Self-Harming Therapists in Franklin, NC

Photo of Christina Harn, NCC, LCMHCA
Christina Harn
Lic Clinical Mental Health Counselor Associate, NCC, LCMHCA
Verified Verified
Franklin, NC 28734
I am a Licensed Clinical Mental Health Counselor Associate (LCMHCA). As a therapist I feel it's important to have a collaborative therapeutic relationship in which the client is empowered to achieve healing and growth to all areas of their life. Built on trust, safety, and authenticity (and a bit of humor), I strive for a client-centered approach that fits the unique needs of each client.
I am a Licensed Clinical Mental Health Counselor Associate (LCMHCA). As a therapist I feel it's important to have a collaborative therapeutic relationship in which the client is empowered to achieve healing and growth to all areas of their life. Built on trust, safety, and authenticity (and a bit of humor), I strive for a client-centered approach that fits the unique needs of each client.
(828) 558-0227 View (828) 558-0227
Photo of Sandy Van Horn, LCSW, RYT200, SEP, Clinical Social Work/Therapist
Sandy Van Horn
Clinical Social Work/Therapist, LCSW, RYT200, SEP
Verified Verified
1 Endorsed
Franklin, NC 28734
I believe growth occurs when we courageously stay along the edges of our comfort zone and gently press into that boundary widening it inch by inch. I believe healing occurs when we fully allow ourselves to feel our pain, to sit with it, to befriend it, and to find out that it has edges and boundaries ... a beginning and an end. If you've been struggling with life - that can be big and small things - we can work together to identify challenges and build your capacity to move in the direction of optimal healing and wellness.
I believe growth occurs when we courageously stay along the edges of our comfort zone and gently press into that boundary widening it inch by inch. I believe healing occurs when we fully allow ourselves to feel our pain, to sit with it, to befriend it, and to find out that it has edges and boundaries ... a beginning and an end. If you've been struggling with life - that can be big and small things - we can work together to identify challenges and build your capacity to move in the direction of optimal healing and wellness.
(828) 268-3363 View (828) 268-3363
Photo of Carol VanderWoude, LCSW, Clinical Social Work/Therapist
Carol VanderWoude
Clinical Social Work/Therapist, LCSW
Verified Verified
Franklin, NC 28734
The heart of my work is the compassionate and authentic approach I've developed over the years, helping people to find peace of mind and compassion for themselves and others, one day at a time. If you've experienced the trauma of abandonment or abuse, grief or loss, I can guide your path of recovery with understanding, care and healing. I can help you find more emotional stability in your life and your relationships through a holistic approach by taking into consideration you as a whole person encompassing your spiritual, physical, intellectual, relational, and emotional well being.
The heart of my work is the compassionate and authentic approach I've developed over the years, helping people to find peace of mind and compassion for themselves and others, one day at a time. If you've experienced the trauma of abandonment or abuse, grief or loss, I can guide your path of recovery with understanding, care and healing. I can help you find more emotional stability in your life and your relationships through a holistic approach by taking into consideration you as a whole person encompassing your spiritual, physical, intellectual, relational, and emotional well being.
(828) 332-5651 View (828) 332-5651
Photo of Kevin Reed Inabinet, LCSW, Clinical Social Work/Therapist
Kevin Reed Inabinet
Clinical Social Work/Therapist, LCSW
Verified Verified
Franklin, NC 28734
After being in the helping field for over 25 years, I understand what a leap of faith it is to reach out for help as well as how stressful and scary it can be. I also know how important it is to be treated with respect, professionalism, and dignity. This need is surely magnified when it involves the people you care about the most. Seeking help for your family can also become very confusing and frustrating. I am working hard to eliminate those unnecessary barriers. My experience is with children, adolescents, and their families.
After being in the helping field for over 25 years, I understand what a leap of faith it is to reach out for help as well as how stressful and scary it can be. I also know how important it is to be treated with respect, professionalism, and dignity. This need is surely magnified when it involves the people you care about the most. Seeking help for your family can also become very confusing and frustrating. I am working hard to eliminate those unnecessary barriers. My experience is with children, adolescents, and their families.
(828) 237-4115 View (828) 237-4115
Photo of Pamela Page Graham, LCSW, Clinical Social Work/Therapist
Pamela Page Graham
Clinical Social Work/Therapist, LCSW
Verified Verified
Franklin, NC 28734
I love assisting families and children on their mental health journey. Navigating life, especially as a caretaker, is challenging. I, as both a mother and clinician, aim to normalize this shared human experience and understand the 'why' behind behaviors to foster healing. My therapeutic approach centers on understanding the human condition, recognizing our interactions, and addressing perceived dysfunctions. I collaborate with children to foster trust and exploration, emphasizing psychoeducation to explain the science behind our strategies. Identifying biological responses versus choices and the root cause is crucial.
