Self-Harming Therapists in San Francisco, CA

Photo of Lynsie Seely @ The Connective, PhDc, LMFT, Marriage & Family Therapist
Lynsie Seely @ The Connective
Marriage & Family Therapist, PhDc, LMFT
Verified Verified
9 Endorsed
San Francisco, CA 94102
It is my hope for you that you are thriving in your life--free of anxiety, depression, and other ailments, leaving you open to fully enjoy your life. If this isn't the case and you happen to be feeling stuck, worn-down, stressed, anxious, or depressed, if you're in a challenging transition, struggling with a relationship, or wanting to embody your life more fully--Welcome! I am dedicated to helping guide and support you in achieving your goals. I work using a collaborative, body-centered, approach and will empathically support you on your journey toward greater well-being.
It is my hope for you that you are thriving in your life--free of anxiety, depression, and other ailments, leaving you open to fully enjoy your life. If this isn't the case and you happen to be feeling stuck, worn-down, stressed, anxious, or depressed, if you're in a challenging transition, struggling with a relationship, or wanting to embody your life more fully--Welcome! I am dedicated to helping guide and support you in achieving your goals. I work using a collaborative, body-centered, approach and will empathically support you on your journey toward greater well-being.
(415) 534-6049 View (415) 534-6049
Photo of Karen Kyle Mcmahan - The San Francisco Marriage and Couples Center, MA, MFT, PhD, Marriage & Family Therapist
The San Francisco Marriage and Couples Center
Marriage & Family Therapist, MA, MFT, PhD
Verified Verified
1 Endorsed
San Francisco, CA 94104
We have selected a talented team of therapists who have specialized training in the newest modalities and cutting edge treatments.
At The San Francisco Marriage and Couples Center, we offer couples therapy, marriage counseling, and relationship counseling. We are an organization of professional mental health clinicians with a top priority in providing progressive and cutting edge treatment for trauma, mood, and relationship issues. Our therapists have been chosen for their expertise in helping mood, trauma, and relationship issues. Therapists who practice at The San Francisco Marriage and Couples Center have gone through top graduate schools in the Bay Area and extensive training in the field of psychology.
We have selected a talented team of therapists who have specialized training in the newest modalities and cutting edge treatments.
At The San Francisco Marriage and Couples Center, we offer couples therapy, marriage counseling, and relationship counseling. We are an organization of professional mental health clinicians with a top priority in providing progressive and cutting edge treatment for trauma, mood, and relationship issues. Our therapists have been chosen for their expertise in helping mood, trauma, and relationship issues. Therapists who practice at The San Francisco Marriage and Couples Center have gone through top graduate schools in the Bay Area and extensive training in the field of psychology.
(415) 689-9680 View (415) 689-9680
Photo of Randy Weled, LMFT, Marriage & Family Therapist
Randy Weled
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94102
The work I do is cutting edge.
The most important questions is: "What pain brought you here? What is the hardest issue for you to deal with?" The most important result of the first session is that you walk out feeling that I understand you and will be able to be your ally in working through your issues. In other words we need to like each other and you need to feel that I have the expertise to handle your problems and not judge you.
The work I do is cutting edge.
The most important questions is: "What pain brought you here? What is the hardest issue for you to deal with?" The most important result of the first session is that you walk out feeling that I understand you and will be able to be your ally in working through your issues. In other words we need to like each other and you need to feel that I have the expertise to handle your problems and not judge you.
(415) 967-7209 View (415) 967-7209
Photo of Keith Sutton - Bay Area Center for Adolescents, Psychologist
Bay Area Center for Adolescents
Psychologist
Verified Verified
San Francisco, CA 94123
Depression, Anxiety, Substance Abuse, Defiance, Problems with Family, Cutting, Eating Disorders, Sexual Identity Issues, ADD/ADHD, Learning Disabilities, and Anger.
