PATIENT RESOURCES
Crisis & Emergency Resources
Immediate support options for mental health crises and other urgent situations.
If you need help right now
If you or someone else is in immediate danger, call 911 or go to the nearest emergency department. For mental health or suicide-related crisis support, call or text 988. Serena Counseling is an outpatient practice and does not provide emergency or 24-hour crisis services.
24/7 Crisis Support
988 Suicide & Crisis Lifeline
Call or text 988
Free, confidential crisis support in the United States, 24/7. You do not have to be suicidal to contact 988.
Visit 988 Lifeline →Crisis Text Line
Text HOME to 741741
Free, confidential, 24/7 text-based support with a trained volunteer Crisis Counselor.
Visit Crisis Text Line →Denton County MHMR
1-800-762-0157
24-hour crisis hotline serving Denton County. You may also dial 988.
Visit Denton County MHMR →LifePath Systems — Collin County
1-877-422-5939
24/7 crisis hotline for adults and children living in Collin County, regardless of insurance or income.
Visit LifePath Systems →Specialized Support
Veterans Crisis Line
988, then press 1
Text 838255. Free, confidential 24/7 support for Veterans, service members, and those who support them.
Veterans Crisis Line →National Domestic Violence Hotline
1-800-799-SAFE (7233)
Text START to 88788 for support, crisis intervention, safety planning, and referrals.
National Domestic Violence Hotline →National Sexual Assault Hotline — RAINN
800-656-HOPE (4673)
Free, confidential 24/7 support. Text HOPE to 64673.
RAINN →National Human Trafficking Hotline
1-888-373-7888
Text 233733. Confidential 24/7 support and referrals for potential sex or labor trafficking situations.
Human Trafficking Hotline →Denton County Friends of the Family
940-382-7273
Call or text the 24-hour crisis line for support related to domestic violence or sexual violence. Toll-free: 800-572-4031.
Denton County Friends of the Family →The Turning Point — Collin County
1-800-886-7273
24/7 sexual-assault hotline and advocacy for survivors in North Texas, including Collin County.
The Turning Point →SAMHSA National Helpline
1-800-662-HELP (4357)
Free, confidential 24/7 treatment referral and information for mental health and substance-use concerns.
SAMHSA →Suicide Prevention & Coping Resources
NowMattersNow
Practical coping skills and lived-experience resources for people dealing with suicidal thoughts and intense emotional pain.
Visit NowMattersNow →American Foundation for Suicide Prevention
Education, loss-survivor resources, prevention information, and ways to find support.
Visit AFSP →Youth & Child Safety
National Center for Missing & Exploited Children
1-800-THE-LOST (1-800-843-5678)
24-hour reporting and support related to missing and sexually exploited children.
Visit NCMEC →When to use crisis resources
- Thoughts of suicide or self-harm
- Concern that you may not be able to keep yourself or someone else safe
- Overwhelming emotional distress requiring immediate support
- Experiencing or witnessing violence
- Substance-related emergencies
What to expect
Crisis services can help assess immediate safety, provide emotional support, identify next steps, and connect you with local resources or emergency care when needed. The exact response depends on the service and situation.
Save important numbers: Consider saving 988 and relevant local crisis contacts in your phone before you need them.
Resource information was verified against the organizations' official websites in September 2026. Availability and contact information can change; confirm directly with the organization when needed.