Suicidal Ideation Therapists in Richardson, TX

Photo of Lori K. Shaw, MS, LPC-S, Licensed Professional Counselor
Lori K. Shaw
Licensed Professional Counselor, MS, LPC-S
Verified Verified
2 Endorsed
Richardson, TX 75080
She specializes in working with clients during crisis situations including suicide ideation, as well as significant life altering circumstances such as academic transitions, familial changes, parenting issues, etc.
Lori K. Shaw, M.S. LPC earned her undergraduate degree in Education from North Texas State University and her master's degree in Counseling from East Texas State University. She is a Licensed Professional Counselor and Texas certified school counselor and teacher. Lori has spent the majority of her career in the school setting. Having worked with students and families in all school levels, she is at ease and experienced in counseling all age groups. Lori is passionate about helping clients of all ages with behavioral, emotional and social concerns in a collaborative and client centered approach.
She specializes in working with clients during crisis situations including suicide ideation, as well as significant life altering circumstances such as academic transitions, familial changes, parenting issues, etc.
Lori K. Shaw, M.S. LPC earned her undergraduate degree in Education from North Texas State University and her master's degree in Counseling from East Texas State University. She is a Licensed Professional Counselor and Texas certified school counselor and teacher. Lori has spent the majority of her career in the school setting. Having worked with students and families in all school levels, she is at ease and experienced in counseling all age groups. Lori is passionate about helping clients of all ages with behavioral, emotional and social concerns in a collaborative and client centered approach.
(214) 661-1685 View (214) 661-1685
Photo of Rachel Meltzer - Meltzer Counseling PLLC, LPC-S, Licensed Professional Counselor
Meltzer Counseling PLLC
Licensed Professional Counselor, LPC-S
Verified Verified
Richardson, TX 75081
Meltzer Counseling is located in Richardson, Texas. We offer counseling services to adults, adolescents, children, couples. Clinicians accept health insurance, some clinicians offer therapy services on a sliding scale. Additionally, we offer short-term FREE family therapy for qualifying families. All clinicians are direct and respectful and our goal is to utilize the best fit for each client's needs. Therapists specialize in mood, eating disorders, addiction , anger management, self-harm behaviors, suicidal ideation ,trauma, EMDR, PTSD, grief and loss issues, communication skills, family and relationship dynamics.
Meltzer Counseling is located in Richardson, Texas. We offer counseling services to adults, adolescents, children, couples. Clinicians accept health insurance, some clinicians offer therapy services on a sliding scale. Additionally, we offer short-term FREE family therapy for qualifying families. All clinicians are direct and respectful and our goal is to utilize the best fit for each client's needs. Therapists specialize in mood, eating disorders, addiction , anger management, self-harm behaviors, suicidal ideation ,trauma, EMDR, PTSD, grief and loss issues, communication skills, family and relationship dynamics.
(972) 954-6256 View (972) 954-6256
Photo of Mercedes Lewis, MA
Mercedes Lewis
Licensed Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Richardson, TX 75081
I have experience working with anxiety, depression, anger management, trauma, children behavioral issues, attachment/abandonment, self image, suicidal ideation, and substance abuse.
Starting your mental health journey can be hard to start no matter if you are dealing with life's everyday stress and anxiety, have been diagnosed or recently diagnose, career changes, life changes, or simply wanting to have an safe space to talk freely without judgement. I would be honored to walk with you through your mental health journey to provide a therapeutic environment for you.
I have experience working with anxiety, depression, anger management, trauma, children behavioral issues, attachment/abandonment, self image, suicidal ideation, and substance abuse.
Starting your mental health journey can be hard to start no matter if you are dealing with life's everyday stress and anxiety, have been diagnosed or recently diagnose, career changes, life changes, or simply wanting to have an safe space to talk freely without judgement. I would be honored to walk with you through your mental health journey to provide a therapeutic environment for you.
