Call or text, 24/7
988 Suicide & Crisis Lifeline
Call or text 988 to reach a trained crisis counselor. Free, confidential, and available 24/7.
If your teen is in crisis right now
Call or text 988 to reach the Suicide & Crisis Lifeline. If your teen is in immediate physical danger or you cannot keep them safe, call 911.
Where to get help right now
Text support, 24/7
Crisis Text Line
Text HOME to 741741 to connect with a crisis counselor by text. Free, confidential, and available 24/7.
Immediate danger
Call 911
If your teen is in immediate physical danger or you cannot keep them safe, call 911 or go to the nearest emergency room. In Durham County, ask for HEART, a team of behavioral health responders.
A crisis team that comes to you
Mobile crisis teams send trained clinicians to your home or wherever your teen is. Call the line for your county.
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Wake County: Therapeutic Alternatives
Mobile crisis team. Available 24/7.
Website for Wake County: Therapeutic Alternatives (opens in a new tab) -
Durham and Orange County: Freedom House
Mobile crisis team. Available 24/7.
Website for Durham and Orange County: Freedom House (opens in a new tab) -
Alliance Health Crisis Line
Behavioral health crisis line for Wake, Durham, and Orange County. A clinician answers and arranges mobile crisis when it fits. Available 24/7.
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Anywhere in North Carolina
The state health department lists crisis services for every county.
Website for Anywhere in North Carolina (opens in a new tab)
Places you can go
Walk-in and urgent care for a mental health crisis, with psychiatric evaluation and counseling.
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Durham Recovery Response Center
Walk-in crisis center. Open 24/7 and no appointment is needed.
Website for Durham Recovery Response Center (opens in a new tab) -
Monarch Behavioral Health Urgent Care
Same-day mental health evaluation and care for ages 4 and up. Call to confirm hours.
Website for Monarch Behavioral Health Urgent Care (opens in a new tab) -
Carolina Outreach Behavioral Health Urgent Care
Emergency psychiatry and counseling appointments. Call to confirm hours and insurance.
Website for Carolina Outreach Behavioral Health Urgent Care (opens in a new tab) -
Your local emergency department
Go to the nearest emergency room if your teen needs medical care or is not safe.
Support for specific needs
Lines staffed by people who know a particular experience.
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Trevor Project
Support for LGBTQ+ young people. Call, or text START to 678-678.
Website for Trevor Project (opens in a new tab) -
Trans Lifeline
Peer support run by and for trans people.
Website for Trans Lifeline (opens in a new tab) -
BlackLine
Support centered on Black, Indigenous, and People of Color communities.
Website for BlackLine (opens in a new tab) -
RAINN National Sexual Assault Hotline
Free, confidential support after sexual assault. Available 24/7.
Website for RAINN National Sexual Assault Hotline (opens in a new tab) -
NC PEERS Warmline
Talk with a peer when things feel hard and it is not an emergency. Available 24/7, English only.
Website for NC PEERS Warmline (opens in a new tab) -
Siembra NC
Hotline for immigration enforcement concerns, run by an organization serving the Latino community in North Carolina.
Website for Siembra NC (opens in a new tab)
What to do if your teen is in crisis
- Stay with them.
- Remove access to means of self-harm if you can do so safely.
- Call or text 988. They will help you decide next steps.
- If your teen is in immediate danger, call 911 or go to your nearest emergency room.
Need support soon?
If your teen is struggling but not in immediate danger, Joshua Tree Health may be the right next step. We provide PHP and IOP programs for adolescents ages 10–17 in Apex, North Carolina. These are outpatient programs and do not replace emergency or inpatient care.
Get started Call (919) 335-5053
Phone numbers were checked with each organization on October 9, 2026. Services change. If a number does not connect, call or text 988.
