Suicidality includes thinking about ending your life (suicidal ideation), or attempting to end your life. This is always very serious. It is not a manipulation. Talking about it doesn’t mean the person is not going to act on it. Anyone who is thinking about or talking about ending their life should be referred to a mental health professional or the National Suicide Hotline at 800.273.8255. Not often talked about is passive suicidality which includes engaging in high risk behavior that could result in death.

  • Self-harm 
    • Self- harm aka self-injury is not a diagnosis but is a sign of emotional distress. It is serious but  not necessarily directly related to suicidality. It offers an immediate relief from emotional pain but results in shame and ultimately to the return of the painful emotions. It may occur only once or be habitual. In any case it should be directed to a mental health professional It can lead to life threatening injuries.
  • Relationship Issues 
    • Issues in any relationship is a huge stressor and a loss of emotional stability and support. It refers to strained, high conflicted or broken relationships with another person or people. Although I do not work directly with couples, I will consider a few sessions with another person to work on a particular issue. These relationships include but are not limited to:
      • Child
      • Parent
      • Partner
      • Workplace