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Photo of Erika B Carlson, LCSW, Clinical Social Work/Therapist
Erika B Carlson
Clinical Social Work/Therapist, LCSW
Verified Verified
Herndon, VA 20170
I primarily support adolescents and adults who present with a variety of mental health issues including depression, anxiety, personality disorders, trauma and those who struggle with emotion regulation and tolerating discomfort. Typically, my clients have a history of unsuccessful treatments and often present with a history of prior hospitalizations. Many of my clients struggle with self-harming behaviors, substance use and/or suicidal ideation. I also support couples and families seeking a more balanced family dynamic. I work as part of a team at In Step, collaboratively working to support teens, their parents, and adults.
I primarily support adolescents and adults who present with a variety of mental health issues including depression, anxiety, personality disorders, trauma and those who struggle with emotion regulation and tolerating discomfort. Typically, my clients have a history of unsuccessful treatments and often present with a history of prior hospitalizations. Many of my clients struggle with self-harming behaviors, substance use and/or suicidal ideation. I also support couples and families seeking a more balanced family dynamic. I work as part of a team at In Step, collaboratively working to support teens, their parents, and adults.
(703) 972-1806 View (703) 972-1806
Photo of Constance Raines - Constancy Therapy Services LLC., LCSW, LCSW-C, LICSW, CCM, Clinical Social Work/Therapist
Constancy Therapy Services LLC.
Clinical Social Work/Therapist, LCSW, LCSW-C, LICSW, CCM
Verified Verified
Herndon, VA 20171  (Online Only)
My professional experience includes working with teenagers and adults with minor to severe mental illness, grief and loss, survivors of traumatic experiences, individuals with medical conditions, suicidal ideations/ self harm, family/friendship dilemmas, drug misuse-secondary issue, self esteem concerns, life transitions.
My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style. - Maya Angelou Hello my name is Constance,
I am a Licensed Clinical Social Worker (LCSW, LICSW, LCSW-C) in the states of Virginia, Maryland, DC, and Florida. I have 11 years of experience employed in behavioral health facilities, outpatient therapy clinics, correctional centers, veteran affairs, and also providing medical social work/ therapy to oncology, emergent, and crisis patients in the hospital setting.
My professional experience includes working with teenagers and adults with minor to severe mental illness, grief and loss, survivors of traumatic experiences, individuals with medical conditions, suicidal ideations/ self harm, family/friendship dilemmas, drug misuse-secondary issue, self esteem concerns, life transitions.
My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style. - Maya Angelou Hello my name is Constance,
I am a Licensed Clinical Social Worker (LCSW, LICSW, LCSW-C) in the states of Virginia, Maryland, DC, and Florida. I have 11 years of experience employed in behavioral health facilities, outpatient therapy clinics, correctional centers, veteran affairs, and also providing medical social work/ therapy to oncology, emergent, and crisis patients in the hospital setting.
(571) 749-2209 View (571) 749-2209
Photo of Sarah B Mulhaul, LCSW, MSW, Clinical Social Work/Therapist
Sarah B Mulhaul
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Clifton, VA 20124
I am Foundationally trained in DBT through BehaviorTech to treat BPD, Suicidal Ideation and self harm.
I specialize in working with adults and young women who have experienced traumatic events (childhood sexual abuse, rape, domestic violence, physical abuse, car accidents, military trauma, etc) and are experiencing trauma symptoms. The traumatic event may also lead to emotional dysregulation, self harm behaviors, hospitalizations and/or a diagnosis of Borderline Personality Disorder, among many other disorders. I also have a passion for working with veterans of post 9/11 wars who have a diagnosis of PTSD. My goal is to help others find and achieve their "life worth living".
I am Foundationally trained in DBT through BehaviorTech to treat BPD, Suicidal Ideation and self harm.
