Who to call when you are depressed


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.

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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    Call or text 988

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  • National Helpline

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    Treatment referral and information, 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).

Psychological Help Hotline, Psychological Help Helpline, free hotline 8-800

Psychological Help Hotline is a critical social service. No one is immune from a negative Psychological situation or a stressful situation, during which there is no possibility to receive outpatient Psychological assistance, at such moments the hotline is the only way to get help and support in order to overcome difficulties.

Psychological help line (helpline)

Who may need emergency Psychological Help by telephone?

Working Principles of the Helpline Hotline

Other Ways to Get Emergency Psychological Help

Competence of Operators and Response Time

Psychological Helpline (helpline)

8 (800) 333-44-34

Calls are free throughout Russia.

Hotline for Psychological Assistance EMERCOM of Russia

8 (499) 216-50-50

Toll-free 24-hour emergency Psychological assistance for Moscow residents

051

Who may need emergency Psychological assistance by phone?

  • People who experience a very strong emotional experience of an intolerable nature, which requires the help of a specialist;
  • People who have suffered psychological trauma;
  • People who experience severe stress and want to find ways out of this state;
  • People who have suffered the loss of a loved one or faced grief and who, due to circumstances, do not understand how to live on;
  • Persons who cannot understand themselves;
  • People who are depressed and have suicidal thoughts;
  • Those people who have come to the conclusion that they need professional Psychological help, but who, for various reasons, put off visiting a specialist.
  • Teenagers, in whose personal life there are difficulties in relations with a partner, and they see their solution only in a fatal act.

How the hotline works

  • Anonymity. The caller and the consultant may not give their real name and provide another personal information about themselves during the conversation. This also applies to the phone number from which the call came;
  • Privacy. All information received during a conversation with a hotline consultant is not transferred and is not used in the future, and the data received during the conversation is anonymized as much as possible;
  • Tolerance. Whatever opinion, views and beliefs the caller holds, he is not criticized or condemned. The consultant in any situation will try to understand the subscriber.
  • Call management. A caller to a hotline number can end the conversation at any time or abruptly change its subject, without explaining the reasons.

Other ways to get emergency Psychological assistance

On the website of the Ministry of Emergency Situations of Russia, you can contact the Internet service of emergency Psychological assistance with a question or problem, which is located in the appropriate section.

In it, you can create an anonymous appeal without registration and get an answer to the question as soon as possible, which will be written in the general journal.

Competence of operators and response time

The hotline answers the subscriber's call as quickly as possible, the waiting time for communication with a consultant takes about a minute.

Professional Psychologists work in the Psychological Assistance Service, who will help to cope with the problem, give advice on how to overcome life's difficulties in the right way, or simply allow the subscriber to speak out.

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"Control psychiatrists": three signs of the disease and how to avoid it

April 7, 2017, 07: 07: 07: 07: 48

More than 300 million people in the world today are living with depression. Therefore, it is not surprising that the theme of World Health Day, which is celebrated on April 7, is depression.

According to the World Health Organization (WHO), depression is one of the leading causes of ill health and disability worldwide. In the 10 years from 2005 to 2015, the number of people with depression increased by more than 18%. "Due to a lack of support, many people with mental disorders do not seek the treatment they need to live healthy and productive lives," the organization said. The WHO is urging countries to increase investment in mental health, reminding that even in high-income countries, about 50% of people with depression do not receive treatment.

Meanwhile, most depressions are treated on an outpatient basis, if the patient turns to a psychiatrist for help in time. This was told to TASS by the chief freelance specialist of the Ministry of Health of the Russian Federation in psychiatry, director of the State Scientific Institute of Forensic and Social Psychiatry. V.P. Serbian Zurab Kekelidze. “Of course, there are chronic, resistant severe conditions when serious measures must be taken,” the expert added.

From 3.7% of the population to 6.5% in different countries - the percentage of people diagnosed with depression. Russia is in the middle of this list - we have about 5.5%

Kekelidze notes that, according to statistics, there are more women diagnosed with depression. However, this may be partly due not to a predisposition to depression, but to the fact that women are more attentive to their health. “They notice deviations faster, see a doctor more often and are more attentively treated,” he said.

Three signs of depression

See also0002 The chief specialist of the Ministry of Health of the Russian Federation in psychiatry notes that a bad mood is not only from real external causes, but also from a disease called "depression".

"Three main signs are standardly distinguished: a feeling of low mood, motor (motor) retardation, idiotic retardation (when a person feels that it has become harder for him to think, to choose words more slowly, a feeling that he is not thinking about anything)," Kekelidze explained .

In addition to the main signs of depression, there are many varieties: masked (mild depression), seasonal, postpartum, depression that accompanies other somatic conditions - Alzheimer's disease, hypothyroidism and many others.

The psychiatrist advises parents to take a closer look at changes in the child's behavior: sleep disturbances, changes in appetite (stopped eating or eats a lot of sweets) can be early signs of depression.

What prevents Russians from treating depression

In Russia, according to Kekelidze, the problem that not all people with depression receive the necessary treatment is due to the lack of habit of taking care of their health preventively, as well as the fact that people in Russia still For the time being, they are afraid of neuropsychiatric dispensaries, where they try not to go unless absolutely necessary. Not the last role is played by the stigmatization of mental illness - hence the fear of turning to a psychiatrist for help.

However, according to the expert, one should not hope that depression will go away on its own. It is a disease, and like any disease, it must be dealt with by a medical specialist.

Depression should be treated by psychiatrists or psychotherapists. But most people do not go to doctors, they are afraid that they will register

The psychiatrist noted that not every patient needs to be registered with a dispensary, and there are a number of criteria for this. The basis is a danger to oneself and others.

According to the expert, depression is characterized by lack of will, so the worst thing you can advise a depressed person is to tell him "get it together", "pull yourself together." A professional psychiatrist or psychotherapist should say this to the patient, because otherwise the feeling of guilt for "not being able to pull himself together" will grow.

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