Photo of Ioana N Shirley, Psychiatrist in New York, NY
Ioana N Shirley
Psychiatrist, MD
Verified Verified
New York, NY 10014  (Online Only)
I am Ioana Shirley, psychiatrist with board certifications in child, and adult psychiatry. After many years of private practice work in Birmingham AL, as well as international work in Europe and South East Asia, I am opening a practice in New York City. I feel honored to return to the city where my American medical experience started, and I am thrilled to bring state of the art services that are personal, affordable and complete. I believe in therapy, psychopharmacology, holistic and allopathic medicine. Our conversation will start with You, and not with your disease, and through telemedicine it will be comfortable, private, safe.
I am Ioana Shirley, psychiatrist with board certifications in child, and adult psychiatry. After many years of private practice work in Birmingham AL, as well as international work in Europe and South East Asia, I am opening a practice in New York City. I feel honored to return to the city where my American medical experience started, and I am thrilled to bring state of the art services that are personal, affordable and complete. I believe in therapy, psychopharmacology, holistic and allopathic medicine. Our conversation will start with You, and not with your disease, and through telemedicine it will be comfortable, private, safe.
(332) 334-8226 View (332) 334-8226
Photo of Ioana N Shirley, Psychiatrist in New York, NY
Ioana N Shirley
Psychiatrist, MD
Verified Verified
New York, NY 10014
Hello, I am Ioana Shirley, medical doctor board certified in Child and Adult Psychiatry. I have 30 years of daily experience in the outpatient treatment of all psychiatric disorders, using a variety of modalities that include therapy, medications, family interventions, TMS, Esketamine etc. I believe that the success of all psychiatric and psychological interventions depends on the provider's training and skills, but also on the relationship between you and this provider. I offer a one stop safe, private and respectful place for psychoeducation, counseling and complex treatments. Healing is the goal in our partnership.
Hello, I am Ioana Shirley, medical doctor board certified in Child and Adult Psychiatry. I have 30 years of daily experience in the outpatient treatment of all psychiatric disorders, using a variety of modalities that include therapy, medications, family interventions, TMS, Esketamine etc. I believe that the success of all psychiatric and psychological interventions depends on the provider's training and skills, but also on the relationship between you and this provider. I offer a one stop safe, private and respectful place for psychoeducation, counseling and complex treatments. Healing is the goal in our partnership.
(205) 624-0062 View (205) 624-0062
Suicidal Ideation Psychiatrists

How does therapy for suicidal ideation work?

Stress, depression, anxiety, or upsetting circumstances can give rise to suicidal thinking. Therapy can address the events at the core of an individual’s suffering. Understanding why a person may be suicidal can help the therapist and the patient discover alternative methods of coping. A person with suicidal ideation may be mired in catastrophic thinking, and treatment like cognitive behavioral therapy is a good choice for breaking such patterns. In addition, treatment such as acceptance and commitment therapy can help a person manage their distress through better emotion regulation.

Which therapies are best for suicidal ideation?

Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, acceptance and commitment therapies, among others. Cognitive behavioral and dialectical behavior therapies are two widely used therapies that can help individuals with painful thoughts and past traumas. These therapies help an individual tolerate distress, regulate emotions, and not act on dangerous urges.

Are there specific medications to be combined with therapy?

The use of medication for suicidal thoughts must be aligned with the underlying cause; conditions such as depression, anxiety, and psychosis may be at the root of suicidal ideation. A psychiatrist may prescribe medications for symptoms, which may include antipsychotics such as aripiprazole or antidepressants such as selective serotonin reuptake inhibitors.

How often and how long are therapy sessions for suicidal ideation?

As with any type of therapy, sessions depend on the individual. Patients may see improvement within 15 to 20 sessions, at an average of 50 minutes per session, while others may opt for 20 to 30 sessions over, perhaps, a six-month period. Still other patients, especially those with co-occurring conditions like major depression and anxiety, may need to continue sessions for up to 12 to 18 months. In some cases, residential treatment may be recommended for an individual who is judged to be at high risk of self-harm.