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More Therapists Nearby

Photo of Cathy Zizzi, LCMHC, NCC, MA, BC-TMH, Licensed Professional Counselor
Cathy Zizzi
Licensed Professional Counselor, LCMHC, NCC, MA, BC-TMH
Verified Verified
Walkertown, NC 27051
My ideal client is a young person eager to explore personal issues in a safe and confidential setting with a seasoned counselor. This client would interact online or in-person with the hope of receiving professional support and encouragement to address their individual concerns. This client would welcome feedback and demonstrate the desire for personal growth.
My ideal client is a young person eager to explore personal issues in a safe and confidential setting with a seasoned counselor. This client would interact online or in-person with the hope of receiving professional support and encouragement to address their individual concerns. This client would welcome feedback and demonstrate the desire for personal growth.
(336) 920-3916 View (336) 920-3916
Photo of Tonjia Kiara Armstrong, LCMHC, NCC, MS, Licensed Professional Counselor
Tonjia Kiara Armstrong
Licensed Professional Counselor, LCMHC, NCC, MS
Verified Verified
Walkertown, NC 27051
Waitlist for new clients
Today is your day to make the decision to be a better you! Are you just existing and not living? Do you feel like something is missing? Do you feel like you are free falling? Is there an elephant in the room that you have not addressed? Are you losing a battle with your mind everyday? Do you feel stuck? Allow me to help guide you through these things. Just know that you are not alone and even the toughest warriors need strategy to fight through the war. Together, we can face these battles and find victory in blooming into the person you are meant to be.
Today is your day to make the decision to be a better you! Are you just existing and not living? Do you feel like something is missing? Do you feel like you are free falling? Is there an elephant in the room that you have not addressed? Are you losing a battle with your mind everyday? Do you feel stuck? Allow me to help guide you through these things. Just know that you are not alone and even the toughest warriors need strategy to fight through the war. Together, we can face these battles and find victory in blooming into the person you are meant to be.
(336) 585-8653 View (336) 585-8653
Photo of Sarah A Solomon, MSW, LCSW, Clinical Social Work/Therapist
Sarah A Solomon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Walkertown, NC 27051
It is anxiety-provoking to put ourselves in a position of vulnerability and open up about our struggles. I believe taking this risk can be well worth it if you connect with the right person. As a therapist I am someone who will listen to you with respect and provide validation of your emotional experiences. I will also encourage you to consider alternative ways of interpreting your experiences. I am someone who has had her own challenges with anxiety and depression and grew up in a family with their own mental health issues.
It is anxiety-provoking to put ourselves in a position of vulnerability and open up about our struggles. I believe taking this risk can be well worth it if you connect with the right person. As a therapist I am someone who will listen to you with respect and provide validation of your emotional experiences. I will also encourage you to consider alternative ways of interpreting your experiences. I am someone who has had her own challenges with anxiety and depression and grew up in a family with their own mental health issues.
(336) 515-6271 View (336) 515-6271

Online Therapists

Photo of Heather Leigh Alexander, Marriage & Family Therapist
Heather Leigh Alexander
Marriage & Family Therapist
Verified Verified
2 Endorsed
Raleigh, NC 27615
I work with all ranges of concerns from anger to suicidal thoughts, offering a safe environment where concerns can be addressed, managed and behaviors can be modified to improve the life of the child and family.
Anyone can benefit from taking a step away from the chaos and listening to their bodies and the help that it is asking for. Through soothing and tactile sessions such as painting and sand, calming music and a lot of plants, let's figure out why we feel angry and what we can do instead of yelling. Why we are self-harming and what are other ways to manage? What is the root of the family fights? Parents, let's find something different to do because at the end of the day, I know you want happiness and love. Come as you are, and you will be welcomed. I embrace all with a warm heart, an open ear and with hot chocolate :)
I work with all ranges of concerns from anger to suicidal thoughts, offering a safe environment where concerns can be addressed, managed and behaviors can be modified to improve the life of the child and family.
