Self-Harming Therapists in Sunnyside, NY

Photo of Diana Michelena, MA, LMHC, Counselor
Diana Michelena
Counselor, MA, LMHC
Verified Verified
Sunnyside, NY 11104  (Online Only)
Are you looking for a safe place to freely express yourself, heal, connect, and find joy again? Maybe you are a teen striving to see yourself more clearly and embrace your most authentic self, or perhaps someone seeking to reduce your pain and suffering, and grow past the trauma. You may be a young adult aiming to establish intimate, genuine and real relationships, or a caring parent wishing to reconnect with yourself and your child. If any of these resonate with you, I am so happy you're here. I am Diana and I provide trauma and self-esteem therapy to teens, young adults and parents.
Are you looking for a safe place to freely express yourself, heal, connect, and find joy again? Maybe you are a teen striving to see yourself more clearly and embrace your most authentic self, or perhaps someone seeking to reduce your pain and suffering, and grow past the trauma. You may be a young adult aiming to establish intimate, genuine and real relationships, or a caring parent wishing to reconnect with yourself and your child. If any of these resonate with you, I am so happy you're here. I am Diana and I provide trauma and self-esteem therapy to teens, young adults and parents.
(332) 895-1771 View (332) 895-1771
Photo of Neal Santacruz, LCSW, r, Clinical Social Work/Therapist
Neal Santacruz
Clinical Social Work/Therapist, LCSW, r
Verified Verified
Sunnyside, NY 11104
You are unique. Using a client-centered approach, I work with your individual needs and focus for therapy. Sometimes a person may seek change in their lives or want to process their unresolved experiences and understand themselves better. Whether you are sad about the past or worried about the future, I am well versed in multiple therapeutic modalities to be able to help.
You are unique. Using a client-centered approach, I work with your individual needs and focus for therapy. Sometimes a person may seek change in their lives or want to process their unresolved experiences and understand themselves better. Whether you are sad about the past or worried about the future, I am well versed in multiple therapeutic modalities to be able to help.
(917) 765-0047 View (917) 765-0047
Photo of Nicole Sanchez, LCSW, MSSW, Clinical Social Work/Therapist
Nicole Sanchez
Clinical Social Work/Therapist, LCSW, MSSW
Verified Verified
5 Endorsed
Sunnyside, NY 11104  (Online Only)
I specialize in providing integrated EMDR to LGBTQ+ youth and adults, who are struggling with complex trauma and feeling disturbed by painful past experiences. They most often feel like they are a burden, incompetent or often find themselves endlessly ruminating over worst case scenarios. Therapy is initiated when they realize that they are ready to stop spiraling and begin experiencing a sense of grounding and connection. There has been an acknowledgement that they do not have to stay stuck. Their desire to feel confident, secure, and live authentically outweighs the fear to work through their pain.
I specialize in providing integrated EMDR to LGBTQ+ youth and adults, who are struggling with complex trauma and feeling disturbed by painful past experiences. They most often feel like they are a burden, incompetent or often find themselves endlessly ruminating over worst case scenarios. Therapy is initiated when they realize that they are ready to stop spiraling and begin experiencing a sense of grounding and connection. There has been an acknowledgement that they do not have to stay stuck. Their desire to feel confident, secure, and live authentically outweighs the fear to work through their pain.
(646) 762-9341 View (646) 762-9341
Photo of Mariah Hallbilsback, LCSW, MA, Clinical Social Work/Therapist
Mariah Hallbilsback
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
1 Endorsed
Sunnyside, NY 11104  (Online Only)
Are you struggling with anxiety, depression, low self-worth, relational/family issues, or trouble reconciling with the past? Do you find yourself overcome with self-doubt, overthinking often, or without motivation? I am a trauma-informed, EMDR-trained, LGBTQIA+ affirming, queer therapist, who works with clients dealing with anxiety, depression, trauma, and self-worth-related issues. I believe that psychotherapy that is tailored to your needs and personal experiences can have an incredible impact on your sense of well-being, improve relationships, and reconnect you safely to the world.
