Suicidal Ideation Therapists in Middleville, MI

Photo of Sadie Crunk, Clinical Social Work/Therapist, LMSW
Sadie Crunk
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Middleville, MI 49333
Life is like a ball of yarn. It starts wrapped up nicely in a neat fashion. As time goes on it becomes tangled, knotted, and difficult to unravel. My goal as a therapist is to help you unravel those difficult emotions and encourage you when it seems like the knot will never come undone. I use body work, mindfulness, and person-centered approaches in my practice. During sessions we may sit on the floor, move our bodies, grab a cozy blanket or have a warm cup of tea. My goal is to help you find a place of peace in life.
Life is like a ball of yarn. It starts wrapped up nicely in a neat fashion. As time goes on it becomes tangled, knotted, and difficult to unravel. My goal as a therapist is to help you unravel those difficult emotions and encourage you when it seems like the knot will never come undone. I use body work, mindfulness, and person-centered approaches in my practice. During sessions we may sit on the floor, move our bodies, grab a cozy blanket or have a warm cup of tea. My goal is to help you find a place of peace in life.
(616) 439-9652 View (616) 439-9652
Photo of Becky Mills, Clinical Social Work/Therapist, LMSW, JD
Becky Mills
Clinical Social Work/Therapist, LMSW, JD
Verified Verified
1 Endorsed
Serves Area
Circumstances are building and you fear that its weight will eventually grow to crush and consume you. You have so much to manage and yet you long to just let go of it all. You’re ready for a change, but it is terrifying. To face it may cause you to crumble, nevertheless, you will yourself to get through each day. If this sounds familiar and you wish to do more than get by, it is possible to flourish again. I aim to create a safe and empowering environment built upon a trusting therapeutic relationship so you can successfully heal from anxiety, depression, trauma, and grief and work toward thriving in your daily life.
Circumstances are building and you fear that its weight will eventually grow to crush and consume you. You have so much to manage and yet you long to just let go of it all. You’re ready for a change, but it is terrifying. To face it may cause you to crumble, nevertheless, you will yourself to get through each day. If this sounds familiar and you wish to do more than get by, it is possible to flourish again. I aim to create a safe and empowering environment built upon a trusting therapeutic relationship so you can successfully heal from anxiety, depression, trauma, and grief and work toward thriving in your daily life.
(616) 537-2805 View (616) 537-2805
Photo of Tara Blury, Clinical Social Work/Therapist, LMSW, CAADC, TF-CBT
Tara Blury
Clinical Social Work/Therapist, LMSW, CAADC, TF-CBT
Verified Verified
Serves Area
Not accepting new clients
My goal is to work together, finding ways to help you improve your life & relationships, feel less anxious/depressed/provide clarity. Sharing your insecurities, fears, hurts, and struggles can be an intimidating experience. I strive to help each of my clients feel comfortable with the therapy process. I have extensive training to help individuals who have experienced many forms of trauma, abuse, grief and loss. I also have many clients who just feel "lost", "anxious", or "depressed" and they benefit greatly from counseling.I am trained in EMDR, TF-CBT, Sensorimotor Processing, CBT, and other therapeutic interventions.
My goal is to work together, finding ways to help you improve your life & relationships, feel less anxious/depressed/provide clarity. Sharing your insecurities, fears, hurts, and struggles can be an intimidating experience. I strive to help each of my clients feel comfortable with the therapy process. I have extensive training to help individuals who have experienced many forms of trauma, abuse, grief and loss. I also have many clients who just feel "lost", "anxious", or "depressed" and they benefit greatly from counseling.I am trained in EMDR, TF-CBT, Sensorimotor Processing, CBT, and other therapeutic interventions.
(616) 871-2053 View (616) 871-2053