Anyone can benefit from taking a step away from the chaos and listening to their bodies and the help that it is asking for. Through soothing and tactile sessions such as painting and sand, calming music and a lot of plants, let's figure out why we feel angry and what we can do instead of yelling. Why we are self-harming and what are other ways to manage? What is the root of the family fights? Parents, let's find something different to do because at the end of the day, I know you want happiness and love. Come as you are, and you will be welcomed. I embrace all with a warm heart, an open ear and with hot chocolate :)
(984) 833-0137 View (984) 833-0137
Photo of Molly Mazeine, MA, LCMHC-A
Molly Mazeine
Lic Clinical Mental Health Counselor Associate, MA, LCMHC-A
Verified Verified
1 Endorsed
Charlotte, NC 28210
I have experience working with children, teens, and adults navigating issues like anxiety, depression, grief, self-harm, suicidal ideation, and trauma.
Being a teen is tough! Juggling the demands of school, extracurriculars, friends, and family all while figuring out who you are and how you fit into the world can leave you feeling exhausted, confused, and burned out. If you are feeling this way, know that you are not alone and what you are going through is not forever.
I have experience working with children, teens, and adults navigating issues like anxiety, depression, grief, self-harm, suicidal ideation, and trauma.
Being a teen is tough! Juggling the demands of school, extracurriculars, friends, and family all while figuring out who you are and how you fit into the world can leave you feeling exhausted, confused, and burned out. If you are feeling this way, know that you are not alone and what you are going through is not forever.
(980) 351-4521 View (980) 351-4521
Photo of Alan Nahle, MSW, LCSWA, Clinical Social Work/Therapist
Alan Nahle
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Cary, NC 27511  (Online Only)
Do you feel like your life is not where you want it to be and find it difficult to enjoy to the fullest? Have you been having difficulties managing symptoms of Depression or Anxiety in the form of difficulty sleeping, lack of socialization, negative/low moods, feelings of hopelessness, suicidal ideation, poor appetite, quickness to frustration, and difficulty concentrating? If you would like support and resources to help you take more control over your life, I encourage you to reach out to me so we can start the process to getting you to where you want to be.
Do you feel like your life is not where you want it to be and find it difficult to enjoy to the fullest? Have you been having difficulties managing symptoms of Depression or Anxiety in the form of difficulty sleeping, lack of socialization, negative/low moods, feelings of hopelessness, suicidal ideation, poor appetite, quickness to frustration, and difficulty concentrating? If you would like support and resources to help you take more control over your life, I encourage you to reach out to me so we can start the process to getting you to where you want to be.
(919) 849-8856 View (919) 849-8856
Photo of Cameron Addertion, MSW, LCSWA, Clinical Social Work/Therapist
Cameron Addertion
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Raleigh, NC 27605  (Online Only)
I earned both my undergraduate and graduate degrees at North Carolina State University in Raleigh, NC. I have experience working with children, teenagers, and adults in the mental health field. I have worked with children, parents, and families. I have worked with crisis clients and am interested in trauma work. I specialize in working with teenagers and young adults who have experienced trauma and are experiencing depression, anxiety, suicidal ideation, increased anger, and life transitions.
I earned both my undergraduate and graduate degrees at North Carolina State University in Raleigh, NC. I have experience working with children, teenagers, and adults in the mental health field. I have worked with children, parents, and families. I have worked with crisis clients and am interested in trauma work. I specialize in working with teenagers and young adults who have experienced trauma and are experiencing depression, anxiety, suicidal ideation, increased anger, and life transitions.
(919) 849-8236 View (919) 849-8236
Photo of Emma Van Horne, MSW, LCSWA, Clinical Social Work/Therapist
Emma Van Horne
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Raleigh, NC 27615
My clinical interests include trauma, PTSD, anxiety, ADHD and other learning difficulties, suicide ideation, borderline personality, emotional/behavioral regulation, spirituality, life planning, and adjustment difficulties with individuals ages 4-30's both individually and with their caregivers.
