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Online Therapists

Photo of Lorrianne Morrow, LPC-S, BCN, Licensed Professional Counselor
Lorrianne Morrow
Licensed Professional Counselor, LPC-S, BCN
Verified Verified
Houston, TX 77008
I own LG Counseling & Houston Brain Houston Brain Center- for 14+ years we have provided exceptional client care for a variety of mental health-related services including counseling, ADHD assessments, Brain Health Coaching, and more.
As a board-certified Neurotherapist by the Biofeedback Certification International Alliance, I provide QEEG brain-mapping and Neurofeedback training for clients. I believe that your treatment should encompass emotional, mental, physiological, psychosocial and behavioral needs. Neurofeedback will improve your brain's flexibility, strength, and endurance. Through Neurofeedback, your emotional, and cognitive states improve as well as your mental performance. Some clients have also found it as an alternative to medication.
I own LG Counseling & Houston Brain Houston Brain Center- for 14+ years we have provided exceptional client care for a variety of mental health-related services including counseling, ADHD assessments, Brain Health Coaching, and more.
As a board-certified Neurotherapist by the Biofeedback Certification International Alliance, I provide QEEG brain-mapping and Neurofeedback training for clients. I believe that your treatment should encompass emotional, mental, physiological, psychosocial and behavioral needs. Neurofeedback will improve your brain's flexibility, strength, and endurance. Through Neurofeedback, your emotional, and cognitive states improve as well as your mental performance. Some clients have also found it as an alternative to medication.
(832) 734-9647 View (832) 734-9647
Photo of Dr. Roger D. Vazquez, PhD, LPC, LCDC, Licensed Professional Counselor
Dr. Roger D. Vazquez
Licensed Professional Counselor, PhD, LPC, LCDC
Verified Verified
Sugar Land, TX 77478
Specifically, I specialize in utilizing psychological testing to diagnose Attention Deficit/Hyperactivity Disorder ( ADHD), personality disorders, and academic/intellectual problems.
I have experience working with a wide variety of life problems and mental health disorders, but my primary interests include depression, anxiety, bipolar disorder, Attention Deficit Hyperactivity Disorder ( ADHD), Post Traumatic Stress Disorder (PTSD), academic issues, panic/phobias, anger management, addiction, couples, marriage, and family relationship issues.
Specifically, I specialize in utilizing psychological testing to diagnose Attention Deficit/Hyperactivity Disorder ( ADHD), personality disorders, and academic/intellectual problems.
I have experience working with a wide variety of life problems and mental health disorders, but my primary interests include depression, anxiety, bipolar disorder, Attention Deficit Hyperactivity Disorder ( ADHD), Post Traumatic Stress Disorder (PTSD), academic issues, panic/phobias, anger management, addiction, couples, marriage, and family relationship issues.
(281) 666-9607 View (281) 666-9607
Photo of A. Catherine Lunde, EdD, LPC, CSC, Licensed Professional Counselor
A. Catherine Lunde
Licensed Professional Counselor, EdD, LPC, CSC
Verified Verified
2 Endorsed
Magnolia, TX 77354
I have a Doctorate in Human Behavior and my dissertation focused on ADHD.
I specialize in ADHD and Tourette Syndrome, and also have experience with anxiety, depression, parenting, infertility, grief, and social skills. The pressures of life can be overwhelming and can lead to unhelpful thoughts, feelings, and behaviors. I help individuals set reasonable expectations and develop specific strategies to attain their personal goals. I also provide guidance and assistance to help families learn how to collaborate and work effectively with schools when seeking special education services. I have been married for 19 years and experienced the challenges and blessings of two teenage sons with special needs.
I have a Doctorate in Human Behavior and my dissertation focused on ADHD.
I specialize in ADHD and Tourette Syndrome, and also have experience with anxiety, depression, parenting, infertility, grief, and social skills. The pressures of life can be overwhelming and can lead to unhelpful thoughts, feelings, and behaviors. I help individuals set reasonable expectations and develop specific strategies to attain their personal goals. I also provide guidance and assistance to help families learn how to collaborate and work effectively with schools when seeking special education services. I have been married for 19 years and experienced the challenges and blessings of two teenage sons with special needs.
(936) 463-8185 View (936) 463-8185
Photo of Catherine Lunde - The Woodlands Family Counseling Center, PLLC
The Woodlands Family Counseling Center, PLLC
Verified Verified
1 Endorsed
Magnolia, TX 77354
Children and adults often struggle with the symptoms of ADHD for years before they are accurately diagnosed.
TWFCC assists individuals who are going through difficult times by providing the support they need to overcome issues from the past, find freedom from unhealthy patterns of thought and behavior, and live full and productive lives. Our therapists are trained to work with anxiety and depression, relational issues, abuse, trauma, grief, personal & spiritual growth, life transitions, and many additional issues.
