Suicidal Ideation Therapists in Roanoke City County, VA
Many come to me running on empty — anxious, exhausted, grieving, or quietly wondering who they are anymore. Some carry trauma they have never named out loud. Others are facing identity shifts no one prepared them for. Many are searching for a space to be honest without being judged, supported without being fixed, and seen as more than the roles they fill.
My approach is warm, relational, and rooted in evidence based care. Together, we work at your pace, honoring both the weight of what you carry and the strength that brought you here.
I honor diversity in all its forms and am a safe, welcoming space for the LGBTQIA+ community.
Many come to me running on empty — anxious, exhausted, grieving, or quietly wondering who they are anymore. Some carry trauma they have never named out loud. Others are facing identity shifts no one prepared them for. Many are searching for a space to be honest without being judged, supported without being fixed, and seen as more than the roles they fill.
My approach is warm, relational, and rooted in evidence based care. Together, we work at your pace, honoring both the weight of what you carry and the strength that brought you here.
I honor diversity in all its forms and am a safe, welcoming space for the LGBTQIA+ community.
I specialize in treating traumatic stress and in suicide prevention.
Working on the frontlines often involves exposure to unique stressors and traumatic events that can affect all aspects of life from emotion/impulse control, experiences of anger, relationships, self-esteem, loss of confidence in abilities, attention and concentration to sleep, physical health and other daily patterns. Healing the deep wounds of trauma and moral injury requires safety and trust. I believe the therapeutic relationship is foundational to meaningful wellness and growth. I am here to support and empower you in reconnecting with yourself and others in healthy and skillful ways.
I specialize in treating traumatic stress and in suicide prevention.
Working on the frontlines often involves exposure to unique stressors and traumatic events that can affect all aspects of life from emotion/impulse control, experiences of anger, relationships, self-esteem, loss of confidence in abilities, attention and concentration to sleep, physical health and other daily patterns. Healing the deep wounds of trauma and moral injury requires safety and trust. I believe the therapeutic relationship is foundational to meaningful wellness and growth. I am here to support and empower you in reconnecting with yourself and others in healthy and skillful ways.
Are you feeling stuck in a cycle of anxiety, depression, or a range of symptoms that leave you feeling lost and like you can't move forward? Maybe you are having a mental health crisis, have lost a loved one, are feeling unbearable sadness from recent life changes, or have a new diagnosis that has left you with more questions than answers. Or maybe you are experiencing addictions, compulsions, or obsessive thoughts that keep you from doing the things that you used to love and enjoy. If any of this sounds like you, I would love to chat more about ways to help you reclaim your sense of control, safety, and joy in life.
Are you feeling stuck in a cycle of anxiety, depression, or a range of symptoms that leave you feeling lost and like you can't move forward? Maybe you are having a mental health crisis, have lost a loved one, are feeling unbearable sadness from recent life changes, or have a new diagnosis that has left you with more questions than answers. Or maybe you are experiencing addictions, compulsions, or obsessive thoughts that keep you from doing the things that you used to love and enjoy. If any of this sounds like you, I would love to chat more about ways to help you reclaim your sense of control, safety, and joy in life.
I believe asking for help is one of the bravest things anyone can do. It takes courage to reach out and seek support, and I'm honored to be considered a partner in your journey. Whether it's helping children navigate their emotions, supporting teens through the rollercoaster of adolescence, or assisting adults on their path to self-discovery, I'm here to provide the support you need to thrive. Together, we’ll create a safe space where you can find your voice, discover your inner strength, and create lasting positive change.
I believe asking for help is one of the bravest things anyone can do. It takes courage to reach out and seek support, and I'm honored to be considered a partner in your journey. Whether it's helping children navigate their emotions, supporting teens through the rollercoaster of adolescence, or assisting adults on their path to self-discovery, I'm here to provide the support you need to thrive. Together, we’ll create a safe space where you can find your voice, discover your inner strength, and create lasting positive change.
