If you or someone you know is experiencing a mental health crisis, please seek help immediately. This article includes resources for you to use, including Rula’s crisis hotline service, 988 Suicide and Crisis Lifeline, the Kaiser Permanente Behavioral Health Care Helpline, and calling 911 or locating the nearest Emergency room.
You do not have to go through this alone, and support is available 24/7 via phone, text, or chat - however you prefer to access support.
What is a mental health crisis?
A mental health crisis can look and feel different to everyone. If you are experiencing intense anxiety or depression, suicidal thoughts, distorted thinking, self-harming, or otherwise feeling a loss of control over your symptoms – these are signs you may be experiencing a mental health crisis.
Rula’s 24/7 Crisis Hotline
Rula has a dedicated crisis hotline staffed 24/7 by professional crisis support counselors. If you are experiencing a crisis, you can call +1 (877) 371-5488 to receive immediate assistance.
This is NOT a general support number and is only for those experiencing an immediate and acute crisis.
What can I expect during the call?
Our trained crisis counselors will provide you with support, offer guidance, and connect you with additional resources to help you feel safe and supported.
What will happen after the call?
Following the call, our Patient Safety team will share an update with the provider(s) you see through Rula to ensure they can discuss any follow-ups or adjustments to your treatment plan with you the next time you connect.
988 Suicide and Crisis Lifeline
Anyone who is experiencing a suicidal crisis, is in emotional distress, or is concerned about a loved one’s mental health can call or text 9-8-8 to be connected with a trained crisis counselor who is there to listen and offer support. The 988 Suicide and Crisis Lifeline provides completely free and confidential support 24 hours a day, 7 days a week. As an alternative to a phone call or text, you can also chat via your computer or phone with a counselor at https://988lifeline.org/chat/.
Kaiser Permanente Behavioral Health Care Helpline
Patients who are covered by Kaiser Permanente and who are experiencing a behavioral health emergency or are having a mental health crisis should contact the Kaiser Permanente Behavioral Health Care Helpline (BHCL) at 800-900-3277. This resource is available at no charge and is open 24 hours a day, seven days a week.
911 or the Nearest Emergency Room
If you are experiencing a medical emergency, safety emergency, or crisis that is presenting an imminent risk to yourself or others, please call 911 or go to your nearest emergency room.
Additional Resources
Contacting your provider - Information about how to message your therapist via the Rula patient portal.
Find a therapist in the Provider Directory
The Provider Directory helps you explore therapists by location and preferences like insurance, language, and specialty so you can find care that fits your needs.
- Career counseling therapists in Garland, TX
- Kaiser Permanente therapists in Bellevue, WA
- Therapists in Freeport, NY
- Hispanic or Latinx therapists in Chandler, AZ
- Psychiatry providers in Charlotte, NC
- Therapists in Chattanooga, TN
- Female therapists in Portland, OR
- Therapists in Salem, OR
- Therapists in Burlington, VT
- Life coaching therapists in Nashville, TN
Elevated Measures
Understanding Your Scores
It’s normal to have questions about what your PHQ-9 or GAD-7 results mean for your care.
We’ve put together guides to help you navigate your results and see how they help your
therapist support you.
Understanding Your GAD Survey Results
Making Sense of Your PHQ-9 or PHQ-9A Results
Quick Self-Soothing Techniques
Deep Breathing
Deep breathing is a simple technique that’s excellent for managing emotions. Sit
comfortably and place one hand on your abdomen. Breathe in through your nose, deeply
enough that the hand on your abdomen rises. Hold the air in your lungs, and then exhale
slowly through your mouth, with your lips puckered as if you are blowing through a straw.
The secret is to go slow: Time the inhale (4s), pause (4s), and exhale (6s). Practice for 3 to 5
minutes.
5-4-3-2-1 Grounding Method
Acknowledge 5 things you see, 4 things you can touch, 3 things you hear, 2 things you can
smell, and 1 thing you can taste. This helps pull your mind away from anxious thoughts and
back to the present.
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