigating trauma, depression, anxiety, conflict, codependency, grief/loss, and life transitions.
![Photo of Forrest William Rosser, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/18fceb89-17fc-4146-9103-87e6e778d3cb/1/320x400.jpeg)
Although I have worked as a therapist/counselor for awhile, my focus during the past decade has been working with teens, young adults, and their families. These courageous humans have often sought guidance from anxiety and depression caused by various traumas, family or relationship stress, social isolation, or transition issues. I believe that our happiness is primarily based on how effectively we navigate our relationships (family, friends, love, work, community). Life presents us with frequent obstacles to our happiness that we sometimes need assistance resolving.
Although I have worked as a therapist/counselor for awhile, my focus during the past decade has been working with teens, young adults, and their families. These courageous humans have often sought guidance from anxiety and depression caused by various traumas, family or relationship stress, social isolation, or transition issues. I believe that our happiness is primarily based on how effectively we navigate our relationships (family, friends, love, work, community). Life presents us with frequent obstacles to our happiness that we sometimes need assistance resolving.
![Photo of Frank D. Canepa, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/52669724-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Frank D. Canepa
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Beaverton, OR 97005
No one is spared the trauma of life itself. But, life can also be full of unspeakable beauty, joy, and genuine love. While life can be unforgiving, there are ways of being that can deal much more effectively with what surrounds us. By reorienting ourselves and processing that which haunts us, true change can take place and we can begin to see and enjoy beauty in the midst of suffering, grow in gratitude for life itself despite its harshness, and live virtuously even during trials. These fruits are not born out of naivety but are born out of genuine wrestling with our existence.
No one is spared the trauma of life itself. But, life can also be full of unspeakable beauty, joy, and genuine love. While life can be unforgiving, there are ways of being that can deal much more effectively with what surrounds us. By reorienting ourselves and processing that which haunts us, true change can take place and we can begin to see and enjoy beauty in the midst of suffering, grow in gratitude for life itself despite its harshness, and live virtuously even during trials. These fruits are not born out of naivety but are born out of genuine wrestling with our existence.
![Photo of Chloe Rust, Pre-Licensed Professional](https://photos.psychologytoday.com/20ff4706-4b0c-457f-8d67-2af136ecfd8c/1/320x400.jpeg)
Currently only accepting couples/relationships and families. Do you have a child with ADHD and you're anxious about the upcoming school year? Do you love your partner(s) but have relationship difficulties that are impossible to overlook? Are there skeletons in your family's closet you finally feel ready to confront? If you're looking to strengthen your familial bonds, learn how to better support your loved ones, or heal past family wounds, I provide a safe space to do so.
Currently only accepting couples/relationships and families. Do you have a child with ADHD and you're anxious about the upcoming school year? Do you love your partner(s) but have relationship difficulties that are impossible to overlook? Are there skeletons in your family's closet you finally feel ready to confront? If you're looking to strengthen your familial bonds, learn how to better support your loved ones, or heal past family wounds, I provide a safe space to do so.
![Photo of Sam Franklin, MS, NCC, CRC](https://photos.psychologytoday.com/a0bb6c33-3a29-4451-b5e6-9e12545f9ccc/2/320x400.jpeg)
Sam Franklin
Professional Counselor Associate, MS, NCC, CRC
Verified Verified
1 Endorsed
Beaverton, OR 97005 (Online Only)
Sometimes you go through an experience and it completely changes your life, and sometimes all the little stresses add up to one huge obstacle. Either way, nothing feels as good as it used to, and you constantly find yourself trapped in the past or worrying about the future. You deserve a life that's free of constant emotional turmoil, and therapy can be a way to process unwanted memories, emotions, and thoughts. I won't promise you that the entire process of therapy will be easy, and I won't tell you that I can fix you; you are not a problem to be solved. What I can do is move alongside you as you shift toward the life you want.
Sometimes you go through an experience and it completely changes your life, and sometimes all the little stresses add up to one huge obstacle. Either way, nothing feels as good as it used to, and you constantly find yourself trapped in the past or worrying about the future. You deserve a life that's free of constant emotional turmoil, and therapy can be a way to process unwanted memories, emotions, and thoughts. I won't promise you that the entire process of therapy will be easy, and I won't tell you that I can fix you; you are not a problem to be solved. What I can do is move alongside you as you shift toward the life you want.
