Photo of Rachel Meltzer - Meltzer Counseling PLLC, LPC-S, Licensed Professional Counselor
Meltzer Counseling PLLC
Licensed Professional Counselor, LPC-S
Verified Verified
Rowlett, TX 75088
Meltzer Counseling is located in Richardson, Texas. We offer counseling services to adults, adolescents, children, couples. Clinicians accept health insurance, some clinicians offer therapy services on a sliding scale. Additionally, we offer short-term FREE family therapy for qualifying families. All clinicians are direct and respectful and our goal is to utilize the best fit for each client's needs. Therapists specialize in mood, eating disorders, addiction , anger management, self-harm behaviors, suicidal ideation ,trauma, EMDR, PTSD, grief and loss issues, communication skills, family and relationship dynamics.
Meltzer Counseling is located in Richardson, Texas. We offer counseling services to adults, adolescents, children, couples. Clinicians accept health insurance, some clinicians offer therapy services on a sliding scale. Additionally, we offer short-term FREE family therapy for qualifying families. All clinicians are direct and respectful and our goal is to utilize the best fit for each client's needs. Therapists specialize in mood, eating disorders, addiction , anger management, self-harm behaviors, suicidal ideation ,trauma, EMDR, PTSD, grief and loss issues, communication skills, family and relationship dynamics.
(972) 954-6256 View (972) 954-6256