More Therapists Nearby

Photo of Ellen R Eggerding, Counselor, MA, LPC
Ellen R Eggerding
Counselor, MA, LPC
Verified Verified
1 Endorsed
Serves Area
I have experience and training in depression, anxiety, panic, suicide, grief and loss, aging issues, and spiritual issues.
Thank you for reaching out. Sometimes life is hard and it can be difficult to know where to turn for the support and acceptance you need to handle the struggles. Anxiety and depression can impact our lives in many ways. Unacknowledged feelings of grief express themselves as irritability, chronic anxiety, low-grade depression, and a negative outlook on life. Come in to a safe place where we will work together to find solutions to help you live your life more fully.
I have experience and training in depression, anxiety, panic, suicide, grief and loss, aging issues, and spiritual issues.
Thank you for reaching out. Sometimes life is hard and it can be difficult to know where to turn for the support and acceptance you need to handle the struggles. Anxiety and depression can impact our lives in many ways. Unacknowledged feelings of grief express themselves as irritability, chronic anxiety, low-grade depression, and a negative outlook on life. Come in to a safe place where we will work together to find solutions to help you live your life more fully.
(616) 201-3025 View (616) 201-3025
Photo of Melissa Muir, Limited Licensed Psychologist, MA, MLP
Melissa Muir
Limited Licensed Psychologist, MA, MLP
Verified Verified
1 Endorsed
Grand Rapids, MI 49546
If you or your child are living with strong emotions, suicide attempts, self-harming, hospitalizations, chronic relationship/behavioral issues, or roller coaster emotions; life is very tough.
Together, we can work through trauma, rage, uncontrolled emotions, depression, anxiety, while learning new skills to go through the world in a healthier way, cope with strong emotions, and build stronger, better, relationships.
If you or your child are living with strong emotions, suicide attempts, self-harming, hospitalizations, chronic relationship/behavioral issues, or roller coaster emotions; life is very tough.
Together, we can work through trauma, rage, uncontrolled emotions, depression, anxiety, while learning new skills to go through the world in a healthier way, cope with strong emotions, and build stronger, better, relationships.
(616) 499-4174 View (616) 499-4174
Photo of Kreg Westergren, Licensed Professional Counselor, MA, LPC, NCC
Kreg Westergren
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Byron Center, MI 49315
Kreg supports teens and adults through life’s complex challenges, trauma, anxiety, depression, suicidal thoughts, and major life transitions.
Kreg’s therapy style is warm, real, and collaborative. He tailors sessions to each client’s unique goals and values, blending practical coping strategies with emotional depth and mindfulness. He supports those working through grief, anger, relationship issues, general mental health, and identity concerns.
Kreg supports teens and adults through life’s complex challenges, trauma, anxiety, depression, suicidal thoughts, and major life transitions.
Kreg’s therapy style is warm, real, and collaborative. He tailors sessions to each client’s unique goals and values, blending practical coping strategies with emotional depth and mindfulness. He supports those working through grief, anger, relationship issues, general mental health, and identity concerns.
(616) 404-4028 x101 View (616) 404-4028 x101
Photo of Mahana Lugo, Licensed Professional Counselor, LPC
Mahana Lugo
Licensed Professional Counselor, LPC
Verified Verified
Online Only
I am trained in Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and Suicide Prevention CBT.
I work with people who want to better understand and express their feelings and thoughts to make better decisions; also, with people who want to move forward after a life event. I also work with children and youth and their parents / guardians who want to better communicate with each other.
I am trained in Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and Suicide Prevention CBT.
I work with people who want to better understand and express their feelings and thoughts to make better decisions; also, with people who want to move forward after a life event. I also work with children and youth and their parents / guardians who want to better communicate with each other.
(269) 210-2666 View (269) 210-2666
Photo of Shy Hartert, Pre-Licensed Professional
Shy Hartert
Pre-Licensed Professional
Verified Verified
1 Endorsed
Grand Rapids, MI 49504
I have a particular passion for working with clients who may be experiencing thoughts of suicide or engaging in suicidal behavior.
My approach is person-centered, compassionate, non-judgmental, and tailored to your unique needs. I employ existential and narrative therapy techniques to help us explore your past, present, and future experiences. I believe that even in our darkest moments, there is hope and the potential for growth.
I have a particular passion for working with clients who may be experiencing thoughts of suicide or engaging in suicidal behavior.
My approach is person-centered, compassionate, non-judgmental, and tailored to your unique needs. I employ existential and narrative therapy techniques to help us explore your past, present, and future experiences. I believe that even in our darkest moments, there is hope and the potential for growth.
(616) 879-8982 View (616) 879-8982
Photo of Jonelle Tunney, Counselor, MA, LPC
Jonelle Tunney
Counselor, MA, LPC
Verified Verified
Grand Rapids, MI 49503
I feel called to help others through periods of depression, anxiety, suicidal thoughts, self-harm, eating disorders, substance abuse, divorce, disability, trauma, abuse, and issues related to gender identity and sexuality.
