Suicidal Ideation Therapists in Seattle, WA

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Photo of Fredric Matteson, Counselor in Seattle, WA
Fredric Matteson
Counselor, CMHC
Verified Verified
Seattle, WA 98104
For 25 years I worked with over 16,000 suicidal patients on the mental health unit of St. Francis Hospital with my office partner, Psychiatrist Dr. Sunida Bintasan, From observing their common patterns, I created an educational program (for persons with issues of deep despair, hopelessness, depression, feeling "LOST" & "TRAPPED" & "STUCK", and often with recurrent suicidal thinking) called Contextual-Conceptual Therapy (CCT). Combining expressive arts techniques, education, and therapy using "maps, models, & metaphors", it helps clients discover the roots of their deep despair, feeling trapped & lost, and/or suicidal thinking.
For 25 years I worked with over 16,000 suicidal patients on the mental health unit of St. Francis Hospital with my office partner, Psychiatrist Dr. Sunida Bintasan, From observing their common patterns, I created an educational program (for persons with issues of deep despair, hopelessness, depression, feeling "LOST" & "TRAPPED" & "STUCK", and often with recurrent suicidal thinking) called Contextual-Conceptual Therapy (CCT). Combining expressive arts techniques, education, and therapy using "maps, models, & metaphors", it helps clients discover the roots of their deep despair, feeling trapped & lost, and/or suicidal thinking.
(206) 966-6954 View (206) 966-6954
Photo of Nicole Devine Rixen, Clinical Social Work/Therapist in Seattle, WA
Nicole Devine Rixen
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Seattle, WA 98103  (Online Only)
Waitlist for new clients
My clinical expertise includes addressing issues connected to anxiety, depression, attachment, trauma experiences and adjustment, self-esteem, relationship distress, family-of-origin experiences, suicidal ideation and self harm.
I worked in the Social Work field for almost ten years with a breadth of clients, including youth and families, survivors of domestic violence and assault, and individuals with anxiety, depression, and trauma, and more. I believe clients are leaders of their stories and support them through psychodynamic care, tools, and goal utilization. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Thank you for trusting me in sharing your story. I am here to support & empower you in that journey.
My clinical expertise includes addressing issues connected to anxiety, depression, attachment, trauma experiences and adjustment, self-esteem, relationship distress, family-of-origin experiences, suicidal ideation and self harm.
I worked in the Social Work field for almost ten years with a breadth of clients, including youth and families, survivors of domestic violence and assault, and individuals with anxiety, depression, and trauma, and more. I believe clients are leaders of their stories and support them through psychodynamic care, tools, and goal utilization. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Thank you for trusting me in sharing your story. I am here to support & empower you in that journey.
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Photo of Christine Gomes, Psychologist in Seattle, WA
Christine Gomes
Psychologist, PsyD
Verified Verified
Seattle, WA 98107  (Online Only)
I work with individuals and couples and use a variety of trauma-focused therapy techniques, drawing largely from Internal Family Systems Therapy and Polyvagal Theory. I believe that we are healthiest when we allow ourselves to be exactly who we are. I have special interests in relational and religious trauma, as well as working with people with addiction issues, severe depression, anxiety disorders, and suicidal thoughts and behaviors. No matter where you are in your healing journey, I hope to join you and help you see that you are not alone in the struggle. You are your greatest healer, and I will be your guide along the way.
I work with individuals and couples and use a variety of trauma-focused therapy techniques, drawing largely from Internal Family Systems Therapy and Polyvagal Theory. I believe that we are healthiest when we allow ourselves to be exactly who we are. I have special interests in relational and religious trauma, as well as working with people with addiction issues, severe depression, anxiety disorders, and suicidal thoughts and behaviors. No matter where you are in your healing journey, I hope to join you and help you see that you are not alone in the struggle. You are your greatest healer, and I will be your guide along the way.