Online Therapists

Photo of Gloria Ester Gonzalez, MA, LPC, Licensed Professional Counselor
Gloria Ester Gonzalez
Licensed Professional Counselor, MA, LPC
Verified Verified
Dallas, TX 75209
I have worked with children, teens, and adults with a variety of problems like families involved with CPS, parenting skills, mental illness, addiction treatment for individuals & their families, unemployed individuals (career counseling), depression, anxiety, suicidal ideation, anger issues, bullying, marital problems, self-injury, abuse, grief, & many more.
There is not a specific type of therapeutic style or approach that works for everyone: age, ethnicity, all of this may play a part into stressors and how we cope with them. Therefore, the services are built around the individuals or family needs, focusing on strengths and values. I believe there is nothing we can’t overcome and the first step is seeking the help. Therapy is about acquiring the tools we need when faced with adversity. If you’re reading this, then you’re already on your way to change. Life is full of challenges, struggles, and stressful situations. WE have all been there before.
I have worked with children, teens, and adults with a variety of problems like families involved with CPS, parenting skills, mental illness, addiction treatment for individuals & their families, unemployed individuals (career counseling), depression, anxiety, suicidal ideation, anger issues, bullying, marital problems, self-injury, abuse, grief, & many more.
There is not a specific type of therapeutic style or approach that works for everyone: age, ethnicity, all of this may play a part into stressors and how we cope with them. Therefore, the services are built around the individuals or family needs, focusing on strengths and values. I believe there is nothing we can’t overcome and the first step is seeking the help. Therapy is about acquiring the tools we need when faced with adversity. If you’re reading this, then you’re already on your way to change. Life is full of challenges, struggles, and stressful situations. WE have all been there before.
(325) 221-2847 View (325) 221-2847
Photo of Robert (Gus) Gustafson, LCSW, Clinical Social Work/Therapist
Robert (Gus) Gustafson
Clinical Social Work/Therapist, LCSW
Verified Verified
Arlington, TX 76017
I have a straight-forward, solution-based focus on making progress quickly. I am known for helping parents reduce conflicts with their sons, in particular, and have an emphasis on making parenting boys much more enjoyable and effective. I also have extensive experience in helping couples become more understandable to one another, and in providing them with relationship skills which enable both individuals to have their needs met.
I have a straight-forward, solution-based focus on making progress quickly. I am known for helping parents reduce conflicts with their sons, in particular, and have an emphasis on making parenting boys much more enjoyable and effective. I also have extensive experience in helping couples become more understandable to one another, and in providing them with relationship skills which enable both individuals to have their needs met.
(817) 567-2344 View (817) 567-2344
Photo of Penny Haight - Counseling By Penny Haight, PLLC, MEd, LPC-S, Licensed Professional Counselor
Counseling By Penny Haight, PLLC
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
2 Endorsed
Fort Worth, TX 76109
Our group practice is ready to serve you and your needs. We have 14 Professional Counselors that are diverse in their specialties, which helps if you and your family need individual counselors to address many different issues. Some of our counselors are experts in children and school issues, while others specialize in couples and relationships. Our therapists go above and beyond to create a safe and welcoming environment for you to heal. We are lucky to have 4 counselors on staff that are EMDR trained, which is a wonderful treatment for trauma and anxiety. Our office staff will help you find a counselor to fit your specific needs
Our group practice is ready to serve you and your needs. We have 14 Professional Counselors that are diverse in their specialties, which helps if you and your family need individual counselors to address many different issues. Some of our counselors are experts in children and school issues, while others specialize in couples and relationships. Our therapists go above and beyond to create a safe and welcoming environment for you to heal. We are lucky to have 4 counselors on staff that are EMDR trained, which is a wonderful treatment for trauma and anxiety. Our office staff will help you find a counselor to fit your specific needs
(817) 659-1092 View (817) 659-1092
Photo of Sharon J Durham - Peace Within, MS, LPC, NCC, CAMS, LCDC-In, Licensed Professional Counselor
Peace Within
Licensed Professional Counselor, MS, LPC, NCC, CAMS, LCDC-In
Verified Verified
Arlington, TX 76017  (Online Only)
Licensed Professional Counselor (LPC); National Certified Counselor; Substance Abuse Counselor; National Certified Anger Management Specialist. I have specialized training from UTA School of Social Work in Gerontology. I enjoy working with clients experiencing depression, anxiety, low self-esteem, anger concerns and domestic violence. Fees are affordable, convenient service times are offered with virtual sessions. I am currently accepting new clients. The strategies I use are cognitive behavioral therapy, solution focused therapy, client-centered therapy and motivational interviewing. Learn quick tips on how to manage anger!
Licensed Professional Counselor (LPC); National Certified Counselor; Substance Abuse Counselor; National Certified Anger Management Specialist. I have specialized training from UTA School of Social Work in Gerontology. I enjoy working with clients experiencing depression, anxiety, low self-esteem, anger concerns and domestic violence. Fees are affordable, convenient service times are offered with virtual sessions. I am currently accepting new clients. The strategies I use are cognitive behavioral therapy, solution focused therapy, client-centered therapy and motivational interviewing. Learn quick tips on how to manage anger!
(817) 497-8052 View (817) 497-8052
Photo of Kristin Huey, MA, LPC, Licensed Professional Counselor
Kristin Huey
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Aledo, TX 76008
