One of the most difficult areas in psychotherapy is deciding how to manage a severely depressed patient who presents with suicidal ideas, urges or plans. The therapist has to be able to assess the severity and risk of suicidal ideas, try and understand what is generating these experiences, try and manage their own anxiety, as well as decide whether extra help outside therapy is needed. If extra help outside therapy is needed, the therapist then needs to know how to manage family, friends, GPs, private psychiatrists, community mental health teams and psychiatric hospitals in a way that therapy can proceed. Finally, the therapist needs to understand their medicolegal risk and how to manage that.
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent