Suicidal Ideation Counselling in South West London

Photo of Michael Strang, Psychotherapist, MA, MBACP
Michael Strang
Psychotherapist, MA, MBACP
South West London, London SW19
Anxiety, depression, loneliness, stress, relationship and family conflict.. I recognise the pressures of today’s world and the difficulties we often face reconciling our inner needs with the demands of a busy life and the people we share it with. I am an experienced and mature counsellor and psychotherapist, who retrained in this field after 20 years working in a corporate environment. My experience includes work within the NHS and the Samaritans, where I have seen how easily we can lose ourselves and struggle to cope, and how important it is to find a person or place where we can speak openly and be heard without judgement.
Anxiety, depression, loneliness, stress, relationship and family conflict.. I recognise the pressures of today’s world and the difficulties we often face reconciling our inner needs with the demands of a busy life and the people we share it with. I am an experienced and mature counsellor and psychotherapist, who retrained in this field after 20 years working in a corporate environment. My experience includes work within the NHS and the Samaritans, where I have seen how easily we can lose ourselves and struggle to cope, and how important it is to find a person or place where we can speak openly and be heard without judgement.
01372 677110 View 01372 677110
Photo of Kei Lawford, Counsellor, DCounsPsych, MBACP
Kei Lawford
Counsellor, DCounsPsych, MBACP
1 Endorsed
South West London, London SW6
My specialist areas include depression, anxiety, suicidal feelings, low self-esteem, bereavement, anger, family relationships and cultural identity.
Sometimes the way we feel and respond to events in our lives doesn't fit with how we see ourselves and how we ought to behave. What can seem like a never-ending battle to be better, do more, think more positively and ultimately be happier can leave us more isolated and exhausted. My space is dedicated to helping you give voice to what is happening in your life safely and confidentially. As self-exploration can bring up unexpected feelings, I'm here to support you in that process.
My specialist areas include depression, anxiety, suicidal feelings, low self-esteem, bereavement, anger, family relationships and cultural identity.
Sometimes the way we feel and respond to events in our lives doesn't fit with how we see ourselves and how we ought to behave. What can seem like a never-ending battle to be better, do more, think more positively and ultimately be happier can leave us more isolated and exhausted. My space is dedicated to helping you give voice to what is happening in your life safely and confidentially. As self-exploration can bring up unexpected feelings, I'm here to support you in that process.
020 3872 5254 View 020 3872 5254
Photo of Claudine Therese Astles - Claudine Astles, Counsellor, MSc, MBACP
Claudine Astles
Counsellor, MSc, MBACP
South West London, London SW1W
I have worked with adult survivors of sexual abuse and people struggling with ideas of suicide as well as supporting clients to overcome low self esteem, anxiety, and manage the pressures life brings to us all.
The first step towards asking for help can be the hardest. Get in touch and we can take it together. My name is Claudine Astles and I work with clients in the Victoria area of central London, SW1, and also online. I am committed to offering a safe, non-judgemental space in which we can use counselling and therapy to explore your concerns, fears, and anxieties, and work together to help you reconnect with joy. I work with individuals on an open-ended basis or for an agreed time period, with the aim of enabling you to enhance your life and to live it more fully.
I have worked with adult survivors of sexual abuse and people struggling with ideas of suicide as well as supporting clients to overcome low self esteem, anxiety, and manage the pressures life brings to us all.
The first step towards asking for help can be the hardest. Get in touch and we can take it together. My name is Claudine Astles and I work with clients in the Victoria area of central London, SW1, and also online. I am committed to offering a safe, non-judgemental space in which we can use counselling and therapy to explore your concerns, fears, and anxieties, and work together to help you reconnect with joy. I work with individuals on an open-ended basis or for an agreed time period, with the aim of enabling you to enhance your life and to live it more fully.
020 3974 2441 View 020 3974 2441
Photo of Simone Harley, Counsellor, MNCPS Acc.
Simone Harley
Counsellor, MNCPS Acc.
Online Only
I support clients with anxiety, trauma, abuse, self-harm, suicidal ideation, neurodivergence, self-esteem, sexuality and gender concerns, relationships, and emotional wellbeing.
