Suicidal Ideation Counselling in Nailsea

Photo of Deborah Nicola Suzanne Fryer, MBACP, Counsellor
Deborah Nicola Suzanne Fryer
Counsellor, MBACP
Verified Verified
Nailsea BS48
I have experience supporting people with the following: Alzheimer’s – Anxiety – Bereavement – Low Self-Esteem – OCD – Panic Attacks – Stress – Suicidal Thoughts - Trauma.
Are you feeling so overwhelmed that you feel out of your depth? Or experiencing a sense of loss, unable to cope? Fear is our worst enemy, and we will try and find a way of taking back control. If you feel you are struggling there is a strength in reaching out for support. Counselling helps you to gain a better understanding of self through the therapeutic process, and I believe we are all unique and have the potential to change, therefore develop a belief in your ability to cope. You will begin to make sense of the past and begin to recognise your true self.
I have experience supporting people with the following: Alzheimer’s – Anxiety – Bereavement – Low Self-Esteem – OCD – Panic Attacks – Stress – Suicidal Thoughts - Trauma.
Are you feeling so overwhelmed that you feel out of your depth? Or experiencing a sense of loss, unable to cope? Fear is our worst enemy, and we will try and find a way of taking back control. If you feel you are struggling there is a strength in reaching out for support. Counselling helps you to gain a better understanding of self through the therapeutic process, and I believe we are all unique and have the potential to change, therefore develop a belief in your ability to cope. You will begin to make sense of the past and begin to recognise your true self.
0117 456 2191 View 0117 456 2191
Photo of Jess Foster, MA, MBACP, Counsellor
Jess Foster
Counsellor, MA, MBACP
Verified Verified
1 Endorsed
Nailsea BS48
You may be looking for help around something specific such as difficult feelings or aspects of your life have become overwhelming or unmanageable, or maybe it is to understand and heal from past experiences. Whatever your reason for seeking counselling my aim is to help you to make sense of why you feel the way you do and to help you move through this difficult period in your life. I fundamentally believe that gaining insight and awareness through the process of counselling and psychotherapy facilitates healing and being able to find a new way forward.
You may be looking for help around something specific such as difficult feelings or aspects of your life have become overwhelming or unmanageable, or maybe it is to understand and heal from past experiences. Whatever your reason for seeking counselling my aim is to help you to make sense of why you feel the way you do and to help you move through this difficult period in your life. I fundamentally believe that gaining insight and awareness through the process of counselling and psychotherapy facilitates healing and being able to find a new way forward.
01747 448019 View 01747 448019
Photo of Jane Gurney - Full Circle Counselling, MNCPS Acc., Counsellor
Full Circle Counselling
Counsellor, MNCPS Acc.
Verified Verified
1 Endorsed
Nailsea BS48
With no waiting list and sessions available I can offer counselling & hypnotherapy to help you recover from depression, fear and anxiety through motivation & perspective thus finding the joy that you once had in your life. Anxiety, fear & hopelessness are some emotions that can linger post traumatic events, again I can help you overcome these symptoms. Loss of a loved one or diagnoses of a life limiting condition are devastating events & the pain of this sometimes unbearable. Feelings of guilt, anger & grief can become apparent & each individual responds differently. I am here to help you through your concerns of the future.
With no waiting list and sessions available I can offer counselling & hypnotherapy to help you recover from depression, fear and anxiety through motivation & perspective thus finding the joy that you once had in your life. Anxiety, fear & hopelessness are some emotions that can linger post traumatic events, again I can help you overcome these symptoms. Loss of a loved one or diagnoses of a life limiting condition are devastating events & the pain of this sometimes unbearable. Feelings of guilt, anger & grief can become apparent & each individual responds differently. I am here to help you through your concerns of the future.
