Suicidal Ideation Counselling in North London, London

Photo of Sasha Lillie Lyons, Psychologist in North London, London, England
Sasha Lillie Lyons
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
North London, London N3
Hi, I'm a clinical psychologist with over 17 years' experience of helping children and adults, in the NHS and private practice. I have worked with children and families with a wide range of issues, including low mood, anxiety, challenging behaviours, emotional dysregulation, friendship difficulties, issues at school, relationship issues within the family, neurodiversity, and self harm and suicidal ideation. I also have experience of helping children and parents where there has been significant change within the family, such as bereavement, illness, divorce or separation.
Hi, I'm a clinical psychologist with over 17 years' experience of helping children and adults, in the NHS and private practice. I have worked with children and families with a wide range of issues, including low mood, anxiety, challenging behaviours, emotional dysregulation, friendship difficulties, issues at school, relationship issues within the family, neurodiversity, and self harm and suicidal ideation. I also have experience of helping children and parents where there has been significant change within the family, such as bereavement, illness, divorce or separation.
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Photo of Simon Kasprowicz, Psychotherapist in North London, London, England
Simon Kasprowicz
Psychotherapist, BACP
Verified Verified
North London, London N4
In my time as a therapist I have helped my clients gain understanding of loss, bereavement, anger, anxiety, depression, suicidal thoughts, relationships and personal development.
The challenges and choices we all face in our lives are as unique as we are. We all have our own paths, problems, opportunities and solutions. Whatever brought you here today, therapy can help you find the path that is right for you.
In my time as a therapist I have helped my clients gain understanding of loss, bereavement, anger, anxiety, depression, suicidal thoughts, relationships and personal development.
The challenges and choices we all face in our lives are as unique as we are. We all have our own paths, problems, opportunities and solutions. Whatever brought you here today, therapy can help you find the path that is right for you.
020 3962 0871 View 020 3962 0871
Photo of Analy Reed, Counsellor in North London, London, England
Analy Reed
Counsellor, MBACP
Verified Verified
North London, London N10
I am an integrative counsellor and psychotherapist working with children, young people and adults. Beginning with a FREE ‘get to know you’ session I offer a warm and pragmatic approach to individuals and have experience working with a wide range of clinical issues. I am particularly interested in working with depression, anxiety disorders, body and/or gender dysphoria, addiction, perfectionism and procrastination, social anxiety, self-harm, suicidal thoughts, eating disorders and performance anxiety
I am an integrative counsellor and psychotherapist working with children, young people and adults. Beginning with a FREE ‘get to know you’ session I offer a warm and pragmatic approach to individuals and have experience working with a wide range of clinical issues. I am particularly interested in working with depression, anxiety disorders, body and/or gender dysphoria, addiction, perfectionism and procrastination, social anxiety, self-harm, suicidal thoughts, eating disorders and performance anxiety
020 3984 9132 View 020 3984 9132
Photo of Tim Williamson, Counsellor in North London, London, England
Tim Williamson
Counsellor, MBACP
Verified Verified
North London, London N2
I work primarily with adults experiencing anxiety, depression and bereavement (I have particular experience in bereavement by suicide).
It was Mr Miyagi in the movie “The Karate Kid” who said, “You know, but you do not understand.” We are often aware of the feelings and thoughts we are having, the behaviours they are causing and the distress that can generate. We can even know the traumas that have happened that we can attribute them to. But we can’t understand or articulate them enough to change them and heal. Perhaps this is the way you feel? Maybe you have been struggling with anxiety, depression or both for some time and everyday life is more challenging than you want it to be? Maybe you’ve experienced a traumatic event that you can’t seem to get over?
I work primarily with adults experiencing anxiety, depression and bereavement (I have particular experience in bereavement by suicide).
It was Mr Miyagi in the movie “The Karate Kid” who said, “You know, but you do not understand.” We are often aware of the feelings and thoughts we are having, the behaviours they are causing and the distress that can generate. We can even know the traumas that have happened that we can attribute them to. But we can’t understand or articulate them enough to change them and heal. Perhaps this is the way you feel? Maybe you have been struggling with anxiety, depression or both for some time and everyday life is more challenging than you want it to be? Maybe you’ve experienced a traumatic event that you can’t seem to get over?
