ACT for Depression: Exploring Suicidal Ideation With Hannah

miranda_morris

True North Therapy and Training

Key Points

  1. There’s a common therapist misconception about suicidal ideation that talking about it will make it worse.
  2. Hannah and her therapist were able to discern whether suicidal ideation was motivated by a desire to end her life or simply to escape pain.
  3. They put a safety plan in place for Hannah to monitor her suicidal ideation and establish guardrails involving herself, her roommates, and the therapist.
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The Function of Suicidal Ideation

Suicidal ideation is a scary topic for both clients and therapists. Some clients, like Hannah, find such thoughts not only frightening but also powerful and prescient. Many clinicians believe that talking about suicidal ideation may make it worse. But when clients present us with scary subjects, we have to be willing to go there, because they are.

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