I specialize in working with adults and young women who have experienced traumatic events (childhood sexual abuse, rape, domestic violence, physical abuse, car accidents, military trauma, etc) and are experiencing trauma symptoms. The traumatic event may also lead to emotional dysregulation, self harm behaviors, hospitalizations and/or a diagnosis of Borderline Personality Disorder, among many other disorders. I also have a passion for working with veterans of post 9/11 wars who have a diagnosis of PTSD. My goal is to help others find and achieve their "life worth living".
(571) 496-8509 View (571) 496-8509
Photo of Ashley Patrican, LPC, MA, NCC, Licensed Professional Counselor
Ashley Patrican
Licensed Professional Counselor, LPC, MA, NCC
Verified Verified
2 Endorsed
Reston, VA 20191  (Online Only)
I believe that therapy is about the journey towards self-discovery and joining that person on a quest to seek out the answers they already have within themselves. The ideal client is a person who is open to learning, determined to self-improve and committed to the therapeutic relationship. My experiences with mental health range from: autism, mood disorders, postpartum depression, lyme disease, suicide ideation, gender identity concerns,personality disorders, chronic pain, trauma, behavioral management, social skills training, parent training, psychosis to substance use.. My career background is in schools, crisis stabilization, home-based counseling and working with INOVA.
I believe that therapy is about the journey towards self-discovery and joining that person on a quest to seek out the answers they already have within themselves. The ideal client is a person who is open to learning, determined to self-improve and committed to the therapeutic relationship. My experiences with mental health range from: autism, mood disorders, postpartum depression, lyme disease, suicide ideation, gender identity concerns,personality disorders, chronic pain, trauma, behavioral management, social skills training, parent training, psychosis to substance use.. My career background is in schools, crisis stabilization, home-based counseling and working with INOVA.
(571) 474-3064 View (571) 474-3064
Photo of Paula L Rainer - Dr. Paula Rainer, LLC, PhD, LPC, NCC, ACS, BC-TMH, Licensed Professional Counselor
Dr. Paula Rainer, LLC
Licensed Professional Counselor, PhD, LPC, NCC, ACS, BC-TMH
Verified Verified
Herndon, VA 20171
Are you looking for a strength-based approach to life? Are you generally an internally peaceful and pleasant person but your unwanted mood or thoughts are more powerful? Do stress, anxiety, and depression make you someone that you do not recognize? Are you mad, sad, or quiet without a true reason that you can express? Are you isolating yourself from activities that you used to enjoy or would consider pleasurable? Are you tired of people looking at who you are from the outside and think that you have everything that you need, but they are missing your internal pain?
Are you looking for a strength-based approach to life? Are you generally an internally peaceful and pleasant person but your unwanted mood or thoughts are more powerful? Do stress, anxiety, and depression make you someone that you do not recognize? Are you mad, sad, or quiet without a true reason that you can express? Are you isolating yourself from activities that you used to enjoy or would consider pleasurable? Are you tired of people looking at who you are from the outside and think that you have everything that you need, but they are missing your internal pain?
(703) 782-8059 View (703) 782-8059
Photo of Tracy Carter - Loudoun Counseling Services, Tracy Carter LPC, LPC, Licensed Professional Counselor
Loudoun Counseling Services, Tracy Carter LPC
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Ashburn, VA 20147
People tend to come to counseling when they're dealing with something NEW or something old that has gotten BIGGER than they can handle on their own. Counseling is a private, safe place to process those life events and/or symptoms of mental health. Loudoun Counseling Services is a private group practice, started by Tracy Carter, LPC, that provides comprehensive mental health services to Individuals, Families, and Couples. LCS also offers Group Therapy and Workshops on Mental Health Topics. By creating a collaborative relationship your therapist will help you identify challenges and develop healthy solutions to improve your life.
People tend to come to counseling when they're dealing with something NEW or something old that has gotten BIGGER than they can handle on their own. Counseling is a private, safe place to process those life events and/or symptoms of mental health. Loudoun Counseling Services is a private group practice, started by Tracy Carter, LPC, that provides comprehensive mental health services to Individuals, Families, and Couples. LCS also offers Group Therapy and Workshops on Mental Health Topics. By creating a collaborative relationship your therapist will help you identify challenges and develop healthy solutions to improve your life.