07480 488746 View 07480 488746
Photo of Samira Belrhazi, Counsellor in North London, London, England
Samira Belrhazi
Counsellor, MBACP
Verified Verified
North London, London N16  (Online Only)
I am experienced in working with issues of self-esteem, depression, anxiety, PTSD, infidelity, communication, domestic violence, LGBTQ+, gender issues and suicidal thoughts.
Being stuck in a pattern of relating to the self or others that is not serving us any longer is a common human experience. My approach is integrative mainly psychodynamic, meaning I work with a person's defences and resistance in a gentle but challenging way, examining early childhood experiences and relationships. I create a safe non-judgemental space for frank, open and intimate discussions about your issues and struggles.
I am experienced in working with issues of self-esteem, depression, anxiety, PTSD, infidelity, communication, domestic violence, LGBTQ+, gender issues and suicidal thoughts.
Being stuck in a pattern of relating to the self or others that is not serving us any longer is a common human experience. My approach is integrative mainly psychodynamic, meaning I work with a person's defences and resistance in a gentle but challenging way, examining early childhood experiences and relationships. I create a safe non-judgemental space for frank, open and intimate discussions about your issues and struggles.
020 3872 2051 View 020 3872 2051
Photo of Melissa Casares, Counsellor in North London, London, England
Melissa Casares
Counsellor, MBACP
Verified Verified
North London, London N10  (Online Only)
I also spent 8 years volunteering at Samaritans, which provided experience working with those in immediate crisis or experiencing suicidal feelings.
Hello, I trained in the Humanistic Integrative approach which means I work with each person as an individual, and can utilise different approaches to therapy. My aim is to work with you, focusing on what you bring to therapy, at your pace. Making the decision to contact a therapist is a big step, and I'd like to work with you in a confidential, supportive way to make this a positive step for you. If you are experiencing relationship difficulties, depression, anxiety or just feel that you need someone outside of friends and family to talk to, please get in touch by email or phone.
I also spent 8 years volunteering at Samaritans, which provided experience working with those in immediate crisis or experiencing suicidal feelings.
Hello, I trained in the Humanistic Integrative approach which means I work with each person as an individual, and can utilise different approaches to therapy. My aim is to work with you, focusing on what you bring to therapy, at your pace. Making the decision to contact a therapist is a big step, and I'd like to work with you in a confidential, supportive way to make this a positive step for you. If you are experiencing relationship difficulties, depression, anxiety or just feel that you need someone outside of friends and family to talk to, please get in touch by email or phone.
07480 537789 View 07480 537789
Photo of Maria Klatsa, Counsellor in North London, London, England
Maria Klatsa
Counsellor, MBACP
Verified Verified
North London, London N1
I am a BACP registered integrative therapist. I have a particular interest in the research field of Attachment Theory. I have worked with and have extensive experience with depression, anxiety, stress, trauma, addictions, eating disorders, abuse, bullying, loss, grief, suicide and suicidal ideation amongst many others. I specialise in trauma, in whatever shape that has taken for you. I work with relationship issues of all kinds, family relationship issues, friends and social relationship issues, romantic relationship issues & work relationship issues.
I am a BACP registered integrative therapist. I have a particular interest in the research field of Attachment Theory. I have worked with and have extensive experience with depression, anxiety, stress, trauma, addictions, eating disorders, abuse, bullying, loss, grief, suicide and suicidal ideation amongst many others. I specialise in trauma, in whatever shape that has taken for you. I work with relationship issues of all kinds, family relationship issues, friends and social relationship issues, romantic relationship issues & work relationship issues.
