Suicidal Ideation Therapists in San Antonio, TX

Photo of Melinda Herrera, Licensed Professional Counselor, MS, LPC-S
Melinda Herrera
Licensed Professional Counselor, MS, LPC-S
Online Only
Do you often feel like you can't be your true self with the people you love? Are you struggling with negative self-talk that impacts your self-esteem and relationships with others? I am committed to helping you develop the personal and relational skills and strategies needed in order to build and maintain a positive, meaningful life and healthy relationships. I truly believe in the power of hope and will guide you in the process of healing and healthy living, focusing on the hope that happens as we embrace challenges and adversities. With hope and new skills you can face the storms of life with confidence!
Do you often feel like you can't be your true self with the people you love? Are you struggling with negative self-talk that impacts your self-esteem and relationships with others? I am committed to helping you develop the personal and relational skills and strategies needed in order to build and maintain a positive, meaningful life and healthy relationships. I truly believe in the power of hope and will guide you in the process of healing and healthy living, focusing on the hope that happens as we embrace challenges and adversities. With hope and new skills you can face the storms of life with confidence!
(210) 899-2672 View (210) 899-2672
Photo of Kristina Taylor, Licensed Master Social Worker, LMSW
Kristina Taylor
Licensed Master Social Worker, LMSW
San Antonio, TX 78213
I believe that healing starts with kindness, respect, and the belief that you already carry the strengths you need to move forward. My role is to walk alongside you, offering support, tools, and encouragement as you discover your own resilience. As the spouse of a retired disabled veteran, I understand the unique struggles military families often face, from frequent transitions to the invisible wounds of service. My background also includes working with people from many different cultures and life experiences, which has shaped my belief that everyone’s story matters.
I believe that healing starts with kindness, respect, and the belief that you already carry the strengths you need to move forward. My role is to walk alongside you, offering support, tools, and encouragement as you discover your own resilience. As the spouse of a retired disabled veteran, I understand the unique struggles military families often face, from frequent transitions to the invisible wounds of service. My background also includes working with people from many different cultures and life experiences, which has shaped my belief that everyone’s story matters.
(830) 465-3746 View (830) 465-3746
Photo of Chelsea D Bryant, Licensed Professional Counselor, MSc, LPC, NCC
Chelsea D Bryant
Licensed Professional Counselor, MSc, LPC, NCC
1 Endorsed
Online Only
I am thrilled that you have taken this step in your therapeutic journey. I would be honored to explore a therapeutic space and learn how I can help you achieve your goals of therapy! I specialize in providing compassionate care to individuals in crisis and those grappling with severe mental illness. I currently serve as a dedicated mental health practitioner (LPC) at my virtual private practice and other community-based agencies. Through ideologies such as Person-Centered, Solution-Focused, and Cognitive-Behavioral therapies, my practice promotes a restorative environment built to encourage self-actualization and healthy change.
I am thrilled that you have taken this step in your therapeutic journey. I would be honored to explore a therapeutic space and learn how I can help you achieve your goals of therapy! I specialize in providing compassionate care to individuals in crisis and those grappling with severe mental illness. I currently serve as a dedicated mental health practitioner (LPC) at my virtual private practice and other community-based agencies. Through ideologies such as Person-Centered, Solution-Focused, and Cognitive-Behavioral therapies, my practice promotes a restorative environment built to encourage self-actualization and healthy change.
(214) 810-6590 View (214) 810-6590
Photo of Trisha Otey, Clinical Social Work/Therapist, LCSW
Trisha Otey
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Hello! I am a Licensed Clinical Social Worker in the state of Texas. I earned a BSW from TCU and an MSW from UT Austin - a proud Horned Frog and Longhorn! I live west of Fort Worth with my family and our four dogs.
Hello! I am a Licensed Clinical Social Worker in the state of Texas. I earned a BSW from TCU and an MSW from UT Austin - a proud Horned Frog and Longhorn! I live west of Fort Worth with my family and our four dogs.
(786) 244-7347 View (786) 244-7347
Photo of Karlos K. Lyons, Licensed Professional Counselor, MA, LPC
Karlos K. Lyons
Licensed Professional Counselor, MA, LPC
1 Endorsed
San Antonio, TX 78253
I have in rehabilitation services, private practice, partial hospitalization, and intensive outpatient programming, with training in safety crisis planning, suicide prevention, experiential therapy, & mindfulness.
