Grief is exhausting

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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


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.

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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).

Exhaustion - Mount E.P. Human ecology

E.P. Mountain
Human ecology
Textbook for universities. – M.: Bustard, 2007. – 540 p.




Contents of the article:

  • 1 Chapter 4. Social adaptation
    • 1.1 4.5. Adaptation to various types of work. Characteristics of the main types of work
      • 1.1.1 4.5.3. Fatigue


5.3. Fatigue

Intense or prolonged work leads to the development of fatigue, the cause of which is the insufficiency of the processes of restoring physiological costs.

Fatigue - a set of temporary changes in the physiological and psychological state of a person, developing as a result of intense or prolonged activity and leading to a deterioration in quantitative and qualitative performance indicators and discoordination of physiological functions, increasing the physiological cost of work. nine0043

The nature of the increase in fatigue and its final value depend on the individual characteristics of the worker, the circumstances of the course of work, and the conditions of the external production environment. Fatigue is associated with the individual characteristics of a person (physical development, health status, age, interest in work, motivation, strong-willed character traits). How a person experiences fatigue and copes with it at its different stages depends on them.

Causes of fatigue. nine0005 They are diverse. Depending on the specific conditions, certain factors come first. During the day, fatigue occurs with any type of activity and is one of the factors in the activation of sleep mechanisms, during which important restorative physiological processes occur that prevent the cumulation of fatigue - overwork. With fatigue, a complex set of changes in the body is formed. There is a decrease in the functional reserves of working organs (receptors, nerve centers, muscles), which generates signals for the cessation of activity. In this case, the development of inhibition in the cerebral cortex seems to play an important role, which can be associated with such sensations and conditions as unwillingness to work, general weakness, drowsiness, etc. Signals from effector organs - pain and others - are no less important. discomfort in working muscles. Thus, power work and static stress cause fatigue extremely quickly, since it is due to intense flows of proprio- and chemoreceptor impulses from the muscles, as well as excitations of cortical centers during the formation of volitional impulses to contraction. Since, under static stresses, the excitation flows of the cortical centers are continuous, a situation arises in the state of the nerve centers in which fatigue occurs very quickly. During dynamic activity, when periods of excitation alternate with periods of inhibition (during the tension of antagonist muscles), fatigue develops much more slowly and various causes play a leading role in this process, depending on the intensity of work. nine0007

Fatigue is a complex adaptive function of the organism. Its subtle neurophysiological mechanisms are not fully understood. The accumulation of lactic acid in the muscles does not explain all the complex processes that develop in the body during fatigue, although the important role of metabolites is taken into account. For example, it has been found that marked fatigue can occur without excess lactic acid in the blood.

Central cortical concept of fatigue. The author ( VV Rosenblat ) assumes that the main role in the development of fatigue belongs not to peripheral, but to central processes. Thus, the diverse shifts in the state of the peripheral apparatuses observed during fatigue are secondary and depend on changes in the adjusting influence of the nerve centers. The primary link of the central mechanism has a cortical nature and represents shifts in the cortical apparatus, where the process of inhibition also plays an important role, especially in the cortical link of the motor apparatus. nine0007

The nature of work activity is reflected in the characteristics of fatigue, since functional changes are mainly localized in the links that carry the greatest load. Therefore, depending on the type of work performed, mental and physical fatigue are distinguished, the difference between which is determined by the ratio of the depth of functional changes in individual receptors, parts of the central nervous system, and muscles. Fatigue, which develops during various types of activity, has common features.

Fatigue and performance are closely related. Under certain conditions, the decrease in performance under the influence of work characterizes the degree of fatigue. But at the same time, the relationship between performance and fatigue is also influenced by motivation, the level of activation, and the conditions of the working environment. The manifestation of fatigue is closely related to the phases of current performance, which can be generally characterized as changes in the body's response to the requirements imposed by the nature of the activity. These changes are formed under the influence of the central nervous system, mainly as a result of an increase in the level of functioning of the limbic-reticular system and the vegetative part of the nervous system and the endocrine system regulated by it, which leads to an increase in current performance due to an increase in the intensity of the activity of all parts of the functional system. As functional reserves decrease, fatigue develops, which is a system of containment from excessive costs. To implement the volitional effort that compensates for fatigue, there is an additional inclusion in the work of nerve centers and synergistic muscles, and as a result of this, the activation of physiological mechanisms for enhancing the activity of the autonomic parts of the nervous and hormonal systems that provide activation processes in humans. nine0007

Fatigue is a biologically expedient process, which, on the one hand, signals the need to stop work, and on the other, is a necessary condition for increasing the fitness of the body.

Fatigue criteria. According to subjective assessment fatigue of the organism is a special, peculiarly experienced mental state, called fatigue and having several components: weakness, manifested in the impossibility to continue work of the required intensity; attention disorder; violations in the motor sphere, affecting the slowing down or erratic haste of movements; deterioration of memory, thinking; weakening of the will; drowsiness, etc. Subjective manifestations reflect the state of objective processes in the consciousness or sensations of the person himself. Nevertheless, subjective assessments of fatigue depend on motivation, interest in the work performed, the level of claims and the degree of responsibility in performing the task, and the complexity of the activity performed. nine0007

objective criteria of fatigue include two groups of assessments:

– changes in work efficiency;

- changes in various physiological systems that accompany the development of fatigue.

