How long does therapy take?

Our deepest patterns, fears, and core beliefs develop during the first 18 years of life. Consider the math: 365 days multiplied by 18 years of relational experiences, beliefs, and assumptions shaped by caregivers and environment.

When early emotional needs are consistently unmet, we form generalized beliefs such as "my needs burden others" or "asking for help is pointless." These patterns become automatic and operate outside conscious awareness.

Therapy works to reshape these entrenched relational patterns. Twelve months of weekly sessions is considered short-term in my orientation. Many clients work with me for several years. Lasting structural change occurs through the cumulative effect of consistent therapeutic contact over time.

Because I am committing to your healing journey, weekly sessions are expected (excluding holidays and scheduled time off). This frequency is necessary for the kind of attachment-focused work that produces enduring psychological change.

References

Leichsenring, F., & Rabung, S. (2008). Effectiveness of long-term psychodynamic psychotherapy: A meta-analysis. JAMA, 300(13), 1551-1565. https://doi.org/10.1001/jama.300.13.1551

Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98-109. https://doi.org/10.1037/a0018378

Norcross, J. C., & Wampold, B. E. (2011). Evidence-based therapy relationships: Research conclusions and clinical practices. Psychotherapy, 48(1), 98-102. https://doi.org/10.1037/a0022161