Acceptance and Commitment (ACT) Therapists in Hood River, OR

Photo of Siri Smithback, MA, LPC, Licensed Professional Counselor
Siri Smithback
Licensed Professional Counselor, MA, LPC
Verified Verified
Hood River, OR 97031  (Online Only)
Whatever you are experiencing, and wherever you are in your personal journey, I will support you in an awakening of compassionate self-awareness and acceptance, which are at the core of healing, change and growth.
In our sessions, you will learn to be present with and understand patterns, beliefs and emotions and develop an increased ability to cope with stress and challenges. I will introduce you to practices that help you develop the ability to tune in to your inner world so that you can build skills to better regulate and respond to—rather than react to—experiences and avoid going into a flight, fright or freeze response. As you progress in this empowering process of exploration and gain insight into your needs and hopes, you will discover new choices and decisions.
Whatever you are experiencing, and wherever you are in your personal journey, I will support you in an awakening of compassionate self-awareness and acceptance, which are at the core of healing, change and growth.
In our sessions, you will learn to be present with and understand patterns, beliefs and emotions and develop an increased ability to cope with stress and challenges. I will introduce you to practices that help you develop the ability to tune in to your inner world so that you can build skills to better regulate and respond to—rather than react to—experiences and avoid going into a flight, fright or freeze response. As you progress in this empowering process of exploration and gain insight into your needs and hopes, you will discover new choices and decisions.
(971) 231-2939 View (971) 231-2939
Photo of Della Woods, LPC, MS, NCC, Licensed Professional Counselor
Della Woods
Licensed Professional Counselor, LPC, MS, NCC
Verified Verified
3 Endorsed
Hood River, OR 97031
ACT, CBT, and DBT are modalities I often utilize in session.
While none of us are free from life's many stressors and occasional deep wounding, we can change the way we relate and cope with them, and lessen their negative effect on us. I help teens and adults learn how to observe their unhelpful patterns, and get to the root cause of what blocks them from fulfillment. With compassion, mutual trust, and a little humor, let's transform your life, and finally break out of the unhelpful patterns that have held you back.
ACT, CBT, and DBT are modalities I often utilize in session.
While none of us are free from life's many stressors and occasional deep wounding, we can change the way we relate and cope with them, and lessen their negative effect on us. I help teens and adults learn how to observe their unhelpful patterns, and get to the root cause of what blocks them from fulfillment. With compassion, mutual trust, and a little humor, let's transform your life, and finally break out of the unhelpful patterns that have held you back.
(541) 714-1245 View (541) 714-1245
Photo of Jen Mathisen - Jen Mathisen Counseling, LLC, MA, Pre-Licensed Professional
Jen Mathisen Counseling, LLC
Pre-Licensed Professional, MA
Verified Verified
Hood River, OR 97031
I utilize CBT, ACT, Emotion-Focused, and Narrative Therapies and am trained in EMDR therapy.
WHEN YOU JUST NEED SOMEONE TO HEAR YOUR STORY. I am a faith-based counselor committed to helping my clients find solutions for the places they may feel "stuck". My training allows me to work with young children, adolescents, adults, couples, and families. Together we would utilize a collaborative approach to help you meet your goals. I am a professional counselor associate in both Oregon and Washington.
I utilize CBT, ACT, Emotion-Focused, and Narrative Therapies and am trained in EMDR therapy.
WHEN YOU JUST NEED SOMEONE TO HEAR YOUR STORY. I am a faith-based counselor committed to helping my clients find solutions for the places they may feel "stuck". My training allows me to work with young children, adolescents, adults, couples, and families. Together we would utilize a collaborative approach to help you meet your goals. I am a professional counselor associate in both Oregon and Washington.
(458) 200-4004 View (458) 200-4004
Photo of Terri Dickens, LCSW, CADCII, Clinical Social Work/Therapist
Terri Dickens
Clinical Social Work/Therapist, LCSW, CADCII
Verified Verified
Hood River, OR 97031
Certified in EMDR, ACT, Attachment focus, developmental lens Acute Trauma Processing.
Relational Therapist. Oregon only. Terri (she, her, hers)
Certified in EMDR, ACT, Attachment focus, developmental lens Acute Trauma Processing.
Relational Therapist. Oregon only. Terri (she, her, hers)
(541) 243-7468 View (541) 243-7468
Photo of Sarah Verducci, MS, LPC, Licensed Professional Counselor
Sarah Verducci
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Hood River, OR 97031  (Online Only)
My approach to therapy is rooted in Acceptance and Commitment Therapy, a mindfulness and values-based form of CBT (Cognitive Behavior Therapy).
