Dialectical Behavior (DBT) Therapists in Clemmons, NC

Photo of Amanda Kluttz, LCSW, Clinical Social Work/Therapist
Amanda Kluttz
Clinical Social Work/Therapist, LCSW
Verified Verified
Clemmons, NC 27104
She utilizes multiple treatment approaches including CBT, motivational interviewing, SFT, and techniques borrowed from DBT and ACT.
Amanda Kluttz is a Licensed Clinical Social Worker (LCSW) with over 23 years of experience in the mental health field. She is passionate about helping adolescents and adults address their unique challenges and learn to live healthy, fulfilled lives. Amanda specializes in depression, anxiety, trauma, relationship issues, major life transitions, and substance use issues.
She utilizes multiple treatment approaches including CBT, motivational interviewing, SFT, and techniques borrowed from DBT and ACT.
Amanda Kluttz is a Licensed Clinical Social Worker (LCSW) with over 23 years of experience in the mental health field. She is passionate about helping adolescents and adults address their unique challenges and learn to live healthy, fulfilled lives. Amanda specializes in depression, anxiety, trauma, relationship issues, major life transitions, and substance use issues.
(336) 438-2424 View (336) 438-2424
Photo of Lisa Wagoner Hairston, MS, LCMHC, CRC, Licensed Professional Counselor
Lisa Wagoner Hairston
Licensed Professional Counselor, MS, LCMHC, CRC
Verified Verified
1 Endorsed
Clemmons, NC 27012  (Online Only)
I'm happy you stopped at my profile! This is a step towards growth and healing. It's not always easy to seek guidance and support. Life can be difficult and a bit of a rollercoaster ride at times. My goal is to meet and accept you where you are and help you navigate this time in your life. Change is possible! Depression, Anxiety, Bipolar Disorder, Autism, and Trauma are some of my areas of focus with DBT, CBT, and ACT being my main treatment modalities. I offer support for children, teens, adults, families, and couples. I also offer support for loved ones of someone with Borderline Personality Disorder and other diagnoses.
I'm happy you stopped at my profile! This is a step towards growth and healing. It's not always easy to seek guidance and support. Life can be difficult and a bit of a rollercoaster ride at times. My goal is to meet and accept you where you are and help you navigate this time in your life. Change is possible! Depression, Anxiety, Bipolar Disorder, Autism, and Trauma are some of my areas of focus with DBT, CBT, and ACT being my main treatment modalities. I offer support for children, teens, adults, families, and couples. I also offer support for loved ones of someone with Borderline Personality Disorder and other diagnoses.
(336) 439-3254 View (336) 439-3254
Photo of Athena E Norton, LCSWA
Athena E Norton
LCSW Associate, LCSWA
Verified Verified
Clemmons, NC 27012
I firmly believe in treating the complete person, integrating various therapeutic methods such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing (MI), Solution-Focused Therapy, and Interpersonal Therapy.
I am incredibly passionate about mental health, and my greatest desire is to support individuals on their mental health journey. I wholeheartedly believe in fostering trusting relationships with all my clients and providing a safe, non-judgmental space where they can freely reflect and grow.
I firmly believe in treating the complete person, integrating various therapeutic methods such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing (MI), Solution-Focused Therapy, and Interpersonal Therapy.
I am incredibly passionate about mental health, and my greatest desire is to support individuals on their mental health journey. I wholeheartedly believe in fostering trusting relationships with all my clients and providing a safe, non-judgmental space where they can freely reflect and grow.
(336) 283-2510 View (336) 283-2510
Photo of Melissa Martin, LCSWA, Clinical Social Work/Therapist
Melissa Martin
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Clemmons, NC 27012
I offer services to and enjoying working with teens (high school age and up) and adults for individuals, couples and families to address mood concerns, conflict resolution, changes and transitions and/or relationship issues and personality challenges using dialectical and cognitive therapy approaches.
