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May 2, 2025

296 | Responding to Suicidal Statements in CCPT Sessions

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Episode summary

In this episode, I respond to powerful questions from Angelica and Mikayla about how to approach suicidal statements made by children in CCPT sessions. These statements—like "I want to die" or "I wish I was never born"—can be deeply unsettling. But they don't always mean what they seem. I walk through how to interpret these expressions through a child-centered lens and how to respond while remaining fully adherent to the model.

I explain the difference between a child expressing emotional overwhelm versus having intent to harm themselves, and why reflecting feelings and content—rather than probing or redirecting—is critical in preserving the relationship. I also share how to document these moments, communicate with parents, and maintain the therapeutic alliance without overreacting or breaking from the model. This episode is a reminder that we can hold space for big emotions without abandoning the principles that make CCPT so effective.