![Photo of Leslee Forrester, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/60eb7cbd-ad9d-4983-9d63-b1b579878895/1/320x400.jpeg)
Leslee Forrester
Licensed Professional Counselor, LPC
Verified Verified
Beaverton, OR 97005 (Online Only)
I have been providing professional counseling for the past 20+ years. With the struggles, losses and pain life holds, counseling is an incredible pathway to healing, growth, and life fulfillment. In my practice, I seek to create a safe and secure space for you to explore, understand, and reflect on your current struggles. In our work together, you will learn effective ways to support your stress and overwhelming emotions, develop interpersonal and relational skills, heal emotional wounds, and discover what you need to thrive in your life.
I have been providing professional counseling for the past 20+ years. With the struggles, losses and pain life holds, counseling is an incredible pathway to healing, growth, and life fulfillment. In my practice, I seek to create a safe and secure space for you to explore, understand, and reflect on your current struggles. In our work together, you will learn effective ways to support your stress and overwhelming emotions, develop interpersonal and relational skills, heal emotional wounds, and discover what you need to thrive in your life.
![Photo of Lola Schwitkis, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/95d7b8d5-2e16-4c39-95e8-61f98ae0acf2/3/320x400.jpeg)
Lola Schwitkis
Clinical Social Work/Therapist, LCSW
Verified Verified
Beaverton, OR 97005
Waitlist for new clients
In a world that encourages the creation of a chaotically tough exterior, I want to work with you to find your strength in peace and softness. Being vulnerable is often very scary, but bravery is defined by facing your fears, not by the absence of them. It is my goal to provide a space where you feel safe enough to tap into your own power and help you cultivate the assertiveness needed to create a life of your design, something we all deserve but rarely give ourselves permission to have.
In a world that encourages the creation of a chaotically tough exterior, I want to work with you to find your strength in peace and softness. Being vulnerable is often very scary, but bravery is defined by facing your fears, not by the absence of them. It is my goal to provide a space where you feel safe enough to tap into your own power and help you cultivate the assertiveness needed to create a life of your design, something we all deserve but rarely give ourselves permission to have.
![Photo of Emma K Keefe, Pre-Licensed Professional](https://photos.psychologytoday.com/7875ab8a-4eed-4ada-a79a-6a58be2c4d80/1/320x400.png)
Emma K Keefe
Pre-Licensed Professional
Verified Verified
Beaverton, OR 97005
Waitlist for new clients
My clients enter into a therapeutic relationship with me often because they never learned how to listen to or love themselves. Many of my clients live with a harsh/distracting internal critic that pulls them out of the present moment and into chronic experiences of suffering. They might even live with or love others who echo or add new fodder to this already cruel inner-voice. My clients begin therapy because they want more out of relationships - with themselves, with others and with the world.
My clients enter into a therapeutic relationship with me often because they never learned how to listen to or love themselves. Many of my clients live with a harsh/distracting internal critic that pulls them out of the present moment and into chronic experiences of suffering. They might even live with or love others who echo or add new fodder to this already cruel inner-voice. My clients begin therapy because they want more out of relationships - with themselves, with others and with the world.
![Photo of Sara Abbott, LCSW, LICSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ce279d94-77c9-4377-acbb-d4c3e52fa60c/1/320x400.png)
Sara Abbott
Clinical Social Work/Therapist, LCSW, LICSW, MSW
Verified Verified
Beaverton, OR 97005 (Online Only)
The people I love to work with are people who often feel left out, struggle identifying who they are, want to learn how to more effectively communicate and those who understand that therapy is messy. We will both say the wrong thing sometimes and that's okay. The issues I love supporting people with are struggles with emotion regulation, relationship skills, processing attachment struggles, un-enmeshing from family, and more. I am a queer, millennial with ADHD - this forms who I am and my work. It's important to me to partner with others based on who they are and to make space for their unique needs.
The people I love to work with are people who often feel left out, struggle identifying who they are, want to learn how to more effectively communicate and those who understand that therapy is messy. We will both say the wrong thing sometimes and that's okay. The issues I love supporting people with are struggles with emotion regulation, relationship skills, processing attachment struggles, un-enmeshing from family, and more. I am a queer, millennial with ADHD - this forms who I am and my work. It's important to me to partner with others based on who they are and to make space for their unique needs.