Strategies include mindfulness to focus on the present, gaining awareness of harmful thought patterns, examining what triggers particular behaviors and perspectives, developing new ways of experiencing the world, forming new ideas about who we can be within the world, and learning to use creativity, nature, and purposeful choices to grow one's wellbeing.
I feel called to help others through periods of depression, anxiety, suicidal thoughts, self-harm, eating disorders, substance abuse, divorce, disability, trauma, abuse, and issues related to gender identity and sexuality.
Strategies include mindfulness to focus on the present, gaining awareness of harmful thought patterns, examining what triggers particular behaviors and perspectives, developing new ways of experiencing the world, forming new ideas about who we can be within the world, and learning to use creativity, nature, and purposeful choices to grow one's wellbeing.
(616) 404-3754 View (616) 404-3754
Photo of Emily L. Taylor, Clinical Social Work/Therapist, LMSW
Emily L. Taylor
Clinical Social Work/Therapist, LMSW
Verified Verified
Grandville, MI 49418
I have worked with clients struggling with a multitude of issues, including: depression; anxiety; suicidal/self-harm ideation; mood disorders; personality disorders.
Hello, my name is Emily. Thank you for taking the time to read my page. It’s very likely you’ve read several therapists’ bios. The process of choosing a therapist can be daunting, and you’re likely already feeling very overwhelmed. I would like to ease this process for you. That doesn’t mean you won’t encounter periods of discomfort, or times of challenge. Whether you are looking to cope with stress in a more healthy manner, better regulate your emotions, or improve relationships with others, I can work with you to discover what strategies will work best for you and assist you in exercising these strategies in practical ways.
I have worked with clients struggling with a multitude of issues, including: depression; anxiety; suicidal/self-harm ideation; mood disorders; personality disorders.
Hello, my name is Emily. Thank you for taking the time to read my page. It’s very likely you’ve read several therapists’ bios. The process of choosing a therapist can be daunting, and you’re likely already feeling very overwhelmed. I would like to ease this process for you. That doesn’t mean you won’t encounter periods of discomfort, or times of challenge. Whether you are looking to cope with stress in a more healthy manner, better regulate your emotions, or improve relationships with others, I can work with you to discover what strategies will work best for you and assist you in exercising these strategies in practical ways.
(616) 439-6304 View (616) 439-6304
Photo of Jennifer Baas, Counselor, MA, LLPC
Jennifer Baas
Counselor, MA, LLPC
Verified Verified
Grand Rapids, MI 49525
I offer counseling to heal from grief and loss, find freedom from depression and anxiety, overcome addictions, work through suicidal ideation, process and find breakthrough from past trauma, adapt and grow while dealing with life transitions, adjust to cross-cultural challenges, resolve marital difficulties, set healthy boundaries in relationships.
Life can be overwhelming and at times, unbelievably hard! I believe that no matter what we go through, all of us are created with a potential for incredible resilience and that with the right kind of compassionate support and guidance, people can bounce back from the worst of circumstances. I am passionate about helping people find healing, growth and freedom no matter what difficulties they are going through. My approach includes forming a trusting relationship through empathy and compassion, clear goal setting, and creating a roadmap together with the client to achieve these goals in a reasonable time frame.
I offer counseling to heal from grief and loss, find freedom from depression and anxiety, overcome addictions, work through suicidal ideation, process and find breakthrough from past trauma, adapt and grow while dealing with life transitions, adjust to cross-cultural challenges, resolve marital difficulties, set healthy boundaries in relationships.
Life can be overwhelming and at times, unbelievably hard! I believe that no matter what we go through, all of us are created with a potential for incredible resilience and that with the right kind of compassionate support and guidance, people can bounce back from the worst of circumstances. I am passionate about helping people find healing, growth and freedom no matter what difficulties they are going through. My approach includes forming a trusting relationship through empathy and compassion, clear goal setting, and creating a roadmap together with the client to achieve these goals in a reasonable time frame.
(616) 229-3102 View (616) 229-3102
Photo of Mark Douglas, Clinical Social Work/Therapist, LLMSW
Mark Douglas
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49525
My style of therapy works well with relational issues (codependency, abuse) suicidal ideation, depression and anxiety.
Welcome to the start of your mental health journey! I view it as one of my life's greatest privileges to witness a variety of human experiences and to hold a space for self-acceptance to grow.
My style of therapy works well with relational issues (codependency, abuse) suicidal ideation, depression and anxiety.
Welcome to the start of your mental health journey! I view it as one of my life's greatest privileges to witness a variety of human experiences and to hold a space for self-acceptance to grow.
(616) 421-9791 View (616) 421-9791
Photo of Jessica Rae Weits, Clinical Social Work/Therapist, LMSW
Jessica Rae Weits
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Grand Rapids, MI 49546
I’ve worked extensively with individuals diagnosed with severe anxiety, depression, suicidal ideation (and attempts), mood disorders, psychosis, borderline personality disorder, as well as intellectual disabilities and neurodevelopmental differences.
