Suicidal Ideation Therapists in Saint Johns, MI
![Photo of Abbie Marsh, LLMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6de09ac1-47e6-48ae-a054-0cb7eadd07d5/1/320x400.jpeg)
Abbie Marsh
Clinical Social Work/Therapist, LLMSW
Verified Verified
Saint Johns, MI 48879 (Online Only)
Immediate openings! Many people see therapy as a one-sided conversation, with little opportunity for interaction or getting to experience each other as real people. I can promise you, that I am as real as it gets! I want to help you achieve whatever solutions and life changes you are looking for while enjoying the process as much as possible and experiencing yourself in new ways. Simply put, I don't believe therapy has to always be a painful thing. Calling a therapist can be super intimidating, but I hope you will take a moment (and maybe a deep breath) to schedule a session and see how I can help.
Immediate openings! Many people see therapy as a one-sided conversation, with little opportunity for interaction or getting to experience each other as real people. I can promise you, that I am as real as it gets! I want to help you achieve whatever solutions and life changes you are looking for while enjoying the process as much as possible and experiencing yourself in new ways. Simply put, I don't believe therapy has to always be a painful thing. Calling a therapist can be super intimidating, but I hope you will take a moment (and maybe a deep breath) to schedule a session and see how I can help.
![Photo of Amanda Schulze, LLPC, Counselor](https://photos.psychologytoday.com/477905fb-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I believe that clients know themselves the best and I'm here to guide them to reach their fullest potential.
I believe that clients know themselves the best and I'm here to guide them to reach their fullest potential.
![Photo of Heather R. Horvath, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/7df6a28f-d5e4-42ad-9f4f-fed9c43701e4/2/320x400.jpeg)
Oh the healing power of therapy! I feel passionate that everyone has a unique life story, and that some of life's chapters deserve a closer look to bring about improved coping, healing, and positive change. My approach is eclectic and trauma informed. I draw upon reality theory and the study of behaviors and neurocognitive development. I use CBT, mindfulness, and other practices as appropriate. The goals of therapy and the techniques used are based on each client's individual needs. I am proud to be working with community agencies, corrections and families for over 15 years.
Oh the healing power of therapy! I feel passionate that everyone has a unique life story, and that some of life's chapters deserve a closer look to bring about improved coping, healing, and positive change. My approach is eclectic and trauma informed. I draw upon reality theory and the study of behaviors and neurocognitive development. I use CBT, mindfulness, and other practices as appropriate. The goals of therapy and the techniques used are based on each client's individual needs. I am proud to be working with community agencies, corrections and families for over 15 years.
![Photo of Riley Caudill Nickerson, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/54a76169-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Riley Caudill Nickerson
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Saint Johns, MI 48879
If you are like me, the step of reaching out to someone when you're struggling is the hardest part. I do my best to offer a welcoming environment to all people. I have training in helping people who have experienced trauma or stress in their life, teaching skills to help clients feel more in control of their emotions, and guiding people to learn what coping skills they can use to get through more difficult times in their life! I know that each person is unique, so my treatment approach is different for each individual.
If you are like me, the step of reaching out to someone when you're struggling is the hardest part. I do my best to offer a welcoming environment to all people. I have training in helping people who have experienced trauma or stress in their life, teaching skills to help clients feel more in control of their emotions, and guiding people to learn what coping skills they can use to get through more difficult times in their life! I know that each person is unique, so my treatment approach is different for each individual.
![Photo of Kimberly Cena, LMSW, IMH-E, Clinical Social Work/Therapist](https://photos.psychologytoday.com/51298ddb-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Everyone deserves a sense of control over their lives. When terrible things happen it can feel like the wind has been knocked out of you. The world feels unsafe. Feelings of deep sadness, fear, shame and a rawness seem to linger. Many people feel as though they are damaged goods and wonder if they will ever be themselves again, or if they will ever be happy again. Imagine what it will be like when you have more good days then bad, when you feel the laughter, when you hear your child start to sing again. In a relaxed, safe environment you will receive support, encouragement, and the skills you need to thrive not just survive.