020 4538 7672 View 020 4538 7672
Photo of Fran Mullins, Counsellor in North London, London, England
Fran Mullins
Counsellor, MBACP Accred
Verified Verified
North London, London N2
I am an integrative therapist and supervisor who works with adults in East Finchley in North London and online. The kind of issues that I help clients with include; anxiety, panic attacks, low mood, depression, relationship problems, jealousy, stress, repeated unwanted patterns of behaviour, work problems, grief and loss, low self esteem, self-harming or suicidal thoughts, addictions, anger, and body image or eating issues.
I am an integrative therapist and supervisor who works with adults in East Finchley in North London and online. The kind of issues that I help clients with include; anxiety, panic attacks, low mood, depression, relationship problems, jealousy, stress, repeated unwanted patterns of behaviour, work problems, grief and loss, low self esteem, self-harming or suicidal thoughts, addictions, anger, and body image or eating issues.
020 3987 4651 View 020 3987 4651
Photo of Jana Bystrianska, Counsellor in North London, London, England
Jana Bystrianska
Counsellor, BACP
Verified Verified
North London, London N4
and bereavement issues, self-harm, and suicidal thoughts, issues related to aging, identity issues.
I am a BACP registered integrative counsellor, experienced in working with a variety of clients and issues. I offer a non-judgmental and confidential space where you can explore whatever might be troubling you. My approach is to bring warmth and compassion to my understanding of a range of different psychotherapeutic traditions. Living and practicing in London means that I work in a culturally informed way, taking into account all the diverse influences which form each of us as human beings. I have experience in working with relationship challenges and family struggles, childhood traumas, stress, anxiety, and depression, loss
and bereavement issues, self-harm, and suicidal thoughts, issues related to aging, identity issues.
I am a BACP registered integrative counsellor, experienced in working with a variety of clients and issues. I offer a non-judgmental and confidential space where you can explore whatever might be troubling you. My approach is to bring warmth and compassion to my understanding of a range of different psychotherapeutic traditions. Living and practicing in London means that I work in a culturally informed way, taking into account all the diverse influences which form each of us as human beings. I have experience in working with relationship challenges and family struggles, childhood traumas, stress, anxiety, and depression, loss
020 3835 5426 View 020 3835 5426
Photo of Dr Charlotte Whiteley, Psychologist in North London, London, England
Dr Charlotte Whiteley
Psychologist, PsychD, HCPC - Couns. Psych.
Verified Verified
North London, London N6
I have worked in a number of different NHS settings including Anxiety and Mood service the Gender Identity Clinic, Eating Disorder Service, and a specialist service for people with suicidal thoughts and feelings.
I am a chartered psychologist drawing on eastern philosophies, compassion focused practices and evidence based psychology to help clients fully understand experiences, to create dialogue and compassion for all the different emotions, thoughts, behaviours, impulses experienced. Living as a human can be confusing, complex and lonely and through my work I help clients to create more clarity and to develop ways of offering kindness to painful experience. I draw on talking, role plays, meditations, visualisations and other practices that might help get to know experiences in more depth.
I have worked in a number of different NHS settings including Anxiety and Mood service the Gender Identity Clinic, Eating Disorder Service, and a specialist service for people with suicidal thoughts and feelings.
I am a chartered psychologist drawing on eastern philosophies, compassion focused practices and evidence based psychology to help clients fully understand experiences, to create dialogue and compassion for all the different emotions, thoughts, behaviours, impulses experienced. Living as a human can be confusing, complex and lonely and through my work I help clients to create more clarity and to develop ways of offering kindness to painful experience. I draw on talking, role plays, meditations, visualisations and other practices that might help get to know experiences in more depth.
020 3984 9107 View 020 3984 9107
Photo of Reema Patel, Counsellor in North London, London, England
Reema Patel
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
North London, London N1  (Online Only)
I have 20+ years experience working with clients who have complex mental health needs and a forensic past, and those who are highly sensitive and experience their emotions more intensely than the average person. I support clients who present with a wide range of interpersonal and relationship difficulties, emotion regulation disorders such as BPD, childhood abuse, bereavement and loss, eating disorders, depression and anxiety and suicidal and self-harming behaviours. I offer clients a thorough assessment of their life history as well as identifying current needs and goals, and a clear, well-defined treatment package.
