Mental Health Crisis Resources

If you are struggling right now, you are not alone, and help is available.
The resources below are here for you or someone you care about, any time, day or night.

If You Are in Immediate Danger

Call 911 or go to your nearest emergency room.

Suicide & Crisis Lifeline: call or text 988  ·  chat at 988lifeline.org

Crisis Text Line: text HOME to 741741

National Crisis Lines

Suicide & Crisis Lifeline

Call or Text: 988

Free, confidential, 24/7 support for anyone in emotional distress or suicidal crisis. Available in English and Spanish. Chat available at 988lifeline.org.

Crisis Text Line

Text HOME to 741741

Free, 24/7 crisis counseling via text. Connects you with a trained crisis counselor.

Veterans Crisis Line

Call: 988, then press 1  ·  Text: 838255

Confidential support for veterans and their loved ones, 24/7.

National Domestic Violence Hotline

Call: (800) 799-7233  ·  Text: START to 88788

24/7 support for anyone experiencing domestic violence.

National Human Trafficking Hotline

Call: (888) 373-7888  ·  Text: HELP or INFO to 233733

Substance Use Support

Mandy's Line: (800) 943-0540

For people struggling with substance use disorder who need someone to talk to. All operators have lived experience with SUD.

Never Use Alone: (800) 484-3731

Overdose prevention hotline. Call before using so someone is on the line in case of emergency.

LGBTQ+ Crisis Support

The Trevor Project (LGBTQ+ Youth) — Call: (866) 488-7386  ·  Text: START to 678-678

24/7 crisis intervention and suicide prevention for LGBTQ+ young people.

Trans Lifeline: (877) 565-8860

Peer support hotline staffed by trans people, for trans people.

LGBT National Hotline: (888) 843-4564

Confidential support, information, and local resources for the LGBTQ+ community.

Eating Disorder Support

National Alliance for Eating Disorders Helpline: (866) 662-1235

Daytime helpline staffed by licensed therapists, offering support and treatment referrals.

Anorexia & Bulimia Crisis Line: (800) 233-4357

Self-Harm Support

S.A.F.E. Alternatives: (800) 366-8288

Information and referrals for people struggling with self-harm.

Community & Local Services

211: dial 211  ·  211.org

Free, confidential referrals to local community services including housing, food, and mental health support.

National Council on Alcoholism & Drug Dependency Hope Line: (800) 622-2255
Teen & Youth Crisis Lines

Teen Line

Call: (800) 852-8336 (6pm–10pm PT)  ·  Text: TEEN to 839863

Teens helping teens. Trained teen volunteers provide peer support. teenline.org

California Youth Crisis Line (CYCL)

Call or Text: (800) 843-5200

24/7 statewide emergency response for youth ages 12–24 and their families. Professionally trained counselors provide crisis intervention and resource referrals.

Sacramento & El Dorado County

El Dorado County Crisis Hotline

West Slope: (530) 622-3345  ·  South Lake Tahoe: (530) 544-2219

Sacramento County Crisis Hotline

(916) 368-3111

Placer County Crisis Hotline & Triage Services

(916) 787-8860 or (888) 886-5401
Marin County

Marin County 24/7 Crisis Line

(415) 473-6666

For anyone experiencing a mental health or substance use crisis. Free and confidential.

Marin County Crisis Stabilization Unit (CSU)

Open 24/7. Serves children, teenagers, and adults regardless of insurance status. Located on the MarinHealth Medical Center campus in Kentfield.

Marin County Mobile Crisis Response Team

(415) 473-6392

Available Monday–Friday 8am–9pm, Saturday 1pm–9pm. Responds to mental health and substance use crises throughout Marin County.

San Francisco

SF Psychiatric Emergency Services

(628) 206-8125  ·  1001 Potrero Ave (SFGH/Zuckerberg SF General)

24-hour facility for psychiatric emergencies, both voluntary and involuntary.

SF Mobile Crisis Treatment Team (MCTT)

(415) 970-4000

Monday–Friday 8:30am–11pm, Saturday & Holidays Noon–8pm (closed Sundays). Provides emergency crisis assessment and intervention in the field. Multilingual staff available (Spanish, Russian, Cantonese/Mandarin). Available to all adult residents (18+) regardless of insurance.

San Francisco Suicide Prevention

(415) 781-0500

Westside Crisis Clinic

(415) 355-0311  ·  245 11th St, San Francisco

Telephone counseling and referral for people who are depressed and suicidal. Drug service information and referral available 24 hours.

Additional Resources

NAMI (National Alliance on Mental Illness)

NAMI Helpline: (800) 950-6264

NAMI Marin County: namimarin.org  ·  NAMI San Francisco: namisf.org

SAMHSA National Helpline

(800) 662-4357

Free, confidential, 24/7 treatment referral and information service for mental health and substance use disorders. Available in English and Spanish.

If you are looking for a higher level of outpatient care such as an Intensive Outpatient Program (IOP) or Partial Hospitalization Program (PHP), visit our IOP & PHP Resource Guide .

If you are a current client of The Holistic Counseling Center and are in crisis, please contact your therapist directly. If you cannot reach your therapist, use the crisis resources listed above.

A Note About These Resources

This page is here to help connect you with support during difficult moments. We share these resources in good faith, but we do not operate them and cannot guarantee that every number, hour, or link is current. If you find something that is no longer accurate, please let us know so we can update it.