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Online Therapists

Photo of Kristy VanRonzelen, MA, LPC, Licensed Professional Counselor
Kristy VanRonzelen
Licensed Professional Counselor, MA, LPC
Verified Verified
Wentzville, MO 63385
Waitlist for new clients
I specialize in working with clients with ADD/ ADHD, Anxiety, Depression, PTSD/Trauma, loss and Divorce.
Kids just want to be heard. I empower my clients to feel comfortable opening up to tell their side of the story so I can help them to improve daily life. I have been in the field of education for 20 years (elementary/middle school teacher and current school counselor) and have learned how to build relationships with my students/clients that are comfortable and trusting. A trusting relationship is where change starts to happen! Parents are included in the process of therapy in order to have a full circle approach to tackling the child's biggest challenges. My focus is on children, adolescents and young adult age groups.
I specialize in working with clients with ADD/ ADHD, Anxiety, Depression, PTSD/Trauma, loss and Divorce.
Kids just want to be heard. I empower my clients to feel comfortable opening up to tell their side of the story so I can help them to improve daily life. I have been in the field of education for 20 years (elementary/middle school teacher and current school counselor) and have learned how to build relationships with my students/clients that are comfortable and trusting. A trusting relationship is where change starts to happen! Parents are included in the process of therapy in order to have a full circle approach to tackling the child's biggest challenges. My focus is on children, adolescents and young adult age groups.
(636) 428-3935 View (636) 428-3935
Photo of Tyler Z. Tooley, MS, LPC, C-APT, Licensed Professional Counselor
Tyler Z. Tooley
Licensed Professional Counselor, MS, LPC, C-APT
Verified Verified
Weldon Spring, MO 63304
Waitlist for new clients
I currently have a waitlist for new clients. I specialize in working with individuals (of all ages) who are neurodivergent (Autistic, ADHD, OCD, gifted, etc.) and I often work with children and teens who are in foster care or are adopted. I offer individual and family/couple sessions, play therapy, and I often integrate technology, including video and computer games, iPads, and virtual reality (VR), into sessions. To learn more about Gaming Therapy, visit my website!
I currently have a waitlist for new clients. I specialize in working with individuals (of all ages) who are neurodivergent (Autistic, ADHD, OCD, gifted, etc.) and I often work with children and teens who are in foster care or are adopted. I offer individual and family/couple sessions, play therapy, and I often integrate technology, including video and computer games, iPads, and virtual reality (VR), into sessions. To learn more about Gaming Therapy, visit my website!
(636) 500-1966 View (636) 500-1966
Photo of Scott R Kuenneke, MS, LPC, BCN, Counselor
Scott R Kuenneke
Counselor, MS, LPC, BCN
Verified Verified
Lake Ozark, MO 65049
Brain Maps help to create specialized treatment program for those struggling with symptoms like anxiety, ADHD and depression.
My background is working with pre-teens & adolescents in a residential treatment facility for complex developmental trauma. I specialize in neurofeedback and counseling. Using this combination helps to shift and transforms the brain along side techniques to support change. I can help people learn the skill of self-regulation, and develop more tolerance to stress. People who use neurofeedback are those that do not respond well to traditional treatment, are interested in increasing healthy brain functioning, and are looking for natural alternatives to medication. Neurofeedback tailors to the brains innate neuroplasticity.
Brain Maps help to create specialized treatment program for those struggling with symptoms like anxiety, ADHD and depression.
My background is working with pre-teens & adolescents in a residential treatment facility for complex developmental trauma. I specialize in neurofeedback and counseling. Using this combination helps to shift and transforms the brain along side techniques to support change. I can help people learn the skill of self-regulation, and develop more tolerance to stress. People who use neurofeedback are those that do not respond well to traditional treatment, are interested in increasing healthy brain functioning, and are looking for natural alternatives to medication. Neurofeedback tailors to the brains innate neuroplasticity.
(573) 879-2926 View (573) 879-2926
Photo of Jill Carron, LPC, Licensed Professional Counselor
Jill Carron
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63122
Waitlist for new clients
Jill Carron, MS, LPC, is a Licensed Professional Counselor specializing in working with children, adolescents, and adults with a variety of issues such as anxiety, depression, suicidal ideation, self-harm behaviors, relationships, anger management, ADHD, trauma, and family conflict. Jill uses various types of therapy in her sessions including Person-Centered Therapy, Play Therapy, Mindfulness, and Cognitive Behavioral Therapy.