We at the Bay Area Center for Adolescents understand that adolescence can be a difficult time for preteens, teens, young adults, and parents. On the one hand, adolescents are learning to manage life on their own and wanting more independence, but on the other hand, they may not be prepared for the responsibilities of life or realizing the consequences of their actions. We work with adolescents and their families to navigate this difficult time while helping adolescents to become independent, but still maintain the relationship with family. The Bay Area Center for Adolescents is a group of providers who all know how to connect with adolescents and their families and provide effective therapy.
Depression, Anxiety, Substance Abuse, Defiance, Problems with Family, Cutting, Eating Disorders, Sexual Identity Issues, ADD/ADHD, Learning Disabilities, and Anger.
We at the Bay Area Center for Adolescents understand that adolescence can be a difficult time for preteens, teens, young adults, and parents. On the one hand, adolescents are learning to manage life on their own and wanting more independence, but on the other hand, they may not be prepared for the responsibilities of life or realizing the consequences of their actions. We work with adolescents and their families to navigate this difficult time while helping adolescents to become independent, but still maintain the relationship with family. The Bay Area Center for Adolescents is a group of providers who all know how to connect with adolescents and their families and provide effective therapy.
(415) 594-4958 View (415) 594-4958
Photo of Lauren Glasgow, LMFT, MA, Marriage & Family Therapist
Lauren Glasgow
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Francisco, CA 94114  (Online Only)
I have experience working with folks with Eating Disorders, Anxiety, Depression, PTSD, and self-harming behaviors.
I believe that the therapeutic relationship is where growth happens. I strive to create a warm, trusting, and safe relationship for clients to be able to express their authentic selves, without fear of judgement. I enjoy working with young adults who are navigating life transitions, new experiences, or a desire to know themselves more deeply. I believe that healing and change are possible given the right tools. I work through a psychodynamic and person-centered lens, where we can explore your past experiences to learn how they have shaped who you are today and determine where to go next.
I have experience working with folks with Eating Disorders, Anxiety, Depression, PTSD, and self-harming behaviors.
I believe that the therapeutic relationship is where growth happens. I strive to create a warm, trusting, and safe relationship for clients to be able to express their authentic selves, without fear of judgement. I enjoy working with young adults who are navigating life transitions, new experiences, or a desire to know themselves more deeply. I believe that healing and change are possible given the right tools. I work through a psychodynamic and person-centered lens, where we can explore your past experiences to learn how they have shaped who you are today and determine where to go next.
(415) 480-4996 View (415) 480-4996
Photo of Natalie Yates, MA, LMFT, Marriage & Family Therapist
Natalie Yates
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94102
I am a psychotherapist offering in-person and virtual services for individuals and teens experiencing anxiety, depression, difficult family dynamics, low self-esteem, overthinking, and self-harming behaviors. Many clients come to me seeking support in navigating ongoing relationship challenges—whether with themselves, others, or substances—as well as to heal from the impact of past traumatic experiences. Life’s challenges can feel painful, confusing, and overwhelming. Together, we’ll explore the roots of your struggles and find pathways through the pain toward a more meaningful and fulfilling life.
I am a psychotherapist offering in-person and virtual services for individuals and teens experiencing anxiety, depression, difficult family dynamics, low self-esteem, overthinking, and self-harming behaviors. Many clients come to me seeking support in navigating ongoing relationship challenges—whether with themselves, others, or substances—as well as to heal from the impact of past traumatic experiences. Life’s challenges can feel painful, confusing, and overwhelming. Together, we’ll explore the roots of your struggles and find pathways through the pain toward a more meaningful and fulfilling life.
(415) 862-3643 View (415) 862-3643
Photo of Izzy Nance - Izzy Nance, MFT, MA, MFT, Marriage & Family Therapist
Izzy Nance, MFT
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94107
I also see adolescents, providing support and psychoeducation to end self-harming or risky behaviors, building a strong alliance.
I love seeing folks at a turning point in their lives, who want to heal painful beliefs or repeating relational patterns, to find direction and self-love. With modalities of Gestalt awareness, Jungian imaginal discovery, Existential inquiry, psychoeducation and caring exploration, we dive into what wants to be seen. I see clients recover from dysfunctional family systems, addiction, and codependency. We heal past wounds and build self-support for increased choicefulness. I reference 12-step models, having over 20 years experience with them. I respect recovering individuals who often have readiness to do deep therapeutic work.
I also see adolescents, providing support and psychoeducation to end self-harming or risky behaviors, building a strong alliance.
I love seeing folks at a turning point in their lives, who want to heal painful beliefs or repeating relational patterns, to find direction and self-love. With modalities of Gestalt awareness, Jungian imaginal discovery, Existential inquiry, psychoeducation and caring exploration, we dive into what wants to be seen. I see clients recover from dysfunctional family systems, addiction, and codependency. We heal past wounds and build self-support for increased choicefulness. I reference 12-step models, having over 20 years experience with them. I respect recovering individuals who often have readiness to do deep therapeutic work.
(510) 650-1874 View (510) 650-1874
Photo of Jean Wolfe Powers Psychotherapist, MA, LMFT, CMC, ACC, Marriage & Family Therapist
Jean Wolfe Powers Psychotherapist
Marriage & Family Therapist, MA, LMFT, CMC, ACC
Verified Verified
San Francisco, CA 94105  (Online Only)
My extensive work with trauma, grief, and loss has earned worldwide attention spanning across four decades. Licensed Marriage and Family Therapist and International Certified Life Coach, I work with individuals, families, and groups to transform mental and emotional challenges into experiences of thriving health and well-being. My early career defining work began in the 80’s alongside John Bradshaw and focused on addiction, recovery, and codependency. Together with a team of cutting-edge psychotherapists, I developed groundbreaking techniques for understanding trauma: when it starts, how it affects the brain, and how to heal.
My extensive work with trauma, grief, and loss has earned worldwide attention spanning across four decades. Licensed Marriage and Family Therapist and International Certified Life Coach, I work with individuals, families, and groups to transform mental and emotional challenges into experiences of thriving health and well-being. My early career defining work began in the 80’s alongside John Bradshaw and focused on addiction, recovery, and codependency. Together with a team of cutting-edge psychotherapists, I developed groundbreaking techniques for understanding trauma: when it starts, how it affects the brain, and how to heal.
(805) 283-6695 View (805) 283-6695
Photo of Veronica Oros-Navarro, LMFT, Marriage & Family Therapist
Veronica Oros-Navarro
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94134
My name is Veronica Oros-Navarro, I am a Licensed Marriage and Family Therapist (LMFT) with twelve years of experience working with adults, the elderly, adolescents, children, and their families. I am a bilingual/bicultural therapist in English/Spanish, located in Oxnard, California, and working with clients via telehealth. I specialized in Depression, Anxiety, PTSD, Stress, Behavioral Issues, and Self-harming behaviors, using Cognitive Behavioral (CBT), Motivational Interviewing, Mindfulness, Play Therapy, Solution Focused Brief (SFBT), and Acceptance and Commitment Therapy.
My name is Veronica Oros-Navarro, I am a Licensed Marriage and Family Therapist (LMFT) with twelve years of experience working with adults, the elderly, adolescents, children, and their families. I am a bilingual/bicultural therapist in English/Spanish, located in Oxnard, California, and working with clients via telehealth. I specialized in Depression, Anxiety, PTSD, Stress, Behavioral Issues, and Self-harming behaviors, using Cognitive Behavioral (CBT), Motivational Interviewing, Mindfulness, Play Therapy, Solution Focused Brief (SFBT), and Acceptance and Commitment Therapy.
(661) 760-7891 View (661) 760-7891
Photo of Wen Fan, MA, LMFT, Marriage & Family Therapist
Wen Fan
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94121  (Online Only)
I have spent the last 10 years of my professional career honing cutting-edge techniques that are designed to help people master their anxiety.