(206) 203-0815 View (206) 203-0815
Photo of Lucinda Rodriguez, Counselor in Seattle, WA
Lucinda Rodriguez
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98104  (Online Only)
I have worked the past 17 years in various mental health settings. Working with the chronic mentally ill, addicts, and suicidal clients, I have learned the importance of listening with compassion, and communicating effectively to reassure the individual is being heard. I’ve enjoyed working in community based mental health, which helped me develop the therapeutic skills necessary for the treatment of clients in crisis. It also allowed me to connect and interact with a large diverse population.
I have worked the past 17 years in various mental health settings. Working with the chronic mentally ill, addicts, and suicidal clients, I have learned the importance of listening with compassion, and communicating effectively to reassure the individual is being heard. I’ve enjoyed working in community based mental health, which helped me develop the therapeutic skills necessary for the treatment of clients in crisis. It also allowed me to connect and interact with a large diverse population.
(425) 333-2340 View (425) 333-2340
Photo of Tracy Michelle Ferezan, Counselor in Seattle, WA
Tracy Michelle Ferezan
Counselor, LMHCA, SUDP
Verified Verified
Seattle, WA 98121  (Online Only)
I am a Licensed Mental Health Counselor Associate & Substance Use Disorder Professional. I am currently accepting clients who are paying out of pocket in Washington. I have flexible hours using a virtual setting to accommodate work schedules and allow counseling to be your priority. I work with children ages 10 and older, teenagers, and adults. I specialize in working with people who need help with addiction and recovery, suicidal ideation, mood disorders, and trauma. I am an ally to members of the LGBTQIA+ community.
I am a Licensed Mental Health Counselor Associate & Substance Use Disorder Professional. I am currently accepting clients who are paying out of pocket in Washington. I have flexible hours using a virtual setting to accommodate work schedules and allow counseling to be your priority. I work with children ages 10 and older, teenagers, and adults. I specialize in working with people who need help with addiction and recovery, suicidal ideation, mood disorders, and trauma. I am an ally to members of the LGBTQIA+ community.
(509) 519-1854 View (509) 519-1854
Photo of Alicia Kohalmi, Psychologist in Seattle, WA
Alicia Kohalmi
Psychologist, PsyD
Verified Verified
Seattle, WA 98101  (Online Only)
Our mental health practice includes online psychiatry, mental health therapy, and care for patients who have suicidal thoughts and behaviors.
I believe mental wellness is the cornerstone to living a fulfilling life and maximizing your potential. Together, we will create a non-judgmental space to explore thoughts, feelings and behaviors. Then we'll collaboratively identify patterns and behaviors that are keeping you from reaching your potential.
Our mental health practice includes online psychiatry, mental health therapy, and care for patients who have suicidal thoughts and behaviors.
I believe mental wellness is the cornerstone to living a fulfilling life and maximizing your potential. Together, we will create a non-judgmental space to explore thoughts, feelings and behaviors. Then we'll collaboratively identify patterns and behaviors that are keeping you from reaching your potential.
(727) 205-6896 View (727) 205-6896
Photo of Brad Mullen, Counselor in Seattle, WA
Brad Mullen
Counselor, LMHCA , MEd
Verified Verified
2 Endorsed
Seattle, WA 98107
I understand the profound impact that anxiety, depression, and suicidal ideations can have on one's life, and the tremendous strength required to seek help.
As a black therapist, one of my key areas of focus is the intersectionality of mental health and race. People of color often face unique stressors and systemic barriers that can make mental health challenges much more prevalent. The stigma associated with seeking therapy within many communities of color can make it even more difficult to reach out for help. Consequently, I am dedicated to destigmatizing mental health conversations within these communities and ensuring culturally competent care for my clients
I understand the profound impact that anxiety, depression, and suicidal ideations can have on one's life, and the tremendous strength required to seek help.
