Dissociative Disorders (DID) Therapists in Farmington, MI
![Photo of Diana Appleton - Diana Appleton (The Gentle Caress), LLPC, Licensed Professional Counselor](https://photos.psychologytoday.com/cf9e1dd3-9996-4266-bac2-13a61825e99c/3/320x400.jpeg)
Diana Appleton (The Gentle Caress)
Licensed Professional Counselor, LLPC
Verified Verified
Farmington, MI 48336 (Online Only)
On the Mental Health side we offer Counseling for Adults, Child, Adolescent, Relationship & Families. Monthly we have our "Mommy Circles" which give Mommies (pregnant, postpartum, experienced) a chance to discuss issues they face daily as a Mom. This allows them to vent, learn coping mechanisms & solutions to help reduce of postpartum or any form of depression. On the Physical Health side we have a physical trainer to help those that are struggling with any form depression and/or stress due to their unhappiness with their physical look. This service allows you to exercise your body after exercising your mind.
On the Mental Health side we offer Counseling for Adults, Child, Adolescent, Relationship & Families. Monthly we have our "Mommy Circles" which give Mommies (pregnant, postpartum, experienced) a chance to discuss issues they face daily as a Mom. This allows them to vent, learn coping mechanisms & solutions to help reduce of postpartum or any form of depression. On the Physical Health side we have a physical trainer to help those that are struggling with any form depression and/or stress due to their unhappiness with their physical look. This service allows you to exercise your body after exercising your mind.
![Photo of Franklin R Sollars - Sollars and Associates, PhD, LP, Psychologist](https://photos.psychologytoday.com/3c426fe1-7449-4c21-beab-70bf0c726dcf/1/320x400.png)
I am a licensed psychologist and the clinical director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. With support, encouragement, and expert insight many people begin to feel better after their first session. Our therapists possess a great deal of experience in evaluating and working with children, adolescents, and families dealing with a variety of issues.
I am a licensed psychologist and the clinical director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. With support, encouragement, and expert insight many people begin to feel better after their first session. Our therapists possess a great deal of experience in evaluating and working with children, adolescents, and families dealing with a variety of issues.
![Photo of Jamie Mcnally - Sycamore Counseling Services (& LLPC Supervision), MA, LLP, LPC, PhD, Licensed Professional Counselor](https://photos.psychologytoday.com/4891c482-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sycamore Counseling Services (& LLPC Supervision)
Licensed Professional Counselor, MA, LLP, LPC, PhD
Verified Verified
Farmington, MI 48331
Life is hard. It is also beautiful. At Sycamore, our sole purpose is to help our clients discover the freedom and joy that comes from living a more abundant life. Sycamore Counseling Services exists because every single day there are those of us who need hope...healing...happiness. We believe that people deserve to be truly seen, that we are all capable of greater things than we could ever imagine, and that every human being is valuable, We believe that pain may never be forgotten, but it can be transformed. We believe that it is possible for YOUR life to be more defined by its beauty than its pain.
Life is hard. It is also beautiful. At Sycamore, our sole purpose is to help our clients discover the freedom and joy that comes from living a more abundant life. Sycamore Counseling Services exists because every single day there are those of us who need hope...healing...happiness. We believe that people deserve to be truly seen, that we are all capable of greater things than we could ever imagine, and that every human being is valuable, We believe that pain may never be forgotten, but it can be transformed. We believe that it is possible for YOUR life to be more defined by its beauty than its pain.
![Photo of Sylvia S Gray - E3 Michigan- Engage-Empower-Educate, PhD, LMSW, LPC, CAADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/55f126ee-4afa-4f03-8192-043f56ea61a9/4/320x400.jpeg)
E3 Michigan- Engage-Empower-Educate
Clinical Social Work/Therapist, PhD, LMSW, LPC, CAADC
Verified Verified
Farmington, MI 48336 (Online Only)
We empower our clients through Individual and Family therapy, as well as a male mentoring component that focuses on African American males. We specialize in dysfunctional communication patterns, victims of trauma, substance abuse, LGBTQ+, blended families, PTSD, adjustment/mood disorders, depression, anxiety, grief, stress, COVID-19, domestic violence, and sexual abuse. However, we are not limited to these conditions. Please call us today to make the first step. Remember we will all Repeat what we don't Repair!!!
