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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.

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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.

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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).

7 Signs Your Work Is Ruining Your Mental Health

Many of us may feel that at some point in our careers we experience work depression, but how do we know for sure? According to the World Health Organization, depression is caused by "a complex interplay of social, psychological, and biological factors." Thus, the definition of a single cause may be too simplistic.

However, work-related stress is certainly at a high level, and this stress can increase the susceptibility to depression. It is important to distinguish between stress, anxiety, sadness, and depression, which are long-term experiences of suffering or hopelessness. Because work is such an important part of our lives, it can be a major trigger for depression for people with a predisposition to it. Here are seven signs that you are suffering from work depression. nine0003

7 signs that your job is making you depressed

1. You distance yourself from your colleagues

You avoid everything but necessary interactions. You may even develop feelings of hostility towards co-workers. In some cases, your peers themselves can be the trigger, with negative attitudes that make you feel worthless, underappreciated, left out, personally ridiculed, or overly criticized. In other cases, you may simply feel the need to take your mind off work and everyone associated with it as much as possible. Unfortunately, when this happens, a vicious cycle ensues in which increasing social isolation leads to increased feelings of depression. nine0003

2. Work is too dominant

Those who work full time already spend most of their waking lives at work. If we still think and worry about the stresses of work after hours, this can easily lead us to a point where our resilience is low. Replaying a disagreement you had with a colleague or a mistake you were scolded for over and over again in your head causes you to exacerbate these issues. Feeling exhausted contributes to a decrease in mood and energy, which makes you feel less competent. nine0003

3. You have lost interest in things you used to enjoy

A key sign of depression is that you no longer find joy or satisfaction in activities that used to be enjoyable and exciting. If you're just unhappy at work, rather than depressed, it may reflect on outside interests, but you still expect to be able to take your mind off work problems with your favorite activities. If you are depressed because of work, this may not be possible. Feelings of emptiness, hopelessness, and pessimism suck the joy out of life, and it doesn't stop when you close the office door behind you. nine0003

4.

You don't care

You don't try your best anymore. You don't care about a bad review. Your work makes you unhappy. Once you start developing that attitude, sooner or later someone will notice. In the worst case, a decrease in productivity can lead to dismissal. Somewhere deep down, this might be what you're looking for. Or it could be a cry for help. Depression leaves you in a very vulnerable position when it takes away the desire to help yourself, and the need to find a new job in this situation is unlikely to benefit your mental health. When you're suffering from depression, it's hard to perform at your best, but there are ways to deal with it. As always, please seek help if possible. nine0003

5. You focus on the negative

You focus too much on the negative aspects of your job. When things are going well, you ignore or underestimate them. You are almost trying to convince yourself that everything is bad in your work situation. This state of mind indicates that the job does not give you a sense of opportunity or positivity, and this can lead to depression, making it difficult for you to return to a more positive outlook. You may experience extreme reluctance to go to work and experience great stress at the thought of going to work the next day and even taking a vacation. nine0003

6. You feel trapped

If you feel stuck at work or feel out of control over aspects of it or work-life balance, this can make you unhappy. Depression reduces our ability to fight, so you may come to terms with your situation and be powerless to change it. Or you may feel like quitting, no matter the consequences. If you are experiencing these feelings, it is important to get help and support. If possible, contact a responsive manager, the Pepsraea department or the occupational health department at your workplace or an outside organization. nine0003

7. Your physical health suffers

Depression sometimes manifests itself in the form of physical symptoms such as tiredness, headache, indigestion and a general feeling of tiredness. It can also affect the immune system and therefore make you more susceptible to colds and other illnesses. If you need to take a vacation because of these health issues, it can add to stress and anxiety at work. Although many of us feel tired during the work week, being constantly exhausted is not normal. If you experience these problems, see your doctor and be sure to let them know if you think you have depression. nine0003

When is it time to quit?

The best time to quit, under ideal circumstances, is when you have already found an alternative job. However, this is not always possible and you must weigh the consequences of being fired and being unemployed or keeping a job that affects your mental health. Before you seriously consider quitting, explore the possibilities of working with your employer to improve the situation. The stigma of depression still exists in society, making it very difficult to report it at work. However, there is legal protection and employers should be able to offer support. nine0003

If your job really is more than any other factor causing your depression, there comes a time when it makes more sense to quit your job for the sake of your health. Discuss your situation with a supportive friend or family member. It is important to know that depression, although it can last for a long time, is temporary.

Final thought

If you suspect that you have depression, always consult your doctor. Whether this condition was caused by problems at work or something else, depression will affect every aspect of your life. Know that there are ways to cope and act both professionally and personally, and that everything will work out. nine0003

why exhaustion is not a personal, but an organizational problem - Career on vc.ru

And its solution is in the hands of the manager, not the employee. Reminder edition material.

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Damir Kopezhanov / Unsplash

The problem of professional burnout has been relevant for many years, but recently it has sharply worsened. Why do we burn out more and more and how to avoid it? Gradually, experts begin to emerge the answer to this question. nine0003

Who is to blame for the fact that we burn out

The traditional answer is ourselves. They failed to balance work and rest, were not competent enough, failed to adapt, succumbed to procrastination. Explanations may vary, but the essence does not change - this is always our mistake, for which we pay with a loss of motivation and productivity.