Taking the step to seek counseling, either for yourself or a loved one, is huge! It is a choice that is says, "I'm ready for a change." My hope and purpose as your counselor is to walk with you through your journey of the therapeutic process of increased insight and awareness into your thoughts, feelings, and behaviors to build a sense of identity and control. I work with pre-teens and teens in conjunction with their families, as well as, adults, ranging in ages 10-60. I also provide family therapy to promote positive parenting skills, including behavior management techniques and effective communication tools within the family.
Taking the step to seek counseling, either for yourself or a loved one, is huge! It is a choice that is says, "I'm ready for a change." My hope and purpose as your counselor is to walk with you through your journey of the therapeutic process of increased insight and awareness into your thoughts, feelings, and behaviors to build a sense of identity and control. I work with pre-teens and teens in conjunction with their families, as well as, adults, ranging in ages 10-60. I also provide family therapy to promote positive parenting skills, including behavior management techniques and effective communication tools within the family.
(214) 494-8824 View (214) 494-8824
Photo of Eu'lina Smith - Eu'Lina Smith Therapeutic Services, MEd,  MS, LPC, LCDC, Licensed Professional Counselor
Eu'Lina Smith Therapeutic Services
Licensed Professional Counselor, MEd, MS, LPC, LCDC
Verified Verified
Frisco, TX 75034  (Online Only)
I Eu’Lina Smith M.Ed. M.S. LPC, LCDC, am a proud graduate of Texas Tech University where I graduated with dual Bachelors' degrees in Dance and Community, Family, and Addiction Services. I also attended Texas Tech Graduate School where I earned a Masters in both Counselor Education and Interdisciplinary Studies with concentration in Counseling, Educational Psychology, and Addictions. I graduated with honors and was a member of Chi Sigma Iota Honors Society while in graduate school at Texas Tech. My approach to counseling combines Solution Focused, Reality, Cognitive Behavioral Therapy, and Gestalt theories.
I Eu’Lina Smith M.Ed. M.S. LPC, LCDC, am a proud graduate of Texas Tech University where I graduated with dual Bachelors' degrees in Dance and Community, Family, and Addiction Services. I also attended Texas Tech Graduate School where I earned a Masters in both Counselor Education and Interdisciplinary Studies with concentration in Counseling, Educational Psychology, and Addictions. I graduated with honors and was a member of Chi Sigma Iota Honors Society while in graduate school at Texas Tech. My approach to counseling combines Solution Focused, Reality, Cognitive Behavioral Therapy, and Gestalt theories.
(214) 247-7886 View (214) 247-7886
Photo of Dr. Cindy Ruelas-Tafolla, DSW, LCSW, ICF-WC, CCM, Clinical Social Work/Therapist
Dr. Cindy Ruelas-Tafolla
Clinical Social Work/Therapist, DSW, LCSW, ICF-WC, CCM
Verified Verified
Prosper, TX 75078  (Online Only)
My mission is to create a safe and nurturing space allowing our clients to process their stories, navigate difficult life challenges, and help them transition from a place of trauma to a new place of healing and transformation. I strive to provide counseling and coaching services with passion and purpose to empower clients in making lifelong changes to reach their full potential and optimal wellness of mind, body, and spirit.
My mission is to create a safe and nurturing space allowing our clients to process their stories, navigate difficult life challenges, and help them transition from a place of trauma to a new place of healing and transformation. I strive to provide counseling and coaching services with passion and purpose to empower clients in making lifelong changes to reach their full potential and optimal wellness of mind, body, and spirit.
(972) 521-4097 View (972) 521-4097
Photo of Nancy M Miller, MS, LMFT, Marriage & Family Therapist
Nancy M Miller
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Lancaster, TX 75134  (Online Only)
Each person has inherent worth and the capacity to grow toward personal fulfillment. There comes a time when help is needed from a certified professional to cope with many of life's challenges. I recognize the unique challenges of each individual and systems that may exist, and seek to integrate emotions, thoughts, and actions to enable fuller, happier lives.
Each person has inherent worth and the capacity to grow toward personal fulfillment. There comes a time when help is needed from a certified professional to cope with many of life's challenges. I recognize the unique challenges of each individual and systems that may exist, and seek to integrate emotions, thoughts, and actions to enable fuller, happier lives.
(214) 273-4710 View (214) 273-4710
Photo of MacArthur Gilmer, MS, LPC-S, Licensed Professional Counselor
MacArthur Gilmer
Licensed Professional Counselor, MS, LPC-S
Verified Verified
1 Endorsed
Arlington, TX 76010
I truly believe in the statement: "A calm and undisturbed heart and mind are the life and health of the body..." I understand dealing with hard times. It is my goal to help people live and achieve more satisfying lives. Whether you are dealing with anger, feeling disconnected, marital / relationship issues, anxiety, depression, loneliness, chemical/ alcohol dependency, family, or teen & adolescent issues, seeking professional help is always a start to making changes and growth.
I truly believe in the statement: "A calm and undisturbed heart and mind are the life and health of the body..." I understand dealing with hard times. It is my goal to help people live and achieve more satisfying lives. Whether you are dealing with anger, feeling disconnected, marital / relationship issues, anxiety, depression, loneliness, chemical/ alcohol dependency, family, or teen & adolescent issues, seeking professional help is always a start to making changes and growth.
(817) 264-7883 View (817) 264-7883
Photo of Stephen Chock, PhD, Psychologist
Stephen Chock
Psychologist, PhD
Verified Verified
2 Endorsed
Plano, TX 75093
MY GOAL: to promote mental, physical, & spiritual health for people at each developmental phase of life. Your struggles might include mood disorder or inefficient brain function. My broad-range experience: studied at Ohio State University under top-ranked professors in Counseling Psychology and brain injury. RESIDENCIES: Minneapolis VA hospital; Ohio State's brain injury rehab unit. 17+ years inpatient rehab neuropsychology experience at Baylor Rehab Dallas, Pate Rehab. 1990-95: Christian counseling & neuropsychology at Minirth-Meier Clinic. Adjunct Professor: LPC-level Counseling degree program at Dallas Theological Seminary.