Do you feel like you can’t live your life to the fullest because of the “What ifs”? Is your anxiety holding you back from taking the actions needed to advance your career and/or relationship? Worse yet, do you feel like you should somehow just get over it because everyone else seems to be doing just that? I know those feelings well, but I won’t sit here and pretend that I know exactly how YOU are feeling. So, let’s work together to start decoding the complexity of your emotions to not just simply control it, but learn to accept it as an intricate part of yourself.
I have spent the last 10 years of my professional career honing cutting-edge techniques that are designed to help people master their anxiety.
Do you feel like you can’t live your life to the fullest because of the “What ifs”? Is your anxiety holding you back from taking the actions needed to advance your career and/or relationship? Worse yet, do you feel like you should somehow just get over it because everyone else seems to be doing just that? I know those feelings well, but I won’t sit here and pretend that I know exactly how YOU are feeling. So, let’s work together to start decoding the complexity of your emotions to not just simply control it, but learn to accept it as an intricate part of yourself.
(408) 539-6631 View (408) 539-6631
Photo of Jennifer Holt, PhD, LPCC, MDiv, Counselor
Jennifer Holt
Counselor, PhD, LPCC, MDiv
Verified Verified
3 Endorsed
San Francisco, CA 94104  (Online Only)
My clients tend to have very diverse cultural backgrounds. They are dealing with trauma, depression/anxiety, old damaging beliefs and dysfunctional behavior. As a master therapist, I help them reclaim their lives with cutting edge brain re-training, more effective at creating permanent healing than talk therapy. By rewriting the brain's negative programs, we elicit emotional well-being, peace, joy and self-acceptance, all of which are already within you. I also work with mood disorders, relationship issues, addictions, sexual issues. I have a very high success rate and rapid results. Text me for more info: 831-888-6201.
My clients tend to have very diverse cultural backgrounds. They are dealing with trauma, depression/anxiety, old damaging beliefs and dysfunctional behavior. As a master therapist, I help them reclaim their lives with cutting edge brain re-training, more effective at creating permanent healing than talk therapy. By rewriting the brain's negative programs, we elicit emotional well-being, peace, joy and self-acceptance, all of which are already within you. I also work with mood disorders, relationship issues, addictions, sexual issues. I have a very high success rate and rapid results. Text me for more info: 831-888-6201.
(831) 240-4758 View (831) 240-4758
Photo of Johnny Morataya, LCSW, Clinical Social Work/Therapist
Johnny Morataya
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Francisco, CA 94105  (Online Only)
My approach to therapy is to create a secure and comfortable space for anyone to address their mental health needs and concerns; I am not here to judge but to understand and help. My goal is to meet you where you are and collaboratively work towards the goals that you set. I use Cognitive Behavioral Therapy as a treatment modality to aid in processing thoughts and feelings with regard to certain stressors and identify helpful coping skills.
My approach to therapy is to create a secure and comfortable space for anyone to address their mental health needs and concerns; I am not here to judge but to understand and help. My goal is to meet you where you are and collaboratively work towards the goals that you set. I use Cognitive Behavioral Therapy as a treatment modality to aid in processing thoughts and feelings with regard to certain stressors and identify helpful coping skills.
(510) 804-2497 View (510) 804-2497
Photo of Lyle Smith, AMFT, Marriage & Family Therapist Associate
Lyle Smith
Marriage & Family Therapist Associate, AMFT
Verified Verified
3 Endorsed
San Francisco, CA 94103  (Online Only)
Waitlist for new clients
I am a white, neurospicy (ADHD), NB/transgender person with a history as an art worker. I work from an anti-racist, intersectional feminist, and social justice oriented lens. As someone who has sat on the therapy couch for many years, I know how daunting it is to find a therapist that understands the needs of neurodiverse and transgender people. But, you don't have to identify in those ways to seek therapy with me. I work with many people of different ages, races, sexualities, and genders. All are welcome. If you find yourself in periods of self-isolation and loneliness due to things that have happened in the past, you're not alone.