0117 325 2304 View 0117 325 2304
Photo of Emily Hall, BACP, Counsellor
Emily Hall
Counsellor, BACP
Verified Verified
Nailsea BS48
Everyone needs to feel valued, understood and connected, and yet throughout life there can be times when we face challenges, struggles, or difficulties. These are the times when counselling can offer a safe and confidential place where you have the chance to share and explore your feelings. I offer a calm, welcoming, and compassionate space where you will be listened to without judgement, and with empathy and understanding. Led by you, we can work together, using reflection and exploration to help develop and enhance your own unique strengths and create opportunities for growth and positive change.
Everyone needs to feel valued, understood and connected, and yet throughout life there can be times when we face challenges, struggles, or difficulties. These are the times when counselling can offer a safe and confidential place where you have the chance to share and explore your feelings. I offer a calm, welcoming, and compassionate space where you will be listened to without judgement, and with empathy and understanding. Led by you, we can work together, using reflection and exploration to help develop and enhance your own unique strengths and create opportunities for growth and positive change.
07480 639146 View 07480 639146
Photo of Aurelia Sleigh, BACP, Counsellor
Aurelia Sleigh
Counsellor, BACP
Verified Verified
Nailsea BS48  (Online Only)
We are currently living in a really unprecedented, uncertain and confusing time. Anxiety can rise, health anxiety feels very real, we can feel confused and lonely wondering how can we reach out and feel less alone, along with feeling listened to and supported. At the moment, every day there are new messages from the media, social media, and even the Government, which can feel overwhelming. Being able to sit with the unknown, the uncertainty of what will and is happening can feel really challenging.
We are currently living in a really unprecedented, uncertain and confusing time. Anxiety can rise, health anxiety feels very real, we can feel confused and lonely wondering how can we reach out and feel less alone, along with feeling listened to and supported. At the moment, every day there are new messages from the media, social media, and even the Government, which can feel overwhelming. Being able to sit with the unknown, the uncertainty of what will and is happening can feel really challenging.
07411 113466 View 07411 113466

More Therapists Nearby

Photo of Lynette Brice (In Safe Hands Counselling), MBACP, Counsellor
Lynette Brice (In Safe Hands Counselling)
Counsellor, MBACP
Verified Verified
Weston-super-Mare BS22  (Online Only)
I specialise with the LGBT+ community, including their family and friends. I can offer a non-judgemental, gentle, accepting confidential space for you to share your issues and concerns, knowing you will not be rejected or discriminated against. I have lived experience of transgender identities, as my son is transgender. I have witnessed the high mental health conditions, suicidal ideation, including self-harm, and loss faced by LGBT+ individuals that I have counselled, along with the hurdles my son has encountered during his transition. I would like to walk with you along your pathway, and consider myself privileged to do so.
I specialise with the LGBT+ community, including their family and friends. I can offer a non-judgemental, gentle, accepting confidential space for you to share your issues and concerns, knowing you will not be rejected or discriminated against. I have lived experience of transgender identities, as my son is transgender. I have witnessed the high mental health conditions, suicidal ideation, including self-harm, and loss faced by LGBT+ individuals that I have counselled, along with the hurdles my son has encountered during his transition. I would like to walk with you along your pathway, and consider myself privileged to do so.
01275 409794 View 01275 409794
Photo of Lynda Chebbihi, MBACP, Psychotherapist
Lynda Chebbihi
Psychotherapist, MBACP
Verified Verified
Bristol BS1
I am a qualified Applied Psychologist and Psychotherapist, specialised in trauma (including childhood trauma). I offer a safe and confidential space to explore together any posttraumatic symptoms, suicidal thoughts, relationship issues and grief. I engage to meet your experiences with full acceptance, care, and empathic understanding to help you find your own innate resources to adapt and feel good about yourself.
I am a qualified Applied Psychologist and Psychotherapist, specialised in trauma (including childhood trauma). I offer a safe and confidential space to explore together any posttraumatic symptoms, suicidal thoughts, relationship issues and grief. I engage to meet your experiences with full acceptance, care, and empathic understanding to help you find your own innate resources to adapt and feel good about yourself.
