Self-Harming Psychiatrists in Richardson, TX

Photo of Dr. Celina Egemasi, Psychiatric Nurse Practitioner in Richardson, TX
Dr. Celina Egemasi
Psychiatric Nurse Practitioner, DNP, NP-C, PMHNP, -BC
Verified Verified
1 Endorsed
Richardson, TX 75080  (Online Only)
Dr. Celina Egemasi is a Dual Board-Certified Nurse Practitioner who is qualified to practice in both primary care and psychiatry; diagnose, treat and prescribe medication for children, adolescents, adults and elderly. Some of her practice specialties include (but not limited to) Depression, Anxiety, Bipolar, and Schizophrenia. She graduated from Walden University with her Family Nurse Practitioner degree and Brandman University with her Doctorate of Nursing Practice and Post Masters in Psychiatric Mental Health Nurse Practitioner degree. Dr. Egemasi is part of Sigma Theta Tau nursing honor society and Golden Key International
Dr. Celina Egemasi is a Dual Board-Certified Nurse Practitioner who is qualified to practice in both primary care and psychiatry; diagnose, treat and prescribe medication for children, adolescents, adults and elderly. Some of her practice specialties include (but not limited to) Depression, Anxiety, Bipolar, and Schizophrenia. She graduated from Walden University with her Family Nurse Practitioner degree and Brandman University with her Doctorate of Nursing Practice and Post Masters in Psychiatric Mental Health Nurse Practitioner degree. Dr. Egemasi is part of Sigma Theta Tau nursing honor society and Golden Key International
(509) 300-4795 View (509) 300-4795
Photo of Open Mind Psychiatry, Psychiatric Nurse Practitioner in Richardson, TX
Open Mind Psychiatry
Psychiatric Nurse Practitioner, DNP, APRN, PMHNP
Verified Verified
1 Endorsed
Richardson, TX 75080  (Online Only)
At Open Mind Psychiatry, we believe in an integrative approach to HEALING that addresses your unique struggles with dignity and understanding. Dr. Celina Egemasi is a Doctorate prepared provider with dual Board-Certification as a Family Nurse Practitioner and Psychiatric Nurse Practitioner. Dr. Egemasi has over 10 years of experience in providing quality care. She believes in providing holistic, integrative, and individualized care to her clients. She is passionate about helping people with decreasing their stressors.
At Open Mind Psychiatry, we believe in an integrative approach to HEALING that addresses your unique struggles with dignity and understanding. Dr. Celina Egemasi is a Doctorate prepared provider with dual Board-Certification as a Family Nurse Practitioner and Psychiatric Nurse Practitioner. Dr. Egemasi has over 10 years of experience in providing quality care. She believes in providing holistic, integrative, and individualized care to her clients. She is passionate about helping people with decreasing their stressors.
(888) 493-0873 View (888) 493-0873
Photo of Shellylice Thomas, Psychiatric Nurse Practitioner in Richardson, TX
Shellylice Thomas
Psychiatric Nurse Practitioner, NP
Verified Verified
Richardson, TX 75080
I am a board-certified Psychiatric and Mental Health Nurse Practitioner who has more than 25 years of varied experience in healthcare. I provide person-centered care with the client's best interests at the forefront of any treatment decisions. My focus is to provide empathetic and accessible care to the patients with mental health problems. I am aware of the toll of mental health problems on the client's functioning in relationships, work, and study settings.
I am a board-certified Psychiatric and Mental Health Nurse Practitioner who has more than 25 years of varied experience in healthcare. I provide person-centered care with the client's best interests at the forefront of any treatment decisions. My focus is to provide empathetic and accessible care to the patients with mental health problems. I am aware of the toll of mental health problems on the client's functioning in relationships, work, and study settings.
