Suicidal Ideation Therapists in Castle Rock, WA

Photo of Cara McCartney - Achieving Balance Counseling LLC, Clinical Social Work/Therapist, LICSW, CCTP
Achieving Balance Counseling LLC
Clinical Social Work/Therapist, LICSW, CCTP
Castle Rock, WA 98611
Our mission at Achieving Balance Counseling is to foster an environment that empowers an individual or family’s ability to resolve, change and achieve balance in order to attain happiness, hope and harmony in life.
Our mission at Achieving Balance Counseling is to foster an environment that empowers an individual or family’s ability to resolve, change and achieve balance in order to attain happiness, hope and harmony in life.
(253) 523-3012 View (253) 523-3012
Photo of Brittany Pruitt, Marriage & Family Therapist Associate, MA, LMFTA
Brittany Pruitt
Marriage & Family Therapist Associate, MA, LMFTA
1 Endorsed
Serves Area
I am so glad you are here. Beginning therapy is a brave decision, and no matter what you are going through, my priority is to create a space for you to feel supported, accepted, and safe. I want to meet people where they are and help them address hurts, achieve balance and learn new skills to help navigate struggles.
I am so glad you are here. Beginning therapy is a brave decision, and no matter what you are going through, my priority is to create a space for you to feel supported, accepted, and safe. I want to meet people where they are and help them address hurts, achieve balance and learn new skills to help navigate struggles.
(360) 345-3822 View (360) 345-3822
Photo of Jody Witman, Counselor, MA, MHP, LMHC
Jody Witman
Counselor, MA, MHP, LMHC
Serves Area
“The fundamental principle in care of the soul is that the soul needs tending. If we do not tend to things in their suffering, and decay, we risk living the life of the walking dead.” ~Thomas Moore. As I acquire experience as a therapist, it has become apparent that the therapeutic relationship between the counselor and the client is crucial to the success of the client. Counseling is based on trust and the professional connection, and through that connection, the counseling session becomes a co-creation that can unlock the client’s barriers to a fulfilling life.
“The fundamental principle in care of the soul is that the soul needs tending. If we do not tend to things in their suffering, and decay, we risk living the life of the walking dead.” ~Thomas Moore. As I acquire experience as a therapist, it has become apparent that the therapeutic relationship between the counselor and the client is crucial to the success of the client. Counseling is based on trust and the professional connection, and through that connection, the counseling session becomes a co-creation that can unlock the client’s barriers to a fulfilling life.
(360) 218-0323 View (360) 218-0323

More Therapists Nearby

Photo of Melanie D Randolph, Counselor, LMHC
Melanie D Randolph
Counselor, LMHC
Longview, WA 98632
Trauma can get stuck in the body. Throughout time, that trauma wreaks havoc on our physical and emotional being causing a myriad of health problems. Because trauma is stored differently than other stressors, it demands a specific therapeutic approach. As you may have experienced in past therapy, talking about trauma is often ineffective, and revisiting those memories can often worsen your situation. This can lead to relationship challenges, anxiety, depression, hopelessness, and unhealthy coping mechanisms. Together, we can find a way to move past that trauma and live a life free of pain, and filled with peace.
Trauma can get stuck in the body. Throughout time, that trauma wreaks havoc on our physical and emotional being causing a myriad of health problems. Because trauma is stored differently than other stressors, it demands a specific therapeutic approach. As you may have experienced in past therapy, talking about trauma is often ineffective, and revisiting those memories can often worsen your situation. This can lead to relationship challenges, anxiety, depression, hopelessness, and unhealthy coping mechanisms. Together, we can find a way to move past that trauma and live a life free of pain, and filled with peace.
(360) 227-5412 View (360) 227-5412
Photo of Angelina Bowen - Cascadia Ecotherapy, Marriage & Family Therapist, MA, LMFT
Cascadia Ecotherapy
Marriage & Family Therapist, MA, LMFT
Chehalis, WA 98532
Waitlist for new clients
Many adults seek therapy when they feel burned out, disconnected, or in the midst of significant transition and are looking for support beyond traditional talk therapy. I specialize in working with queer and transgender adults and with women navigating aging, including perimenopause and menopause. Common concerns include anxiety, depression, trauma (past or present), climate grief, and identity transitions. This work often resonates with those drawn to nature-based therapy and small group experiences that support nervous system regulation, shared reflection, and reconnection with self, others, and the natural world.