Jill Carron, MS, LPC, is a Licensed Professional Counselor specializing in working with children, adolescents, and adults with a variety of issues such as anxiety, depression, suicidal ideation, self-harm behaviors, relationships, anger management, ADHD, trauma, and family conflict. Jill uses various types of therapy in her sessions including Person-Centered Therapy, Play Therapy, Mindfulness, and Cognitive Behavioral Therapy.
(314) 347-3090 View (314) 347-3090
Photo of Katie Lorenz, MEd, LPC, Licensed Professional Counselor
Katie Lorenz
Licensed Professional Counselor, MEd, LPC
Verified Verified
Saint Louis, MO 63129
I also work with people experiencing depression, ADHD, behavior disorders in children and adolescents, special needs, job loss, grief, and abuse.
Are you feeling overwhelmed? Weighed down by anxiety? Difficulties in relationships or tensions with your children? I can provide you with tools and teach you how to use them, which can help to provide a more satisfying life and to help you become a healthier individual. I am driven by a passion for improving the lives of others and work diligently to provide a custom approach to meet client’s needs. I want to help individuals discover their true identities and God-given gifts, potential, and purposes in life. My approach is to provide empathy and challenge and help clients move toward transformation to make necessary changes.
I also work with people experiencing depression, ADHD, behavior disorders in children and adolescents, special needs, job loss, grief, and abuse.
Are you feeling overwhelmed? Weighed down by anxiety? Difficulties in relationships or tensions with your children? I can provide you with tools and teach you how to use them, which can help to provide a more satisfying life and to help you become a healthier individual. I am driven by a passion for improving the lives of others and work diligently to provide a custom approach to meet client’s needs. I want to help individuals discover their true identities and God-given gifts, potential, and purposes in life. My approach is to provide empathy and challenge and help clients move toward transformation to make necessary changes.
(314) 907-1834 View (314) 907-1834
Photo of Summer Lane, PhD, ABPP, Psychologist
Summer Lane
Psychologist, PhD, ABPP
Verified Verified
Creve Coeur, MO 63141
I provide neuropsychological evaluations to individuals ages 2-25 who are having difficulties at school and at home due to cognitive and/or emotional/behavioral concerns. There may be questions about ADHD, autism, learning disability, anxiety, or other issues, as well as how to address those concerns.
I provide neuropsychological evaluations to individuals ages 2-25 who are having difficulties at school and at home due to cognitive and/or emotional/behavioral concerns. There may be questions about ADHD, autism, learning disability, anxiety, or other issues, as well as how to address those concerns.
(314) 794-5320 View (314) 794-5320
Photo of Molly Szweda, MA, LPC, NCC, Licensed Professional Counselor
Molly Szweda
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Saint Louis, MO 63141
We specialize in providing individual and family therapy to address all types of issues including ADD/ ADHD, anxiety, depression, parenting, panic attacks, school issues, family communication, conflict management, parent/ teen conflict, mood problems, disordered eating and anger issues.
We have over 30 years working as a licensed therapists in counseling, educational and mental health settings. We work with individuals, couples and families who are dealing with relational and life stressors. We provide solution focused therapy and offer tools and skills that empower people to pursue personal growth and success in their daily lives and relationships.
We specialize in providing individual and family therapy to address all types of issues including ADD/ ADHD, anxiety, depression, parenting, panic attacks, school issues, family communication, conflict management, parent/ teen conflict, mood problems, disordered eating and anger issues.
We have over 30 years working as a licensed therapists in counseling, educational and mental health settings. We work with individuals, couples and families who are dealing with relational and life stressors. We provide solution focused therapy and offer tools and skills that empower people to pursue personal growth and success in their daily lives and relationships.
(314) 947-5094 View (314) 947-5094
Photo of William G Collins, PhD, BCIAEEG, BCN, LMFT, Marriage & Family Therapist
William G Collins
Marriage & Family Therapist, PhD, BCIAEEG, BCN, LMFT
Verified Verified
Ballwin, MO 63011
For over 40 years, we have been serving Saint Louis with neurofeedback (28 years), marriage and family counseling (40 years), and testing services with QEEG (20 years). We combine state-of-the-art technology with experienced, knowledgeable clinicians in a client-focused environment to provide non-invasive, drug-free and pain-free treatments for: ADHD, Autism, Aspergers, Sensory Integration Disorders, Depression, Stress, Marital Issues, Migraine/Headaches and Learning Disabilities.
For over 40 years, we have been serving Saint Louis with neurofeedback (28 years), marriage and family counseling (40 years), and testing services with QEEG (20 years). We combine state-of-the-art technology with experienced, knowledgeable clinicians in a client-focused environment to provide non-invasive, drug-free and pain-free treatments for: ADHD, Autism, Aspergers, Sensory Integration Disorders, Depression, Stress, Marital Issues, Migraine/Headaches and Learning Disabilities.
