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SAMHSA’s National Helpline | SAMHSA

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

  • Suggested Resources

    What Is Substance Abuse Treatment? A Booklet for Families
    Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery. Addresses concerns of children of parents with substance use/abuse problems.

    It's Not Your Fault (NACoA) (PDF | 12 KB)
    Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

    After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
    Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.

    Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
    Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.

    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

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How to live when you don't want anything

March 10 Productivity

Take your time and learn to celebrate even the most modest achievements.

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You can listen to the article. If it's more convenient for you, turn on the podcast.

Everyone has periods when even simple everyday activities - washing dishes, working with mail, playing with a child - become a burden. What can we say about complex projects, creativity and new beginnings. Psychologists in this case say that a person has left the resource state - that is, he has ceased to feel stable, full, rested.

This can happen due to illness or severe fatigue, failures at work and conflicts with loved ones, tragic events, age and personality crises, and so on. Weakness and apathy may disappear after a person has a rest, or they may turn out to be symptoms of an incipient depression and a reason to consult a psychotherapist. Let's figure out what to do to help yourself.

Forget about magic pendels

From childhood, we are taught that inaction is always bad. Laziness is a vice, idleness is a sin, procrastination is the lot of losers. And no matter how bad it is, you need to take your ass off the couch, get out of your comfort zone, work, engage in self-development, be active and productive. It is not surprising that, having fallen out of the resource state, a person first of all begins to blame himself for this.

Next comes attempts to force oneself to work, to punish oneself for inaction, and to stimulate oneself with threats. All of these are forms of negative motivation. HR expert Daniel Pink argues that neither punishment, bullying and pressure, nor the carrot-and-stick approach works in the long run. On the contrary, such an approach leads to the fact that a person no longer sees the meaning in what he does.

The very existence of laziness as a vice or negative character trait in the modern world is questioned.

Some experts say that laziness does not exist at all. Others believe that it is a defense mechanism that saves us from overworking. A whole tangle of reasons and feelings can be hidden behind inaction: fear of failure, lack of motivation, fatigue or illness, in the end, a banal unwillingness to do what is needed.

If you have fallen out of the resource state, you should think about taking a break and resting as much as circumstances allow. Or go into a kind of energy saving mode and do only the most necessary things, and postpone all other tasks until better times or delegate to relatives, friends and colleagues.

Learn more 🤔

  • 7 reasons why laziness is a myth

Do an internet detox

depressive state. About 25% of social network users are subject to the so-called Facebook * depression, which occurs due to the fact that a person had to deal with bullying, insults or envy.

According to an American study, 58% of social network users, comparing their lives with the posts of Internet friends, evaluate it negatively and feel like losers. Constantly looking back at others and reading posts about other people's achievements, you can greatly undermine your self-esteem. And this is hardly what a person needs, who already has neither the strength nor the mood.

For a period of rest and restoration of resources, it may be worth giving up social networks. Or limit their use to the necessary minimum. The same applies to any "motivating" literature. Reading about how to earn more and live brighter is better when there is strength for all this.

Try it 📱❌

  • How to have a digital detox and not go crazy

Praise yourself

Abraham Maslow's pyramid of needs, at one of the top tiers, is the need for respect and recognition. For a person to feel good, it is very important to know that he is valued and that his deeds are important and meaningful. From school, if not from kindergarten, we get used to expecting praise from other people, and not from ourselves.

And we consider achievements only what can be measured, evaluated and presented to others - promotion at work, buying a car, getting a diploma. But many, at first glance, small steps that make up our path to great success, go unnoticed.

John Croft, an ecologist who has studied the life and philosophy of the Australian Aborigines for many years, together with his colleagues came up with Dragon Dreaming, a method of planning personal and corporate projects. He believes that there should be four processes in life - dreaming, planning, acting and celebrating. And without the last - celebration - the cycle remains incomplete, we do not feel pleasure and recognition.

Every step, no matter how tiny, is worth celebrating, not devaluing.

Preparing a tasty and balanced meal is, at first glance, a trifle. But if you take a closer look, this is one of the elements that make up the health of the whole family. Half a page of text seems to be very little, but in a year at such a pace you can write a whole book.

For those who are tired, confused and unsure of themselves, it is especially important to celebrate achievements - both large and small, everyday. As an option, keep a diary of success and every day write down at least five things in it for which you can praise yourself. Even things that we are accustomed to not noticing are counted - routine household chores and work tasks.

This practice will help you feel important and find a source of recognition and praise within yourself rather than waiting for it from other people. And of course, no one bothers to indulge in entertainment and pleasant shopping, or make it a rule to regularly celebrate success with family or friends.

Believe in yourself 💪🙂

  • To increase motivation, learn to value yourself

Do not rush things and ask for help

In difficult times, we look forward to any bright period - a day when the mood will be a little better, and the energy a little more. And when it comes, there is immediately a temptation to rush to solve a million tasks and build heroic plans. However, do not rush.

There is a possibility that the next day the energy will dry up again and all these unfulfilled obligations will fall on you like a dead weight.

David Burns in the bestselling book Mood Therapy. A clinically proven way to beat depression without pills ”says that, getting out of the vicious circle of apathy, inactivity and self-flagellation, it is very important not to rush things and start with simple things, gradually increasing the load.

He advises to write down in the diary even such seemingly elementary actions as brushing your teeth, reading or eating, opposite each one noting on a five-point scale how much benefit and / or pleasure they brought. Having coped with the main tasks, a person feels an upsurge in mood and enthusiasm to do something more difficult.

And so, step by step, he gradually gets out of the emotional hole in which he found himself. However, if you still can’t cope with apathy on your own and return to a resourceful state, this is a reason to seek help from a psychotherapist.