Many adults seek therapy when they feel burned out, disconnected, or in the midst of significant transition and are looking for support beyond traditional talk therapy. I specialize in working with queer and transgender adults and with women navigating aging, including perimenopause and menopause. Common concerns include anxiety, depression, trauma (past or present), climate grief, and identity transitions. This work often resonates with those drawn to nature-based therapy and small group experiences that support nervous system regulation, shared reflection, and reconnection with self, others, and the natural world.
(360) 226-7972 View (360) 226-7972
Photo of Deborah Nelson, Clinical Social Work/Therapist, MSW, LICSWA
Deborah Nelson
Clinical Social Work/Therapist, MSW, LICSWA
Chehalis, WA 98532
I work with clients of all ages and stages and value creating a supportive, collaborative space for healing and growth. I have experience supporting people with BPD traits, psychosis, PTSD, trauma histories, sexual assault, domestic violence, co-occurring disorders and substance use concerns. I work from an anti-oppressive lens and intentionally implement decolonizing practices while welcoming neurodiverse clients. I understand the impact of rural living, generational poverty, and long-term trauma. I'm especially a good fit for clients who are ready to engage, reflect and work toward meaningful change.
I work with clients of all ages and stages and value creating a supportive, collaborative space for healing and growth. I have experience supporting people with BPD traits, psychosis, PTSD, trauma histories, sexual assault, domestic violence, co-occurring disorders and substance use concerns. I work from an anti-oppressive lens and intentionally implement decolonizing practices while welcoming neurodiverse clients. I understand the impact of rural living, generational poverty, and long-term trauma. I'm especially a good fit for clients who are ready to engage, reflect and work toward meaningful change.
(360) 996-5564 View (360) 996-5564
Photo of Dana Turnbull, Psychologist, PhD, CEDS, APIT, CPQ
Dana Turnbull
Psychologist, PhD, CEDS, APIT, CPQ
Online Only
Eating disorders have the highest mortality of all psychiatric diagnoses. I'm a Certified Eating Disorders Specialist. You aren't sick because you want to be (see Neurobiology.) The change we need to live healthy can seem more difficult than the pain. The emptiness of escapism, whether through restriction, drugs, alcohol, food, etc. obscures your potential. If it's not dangerous, you don't have to run. When you practice avoidance, you also avoid experiences producing self-trust, self-confidence and self-esteem. If you want to practice bravery, I'm here. I teach skills and assign homework. I'm willing to work as hard as you are.
Eating disorders have the highest mortality of all psychiatric diagnoses. I'm a Certified Eating Disorders Specialist. You aren't sick because you want to be (see Neurobiology.) The change we need to live healthy can seem more difficult than the pain. The emptiness of escapism, whether through restriction, drugs, alcohol, food, etc. obscures your potential. If it's not dangerous, you don't have to run. When you practice avoidance, you also avoid experiences producing self-trust, self-confidence and self-esteem. If you want to practice bravery, I'm here. I teach skills and assign homework. I'm willing to work as hard as you are.
(817) 670-8974 View (817) 670-8974
Photo of Matthew A Johnson, Psychologist, PsyD, MSW
Matthew A Johnson
Psychologist, PsyD, MSW
Chehalis, WA 98532
I have worked in the Mental Health Field for 44 years. I've been a Licensed Clinical Psychologist for 31 of those 44 years. I work with children, adolescents, couples, and families. I work with clients of all ages who struggle with ADD/ADHD, Anxiety, Depression, Bipolar Disorder, Traumatic Brain Injury (TBI), PTSD, Alcohol/Drug Addictions, Family/Parenting, Marital, Sex Abuse, Sexual Addiction, Career Concerns, Self-Esteem Issues, Spirituality Issues, Law Enforcement Personnel Issues, Military Personnel Issues, Athletics, and much more.
