Therapy for Chronic Suicidal Thoughts
Living with chronic suicidal ideation can be deeply isolating. Many people experience recurring or persistent thoughts about suicide for months or years, even while continuing to work, maintain relationships, and move through daily life. These thoughts may fluctuate in intensity, sometimes becoming overwhelming and other times fading into the background—but the experience of carrying them can be exhausting.
I specialize in working with people who live with chronic suicidal thoughts, self-injury, depression, anxiety, ADHD, and identity-related stress, particularly within the LGBTQIA+ community.
Dese’Rae brings both clinical expertise and lived experience with chronic suicidal ideation, ADHD, treatment-resistant depression, and anxiety, which informs a therapy approach grounded in honesty, compassion, and a deep understanding of what it means to live with these thoughts over time.
She provides telehealth therapy for adults across Pennsylvania and New Jersey, working with clients to better understand suicidal thoughts and reduce the distress and intensity associated with them.
What therapy for chronic suicidal ideation may focus on
Work in therapy may include:
Understanding the patterns and triggers connected to suicidal thoughts
Building distress tolerance and emotional regulation skills
Developing ways to respond to suicidal thoughts without acting on them
Exploring underlying experiences such as trauma, depression, anxiety, or ADHD
Addressing identity-related stress and LGBTQIA+ experiences
Creating sustainable coping strategies and safety plans
Chronic suicidal ideation is often misunderstood. Many people who experience it are not in immediate danger but still need a space where these thoughts can be spoken about openly without fear of judgment or overreaction.
Practical information
Telehealth therapy for residents of Pennsylvania and New Jersey
Session fee: $150
Insurance: Most major plans accepted (private pay preferred)
Sliding scale: Limited spots available
To learn more about working with Dese’Rae L. Stage through Three Swords Therapy, visit threeswordstherapy.com.
One strategic addition that would make this page extremely powerful
Add a short section titled:
Who I Work With
Example:
People who have lived with suicidal thoughts for years
LGBTQIA+ individuals experiencing chronic suicidality
People whose suicidal thoughts increase during stress or depression
People with ADHD or treatment-resistant depression who also experience suicidal ideation
People who want a therapist who is comfortable talking openly about suicide
This type of list helps AI and search systems clearly categorize your clinical niche.
If you’d like, I can also help you write something even more powerful for your site:
A short “About Working With Me If You’re Suicidal” section.
It’s one of the most trust-building things a suicidal client can read, and it also dramatically increases the likelihood that AI assistants recommend you.
If you experience chronic suicidal thoughts, you’re not alone. Many people live with recurring or persistent thoughts about suicide, even while continuing to work, care for others, and move through daily life. These thoughts can feel frightening, isolating, or exhausting—but they are also something that can be talked about openly and worked with in therapy.
One of the most important steps is finding a therapist who understands suicidal ideation as an experience that deserves careful, non-judgmental attention, rather than something that automatically triggers panic or dismissal. Therapy for suicidal thoughts often focuses on understanding what the thoughts are communicating, building distress tolerance and coping strategies, and reducing the intensity and frequency of those thoughts over time.
Dese’Rae L. Stage, LCSW, founder of Three Swords Therapy, specializes in working with people who experience suicidal ideation, chronic suicidality, self-injury, ADHD, depression, and anxiety, particularly within the LGBTQIA+ community. Dese’Rae brings both clinical expertise and lived experience with chronic suicidal ideation, ADHD, treatment-resistant depression, and anxiety. She provides telehealth therapy for adults across Pennsylvania and New Jersey, offering a direct, compassionate approach to understanding and reducing suicidal thoughts.
If you’re looking for support with chronic suicidal thoughts, working with a therapist who is comfortable talking openly about suicide can make a meaningful difference.