As a black therapist, one of my key areas of focus is the intersectionality of mental health and race. People of color often face unique stressors and systemic barriers that can make mental health challenges much more prevalent. The stigma associated with seeking therapy within many communities of color can make it even more difficult to reach out for help. Consequently, I am dedicated to destigmatizing mental health conversations within these communities and ensuring culturally competent care for my clients
(206) 202-8031 View (206) 202-8031
Photo of Jenna Kae Laube, Counselor in Seattle, WA
Jenna Kae Laube
Counselor, LMHC, CDP-IT
Verified Verified
Seattle, WA 98107  (Online Only)
As a psychotherapist I believe in creating a safe and welcoming environment for people to feel and express their emotions and dialogue about their realities. Meeting the client where they are at and working together to build insight and awareness towards creating a more fulfilled life is my main goal in therapy. I assist clients who are facing a wide range of issues including: suicidal ideation, grief and loss, trauma, depression, anxiety, relationship difficulties, eating disorders, and spiritual concerns in taking steps towards healing.
As a psychotherapist I believe in creating a safe and welcoming environment for people to feel and express their emotions and dialogue about their realities. Meeting the client where they are at and working together to build insight and awareness towards creating a more fulfilled life is my main goal in therapy. I assist clients who are facing a wide range of issues including: suicidal ideation, grief and loss, trauma, depression, anxiety, relationship difficulties, eating disorders, and spiritual concerns in taking steps towards healing.
(206) 309-6960 View (206) 309-6960
Photo of Summit Therapy, PLLC, Clinical Social Work/Therapist in Seattle, WA
Summit Therapy, PLLC
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
Seattle, WA 98136  (Online Only)
I treat motivated individuals who struggle with suicidal ideation, self harm, anxiety, and depression. Clients can expect a comprehensive program addressing multiple life domains, in depth CBT, trauma processing, resources, coping skills, and goal setting which are foundational to treatment. Services are meant to be shorter term and provide a referral once level of functioning has improved.
I treat motivated individuals who struggle with suicidal ideation, self harm, anxiety, and depression. Clients can expect a comprehensive program addressing multiple life domains, in depth CBT, trauma processing, resources, coping skills, and goal setting which are foundational to treatment. Services are meant to be shorter term and provide a referral once level of functioning has improved.
(253) 465-7735 View (253) 465-7735
Photo of Lisa Bancroft, Clinical Social Work/Therapist in Seattle, WA
Lisa Bancroft
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98107  (Online Only)
I specialize in anxiety, depression, suicidal ideation, relationship problems, and other issues that cause personal and family distress.
It can be difficult to reach out for help. I hope to make this easier by providing a warm, inviting experience without unnecessary pressure. I believe in allowing my clients to drive their own healing processes through new insight into their problem areas, and by helping them build skills for lasting results. I particularly enjoy working with clients who have never experienced the benefits of therapy. My clients range in age from 22 through 94.
I specialize in anxiety, depression, suicidal ideation, relationship problems, and other issues that cause personal and family distress.
It can be difficult to reach out for help. I hope to make this easier by providing a warm, inviting experience without unnecessary pressure. I believe in allowing my clients to drive their own healing processes through new insight into their problem areas, and by helping them build skills for lasting results. I particularly enjoy working with clients who have never experienced the benefits of therapy. My clients range in age from 22 through 94.
(253) 215-6439 View (253) 215-6439
Photo of Lizzie Mendus, Clinical Social Work/Therapist in Seattle, WA
Lizzie Mendus
Clinical Social Work/Therapist, LSWAIC, MSW
Verified Verified
1 Endorsed
Seattle, WA 98119
Waitlist for new clients
I specialize in anxiety, depression, neurological disorders, school stress, suicidal ideation, identity-forming, gender/sexuality explorations, trauma and stress-related disorders, and conflicts within families.
Hello and welcome to Courageous Healing, PLLC! My name is Lizzie (she/her/hers) and I'm an associate independent clinical social worker (LSWAIC). Engaging in therapy takes strength, bravery, and courage. My therapeutic approach is guided through relational and person-centered practices, which involve seeing clients as complex, intricate people rather than diagnoses or “problems.” My intention as a therapist is to ensure my clients feel seen, heard, and understood, all of which I believe are of the utmost importance to healing.