I am a white, neurospicy (ADHD), NB/transgender person with a history as an art worker. I work from an anti-racist, intersectional feminist, and social justice oriented lens. As someone who has sat on the therapy couch for many years, I know how daunting it is to find a therapist that understands the needs of neurodiverse and transgender people. But, you don't have to identify in those ways to seek therapy with me. I work with many people of different ages, races, sexualities, and genders. All are welcome. If you find yourself in periods of self-isolation and loneliness due to things that have happened in the past, you're not alone.
(415) 853-9264 View (415) 853-9264
Photo of Manali Deolalkar, LPCC, Licensed Professional Counselor
Manali Deolalkar
Licensed Professional Counselor, LPCC
Verified Verified
5 Endorsed
San Francisco, CA 94133  (Online Only)
Are you someone who is looking to get a deeper understanding into your thoughts, emotions and overall mental health well-being? I have a few years of experience working with adults dealing with anxiety, depression, trauma, self harm, relationship/dating issues, life transitions and sex-related issues. I work with BIPOC adults, South Asian immigrants, couples, college students, immigrants, tech workers, LGBTQ+ folks, other therapists, and first timers in therapy. I take into account your life experiences, cultural background and your goals, to be able to tailor therapy that meets your need.
Are you someone who is looking to get a deeper understanding into your thoughts, emotions and overall mental health well-being? I have a few years of experience working with adults dealing with anxiety, depression, trauma, self harm, relationship/dating issues, life transitions and sex-related issues. I work with BIPOC adults, South Asian immigrants, couples, college students, immigrants, tech workers, LGBTQ+ folks, other therapists, and first timers in therapy. I take into account your life experiences, cultural background and your goals, to be able to tailor therapy that meets your need.
(628) 216-7639 View (628) 216-7639
Photo of Stephanie Lay, MA, LMFT, Marriage & Family Therapist
Stephanie Lay
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
San Francisco, CA 94102
Stephanie specializes in working with young people (12 - 35 years old), queer populations, people in transition (gender, sexuality, and life), and nerds, geeks & gamers. Their clinical specialities include suicidal ideation, self harm, depression, anxiety, sexuality, gender identity, and sexual abuse/assault.
Stephanie specializes in working with young people (12 - 35 years old), queer populations, people in transition (gender, sexuality, and life), and nerds, geeks & gamers. Their clinical specialities include suicidal ideation, self harm, depression, anxiety, sexuality, gender identity, and sexual abuse/assault.
(650) 481-9439 View (650) 481-9439
Photo of Karina Morales, LMFT, Marriage & Family Therapist
Karina Morales
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94105  (Online Only)
I have experience in working in clinics, community-based outpatients, and detention settings. I have a passion for working with young adults in efforts of assisting them in re-writing their stories and utilizing necessary coping skills to manage and evolve during difficult times. I assist my clients in separating themselves from their problems, giving their stories meaning, helping shape their identity, and discovering their life purpose.
I have experience in working in clinics, community-based outpatients, and detention settings. I have a passion for working with young adults in efforts of assisting them in re-writing their stories and utilizing necessary coping skills to manage and evolve during difficult times. I assist my clients in separating themselves from their problems, giving their stories meaning, helping shape their identity, and discovering their life purpose.
(310) 997-4980 View (310) 997-4980
Photo of Jacquelyn Tribulato Williams - Inspiration Psychological Services, PsyD, Psychologist
Inspiration Psychological Services
Psychologist, PsyD
Verified Verified
San Francisco, CA 94103
In far too many situations individuals with bipolar disorder, depression, and schizophrenia have internalized messages that there is no hope, that they are simply victims of their mental illness, and unable to reach their life goals. My practice, Inspiration Psychological Services' primary purpose is to provide individuals who struggle with mental illness with the neccessary coping skills that they need to manage symptoms, cope with everyday life challenges, and improve the quality of their lives. I strongly believe in providing a supportive atmosphere that consists of understanding individual experiences, addressing needs, instilling hope, building on strengths, and recognizing potential.
