Self-Harming Therapists in Bryson City, NC
![Photo of Tom Wilmot, MS, LPC, Counselor](https://photos.psychologytoday.com/4829ec4a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
ACCEPTING NEW CLIENTS (Telehealth - available) Discussing personal challenges can often be difficult. The fact is that "life can be difficult", and there are times we all requre help "aligning our compass". Finding a therapist can be an important step in one's search for a "life worth living". For 10 years I have worked to develop compassion and empathy in assisting individuals and the families that have solicited my support in meeting the challenges and stressful situations that seems to be an unavoidable part of life.
ACCEPTING NEW CLIENTS (Telehealth - available) Discussing personal challenges can often be difficult. The fact is that "life can be difficult", and there are times we all requre help "aligning our compass". Finding a therapist can be an important step in one's search for a "life worth living". For 10 years I have worked to develop compassion and empathy in assisting individuals and the families that have solicited my support in meeting the challenges and stressful situations that seems to be an unavoidable part of life.
![Photo of Brooke Leann Coggins, MS, LCMHC, NCC, Counselor](https://photos.psychologytoday.com/9a641034-32b7-4c16-b780-e3b16b285f12/1/320x400.jpeg)
Brooke Leann Coggins
Counselor, MS, LCMHC, NCC
Verified Verified
2 Endorsed
Bryson City, NC 28713 (Online Only)
Fun and empathetic therapist here to help you navigate life's challenges. My goal is to provide you with a space free of judgment and full of support no matter what you are going through. If it is processing grief, needing someone to vent too, or learning new skills, I am here for you. I am here to support you as a team finding ways you can live the happy, healthy, and fulfilling life that you deserve. I help facilitate healing while also getting to the root of what's bringing chaos in your life. I meet my clients where they are at mentally and emotionally. You are individual and unique and I tailor each session to meet your needs.
Fun and empathetic therapist here to help you navigate life's challenges. My goal is to provide you with a space free of judgment and full of support no matter what you are going through. If it is processing grief, needing someone to vent too, or learning new skills, I am here for you. I am here to support you as a team finding ways you can live the happy, healthy, and fulfilling life that you deserve. I help facilitate healing while also getting to the root of what's bringing chaos in your life. I meet my clients where they are at mentally and emotionally. You are individual and unique and I tailor each session to meet your needs.
![Photo of Brooklynn Ledford, MSW, LCSWA](https://photos.psychologytoday.com/7d58b205-edcf-4bb2-ab90-e906b98361bf/1/320x400.jpeg)
I specialize in working with youth of all ages, from elementary age to teenagers. I take a casual, fun and relatable approach to therapy that allows youth to feel more comfortable in the space. I enjoy helping youth find their voice, improving communication and the quality of their relationships, becoming more mindful in daily practices, etc. I'm passionate about collaborating with kids and their families to manage anxiety, depression, trauma, or any other challenging life phases.
I specialize in working with youth of all ages, from elementary age to teenagers. I take a casual, fun and relatable approach to therapy that allows youth to feel more comfortable in the space. I enjoy helping youth find their voice, improving communication and the quality of their relationships, becoming more mindful in daily practices, etc. I'm passionate about collaborating with kids and their families to manage anxiety, depression, trauma, or any other challenging life phases.
![Photo of Elizabeth Littlefield, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9eadbea7-08a2-426d-87f1-271b9099bb20/3/320x400.jpeg)
Elizabeth Littlefield
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bryson City, NC 28713
Not accepting new clients
Life can sometimes be overwhelming and we just don’t know how to move forward. Therapy provides a safe, supportive place to regroup, experience nonjudgmental support, and take back the control you have been searching for. While talking to someone can be uncomfortable and sometimes daunting, finding the right therapist that can guide and encourage you will help make lasting transformation in your life.
Life can sometimes be overwhelming and we just don’t know how to move forward. Therapy provides a safe, supportive place to regroup, experience nonjudgmental support, and take back the control you have been searching for. While talking to someone can be uncomfortable and sometimes daunting, finding the right therapist that can guide and encourage you will help make lasting transformation in your life.
More Therapists Nearby
![Photo of Christina Earley, LCSWA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/eaca4d4f-c522-4cc6-99c1-7a3a0d8bacb3/2/320x400.jpeg)
Warm welcome! Would you like to soothe overwhelming thoughts or feelings? Feel more calm and present in the now? My purpose is to help you find relief from anxiety, depression, or trauma that prevents you from experiencing a life worth living. We would collaborate together to treat whatever is on your list of priorities; examples include helping with anxiety, trauma, ADHD, Autism, school issues, depression, mood, low self-esteem or career goals. I work with children, teenagers, and adults from all walks of life. My style is evidence-based, non-judgmental, and sincere.
