** Call the National Suicide Prevention Lifeline at 1-800-SUICIDE  if you or someone you know is at risk of suicide. **

Suicidal ideation includes any thoughts of potentially fatal self-harm, whether they are fleeting or well-formulated, and applies in the absence of actual suicide. While many people have faced suicidal ideation without having committed the act, many have in fact made attempts and some have succeeded.

People who face suicidal ideation often have many other psychological symptoms that lead them to this condition, including panic attacks, insomnia, anxiety, hopelessness and depression. However, not all people with mental or medical issues consider suicide, but all suicidal ideation incidents should receive urgent attention.  Someone who experiences suicidal ideation may threaten to hurt or kill him or herself, make attempts to find ways to commit suicide; write or talk about their own death; seek revenge, feel unhappy or trapped, and engage in risky behaviors.

People with mood disorders, such as schizophrenia and bipolar disorder are at a higher risk for suicidal ideation, as are people with cancer and AIDS.

It is important for people with suicidal ideation to seek urgent help from an experienced counsellor or therapist. Psychotherapy has been found to be effective in helping people deal with issues of hopelessness. A professional counsellor will explore the circumstances that led to the suicidal ideation and help to restore hope to the client. It will help to resolve underlying causes of suicidal ideation and find coping strategies to curb impulses that lead to self-harm. Therapy will also help the client to reframe his or her perceptions and worldview.

If you are looking for a counsellor or psychologist who offers counselling approaches to address your suicidal ideation issues, you may want to search the directory to find a professional whose approach will suit you best.

Chronic pain brings hundreds of people to therapy every week. Many physical and psychological issues can cause chronic pain and it is important to rule out any medical causes and get treatment by speaking to a physician.

Some people experience chronic pain as the result of untreated emotional overwhelm, unexpressed anger, depression or grief. Symptoms of chronic pain typically include headaches; muscle tension, pain or fatigue;  shooting nerve pains, and tension in the back, neck and shoulders.

Many people with chronic pain disorder are reluctant to explore the emotional causes of their pain for fear of being told that they are inventing the symptoms. However, true somaticizing is a very real condition in which the emotions are unable to leave the body.

Another reason why people are loathe to admit the emotional roots of their pain, is that they fear that there would be no medical cure. Chronic pain with an emotional root requires that they confront the emotions that have been hidden away, and this can be challenging.

Therapists and psychologists who do  chronic pain therapy offer a confidential and safe environment in which people can explore pent-up emotions and as a result experience short term and long term relief. Symptoms caused by long term emotional build-up may require long-term treatment and due to the physical changes, some medical intervention and active physiotherapy is often very important as well.

If you are looking for a counsellor or psychologist who works with chronic pain you may want to search the directory to find a professional whose approach will suit you best.