Clients often come to me feeling overwhelmed, misunderstood, or emotionally exhausted after coping alone for a long time. They may be struggling with anxiety, low self-esteem, trauma, or relationship difficulties, or navigating life as a neurodivergent person. Some may be exploring identity or LGBTQ+ experiences. However, they are all looking for a safe, non-judgemental space where they feel truly heard, seen, and valued. Their hopes are to heal, build confidence, improve mental wellbeing, and develop a kinder, more compassionate relationship with themselves, and in turn live their lives happier and to their full potential again.
I support clients with anxiety, trauma, abuse, self-harm, suicidal ideation, neurodivergence, self-esteem, sexuality and gender concerns, relationships, and emotional wellbeing.
Clients often come to me feeling overwhelmed, misunderstood, or emotionally exhausted after coping alone for a long time. They may be struggling with anxiety, low self-esteem, trauma, or relationship difficulties, or navigating life as a neurodivergent person. Some may be exploring identity or LGBTQ+ experiences. However, they are all looking for a safe, non-judgemental space where they feel truly heard, seen, and valued. Their hopes are to heal, build confidence, improve mental wellbeing, and develop a kinder, more compassionate relationship with themselves, and in turn live their lives happier and to their full potential again.
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Justina Smith Counselling
Counsellor, MBACP Accred
Serves Area
I understand how life can sometimes feel like a heavy weight on your shoulders. From stress related to work, family, relationships, past trauma, childhood issues that you may feel have not been explored, sexuality, feelings of being misunderstood or not heard, loneliness, domestic violence, sexual abuse, PTSD, amongst many other issues that are important to you and will therefore become immediately important to me ,as your wellbeing is my main concern. I understand and I am here to listen to your thoughts and feelings and help you to explore your issues and help you with your achievable goals in our safe, confidential space.Leeds 6
I understand how life can sometimes feel like a heavy weight on your shoulders. From stress related to work, family, relationships, past trauma, childhood issues that you may feel have not been explored, sexuality, feelings of being misunderstood or not heard, loneliness, domestic violence, sexual abuse, PTSD, amongst many other issues that are important to you and will therefore become immediately important to me ,as your wellbeing is my main concern. I understand and I am here to listen to your thoughts and feelings and help you to explore your issues and help you with your achievable goals in our safe, confidential space.Leeds 6
01937 227358 View 01937 227358
Photo of Laura Hordern, Counsellor, MBACP
Laura Hordern
Counsellor, MBACP
Serves Area
You may be experiencing a whole range of emotions that has brought you here. Whatever happens next, just know that it is ok to feel whatever you are feeling, and you don't have to go through it alone. I believe that building a strong relationship between yourself, the client, and me, the counsellor, based on trust, openness, and honesty, is key to affecting change and growth within yourself, and it is at the heart of the work that we will do together. You are the expert in your own life, and I am here to help facilitate your own understanding of yourself in a space that is safe and free of judgement.
You may be experiencing a whole range of emotions that has brought you here. Whatever happens next, just know that it is ok to feel whatever you are feeling, and you don't have to go through it alone. I believe that building a strong relationship between yourself, the client, and me, the counsellor, based on trust, openness, and honesty, is key to affecting change and growth within yourself, and it is at the heart of the work that we will do together. You are the expert in your own life, and I am here to help facilitate your own understanding of yourself in a space that is safe and free of judgement.
01273 092083 View 01273 092083
Photo of Margarita Deligianni, Psychotherapist, MA
Margarita Deligianni
Psychotherapist, MA
South West London, London SW19
If you are a client seeking support, you may be looking for a deeper understanding and healing as you navigate challenges such as anxiety, grief, trauma, or relationship issues. Feeling overwhelmed by your emotions, you desire a safe space to explore your thoughts without judgment. You seek insight into your experiences and compassionate guidance to help you navigate life's complexities. Your goals likely include developing healthier coping mechanisms, enhancing self-awareness, and fostering meaningful connections. If you want clarity, peace, and the ability to express yourself authentically, leading to a more fulfilling life.