We empower our clients through Individual and Family therapy, as well as a male mentoring component that focuses on African American males. We specialize in dysfunctional communication patterns, victims of trauma, substance abuse, LGBTQ+, blended families, PTSD, adjustment/mood disorders, depression, anxiety, grief, stress, COVID-19, domestic violence, and sexual abuse. However, we are not limited to these conditions. Please call us today to make the first step. Remember we will all Repeat what we don't Repair!!!
![Photo of Victor M Cruz - Cruz Clinic, MD](https://photos.psychologytoday.com/4cdd8212-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Cruz Clinic is a family centered, out-patient mental health clinic that has provided comprehensive counseling services in the metro-Detroit area for over 25 years. Its commitment is to provide unexcelled professional services for the entire family from childhood through aging. Since it's inception the clinic's primary goal has been to tailor treatment plans to meet specific patient needs. This is done in conjucntion with the patient to enhace overall functioning by reflecting and building on innate strengths, developing stability, adjustment, and independence. Treatment also includes increasing coping skills to enable better decision-making and healthier lifestyle choices.
To accomplish these goals, Cruz Clinic offers an interdisciplinary team of therapists (Psychiatrist, Psychologist, and Social Worker) who are constantly upgrading their professional credentails and training.
Cruz Clinic is a family centered, out-patient mental health clinic that has provided comprehensive counseling services in the metro-Detroit area for over 25 years. Its commitment is to provide unexcelled professional services for the entire family from childhood through aging. Since it's inception the clinic's primary goal has been to tailor treatment plans to meet specific patient needs. This is done in conjucntion with the patient to enhace overall functioning by reflecting and building on innate strengths, developing stability, adjustment, and independence. Treatment also includes increasing coping skills to enable better decision-making and healthier lifestyle choices.
To accomplish these goals, Cruz Clinic offers an interdisciplinary team of therapists (Psychiatrist, Psychologist, and Social Worker) who are constantly upgrading their professional credentails and training.
![Photo of Danielle Flint, LMSW, SSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/14967771-b162-42f0-9ed4-fe4c86d037a6/2/320x400.png)
Danielle Flint
Clinical Social Work/Therapist, LMSW, SSW
Verified Verified
1 Endorsed
Farmington, MI 48335
Do you ever find yourself overwhelmed, exhausted, or tightly wound when facing the stress of everyday life? Feeling the pressure to have the perfect work-life balance can cause complete withdrawal from all things that can provide high quality, fulfilling life. Have you been concerned about the stigma that asking for help brings from your network of family and friends?
Do you ever find yourself overwhelmed, exhausted, or tightly wound when facing the stress of everyday life? Feeling the pressure to have the perfect work-life balance can cause complete withdrawal from all things that can provide high quality, fulfilling life. Have you been concerned about the stigma that asking for help brings from your network of family and friends?
More Therapists Nearby
![Photo of Joseph VanDerZanden, MEd, LPC, Counselor](https://photos.psychologytoday.com/44de65d7-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Do you worry all the time? Do worry, stress or fear interfere with your life? Are you your own harshest critic, never able to please yourself, feeling like you're never good enough? Is depression taking the joy out of your life? You might be feeling like you just can't take it anymore; like you just don't have the energy to try anymore. What might your life be like if you could silence your inner critic? If you could just stop feeling so irritated or angry? To wake up refreshed and eager to face the day?
Do you worry all the time? Do worry, stress or fear interfere with your life? Are you your own harshest critic, never able to please yourself, feeling like you're never good enough? Is depression taking the joy out of your life? You might be feeling like you just can't take it anymore; like you just don't have the energy to try anymore. What might your life be like if you could silence your inner critic? If you could just stop feeling so irritated or angry? To wake up refreshed and eager to face the day?