Do you find yourself going through life with an uneasy sense of depression and anxiety while struggling to manage life situations? Are you facing challenges with establishing healthy boundaries? Perhaps you frequently experience feelings of hopelessness and disconnection from the people around you, leading to confusing and challenging life circumstances? Have you endured a childhood with limited emotional support and connection and a feeling of sadness and loss that continues to impact your adult relationships? If any of these resonates with you, I provide a nonjudgmental, empathic approach to help you lead a more fulfilling life.
I offer services to and enjoying working with teens (high school age and up) and adults for individuals, couples and families to address mood concerns, conflict resolution, changes and transitions and/or relationship issues and personality challenges using dialectical and cognitive therapy approaches.
Do you find yourself going through life with an uneasy sense of depression and anxiety while struggling to manage life situations? Are you facing challenges with establishing healthy boundaries? Perhaps you frequently experience feelings of hopelessness and disconnection from the people around you, leading to confusing and challenging life circumstances? Have you endured a childhood with limited emotional support and connection and a feeling of sadness and loss that continues to impact your adult relationships? If any of these resonates with you, I provide a nonjudgmental, empathic approach to help you lead a more fulfilling life.
(336) 396-5478 View (336) 396-5478
Photo of Nina Scherer, Counselor
Nina Scherer
Counselor
Verified Verified
Clemmons, NC 27012
I am well versed in numerous therapeutic orientations specializing in Dialectical Behavioral therapy.
Let me help you create the life you want to have. We will start working from where you are and support you building a life worth living. I believe that a strong therapeutic relationship is the foundation for positive change. I passionately believe in treating clients with the utmost dignity and respect. I have had the privilege of working with amazing clients from diverse backgrounds, different kinds of diagnoses, and in all phases of life.
I am well versed in numerous therapeutic orientations specializing in Dialectical Behavioral therapy.
Let me help you create the life you want to have. We will start working from where you are and support you building a life worth living. I believe that a strong therapeutic relationship is the foundation for positive change. I passionately believe in treating clients with the utmost dignity and respect. I have had the privilege of working with amazing clients from diverse backgrounds, different kinds of diagnoses, and in all phases of life.
(336) 560-9481 View (336) 560-9481
Photo of Yamuna Cleopatra Roach, MS, LCMHC-A, NCC, Counselor
Yamuna Cleopatra Roach
Counselor, MS, LCMHC-A, NCC
Verified Verified
2 Endorsed
Clemmons, NC 27012
During sessions, I incorporate diverse therapeutic modalities, such as Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Solution-Focused Brief Therapy (SFBT), mindfulness, and play therapy, to cater to unique preferences and needs.
Taking the first step to connect with a therapist requires courage, but the journey ahead is filled with enriching rewards. In my practice, I warmly welcome individuals of all ages, offering a collaborative experience tailored to each person's unique needs. Rooted in genuine support, empathy, and deep understanding, I create a therapeutic space that feels nurturing and empowering. I adapt my approach to meet clients exactly where they are on their journey, ensuring a warm and inviting atmosphere as they embrace healing and self-discovery.
During sessions, I incorporate diverse therapeutic modalities, such as Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Solution-Focused Brief Therapy (SFBT), mindfulness, and play therapy, to cater to unique preferences and needs.
Taking the first step to connect with a therapist requires courage, but the journey ahead is filled with enriching rewards. In my practice, I warmly welcome individuals of all ages, offering a collaborative experience tailored to each person's unique needs. Rooted in genuine support, empathy, and deep understanding, I create a therapeutic space that feels nurturing and empowering. I adapt my approach to meet clients exactly where they are on their journey, ensuring a warm and inviting atmosphere as they embrace healing and self-discovery.