Children and adults often struggle with the symptoms of ADHD for years before they are accurately diagnosed.
TWFCC assists individuals who are going through difficult times by providing the support they need to overcome issues from the past, find freedom from unhealthy patterns of thought and behavior, and live full and productive lives. Our therapists are trained to work with anxiety and depression, relational issues, abuse, trauma, grief, personal & spiritual growth, life transitions, and many additional issues.
(936) 463-8185 View (936) 463-8185
Photo of Jill Hazlip-Freeman, MA, LPC, Licensed Professional Counselor
Jill Hazlip-Freeman
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Beaumont, TX 77702
Waitlist for new clients
Autism/ ADD/ASD Specialty focus & training- As a mother to an autistic son, I am passionate about working with ASD (& neuro-typical) teens & adults to assist in creating behavioral, social & future goals.
Self pay only- In person sessions (in Beaumont TX) 8 & up TX residents (Video/Phone available but limited). My counseling approach is caring, understanding, client focused, & solution based. Your needs & goals should be the driving force of your therapy sessions. Beginning therapy is a big step in committing to getting better! Services offered: Individual teen/adult counseling, marriage, LGBTQ+, Autism/ ADD/Anxiety/Depression, ADD & autism evaluations ages 8 & up, and weight loss consults. NO insurance accepted, self pay only. Superbills can be given for reimbursement. Sliding scale & pre pay discounts offered, ask if you qualify!
Autism/ ADD/ASD Specialty focus & training- As a mother to an autistic son, I am passionate about working with ASD (& neuro-typical) teens & adults to assist in creating behavioral, social & future goals.
Self pay only- In person sessions (in Beaumont TX) 8 & up TX residents (Video/Phone available but limited). My counseling approach is caring, understanding, client focused, & solution based. Your needs & goals should be the driving force of your therapy sessions. Beginning therapy is a big step in committing to getting better! Services offered: Individual teen/adult counseling, marriage, LGBTQ+, Autism/ ADD/Anxiety/Depression, ADD & autism evaluations ages 8 & up, and weight loss consults. NO insurance accepted, self pay only. Superbills can be given for reimbursement. Sliding scale & pre pay discounts offered, ask if you qualify!
(409) 207-8294 View (409) 207-8294
Photo of Ian Baker Thompson, MS, LPC, Licensed Professional Counselor
Ian Baker Thompson
Licensed Professional Counselor, MS, LPC
Verified Verified
The Woodlands, TX 77380
Types of counseling offered are: Individual, Family, Couple, Stress and Anxiety Management, Executive Skills Coaching, Substance Use Disorders, High Functioning Autism, Depression, ADHD, Bipolar, and Personality Disorders.
I am a counselor and co-owner of Third Coast Counseling and Wellness. My masters degree is in Clinical Psychology and I have been working in the behavioral health field for over 10 years. I have worked in both private practice and public mental health services. I treat patients with and without health insurance using evidenced-based practices and down-to-earth sessions.
Types of counseling offered are: Individual, Family, Couple, Stress and Anxiety Management, Executive Skills Coaching, Substance Use Disorders, High Functioning Autism, Depression, ADHD, Bipolar, and Personality Disorders.
I am a counselor and co-owner of Third Coast Counseling and Wellness. My masters degree is in Clinical Psychology and I have been working in the behavioral health field for over 10 years. I have worked in both private practice and public mental health services. I treat patients with and without health insurance using evidenced-based practices and down-to-earth sessions.
(281) 623-4454 View (281) 623-4454
Photo of Patricia Mai Michlik, MS, LPC, Licensed Professional Counselor
Patricia Mai Michlik
Licensed Professional Counselor, MS, LPC
Verified Verified
Houston, TX 77018  (Online Only)
Waitlist for new clients
Hello! I love collaborating with my clients to achieve their personal goals & develop creative strategies to cope with life's stressors. I have been an LPC for over 13 years, & worked with seniors, adults, teens, & children from any location in TX via teletherapy (video/phone) who struggle with depression, anxiety, life transitions, Spirituality, relationship issues, stress/anger management, coping skills, family conflict, marital/premarital issues, cultural/ethnic issues, self-esteem, academic challenges, LGBTQ, Autism/ ADHD, Emotional Disturbance & much more. Some therapeutic modalities I utilize include:
Hello! I love collaborating with my clients to achieve their personal goals & develop creative strategies to cope with life's stressors. I have been an LPC for over 13 years, & worked with seniors, adults, teens, & children from any location in TX via teletherapy (video/phone) who struggle with depression, anxiety, life transitions, Spirituality, relationship issues, stress/anger management, coping skills, family conflict, marital/premarital issues, cultural/ethnic issues, self-esteem, academic challenges, LGBTQ, Autism/ ADHD, Emotional Disturbance & much more. Some therapeutic modalities I utilize include:
