Self-Harming Therapists in Asheville, NC

Photo of Regina Mason, MS, LCSWA, Clinical Social Work/Therapist
Regina Mason
Clinical Social Work/Therapist, MS, LCSWA
Verified Verified
1 Endorsed
Asheville, NC 28801
If you struggle with anxiety, depression, stress, grief, PTSD, self-harming behaviors, personality disorders, I/DD individuals, are a parent or guardian of I/DD individuals, require counseling, or desire a stronger foundation with your children and family, allow me to meet you where you are.
One of my favorite mantras is "I can only get better when I accept myself as I am, where I have been, and where I am going!" I am passionate in my work. One of my main goals is to see you thrive. I want to aid you in your journey to better mental health. My therapeutic style is very laid back, and you will be the driving for in your treatment.
If you struggle with anxiety, depression, stress, grief, PTSD, self-harming behaviors, personality disorders, I/DD individuals, are a parent or guardian of I/DD individuals, require counseling, or desire a stronger foundation with your children and family, allow me to meet you where you are.
One of my favorite mantras is "I can only get better when I accept myself as I am, where I have been, and where I am going!" I am passionate in my work. One of my main goals is to see you thrive. I want to aid you in your journey to better mental health. My therapeutic style is very laid back, and you will be the driving for in your treatment.
(336) 652-3211 View (336) 652-3211
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 Deborah H. Weir, PhD, LCMHCS, NCC, CHT
Deborah H. Weir
Lic Clinical Mental Health Counselor Supervisor, PhD, LCMHCS, NCC, CHT
Verified Verified
Asheville, NC 28801
Waitlist for new clients
I am dedicated to being the absolute best therapist I can, which means individual case management and staying educated on cutting-edge trends and interventions.
My ideal client wants to change and evolve, and is willing to work at it through sessions and homework! I'm non-judgmental and a creative collaborator with my clients. I've done my job if clients feel heard, renewed, and empowered. I have a ton of experience and credentials: I use Accelerated Resolution Therapy, Brainspotting, and Brain-based Hypnotherapy. I work in trauma recovery, relationship issues, addiction, mood disorders, Jungian counseling, and spiritual counseling. I'm extremely adventurous, youthful, and have experienced life in many places and realms.
I am dedicated to being the absolute best therapist I can, which means individual case management and staying educated on cutting-edge trends and interventions.
My ideal client wants to change and evolve, and is willing to work at it through sessions and homework! I'm non-judgmental and a creative collaborator with my clients. I've done my job if clients feel heard, renewed, and empowered. I have a ton of experience and credentials: I use Accelerated Resolution Therapy, Brainspotting, and Brain-based Hypnotherapy. I work in trauma recovery, relationship issues, addiction, mood disorders, Jungian counseling, and spiritual counseling. I'm extremely adventurous, youthful, and have experienced life in many places and realms.
(828) 408-0324 View (828) 408-0324
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 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 Jon West, LCSWA
Jon West
Licensed Clinical Social Worker Associate, LCSWA
Verified Verified
Asheville, NC 28803  (Online Only)
As a parent of a teenager, you’re wondering: How can I support my kid to be the best version of themself they can be? Contacting a therapist can be intimidating. But you’re taking an important first step in seeking out that therapist who you can build a trusting therapeutic relationship with to help your teen become the person they believe they can be. I work with clients in a relaxed, natural, and professional atmosphere to collaborate with them to identify the different paths and choices that lay before them so they can be empowered to become the rockstar version of themselves they always dreamed of.
As a parent of a teenager, you’re wondering: How can I support my kid to be the best version of themself they can be? Contacting a therapist can be intimidating. But you’re taking an important first step in seeking out that therapist who you can build a trusting therapeutic relationship with to help your teen become the person they believe they can be. I work with clients in a relaxed, natural, and professional atmosphere to collaborate with them to identify the different paths and choices that lay before them so they can be empowered to become the rockstar version of themselves they always dreamed of.
(828) 522-9377 View (828) 522-9377
Photo of Shannon Krenek, LCSW, Clinical Social Work/Therapist
Shannon Krenek
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28803  (Online Only)
If you’ve found your way to this site (and let’s be real…if you’re a human being), I know life has handed you or your child many stressors and challenges and you/ they are likely experiencing strong or even overwhelming emotions - perhaps anxiety, sadness, outbursts or numbing, low self-worth. I believe many of our common difficulties stem from experiences of disconnection - with ourselves, others, and the natural world - and that what most of us are seeking is a path toward belonging, joy, a sense of calm, and meaning. These gifts of life grow when we begin connecting, inward & outward, and immerse ourselves in the world around us.