I am the owner of Newpoint Counseling, where I provide clinical supervision to residents and counselors-in-training. My ideal client is someone who feels stuck, whether due to trauma, addiction, burnout, or major life transitions, and is ready to reconnect with who they are and where they’re going. They may feel overwhelmed, numb, or unsure of what’s next, but they’re seeking more than just coping. They want clarity, purpose, and forward movement. They’re looking for a therapist who is both supportive and honest, someone who will walk alongside them as they untangle the past and create meaningful change.
I am the owner of Newpoint Counseling, where I provide clinical supervision to residents and counselors-in-training. My ideal client is someone who feels stuck, whether due to trauma, addiction, burnout, or major life transitions, and is ready to reconnect with who they are and where they’re going. They may feel overwhelmed, numb, or unsure of what’s next, but they’re seeking more than just coping. They want clarity, purpose, and forward movement. They’re looking for a therapist who is both supportive and honest, someone who will walk alongside them as they untangle the past and create meaningful change.
My ideal clients are children, teens, and adults who feel overwhelmed, stuck, or are trying to navigate life's challenges. Many come to therapy struggling with anxiety, ADHD, trauma, emotional regulation, stress, addiction recovery, grief, or major life transitions. I also enjoy working with individuals rebuilding their lives after incarceration and those seeking support for autism-related challenges.
I provide a warm, supportive, and practical approach tailored to each person's unique needs. Together, we'll build coping skills, strengthen confidence, improve communication, and develop tools to manage life's challenges.
My ideal clients are children, teens, and adults who feel overwhelmed, stuck, or are trying to navigate life's challenges. Many come to therapy struggling with anxiety, ADHD, trauma, emotional regulation, stress, addiction recovery, grief, or major life transitions. I also enjoy working with individuals rebuilding their lives after incarceration and those seeking support for autism-related challenges.
I provide a warm, supportive, and practical approach tailored to each person's unique needs. Together, we'll build coping skills, strengthen confidence, improve communication, and develop tools to manage life's challenges.
I’m a Resident in Counseling in Virginia and a graduate of Virginia Tech’s Counselor Education program. I provide therapy for adults and adolescents navigating challenges such as depression, anxiety, trauma, and addiction. Whether you're feeling stuck, overwhelmed, or simply seeking a deeper sense of purpose, I’m here to support you in a way that feels collaborative and genuine.
I’m a Resident in Counseling in Virginia and a graduate of Virginia Tech’s Counselor Education program. I provide therapy for adults and adolescents navigating challenges such as depression, anxiety, trauma, and addiction. Whether you're feeling stuck, overwhelmed, or simply seeking a deeper sense of purpose, I’m here to support you in a way that feels collaborative and genuine.
To put it bluntly, I am here for you. I want to hear about what is hurting you and stopping you from moving forward in a happy and positive way in your life. I want your input on what the problem is and what plan will work with you personally. We will gather all our information and decide on a plan of action to get you back to where you want to be as quickly as possible and develop a way to keep you there.
To put it bluntly, I am here for you. I want to hear about what is hurting you and stopping you from moving forward in a happy and positive way in your life. I want your input on what the problem is and what plan will work with you personally. We will gather all our information and decide on a plan of action to get you back to where you want to be as quickly as possible and develop a way to keep you there.
While earning my MSW, I conducted extensive research on the collaboration of mental health and primary care providers and its various benefits, including suicide prevention.
If you seek a compassionate and dedicated mental health professional to assist you in your journey towards overall well-being and a better quality of life, I am here to help. Offering convenient and confidential virtual therapy, I enjoy working with individuals (ages 14+) in VA and MD, facing a wide range of issues, including depression, anxiety, trauma, relationship challenges, and life transitions. I am trauma-informed and LGBTQ+-affirming. Recognizing the mind-body connection, I utilize a holistic approach, combining traditional therapeutic techniques with mindfulness and various healthy lifestyle choices.
While earning my MSW, I conducted extensive research on the collaboration of mental health and primary care providers and its various benefits, including suicide prevention.