(314) 485-9978 View (314) 485-9978
Photo of Emily Kircher-Morris - Unlimited Potential Counseling Center, LPC, Licensed Professional Counselor
Unlimited Potential Counseling Center
Licensed Professional Counselor, LPC
Verified Verified
O Fallon, MO 63368
Our office also provides assessments for cognitive ability (IQ), learning difficulties (dyslexia, dyscalculia, dysgraphia), and ADHD assessments.
What makes Unlimited Potential Counseling different from other counseling offices? We are a pediatric-focused practice (ages 3-Adult) and can work with your child/teen and family to navigate a variety of life's difficult situations. Our clinicians incorporate a variety of counseling styles to best fit the needs of you and your child, including play therapy techniques, cognitive-behavioral therapy, or parent coaching (to name only a few). We are a neurodiversity-affirming practice and work to find the strengths of each client to help them build the skills they need for success.
Our office also provides assessments for cognitive ability (IQ), learning difficulties (dyslexia, dyscalculia, dysgraphia), and ADHD assessments.
What makes Unlimited Potential Counseling different from other counseling offices? We are a pediatric-focused practice (ages 3-Adult) and can work with your child/teen and family to navigate a variety of life's difficult situations. Our clinicians incorporate a variety of counseling styles to best fit the needs of you and your child, including play therapy techniques, cognitive-behavioral therapy, or parent coaching (to name only a few). We are a neurodiversity-affirming practice and work to find the strengths of each client to help them build the skills they need for success.
(636) 336-1367 View (636) 336-1367
Photo of Cecilia Mae Ramsey-Hebert, LPC, ATR, NCC, Counselor
Cecilia Mae Ramsey-Hebert
Counselor, LPC, ATR, NCC
Verified Verified
Clayton, MO 63105
I work with children, teens, and young adults who are struggling with their day to day due to anxiety, ADHD, ASD, depression, anger and more. I believe each person has an innate sense of creativity and resilience, and I aim to help my clients feel empowered and supported while they face their challenges and find creative solutions to heal and grow.
I work with children, teens, and young adults who are struggling with their day to day due to anxiety, ADHD, ASD, depression, anger and more. I believe each person has an innate sense of creativity and resilience, and I aim to help my clients feel empowered and supported while they face their challenges and find creative solutions to heal and grow.
(314) 557-3306 View (314) 557-3306
Photo of Kyley S. Dermody, LCSW, Clinical Social Work/Therapist
Kyley S. Dermody
Clinical Social Work/Therapist, LCSW
Verified Verified
Chesterfield, MO 63017
I am a Licensed Clinical Social Worker (LCSW), with over 15 years of experience in various agencies working with children, teens, young adults and families. I am truly passionate about the health and well-being of my client(s). Whether you or your child is struggling with anxiety, depression, ADHD, OCD, social fears, past trauma/abuse, or challenges in the academic/career setting, I want to help!
I am a Licensed Clinical Social Worker (LCSW), with over 15 years of experience in various agencies working with children, teens, young adults and families. I am truly passionate about the health and well-being of my client(s). Whether you or your child is struggling with anxiety, depression, ADHD, OCD, social fears, past trauma/abuse, or challenges in the academic/career setting, I want to help!
(636) 213-8189 View (636) 213-8189
Photo of Elisa Garland - Garland Counseling Services LLC , MEd , LPC, NCC , Licensed Professional Counselor
Garland Counseling Services LLC
Licensed Professional Counselor, MEd , LPC, NCC
Verified Verified
Saint Charles, MO 63303
Does it cross your mind that you may be neurodivergent? Have you always known that you are different from your peers but you could never quite pinpoint why? I can help guide you to learn more about your uniqueness and how being neurodivergent impacts your daily life. Do you question if you may have undiagnosed Autism, ADHD or a Sensory Processing Disorder? Through assessments and various evaluations I can assist you in finding answers.
Does it cross your mind that you may be neurodivergent? Have you always known that you are different from your peers but you could never quite pinpoint why? I can help guide you to learn more about your uniqueness and how being neurodivergent impacts your daily life. Do you question if you may have undiagnosed Autism, ADHD or a Sensory Processing Disorder? Through assessments and various evaluations I can assist you in finding answers.
(314) 722-6540 View (314) 722-6540
Photo of Reese M Bell - Reese M Bell SMB Therapy And Consulting, llc, MA, LPC, Licensed Professional Counselor
Reese M Bell SMB Therapy And Consulting, llc
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63146
Waitlist for new clients
I am committed to providing a safe and compassionate space for you to heal and grow, whether you're dealing with ADHD, anxiety, depression, or simply need someone to talk to.
