Therapists in Sugar Land, TX
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L. Michela Giordano
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, TX 77406 (Online Only)
Not accepting new clients
I am bicultural, raised between Italy and the US. I am a Licensed Clinical Social Worker and am experienced and passionate about helping clients heal from trauma to better manage stress and anxiety, relationship issues, eating disorders, and more. I also have experience in and love to help those struggling with religious or spiritual beliefs, autism, ADHD, sexuality/intimacy, OCD/control issues, aging, motherhood, depression and self esteem.
I am bicultural, raised between Italy and the US. I am a Licensed Clinical Social Worker and am experienced and passionate about helping clients heal from trauma to better manage stress and anxiety, relationship issues, eating disorders, and more. I also have experience in and love to help those struggling with religious or spiritual beliefs, autism, ADHD, sexuality/intimacy, OCD/control issues, aging, motherhood, depression and self esteem.
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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.