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: 988Free, 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 741741Free, 24/7 crisis counseling via text. Connects you with a trained crisis counselor.
Veterans Crisis Line
Call: 988, then press 1 · Text: 838255Confidential support for veterans and their loved ones, 24/7.
National Domestic Violence Hotline
Call: (800) 799-7233 · Text: START to 8878824/7 support for anyone experiencing domestic violence.
National Human Trafficking Hotline
Call: (888) 373-7888 · Text: HELP or INFO to 233733Substance Use Support
Mandy's Line: (800) 943-0540For people struggling with substance use disorder who need someone to talk to. All operators have lived experience with SUD.
Never Use Alone: (800) 484-3731Overdose 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 678-67824/7 crisis intervention and suicide prevention for LGBTQ+ young people.
Trans Lifeline: (877) 565-8860Peer support hotline staffed by trans people, for trans people.
LGBT National Hotline: (888) 843-4564Confidential support, information, and local resources for the LGBTQ+ community.
Eating Disorder Support
National Alliance for Eating Disorders Helpline: (866) 662-1235Daytime helpline staffed by licensed therapists, offering support and treatment referrals.
Anorexia & Bulimia Crisis Line: (800) 233-4357Self-Harm Support
S.A.F.E. Alternatives: (800) 366-8288Information and referrals for people struggling with self-harm.
Community & Local Services
211: dial 211 · 211.orgFree, confidential referrals to local community services including housing, food, and mental health support.
National Council on Alcoholism & Drug Dependency Hope Line: (800) 622-2255Teen & Youth Crisis Lines
Teen Line
Call: (800) 852-8336 (6pm–10pm PT) · Text: TEEN to 839863Teens helping teens. Trained teen volunteers provide peer support. teenline.org
California Youth Crisis Line (CYCL)
Call or Text: (800) 843-520024/7 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) 544-2219Sacramento County Crisis Hotline
(916) 368-3111Placer County Crisis Hotline & Triage Services
(916) 787-8860 or (888) 886-5401Marin County
Marin County 24/7 Crisis Line
(415) 473-6666For 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) 473-6392Available 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) 970-4000Monday–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) 781-0500Westside Crisis Clinic
(415) 355-0311 · 245 11th St, San FranciscoTelephone 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) 950-6264NAMI Marin County: namimarin.org · NAMI San Francisco: namisf.org
SAMHSA National Helpline
(800) 662-4357Free, 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.