(703) 303-5946 View (703) 303-5946
Photo of Patrick Nisco, PhD, LCP, Psychologist
Patrick Nisco
Psychologist, PhD, LCP
Verified Verified
Sterling, VA 20166
Dr. Nisco received his doctorate in Clinical Psychology from the Pacific Graduate School of Psychology in consortium with Stanford University in Palo Alto, California, and obtained his Masters in Clinical Psychology and Bachelors in Psychology from Loyola College. He has trained at Spring Grove Hospital Center in Catonsville, MD, Patuxent Institution minimal security prison in Sykesville, MD, National Center for Posttraumatic Stress Disorder (PTSD) in Menlo Park, CA, and Veterans Hospitals in Palo Alto, CA and Baltimore, MD. He has also been on staff at various community outpatient mental health centers.
Dr. Nisco received his doctorate in Clinical Psychology from the Pacific Graduate School of Psychology in consortium with Stanford University in Palo Alto, California, and obtained his Masters in Clinical Psychology and Bachelors in Psychology from Loyola College. He has trained at Spring Grove Hospital Center in Catonsville, MD, Patuxent Institution minimal security prison in Sykesville, MD, National Center for Posttraumatic Stress Disorder (PTSD) in Menlo Park, CA, and Veterans Hospitals in Palo Alto, CA and Baltimore, MD. He has also been on staff at various community outpatient mental health centers.
(703) 596-8238 View (703) 596-8238
Photo of Michael Arthur, MA, MPhil, Pre-Licensed Professional
Michael Arthur
Pre-Licensed Professional, MA, MPhil
Verified Verified
Sterling, VA 20164
Acceptance leads to solutions but denial leads to confusion. My name is Michael Arthur. I am a therapist and a teacher who combines Cognitive Behavior Therapy with Spirituality to support my patients. I have been working with diverse groups, children and adults who experience Mental Health illnesses, deal with substance abuse problems and those with developmental disabilities using empirically supported treatments and evidence-based practices for over 12 years now. I help achieve patients’ goals by using empathy, cultural-responsiveness, and person-centeredness among other things.
Acceptance leads to solutions but denial leads to confusion. My name is Michael Arthur. I am a therapist and a teacher who combines Cognitive Behavior Therapy with Spirituality to support my patients. I have been working with diverse groups, children and adults who experience Mental Health illnesses, deal with substance abuse problems and those with developmental disabilities using empirically supported treatments and evidence-based practices for over 12 years now. I help achieve patients’ goals by using empathy, cultural-responsiveness, and person-centeredness among other things.
(571) 339-3098 View (571) 339-3098
Photo of Eleanor Huff, LPC, RN, NCC, CCTP, CATP, Licensed Professional Counselor
Eleanor Huff
Licensed Professional Counselor, LPC, RN, NCC, CCTP, CATP
Verified Verified
2 Endorsed
Sterling, VA 20164
Seeking therapy is taking steps toward your well-being and can be a difficult and courageous first step. I would like to support that and to assist in empowering you to find your resiliency. I believe we all have resiliency, meaning the power to move forward, adjust, make changes and withstand the difficult times, sometimes we need help finding it within us. I can help with that! I look forward to talking with you.
Seeking therapy is taking steps toward your well-being and can be a difficult and courageous first step. I would like to support that and to assist in empowering you to find your resiliency. I believe we all have resiliency, meaning the power to move forward, adjust, make changes and withstand the difficult times, sometimes we need help finding it within us. I can help with that! I look forward to talking with you.