I believe in the beauty of a sound mind and mental clarity, knowing the way we live successfully correlates with how we think and feel. I also see the importance of the holistic approach to mental health. I recognize the connection between the physical, spiritual, and mental aspects of the human experience, and want to see my clients balance and succeed in each area for optimum wellness. Core to my belief is the truth that when we change our brains and mindsets, we change our lives. I offer non-judgmental online video sessions with clients for online teletherapy service through VCounselors and in person at Lyonsgate Therapy, PLLC
I have in rehabilitation services, private practice, partial hospitalization, and intensive outpatient programming, with training in safety crisis planning, suicide prevention, experiential therapy, & mindfulness.
I believe in the beauty of a sound mind and mental clarity, knowing the way we live successfully correlates with how we think and feel. I also see the importance of the holistic approach to mental health. I recognize the connection between the physical, spiritual, and mental aspects of the human experience, and want to see my clients balance and succeed in each area for optimum wellness. Core to my belief is the truth that when we change our brains and mindsets, we change our lives. I offer non-judgmental online video sessions with clients for online teletherapy service through VCounselors and in person at Lyonsgate Therapy, PLLC
(214) 466-7472 View (214) 466-7472
Photo of Yesenia Villanueva, Licensed Professional Counselor, LPC
Yesenia Villanueva
Licensed Professional Counselor, LPC
2 Endorsed
San Antonio, TX 78205
Reaching out for support is a powerful first step, and I’m here to help you through it. Sometimes we just need help in remembering that change is possible. I’m a Licensed Professional Counselor offering both virtual and in-person sessions for teenagers and adults
Reaching out for support is a powerful first step, and I’m here to help you through it. Sometimes we just need help in remembering that change is possible. I’m a Licensed Professional Counselor offering both virtual and in-person sessions for teenagers and adults
(325) 936-1425 View (325) 936-1425
Photo of Meagan S Rollerson, Licensed Professional Counselor, MS, LPC-S
Meagan S Rollerson
Licensed Professional Counselor, MS, LPC-S
3 Endorsed
Online Only
Has life and its experiences been weighing you down? Are you having difficulty escaping your current rut or do you feel trapped in it? Allow me to collaborate with you and help you free yourself. My goal is to assist you in understanding and working through how you’re feeling and why. As a team, you and I will develop and implement a plan to improve your view of life and self. Life can become heavy and my goal is to empower you, educate you and provide you with the tools to better manage the weight.
Has life and its experiences been weighing you down? Are you having difficulty escaping your current rut or do you feel trapped in it? Allow me to collaborate with you and help you free yourself. My goal is to assist you in understanding and working through how you’re feeling and why. As a team, you and I will develop and implement a plan to improve your view of life and self. Life can become heavy and my goal is to empower you, educate you and provide you with the tools to better manage the weight.
(346) 220-2023 View (346) 220-2023
Photo of Tionne Fuller, Clinical Social Work/Therapist, LCSW
Tionne Fuller
Clinical Social Work/Therapist, LCSW
Online Only
I have been a licensed social worker for five years and have a background working in a variety of settings with various populations. I have experience working with ages 8 and up with issues ranging from suicidality, mood disorders, life transitions, psychosis, depression, anxiety, eating disorders, etc. I strive to make each client feel safe, heard, and validated as they navigate life’s challenges. I give tough love and redirection as needed. I always welcome feedback as I believe the client is the expert of themselves. If something isn’t working, let’s work together until we can figure it out.
I have been a licensed social worker for five years and have a background working in a variety of settings with various populations. I have experience working with ages 8 and up with issues ranging from suicidality, mood disorders, life transitions, psychosis, depression, anxiety, eating disorders, etc. I strive to make each client feel safe, heard, and validated as they navigate life’s challenges. I give tough love and redirection as needed. I always welcome feedback as I believe the client is the expert of themselves. If something isn’t working, let’s work together until we can figure it out.
