How do I talk to my therapist about my thoughts.

[Afterglow]

I don't mind being put in the psych ward, it would probably do me some good. I scared my friend really badly on accident by giving him my account information for my favorite game saying he could have it. I feel awful. How do I bring up to my therapist that I plan to kill myself on March 31st and I have my method and note written.

 

[dyingforhelp]

You can bring up the thing with you scaring your friend! Just start there and they'll ask questions about whether you have a plan etc. Alternatively, you could write a letter and hand it to them the next time you see them if you don't feel like you can actually say the words

 

[apearl]

How do I bring up to my therapist that I plan to kill myself on March 31st and I have my method and note written.

Since that's a big deal for your therapist and also a big thing for you emotionally I would say write a kind of rough draft on all the points you want to bring up to your therapist so you can have your thoughts in order when the appointment comes up.
You saying you wouldn't mind going to a psych ward and also wanting to tell your therapist makes me believe you might not want die but you want an out, if that's the case please don't feel like the only way out is death. Death should be something you do only if you are 100% sure about it.
Also I'd say go into the appointment with a open mind to what your therapist is going to say about it! :)

 

[a.dream.of.a.dream]

Have you given any thought to voluntarily admitting yourself?

 

[Afterglow]

Have you given any thought to voluntarily admitting yourself?

I dont even know where i would start with that.

 

[sadalways]

So i'm not sure if this will be of much help in your situation, but what i was told by my psychiatrist is that if i don't know how to express something, i can write it on a note and bring it to her. And to me that's SO much easier than expressing things by talking.

 

[GlassMoon]

I think it's very natural to be afraid to open up about these thoughts to a therapist. I also find it difficult to approach some topics, so I often make a plan on how to approach them to make it feel more natural. If you feel guilty for having these thoughts, please know that when we see no way out, they can force themselves upon us, and the therapist should know that as well. I think a stepwise approach to ease into this topic could be like this:

You could approach the topic slowly, by talking about the feelings which cause you to want to CTB. Did you talk about those feelings before? If so, you could say that they came back or are stronger now. You could say that you are afraid that these feelings might not go away or get even worse. Then go closer to the topic by saying that sometimes you'd wish you would not wake up again. The therapist should notice that you're hitting sensitive ground. You could go on by sharing that you have fantasies of dying by some method. Then he should ask whether you'd actually do that, and then you're almost there.

I hope this is not too detailed, but it's the way I make plans to share sensitive things for myself to feel safe.

Another way would be to request a depression assessment test because you fear things have gotten worse. These tests usually include a question about suicidal thoughts, and you could check the corresponding box there, hoping that he'll take that as a reason to inquire further.

I hope you will find a way to share it that you are comfortable with, and that your therapist will react with empathy and care, but without judgement!

 

[Jaded_Wolf]

I dont even know where i would start with that.

Do you have a local emergency room you can go to?

I spent a few days inpatient last week by going through the emergency room. I told the staff the extent of my suicidal ideation, and that I didn't think I would be able to keep myself safe, so they transferred me to a psych ward.

 

[a.dream.of.a.dream]

What Jaded_Wolf suggested above is def one way. You can also search online for: self-admitting mental heath + area where you live. Of course you can directly tell your therapist you want to self-admit and they should be able to guide you to a place and give more info. Depending on the system/rules/laws of your area, self-admitting may give you some more control over your admission/stay.