(703) 999-8620 View (703) 999-8620
Photo of Jacqueline Scheidt, Pre-Licensed Professional
Jacqueline Scheidt
Pre-Licensed Professional
Verified Verified
Ashburn, VA 20147
Life is stressful and overwhelming resulting in feelings of anxiety and depression. It’s common to feel like you have to navigate these struggles by yourself, but reaching out for support can make a world of difference! I am deeply committed to empowering others to make meaningful changes in their lives.
Life is stressful and overwhelming resulting in feelings of anxiety and depression. It’s common to feel like you have to navigate these struggles by yourself, but reaching out for support can make a world of difference! I am deeply committed to empowering others to make meaningful changes in their lives.
(540) 426-0453 View (540) 426-0453
Photo of Amy Gordon, PhD, Psychologist
Amy Gordon
Psychologist, PhD
Verified Verified
Ashburn, VA 20147
Dr. Gordon provides comprehensive diagnostic assessments for children, adolescents and adults. Comprehensive neuropsychological testing investigates an individuals strengths and weaknesses in all cognitive domains, including: general ability (IQ), attention, learning and memory, visual-spatial skills and visual-motor organization, language development and auditory processing, executive functioning (e.g., planning and organization, working memory, inhibition), academic skills, and psychological and emotional functioning.
Dr. Gordon provides comprehensive diagnostic assessments for children, adolescents and adults. Comprehensive neuropsychological testing investigates an individuals strengths and weaknesses in all cognitive domains, including: general ability (IQ), attention, learning and memory, visual-spatial skills and visual-motor organization, language development and auditory processing, executive functioning (e.g., planning and organization, working memory, inhibition), academic skills, and psychological and emotional functioning.
(571) 317-2275 View (571) 317-2275
Photo of Alicia Ayvas - Clarity Counseling, LCSW, CEDS-S, Clinical Social Work/Therapist
Clarity Counseling
Clinical Social Work/Therapist, LCSW, CEDS-S
Verified Verified
1 Endorsed
Gainesville, VA 20155
I have been working in the field of eating disorders & trauma since 2008 and I am committed to help client’s understand and fully overcome their illness so that they have peace within their mind, body, and spirit. I earned her Bachelors of Arts at Rutgers University and Masters of Science at Columbia University. In 2017 I became a certified eating disorder specialist and supervisor and currently hold a leadership role in that organization. I am energetic, passionate, and dedicated to empowering individuals and families who are impacted by eating disorders and mental health and hope to walk along side you in your recovery process.
I have been working in the field of eating disorders & trauma since 2008 and I am committed to help client’s understand and fully overcome their illness so that they have peace within their mind, body, and spirit. I earned her Bachelors of Arts at Rutgers University and Masters of Science at Columbia University. In 2017 I became a certified eating disorder specialist and supervisor and currently hold a leadership role in that organization. I am energetic, passionate, and dedicated to empowering individuals and families who are impacted by eating disorders and mental health and hope to walk along side you in your recovery process.
(571) 520-6408 View (571) 520-6408
Photo of Angelina Harris, LCSW, LSATP, PMH-C, CCTP, MAC, Clinical Social Work/Therapist
Angelina Harris
Clinical Social Work/Therapist, LCSW, LSATP, PMH-C, CCTP, MAC
Verified Verified
2 Endorsed
Ashburn, VA 20147
Licensed in VA, MD, WVA and NC. Are you struggling with your overall mental wellness? Have you tried therapy in the past and not seen the progress you were expecting? I am here to offer support and collaborate with you to find hope. Therapy is a shared journey to identify new insights and work on finding actionable solutions. I actively listen to get to know you, develop a clinical relationship and address your unique needs while in a calm and comfortable setting. We work together to create tangible tools to process past experiences, including trauma, and tackle current complicated life issues to facilitate a healthier future.
Licensed in VA, MD, WVA and NC. Are you struggling with your overall mental wellness? Have you tried therapy in the past and not seen the progress you were expecting? I am here to offer support and collaborate with you to find hope. Therapy is a shared journey to identify new insights and work on finding actionable solutions. I actively listen to get to know you, develop a clinical relationship and address your unique needs while in a calm and comfortable setting. We work together to create tangible tools to process past experiences, including trauma, and tackle current complicated life issues to facilitate a healthier future.