(469) 253-7431 View (469) 253-7431
Photo of Michelle Guilmette Vaughn, Clinical Social Work/Therapist, LCSW
Michelle Guilmette Vaughn
Clinical Social Work/Therapist, LCSW
Serves Area
Therapy is hard work. It is also full of humor, humanity, a-ha moments, advocacy, and a sprinkle of magic. You deserve to show up fully; all forms of you are always welcome. I've found when you arrive as your most authentic self, the work can really begin. Asking for help may be the first step in calming the ongoing chaos.
Therapy is hard work. It is also full of humor, humanity, a-ha moments, advocacy, and a sprinkle of magic. You deserve to show up fully; all forms of you are always welcome. I've found when you arrive as your most authentic self, the work can really begin. Asking for help may be the first step in calming the ongoing chaos.
(726) 232-6471 View (726) 232-6471
Photo of Robyn DePena, Licensed Professional Counselor, LPC
Robyn DePena
Licensed Professional Counselor, LPC
1 Endorsed
Online Only
Hello! At Heard Counseling, I support individuals and couples as they navigate emotional challenges, relationship dynamics, trauma, and major life transitions. Whether you’re a teen facing pressure and identity changes, a couple working to reconnect, or an individual feeling stuck or overwhelmed, we’ll work together to help you find clarity and balance. My approach is warm, collaborative, and grounded in person-centered care and cognitive behavioral therapy (CBT), offering both compassion and practical tools for growth.
Hello! At Heard Counseling, I support individuals and couples as they navigate emotional challenges, relationship dynamics, trauma, and major life transitions. Whether you’re a teen facing pressure and identity changes, a couple working to reconnect, or an individual feeling stuck or overwhelmed, we’ll work together to help you find clarity and balance. My approach is warm, collaborative, and grounded in person-centered care and cognitive behavioral therapy (CBT), offering both compassion and practical tools for growth.
(254) 274-6963 View (254) 274-6963
Photo of Sara Blevins-Ranes, Licensed Professional Clinical Counselor, MA, ATR-BC, LPC, LPCC, LPAT
Sara Blevins-Ranes
Licensed Professional Clinical Counselor, MA, ATR-BC, LPC, LPCC, LPAT
2 Endorsed
Online Only
Waitlist for new clients
My therapeutic specialties include trauma-focused care for children, adolescents, and adults, identity formation, depression, anxiety, suicidal ideation, and self-harm.
Life can oftentimes feel overwhelming and if you have wished for an instruction manual or 'how-to' guide, you are not the first, nor will you be the last. My approach works to help you better understand how best to navigate the world around you, especially if the world was not built with you in mind. Together, we can develop the support, structure, and safety that you deserve while going through life. My practice is neurodivergence-affirming and queer-positive. I strive to foster an environment where you can belong, instead of one where you have to fit in.
My therapeutic specialties include trauma-focused care for children, adolescents, and adults, identity formation, depression, anxiety, suicidal ideation, and self-harm.
Life can oftentimes feel overwhelming and if you have wished for an instruction manual or 'how-to' guide, you are not the first, nor will you be the last. My approach works to help you better understand how best to navigate the world around you, especially if the world was not built with you in mind. Together, we can develop the support, structure, and safety that you deserve while going through life. My practice is neurodivergence-affirming and queer-positive. I strive to foster an environment where you can belong, instead of one where you have to fit in.
(830) 623-6353 View (830) 623-6353
Photo of Benjamin Miller, Licensed Professional Counselor, LPC
Benjamin Miller
Licensed Professional Counselor, LPC
Online Only
Does this sound familiar? You want to have a healthy relationship with others, but instead you feel: Overwhelmed and depressed, Negative about your self worth, Afraid of being hurt if you allow yourself to be open, Worried you won’t be able to stay safe, Unable to stop focusing on past trauma and move forward with your life? It doesn’t have to be this way. Hi, I’m Ben and I can help. I provide individual counseling for depression and trauma using research-backed cognitive behavioral therapy.
Does this sound familiar? You want to have a healthy relationship with others, but instead you feel: Overwhelmed and depressed, Negative about your self worth, Afraid of being hurt if you allow yourself to be open, Worried you won’t be able to stay safe, Unable to stop focusing on past trauma and move forward with your life? It doesn’t have to be this way. Hi, I’m Ben and I can help. I provide individual counseling for depression and trauma using research-backed cognitive behavioral therapy.