I have worked in the Mental Health Field for 44 years. I've been a Licensed Clinical Psychologist for 31 of those 44 years. I work with children, adolescents, couples, and families. I work with clients of all ages who struggle with ADD/ADHD, Anxiety, Depression, Bipolar Disorder, Traumatic Brain Injury (TBI), PTSD, Alcohol/Drug Addictions, Family/Parenting, Marital, Sex Abuse, Sexual Addiction, Career Concerns, Self-Esteem Issues, Spirituality Issues, Law Enforcement Personnel Issues, Military Personnel Issues, Athletics, and much more.
(360) 226-7339 View (360) 226-7339
Photo of Laura Eastwick, Counselor, LCSW, LICSW
Laura Eastwick
Counselor, LCSW, LICSW
1 Endorsed
Online Only
Life comes with challenges; at times it feels like they keep piling on, making it difficult not to become overwhelmed. This overwhelm can be magnified when we feel as if we’re facing hardship alone. Powerlessness to make a meaningful difference, despite our best efforts, can be disheartening. During these times the weight of our burdens seem unbearable; the path forward unclear. You don't have to navigate this alone. As your therapist, I'll meet you where you are using a trauma-informed, neurobiologically based approach to help you understand how your brain works, challenge unhelpful thoughts, and build skills for managing distress.
Life comes with challenges; at times it feels like they keep piling on, making it difficult not to become overwhelmed. This overwhelm can be magnified when we feel as if we’re facing hardship alone. Powerlessness to make a meaningful difference, despite our best efforts, can be disheartening. During these times the weight of our burdens seem unbearable; the path forward unclear. You don't have to navigate this alone. As your therapist, I'll meet you where you are using a trauma-informed, neurobiologically based approach to help you understand how your brain works, challenge unhelpful thoughts, and build skills for managing distress.
(425) 475-2625 View (425) 475-2625
Photo of Amanda Hart, Counselor, CC, LMT
Amanda Hart
Counselor, CC, LMT
Longview, WA 98632
In my practice, I focus on creating a safe, supportive environment where together we can explore your past and your thoughts and feelings without judgment. I utilize evidence-based therapies to help my clients adjust to life situations and to address symptoms of a range of issues such as anxiety, depression, OCD, trauma-related disorders, and issues affecting their relationships with partners or family. I am here to guide you or your family through the complexities of life, helping you to build resilience, improve coping strategies, and foster positive change.
In my practice, I focus on creating a safe, supportive environment where together we can explore your past and your thoughts and feelings without judgment. I utilize evidence-based therapies to help my clients adjust to life situations and to address symptoms of a range of issues such as anxiety, depression, OCD, trauma-related disorders, and issues affecting their relationships with partners or family. I am here to guide you or your family through the complexities of life, helping you to build resilience, improve coping strategies, and foster positive change.
(360) 761-0435 View (360) 761-0435
Photo of Tera Middlebrook, Counselor, LMHC
Tera Middlebrook
Counselor, LMHC
Online Only
I will serve as a witness to your self healing journey, providing tools and insights as you create this new path, moving from where you are to where you want to be. Together we will create a safe environment for self exploration. Using a holistic approach to counseling, I utilize talk therapy, cognitive behavioral therapy (CBT), psychoeducation, and motivational therapy. I have worked with clients from all walks of life and will always provide a safe, respectful space, regardless of your ethnicity, race, sexual orientation, gender or spiritual beliefs. Please visit my website: www.awakeningspirittherapy.com for more information!
I will serve as a witness to your self healing journey, providing tools and insights as you create this new path, moving from where you are to where you want to be. Together we will create a safe environment for self exploration. Using a holistic approach to counseling, I utilize talk therapy, cognitive behavioral therapy (CBT), psychoeducation, and motivational therapy. I have worked with clients from all walks of life and will always provide a safe, respectful space, regardless of your ethnicity, race, sexual orientation, gender or spiritual beliefs. Please visit my website: www.awakeningspirittherapy.com for more information!
(206) 203-6674 View (206) 203-6674
Photo of Rudy D Hernandez, Counselor, MA MFT, LMHC
Rudy D Hernandez
Counselor, MA MFT, LMHC
Online Only
Through a person-centered humanistic approach, Rudy hopes to meet people where they are at. He is honored to support those doing the hard work of facing their challenges and be a part of the healing process. He also draws from Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy (SFBT), and Emotion-Focused Therapy (EFT) and strength-based therapy to help guide those seeking to connect thoughts and behaviors and encourage self-efficacy. Play therapy also informs his work with children, teens, and families.