Are you struggling with anxiety, depression, low self-worth, relational/family issues, or trouble reconciling with the past? Do you find yourself overcome with self-doubt, overthinking often, or without motivation? I am a trauma-informed, EMDR-trained, LGBTQIA+ affirming, queer therapist, who works with clients dealing with anxiety, depression, trauma, and self-worth-related issues. I believe that psychotherapy that is tailored to your needs and personal experiences can have an incredible impact on your sense of well-being, improve relationships, and reconnect you safely to the world.
(332) 334-8789 View (332) 334-8789
Photo of Jessica Myers, MA, LMHC, LPC, Licensed Professional Counselor
Jessica Myers
Licensed Professional Counselor, MA, LMHC, LPC
Verified Verified
Sunnyside, NY 11104  (Online Only)
I work with any who has been experiencing symptoms of Anxiety and Panic Disorders, Depression, & Co-Dependency and/or has been struggling with life transitions, personal growth and self-esteem. What makes me different from other therapists? My care is genuine. I am someone that will not only care about your symptoms, but will want to know you as a whole person. I am direct in my approach, and will help you make those tough & important connections. And while therapy can be clinical, it should be collaborative & casual and I will provide a safe space to laugh and/or cry without fear of judgement.
I work with any who has been experiencing symptoms of Anxiety and Panic Disorders, Depression, & Co-Dependency and/or has been struggling with life transitions, personal growth and self-esteem. What makes me different from other therapists? My care is genuine. I am someone that will not only care about your symptoms, but will want to know you as a whole person. I am direct in my approach, and will help you make those tough & important connections. And while therapy can be clinical, it should be collaborative & casual and I will provide a safe space to laugh and/or cry without fear of judgement.
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Photo of Abbie Loveland Tuller, PhD, LMHC, LPCC, Counselor
Abbie Loveland Tuller
Counselor, PhD, LMHC, LPCC
Verified Verified
Sunnyside, NY 11104
The greatest discovery I have made in life is to embrace the unexpected, to crave the twists and turns as much as the great joys of life, and to lead with curiosity. Life can often feel scary, and we may face challenges that leave us feeling like there is nowhere to turn. If you find yourself feeling this way, you are not alone. Whether you are dealing with feelings of great sadness, anxiousness that feels uncontrollable, or struggling to move past an event in your life you have turned to the right place. Seeking therapy can lead to a greater understanding of yourself, the world around you, and the person you want to be.
The greatest discovery I have made in life is to embrace the unexpected, to crave the twists and turns as much as the great joys of life, and to lead with curiosity. Life can often feel scary, and we may face challenges that leave us feeling like there is nowhere to turn. If you find yourself feeling this way, you are not alone. Whether you are dealing with feelings of great sadness, anxiousness that feels uncontrollable, or struggling to move past an event in your life you have turned to the right place. Seeking therapy can lead to a greater understanding of yourself, the world around you, and the person you want to be.
(917) 512-5866 View (917) 512-5866
Photo of Anne T. Rufrano, LMHC, Counselor
Anne T. Rufrano
Counselor, LMHC
Verified Verified
2 Endorsed
Sunnyside, NY 11104
You must be exhausted from life's many challenges and confusion about the state of your life. I am available to help you navigate and bring meaning to your life by listening and validating your feelings as well as providing compassion and support to do the hard work necessary for wellness. Each day is a new present, but traumas from our family origins may prevent us from moving forward. I will work patiently with you to set goals in therapy and work through loss and trauma.
You must be exhausted from life's many challenges and confusion about the state of your life. I am available to help you navigate and bring meaning to your life by listening and validating your feelings as well as providing compassion and support to do the hard work necessary for wellness. Each day is a new present, but traumas from our family origins may prevent us from moving forward. I will work patiently with you to set goals in therapy and work through loss and trauma.
