Therapist Confidentiality

To be totally honest it depends on the therapist. Some will take any admission of suicidal ideation as a need to be hospitalized. Others will not react so harshly unless you say flat out that you're going to try and kill yourself.

Therapists are required to keep your confidentiality under all bu three circumstances. 1. There is a real, present and immediate danger to you or someone else. 2. A child is being abused. 3. They are required to by a court.

In your first visit a therapist is trying to get a sense of your problems and whether they are the right ones to help you. Don't expect to start working on your problems in the first session. You can mention suicidal thoughts, but it would be wise to stress that these are just thoughts and there is no immediate danger to yourself.

I would actually say you should NOT be institutionalized. Especially when being held for suicidal thoughts people get treated terribly in those places. When you're not even allowed to have a bed sheet, it's not a healthy place to be in. Those places cater to extremes and the staff are often way over-worked. It's a terrible environment for someone with depression.

I would encourage you to keep looking into therapy, and possibly medication. You are stronger than this, you are going to be okay.

From what I have learned, there needs to be a desire, a means (i.e. having a weapon, pills, etc.), and a plan when an admission of suicidality takes place. If an individual simply admits they want to kill his or herself but do not have the means to do so or a plan in place, they aren't typically hospitalized. But as others have mentioned, it depends on the therapist.

That being said, if you know your condition is bad enough that you should be hospitalized, perhaps that would be the best course of action for you. Help is always available, you just need to take that first step in accepting it. Good luck and stay strong!

This question is not one that I can answer completely. To be honest, it is likely that they will recommend you for a 72 hour hold and have you further evaluated. If you need an impatient program get the help. Don't fight needing help. It does not make anything better.

If it is simply thoughts, they likely won't hold you. If it is strong, graphic, violent thoughts and a strong compulsion to commit, then they might hold you. If they really think that is what you need, you CAN ask about it. The therapist otherwise cannot do anything unless they think you are in legitimate danger

"Part of me knows I need to be in an inpatient program at a hospital. " Get yourself admitted. by you saying that it is very strong of you but it shows that you are in a good spot to begin receiving help!! i would walk into that office and be 100% honest.

I wouldn't tell the therapist that you plain out what to kill yourself. Start off by saying that you've just had thoughts of suicide, and you want help