If you seek a compassionate and dedicated mental health professional to assist you in your journey towards overall well-being and a better quality of life, I am here to help. Offering convenient and confidential virtual therapy, I enjoy working with individuals (ages 14+) in VA and MD, facing a wide range of issues, including depression, anxiety, trauma, relationship challenges, and life transitions. I am trauma-informed and LGBTQ+-affirming. Recognizing the mind-body connection, I utilize a holistic approach, combining traditional therapeutic techniques with mindfulness and various healthy lifestyle choices.
Life can be filled with pain, loss, confusion, and fear. I understand counseling as a process that honors these challenges and fosters hope. I utilize a relational, holistic, and strengths-based approach to help individuals cope with hardships, heal from trauma, and see their worth. I am passionate about women’s issues and working with people from historically marginalized groups. My work also focuses on perinatal mental health, where I am certified (PMH-C) to provide support to individuals from pregnancy to parenthood.
Life can be filled with pain, loss, confusion, and fear. I understand counseling as a process that honors these challenges and fosters hope. I utilize a relational, holistic, and strengths-based approach to help individuals cope with hardships, heal from trauma, and see their worth. I am passionate about women’s issues and working with people from historically marginalized groups. My work also focuses on perinatal mental health, where I am certified (PMH-C) to provide support to individuals from pregnancy to parenthood.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
For over 31 years, Strategic Therapy Associates has been helping adults, children, and indivuduals. We take pride in empowering individuals to focus on their strengths to make positive change to live happier, healthier lives. We work with individuals of all ages and treat many things: anxiety, depression, trauma, abuse, neglect, anger, stress, parenting, domestic violence, marital problems, divorce, substance use, and many other symptoms.
For over 31 years, Strategic Therapy Associates has been helping adults, children, and indivuduals. We take pride in empowering individuals to focus on their strengths to make positive change to live happier, healthier lives. We work with individuals of all ages and treat many things: anxiety, depression, trauma, abuse, neglect, anger, stress, parenting, domestic violence, marital problems, divorce, substance use, and many other symptoms.
Your faith, culture, and story matter. If you are carrying trauma, spiritual wounds, identity struggles, or emotional pain, you do not have to navigate it alone. I offer a safe, compassionate space for adults, especially those from faith-based and African American communities, to heal, reconnect with themselves, and move toward clarity, peace, and purpose.
Your faith, culture, and story matter. If you are carrying trauma, spiritual wounds, identity struggles, or emotional pain, you do not have to navigate it alone. I offer a safe, compassionate space for adults, especially those from faith-based and African American communities, to heal, reconnect with themselves, and move toward clarity, peace, and purpose.
Babbling Brook Counseling Services PLLC
Clinical Social Work/Therapist, LCSW, ACAS
2 Endorsed
Roanoke, VA 24016
Brooke is accepting new clients at this time. Brooke has over 25 years of experience working with children, families, and adults in various settings, including healthcare systems, foster care, schools, community-based services, and outpatient practices. Brooke’s goal is to help individuals understand the impact of their thoughts on their feelings and behaviors, and to learn the skills necessary to strengthen and grow. Brooke values assisting individuals to build confidence and self-worth, finding happiness within themselves, and supporting those they love. The initial session needs to be scheduled under Telehealth.
Brooke is accepting new clients at this time. Brooke has over 25 years of experience working with children, families, and adults in various settings, including healthcare systems, foster care, schools, community-based services, and outpatient practices. Brooke’s goal is to help individuals understand the impact of their thoughts on their feelings and behaviors, and to learn the skills necessary to strengthen and grow. Brooke values assisting individuals to build confidence and self-worth, finding happiness within themselves, and supporting those they love. The initial session needs to be scheduled under Telehealth.
