If you're in crisis right now

Help is available. You don't have to get through this alone.

These numbers are free, confidential, and available 24 hours a day. If you're not sure whether what you're feeling counts as a crisis — it does. Please reach out.

US · 24/7 · Free · Confidential
988 Suicide & Crisis Lifeline
988
Call or text 988 — also available in Spanish
US · 24/7 · Free · Text-based
Crisis Text Line
741741
Text HOME to 741741 — if you can't speak out loud
Medical emergency · Immediate danger
Emergency Services
911
Call 911 if you or someone else is in immediate physical danger

Addiction & substance use

Substance Use Resources

These resources support people dealing with alcohol, drugs, and other substance use — whether you're in acute crisis, thinking about getting help, or supporting someone else.

SAMHSA National Helpline

Free, confidential, 24/7 treatment referral and information service for individuals and families facing substance use disorders and mental health issues.

Free US 24/7
1-800-662-4357
SAMHSA Behavioral Health Treatment Locator

Find substance use treatment facilities and programs in your area. Search by location, type of care, and payment options including sliding scale.

Free US
findtreatment.gov
Alcoholics Anonymous

Find local AA meetings or online meetings worldwide. The AA website also has a meeting finder for people who prefer not to call.

Free International
Find a meeting
Narcotics Anonymous

NA offers recovery meetings for people struggling with drug use. Meetings are available in person and online in dozens of languages.

Free International
Find a meeting
SMART Recovery

Science-based, non-12-step support for people seeking recovery from addictive behaviors. Free online and in-person meetings available.

Free International
Find a meeting
Moderation Management

A support network for people who want to reduce or moderate their drinking rather than abstain. Includes online forums and face-to-face meetings.

Free US
moderation.org
Harm Reduction Coalition

Resources and information for people practicing harm reduction, including naloxone access, safe use guides, and local program finders.

Free US
harmreduction.org
NEXT Distro — Naloxone Access

Mail-order naloxone (Narcan) and harm reduction supplies for people who use opioids. Free in many states.

Free in many states US
nextdistro.org

Mental health

Mental Health Crisis

Addiction and mental health are often deeply connected. These resources support people experiencing depression, anxiety, trauma, and other mental health crises alongside or separate from substance use.

988 Suicide & Crisis Lifeline

Call or text 988 anytime. Trained counselors are available 24/7 for people in emotional distress or suicidal crisis — not just people in immediate danger.

Free US 24/7
988
NAMI Helpline

National Alliance on Mental Illness helpline for people experiencing mental health crises and their families. Peer-led support and local resource referrals.

Free US
1-800-950-6264
Psychology Today Therapist Finder

Search for therapists, psychiatrists, and counselors by location, specialty, insurance, and sliding scale availability. Includes addiction specialists.

US
Find a therapist
Open Path Collective

Affordable therapy ($30–$80/session) for individuals, couples, and families. Includes therapists who specialize in trauma and addiction.

US
openpathcollective.org

Self-harm & suicide

If You're Thinking About Ending Your Life

If you're having thoughts of suicide or self-harm, please reach out. These thoughts are a signal that you're in more pain than you can handle alone right now — not a verdict on what's possible.

988 Suicide & Crisis Lifeline

Call or text 988. Available 24/7. Counselors are there for thoughts of suicide and self-harm, not only immediate emergencies.

Free US 24/7
988
Crisis Text Line

Text HOME to 741741. A trained crisis counselor will respond within minutes. Helpful if you're in a situation where you can't speak out loud.

Free US Text 24/7
Text HOME to 741741
International Association for Suicide Prevention

Directory of crisis centers worldwide. If you're outside the US, this is the best starting point for finding a local resource.

International
Find a crisis center

Safety

Domestic Violence & Personal Safety

Domestic violence and substance use frequently intersect. If you or someone you know is in an unsafe situation, these resources are confidential and available now.

National Domestic Violence Hotline

24/7 support for people experiencing domestic violence, including safety planning, local shelter referrals, and support for leaving a relationship.

Free US 24/7 Chat available
1-800-799-7233
thehotline.org — Live Chat

Prefer not to call? The National Domestic Violence Hotline also offers live chat online. Available 24/7.

Free US Chat
thehotline.org

Eating disorders

Eating Disorder Support

Disordered eating and addiction share many underlying patterns. These resources offer support for eating disorders specifically.

