If you or someone you care about needs help right now, the fastest routes are below. They are free, confidential, and staffed around the clock.
Call 911
If someone is in immediate physical danger or needs emergency medical care.
Call or text 988
The 988 Suicide & Crisis Lifeline. Free, confidential, 24/7, in every state we serve — California, Oregon, Washington and Colorado. You do not have to be suicidal to call.
Text HOME to 741741
Crisis Text Line, if talking on the phone feels like too much.
IPW Health is not a 24/7 crisis service. Our phone line and patient portal are answered during business hours only. If you need help outside those hours, or sooner than we can respond, please use the numbers above — that is what they are there for, and no concern is too small.
People often hesitate because they do not know what to expect. Here is the honest version.
A trained crisis counselor answers. You can call, text, or chat. You do not need to be in danger, and you do not need to have a plan or a diagnosis — people call about panic, grief, substance use, loneliness, relationship crises, or simply not coping. You can stay anonymous.
The counselor listens first, then helps you work out what would help next. Most calls are resolved on the phone. Emergency services are involved only in the small number of situations where there is imminent risk to someone’s life.
You can also call 988 about someone else — to ask how to help, or what to say.
Veterans and service members
Call 988 and press 1 · or text 838255
LGBTQ+ young people
The Trevor Project — 1-866-488-7386 · or text START to 678-678
Trans peer support
Trans Lifeline — 1-877-565-8860
Pregnancy, postpartum and new parents
National Maternal Mental Health Hotline — call or text 1-833-852-6262 · Postpartum Support International — 1-800-944-4773
Substance use, or finding treatment
SAMHSA National Helpline — 1-800-662-4357. Free, confidential, 24/7, in English and Spanish. This is a treatment referral line, not a crisis line.
Domestic violence
National Domestic Violence Hotline — 1-800-799-7233 · or text START to 88788
Orange County, California
OC Links — 855-625-4657. 24/7 phone and chat linkage to Orange County behavioral health services.
Ask directly. Plain words are better than careful ones. Asking someone whether they are thinking about suicide does not plant the idea — it usually comes as a relief that someone noticed.
Listen before you fix. You do not need the right answer. Staying calm and not arguing with how they feel matters more than anything you say.
Do not leave someone alone if you believe they are in immediate danger. Call 911.
Offer to be there while they call. Making the call is often the hardest part; sitting with someone while they do it is a real thing you can give.
Call 988 yourself. Counselors will talk you through how to support someone, including practical steps to make a home safer. You do not have to work it out alone.
For non-urgent questions — prescription refills, scheduling, billing, or something you want to raise before your next visit — message us through your patient portal or call (949) 259-5123. These are answered during business hours.
If something changes and you are not safe waiting, use 988 or 911. Tell us afterwards so we can adjust your care. Reaching out in a crisis is never something you will be judged for here.
Insurance & pricing · Conditions we treat · About IPW Health
This page is general information, not medical advice, and it is not a substitute for emergency care. Phone numbers are US-based and were verified in September 2026.
Integrative Psychiatry & Wellness (IPW Health) — telehealth psychiatry for patients across California, Oregon, Washington, and Colorado, with in-person visits at our Mission Viejo, CA office.
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