01224 945576 View 01224 945576
Photo of Noemia Ventura Purcell, MBACP, Counsellor
Noemia Ventura Purcell
Counsellor, MBACP
Verified Verified
Bristol BS8
My counselling approach is collaborative, which can help individuals with a wide range of issues such as, anxiety, depression, trauma, self-harm, suicidal thoughts, lack of confidence and other related conditons.
Counselling provides a confidential and safe space to talk about anything that may be worrying you. It can often help you to understand more about the difficult or troubling thoughts that can be a common experience at any time in our lives. My aim is to listen attentively, in confidence, and to be non-judgemental. I offer personal support to enable my clients to explore their inner-selves and their feelings in order to help them to achieve personal growth.
My counselling approach is collaborative, which can help individuals with a wide range of issues such as, anxiety, depression, trauma, self-harm, suicidal thoughts, lack of confidence and other related conditons.
Counselling provides a confidential and safe space to talk about anything that may be worrying you. It can often help you to understand more about the difficult or troubling thoughts that can be a common experience at any time in our lives. My aim is to listen attentively, in confidence, and to be non-judgemental. I offer personal support to enable my clients to explore their inner-selves and their feelings in order to help them to achieve personal growth.
0117 456 5531 View 0117 456 5531
Photo of Mike Jackson, MNCPS Acc., Counsellor
Mike Jackson
Counsellor, MNCPS Acc.
Verified Verified
Weston-super-Mare BS22
I also support stress, anxiety, depression, relationships/friendships, work-related, life-limiting illnesses, suicide prevention, suicide bereavement, self-harm, & counselling young people & adults.
Sliding scale available £25-£65. I am Mike & I am a qualified counsellor & supervisor with many years of experience working with adults & young people in various settings. I am a person-centred counsellor using an integrative framework. My work is underpinned by different approaches including humanistic approaches, cognitive behavioural therapy, Mindfulness, solution-focused and creative ways of working. I have varied qualifications and experience including a Diploma Level 5, accredited by the National Counselling & Psychotherapy Society MNCPS (Acc.). I provide face-to-face in Puriton, online and telephone counselling See my website
I also support stress, anxiety, depression, relationships/friendships, work-related, life-limiting illnesses, suicide prevention, suicide bereavement, self-harm, & counselling young people & adults.
Sliding scale available £25-£65. I am Mike & I am a qualified counsellor & supervisor with many years of experience working with adults & young people in various settings. I am a person-centred counsellor using an integrative framework. My work is underpinned by different approaches including humanistic approaches, cognitive behavioural therapy, Mindfulness, solution-focused and creative ways of working. I have varied qualifications and experience including a Diploma Level 5, accredited by the National Counselling & Psychotherapy Society MNCPS (Acc.). I provide face-to-face in Puriton, online and telephone counselling See my website
07555 597600 View 07555 597600
Photo of Annalisa Barnes, MBACP Accred, Counsellor
Annalisa Barnes
Counsellor, MBACP Accred
Verified Verified
Weston-super-Mare BS22
Hi, I am Annalisa and welcome to my profile. I provide a welcome, safe and confidential environment in which you can express your emotions and thoughts without being judged. I work with a wide range of clients with issues regarding, PTSD (Post Traumatic Stress Disorder) suicidal ideation, self-harm, depression, addiction, anxiety, stress, low self-esteem, abuse, anger management, bereavement, loss, relationships, trauma and many more.  I specialise in helping people identify and achieve their personal goals by coping with the issues that are causing them distress.
Hi, I am Annalisa and welcome to my profile. I provide a welcome, safe and confidential environment in which you can express your emotions and thoughts without being judged. I work with a wide range of clients with issues regarding, PTSD (Post Traumatic Stress Disorder) suicidal ideation, self-harm, depression, addiction, anxiety, stress, low self-esteem, abuse, anger management, bereavement, loss, relationships, trauma and many more.  I specialise in helping people identify and achieve their personal goals by coping with the issues that are causing them distress.