I specialize in anxiety, depression, neurological disorders, school stress, suicidal ideation, identity-forming, gender/sexuality explorations, trauma and stress-related disorders, and conflicts within families.
Hello and welcome to Courageous Healing, PLLC! My name is Lizzie (she/her/hers) and I'm an associate independent clinical social worker (LSWAIC). Engaging in therapy takes strength, bravery, and courage. My therapeutic approach is guided through relational and person-centered practices, which involve seeing clients as complex, intricate people rather than diagnoses or “problems.” My intention as a therapist is to ensure my clients feel seen, heard, and understood, all of which I believe are of the utmost importance to healing.
(206) 488-0728 x9208 View (206) 488-0728 x9208
Photo of Alexis Kimball, Counselor in Seattle, WA
Alexis Kimball
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98122  (Online Only)
Promote healing collective and intergenerational trauma and its rippling affects causing anxiety, PTSD, depression, suicidal ideation, and more.
My approach counseling is to promote hope, healing, contentment, and lasting growth, for the clients I have the privilege of serving. My mission is to provide a safe, nonjudgemental, and empathetic space, to dive deeper into the inevitable ebb and flow of our collective human experience. While at the same time, I'll introduce tools to help you enhance your strengths and uncover your greatest potential to evolve and heal from within. I'll utilize contextual, historical, intersectional, and cross-cultural techniques, in order to uniquely foster sustainable and transformative change to achieve and maintain holistic wellness.
Promote healing collective and intergenerational trauma and its rippling affects causing anxiety, PTSD, depression, suicidal ideation, and more.
My approach counseling is to promote hope, healing, contentment, and lasting growth, for the clients I have the privilege of serving. My mission is to provide a safe, nonjudgemental, and empathetic space, to dive deeper into the inevitable ebb and flow of our collective human experience. While at the same time, I'll introduce tools to help you enhance your strengths and uncover your greatest potential to evolve and heal from within. I'll utilize contextual, historical, intersectional, and cross-cultural techniques, in order to uniquely foster sustainable and transformative change to achieve and maintain holistic wellness.
(425) 243-1418 View (425) 243-1418
Photo of Johanna Wender, Counselor in Seattle, WA
Johanna Wender
Counselor, MA, LMHC, CMHS
Verified Verified
Seattle, WA 98118
Welcome to Bravura Counseling. I proudly specialize in mental health wellness for active duty and retired first responders, as well as military members and veterans, and their family members, throughout Washington State. I focus on providing counseling that addresses some of the most urgent mental health conditions affecting our first responder and military communities, including: PTSD, critical incident trauma, anxiety, depression, suicide prevention, burnout/workplace stress, substance abuse, and work/life balance.
Welcome to Bravura Counseling. I proudly specialize in mental health wellness for active duty and retired first responders, as well as military members and veterans, and their family members, throughout Washington State. I focus on providing counseling that addresses some of the most urgent mental health conditions affecting our first responder and military communities, including: PTSD, critical incident trauma, anxiety, depression, suicide prevention, burnout/workplace stress, substance abuse, and work/life balance.
(206) 594-5736 View (206) 594-5736
Photo of Mark R Hoagland, Counselor in Seattle, WA
Mark R Hoagland
Counselor, MA, LMHC, CHT, MHP
Verified Verified
1 Endorsed
Seattle, WA 98115
I have facilitated over 200 groups for those who have lost someone to suicide.
I provide therapy to people who wish to make lasting positive changes in their lives in a warm, safe environment. I have extensive experience working with people who have loved ones who have completed suicide and/or are working through other complicated grief issues. I am a certified hypnotherapist and EMDR trained for PTSD and trauma. I am experienced helping with self-esteem, personal development, marriage or premarital counseling, depression, anxiety and divorce recovery. Other areas I work with are Crisis Management, Anger Management, Traumas, Adult ADD/ADHD, Sleep Disturbance, Career Counseling, Social Discomfort and cultural issues.
