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Feeling something is wrong


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

SAMHSA Behavioral Health Treatment Services Locator

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Welcome to the Behavioral Health Treatment Services Locator, a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems.

PLEASE NOTE: Your personal information and the search criteria you enter into the Locator is secure and anonymous. SAMHSA does not collect or maintain any information you provide.

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The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).

Suspiciousness: why does it seem to me that something is wrong with me?

Any unrest, as a rule, develops against the background of a lack of information. Remember your first school love: how many chilling experiences it gave rise to. He didn’t look like that, he didn’t say that, he loves - he doesn’t love, he invites - he doesn’t invite.

And so we grew up, went through numerous rakes. We studied our own reactions, ways of interacting with men, oriented ourselves in basic psychology. And, entering into a relationship, we feel far from being as vulnerable as in our youth. Yes, we are experiencing, but we go through these experiences with a raised head, an attentive look, with humor and excitement. nine0003

By analogy, suspiciousness, as a rule, develops against the background of several factors:

  • an unstable psychological state, usually associated with dramatic changes in life or, alternatively, with a lack of support from loved ones. A person who is confident in himself, in his environment and in the support of friends / relatives, as a rule, rarely succumbs to attacks of suspiciousness;
  • lack of information about how the body works and what steps need to be taken to keep health under control. In this case, any negative sensation from the body, superimposed on a lack of information, can be perceived as a disaster. nine0010

What to do? If the matter is in the psychological state, you need to work on balancing the emotional background with the help of a psychologist. And the work will be strictly individual, no general recommendations are suitable here. But how to increase awareness of the work of the body? After all, information can be both useful and dangerous.

How to choose a doctor?

If you have any doubts about your health, you should go to the doctor - that's a fact. Everyone knows about it. However, many, getting to one or another doctor, become even more suspicious. "The doctor said that everything is fine - but I feel that something is wrong." Or, on the contrary, the doctor scared and now it is completely unclear what to do. How to choose the right doctor? nine0003

First to understand which treatment techniques to choose, it is necessary to collect several opinions. This also applies to diseases with which you have long been familiar, and new, incomprehensible, alarming signals. Doctors are people with different backgrounds and education, and their approach to the same problem can be different. If two doctors out of three, say, agree, this is already a good sign: most likely, you need to move in this direction. Remember, you are responsible for your own health and you decide what to do. But to find the truth, to get to the bottom of common sense, you need to spend time and effort. nine0003

Secondly, , remember that different doctors recommend different treatments. Don't be surprised, don't be afraid, don't doubt. For example, in a situation with a herniated disc, a neurologist may recommend physical therapy, and a surgeon may recommend surgery. As one doctor I know said: “I am a surgeon - my job is to operate. Therefore, when you come to me, you should know that I am most likely in favor of a surgical solution to the problem. Remember who you are going to, and analyze the opinions of specialists from different fields. nine0003

To read or not to read?

If you read a medical encyclopedia, as you know, you can find all the described diseases, except perhaps puerperal fever. Exactly the same effect provides the study of various forums or the collection of information in specialized groups. Reading the comments of people who share their impressions of their own diseases, you can only aggravate your own suspiciousness.

Therefore, to all those who are already worried about their health, doctors give the same valuable advice: do not google your symptoms. Don't read about diseases. In particular, even the medical part of the Russian Wikipedia is not the most reliable, understandable and adequate source for this. nine0003

What to do? The most appropriate choice is wellness seminars related to your specific disease, led by people with a medical background. Coming to the seminar, you not only get information about how the body works, why and how diseases develop, but also learn healing techniques - they tell you what to do to cope with the problem.

For example, at the seminar "Youth and Health of the Spine" we study anatomy and physiology, and after that we do exercises that help to cope with back pain, headache, joint pain. The most important thing: we teach at the seminar what to pay attention to during classes and what to ignore - so that a person understands how to adequately assess his condition and his progress in classes. nine0003

When you receive such clear guidelines, you stop "floating" in feelings and being afraid of them, and take control of the situation. This is what gives you a feeling of confidence. In addition, at the seminars you can always ask questions to competent specialists, dispel doubts, get an individual recommendation.