Everyone deserves a sense of control over their lives. When terrible things happen it can feel like the wind has been knocked out of you. The world feels unsafe. Feelings of deep sadness, fear, shame and a rawness seem to linger. Many people feel as though they are damaged goods and wonder if they will ever be themselves again, or if they will ever be happy again. Imagine what it will be like when you have more good days then bad, when you feel the laughter, when you hear your child start to sing again. In a relaxed, safe environment you will receive support, encouragement, and the skills you need to thrive not just survive.
![Photo of Brianne Dangc, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/949c5a65-a238-4e06-9bf3-bf5e7ada79cb/4/320x400.jpeg)
Brianne Dangc
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Saint Johns, MI 48879
Life changes happen to all of us. Sometimes they happen all at once and sometimes they happen over a long period of time. Maybe you've found yourself struggling to adjust to a major life change or maybe you've realized that it's time to talk about issues that have been building over many years. Whatever the case, I believe that now is the just the right time to begin the process of healing, building connection, and living wholeheartedly.
Life changes happen to all of us. Sometimes they happen all at once and sometimes they happen over a long period of time. Maybe you've found yourself struggling to adjust to a major life change or maybe you've realized that it's time to talk about issues that have been building over many years. Whatever the case, I believe that now is the just the right time to begin the process of healing, building connection, and living wholeheartedly.
Online Therapists
![Photo of Matthew Zimmer, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/67d7b17d-2dd7-451b-9b76-e0a6a3ea6920/2/320x400.jpeg)
I treat clients across the life span on trauma, loss, family and relationship conflict, parenting issues, LGBTQIA identities, existential crises, disordered gambling and behavioral addictions, depression, anxiety, bi-polar disorder, suicidal ideation, phobias, and thought disorders.
The world in which we live can be a frustrating, disheartening, and difficult landscape to navigate. Having a seasoned and skilled guide can make the difference between distress and sustainable growth with a renewed capacity for joy. I have a deep understanding of the human condition and the dynamic challenges present in the world. I have an innate ability to sit with people at varying stages as they process through complex life challenges. I help clients to confront deeply engrained thoughts and feelings and tailor my therapeutic approach to significantly reduce the distress clients are experiencing.
I treat clients across the life span on trauma, loss, family and relationship conflict, parenting issues, LGBTQIA identities, existential crises, disordered gambling and behavioral addictions, depression, anxiety, bi-polar disorder, suicidal ideation, phobias, and thought disorders.
The world in which we live can be a frustrating, disheartening, and difficult landscape to navigate. Having a seasoned and skilled guide can make the difference between distress and sustainable growth with a renewed capacity for joy. I have a deep understanding of the human condition and the dynamic challenges present in the world. I have an innate ability to sit with people at varying stages as they process through complex life challenges. I help clients to confront deeply engrained thoughts and feelings and tailor my therapeutic approach to significantly reduce the distress clients are experiencing.
![Photo of Carraus Harden, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/62da1270-c11f-4bff-aab3-4cbdb992a3f4/1/320x400.jpeg)
Carraus Harden
Licensed Professional Counselor, MA, LPC
Verified Verified
Southfield, MI 48075 (Online Only)
My training has allowed me to effectively work with and assist individuals experiencing difficulties with Communication skills, ADHD, ADD, Anxiety, Depression, Physical, Emotional, and Sexual Trauma, Anger management, Suicidal ideation, Family and relationship concerns.
Make yourself a priority, as individuals we are in charge of our own wellbeing and happiness. If you are experiencing difficulty managing your emotions, experiencing anxiety and or depression; I am here to be of assistance. If you have been struggling with trauma past or present associated with grief or loss; allow me to provide a safe space to work through it. Let's work on your goals, to build yourself up and learn to develop healthy relationships with yourself and others. I am here to listening and to assist you as client in meeting your own personal needs for mental health and wellbeing.
My training has allowed me to effectively work with and assist individuals experiencing difficulties with Communication skills, ADHD, ADD, Anxiety, Depression, Physical, Emotional, and Sexual Trauma, Anger management, Suicidal ideation, Family and relationship concerns.
Make yourself a priority, as individuals we are in charge of our own wellbeing and happiness. If you are experiencing difficulty managing your emotions, experiencing anxiety and or depression; I am here to be of assistance. If you have been struggling with trauma past or present associated with grief or loss; allow me to provide a safe space to work through it. Let's work on your goals, to build yourself up and learn to develop healthy relationships with yourself and others. I am here to listening and to assist you as client in meeting your own personal needs for mental health and wellbeing.
