Crisis and Mental Health Resources in the U.S.
Find crisis support for yourself or someone you care about, with phone, text, and online chat options.
Emergency & crisis support
Immediate danger or medical emergency
Call 911 or go to the nearest emergency room. Use emergency services if someone is in immediate physical danger, may be overdosing, cannot be awakened, or is having trouble breathing.
Suicide, mental health, or emotional crisis
Call or text 988 for free, confidential support, 24/7. You can reach out for yourself or someone else. You do not have to be thinking about suicide to contact 988.
Therapy Expanded is not a crisis service. Website forms, emails, voicemails, and scheduling requests are not monitored 24/7. For urgent help, contact a crisis service directly.
Suicide, mental health, and emotional crisis support
Crisis support · 24/7
988 Suicide & Crisis Lifeline
Free, confidential support for suicidal thoughts, emotional distress, mental health concerns, alcohol or drug concerns, or worry about a loved one.
- Call: 988
- Text: 988
- Chat: 988 Lifeline online chat
- Spanish: Call 988 and press 2, or text AYUDA to 988.
- Deaf or hard of hearing: 988 accessibility and ASL options
Text support · 24/7
Crisis Text Line
Free, confidential text support with a trained volunteer Crisis Counselor. Reach out for anxiety, loneliness, depression, self-harm thoughts, suicidal thoughts, or other difficult moments.
- Text: HOME to 741741
- Spanish: HOLA to 741741
- Website: Crisis Text Line support options
Enter the keyword in your message before sending.
Veterans and loved ones · 24/7
Veterans Crisis Line
Confidential crisis support for veterans, service members, and their loved ones. You do not need to be enrolled in VA benefits or health care.
- Call: 988, then press 1
- Text: 838255
- Chat: Veterans Crisis Line online chat
Domestic violence and sexual assault support
If your phone, computer, or browser activity may be monitored, consider using a safer device or contacting support when it is safe to do so. If you are in immediate danger, call 911.
Abuse support · 24/7
National Domestic Violence Hotline
Confidential support for relationship abuse, stalking, coercive control, and safety planning. You can also ask how to support someone experiencing abuse.
- Call: 1-800-799-SAFE (7233)
- Text: START to 88788
- Chat: Chat with a Hotline advocate
Local support: Find local shelters, advocacy programs, and safety resources through The Hotline.
Sexual assault support · 24/7
National Sexual Assault Hotline / RAINN
Free, confidential support for survivors of sexual assault or abuse and their loved ones. Get help with recent or past sexual violence, medical care options, and questions about reporting.
- Call: 800-656-HOPE (4673)
- Text: HOPE to 64673
- Chat: RAINN online hotline
Substance use, overdose, and treatment resources
If someone may be overdosing, call 911 immediately. For treatment referrals or questions about poisoning and drug exposure, use the services below.
Treatment referrals · 24/7
SAMHSA National Helpline
Free, confidential treatment referrals and information for people and families facing mental health, drug, or alcohol concerns. Phone support is available in English and Spanish.
- Call: 1-800-662-HELP (4357)
- TTY: 1-800-487-4889
- Text referrals: Send your 5-digit ZIP code to 435748.
- Find treatment: FindTreatment.gov
- Details: SAMHSA National Helpline
This is a treatment referral service. For immediate emotional crisis support, call or text 988.
Poisoning and drug exposure
Poison Help
Contact Poison Help for questions about a possible poisoning, medication error, or drug exposure.
- Call: 1-800-222-1222
- Online help: Poison Control guidance and online tool
Call 911 immediately if someone collapses, has a seizure, has trouble breathing, or cannot be awakened.
LGBTQIA+ crisis and peer support
The Trevor Project offers crisis counseling for LGBTQ+ young people. The LGBT National Help Center and Trans Lifeline offer peer support during limited hours. 988 remains available to everyone, 24/7.
LGBTQ+ youth · 24/7 crisis support
The Trevor Project
Free, confidential crisis support for LGBTQ+ young people who are thinking about suicide, feeling alone, or needing affirming support.
- Call: 1-866-488-7386
- Text: START to 678-678
- Chat: The Trevor Project online chat
Peer support · Limited hours
LGBT National Help Center
Confidential peer support, information, local resources, and online programs for LGBTQIA+ people.
- National Hotline:
888-843-4564 - Coming Out Support:
888-688-5428 - Youth Talkline:
800-246-7743 - Senior Hotline:
888-234-7243 - Hours and online support: LGBT National Help Center
Hours vary by program. Check the current schedule before relying on live support.
Peer support · Limited hours
Trans Lifeline
Peer support for trans and questioning people from people with shared lived experience. You do not have to be in crisis to call.
- U.S.: 877-565-8860
- Canada: 877-330-6366
- Hours and details: Trans Lifeline hotline information
The hotline is not open 24/7. For crisis support when it is unavailable, call or text 988. Call 911 for immediate danger or a medical emergency.
How to support someone in crisis
If you are worried about someone else, you do not have to handle it alone. You can contact a crisis resource for guidance even if you are not the person in crisis.
- Stay and listen, if it is safe. Take what the person says seriously and listen calmly.
- Help them connect with support. Call or text 988 for suicidal thoughts, emotional distress, or a mental health crisis. You can contact 988 yourself for guidance.
- Use emergency services for immediate danger. Call 911 or go to the nearest emergency room if someone is in immediate danger or needs urgent medical care.
- Ask about safety planning for abuse. Contact the National Domestic Violence Hotline if the situation involves relationship abuse.
Find ongoing mental health care
When you are safe and ready for ongoing care, Therapy Expanded can help you find online mental health providers licensed in your state. Contact providers about their availability, fees, and whether their services fit your needs.
Directory listings and provider messages are for ongoing care. For urgent help, use the crisis services above.
About these resources
Resource details checked: . Complied by Meghan Gilliland, LCSW. Phone numbers, hours, chat availability, and eligibility can change. Each resource links to its official website for current information.
For text services that use a keyword, enter the word shown before sending. This page is for information and does not replace emergency services, crisis counseling, medical care, legal advice, or professional mental health treatment.