Dialectical Behavior (DBT) Therapists in Kissimmee, FL
The Good Counselor
Registered Mental Health Counselor Intern, RMHCI, HCO ID
Verified Verified
Kissimmee, FL 34741
My guiding philosophy is grounded in the principles of Motivational Interviewing (MI), the Transtheoretical Model (Stages of Change), and the principles of Cognitive-Behavioral Psychology, particularly Rational Emotive Behavior Therapy (REBT) and DBT ( Dialectical Behavioral Therapy) and EMDR.
I am an optimistic professional who always believes in the best in people. As a mental health counselor, my ambition is to help each individual unlock their full potential and to support parents and teachers in achieving this goal as well. My journey in this beautiful and rewarding field has been marked by numerous successes in helping people identify and transform their thoughts and beliefs. I've had the privilege of guiding others to recognize their automatic thoughts and have effectively implemented behavioral techniques and cognitive modifications. Together, we can create positive and lasting change!
My guiding philosophy is grounded in the principles of Motivational Interviewing (MI), the Transtheoretical Model (Stages of Change), and the principles of Cognitive-Behavioral Psychology, particularly Rational Emotive Behavior Therapy (REBT) and DBT ( Dialectical Behavioral Therapy) and EMDR.
I am an optimistic professional who always believes in the best in people. As a mental health counselor, my ambition is to help each individual unlock their full potential and to support parents and teachers in achieving this goal as well. My journey in this beautiful and rewarding field has been marked by numerous successes in helping people identify and transform their thoughts and beliefs. I've had the privilege of guiding others to recognize their automatic thoughts and have effectively implemented behavioral techniques and cognitive modifications. Together, we can create positive and lasting change!
DEBRA Ann Bundrum
Registered Mental Health Counselor Intern, R, M, H, C, I
Verified Verified
1 Endorsed
Kissimmee, FL 34747
I utilize psychotherapy as a basis to client self-discovery with a combination theoretical approaches such as CBT, DBT, Gestalt Therapy, and more.
I believe we are all unique by design, created to live and enjoy a meaningful life. We each have the capability to write and narrate our own stories, as we navigate our way through our personal gene pool, life circumstances, and the choices we make. Because of my own experiences, I am empathetic, understanding, and want you to feel heard, honored, and validated. Grounded in an existential framework, I embrace a variety of theoretical approaches to help you realize your own purpose, and resolve inner conflict resulting from childhood trauma. I offer a safe, non-judgmental, diverse, and all inclusive environment and all are welcome.
I utilize psychotherapy as a basis to client self-discovery with a combination theoretical approaches such as CBT, DBT, Gestalt Therapy, and more.
I believe we are all unique by design, created to live and enjoy a meaningful life. We each have the capability to write and narrate our own stories, as we navigate our way through our personal gene pool, life circumstances, and the choices we make. Because of my own experiences, I am empathetic, understanding, and want you to feel heard, honored, and validated. Grounded in an existential framework, I embrace a variety of theoretical approaches to help you realize your own purpose, and resolve inner conflict resulting from childhood trauma. I offer a safe, non-judgmental, diverse, and all inclusive environment and all are welcome.
Katherine offers insight into your experiences, helps you identify patterns, and provides evidenced based treatment approaches, such as CBT, DBT, IFS, Trauma Focused and Somatic interventions.
Is anxiety causing problems in your relationships and/or career? Is there something you're struggling to move past? Katherine is passionate about helping people heal from their trauma, break their anxiety cycle, learn how to soothe their nervous system and reclaim their personal power. Having 16 years counseling experience, Katherine enjoys helping people live in the present, tend to their wounds from the past, regulate emotions, challenge irrational beliefs, build healthier boundaries and find secure attachment within themself and with their partner.
Katherine offers insight into your experiences, helps you identify patterns, and provides evidenced based treatment approaches, such as CBT, DBT, IFS, Trauma Focused and Somatic interventions.
Is anxiety causing problems in your relationships and/or career? Is there something you're struggling to move past? Katherine is passionate about helping people heal from their trauma, break their anxiety cycle, learn how to soothe their nervous system and reclaim their personal power. Having 16 years counseling experience, Katherine enjoys helping people live in the present, tend to their wounds from the past, regulate emotions, challenge irrational beliefs, build healthier boundaries and find secure attachment within themself and with their partner.
