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Crisis Services

Authentic Alliance clinicians are not available for crisis services.  However, please do call or message your therapist to let them know you are having a hard time. They can call you back during normal business hours. 

Lyra Health patients can also call Lyra's crisis number: 877-505-7147.

Most services are available 24 hours a day and welcome you to call if you are feeling  like harming yourself, another person or are in a crisis. You can also chat or text during the hours listed for support. 


You can walk into any emergency room if you are having a mental health emergency.

Gender Diverse & LGBTQ2S Services

The Trevor Project (Ages 13-24)

Chat, Call or Text

1 (866) 488-7386 or

Text "START" to 678-678

Trans Lifeline

1 (877) 565-8860

Speak to a trans/nonbinary peer operator.

Call Blackline

1(800) 604-5841

Black, Indigenous, and People of Color. Peer support "by us for us."

LGBT National Coming Out Support Line (limited hours)

1(888) 688-5428

LGBT National Hotline (limited hours)

1(888) 843-4564

LGBT Senior Hotline (limited hours)

1(888) 234-7243

Crisis Services

California Suicide and Crisis Hotlines

Dial 988 on any phone

Alameda County Crisis Support Services
1 (800) 309-2131 Call 24/7

Crisis Text Line: TEXT SAFE TO 20121

Hours: 4:00 p.m. – 11:00 p.m. 7 days a week. Alameda County residents only

San Francisco Suicide Prevention​​

1 (415) 781-0500 or 1 (800) 273-8255

Text MYLIFE to 741741

24/7 Confidential Support 

Mental Health Association of SF 

Warm Line

Call or Text 1 (855) 600-9276 to speak with a counselor 24/7

Contra Costa Crisis Services

Text HOPE to 20121​

Nationwide Hotline

Dial 988

1 (800) SUICIDE
1 (800) 273-8255


Crisis Text Line (24/7)

Text HOME to 741741 to connect with a volunteer Crisis Counselor

Crisis en los Estados Unidos

en Español: 1(888) 628-9454

Oprima 988 en su teléfono

U.S. National Domestic Violence Hotline: 1(800) 799-7233 (English and Spanish) 1(800) 787-3224 (TTY)

National Teen Runaway Hotline and Chat


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