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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

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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Millions of Americans have a substance use disorder. Find a treatment facility near you.
988 Suicide & Crisis Lifeline

Call or text 988

Free and confidential support for people in distress, 24/7.
National Helpline

1-800-662-HELP (4357)

Treatment referral and information, 24/7.
Disaster Distress Helpline

1-800-985-5990

Immediate crisis counseling related to disasters, 24/7.

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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).

What to do to stop feeling overwhelmed

August 10, 2016 Productivity

Do you feel that your strength is at the limit, and the work has not been going well for a long time? Find out why this happens and what to do to correct the situation and enjoy life again.

You have a lot of things to do, but critically little time to complete them. Too many people want you to pay attention to them, but you can't because you're always in a hurry somewhere. You don’t understand how you can do everything on time, and even so that there is time for your personal life. Common situation? nine0003

At the dawn of the digital era, we firmly believed that gadgets would make our lives easier and less stressful in many ways. It seems like we've never been so wrong.

We have started working much harder than before and we can't stop even if we really want to: smartphones, Skype, instant messengers and e-mail have become an integral part of modern life. Yes, and colleagues from different time zones who want to be in touch around the clock. We are stuck at work. It is not at all surprising that with such a frantic pace of life, we often feel unwell. nine0003

Reasons why people feel overwhelmed

Sometimes it can be quite difficult to understand what exactly caused your depression. It seems like it all came crashing down at once. But think about this: fatigue is just a feeling that will pass sooner or later, you just need to identify what caused it and eliminate the cause.

Here is a short list of the most common causes of depression.

Someone is constantly taking advantage of you, and you don't know how to handle the situation and get rid of unpleasant obligations. nine0022
You are very much afraid that you will get into a compromising situation and will not be able to get out of it with dignity.
You are too responsible and are afraid to admit to yourself that you are no longer able to deal with the accumulated problems on your own.
You do not understand what you are asked to do, but you are afraid to confess, and this weighs on you.

What to do if everything went wrong

When it seems to you that everything in the world is infinitely sad and hopelessly bad, it is quite natural that you begin to feel the same way. Being depressed and tired from time to time is absolutely normal, but if this condition has become your constant companion, then you need to take appropriate measures. nine0003

Understand the real reason for your bad condition. What really upsets you? Or who?
Think about what you can change. Look at the problem realistically, honestly evaluate whether the situation can be turned around for the better, and do whatever is necessary to do so.
Make a plan. Draft a to-do list of several items that will help solve the problem. Commit changes as you go. Feel free to ask for help. nine0022

It also happens that you are simply unable to influence the current situation. Then you just need to accept it. Yes, it is not easy, but it makes a valuable contribution to the treasury of your life experience.

Done with the general advice. Let's move on to specific actions that you need to perform daily in order to feel much better.

1. Delegate

Do only what you are really good at. Sometimes people take on extra tasks just because they're easy enough, done quickly, and don't require a lot of effort. Sometimes - because of distrust of other people or because they believe that no one else is able to cope with them. Sometimes it's just out of habit. nine0003

All these tasks can easily be delegated to someone else so that you no longer feel like a loaded donkey. Ask yourself: Am I really the only person who can do this? In most cases, the answer will be no.

2. Question

Too often we do things just because we have to, or because we always did them. But are they really necessary? It is quite possible that we regularly spend a lot of time on absolutely useless activities. To stop wasting precious minutes, ask yourself two questions: Do I really have to complete this task? Will anything change if I don't do it? If both answers are negative, feel free to cross this item off your to-do list. nine0003

3. Take breaks

Find time to take a break. No matter how busy your schedule is, it is quite possible to allocate at least 15 minutes in it. This time will be enough for your brain to take a break and start working much more efficiently.

Imagine that these 15 minutes are the kind of mini-vacation you miss so much. Close your eyes for a couple of minutes and allow yourself to relax a little. And then, as if from the outside, try to look at the problem that worries you. We assure you, a solution will definitely be found. nine0003

4. Ask for help

When we feel overwhelmed and overwhelmed, we need support more than ever. For her, we turn to friends, family and even colleagues. Complaining about life within reasonable limits is perfectly acceptable, but know the measure: if you start constantly telling everyone about how difficult it is for you, you will achieve exactly the opposite effect. You don't need a reputation as a whiner, do you?

It is often helpful to look at a situation through the eyes of another person. nine0003

Tell someone about your concerns and ask for advice. Ask how your interlocutor would act in a similar situation and what actions he would take. Sometimes a fresh look helps to find rather unexpected ways out of a critical situation. And in general, maybe you are winding yourself up in vain and the problem is not as terrible as it seems?

5. Learn to refuse

Assess your abilities adequately: if you cannot cope with a large amount of work on your own, do not burden yourself with things just because it is inconvenient for you to refuse. Set reasonable boundaries and learn how to finally say the word "no". Every time before agreeing to something, think twice whether you can really cope with the obligations entrusted to you. nine0003

Don't know how to politely refuse? Be diplomatic. If your requester is a boss or an important client, try saying things like, “This is going to be pretty difficult given our current priorities. Let's try to find other ways to solve the problem?