I provide modern, compassionate psychotherapy for adults and college age individuals. My approach helps you think about your thinking, align your life with your values and leave behind unhelpful patterns of behavior. I draw from mindfulness based therapies, resulting in less emotional reactivity and a higher quality of life. For next steps head to my website sarahverducci.com and fill out a new client interest form.
My approach to therapy is rooted in Acceptance and Commitment Therapy, a mindfulness and values-based form of CBT (Cognitive Behavior Therapy).
I provide modern, compassionate psychotherapy for adults and college age individuals. My approach helps you think about your thinking, align your life with your values and leave behind unhelpful patterns of behavior. I draw from mindfulness based therapies, resulting in less emotional reactivity and a higher quality of life. For next steps head to my website sarahverducci.com and fill out a new client interest form.
(541) 292-0037 View (541) 292-0037
Photo of Christy Thompson - Christy Thompson Counseling , MSW, CSWA, QMHP, Pre-Licensed Professional
Christy Thompson Counseling
Pre-Licensed Professional, MSW, CSWA, QMHP
Verified Verified
Hood River, OR 97031  (Online Only)
Many of us come to therapy disconnected and depleted, confused about who we are and what we want, and unfulfilled in our relationships or work. We hope that therapy will bring us insight, a renewed sense of connection, and resolution to the things we have been struggling with. I strive to be the therapist that I have needed, a guide who could help me navigate my own inner terrain, who could help me make sense of my experiences, learn better ways to cope, to understand and accept myself.
Many of us come to therapy disconnected and depleted, confused about who we are and what we want, and unfulfilled in our relationships or work. We hope that therapy will bring us insight, a renewed sense of connection, and resolution to the things we have been struggling with. I strive to be the therapist that I have needed, a guide who could help me navigate my own inner terrain, who could help me make sense of my experiences, learn better ways to cope, to understand and accept myself.
(541) 490-5585 View (541) 490-5585
Photo of Jonathan Chiaravalle, MA, LPC, Licensed Professional Counselor
Jonathan Chiaravalle
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Hood River, OR 97031  (Online Only)
Working in the field of human services since 1988, I bring an understanding and experience around the issues of relationships, sexuality, depression, anxiety, teen life issues and transitions. I work with these issues because our culture does not address them in helpful ways. I help and encourage you to develop tools and skills for success in your life. Using tools from a mindful, humanistic & cognitive/behavioral orientation, we work together to help you focus on your situation and what will work to create change/healing in your life. I work with individuals and couples.
Working in the field of human services since 1988, I bring an understanding and experience around the issues of relationships, sexuality, depression, anxiety, teen life issues and transitions. I work with these issues because our culture does not address them in helpful ways. I help and encourage you to develop tools and skills for success in your life. Using tools from a mindful, humanistic & cognitive/behavioral orientation, we work together to help you focus on your situation and what will work to create change/healing in your life. I work with individuals and couples.
(541) 705-7045 View (541) 705-7045
Photo of Bettina G Jensen, MS, LPC, LMHC, Licensed Professional Counselor
Bettina G Jensen
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
Hood River, OR 97031
If you are struggling with relationships in your life, maybe with your intimate partner/spouse or family members, or perhaps at work, you might feel the need to talk with someone. I am a psychotherapist practicing in Oregon and Washington, and in Europe. I enjoy assisting people in the exploration of new ways to manage challenges that invariably arise in life. If you struggle with anxiety or depression, or if you are experiencing activation related to past traumatic events I can help you learn new ways of relating to yourself and to others.
If you are struggling with relationships in your life, maybe with your intimate partner/spouse or family members, or perhaps at work, you might feel the need to talk with someone. I am a psychotherapist practicing in Oregon and Washington, and in Europe. I enjoy assisting people in the exploration of new ways to manage challenges that invariably arise in life. If you struggle with anxiety or depression, or if you are experiencing activation related to past traumatic events I can help you learn new ways of relating to yourself and to others.
(503) 755-8598 View (503) 755-8598
Photo of Kathleen Marie Green, LCSW, QMHP, Clinical Social Work/Therapist
Kathleen Marie Green
Clinical Social Work/Therapist, LCSW, QMHP
Verified Verified
Hood River, OR 97031  (Online Only)
Waitlist for new clients