Warm welcome! Would you like to soothe overwhelming thoughts or feelings? Feel more calm and present in the now? My purpose is to help you find relief from anxiety, depression, or trauma that prevents you from experiencing a life worth living. We would collaborate together to treat whatever is on your list of priorities; examples include helping with anxiety, trauma, ADHD, Autism, school issues, depression, mood, low self-esteem or career goals. I work with children, teenagers, and adults from all walks of life. My style is evidence-based, non-judgmental, and sincere.
Online Therapists
![Photo of Meagan Rose Star Bond - Star Rose Bond, Trauma Specialist - LCSW, MSSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/13afd39e-adab-4bd3-b689-ce315a434156/3/320x400.jpeg)
Star Rose Bond, Trauma Specialist - LCSW
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
Asheville, NC 28801
Expect to receive a cutting edge, psychodynamic skillset; paired with a neuroplastic approach for change.
Seasoned trauma specialist & psychotherapist dedicated to co-creating a meaningful healing journey for individuals and couples who are feeling stuck, lost and trapped in dysfunctional patterns. I offer a variety of different modalities including Ketamine Assisted Psychotherapy (KAP) to aid in the recovery of many common mental health issues such as anxiety, depression, trauma/PTSD, addiction, etc. Additionally, I am committed to providing innovative programing as well as a practical skillset, specially designed to address personal limitations that often manifest in low self-esteem, relationship challenges and declined mental health.
Expect to receive a cutting edge, psychodynamic skillset; paired with a neuroplastic approach for change.
Seasoned trauma specialist & psychotherapist dedicated to co-creating a meaningful healing journey for individuals and couples who are feeling stuck, lost and trapped in dysfunctional patterns. I offer a variety of different modalities including Ketamine Assisted Psychotherapy (KAP) to aid in the recovery of many common mental health issues such as anxiety, depression, trauma/PTSD, addiction, etc. Additionally, I am committed to providing innovative programing as well as a practical skillset, specially designed to address personal limitations that often manifest in low self-esteem, relationship challenges and declined mental health.
![Photo of Eric Belsterling, PhD stu, LCAS, CSAT, CMAT, CCS, Licensed Professional Counselor](https://photos.psychologytoday.com/46fb9d2e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Eric Belsterling
Licensed Professional Counselor, PhD stu, LCAS, CSAT, CMAT, CCS
Verified Verified
Asheville, NC 28801
Waitlist for new clients
Graduate of the Sensorimotor Psychotherapy Institute's Level II training, a cutting-edge somatically based modality for treating trauma.
I believe there are many ways to achieve well-being and recovery. Presence, patience, compassion, acceptance, and curiosity are some of the qualities I possess. I believe competent therapy is a co-creation between the client and therapist and pride myself in embodying everything I expect of my clients. I'm passionate about stewarding people to create greater acceptance, balance, inner attunement and well-being in their lives. I specialize in all addiction disorders (i.e. substance use disorders, behavioral addictions such as problematic sexual behaviors, porn, food, internet gaming, etc.) and/or co-occurring disorders.
Graduate of the Sensorimotor Psychotherapy Institute's Level II training, a cutting-edge somatically based modality for treating trauma.
I believe there are many ways to achieve well-being and recovery. Presence, patience, compassion, acceptance, and curiosity are some of the qualities I possess. I believe competent therapy is a co-creation between the client and therapist and pride myself in embodying everything I expect of my clients. I'm passionate about stewarding people to create greater acceptance, balance, inner attunement and well-being in their lives. I specialize in all addiction disorders (i.e. substance use disorders, behavioral addictions such as problematic sexual behaviors, porn, food, internet gaming, etc.) and/or co-occurring disorders.
![Photo of Erica Perez, MSW, LCSW, LCAS-A, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b61f365c-b42b-41d8-9d01-5190937af73d/2/320x400.jpeg)
Your current ways to cope are just not cutting it and you are ready to give something new a try.
My calling is to journey alongside women that have experienced abuse, domestic violence, addiction or other painful experiences and watch them come into their own power and regain trust and confidence in becoming their most resilient and authentic selves. Your anxious feelings of the unknown and depressing feelings of past experiences have been hurdles for you to climb as you maneuver your way from surviving to thriving in life. You’ve felt a loss of hope for your future. Perhaps you’ve experienced a glimmer of hope from time to time and know it exists, but struggle to hang on for fear of falling.
Your current ways to cope are just not cutting it and you are ready to give something new a try.