![Photo of Gemma Escale-Presague - Barcelona Counseling, LLC, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/ef2f8503-d80a-4ac6-bf83-9fcb24f8d660/2/320x400.jpeg)
Barcelona Counseling, LLC
Licensed Professional Counselor, LPC, NCC
Verified Verified
Beaverton, OR 97005
ACCEPTING NEW CLIENTS. We have experience working with individuals, couples, and families from different backgrounds and needs. We use different and personalized techniques/strategies to help you get to the root of the problem, make conscious change to find stability, growth, problem resolution, and emotional relief. NEUROFEEDBACK and EMDR modalities to address many issues. Please visit our webpage at www.barcelonacounseling.org
ACCEPTING NEW CLIENTS. We have experience working with individuals, couples, and families from different backgrounds and needs. We use different and personalized techniques/strategies to help you get to the root of the problem, make conscious change to find stability, growth, problem resolution, and emotional relief. NEUROFEEDBACK and EMDR modalities to address many issues. Please visit our webpage at www.barcelonacounseling.org
![Photo of Desiree Rivera, MS, A-MFT, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/d3fb8a19-a772-45aa-ab5a-53353a25fd86/2/320x400.jpeg)
Desiree Rivera
Marriage & Family Therapist Associate, MS, A-MFT
Verified Verified
1 Endorsed
Beaverton, OR 97005 (Online Only)
Hi! My name is Desiree and I'm an Associate Marriage, Family and Child Therapist in Salem/Keizer, Oregon. I am so glad you’re here! I'm open for new clients and have a flexible schedule with secure online sessions to meet your needs. Together, we can discuss what is going on in your life and collaboratively work together to develop insight, build healthy relationships and accomplish desired goals.
Hi! My name is Desiree and I'm an Associate Marriage, Family and Child Therapist in Salem/Keizer, Oregon. I am so glad you’re here! I'm open for new clients and have a flexible schedule with secure online sessions to meet your needs. Together, we can discuss what is going on in your life and collaboratively work together to develop insight, build healthy relationships and accomplish desired goals.
![Photo of Robert Lydon - Stronger Oregon, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ebecbe4b-7bb4-44ac-a40b-aa2c82c9595b/2/320x400.jpeg)
Stronger Oregon
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Beaverton, OR 97005
We have a robust team of approximately 180+ providers, and growing, so that you can place a call, likely have someone answer and hopefully find access to treatment within the week or next. We treat all ages and most ailments. We have offices throughout Oregon and we do telehealth. Our providers cover almost all modalities, insurances and demographics so that you have a high probably of getting the right provider and the right time. Search through our list of providers on our website to see how many fit your needs. We'll do our best to be your solution and join you in a journey of healing.
We have a robust team of approximately 180+ providers, and growing, so that you can place a call, likely have someone answer and hopefully find access to treatment within the week or next. We treat all ages and most ailments. We have offices throughout Oregon and we do telehealth. Our providers cover almost all modalities, insurances and demographics so that you have a high probably of getting the right provider and the right time. Search through our list of providers on our website to see how many fit your needs. We'll do our best to be your solution and join you in a journey of healing.
![Photo of Mountain Crest Counseling - Mountain Crest Counseling Services, LLC, Licensed Professional Counselor](https://photos.psychologytoday.com/130eb583-d415-4c6f-93db-41ae90f1de06/1/320x400.jpeg)
Mountain Crest Counseling Services, LLC
Licensed Professional Counselor
Verified Verified
7 Endorsed
Beaverton, OR 97005
Mountain Crest Counseling Services is focused on providing high-quality service for those seeking growth and change. Our therapists are client-focused and work collaboratively with you to achieve your goals. Our therapists work with clients to gain greater insight, self-awareness, and self-compassion through a variety of different frameworks to include but not limited to DBT, CBT, Art Therapy, Brainspotting and Strength Based approaches.
Mountain Crest Counseling Services is focused on providing high-quality service for those seeking growth and change. Our therapists are client-focused and work collaboratively with you to achieve your goals. Our therapists work with clients to gain greater insight, self-awareness, and self-compassion through a variety of different frameworks to include but not limited to DBT, CBT, Art Therapy, Brainspotting and Strength Based approaches.
