Suicidal Ideation Therapists in Signal Mountain, TN

Photo of Tricia Henderson - Tricia Henderson Counseling, LPC , MHSP, Licensed Professional Counselor
Tricia Henderson Counseling
Licensed Professional Counselor, LPC , MHSP
Verified Verified
Signal Mountain, TN 37377  (Online Only)
I see the counseling process as a path towards healing and hopefulness. I offer virtual counseling sessions for clients in the state of Tennessee. I work well with clients who are developing coping skills, working through trauma, and experiencing anxiety, stress, depression. I believe that counseling should be used as an early intervention to help support people who are struggling with their emotional and mental wellness. If we utilize counseling throughout our lifetime and during times of either difficulty, trauma, grief, and relationship challenges it can increase our quailty of life and enhance our wellbeing.
I see the counseling process as a path towards healing and hopefulness. I offer virtual counseling sessions for clients in the state of Tennessee. I work well with clients who are developing coping skills, working through trauma, and experiencing anxiety, stress, depression. I believe that counseling should be used as an early intervention to help support people who are struggling with their emotional and mental wellness. If we utilize counseling throughout our lifetime and during times of either difficulty, trauma, grief, and relationship challenges it can increase our quailty of life and enhance our wellbeing.
(423) 558-3596 View (423) 558-3596
Photo of Richard 'steve' McDonald Jr., LCSW, Clinical Social Work/Therapist
Richard 'steve' McDonald Jr.
Clinical Social Work/Therapist, LCSW
Verified Verified
Signal Mountain, TN 37377
I believe that we can work together from your very real strengths to get to a better future for you. I'm prepared to help you get there using both your ideas and my suggestions!
I believe that we can work together from your very real strengths to get to a better future for you. I'm prepared to help you get there using both your ideas and my suggestions!
(423) 799-2546 View (423) 799-2546
Photo of Sydney Hasty, LPC, Licensed Professional Counselor
Sydney Hasty
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Signal Mountain, TN 37377
Hi, I'm so grateful to connect with you. My deeply held belief is that compassion, togetherness, and shame reduction are the pathways toward healing the most wounded parts of ourselves. Life is really hard and we are not meant to navigate difficulty alone. I feel passionately about creating a safe space where we can gently explore the impact of your story and the ways in which you relate to yourself, others, and the world around you.
Hi, I'm so grateful to connect with you. My deeply held belief is that compassion, togetherness, and shame reduction are the pathways toward healing the most wounded parts of ourselves. Life is really hard and we are not meant to navigate difficulty alone. I feel passionately about creating a safe space where we can gently explore the impact of your story and the ways in which you relate to yourself, others, and the world around you.
(423) 436-0613 View (423) 436-0613
Photo of Lacy Anderson, MA, Pre-Licensed Professional
Lacy Anderson
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Signal Mountain, TN 37377
Welcome! Getting started in therapy can be scary, confusing, overwhelming, and so challenging. Whether this is the first or one hundredth page you've looked at, I think it is brave and remarkable that you are trying and I am honored that you are here. My primary goal as a therapist is to be a safe space for whatever my clients need; whether learning coping skills for anxiety, processing trauma, untangling identity, exploring faith, or something else entirely, I seek to provide a safe landing ground to do the hard work that is too big or scary to do alone or unsafe to do with others.
Welcome! Getting started in therapy can be scary, confusing, overwhelming, and so challenging. Whether this is the first or one hundredth page you've looked at, I think it is brave and remarkable that you are trying and I am honored that you are here. My primary goal as a therapist is to be a safe space for whatever my clients need; whether learning coping skills for anxiety, processing trauma, untangling identity, exploring faith, or something else entirely, I seek to provide a safe landing ground to do the hard work that is too big or scary to do alone or unsafe to do with others.