I am a co-conspirator with my clients, confronting the dilemmas of being human with openness, compassion, and curiosity. This inner journey is oddly counter-intuitive. The things I do (or parts of me do) to avoid or control how I feel seem to make it worse. Let's see if we can find a way to hold space for all of it, and learn the lessons the universe keeps sending our way? (Nondualist, ICE Out, Protect Trans Kids)
I am a co-conspirator with my clients, confronting the dilemmas of being human with openness, compassion, and curiosity. This inner journey is oddly counter-intuitive. The things I do (or parts of me do) to avoid or control how I feel seem to make it worse. Let's see if we can find a way to hold space for all of it, and learn the lessons the universe keeps sending our way? (Nondualist, ICE Out, Protect Trans Kids)
Do worries impact your ability to focus on what matters most? Has life got you down and you’re not sure why? Maybe you do know why, but you don’t feel comfortable sharing with family and friends? Are you facing relationship challenges or maybe you're struggling with loving yourself? Mainstream Mental Health Services believes in providing goal-directed, person-centered counseling to individuals seeking support with life’s challenges. It is our mission to support our clients to develop the skills, understanding and overall ability to manage their mind and enhance their quality of life.
Do worries impact your ability to focus on what matters most? Has life got you down and you’re not sure why? Maybe you do know why, but you don’t feel comfortable sharing with family and friends? Are you facing relationship challenges or maybe you're struggling with loving yourself? Mainstream Mental Health Services believes in providing goal-directed, person-centered counseling to individuals seeking support with life’s challenges. It is our mission to support our clients to develop the skills, understanding and overall ability to manage their mind and enhance their quality of life.
I work with people who are tired of talking about it. They've done the work. They know their patterns, they can trace them back, and something is still stuck.
That's usually when people find me. I'm Emily, a therapist, yoga teacher, and owner of Big Oak Wellness in Roanoke, Virginia. Most of what keeps us stuck isn't in our heads, it's in the body. Nervous system responses we developed long before we had the words for what was happening to us. Understanding it doesn't undo it. We have to actually feel it to move it.
I work with people who are tired of talking about it. They've done the work. They know their patterns, they can trace them back, and something is still stuck.
That's usually when people find me. I'm Emily, a therapist, yoga teacher, and owner of Big Oak Wellness in Roanoke, Virginia. Most of what keeps us stuck isn't in our heads, it's in the body. Nervous system responses we developed long before we had the words for what was happening to us. Understanding it doesn't undo it. We have to actually feel it to move it.
I deeply believe that everyone deserves a space to feel safe and safely express themselves regardless of their age, ethnicity, background, or beliefs. I also believe that each person’s struggle is real, and I am devoted to making sure that each client I work with is heard and feels heard. I am passionate about helping others understand, strengthen and use their natural ability to be resilient during and after times of crisis.
I deeply believe that everyone deserves a space to feel safe and safely express themselves regardless of their age, ethnicity, background, or beliefs. I also believe that each person’s struggle is real, and I am devoted to making sure that each client I work with is heard and feels heard. I am passionate about helping others understand, strengthen and use their natural ability to be resilient during and after times of crisis.
Caitlin Dallas
Licensed Professional Counselor, LPC
1 Endorsed
Roanoke, VA 24016
Waitlist for new clients
Life can be heartbreakingly difficult, and progress is often nonlinear – however, I am here to walk with you on your path to healing. I believe that everyone is capable of change and that change happens through the collaboration between client and counselor. I am honored to be a part of your journey. Often we experience a disconnect between our mind and our bodies. I use mindfulness and somatic techniques to help you reconnect and take steps to return to wholeness.
Life can be heartbreakingly difficult, and progress is often nonlinear – however, I am here to walk with you on your path to healing. I believe that everyone is capable of change and that change happens through the collaboration between client and counselor. I am honored to be a part of your journey. Often we experience a disconnect between our mind and our bodies. I use mindfulness and somatic techniques to help you reconnect and take steps to return to wholeness.
I believe that people and communities have the power to heal. Therapy can be an important part of that process. As your therapist, I will invite you to radically imagine a world in which you feel the most safe and free. From that imagination, we will develop a roadmap towards your vision based on where you are at this exact moment.
I believe that people and communities have the power to heal. Therapy can be an important part of that process. As your therapist, I will invite you to radically imagine a world in which you feel the most safe and free. From that imagination, we will develop a roadmap towards your vision based on where you are at this exact moment.
See more therapy options for Roanoke City County
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.