I utilize techniques such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), solution focused therapy and more.
Have you ever felt like there is so much you want to talk about but don’t know where to start? Or that you have new stressors or anxieties that you want to explore to be able to continue going forward in life. Everyone has a different story and it is a privilege to be able to hear and be involved in every story. My name is Lyanne, my goal is to listen to better understand and help process what is going on in your life. The first step is wanting to talk about it. My hope is to build a trusting therapeutic relationship to be able to navigate this thing called life together.
I utilize techniques such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy ( DBT), solution focused therapy and more.
Have you ever felt like there is so much you want to talk about but don’t know where to start? Or that you have new stressors or anxieties that you want to explore to be able to continue going forward in life. Everyone has a different story and it is a privilege to be able to hear and be involved in every story. My name is Lyanne, my goal is to listen to better understand and help process what is going on in your life. The first step is wanting to talk about it. My hope is to build a trusting therapeutic relationship to be able to navigate this thing called life together.
Tamara Saint Gilles
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Kissimmee, FL 34741 (Online Only)
As a trauma-informed therpaist, my goal is to help you recognize the challenges that have lead to symptoms of depression, anxiety, guilt or shame by using techniques such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Mindfulness, and Progressive Muscle Relaxation.
Do you find yourself waking up feeling tired? Are you unable to focus or find it hard to get your day started? Is depression making it hard for you to complete everyday tasks such as showering, cooking, cleaning or spending quality time with loved ones? Is anxiety making it hard for you to complete your school work or tasks at work? Imagine waking up rested after a full night’s sleep, excited about a new project at work. Is your goal to feel equipped to handle the challenges life throws at you? If your answer is yes, then we should talk. I specialize in anxiety and depression while providing trauma-informed therapy with you in mind.
As a trauma-informed therpaist, my goal is to help you recognize the challenges that have lead to symptoms of depression, anxiety, guilt or shame by using techniques such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Mindfulness, and Progressive Muscle Relaxation.
Do you find yourself waking up feeling tired? Are you unable to focus or find it hard to get your day started? Is depression making it hard for you to complete everyday tasks such as showering, cooking, cleaning or spending quality time with loved ones? Is anxiety making it hard for you to complete your school work or tasks at work? Imagine waking up rested after a full night’s sleep, excited about a new project at work. Is your goal to feel equipped to handle the challenges life throws at you? If your answer is yes, then we should talk. I specialize in anxiety and depression while providing trauma-informed therapy with you in mind.
My approach is grounded in strength-based, solution-focused therapies including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), & more.
Are you at a point where you're ready to begin your journey towards healing? Whether you're facing anxiety, depression, trauma, or navigating challenging life circumstances, you've taken the courageous step to commit to your healing process.
My approach is grounded in strength-based, solution-focused therapies including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy ( DBT), & more.
Are you at a point where you're ready to begin your journey towards healing? Whether you're facing anxiety, depression, trauma, or navigating challenging life circumstances, you've taken the courageous step to commit to your healing process.
During sessions, different therapeutic approaches might be utilized, including Motivational Interviewing, Cognitive Behavioral Therapy (CBT), Trauma-Focused Behavior Therapy (TF-CBT), Dialectical Behavior Therapy ( DBT), Mindfulness-based Therapy, and Attachment, Regulation and Competency (ARC).
Are you ready for a new beginning? As a Mental Health Counselor, I believe in the potential of all my clients. Together, we will explore your strengths and opportunities and work to fulfill your goals. I have over 15 years of experience working with family interactions, reunification, life issues, mental health diagnoses, trauma, and anger management. My therapeutic focus is client-centered.
During sessions, different therapeutic approaches might be utilized, including Motivational Interviewing, Cognitive Behavioral Therapy (CBT), Trauma-Focused Behavior Therapy (TF-CBT), Dialectical Behavior Therapy ( DBT), Mindfulness-based Therapy, and Attachment, Regulation and Competency (ARC).