(917) 809-5641 View (917) 809-5641
Photo of Elizabeth DeAngelis, LMHC, EdM, MA, Counselor
Elizabeth DeAngelis
Counselor, LMHC, EdM, MA
Verified Verified
Sunnyside, NY 11104  (Online Only)
My name is Elizabeth DeAngelis and I am a Licensed Mental Health Counselor in NYC. I earned my Ed.M at Columbia University in mental health counseling. I also received an MA in psychology and religion at Union Theological Seminary. At Union I received specialized training about clients' existential/spiritual concerns. My goal is to offer clients a safe space to process emotions without judgment. I want to help clients explore their past and present stressors to overcome blockages in life. I work with client's to explore their past attachment patterns and traumas to help address current relational patterns affecting their lives
My name is Elizabeth DeAngelis and I am a Licensed Mental Health Counselor in NYC. I earned my Ed.M at Columbia University in mental health counseling. I also received an MA in psychology and religion at Union Theological Seminary. At Union I received specialized training about clients' existential/spiritual concerns. My goal is to offer clients a safe space to process emotions without judgment. I want to help clients explore their past and present stressors to overcome blockages in life. I work with client's to explore their past attachment patterns and traumas to help address current relational patterns affecting their lives
(332) 249-8305 View (332) 249-8305
Photo of Ivaldo Costa
Ivaldo Costa
Licensed Master Social Worker
Verified Verified
1 Endorsed
Sunnyside, NY 11104
As a lifelong learner, I follow my intuition and beliefs. I have a bachelor’s degree in philosophy that provides an in-depth understanding of humanity and the evolution of ideas. I also graduated in social communications and journalism that informs my desire and efforts to be a strong advocate for social justice. I have employment experience as both a teacher of philosophy and a reporter. I moved to New York to experience the city’s diverse social and cultural movements and to further develop my own personal self-understanding. To fulfill this goal, I graduated in a master’s degree in social work, with a major in psychotherapy.
As a lifelong learner, I follow my intuition and beliefs. I have a bachelor’s degree in philosophy that provides an in-depth understanding of humanity and the evolution of ideas. I also graduated in social communications and journalism that informs my desire and efforts to be a strong advocate for social justice. I have employment experience as both a teacher of philosophy and a reporter. I moved to New York to experience the city’s diverse social and cultural movements and to further develop my own personal self-understanding. To fulfill this goal, I graduated in a master’s degree in social work, with a major in psychotherapy.
(646) 760-8140 View (646) 760-8140
Photo of Jean Carlos Osorio Lcsw-Cdbt, LCSW, CDBT, Clinical Social Work/Therapist
Jean Carlos Osorio Lcsw-Cdbt
Clinical Social Work/Therapist, LCSW, CDBT
Verified Verified
4 Endorsed
Sunnyside, NY 11104
HABLO ESPANOL. In complaince with NYS safety guidelines, sessions are avaliable TELEHEALTH and/or face to face (safety meassures in place). I am Hispanic-Pronouns (He/His/Him) Male Social Worker with over 12 years of experienced and specialize in trauma/abuse, unresolved childhood issues, LGBTQI-gender concerns and PTSD. My approach is based on a combination of theories from unresolved childhood traumas (psycho-dymanic) to "here and now" approach; Client-center approach and empowered clients to make their own desicions in life. I utilize humor and strength perspective to creat client autonomy.
HABLO ESPANOL. In complaince with NYS safety guidelines, sessions are avaliable TELEHEALTH and/or face to face (safety meassures in place). I am Hispanic-Pronouns (He/His/Him) Male Social Worker with over 12 years of experienced and specialize in trauma/abuse, unresolved childhood issues, LGBTQI-gender concerns and PTSD. My approach is based on a combination of theories from unresolved childhood traumas (psycho-dymanic) to "here and now" approach; Client-center approach and empowered clients to make their own desicions in life. I utilize humor and strength perspective to creat client autonomy.
(347) 934-8209 View (347) 934-8209
Photo of Xiomara Borja, Clinical Social Work/Therapist
Xiomara Borja
Clinical Social Work/Therapist
Verified Verified
Sunnyside, NY 11104  (Online Only)
Hi! my name is Xiomara Borja. I am a Licensed Clinical Social Worker based out of Queens, NY with over 7 years of experience providing direct clinical services to adults, adolescents and children with mental health and substance use challenges. If you are seeking a psychotherapist, I imagine you or a love one are wanting to find a space to work on improving mood, manage daily life stressors, adjust to major life transitions or process traumas. You can expect a safe and welcoming space where together we can identify and address the stressors impacting your life and build on your natural coping mechanisms to meet your desired goals.