![Photo of Tessa Henry, LMFT, ATR, Marriage & Family Therapist](https://photos.psychologytoday.com/8db4754f-ce2f-442b-bf74-045d9c3fea07/2/320x400.jpeg)
Tessa Henry
Marriage & Family Therapist, LMFT, ATR
Verified Verified
Beaverton, OR 97005 (Online Only)
Hello, my name is Tessa and I am currently accepting new client's in Oregon! I believe that my role as a therapist is to support and validate the life events that you share with me. My hope is that therapy sessions are a collaborative effort where client and therapist work together to establish realistic steps toward change. I am here to help with the ups and downs of your personal journey. My therapies of choice are person-centered practices, art therapy, solution-focused, and family systems theory, with elements of both cognitive and dialectical behavioral therapies.
Hello, my name is Tessa and I am currently accepting new client's in Oregon! I believe that my role as a therapist is to support and validate the life events that you share with me. My hope is that therapy sessions are a collaborative effort where client and therapist work together to establish realistic steps toward change. I am here to help with the ups and downs of your personal journey. My therapies of choice are person-centered practices, art therapy, solution-focused, and family systems theory, with elements of both cognitive and dialectical behavioral therapies.
![Photo of Paul Lee, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3df5d4f8-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I have been providing therapy to women and men and facilitating men's groups for over 30 years. I have extensive experience in helping people overcome depression, anxiety, relationship issues, and heal from childhood or domestic abuse. My approach is collaborative. I listen and understand my clients' perspective of the problem and potential solutions, while providing input based on my professional training and experience. I believe that the chances of making positive changes are enhanced by a combination of support, recognizing and utilizing one's strengths, and being challenged to try new approaches.
I have been providing therapy to women and men and facilitating men's groups for over 30 years. I have extensive experience in helping people overcome depression, anxiety, relationship issues, and heal from childhood or domestic abuse. My approach is collaborative. I listen and understand my clients' perspective of the problem and potential solutions, while providing input based on my professional training and experience. I believe that the chances of making positive changes are enhanced by a combination of support, recognizing and utilizing one's strengths, and being challenged to try new approaches.
![Photo of Susan Diane Gendein-Marshall, PhD, Psychologist](https://photos.psychologytoday.com/3c57e5cf-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Whether the focus is self esteem, depression, anxiety, relationships, trauma, addiction, or other sorts of pain, you will feel understood within a safe, caring and growth enhancing private therapy. A deeper understanding and comfort with yourself will empower you to live a richer, more productive and satisfying life.
Discover important mind-body connections, better identify your desires and goals, be more organized, hopeful and able to enjoy relationships. Design and direct your life in creative, powerful and satisfying ways. Embrace this opportunity for insight, greater happiness and positive change. I can help you to
become your most hoped for self.
Whether the focus is self esteem, depression, anxiety, relationships, trauma, addiction, or other sorts of pain, you will feel understood within a safe, caring and growth enhancing private therapy. A deeper understanding and comfort with yourself will empower you to live a richer, more productive and satisfying life.
Discover important mind-body connections, better identify your desires and goals, be more organized, hopeful and able to enjoy relationships. Design and direct your life in creative, powerful and satisfying ways. Embrace this opportunity for insight, greater happiness and positive change. I can help you to
become your most hoped for self.
![Photo of Anne Sophie Houdek, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d5252e7-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Anne Sophie Houdek
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Beaverton, OR 97005
Dear Potential Client!
Have you lost someone and can't seem to move on? Do you find that unresolved abuse issues still bother you and get in the way of daily functioning? Are you not able to create the intimacy and closeness you desire in relationships and find yourself repeating the same patterns that you know don't work? Is your confidence level not where you want it to be? Do you and your partner struggle with how to best parent? Is anxiety and depression causing you to isolate, worry a lot, lose sleep, feel hopeless? I can help!
Dear Potential Client!
Have you lost someone and can't seem to move on? Do you find that unresolved abuse issues still bother you and get in the way of daily functioning? Are you not able to create the intimacy and closeness you desire in relationships and find yourself repeating the same patterns that you know don't work? Is your confidence level not where you want it to be? Do you and your partner struggle with how to best parent? Is anxiety and depression causing you to isolate, worry a lot, lose sleep, feel hopeless? I can help!
See more therapy options for 97005
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.