I love assisting families and children on their mental health journey. Navigating life, especially as a caretaker, is challenging. I, as both a mother and clinician, aim to normalize this shared human experience and understand the 'why' behind behaviors to foster healing. My therapeutic approach centers on understanding the human condition, recognizing our interactions, and addressing perceived dysfunctions. I collaborate with children to foster trust and exploration, emphasizing psychoeducation to explain the science behind our strategies. Identifying biological responses versus choices and the root cause is crucial.
(828) 547-9305 View (828) 547-9305
Photo of Stephanie Cheryl Bowman, LCMHCA
Stephanie Cheryl Bowman
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
3 Endorsed
Franklin, NC 28734
Waitlist for new clients
My passion lies in working with individuals who have experienced complex trauma and those currently living with eating disorders or disordered eating. It is my goal to help my clients no longer feel alone, and to move from a place of shame and guilt to one of believing and knowing that all of their parts are good.
My passion lies in working with individuals who have experienced complex trauma and those currently living with eating disorders or disordered eating. It is my goal to help my clients no longer feel alone, and to move from a place of shame and guilt to one of believing and knowing that all of their parts are good.
(828) 200-5332 View (828) 200-5332
Photo of Dana E Mills, LCMHC, LCAS, CCS, Licensed Professional Counselor
Dana E Mills
Licensed Professional Counselor, LCMHC, LCAS, CCS
Verified Verified
1 Endorsed
Franklin, NC 28734
Everyone faces difficulties in life at some point and can use discreet, compassionate, non-judgemental support to develop strategies to manage and overcome those difficulties. No single therapeutic approach can treat every individual. I believe that recovery and improvement are possible for everyone. Therapy helps find solutions that foster a sense of personal empowerment to make choices in your own recovery. My therapeutic approach focuses on an individual's strengths to engage in their life. Learn skills to help manage and treat anxiety, depression, mood and personality disorders, substance use issues, and trauma resolution.
Everyone faces difficulties in life at some point and can use discreet, compassionate, non-judgemental support to develop strategies to manage and overcome those difficulties. No single therapeutic approach can treat every individual. I believe that recovery and improvement are possible for everyone. Therapy helps find solutions that foster a sense of personal empowerment to make choices in your own recovery. My therapeutic approach focuses on an individual's strengths to engage in their life. Learn skills to help manage and treat anxiety, depression, mood and personality disorders, substance use issues, and trauma resolution.
(828) 634-4378 View (828) 634-4378
Photo of Katie Dewhurst, LPCA, Counselor
Katie Dewhurst
Counselor, LPCA
Verified Verified
Franklin, NC 28734
Not accepting new clients
I currently am not taking new clients. We all, at times, can benefit from walking with a special companion on this journey; someone who is not part of our everyday life, who has skills and experience to bring us insight and comfort. Sometimes our families, friends, or coworkers don't feel like a safe place to turn. My desire is to provide a space for understanding, healing, and hope so that you can begin to experience more fully, who you are and the beauty of your story. I see adults that struggle with anxiety, depression and life transitions challenges.
I currently am not taking new clients. We all, at times, can benefit from walking with a special companion on this journey; someone who is not part of our everyday life, who has skills and experience to bring us insight and comfort. Sometimes our families, friends, or coworkers don't feel like a safe place to turn. My desire is to provide a space for understanding, healing, and hope so that you can begin to experience more fully, who you are and the beauty of your story. I see adults that struggle with anxiety, depression and life transitions challenges.
(828) 586-5555 View (828) 586-5555
Photo of Anna Clark, LCMHC, Counselor
Anna Clark
Counselor, LCMHC
Verified Verified
2 Endorsed
Franklin, NC 28734
Not accepting new clients
Life is often full of unexpected twists, turns, and bumps that can leave us feeling uncertain about how to feel or move forward. Although it can seem dauting to take the steps to talk about these challenges, therapy can be an extremely rewarding tool to support validating your experiences and compassionately continuing that journey. My approach to therapy is that it involves understanding how our past impacts current feelings, behaviors, and patterns through a safe and trusting therapeutic relationship that supports positive change and healing. I also believe therapy needs to utilize humor and I enjoy having my dog join in as well.
Life is often full of unexpected twists, turns, and bumps that can leave us feeling uncertain about how to feel or move forward. Although it can seem dauting to take the steps to talk about these challenges, therapy can be an extremely rewarding tool to support validating your experiences and compassionately continuing that journey. My approach to therapy is that it involves understanding how our past impacts current feelings, behaviors, and patterns through a safe and trusting therapeutic relationship that supports positive change and healing. I also believe therapy needs to utilize humor and I enjoy having my dog join in as well.
(828) 586-5555 View (828) 586-5555

