Please contact us if you cannot find an answer to your question.
It depends on the person and on what you are working through. Some people notice a difference after a few sessions. Others are here for longer. This is something to ask about directly on the free call, and something the treatment plan gets revisited against as you go.
Orion Select Counseling is the private practice of Jonathan Reveley-Cohen, LPC, CCDP-D. He is a Licensed Professional Counselor in Pennsylvania, licence PC008839, with a Master of Arts in Counseling Psychology. He has continued to train in trauma, depression, and anxiety disorders including OCD.
Jonathan works with adolescents ages 14 and older, adults, and older adults, providing care across a wide range of life stages. Whether navigating adolescence, relationships and career decisions, major life transitions, or the changes that can accompany later adulthood, treatment is tailored to the individual and the concerns that matter most to them.
Most requests to schedule an appointment or a consultation get a reply within one business day, and often later the same day.
Your first appointment, 75 to 90 minutes, is an opportunity for us to get to know one another and begin building a clear path forward. We review informed consent, confidentiality, and what to expect from the therapy process. We also spend time on what brings you to therapy, what you hope to gain, and any goals you want to focus on. Just as importantly, it gives us both a sense of what working together might look like. You do not need to have everything figured out before you arrive. The goal is to begin a thoughtful, collaborative conversation and leave with a clearer sense of where we can go from here.
Jonathan uses an integrated approach that incorporates Exposure and Response Prevention (ERP) alongside specialized cognitive behavioral therapy strategies. Treatment is tailored to each person, with an emphasis on understanding the patterns that maintain OCD, gradually building tolerance for uncertainty and distress, and developing healthier ways of responding to intrusive thoughts and compulsive urges.
Jonathan provides individual counseling, and because relationships play a large role in well-being, that work often includes relationship, couple, or family concerns. When it would help the therapeutic process, he may also meet with couples or family members together. In those sessions one person remains the primary client, and the joint sessions serve to understand relationship dynamics, strengthen communication, and support that person's treatment goals.