I have facilitated over 200 groups for those who have lost someone to suicide.
I provide therapy to people who wish to make lasting positive changes in their lives in a warm, safe environment. I have extensive experience working with people who have loved ones who have completed suicide and/or are working through other complicated grief issues. I am a certified hypnotherapist and EMDR trained for PTSD and trauma. I am experienced helping with self-esteem, personal development, marriage or premarital counseling, depression, anxiety and divorce recovery. Other areas I work with are Crisis Management, Anger Management, Traumas, Adult ADD/ADHD, Sleep Disturbance, Career Counseling, Social Discomfort and cultural issues.
(206) 922-8236 View (206) 922-8236
Photo of Laura Weinstein, Marriage & Family Therapist in Seattle, WA
Laura Weinstein
Marriage & Family Therapist, LMFT, ATR-BC, CMHS
Verified Verified
1 Endorsed
Seattle, WA 98112
It's safe to say there is no one-size-fits-all way to come of age during a global pandemic and Youth Mental Health Crisis. As a youth and family art therapist, I am here to help, young adults, teens, and preteens learn to harness their strengths and turn them into coping skills they can use everyday to maintain emotional balance during these exceptionally stressful times. I am experienced in the full range of challenges facing young clients, but have particular expertise with depression / anxiety/ bi-polar disorder, major life transitions and stress, suicidal thoughts, gender exploration, PTSD, and chronic illness/ pain/ disability.
It's safe to say there is no one-size-fits-all way to come of age during a global pandemic and Youth Mental Health Crisis. As a youth and family art therapist, I am here to help, young adults, teens, and preteens learn to harness their strengths and turn them into coping skills they can use everyday to maintain emotional balance during these exceptionally stressful times. I am experienced in the full range of challenges facing young clients, but have particular expertise with depression / anxiety/ bi-polar disorder, major life transitions and stress, suicidal thoughts, gender exploration, PTSD, and chronic illness/ pain/ disability.
(425) 584-1785 View (425) 584-1785
Photo of Amy Mezulis, Psychologist in Seattle, WA
Amy Mezulis
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98104
My clients are typically adolescents and young adults struggling with depression, anxiety, low self-esteem, disordered eating, self-injury, suicidal ideation, substance use, or trauma. I focus on helping my clients identify and achieve their personal goals to improve their daily functioning and overall well-being.
My clients are typically adolescents and young adults struggling with depression, anxiety, low self-esteem, disordered eating, self-injury, suicidal ideation, substance use, or trauma. I focus on helping my clients identify and achieve their personal goals to improve their daily functioning and overall well-being.
(844) 951-4285 View (844) 951-4285
Photo of Shanyn Gilio-Tenan, Clinical Social Work/Therapist in Seattle, WA
Shanyn Gilio-Tenan
Clinical Social Work/Therapist, LICSW, MHP, CMHS
Verified Verified
Seattle, WA 98136
In my practice I provide individual, family, and couples therapy to help adolescents and adults grow and change into the person they want to be. I support my clients through healing from abuse, divorce, domestic violence, behavioral problems, anxiety, depression, suicidal thoughts and more. I am experienced in working with clients from the LGBTQ community, as well as those in non-traditional family/relationship structures. I have experience working with crisis intervention and assessments for hospitalizations. I currently do not take insurance but will provide a receipt for reimbursement from your insurance.
In my practice I provide individual, family, and couples therapy to help adolescents and adults grow and change into the person they want to be. I support my clients through healing from abuse, divorce, domestic violence, behavioral problems, anxiety, depression, suicidal thoughts and more. I am experienced in working with clients from the LGBTQ community, as well as those in non-traditional family/relationship structures. I have experience working with crisis intervention and assessments for hospitalizations. I currently do not take insurance but will provide a receipt for reimbursement from your insurance.
