185 S. Liberty St., Powell, Ohio 43065
Mon – Thurs: 8 AM – 5:00 PM, Fri: 8 AM - 12 PM, Sat – Sun: Closed
  • 185 S. Liberty St. Powell, Ohio 43065, United States
  • Mon – Fri: 8:00 am – 5:00 pm, Fri: 8 AM - 12PM Sat – Sun: Closed
suicide prevention, self harm therapy, suicidal ideation, crisis counseling, self injury
Mental Health Priority

Suicide Prevention

If you’re struggling with thoughts of ending your life, or you engage in cutting or other forms of self injury, TheraVault can help you recover. If you’re currently in crisis or have a clear suicide plan, please call 911 or go to your nearest emergency room immediately. Don’t give up—there is hope. TheraVault is here to provide compassionate, evidence-based self harm therapy and support when you need it most.

Self-Harm and Suicidal Thoughts: Finding Hope and Healing in Your Darkest Moments

Break free from self-destructive patterns, process overwhelming emotions, and build a life worth living through specialized therapeutic support

If you’re reading this page, you or someone you care about may be experiencing self-harm, suicidal ideation, or overwhelming emotional pain that feels impossible to manage. These struggles can feel isolating and shameful, but you are not alone. Many people face similar challenges, and with the right self harm therapy and suicide prevention support, healing is possible.

At TheraVault, our clinicians specialize in crisis counseling and therapy for self injury, suicidal thoughts, and emotional overwhelm. We understand how powerful these urges can feel, and we work with you to create safer coping strategies, address the root causes of your distress, and help you rediscover hope.

If you are in immediate danger or having thoughts of ending your life, please reach out right now:

  • Call 988 (Suicide & Crisis Lifeline) – available 24/7
  • Text “HELLO” to 741741 (Crisis Text Line)
  • Go to your nearest emergency room
  • Call 911

For additional information and resources, you can visit the National Institute of Mental Health: Suicide Prevention.

Understanding Self-Harm and Suicidal Ideation

Self injury and suicidal thoughts are often ways of coping with unbearable emotional pain, stress, or trauma. While they may bring momentary relief, they create deeper cycles of suffering and increase risk over time. Our specialized self harm therapy and crisis counseling approaches focus on breaking those cycles and providing safe, effective alternatives.

  • Self-harm behaviors: cutting, burning, hitting, or other forms of injury
  • Suicidal ideation: wishing life would end, or making specific plans for suicide
  • Crisis states: overwhelming distress that makes it difficult to think of safer options

How TheraVault Can Help

Our suicide prevention approach integrates evidence-based methods including Dialectical Behavior Therapy (DBT), trauma-informed care, and personalized crisis counseling. We help you recognize triggers, regulate emotions, and build stronger support systems. Over time, you’ll learn to replace self injury and suicidal thoughts with skills that promote healing, connection, and resilience.

Recovery is Possible

Even if it feels impossible right now, healing from self harm therapy and suicidal ideation is within reach. With professional support, countless people have moved beyond crisis into lives filled with meaning and connection. You deserve help, safety, and the chance to build a future you want to live in.

Your life has value. You are not alone. Help is available—please take the first step today by reaching out to TheraVault for confidential, compassionate support.

Our services

Comprehensive Holistic Mental Health Care

Meet Our Founders

Meet Amy Smitke, LISW-S, LICDC 

Amy Smitke co-founded TheraVault with a vision to make high-quality mental health care accessible across Ohio. As a licensed independent social worker with supervision designation and licensed independent chemical dependency counselor, Amy brings extensive expertise in both clinical practice and substance use treatment.

Known for her leadership in mental health innovation, Amy is passionate about clinical supervision and training the next generation of therapists. Her dual licensure allows her to address complex mental health presentations with comprehensive, evidence-based approaches.

Amy’s therapeutic style is grounded in meeting clients where they are—without judgment and with genuine commitment to their healing journey. Whether working with individuals navigating addiction recovery, families facing communication challenges, or clients managing anxiety and depression, she creates a safe environment where people feel heard, valued, and empowered to build lasting resilience.

Together with co-founder Victoriya Reich, Amy built TheraVault on the principle that therapy should be accessible, flexible, and tailored to each person’s unique needs.

Meet Victoriya Reich, LISW-S

Victoriya Reich co-founded TheraVault to create a secure, welcoming space where Ohioans can access compassionate mental health care without barriers. As a licensed independent social worker with supervision designation, Victoriya brings broad experience in therapy, case management, and clinical education that allows her to provide personalized, holistic care to individuals, couples, and families.

Her diverse background equips her to address a wide range of mental health challenges, from anxiety and depression to complex trauma and relationship struggles. Victoriya believes that healing happens when clients feel truly seen and supported, and she creates a therapeutic environment where vulnerability is met with understanding and expertise.

Known for her warm yet professional approach, Victoriya recognizes that each person’s journey is unique. She collaborates closely with clients to identify their goals—even helping them articulate what they might not yet have words for. Her experience in teaching and mentoring also strengthens her ability to break down complex concepts and empower clients with practical tools for lasting change.

Together with co-founder Amy Smitke, Victoriya built TheraVault on the belief that everyone deserves access to quality mental health care that honors their individual story and supports their path to wellness.