If you or someone else is in immediate danger, call 911 or go to the nearest emergency room now.
This includes situations where someone may hurt themselves or someone else, cannot stay safe, has a weapon, is experiencing violence, may be overdosing, cannot be awakened, has trouble breathing, or needs urgent medical care.
For urgent suicide, mental health, emotional distress, or substance-use crisis support in the U.S., call or text 988 to reach the 988 Suicide & Crisis Lifeline.
Therapy Expanded
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Crisis and Mental Health Resources in the U.S.
If you are in emotional distress, thinking about suicide, worried about someone you love, experiencing abuse, dealing with substance use concerns, or feeling unsafe, support is available now.
This page gathers trusted U.S. crisis and mental health resources so you can quickly find the right type of help.
Important: Therapy Expanded is not a crisis service. We do not provide 24/7 monitoring, emergency response, or crisis counseling through this website. Website forms, emails, voicemails, and scheduling requests may not be reviewed immediately. Do not use this website to seek emergency help.
When to Call 911, 988, or Another Crisis Resource
Call 911 or Go to the ER
Call 911 or go to the nearest emergency room when someone is in immediate physical danger or needs urgent medical care.
- Someone may hurt themselves or someone else.
- Someone has a weapon or cannot stay safe.
- Violence, abuse, or assault is happening now.
- Someone may be overdosing, poisoned, unconscious, having trouble breathing, or having a seizure.
- Someone is experiencing severe withdrawal, extreme confusion, or a medical emergency.
Call or Text 988
Call or text 988 when you need urgent support for suicidal thoughts, mental health distress, substance-related crisis, emotional overwhelm, or concern about someone else.
Use the specialized resources below when you need support related to domestic violence, substance use treatment, LGBTQIA+ support, or text-based crisis help.
CRISIS SUPPORT
Immediate Suicide, Mental Health, and Emotional Crisis Support
988 Suicide & Crisis Lifeline
Call or text 988 for free, confidential crisis support in the United States. The 988 Lifeline is available 24/7/365 for people experiencing suicidal thoughts, mental health struggles, emotional distress, alcohol or drug concerns, or worry about a loved one.
- Call: 988
- Text: 988
- Chat: Use the official 988 Lifeline online chat
- Veterans Crisis Line: Call 988, then press 1; text 838255; or chat online.
- Deaf/HoH support: Use the Deaf/HoH access option through the 988 Lifeline
- Spanish support: Call 988 and press 2. For Spanish text support, text AYUDA to 988.
Crisis Text Line
If texting feels safer or easier than calling, Crisis Text Line offers free, confidential, 24/7 text support with a trained volunteer Crisis Counselor.
- Text: HOME to 741741
- Spanish: HOLA to 741741
- Website: Visit Crisis Text Line
Best for: emotional distress, anxiety, depression, loneliness, self-harm thoughts, suicidal thoughts, bullying, relationship stress, and other difficult moments.
SAFETY RESOURCES
Domestic Violence and Relationship Abuse Resources
If you are experiencing domestic violence, relationship abuse, stalking, coercive control, or fear of a partner, support is available. If violence is happening now or you are in immediate danger, call 911.
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.
National Domestic Violence Hotline
The National Domestic Violence Hotline provides confidential support 24/7/365 for people affected by relationship abuse.
- Call: 1-800-799-SAFE (7233)
- Text: START to 88788
- Chat: Use the official National Domestic Violence Hotline live chat
Best for: safety planning, relationship abuse, emotional abuse, physical abuse, sexual abuse, stalking, coercive control, leaving an unsafe relationship, or supporting someone who may be experiencing abuse.
Local Domestic Violence Support
Domestic violence programs vary by location. The National Domestic Violence Hotline can help you look for local shelters, advocacy programs, and safety resources in your area.
Find local help: Contact the National Domestic Violence Hotline
National Sexual Assault Hotline / RAINN
RAINN’s National Sexual Assault Hotline provides free, confidential support for people affected by sexual assault and their loved ones.