My calling is to journey alongside women that have experienced abuse, domestic violence, addiction or other painful experiences and watch them come into their own power and regain trust and confidence in becoming their most resilient and authentic selves. Your anxious feelings of the unknown and depressing feelings of past experiences have been hurdles for you to climb as you maneuver your way from surviving to thriving in life. You’ve felt a loss of hope for your future. Perhaps you’ve experienced a glimmer of hope from time to time and know it exists, but struggle to hang on for fear of falling.
![Photo of Deborah H. Weir, PhD, LCMHCS, NCC, CHT](https://photos.psychologytoday.com/020a898f-f55b-4972-8d90-d749720c480c/2/320x400.jpeg)
Deborah H. Weir
Lic Clinical Mental Health Counselor Supervisor, PhD, LCMHCS, NCC, CHT
Verified Verified
Asheville, NC 28801
Waitlist for new clients
I am dedicated to being the absolute best therapist I can, which means individual case management and staying educated on cutting-edge trends and interventions.
My ideal client wants to change and evolve, and is willing to work at it through sessions and homework! I'm non-judgmental and a creative collaborator with my clients. I've done my job if clients feel heard, renewed, and empowered. I have a ton of experience and credentials: I use Accelerated Resolution Therapy, Brainspotting, and Brain-based Hypnotherapy. I work in trauma recovery, relationship issues, addiction, mood disorders, Jungian counseling, and spiritual counseling. I'm extremely adventurous, youthful, and have experienced life in many places and realms.
I am dedicated to being the absolute best therapist I can, which means individual case management and staying educated on cutting-edge trends and interventions.
My ideal client wants to change and evolve, and is willing to work at it through sessions and homework! I'm non-judgmental and a creative collaborator with my clients. I've done my job if clients feel heard, renewed, and empowered. I have a ton of experience and credentials: I use Accelerated Resolution Therapy, Brainspotting, and Brain-based Hypnotherapy. I work in trauma recovery, relationship issues, addiction, mood disorders, Jungian counseling, and spiritual counseling. I'm extremely adventurous, youthful, and have experienced life in many places and realms.
![Photo of Jen Larkin, LMFTA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/eab6326a-037f-41c7-b3c0-df5a052fab53/1/320x400.jpeg)
Jen Larkin
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Weaverville, NC 28787 (Online Only)
Sometimes it might feel like finding peace, contentment, and a sense of being "okay" is out of reach. The weight of traumas, heartaches, anxieties, and other painful emotions can linger, clouding our thoughts and leaving us feeling stuck. But here's what's important: they contain the key to your own healing.
Sometimes it might feel like finding peace, contentment, and a sense of being "okay" is out of reach. The weight of traumas, heartaches, anxieties, and other painful emotions can linger, clouding our thoughts and leaving us feeling stuck. But here's what's important: they contain the key to your own healing.
![Photo of Lissa Friedman, PhD, LMHC, ATR, CHT, Licensed Professional Counselor](https://photos.psychologytoday.com/3c71a2b4-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Lissa Friedman
Licensed Professional Counselor, PhD, LMHC, ATR, CHT
Verified Verified
Asheville, NC 28801
www.lissafriedman.com - I like to help people find the deep knot of their pattern, gently lovingly untie it, and bring healing to the wound. I have been a therapist for about 30 years, and in private Practice since 1987. While my style is eclectic, it is my warmth, compassion, and acceptance that underlie all of my work. I try to provide an environment, much like a container, for my clients to open to their own natural self compassion and acceptance. Seeing each person as whole, rather than deficient provides an environment for people to come to a natural place of healing.
www.lissafriedman.com - I like to help people find the deep knot of their pattern, gently lovingly untie it, and bring healing to the wound. I have been a therapist for about 30 years, and in private Practice since 1987. While my style is eclectic, it is my warmth, compassion, and acceptance that underlie all of my work. I try to provide an environment, much like a container, for my clients to open to their own natural self compassion and acceptance. Seeing each person as whole, rather than deficient provides an environment for people to come to a natural place of healing.