As a therapist and fellow “in-progress” human I believe that we are all constantly growing and changing through many seasons. Some seasons can feel like they last a lifetime, but no matter how difficult the season or how long it sticks around, I believe no one is without hope. I strive to instill that hope and confidence in you and create a space where you feel comfortable navigating tough questions, big emotions, and difficult situations.
My clinical interests include trauma, PTSD, anxiety, ADHD and other learning difficulties, suicide ideation, borderline personality, emotional/behavioral regulation, spirituality, life planning, and adjustment difficulties with individuals ages 4-30's both individually and with their caregivers.
As a therapist and fellow “in-progress” human I believe that we are all constantly growing and changing through many seasons. Some seasons can feel like they last a lifetime, but no matter how difficult the season or how long it sticks around, I believe no one is without hope. I strive to instill that hope and confidence in you and create a space where you feel comfortable navigating tough questions, big emotions, and difficult situations.
(919) 861-4111 View (919) 861-4111
Photo of Mackenzie Gibson, LCSWA
Mackenzie Gibson
LCSW Associate, LCSWA
Verified Verified
Chapel Hill, NC 27514
I work with individuals with anxiety, depression, trauma, suicidal ideation, self-harm, stress, anger as well as other mental health problems.
Welcome! I commend you for taking the step to seek therapy as it is an act of courage and self-care. By reaching out for support, you are prioritizing your well-being and demonstrating a commitment to your self-development. As a therapist, I am dedicated to supporting individuals like you on their journey towards emotional well-being and personal growth. With a compassionate and non-judgmental approach, I aim to create a safe space where you can explore your thoughts, feelings, and experiences freely.
I work with individuals with anxiety, depression, trauma, suicidal ideation, self-harm, stress, anger as well as other mental health problems.
Welcome! I commend you for taking the step to seek therapy as it is an act of courage and self-care. By reaching out for support, you are prioritizing your well-being and demonstrating a commitment to your self-development. As a therapist, I am dedicated to supporting individuals like you on their journey towards emotional well-being and personal growth. With a compassionate and non-judgmental approach, I aim to create a safe space where you can explore your thoughts, feelings, and experiences freely.
(984) 266-2267 View (984) 266-2267
Photo of Dr. Joi L Johnson, PhD, MA, CCC
Dr. Joi L Johnson
PhD, MA, CCC
Verified Verified
Raleigh, NC 27603
Suicidal thoughts, Hurt, Depression, Anxiety, Stress, Loneliness, Abuse, Domestic Violence, Divorce, Marriage Issues, Broken Relationships…. Shepherd for the Shattered provides confidential counseling to help you cope and overcome.
Suicidal thoughts, Hurt, Depression, Anxiety, Stress, Loneliness, Abuse, Domestic Violence, Divorce, Marriage Issues, Broken Relationships…. Shepherd for the Shattered provides confidential counseling to help you cope and overcome.
(646) 603-1857 View (646) 603-1857
Photo of Adrean L. Cottle, MEd, NCC, LCMHC
Adrean L. Cottle
Licensed Clinical Mental Health Counselor, MEd, NCC, LCMHC
Verified Verified
Charlotte, NC 28217  (Online Only)
As a Licensed Professional Counselor, I have extensive experience in counseling individuals with ADHD, anxiety, anger, depression, suicidal thoughts, ODD and other personal and social concerns.
Life can be complicated and difficult to maneuver at times. Although we live in a complex society, life should be enjoyable. There may be times when you or a loved one will need extra support and guidance to navigate the hard parts of life. I am committed to helping you do just that. I am dedicated to assisting you in regaining the confidence you need to tackle challenges and overcome obstacles. Thank you for choosing me and allowing me to help you through this phase of life.
As a Licensed Professional Counselor, I have extensive experience in counseling individuals with ADHD, anxiety, anger, depression, suicidal thoughts, ODD and other personal and social concerns.