If you are here, I want to help! I believe that therapy is meant to empower clients to know that they are capable of change and living a fuller, more integrated life. I work with adolescents and adults, utilizing a bio-psychosocial-spiritual approach in therapy with the goal of creating a safe haven for clients. This simply means integrating the many parts of a person into therapy in the hope of improving one’s emotional, spiritual and physical well-being. I also aspire to explore the impact of significant relationships and the influence of larger social systems on a client's sense of wholeness and ability to achieve desired growth.
If you are here, I want to help! I believe that therapy is meant to empower clients to know that they are capable of change and living a fuller, more integrated life. I work with adolescents and adults, utilizing a bio-psychosocial-spiritual approach in therapy with the goal of creating a safe haven for clients. This simply means integrating the many parts of a person into therapy in the hope of improving one’s emotional, spiritual and physical well-being. I also aspire to explore the impact of significant relationships and the influence of larger social systems on a client's sense of wholeness and ability to achieve desired growth.
(458) 243-4702 View (458) 243-4702
Photo of Dan Gilner, MA, MSS
Dan Gilner
Professional Counselor Associate, MA, MSS
Verified Verified
3 Endorsed
Hood River, OR 97031  (Online Only)
Therapy can be a compassionate space for insight, personal development, and healing. Each one of us has our own unique history and growth process. My goal is to support your overall mental, emotional, and relational health. I work with a range of experiences including anxiety, trauma, shame, and grief. I also specialize in: Obsessive Compulsive Disorder (OCD); trauma including dissociation, disembodiment, panic, and fear; an intrusive inner critical voice / part of ourselves; and helping couples identity and repair unhealthy relationship patterns and coping mechanisms related to these experience.
Therapy can be a compassionate space for insight, personal development, and healing. Each one of us has our own unique history and growth process. My goal is to support your overall mental, emotional, and relational health. I work with a range of experiences including anxiety, trauma, shame, and grief. I also specialize in: Obsessive Compulsive Disorder (OCD); trauma including dissociation, disembodiment, panic, and fear; an intrusive inner critical voice / part of ourselves; and helping couples identity and repair unhealthy relationship patterns and coping mechanisms related to these experience.
(503) 966-0532 View (503) 966-0532
Photo of Katie West, CSWA, Pre-Licensed Professional
Katie West
Pre-Licensed Professional, CSWA
Verified Verified
Hood River, OR 97031  (Online Only)
Not accepting new clients
I integrate techniques from Acceptance and Commitment Therapy (ACT), Compassion-focused therapy (CFT), Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), narrative therapy and somatic experiencing.
Together we can co-create a safe space of curiosity and self-compassion. Here, we find opportunities to identify and understand the origins of and what triggers the patterns, beliefs, thoughts, and behaviors that don’t serve you. I am inspired by our inherent connectedness and its profound power to make individual, familial, communal, societal, and earthly changes towards a world with a lot more love and belonging. I am honored to hold this collaborative space for adults of all ethnicities/races, genders, sexual orientations, shapes and sizes, abilities, nationalities, and occupations.
I integrate techniques from Acceptance and Commitment Therapy (ACT), Compassion-focused therapy (CFT), Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), narrative therapy and somatic experiencing.
Together we can co-create a safe space of curiosity and self-compassion. Here, we find opportunities to identify and understand the origins of and what triggers the patterns, beliefs, thoughts, and behaviors that don’t serve you. I am inspired by our inherent connectedness and its profound power to make individual, familial, communal, societal, and earthly changes towards a world with a lot more love and belonging. I am honored to hold this collaborative space for adults of all ethnicities/races, genders, sexual orientations, shapes and sizes, abilities, nationalities, and occupations.
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Photo of Lindsay Nichole Crowner, LCSW, Clinical Social Work/Therapist
Lindsay Nichole Crowner
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Hood River, OR 97031
Not accepting new clients
I have clinical training in a variety of modalities that can be adjusted and tailored to meet the pace and expectations the client has, including CBT, ACT, EMDR and Mindfulness.
Often by the time an individual is entering my office, they have become bogged down and overwhelmed by stress in their life. It is my goal to help quiet the mind (and the busy, stressful world) enough to get in touch with the heart and find true healing. I am a down-to-earth therapist - essentially just another being walking this path of life and trying to find fulfillment in it. I deeply value the time spent with clients as they navigate their lives, figuring out their stressors and their innermost needs that are not being addressed & being with folks as they seek a more centered, authentic and empowered life.