(703) 372-9941 View (703) 372-9941
Photo of Aaron Clark - Aaron M. Clark, LCSW, LCSW, Clinical Social Work/Therapist
Aaron M. Clark, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairfax, VA 20152  (Online Only)
The journey of finding a therapist can be difficult and frustrating at times. You may ask yourself, "do I really need to talk with someone?" Coming to the realization that you may need to talk to some one is challenging . Taking that first step in searching, for someone, to talk to is moving in the direction, of finding peace, hope and healing.
The journey of finding a therapist can be difficult and frustrating at times. You may ask yourself, "do I really need to talk with someone?" Coming to the realization that you may need to talk to some one is challenging . Taking that first step in searching, for someone, to talk to is moving in the direction, of finding peace, hope and healing.
(540) 905-4195 View (540) 905-4195
Photo of Peri (Farag) Rogers, LPC, LPC-S, Licensed Professional Counselor
Peri (Farag) Rogers
Licensed Professional Counselor, LPC, LPC-S
Verified Verified
Chantilly, VA 20151
Professional Counseling and Clinical Supervision. Are you tired? Have you been trying really hard to no avail? Are you carrying many burdens, responsibilities, and troubles that you feel are breaking you. Are you discouraged? Exhausted? Worried? Sad? Disappointed in yourself and others? Stuck? Are you struggling with feeling that you do not matter and/or that you do not measure up? Do you crave to be understood, to rest, to connect, and to see your relationships flourish? Do you hope for a better tomorrow?
Professional Counseling and Clinical Supervision. Are you tired? Have you been trying really hard to no avail? Are you carrying many burdens, responsibilities, and troubles that you feel are breaking you. Are you discouraged? Exhausted? Worried? Sad? Disappointed in yourself and others? Stuck? Are you struggling with feeling that you do not matter and/or that you do not measure up? Do you crave to be understood, to rest, to connect, and to see your relationships flourish? Do you hope for a better tomorrow?
(571) 570-3564 View (571) 570-3564
Photo of Judy Watta, LCSW, Clinical Social Work/Therapist
Judy Watta
Clinical Social Work/Therapist, LCSW
Verified Verified
Haymarket, VA 20169  (Online Only)
Starting therapy is a very personal decision. Consider starting therapy when you are seeking an increased understanding of yourself and improved relationships with others. Therapy helps you sort through conflicting emotions, behaviors, and thoughts that get in your way. You will know you are benefitting from therapy when you feel more comfortable and confident in the decisions you make on a daily basis. Looking at others is a distraction. Looking inside ourselves is a journey for those who want to grow and blossom into their true selves. The work is not easy or quick, however the progress made is yours to keep forever.
Starting therapy is a very personal decision. Consider starting therapy when you are seeking an increased understanding of yourself and improved relationships with others. Therapy helps you sort through conflicting emotions, behaviors, and thoughts that get in your way. You will know you are benefitting from therapy when you feel more comfortable and confident in the decisions you make on a daily basis. Looking at others is a distraction. Looking inside ourselves is a journey for those who want to grow and blossom into their true selves. The work is not easy or quick, however the progress made is yours to keep forever.
(703) 386-7818 View (703) 386-7818
Photo of Izabela Osiniecka, LCSW, Clinical Social Work/Therapist
Izabela Osiniecka
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Ashburn, VA 20147
Izabela Osiniecka is a Licensed Clinical Social Worker in the state of Virginia. She received both her Bachelor of Arts in Psychology with a minor in Community Action and Social Change and her Master of Social Work at the University of Michigan. She has experience working with adults with acute and chronic psychiatric disorders such as depression, anxiety, and substance use disorders. Izabela has worked in short-term and long-term inpatient hospitals as well as college settings.