(423) 651-9768 View (423) 651-9768
Photo of Rachael A Benson, LMFT, Marriage & Family Therapist
Rachael A Benson
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Signal Mountain, TN 37377
I am in the practice of helping people understand themselves and find pathways towards healing and success. Therefore, I have the honor of meeting you just as you are and seeing a glimpse of your inner world, what shaped you, and molded you into a complex individual and being. My desire is to understand where you have come from and where you would like to go. Through understanding we can begin the work of creating a path toward deeper reflection, healing and thriving.
I am in the practice of helping people understand themselves and find pathways towards healing and success. Therefore, I have the honor of meeting you just as you are and seeing a glimpse of your inner world, what shaped you, and molded you into a complex individual and being. My desire is to understand where you have come from and where you would like to go. Through understanding we can begin the work of creating a path toward deeper reflection, healing and thriving.
(423) 556-6941 View (423) 556-6941
Photo of Brittany Elizabeth Vazquez, LPC, MHSP, C-DBT, Licensed Professional Counselor
Brittany Elizabeth Vazquez
Licensed Professional Counselor, LPC, MHSP, C-DBT
Verified Verified
1 Endorsed
Signal Mountain, TN 37377
Waitlist for new clients
Life can be difficult but therapy doesn't have to be! If you've talked about your struggles just to feel worse afterwards and see little to no progress, I'd like to introduce myself. You don't need to relive every past hurt or leave feeling emotionally drained at the end of each session. Change is possible without years of therapy! Let me help you figure out what's holding you back and find real, practical solutions so you can live life the way you want to. I am a licensed professional counselor (LPC-MHSP) with over 8 years of experience working with with children, adolescents, and adults.
Life can be difficult but therapy doesn't have to be! If you've talked about your struggles just to feel worse afterwards and see little to no progress, I'd like to introduce myself. You don't need to relive every past hurt or leave feeling emotionally drained at the end of each session. Change is possible without years of therapy! Let me help you figure out what's holding you back and find real, practical solutions so you can live life the way you want to. I am a licensed professional counselor (LPC-MHSP) with over 8 years of experience working with with children, adolescents, and adults.
(423) 210-4409 View (423) 210-4409
Photo of West Breedlove, MA, NCC, Pre-Licensed Professional
West Breedlove
Pre-Licensed Professional, MA, NCC
Verified Verified
3 Endorsed
Signal Mountain, TN 37377
Therapy for MEN and COUPLES. Many of us have struggled with troubling, unwanted thoughts, compulsive behaviors, broken vows, traumatic childhoods, or some enslaving addiction. Our lives are pockmarked by pain, and wounded by those we love (and we have hurt them in turn). However, this pain does not have to have the final word. We can live a life we love, one that is consistent with our deepest values. A life of peace, tenderness, freedom, courage, and love.
Therapy for MEN and COUPLES. Many of us have struggled with troubling, unwanted thoughts, compulsive behaviors, broken vows, traumatic childhoods, or some enslaving addiction. Our lives are pockmarked by pain, and wounded by those we love (and we have hurt them in turn). However, this pain does not have to have the final word. We can live a life we love, one that is consistent with our deepest values. A life of peace, tenderness, freedom, courage, and love.
(423) 401-6211 View (423) 401-6211
Photo of Kelly Culpepper Towe, MHSP, MA, NCC, Licensed Professional Counselor
Kelly Culpepper Towe
Licensed Professional Counselor, MHSP, MA, NCC
Verified Verified
3 Endorsed
Signal Mountain, TN 37377
Kelly is a Licensed Professional Counselor, is pursuing licensure as a Marriage and Family Therapist in the State of Tennessee, and is a National Certified Counselor. She works with individuals, couples, and families pursuing growth and healing through supportive, therapeutic relationship. Kelly has experience working with anxiety, depression, trauma, grief, career direction, affair recovery, spiritual direction, OCD, sexuality, and marital issues.
Kelly is a Licensed Professional Counselor, is pursuing licensure as a Marriage and Family Therapist in the State of Tennessee, and is a National Certified Counselor. She works with individuals, couples, and families pursuing growth and healing through supportive, therapeutic relationship. Kelly has experience working with anxiety, depression, trauma, grief, career direction, affair recovery, spiritual direction, OCD, sexuality, and marital issues.