Through a person-centered humanistic approach, Rudy hopes to meet people where they are at. He is honored to support those doing the hard work of facing their challenges and be a part of the healing process. He also draws from Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy (SFBT), and Emotion-Focused Therapy (EFT) and strength-based therapy to help guide those seeking to connect thoughts and behaviors and encourage self-efficacy. Play therapy also informs his work with children, teens, and families.
(360) 469-6673 View (360) 469-6673
Photo of Valery Byrd, Clinical Social Work/Therapist, MSW, MHP, LICSW
Valery Byrd
Clinical Social Work/Therapist, MSW, MHP, LICSW
Centralia, WA 98531
Maybe you tried therapy and it didn't help, or maybe you're hesitant to try it for the first time. Whatever the case, allow me the opportunity to change your mind! in the 7 years I've been in practice, I've had wonderful feedback from my clients. Each person is a unique individual who needs customized treatment. My goal is to get to know and understand YOU, and walk alongside you in the journey of self discovery. Do you need someone to listen and care? Looking for new tools and practical solutions? Seeking healing? I can help!
Maybe you tried therapy and it didn't help, or maybe you're hesitant to try it for the first time. Whatever the case, allow me the opportunity to change your mind! in the 7 years I've been in practice, I've had wonderful feedback from my clients. Each person is a unique individual who needs customized treatment. My goal is to get to know and understand YOU, and walk alongside you in the journey of self discovery. Do you need someone to listen and care? Looking for new tools and practical solutions? Seeking healing? I can help!
(360) 800-4267 View (360) 800-4267
Photo of Alex Potter, Counselor, LMHC, SUDP, CMHS
Alex Potter
Counselor, LMHC, SUDP, CMHS
3 Endorsed
Longview, WA 98632
I am a dual credentialed mental health and substance abuse counselor with experience helping adolescents and young adults work through challenging times including addiction, depression, trauma, and anxiety. Everyone has needs including being heard and noticed, communicating, connecting, and expressing emotions. Sometimes people develop patterns to meet these needs that include putting their health, relationships, and responsibilities at risk. I want to help you recognize your needs, identify and process the barriers, and develop new patterns to get your needs met in the way that is the most effective for you and those around you.
I am a dual credentialed mental health and substance abuse counselor with experience helping adolescents and young adults work through challenging times including addiction, depression, trauma, and anxiety. Everyone has needs including being heard and noticed, communicating, connecting, and expressing emotions. Sometimes people develop patterns to meet these needs that include putting their health, relationships, and responsibilities at risk. I want to help you recognize your needs, identify and process the barriers, and develop new patterns to get your needs met in the way that is the most effective for you and those around you.
(360) 218-0224 View (360) 218-0224
Photo of Dr. Dodi S Forgione, Licensed Mental Health Counselor , PsyD, LMHC
Dr. Dodi S Forgione
Licensed Mental Health Counselor , PsyD, LMHC
1 Endorsed
Chehalis, WA 98532
These scars can show up as depression, anxiety, anger, and even thoughts of suicide.
When things happen to us, our bodies hold residual memories of those events. We may forget about it, believe we have moved on, but may be triggered by something and it takes us right back to that event. You do not have to work through that alone.
These scars can show up as depression, anxiety, anger, and even thoughts of suicide.
When things happen to us, our bodies hold residual memories of those events. We may forget about it, believe we have moved on, but may be triggered by something and it takes us right back to that event. You do not have to work through that alone.
(425) 212-1979 View (425) 212-1979
Photo of Brandy Leigh Kmetz, Counselor, LMHC, ATR
Brandy Leigh Kmetz
Counselor, LMHC, ATR
Online Only
Bringing hope through creative endeavors is my passion. Empowering others to discover their own passion through creativity is my practice. My approach is person centered, humanistic, solution focused with inclusion of the mind, body and spirit. I believe expression through the arts lightens our soul, promotes wellness and strengthens our ability to manage emotional stressors while improving relationships. Explore how expressive art activities can provide insight into long held beliefs and allow personal growth in mindset and health. Express creatively, authenticity without judgement or expectations.
