The Psychiatry High Risk Program (PHRP) is a nationally recognized outpatient recovery-based suicide prevention program that gets to the root causes of depression, anxiety, addiction, and suicide, aiming towards transformative healing and recovery, rather than just getting through crisis after crisis. The program provides comprehensive evidence-based treatment for youth and young adults (ages 14 to 40) who struggle with thoughts of suicide. Conditions that commonly occur in high risk individuals and addressed through this program include depression, anxiety, borderline personality disorder, self-harm, eating disorders, and addictions. Weekly therapy with dynamic deconstructive psychotherapy (DDP; https//www.upstate.edu/ddp) is a core required component, but medication management, family therapy and group therapies are offered as needed. This innovative program has shown outstanding outcomes, attracting both regional and national attention. Many of our clients enter the program with little hope, having been through multiple previous treatments without success, and yet have found transformative healing at the PHRP.