I have clinical training in a variety of modalities that can be adjusted and tailored to meet the pace and expectations the client has, including CBT, ACT, EMDR and Mindfulness.
Often by the time an individual is entering my office, they have become bogged down and overwhelmed by stress in their life. It is my goal to help quiet the mind (and the busy, stressful world) enough to get in touch with the heart and find true healing. I am a down-to-earth therapist - essentially just another being walking this path of life and trying to find fulfillment in it. I deeply value the time spent with clients as they navigate their lives, figuring out their stressors and their innermost needs that are not being addressed & being with folks as they seek a more centered, authentic and empowered life.
(971) 273-5148 View (971) 273-5148
Photo of Keeya Prairie, PsyD, Psychologist
Keeya Prairie
Psychologist, PsyD
Verified Verified
1 Endorsed
Hood River, OR 97031  (Online Only)
Not accepting new clients
I work with individuals with Obsessive Compulsive Disorder (OCD), individuals with early childhood trauma (PTSD, anxiety, depression), and LGBTIA+ individuals. You're here because you imagine a future version of you that feels liberated. Future You worries less, spends more time doing the things you used to enjoy, and feels connected with yourself and others. You want to stop ruminating, escape the the cycle of people-pleasing, anxiety, depression, and have more fulfilling relationships. You're here because you're ready for change, and I'm here to help!
I work with individuals with Obsessive Compulsive Disorder (OCD), individuals with early childhood trauma (PTSD, anxiety, depression), and LGBTIA+ individuals. You're here because you imagine a future version of you that feels liberated. Future You worries less, spends more time doing the things you used to enjoy, and feels connected with yourself and others. You want to stop ruminating, escape the the cycle of people-pleasing, anxiety, depression, and have more fulfilling relationships. You're here because you're ready for change, and I'm here to help!
(929) 470-7554 View (929) 470-7554
Photo of Lisa Makinson, LPC, Licensed Professional Counselor
Lisa Makinson
Licensed Professional Counselor, LPC
Verified Verified
Hood River, OR 97031
Not accepting new clients
Sometimes we have a nagging thought that something isn't going right in our lives or we notice a pattern that keeps happening over and over, but we wait so long to call and get help. Making that call can be so hard, but it is so worth it. Whether you have trauma, anxiety, depression, or difficulty in relationships - whatever is bothering you, a collaborative therapeutic relationship can help you learn the skills to cope with what life brings you and get you feeling better about yourself and your path. We all want to feel connected, heard, and understood and deserve a safe space to figure things out with a therapist who listens.
Sometimes we have a nagging thought that something isn't going right in our lives or we notice a pattern that keeps happening over and over, but we wait so long to call and get help. Making that call can be so hard, but it is so worth it. Whether you have trauma, anxiety, depression, or difficulty in relationships - whatever is bothering you, a collaborative therapeutic relationship can help you learn the skills to cope with what life brings you and get you feeling better about yourself and your path. We all want to feel connected, heard, and understood and deserve a safe space to figure things out with a therapist who listens.
(541) 399-8266 View (541) 399-8266
Photo of Co-Regulation Counseling Angela L. Aurit, LCSW, CADCIII, CGAC II, Clinical Social Work/Therapist
Co-Regulation Counseling Angela L. Aurit
Clinical Social Work/Therapist, LCSW, CADCIII, CGAC II
Verified Verified
Hood River, OR 97031
Not accepting new clients
When I was in the 9th grade, I was one of two students from every class that were selected by their classmates to become Natural Helpers. We received training in the skills of active listening, mediation and problem-solving. Little did I know that this experience would lead me to where I am today, as a counselor and therapist for the last twenty-two years. In my work in residential treatment, outpatient clinics and pain management practice, I have thoroughly loved getting to watch people of the ages 13 to 95 have epiphanies, adopt new perspectives, change unhelpful thought patterns, and begin to love and know themselves again.
When I was in the 9th grade, I was one of two students from every class that were selected by their classmates to become Natural Helpers. We received training in the skills of active listening, mediation and problem-solving. Little did I know that this experience would lead me to where I am today, as a counselor and therapist for the last twenty-two years. In my work in residential treatment, outpatient clinics and pain management practice, I have thoroughly loved getting to watch people of the ages 13 to 95 have epiphanies, adopt new perspectives, change unhelpful thought patterns, and begin to love and know themselves again.
(458) 236-5827 View (458) 236-5827

