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Online Therapists

Photo of Dr. Juan Carlos Castillo, PsyD, Psychologist
Dr. Juan Carlos Castillo
Psychologist, PsyD
Verified Verified
2 Endorsed
McAllen, TX 78504
My interests and experience include working with personality disorders, trauma, anxiety and depression. Additionally, I assist successful individuals with adjustment issues such as relationship problems, divorce, works problems and general stress. Many of my patients have attempted therapy several times before and are pleased with my unique approach to understanding and helping with their affliction or helping them remove limitations to a fulfilling and satisfying life. Being raised in the valley and training in the DFW metroplex, has given me experience working with a diverse population of patients. Also meet Pav my therapy dog!
My interests and experience include working with personality disorders, trauma, anxiety and depression. Additionally, I assist successful individuals with adjustment issues such as relationship problems, divorce, works problems and general stress. Many of my patients have attempted therapy several times before and are pleased with my unique approach to understanding and helping with their affliction or helping them remove limitations to a fulfilling and satisfying life. Being raised in the valley and training in the DFW metroplex, has given me experience working with a diverse population of patients. Also meet Pav my therapy dog!
(956) 540-5696 View (956) 540-5696

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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.