(423) 401-6124 View (423) 401-6124
Photo of Kimberly A Stricker - Kimberly A. Stricker, LCSW, LCSW, Clinical Social Work/Therapist
Kimberly A. Stricker, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Signal Mountain, TN 37377
Not accepting new clients
If you are experiencing overwhelming circumstances, a flood of emotions, depression, anxiety, or conflict within a relationship, exploring empowering options can have a large, and lasting, life impact. Couples/partners can also work together in therapy to find more harmony in a joint solution. You may struggle with an eating disorder, or have become discouraged with multiple, and extreme efforts to manage food. I bring 20 years of experience, working in partnership with individuals and couples who are seeking relief. It is important to me to utilize evidence-based treatment methods, individualized to each person's specific needs.
If you are experiencing overwhelming circumstances, a flood of emotions, depression, anxiety, or conflict within a relationship, exploring empowering options can have a large, and lasting, life impact. Couples/partners can also work together in therapy to find more harmony in a joint solution. You may struggle with an eating disorder, or have become discouraged with multiple, and extreme efforts to manage food. I bring 20 years of experience, working in partnership with individuals and couples who are seeking relief. It is important to me to utilize evidence-based treatment methods, individualized to each person's specific needs.
(423) 291-4774 View (423) 291-4774
Photo of Heather Wright, LCSW, Clinical Social Work/Therapist
Heather Wright
Clinical Social Work/Therapist, LCSW
Verified Verified
Signal Mountain, TN 37377  (Online Only)
Not accepting new clients
I’m here to support and guide you while navigating what feels overwhelming and difficult right now. I work with ages 16+ struggling with anxiety, depression, grief, or coping with life transitions such as divorce or loss of a loved one. I also have 10 years experience supporting transgender folx- providing a safe, affirming space.
I’m here to support and guide you while navigating what feels overwhelming and difficult right now. I work with ages 16+ struggling with anxiety, depression, grief, or coping with life transitions such as divorce or loss of a loved one. I also have 10 years experience supporting transgender folx- providing a safe, affirming space.
(423) 427-2838 View (423) 427-2838

More Therapists Nearby

Photo of Diana Partington, LPC, MHSP, MEd, Licensed Professional Counselor
Diana Partington
Licensed Professional Counselor, LPC, MHSP, MEd
Verified Verified
Chattanooga, TN 37403
As a DBT therapist, I have a particularly powerful tool kit for overcoming issues with suicide and self-harm.
If you struggle with overwhelming emotions, I can teach you skills in a supportive, engaging environment. You can join my Online DBT skills training groups from anywhere in the world. I also offer Individual DBT therapy for people in Tennessee, including Skills Coaching by phone, Individual Therapy and group. Dialectical Behavior Therapy is a highly effective, well researched therapy. The work demands a lot from Therapist and client. And it is worth it! Most clients report that my sense of humor and authenticity is one of the reasons they like working with me. I really value the use of "irreverence" in DBT.
As a DBT therapist, I have a particularly powerful tool kit for overcoming issues with suicide and self-harm.
If you struggle with overwhelming emotions, I can teach you skills in a supportive, engaging environment. You can join my Online DBT skills training groups from anywhere in the world. I also offer Individual DBT therapy for people in Tennessee, including Skills Coaching by phone, Individual Therapy and group. Dialectical Behavior Therapy is a highly effective, well researched therapy. The work demands a lot from Therapist and client. And it is worth it! Most clients report that my sense of humor and authenticity is one of the reasons they like working with me. I really value the use of "irreverence" in DBT.
(615) 205-4476 View (615) 205-4476
Photo of Trey Sommerfeld, MA, Pre-Licensed Professional
Trey Sommerfeld
Pre-Licensed Professional, MA
Verified Verified
3 Endorsed
Red Bank, TN 37415
My expertise lies in working with clients who are grappling with depression, anxiety, suicidal thoughts, and self-harming behaviors.