Hi! my name is Xiomara Borja. I am a Licensed Clinical Social Worker based out of Queens, NY with over 7 years of experience providing direct clinical services to adults, adolescents and children with mental health and substance use challenges. If you are seeking a psychotherapist, I imagine you or a love one are wanting to find a space to work on improving mood, manage daily life stressors, adjust to major life transitions or process traumas. You can expect a safe and welcoming space where together we can identify and address the stressors impacting your life and build on your natural coping mechanisms to meet your desired goals.
(929) 545-6051 View (929) 545-6051
Photo of Elaine Abramovich, LCSW, Clinical Social Work/Therapist
Elaine Abramovich
Clinical Social Work/Therapist, LCSW
Verified Verified
Sunnyside, NY 11104
As a psychotherapist and healer for many years it has been my privilege to offer and provide help and comfort to people in distress. Experience has taught me that we all struggle to recover from the pains of the past, deal with the challenges of the present and the insecurities of the future, in our efforts to live the best lives that we can. This often seems very difficult if not impossible to accomplish alone. A strong and nurturing therapeutic relationship is a powerful and stable foundation for dealing with these challenges to our well-being, especially in these very troubling and uncertain times.
As a psychotherapist and healer for many years it has been my privilege to offer and provide help and comfort to people in distress. Experience has taught me that we all struggle to recover from the pains of the past, deal with the challenges of the present and the insecurities of the future, in our efforts to live the best lives that we can. This often seems very difficult if not impossible to accomplish alone. A strong and nurturing therapeutic relationship is a powerful and stable foundation for dealing with these challenges to our well-being, especially in these very troubling and uncertain times.
(516) 701-3271 View (516) 701-3271
Photo of Jennifer Somin, LMHC, Counselor
Jennifer Somin
Counselor, LMHC
Verified Verified
1 Endorsed
Sunnyside, NY 11104  (Online Only)
There are many things in our lives that we can’t control which can lead to mismanaged expectations, anxiety and general unhappiness. However, if we can learn to accept what we can’t change while finding our power, direction and motivation to control what we can change, we can find a better sense of peace. My role as a counselor is to provide a safe, non-judgmental space to explore the many intricate complexities of your life and mental health and help you develop coping skills. I am a hands on, person-centered counselor who enjoys working with individuals of all ages to navigate life’s challenges.
There are many things in our lives that we can’t control which can lead to mismanaged expectations, anxiety and general unhappiness. However, if we can learn to accept what we can’t change while finding our power, direction and motivation to control what we can change, we can find a better sense of peace. My role as a counselor is to provide a safe, non-judgmental space to explore the many intricate complexities of your life and mental health and help you develop coping skills. I am a hands on, person-centered counselor who enjoys working with individuals of all ages to navigate life’s challenges.
(914) 996-4399 View (914) 996-4399
Photo of Jean Carlos Osorio - Minds Together, LCSW PC, LCSW-R, CDBT, SIFI, Clinical Social Work/Therapist
Minds Together, LCSW PC
Clinical Social Work/Therapist, LCSW-R, CDBT, SIFI
Verified Verified
Sunnyside, NY 11104
Minds Together, LCSW.PC. is a private group practice. Our mission is to improve our community one individual at a time through our culturally diverse and motivated clinicians with the hope that every person seeking treatment with us feels safe, empowered and most important treated as an individual and not as a patient. Minds Together, LCSW. P.C. offers a range of unique services in a safe and nonjudgmental setting for any one seeking therapy where their privacy and comfort is our number one priority. Locations: Astoria, Jackson Heights, and Forest Hills.
