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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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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).

Depression and depressive conditions. Help with treatment.

Be satisfied with what you have in life. Be grateful also for what does not belong to you, for it relieves you of many unnecessary worries. But try to get what you really need and make the best use of every minute of your life.

Imayat Khan

One of the most common diseases on earth is depression. Thus, according to the WHO, more than 150 million people worldwide suffer from depression. According to Russian health care, about 15 million people suffer from depression in Russia. According to American psychologists, women suffer from depression twice as much as men. In adolescent boys and young men, depression is often accompanied by breakdowns, and in girls and young women it is accompanied by eating disorders (anorexia and bulimia). nine0005

Depression is an affective state characterized by a negative emotional background, with changes in the sphere of motivational, cognitive representations and general passivity of behavior.

Churchill, who suffered from bouts of depression, called this illness "black dog". Other famous people who suffered from manic-depressive states gave different names to this disease: "Edge of the abyss", "Endless darkness in reality", "All-devouring flame of the soul".

Here is what Curtiss A., author of Depression, writes about depression. Due to chronic severe depression, my life was empty and my marriage slightly collapsed. … Living in depression is like being in a torture chamber. But you can learn to get out of there . .. However, over the past 15 years, I have been so rarely inclined to consider a depressive state that now I am inclined to consider depression not as a pathology of the psyche, but as a strict spiritual mentor. nine0005

As Izard KE points out, most psychoanalysts agree that the most important components of depression are the loss of self-esteem, self-confidence and self-esteem.

The experience of depression includes the following fundamental emotions: sadness (key emotion), disgust, contempt, anger, fear, guilt, and embarrassment. According to Izard K.E. anger, disgust, contempt are manifested by a person both in relation to himself and in relation to other people. nine0005

When depressed, a person experiences negative emotions: depression, melancholy, despair. Volitional activity is sharply reduced. Decreased self-esteem. A person may feel guilty for the events of the past, those unpleasant events that occurred through the fault of a person.

During the period of depression, slowness, lack of initiative, and rapid fatigue are characteristic, which leads to a sharp decrease in productivity in a particular activity.

With prolonged depression, suicide attempts are possible. nine0005

In healthy people, depression can occur in the event of a difficult life situation, including the loss of loved ones, divorce, infidelity, infertility (inability to become a mother or father), unfulfilled hopes and other circumstances.

In addition, there is pathological depression as one of the main psychiatric syndromes.

Depression classification:
- Biological factors (organic and endogenous, i.e. innate nature). With biological factors, medications are most often used in the treatment. nine0033 - Psychosocial factors (of a psychological nature). With the predominance of psychosocial factors, various methods of psychotherapy are used.

There are two types of depression:
- Psychogenic depression;
- Endogenous depression.

The consequences of depression are:
decrease in labor activity, alcohol and drug use, frequent divorces, death due to suicide.

Alexander Lowen in his book "Depression and the Body" writes that "the depressive reaction immobilizes a person. He finds himself unable to muster the strength to carry on with his usual activities. He feels defeated, hopeless, and as long as the state of depression persists, he sees no point in making any effort. … A depressive reaction can often have no obvious cause. In many cases, it occurs when a person is approaching the realization of his goal or has achieved it. nine0005

Depressive syndrome According to Zharikov N.M., Tyulpin Yu.G. The main symptom of depression is a decrease in mood, slowing down of thinking, and motor retardation. A person complains of longing, depression, sadness. A person does not show a reaction to either a joyful event or a sad one. Feelings can be of varying intensity - from slight pessimism and sadness to the feeling of a "stone in the heart."

Slowing down of thinking is expressed by slow monosyllabic speech, long thinking of the answer. In a more complex case, the person is silent, spontaneous speech is absent. nine0005

Motor retardation is revealed in stiffness, slowness, slowness. In severe depression, depressive stupor is possible.

Depressed people have low self-esteem, they consider themselves insignificant people. They are pessimistic about not only their present, but also their past and future. In severe depression, delusions of self-blame and self-destruction are often formed.

Appetite is sharply reduced, sometimes on the contrary there are bouts of overeating.

No interest in the opposite sex.

Women stop doing housework, cannot take care of young children, do not pay attention to their appearance.

Men can't cope with their favorite work, unable to get out of bed in the morning, get ready and go to work, they can lie all day without sleep. Patients do not enjoy anything.

Patients sleep poorly at night and cannot rest during the day. Waking up in the early morning hours is especially characteristic, after which the person can no longer fall asleep. nine0031 How to get out of depression?
Tips for reducing depression
To improve mood, it is recommended to move more, increase the duration of sleep, take a warm shower before bed, but do not wipe the skin dry. For the treatment of seasonal depression, phototherapy (staying in a solarium) is effective. Go skiing in winter.

It is desirable to use light wallpaper and furniture in the interior of the apartment. Nowadays, some people have a tendency to use dark colors in the apartment. nine0005

Depressed patients are encouraged to photograph clouds, especially in sunny weather. Be more often in nature.

Keeping diaries helps a lot, where it is recommended to reflect all the good things that happened during the day.

Swimming, jogging, walking in the park, cycling, roller skating helps a lot.

Dance classes are good for women, for example, in the fitness club, various dance programs are practiced. nine0005

Listening to music is good for regulating your emotional state. There is a whole list of these works, but it is better to listen to your inner voice and listen to what you want at a given time and exactly as much as you want in order to enjoy this process.

Yoga will help you find peace of mind.

Hobbies: knitting, embroidery, drawing, photography, making various crafts from natural materials, designing various models of aircraft, sailboats, tanks, etc. It helps well in expressing one's feelings, one's condition, writing stories or poems. nine0005

Medical treatment It is prescribed for patients with mild, moderate and severe manifestations of depression. A necessary condition for the effectiveness of treatment is cooperation with the doctor: strict adherence to the prescribed therapy regimen, regular visits to the doctor, a detailed, frank account of one's condition and life's difficulties.