Life can be complicated and difficult to maneuver at times. Although we live in a complex society, life should be enjoyable. There may be times when you or a loved one will need extra support and guidance to navigate the hard parts of life. I am committed to helping you do just that. I am dedicated to assisting you in regaining the confidence you need to tackle challenges and overcome obstacles. Thank you for choosing me and allowing me to help you through this phase of life.
(704) 810-2036 View (704) 810-2036
Photo of Russell Davenport, MS, LCMHCA, NCC, Counselor
Russell Davenport
Counselor, MS, LCMHCA, NCC
Verified Verified
Charlotte, NC 28208  (Online Only)
Howdy! I'm Russell Davenport, LPCA. My background in counseling ranges from working with clients in inpatient hospitals to providing intensive in-home services to families. I have worked with children ages 6+, adolescents (usually male), families, couples, and adults from various cultural backgrounds and situations. I have assisted clients with overcoming anxiety, depression, and suicidal thoughts; anger management and oppositional-defiant behaviors; strengthening and repairing relationships; decreasing risky adolescent behaviors; school issues; parenting skills; supervised visitation; and general phase of life concerns.
Howdy! I'm Russell Davenport, LPCA. My background in counseling ranges from working with clients in inpatient hospitals to providing intensive in-home services to families. I have worked with children ages 6+, adolescents (usually male), families, couples, and adults from various cultural backgrounds and situations. I have assisted clients with overcoming anxiety, depression, and suicidal thoughts; anger management and oppositional-defiant behaviors; strengthening and repairing relationships; decreasing risky adolescent behaviors; school issues; parenting skills; supervised visitation; and general phase of life concerns.
(980) 689-6416 View (980) 689-6416
Photo of Melody Joy Carr, MEd, LCMHC
Melody Joy Carr
Licensed Clinical Mental Health Counselor, MEd, LCMHC
Verified Verified
2 Endorsed
Matthews, NC 28105
I aim to create a safe and supportive therapeutic relationship while my clients work toward wholeness where they feel wounded. Symptoms of anxiety or depression often usher us into difficult life change that can eventually lead toward improved emotional health. I work from an eclectic theoretical orientation using attachment theory, Internal Family Systems, Narrative-Focused Trauma Care, and faith if clients desire. I utilize Strengths-Based theory with teens, which is an evidence-based approach to suicide prevention. I specialize in teens and work well with high-performing women who struggle with anxiety.
I aim to create a safe and supportive therapeutic relationship while my clients work toward wholeness where they feel wounded. Symptoms of anxiety or depression often usher us into difficult life change that can eventually lead toward improved emotional health. I work from an eclectic theoretical orientation using attachment theory, Internal Family Systems, Narrative-Focused Trauma Care, and faith if clients desire. I utilize Strengths-Based theory with teens, which is an evidence-based approach to suicide prevention. I specialize in teens and work well with high-performing women who struggle with anxiety.
(980) 246-3204 View (980) 246-3204
Photo of Karen McKinney, MS, LCMHCA
Karen McKinney
Lic Clinical Mental Health Counselor Associate, MS, LCMHCA
Verified Verified
Charlotte, NC 28203
She enjoys working with clients struggling with treatment-resistant depression, anxiety, suicidal ideation, self-harm, and PTSD.
Nature's Way Holistic Counseling offers clinical mental health counseling with the addition of a health and wellness framework that connects the body, mind, and spirit. We believe in the term "holistic" counseling because our minds are not independent of all other aspects of life, but is dependent upon the complex, interconnected factors of life, including the food we eat, the environment in which we live, and the content we consume. Although some counseling services address these topics on some level, there is a gap in the field of practitioners offering such a comprehensive evaluation.
She enjoys working with clients struggling with treatment-resistant depression, anxiety, suicidal ideation, self-harm, and PTSD.
Nature's Way Holistic Counseling offers clinical mental health counseling with the addition of a health and wellness framework that connects the body, mind, and spirit. We believe in the term "holistic" counseling because our minds are not independent of all other aspects of life, but is dependent upon the complex, interconnected factors of life, including the food we eat, the environment in which we live, and the content we consume. Although some counseling services address these topics on some level, there is a gap in the field of practitioners offering such a comprehensive evaluation.