If you’ve found your way to this site (and let’s be real…if you’re a human being), I know life has handed you or your child many stressors and challenges and you/ they are likely experiencing strong or even overwhelming emotions - perhaps anxiety, sadness, outbursts or numbing, low self-worth. I believe many of our common difficulties stem from experiences of disconnection - with ourselves, others, and the natural world - and that what most of us are seeking is a path toward belonging, joy, a sense of calm, and meaning. These gifts of life grow when we begin connecting, inward & outward, and immerse ourselves in the world around us.
(828) 365-8585 View (828) 365-8585
Photo of Bryan Michalowski, LCSWA, Clinical Social Work/Therapist
Bryan Michalowski
Clinical Social Work/Therapist, LCSWA
Verified Verified
2 Endorsed
Asheville, NC 28801
Waitlist for new clients
I am particularly passionate about serving individuals in the neurodivergent, BIPOC, and/or LGBTQIA+ communities. As a member of all three communities, I know that these three identities often intersect to affect our mental health, most often in a negative way. I want to help my clients understand the many different ways in which they intersect and take steps to use those intersections to their advantage.
I am particularly passionate about serving individuals in the neurodivergent, BIPOC, and/or LGBTQIA+ communities. As a member of all three communities, I know that these three identities often intersect to affect our mental health, most often in a negative way. I want to help my clients understand the many different ways in which they intersect and take steps to use those intersections to their advantage.
(828) 360-9483 View (828) 360-9483
Photo of Cole Armbrust, MSW, MAEd, LCSW, Clinical Social Work/Therapist
Cole Armbrust
Clinical Social Work/Therapist, MSW, MAEd, LCSW
Verified Verified
1 Endorsed
Asheville, NC 28801
I am casual and tattooed, and that tends to work for most people... even if it's vastly different from how people picture a typical 'therapist'. I feel very privileged to work with members of the LGBTQ+ community and believe I offer a unique perspective as a trans man (that also happens to be a therapist). I really enjoy providing support to folks while they explore components of their authentic identities. I am comfortable working with folks that identify with being poly and/or kinky (No shaming here!).
I am casual and tattooed, and that tends to work for most people... even if it's vastly different from how people picture a typical 'therapist'. I feel very privileged to work with members of the LGBTQ+ community and believe I offer a unique perspective as a trans man (that also happens to be a therapist). I really enjoy providing support to folks while they explore components of their authentic identities. I am comfortable working with folks that identify with being poly and/or kinky (No shaming here!).
(828) 333-5004 View (828) 333-5004
Photo of Dr. Betsy G. Biggers, PhD, LCMHC, Licensed Professional Counselor
Dr. Betsy G. Biggers
Licensed Professional Counselor, PhD, LCMHC
Verified Verified
Asheville, NC 28803
My ideal client is one who is searching for a deeper understanding of themselves as well as their relationships with the meaningful people in their world. Understanding the complexities of interpersonal dynamics is key to having healthy relationships with oneself, as well as others. My goal as a therapist is to create an atmosphere in which it is comfortable to explore old wounds as well as current interpersonal dynamics. In this work, it is my hope that insight will replace confusion as we embark on the road to a healthy and fulfilling life.
My ideal client is one who is searching for a deeper understanding of themselves as well as their relationships with the meaningful people in their world. Understanding the complexities of interpersonal dynamics is key to having healthy relationships with oneself, as well as others. My goal as a therapist is to create an atmosphere in which it is comfortable to explore old wounds as well as current interpersonal dynamics. In this work, it is my hope that insight will replace confusion as we embark on the road to a healthy and fulfilling life.
(828) 536-4820 View (828) 536-4820
Photo of Christopher M Mayer, MA, LMFT, CBA, Marriage & Family Therapist
Christopher M Mayer
Marriage & Family Therapist, MA, LMFT, CBA
Verified Verified
Asheville, NC 28805
I offer low-fee counseling for people looking to heal their pain and transforms their lives. People who come to me find a safe, supportive, non-judgmental environment where they are free to work through difficulties with someone capable of really listening, holding space, and who sees them and the struggles they are living with. It is my passion to help guide people through the courageous process of healing the past and moving forward into greater health and well-being. I offer sessions both in-person and through telemedicine.
I offer low-fee counseling for people looking to heal their pain and transforms their lives. People who come to me find a safe, supportive, non-judgmental environment where they are free to work through difficulties with someone capable of really listening, holding space, and who sees them and the struggles they are living with. It is my passion to help guide people through the courageous process of healing the past and moving forward into greater health and well-being. I offer sessions both in-person and through telemedicine.
(415) 688-2031 View (415) 688-2031
Photo of Allison Becker, MSW, LCSW, Clinical Social Work/Therapist
Allison Becker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Asheville, NC 28803
Adolescence and young adulthood are challenging times, full of growth and transition for individuals and families. I love supporting adolescents and emerging adults as they explore their identities and light their paths into adulthood. I am skilled at working with families through these transitional times, and also enjoy supporting couples in achieving healthy communication and partnership. My clinical experience runs the gamut from in-home work with court mandated youth, residential work with adolescent girls, and community-based outpatient therapy with high school students and kids in foster care.