(336) 332-2277 View (336) 332-2277
Photo of Donna Dunlap - New Life Counseling Center, PLLC, LCMHCS
New Life Counseling Center, PLLC
Lic Clinical Mental Health Counselor Supervisor, LCMHCS
Verified Verified
1 Endorsed
Clemmons, NC 27012
DBT Skills Training Group sessions are only $60! If you and the people you love are often angry and yelling at each other, this could be your answer! With the right skills, the way you think or feel about your life experiences, can change pain into possibility.
New Life Counseling Center offers exceptional therapy services to residents of the Triad and surrounding areas. We are a private, group practice featuring therapists who specialize in Professional Counseling and Marriage and Family Therapy. It is our goal to retain only the best and most professional therapists to ensure that each and every client is treated with respect and care! It's our shared mission to provide top-notch mental health services available in a pleasant, professional setting. We take the extra time to learn about you so that we can match you up with the therapist who will be the best fit for your needs.
DBT Skills Training Group sessions are only $60! If you and the people you love are often angry and yelling at each other, this could be your answer! With the right skills, the way you think or feel about your life experiences, can change pain into possibility.
New Life Counseling Center offers exceptional therapy services to residents of the Triad and surrounding areas. We are a private, group practice featuring therapists who specialize in Professional Counseling and Marriage and Family Therapy. It is our goal to retain only the best and most professional therapists to ensure that each and every client is treated with respect and care! It's our shared mission to provide top-notch mental health services available in a pleasant, professional setting. We take the extra time to learn about you so that we can match you up with the therapist who will be the best fit for your needs.
(336) 439-3376 View (336) 439-3376
Photo of Suzanne Marin, MSW, LCSW, Clinical Social Work/Therapist
Suzanne Marin
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Clemmons, NC 27012
"When 'I' is replaced by 'We' even 'illness' Becomes 'Wellness'" --Malcolm X. This is my approach to therapeutic intervention. Healing the body, mind, and spirit will create overall 'wellness.' Why is it that we make appointments to take care of our physical health, but we seem to ignore our mental health? Therapy doesn’t have to be a scary or painful event, it should be a place where you can open yourself to the journey to reach your full potential. I realize that calling a therapist can be intimidating, but I hope you will take a moment (and maybe a deep breath) to call and see how I can help you.
"When 'I' is replaced by 'We' even 'illness' Becomes 'Wellness'" --Malcolm X. This is my approach to therapeutic intervention. Healing the body, mind, and spirit will create overall 'wellness.' Why is it that we make appointments to take care of our physical health, but we seem to ignore our mental health? Therapy doesn’t have to be a scary or painful event, it should be a place where you can open yourself to the journey to reach your full potential. I realize that calling a therapist can be intimidating, but I hope you will take a moment (and maybe a deep breath) to call and see how I can help you.
(336) 489-4462 View (336) 489-4462
Photo of Susanne Palmer, PhD, LP, Psychologist
Susanne Palmer
Psychologist, PhD, LP
Verified Verified
Clemmons, NC 27012
Waitlist for new clients
I utilize a collaborative and present-focused approach to help clients learn how to effect immediate change in their lives. I treat an array of mental health concerns via cognitive-behavioral and related approaches. My special interests include psychological assessment and treating severe mental illness, personality disorders, and PTSD/trauma.
I utilize a collaborative and present-focused approach to help clients learn how to effect immediate change in their lives. I treat an array of mental health concerns via cognitive-behavioral and related approaches. My special interests include psychological assessment and treating severe mental illness, personality disorders, and PTSD/trauma.