(832) 772-2507 View (832) 772-2507
Photo of Gina Evans - Total Wellness Assessment & Counseling Center, PhD, LPA, LPC, LMFT, LCDC, Psychologist
Total Wellness Assessment & Counseling Center
Psychologist, PhD, LPA, LPC, LMFT, LCDC
Verified Verified
Houston, TX 77098
We offer individual, family and group counseling and psychological and neuropsychological evaluations for: ADHD, Autism.
Our treatment approach is based on over 20 years of providing testing and treatment services. In every case, our primary treatment goal is to help clients develop the necessary skills to improve health, academic performance, day-to-day functioning and sense of well-being and self-efficacy. We make accessing our services easy by having two convenient locations, evening and weekend hours, and providing virtual and in office services (3801 Kirby Dr. Suite 311 Houston, TX 77098 and 8820 Will Clayton Parkway Suite A Humble, TX 77338).
We offer individual, family and group counseling and psychological and neuropsychological evaluations for: ADHD, Autism.
Our treatment approach is based on over 20 years of providing testing and treatment services. In every case, our primary treatment goal is to help clients develop the necessary skills to improve health, academic performance, day-to-day functioning and sense of well-being and self-efficacy. We make accessing our services easy by having two convenient locations, evening and weekend hours, and providing virtual and in office services (3801 Kirby Dr. Suite 311 Houston, TX 77098 and 8820 Will Clayton Parkway Suite A Humble, TX 77338).
(832) 402-6539 View (832) 402-6539
Photo of Lara Christian, LPC, BCN, Licensed Professional Counselor
Lara Christian
Licensed Professional Counselor, LPC, BCN
Verified Verified
1 Endorsed
Houston, TX 77098
As a board certified neurotherapist and licensed professional counselor, I can identify the cause of your symptoms including anxiety, depression, ADHD, sleep, behavior, performance, and memory issues, among many others. Research has shown you can link these symptoms to specific brain regions and train the brain to function more effectively. Optimize Mind Care specializes in QEEG ("brain mapping") and Neurofeedback ("brain training" or EEG biofeedback). These methods are brain-based techniques that create a treatment approach based on biology and a patient's symptoms, instead of symptoms alone, in order to address the root cause.
As a board certified neurotherapist and licensed professional counselor, I can identify the cause of your symptoms including anxiety, depression, ADHD, sleep, behavior, performance, and memory issues, among many others. Research has shown you can link these symptoms to specific brain regions and train the brain to function more effectively. Optimize Mind Care specializes in QEEG ("brain mapping") and Neurofeedback ("brain training" or EEG biofeedback). These methods are brain-based techniques that create a treatment approach based on biology and a patient's symptoms, instead of symptoms alone, in order to address the root cause.
(713) 255-8304 View (713) 255-8304
Photo of Dr. Brandon Sylvester, PsyD, LCDC-I, Psychologist
Dr. Brandon Sylvester
Psychologist, PsyD, LCDC-I
Verified Verified
Richmond, TX 77407
Some of life's challenges require help. It takes courage, wisdom, and strength to recognize and act on that knowledge. My name is Dr. Brandon Sylvester and my experience focuses on helping adolescents and adults overcome emotional and behavioral difficulties. I believe that when we know better, we do better; so I focus on bringing awareness to unhealthy patterns. I work in close collaboration with you to design a plan for treatment and work side by side with you as we implement each step of the plan.
Some of life's challenges require help. It takes courage, wisdom, and strength to recognize and act on that knowledge. My name is Dr. Brandon Sylvester and my experience focuses on helping adolescents and adults overcome emotional and behavioral difficulties. I believe that when we know better, we do better; so I focus on bringing awareness to unhealthy patterns. I work in close collaboration with you to design a plan for treatment and work side by side with you as we implement each step of the plan.
(281) 738-2091 View (281) 738-2091
Photo of Reva McMillan-Ford, LCSW, Clinical Social Work/Therapist
Reva McMillan-Ford
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77007  (Online Only)
I am a passionate and empathetic therapist with strong counseling abilities and an understanding of interpersonal and familial relationships. I specialize in working with clients from diverse backgrounds and across the lifespan. I have experience leading clients through Depression, Anxiety, crisis and stress management. Through clinical experience, compassion, and empathy I support and assist those willing to make a positive difference in their lives.
I am a passionate and empathetic therapist with strong counseling abilities and an understanding of interpersonal and familial relationships. I specialize in working with clients from diverse backgrounds and across the lifespan. I have experience leading clients through Depression, Anxiety, crisis and stress management. Through clinical experience, compassion, and empathy I support and assist those willing to make a positive difference in their lives.
