Mention long-term psychotherapy (think years, not months) and you will most likely hear skepticisms expressed such as too expensive, too time-consuming, or they don’t really do that anymore, do they? For individuals with complex or comorbid conditions, and/or those who continue to struggle with deep-rooted problems that impair functioning, long-term psychotherapy can be effective when other shorter-term therapies fall short.

In my late twenties, over the span of several years I was diagnosed with anorexia, major depressive disorder with psychotic features, and borderline personality disorder (BPD). After the BPD diagnosis, the psychiatrists told my parents (but not me) that my prognosis was poor and not to hope for much.

I was locked away in an acute psychiatric unit in Manhatt

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