(469) 393-5976 View (469) 393-5976
Photo of Micah Cameron Gultery, LPC-A
Micah Cameron Gultery
Licensed Professional Counselor Associate, LPC-A
Verified Verified
5 Endorsed
Richardson, TX 75080
As a part of the Gen Z population, Micah has found his passion and purpose in working with troubled adolescents, struggling young adults, and adults of all ages looking for solutions to complex problems. Micah specializes in behavioral issues, drug use and abuse, anxiety, depression, suicidal ideation, mental health issues, self-harm, anger management, self-esteem challenges, stress, and time management issues. Micah works with individuals, couples counseling, family counseling, and groups. His role as a counselor is to be a journeyman with each client's experiences. He is an advocate, encourager, and supporter throughout sessions.
As a part of the Gen Z population, Micah has found his passion and purpose in working with troubled adolescents, struggling young adults, and adults of all ages looking for solutions to complex problems. Micah specializes in behavioral issues, drug use and abuse, anxiety, depression, suicidal ideation, mental health issues, self-harm, anger management, self-esteem challenges, stress, and time management issues. Micah works with individuals, couples counseling, family counseling, and groups. His role as a counselor is to be a journeyman with each client's experiences. He is an advocate, encourager, and supporter throughout sessions.
(469) 829-4602 View (469) 829-4602
Photo of Casey Leamy, LMFT, LCDC, EMDR, Marriage & Family Therapist
Casey Leamy
Marriage & Family Therapist, LMFT, LCDC, EMDR
Verified Verified
1 Endorsed
Richardson, TX 75080
My experience encompasses substance abuse, self-harm, domestic violence, trauma, adolescent behavioral issues, relational issues, family conflict, parenting, depression, anxiety, suicidal ideation, Adjustment Disorders, Bipolar, Borderline, and ADHD.
Nothing in life is one size fits all; therapy is no exception. My first priority is to establish a trusting relationship with you, then together create goals tailored to your individual needs. As humans, we tend to shy away from uncomfortable, unwanted, or overwhelming feelings/thoughts. We all develop habits to cope; sometimes those habits may no longer be helpful. In a non-judgmental and safe environment, we will work together, unlock your potential and create the change you desire. I am a Licensed Marriage and Family Therapist, Licensed Chemical Dependency Counselor and fully trained in EMDR in Texas.
My experience encompasses substance abuse, self-harm, domestic violence, trauma, adolescent behavioral issues, relational issues, family conflict, parenting, depression, anxiety, suicidal ideation, Adjustment Disorders, Bipolar, Borderline, and ADHD.
Nothing in life is one size fits all; therapy is no exception. My first priority is to establish a trusting relationship with you, then together create goals tailored to your individual needs. As humans, we tend to shy away from uncomfortable, unwanted, or overwhelming feelings/thoughts. We all develop habits to cope; sometimes those habits may no longer be helpful. In a non-judgmental and safe environment, we will work together, unlock your potential and create the change you desire. I am a Licensed Marriage and Family Therapist, Licensed Chemical Dependency Counselor and fully trained in EMDR in Texas.
(469) 778-4625 View (469) 778-4625
Photo of Moses Chism Jr., LPC-S, Licensed Professional Counselor
Moses Chism Jr.
Licensed Professional Counselor, LPC-S
Verified Verified
4 Endorsed
Richardson, TX 75080  (Online Only)
Are you sick and tired of being controlled by your emotions and negative thoughts? Are you tormented by memories from your past or present events, pain that has a hold around your heart and is keeping you from fulfilling your purpose in life? If you've answered "yes" to any of these questions, then welcome to Innovative Centered Counseling. My experience includes work as a private practitioner and a hospital-based therapist. I enjoy helping those who struggle with mental health issues, depression, anxiety, anger, suicidal thoughts, addictions, physical and sexual abuse recovery, relationship problems, and sexuality adjustment issues.
Are you sick and tired of being controlled by your emotions and negative thoughts? Are you tormented by memories from your past or present events, pain that has a hold around your heart and is keeping you from fulfilling your purpose in life? If you've answered "yes" to any of these questions, then welcome to Innovative Centered Counseling. My experience includes work as a private practitioner and a hospital-based therapist. I enjoy helping those who struggle with mental health issues, depression, anxiety, anger, suicidal thoughts, addictions, physical and sexual abuse recovery, relationship problems, and sexuality adjustment issues.