01747 441013 View 01747 441013
Photo of Addam Merali-Younger, MA, MNCPS Acc., Counsellor
Addam Merali-Younger
Counsellor, MA, MNCPS Acc.
Verified Verified
2 Endorsed
Bristol BS6
Hey, I’m Addam. Finding support at a difficult time can be challenging, so I’m glad you’re here. Whatever your reasons for seeking out counselling, I am here to listen, aim to understand and to work collaboratively with you to create a space where you can process and explore what you need to at your own pace. I have experience working with anxiety, identity, racialised trauma, migrant trauma, self-esteem, shame and suicidal ideation, and a wide range of issues connected to gender, sexuality and relationship diversity. Whilst these may or may not be the focus of our work together, the space is there for these aspects if you need it.
Hey, I’m Addam. Finding support at a difficult time can be challenging, so I’m glad you’re here. Whatever your reasons for seeking out counselling, I am here to listen, aim to understand and to work collaboratively with you to create a space where you can process and explore what you need to at your own pace. I have experience working with anxiety, identity, racialised trauma, migrant trauma, self-esteem, shame and suicidal ideation, and a wide range of issues connected to gender, sexuality and relationship diversity. Whilst these may or may not be the focus of our work together, the space is there for these aspects if you need it.
0117 463 3671 View 0117 463 3671
Photo of Natasha Menoni - Natasha Menoni: ADHD & Autism Specialist, MSc, HCPC - Couns. Psych., Psychologist
Natasha Menoni: ADHD & Autism Specialist
Psychologist, MSc, HCPC - Couns. Psych.
Verified Verified
Bristol BS1  (Online Only)
My expertise acknowledges challenges neurodivergent individuals may encounter including: anxiety, social anxiety, depression, perfectionism, people pleasing, addiction, anger management, autistic burnout, OCD, low self esteem, suicidal ideation, eating disorders, trauma.
I am an HCPC registered Counselling Psychologist dedicated to serving adults who have been diagnosed or believe they might have Autism and/or ADHD. I invite you to work together on a therapeutic journey especially catered to your goals and needs. We can work together to identify and make the most out of your own unique strengths, establish robust coping strategies, and build self-awareness to develop a greater understanding of yourself so you can live a more fulfilling life.
My expertise acknowledges challenges neurodivergent individuals may encounter including: anxiety, social anxiety, depression, perfectionism, people pleasing, addiction, anger management, autistic burnout, OCD, low self esteem, suicidal ideation, eating disorders, trauma.
I am an HCPC registered Counselling Psychologist dedicated to serving adults who have been diagnosed or believe they might have Autism and/or ADHD. I invite you to work together on a therapeutic journey especially catered to your goals and needs. We can work together to identify and make the most out of your own unique strengths, establish robust coping strategies, and build self-awareness to develop a greater understanding of yourself so you can live a more fulfilling life.
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Photo of Emma Reeves, MSc, HCPC-Art Therap., Psychotherapist
Emma Reeves
Psychotherapist, MSc, HCPC-Art Therap.
Verified Verified
Bristol BS6
I am specialised in working with trauma and have worked with a wide range of issues with clients: sexual abuse, domestic abuse, physical abuse, bereavement, suicide, adoption, looked after children/ young people.
I am Art Psychotherapist providing art therapy sessions to adults and young adults in Bristol. I have 15 years experience practicing as an Art Psychotherapist with children, young people and adults in the voluntary sector. I am currently working within the Child and Adolescent Mental Health Service. I am familiar with working with the wide range of symptoms arising from trauma such as: anxiety, depression, self harm, behavioural difficulties, dissociation, hyperactivity, hypervigilance, eating difficulties, social difficulties, anger, aggression, etc. I am specialised in working with trauma.
