Introduction
You're in crisis. Or someone you know is. What do you do?
In this guide, I'll explain mental health crises and how to get help.
What Is a Mental Health Crisis?
Definition
A mental health crisis is when someone's mental health reaches a point where they can't cope. They may be a danger to themselves or others.
Signs
- Suicidal thoughts
- Self-harm
- Psychotic symptoms
- Severe depression
- Extreme anxiety
- Panic
- Unable to function
It's Not
- A character flaw
- Something to be ashamed of
- Always obvious
Types of Crises
Suicidal Crisis
- Thoughts of suicide
- Plans or intent
- Previous attempts
Self-Harm Crisis
- urges to self-harm
- Recent self-injury
- Unable to stop
Psychotic Crisis
- Hallucinations
- Delusions
- Lost touch with reality
Severe Anxiety/Panic
- Can't breathe
- Feeling trapped
- Extreme dread
Substance Crisis
- Overdose
- Dangerous withdrawal
- Using to cope
What to Do in a Crisis
If You're in Crisis
- Call 988 - Suicide & Crisis Lifeline
- Text HOME to 741741 - Crisis Text Line
- Go to emergency room
- Call a trusted person
If Someone Else Is in Crisis
- Stay calm
- Listen
- Don't leave them alone
- Call for help
- Remove dangerous items
Crisis Resources
988 Suicide & Crisis Lifeline
- Call or text 988
- Available 24/7
- Free
Crisis Text Line
- Text HOME to 741741
- Available 24/7
- Free
Emergency Services
- Call 911
- Go to emergency room
Warm Lines
- Non-emergency support
- Peer support
Supporting Someone in Crisis
Do
- Listen
- Stay calm
- Take threats seriously
- Get help
- Be present
Don't
- Judge
- Minimize
- Leave them alone
- Promise to keep secrets
- Argue
After Crisis
Get Follow-Up Care
- Therapy
- Medication
- Support groups
Support Network
- Friends
- Family
- Professionals
Warning Signs
Suicide Warning Signs
- Talking about suicide
- Feeling hopeless
- Withdrawing
- Giving away belongings
- Saying goodbye
Get Help Immediately If
- Someone has a plan
- Someone has means
- Someone says goodbye
- Someone is in extreme distress
Conclusion
If you're in crisis, reach out. Help is available. You don't have to face this alone.
Want more help? Paula is a free mental health app. Download it today.
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Related Reading
- Best Free Therapy Apps 2026: AI & Digital Mental Health
- How to Build Emotional Resilience - A mental health professional's Guide
- How to Build Resilience - A mental health professional's Guide
Ready to start your mental health journey? Try Paula free today.