I believe every person has unique strengths and gifts and those should be celebrated and built upon. I aim to provide a safe space where you will be seen and heard, met with compassion, yet also be challenged to grow and move forward. I utilize a person-centered, strengths-based approach, while currently training in DBT and CBT such that I can best serve.
I’ve worked extensively with individuals diagnosed with severe anxiety, depression, suicidal ideation (and attempts), mood disorders, psychosis, borderline personality disorder, as well as intellectual disabilities and neurodevelopmental differences.
I believe every person has unique strengths and gifts and those should be celebrated and built upon. I aim to provide a safe space where you will be seen and heard, met with compassion, yet also be challenged to grow and move forward. I utilize a person-centered, strengths-based approach, while currently training in DBT and CBT such that I can best serve.
(616) 202-3732 View (616) 202-3732
Photo of Jenna Walbeck, Clinical Social Work/Therapist, LMSW
Jenna Walbeck
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Hamilton, MI 49419
I have extensive experience working with Children (4+), Teens, and Adults struggling with things such as Anxiety, Depression, Trauma, Sexual Abuse, Problematic Sexual Behaviors, Self-harm and Suicide and Grief and Loss.
Let’s face it, when life gets tough, it can be helpful to know you have someone to walk alongside you in your journey; to have a place where you can feel heard, valued, and supported. A place where you can express your honest feelings and develop strategies to improve your overall well being. To know that you are not alone. Whether you are looking for counseling for yourself, or your child, I am confident you will find our time together as an invaluable experience, where you have a deep-felt sense of support and understanding, where you feel confident in your ability to navigate life’s challenges.
I have extensive experience working with Children (4+), Teens, and Adults struggling with things such as Anxiety, Depression, Trauma, Sexual Abuse, Problematic Sexual Behaviors, Self-harm and Suicide and Grief and Loss.
Let’s face it, when life gets tough, it can be helpful to know you have someone to walk alongside you in your journey; to have a place where you can feel heard, valued, and supported. A place where you can express your honest feelings and develop strategies to improve your overall well being. To know that you are not alone. Whether you are looking for counseling for yourself, or your child, I am confident you will find our time together as an invaluable experience, where you have a deep-felt sense of support and understanding, where you feel confident in your ability to navigate life’s challenges.
(269) 386-6152 View (269) 386-6152
Photo of Amanda Slinkman, Masters Social Worker, LLMSW
Amanda Slinkman
Masters Social Worker, LLMSW
Not Verified Not Verified
Kalamazoo, MI 49007
I have experience working with children and adults with PTSD, complex trauma, anxiety, depression, grief, parenting, ADHD, child welfare issues, and suicidal ideation. I have specialty training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Cognitive Behavioral Therapy (CBT), and the practice and use of mindfulness strategies. I have seen and experienced the process of trauma recovery and can understand the various levels trauma can impact people's lives. Nurturing a healthy thought-life is a helpful tool towards building resilience and strength in trauma and various other mental health needs.
I have experience working with children and adults with PTSD, complex trauma, anxiety, depression, grief, parenting, ADHD, child welfare issues, and suicidal ideation. I have specialty training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Cognitive Behavioral Therapy (CBT), and the practice and use of mindfulness strategies. I have seen and experienced the process of trauma recovery and can understand the various levels trauma can impact people's lives. Nurturing a healthy thought-life is a helpful tool towards building resilience and strength in trauma and various other mental health needs.
(269) 215-5492 View (269) 215-5492
Photo of Shayne McNichols, Clinical Social Work/Therapist, LMSW, LICSW
Shayne McNichols
Clinical Social Work/Therapist, LMSW, LICSW
Verified Verified
7 Endorsed
Grand Rapids, MI 49525
I am also available to train in suicide prevention and various mental health topics at your organization.
Welcome! I’m glad you’re here. As a therapist with over 15 years of experience, I am passionate about helping individuals navigate the complexities of life, find their voice, and embrace their journey toward healing and growth. I believe that every person has the potential to lead a fulfilling life, & I am committed to supporting you in uncovering that potential. I view therapy as a collaborative process where we work together to explore your thoughts, feelings, and behaviors in a safe, non-judgmental environment. I understand that the path to healing can be challenging, but I believe that it is also a transformative opportunity.
I am also available to train in suicide prevention and various mental health topics at your organization.
Welcome! I’m glad you’re here. As a therapist with over 15 years of experience, I am passionate about helping individuals navigate the complexities of life, find their voice, and embrace their journey toward healing and growth. I believe that every person has the potential to lead a fulfilling life, & I am committed to supporting you in uncovering that potential. I view therapy as a collaborative process where we work together to explore your thoughts, feelings, and behaviors in a safe, non-judgmental environment. I understand that the path to healing can be challenging, but I believe that it is also a transformative opportunity.
