Photo of Margarita Miniovich, Registered Social Worker in M6C, ON
Margarita Miniovich
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Toronto, ON M6C  (Online Only)
My belief is that people come to therapy to have an experience that is markedly different from what they encounter in their daily life. My training and experience allow me to have the tools to provide an opportunity for that different experience, whether it is getting relief from anxiety, finding grace and gratitude in the midst of grief, or gaining clarity and calm in a situation of overwhelm and confusion. We work collaboratively and creatively to uncover the root causes of your distress or dissatisfaction, and address them without re-traumatization. Our work together is safe, deep, transformative, and often spontaneously joyous.
My belief is that people come to therapy to have an experience that is markedly different from what they encounter in their daily life. My training and experience allow me to have the tools to provide an opportunity for that different experience, whether it is getting relief from anxiety, finding grace and gratitude in the midst of grief, or gaining clarity and calm in a situation of overwhelm and confusion. We work collaboratively and creatively to uncover the root causes of your distress or dissatisfaction, and address them without re-traumatization. Our work together is safe, deep, transformative, and often spontaneously joyous.
(647) 905-5403 View (647) 905-5403
Photo of Victoria Applebaum, Registered Social Worker in M6C, ON
Victoria Applebaum
Registered Social Worker, RSW, BSW, RP (Q)
Verified Verified
1 Endorsed
Toronto, ON M6C
I believe that clients are the experts in their life and aim to act as a guide in helping them develop a deeper understanding of themselves. I am passionate about working with clients from a holistic perspective that focuses on the interconnectedness of the whole being – the mind, body and soul. My goal is to provide a safe, supportive, healing, integrative counselling approach by combining traditional talk therapy with alternative treatments, such as Breathwork, EFT Tapping/Thought Field Therapy, Mindfulness and Reiki Energy Healing modalities when appropriate.
I believe that clients are the experts in their life and aim to act as a guide in helping them develop a deeper understanding of themselves. I am passionate about working with clients from a holistic perspective that focuses on the interconnectedness of the whole being – the mind, body and soul. My goal is to provide a safe, supportive, healing, integrative counselling approach by combining traditional talk therapy with alternative treatments, such as Breathwork, EFT Tapping/Thought Field Therapy, Mindfulness and Reiki Energy Healing modalities when appropriate.
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Suicidal Ideation Counsellors

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 behavioural 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 behavioural, dialectical behaviour, psychodynamic, acceptance and commitment therapies, among others. Cognitive behavioural and dialectical behaviour 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.