(704) 742-2534 View (704) 742-2534
Photo of Erin Dickerson, Clinical Social Work/Therapist
Erin Dickerson
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Burlington, NC 27215  (Online Only)
I enjoy helping adults, college students, and young adults who experience depression, anxiety, self-harm tendencies/suicidal ideations and adjustment struggles. In the therapy space, I value the importance of having your feelings and experiences validated. When it comes to a typical session with me, we will discuss what is important to you while integrating therapeutic skills you can use outside of our sessions. I am pretty laid back and although I am here to aid you in learning skills and more about yourself, I will lean on you to be the master of your own life.
I enjoy helping adults, college students, and young adults who experience depression, anxiety, self-harm tendencies/suicidal ideations and adjustment struggles. In the therapy space, I value the importance of having your feelings and experiences validated. When it comes to a typical session with me, we will discuss what is important to you while integrating therapeutic skills you can use outside of our sessions. I am pretty laid back and although I am here to aid you in learning skills and more about yourself, I will lean on you to be the master of your own life.
(336) 559-3128 View (336) 559-3128
Photo of Teneya D. Morman, LCMHC, LCAS-A, Counselor
Teneya D. Morman
Counselor, LCMHC, LCAS-A
Verified Verified
Raleigh, NC 27612
Historically, I have worked mostly with adolescents confronting issues with anxiety, depression, suicidal ideation, and self-esteem, while in an outpatient setting. However, I have also worked with adults ranging from 21-60+ dealing with substance use issues. As a school counselor, I’ve worked with elementary aged children, dealing with a range of issues. I am confident in my ability to serve each of the listed populations. If you or your child have goals to become the best version of yourself, learn to confront ongoing mental health struggles, and desire to learn to live at your best “post”-pandemic, please reach out to me.
Historically, I have worked mostly with adolescents confronting issues with anxiety, depression, suicidal ideation, and self-esteem, while in an outpatient setting. However, I have also worked with adults ranging from 21-60+ dealing with substance use issues. As a school counselor, I’ve worked with elementary aged children, dealing with a range of issues. I am confident in my ability to serve each of the listed populations. If you or your child have goals to become the best version of yourself, learn to confront ongoing mental health struggles, and desire to learn to live at your best “post”-pandemic, please reach out to me.
(919) 298-8778 View (919) 298-8778
Photo of Keisha Samara Horton - Samara Cares Counseling & Consulting, PLLC, NCC, LCMHC, LCAS-A
Samara Cares Counseling & Consulting, PLLC
Licensed Clinical Mental Health Counselor, NCC, LCMHC, LCAS-A
Verified Verified
Winston Salem, NC 27103  (Online Only)
I have learned a lot about life the hard way and have worked hard to overcome many obstacles, including depression and suicidal ideations.
Are you in a season where you are struggling with issues related to trauma, addiction, depression, anxiety, or major life changes? Are you trying to figure out what's next? Life is full of many seasons  and some are harder than others. It's time to pursue your healing and wholeness! My ideal client is between the ages of 15-25 years old and are struggling to find themselves in this crazy world that we're living in today. They may be facing some anxiety, depression, suicidal ideations, addictions, and/or trauma symptoms and trying to heal from the inside out. I also work with adults, families, and couples.
I have learned a lot about life the hard way and have worked hard to overcome many obstacles, including depression and suicidal ideations.
Are you in a season where you are struggling with issues related to trauma, addiction, depression, anxiety, or major life changes? Are you trying to figure out what's next? Life is full of many seasons  and some are harder than others. It's time to pursue your healing and wholeness! My ideal client is between the ages of 15-25 years old and are struggling to find themselves in this crazy world that we're living in today. They may be facing some anxiety, depression, suicidal ideations, addictions, and/or trauma symptoms and trying to heal from the inside out. I also work with adults, families, and couples.
