How to Talk About Suicidal Thoughts in Therapy

Talking about suicidal thoughts can feel terrifying. You might worry your therapist will overreact, call for emergency help, or see you differently. You might also fear being judged, misunderstood, or labeled as “unstable.” At Sprout Therapy PDX, we want you to know: you can talk about suicidal thoughts in therapy. Without shame. Without fear. Without losing your right to be seen as whole.

Suicidal Thoughts Are More Common Than You Think Many people experience suicidal thoughts at some point. They can range from fleeting intrusive thoughts to deeper feelings of hopelessness. They might come up during times of stress, trauma, burnout, or identity-based harm. Having these thoughts doesn’t mean you’re broken. It means you’re carrying something heavy—and you deserve support.

You Don’t Have to Have a Plan to Say Something You’re allowed to talk about:

  • Thoughts that scare you

  • Moments of emptiness or numbness

  • Wondering if things will ever get better

  • Not wanting to die, but not wanting to live like this

Bringing those thoughts into therapy doesn’t make you a danger. It makes you brave.

What Happens When You Talk About It in Therapy At Sprout Therapy PDX, we approach suicidal thoughts with:

  • Curiosity, not crisis mode

  • Compassion, not control

  • Collaboration, not punishment

We’ll ask what those thoughts are communicating. We’ll help you build safety, even if you’re not in immediate danger. And we’ll work with you to create a plan for what support looks like—on your terms.

You’re Still Allowed to Laugh, Dream, and Heal You are more than the hardest thoughts you have. Talking about suicide doesn’t cancel your joy, your humor, your strengths, or your softness. It just means there’s something inside you that needs space, care, and language. You don’t have to carry it alone.

Final Thoughts There’s no “right” way to talk about suicidal thoughts. You just have to start. And when you do, we’ll meet you with gentleness, not fear.

If you’re struggling with suicidal thoughts and want a therapist who will listen without judgment, Sprout Therapy PDX is here. We offer affirming, compassionate therapy that holds space for your darkest moments—and walks with you toward light.


Emelie Douglas