National Alliance for Eating Disorders Helpline

Free helpline with trained staff available weekdays to provide support, resources, and treatment referrals for eating disorders of all kinds.

Free US
1-866-662-1235
Crisis Text Line

For eating disorder crisis support via text, text "NEDA" to 741741.

Free US Text 24/7
Text NEDA to 741741

LGBTQ+ support

LGBTQ+ Crisis & Support

LGBTQ+ individuals face elevated rates of substance use and mental health struggles, often tied to discrimination, family rejection, and minority stress. These resources are affirming and knowledgeable.

The Trevor Project

Crisis intervention and suicide prevention for LGBTQ+ young people. TrevorLifeline, TrevorText, and TrevorChat available 24/7.

Free US 24/7
1-866-488-7386
Trans Lifeline

Peer support hotline run by and for trans people. Operators have personal experience with trans issues and are available daily.

Free US
1-877-565-8860
988 — LGBTQ+ Specialized Support

When calling 988, press 3 to be connected with a counselor specifically trained in LGBTQ+ issues.

Free US 24/7
988, then press 3

Veterans & first responders

Veterans & First Responder Support

Military veterans and first responders experience substance use disorders at elevated rates and often face unique barriers to asking for help. These resources are designed for — and in many cases operated by — people who understand that.

Veterans Crisis Line

Confidential crisis support for veterans, service members, and their families. Call 988 and press 1, text 838255, or chat online.

Free US 24/7
988, then press 1
Safe Call Now — First Responders

Confidential crisis referral service for first responders, public safety employees, and their families. Staffed by current and former public safety personnel.

Free US 24/7
1-206-459-3020

Outside the US

International Resources

Buoy is currently focused on US-based resources, but crisis support exists in most countries. These directories can help you find local help.

Findahelpline.com

A global directory of crisis helplines organized by country and issue type. One of the most comprehensive international crisis resource databases available.

International Free
findahelpline.com
IASP Crisis Centre Directory

The International Association for Suicide Prevention maintains a directory of crisis centers in over 50 countries.

International
Find a center

Before you call

What to Expect When You Reach Out

A lot of people hesitate to call a crisis line because they don't know what will happen. Here's what you can generally expect — every line operates a little differently, but these answers apply to most of them.

Do I have to give my name?

No. Most crisis lines are completely anonymous. You don't have to share your name, location, or any identifying information unless you choose to.

Will they send police to my location?

Crisis line counselors prioritize talking with you and do not automatically dispatch emergency services. In rare cases where your life is in immediate danger, they may ask for your location. You are always in control of what you share.

What if I'm not sure I'm "in crisis enough"?

There is no threshold you have to meet. If you're struggling, that is enough. Crisis lines exist for distress, not just emergency — and counselors would rather talk with someone who wasn't sure they needed it than have someone suffer alone.

What will they actually do?

Mostly listen. A trained counselor will ask about what's going on, help you slow down, and work with you on what feels next. They won't lecture you or tell you what to do. They may offer local referrals if you want them.

What if I just want to text?

Text HOME to 741741 (Crisis Text Line) for a text-based conversation with a trained crisis counselor. This is also a good option if you're in a public place or can't speak privately.

What if I'm calling for someone else?

Crisis lines can also help you support a person you're worried about. You don't have to be in crisis yourself to call — they can help you figure out what to do and what to say.

For family & friends

If Someone You Love Is in Crisis

Supporting someone through addiction and crisis is its own kind of hard. These resources are for the people who care about someone who is struggling.

Al-Anon / Alateen

Support groups for family members and friends of people with alcohol use disorder. Alateen is specifically for younger family members.

Free International
Find a meeting
Nar-Anon

Support groups for people whose lives have been affected by someone else's drug use. Peer-led, free, available online and in person.

Free International
Find a meeting
SAMHSA Family & Friends Support

SAMHSA's guide for families and friends on how to help someone with a substance use disorder, including how to approach conversations and what to expect.

Free US
samhsa.gov

Whatever brought you here, you were right to look.

Finding this page is an act of courage — whether it was for yourself or someone you love. You don't have to have the next step figured out. Just take the one in front of you.

Buoy will be here when you're ready.

Return to Buoy