Online Therapists

Photo of Jessica Padnick, LCSW, Clinical Social Work/Therapist
Jessica Padnick
Clinical Social Work/Therapist, LCSW
Verified Verified
Beaverton, OR 97008  (Online Only)
My approach utilizes techniques from Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Eye Movement Desensitization and Reprocessing (EMDR), and Emotionally-Focused Therapy (EFT).
My name is Jessica Padnick and I am a Licensed Clinical Social Worker (LCSW). I work with adult individuals and couples to address anxiety, depression, trauma, and relationship concerns. I want to collaborate with you to increase mindful awareness of what is or is not working in your life, explore core values, and work together toward your goals. Together we can practice strategies to address current issues while also exploring and addressing root causes underlying symptoms.
My approach utilizes techniques from Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Eye Movement Desensitization and Reprocessing (EMDR), and Emotionally-Focused Therapy (EFT).
My name is Jessica Padnick and I am a Licensed Clinical Social Worker (LCSW). I work with adult individuals and couples to address anxiety, depression, trauma, and relationship concerns. I want to collaborate with you to increase mindful awareness of what is or is not working in your life, explore core values, and work together toward your goals. Together we can practice strategies to address current issues while also exploring and addressing root causes underlying symptoms.
(971) 247-3985 View (971) 247-3985
Photo of Stacie Wentling, LCSW, Clinical Social Work/Therapist
Stacie Wentling
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Portland, OR 97212  (Online Only)
Waitlist for new clients
I utilize several evidenced-based practices including cultivating self-compassion, insight-oriented therapy, Internal Family Systems, Acceptance and Commitment Therapy, EMDR, Buddhist psychology, and DBT.
Not currently accepting new clients. Are you finding yourself ruminating on past conversations? Do you experience tightness in your shoulders/chest/neck or other areas of your body? Are you struggling to fall asleep or stay asleep? Do you continually feel upset/dismissed after conversations with a parent/partner? Is your inner critic incessant? Are you ready to learn techniques that will help you regulate your nervous system? Are you ready to practice safely reconnecting with your whole self? Are you ready to explore your inner system?
I utilize several evidenced-based practices including cultivating self-compassion, insight-oriented therapy, Internal Family Systems, Acceptance and Commitment Therapy, EMDR, Buddhist psychology, and DBT.
Not currently accepting new clients. Are you finding yourself ruminating on past conversations? Do you experience tightness in your shoulders/chest/neck or other areas of your body? Are you struggling to fall asleep or stay asleep? Do you continually feel upset/dismissed after conversations with a parent/partner? Is your inner critic incessant? Are you ready to learn techniques that will help you regulate your nervous system? Are you ready to practice safely reconnecting with your whole self? Are you ready to explore your inner system?
(971) 260-4205 View (971) 260-4205
Photo of Michelle Sarchiapone, PCA, Pre-Licensed Professional
Michelle Sarchiapone
Pre-Licensed Professional, PCA
Verified Verified
2 Endorsed
Portland, OR 97218
My tools include Brainspotting, Internal Family Systems, Focus, Buddhist Psychology, Somatic Experience, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, Hakomi, Narrative Therapy, Gestalt, and more.
I draw on over 25 years of experience with somatics, mindfulness/meditation, and the creative arts to bring a unique synergy of skills to my counseling approach. In our sessions, you can expect to go beyond conventional therapy, merging somatic practices with a deep exploration into your emotional world and, often, what lies beyond the self. In our time together, we will engage with your body's wisdom and reimagine personal narratives, turning these insights into practical actions for holistic healing and self-growth.
My tools include Brainspotting, Internal Family Systems, Focus, Buddhist Psychology, Somatic Experience, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, Hakomi, Narrative Therapy, Gestalt, and more.
I draw on over 25 years of experience with somatics, mindfulness/meditation, and the creative arts to bring a unique synergy of skills to my counseling approach. In our sessions, you can expect to go beyond conventional therapy, merging somatic practices with a deep exploration into your emotional world and, often, what lies beyond the self. In our time together, we will engage with your body's wisdom and reimagine personal narratives, turning these insights into practical actions for holistic healing and self-growth.
(971) 278-9293 View (971) 278-9293
Photo of Allucardo Greene, CSWA
Allucardo Greene
Clinical Social Work Associate, CSWA
Verified Verified
Salem, OR 97301  (Online Only)
I use skills and knowledge from Acceptance and Commitment Therapy, Compassion Focused Therapy, CBT, and Motivational Interviewing the help my clients.
I work with people who are working through personal growth with mood, anxiety, and relationship issues.
I use skills and knowledge from Acceptance and Commitment Therapy, Compassion Focused Therapy, CBT, and Motivational Interviewing the help my clients.
I work with people who are working through personal growth with mood, anxiety, and relationship issues.
(406) 272-6546 View (406) 272-6546
Photo of Nancy N Almquist, Pre-Licensed Professional
Nancy N Almquist
Pre-Licensed Professional
Verified Verified
4 Endorsed
Newberg, OR 97132
Reaching out for help in a constantly changing world takes courage. Changes can be both overwhelming and exciting. You need to know you are not alone. As your therapist, I will partner with you to help find solutions and meaning in the uncertainty you are facing. Emotional distress and relational conflict are common human experiences. I invite you on this journey of self-discovery. I offer you hope and acceptance right where you are. I believe you are wired with resiliency and have the capacity to face life head-on.
Reaching out for help in a constantly changing world takes courage. Changes can be both overwhelming and exciting. You need to know you are not alone. As your therapist, I will partner with you to help find solutions and meaning in the uncertainty you are facing. Emotional distress and relational conflict are common human experiences. I invite you on this journey of self-discovery. I offer you hope and acceptance right where you are. I believe you are wired with resiliency and have the capacity to face life head-on.
(503) 382-8905 View (503) 382-8905

