Words of advice for someone 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.

  • Suggested Resources

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    It's Not Your Fault (NACoA) (PDF | 12 KB)
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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.

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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).

How to help a person in depression - Such cases

Every week, Takie Dela answers questions from readers. Today we will talk about depression, or rather, how to be a good friend for a person who finds himself in this state.

***

Approximately one in four has experienced depression at least once in their life. Although sometimes we, wringing our hands, call depression just an attack of bad mood. It is necessary to distinguish between blues, a mild depressive state (minor depression, subdepression) and a real clinical depression, which can drag on for several months. nine0005

Clinical depression is characterized by three main symptoms:

  • Bad mood. But not the kind that usually happens after a hard day or week. With depression, a person loses the ability to rejoice, does not enjoy the usual things - food, communication with friends, sex, music, films. This condition is called anhedonia.
  • Violation of thinking. It is difficult for a depressed person to think, it seems that thoughts are “like jelly”. Work is slower. nine0014
  • Motor retardation. Depression is always accompanied by a constant feeling of fatigue. Forcing yourself to go somewhere in this state is extremely difficult.

If these symptoms are observed for more than a month, then this is a reason to see a doctor, but you can cope with mild depression on your own, with the help of relatives and psychotherapy. But relatives should remember a few simple rules - what to do, and what should never be said. That's what psychologists recommend. nine0005

Let the person experience this state

Let's say your loved one experienced a failure, his expectations were not fulfilled, his plans were not realized. He is very upset, he is not happy with what he usually loves. Don't rush him. Say phrases: “Yes, stop thinking about it!” or “We need to move forward!” - it is forbidden. The state of sadness is not so bad for a person. Sadness allows you to relax a little after the race that was before, to come to your senses, to rethink, so that after that you can smoothly get out of this state. nine0005

Be honest

“Yes, you failed to achieve the goal, but let's take a break and try again if you want, no - then try yourself in something else.”

Do not discount failure

Phrases: “Forget it”, “Stop it”, “Your failures mean nothing” will only make things worse. A person can and should learn from his failures a lesson. It just takes time.

Recognize the importance of this situation

“Yes, you tried, it didn't work, but it's important that you did it! The feelings you are experiencing right now are very important. Sadness, loss of strength - all this is natural, but I am there and will help you. nine0005

Be careful with jokes

Do not joke rudely, scoff, ironically over the situation. Of course, it’s hard when a person close to you is in a bad mood, you want him to smile, and not go gloomy. It may seem that if you joke and make fun of the situation, then he will immediately cheer up and everything will immediately go smoothly. But it will most likely only get worse. Any rude intrusion, criticism will prevent you from getting out of a depressive state.

Do not force

It is strictly forbidden to forcefully drag a person to parties and walks in a depressed state. The mistake is that when we see a depressed person, we want to give him the energy of life. We say: "Look how great it all is!" But a person is simply not physically able to appreciate it. When he sees how people enjoy life, this only worsens his condition, he begins to wonder: "Why can't I do that?"

No aggression

Seeing that a person closes even more, in no case should one speak aggressively: “Why are you still in anguish?”, “Why are you sitting and being sad?”, “Pull yourself together, rag!” Such phrases are forbidden even as a joke.

Be patient

Do not do anything excessive, be more restrained and calm. But if the condition of a person close to you does not improve within a month, this is a reason to contact a psychotherapist or psychiatrist. Perhaps we are talking about clinical depression, which must be treated with medication. nine0005

Help get rid of the fear of specialists

Many patients with clinical depression are afraid to go to a psychotherapist or psychiatrist. They think: “What if this is something worse than just depression, what if I’m going crazy” or “I can handle it myself”. Close people at this point should gently and carefully explain: “You know, it seems to be depression, and I read that it is completely cured. We will find a way out. Let's go to the specialist together. It seems to me that this will help you get out of this state. nine0005

Stay close

Stay close or nearby so your friend always knows that if they need help they will have someone to turn to.

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Five tips to help support a person in a difficult situation

It happens that a difficult moment happens in life and it is almost impossible to get out of a difficult situation on your own. Often people give up, despair sets in, depression sets in. How to choose words that will convince you that Sun is e will be okay? Tatyana Moroz, a specialist at the Western Degunino Family Center, has prepared five tips to help build a conversation.

Dangerous words

Refrain from mentioning such words as "endure", "put up", "don't cry", "stop" and other similar in meaning.

Don't advise the person to "pull yourself together" and promise him that "it will never happen again." « It would be a big mistake to tell an already depressed person about all his problems or imagine an even more complicated situation that could happen to him. Such a conversation can somehow devalue the experience of the interlocutor. You make it clear that he cannot count on your support, and he must overcome all difficulties and not complain ,” the specialist shares.

Receptions

  • He will become calmer if he is a little quiet. Sometimes this is better than starting an empty and unnecessary conversation.
  • Be sincere. Sometimes it is enough to sit next to you, take a hand or hug.
  • A wonderful technique is to let a person talk and cry when he needs it.
  • Provide real help. Ask how you can help him. Share his household duties with a loved one, provide financial assistance, help in solving some of his problems. nine0014
  • Offer to go to a cafe or cinema, walk around the city, take a vacation and travel. So a person can distract from oppressive thoughts and focus on the good, get new positive emotions.

Support at a difficult moment

Words of gratitude

Thank the interlocutor for being able to tell about his experiences. Let him know that his feelings, as well as successes and mistakes, are important to you. You will readily share every occasion with him, be it joyful or sad. nine0023

I understand your pain

If you have experienced a similar situation, you can tell me about it. Say that you have been in a similar situation and know how difficult it is to endure such adversity. Tell us about how you can deal with such problems. You can share your memories of the troubles experienced and make it clear to the person that he will not be left alone with his misfortune.

It's hard to imagine how you feel now

If similar situations have not happened to you, then do not be afraid to tell the interlocutor about it. Say that you can’t even imagine what he feels now, but you are ready to share all the troubles with him. Be sure to let them know that you admire his firmness and willpower.

I really sympathize with you

Phrases that can express sympathy and empathy will help you.


Learn more