- Call: 800-656-HOPE (4673)
- Text: HOPE to 64673
- Chat: Use RAINN’s online hotline
Best for: sexual assault, sexual abuse, recent or past sexual violence, questions about reporting or medical care, and support for loved ones.
SUBSTANCE USE
Substance Use, Overdose, and Treatment Resources
Substance use concerns can become urgent quickly. If someone may be overdosing, has trouble breathing, cannot be awakened, has collapsed, or has a seizure, call 911 immediately.
SAMHSA National Helpline
SAMHSA’s National Helpline provides free, confidential treatment referral and information for people and families facing mental health, drug, or alcohol concerns.
- Call: 1-800-662-HELP (4357)
- TTY: 1-800-487-4889
- Availability: 24/7/365
- Languages: English and Spanish by phone
- Find treatment: Search through FindTreatment.gov
- Text referral option: Text your 5-digit ZIP code to 435748
- Website: Visit SAMHSA’s National Helpline
Poison Help
For poisoning or drug-exposure questions in the U.S., Poison Help connects you with poison center support. Call 911 first if someone has trouble breathing, collapses, loses consciousness, has a seizure, or cannot be awakened.
- Call Poison Help: 1-800-222-1222
- Online help: Use web POISON CONTROL
- Call 911 immediately: trouble breathing, collapse, loss of consciousness, seizure, or cannot be awakened
IDENTITY-AFFIRMING SUPPORT
LGBTQIA+ Crisis and Support Resources
LGBTQIA+ people deserve support that is affirming, respectful, and safe. The resources below offer crisis counseling, peer support, or identity-specific support for LGBTQIA+ people and their loved ones.
988 remains available to all help seekers. For LGBTQIA+-specific support, use the resources below.
The Trevor Project
The Trevor Project provides free, confidential crisis support for LGBTQ+ young people.
- Call: 1-866-488-7386
- Text: START to 678-678
- Chat: Use The Trevor Project’s online chat
Best for: LGBTQ+ young people who are in crisis, thinking about suicide, feeling alone, or needing affirming support.
LGBT National Help Center
The LGBT National Help Center offers confidential peer support, information, local resources, and online programs for LGBTQIA+ people. Hours vary by program, so check the current schedule before relying on live support.
- LGBT National Hotline: 888-843-4564
- Coming Out Support Hotline: 888-688-5428
- Youth Talkline: 800-246-7743
- Senior Hotline: 888-234-7243
- Online support: One-to-one peer support chat and LGBTQ+ resource directories
Trans Lifeline
Trans Lifeline offers peer support for trans and questioning people. The hotline is not open 24/7, so use 988 or 911 if you need immediate crisis or emergency support outside its availability.
- U.S.: 877-565-8860
- Canada: 877-330-6366
- Website: Visit Trans Lifeline
Best for: trans and questioning people who want peer support from people with shared lived experience.
FOR LOVED ONES
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 with the person if it is safe to do so.
- Listen calmly and take what they say seriously.
- Call or text 988 if they are experiencing suicidal thoughts, emotional distress, or mental health crisis.
- Call 911 or go to the nearest emergency room if there is immediate danger.
- If the situation involves abuse, contact the National Domestic Violence Hotline for safety planning support.
ONGOING SUPPORT
About Therapy Expanded and Ongoing Support
Therapy Expanded provides therapy-related information and support for people seeking ongoing mental health care. We are not a crisis hotline, emergency responder, or 24/7 crisis counseling service.
If you are in immediate danger or need urgent crisis help, use the resources on this page instead of contacting Therapy Expanded through the website.
When you are safe and not in immediate crisis, ongoing therapy can help with trauma, anxiety, depression, grief, relationship stress, identity-related stress, life transitions, and coping skills.
Resource Review and Disclaimer
Last reviewed: May 29, 2026.
Resource details, hours, phone numbers, chat availability, and eligibility can change. Always verify details directly with the resource when possible.
This page is for informational purposes only and is not a substitute for emergency services, crisis counseling, medical care, legal advice, or professional mental health treatment.