![Photo of Allie Hoekstra, MA, LLC, Counselor](https://photos.psychologytoday.com/9ea109cc-cc2d-43c1-a9d5-3b09e14ad87f/1/320x400.png)
My typical client is between 18 and 60 years old and experiencing distress due to different challenges like anxiety, depression, grief, trauma, and life transition. I am passionate about meeting clients where they are and helping them process through their experiences. From self-esteem to suicidal ideation, you are not alone. I am also passionate about women's issues, such as infertility, pregnancy loss, eating disorders, etc. and walking with you through this season.
My typical client is between 18 and 60 years old and experiencing distress due to different challenges like anxiety, depression, grief, trauma, and life transition. I am passionate about meeting clients where they are and helping them process through their experiences. From self-esteem to suicidal ideation, you are not alone. I am also passionate about women's issues, such as infertility, pregnancy loss, eating disorders, etc. and walking with you through this season.
![Photo of Diane Russick-Keglovitz, MPA, CWIC, MA, LLPC, Counselor](https://photos.psychologytoday.com/44d1d2af-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Diane Russick-Keglovitz
Counselor, MPA, CWIC, MA, LLPC
Verified Verified
2 Endorsed
Norton Shores, MI 49441
addiction recovery programs, divorce survival, grief, job loss, low self-esteem, suicide recovery, and vocational counseling.
Aloha! Thinking about navigating a new course for tranquility or reaching your new peace-filled horizon. Me too! One day I'd like a practice in Hawaii, for now the beautiful lakeshore of West Michigan. Charting a new course of direction is the first step, to sustainable emotional health. I help many suffering with life challenges, "POI", Hawaiian for sticky situations. As a Master Level licensed professional, I work to remove the "POI" helping you reclaim your life from stress & dysfunction. If life's storms seem to capsize your every effort for peace, let's talk. Together we can navigate safe passage to a tranquil future.
addiction recovery programs, divorce survival, grief, job loss, low self-esteem, suicide recovery, and vocational counseling.
Aloha! Thinking about navigating a new course for tranquility or reaching your new peace-filled horizon. Me too! One day I'd like a practice in Hawaii, for now the beautiful lakeshore of West Michigan. Charting a new course of direction is the first step, to sustainable emotional health. I help many suffering with life challenges, "POI", Hawaiian for sticky situations. As a Master Level licensed professional, I work to remove the "POI" helping you reclaim your life from stress & dysfunction. If life's storms seem to capsize your every effort for peace, let's talk. Together we can navigate safe passage to a tranquil future.
![Photo of Marcie Dullea, MA, LPC, NCC, Counselor](https://photos.psychologytoday.com/59a233a9-2bc7-42f9-9a5b-3a9531f02ec3/2/320x400.jpeg)
If you are struggling with issues with anxiety, depression, life transitions, self-esteem, suicidal ideation, PTSD, or OCD I am able to guide you to a better place. I work with individuals, families, and couples. My therapeutic style is eclectic, which means I strive to fit your needs and your lifestyle. I also have over 20 years experience working with families that struggle with parenting skills and children with defiance issues.
If you are struggling with issues with anxiety, depression, life transitions, self-esteem, suicidal ideation, PTSD, or OCD I am able to guide you to a better place. I work with individuals, families, and couples. My therapeutic style is eclectic, which means I strive to fit your needs and your lifestyle. I also have over 20 years experience working with families that struggle with parenting skills and children with defiance issues.
![Photo of Michelle Nichols - Monarch Counseling LLC, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e1b2625e-38b3-4b2e-b5f9-4e5668f7958d/1/320x400.jpeg)
Hello, and thank you for taking the time and having the courage to seek out a counselor! To help you find your best fit, I work with adults, as individuals, couples, and groups. I work with people dealing with depression, anxiety, relationship conflict, grief/loss, suicide/self-harm, parenting, self-esteem, and abuse/neglect. While I specialize in Christian Counseling, I also work with many people who prefer not to incorporate their faith in the therapeutic process. My style tends to lean toward Cognitive Behavioral Therapy (CBT), helping people overcome self-defeating thought patterns. I’ve been in private practice for 20 years.