(281) 214-6339 View (281) 214-6339
Photo of Missid Georges Ghanem, MPH, PsyD, Psychologist
Missid Georges Ghanem
Psychologist, MPH, PsyD
Verified Verified
The Woodlands, TX 77380
With offices in The Woodlands and Houston, I offer the entire gamut of psychological services to individuals of all ages.
With offices in The Woodlands and Houston, I offer the entire gamut of psychological services to individuals of all ages.
(281) 622-4872 View (281) 622-4872
Photo of Melody Moore, PhD, HSP, NCSP, Psychologist
Melody Moore
Psychologist, PhD, HSP, NCSP
Verified Verified
Houston, TX 77004
"Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure." Williamson. Hi, my name is Dr. Melody Moore and I am a licensed psychologist who is passionate about helping others be the best that they can be. With my background of over 30 years of counseling experience, I have used an integrative approach to serve women, children, and families, working in various agencies, nonprofit organizations, and small business settings throughout my career.
"Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure." Williamson. Hi, my name is Dr. Melody Moore and I am a licensed psychologist who is passionate about helping others be the best that they can be. With my background of over 30 years of counseling experience, I have used an integrative approach to serve women, children, and families, working in various agencies, nonprofit organizations, and small business settings throughout my career.
(832) 924-6257 View (832) 924-6257
Photo of Cashuna Huddleston Ph.d., PhD, Psychologist
Cashuna Huddleston Ph.d.
Psychologist, PhD
Verified Verified
1 Endorsed
Houston, TX 77054
Dr. Huddleston specializes in treating adolescents, adults, and families with presenting issues such as anxiety, depression, relationship issues, health concerns, adjustment and life change difficulties, substance abuse issues, and trauma. In every client interaction, Dr. Huddleston's primary goal is to help clients develop the necessary skills in thinking and behaving to improve their health, daily functioning, and sense of confidence. She applies best practice methods in helping clients overcome their struggles, while implementing kindness and respect. Dr. Huddleston uses an empathetic and nonjudgmental approach to truly understand individuals' needs from a perspective that appreciates a diversity of experiences.
Dr. Huddleston specializes in treating adolescents, adults, and families with presenting issues such as anxiety, depression, relationship issues, health concerns, adjustment and life change difficulties, substance abuse issues, and trauma. In every client interaction, Dr. Huddleston's primary goal is to help clients develop the necessary skills in thinking and behaving to improve their health, daily functioning, and sense of confidence. She applies best practice methods in helping clients overcome their struggles, while implementing kindness and respect. Dr. Huddleston uses an empathetic and nonjudgmental approach to truly understand individuals' needs from a perspective that appreciates a diversity of experiences.
(281) 677-3621 View (281) 677-3621
Photo of Tonya M Boyd, MSc, LPC, Licensed Professional Counselor
Tonya M Boyd
Licensed Professional Counselor, MSc, LPC
Verified Verified
1 Endorsed
Houston, TX 77007  (Online Only)
We all deserve to feel at home and safe in our bodies and minds, and it’s my passion to help others find this place. Are you in need of affordable and flexible counseling? Do you feel stressed, overwhelmed, confused, or frustrated with life? Are you seeking support, guidance, and understanding? Do you feel you have little support, and no one to talk to or listen? Are you seeking self-empowerment? Are you seeking to overcome life’s challenges and reach your personal goals? You came to the right profile. Here at Ellie Mental Heath, we accept self-pay and insurance. Hit me up to schedule your appointment.
We all deserve to feel at home and safe in our bodies and minds, and it’s my passion to help others find this place. Are you in need of affordable and flexible counseling? Do you feel stressed, overwhelmed, confused, or frustrated with life? Are you seeking support, guidance, and understanding? Do you feel you have little support, and no one to talk to or listen? Are you seeking self-empowerment? Are you seeking to overcome life’s challenges and reach your personal goals? You came to the right profile. Here at Ellie Mental Heath, we accept self-pay and insurance. Hit me up to schedule your appointment.
(210) 417-4809 View (210) 417-4809
Photo of Gina Hudnall, PhD, Psychologist
Gina Hudnall
Psychologist, PhD
Verified Verified
Houston, TX 77098
My treatment approach is based on over 10 years of providing testing and treatment services. In every case, my primary treatment goal is to help my clients develop the necessary skills--both thinking and behaving-- to improve their health, academic performance, day-to-day functioning and sense of well-being and self-efficacy. I do not fix my clients but focus all my efforts toward helping them to fix or better manage their problems themselves. This is done through fostering client strengths.