More Therapists Nearby

Photo of Margurite Reaves, LCSW, Clinical Social Work/Therapist
Margurite Reaves
Clinical Social Work/Therapist, LCSW
Verified Verified
Otto, NC 28763
Hello, my name is Margurite Reaves; I am a licensed clinical social worker (LCSW). I approach the therapeutic process with an individualized approach. My areas of expertise include mood disorders, unhealthy attachment patterns, trauma, and conduct disorders. I have several years of experience working with adults, children/adolescence, and families in areas that include but are not limited to depression, bipolar disorder, anxiety, relationship issues, adjustment issues, defiant behaviors, stress management, and trauma.
Hello, my name is Margurite Reaves; I am a licensed clinical social worker (LCSW). I approach the therapeutic process with an individualized approach. My areas of expertise include mood disorders, unhealthy attachment patterns, trauma, and conduct disorders. I have several years of experience working with adults, children/adolescence, and families in areas that include but are not limited to depression, bipolar disorder, anxiety, relationship issues, adjustment issues, defiant behaviors, stress management, and trauma.
(980) 372-6690 View (980) 372-6690
Photo of Deborah L Rasso, MS, LMHC, MCAP, NCC, LCMHC, Counselor
Deborah L Rasso
Counselor, MS, LMHC, MCAP, NCC, LCMHC
Verified Verified
Otto, NC 28763  (Online Only)
Not accepting new clients
Every new day is a chance to change your life. My job as a counselor is to help you make the change in your life that will bring you to a better place. Whether you are struggling with anxiety, depression, relationship issues or having problems with adjustment to any new life situation, things can get better with help through counseling. I have a special fondness for working with people who struggle with addictions (drug, alcohol, gambling, eating, etc). Addictions are a coping skill that can be replaced with more healthy choices. Working together we will find a better way!
Every new day is a chance to change your life. My job as a counselor is to help you make the change in your life that will bring you to a better place. Whether you are struggling with anxiety, depression, relationship issues or having problems with adjustment to any new life situation, things can get better with help through counseling. I have a special fondness for working with people who struggle with addictions (drug, alcohol, gambling, eating, etc). Addictions are a coping skill that can be replaced with more healthy choices. Working together we will find a better way!
(561) 308-4774 View (561) 308-4774