Minds Together, LCSW.PC. is a private group practice. Our mission is to improve our community one individual at a time through our culturally diverse and motivated clinicians with the hope that every person seeking treatment with us feels safe, empowered and most important treated as an individual and not as a patient. Minds Together, LCSW. P.C. offers a range of unique services in a safe and nonjudgmental setting for any one seeking therapy where their privacy and comfort is our number one priority. Locations: Astoria, Jackson Heights, and Forest Hills.
(929) 205-5342 View (929) 205-5342
Photo of Jean Carlos Osorio - Minds Together, LCSWs.PC, LCSW, CDBT, SIFI, Clinical Social Work/Therapist
Minds Together, LCSWs.PC
Clinical Social Work/Therapist, LCSW, CDBT, SIFI
Verified Verified
1 Endorsed
Sunnyside, NY 11104
SE HABLA ESPAÑOL. DUE TO COVID19, SESSIONS ARE VIA TELEHEALTH. OFFICE VISITS WITH SAFETY PROTOCOLS (NYS GUIDELINES). Minds Together, LCSW.PC. provides a safe and unique setting dedicated in improving one's mental and emotional health through our professional and compassionate staff. Our mission is to improve our community one individual at a time through our culturally diverse and motivated clinicians with the hope that every person seeking treatment with us feels safe, empowered and most important treated as an individual and not as a patient.
SE HABLA ESPAÑOL. DUE TO COVID19, SESSIONS ARE VIA TELEHEALTH. OFFICE VISITS WITH SAFETY PROTOCOLS (NYS GUIDELINES). Minds Together, LCSW.PC. provides a safe and unique setting dedicated in improving one's mental and emotional health through our professional and compassionate staff. Our mission is to improve our community one individual at a time through our culturally diverse and motivated clinicians with the hope that every person seeking treatment with us feels safe, empowered and most important treated as an individual and not as a patient.
(917) 383-0308 View (917) 383-0308
Photo of Naziat Hassan-Ahmed, LMHC, LPC, NCC, Counselor
Naziat Hassan-Ahmed
Counselor, LMHC, LPC, NCC
Verified Verified
Sunnyside, NY 11104  (Online Only)
Not accepting new clients
Life can throw many curve balls in a spur of a moment. However, you do not have to be alone in dealing with the psychological and emotional impact of these unpredictable and chaotic situations. You can acquire effective cognitive, emotional, and resilient strategies to overcome any stressor. You can place your trust and confidence in someone who is non-judgmental, empathetic, and patient in walking with you in this process.
Life can throw many curve balls in a spur of a moment. However, you do not have to be alone in dealing with the psychological and emotional impact of these unpredictable and chaotic situations. You can acquire effective cognitive, emotional, and resilient strategies to overcome any stressor. You can place your trust and confidence in someone who is non-judgmental, empathetic, and patient in walking with you in this process.
(718) 301-5135 View (718) 301-5135

More Therapists Nearby

Photo of Sarah Betz - Meadow Therapy, LCSW
Meadow Therapy
LCSW
Verified Verified
Brooklyn, NY 11222
We specialize in working with trauma survivors, LGBTQIA+, Black, Indigenous, and People of Color, Trans and Gender-Nonconforming, Self-Harming, Addicted, fat/larger-bodied, disabled, kink/BDSM, and polyamorous people.
You worry all the time about being judged by other people. You feel disconnected from your body and, at the same time, feel like it’s all you think about. You question what you say, how your body looks, if you’re doing things “right,” and there are so many times where your mind feels like it’s on a hamster wheel that you can’t stop. You feel on edge all day and sometimes even feel like you may be having a heart attack. You don’t feel like you fit in anywhere. You’ve been made fun of before for so many different parts of who you are. You’ve been called weird or have been misunderstood at work, in your family, and even in some of your dating relationships. You’ve struggled to find someone who feels like a good fit romantically, and you’re worried there’s something wrong with you. You want to feel more connected to yourself again…
We specialize in working with trauma survivors, LGBTQIA+, Black, Indigenous, and People of Color, Trans and Gender-Nonconforming, Self-Harming, Addicted, fat/larger-bodied, disabled, kink/BDSM, and polyamorous people.