(469) 529-6659 View (469) 529-6659
Photo of Holistic Health and Psychiatry PLLC, Psychiatric Nurse Practitioner in Richardson, TX
Holistic Health and Psychiatry PLLC
Psychiatric Nurse Practitioner, PMHNP-C
Verified Verified
Richardson, TX 75082  (Online Only)
I am a psychiatric mental health nurse practitioner and a counselor who has worked across the spectrum of age groups. Many of my clients have commented that they like my insight and non-judgmental approach. In my experience, the right therapy and if needed, the right medication can be life changing. It can liberate a life. The right treatment does not solve all your problems but when needed, it can remove obstacles and allow you to discover your full potential to live your best life, the life you deserve to have.
I am a psychiatric mental health nurse practitioner and a counselor who has worked across the spectrum of age groups. Many of my clients have commented that they like my insight and non-judgmental approach. In my experience, the right therapy and if needed, the right medication can be life changing. It can liberate a life. The right treatment does not solve all your problems but when needed, it can remove obstacles and allow you to discover your full potential to live your best life, the life you deserve to have.
(210) 981-6747 View (210) 981-6747

More Psychiatrists Nearby

Photo of Dallas Psychiatry & TMS Center, Psychiatrist in Richardson, TX
Dallas Psychiatry & TMS Center
Psychiatrist, DO
Verified Verified
Dallas, TX 75206
I offer cutting edge treatments like TMS Therapy, a non-systemic treatment for depression and Psychotropic DNA testing, a program that tailors medication treatments to the individual and offers clinicians insight to better understand how patients may metabolize or respond to medication prescribed to them.
My name is Dr. Brian Forsythe and I believe in a whole-person approach to patient care. It is my belief that therapy, medication, diet, exercise, and personal goals are all integral parts of a person's mental and over-all health. I also offer cutting edge treatments like TMS Therapy and Psychotropic DNA testing. My office, the Dallas Psychiatry and TMS Center, is centrally located in the Mockingbird Station Shops/Park Cities/SMU/Highland Park area and is convenient to downtown Dallas.
I offer cutting edge treatments like TMS Therapy, a non-systemic treatment for depression and Psychotropic DNA testing, a program that tailors medication treatments to the individual and offers clinicians insight to better understand how patients may metabolize or respond to medication prescribed to them.
My name is Dr. Brian Forsythe and I believe in a whole-person approach to patient care. It is my belief that therapy, medication, diet, exercise, and personal goals are all integral parts of a person's mental and over-all health. I also offer cutting edge treatments like TMS Therapy and Psychotropic DNA testing. My office, the Dallas Psychiatry and TMS Center, is centrally located in the Mockingbird Station Shops/Park Cities/SMU/Highland Park area and is convenient to downtown Dallas.
(469) 557-8642 View (469) 557-8642
Photo of Effulgence Psychiatry, Psychiatric Nurse Practitioner in Richardson, TX
Effulgence Psychiatry
Psychiatric Nurse Practitioner, PMHNP, -BC
Verified Verified
1 Endorsed
Dallas, TX 75240
Welcome to Effulgence Psychiatry, where your journey to mental wellness is honored with compassion, expertise, and a commitment to holistic care. My name is Ifeoma Irokwe, a mental health nurse practitioner, I envision my clients as individuals with unique struggles, seeking solace in their darkest moments. Understanding their needs for compassionate care, I strive to empower them to reclaim their lives, overcome obstacles, and achieve personal growth. My goal is to foster an environment where clients feel heard, valued, and supported, paving the way for them to pursue a future filled with hope, resilience, and fulfillment.
Welcome to Effulgence Psychiatry, where your journey to mental wellness is honored with compassion, expertise, and a commitment to holistic care. My name is Ifeoma Irokwe, a mental health nurse practitioner, I envision my clients as individuals with unique struggles, seeking solace in their darkest moments. Understanding their needs for compassionate care, I strive to empower them to reclaim their lives, overcome obstacles, and achieve personal growth. My goal is to foster an environment where clients feel heard, valued, and supported, paving the way for them to pursue a future filled with hope, resilience, and fulfillment.