(281) 809-6435 View (281) 809-6435
Photo of Amy Ball - Flexible Counseling, Marriage & Family Therapist, MS, LPC, LMFT
Flexible Counseling
Marriage & Family Therapist, MS, LPC, LMFT
Serves Area
Counseling has the potential to be both frightening and exhilarating. Stating your dreams and working toward goals is a way to ensure that your personal growth is in the direction you hope for. I use visual aids and unique illustrations of topics discussed, so if you fear that you may have trouble talking at first, don't worry; it will be easier than you think!
Counseling has the potential to be both frightening and exhilarating. Stating your dreams and working toward goals is a way to ensure that your personal growth is in the direction you hope for. I use visual aids and unique illustrations of topics discussed, so if you fear that you may have trouble talking at first, don't worry; it will be easier than you think!
(210) 767-2379 View (210) 767-2379
Photo of Toni Justice, Clinical Social Work/Therapist, LCSW-C
Toni Justice
Clinical Social Work/Therapist, LCSW-C
1 Endorsed
Online Only
I believe there is incredible freedom in making sense of your life story, gaining clarity about who you are, and intentionally creating the life you deserve. Counseling with me is a collaborative process rooted in respect, compassion, and empowerment. My approach is tailored to your unique goals—whether you’re working on improving relationships, building self-esteem, navigating career transitions, healing from trauma, navigating life stressors, or simply seeking deeper meaning and authenticity.
I believe there is incredible freedom in making sense of your life story, gaining clarity about who you are, and intentionally creating the life you deserve. Counseling with me is a collaborative process rooted in respect, compassion, and empowerment. My approach is tailored to your unique goals—whether you’re working on improving relationships, building self-esteem, navigating career transitions, healing from trauma, navigating life stressors, or simply seeking deeper meaning and authenticity.
(830) 254-5797 View (830) 254-5797
Photo of Gabriela Alvarado, Marriage & Family Therapist Associate, MS, LMFT-A
Gabriela Alvarado
Marriage & Family Therapist Associate, MS, LMFT-A
3 Endorsed
San Antonio, TX 78230
Hello! I am Gaby. As a Marriage and Family Therapist, I aim to create a nurturing and safe space where clients can dive deep into their experiences, forge healthier connections, and develop the tools they need to flourish. I enjoy working with children and adolescents as they navigate the pivotal complexities of identity, relationships, and mental health. I am passionate about working with women transitioning into motherhood and helping them navigate the challenges of life transitions. As a systemic therapist, I recognize the intricate dynamics of relationships and their profound impact on each family member.
Hello! I am Gaby. As a Marriage and Family Therapist, I aim to create a nurturing and safe space where clients can dive deep into their experiences, forge healthier connections, and develop the tools they need to flourish. I enjoy working with children and adolescents as they navigate the pivotal complexities of identity, relationships, and mental health. I am passionate about working with women transitioning into motherhood and helping them navigate the challenges of life transitions. As a systemic therapist, I recognize the intricate dynamics of relationships and their profound impact on each family member.
(726) 208-7312 View (726) 208-7312
Photo of Katherine M Rose, Licensed Professional Counselor, MS, LPC
Katherine M Rose
Licensed Professional Counselor, MS, LPC
Online Only
It takes consistent tenacity to function in this post-pandemic world. Do you feel worn down, unmotivated and irritable? Do you find yourself endlessly searching for energy, companionship and peace through 30 second videos on social media? Do miss the deep connection to yourself, loved ones and purpose in life? It is time to use that grit to focus on what you possess that can rekindle active participation in this life, to bask in the moments of joy that appear throughout each day, to embrace new experiences as opportunities for growth and healing.
It takes consistent tenacity to function in this post-pandemic world. Do you feel worn down, unmotivated and irritable? Do you find yourself endlessly searching for energy, companionship and peace through 30 second videos on social media? Do miss the deep connection to yourself, loved ones and purpose in life? It is time to use that grit to focus on what you possess that can rekindle active participation in this life, to bask in the moments of joy that appear throughout each day, to embrace new experiences as opportunities for growth and healing.