6. Think about the people closest to you

If you can't cope with the growing tension, think about your closest people and how they would support you if they suddenly happened to be nearby. Instead of worrying about what a new colleague or some unfamiliar person will think of you, it’s better to remember those whose opinion you really value. This will give you the strength you need right now. nine0003

6 things you can do if you feel down after tragic news

Love

Often, when we start scrolling through the feed, we come across posts of sad content. Now the whole country is mourning after the tragedy at Sheremetyevo Airport. It is difficult for some to break away from reading the news, others believe that it is important to stay in the know, and someone completely plunges headlong into the tragedy. Shock, sadness, depression, tears, emptiness, confusion, fear - we are all bound by these emotions in one way or another, and it begins to seem that the world around us is terrible and filled only with pain. Stephanie Dowd, Clinical Psychologist, says:

“The first thing I would recommend is to accept that the tragic event happened and understand that it is absolutely normal to experience it after that.”

Photo: tumblr.com

Rate your anxiety level

It all depends on your mental health. And no, just because you're worried, it doesn't mean you're sick. It’s just that nature rewarded someone with equanimity and calmness, while someone worries about and without. Therefore, it is always important to monitor your condition after reading such news. If you notice that you don’t just take everything to heart, but your regime is completely broken, you can’t force yourself to leave the house, you’re scared even to cross the threshold of a shopping center - be sure to tell your parents or a person you trust about it. Perhaps you need to speak up and sort out the whole situation. nine0003

If this is not enough, you can always contact a specialist, there is nothing to worry about.

You will talk about what is bothering you and he will help you get out of this state. Remember that he is a professional and has been learning this for many years. Well, if you are not so worried, pay attention to relatives and friends. Surely you know which of them is impressionable, talk to them, gently ask if everything is in order. If they want to open up to you, listen without interrupting, don't judge, and offer your help if needed. nine0003

Photo: tumblr.com

Filter sources of information

Avoid discussions on social networks - VKontakte publics, Twitter and Instagram feeds (an extremist organization banned in Russia) are not the best helpers now. In the comments, many people not only discuss the tragedy, but also make various stuffing, someone, for unclear reasons, comes up with crazy things and makes up real conspiracy theories. By doing this, you will only wind yourself up more and get lost in space, not understanding what really happened, and where the truth is. nine0003

“Sometimes people may also try to predict the future, to intimidate them with upcoming catastrophes and terrorist attacks. It can increase your anxiety."

Be careful with the visuals, try to scroll through the photos, do not watch interviews with the relatives of the victims if you are too impressionable, do not listen to the audio messages that everyone who is not too lazy also sends. The main thing: do not try to look for the accounts of the dead in social networks. Flipping through their photos, imbued with personal stories, looking at the time at which they visited their page for the last time - all this can cause panic among especially impressionable people. nine0003

Get to know yourself better: understand what you should not watch

If you try to avoid tragic news, this does not mean that you are a bad and irresponsible person. Some people are very sensitive to this kind of information. Perhaps you fall into this category.

"When you realize that this is too much for you, just stop and tell yourself enough is enough, I need to read about something else. "

You don't have to explain to anyone why you don't feel like talking/listening/watching/discussing this. Try to gently hint to others that you are uncomfortable talking about it. By the way, it will be useful for you to watch one of nixelpixel's videos, in which she explains how to properly protect yourself from negative influences, unsubscribe from toxic publics and believe in goodness again. nine0139

Stick to your plans

It's hard to stick to your plan when something terrible happens, and that's understandable. You feel overwhelmed, depressed, trying to digest the information that has fallen. Doing things from your daily schedule may start to feel disrespectful and wrong. But clinical psychologist Stephanie Dowd argues that it's normal and important not to break the usual rhythm of life.

"A routine will put your thoughts in order and calm you down." nine0003

Try to read about something else, distract yourself with something that gives you pleasure. Treat yourself. It may seem selfish, but if it clears your mind and puts you at ease a little, don't blame yourself. Take care of your mental health otherwise it could end really badly.

Remember that this is not about you

News, photos, videos about human suffering devastate us. The details that we still try to find out, the number of dead, lists with names and ages - all this touches us to the core, horrifies someone, brings someone to tears. Especially impressionable people, unfortunately, on a subconscious level, thus bring themselves closer to the victims or their relatives. They immediately throw the situation on themselves: what if I were there? What if this happens to me too? But what if my relatives? .. Therefore, in this case, it is important to draw a line. nine0003

“It is important for you to understand that you are safe now and that the tragedy did not happen to you. Especially if you have high anxiety. When you separate yourself from the victims, it doesn't mean that you don't care. "

It is always possible to think of yourself and others at the same time. Remember that every person around is worried and worried to varying degrees. Everyone handles news of tragic events in their own way, so treat those around you with respect.

“Everyone you meet is fighting a fight you know nothing about. Be kind. Always". nine0003

Photo: tumblr.com

Do a good deed

And the last thing I would like to mention is charity. We know what you're going through with all your heart, but there's nothing we can do to help. But wait, you can! As a rule, after tragic events, charitable organizations begin to raise funds for the victims, victims and their relatives. Help them with a symbolic amount, make your small contribution. It will probably make you a little better.

Learn more