I am specialised in working with trauma and have worked with a wide range of issues with clients: sexual abuse, domestic abuse, physical abuse, bereavement, suicide, adoption, looked after children/ young people.
I am Art Psychotherapist providing art therapy sessions to adults and young adults in Bristol. I have 15 years experience practicing as an Art Psychotherapist with children, young people and adults in the voluntary sector. I am currently working within the Child and Adolescent Mental Health Service. I am familiar with working with the wide range of symptoms arising from trauma such as: anxiety, depression, self harm, behavioural difficulties, dissociation, hyperactivity, hypervigilance, eating difficulties, social difficulties, anger, aggression, etc. I am specialised in working with trauma.
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Photo of Anna Greenslade (Cbt With Anna), MSc, MBABCP, Psychotherapist
Anna Greenslade (Cbt With Anna)
Psychotherapist, MSc, MBABCP
Verified Verified
4 Endorsed
Bristol BS8  (Online Only)
Hey! I'm Anna, a CBT Therapist specialised in children, pre-teens, adolescents and young adults; ages 5-25. I treat anxiety (social, health, separation, phobias, worry, panic, perfectionism), depression, self esteem, OCD and PTSD / trauma. I help with emotions such as stress, sadness and anger; and self harm, suicidal thoughts and intrusive thoughts. I have 10 years experience across; school, college and university student wellbeing, NHS (CAMHS), inpatient psychiatric care, SEND support, and mental health therapy organisations. My specialist interests lie within the teenager population, social anxiety, OCD.
Hey! I'm Anna, a CBT Therapist specialised in children, pre-teens, adolescents and young adults; ages 5-25. I treat anxiety (social, health, separation, phobias, worry, panic, perfectionism), depression, self esteem, OCD and PTSD / trauma. I help with emotions such as stress, sadness and anger; and self harm, suicidal thoughts and intrusive thoughts. I have 10 years experience across; school, college and university student wellbeing, NHS (CAMHS), inpatient psychiatric care, SEND support, and mental health therapy organisations. My specialist interests lie within the teenager population, social anxiety, OCD.
0117 463 0506 View 0117 463 0506
Photo of Mary Mulherin, UKCP Trainee, Psychotherapist
Mary Mulherin
Psychotherapist, UKCP Trainee
Verified Verified
2 Endorsed
Bristol BS1
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 Kayla Dunkley, MNCPS Acc., Counsellor
Kayla Dunkley
Counsellor, MNCPS Acc.
Verified Verified
Bristol BS6
Hello, my name is Kayla! My areas of experience cover anxiety, overwhelm, anger, depression, trauma, abuse, dissociation, avoidance and suicidal ideation. I am currently specialising in psychological trauma and PTSD treatment, which also includes mood stabilisation and emotion regulation. I have experience working with a diverse spectrum of people across the UK. My client base is adults 16+, and I offer both long term and short term therapy, in peson or online. The modalities I draw from are humanistic, psychodynamic and cognitive therapy.
Hello, my name is Kayla! My areas of experience cover anxiety, overwhelm, anger, depression, trauma, abuse, dissociation, avoidance and suicidal ideation. I am currently specialising in psychological trauma and PTSD treatment, which also includes mood stabilisation and emotion regulation. I have experience working with a diverse spectrum of people across the UK. My client base is adults 16+, and I offer both long term and short term therapy, in peson or online. The modalities I draw from are humanistic, psychodynamic and cognitive therapy.
01275 409703 View 01275 409703
Photo of Ruth Taylor, DCounsPsych, MBACP, Counsellor
Ruth Taylor
Counsellor, DCounsPsych, MBACP
Verified Verified
Bristol BS9
I've worked particularly with anxiety, depression, relationships, bereavement, trauma, suicide, and disordered eating.