(469) 454-2859 View (469) 454-2859
Photo of Carmen Nordmeyer, LPC, MS, MBA, Licensed Professional Counselor
Carmen Nordmeyer
Licensed Professional Counselor, LPC, MS, MBA
Verified Verified
Richardson, TX 75080
Carmen is a 14 year cancer survivor, experienced Licensed Professional Counselor, and a Cosmetologist. She specializes in clients who are going through cancer, taking care of someone with cancer, or know someone who is. Cancer trauma can affect your quality of life in many ways, and a person may experience anxiety, depression, grief and loss, and adjustment issues including ideas of suicide. She relies on therapy techniques like Cognitive Behavioral, Reality, and Solution Focused Brief and relaxation, to address the whole person in order to identify root causes and help you regain your optimal well-being.
Carmen is a 14 year cancer survivor, experienced Licensed Professional Counselor, and a Cosmetologist. She specializes in clients who are going through cancer, taking care of someone with cancer, or know someone who is. Cancer trauma can affect your quality of life in many ways, and a person may experience anxiety, depression, grief and loss, and adjustment issues including ideas of suicide. She relies on therapy techniques like Cognitive Behavioral, Reality, and Solution Focused Brief and relaxation, to address the whole person in order to identify root causes and help you regain your optimal well-being.
(214) 239-8435 View (214) 239-8435
Photo of Lauryn E. Thomas, LMSW, Pre-Licensed Professional
Lauryn E. Thomas
Pre-Licensed Professional, LMSW
Verified Verified
1 Endorsed
Richardson, TX 75080
I support children and adults processing a wide range of concerns including anxiety, depression, grief, trauma, behavioral issues, self-harm, suicidal ideations, and other issues related to abuse, neglect, and trauma.
As a social worker with CCNT, my passion lies in creating a safe and nurturing environment for vulnerable youth, young adults, and women. Drawing upon my background teaching, working with foster children, and supporting victims of domestic violence, my work is fueled by a deep commitment to address the holistic needs of every client.
I support children and adults processing a wide range of concerns including anxiety, depression, grief, trauma, behavioral issues, self-harm, suicidal ideations, and other issues related to abuse, neglect, and trauma.
As a social worker with CCNT, my passion lies in creating a safe and nurturing environment for vulnerable youth, young adults, and women. Drawing upon my background teaching, working with foster children, and supporting victims of domestic violence, my work is fueled by a deep commitment to address the holistic needs of every client.
(972) 848-5316 View (972) 848-5316
Photo of Riley Nyberg, LPC-A, NCC, LPC Intern
Riley Nyberg
LPC Intern, LPC-A, NCC
Verified Verified
3 Endorsed
Richardson, TX 75080
My areas of expertise include anxiety, depression, self harm, suicidal ideation, sexuality, coping skills, self esteem, life transitions, and more.
Riley Nyberg is a Licensed Professional Counselor-Associate in the state of Texas and is under the supervision of Megan Krizan, M.Ed., LPC-S, RPT-S at Nova Cesta Counseling. She graduated with a M.S. in Counseling from Southern Methodist University in 2022.
My areas of expertise include anxiety, depression, self harm, suicidal ideation, sexuality, coping skills, self esteem, life transitions, and more.
Riley Nyberg is a Licensed Professional Counselor-Associate in the state of Texas and is under the supervision of Megan Krizan, M.Ed., LPC-S, RPT-S at Nova Cesta Counseling. She graduated with a M.S. in Counseling from Southern Methodist University in 2022.