Fatigue leads to the strain of performing those operations that require maximum mobilization of attention. Prolonged exercise, leading to fatigue, causes certain shifts in the frequency structure of various physiological functions. The common thing is the slowdown of the rhythmic processes occurring in the body - heart rate, surface electromyogram of the muscles of the diaphragm, etc.

Overwork. Many types of mental work are characterized by small changes in the functions of the body and current working capacity during the day, that is, the formal absence of pronounced fatigue. Despite this, dynamic studies (conducted over a month, a year) show a constant accumulation of adverse changes that also affect performance. Such shifts are referred to as chronic fatigue, described in schoolchildren, students, operators, etc. , whose work is characterized by high, prolonged neuro-emotional stress or its combination with the influence of other adverse factors. Chronic fatigue is possible only with the accumulation of adverse changes, when the recovery processes are insufficient for the complete normalization of body functions and its performance. Therefore, as a rule, chronic fatigue is overwork. nine0007

Overwork criterion – Work-induced decrease in performance that does not resolve during a post-work rest period. The reasons for the cumulation of adverse functional changes can be divided into several categories. First of all, this is high stress in the process of work, caused directly by the labor process or its combination with the influence of adverse factors in the working environment, low health, and chronic diseases. Of great importance is the lack of recovery processes after work, associated with errors in the regime of the day and life in general - insufficient duration and quality of sleep, low physical activity, malnutrition, workload at home, conflict situations. With chronic fatigue, functional disorders are manifested - asthenovegetative syndrome, vegetovascular dystonia, deterioration in the functions of the central nervous system. The cumulation of fatigue has an adverse effect on the body, contributing to the emergence of a number of general diseases or exacerbation of chronic ones. Overstrain and overwork also develop with an unfavorable combination of intensity and duration of work. nine0007

Prevention of overwork should be closely linked with measures to ensure high work efficiency, not leading to overwork and overwork. According to the nature of this or that type of fatigue, various methods of its removal are also appropriate. So, for acute fatigue is the very cessation of current activity and normal sleep, for chronic it is a change in the regime of the day and rest, a general decrease in workload, an increase in motivation and positive emotions, more or less long rest with the cessation of professional activity and filling leisure activities complementary and diverse in content forms of activity. nine0007

In general, measures to prevent overwork can be divided into several groups:

1) measures aimed at increasing the true, maximum, but not leading to overstrain performance - rational training and adaptation to working conditions in general, and under more difficult circumstances - readaptation after a long break in work;

2) measures to preserve and promote health, including a rational daily routine, balanced nutrition, rejection of bad habits, timely treatment of diseases; nine0007

3) periodic preventive examinations;

4) selection for professions that make high demands on the body of the worker;

5) optimization of the working environment, taking into account ergonomic requirements;

6) means of stimulating recovery processes, which include an increase in the duration of rest, walks, physical therapy and other therapeutic and prophylactic procedures, the use of pharmacological agents.




Hadith: “Whatever befalls a Muslim, be it fatigue, illness, sadness, resentment, sorrow, and even a thorn on which he pricked, Allah will certainly make it an atonement for some of his sins.

Hadith: “Whatever befalls a Muslim, whether it be fatigue, illness, sadness, resentment, grief, and even a thorn on which he pricked, Allah will certainly make it an atonement for some of his sins.” nine0007

Abu Sa'eed al-Khudri and Abu Hurayrah (may Allah be pleased with them both) reported that the Prophet (peace and blessings of Allah be upon him) said: sorrow, and even the thorn on which he pricked, Allah will certainly make it an atonement for some of his sins.
Valid. - Agreed upon by Al-Bukhari and Muslim


The meaning of the hadith is this: illnesses, anxieties, sorrows, troubles, difficulties, fear and shocks that befall a Muslim become an atonement for his sins, erasing them. If a person adds to this patience and hope for a reward from Allah, then he will also receive a reward. When a person experiences a test, two scenarios are possible. First, the tested person remembers the reward and the hope of obtaining this reward from Allah. He receives a double benefit: atonement for sins and an increase in good deeds. Second: a person does not remember this, and his chest is shy, he begins to grumble or something similar happens to him, and he does not have the intention to patiently endure this test in the hope of receiving a reward from Allah. Then the test becomes only an atonement for his sins. Thus, he wins in any case: either the expiation of sins without receiving a reward, because he had no corresponding intention and he did not show patience and did not hope for a reward from Allah; or both the atonement of sins, and the reward from the Almighty and Great Allah. Therefore, when something unpleasant befalls a person, even a prick of a thorn, he should remember the hope for a reward from Allah, so that he will receive a reward along with the expiation of sins. This refers to the manifestations of Allah's mercy, His generosity and generosity: He puts the believer to the test, and then rewards him for this or forgives his sins. An important note: minor sins are forgiven a person. As for serious sins, sincere repentance is necessary for their forgiveness. nine0007

Translation: English French Spanish Turkish Urdu Indonesian Bosnian Bengal Chinese Persian Tagalog Indian Vietnamese Sinhalese Uigur Kurdish Hausa Portuguese Malayalam Teluju Swahili Tamil Burmese German Japanese

Show translations
  1. Sickness and other troubles are trials that come upon the believer. They cleanse him of sins, even if they are few.
  2. Great good news to Muslims: there is no Muslim who would not be comprehended by such trials. nine0005
  3. Raising degrees through these things and increasing the good deeds recorded by a person.
  4. nine0025 Forgiveness of sins extends only to some sins, in particular small ones, but as for grave ones, repentance is necessary for their forgiveness.