May, 2019 CCT Introductory Training Workshops in Scotland and Ireland

Click to view or download flyer.

Click to view or download flyer.

Click on the flyer image to view the details of our 2-day introductory workshop where professionals learn a new understanding of suicide. Presented by US Suicidologists, Fredric Matteson (CCT Founder & Keynote Speaker at the 2014 World Suicide Prevention Day Conference in Dublin) and James Hayes (CCT Associate).

GLASGOW, SCOTLAND: 17-18, May 2019
Booking contact:

CO. CORK, IRELAND: 28-29, May 2019
Booking contact:

FULL FEE: €225 (£200) payable in full by 1st May

EARLYBIRD FEE: €200 (£180) payable in full by 1st April

International Journal of Psychiatry Publishes Contextual-Conceptual Therapy Article by Gitti Maas

August 25, 2018 - International Journal of Psychiatry

First CCT Suicide Therapy Centre opens in Ireland

August 18, 2018 - Kenmare News


The first CCT Suicide Therapy Centre in Ireland has opened its doors in the Stone Arch Centre in Kenmare.

According to the WHO, worldwide about 800,000 people die by suicide every year, one person every 40 seconds, and there is evidence that for each death by suicide, more than 20 other people attempt suicide. The implications of the data indicate that it is very important to have the right support for people with suicidal ideation in place.

According to Gitti Maas (MIACP, M.Ed., Founder CCT-Ireland), counsellor in private practice in the Stone Arch Centre Kenmare, Contextual-Conceptual Therapy (CCT) can offer this support.

Gitti says, “CCT is an exciting approach to suicide therapy, developed by Seattle based suicidologist Fredric Matteson. In fact, it is the only therapy model specifically for suicide I am aware of. I am convinced that CCT is the missing link in our efforts to bring suicide numbers in Ireland down and support suicidal clients in their struggle to overcome their despair.”

CCT stresses that feeling suicidal is not an illness, but an identity crisis. “This insight changes how we meet the suicidal person,” Gitti explains. “Reasoning, traditional approaches and medication may help the suicidal person for a while but often cannot really reach the person deeply enough to end their suffering, as it does not touch the root of their suicidal thinking.”

Instead, traditional therapy addresses the ways the suicidal person expresses their pain – which is the equivalent of fighting smoke instead of fire. As a result, the suicidal person often spirals further into experiencing anxiety, shame, guilt, hate, suicidal despair – to finally attempt suicide.

Gitti points out that if we start looking at suicide as an identity crisis (which CCT does), as opposed to a sign of mental illness, we have to ask, What if suicide is not about what’s wrong with the suicidal person, but about what’s right with them? This opens the door to a new, unique and successful way of meeting the suicidal person and supporting them to engage in self-exploration, which results in resolving their identity crisis and ends their suicidal feelings.

With CCT, the suicidal person’s moment of crisis becomes their moment of transformation.
Gitti has been in close contact with Fredric Matteson, the founder of CCT Suicide Therapy in Seattle, since 2014. She has visited the Seattle CCT Centre several times and has studied CCT extensively.
She continues to see adults in the Stone Arch Centre who seek counselling for other reasons than feeling suicidal, such as abuse, anxiety, loss, life changes, relationship problems or trauma to name a few and can be contacted on 086 – 40 10 738.

KING 5 New Day Northwest Interview with Fredric Matteson

August 29, 2017 - NBC Seattle affiliate KING 5 television news show New Day Northwest hosts Fredric Matteson for a discussion on the myths and truths of suicide.

About Fredric Matteson

Fredric Matteson works in private practice with clients who experience recurrent suicidal thinking, as well as depressed persons who may complain of feeling trapped, stuck, and/or lost, and people who experience ongoing deep despair and hopelessness.

For 25 years Fredric worked as a therapist with over 16,000 suicidal patients on an inpatient mental health unit primarily for suicidal clients. During that time, Fredric  created an educational program for helping suicidal persons called: Contextual-Conceptual Therapy: Guiding the Suicidal Patient using Maps, Models, & Metaphors. 


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Receive the latest news, information, and updates on this new, innovative therapy for suicidal persons: Contextual-Conceptual Therapy (CCT).

Listen to Ireland CCT Associate Gitti Maas Describe the CCT Model


A creative, gifted, and warm-hearted counselor and CCT associate, Gitti Maas has been instrumental in bringing Contextual-Conceptual Therapy to Ireland. In 2014 she attended the annual World Suicide Prevention Day Conference in Dublin, Ireland, where CCT founder Fredric Matteson delivered the keynote address.

Gitti explains, "Matteson stood out from the rest of the presenters that day. He was the first professional in the field that I have met who was able to speak from the perspective of a suicidal person, expressing a true understanding of the suffering a suicidal person goes through. I was so moved and impressed by what I heard that I felt the need to find out more about CCT."