Practicing kindness towards ourselves can be challenging, especially when there are countless voices and messages that tell us otherwise. I firmly believe that everyone deserves acceptance and compassion, regardless of their unique story. As your therapist, it would be my privilege to walk alongside you on your journey toward healing. Together, we can create a safe space where we can learn new skills and behaviors as we increase our skills and options for how we respond to all the chaos that life throws our way.
My expertise lies in working with clients who are grappling with depression, anxiety, suicidal thoughts, and self-harming behaviors.
Practicing kindness towards ourselves can be challenging, especially when there are countless voices and messages that tell us otherwise. I firmly believe that everyone deserves acceptance and compassion, regardless of their unique story. As your therapist, it would be my privilege to walk alongside you on your journey toward healing. Together, we can create a safe space where we can learn new skills and behaviors as we increase our skills and options for how we respond to all the chaos that life throws our way.
(423) 556-3596 View (423) 556-3596
Photo of Christine Lawson, MACMHC, MDiv, NCC, LPC -, MHSP, Licensed Professional Counselor
Christine Lawson
Licensed Professional Counselor, MACMHC, MDiv, NCC, LPC -, MHSP
Verified Verified
Chattanooga, TN 37403  (Online Only)
Depression and anxiety can really affect every area of your life. Reaching out to seek help is sometimes hard, but it is an important step in self-care and healing. My name is Christine Lawson, and in addition to anxiety and depression, I have worked with those who are in crisis due to self-harming behaviors as well as thoughts of suicide. With 15+ years of experience as a special education teacher before refocusing on counseling in 2019, I have also worked extensively with autism, ADHD, learning disabilities and behavior disorders. If you need a safe space to work on those things that are blocking your joy, I'm here for you.
Depression and anxiety can really affect every area of your life. Reaching out to seek help is sometimes hard, but it is an important step in self-care and healing. My name is Christine Lawson, and in addition to anxiety and depression, I have worked with those who are in crisis due to self-harming behaviors as well as thoughts of suicide. With 15+ years of experience as a special education teacher before refocusing on counseling in 2019, I have also worked extensively with autism, ADHD, learning disabilities and behavior disorders. If you need a safe space to work on those things that are blocking your joy, I'm here for you.
(423) 523-8805 View (423) 523-8805
Photo of Sam David Bernard Phd, SPE-HSP, NCC, EAP-C, FAAETS, DAAETS
Sam David Bernard Phd
SPE-HSP, NCC, EAP-C, FAAETS, DAAETS
Verified Verified
Chattanooga, TN 37416  (Online Only)
I also specialize in crisis intervention - for everything from life crisis, grief, death, adjustment, suicide, homicide, human trafficking, disaster, medical crisis, etc.
Originally licensed in 1988, I've been in private practice since 1997 in Chattanooga, TN. I focus on crisis intervention and short-term psychotherapy to get clients stabilized and back out enjoying life ASAP. I do a thorough assessment of life to know past and current events may be impacting your current situation. I see life situations as developmental - not always pathological, thus I use education and learning to address life's challenges. While it's not all about your parents, one's history does play a major role in how we learn to cope with life. Be ready to learn some new ways to cope with people and various life events.
I also specialize in crisis intervention - for everything from life crisis, grief, death, adjustment, suicide, homicide, human trafficking, disaster, medical crisis, etc.
Originally licensed in 1988, I've been in private practice since 1997 in Chattanooga, TN. I focus on crisis intervention and short-term psychotherapy to get clients stabilized and back out enjoying life ASAP. I do a thorough assessment of life to know past and current events may be impacting your current situation. I see life situations as developmental - not always pathological, thus I use education and learning to address life's challenges. While it's not all about your parents, one's history does play a major role in how we learn to cope with life. Be ready to learn some new ways to cope with people and various life events.