![Photo of Craig B McKinney, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4e1088fe-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
***NOW ACCEPTING NEW CLIENTS**** I am a licensed clinical social worker with 20 years in the field with experience treating a wide range of psychological issues. I have experience working with people of all ages including college students . I enjoy helping those who are experiencing anxiety, depression, and trauma. Additionally, I have enjoyed working with people experiencing the more severe symptoms of mental health so that they may live a more stable and fulfilling life. I am located in Boone NC but can offer Telehealth services to those in need anywhere in North Carolina
***NOW ACCEPTING NEW CLIENTS**** I am a licensed clinical social worker with 20 years in the field with experience treating a wide range of psychological issues. I have experience working with people of all ages including college students . I enjoy helping those who are experiencing anxiety, depression, and trauma. Additionally, I have enjoyed working with people experiencing the more severe symptoms of mental health so that they may live a more stable and fulfilling life. I am located in Boone NC but can offer Telehealth services to those in need anywhere in North Carolina
![Photo of Kayla LaPier, LCSWA, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d05ed45f-2eaa-4354-b75c-b83719945f41/2/320x400.jpeg)
Kayla LaPier
Clinical Social Work/Therapist, LCSWA, LMSW
Verified Verified
1 Endorsed
Asheville, NC 28801 (Online Only)
Do you feel like emotions control you instead of you controlling them? Has being perceived been exhausting? Feel like life feels heavier than it's supposed to? I'm here to support you. It's okay to feel like you need to be heard, have someone to talk things through with, celebrate the little wins in life, and hold you accountable to the goals you want to succeed in. Life can be unpredictable, things don't go as planned, or it feels like our brain is fighting against us, but I'm glad you're here. My work is focused on being neuroaffirmative, LGBTQIA+ affirmative, trauma-informed, and culturally competent for all.
Do you feel like emotions control you instead of you controlling them? Has being perceived been exhausting? Feel like life feels heavier than it's supposed to? I'm here to support you. It's okay to feel like you need to be heard, have someone to talk things through with, celebrate the little wins in life, and hold you accountable to the goals you want to succeed in. Life can be unpredictable, things don't go as planned, or it feels like our brain is fighting against us, but I'm glad you're here. My work is focused on being neuroaffirmative, LGBTQIA+ affirmative, trauma-informed, and culturally competent for all.
![Photo of Alison Cross, LPC, LCMHC, CPCS, CEDS-S](https://photos.psychologytoday.com/31f7b8dc-ea82-4870-b24b-c40633522a17/3/320x400.jpeg)
Alison Cross
Licensed Clinical Mental Health Counselor, LPC, LCMHC, CPCS, CEDS-S
Verified Verified
3 Endorsed
Asheville, NC 28803
Hi I'm Alison Cross! I am a psychotherapist, and I provide both in person and virtual services in Georgia and North Carolina. It’s important to have an idea of what feels like the right fit when you’re looking for a qualified person to talk to. The problem is, how do you know? So here's what it looks like with me. When my client leaves our session, my goal is for them to feel heard and respected. I want my clients to feel like they’re talking to a real person. How else can trust be built? My style has been described as 'down to earth, gentle, and encouraging.' I also have a great sense of humor that comes in only when appropriate.
Hi I'm Alison Cross! I am a psychotherapist, and I provide both in person and virtual services in Georgia and North Carolina. It’s important to have an idea of what feels like the right fit when you’re looking for a qualified person to talk to. The problem is, how do you know? So here's what it looks like with me. When my client leaves our session, my goal is for them to feel heard and respected. I want my clients to feel like they’re talking to a real person. How else can trust be built? My style has been described as 'down to earth, gentle, and encouraging.' I also have a great sense of humor that comes in only when appropriate.
![Photo of Mariah Schweiger, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2fa61a83-8df3-4a72-940c-efe271c5bba8/2/320x400.png)
Mariah Schweiger
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Asheville, NC 28801
Something pivotal in your life has recently occurred. You might be grieving a loss, experiencing a shift in a relationship, starting a new job or in the thick of life itself. Maybe you find yourself in thought spirals or analysis paralysis because the thought of making a decision or choice is too daunting. People tell you to “trust your gut,” but you’re not sure what that really means; depending on others has become the norm. It can be so hard to advocate for yourself and your needs and you’re feeling unworthy of having any needs at all. You often feel detached from your body. I know how you feel, I’ve been there.
Something pivotal in your life has recently occurred. You might be grieving a loss, experiencing a shift in a relationship, starting a new job or in the thick of life itself. Maybe you find yourself in thought spirals or analysis paralysis because the thought of making a decision or choice is too daunting. People tell you to “trust your gut,” but you’re not sure what that really means; depending on others has become the norm. It can be so hard to advocate for yourself and your needs and you’re feeling unworthy of having any needs at all. You often feel detached from your body. I know how you feel, I’ve been there.
![Photo of Kate Brockett, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5efd534f-f0c4-4472-8667-af1ef1835f8a/1/320x400.jpeg)
Self-judgment and invalidation can prevent us from becoming our full, authentic selves. I have witnessed the powerful effect on people's lives when they begin to unhook from their negative self-talk and open themselves up to self-compassion. Often the roots of depression, emotion dysregulation, anxiety, difficulty navigating relationships, and self-judgment are in a history of trauma, repeated invalidation, or chronic stress. I help people recognize these roots while also staying mindful in the present. I help folks learn coping skills to tolerate distress and move through difficult emotions.