I have 20+ years experience working with clients who have complex mental health needs and a forensic past, and those who are highly sensitive and experience their emotions more intensely than the average person. I support clients who present with a wide range of interpersonal and relationship difficulties, emotion regulation disorders such as BPD, childhood abuse, bereavement and loss, eating disorders, depression and anxiety and suicidal and self-harming behaviours. I offer clients a thorough assessment of their life history as well as identifying current needs and goals, and a clear, well-defined treatment package.
020 3826 8325 View 020 3826 8325
Photo of Rainbow Hart, Counsellor in North London, London, England
Rainbow Hart
Counsellor, BACP
Verified Verified
North London, London N10  (Online Only)
My experience includes: Addiction, PTSD and CPTSD, domestic violence, emotional abuse and coercion, bereavement and loss, depression, low self-esteem, kink aware, LGBT, family enmeshment, emotional numbness, loss of meaning, generational trauma, suicidal ideation, anxiety and panic attacks, relationship issues, life changes, stress, abandonment.
To me, psychotherapy is the opportunity to explore, and eventually accept yourself fully – to deepen your understanding of yourself, your responses, and your relationship with the people and the world around you. A process of awareness that can help you learn and heal from the trauma of your past. I had an unusual upbringing with very 'alternative' parents (hence the name) which meant that I was exposed to many weird and wonderful people, ideas and experiences from an early age. This came with its ups and downs, but fundamentally it has helped me develop a deep understanding of what it means to be human, and all that brings.
My experience includes: Addiction, PTSD and CPTSD, domestic violence, emotional abuse and coercion, bereavement and loss, depression, low self-esteem, kink aware, LGBT, family enmeshment, emotional numbness, loss of meaning, generational trauma, suicidal ideation, anxiety and panic attacks, relationship issues, life changes, stress, abandonment.
To me, psychotherapy is the opportunity to explore, and eventually accept yourself fully – to deepen your understanding of yourself, your responses, and your relationship with the people and the world around you. A process of awareness that can help you learn and heal from the trauma of your past. I had an unusual upbringing with very 'alternative' parents (hence the name) which meant that I was exposed to many weird and wonderful people, ideas and experiences from an early age. This came with its ups and downs, but fundamentally it has helped me develop a deep understanding of what it means to be human, and all that brings.
020 3984 8949 View 020 3984 8949
Photo of Frederica M Taylor, Counsellor in North London, London, England
Frederica M Taylor
Counsellor, MBACP
Verified Verified
North London, London N1  (Online Only)
I have experience of working with clients with a wide variety of issues including depression, anger, anxiety, panic attacks, bereavement, loss, stress, low self esteem, self-harm, suicidal ideation and relationship issues. We all deal with emotional issues in our lives from time to time and it is when those issues become overwhelming and begin to get in the way of us living a fulfilling life, that it might be the right time to seek counselling. In my practice I offer a genuine, friendly and non-judgmental relationship with my clients.
I have experience of working with clients with a wide variety of issues including depression, anger, anxiety, panic attacks, bereavement, loss, stress, low self esteem, self-harm, suicidal ideation and relationship issues. We all deal with emotional issues in our lives from time to time and it is when those issues become overwhelming and begin to get in the way of us living a fulfilling life, that it might be the right time to seek counselling. In my practice I offer a genuine, friendly and non-judgmental relationship with my clients.
01722 448359 View 01722 448359
Photo of Fiona Kau, Psychotherapist in North London, London, England
Fiona Kau
Psychotherapist, MBACP
Verified Verified
1 Endorsed
North London, London N4
I am a dedicated psychotherapist and Counselling Psychologist in Training working with clients who experience a variety of personal challenges. These range from anxiety to low self-esteem, difficulties sleeping, feeling depressed, burnt out, or suicidal, finding it hard to focus or stay motivated at work, or looking for direction and purpose in their lives. Others may be facing conflict or doubts in their relationships, have experienced trauma or addiction, and feel cut off or on edge. Through therapy, they hope to gain a better understanding of themselves and others, improve their mental health and relationships, and find purpose.