![Photo of Dorothy Zynda-Snyder, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3bad1ab1-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Dorothy Zynda-Snyder
Clinical Social Work/Therapist, LMSW
Verified Verified
Farmington Hills, MI 48336
If you are struggling with relationships and/or feeling overwhelmed, anxious, sad etc. and are looking for some relief, talking about those feelings can help to make them less severe and easier to overcome. The state of the world to many, may feel very overwhelming and anxiety ridden with the virus situation, because of this phone sessions are currently available. If you are interested, please do not hesitate to call as we will all get through this by being there to talk things out. We are not in this alone and support is just a phone call/face time away.
If you are struggling with relationships and/or feeling overwhelmed, anxious, sad etc. and are looking for some relief, talking about those feelings can help to make them less severe and easier to overcome. The state of the world to many, may feel very overwhelming and anxiety ridden with the virus situation, because of this phone sessions are currently available. If you are interested, please do not hesitate to call as we will all get through this by being there to talk things out. We are not in this alone and support is just a phone call/face time away.
![Photo of Catherine Miree - Higher Heights Counseling Services, MA, LPC, NBCC, ACA, Licensed Professional Counselor](https://photos.psychologytoday.com/43d90b3b-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Higher Heights Counseling Services
Licensed Professional Counselor, MA, LPC, NBCC, ACA
Verified Verified
Farmington Hills, MI 48334
The truth is we are living in intense times that contribute towards discord and dysfunction. As such, you may find yourself on a journey not of your own choosing; and, often during these times, you could stumble upon a place called uncertainty. Basically, this is a place of being stuck at a crossroad, not knowing which direction to take that will produce the results you desire. Or, perhaps you have made some decisions that have resulted in negative consequences and the solutions seem improbable. In essence, no matter the contributing factors to where you are today, CHANGE is still possible, and HEALING is still obtainable!
The truth is we are living in intense times that contribute towards discord and dysfunction. As such, you may find yourself on a journey not of your own choosing; and, often during these times, you could stumble upon a place called uncertainty. Basically, this is a place of being stuck at a crossroad, not knowing which direction to take that will produce the results you desire. Or, perhaps you have made some decisions that have resulted in negative consequences and the solutions seem improbable. In essence, no matter the contributing factors to where you are today, CHANGE is still possible, and HEALING is still obtainable!
![Photo of Gary J Gunther - Gary J. Gunther, Ph.D., PhD, Psychologist](https://photos.psychologytoday.com/3cb693a6-46cd-11ea-a6ad-06142c356176/8/320x400.jpeg)
I have been in practice for over 40 years and I believe that I am successful in making most clients feel comfortable and listened to. I have extensive training in psychotherapy and my therapeutic approach is practical and supportive; I am active, compassionate and able to engage the client in the therapeutic process. I try to meet the person where they are at and tailor a therapeutic approach that meets their needs. I have found that deep and genuine emotional understanding and insight translates into real and lasting behavioral change.
I have been in practice for over 40 years and I believe that I am successful in making most clients feel comfortable and listened to. I have extensive training in psychotherapy and my therapeutic approach is practical and supportive; I am active, compassionate and able to engage the client in the therapeutic process. I try to meet the person where they are at and tailor a therapeutic approach that meets their needs. I have found that deep and genuine emotional understanding and insight translates into real and lasting behavioral change.
![Photo of Heidi Stamper, LPC, Counselor](https://photos.psychologytoday.com/d00191b1-d899-4f1a-a5a1-d0476b9b31ce/1/320x400.jpeg)
When speaking with people about finding a therapist, I like to compare the process to finding the right hairdresser or making a new friend: If someone doesn’t match what you’re looking for or help you envision and plan for a healthier or more fulfilling life, then move on to the next one! Therapy is very personal, and I take a person-centered approach. My own experiences as a survivor of postpartum mood and anxiety disorders (PMADs) - as well as firsthand knowledge of and experience in coping with family adjustment issues and addiction in loved ones – provide me the insight needed to have meaningful sessions with my clients.