Are you ready for a new beginning? As a Mental Health Counselor, I believe in the potential of all my clients. Together, we will explore your strengths and opportunities and work to fulfill your goals. I have over 15 years of experience working with family interactions, reunification, life issues, mental health diagnoses, trauma, and anger management. My therapeutic focus is client-centered.
I utilize interventions from modalities including Cognitive Behavior Therapy, Dialectical Behavior Therapy, Experiential Therapy, and Internal Family Systems, all through an integrative and eclectic lens.
Life's challenges can often leave us feeling isolated and alone, but it doesn't have to stay that way. With a client centered and integrative approach, I provide individual, couples, and family therapy to clients who are seeking to find hope and healing. I believe that therapy is a collaborative process and tailor each session to meet my client's needs and preferences, all while integrating evidence based practices to ensure that you will be able to develop the skills to overcome the challenges you are facing.
I utilize interventions from modalities including Cognitive Behavior Therapy, Dialectical Behavior Therapy, Experiential Therapy, and Internal Family Systems, all through an integrative and eclectic lens.
Life's challenges can often leave us feeling isolated and alone, but it doesn't have to stay that way. With a client centered and integrative approach, I provide individual, couples, and family therapy to clients who are seeking to find hope and healing. I believe that therapy is a collaborative process and tailor each session to meet my client's needs and preferences, all while integrating evidence based practices to ensure that you will be able to develop the skills to overcome the challenges you are facing.
Liz Smith
Counselor, LCPC , CMHC, LMHC, LAC, CCTP
Verified Verified
Kissimmee, FL 34742 (Online Only)
Waitlist for new clients
I use Gestalt Therapy techniques, along with Dialectical Behavior Therapy ( DBT) techniques to help clients explore ongoing emotions in the here and now.
I am first, a client-centered therapist. I believe therapy should be about the client and be met with unconditional positive regard. There is no place for judgment in therapy, and I am here to help you process and make your own decisions, not to tell you what to do.
I use Gestalt Therapy techniques, along with Dialectical Behavior Therapy ( DBT) techniques to help clients explore ongoing emotions in the here and now.
I am first, a client-centered therapist. I believe therapy should be about the client and be met with unconditional positive regard. There is no place for judgment in therapy, and I am here to help you process and make your own decisions, not to tell you what to do.
Marlene Hickman
Clinical Social Work/Therapist, LCSW
Verified Verified
Kissimmee, FL 34758 (Online Only)
Certified in Dialectical Behavioral therapy.
Hi there. I’m Marlene, I am a Licensed Clinical Social Worker based in Florida and licensed in Florida and New York. I work with young and older adults and specialize in anxiety, depression, loneliness, family issues, relationship issues and loss.
Certified in Dialectical Behavioral therapy.
Hi there. I’m Marlene, I am a Licensed Clinical Social Worker based in Florida and licensed in Florida and New York. I work with young and older adults and specialize in anxiety, depression, loneliness, family issues, relationship issues and loss.
I've been trained in dialectical behavioral therapy ( DBT), cognitive-behavioral therapy (CBT), trauma-focused cognitive behavioral therapy (TF-CBT), cognitive behavioral therapy, suicide prevention (CBT-SP), zero suicide (CAMS & CALM).
I work with adults in individual, family, couple, and group therapeutic settings. I have worked with those who struggle with depression, anxiety, self-harm, suicidal ideation, behavior issues, anger, life transitions & stress, trauma, and self-esteem, family dynamics, co-occurring disorders, and executive functioning. I received my Masters of Arts in Professional Counseling from Liberty University and received my Bachelors of Arts in Sociology from the University of North Texas.
I've been trained in dialectical behavioral therapy ( DBT), cognitive-behavioral therapy (CBT), trauma-focused cognitive behavioral therapy (TF-CBT), cognitive behavioral therapy, suicide prevention (CBT-SP), zero suicide (CAMS & CALM).
I work with adults in individual, family, couple, and group therapeutic settings. I have worked with those who struggle with depression, anxiety, self-harm, suicidal ideation, behavior issues, anger, life transitions & stress, trauma, and self-esteem, family dynamics, co-occurring disorders, and executive functioning. I received my Masters of Arts in Professional Counseling from Liberty University and received my Bachelors of Arts in Sociology from the University of North Texas.