Hello, and thank you for taking the time and having the courage to seek out a counselor! To help you find your best fit, I work with adults, as individuals, couples, and groups. I work with people dealing with depression, anxiety, relationship conflict, grief/loss, suicide/self-harm, parenting, self-esteem, and abuse/neglect. While I specialize in Christian Counseling, I also work with many people who prefer not to incorporate their faith in the therapeutic process. My style tends to lean toward Cognitive Behavioral Therapy (CBT), helping people overcome self-defeating thought patterns. I’ve been in private practice for 20 years.
![Photo of Brittany Dickey, LLMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b334c1f4-437b-4c84-9f4b-dacecfb79d4e/1/320x400.jpeg)
Brittany Dickey
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Livonia, MI 48154
Are you ready to start your healing journey, and improve your current level of functioning? I'm passionate about supporting individuals on their journey of acceptance, finding clarity, and working toward wellness, and finding inner peace. Each client has a unique experience which requires a unique client-centered approach. I specialize in a variety of issues such as anger, depression, and suicidal ideation, and will work with you to identify the root cause.
Are you ready to start your healing journey, and improve your current level of functioning? I'm passionate about supporting individuals on their journey of acceptance, finding clarity, and working toward wellness, and finding inner peace. Each client has a unique experience which requires a unique client-centered approach. I specialize in a variety of issues such as anger, depression, and suicidal ideation, and will work with you to identify the root cause.
![Photo of Lisa Schoettle Therapist, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/4940d47b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Lisa Schoettle Therapist
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Portland, MI 48875
Counseling-Therapy. Compassionate Counseling for Individual, Family, Marriage Counseling, and Groups. Specializing in Grief Counseling, Depression, Anxiety, Stress, Anger Management, and Adjustment Disorders. Child/Adolescent Counseling for Adjustment Disorders, Anxiety, Depression, and Delinquency. Substance Abuse Counseling and Education. Driver License Recovery. Suicide Survivor Support Group.
Counseling-Therapy. Compassionate Counseling for Individual, Family, Marriage Counseling, and Groups. Specializing in Grief Counseling, Depression, Anxiety, Stress, Anger Management, and Adjustment Disorders. Child/Adolescent Counseling for Adjustment Disorders, Anxiety, Depression, and Delinquency. Substance Abuse Counseling and Education. Driver License Recovery. Suicide Survivor Support Group.
![Photo of Elizabeth McGee, MA , LPC, CADC, Counselor](https://photos.psychologytoday.com/0d7038c5-cfb1-4436-952a-deb148f08cc3/3/320x400.jpeg)
I can help people with their own personal conflict, self-esteem, life transitions, struggles in school, career, grief/loss, critical incident, stress management, anxiety, depression, suicide, time management, ADHD organization, and behavior modification.
I believe that counseling helps understand who you are and where you want to go today and in the future. As a counselor, I will provide you with an understanding of coping skills and tools as well as how to utilize them. Together, we will navigate through life's journeys. I have worked with individuals and families in a variety of settings for 10 years using various treatment modalities that promise self-care, self-recognition, and future self. I have worked with adolescents, young adults, adults, and the geriatric population through different transitions in life.
I can help people with their own personal conflict, self-esteem, life transitions, struggles in school, career, grief/loss, critical incident, stress management, anxiety, depression, suicide, time management, ADHD organization, and behavior modification.
I believe that counseling helps understand who you are and where you want to go today and in the future. As a counselor, I will provide you with an understanding of coping skills and tools as well as how to utilize them. Together, we will navigate through life's journeys. I have worked with individuals and families in a variety of settings for 10 years using various treatment modalities that promise self-care, self-recognition, and future self. I have worked with adolescents, young adults, adults, and the geriatric population through different transitions in life.
![Photo of Michele L Rivette, LMSW, BCD, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0ddb991e-aae0-4f69-a1d2-42d9dfda21e1/2/320x400.jpeg)
Michele L Rivette
Clinical Social Work/Therapist, LMSW, BCD
Verified Verified
1 Endorsed
Ann Arbor, MI 48104
25 years in a general private practice; other diverse clinical experience in emergency mental health; medical settings (oncology); and, suicide prevention.