When speaking with people about finding a therapist, I like to compare the process to finding the right hairdresser or making a new friend: If someone doesn’t match what you’re looking for or help you envision and plan for a healthier or more fulfilling life, then move on to the next one! Therapy is very personal, and I take a person-centered approach. My own experiences as a survivor of postpartum mood and anxiety disorders (PMADs) - as well as firsthand knowledge of and experience in coping with family adjustment issues and addiction in loved ones – provide me the insight needed to have meaningful sessions with my clients.
![Photo of Evan West, PsyD, LP, MSCP, Psychologist](https://photos.psychologytoday.com/440c9687-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Please Stop Talking! Have you thought this about your past therapist? Have you wondered how they could try and help you when they did not stop long enough to get to know you? As a Clinical Psychologist in practice for 30 years, I have heard this complaint more than any other among my patients whom have previously been in psychotherapy. In my clinical practice I respect the patient as the expert on themselves and will work with you to bring out the insight, esteem, knowledge and coping strategies you had inside or were open to learning about.
Please Stop Talking! Have you thought this about your past therapist? Have you wondered how they could try and help you when they did not stop long enough to get to know you? As a Clinical Psychologist in practice for 30 years, I have heard this complaint more than any other among my patients whom have previously been in psychotherapy. In my clinical practice I respect the patient as the expert on themselves and will work with you to bring out the insight, esteem, knowledge and coping strategies you had inside or were open to learning about.
![Photo of Ingrid N Grossberg - Counseling Associates, PhD](https://photos.psychologytoday.com/3b8e6318-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
We are a nationally acclaimed clinic with a staff of over 20 psychologists, social workers and psychiatrists. This means there's virtually no waiting time for an appointment. Our phones are answered 24 hours a day, 7 days a week. Our clinic, open since 1973, specializes in mental health, substance abuse and employee assistance programs. All of our practitioners have either a Master's or Doctor's degree. We provide services for people of all ages, from 3 to 103. We can work with individuals, couples and families. We are approved for most insurances and many employee assistance programs (EAPs).
We are a nationally acclaimed clinic with a staff of over 20 psychologists, social workers and psychiatrists. This means there's virtually no waiting time for an appointment. Our phones are answered 24 hours a day, 7 days a week. Our clinic, open since 1973, specializes in mental health, substance abuse and employee assistance programs. All of our practitioners have either a Master's or Doctor's degree. We provide services for people of all ages, from 3 to 103. We can work with individuals, couples and families. We are approved for most insurances and many employee assistance programs (EAPs).
![Photo of Robb Kerr, MA, PsyS, PhD, LLP, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/9deccbf1-9b89-4634-a9d3-f877fede04a5/1/320x400.jpeg)
Robb Kerr
Licensed Professional Counselor, MA, PsyS, PhD, LLP, LPC
Verified Verified
4 Endorsed
Farmington Hills, MI 48336
Psychotherapy is about personal and interpersonal awareness. As a seasoned clinician, I work with my patients to deepen insight and begin resolution of longstanding conflicts.
Psychotherapy is about personal and interpersonal awareness. As a seasoned clinician, I work with my patients to deepen insight and begin resolution of longstanding conflicts.
![Photo of Cheryl Merchant - Best Life Coaching, Counseling, and Consulting, PhD, LPC, NCC, Counselor](https://photos.psychologytoday.com/509e622b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Best Life Coaching, Counseling, and Consulting
Counselor, PhD, LPC, NCC
Verified Verified
Farmington Hills, MI 48331 (Online Only)
Waitlist for new clients
Best Life Coaching, Counseling, and Consulting provides empathy, understanding, and client-goal-directed solutions. We want to help you heal your emotional distress, and explore and discover your purpose to grow and thrive in life to be and enjoy the best you. Dr. Cheryl will begin accepting requests for group workshops in September 2023. Dr. Cheryl is state-licensed clinical mental health therapist and provides services to address issues like anger, anxiety, career, and life changes. Coaching, Counseling, and Consulting services are available and can be integrated at clients' requests.