My treatment approach is based on over 10 years of providing testing and treatment services. In every case, my primary treatment goal is to help my clients develop the necessary skills--both thinking and behaving-- to improve their health, academic performance, day-to-day functioning and sense of well-being and self-efficacy. I do not fix my clients but focus all my efforts toward helping them to fix or better manage their problems themselves. This is done through fostering client strengths.
(281) 853-8892 View (281) 853-8892
Photo of Dr. Diane M Boudreaux, PhD, Psychologist
Dr. Diane M Boudreaux
Psychologist, PhD
Verified Verified
Rosharon, TX 77583  (Online Only)
One of my favorite saying is Life isn't about waiting for the storm to past...It is about leaning to Dance in the Rain." (Author Unknown) Welcome to Integrated Behavioral Health & Wellness Consultants (IBHWC), PLLC. It is a mouthful! IBHWC was formed to address the growing need of individuals who are navigating health concerns and major life issues, These issues could be work, unemployment, retirement, children, grandchildren, caretaking, health, aging, eating, and/or the psychological and emotions that can accompany all these things, making some days more difficult. My approach is electic utilizing evidence based interventions.
One of my favorite saying is Life isn't about waiting for the storm to past...It is about leaning to Dance in the Rain." (Author Unknown) Welcome to Integrated Behavioral Health & Wellness Consultants (IBHWC), PLLC. It is a mouthful! IBHWC was formed to address the growing need of individuals who are navigating health concerns and major life issues, These issues could be work, unemployment, retirement, children, grandchildren, caretaking, health, aging, eating, and/or the psychological and emotions that can accompany all these things, making some days more difficult. My approach is electic utilizing evidence based interventions.
(281) 519-6101 View (281) 519-6101
Photo of Dr. Teona Amble, PhD, LP, Psychologist
Dr. Teona Amble
Psychologist, PhD, LP
Verified Verified
Houston, TX 77019  (Online Only)
I am passionate about helping people to promote well-being and to manage emotional distress and psychiatric symptoms. I enjoy using psychological theories and mind-body interventions to help children, adolescents, and adults from diverse backgrounds to improve their physical and mental health. I have helped people to reach their physical health goals, heal from trauma, make career and life transitions, grow in marriages and relationships, and build mood and anxiety management tools. My sessions focus on sharing information and skills to address your unique needs and life circumstances. We will develop a treatment plan together.
I am passionate about helping people to promote well-being and to manage emotional distress and psychiatric symptoms. I enjoy using psychological theories and mind-body interventions to help children, adolescents, and adults from diverse backgrounds to improve their physical and mental health. I have helped people to reach their physical health goals, heal from trauma, make career and life transitions, grow in marriages and relationships, and build mood and anxiety management tools. My sessions focus on sharing information and skills to address your unique needs and life circumstances. We will develop a treatment plan together.
(360) 226-6994 View (360) 226-6994
Photo of Suzanne Ayarza - Inclusive Minds, MEd, LPC, Licensed Professional Counselor
Inclusive Minds
Licensed Professional Counselor, MEd, LPC
Verified Verified
Houston, TX 77040  (Online Only)
Life can be challenging and can sometimes feel overwhelming. Emotions like guilt, resentment, fear, depression, loneliness, anxiety, and grief can take away our peace, and cripple our wellbeing. You don't have to do it alone. Join me at Inclusive Minds to work collaboratively with a professional who is accepting and non judgmental to help you reach your health and wellness goals.
Life can be challenging and can sometimes feel overwhelming. Emotions like guilt, resentment, fear, depression, loneliness, anxiety, and grief can take away our peace, and cripple our wellbeing. You don't have to do it alone. Join me at Inclusive Minds to work collaboratively with a professional who is accepting and non judgmental to help you reach your health and wellness goals.
(830) 396-4864 View (830) 396-4864
Photo of James Jackson, MA, LPC, Licensed Professional Counselor
James Jackson
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Houston, TX 77007  (Online Only)
I' am a Licensed Professional Counselor in the State of Texas. I provide individual, family, and couple's therapy. I earned my Bachelors in Psychology from the University of Maryland University College and a Masters in Counseling from Webster University. I've worked in many different clinical settings to include outpatient counseling and inpatient treatment at a psychiatric hospital along with working as an outpatient assessment counselor for a nonprofit organization.
I' am a Licensed Professional Counselor in the State of Texas. I provide individual, family, and couple's therapy. I earned my Bachelors in Psychology from the University of Maryland University College and a Masters in Counseling from Webster University. I've worked in many different clinical settings to include outpatient counseling and inpatient treatment at a psychiatric hospital along with working as an outpatient assessment counselor for a nonprofit organization.
(832) 862-8436 View (832) 862-8436