(336) 800-3801 View (336) 800-3801
Photo of Diane Reid Lyon, MA, LCMHC, NCC, BC-TMH
Diane Reid Lyon
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC, BC-TMH
Verified Verified
1 Endorsed
Matthews, NC 28105
I have 30+ years experience and treat ADHD, anxiety, chronic illness, depression, divorce, grief/loss, suicide bereavement, and trauma.
Is your child or teen struggling in school or at home? Are you struggling to manage your child or teen's behavior or your own reactions to his/her behavior? Do you struggle to communicate with others? Are you overwhelmed and finding it challenging to manage life's demands? Are you seeking to understand yourself better, improve your communication with loved ones or your relationships with them? Have you had childhood trauma or a recent traumatic event that is still impacting you in the present and you wish to heal? If so, I'd love to help.
I have 30+ years experience and treat ADHD, anxiety, chronic illness, depression, divorce, grief/loss, suicide bereavement, and trauma.
Is your child or teen struggling in school or at home? Are you struggling to manage your child or teen's behavior or your own reactions to his/her behavior? Do you struggle to communicate with others? Are you overwhelmed and finding it challenging to manage life's demands? Are you seeking to understand yourself better, improve your communication with loved ones or your relationships with them? Have you had childhood trauma or a recent traumatic event that is still impacting you in the present and you wish to heal? If so, I'd love to help.
(704) 635-6274 View (704) 635-6274
Photo of Latasha G. Gary, LCMHC, MACC, Counselor
Latasha G. Gary
Counselor, LCMHC, MACC
Verified Verified
3 Endorsed
Charlotte, NC 28226
I work with childhood sexual abuse, suicidal thoughts, traffic accidents, medical trauma and domestic violence.
Trauma doesn’t often show it's effects immediately or plainly. It is often hidden in patterns of sleepless nights, negative thinking, anxious worry, and feelings of despair and emptiness. It casts a long shadow that begins to de-color every aspect of life. Activities that were previously enjoyed are scheduled less often. You've noticed not only effects but that it has changed who you are. You’ve noticed that the way you feel about the world & others is very different. The thoughts you have about yourself are no better. And every part of life is categorized by whether it happened “before”. “Before the accident, before the bullying".
I work with childhood sexual abuse, suicidal thoughts, traffic accidents, medical trauma and domestic violence.
Trauma doesn’t often show it's effects immediately or plainly. It is often hidden in patterns of sleepless nights, negative thinking, anxious worry, and feelings of despair and emptiness. It casts a long shadow that begins to de-color every aspect of life. Activities that were previously enjoyed are scheduled less often. You've noticed not only effects but that it has changed who you are. You’ve noticed that the way you feel about the world & others is very different. The thoughts you have about yourself are no better. And every part of life is categorized by whether it happened “before”. “Before the accident, before the bullying".
(704) 741-8592 View (704) 741-8592
Photo of Grey Mastro Hubbard, LCSW, Clinical Social Work/Therapist
Grey Mastro Hubbard
Clinical Social Work/Therapist, LCSW
Verified Verified
Carrboro, NC 27510
I also have experience teaching Dialectical Behavior Therapy (DBT) to teenagers with behaviors such as self harm, suicidal ideation, depression and anxiety.
I am a bilingual (English/Spanish) clinical social worker with approximately ten years experience providing mental health services to children and families. I have worked with a wide range of families with a wide range of strengths and challenges. Much of my experience has been focused on assisting children, teenagers and families recover from traumatic experiences. I also feel that I can be helpful to those dealing with depression and anxiety.
I also have experience teaching Dialectical Behavior Therapy (DBT) to teenagers with behaviors such as self harm, suicidal ideation, depression and anxiety.
I am a bilingual (English/Spanish) clinical social worker with approximately ten years experience providing mental health services to children and families. I have worked with a wide range of families with a wide range of strengths and challenges. Much of my experience has been focused on assisting children, teenagers and families recover from traumatic experiences. I also feel that I can be helpful to those dealing with depression and anxiety.
(919) 635-4235 View (919) 635-4235

See more therapy options for Walnut Cove

Suicidal 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.