Hey y’all! I’m Reese Bell, LPC, your soon-to-be therapist and friendly emotional tour guide. Struggling with anxiety or depression? No problem, I’ve got you! Imagine our sessions as a heart-to-heart with a side of therapy magic – think EMDR and mindfulness. Together, we’ll tackle those tough feelings and get you back to your fabulous self. I’m like your emotional GPS, helping you navigate to a happier, healthier you. Ready to start this journey with me? Let’s go!
I am committed to providing a safe and compassionate space for you to heal and grow, whether you're dealing with ADHD, anxiety, depression, or simply need someone to talk to.
Hey y’all! I’m Reese Bell, LPC, your soon-to-be therapist and friendly emotional tour guide. Struggling with anxiety or depression? No problem, I’ve got you! Imagine our sessions as a heart-to-heart with a side of therapy magic – think EMDR and mindfulness. Together, we’ll tackle those tough feelings and get you back to your fabulous self. I’m like your emotional GPS, helping you navigate to a happier, healthier you. Ready to start this journey with me? Let’s go!
(314) 937-6629 View (314) 937-6629
Photo of Sara Blackwood, MA, MA, PLPC, PCA,NCC, CTMH-A, CTP, Counselor
Sara Blackwood
Counselor, MA, MA, PLPC, PCA,NCC, CTMH-A, CTP
Verified Verified
2 Endorsed
Saint Louis, MO 63108  (Online Only)
Do you ever feel misunderstood or like you don’t fit in? Is this causing you to feel anxious or disconnected from life? As a queer mental health professional, I have experience working with autistic adults, ADHD, trauma, depression and anxiety.
Do you ever feel misunderstood or like you don’t fit in? Is this causing you to feel anxious or disconnected from life? As a queer mental health professional, I have experience working with autistic adults, ADHD, trauma, depression and anxiety.
(314) 947-5640 View (314) 947-5640
Photo of Andrew Menatti, PhD, ABPP, Psychologist
Andrew Menatti
Psychologist, PhD, ABPP
Verified Verified
Creve Coeur, MO 63141
As a neuropsychologist, I welcome clients seeking to find out how their thinking and memory abilities affect their capacity to live a full, meaningful life. I conduct empirically sound psychological and neuropsychological assessments, and provide feedback and recommendations to patients, families, physicians, and schools about how the brain's abilities (such as memory, attention, and other abilities) affect a person's life, and what can be done about it. Clients are encouraged to call with concerns regarding Alzheimer's, traumatic brain injury, ADHD, autism, and others, whether for themselves or for loved ones.
As a neuropsychologist, I welcome clients seeking to find out how their thinking and memory abilities affect their capacity to live a full, meaningful life. I conduct empirically sound psychological and neuropsychological assessments, and provide feedback and recommendations to patients, families, physicians, and schools about how the brain's abilities (such as memory, attention, and other abilities) affect a person's life, and what can be done about it. Clients are encouraged to call with concerns regarding Alzheimer's, traumatic brain injury, ADHD, autism, and others, whether for themselves or for loved ones.
(314) 860-7927 View (314) 860-7927
Photo of Ariel Swoboda, MA, PLPC, ATR, Pre-Licensed Professional
Ariel Swoboda
Pre-Licensed Professional, MA, PLPC, ATR
Verified Verified
O Fallon, MO 63368  (Online Only)
I work with clients of all ages/abilities, but specialize in supporting neurodivergent (autistic, ADHD, gifted, twice-exceptional, etc.
As an Art Therapist (ATR), I support the mental health needs of my clients through a balance of traditional therapeutic techniques (such as Cognitive Behavioral, Dialectical Behavior, Internal Family Systems, and Person-Centered therapies) and the creative, collaborative, and intuitive approach of Art Therapy. I work with clients from childhood through adulthood. Some people may be surprised to hear that you can do Art Therapy via telehealth, but I've found that being able to engage in therapy from the comfort and safety of your own home can be as healing (if not more) than being in person.
I work with clients of all ages/abilities, but specialize in supporting neurodivergent (autistic, ADHD, gifted, twice-exceptional, etc.
As an Art Therapist (ATR), I support the mental health needs of my clients through a balance of traditional therapeutic techniques (such as Cognitive Behavioral, Dialectical Behavior, Internal Family Systems, and Person-Centered therapies) and the creative, collaborative, and intuitive approach of Art Therapy. I work with clients from childhood through adulthood. Some people may be surprised to hear that you can do Art Therapy via telehealth, but I've found that being able to engage in therapy from the comfort and safety of your own home can be as healing (if not more) than being in person.
(636) 745-4929 View (636) 745-4929
Photo of Anessa Kemna, PLPC, Pre-Licensed Professional
Anessa Kemna
Pre-Licensed Professional, PLPC
Verified Verified
3 Endorsed
Saint Louis, MO 63123  (Online Only)
I'm blind, and I was diagnosed with ADHD during grad school.