You worry all the time about being judged by other people. You feel disconnected from your body and, at the same time, feel like it’s all you think about. You question what you say, how your body looks, if you’re doing things “right,” and there are so many times where your mind feels like it’s on a hamster wheel that you can’t stop. You feel on edge all day and sometimes even feel like you may be having a heart attack. You don’t feel like you fit in anywhere. You’ve been made fun of before for so many different parts of who you are. You’ve been called weird or have been misunderstood at work, in your family, and even in some of your dating relationships. You’ve struggled to find someone who feels like a good fit romantically, and you’re worried there’s something wrong with you. You want to feel more connected to yourself again…
(845) 660-8164 View (845) 660-8164
Photo of Rebecca Nelson, MA, LMHC-QS, Counselor
Rebecca Nelson
Counselor, MA, LMHC-QS
Verified Verified
1 Endorsed
New York, NY 10075
She specializes in treating trauma-related mood, anxiety, and substance use disorders using advanced, cutting-edge interventions, including EMDR, Ketamine-Assisted Psychotherapy, Polyvagal Theory, and DBT.
Rebecca is a Licensed Mental Health Counselor (Florida, New York, New Jersey, Texas, and South Carolina) with expertise in providing highly specialized therapeutic services that empower clients to navigate complex emotional challenges and achieve transformative personal growth. Her approach merges clinical excellence with warmth and authenticity, combining clinical precision with a deep commitment to creating a safe, non-judgmental space where clients can explore personal growth and healing. Rebecca fosters a therapeutic alliance built on trust and a shared commitment to transformation.
She specializes in treating trauma-related mood, anxiety, and substance use disorders using advanced, cutting-edge interventions, including EMDR, Ketamine-Assisted Psychotherapy, Polyvagal Theory, and DBT.
Rebecca is a Licensed Mental Health Counselor (Florida, New York, New Jersey, Texas, and South Carolina) with expertise in providing highly specialized therapeutic services that empower clients to navigate complex emotional challenges and achieve transformative personal growth. Her approach merges clinical excellence with warmth and authenticity, combining clinical precision with a deep commitment to creating a safe, non-judgmental space where clients can explore personal growth and healing. Rebecca fosters a therapeutic alliance built on trust and a shared commitment to transformation.
(561) 933-9749 View (561) 933-9749
Photo of Zeina Alturk - Best Fit Therapy , LMHC
Best Fit Therapy
LMHC
Verified Verified
Jackson Heights, NY 11372
Introducing Best Fit Therapy, a resource for connecting client to therapist. We are currently offering a free consultation for our services. It takes courage to ask for help, but the rewards of doing so can lead to a lifetime of fulfillment. We understand and have experienced the emotional challenges life has to offer. In working together, we will cultivate growth by understanding the obstacles that you face and develop solutions that can help you gain control.
Introducing Best Fit Therapy, a resource for connecting client to therapist. We are currently offering a free consultation for our services. It takes courage to ask for help, but the rewards of doing so can lead to a lifetime of fulfillment. We understand and have experienced the emotional challenges life has to offer. In working together, we will cultivate growth by understanding the obstacles that you face and develop solutions that can help you gain control.
(862) 259-7730 View (862) 259-7730
Photo of Ariella Fershtadt, LMHC, Counselor
Ariella Fershtadt
Counselor, LMHC
Verified Verified
1 Endorsed
Brooklyn, NY 11211  (Online Only)
I enjoy learning about my client; gathering an understanding of their reasons for seeking therapy, giving space to explore the past and current life events that have shaped them, as well as identify the strengths they already possess that can be applied to learning new skills and new perspectives. I work diligently with my clients to become comfortable and confident using what is discussed in sessions, on their own and outside of sessions!
I enjoy learning about my client; gathering an understanding of their reasons for seeking therapy, giving space to explore the past and current life events that have shaped them, as well as identify the strengths they already possess that can be applied to learning new skills and new perspectives. I work diligently with my clients to become comfortable and confident using what is discussed in sessions, on their own and outside of sessions!
(646) 970-9053 View (646) 970-9053
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.