(616) 244-2279 View (616) 244-2279
Photo of Travis Ericksen, Licensed Professional Counselor, MA, LPC
Travis Ericksen
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Serves Area
I am skilled at treating topics such as stress, anxiety, depression, men's issues, trauma, adoption, grief, relationship issues, psychosis, suicidal thoughts, infertility, coping with health issues, older adults, and dementia.
Courage is not the absence of fear. Rather, it is a mindset of moving forward despite the fear because something else is more important. You are reading this page because you already realized your wellbeing is more important than whatever emotions or challenges are trying to hold you back from your full potential. You taking this first step of seeking help is truly a courageous act and a sign of inner strength. As your counselor, I will help you develop a new mindset of courage and resilience to confidently face life’s challenges. My goal is to create a safe place for you to reevaluate your lived experiences, emotions, and thinking.
I am skilled at treating topics such as stress, anxiety, depression, men's issues, trauma, adoption, grief, relationship issues, psychosis, suicidal thoughts, infertility, coping with health issues, older adults, and dementia.
Courage is not the absence of fear. Rather, it is a mindset of moving forward despite the fear because something else is more important. You are reading this page because you already realized your wellbeing is more important than whatever emotions or challenges are trying to hold you back from your full potential. You taking this first step of seeking help is truly a courageous act and a sign of inner strength. As your counselor, I will help you develop a new mindset of courage and resilience to confidently face life’s challenges. My goal is to create a safe place for you to reevaluate your lived experiences, emotions, and thinking.
(269) 257-2162 View (269) 257-2162
Photo of Bekah Gentry, Licensed Professional Counselor, LPC
Bekah Gentry
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Grand Rapids, MI 49503
I have experience with clients with trauma, suicidal ideation, depression, anxiety, eating disorders, and personality disorders.
I specialize in counseling adolescents (ages 12-18) and adults. Within these populations, I specialize in working with people who have experienced trauma, and I utilize EMDR and TFCBT.
I have experience with clients with trauma, suicidal ideation, depression, anxiety, eating disorders, and personality disorders.
I specialize in counseling adolescents (ages 12-18) and adults. Within these populations, I specialize in working with people who have experienced trauma, and I utilize EMDR and TFCBT.
(616) 300-1519 View (616) 300-1519
Photo of Rob Chapuran, Licensed Professional Counselor, MA, LPC, CAADC
Rob Chapuran
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
Serves Area
I work with clients battling depression, suicidal ideation, divorce, grief, anxiety, trauma, substance abuse, incarceration, and mandated clients.
Hello! As a therapist, it is my goal is to support individuals in reaching their fullest potential in all areas of life that feel unsatisfactory. I will create a safe space to share conversations and together we will work to reconcile any discomfort. I am humbled to be chosen to walk beside you on this journey and I commend you for taking the first step towards healing. I believe everyone can use extra support at various points in life and therapy can provide a method to learn new tools to have in your arsenal.
I work with clients battling depression, suicidal ideation, divorce, grief, anxiety, trauma, substance abuse, incarceration, and mandated clients.
Hello! As a therapist, it is my goal is to support individuals in reaching their fullest potential in all areas of life that feel unsatisfactory. I will create a safe space to share conversations and together we will work to reconcile any discomfort. I am humbled to be chosen to walk beside you on this journey and I commend you for taking the first step towards healing. I believe everyone can use extra support at various points in life and therapy can provide a method to learn new tools to have in your arsenal.
(269) 399-3508 View (269) 399-3508
Photo of Megan Schwab, Licensed Professional Counselor, LPC
Megan Schwab
Licensed Professional Counselor, LPC
Verified Verified
Grand Rapids, MI 49544
I have experience working with adolescents and adults who struggle with trauma, depression, self-harm, suicidal thoughts and urges, borderline personality disorder, and anxiety.
As a Master’s level clinician I strive to help clients improve their lives and learn new skills, techniques, ways of viewing themselves, and the world around them in a way that may reduce pain and suffering. I frequently use Dialectical Behavior Therapy (DBT), and Cognitive Behavior Therapy (CBT) to help empower and guide individuals in their healing journey. I believe we are all capable of finding relief, strength, and a new way of perceiving ourselves and our environment, despite the difficult and unique challenges we face.
I have experience working with adolescents and adults who struggle with trauma, depression, self-harm, suicidal thoughts and urges, borderline personality disorder, and anxiety.
As a Master’s level clinician I strive to help clients improve their lives and learn new skills, techniques, ways of viewing themselves, and the world around them in a way that may reduce pain and suffering. I frequently use Dialectical Behavior Therapy (DBT), and Cognitive Behavior Therapy (CBT) to help empower and guide individuals in their healing journey. I believe we are all capable of finding relief, strength, and a new way of perceiving ourselves and our environment, despite the difficult and unique challenges we face.
(616) 528-9803 View (616) 528-9803
Suicidal Ideation Therapists