Izabela Osiniecka is a Licensed Clinical Social Worker in the state of Virginia. She received both her Bachelor of Arts in Psychology with a minor in Community Action and Social Change and her Master of Social Work at the University of Michigan. She has experience working with adults with acute and chronic psychiatric disorders such as depression, anxiety, and substance use disorders. Izabela has worked in short-term and long-term inpatient hospitals as well as college settings.
(571) 517-2840 View (571) 517-2840
Photo of Michelle Mays - Relational Recovery Institute, LPC, CSAT, Licensed Professional Counselor
Relational Recovery Institute
Licensed Professional Counselor, LPC, CSAT
Verified Verified
2 Endorsed
Sterling, VA 20163
Are you or your partner struggling with the negative impacts from sexually compulsive behaviors, having difficulties in your relationship or experiencing limits in your ability to live the life you most deeply desire due to childhood trauma? If so, the clinical team at the Relational Recovery Institute (RRI) specializes in treating these issues through offering an individualized proven path and treatment program for relational recovery that will improve your relationships, help to resolve current and past traumas, and transform your life.
Are you or your partner struggling with the negative impacts from sexually compulsive behaviors, having difficulties in your relationship or experiencing limits in your ability to live the life you most deeply desire due to childhood trauma? If so, the clinical team at the Relational Recovery Institute (RRI) specializes in treating these issues through offering an individualized proven path and treatment program for relational recovery that will improve your relationships, help to resolve current and past traumas, and transform your life.
(703) 291-3712 View (703) 291-3712
Photo of Angela L. Conner - True Beginnings Therapy, LLC, MA, LPC, Licensed Professional Counselor
True Beginnings Therapy, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Reston, VA 20191  (Online Only)
Welcome, and thank you for stopping by! My name is Angela Conner, and I am a Licensed Professional Counselor who is passionate about helping children, adolescents and young adults create positive and purposeful relationships within themselves and others through the use of effective skills and inner strengths. As a woman of ambition and vision, I operate in alignment with my core values which are empowerment, resiliency, connection, and growth. These values greatly influence my ability to connect with my clients on a more meaningful level and demonstrate my determination and compassion as a catalyst for growth and promising change.
Welcome, and thank you for stopping by! My name is Angela Conner, and I am a Licensed Professional Counselor who is passionate about helping children, adolescents and young adults create positive and purposeful relationships within themselves and others through the use of effective skills and inner strengths. As a woman of ambition and vision, I operate in alignment with my core values which are empowerment, resiliency, connection, and growth. These values greatly influence my ability to connect with my clients on a more meaningful level and demonstrate my determination and compassion as a catalyst for growth and promising change.
(571) 583-4077 View (571) 583-4077
Photo of Rachel Enghauser, LCSW, Clinical Social Work/Therapist
Rachel Enghauser
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sterling, VA 20166
Sometimes you may feel tired and hopeless, or feel close to breaking down. Sometimes you may feel defeated, frustrated, or lost. The first step towards getting somewhere is to decide that you are not going to stay where you are. I am a Licensed Clinical Social Worker with years of experience providing clinical treatment and therapy to those who find themselves unhappy, stuck, or struggling with life's obstacles. I have had the privilege and opportunity to work in a variety of settings including a residential crisis stabilization unit, a state psychiatric facility, a county jail, and a homeless shelter.
Sometimes you may feel tired and hopeless, or feel close to breaking down. Sometimes you may feel defeated, frustrated, or lost. The first step towards getting somewhere is to decide that you are not going to stay where you are. I am a Licensed Clinical Social Worker with years of experience providing clinical treatment and therapy to those who find themselves unhappy, stuck, or struggling with life's obstacles. I have had the privilege and opportunity to work in a variety of settings including a residential crisis stabilization unit, a state psychiatric facility, a county jail, and a homeless shelter.
(571) 290-2972 View (571) 290-2972

See more therapy options for South Riding

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.