I am a dedicated psychotherapist and Counselling Psychologist in Training working with clients who experience a variety of personal challenges. These range from anxiety to low self-esteem, difficulties sleeping, feeling depressed, burnt out, or suicidal, finding it hard to focus or stay motivated at work, or looking for direction and purpose in their lives. Others may be facing conflict or doubts in their relationships, have experienced trauma or addiction, and feel cut off or on edge. Through therapy, they hope to gain a better understanding of themselves and others, improve their mental health and relationships, and find purpose.
020 3869 5830 View 020 3869 5830
Photo of Amanda Sandeman, Counsellor in North London, London, England
Amanda Sandeman
Counsellor, MBACP Accred
Verified Verified
1 Endorsed
North London, London N1
In an ideal world, we would feel unconditionally loved and accepted, free to be openly ourselves, able to develop and maintain meaningful relationships and eager to explore the world around us. The reality is that many of us have had challenging experiences in our lives and we carry inner hurts and wounds. You may be experiencing overwhelming anxiety and/or panic attacks. You may feel depressed, stressed, worthless or have suicidal thoughts. Feelings of anger, sadness, grief, tearfulness or loneliness may be unbearable, perhaps due to bereavement, trauma, abuse or family issues. Maybe you struggle with low self-esteem.
In an ideal world, we would feel unconditionally loved and accepted, free to be openly ourselves, able to develop and maintain meaningful relationships and eager to explore the world around us. The reality is that many of us have had challenging experiences in our lives and we carry inner hurts and wounds. You may be experiencing overwhelming anxiety and/or panic attacks. You may feel depressed, stressed, worthless or have suicidal thoughts. Feelings of anger, sadness, grief, tearfulness or loneliness may be unbearable, perhaps due to bereavement, trauma, abuse or family issues. Maybe you struggle with low self-esteem.
020 3994 2205 View 020 3994 2205
Photo of Mary Mulherin, Psychotherapist in North London, London, England
Mary Mulherin
Psychotherapist, UKCP Trainee
Verified Verified
North London, London N20
Hi, I'm Mary (she/her), I'm passionate about supporting people with anxiety, suicidal thoughts, and relationship issues. Is your mind constantly racing, worrying whether you said or did the right thing? Wondering if people like you? Did you make the right decision? Do you find yourself beating yourself up when you feel like you've got something wrong and find it hard to let go of things. Maybe you find it hard to stand up for yourself. Life can be so overwhelming sometimes we can feel like we don't want to be here. It's exhausting isn't it! I'm guessing you're here because you're fed up and want something to change. I can help you.
Hi, I'm Mary (she/her), I'm passionate about supporting people with anxiety, suicidal thoughts, and relationship issues. Is your mind constantly racing, worrying whether you said or did the right thing? Wondering if people like you? Did you make the right decision? Do you find yourself beating yourself up when you feel like you've got something wrong and find it hard to let go of things. Maybe you find it hard to stand up for yourself. Life can be so overwhelming sometimes we can feel like we don't want to be here. It's exhausting isn't it! I'm guessing you're here because you're fed up and want something to change. I can help you.
01245 950493 View 01245 950493
Photo of Chris Wilson, Psychotherapist in North London, London, England
Chris Wilson
Psychotherapist, DCounsPsych, MUKCP
Verified Verified
North London, London N7
Are you finding it hard to connect with other people or a sense of meaning? Maybe you struggle with obsessive compulsions and/or addictions. You may have occasional suicidal thoughts, or spend a lot of time searching for answers and wondering what might be wrong with you. It could be that you're finding it hard to motivate yourself in the usual way, or to feel enthusiastic about your future. Perhaps you've reached your goals and are disappointed to discover that, still, something vital is missing.