(940) 286-4548 View (940) 286-4548
Photo of Shannon Skolaut, Psychiatric Nurse Practitioner in Richardson, TX
Shannon Skolaut
Psychiatric Nurse Practitioner, RN, MSN, PMHNP
Verified Verified
3 Endorsed
Dallas, TX 75231
Go to centerforgreenpsychiatry.com/shannonskolaut to book directly! Currently accepting new patients with immediate openings - Shannon Skolaut is a board-certified Psychiatric Nurse Practitioner who embraces a holistic and humanistic approach to healthcare. Shannon believes that the body and mind must be treated together as one. She encompasses an approach toward wellness that must be individualized, and each person must be treated based off their individual strengths, abilities, and treatment goals. Shannon embraces an empathetic, compassionate, non-discriminatory, and culturally centered approach to medicine and care.
Go to centerforgreenpsychiatry.com/shannonskolaut to book directly! Currently accepting new patients with immediate openings - Shannon Skolaut is a board-certified Psychiatric Nurse Practitioner who embraces a holistic and humanistic approach to healthcare. Shannon believes that the body and mind must be treated together as one. She encompasses an approach toward wellness that must be individualized, and each person must be treated based off their individual strengths, abilities, and treatment goals. Shannon embraces an empathetic, compassionate, non-discriminatory, and culturally centered approach to medicine and care.
(737) 234-7884 View (737) 234-7884
Photo of Lizette Nji, Psychiatric Nurse Practitioner in Richardson, TX
Lizette Nji
Psychiatric Nurse Practitioner, PMHNP-B
Verified Verified
1 Endorsed
Plano, TX 75074
Everyone wants to feel heard especially when it comes to one's health. I want you to know that I am here to listen and together we can formulate a treatment plan best for you. I have been in mental health for over 3 years and being a part of your journey, ensuring your success, is what drives me. Our first session discusses specific mental health concerns, personal goals, treatment history, and tailored care options. Follow-up sessions assess medication efficacy and progress.
Everyone wants to feel heard especially when it comes to one's health. I want you to know that I am here to listen and together we can formulate a treatment plan best for you. I have been in mental health for over 3 years and being a part of your journey, ensuring your success, is what drives me. Our first session discusses specific mental health concerns, personal goals, treatment history, and tailored care options. Follow-up sessions assess medication efficacy and progress.
(214) 623-6748 View (214) 623-6748
Photo of Balanced Mind Behavioral Healthcare Inc, Psychiatric Nurse Practitioner in Richardson, TX
Balanced Mind Behavioral Healthcare Inc
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, BC
Verified Verified
Dallas, TX 75254
At Balanced Mind Behavioral Healthcare Inc our vision is to treat patients with compassion and respect while providing an individualized treatment plans that meets patient’s outcome. We understand the challenges of daily life event and promote the concept of balanced mindset for patients to see actual results of treatment recommendations. Our team consist of a Psychiatrist, Texas Board and Arizona Board of Advanced Practice Nurse Practitioner with ANCC certification. We provide appointments and psychiatry services in person or via secured and HIPPA compliant video conference platform.
At Balanced Mind Behavioral Healthcare Inc our vision is to treat patients with compassion and respect while providing an individualized treatment plans that meets patient’s outcome. We understand the challenges of daily life event and promote the concept of balanced mindset for patients to see actual results of treatment recommendations. Our team consist of a Psychiatrist, Texas Board and Arizona Board of Advanced Practice Nurse Practitioner with ANCC certification. We provide appointments and psychiatry services in person or via secured and HIPPA compliant video conference platform.
(214) 241-1135 View (214) 241-1135
Photo of AddisMind PLLC, Psychiatric Nurse Practitioner in Richardson, TX
AddisMind PLLC
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
1 Endorsed
Garland, TX 75042  (Online Only)
Offering personalized and compassionate service to patients VIRTUALLY, I practice with the belief that every patient is special and needs personalized care. I am dedicated to give the appropriate time, attention, and compassion to my patients with the goal of helping them manage their mental illness well.