But if it's our fault, isn't it strange that the symptoms of burnout are not like frustration (disappointment over not being able to achieve what you want), but depression? And it seems so much so that some experts even consider this condition a variant of a depressive disorder. nine0003

Psychologist Irwin Schoenfeld examined 5,000 burnt-out teachers and found that 90% had symptoms of clinical depression: apathy, depression, and a sense of helplessness. Other researchers have found that symptoms of burnout and depression tend to worsen in parallel: the worse the burnout, the deeper the depression.

As clinical psychologist Natalie Datillo notes, burnout is often accompanied by a typically depressing sense of powerlessness: people feel that despite their best efforts, they can't change anything in their lives. nine0003

Swiss expert Renzo Bianchi even suggests this test in The Atlantic: When you face a psychological problem at work, ask yourself, can you eliminate the stressor? If the answer is “yes”, then this is not burnout yet. But if you realize that you can’t change the situation and can only passively wait for negative consequences, then you have begun to burn out.

Why do we behave in a state of burnout as if we were faced with an insurmountable external obstacle? Because that's the way it is. To see this, just look at the top six causes of burnout identified by UCLA psychology professor Christina Maslakh:

Excessive workloads and tight deadlines.
Lack of control over the work process and decision-making authority, combined with increased demands for results.
Lack of professional recognition.
Toxic work environment: disrespect and discrimination, conflicts in the team.
Favoritism: undeserved privileges for individual employees. nine0076
Monotonous and uninteresting work.

It is obvious that almost all of these factors are not associated with personal mistakes, overstated ambitions or miscalculations in time management. Reduce workloads, moderate demands, eliminate hard deadlines, avoid overtime work, allow you to change jobs, help you choose a more convenient schedule and reward for achievement and initiative - who does it depend on?

Who will stop burnout

Psychologist Adam Grant believes that there are three keys to solving the problem of burnout: adequate requirements, optimal control and necessary support. And all three are in the hands of leaders.

Research also clearly shows that burnout is an organizational problem. And management is responsible for organizing the workflow. But the bosses are not the evil geniuses in this story. They may not always be able to organize work in a way that eliminates burnout. However, they may try to remedy the situation. nine0003

According to McKinsey, company executives have recently been actively implementing special programs to improve the mental health of employees, inviting coaches and psychologists, organizing yoga classes, conducting stress training, seminars on balanced nutrition and the development of positive thinking. But studies show that these measures often do not have the desired effect. And there are at least two reasons for that.

The first one is individual. Workflow experts Yu Jie Heng and Kira Shabram point out in an article in the Harvard Business Review that there are three types of burnout. And what is useful in one case may be ineffective or even harmful in another. nine0003

To cope with burnout, one must first determine which of the personal resources have been exhausted and need to be restored.

Mental and emotional exhaustion. In this case, programs and courses on self-optimization can only increase tension and guilt. Helpful recommendations are often perceived as an additional burden and confirmation that you could not cope with the problem on your own. To restore internal resources, experts advise to slow down and take care of yourself. Short breaks in the working day will help here - for meditation, a walk, a snack or a dream. nine0076
Social exclusion at work. In this case, meditation and other self-centered activities can only aggravate the condition. Therefore, just collective courses are useful, in which you can get closer to colleagues. When a person suffering from emotional alienation switches to solving other people's problems (even just spending a few minutes a day discussing other people's concerns and wishes), burnout levels decrease. nine0076
Loss of faith in one's own effectiveness. In this case, classes are needed to help restore self-esteem. Workplace positivity expert Mandy O'Neill suggests trying to start a new project that has nothing to do with work. For example, take up photography or develop the habit of running in the morning. The main thing is to feel like the master of the situation again.

The second problem is systemic. The WHO defines burnout as the result of prolonged stress in the workplace. But what creates it? When at 19The term “burnout” itself appeared for the first time in the 70s, it was believed that it was mainly doctors, psychologists, teachers and social workers who were subject to it, that is, people who, on duty, often face human problems and suffering. Then it became clear that you can burn out in any profession.

Recently, the drastic transition to remote work and the resulting disruption of the usual work and rest routine are often blamed for increased stress. Two-thirds of Amazon, Microsoft, Google and Facebook employees said in a survey that they feel more exhausted due to the need to adapt to a new work rhythm. 42% of Russians also complain about emotional exhaustion. But the burnout epidemic began long before the coronavirus pandemic. Already in 2018, 23% of American workers suffered from it. nine0003

Burnout is not really a curse of certain professions or the result of external circumstances, according to BuzzFeed News contributor Ann Helen Petersen. It is a natural product of the modern recycling culture that has become the norm in all industries around the world. All of us, employees and managers, have become hostages of this efficiency model.

Workers find it natural to take on excessive workloads. And managers find it natural to overload them with work. Because of this, sooner or later, each of us develops what Petersen calls "paralysis of everyday affairs." nine0003

We simply cannot cope with all these tasks at the same time, even if we are able to solve each separately. Their number paralyzes us. This is where the feeling of impotence, helplessness and apathy comes from.

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