15 Second Videos
Sarah O'Hern
Crossing Over Counseling, LLC
Liberation Counseling LLC
Megan Carey
Cassandra Paul
Kateena James
Catalyst Counseling Associates
Martina Hines
Broken Wings
Kari Rodriguez
Sarah O'Hern
Counselor, MS, LMHC, CCTP
Verified Verified
38 Endorsed
Kissimmee, FL 34741 (Online Only)
I am trained in Emotionally Focused Therapy (EFT), EMDR, ART, DBT, and ACT - all of which are evidence-based treatment methods for various conditions and/or goals.
I specialize in working with couples, as well as clients diagnosed with Borderline Personality Disorder (BPD), who have Anxious Attachment styles, difficulties with regulating emotions, and/or have a history of trauma. No matter who you are or what you hope to accomplish during your time with me, I seek to provide a validating, empathetic, non-judgmental, and supportive presence- as you do the hard work! I am a passionate person who cares deeply about the work I do and the people I do it for- YOU! I welcome you to my practice- in your time- when you’re ready to create a life worth living.
I am trained in Emotionally Focused Therapy (EFT), EMDR, ART, DBT, and ACT - all of which are evidence-based treatment methods for various conditions and/or goals.
I specialize in working with couples, as well as clients diagnosed with Borderline Personality Disorder (BPD), who have Anxious Attachment styles, difficulties with regulating emotions, and/or have a history of trauma. No matter who you are or what you hope to accomplish during your time with me, I seek to provide a validating, empathetic, non-judgmental, and supportive presence- as you do the hard work! I am a passionate person who cares deeply about the work I do and the people I do it for- YOU! I welcome you to my practice- in your time- when you’re ready to create a life worth living.
Crossing Over Counseling, LLC
Counselor, MA, LMHC
Verified Verified
Kissimmee, FL 34741 (Online Only)
As a therapist, I believe in creating a warm, non-judgmental, and supportive environment where clients feel safe to explore their feelings and experiences. I understand that seeking therapy can be a difficult decision, and I respect the courage it takes to take the first step. I take a collaborative approach with my clients, working together to identify their goals and develop a personalized treatment plan that meets their unique needs. In my practice, I draw from a range of therapeutic modalities, including cognitive-behavioral therapy (CBT), dialectical behavioral therapy, and Solution Focused Brief Therapy (SFBT).
As a therapist, I believe in creating a warm, non-judgmental, and supportive environment where clients feel safe to explore their feelings and experiences. I understand that seeking therapy can be a difficult decision, and I respect the courage it takes to take the first step. I take a collaborative approach with my clients, working together to identify their goals and develop a personalized treatment plan that meets their unique needs. In my practice, I draw from a range of therapeutic modalities, including cognitive-behavioral therapy (CBT), dialectical behavioral therapy, and Solution Focused Brief Therapy (SFBT).
Tynise Brandon
Registered Mental Health Counselor Intern, MA, RMHCI
Verified Verified
Kissimmee, FL 34743
Through training in a psychodynamic approach, behavioral strategies, and DBT, I invite the exploration of thoughts and emotions openly, crafting of personalized strategies to enhance emotional intelligence & resilience, and creation of effective interpersonal skills.
Whether you're navigating the complexities of adolescence/young adulthood or an adult ready to release your pain, my aim is to help embrace the change, and seek the skills needed for the journey. Together, we can uncover your strengths and potential roadblocks that have shaped your path to growth and healing.
Through training in a psychodynamic approach, behavioral strategies, and DBT, I invite the exploration of thoughts and emotions openly, crafting of personalized strategies to enhance emotional intelligence & resilience, and creation of effective interpersonal skills.
Whether you're navigating the complexities of adolescence/young adulthood or an adult ready to release your pain, my aim is to help embrace the change, and seek the skills needed for the journey. Together, we can uncover your strengths and potential roadblocks that have shaped your path to growth and healing.
Roselie Ami Andujar
Pre-Licensed Professional, MSW, RCSWI
Verified Verified
Kissimmee, FL 34746 (Online Only)
I specialize in helping clients manage depression, anxiety, mood disorders, and personality challenges through tailored approaches like CBT, DBT, and strengths-based therapy.