Bringing hope through creative endeavors is my passion. Empowering others to discover their own passion through creativity is my practice. My approach is person centered, humanistic, solution focused with inclusion of the mind, body and spirit. I believe expression through the arts lightens our soul, promotes wellness and strengthens our ability to manage emotional stressors while improving relationships. Explore how expressive art activities can provide insight into long held beliefs and allow personal growth in mindset and health. Express creatively, authenticity without judgement or expectations.
(360) 230-5532 View (360) 230-5532
Photo of Matt Coffey, Counselor, MS, LMHCA, LPCA, NCC
Matt Coffey
Counselor, MS, LMHCA, LPCA, NCC
Serves Area
Many of us feel like we could be doing better, but are not sure how to start. The busy, fast-paced, and isolating lifestyle that has captured so many of us often leads to chronic stress, anxiety, disconnection from relationships and community, and a lack of meaning. On top of this, many of us also carry past traumas, large and small. Therapy is one mode of addressing these challenges. When it goes well, we have a chance to process, find healthier habits and perspectives, resolve problems, and find new ways of living which increase our well being. I am a registered associate, and provide therapy in both Oregon and Washington.
Many of us feel like we could be doing better, but are not sure how to start. The busy, fast-paced, and isolating lifestyle that has captured so many of us often leads to chronic stress, anxiety, disconnection from relationships and community, and a lack of meaning. On top of this, many of us also carry past traumas, large and small. Therapy is one mode of addressing these challenges. When it goes well, we have a chance to process, find healthier habits and perspectives, resolve problems, and find new ways of living which increase our well being. I am a registered associate, and provide therapy in both Oregon and Washington.
(360) 780-6296 View (360) 780-6296
Photo of Angela K Naillon, Marriage & Family Therapist, LMFT
Angela K Naillon
Marriage & Family Therapist, LMFT
Online Only
Live is changing and growing, let me help you with the next chapters and steps you would like to take towards your self-care, growth, and goals. I am a Licensed Marriage and Family Therapist that had the opportunity to work within the school system for seven years. This experience allowed me to help families as they navigate school and home life. I have enjoyed working with children, adolescents, parents and caregivers for 11 years. Prior to becoming a Licensed Marriage and Family Therapist, I came from a place of understanding, and supporting families as they navigated the medical world, with medically complex children.
Live is changing and growing, let me help you with the next chapters and steps you would like to take towards your self-care, growth, and goals. I am a Licensed Marriage and Family Therapist that had the opportunity to work within the school system for seven years. This experience allowed me to help families as they navigate school and home life. I have enjoyed working with children, adolescents, parents and caregivers for 11 years. Prior to becoming a Licensed Marriage and Family Therapist, I came from a place of understanding, and supporting families as they navigated the medical world, with medically complex children.
(360) 300-2900 View (360) 300-2900
(360) 997-0575 View (360) 997-0575
Photo of David A Jones, Marriage & Family Therapist, MA, LMFT, NCC
David A Jones
Marriage & Family Therapist, MA, LMFT, NCC
3 Endorsed
Online Only
Not accepting new clients
It often starts with the unexpected. Unexpected news, unanticipated turns, unforeseen circumstances, and sometimes the unimaginable. It is at these times we can often feel powerless, afraid, confused, and uncertain. Change for some can be unwelcomed and for other’s change doesn’t seem to come soon enough. We cannot always choose what we go through, but we can choose how we go through it. Many seek therapy due to hard-fought battles with a variety of life issues, such as depression, trauma, anxiety, relationship problems, parenting challenges, and experiences from the past that keep them from moving forward.
It often starts with the unexpected. Unexpected news, unanticipated turns, unforeseen circumstances, and sometimes the unimaginable. It is at these times we can often feel powerless, afraid, confused, and uncertain. Change for some can be unwelcomed and for other’s change doesn’t seem to come soon enough. We cannot always choose what we go through, but we can choose how we go through it. Many seek therapy due to hard-fought battles with a variety of life issues, such as depression, trauma, anxiety, relationship problems, parenting challenges, and experiences from the past that keep them from moving forward.
(360) 996-1140 View (360) 996-1140
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.