Offering personalized and compassionate service to patients VIRTUALLY, I practice with the belief that every patient is special and needs personalized care. I am dedicated to give the appropriate time, attention, and compassion to my patients with the goal of helping them manage their mental illness well.
(817) 241-5438 View (817) 241-5438
Photo of Hearts of Health , Psychiatric Nurse Practitioner in Richardson, TX
Hearts of Health
Psychiatric Nurse Practitioner, DNP, PMHNP, AGACNP
Verified Verified
Dallas, TX 75240
I hold a Doctorate in Nursing from the University of Texas and am dual board-certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP) and Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC). Additionally, I completed a certificate program in Gerontology Healthcare. With years of experience working in outpatient and inpatient settings, I bring a wealth of knowledge and expertise to my practice.
I hold a Doctorate in Nursing from the University of Texas and am dual board-certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP) and Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC). Additionally, I completed a certificate program in Gerontology Healthcare. With years of experience working in outpatient and inpatient settings, I bring a wealth of knowledge and expertise to my practice.
(469) 423-9410 View (469) 423-9410
Photo of Fadekemi Olude, Psychiatric Nurse Practitioner in Richardson, TX
Fadekemi Olude
Psychiatric Nurse Practitioner, APRN, MSN, PMHNP
Verified Verified
Garland, TX 75040  (Online Only)
Currently accepting patients with appointments within A WEEK, with flexible scheduling. Are you struggling to find your way out of a dark place? Fighting to overcome feelings of grief, ADHD, addiction, anxiety, depression, schizophrenia, Bipolar disorder or major life transitions? Have a history of physical, emotional, or sexual trauma? Feeling like you’ve exhausted all options for treatment and given up hope on finding a solution? I am here to provide light at the end of the tunnel for you.
Currently accepting patients with appointments within A WEEK, with flexible scheduling. Are you struggling to find your way out of a dark place? Fighting to overcome feelings of grief, ADHD, addiction, anxiety, depression, schizophrenia, Bipolar disorder or major life transitions? Have a history of physical, emotional, or sexual trauma? Feeling like you’ve exhausted all options for treatment and given up hope on finding a solution? I am here to provide light at the end of the tunnel for you.
(972) 573-9755 View (972) 573-9755
Photo of Jamal Daher, Physician Assistant in Richardson, TX
Jamal Daher
Physician Assistant, PA-BC
Verified Verified
Addison, TX 75001
I Provide early morning sessions. Jamal believes that it is vital to have a holistic and expansive knowledge on mental health while maintaining patient rapport with the use of effective interpersonal skills. Jamal Daher is a Physician Assistant certified by the National Commission for Certification of Physician Assistants and is licensed by the Texas State Board of Medical Examiners. Jamal completed his Bachelor of Science degree in Biological Sciences at the University of Wisconsin-Milwaukee in 2019. He also holds a Master’s of Physician Assistant Studies from the University of Texas Health Science Center of San Antonio.
I Provide early morning sessions. Jamal believes that it is vital to have a holistic and expansive knowledge on mental health while maintaining patient rapport with the use of effective interpersonal skills. Jamal Daher is a Physician Assistant certified by the National Commission for Certification of Physician Assistants and is licensed by the Texas State Board of Medical Examiners. Jamal completed his Bachelor of Science degree in Biological Sciences at the University of Wisconsin-Milwaukee in 2019. He also holds a Master’s of Physician Assistant Studies from the University of Texas Health Science Center of San Antonio.
(210) 934-3320 View (210) 934-3320
Photo of Christine Chioma, Psychiatric Nurse Practitioner in Richardson, TX
Christine Chioma
Psychiatric Nurse Practitioner, NP, PMHNP, BC
Verified Verified
Dallas, TX 75254  (Online Only)
Hello, My name is Christine Chioma, APRN-BC, Psychiatric Mental Health Nurse Practitioner. I am board certified through the American Nurses Credentialing Center (ANCC) and I have over 18 years of experience in psychiatry. I work with children, adolescents, and adults.