Online Therapists

Photo of Deborah H. Weir, PhD, LCMHCS, NCC, CHT
Deborah H. Weir
Lic Clinical Mental Health Counselor Supervisor, PhD, LCMHCS, NCC, CHT
Verified Verified
1 Endorsed
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.
(828) 408-0324 View (828) 408-0324
Photo of Eric Belsterling, PhD stu, LCAS, CSAT, CMAT, CCS, Licensed Professional Counselor
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.
(828) 476-4278 View (828) 476-4278
Photo of Meagan Rose Star Bond - Star Rose Bond, Trauma Specialist - LCSW, MSSW, LCSW, Clinical Social Work/Therapist
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.
(828) 373-8526 View (828) 373-8526
Photo of Erica Perez, MSW, LCSW, LCAS-A, Clinical Social Work/Therapist
Erica Perez
Clinical Social Work/Therapist, MSW, LCSW, LCAS-A
Verified Verified
Asheville, NC 28801
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.
(828) 348-5692 View (828) 348-5692
Photo of Mary Flora, PhD, LCMHC, LCMHCS, LCAS, CCS
Mary Flora
Lic Clinical Mental Health Counselor Supervisor, PhD, LCMHC, LCMHCS, LCAS, CCS
Verified Verified
1 Endorsed
Asheville, NC 28804
Welcome! My practice with clients focuses on: 1) processing relationship experiences that have contributed to psychological distress, 2) nervous system rebalancing for meaningful connections and attunement with self & others. 3) Interpersonal effectiveness and boundary setting for prosocial behavior 4) Relationship principles for connection and attunement. 5) Brainspotting and EMDR are the models used for addressing traumatic or stressful events. I hold a doctorate in Jungian Psychodynamic Theory, and a Masters in Counseling Psychology. I am an Equine & Canine Assisted Service Provider.
Welcome! My practice with clients focuses on: 1) processing relationship experiences that have contributed to psychological distress, 2) nervous system rebalancing for meaningful connections and attunement with self & others. 3) Interpersonal effectiveness and boundary setting for prosocial behavior 4) Relationship principles for connection and attunement. 5) Brainspotting and EMDR are the models used for addressing traumatic or stressful events. I hold a doctorate in Jungian Psychodynamic Theory, and a Masters in Counseling Psychology. I am an Equine & Canine Assisted Service Provider.
(828) 360-8153 View (828) 360-8153
Photo of Lynn Carlson, MS, LCMHCS, CAAP
Lynn Carlson
Licensed Clinical Mental Health Counselor, MS, LCMHCS, CAAP
Verified Verified
Sylva, NC 28779  (Online Only)
I would be honored to walk beside you on your journey toward growing your own way to mental health despite your struggles, trauma, or what your inner critic tells you. I provide evidence-based strategies, experience, and therapeutic support in a down-to-earth and accessible manner. We will work together to empower you to choose your path to well-being. Every person's path, including their story and future, is unique. I offer a safe and secure space for both youth and adults to explore issues of trauma, anxiety, depression, PTSD, life challenges, and emotional overwhelm.
I would be honored to walk beside you on your journey toward growing your own way to mental health despite your struggles, trauma, or what your inner critic tells you. I provide evidence-based strategies, experience, and therapeutic support in a down-to-earth and accessible manner. We will work together to empower you to choose your path to well-being. Every person's path, including their story and future, is unique. I offer a safe and secure space for both youth and adults to explore issues of trauma, anxiety, depression, PTSD, life challenges, and emotional overwhelm.
(828) 799-8628 View (828) 799-8628
Photo of Lindsay Carter, LCMHC, LPC, NCC
Lindsay Carter
Licensed Clinical Mental Health Counselor, LCMHC, LPC, NCC
Verified Verified
Leicester, NC 28748  (Online Only)
As a late-diagnosed AuDHDer, I understand the experience of feeling like you know what you should be doing … but you can’t quite do it. I have a deep appreciation for what it’s like to feel stuck between what you want for yourself and how to get there. I love helping people learn to speak their own system’s language. We often have pretty clear ideas of what we should be doing, but those expectations can get in the way of recognizing what our unique nervous systems actually need—or even want. Your life experiences play a vital role in how you move through the world, and those experiences deserve deep understanding and attention.
As a late-diagnosed AuDHDer, I understand the experience of feeling like you know what you should be doing … but you can’t quite do it. I have a deep appreciation for what it’s like to feel stuck between what you want for yourself and how to get there. I love helping people learn to speak their own system’s language. We often have pretty clear ideas of what we should be doing, but those expectations can get in the way of recognizing what our unique nervous systems actually need—or even want. Your life experiences play a vital role in how you move through the world, and those experiences deserve deep understanding and attention.
(828) 415-5806 View (828) 415-5806
Photo of Matthew Snyder - Full Circle Community Wellness, MS, MA, PsyD, LCMHCS, Licensed Professional Counselor
Full Circle Community Wellness
Licensed Professional Counselor, MS, MA, PsyD, LCMHCS
Verified Verified
1 Endorsed
Hendersonville, NC 28792
Full Circle Counseling and Wellness provides access to high quality, experienced counselors and integrative wellness practitioners who operate in a holistic, community oriented environment. Our counselors have experience with a wide range of emotional and psychological health challenges and seek to make effective treatment strategies affordable and sustainable. We employ the power of relationship for therapeutic benefit and to help foster belonging and connection by surrounding you with resources and support. Whether making art together, weeding gardens, or playing a board game, we hope to provide community oriented opportunities for everyone.
Full Circle Counseling and Wellness provides access to high quality, experienced counselors and integrative wellness practitioners who operate in a holistic, community oriented environment. Our counselors have experience with a wide range of emotional and psychological health challenges and seek to make effective treatment strategies affordable and sustainable. We employ the power of relationship for therapeutic benefit and to help foster belonging and connection by surrounding you with resources and support. Whether making art together, weeding gardens, or playing a board game, we hope to provide community oriented opportunities for everyone.
(828) 483-4232 View (828) 483-4232
Photo of Trysh Huntington-Buchan Adolescent Therapist, MA, LMFT, Marriage & Family Therapist
Trysh Huntington-Buchan Adolescent Therapist
Marriage & Family Therapist, MA, LMFT
Verified Verified
Asheville, NC 28804
Being a teen-ager is SUPER hard. Being their parent can be even harder. There are times when you struggle to comprehend where your child is coming from and have no idea what they are dealing with. Perhaps you tried communicating with your child and all you receive is 'I don't want to talk about it' or 'I'm fine.' Maybe you feel you are living with a stranger and worry that your child's behavior is hard to understand, secretive or dangerous? Technology hasn't even been mentioned yet! Living in an environment like this can challenge the family system.
Being a teen-ager is SUPER hard. Being their parent can be even harder. There are times when you struggle to comprehend where your child is coming from and have no idea what they are dealing with. Perhaps you tried communicating with your child and all you receive is 'I don't want to talk about it' or 'I'm fine.' Maybe you feel you are living with a stranger and worry that your child's behavior is hard to understand, secretive or dangerous? Technology hasn't even been mentioned yet! Living in an environment like this can challenge the family system.
(828) 385-5545 View (828) 385-5545

See more therapy options for Franklin

Self-Harming Therapists

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.