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Acceptance and Commitment (ACT) Therapists

How does acceptance and commitment therapy work?

Acceptance and Commitment Therapy encourages a person to listen to their self-talk. A person’s inner dialog can be indicative of how they treat themselves. ACT also encourages self-compassion; this can lead to a better understanding of negative thought patterns and emotional states. This understanding can then lead the individual to needed behavior change.

What are the goals of acceptance and commitment therapy?

The goal of acceptance and commitment is to expand a person’s psychological flexibility, a trait that encourages an individual to live in the present moment and to accept all their thoughts, feelings, and emotions, even ones that are difficult such as sadness and anxiety. In ACT, this acceptance is congruent with the individual’s values and beliefs.

Does acceptance and commitment therapy work for depression?

Acceptance and commitment therapy is effective for depression because it allows the individual to view their discomfort and suffering differently. Depressive feelings about relationship heartaches, for example, are a part of life. A despondent person learns to let go of their struggles and instead view their painful thoughts and feelings with compassion. This will lead the individual toward positive change.

How long are people typically in acceptance and commitment therapy?

A typical acceptance and commitment therapy session is 50 minutes long with one session per week. Treatment for common problems such as anxiety, depression, or relationship difficulties can last between eight weeks to four months. However, more severe cases may require more than one session a week and/or a longer time frame for treatment.