See more therapy options for Goodrich

ADHD Therapists

When should I seek treatment for ADHD?

You should seek treatment for ADHD if you consistently have difficulty with attention, hyperactivity, or impulsivity that interferes with your daily life. Symptoms of ADHD include the inability to sustain attention during tasks, difficulty organizing tasks and activities, being easily distracted, frequent fidgeting or squirming, and talking or interrupting excessively. If these symptoms interfere with your career, academics, or relationships—for example, consistently failing to complete professional projects on time—you should seek an evaluation for ADHD.

How does treatment for ADHD work?

Effective treatment for ADHD often consists of medication, behavioral therapy, and lifestyle changes. Stimulant medications such as Adderall and Ritalin work by altering levels of neurotransmitters in the brain; higher levels of dopamine and norepinephrine are known to improve attention and focus. Therapy works by helping people with ADHD understand the condition, discuss their areas of difficulty, and develop behavioral strategies to manage their symptoms. In some cases, modifying one’s diet and exercise can also help improve symptoms.

Are there specific medications for ADHD?

Medications to treat ADHD are generally stimulants, the most common are Adderall and Ritalin. There are two categories of stimulants: Amphetamines include Adderall, Dyanavel, Vyvanse, and Dexedrine, and methylphenidates include Ritalin, Concerta, Daytrana, Focalin, Quillichew, Quillivant, and Metadate. Non-stimulants and antidepressants may be used as an alternative if stimulants aren’t effective or viable for a particular patient.

How long does treatment for ADHD take?

It’s tough to give an exact time frame because everyone varies. In terms of medications, stimulants begin to work very soon after you take them, generally within the hour. It may take time to identify the right medication and dosage, but the medication itself is fast-acting. In terms of therapy, it takes time to develop skills and put them into practice, but you will likely see improvements within a few weeks or months.