(469) 564-4641 View (469) 564-4641
Photo of Emily Reiss Bisignano Licensed Psychologist, PsyD, MA, Psychologist
Emily Reiss Bisignano Licensed Psychologist
Psychologist, PsyD, MA
Verified Verified
1 Endorsed
Richardson, TX 75080
I am a licensed psychologist who is passionate about providing high-quality, effective, evidence-based treatment with children, adolescents, and adults in the Dallas Metroplex area. I help teach Dialectical Behavioral Skills and tools that minimize emotional distress, impulsivity, and high risk behaviors. I believe strongly in working together with parents and families to strengthen communication and decrease conflict. My primary goal is to instill hope, balance, and healing that increase you or your child's quality of life.
I am a licensed psychologist who is passionate about providing high-quality, effective, evidence-based treatment with children, adolescents, and adults in the Dallas Metroplex area. I help teach Dialectical Behavioral Skills and tools that minimize emotional distress, impulsivity, and high risk behaviors. I believe strongly in working together with parents and families to strengthen communication and decrease conflict. My primary goal is to instill hope, balance, and healing that increase you or your child's quality of life.
(469) 353-6481 View (469) 353-6481
Photo of Priya Roshan - The Therapy Project, MSSW, LCSW-S, Clinical Social Work/Therapist
The Therapy Project
Clinical Social Work/Therapist, MSSW, LCSW-S
Verified Verified
Richardson, TX 75082  (Online Only)
I love counseling and love working with adults, couples, children, adolescents, and families. My therapeutic approach focuses on promoting self-awareness and developing effective strategies to cope with life situations which include trauma, stress, anxiety, depression, and addictions. My therapeutic philosophy is eclectic and individualized for each unique client. My most common approaches include CBT, REBT, and Trauma Informed.
I love counseling and love working with adults, couples, children, adolescents, and families. My therapeutic approach focuses on promoting self-awareness and developing effective strategies to cope with life situations which include trauma, stress, anxiety, depression, and addictions. My therapeutic philosophy is eclectic and individualized for each unique client. My most common approaches include CBT, REBT, and Trauma Informed.
(972) 640-7699 View (972) 640-7699
Photo of Wynne Shaw, MEd, LPC-S, Licensed Professional Counselor
Wynne Shaw
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
Richardson, TX 75080
Are you worried about your child? Is s/he struggling with behavioral or emotional problems, loss, or trauma? Are you at the end of your rope? Things can get better but you can't do it alone, and that's where I come in. I work with good kids from good families who just need a little help to get through a rough time. I help kids work through underlying issues and develop healthy coping skills. I give parents practical tools and emotional support. Contact me today to set up an appointment or to schedule a free, no obligation consultation.
Are you worried about your child? Is s/he struggling with behavioral or emotional problems, loss, or trauma? Are you at the end of your rope? Things can get better but you can't do it alone, and that's where I come in. I work with good kids from good families who just need a little help to get through a rough time. I help kids work through underlying issues and develop healthy coping skills. I give parents practical tools and emotional support. Contact me today to set up an appointment or to schedule a free, no obligation consultation.
(972) 268-7873 View (972) 268-7873
Photo of Ruth Long, MA, LPC, SRT, Licensed Professional Counselor
Ruth Long
Licensed Professional Counselor, MA, LPC, SRT
Verified Verified
1 Endorsed
Richardson, TX 75080
I enjoy working with clients who have reached a place in their lives where they're looking for a better quality of life and need to address those issues that may be interfering with that goal. My goal is to walk along side you on this journey. We will work together through the ups and downs until we reach that place you've wanted to be.
I enjoy working with clients who have reached a place in their lives where they're looking for a better quality of life and need to address those issues that may be interfering with that goal. My goal is to walk along side you on this journey. We will work together through the ups and downs until we reach that place you've wanted to be.
(817) 380-1403 View (817) 380-1403
Photo of Shelly Bates, MA, LPC-S, Licensed Professional Counselor
Shelly Bates
Licensed Professional Counselor, MA, LPC-S
Verified Verified
2 Endorsed
Richardson, TX 75080
Waitlist for new clients
Spiritual/Religious abuse & trauma have similar components to childhood attachment trauma, so I work with both populations. The guilt, shame, isolation, fear of abandonment, and rejection may look like codependence, relationship avoidance, anxiety, and depression. You have difficulty trusting in relationships or find yourself drawn to other emotionally unavailable people. You've lost sight of who you are. There's a root, and my goal is to help you heal that root so you can see yourself differently and connect with others from a healthier mindset, thus engaging in healthier relationships. Find your confidence, your inner self.