Best Life Coaching, Counseling, and Consulting provides empathy, understanding, and client-goal-directed solutions. We want to help you heal your emotional distress, and explore and discover your purpose to grow and thrive in life to be and enjoy the best you. Dr. Cheryl will begin accepting requests for group workshops in September 2023. Dr. Cheryl is state-licensed clinical mental health therapist and provides services to address issues like anger, anxiety, career, and life changes. Coaching, Counseling, and Consulting services are available and can be integrated at clients' requests.
![Photo of Hasti A Raveau - Mala Child & Family Institute, PhD, Psychologist](https://photos.psychologytoday.com/61d68535-7a69-4aaf-b276-9c695cffb0af/2/320x400.jpeg)
Mala Child & Family Institute
Psychologist, PhD
Verified Verified
2 Endorsed
Farmington Hills, MI 48331
We are dedicated to supporting children, couples, and families. We are built on the principle that every family, no matter their background or presenting issues, deserves a compassionate, caring, and resourceful village to help them repair, grow, and thrive. We work hard to make sure that families have access to high quality, evidence-based, holistic mental health care. And the best part is that we tailor every service to each client's unique needs so they can experience the best possible. We use a team approach and work closely with parents and extended family, schools, and other medical professionals to provide clients the best ca
We are dedicated to supporting children, couples, and families. We are built on the principle that every family, no matter their background or presenting issues, deserves a compassionate, caring, and resourceful village to help them repair, grow, and thrive. We work hard to make sure that families have access to high quality, evidence-based, holistic mental health care. And the best part is that we tailor every service to each client's unique needs so they can experience the best possible. We use a team approach and work closely with parents and extended family, schools, and other medical professionals to provide clients the best ca
![Photo of David Sklar, PhD, ACSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6fa7a0dd-abd0-404e-8901-c206985a673f/3/320x400.jpeg)
Welcome. I have been at this almost forty years. Enjoy it now more then ever. Over the years I believe I have developed some skill working with Adolescent and families, and those experiencing problems with Substance Use and Abuse. I Started working with Adolescents and Families in residential treatment, schools and hospitals. Two years in a Methadone Clinic provided an early glimpse into Opiate addiction. A mid-life descent into Alcoholism provided a very personal understanding of addiction and recovery. I know that recovery can occur both within and outside the AA model.
Welcome. I have been at this almost forty years. Enjoy it now more then ever. Over the years I believe I have developed some skill working with Adolescent and families, and those experiencing problems with Substance Use and Abuse. I Started working with Adolescents and Families in residential treatment, schools and hospitals. Two years in a Methadone Clinic provided an early glimpse into Opiate addiction. A mid-life descent into Alcoholism provided a very personal understanding of addiction and recovery. I know that recovery can occur both within and outside the AA model.
![Photo of Sydney Walsh, PhD, LP, CEDS, Psychologist](https://photos.psychologytoday.com/4233f341-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I provide a warm, accepting and nonjudgmental approach, emphasizing the use of evidence-based treatments such as Cognitive Behavioral Therapy (CBT) and Mindfulness Based Cognitive Therapy (MBCT). In addition, I have received training and experience with Radically Open Dialectical Behavioral Therapy (RO-DBT) and Acceptance and Commitment Therapy (ACT). I focus on applying mindfulness and related behavioral skills to help clients learn to tolerate distress, manage emotions, and increase their overall coping ability and quality of life.
I provide a warm, accepting and nonjudgmental approach, emphasizing the use of evidence-based treatments such as Cognitive Behavioral Therapy (CBT) and Mindfulness Based Cognitive Therapy (MBCT). In addition, I have received training and experience with Radically Open Dialectical Behavioral Therapy (RO-DBT) and Acceptance and Commitment Therapy (ACT). I focus on applying mindfulness and related behavioral skills to help clients learn to tolerate distress, manage emotions, and increase their overall coping ability and quality of life.