My ideal client is someone seeking relief from the weight of depression, anxiety, or mood challenges, feeling overwhelmed but ready for change. They want to better understand themselves, break free from negative patterns, and improve their relationships. Together, we'll work on building coping skills, self-awareness, and emotional resilience, with the goal of creating a more balanced, fulfilling life where they feel empowered and in control.
I specialize in helping clients manage depression, anxiety, mood disorders, and personality challenges through tailored approaches like CBT, DBT, and strengths-based therapy.
My ideal client is someone seeking relief from the weight of depression, anxiety, or mood challenges, feeling overwhelmed but ready for change. They want to better understand themselves, break free from negative patterns, and improve their relationships. Together, we'll work on building coping skills, self-awareness, and emotional resilience, with the goal of creating a more balanced, fulfilling life where they feel empowered and in control.
Jill Earp Counseling, Inc.
Counselor, LMHC
Verified Verified
1 Endorsed
Kissimmee, FL 34741 (Online Only)
Waitlist for new clients
I generally use a person-centered counseling perspective as well as CBT and DBT techniques.
Therapy is available for anyone who is brave enough to ask for help. You do not need to get to rock bottom in order to start therapy. Therapy can help you identify and achieve goals, reduce symptoms of mental illness, and improve your own understanding of yourself. You are the expert on you and I want to help you learn how to be your best self. My varied experiences in the counseling field helps me understand my clients and their unique experiences. Together, we will work to create trust and build a genuine relationship that validates your emotions and motivates you to achieve your goals.
I generally use a person-centered counseling perspective as well as CBT and DBT techniques.
Therapy is available for anyone who is brave enough to ask for help. You do not need to get to rock bottom in order to start therapy. Therapy can help you identify and achieve goals, reduce symptoms of mental illness, and improve your own understanding of yourself. You are the expert on you and I want to help you learn how to be your best self. My varied experiences in the counseling field helps me understand my clients and their unique experiences. Together, we will work to create trust and build a genuine relationship that validates your emotions and motivates you to achieve your goals.
Liberation Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Kissimmee, FL 34744 (Online Only)
I provide a holistic trauma-informed perspective using social justice, dialectical behavioral, and somatic therapeutic approaches.
Hi, my name is Kiersten Kelley (she/her), the Owner, and Lesbian Therapist at Liberation Counseling, LLC, the place where social justice and counseling meet. Here at Liberation Counseling, you can access quality teletherapy and mental health and social justice resources. As a mixed Lesbian woman and LGBTQ affirming therapist I see every day how environments and systems can affect our mental health and ability to heal and feel safe. That is why social justice and counseling go hand in hand in finding liberation. I work with adolescents and adults with challenges such as depression, anxiety, ADHD, identity, self-esteem, and trauma.
I provide a holistic trauma-informed perspective using social justice, dialectical behavioral, and somatic therapeutic approaches.
Hi, my name is Kiersten Kelley (she/her), the Owner, and Lesbian Therapist at Liberation Counseling, LLC, the place where social justice and counseling meet. Here at Liberation Counseling, you can access quality teletherapy and mental health and social justice resources. As a mixed Lesbian woman and LGBTQ affirming therapist I see every day how environments and systems can affect our mental health and ability to heal and feel safe. That is why social justice and counseling go hand in hand in finding liberation. I work with adolescents and adults with challenges such as depression, anxiety, ADHD, identity, self-esteem, and trauma.
Megan Carey
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Kissimmee, FL 34741 (Online Only)
I utilize cognitive behavioral, solution focused, and dialectical behavioral modalities to help you develop a routine of self-nurturing and healing.
Are you a "people pleaser"? Are you feeling weighed down by life? Does it feel like you are stuck, when everyone else has it figured out? Are you tired of giving to others, leaving nothing for yourself? If this feels familiar and you are ready to get to the bottom of what has gotten you here, know that help is here. I work with clients to work through what's hurting, develop strength in the face of life's stressors, and build a life that feels right for them.
I utilize cognitive behavioral, solution focused, and dialectical behavioral modalities to help you develop a routine of self-nurturing and healing.