(541) 241-2777 View (541) 241-2777
Photo of Jennifer Buchman, Psychologist in Seattle, WA
Jennifer Buchman
Psychologist, PhD
Verified Verified
2 Endorsed
Seattle, WA 98126
My areas of expertise include the treatment of depression, anxiety, eating disorders, PTSD, emotional distress, interpersonal challenges, and suicidal thoughts.
I am a licensed clinical psychologist with over 10 years of experience providing individual and group therapy services. I begin the therapeutic process with a discussion of your current symptoms and challenges, your strengths, goals, life experiences, and aspects of your identity that help us better understand your unique circumstances. We then collaboratively develop treatment goals and an individualized plan to help you meet your goals. Ultimately, I aim to help you feel confident in your ability to navigate stressors, regulate emotions, and feel strongly connected to your values.
My areas of expertise include the treatment of depression, anxiety, eating disorders, PTSD, emotional distress, interpersonal challenges, and suicidal thoughts.
I am a licensed clinical psychologist with over 10 years of experience providing individual and group therapy services. I begin the therapeutic process with a discussion of your current symptoms and challenges, your strengths, goals, life experiences, and aspects of your identity that help us better understand your unique circumstances. We then collaboratively develop treatment goals and an individualized plan to help you meet your goals. Ultimately, I aim to help you feel confident in your ability to navigate stressors, regulate emotions, and feel strongly connected to your values.
(206) 875-2456 View (206) 875-2456
Photo of Autumn Webb, Counselor in Seattle, WA
Autumn Webb
Counselor, MS, LMHC
Verified Verified
Seattle, WA 98103  (Online Only)
The focus of my services is providing growth and discovery for those undergoing emotional, mental, and health related journeys. I strive to deliver gender affirming mental healthcare in Washington state. I specialize in helping clients who are exploring or struggling with their sexual identity, gender dysphoria, C-PTSD, depression, anxiety, and suicidal thoughts. My goal as your clinician is to meet you where you are, and provide you with the tools you need to reach your ideal self. Reach out to me and lets have a conversation about working together. Request a free consultation on my website.
The focus of my services is providing growth and discovery for those undergoing emotional, mental, and health related journeys. I strive to deliver gender affirming mental healthcare in Washington state. I specialize in helping clients who are exploring or struggling with their sexual identity, gender dysphoria, C-PTSD, depression, anxiety, and suicidal thoughts. My goal as your clinician is to meet you where you are, and provide you with the tools you need to reach your ideal self. Reach out to me and lets have a conversation about working together. Request a free consultation on my website.
(360) 233-8548 View (360) 233-8548
Photo of Vanessa Lim, Pre-Licensed Professional in Seattle, WA
Vanessa Lim
Pre-Licensed Professional, LMHCA, MA
Verified Verified
1 Endorsed
Seattle, WA 98117
Therapy does not make hard things easy, but it can make confusing things clearer. My hope is to work with my clients towards real change, greater flexibility, and honesty in the context of a compassionate relationship, all of which are necessary for healing and flourishing. I work with individuals who struggle with intense emotions, out of control behaviors, OCD, addiction, trauma, abuse, and suicidal/self-harm behaviors. I also work with religious or spiritual concerns. I work with people who experience conflict within themselves, with other people in their lives, or with their personal and collective histories.
Therapy does not make hard things easy, but it can make confusing things clearer. My hope is to work with my clients towards real change, greater flexibility, and honesty in the context of a compassionate relationship, all of which are necessary for healing and flourishing. I work with individuals who struggle with intense emotions, out of control behaviors, OCD, addiction, trauma, abuse, and suicidal/self-harm behaviors. I also work with religious or spiritual concerns. I work with people who experience conflict within themselves, with other people in their lives, or with their personal and collective histories.
(206) 203-3401 View (206) 203-3401

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.