(423) 471-8644 View (423) 471-8644
Photo of Andrea Milligan Moody, MS, LMFT, RPT, Marriage & Family Therapist
Andrea Milligan Moody
Marriage & Family Therapist, MS, LMFT, RPT
Verified Verified
7 Endorsed
Chattanooga, TN 37404
Waitlist for new clients
I have joined with many individuals with a diverse range of ages, cultures, and symptoms including sexual trauma, family conflict, attachment issues, suicidal thoughts, self-harm, poor self-esteem, anxiety, and anger.
Through the therapeutic relationship, I provide a safe and inviting place to be vulnerable, to process life adjustments, and to begin learning healthy coping skills. I have 10 years of experience engaging in counseling relationships with children, adolescents, and adults in the Chattanooga area. I believe that change begins in the context of an authentic relationship and that every unique story deserves to be heard. Drawing from family systems, interpersonal, and cognitive-behavioral approaches, I provide evidence-based therapy for both individuals and families.
I have joined with many individuals with a diverse range of ages, cultures, and symptoms including sexual trauma, family conflict, attachment issues, suicidal thoughts, self-harm, poor self-esteem, anxiety, and anger.
Through the therapeutic relationship, I provide a safe and inviting place to be vulnerable, to process life adjustments, and to begin learning healthy coping skills. I have 10 years of experience engaging in counseling relationships with children, adolescents, and adults in the Chattanooga area. I believe that change begins in the context of an authentic relationship and that every unique story deserves to be heard. Drawing from family systems, interpersonal, and cognitive-behavioral approaches, I provide evidence-based therapy for both individuals and families.
(423) 214-2692 View (423) 214-2692
Photo of Melanie DeWerff, LPC, MHSP, LPCC, CPC, LMHC, Licensed Professional Counselor
Melanie DeWerff
Licensed Professional Counselor, LPC, MHSP, LPCC, CPC, LMHC
Verified Verified
2 Endorsed
Hixson, TN 37343
Waitlist for new clients
My experience covers trauma, sexual abuse victims, depression, anxiety, PTSD, domestic abuse victims, anger management, dysfunctional family systems, suicide, and negative core beliefs.
Eclectic, spiritually bent, and sacredly genuine. I utilize creativity and work from an embodied healing approach. I will lovingly challenge you; while lovingly supporting you. I want to help you connect to, and operate from, your True Self. Out of the box thinker; life does not fit in a box; therefore, therapy does not fit in a box. Connect to what a fulfilled life looks like for you; and, then how to live that life. Shedding of old patterns and transition into your genuine self. Also, offer energy work.
My experience covers trauma, sexual abuse victims, depression, anxiety, PTSD, domestic abuse victims, anger management, dysfunctional family systems, suicide, and negative core beliefs.
Eclectic, spiritually bent, and sacredly genuine. I utilize creativity and work from an embodied healing approach. I will lovingly challenge you; while lovingly supporting you. I want to help you connect to, and operate from, your True Self. Out of the box thinker; life does not fit in a box; therefore, therapy does not fit in a box. Connect to what a fulfilled life looks like for you; and, then how to live that life. Shedding of old patterns and transition into your genuine self. Also, offer energy work.
(865) 346-2935 View (865) 346-2935
Photo of Deborah Lancaster, LMFT, MA, Marriage & Family Therapist
Deborah Lancaster
Marriage & Family Therapist, LMFT, MA
Verified Verified
1 Endorsed
Chattanooga, TN 37408
I enjoy working with adults, and couples on issues including complex family dysfunction, relational or marital distress, identity issues, suicidal thoughts, anxiety, depression and additional mental illness.
It takes tremendous courage to choose to walk through difficult places on the path towards healing, and it takes even more courage to invite a counselor to walk with you. I consider it an honor to join with my clients as they face the challenges in life, whether it be wounds from the past , struggles with managing mood and thoughts, issues with relational functioning, sexuality or unhealthy coping. I believe there is power in relationship and I consider it a joy to help clients learn how to better relate to themselves, others and the world around them.
I enjoy working with adults, and couples on issues including complex family dysfunction, relational or marital distress, identity issues, suicidal thoughts, anxiety, depression and additional mental illness.