If you are a client seeking support, you may be looking for a deeper understanding and healing as you navigate challenges such as anxiety, grief, trauma, or relationship issues. Feeling overwhelmed by your emotions, you desire a safe space to explore your thoughts without judgment. You seek insight into your experiences and compassionate guidance to help you navigate life's complexities. Your goals likely include developing healthier coping mechanisms, enhancing self-awareness, and fostering meaningful connections. If you want clarity, peace, and the ability to express yourself authentically, leading to a more fulfilling life.
01929 501497 View 01929 501497
Photo of Abigail Madeley, Counsellor, MBACP
Abigail Madeley
Counsellor, MBACP
Online Only
Perhaps you are here because you are starting to feel stuck, increasingly anxious or like you don't really know yourself? I believe our earliest experiences shape our responses. Over time we can fall into patterns of operating as individuals and in relationships that no longer serve us. I can help you identify these deeply rooted experiences, thoughts and behaviours to gain a sense of strength and agency. Through therapy change is possible. I provide a safe, supportive and non-judgemental environment where together, we can envisage what that could look like for you.
Perhaps you are here because you are starting to feel stuck, increasingly anxious or like you don't really know yourself? I believe our earliest experiences shape our responses. Over time we can fall into patterns of operating as individuals and in relationships that no longer serve us. I can help you identify these deeply rooted experiences, thoughts and behaviours to gain a sense of strength and agency. Through therapy change is possible. I provide a safe, supportive and non-judgemental environment where together, we can envisage what that could look like for you.
020 4538 1852 View 020 4538 1852
Photo of Anthony Furlong, Psychotherapist, PhD, BACP
Anthony Furlong
Psychotherapist, PhD, BACP
South West London, London SW9
Hello, I'm Tony and I'm an integrative therapist originally from Yorkshire. I pride myself on my warm, present and calm nature. I am passionate about working in a way that allows you to explore your relationships with yourself and others, and healing in the process. I work integratively, which essentially means that I'm trained to use different approaches and tools based on you and your needs. This brings flexibility to our collaborative online therapy sessions. I am trained to work across different areas such as anxiety, depression, OCD, attachment, sexual health, sexual addiction, gender, sexuality, body image and relationships.
Hello, I'm Tony and I'm an integrative therapist originally from Yorkshire. I pride myself on my warm, present and calm nature. I am passionate about working in a way that allows you to explore your relationships with yourself and others, and healing in the process. I work integratively, which essentially means that I'm trained to use different approaches and tools based on you and your needs. This brings flexibility to our collaborative online therapy sessions. I am trained to work across different areas such as anxiety, depression, OCD, attachment, sexual health, sexual addiction, gender, sexuality, body image and relationships.
020 4538 8527 View 020 4538 8527
Photo of Hannah Tottenham, Psychotherapist, MA, HCPC-Drama Therap.
Hannah Tottenham
Psychotherapist, MA, HCPC-Drama Therap.
Online Only
Waitlist for new clients
My professional expertise is in working with neurodivergent folks of all ages; those struggling with trauma and PTSD; people living with and beyond cancer and their carers; people struggling with eating disorders, body image and identity; child and adult bereavement. This wide experience has shown me how common inner struggles are, and how exploring our stories with curiosity can help us make changes in the here-and-now. I’m also a certified Therapeutic Game Master offering TTRPG therapy groups that use collaborative storytelling to build insight, confidence, and communication skills in an affirming, imaginative environment.
My professional expertise is in working with neurodivergent folks of all ages; those struggling with trauma and PTSD; people living with and beyond cancer and their carers; people struggling with eating disorders, body image and identity; child and adult bereavement. This wide experience has shown me how common inner struggles are, and how exploring our stories with curiosity can help us make changes in the here-and-now. I’m also a certified Therapeutic Game Master offering TTRPG therapy groups that use collaborative storytelling to build insight, confidence, and communication skills in an affirming, imaginative environment.