Lifehacker can receive a commission from the purchase of goods presented in the publication.

Read also 🧐

  • 12 ways to change lives for those who have absolutely no strength
  • How depression made me an early bird and a new approach to sleep turned me into a superhuman
  • 8 simple ways to motivate yourself day by day

*Activities of Meta Platforms Inc. and its social networks Facebook and Instagram are prohibited in the territory of the Russian Federation.

How not to get depressed because other people have achieved more than you

January 16, 2015 Life

We all know that no one will ever be able to fully understand everything that another person has gone through. But, despite this, many people constantly compare themselves with others, and because this comparison is not in favor of the comparer, they can become depressed and feel like losers. To learn how to avoid these deplorable consequences, read our article.

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A Quora reader shared his story and asked for advice on how not to get depressed. Given that this is more or less close to each of us, we decided to share with you the best responses from users.

I received a good education but had little interest in what I was studying (studied as an engineer). I graduated with a master's degree and eventually realized that I was not studying what I want to do in life.

Many of my peers immediately after graduation began to successfully and quickly climb up the career ladder. Now I'm 26 years old and I feel like I haven't found my place in life. I work for a small company, but I can't say that I like what I do.

When I look at the profiles of my peers on Facebook* or LinkedIn, I realize how ambitious these guys are, unlike me. And I feel like a failure. I have always been more interested in other aspects of life: art, traveling, meeting interesting people.

But I can't help but compare myself to others in terms of work performance. My peers are way ahead of me. The realization of this devours me from the inside, I feel that I am falling into depression. How to deal with it?

Don't be afraid to spend time doing what you enjoy

The surest way to become unhappy is to constantly compare your life with the lives of other people.

You say yourself that you are interested in art, traveling and meeting new interesting people. What are you waiting for? Get Started! You are only 26. If funds allow, decide to spend a year traveling the world. Or take up mountain climbing or volunteering. Or, alternatively, start learning a foreign language.

Do not be afraid to spend a year of your life solely on yourself. It's a myth that if you spend a year away from work-work-work, then after that you'll have a hard time finding a job due to a year's gap in the "Experience" section.

Think about what it means to you to be a happy person. A lot of money and professional achievements? Or rich life experience and close people nearby? After you answer this question, you will understand what is really important to you, and you will be able to focus on it, and not torment yourself with doubts and envy.

Good luck to you!

We should be masters and not victims of our thoughts

I think it's all about habits. Bad habits are not only smoking or drinking too much, our thoughts that plague us can also become a bad habit.

If we are used to thinking about something negative, if we are constantly looking for something bad in everything, we see a catch everywhere, then this way of thinking is a vicious circle that can ultimately lead to severe mental illness.

The good news is that we have the power to change our thoughts. The first step is, of course, awareness and recognition of the problem. Sometimes there are severe cases when a person is already so bogged down in thoughts of permanent negativity that one cannot do without the help of a qualified psychologist. But in most cases, people themselves are able to direct their thoughts in the right direction.

We should not be victims of our thoughts. We must be their masters.

Remember that you can always find something bright. It is only in your power to change your thoughts and stop chewing on the negative.

Remember that everyone has their own life

After reading your story, it can be assumed that your depression is the result of your perception of yourself and the world around you. Change your perception. And try to follow your true interests.

Yes, of course, every person wants to get a promotion at work, buy their own house, car and God knows what else. But do not forget that we, the people, are not a collection of our property. We are alive and we are free to follow our desires, we have aspirations and feelings.

Sometimes we tie our own hands. We take a mortgage for 10 years and tie ourselves to a certain place. We do not go to study where we really want, but where our parents want. Our work brings us nothing but money.

We look at other people who are more successful than us. We begin to envy them, feel like nothingness, and because of this we fall into depression. But we forget that even super-successful people, in addition to their ups, have their downs. They too lose and lose, fail. That's life.

In the end, everyone has their own path. And only you can determine for yourself what victory or success means. And if you are not interested in your own life, then you will constantly compare yourself with others and because of this you will be an unhappy person.

You wrote that you know what matters to you - travel, art, communication. Maybe you should find a job that has everything that brings you pleasure. Or maybe you should start your own business if you can't find a job that suits you?

Stop looking at others. You have your own path. And only he matters.

It's simple

It's simple: log out of Facebook*, change jobs, and stop comparing yourself to other people.

Action Guide

I had a lingering depression and this is what helped me get back to normal:

  1. Feel part of the world, find what will help you become a successful person. The path to success will never be easy, and you should prepare for the fact that failures and trials await you. Sometimes you will feel irritated and angry. And that's not bad. This means that you are a living person.
  2. Physical training. Helps to distract from unnecessary thoughts, especially cardio training.
  3. Watch your health. Sometimes mental problems are just a consequence of physical ones. Make sure your health is good. For example, I had to limit my sugar intake and start taking vitamin D.
  4. Stop associating with people who constantly burden you with problems. Now you have your own problems, and you don't need strangers.
  5. Don't stay at home. Meet and connect with new people.

Many people whose lives you read about on social media hate their jobs

  • You are only 26 years old, so it's too early to say that your career has failed.
  • Do not drive yourself into a corner and remember that you can change jobs at any time. You don't owe anything to anyone.
  • Stay off Facebook* and LinkedIn for at least a month. You will be surprised when you notice how much less often you begin to think about other people's lives.
  • Remember that one of the best medicines is a change of scenery. Go on a trip or redecorate your home.

And finally…

Many people whose lives you read about on social networks hate their jobs with all their hearts and will never find solace in the money they earn.

What do you think about this?

*Activities of Meta Platforms Inc. and its social networks Facebook and Instagram are prohibited in the territory of the Russian Federation.


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