"I saw the angel in the marble and chisled until I set him free." (Michelangelo). I see psychotherapy as being like this-most people have it within them to know what they need or want, but something has kept them from feeling free to live life to the fullest. Most people come to see me when they are feeling that important parts of their lives (love, work or play) feel disappointing or "stuck." The "chisling" in therapy is you and I together discovering what is holding you back and identifying so many more choices than it may feel that you have now.
25 years in a general private practice; other diverse clinical experience in emergency mental health; medical settings (oncology); and, suicide prevention.
"I saw the angel in the marble and chisled until I set him free." (Michelangelo). I see psychotherapy as being like this-most people have it within them to know what they need or want, but something has kept them from feeling free to live life to the fullest. Most people come to see me when they are feeling that important parts of their lives (love, work or play) feel disappointing or "stuck." The "chisling" in therapy is you and I together discovering what is holding you back and identifying so many more choices than it may feel that you have now.
![Photo of Debra Marie Mannor, LMSW, CAADC, CTRS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e15912ae-6af4-4b92-9660-02738ac5624e/2/320x400.png)
Debra Marie Mannor
Clinical Social Work/Therapist, LMSW, CAADC, CTRS
Verified Verified
1 Endorsed
Grandville, MI 49418
I specialize in the areas of addiction, anxiety, depression, co-occurring disorders, anger, self-destructive thought/behavioral issues, suicidal ideations, codependency, relationship issues, and more.
I understand what it is like to struggle and to wonder if the problems you are facing can ever be overcome – and I know, first-hand, that “Yes they can!” Maybe you’ve tried therapy before and nothing really changed, or you’re not really sure what change would even look like. I have found that working in individual counseling, we can start to understand why we react and think the way we do; it can be from past trauma or from an accumulation of life events, but I truly believe when provided a nonjudgmental, understanding, and safe place, it is very possible to defeat these destructive thought patterns and behaviors we’ve obtained.
I specialize in the areas of addiction, anxiety, depression, co-occurring disorders, anger, self-destructive thought/behavioral issues, suicidal ideations, codependency, relationship issues, and more.
I understand what it is like to struggle and to wonder if the problems you are facing can ever be overcome – and I know, first-hand, that “Yes they can!” Maybe you’ve tried therapy before and nothing really changed, or you’re not really sure what change would even look like. I have found that working in individual counseling, we can start to understand why we react and think the way we do; it can be from past trauma or from an accumulation of life events, but I truly believe when provided a nonjudgmental, understanding, and safe place, it is very possible to defeat these destructive thought patterns and behaviors we’ve obtained.
![Photo of Rosemary Cruz, MA, LPC, Counselor](https://photos.psychologytoday.com/6153e730-2458-4028-ac47-35e7cb24a6c9/2/320x400.jpeg)
I currently specialize in working with children, adolescents, and adults. As a native Spanish speaker, I am also able to provide clients with bilingual counseling sessions. This allows me to bridge the gap between many individuals who struggle with finding the appropriate services due to a language barrier. Additionally, during my career I’ve worked with clients to treat a variety of disorders including mood disorders, anxiety disorders, and depressive disorders. I have additionally worked with clients facing varying challenges including self-harm, suicidal ideation, and trauma
I currently specialize in working with children, adolescents, and adults. As a native Spanish speaker, I am also able to provide clients with bilingual counseling sessions. This allows me to bridge the gap between many individuals who struggle with finding the appropriate services due to a language barrier. Additionally, during my career I’ve worked with clients to treat a variety of disorders including mood disorders, anxiety disorders, and depressive disorders. I have additionally worked with clients facing varying challenges including self-harm, suicidal ideation, and trauma
![Photo of Finn Asterión (Marcks), LLMSW](https://photos.psychologytoday.com/5420b334-0386-4f0e-b889-7db8e2002468/1/320x400.jpeg)
Finn Asterión (Marcks)
LLMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49503
Waitlist for new clients
Finn works with people who are struggling with Gender Identity, Complex Trauma, Anxiety, Depression, Suicidal Ideation, Domestic Violence, families that struggle with LGBTQIA+ acceptance, and many aspects of Neurodiversity.