020 4530 8418 View 020 4530 8418
Photo of Odin Parmenter, Psychotherapist, MBACP
Odin Parmenter
Psychotherapist, MBACP
South West London, London SW17
Taking the first step to connect with a therapist takes courage, and I commend you for considering this journey towards self-discovery and healing. I'm here to support you. In a world where navigating challenges like anxiety, depression, ADHD, or familial struggles can feel overwhelming, my tailored approach aims to provide understanding and personalised support. Whether it's addressing stress, trauma, bereavement, LGBTQ+ challenges, or bolstering self-esteem - our collaborative journey focuses on exploring your experience and crafting strategies to empower your resilience and growth.
Taking the first step to connect with a therapist takes courage, and I commend you for considering this journey towards self-discovery and healing. I'm here to support you. In a world where navigating challenges like anxiety, depression, ADHD, or familial struggles can feel overwhelming, my tailored approach aims to provide understanding and personalised support. Whether it's addressing stress, trauma, bereavement, LGBTQ+ challenges, or bolstering self-esteem - our collaborative journey focuses on exploring your experience and crafting strategies to empower your resilience and growth.
020 3728 8256 View 020 3728 8256
Photo of Zuzana Kucerova - Reconnect Psychotherapy, Psychotherapist, MSc, MBACP
Reconnect Psychotherapy
Psychotherapist, MSc, MBACP
South West London, London SW20
I work with adults and young people (16+) whose sense of self, emotional balance, or relationships have been shaped by difficult or traumatic relational experiences. This may include the effects of emotionally harmful relationships, including those involving narcissistic patterns. Many clients come seeking understanding, stability, and a way to move forward. Often, confusion about what happened, unhelpful beliefs, and unprocessed memories stand in the way of clarity, peace, and self-compassion. I support clients in understanding these obstacles so that greater clarity and lightness can emerge.
I work with adults and young people (16+) whose sense of self, emotional balance, or relationships have been shaped by difficult or traumatic relational experiences. This may include the effects of emotionally harmful relationships, including those involving narcissistic patterns. Many clients come seeking understanding, stability, and a way to move forward. Often, confusion about what happened, unhelpful beliefs, and unprocessed memories stand in the way of clarity, peace, and self-compassion. I support clients in understanding these obstacles so that greater clarity and lightness can emerge.
020 3960 5356 View 020 3960 5356
Photo of Michelle Qureshi, Counsellor, DCounsPsych, BACP
Michelle Qureshi
Counsellor, DCounsPsych, BACP
South West London, London SW16
At times you may experience a low mood, lack of optimism for your future, stress and anxiety, a traumatic event, a breakdown in relationship, a stressful work environment, low self esteem and confidence. I am here to help you through this process to discover a healthier and more fulfilled you. We will work with what triggers you to feel these emotions, coping strategies combined with life coaching. This will be an exciting time to work on yourself and reach your goals. Sometimes talking the first step to commit to counselling can feel daunting, I will ensure you feel comfortable, understood and relaxed in your sessions.
At times you may experience a low mood, lack of optimism for your future, stress and anxiety, a traumatic event, a breakdown in relationship, a stressful work environment, low self esteem and confidence. I am here to help you through this process to discover a healthier and more fulfilled you. We will work with what triggers you to feel these emotions, coping strategies combined with life coaching. This will be an exciting time to work on yourself and reach your goals. Sometimes talking the first step to commit to counselling can feel daunting, I will ensure you feel comfortable, understood and relaxed in your sessions.
020 8103 5920 View 020 8103 5920
Photo of Maria Pinter, Psychotherapist, MA, MUKCP
Maria Pinter
Psychotherapist, MA, MUKCP
South West London, London SW2
Anxiety, feeling low and experiencing loss are part of everyday life. However, if you feel your emotional life is out of balance and struggle to bounce back or feeling stuck in old patterns that holds you back, it's a good time to reach out for support. Psychotherapy helps you to re-evaluate and make new sense of your life and relationships not just with others but with yourself too. The process offers opportunities to change your internal life to feeling more comfortable, secure and confident and this to translate to being able to form more fulfilling relationships and live a fuller life.