(210) 978-0979 View (210) 978-0979
Photo of Kelly Clarke, Marriage & Family Therapist, MS, LMFT-S
Kelly Clarke
Marriage & Family Therapist, MS, LMFT-S
2 Endorsed
San Antonio, TX 78230
Hello, I'm Kelly, a compassionate and experienced therapist in TX. My focus is helping adolescents and adults navigate life's challenges. I've worked with individuals, couples, and families in residential and outpatient settings, addressing issues like depression, anxiety, trauma, addiction, and relationships. My client-centered therapy emphasizes collaboration and leveraging strengths to overcome obstacles. I value storytelling, seeing each client's journey as a unique, meaningful story. As a self-proclaimed geek, I infuse creativity and playfulness into sessions to create a safe supportive environment for exploring experiences.
Hello, I'm Kelly, a compassionate and experienced therapist in TX. My focus is helping adolescents and adults navigate life's challenges. I've worked with individuals, couples, and families in residential and outpatient settings, addressing issues like depression, anxiety, trauma, addiction, and relationships. My client-centered therapy emphasizes collaboration and leveraging strengths to overcome obstacles. I value storytelling, seeing each client's journey as a unique, meaningful story. As a self-proclaimed geek, I infuse creativity and playfulness into sessions to create a safe supportive environment for exploring experiences.
(210) 957-1668 View (210) 957-1668
Photo of Judy Goblirsch, Licensed Professional Counselor, LPC
Judy Goblirsch
Licensed Professional Counselor, LPC
San Antonio, TX 78228
As a compassionate and approachable therapist, I strive to create a relaxed and supportive environment where clients feel comfortable exploring their thoughts and emotions. I combines empathy and analytical approach, allowing for deep listening and meaningful dialogue. I am dedicated to fostering positive energy, empowering clients to set and achieve their goals, and providing the in-depth support necessary for personal growth and healing. I'm here to support you on your path toward healing. Call the office today to get started with in-person or virtual therapy.
As a compassionate and approachable therapist, I strive to create a relaxed and supportive environment where clients feel comfortable exploring their thoughts and emotions. I combines empathy and analytical approach, allowing for deep listening and meaningful dialogue. I am dedicated to fostering positive energy, empowering clients to set and achieve their goals, and providing the in-depth support necessary for personal growth and healing. I'm here to support you on your path toward healing. Call the office today to get started with in-person or virtual therapy.
(830) 266-0880 View (830) 266-0880
Patrick M. Clancey
Counselor, EdD, LPC
San Antonio, TX 78240
I am here to assist you to reach your full potential. As such, we will work together to understand and eliminate whatever holds you back from reaching your goals and obtaining whatever is necessary to make your life work. Together, we will build a future that beckons you on, and fills you with hope and peace. We will turn your problems into opportunities for growth and personal enrichment.
I am here to assist you to reach your full potential. As such, we will work together to understand and eliminate whatever holds you back from reaching your goals and obtaining whatever is necessary to make your life work. Together, we will build a future that beckons you on, and fills you with hope and peace. We will turn your problems into opportunities for growth and personal enrichment.
(210) 428-6960 View (210) 428-6960
Photo of Renee Braune, Licensed Professional Counselor, MA, MS, LPC, LIMHP
Renee Braune
Licensed Professional Counselor, MA, MS, LPC, LIMHP
3 Endorsed
San Antonio, TX 78253
Hey there! Reaching out for help can be scary and I am proud of you for taking that step. I consider it a privilege to help people on their healing journey. An important part of the therapeutic process is the relationship between client and therapist. I strive to cultivate a nurturing and supportive therapeutic environment. Everyone wants to feel heard and understood, and providing that is the foundation of our work together. My diverse and unique experiences make me a strong ally for change and healing. I provide a compassionate, yet direct approach to therapy which helps my clients feel supported on their journey.
Hey there! Reaching out for help can be scary and I am proud of you for taking that step. I consider it a privilege to help people on their healing journey. An important part of the therapeutic process is the relationship between client and therapist. I strive to cultivate a nurturing and supportive therapeutic environment. Everyone wants to feel heard and understood, and providing that is the foundation of our work together. My diverse and unique experiences make me a strong ally for change and healing. I provide a compassionate, yet direct approach to therapy which helps my clients feel supported on their journey.
(210) 806-7946 View (210) 806-7946

See more therapy options for San Antonio

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.