(336) 777-7097 View (336) 777-7097
Photo of Jeanine D. Spear, LCMHC, LMFT, LPC
Jeanine D. Spear
Licensed Clinical Mental Health Counselor, LCMHC, LMFT, LPC
Verified Verified
Clemmons, NC 27012  (Online Only)
I am licensed in California, and I specialize in depression, anxiety, bereavement, loss, attachment injuries, narcissistic abuse, headship theology abuse, as well as other DSM disorders. I am also trained in trauma, domestic violence, and spiritual abuse. I recognize that crucial life transitions and the emotional upheaval associated within relationships can have a profound impact on one's health and well-being. Book an appointment today -
I am licensed in California, and I specialize in depression, anxiety, bereavement, loss, attachment injuries, narcissistic abuse, headship theology abuse, as well as other DSM disorders. I am also trained in trauma, domestic violence, and spiritual abuse. I recognize that crucial life transitions and the emotional upheaval associated within relationships can have a profound impact on one's health and well-being. Book an appointment today -
(336) 568-0823 View (336) 568-0823
Photo of Sarah Brigid O'Horo-Nash, LCSW, Clinical Social Work/Therapist
Sarah Brigid O'Horo-Nash
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Clemmons, NC 27012
Therapy starts with meeting you where you are at. Whether you have recently lost a loved one, started experiencing trouble at school, work, or home, or feel that you need a safe environment to talk about your concerns, I am here to help and start on your journey with you.
Therapy starts with meeting you where you are at. Whether you have recently lost a loved one, started experiencing trouble at school, work, or home, or feel that you need a safe environment to talk about your concerns, I am here to help and start on your journey with you.
(336) 895-1858 View (336) 895-1858
Photo of Brunella Ramirez, MSW, LCSWA, Clinical Social Work/Therapist
Brunella Ramirez
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Clemmons, NC 27012
Waitlist for new clients
I am a Bilingual (English and Spanish) Licensed Clinical Social Worker Associate with a wealth of qualifications and experience. With a heartfelt and compassionate approach, I bring a deep understanding of the challenges faced by individuals struggling with mental health issues. I have experience working with adolescents, adults, and families, and I am dedicated to providing the support and guidance necessary to help each individual achieve the best possible outcomes. Whether you're dealing with anxiety, depression, trauma, or other mental health concerns, I am here to help.
I am a Bilingual (English and Spanish) Licensed Clinical Social Worker Associate with a wealth of qualifications and experience. With a heartfelt and compassionate approach, I bring a deep understanding of the challenges faced by individuals struggling with mental health issues. I have experience working with adolescents, adults, and families, and I am dedicated to providing the support and guidance necessary to help each individual achieve the best possible outcomes. Whether you're dealing with anxiety, depression, trauma, or other mental health concerns, I am here to help.
(336) 439-1811 View (336) 439-1811
Photo of Aereil Moore, LCMHC, Licensed Professional Counselor
Aereil Moore
Licensed Professional Counselor, LCMHC
Verified Verified
Clemmons, NC 27104
Aereil Moore is a Licensed Clinical Mental Health Counselor (LCHMC) and Clinical Addiction Specialist (CAS) in North Carolina with over 5 years of professional work experience. She has experience in helping clients with coping with addictions, depression, trauma, abuse, mood disorders, divorce, abuse, anger management, motivation, self esteem, and confidence.
Aereil Moore is a Licensed Clinical Mental Health Counselor (LCHMC) and Clinical Addiction Specialist (CAS) in North Carolina with over 5 years of professional work experience. She has experience in helping clients with coping with addictions, depression, trauma, abuse, mood disorders, divorce, abuse, anger management, motivation, self esteem, and confidence.
(336) 361-2435 View (336) 361-2435
Photo of Karen Maynard, MSW, LCSW, LCAS, Clinical Social Work/Therapist
Karen Maynard
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
Clemmons, NC 27012
Stress and emotional pain certainly impact employment/school performance, interpersonal relationships, and physical health. Chronic stress/emotional pain can lead to symptoms of depression, anxiety, and misguided coping through substances. It changes your perception; contributes to conflict with family/friends and situations previously managed become overwhelming. If this sounds familiar, Health Matters can help.
Stress and emotional pain certainly impact employment/school performance, interpersonal relationships, and physical health. Chronic stress/emotional pain can lead to symptoms of depression, anxiety, and misguided coping through substances. It changes your perception; contributes to conflict with family/friends and situations previously managed become overwhelming. If this sounds familiar, Health Matters can help.