MY GOAL: to promote mental, physical, & spiritual health for people at each developmental phase of life. Your struggles might include mood disorder or inefficient brain function. My broad-range experience: studied at Ohio State University under top-ranked professors in Counseling Psychology and brain injury. RESIDENCIES: Minneapolis VA hospital; Ohio State's brain injury rehab unit. 17+ years inpatient rehab neuropsychology experience at Baylor Rehab Dallas, Pate Rehab. 1990-95: Christian counseling & neuropsychology at Minirth-Meier Clinic. Adjunct Professor: LPC-level Counseling degree program at Dallas Theological Seminary.
(469) 804-7893 View (469) 804-7893
Photo of Joseph Brigandi, NREMT, MS, MEd, NCC, LPC, Licensed Professional Counselor
Joseph Brigandi
Licensed Professional Counselor, NREMT, MS, MEd, NCC, LPC
Verified Verified
4 Endorsed
Plano, TX 75093
I'm a counselor/psychotherapist and I specialize in three things: #1, Depth Psychology with a strong Jungian focus #2, Post Traumatic Stress Disorders and the Traumatic Recovery Process #3, Psychotherapy for Physicians, Executives and Senior leaders working through crisis. I'm certified in (EMDR) Eye Movement Desensitization and Reprocessing. My passion for working with people experiencing post traumatic stress came as a result of my own experiences as an EMT and Paramedic during my career in emergency medicine serving as a first responder in Arizona, California and Texas currently nearing thirty years of service.
I'm a counselor/psychotherapist and I specialize in three things: #1, Depth Psychology with a strong Jungian focus #2, Post Traumatic Stress Disorders and the Traumatic Recovery Process #3, Psychotherapy for Physicians, Executives and Senior leaders working through crisis. I'm certified in (EMDR) Eye Movement Desensitization and Reprocessing. My passion for working with people experiencing post traumatic stress came as a result of my own experiences as an EMT and Paramedic during my career in emergency medicine serving as a first responder in Arizona, California and Texas currently nearing thirty years of service.
(469) 646-6350 View (469) 646-6350
Photo of Lisa Barrow, MA, LPC, MAC, LCDC, EMDR, Licensed Professional Counselor
Lisa Barrow
Licensed Professional Counselor, MA, LPC, MAC, LCDC, EMDR
Verified Verified
Granbury, TX 76048
I believe every person owns an unique and authentic story. My hope is to provide a safe place for individuals to openly and honestly work though the complicated realities of their past and their present, assist them in cultivating hope and to support them as they work to experience transformation in their hearts, minds and lives. We work together to address potential obstacles-mindfully leading clients to a richer, more satisfying life. I work consistently with adolescents and adults struggling with the complexities of mental health issues. No situation is hopeless where openness, honesty and willingness is present.
I believe every person owns an unique and authentic story. My hope is to provide a safe place for individuals to openly and honestly work though the complicated realities of their past and their present, assist them in cultivating hope and to support them as they work to experience transformation in their hearts, minds and lives. We work together to address potential obstacles-mindfully leading clients to a richer, more satisfying life. I work consistently with adolescents and adults struggling with the complexities of mental health issues. No situation is hopeless where openness, honesty and willingness is present.
(682) 260-6894 View (682) 260-6894
Photo of Debra Ellis - Debra Ellis - Ellis Counseling Agency, LPC-S, LBSW, ACBSW, Licensed Professional Counselor
Debra Ellis - Ellis Counseling Agency
Licensed Professional Counselor, LPC-S, LBSW, ACBSW
Verified Verified
Arlington, TX 76012
Welcome to Ellis Counseling Agency! As an experienced behavioral specialist, I am committed to offering extensive support for a variety of challenges that you or your family may be facing. My specialty is nurturing personal well-being, catering to both individuals and families. With the goal of steering you towards realizing your full potential, I am honored to possess dual licenses as a Licensed Professional Counselor Supervisor and a Licensed Social Worker. Over my expansive career spanning more than 25 years in behavioral health, substance abuse, case management, and medical social work, I have gained priceless experience.
Welcome to Ellis Counseling Agency! As an experienced behavioral specialist, I am committed to offering extensive support for a variety of challenges that you or your family may be facing. My specialty is nurturing personal well-being, catering to both individuals and families. With the goal of steering you towards realizing your full potential, I am honored to possess dual licenses as a Licensed Professional Counselor Supervisor and a Licensed Social Worker. Over my expansive career spanning more than 25 years in behavioral health, substance abuse, case management, and medical social work, I have gained priceless experience.
(214) 241-4093 View (214) 241-4093
Photo of Alex Guevara III - Excelsior Therapy, LPC, BA, MA, Licensed Professional Counselor
Excelsior Therapy
Licensed Professional Counselor, LPC, BA, MA
Verified Verified
Fort Worth, TX 76164
Excelsior Therapy works with individuals, couples, families, and groups, even offering adult and teen anger management classes. We believe that using cognitive testing and evidenced-based interventions with the collaboration of clients creates the most positive impact on helping clients meet their goals. In addition, to these therapeutic specialties, Excelsior Therapy is connected with a medical team that can assist with medication management that many clients have come to appreciate.
Excelsior Therapy works with individuals, couples, families, and groups, even offering adult and teen anger management classes. We believe that using cognitive testing and evidenced-based interventions with the collaboration of clients creates the most positive impact on helping clients meet their goals. In addition, to these therapeutic specialties, Excelsior Therapy is connected with a medical team that can assist with medication management that many clients have come to appreciate.
