Therapy services traditionally occur on a weekly basis although more complex issues may warrant more than that. Most clients begin making some progress after the first 3-4 sessions, and after a while, it’s common for these clients to only need to come in once or twice a month. However, the duration of therapy depends on the intensity of the issues being addressed and the motivation of the child or adult to feel better. Other factors also play a role, including stressors, support from friends and family, intelligence, and personal insight. Some disorders only require short-term treatment such as simple phobias, certain anxiety disorders, and various adjustment difficulties. More severe issues can take years to resolve such as sexual abuse, physical abuse, bipolar disorder, and certain personality disorders. Noticeable progress during the treatment process varies. Sometimes treatment progresses stepwise, with small gains being made at a steady pace. Other times the process can cycle between weeks or months of really good times and stretches of “not-so-good” times. Either way, both processes are normal. Many clients also use therapy as a place to enhance meaning in life, gain insight about themselves and their relationships, and work towards goals. For clients using therapy as a means towards self-actualization, they may want to schedule regular ongoing therapy sessions for months or years, depending on their specific objectives.