How does therapy for suicidal ideation work?

Stress, depression, anxiety, or upsetting circumstances can give rise to suicidal thinking. Therapy can address the events at the core of an individual’s suffering. Understanding why a person may be suicidal can help the therapist and the patient discover alternative methods of coping. A person with suicidal ideation may be mired in catastrophic thinking, and treatment like cognitive behavioral therapy is a good choice for breaking such patterns. In addition, treatment such as acceptance and commitment therapy can help a person manage their distress through better emotion regulation.

Which therapies are best for suicidal ideation?

Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, acceptance and commitment therapies, among others. Cognitive behavioral and dialectical behavior therapies are two widely used therapies that can help individuals with painful thoughts and past traumas. These therapies help an individual tolerate distress, regulate emotions, and not act on dangerous urges.

Are there specific medications to be combined with therapy?

The use of medication for suicidal thoughts must be aligned with the underlying cause; conditions such as depression, anxiety, and psychosis may be at the root of suicidal ideation. A psychiatrist may prescribe medications for symptoms, which may include antipsychotics such as aripiprazole or antidepressants such as selective serotonin reuptake inhibitors.

How often and how long are therapy sessions for suicidal ideation?

As with any type of therapy, sessions depend on the individual. Patients may see improvement within 15 to 20 sessions, at an average of 50 minutes per session, while others may opt for 20 to 30 sessions over, perhaps, a six-month period. Still other patients, especially those with co-occurring conditions like major depression and anxiety, may need to continue sessions for up to 12 to 18 months. In some cases, residential treatment may be recommended for an individual who is judged to be at high risk of self-harm.