Everything seems to be fine, but something is wrong: the essence of the problem something is going wrong? As if there are problems, but not on the surface, and it is impossible to find them yourself? nine0003

Every person, especially happy ones, asks such a question at a certain time, because subconsciously it seems to him that happiness is momentary and cannot last forever, which means that the trick is not far off. The problem is that “everything is fine” is a different concept for everyone. It is dictated by the norms of life in society and the family, children's scenarios, and personal characteristics. For example, in a village and a royal family, the concept of a normal environment will be completely different, and what is acceptable in one will be perceived as savagery in another. nine0003

For many people, the environment and life itself seem the only normal, so when they get into a different environment, they feel strange. Example: parents beat a child for disobedience, and he is to blame, but his friend is never punished by his parents, and this gives rise to many questions. There is a feeling that, living in your family, in which everything seems to be fine, but the soul is bad and uncomfortable. The child intuitively feels the lack of something and tries to fill this void. nine0003

The norms of behavior in society are laid down from childhood, and if a child is used to living with the idea that he is not worthy of love, friendship, attention, wealth, even as an adult, he will live with the feeling that this is true.

He is sure that everything is fine with him (but in fact there is nothing good), and an inner voice does not let him forget about it.

Psychologists often come across cases where people consider their families to be normal, despite the fact that the mother drinks regularly, the father beats her, and this is perceived as the norm. Another life for them is a plot from a fairy tale series. From a social and psychological point of view, such norms cannot be considered normal. They have a negative impact primarily on children who grow up with a pathologically incorrect perception of society and their place in it. nine0003

Read related Life scenarios from childhood

“I know that everything is fine with me, but for some reason I feel bad, and the feeling that I was deceived does not leave me.”

This is often said by people who are unable to live in harmony. It seems to them that they live like everyone else, there are not enough stars from the sky. They do not go beyond their own world, because it changes their lives, and the castles built over the years are crumbling. After the surrounding world opens in a new vision, knowledge comes, and there is a feeling that, according to generally accepted norms all is well, but something is going wrong .

The contradiction “everything is good” and “the soul is bad”

The internal conflict is that in the presence of such a feeling, the state of false comfort does not bring positive emotions.

This feeling can be rooted in deep childhood, when a child's perception of the world is being formed. For example, at 2-3 years old, the baby is already beginning to understand that he lives in society, surrounded by parents, brothers and sisters, and neighbors. The so-called “herd feeling” is genetically inherent in a person (ancient people were forced to stray into groups in order to survive, and were deprived of this right either as a punishment or due to a disease that could destroy the entire tribe), and rarely anyone is ready to refuse to communicate and to become stronger in the opinion that he does not need anyone. nine0003

The desire to be a part of society encourages a person to join clubs, make friends, go on vacation together, join groups in social networks, and subconsciously he fears that he may lose everything. Fear of loneliness dominates insecure people who prefer bullying and humiliation, but not depriving them of the chance to be part of society. For a “downtrodden” person, such a state is accepted only as “everything is fine”, although this is self-deception. In other words, as long as everything is “not bad”, it is “good”. Even if in this state the person feels bad. Such a substitution of concepts. nine0003

Everything is fine with me, but I feel bad: inability to live in harmony with myself

It is possible to correct the punctures of upbringing and perception laid down from childhood, but it is impossible to change them and memories of them. The person himself cannot understand what happened to him. We need a psychologist who will answer all the questions and sort it out.

But the feeling of dissatisfaction can be overcome by yourself.

People are strange creatures, they like to repeat that they feel bad at every turn, but as soon as they are offered help, they quietly leave (because “they know better”). Often those who like to plunge into melancholy suffer from this, and when problems become more, the blues immediately disappears and a desire is born to fight for a place in the sun.

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