Adolescence and young adulthood are challenging times, full of growth and transition for individuals and families. I love supporting adolescents and emerging adults as they explore their identities and light their paths into adulthood. I am skilled at working with families through these transitional times, and also enjoy supporting couples in achieving healthy communication and partnership. My clinical experience runs the gamut from in-home work with court mandated youth, residential work with adolescent girls, and community-based outpatient therapy with high school students and kids in foster care.
(828) 481-8514 View (828) 481-8514
Photo of Nick Czapla, MEd, LCMHC
Nick Czapla
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Verified Verified
2 Endorsed
Asheville, NC 28803
Waitlist for new clients
I have a waitlist for new clients - you may be a good fit with my colleague at Flowstate Therapy, Wilson Bell, LCSW. You are looking for the opposite experience of what I had with my first therapist: stuffy, pretentious, and hypocritical advice from someone that didn’t know or understand me. You are on a therapy directory, which could mean you are already on your journey to closing the gap between where you are and where you want to be. I’m sure you have already tried many things. I may not be the first therapist you have seen or considered working with about this. I know you need a different experience than what you have had.
I have a waitlist for new clients - you may be a good fit with my colleague at Flowstate Therapy, Wilson Bell, LCSW. You are looking for the opposite experience of what I had with my first therapist: stuffy, pretentious, and hypocritical advice from someone that didn’t know or understand me. You are on a therapy directory, which could mean you are already on your journey to closing the gap between where you are and where you want to be. I’m sure you have already tried many things. I may not be the first therapist you have seen or considered working with about this. I know you need a different experience than what you have had.
(828) 222-0350 View (828) 222-0350
Photo of Kat Oliveira, MA, LCMHC, NCC, Licensed Professional Counselor
Kat Oliveira
Licensed Professional Counselor, MA, LCMHC, NCC
Verified Verified
Asheville, NC 28803  (Online Only)
Are you going through transitions in your life? Or perhaps you are stuck and unsure how to move forward? Are you struggling with uncertainties, doubts, and perhaps some anxiety? If so, let's talk! I love to help clients who are going through major life transitions (such as endings or changes in current relationships), gender or sexuality questioning (LGBTQQ+), divorce, grief, career changes, and other challenging circumstances.
Are you going through transitions in your life? Or perhaps you are stuck and unsure how to move forward? Are you struggling with uncertainties, doubts, and perhaps some anxiety? If so, let's talk! I love to help clients who are going through major life transitions (such as endings or changes in current relationships), gender or sexuality questioning (LGBTQQ+), divorce, grief, career changes, and other challenging circumstances.
(828) 585-5328 View (828) 585-5328
Photo of Sarah Herndon Sanborn, MS, LCMHCA, Counselor
Sarah Herndon Sanborn
Counselor, MS, LCMHCA
Verified Verified
1 Endorsed
Asheville, NC 28801
Hi there! I am a Licensed Clinical Mental Health Counselor Associate at Melissa Villodas Counseling and Consulting. Working with new parents, children and athletes is my passion. I have additional training in perinatal care and am working towards my Certification in Perinatal Mental Health (PMH-C). Supporting you through your time of transition, stress or discomfort and helping you move to a place of peace and growth is my goal.
Hi there! I am a Licensed Clinical Mental Health Counselor Associate at Melissa Villodas Counseling and Consulting. Working with new parents, children and athletes is my passion. I have additional training in perinatal care and am working towards my Certification in Perinatal Mental Health (PMH-C). Supporting you through your time of transition, stress or discomfort and helping you move to a place of peace and growth is my goal.
(828) 827-5258 View (828) 827-5258
Photo of Tamara J. Cohen, LCSW, Clinical Social Work/Therapist
Tamara J. Cohen
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28803
Is your child feeling anxious, feeling sad, not performing in school as well as you think that they should, suffering from low self-esteem, or having behavioral issues? Are you a young adult transitioning into adulthood and are feeling uninspired, anxious, concerned, overwhelmed, depressed, or not where you want to be at this point in your life? By looking into therapy, you are taking the first step in resolving these issues and feeling better. I can help and there is hope. You have found the right therapist. I see each person seeking help as worthy, special, and unique and wanting to lead their best life.
Is your child feeling anxious, feeling sad, not performing in school as well as you think that they should, suffering from low self-esteem, or having behavioral issues? Are you a young adult transitioning into adulthood and are feeling uninspired, anxious, concerned, overwhelmed, depressed, or not where you want to be at this point in your life? By looking into therapy, you are taking the first step in resolving these issues and feeling better. I can help and there is hope. You have found the right therapist. I see each person seeking help as worthy, special, and unique and wanting to lead their best life.