When you’re neurodivergent, queer, or disabled, it can feel like you’re constantly trying to meet unreachable standards. Shame, doubt, and overwhelm often show up, making you feel like you’re falling short no matter how hard you try. But you’re not failing. The problem is the world’s one-size-fits-none expectations. Together, we’ll create new expectations and redefine what success means for you. We’ll embrace every part of you, especially the parts you’ve been told don’t belong.
I'm blind, and I was diagnosed with ADHD during grad school.
When you’re neurodivergent, queer, or disabled, it can feel like you’re constantly trying to meet unreachable standards. Shame, doubt, and overwhelm often show up, making you feel like you’re falling short no matter how hard you try. But you’re not failing. The problem is the world’s one-size-fits-none expectations. Together, we’ll create new expectations and redefine what success means for you. We’ll embrace every part of you, especially the parts you’ve been told don’t belong.
(314) 370-2233 View (314) 370-2233
Photo of Yvette Kristine Pelikan - Creative Counseling 4 Kids and Teens, MSW, LCSW, RPT, Clinical Social Work/Therapist
Creative Counseling 4 Kids and Teens
Clinical Social Work/Therapist, MSW, LCSW, RPT
Verified Verified
1 Endorsed
Saint Louis, MO 63144
I have 21 years of experience working with children with a variety of needs from Autism, Intellectual Disability, ADHD, Anxiety, Depression, Mood Disorder, etc.
I believe that every child has the right to feel loved, safe and heard. Working in the Counseling/ Social Work profession for 21 years, I have gained great insight in what helps children develop self-acceptance, self-awareness, self-regulation and many more essential qualities. As a Licensed Clinical Social Worker, I engage children in play and art therapy to assist them with having their voices heard.
I have 21 years of experience working with children with a variety of needs from Autism, Intellectual Disability, ADHD, Anxiety, Depression, Mood Disorder, etc.
I believe that every child has the right to feel loved, safe and heard. Working in the Counseling/ Social Work profession for 21 years, I have gained great insight in what helps children develop self-acceptance, self-awareness, self-regulation and many more essential qualities. As a Licensed Clinical Social Worker, I engage children in play and art therapy to assist them with having their voices heard.
(314) 270-1336 View (314) 270-1336
Photo of Hayley Menges, MSW, LCSW, ASDCS, Clinical Social Work/Therapist
Hayley Menges
Clinical Social Work/Therapist, MSW, LCSW, ASDCS
Verified Verified
1 Endorsed
Saint Louis, MO 63124
Hey there! I am so glad that you are here and considering support for yourself or your loved one. My name is Hayley and I am an LCSW who specializes in working with children, teens, young adults and their families. I have certification as a Certified Autism Spectrum Disorder Clinical Specialist and have had the privilege of working closely for many years with children, teens and young adults on the autism spectrum and their families. I have experience working with individuals with ADHD, trauma, those navigating grief, and those grappling with stress, anxiety, depression and perfectionism.
Hey there! I am so glad that you are here and considering support for yourself or your loved one. My name is Hayley and I am an LCSW who specializes in working with children, teens, young adults and their families. I have certification as a Certified Autism Spectrum Disorder Clinical Specialist and have had the privilege of working closely for many years with children, teens and young adults on the autism spectrum and their families. I have experience working with individuals with ADHD, trauma, those navigating grief, and those grappling with stress, anxiety, depression and perfectionism.
(314) 948-4562 View (314) 948-4562
Photo of Michele Calvin, MA, PLPC, Pre-Licensed Professional
Michele Calvin
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Charles, MO 63303
I specialize in ADHD, Anger Management, School Conflicts, behavioral Issues, sexual orientation, and Identity conflict.
Accepting New Clients-As we go through life, it can deliver trials, obstacles, and you may be on an ongoing roller coaster ride; and through these trying situations, you may feel out of control, hopeless, and ponder whom you can seek for help. Starting therapy can seem overwhelming, but I am here to guide the way. Counseling is personable and distinctive; I believe your therapeutic journey should lead to positive changes in your life by incorporating Cognitive Behavioral Therapy (CBT) and Person-Centered Therapy (PCT) practices.
I specialize in ADHD, Anger Management, School Conflicts, behavioral Issues, sexual orientation, and Identity conflict.
Accepting New Clients-As we go through life, it can deliver trials, obstacles, and you may be on an ongoing roller coaster ride; and through these trying situations, you may feel out of control, hopeless, and ponder whom you can seek for help. Starting therapy can seem overwhelming, but I am here to guide the way. Counseling is personable and distinctive; I believe your therapeutic journey should lead to positive changes in your life by incorporating Cognitive Behavioral Therapy (CBT) and Person-Centered Therapy (PCT) practices.
(636) 238-2652 View (636) 238-2652