Are you a "people pleaser"? Are you feeling weighed down by life? Does it feel like you are stuck, when everyone else has it figured out? Are you tired of giving to others, leaving nothing for yourself? If this feels familiar and you are ready to get to the bottom of what has gotten you here, know that help is here. I work with clients to work through what's hurting, develop strength in the face of life's stressors, and build a life that feels right for them.
Wendy Long
Registered Clinical Social Worker Intern, MSW
Verified Verified
1 Endorsed
Kissimmee, FL 34741
Wendy Long is a Registered Clinical Social Worker Intern who earned a Master of Clinical Social Work degree from the University of Central Florida as a first-gen & non-traditional student. Wendy’s therapeutic approach is client-centered, strengths-based, and solution-focused—with the goal of enabling her clients to thrive while living as their “best selves.” In her spare time, Wendy daydreams about beachside tiny-home living with her toothless pet cat, Jerry. An accomplished parent, she is most proud of raising two incredible humans & lifelong theme-park aficionados.
Wendy Long is a Registered Clinical Social Worker Intern who earned a Master of Clinical Social Work degree from the University of Central Florida as a first-gen & non-traditional student. Wendy’s therapeutic approach is client-centered, strengths-based, and solution-focused—with the goal of enabling her clients to thrive while living as their “best selves.” In her spare time, Wendy daydreams about beachside tiny-home living with her toothless pet cat, Jerry. An accomplished parent, she is most proud of raising two incredible humans & lifelong theme-park aficionados.
Michael Tyler Ramos
Clinical Social Work/Therapist, LCSW, CAADC
Verified Verified
Kissimmee, FL 34744 (Online Only)
I use a diverse range of therapeutic approaches, including EMDR, psychodynamic, relational, harm reduction, motivational interviewing, solution-focused, and family systems therapy. I also incorporate somatic experiencing and fitness to enhance body awareness. My expertise lies in complex Trauma and identity-related Trauma, such as Racial/ ethnic, cultural, gender, and sexual orientation.
I use a diverse range of therapeutic approaches, including EMDR, psychodynamic, relational, harm reduction, motivational interviewing, solution-focused, and family systems therapy. I also incorporate somatic experiencing and fitness to enhance body awareness. My expertise lies in complex Trauma and identity-related Trauma, such as Racial/ ethnic, cultural, gender, and sexual orientation.
See more therapy options for Kissimmee
Nearby Dialectical Behavior (DBT) Therapists Searches for Kissimmee
- Celebration
- Davenport
- Haines City
- Lake Buena Vista
- Maitland
- Oakland
- Ocoee
- Orlando
- Saint Cloud
- Windermere
- Winter Garden
- Winter Park
Dialectical Behavior (DBT) Therapists
Who is DBT for?
Dialectical Behavior Therapy (DBT) is designed for people who experience extreme emotional suffering because they lack the skills of emotion regulation and distress tolerance. The basic affliction can underlie a wide range of conditions, from borderline and other personality disorders to PTSD and treatment-resistant anxiety and depression. The therapy is helpful to those whose emotional reactivity is so intense it is disruptive to everyday functioning and leads to frequent crises.
Why do people need DBT?
The ability to regulate emotions is a core psychological skill that enables people to function in life and pay attention to the world outside themselves; it is consistently associated with well-being. DBT is designed to help people learn how to manage and regulate their emotions. Originally developed to treat people with borderline personality disorder whose extreme emotional suffering led to self-harming behavior and suicide attempts, the therapy is now applied to other conditions involving emotion dysregulation, particularly when other treatments have failed.
What happens in DBT?
Individuals meet weekly with their therapist to discuss their experiences relating to moods, behavior, and skills. Using checklists they maintain, they review emotional experiences and positive practices they engage in. The diaries help individuals discern what led up to a specific problem encountered, this is followed by discussion of the consequences of their actions. In addition, individuals may meet in class-like small groups to learn skills such as mindfulness, emotion regulation and distress tolerance.
How long does DBT last?
Because it is intended to establish long-lasting behavioral change among those with persistent problems, DBT is designed to last six months to a year. DBT includes both weekly sessions of individual therapy and weekly skills-training sessions conducted in small groups. Studies of DBT have documented improvement within a year of treatment, particularly in controlling self-harmful behavior; nevertheless, individuals may require therapy for several years.