Spiritual/Religious abuse & trauma have similar components to childhood attachment trauma, so I work with both populations. The guilt, shame, isolation, fear of abandonment, and rejection may look like codependence, relationship avoidance, anxiety, and depression. You have difficulty trusting in relationships or find yourself drawn to other emotionally unavailable people. You've lost sight of who you are. There's a root, and my goal is to help you heal that root so you can see yourself differently and connect with others from a healthier mindset, thus engaging in healthier relationships. Find your confidence, your inner self.
(972) 636-4457 View (972) 636-4457
Photo of Rachel Meltzer, MA, LPC, S, Licensed Professional Counselor
Rachel Meltzer
Licensed Professional Counselor, MA, LPC, S
Verified Verified
3 Endorsed
Richardson, TX 75081
At times, everyone feels overwhelmed by stressors, life transitions, grief or anger. Change and healing doesn't happen in isolation and we all need help at some point. My clients range from 10 yrs old and up. My approach is strongly grounded in cognitive behavioral therapy, dialectical behavior therapy and Acceptance and Commitment Therapy ( ACT). Clients are encouraged to identify what’s important to them and learn ways to move toward their values. Addressing how thoughts drive feelings and behavior and creating new ways to relate with our thoughts and feelings. I'm always amazed and privileged when clients report that a different perspective has greatly altered their lives for the better, especially in the midst of tremendous life stressors. My approach alligns evidenced based research with each individual's goals to improve both emotional well being and connections.
At times, everyone feels overwhelmed by stressors, life transitions, grief or anger. Change and healing doesn't happen in isolation and we all need help at some point. My clients range from 10 yrs old and up. My approach is strongly grounded in cognitive behavioral therapy, dialectical behavior therapy and Acceptance and Commitment Therapy ( ACT). Clients are encouraged to identify what’s important to them and learn ways to move toward their values. Addressing how thoughts drive feelings and behavior and creating new ways to relate with our thoughts and feelings. I'm always amazed and privileged when clients report that a different perspective has greatly altered their lives for the better, especially in the midst of tremendous life stressors. My approach alligns evidenced based research with each individual's goals to improve both emotional well being and connections.
(972) 362-9959 View (972) 362-9959
Photo of Tamera Wright, LCSW, Clinical Social Work/Therapist
Tamera Wright
Clinical Social Work/Therapist, LCSW
Verified Verified
Richardson, TX 75081
Societal norms have taught us we should be at a certain place in our life by a certain age, generational traumas don't exist, being one gender or loving one gender is an anomaly and that being "traditional" is the road map to a happy life. The unrealistic expectations for who we are can be suffocating that it leaves us numb with no one to turn to. I am here to be your sacred friend, a pillar in self-discovery and offer a different perspective. I am here to watch you snatch your power back and indulge in having grace with yourself during this time of self-identity through self-awareness, self-care, self-love and self expression.
Societal norms have taught us we should be at a certain place in our life by a certain age, generational traumas don't exist, being one gender or loving one gender is an anomaly and that being "traditional" is the road map to a happy life. The unrealistic expectations for who we are can be suffocating that it leaves us numb with no one to turn to. I am here to be your sacred friend, a pillar in self-discovery and offer a different perspective. I am here to watch you snatch your power back and indulge in having grace with yourself during this time of self-identity through self-awareness, self-care, self-love and self expression.
(214) 623-6617 View (214) 623-6617
Photo of Renae Cobb, MS, Jungian, Analyst, IAAP, Licensed Professional Counselor
Renae Cobb
Licensed Professional Counselor, MS, Jungian, Analyst, IAAP
Verified Verified
3 Endorsed
Richardson, TX 75080
Analysis and therapy help us move beyond the places we are stuck to a better understanding of who we are. I would be honored to walk with you on this journey towards your best self, offering a helping hand where needed. I work from an understanding of therapy that allows us to look at the past, the present and the future in understanding the issues you are facing and finding the path you desire to follow. Exploring family dynamics, relationship issues, self-concept, creative impulses, dreams, and life passions allow us to chart a course toward hope and healing.