Finn Marcks (he/they) is a queer, trans, nonbinary therapist who believes in providing a safe, affirming, healing environment for people who are hurting. Finn’s main passion is working with LGBTQIA+ clients, and making gender-affirming care more accessible. Finn believes therapy is about the relationship between therapist and client, founded on trust and connection. Finn’s therapeutic lens is shaped by both his lived experiences and his work in LGBTQIA+ education and advocacy, as well as youth residential mental health and community mental health.
Finn works with people who are struggling with Gender Identity, Complex Trauma, Anxiety, Depression, Suicidal Ideation, Domestic Violence, families that struggle with LGBTQIA+ acceptance, and many aspects of Neurodiversity.
Finn Marcks (he/they) is a queer, trans, nonbinary therapist who believes in providing a safe, affirming, healing environment for people who are hurting. Finn’s main passion is working with LGBTQIA+ clients, and making gender-affirming care more accessible. Finn believes therapy is about the relationship between therapist and client, founded on trust and connection. Finn’s therapeutic lens is shaped by both his lived experiences and his work in LGBTQIA+ education and advocacy, as well as youth residential mental health and community mental health.
![Photo of Angela Johnson Mucha, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/96e6faf5-e3df-49f1-a14e-d0050850e091/1/320x400.jpeg)
Angela Johnson Mucha
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Schoolcraft, MI 49087
Adults with complex trauma, anxiety , depression , suicidal ideations, and relationship issues can find a safe, receptive, and relatable practice , with experienced ( lived and learned ) and solution focused clinicians by your side.
Maybe this is the time to make the changes you have been contemplating? Sometimes having another perspective can help you find that direction, make those decisions and help you to feel a whole lot less overwhelmed. Anxiety, depression, Trauma and Grief can affect your relationships, employment, and your general sense of wellbeing. Counseling can help balance hard things with compassionate care and practical strategies to help make life much more manageable. Therapeutic work with families and couples can empower discouraged partners and parents assisting them in creating relationships that are pleasant , healthy, and strong.
Adults with complex trauma, anxiety , depression , suicidal ideations, and relationship issues can find a safe, receptive, and relatable practice , with experienced ( lived and learned ) and solution focused clinicians by your side.
Maybe this is the time to make the changes you have been contemplating? Sometimes having another perspective can help you find that direction, make those decisions and help you to feel a whole lot less overwhelmed. Anxiety, depression, Trauma and Grief can affect your relationships, employment, and your general sense of wellbeing. Counseling can help balance hard things with compassionate care and practical strategies to help make life much more manageable. Therapeutic work with families and couples can empower discouraged partners and parents assisting them in creating relationships that are pleasant , healthy, and strong.
See more therapy options for Saint Johns
Nearby Suicidal Ideation Therapists Searches for Saint Johns
See More Suicidal Ideation TherapistsSuicidal Ideation Therapists
How does therapy for suicidal ideation work?
Stress, depression, anxiety, or upsetting circumstances can give rise to suicidal thinking. Therapy can address the events at the core of an individual’s suffering. Understanding why a person may be suicidal can help the therapist and the patient discover alternative methods of coping. A person with suicidal ideation may be mired in catastrophic thinking, and treatment like cognitive behavioral therapy is a good choice for breaking such patterns. In addition, treatment such as acceptance and commitment therapy can help a person manage their distress through better emotion regulation.
Which therapies are best for suicidal ideation?
Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, acceptance and commitment therapies, among others. Cognitive behavioral and dialectical behavior therapies are two widely used therapies that can help individuals with painful thoughts and past traumas. These therapies help an individual tolerate distress, regulate emotions, and not act on dangerous urges.
Are there specific medications to be combined with therapy?
The use of medication for suicidal thoughts must be aligned with the underlying cause; conditions such as depression, anxiety, and psychosis may be at the root of suicidal ideation. A psychiatrist may prescribe medications for symptoms, which may include antipsychotics such as aripiprazole or antidepressants such as selective serotonin reuptake inhibitors.
How often and how long are therapy sessions for suicidal ideation?
As with any type of therapy, sessions depend on the individual. Patients may see improvement within 15 to 20 sessions, at an average of 50 minutes per session, while others may opt for 20 to 30 sessions over, perhaps, a six-month period. Still other patients, especially those with co-occurring conditions like major depression and anxiety, may need to continue sessions for up to 12 to 18 months. In some cases, residential treatment may be recommended for an individual who is judged to be at high risk of self-harm.