See more therapy options for Callaway County

ADHD Therapists

When should I seek treatment for ADHD?

You should seek treatment for ADHD if you consistently have difficulty with attention, hyperactivity, or impulsivity that interferes with your daily life. Symptoms of ADHD include the inability to sustain attention during tasks, difficulty organizing tasks and activities, being easily distracted, frequent fidgeting or squirming, and talking or interrupting excessively. If these symptoms interfere with your career, academics, or relationships—for example, consistently failing to complete professional projects on time—you should seek an evaluation for ADHD.

How does treatment for ADHD work?

Effective treatment for ADHD often consists of medication, behavioral therapy, and lifestyle changes. Stimulant medications such as Adderall and Ritalin work by altering levels of neurotransmitters in the brain; higher levels of dopamine and norepinephrine are known to improve attention and focus. Therapy works by helping people with ADHD understand the condition, discuss their areas of difficulty, and develop behavioral strategies to manage their symptoms. In some cases, modifying one’s diet and exercise can also help improve symptoms.

Are there specific medications for ADHD?

Medications to treat ADHD are generally stimulants, the most common are Adderall and Ritalin. There are two categories of stimulants: Amphetamines include Adderall, Dyanavel, Vyvanse, and Dexedrine, and methylphenidates include Ritalin, Concerta, Daytrana, Focalin, Quillichew, Quillivant, and Metadate. Non-stimulants and antidepressants may be used as an alternative if stimulants aren’t effective or viable for a particular patient.

How long does treatment for ADHD take?

It’s tough to give an exact time frame because everyone varies. In terms of medications, stimulants begin to work very soon after you take them, generally within the hour. It may take time to identify the right medication and dosage, but the medication itself is fast-acting. In terms of therapy, it takes time to develop skills and put them into practice, but you will likely see improvements within a few weeks or months.