Analysis and therapy help us move beyond the places we are stuck to a better understanding of who we are. I would be honored to walk with you on this journey towards your best self, offering a helping hand where needed. I work from an understanding of therapy that allows us to look at the past, the present and the future in understanding the issues you are facing and finding the path you desire to follow. Exploring family dynamics, relationship issues, self-concept, creative impulses, dreams, and life passions allow us to chart a course toward hope and healing.
(972) 325-0913 View (972) 325-0913
Photo of Dolores Ann Guilliod, MA, LPC, Licensed Professional Counselor
Dolores Ann Guilliod
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Richardson, TX 75080
In one's walk towards wholeness and change, there are various barriers and hindrances one must overcome: The prism in which we view life, the messages we received about ourselves from our family of origin, what has happened to us and what we tell ourselves about it, our fear of feelings, and our learned coping mechanisms are just a few. As a Christian counselor, it is my desire to provide a safe and accepting environment in which we can walk and work together to expose, understand, and overcome these barriers.
In one's walk towards wholeness and change, there are various barriers and hindrances one must overcome: The prism in which we view life, the messages we received about ourselves from our family of origin, what has happened to us and what we tell ourselves about it, our fear of feelings, and our learned coping mechanisms are just a few. As a Christian counselor, it is my desire to provide a safe and accepting environment in which we can walk and work together to expose, understand, and overcome these barriers.
(214) 317-4458 View (214) 317-4458
Photo of Jonái Fullard - Crowned Hearts Therapy, LMSW, Clinical Social Work/Therapist
Crowned Hearts Therapy
Clinical Social Work/Therapist, LMSW
Verified Verified
Richardson, TX 75081  (Online Only)
Whether it's navigating issues of depression, anxiety, anger, bullying, self-esteem, behavior problems, relational difficulties, school-related challenges, trauma, substance use/abuse, or grief, I provide a supportive and effective therapeutic experience for children, teens, adult individuals, couples, families, and groups. I believe in fostering resilience and empowering individuals to overcome life's obstacles. As your counselor, I strive to create a nurturing and judgment-free environment where you can explore your challenges through the lens of faith, finding solace, strength, and healing.
Whether it's navigating issues of depression, anxiety, anger, bullying, self-esteem, behavior problems, relational difficulties, school-related challenges, trauma, substance use/abuse, or grief, I provide a supportive and effective therapeutic experience for children, teens, adult individuals, couples, families, and groups. I believe in fostering resilience and empowering individuals to overcome life's obstacles. As your counselor, I strive to create a nurturing and judgment-free environment where you can explore your challenges through the lens of faith, finding solace, strength, and healing.
(469) 529-6247 View (469) 529-6247
Photo of Vanessa Vaughter, LCSW, MDiv, Clinical Social Work/Therapist
Vanessa Vaughter
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
1 Endorsed
Richardson, TX 75080
Some days life is great, others we get bogged down in our busyness, work stress, family conflicts, school pressures and well, just drama. Coping some days is easy - others, it's tough just to get out of bed. Whether you just need a sounding board, struggle with anxiety/depression, have a history of trauma or you're not sure why life is tough, there is help. I seek to create an open, accepting environment to listen. I offer treatment options that bring health and wholeness. My goal is to create safe space for you to achieve yours.
Some days life is great, others we get bogged down in our busyness, work stress, family conflicts, school pressures and well, just drama. Coping some days is easy - others, it's tough just to get out of bed. Whether you just need a sounding board, struggle with anxiety/depression, have a history of trauma or you're not sure why life is tough, there is help. I seek to create an open, accepting environment to listen. I offer treatment options that bring health and wholeness. My goal is to create safe space for you to achieve yours.
(972) 299-8593 View (972) 299-8593
1
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.