(828) 408-0627 View (828) 408-0627
Photo of Matthew Grotsky, LCMHC, LCAS, Drug & Alcohol Counselor
Matthew Grotsky
Drug & Alcohol Counselor, LCMHC, LCAS
Verified Verified
Asheville, NC 28801
I know how hard it is to seek help when you’re struggling. I get it because I've been there too. You deserve to live fully. You deserve better than scheduling problems, long drives, big bills, and weak outcomes. Maybe you’re afraid it will take years of counseling just to start feeling better. I believe therapy should be a lot more than learning how to cope or survive something. It should help you achieve your goals, thrive in relationships, and live more fully.
I know how hard it is to seek help when you’re struggling. I get it because I've been there too. You deserve to live fully. You deserve better than scheduling problems, long drives, big bills, and weak outcomes. Maybe you’re afraid it will take years of counseling just to start feeling better. I believe therapy should be a lot more than learning how to cope or survive something. It should help you achieve your goals, thrive in relationships, and live more fully.
(828) 522-9259 View (828) 522-9259
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
Tweens, Adolescents, Adults, & Seniors are invited to explore relationship patterns that have contributed to psychological distress and gain awareness of how to positively contribute to interpersonal effectiveness, establish meaningful connections, and set appropriate boundaries. Self concept, unmet needs, and self defeating patterns are explored while establishing goals to reach your full potential. Healthy communication strategies and relationship principles are shared to promote prosocial engagement. Trauma focused, Jungian psychodynamic Theory & Community Resiliency Model Trained. Equine & Canine Assisted Service Provider.
Tweens, Adolescents, Adults, & Seniors are invited to explore relationship patterns that have contributed to psychological distress and gain awareness of how to positively contribute to interpersonal effectiveness, establish meaningful connections, and set appropriate boundaries. Self concept, unmet needs, and self defeating patterns are explored while establishing goals to reach your full potential. Healthy communication strategies and relationship principles are shared to promote prosocial engagement. Trauma focused, Jungian psychodynamic Theory & Community Resiliency Model Trained. Equine & Canine Assisted Service Provider.
(828) 360-8153 View (828) 360-8153
Photo of Ashley Hosey, LPA, Psychological Associate
Ashley Hosey
Psychological Associate, LPA
Verified Verified
5 Endorsed
Asheville, NC 28803  (Online Only)
Out of network provider for all insurances You're tired. You have to carry BIG emotions all the damn time with no outlet to let them out. You cry when you’re alone, but put on a smile so the world can’t see you're hurting on the inside. There is no time to slow down because slowing down makes the inner critic grow louder about how awful you are. Perhaps you get some release through disordered eating, but ultimately, that voice comes right back again. The inner critic makes it hard for you to accept yourself and love your flaws. It makes it hard for you to live your life intentionally, with confidence in yourself to use your voice.
Out of network provider for all insurances You're tired. You have to carry BIG emotions all the damn time with no outlet to let them out. You cry when you’re alone, but put on a smile so the world can’t see you're hurting on the inside. There is no time to slow down because slowing down makes the inner critic grow louder about how awful you are. Perhaps you get some release through disordered eating, but ultimately, that voice comes right back again. The inner critic makes it hard for you to accept yourself and love your flaws. It makes it hard for you to live your life intentionally, with confidence in yourself to use your voice.
(828) 547-4358 View (828) 547-4358
Photo of Rachel Weiss, MSW, LCSW, Clinical Social Work/Therapist
Rachel Weiss
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Asheville, NC 28805  (Online Only)
Partnering in the healing process with my clients is such an honor for me. I work with a variety of issues, with a focus on healing from trauma, or adverse life experiences. I can also help with life changes and stress, anxiety, addictions, eating disorders, phobias, low self-esteem, relationship issues, secondary traumatic stress, complex trauma and dissociative "disorders." I work hard to meet the needs of each individual, providing a safe, non-judgmental, empathic space essential for healing. I am up front and "real," while highly nurturing, and caring; I believe in the transformative effects of the therapeutic relationship.
Partnering in the healing process with my clients is such an honor for me. I work with a variety of issues, with a focus on healing from trauma, or adverse life experiences. I can also help with life changes and stress, anxiety, addictions, eating disorders, phobias, low self-esteem, relationship issues, secondary traumatic stress, complex trauma and dissociative "disorders." I work hard to meet the needs of each individual, providing a safe, non-judgmental, empathic space essential for healing. I am up front and "real," while highly nurturing, and caring; I believe in the transformative effects of the therapeutic relationship.
(828) 585-5024 View (828) 585-5024
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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.