(336) 515-0738 View (336) 515-0738
Photo of Ginny H Mills - Full Life Counseling & Recovery, MAEd, LCMHC-S, LCAS, CCS
Full Life Counseling & Recovery
Lic Clinical Mental Health Counselor Supervisor, MAEd, LCMHC-S, LCAS, CCS
Verified Verified
Clemmons, NC 27012
We bring hope to families living in fear, and we help direct individuals and families to treatment resources and other recovery resources that are consistent with each families needs, preferences and resources. As independent addiction specialists, we have no affiliation with any specific treatment program, which allows us the freedom to make referrals that are most appropriate for the individual. While we honor & appreciate the legacy of 12-step recovery, we recognize that there are many other pathways to recovery. Our mission is to bring hope, guidance, support and community for individuals and families affected by substance use or mental health disorders in pursuit of a full life in recovery.
We bring hope to families living in fear, and we help direct individuals and families to treatment resources and other recovery resources that are consistent with each families needs, preferences and resources. As independent addiction specialists, we have no affiliation with any specific treatment program, which allows us the freedom to make referrals that are most appropriate for the individual. While we honor & appreciate the legacy of 12-step recovery, we recognize that there are many other pathways to recovery. Our mission is to bring hope, guidance, support and community for individuals and families affected by substance use or mental health disorders in pursuit of a full life in recovery.
(336) 347-4979 View (336) 347-4979
Photo of April Dawn-Eaddy Thornton - Voice for Children & Nurturing Families , LPC, RPT, CCTP, CSOTS, Licensed Professional Counselor
Voice for Children & Nurturing Families
Licensed Professional Counselor, LPC, RPT, CCTP, CSOTS
Verified Verified
Clemmons, NC 27012
Accepting New Patients! VCNF specializes and is committed to helping children, adolescents, adults, and families to achieve their goals and find healing within a safe environment. VCNF's goal is to assist patients in finding and expressing their maximum potential. VCNF specializes in treating trauma, adoption, foster care, depression, attachment, and attachment. VCNF's approach to therapy is unique in that she uses up-to-date interventions and various types of evidenced based treatment modalities to treat psychological and behavioral issues. VCNF is also a champion of healthy development, personal growth and relationships.
Accepting New Patients! VCNF specializes and is committed to helping children, adolescents, adults, and families to achieve their goals and find healing within a safe environment. VCNF's goal is to assist patients in finding and expressing their maximum potential. VCNF specializes in treating trauma, adoption, foster care, depression, attachment, and attachment. VCNF's approach to therapy is unique in that she uses up-to-date interventions and various types of evidenced based treatment modalities to treat psychological and behavioral issues. VCNF is also a champion of healthy development, personal growth and relationships.
(336) 739-4013 View (336) 739-4013
Photo of Tanya Gunter, MAEd, NCC, LCMHC, Licensed Professional Counselor
Tanya Gunter
Licensed Professional Counselor, MAEd, NCC, LCMHC
Verified Verified
2 Endorsed
Clemmons, NC 27012
Waitlist for new clients
The therapeutic process is an opportunity to to address problematic issues in a safe, nurturing environment that will encourage growth toward healing, self-awareness, coping and wellness. I specialize in counseling women, men and adolescents who strive to change unhealthy patterns and learn new ways of becoming successful, happy and peaceful. If you find yourself thinking, "Life shouldn't be this hard," I can help you examine the disconnect you feel and and turn it into knowledge that works for you. Choices rather than limitations; power over powerlessness.
The therapeutic process is an opportunity to to address problematic issues in a safe, nurturing environment that will encourage growth toward healing, self-awareness, coping and wellness. I specialize in counseling women, men and adolescents who strive to change unhealthy patterns and learn new ways of becoming successful, happy and peaceful. If you find yourself thinking, "Life shouldn't be this hard," I can help you examine the disconnect you feel and and turn it into knowledge that works for you. Choices rather than limitations; power over powerlessness.