Experiences in life can sometimes prevent us from living our life as fully as we would like to or in the way we wish. Anxiety, depression and other issues can leave us feeling confused and stuck, unable to move forward and take charge of our lives. ​ I offer one-one counselling in a private, confidential and safe space. This can help you explore and understand your experiences, your feelings and your thoughts. It can help you consider and deal with the dilemmas and decisions you face and it can help you understand your patterns, to see new perspectives for your future and to regain the confidence to make the changes you want to. ​
I've worked particularly with anxiety, depression, relationships, bereavement, trauma, suicide, and disordered eating.
Experiences in life can sometimes prevent us from living our life as fully as we would like to or in the way we wish. Anxiety, depression and other issues can leave us feeling confused and stuck, unable to move forward and take charge of our lives. ​ I offer one-one counselling in a private, confidential and safe space. This can help you explore and understand your experiences, your feelings and your thoughts. It can help you consider and deal with the dilemmas and decisions you face and it can help you understand your patterns, to see new perspectives for your future and to regain the confidence to make the changes you want to. ​
0117 456 2423 View 0117 456 2423
Photo of Nemisi Chidyausiku - First Intervention Therapy [FIT]
First Intervention Therapy [FIT]
Verified Verified
Bristol BS1
We specialise in meeting client need especially clients experiencing mental health problems. We offer Mental Health Assessments at £1150 per assessment and this includes formulation and report writing; ADHD and/or ASC/ASD Assessments for a working diagnosis at £1300 each. Perhaps you or your child has been on the waiting list for long, then we here to help you. We provide community package to help young people with mental health problems within community settings and call us to discuss further if you need our help or advise. We also provide DBT & CBT and Problem Solving Therapy but we have to make an assessment first.
We specialise in meeting client need especially clients experiencing mental health problems. We offer Mental Health Assessments at £1150 per assessment and this includes formulation and report writing; ADHD and/or ASC/ASD Assessments for a working diagnosis at £1300 each. Perhaps you or your child has been on the waiting list for long, then we here to help you. We provide community package to help young people with mental health problems within community settings and call us to discuss further if you need our help or advise. We also provide DBT & CBT and Problem Solving Therapy but we have to make an assessment first.
020 8159 9730 View 020 8159 9730
Photo of Zoe Newton, BACP, Counsellor
Zoe Newton
Counsellor, BACP
Verified Verified
Bristol BS1
Hi, I'm Zoe! I'm a person-centred counsellor which means we'll work together to explore, process & understand the difficult things you're experiencing and feeling. I won't analyse you, instead I'll be alongside you, offering a warm, accepting space.
Hi, I'm Zoe! I'm a person-centred counsellor which means we'll work together to explore, process & understand the difficult things you're experiencing and feeling. I won't analyse you, instead I'll be alongside you, offering a warm, accepting space.
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Photo of Kate Haskell, MNCPS Acc., Counsellor
Kate Haskell
Counsellor, MNCPS Acc.
Verified Verified
Bristol BS10
"Having space to talk about how I feel is a waste of time"... said: No one ever! Counselling is all it is cracked up to be. Maybe you want to talk to someone but feel unable to share with family or friends. Perhaps you want to make sense of the feelings you are experiencing. People start to heal when they feel truly heard and, by talking things over with a qualified and professional counsellor, it could help you heal from past or present trauma. My approach is Person Centred Therapy and my style is relaxed and friendly. You talk, I listen and together we find a new way of being.
"Having space to talk about how I feel is a waste of time"... said: No one ever! Counselling is all it is cracked up to be. Maybe you want to talk to someone but feel unable to share with family or friends. Perhaps you want to make sense of the feelings you are experiencing. People start to heal when they feel truly heard and, by talking things over with a qualified and professional counsellor, it could help you heal from past or present trauma. My approach is Person Centred Therapy and my style is relaxed and friendly. You talk, I listen and together we find a new way of being.
01392 321635 View 01392 321635

See more therapy options for Nailsea

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.