I had ideations for several years, then I had a 10 year stretch symptom free. When a major episode hit me after that 10 years, I again had ideations. The best thing is to continually talk to your therapist, doctor, and in a group if you end up in a partial hospital program. The partial program can be very helpful if you are stuck. Talk to your Pdoc about it. The more you talk out your thoughts and feelings, the less hold they have on you. Eventually, mine faded out completely. Don't get discouraged. No doctor or therapist can predict the future. The more you believe you will reach of point of remission, the more likely it will happen.