Gitti has since facilitated CCT trainings in Ireland with Matteson and his CCT colleagues, and also traveled to the US to study with Matteson at The Contextual-Conceptual Therapy Center in Seattle. Listen to the audio track below to hear Gitti talk, in depth, about the CCT model.

Read Scotland CCT Associate Carolyn Wood's article "Suicide Therapy"

Carolyn Wood - CCT Scotland

Carolyn Wood - CCT Scotland

The thrust of the CCT Level One Training workshop was that suicide is not something we need to medicalize and try ‘to get rid of’.  Instead we need to go where the person is—where they are trapped.  The client themselves directs us there, through their metaphoric language—their words/pictures/signals, and we, the therapist, need to hear, see and follow these, rather than ignore or treat them (the signals) as ‘madness’.

In CCT, suicide is seen as an identity crisis. The person is struggling between their two ‘selves’—who they are trying not to be (who think they are, as in the ‘bad’ person) and who they are trying to be (the ‘perfect’ or ‘good’ person).  But the reality is that neither is the TRUTH—they are based on intrapersonal views of what they believe to be their self.  (Read the full article here.)

Listen to Dublin, Ireland's RTÉ Radio interview with Fredric Matteson

Continuing Education and Workshops with Conceptual-Contextual Therapy

Our CCT workshops are open to all - psychotherapists, counselors, students, and anyone interested in learning how to guide the suicidal person using the maps, models and metaphors of Contextual-Conceptual Therapy. To learn more, please visit our workshops page. If you are interested in bringing the CCT team to your community, please contact us here.


97.3 KIRO FM Radio Interview w/ host Linda Thomas & the CCT Team

By Linda Thomas | Seattle's Morning News | 97.3 KIRO FM


Junior Seau’s apparent suicide stunned sports fans and former teammates who recalled the former NFL star’s ferocious tackles and habit of calling everyone around him “Buddy.”

It also left people wondering what led to Seau’s death, an apparent suicide at the age of 43.

An autopsy report expected today probably won’t give family members the explanation they’re looking for.

We all want answers after a suicide.

James Hayes has been a local mental health therapist for 30 years, and he can’t count the number of times he’s heard things like....  Read More

Press Release: University of Essex, Centre for Psychoanalytic Studies

University of Essex, Centre for Psychoanalytic Studies (CPS); North Essex Partnership NHS Foundation Trust, (NEPFT) and Care Services Improvement Partnership, (CSIP).

"..The principle theme and discussion at the conference centered on a completely new approach to working with suicidal individuals being pioneered in Seattle called CCT – Contextual-Conceptual Therapy.”  

Read More


"There has never been a therapy specifically for suicide, until today."

- David Olive, Ph.D. 
Lead psychologist (retired), 
National Health Service of England


“I have been fortunate to have observed many masters of the craft in action, including Carl Rogers, Michael Balint, Carl Whitaker, Fritz Perls, Victor Frankl, and Albert Ellis.  However, Fredric Matteson is unique in his background and approach.” 

- Tom Rusk, MD, Senior Psychiatrist

Penobscot Community Health Care
Diplomate of the American Board of Psychiatry and Neurology
Distinguished Life Fellow American Psychiatric Association
Featured Guest on The Oprah Winfrey Show

Author of the bestselling Books: "The Power of Ethical Persuasion",
"Get Out of Your Own Way"; "I Want To Change But I Don't Know How"


"The importance of Matteson's discovery for gaining a deeper insight into the lived experience of suicidality cannot be overstated."

- Daniel Deardorff
Author of The Other Within: The Genius of Deformity In Myth, Culture & Psyche

Contextual-Conceptual Therapy Center


Contextual-Conceptual Therapy (CCT) Center's main office is conveniently located on beautiful Lake Union in Seattle, where CCT founder, Fredric Matteson meets with private clients (individuals, couples, families) for therapy. He also leads a series of CCT groups for adults, teens, and families. Some of the groups are co-led with his office partner, Dr. Sunida Bintasan, a Seattle area Adolescent/Child/Adult psychiatrist with over 30 years experience. The individual and group sessions address issues of despair, hopelessness, and/or suicidal thinking (non-emergency situations only).

Please CONTACT US for more information or to schedule an appointment.

Fredric Matteson's role as an educator in the field of suicide prevention is to help others:

To understand the context of suicide before the core problem can be addressed 

  • To help teach others about the phenomenon of suicide (and its phenomena)

  • To offer and help implement an educational program derived from the suicidal persons' own unique language, their uncovered patterns (algorithms) and common themes

  • To view being suicidal as an opportunity to "awaken" to a new, life-changing perspective

  • To consider suicide as a spiritual crisis...a crisis of identity...a crisis of meaning

  • To explore the “language” of suicide and inter/intra-personal communication

  • To focus on what is “right” with the person- and not what is “wrong” with the person

  • To offer a visual/spatial understanding of the suicidal “territory” (including paradox and double-binds) using CCT “Maps, Models, & Metaphors”™