“Suicide rates have not slumped under the onslaught of antidepressants, mood-stabilizers, anxiolytic and anti-psychotic drugs; the jump in suicide rates suggests that the opposite is true. In some cases, suicide risk skyrockets once treatment begins (the patient may feel not only penalized for a justifiable reaction, but permanently stigmatized as malfunctioning). Studies show that self-loathing sharply decreases only in the course of cognitive-behavioral treatment.”
Antonella Gambotto-Burke, The Eclipse: A Memoir of Suicide
Every client’s story serves as a powerful reminder to therapists of the therapeutic process’s transformative power and the resiliency of the human spirit. I recently had the honor of working with a female client—let us call her Ann—a 22-year-old young woman who had made several attempts at suicide. Ann experienced suffering, hopelessness, and despair along the way, but we were able to move past these negative emotions and move toward healing and transformation by using a team-based, all-encompassing approach to treatment that included family therapy, cognitive behavioral therapy (CBT), and psychiatric interventions.
Ann’s Story:
Ann’s struggles with suicidal ideation had been ongoing for several years, stemming from a combination of underlying mental health issues, unresolved trauma, and interpersonal challenges. At the age of 22, Ann had attempted suicide three times, each time plunging deeper into the depths of despair and hopelessness. Recognizing the urgency of addressing Ann’s suicidal thoughts and behaviors, I approached her treatment with compassion, empathy, and a commitment to supporting her on her journey towards healing.
Integrating Treatment Approaches:
- Comprehensive Assessment: The first step in Ann’s treatment involved conducting a thorough psychological assessment to understand the underlying factors contributing to her suicidal ideations. This assessment included exploring Ann’s mental health history, trauma experiences, family dynamics, and current stressors, providing valuable insights into her unique needs and challenges.
- Family Therapy: Given the significant impact of family dynamics on Ann’s mental health, I integrated family therapy into her treatment plan to address relational patterns, communication barriers, and family conflicts that may contribute to Ann’s distress. Family therapy sessions provided a safe and supportive space for Ann and her family to explore underlying issues, improve communication, and strengthen familial bonds. I must commend her parents for their continued availability and support for their daughter.
- Cognitive Behavioral Therapy (CBT): As an evidence-based approach for treating suicidal ideation, CBT interventions focused on identifying and challenging negative thought patterns, developing coping strategies for managing distressing emotions, and enhancing problem-solving skills. Through structured sessions, Ann learned to reframe her thoughts, regulate her emotions, and develop healthier coping mechanisms to navigate life’s challenges.
- Psychiatric Interventions: Concurrently, Ann received psychiatric interventions, including medication management, under the care of a psychiatrist. Medication was prescribed to address underlying mood, depression, and anxiety symptoms, providing stabilization and relief from acute distress while complementing the therapeutic interventions.
“I wonder… if people think of suicidal ideation as thoughts that are obviously sinister. If they assume the voice comes in a snake hiss or a demon’s warped bass. Does it occur to them that it could sound like the friend who nudges you at a bad, crowded party and whispers, conspiratorially, “Hey, lets get out of here”. Do [they] consider how well you have to know yourself to see that moment for what it is and whisper back, “You are not my real friend”.”
Emery Lord, [Don’t] Call Me Crazy
Healing and Recovery:
During the course of treatment, Ann showed impressive development in controlling her suicidal thoughts and strengthening her ability to overcome hardship. Ann and her family saw improvements in their ability to communicate, control their emotions, and cope with life’s challenges thanks to the integrated approach of family therapy, cognitive behavioral therapy, and psychiatric interventions. This helped them feel hopeful and empowered about the future.
Conclusion:
Ann’s journey of healing from suicidal ideation serves as a testament to the transformative power of therapy in navigating mental health challenges. Through a comprehensive treatment approach that integrates family therapy, CBT, and psychiatric interventions, Ann was able to reclaim her life, cultivate resilience, and embark on a path of healing and recovery. As therapists, we have the privilege of accompanying clients like Ann on their healing journeys, empowering them to find hope, strength, and meaning amidst the darkness of despair. Ann’s story is a testament to the resilience of the human spirit and the transformative potential of therapy in fostering healing and growth.