Are you finding it hard to connect with other people or a sense of meaning? Maybe you struggle with obsessive compulsions and/or addictions. You may have occasional suicidal thoughts, or spend a lot of time searching for answers and wondering what might be wrong with you. It could be that you're finding it hard to motivate yourself in the usual way, or to feel enthusiastic about your future. Perhaps you've reached your goals and are disappointed to discover that, still, something vital is missing.
020 4538 7831 View 020 4538 7831
Photo of Aphrodite Vasili, Counsellor in North London, London, England
Aphrodite Vasili
Counsellor, MBACP Accred
Verified Verified
North London, London N14
Would you like to change the way you feel sometimes, or be able to handle certain situations better? Perhaps your relationship has come to a stale mate and you need somewhere to explore your feelings and thoughts? I have helped people with anxiety/stress, relationship issues, depression, suicidal thoughts, work and family conflicts, loneliness, trauma and much more. I am trained in Couples Therapy should you wish to explore this avenue with your partner.
Would you like to change the way you feel sometimes, or be able to handle certain situations better? Perhaps your relationship has come to a stale mate and you need somewhere to explore your feelings and thoughts? I have helped people with anxiety/stress, relationship issues, depression, suicidal thoughts, work and family conflicts, loneliness, trauma and much more. I am trained in Couples Therapy should you wish to explore this avenue with your partner.
07447 954253 View 07447 954253
Photo of Sam Grayston, Counsellor in North London, London, England
Sam Grayston
Counsellor, MBACP
Verified Verified
North London, London N17
I work with individual adults of all ages, both face-to-face and online. I provide 50-minute, once-weekly counselling on a short-term, medium-term or open-ended basis. I can provide help in many areas, including but not limited to: Anxiety, Identity/Sense of Self, Challenges experienced by the LGBTQIA+ community, Relationship Difficulties, Navigating Non-Monogamy and Polyamory, Trauma, Bereavement/Loss, Anger Management, Gendered Experience, End of Life/Chronic Illness, Self-Harm and Suicidal Thoughts and Stress.
I work with individual adults of all ages, both face-to-face and online. I provide 50-minute, once-weekly counselling on a short-term, medium-term or open-ended basis. I can provide help in many areas, including but not limited to: Anxiety, Identity/Sense of Self, Challenges experienced by the LGBTQIA+ community, Relationship Difficulties, Navigating Non-Monogamy and Polyamory, Trauma, Bereavement/Loss, Anger Management, Gendered Experience, End of Life/Chronic Illness, Self-Harm and Suicidal Thoughts and Stress.
020 3322 1280 View 020 3322 1280
Photo of Anne Lucas - Counselling - Psychotherapy, Counsellor in North London, London, England
Anne Lucas - Counselling - Psychotherapy
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
North London, London N1
But, thanks to my own background, I often see parents, people across cultures/economic backgrounds, expatriates, professionals/executives, & people with suicidal ideation, going through major life changes or affected by trauma.
Are you feeling exhausted by life’s demands? Prehards you’ve always felt alone. Maybe you feel emotionally overwhelmed right now. Life can be difficult, and some experiences are profoundly painful. While everyone's challenges are unique, asking for help is always nerve-wracking; it takes a leap of faith to reach out! Still, therapy can change your life. I’m an experienced and fully qualified therapist registered with the British Association of Counsellors & Psychotherapists. I offer individual counselling and psychotherapy sessions for adults of varying lengths, in either French (mother tongue) or English, according to your needs.
But, thanks to my own background, I often see parents, people across cultures/economic backgrounds, expatriates, professionals/executives, & people with suicidal ideation, going through major life changes or affected by trauma.
Are you feeling exhausted by life’s demands? Prehards you’ve always felt alone. Maybe you feel emotionally overwhelmed right now. Life can be difficult, and some experiences are profoundly painful. While everyone's challenges are unique, asking for help is always nerve-wracking; it takes a leap of faith to reach out! Still, therapy can change your life. I’m an experienced and fully qualified therapist registered with the British Association of Counsellors & Psychotherapists. I offer individual counselling and psychotherapy sessions for adults of varying lengths, in either French (mother tongue) or English, according to your needs.
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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.