Self-judgment and invalidation can prevent us from becoming our full, authentic selves. I have witnessed the powerful effect on people's lives when they begin to unhook from their negative self-talk and open themselves up to self-compassion. Often the roots of depression, emotion dysregulation, anxiety, difficulty navigating relationships, and self-judgment are in a history of trauma, repeated invalidation, or chronic stress. I help people recognize these roots while also staying mindful in the present. I help folks learn coping skills to tolerate distress and move through difficult emotions.
![Photo of Sarah Herndon Sanborn, MS, LCMHCA, Counselor](https://photos.psychologytoday.com/8353ee53-437c-434e-9dda-ae1d3ba0ff7c/2/320x400.jpeg)
Hi there! I am a Licensed Clinical Mental Health Counselor Associate at Melissa Villodas Counseling and Consulting. Working with new parents, children and athletes is my passion. I have additional training in perinatal care and am working towards my Certification in Perinatal Mental Health (PMH-C). Supporting you through your time of transition, stress or discomfort and helping you move to a place of peace and growth is my goal.
Hi there! I am a Licensed Clinical Mental Health Counselor Associate at Melissa Villodas Counseling and Consulting. Working with new parents, children and athletes is my passion. I have additional training in perinatal care and am working towards my Certification in Perinatal Mental Health (PMH-C). Supporting you through your time of transition, stress or discomfort and helping you move to a place of peace and growth is my goal.
![Photo of Matthew Grotsky, LCMHC, LCAS, Drug & Alcohol Counselor](https://photos.psychologytoday.com/5af2abee-f4df-4231-be45-ec1ab9a58e0d/2/320x400.jpeg)
I know how hard it is to seek help when you’re struggling. I get it because I've been there too. You deserve to live fully. You deserve better than scheduling problems, long drives, big bills, and weak outcomes. Maybe you’re afraid it will take years of counseling just to start feeling better. I believe therapy should be a lot more than learning how to cope or survive something. It should help you achieve your goals, thrive in relationships, and live more fully.
I know how hard it is to seek help when you’re struggling. I get it because I've been there too. You deserve to live fully. You deserve better than scheduling problems, long drives, big bills, and weak outcomes. Maybe you’re afraid it will take years of counseling just to start feeling better. I believe therapy should be a lot more than learning how to cope or survive something. It should help you achieve your goals, thrive in relationships, and live more fully.
![Photo of Cliff Koos, M Ed](https://photos.psychologytoday.com/763ee2af-9277-4966-9352-0b0887b31494/2/320x400.jpeg)
I am a trauma-informed, integrative, EMDR therapist. I use ego states and parts work in conjunction with somatic work to help bring ‘online’ the left and right hemispheres of your brain. I am focused on treating the whole person and would like to have an open, honest conversation about what you are looking for and your treatment wants and needs.
I am a trauma-informed, integrative, EMDR therapist. I use ego states and parts work in conjunction with somatic work to help bring ‘online’ the left and right hemispheres of your brain. I am focused on treating the whole person and would like to have an open, honest conversation about what you are looking for and your treatment wants and needs.
![Photo of Stewart Jay Canter, MA Ed, LCMHC, Licensed Professional Counselor](https://photos.psychologytoday.com/3f1e40f4-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Stewart Jay Canter
Licensed Professional Counselor, MA Ed, LCMHC
Verified Verified
Mars Hill, NC 28754
Are you struggling with chronic stress, upsetting memories, episodes of anger, panic, irritability? Are you feeling depressed or numb? Difficult life experiences cause the nervous system to make you feel this way, whether those experiences occurred recently or in the distant past. The body remembers and contains difficult experiences even when the mind doesn't. At some point the body can no longer contain the memories, and they pour out of us in the form of stress, anger, depression, numbness, or panic. Take advantage of one of the most effective post-traumatic stress treatments used world-wide today - the Trauma Resiliency Model.
Are you struggling with chronic stress, upsetting memories, episodes of anger, panic, irritability? Are you feeling depressed or numb? Difficult life experiences cause the nervous system to make you feel this way, whether those experiences occurred recently or in the distant past. The body remembers and contains difficult experiences even when the mind doesn't. At some point the body can no longer contain the memories, and they pour out of us in the form of stress, anger, depression, numbness, or panic. Take advantage of one of the most effective post-traumatic stress treatments used world-wide today - the Trauma Resiliency Model.
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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.