Hello, My name is Christine Chioma, APRN-BC, Psychiatric Mental Health Nurse Practitioner. I am board certified through the American Nurses Credentialing Center (ANCC) and I have over 18 years of experience in psychiatry. I work with children, adolescents, and adults.
(512) 768-9738 View (512) 768-9738
Photo of AKADI Mental Health Services , Psychiatric Nurse Practitioner in Richardson, TX
AKADI Mental Health Services
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Verified Verified
6 Endorsed
Dallas, TX 75254
Hello. My name is Carolyn Thompson. I believe that mental well-being is the cornerstone of a fulfilling life. As a PMHNP, I’m committed to: Collaboration: Teaming up with patients, clients, health care colleagues and the community. Holistic Care: Nurturing mind, body, and spirit. Excellence: Providing my best in every encounter. Medication Management and Brief Therapy with Tailored Solutions: We’ll find the right balance for you. Evidence-Based Practices: Backed by the latest research. I provide client centered care to clients in Texas and New Mexico.
Hello. My name is Carolyn Thompson. I believe that mental well-being is the cornerstone of a fulfilling life. As a PMHNP, I’m committed to: Collaboration: Teaming up with patients, clients, health care colleagues and the community. Holistic Care: Nurturing mind, body, and spirit. Excellence: Providing my best in every encounter. Medication Management and Brief Therapy with Tailored Solutions: We’ll find the right balance for you. Evidence-Based Practices: Backed by the latest research. I provide client centered care to clients in Texas and New Mexico.
(832) 937-4514 View (832) 937-4514
Photo of Jennifer Kent Autry, Psychiatric Nurse Practitioner in Richardson, TX
Jennifer Kent Autry
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Plano, TX 75075  (Online Only)
My clinical experience includes working with children, adolescents, adults and elders with attention deficit disorders, mood disorders, anxiety disorders and chemical dependency issues. I have experience in both private practice and governmental entities, including working with the homeless in Tarrant County & at a Maximum Security Forensic State Hospital. I am a member of the American Psychiatric Nurses Association, the American Nurses Association, Texas Nurses Association and the Neuroscience Education Institute. I have extensive experience evaluating, diagnosing, and treating a broad range of psychiatric disorders.
My clinical experience includes working with children, adolescents, adults and elders with attention deficit disorders, mood disorders, anxiety disorders and chemical dependency issues. I have experience in both private practice and governmental entities, including working with the homeless in Tarrant County & at a Maximum Security Forensic State Hospital. I am a member of the American Psychiatric Nurses Association, the American Nurses Association, Texas Nurses Association and the Neuroscience Education Institute. I have extensive experience evaluating, diagnosing, and treating a broad range of psychiatric disorders.
(469) 281-9350 View (469) 281-9350
Photo of Aekta Malhotra, Psychiatrist in Richardson, TX
Aekta Malhotra
Psychiatrist, MD
Verified Verified
Dallas, TX 75243  (Online Only)
Welcome to Apollo Psychiatry! Wait time < 2 weeks. The doctor-patient relationship takes time, and it is the most important aspect of my practice. At Apollo Psychiatry, patients are treated as whole beings, inviting and honoring the full spectrum of emotions that make them uniquely human. You will be offered a customized and collaborative approach to treatment and a psychologically safe space that respects your privacy and openness to vulnerability. I see patients aged 18-70 in both Texas and Colorado, who can pay privately or use out-of-network benefits for reimbursement. Services are delivered over a HIPAA secure Zoom platform.
Welcome to Apollo Psychiatry! Wait time < 2 weeks. The doctor-patient relationship takes time, and it is the most important aspect of my practice. At Apollo Psychiatry, patients are treated as whole beings, inviting and honoring the full spectrum of emotions that make them uniquely human. You will be offered a customized and collaborative approach to treatment and a psychologically safe space that respects your privacy and openness to vulnerability. I see patients aged 18-70 in both Texas and Colorado, who can pay privately or use out-of-network benefits for reimbursement. Services are delivered over a HIPAA secure Zoom platform.