(336) 949-6149 View (336) 949-6149
Photo of Rhonda Ferrell, MEd, LCMHC, Licensed Professional Counselor
Rhonda Ferrell
Licensed Professional Counselor, MEd, LCMHC
Verified Verified
1 Endorsed
Clemmons, NC 27012  (Online Only)
NOTE: Video Counseling is like a house call, comfortable and convenient. Just go to RhondaFerrellCounseling.com and self-schedule on our online calendar or call 336-939-8043. I offer compassionate counseling with individuals who are seeking to resolve their painful histories and create a fulfilling life. When we bring your strengths, creativity and motivation together with my professional experience and diverse strategies, we can accomplish a lot in brief solution focused counseling. Maybe it's about un-becoming everything that isn't really you so you can be who you were meant to be in the first place!
NOTE: Video Counseling is like a house call, comfortable and convenient. Just go to RhondaFerrellCounseling.com and self-schedule on our online calendar or call 336-939-8043. I offer compassionate counseling with individuals who are seeking to resolve their painful histories and create a fulfilling life. When we bring your strengths, creativity and motivation together with my professional experience and diverse strategies, we can accomplish a lot in brief solution focused counseling. Maybe it's about un-becoming everything that isn't really you so you can be who you were meant to be in the first place!
(336) 939-8043 View (336) 939-8043
Photo of Chantal D Hayes - Banyan Tree Counseling & Wellness, MA, LCMHC, NCC
Banyan Tree Counseling & Wellness
MA, LCMHC, NCC
Verified Verified
10 Endorsed
Clemmons, NC 27012
Our work is dedicated to helping ALL people develop healthy, satisfying, productive, and meaningful lives. Though it can be difficult to make the decision to begin therapy, we have found that those who have sought help and take responsibility for their emotional heath and relationships have achieved remarkable results. People come to us for a variety of reasons: they may be in transition, experiencing work stress, grieving a loss, struggling with religious or family ideals which no longer suit them, a new parent experiencing anxiety. Some have begun to feel daily life is stagnant, seeking more direction and purpose in their lives.
Our work is dedicated to helping ALL people develop healthy, satisfying, productive, and meaningful lives. Though it can be difficult to make the decision to begin therapy, we have found that those who have sought help and take responsibility for their emotional heath and relationships have achieved remarkable results. People come to us for a variety of reasons: they may be in transition, experiencing work stress, grieving a loss, struggling with religious or family ideals which no longer suit them, a new parent experiencing anxiety. Some have begun to feel daily life is stagnant, seeking more direction and purpose in their lives.
(336) 750-6824 View (336) 750-6824
Photo of Lynn Lerner, MSW, LCSW, QS, Clinical Social Work/Therapist
Lynn Lerner
Clinical Social Work/Therapist, MSW, LCSW, QS
Verified Verified
4 Endorsed
Clemmons, NC 27012
Hi, I'm Lynn. As a devoted parent, you want your child to receive effective, specialized, and caring treatment. At Forsyth Family Counseling, you can rest assured they will receive this level of care. Your child's emotional and behavioral issues can also affect the entire family. That is why I am here to help you, your child, and your family regain their inner peace and harmony. I will work with you and your child using proven evidence-based treatments. What are evidence-based treatments? They are types of therapies that have a great deal of research proving effectiveness.
Hi, I'm Lynn. As a devoted parent, you want your child to receive effective, specialized, and caring treatment. At Forsyth Family Counseling, you can rest assured they will receive this level of care. Your child's emotional and behavioral issues can also affect the entire family. That is why I am here to help you, your child, and your family regain their inner peace and harmony. I will work with you and your child using proven evidence-based treatments. What are evidence-based treatments? They are types of therapies that have a great deal of research proving effectiveness.
(336) 397-4723 View (336) 397-4723
1
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.