I don't know. I had 9 years between seeing my therapist and I didn't find an alternative (and I was looking in that period) that seemed to work for me. One can't stand still, say, "I've done enough" because there is no status quo, we're always changing and we can go both directions in the change. Without tools, I was slipping back into problems. My second bout with therapy was much better and I moved forward so that I'm on a forward moving path now, not as likely to fall back, at least not until another train runs into mine :-)