Antidepressants.
Proper therapy allows in most cases to completely get rid of the symptoms of depression. Depression requires specialist treatment. The main class of drugs for the treatment of depression are antidepressants. Currently, there are various drugs in this group, of which tricyclic antidepressants (amitriptyline, melipramine) have been used since the late 50s. In recent years, the number of antidepressants has increased significantly. nine0005

The main advantages of new generation antidepressants are improved tolerability, reduced side effects, reduced toxicity and high safety in case of overdose. Antidepressants are a safe class of psychotropic medications when used properly and as directed by a physician. The dose of the drug is determined individually for each patient. You need to know that the therapeutic effect of antidepressants can appear slowly and gradually, so it is important to tune in positively and wait for it to appear. nine0005

Help from loved ones is also important in overcoming depression
The support of loved ones, even when the patient does not express interest in it, is very important in overcoming depression.

In this regard, the following advice can be given to relatives of patients:
- remember that depression is a disease in which sympathy is needed, but in no case should you plunge into the disease along with the patient, sharing his pessimism and despair. You need to be able to maintain a certain emotional distance, all the time reminding yourself and the patient that depression is a transient emotional state
- studies have shown that depression is especially unfavorable in those families where many critical remarks are made to the patient. Try to make it clear to the patient that his condition is not his fault, but a misfortune, that he needs help and treatment
- try not to focus on the illness of a loved one and bring positive emotions into your life and into the life of your family. If possible, try to involve the patient in some useful activity, and not remove him from business. nine0005

Material prepared by neurologist Nadezhda Lapina.

First aid for depression, stress, fear, phobia

We strongly recommend calling an ambulance for depression, stress, fear or phobia. Medical assistance will be provided immediately!

A resident of a metropolis is constantly under stress: a huge number of people around, noisy streets, crowded public transport, an abundance of gadgets and devices that replace real life and communication. All this is a favorable environment for the development of such mental disorders as depression, fear and phobias. Many people simply get used to the fact that they experience a constant feeling of anxiety, fatigue, emptiness. But is it necessary to put up with these conditions? What can chronic stress or depression lead to? Historically, in our society it is not customary to talk about internal problems, it is considered shameful to go to a psychologist, and a person cannot cope with depression or stress on his own. It turns out a vicious circle. Do you know that more than 70% of the inhabitants of large cities suffer from depression and constant stress? And only a small part of people seeks professional help. As practice shows, treatment with antidepressants gives only a short-term effect. It would be completely unreasonable to draw the joy of life and peace of mind in medicines. nine0005

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Depression requires the help of a psychologist, psychiatrist or psychotherapist. nine0124 The first recommendation of the specialist seems paradoxical: stop fighting your depression, accept it, don't waste your energy on confrontation, because this only strengthens the disease. The next stage is an analysis of your condition: when and why depression arose. To understand the origins of the disease, competent psychological help is required. With depression, a person is demotivated, devastated, sees no point in doing anything. That is why first aid for patients with depression should be provided by a qualified professional doctor. Since it is the specialist who will be able to pull out from the subconscious those root causes of the disease that the human psyche hides due to a tendency to rationalize. What is the help of a psychiatrist for depression? Correctly selected psychotherapy will help to understand at what point everything went wrong, what caused the deviation from the right path, how to return to the right path. When this work on consciousness and subconsciousness is done, depression will recede. If you or your loved ones experience a depressed state, do not enjoy life, are closed in themselves, then a psychological ambulance is required. A depressed person should not consume alcohol or other mind-altering substances. This will only exacerbate the disease. But what if a person does not want to see a doctor or at least a psychologist? nine0005

Psychological help for depression can be done at home! In our center you can order the service of calling a psychologist at home. This is a real solution for those who dislike hospitals and doctors' offices, who do not want to wait in line and waste time. This is especially true when help is needed for postpartum depression. A young mother is extremely worried about her child, and the most comfortable treatment option for postpartum depression would be if a psychotherapist comes to the house. A woman feels calmer when the child is near, and will be able to fully communicate with the doctor and talk about her problems. This is very important to do in the early stages, because the newborn also suffers due to the condition of the mother, which negatively affects its development. It must be remembered that depression often leads to severe stress. Why is emergency psychological help so important when stressed or after stress? The fact is that an attempt to "crush" or "overcome" a stressful state can result in the development of a serious neurotic disorder. Therefore, you need the help of a psychologist to relieve stress. Understand that stress can cause not only a mental disorder, but also affect the development of psychosomatic diseases. nine0005

Medical help for stress is a must! If you have experienced an extreme state, accompanied by fear for your own life, understanding of your own helplessness, a stream of negative thoughts, you need the help of a specialist. If a person has suffered severe stress, then he will show features of a depressive mood. Know that this condition itself does not go away, time in this case does not heal, but only aggravates the condition. Therefore, an ambulance is so necessary for stress and depression. Even an adult cannot cope with the consequences of severe stress, and then what about children and adolescents? Children and adolescents definitely need psychological help with stress. For an immature psyche, cruel blows of fate can become fatal. Children, after suffering a psychological trauma, without receiving proper treatment, simply withdraw into themselves. They can't counter stress with life experiences they simply don't have. To help children with stress, filigree and a subtle psychological approach are needed so as not to aggravate the patient's condition. They can be used as an ambulance for anxiety and fear, sedatives and anti-anxiety drugs, for example, phenazepam. But this is not a way out, but only a short-term relief of the symptoms of fear. Moreover, the use of tranquilizers is addictive.

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