It takes tremendous courage to choose to walk through difficult places on the path towards healing, and it takes even more courage to invite a counselor to walk with you. I consider it an honor to join with my clients as they face the challenges in life, whether it be wounds from the past , struggles with managing mood and thoughts, issues with relational functioning, sexuality or unhealthy coping. I believe there is power in relationship and I consider it a joy to help clients learn how to better relate to themselves, others and the world around them.
(423) 438-1829 View (423) 438-1829
Photo of Sara O'Toole, LCSW, Clinical Social Work/Therapist
Sara O'Toole
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Chattanooga, TN 37411  (Online Only)
Imagine being full of joy, presence, and gratitude. Life can be overbearing at times with all of its troubles. It may feel like you're no longer a driver, but a passenger in your own life. You have difficulty seeing beyond the here and now, unable to find solutions, and you can't come back to a sense of self because everything else seems to be keeping you from peace. You're wanting to take control and live a life you've been dreaming of, a life free of anxiety, depression, stress, and shame.
Imagine being full of joy, presence, and gratitude. Life can be overbearing at times with all of its troubles. It may feel like you're no longer a driver, but a passenger in your own life. You have difficulty seeing beyond the here and now, unable to find solutions, and you can't come back to a sense of self because everything else seems to be keeping you from peace. You're wanting to take control and live a life you've been dreaming of, a life free of anxiety, depression, stress, and shame.
(202) 643-5124 View (202) 643-5124
Photo of Arianne Brigner At Chattanooga Dbt, LPC, MHSP, Licensed Professional Counselor
Arianne Brigner At Chattanooga Dbt
Licensed Professional Counselor, LPC, MHSP
Verified Verified
1 Endorsed
Chattanooga, TN 37422
Do you experience strong emotions that sometimes overwhelm you? As a result, you do things to cope that you later regret. In the moment, you don’t know what else to do. You’ve tried to get help. Nothing seems to work. “Talk therapy” doesn’t cut it. Medications don’t do the trick. Self-help books are garbage. At this point, you’d do anything to have a different life. To be different. To feel different. Well. You’ve finally come to the right place. We work with people just like you. In fact, we LOVE working with people just like you. It’s our passion. We help you create a life you can love.
Do you experience strong emotions that sometimes overwhelm you? As a result, you do things to cope that you later regret. In the moment, you don’t know what else to do. You’ve tried to get help. Nothing seems to work. “Talk therapy” doesn’t cut it. Medications don’t do the trick. Self-help books are garbage. At this point, you’d do anything to have a different life. To be different. To feel different. Well. You’ve finally come to the right place. We work with people just like you. In fact, we LOVE working with people just like you. It’s our passion. We help you create a life you can love.
(423) 402-8649 View (423) 402-8649
Photo of Sara Jane LeMay, MA, NCC, Pre-Licensed Professional
Sara Jane LeMay
Pre-Licensed Professional, MA, NCC
Verified Verified
2 Endorsed
Hixson, TN 37343
If you have emotions that seem uncontrollable, thoughts that seem to toss you around and run rampant, or if you find that your relationships with others are often filled with hurt and miscommunication… let’s talk! As a trained therapist in Dialectical Behavior Therapy (DBT) I offer comprehensive and informed DBT therapy. This means that I offer individual therapy, DBT skills group and training, as well as phone coaching. If you have tried therapy before with little to no improvement, DBT can be the change you’ve been looking for! It provides daily skills to implement immediately, so that you can see quick change in your life.
If you have emotions that seem uncontrollable, thoughts that seem to toss you around and run rampant, or if you find that your relationships with others are often filled with hurt and miscommunication… let’s talk! As a trained therapist in Dialectical Behavior Therapy (DBT) I offer comprehensive and informed DBT therapy. This means that I offer individual therapy, DBT skills group and training, as well as phone coaching. If you have tried therapy before with little to no improvement, DBT can be the change you’ve been looking for! It provides daily skills to implement immediately, so that you can see quick change in your life.
(423) 345-8574 View (423) 345-8574

See more therapy options for Signal Mountain

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.