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When we feel sad


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
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    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
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    Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
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    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).

Why does a person cry when he is sad?

Is crying helpful or harmful? Do animals have emotions?

Answered by Ekaterina Antonova

analytical psychologist

If you try to offend her cub in front of a cat, you risk testing the sharpness of her claws for yourself. But this will not happen because the cat loves the kitten. The instinct associated with the protection of offspring is triggered.

If you try to take a bone from a hungry dog, you will provoke a reaction very similar to anger. Although in fact it is also an instinct.

Animals have no emotions. But there are instincts that, when triggered, resemble them. So, when a dog is abandoned by its owner, it whines because the instinct of affection is triggered. When grief occurs in a person, he most often cries. Crying is perhaps the safest way to express sadness.

Under stress, the body synthesizes toxic substances: leucine-enkephalin and prolactin, which are excreted only with tears , and emotional, when tears appear during a nervous shock. Under stress, the body synthesizes toxic substances: leucine-enkephalin and prolactin, which are excreted only with tears. It is no coincidence that when a person cries, he feels lighter.

But etiquette dictates that crying in public is not good, and men should not show their emotions at all. Under the influence of public opinion, a person learns to suppress tears in himself, but this does not mean that sadness goes away. Negative emotions accumulate and sooner or later find another way to splash out. A person can vent evil on loved ones, drink an extra glass of alcohol, smoke or fight. Restraint of emotions affects the nervous system and can cause cardiovascular disease.

It turns out that tears are the best way to relieve nervous tension and remove harmful substances from the body. In addition, they normalize blood pressure, increase the body's resistance to infections and reduce the risk of developing diseases of the gastrointestinal tract.

They have one more useful property: they influence other people. So, children often cry to get attention. And it helps! They are approached, pity, warm, fed and solve their other problems. It works for adults too. Even William Shakespeare called tears "weapons of women."

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How to live, work and communicate when we are sad: 5 principles of behavioral therapy

Getting out of a state of constant sadness is quite difficult. We close, move less and do not do our favorite things at all, only prolonging the unpleasant period. However, one of the most effective solutions for dealing with negative emotions is despite the state of doing what we don’t feel like doing. We retell the Psyche material on how by adjusting our behavior and small habits, we can try to cope with anxiety and sadness.

The cycle of negative emotions begins when we cut back on our habitual activities (we call friends less, we stop doing sports, we don't take showers, etc.), we close ourselves and isolate ourselves. Because of this, there are fewer positive distractions in life (pleasant emotions after training / socializing / cleaning), which only exacerbates a bad mood. All this leads to the fact that we lose motivation to try interesting or demanding activities and become even more isolated.

A negative cycle does not appear just like that - it often starts at the moment of strong changes in life. For example, during a divorce, a stressful period at work, or illness. This year, many could face a different reason - changes due to the pandemic. Many have lost their usual hobbies and routines, and they took social isolation literally and greatly reduced communication with friends and relatives (despite online options).

To get out of the cycle of negative emotions, we need to return to the routine those actions that we abandoned - this is the main point of behavioral activation. The idea is simple - the cycle of inactivity and bad mood is replaced by a more pleasant one in which:

  1. Productive and meaningful actions make us feel better.
  2. Due to a positive attitude, the level of motivation rises, thanks to which we want even more activity.

Although behavioral activation is most often used in collaboration with a therapist, many of the principles from it can be introduced into your life on your own.

Keep track of what you do every day

In a notepad, draw your daily schedule into time blocks that are convenient for you. During the week, write down what you did and note how you felt during this time on a ten-point scale (0 - sad, 10 - happy). This will allow you to capture even the smallest changes in mood. For example, you woke up with a condition of 3 points, and after morning exercises you felt at 5. It seems that the change is not very big, but in the long run it is extremely important - in cases where you feel at 1-2 points, you can open your notes and see what can help you at least a little.

  • Life hack from psychologists: hack our automatic thoughts and stop chasing them around

Plan for next week

When you have reviewed your week, you can prepare for the next one with more confidence. Make a plan with those actions that brought you a lot of joy and peace. You can also schedule activities that you used to enjoy but have stopped doing. Try to plan at least one (preferably two) leisure activities every day.

Don't forget to schedule activities that seem important and meaningful to you, but don't bring much pleasure in the moment. Avoid long periods of doing nothing. Try to always keep a few positive action options in mind - use them at times when you want to spend hours scrolling through disturbing news or Instagram feeds.

Always stick to plan

The key and perhaps the most important rule is to do the planned things even when we are very sad. We can tell ourselves that we will complete the task when we are a little calmer and more joyful. However, the essence of behavioral activation is that first we change our actions, and after them, feelings and emotions will be tightened and corrected.

If a task seems overwhelming, divide it into several smaller ones. For example, if you need to clean the house, and you don’t have the strength, sort out things on the desktop or wipe the closet. Vacuum the next day. Don't forget about strategies that will increase your chances of completing the task. Ask yourself the question: "What will make my behavior more likely - in which case will I definitely take and clean the room?" Perhaps music in the background or an agreement with a friend will help you - for example, ask him to call you at the right time and remind you that it's time to dust.

Evaluate your results

At the end of the day, evaluate how you feel after each activity. Notice even small improvements and deteriorations in your mood - this will allow you to better plan your schedule for the next week.

Learn more