Last reviewed
National crisis lines
- 988 Suicide and Crisis Lifeline. Call or text 988. Available 24 hours a day, 7 days a week. Free and confidential. Available in English and Spanish. Press 1 for the Veterans Crisis Line.
- Crisis Text Line. Text HELLO to 741741. Available 24/7. Trained crisis counselors respond by text. Spanish text line: text AYUDA to 741741.
- SAMHSA National Helpline. Call 1-800-662-4357. Available 24/7. Free, confidential treatment referral and information for individuals and families facing mental health and substance use disorders. Available in English and Spanish.
Specialized crisis lines
- Veterans Crisis Line. Call 988 and press 1, text 838255, or chat at veteranscrisisline.net. Connects veterans, service members, and their families with qualified responders.
- The Trevor Project. Call 1-866-488-7386, text START to 678-678, or chat at thetrevorproject.org. Crisis support for LGBTQ+ youth.
- Trans Lifeline. Call 1-877-565-8860. Peer support staffed by trans people for trans people.
- National Domestic Violence Hotline. Call 1-800-799-7233, text START to 88788, or chat at thehotline.org. Confidential support for anyone affected by domestic violence.
- RAINN National Sexual Assault Hotline. Call 1-800-656-4673 or chat at rainn.org.
- Disaster Distress Helpline. Call or text 1-800-985-5990. SAMHSA crisis counseling for people affected by disasters.
Arkansas resources
- Arkansas Crisis Center. Call 1-888-274-7472. Available 24/7 across Arkansas.
- Ozark Guidance Crisis Line (Northwest Arkansas, Washington and Benton counties). Call 1-800-759-9751.
- Arkansas State Hospital Crisis Stabilization Units (Pulaski, Sebastian, Craighead, Washington counties). Walk-in crisis assessment available.
- NAMI Arkansas Helpline. Call 501-661-0600. Information, support, and resources for individuals and families.
Missouri resources
- Missouri Behavioral Health Crisis Hotline. Call 1-888-861-4357. Available 24/7 statewide.
- 988 Suicide and Crisis Lifeline. Available statewide; routes to local Missouri responders.
- NAMI Missouri Helpline. Call 1-800-374-5165.
How Arkansas Counseling and Wellness Services can help
If you are not in immediate crisis but want to begin therapy with a licensed clinician, Arkansas Counseling and Wellness Services accepts new patients at three Arkansas offices and statewide telehealth across Arkansas and Missouri. Our admin team responds Monday through Thursday, 9 AM to 2 PM Central. Call 501-464-2926 or use our secure patient portal to schedule. The first call is the hardest. We try to answer.
Important: this practice is not a 24-hour crisis service. Outside admin hours, please call 988 or go to your nearest emergency room.
Sources & References
- SAMHSA, Substance Abuse and Mental Health Services Administration. samhsa.gov — federal substance abuse and mental health publications.
- NIMH, National Institute of Mental Health. nimh.nih.gov — federal mental health research and clinical guidelines.
- NIDA, National Institute on Drug Abuse. nida.nih.gov — substance use research.
- 988 Suicide and Crisis Lifeline. 988lifeline.org — federal crisis line and resources.
- U.S. Department of Transportation, Office of Drug and Alcohol Policy and Compliance. transportation.gov/odapc — DOT SAP regulations under 49 CFR Part 40.
- Arkansas Board of Examiners in Counseling. arkansasabec.org — state licensure for counselors.
Sources retrieved 2026-04-29. External resources reviewed for relevance to the topics on this page.