Anxiety, feeling low and experiencing loss are part of everyday life. However, if you feel your emotional life is out of balance and struggle to bounce back or feeling stuck in old patterns that holds you back, it's a good time to reach out for support. Psychotherapy helps you to re-evaluate and make new sense of your life and relationships not just with others but with yourself too. The process offers opportunities to change your internal life to feeling more comfortable, secure and confident and this to translate to being able to form more fulfilling relationships and live a fuller life.
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Photo of Dr Ana Silver, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Ana Silver
Psychologist, PsychD, HCPC - Clin. Psych.
Online Only
I specialise in the treatment of BPD. Clients who have achieved a level of stability and who are seeking to move from a sense of incompleteness toward experiencing sustained joy and a sense of purpose. Typically, once the ability to regulate oneself has been achieved consistently, a longer term sense of emptiness, lack of purpose and lack of sense of self persists. This is a new level of healing that requires a focus on meaning and direction, and a reconnection to a higher sense of purpose that is unique. Clients who are seeking to connect with who they were “supposed to be” beyond the life events that they endured and survived.
I specialise in the treatment of BPD. Clients who have achieved a level of stability and who are seeking to move from a sense of incompleteness toward experiencing sustained joy and a sense of purpose. Typically, once the ability to regulate oneself has been achieved consistently, a longer term sense of emptiness, lack of purpose and lack of sense of self persists. This is a new level of healing that requires a focus on meaning and direction, and a reconnection to a higher sense of purpose that is unique. Clients who are seeking to connect with who they were “supposed to be” beyond the life events that they endured and survived.
020 4572 7075 View 020 4572 7075
Photo of Amy Greiner, Counsellor, MBACP
Amy Greiner
Counsellor, MBACP
South West London, London SW6
Many people come to therapy with me carrying something familiar — anxiety, self-doubt, a sense of pressure, or an ongoing unease — even if they’re not sure why it keeps showing up or why it doesn’t seem to shift. Often, people can recognise what’s happening for them, yet feel frustrated that it continues despite their best efforts. In our work together, how you relate to yourself often comes into focus first, alongside patterns such as overthinking, people-pleasing, or holding yourself to high standards, and questions about identity, belonging, and expectations around how life is supposed to look, and why it no longer fits.
Many people come to therapy with me carrying something familiar — anxiety, self-doubt, a sense of pressure, or an ongoing unease — even if they’re not sure why it keeps showing up or why it doesn’t seem to shift. Often, people can recognise what’s happening for them, yet feel frustrated that it continues despite their best efforts. In our work together, how you relate to yourself often comes into focus first, alongside patterns such as overthinking, people-pleasing, or holding yourself to high standards, and questions about identity, belonging, and expectations around how life is supposed to look, and why it no longer fits.
020 4634 5029 View 020 4634 5029
Photo of Bettina Salzmann - Bettina Salzmann CBT Therapist, Psychotherapist, MBACP
Bettina Salzmann CBT Therapist
Psychotherapist, MBACP
South West London, London SW14
I have worked with individuals presenting with anxiety, General anxiety disorders, depression, stress,OCD, panic attacks, phobias, trauma, PTSD,childhood abuse, domestic violence, autism, agraphobia,bereavement,loss,sudden/ traumatic death,relationship issues, suicide,addiction, eating disorders, bipolar and personality disorder using DBT amongst others.
I am an experienced CBT therapist and integrative counsellor/psychotherapist working in private practice for Anxiety, Trauma, Personality Disorder using DBT, Depression. I use mindfulness with my clients to help them to become more aware of the present moment and in acknowledging feelings and thoughts as they come and go.It’s been accepted as a useful therapy for anxiety and depression for years, and research suggests it's effective when practising reflection on yourself, switching off your auto pilot in order to discover your real feelings, and this can have an positive influence on our well being.
I have worked with individuals presenting with anxiety, General anxiety disorders, depression, stress,OCD, panic attacks, phobias, trauma, PTSD,childhood abuse, domestic violence, autism, agraphobia,bereavement,loss,sudden/ traumatic death,relationship issues, suicide,addiction, eating disorders, bipolar and personality disorder using DBT amongst others.