In far too many situations individuals with bipolar disorder, depression, and schizophrenia have internalized messages that there is no hope, that they are simply victims of their mental illness, and unable to reach their life goals. My practice, Inspiration Psychological Services' primary purpose is to provide individuals who struggle with mental illness with the neccessary coping skills that they need to manage symptoms, cope with everyday life challenges, and improve the quality of their lives. I strongly believe in providing a supportive atmosphere that consists of understanding individual experiences, addressing needs, instilling hope, building on strengths, and recognizing potential.
(281) 940-2212 View (281) 940-2212
Photo of Jennifer Reimer, MS, LMFT, Marriage & Family Therapist
Jennifer Reimer
Marriage & Family Therapist, MS, LMFT
Verified Verified
8 Endorsed
San Francisco, CA 94123
Do you often feel like you're moving through life without purpose or direction? Maybe it feels as if life is happening to you, rather than with you. Together, we can work toward creating a life worth living—one that's more intentional and aligned with your values. We'll focus on developing coping skills, understanding your emotions, and finding ways to prioritize the many things you balance in daily life. At the heart of it all is you—your unique experience and perspective. My goal is to better understand you and support you in navigating your personal journey with clarity and confidence.
Do you often feel like you're moving through life without purpose or direction? Maybe it feels as if life is happening to you, rather than with you. Together, we can work toward creating a life worth living—one that's more intentional and aligned with your values. We'll focus on developing coping skills, understanding your emotions, and finding ways to prioritize the many things you balance in daily life. At the heart of it all is you—your unique experience and perspective. My goal is to better understand you and support you in navigating your personal journey with clarity and confidence.
(619) 268-3048 View (619) 268-3048
Photo of Cathryn Lamb - Embark Behavioral Health
Embark Behavioral Health
Verified Verified
San Francisco, CA 94101
We understand how heartbreaking it is to watch your adolescent or teen struggle with severe mental health conditions like suicidal thoughts, self-harm, depression and anxiety. As a parent or teen, the weight of these conditions can feel overwhelming, but you're not alone. Our residential treatment center in Bend, Oregon provides 24/7 care in a safe, home-like environment for adolescents and teens ages 10-14 of all genders. With constant supervision from a compassionate, experienced team, we offer personalized treatment designed to promote emotional safety and healing. Each day is structured with therapy, therapeutic activities.
We understand how heartbreaking it is to watch your adolescent or teen struggle with severe mental health conditions like suicidal thoughts, self-harm, depression and anxiety. As a parent or teen, the weight of these conditions can feel overwhelming, but you're not alone. Our residential treatment center in Bend, Oregon provides 24/7 care in a safe, home-like environment for adolescents and teens ages 10-14 of all genders. With constant supervision from a compassionate, experienced team, we offer personalized treatment designed to promote emotional safety and healing. Each day is structured with therapy, therapeutic activities.
(458) 241-5990 View (458) 241-5990
Photo of Diana Nguyen Borsack, MA, LMFT, Marriage & Family Therapist
Diana Nguyen Borsack
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94105
We all want the best for our children: to help them grow and teach them the necessary skills to succeed in life. When we communicate with open ears and conscious hearts, this allows for healthy relationships to build. Effective therapy utilized this approach of open communication in order to foster the growth and development of youth. I strive to help every child feel that they have control over their lives, and offer the necessary skills to be happy, healthy, and to make their own positive decisions.
We all want the best for our children: to help them grow and teach them the necessary skills to succeed in life. When we communicate with open ears and conscious hearts, this allows for healthy relationships to build. Effective therapy utilized this approach of open communication in order to foster the growth and development of youth. I strive to help every child feel that they have control over their lives, and offer the necessary skills to be happy, healthy, and to make their own positive decisions.
(714) 701-6370 View (714) 701-6370
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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.