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I think it's a good idea to tell t that you've dealt with the thoughts for a long time and have never followed through with an attempt while you tell her of the almost continual ideation. That will help you and her.
I want to tell you that I'm now wrapping up therapy successfully and during my therapy (twice in fact) I had t write down what would warrant involuntary hospitalization. He agreed with no problems...both times. He knew I was asking for specific reason and had to calm me before I would talk (mine wasn't about thoughts of suicide though - it was basically a fear here. t, however, didn't know that when i asked).
So, I would ask t what SPECIFICALLY would get an involuntary hospitalization and even ask her to write it down, or you do it yourself as a reminder to you... It helped me alot.
From what others have told me, their t's don't consider hospitalization unless they're afraid the client are losing the fight in managing the thoughts. The thoughts alone weren't what led to hospital.
I hope that helps a bit.
KD
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