(817) 587-0335 View (817) 587-0335
Photo of Jerred Preston White, MA, LPC, LCDC, Licensed Professional Counselor
Jerred Preston White
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
3 Endorsed
Crowley, TX 76036
Jerred P. White MA, LCDC, LPC. I earned my graduate degree from Amberton University with a major in Masters of Arts in Professional Counseling and Bachelors degree in Science of Business and Human Development. I attended the Institute of Chemical Dependency school and completed over 4000 hours of chemical dependency counseling in residential and outpatient treatment facilities in efforts to become a fully licensed LCDC. I have over 10 years of working with families, individuals adults and children.
Jerred P. White MA, LCDC, LPC. I earned my graduate degree from Amberton University with a major in Masters of Arts in Professional Counseling and Bachelors degree in Science of Business and Human Development. I attended the Institute of Chemical Dependency school and completed over 4000 hours of chemical dependency counseling in residential and outpatient treatment facilities in efforts to become a fully licensed LCDC. I have over 10 years of working with families, individuals adults and children.
(469) 529-5786 View (469) 529-5786
Photo of Dr. Michael Contreras, LPC-S, LCDC, ADC, ICADC, DOT-SAP, Licensed Professional Counselor
Dr. Michael Contreras
Licensed Professional Counselor, LPC-S, LCDC, ADC, ICADC, DOT-SAP
Verified Verified
1 Endorsed
Bedford, TX 76021  (Online Only)
Waitlist for new clients
My client population includes children, adolescents and adults. I work with individuals as well as families. I facilitate numerous groups and skills training curriculum in various topics including adolescent first offenders, anger management, divorce and separation, parenting, and teen issues.
My client population includes children, adolescents and adults. I work with individuals as well as families. I facilitate numerous groups and skills training curriculum in various topics including adolescent first offenders, anger management, divorce and separation, parenting, and teen issues.
(817) 849-6835 View (817) 849-6835
Photo of Steven Kent McClatchy, MA, LPC, Licensed Professional Counselor
Steven Kent McClatchy
Licensed Professional Counselor, MA, LPC
Verified Verified
Fort Worth, TX 76116
Every life has seasons and circumstances where the trail changes and the journey becomes difficult. Sometimes the stones are masterfully laid and the walking is smooth, sometimes the stones serve as steps to get us to where we want to go, and sometimes the stones are such a mess that we can barely figure out the next safe step. I want to come alongside you with compassionate, knowledgeable, and encouraging support to get you to where you can experience a manageable trail to walk. The goal is to equip you with the tools and skills to navigate a satisfying, healthy, and balanced life. I look forward to helping you on your path.
Every life has seasons and circumstances where the trail changes and the journey becomes difficult. Sometimes the stones are masterfully laid and the walking is smooth, sometimes the stones serve as steps to get us to where we want to go, and sometimes the stones are such a mess that we can barely figure out the next safe step. I want to come alongside you with compassionate, knowledgeable, and encouraging support to get you to where you can experience a manageable trail to walk. The goal is to equip you with the tools and skills to navigate a satisfying, healthy, and balanced life. I look forward to helping you on your path.
(501) 289-5782 View (501) 289-5782
Photo of Allison Biles, LPC, Licensed Professional Counselor
Allison Biles
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75228
Feeling sad, lonely, unmotivated, stuck? Need a helping hand with transitioning through life’s many challenges? You are not alone. Consider me a compassionate and understanding ally as we work together towards reaching individualized goals and helping you learn to live a happier, more fulfilling life. In a safe and supportive environment, I will take the journey alongside you while using a person-centered, humanistic approach in addressing your unique needs. Ever since working as a Kindergarten teacher in the Texas public school system for nearly a decade,
Feeling sad, lonely, unmotivated, stuck? Need a helping hand with transitioning through life’s many challenges? You are not alone. Consider me a compassionate and understanding ally as we work together towards reaching individualized goals and helping you learn to live a happier, more fulfilling life. In a safe and supportive environment, I will take the journey alongside you while using a person-centered, humanistic approach in addressing your unique needs. Ever since working as a Kindergarten teacher in the Texas public school system for nearly a decade,
(972) 430-6407 View (972) 430-6407
Photo of Michelle Nietert - Community Counseling Associates, MA, LPC-S, CSC, Licensed Professional Counselor
Community Counseling Associates
Licensed Professional Counselor, MA, LPC-S, CSC
Verified Verified
2 Endorsed
Allen, TX 75002
Need help now? Call our caring staff today to discover how we can provide you solutions for life. Our team of counselors work together helping you with the most effective tools and resources possible! Our director has over 25 years of experience and a recognized national expert. We offer Solution Focused Counseling, CBT, & DBT interventions for adults, couples, children, teens, and families! If you or someone you love is struggling with depression, anxiety, marital issues, family conflict, grief, ADHD, trauma or other life challenges, we are here to provide a supportive, relaxing environment, and opportunities for change.
Need help now? Call our caring staff today to discover how we can provide you solutions for life. Our team of counselors work together helping you with the most effective tools and resources possible! Our director has over 25 years of experience and a recognized national expert. We offer Solution Focused Counseling, CBT, & DBT interventions for adults, couples, children, teens, and families! If you or someone you love is struggling with depression, anxiety, marital issues, family conflict, grief, ADHD, trauma or other life challenges, we are here to provide a supportive, relaxing environment, and opportunities for change.
(214) 919-5829 View (214) 919-5829

See more therapy options for Rowlett

Suicidal Ideation Therapists

How does therapy for suicidal ideation work?

Stress, depression, anxiety, or upsetting circumstances can give rise to suicidal thinking. Therapy can address the events at the core of an individual’s suffering. Understanding why a person may be suicidal can help the therapist and the patient discover alternative methods of coping. A person with suicidal ideation may be mired in catastrophic thinking, and treatment like cognitive behavioral therapy is a good choice for breaking such patterns. In addition, treatment such as acceptance and commitment therapy can help a person manage their distress through better emotion regulation.

Which therapies are best for suicidal ideation?

Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, acceptance and commitment therapies, among others. Cognitive behavioral and dialectical behavior therapies are two widely used therapies that can help individuals with painful thoughts and past traumas. These therapies help an individual tolerate distress, regulate emotions, and not act on dangerous urges.

Are there specific medications to be combined with therapy?

The use of medication for suicidal thoughts must be aligned with the underlying cause; conditions such as depression, anxiety, and psychosis may be at the root of suicidal ideation. A psychiatrist may prescribe medications for symptoms, which may include antipsychotics such as aripiprazole or antidepressants such as selective serotonin reuptake inhibitors.

How often and how long are therapy sessions for suicidal ideation?

As with any type of therapy, sessions depend on the individual. Patients may see improvement within 15 to 20 sessions, at an average of 50 minutes per session, while others may opt for 20 to 30 sessions over, perhaps, a six-month period. Still other patients, especially those with co-occurring conditions like major depression and anxiety, may need to continue sessions for up to 12 to 18 months. In some cases, residential treatment may be recommended for an individual who is judged to be at high risk of self-harm.