![Photo of Christine Mary Griffin, LMSW, CHT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d3782e4-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Christine Mary Griffin
Clinical Social Work/Therapist, LMSW, CHT
Verified Verified
Farmington Hills, MI 48334
I have discovered in my 30+ years as a therapist that when we get stuck in a certain way of feeling, thinking, or behaving which interferes with our happiness, it is usually rooted in a past historyor perhaps a singular past experience, which traps us in a "programmed" way of being. I work with people to liberate them from these patterns which are often ways that the brain processes these experiences and when they can be reprocessed a person can have a much more functional and happy life. Anxiety, depression and relationship dysfunction can often be healed using these principals.
I have discovered in my 30+ years as a therapist that when we get stuck in a certain way of feeling, thinking, or behaving which interferes with our happiness, it is usually rooted in a past historyor perhaps a singular past experience, which traps us in a "programmed" way of being. I work with people to liberate them from these patterns which are often ways that the brain processes these experiences and when they can be reprocessed a person can have a much more functional and happy life. Anxiety, depression and relationship dysfunction can often be healed using these principals.
![Photo of Jeffrey Konfara - Konfara Counseling and Supervision, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/46910c1a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Konfara Counseling and Supervision
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Farmington Hills, MI 48331
People enter into a counseling relationship when nothing else seems to be working. Although most people soon make comments such as, “(Counseling) was a lot better than I thought it would be”, few people seek counseling as a first option. More often we seek out techniques that either help us to temporarily avoid (e.g., media, social networking) our anxiety, or we seek temporary shots of pleasure (e.g., alcohol, food, pornography) that make us feel good for a short time. Soon enough we realize that all of these things leave us feeling more hollow and lonely, and that is when we start thinking about counseling.
People enter into a counseling relationship when nothing else seems to be working. Although most people soon make comments such as, “(Counseling) was a lot better than I thought it would be”, few people seek counseling as a first option. More often we seek out techniques that either help us to temporarily avoid (e.g., media, social networking) our anxiety, or we seek temporary shots of pleasure (e.g., alcohol, food, pornography) that make us feel good for a short time. Soon enough we realize that all of these things leave us feeling more hollow and lonely, and that is when we start thinking about counseling.
See more therapy options for Farmington
Nearby Dissociative Disorders (DID) Therapists Searches for Farmington
- Bingham Farms
- Birmingham
- Bloomfield Hills
- Commerce Township
- Farmington Hills
- Livonia
- Northville
- Novi
- Plymouth
- Redford
- Southfield
- West Bloomfield
Dissociative Disorders (DID) Therapists
How does therapy for dissociative disorders work?
Dissociation may be triggered by stress or other upsetting circumstances, and therapy can address the traumatic events at the core of an individual’s dissociation. Understanding why a person may dissociate can help the therapist and the individual come up with alternative methods of coping. A person with a dissociative disorder may get stuck on negative thinking, for example, and treatment like Cognitive behavioral therapy is a gold standard for breaking such thinking. And dialectical behavior therapy, for example, can help a person manage their anguish through better emotion regulation.
Which therapies are best for dissociative disorders?
Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, schema therapies, among others. Cognitive behavioral and dialectical behavior therapies are two widely used therapies that can help individuals with painful memories and past traumas. These therapies work to integrate an individual's different identities into one person.
Are there specific medications for dissociation?
There are no specific medications prescribed for dissociative disorders. However, psychosis, depression, anxiety, and/or panic often co-occur in dissociative disorders. A psychiatrist may prescribe medications for any accompanying symptom—which may include antipsychotics like aripiprazole, antidepressants like selective serotonin reuptake inhibitors, or anti-anxiety drugs like benzodiazepines.
How often and how long are therapy sessions?
Like any type of therapy, sessions depend on the individual. Patients may see improvement within 15 to 20 sessions, at an average of 50 minutes per session, others may opt for 20 to 30 sessions over, perhaps, a six-month period. There are still other patients, especially those who have co-occurring conditions like depression and anxiety, who may need to continue sessions for up to 12 to 18 months.