Our Care team at Plume is committed to your well-being. Currently, our providers do not provide emergency medical or mental health care, so we are not able to offer medical support for emergency mental health crises. We recognize that other organizations have expert support teams who are trained to help in a crisis. The following resources are available to you 24 hours per day, 7 days per week. 


Emergency resources & hotlines

Trans Lifeline


9-8-8 Suicide & Crisis Lifeline  

Crisis Text Chat: text HELLO to 741741

Lifeline Chat 

Substance Abuse and Mental Health Services Administration (SAMHSA) 

1(800) 662-HELP (4357) 

Don’t Call The Police

Community-based alternatives to police in your city

National Domestic Violence Hotline 

+1 (800) 799-7233

The Childhelp National Child Abuse Hotline

+1 (800) 422-4453

TREVOR Crisis Hotline

+1 (866) 488-7386

NOTE: The TREVOR Crisis Hotline is geared towards individuals ages 24 and younger. 

AIDS Crisis Line

+1 (800) 221-7044

National Crisis Line, Anorexia and Bulimia

+1 (800) 233-4357

Alcoholism & Drug Dependency Hope Line 

+1 (800) 622-2255

Veterans Crisis Line

Text 838255 or

Call 800-273-8255 and Press 1


Mental health support for individuals who need someone to talk to but are not currently in crisis. 

NOTE: This is NOT for individuals currently experiencing a mental health emergency. 


Counseling & therapy resources

Open Path Collective 

Affordable, in-office and online psychotherapy sessions between $30 and $60

Marigold Health 

Marigold is an Anonymous Social Network where people with mental health & substance use conditions support each other.

Pride Counseling 

By providing online therapy to the LGBTQ community, Pride Counseling makes help accessible and accepting of everyone. Message your therapist whenever an issue arises. Schedule sessions that work with your schedule.

Inclusive Therapists 

Inclusive Therapists centers the needs of Black, Indigenous, and People of Color (BIPOC) and 2SLGBTQIA+ intersections (QTBIPOC). Inclusive Therapists amplifies the voices and expressions of Neurodivergent and Disabled Communities of Color.

National Queer and Trans Therapists of Color Network 

Advancing healing justice by transforming mental health for queer and trans people of color.


Culturally competent care for diverse communities.

What is a mental health crisis?

A mental health crisis is a situation in which someone’s mental health has deteriorated to the point where they require immediate and urgent assistance to keep themselves safe. It could involve anxiety, stress, depression, or any other mental health issue that is causing a person to experience significant distress or difficulty functioning in their daily life. 

It is essential to provide support to someone in a mental health crisis. This could be done in a variety of ways, such as providing emotional support, listening to their concerns, and helping them to find professional help or other forms of assistance. It is also important to be aware of any warning signs of a mental health crisis, such as changes in mood or behavior, difficulty sleeping, irritability, or substance abuse. By recognizing the signs of a mental health crisis, it is possible to intervene early and provide the necessary support and resources. If someone is hurting themselves or in imminent danger, call 911 or go to an emergency room immediately.

It is also important to remember that mental health crises can be prevented. Taking steps to reduce stress, such as regular exercise, relaxation techniques, and engaging in meaningful activities, can help to promote good mental health. Additionally, it is important to take time to nurture relationships and build strong social connections, as these can provide a sense of support and belonging.

Regularly seeking professional mental health support can also help to reduce the likelihood of a mental health crisis occurring. Medications to manage anxiety and depression can also be helpful. These supports work well when the person is not in crisis; they are not the best tools to use in an emergency situation.

A mental health crisis can manifest itself in various ways, including suicidal thoughts, self-harm, panic attacks, and other destructive behaviors. People in a mental health crisis often feel overwhelmed and unable to cope with their situation. They may feel disconnected from reality, unable to think clearly or to make decisions. They may also experience intense fear and anxiety, as well as feelings of helplessness and hopelessness. It is important to understand that a mental health crisis can be just as serious and life-threatening as a physical health crisis. With support, the person’s odds of surviving and recovering from their mental health crisis increase significantly.

If you or someone you care about are having a mental health crisis, call 988 for help. Below are additional emergency hotlines for individuals experiencing a mental health crisis.

What do I do if I’m having a mental health crisis?

Our care team at Plume is committed to your well-being, but we are not able to offer medical support for emergency mental health crises. Our providers do not provide emergency medical or mental health care. We recognize that other organizations have expert support teams who are trained to help in a crisis. These resources are available to you 24 hours per day, 7 days per week. 

If you are thinking about harming yourself or are experiencing another type of mental health crisis or emergency, please immediately contact one of the following resources above. Reaching out to a hotline will avoid unnecessary delays and connect you with someone who can help as soon as possible.

What if I’m having a medical emergency?

Plume does not provide emergency medical services. If you are experiencing a crisis or  emergency, please call 911 or go to the nearest emergency room.

Not sure if you’re having a medical emergency? It’s best to take your health seriously (better to be safe rather than sorry!).  For emergencies, the emergency room is the place. If you need to talk to a medical provider urgently, you can also seek care at an urgent care in your area, or call your primary care office. Click here for more information on the difference between the emergency room and urgent care.