Photo of Mark Monfasani, Psychiatric Nurse Practitioner in Massachusetts
Mark Monfasani
Psychiatric Nurse Practitioner, PMHNP, AGNP
Verified Verified
Newton, MA 02466
I am a nurse practitioner offering medication management, and other treatments for mental health through Empowered Psychiatry in MA and in CA. I am Johns Hopkins-educated, LGBTQ+ positive, sex-positive, poly-, body- and kink positive, and I am pretty calm, casual, and relaxed, with some dry humor sprinkled in. I prioritize mutual open communication in order to work with each individual's goals. I try to avoid stigma and shame, including about substances, neurodivergence, and unfortunate past events, and I aim to work together to define and pursue health and wellness goals.
I am a nurse practitioner offering medication management, and other treatments for mental health through Empowered Psychiatry in MA and in CA. I am Johns Hopkins-educated, LGBTQ+ positive, sex-positive, poly-, body- and kink positive, and I am pretty calm, casual, and relaxed, with some dry humor sprinkled in. I prioritize mutual open communication in order to work with each individual's goals. I try to avoid stigma and shame, including about substances, neurodivergence, and unfortunate past events, and I aim to work together to define and pursue health and wellness goals.
(781) 660-1604 View (781) 660-1604
Photo of Rosevelt Nwokeji, Psychiatric Nurse Practitioner in Massachusetts
Rosevelt Nwokeji
Psychiatric Nurse Practitioner, MSN, RN, PMNHNP
Verified Verified
1 Endorsed
Newbury, MA 01951
Rosevelt Nwokeji RN, MSN, PMHNP-BC is a board certified psychiatric nurse practitioner with Safe Harbor Psychiatry in Newbury MA. Prior to graduating with his NP degree from MGH Institute of Health Professions Rosevelt worked as a psychiatric registered nurse in a variety of settings: adult day programs, Mcclean Hospital on alcohol and drug detox unit to name a few. In addition to his work with Safe Harbor Psychiatry, Rosevelt also works for for the Department of Mental Health in an inpatient psychiatric forensic hospital treating extremely high acuity patients struggling with mood and psychotic disorders.
Rosevelt Nwokeji RN, MSN, PMHNP-BC is a board certified psychiatric nurse practitioner with Safe Harbor Psychiatry in Newbury MA. Prior to graduating with his NP degree from MGH Institute of Health Professions Rosevelt worked as a psychiatric registered nurse in a variety of settings: adult day programs, Mcclean Hospital on alcohol and drug detox unit to name a few. In addition to his work with Safe Harbor Psychiatry, Rosevelt also works for for the Department of Mental Health in an inpatient psychiatric forensic hospital treating extremely high acuity patients struggling with mood and psychotic disorders.
(978) 381-1791 View (978) 381-1791
Photo of Joseph F. Toomey, Psychiatric Nurse Practitioner in Massachusetts
Joseph F. Toomey
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Boston, MA 02125
With over three decades’ experience in academic and corporate environments, my current work as a Psychiatric DNP has evolved from observing the challenges and successes of colleagues and students and their relationship to emotional HEALTH and the ability to FOCUS on daily and long-term goals. As a result of my Yale, Duke, and MGH psychiatric training, I’ve honed my observations into effective working theories about the biopsychosocial factors that influence peoples’ vitality and well-being. If you're currently struggling with academic, professional or emotional obstacles, I believe I can help.
With over three decades’ experience in academic and corporate environments, my current work as a Psychiatric DNP has evolved from observing the challenges and successes of colleagues and students and their relationship to emotional HEALTH and the ability to FOCUS on daily and long-term goals. As a result of my Yale, Duke, and MGH psychiatric training, I’ve honed my observations into effective working theories about the biopsychosocial factors that influence peoples’ vitality and well-being. If you're currently struggling with academic, professional or emotional obstacles, I believe I can help.
(857) 269-1988 View (857) 269-1988
Photo of Joseph F Toomey, Psychiatric Nurse Practitioner in Massachusetts
Joseph F Toomey
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
North Truro, MA 02652  (Online Only)
With over three decades’ experience in academic and corporate environments, my current work as a Psychiatric DNP has evolved from observing the challenges and successes of colleagues and students and their relationship to emotional HEALTH and the ABILITY to FOCUS on daily and long-term goals. As a result of my Yale, Duke, and MGH psychiatric training, I’ve honed my observations into effective working theories about the biopsychosocial factors that influence peoples’ vitality and well-being. If you're currently struggling with academic, professional or emotional obstacles, I believe I can help.
With over three decades’ experience in academic and corporate environments, my current work as a Psychiatric DNP has evolved from observing the challenges and successes of colleagues and students and their relationship to emotional HEALTH and the ABILITY to FOCUS on daily and long-term goals. As a result of my Yale, Duke, and MGH psychiatric training, I’ve honed my observations into effective working theories about the biopsychosocial factors that influence peoples’ vitality and well-being. If you're currently struggling with academic, professional or emotional obstacles, I believe I can help.
(857) 267-9028 View (857) 267-9028

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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.