I am an experienced CBT therapist and integrative counsellor/psychotherapist working in private practice for Anxiety, Trauma, Personality Disorder using DBT, Depression. I use mindfulness with my clients to help them to become more aware of the present moment and in acknowledging feelings and thoughts as they come and go.It’s been accepted as a useful therapy for anxiety and depression for years, and research suggests it's effective when practising reflection on yourself, switching off your auto pilot in order to discover your real feelings, and this can have an positive influence on our well being.
01748 900742 View 01748 900742
Photo of Dr April Haesler, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr April Haesler
Psychologist, DCounsPsych, HCPC - Couns. Psych.
South West London, London SW5
I am a qualified Counselling Psychologist with experience in private practice, specialist charities and the NHS. I am an integrative practitioner, which means I draw on different therapeutic models to tailor the therapy to you and your goals. Therapy should be a collaborative experience where we work together to enable you to become the person you want to be. I have experience working with a diverse range of presentations and difficulties, including trauma, anxiety, depression, narcissism, addiction, relationship difficulties, etc. I offer a safe and reflective space where you can explore your inner and external experiences.
I am a qualified Counselling Psychologist with experience in private practice, specialist charities and the NHS. I am an integrative practitioner, which means I draw on different therapeutic models to tailor the therapy to you and your goals. Therapy should be a collaborative experience where we work together to enable you to become the person you want to be. I have experience working with a diverse range of presentations and difficulties, including trauma, anxiety, depression, narcissism, addiction, relationship difficulties, etc. I offer a safe and reflective space where you can explore your inner and external experiences.
020 3667 9675 View 020 3667 9675
Photo of Kasia Cole, Psychotherapist, MSc, MBACP Accred
Kasia Cole
Psychotherapist, MSc, MBACP Accred
South West London, London SW5
Hello! I offer integrative psychotherapy, typically spanning 8 to 16 sessions or ongoing (weekly or fortnightly), focusing on stress management, neurodiversity, trauma, and relationships. Selecting the right therapy can be daunting, as choosing incorrectly may waste time, money, and healing opportunities. Regardless of the modality, ensure your therapist demonstrates how to balance emotions, thoughts, and manage physical sensations associated with heavy feelings. An effective approach often involves integrating various therapeutic modalities to address your diverse needs comprehensively.
Hello! I offer integrative psychotherapy, typically spanning 8 to 16 sessions or ongoing (weekly or fortnightly), focusing on stress management, neurodiversity, trauma, and relationships. Selecting the right therapy can be daunting, as choosing incorrectly may waste time, money, and healing opportunities. Regardless of the modality, ensure your therapist demonstrates how to balance emotions, thoughts, and manage physical sensations associated with heavy feelings. An effective approach often involves integrating various therapeutic modalities to address your diverse needs comprehensively.
020 3984 9152 View 020 3984 9152
Photo of Fiona McKinstrie, Psychotherapist, MSc, MBACP
Fiona McKinstrie
Psychotherapist, MSc, MBACP
4 Endorsed
South West London, London SW2
Child, adolescent and young adult therapy - Growing up can be hard and the teenage and young adult years can be particularly challenging. It is a time of significant transition, bringing with it creativity, heightened emotions and turbulent feelings. Whilst this period of life can be exhilarating and enriching, it can also stir up feelings of confusion, frustration, loneliness, anger, sadness, shame and anxiety. At times this can lead to depression, anxiety, self-harm or risk taking behaviours.
Child, adolescent and young adult therapy - Growing up can be hard and the teenage and young adult years can be particularly challenging. It is a time of significant transition, bringing with it creativity, heightened emotions and turbulent feelings. Whilst this period of life can be exhilarating and enriching, it can also stir up feelings of confusion, frustration, loneliness, anger, sadness, shame and anxiety. At times this can lead to depression, anxiety, self-harm or risk taking behaviours.
020 4530 8405 View 020 4530 8405

See more therapy options for South West London, London

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.