(469) 716-5868 View (469) 716-5868
Photo of Mind the Gap Mental Health Services, PLLC, Psychiatric Nurse Practitioner in Richardson, TX
Mind the Gap Mental Health Services, PLLC
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Verified Verified
Dallas, TX 75254  (Online Only)
I support clients who are wanting to reclaim a happy and joyful life through the integration of medication management and supportive counseling. My clients are typically the central figure in their families, leaders in their work group, or simply carry a strong desire to live life to the fullest. They recognize that their frustration and the occasional breakdown is just more proof that they must find a better solution. They know they are not the person they want to be and they recognize that the village they lead, whether it be at home, at work, or both is slowly beginning to reflect the inner turmoil they carry.
I support clients who are wanting to reclaim a happy and joyful life through the integration of medication management and supportive counseling. My clients are typically the central figure in their families, leaders in their work group, or simply carry a strong desire to live life to the fullest. They recognize that their frustration and the occasional breakdown is just more proof that they must find a better solution. They know they are not the person they want to be and they recognize that the village they lead, whether it be at home, at work, or both is slowly beginning to reflect the inner turmoil they carry.
(817) 518-7024 View (817) 518-7024
Photo of Oby Nebe, Psychiatric Nurse Practitioner in Richardson, TX
Oby Nebe
Psychiatric Nurse Practitioner
Verified Verified
Dallas, TX 75248
Now Accepting NEW Clients! Welcome to Healing Mind Psychiatry, where our goal is to offer compassionate, thorough, and individualized mental health services. We know how intimidating it might be to seek professional assistance for mental health issues. Our clinic offers a wide range of services to both adolescents and adults dealing with a variety of mental health conditions. As a result, our team of skilled mental health providers are committed to fostering a secure and welcoming environment for every client who enters our doors. From depression and anxiety, bipolar illness & ADHD, our specialists have the knowledge to help you.
Now Accepting NEW Clients! Welcome to Healing Mind Psychiatry, where our goal is to offer compassionate, thorough, and individualized mental health services. We know how intimidating it might be to seek professional assistance for mental health issues. Our clinic offers a wide range of services to both adolescents and adults dealing with a variety of mental health conditions. As a result, our team of skilled mental health providers are committed to fostering a secure and welcoming environment for every client who enters our doors. From depression and anxiety, bipolar illness & ADHD, our specialists have the knowledge to help you.
(214) 919-3787 View (214) 919-3787
Photo of Velile Nkolomi, Psychiatric Nurse Practitioner in Richardson, TX
Velile Nkolomi
Psychiatric Nurse Practitioner, MSN, APRN, RN, PMHNPBC
Verified Verified
2 Endorsed
Garland, TX 75043
I have a strong affinity for collaborating with individuals from varied cultural backgrounds. My practice extends to treating a broad spectrum of age groups, including children, pre-teens, adolescents, and adults aged 11 and above. I approach my patients with genuine warmth, empathy, and a complete absence of judgment, fostering an environment where they feel understood and respected. Embracing diversity enriches my professional experience, and I take pleasure in engaging with individuals from diverse cultural backgrounds. Ultimately, my practice is dedicated to enhancing the mental well-being and overall quality of life.
I have a strong affinity for collaborating with individuals from varied cultural backgrounds. My practice extends to treating a broad spectrum of age groups, including children, pre-teens, adolescents, and adults aged 11 and above. I approach my patients with genuine warmth, empathy, and a complete absence of judgment, fostering an environment where they feel understood and respected. Embracing diversity enriches my professional experience, and I take pleasure in engaging with individuals from diverse cultural backgrounds. Ultimately, my practice is dedicated to enhancing the mental well-being and overall quality of life.
(972) 303-8392 View (972) 303-8392

See more therapy options for Richardson

Self-Harming Psychiatrists

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.