Getting Help in a Mental Health Crisis

Author: Dr. Vrolijk   |   Updated: August 23, 2025   |   Disclaimer   |   Review Process   |   References

Author: Dr. Vrolijk   

Updated: August 23, 2025   

Disclaimer   |   Review Process   |   References

Not sure if what you’re experiencing counts as a crisis? Worried about what actually happens at the hospital? Wondering if you need help right now or can wait for an appointment?

This page explains what’s a mental health crisis, what to expect if you go to the hospital, and when you might need to stay for treatment. 

Are you supporting someone else? Check out our page on Supporting Someone in a Mental Health Crisis

On This Page:

Person with hands on head appearing distressed or overwhelmed, sitting at a table against a light background

Get Help Right Now

Call 988 • Text 988 • Chat 988 • Call 911 • Go to Emergency Room

More Free, Confidential Hotlines

LGBTQIA+
Trevor Project (Ages 13 – 24)
Trans Lifeline
  • Call 877-565-8860 in the US
  • Call 877-330-6366 in Canada
  • Website: Trans Lifeline
LGBT National Lifeline
  • Call 888-843-4564
  • Coming out support line 888-688-5428
  • Youth talkline 800-246-7743
  • Senior hotline 888-234-7243
  • Hours:
    • Mon-Fri 2pm-11pm ET
    • Sat 12-5pm ET
Domestic Violence
National Domestic Violence Hotline
  • Call 800-799-SAFE (7233)
  • Text “start” to 88788
  • Chat online at theHotline.org
Sexual Assault
RAINN National Sexual Assault Hotline
Veterans
Veterans Crisis Line

What Is a Mental Health Crisis?

A mental health crisis is when your actions or what you’re about to do might:

  • Hurt yourself
  • Hurt someone else
  • Make it hard to take care of your basic needs like drinking water or eating

You can be in crisis even if you look fine on the outside. You may be doing well at work but having more and more thoughts about hurting yourself. These thoughts can progress to thinking about how you would hurt yourself. This slow progression can make it hard to realize you need help.

If you’re unsure, you can call, text, or message a free, confidential hotline. They can help you figure out if you need emergency help. And they can help you find other kinds of help.

Other Words People Use

Some common words people use that also mean a mental health crisis:

  • Mental breakdown or nervous breakdown: When someone feels like they can’t deal with things anymore. It’s like hanging on by a thread and then the thread breaks.
  • Psychotic break: When someone hears or sees things that other people can’t see or hear.
  • Psychiatric emergency: A situation where someone might hurt themselves or someone else. This isn’t always obvious – someone might seem like they’re managing okay but still need emergency help.
  • Emotional crisis: Usually means the same thing as a mental health crisis.

Important: Someone can need emergency help for all of these situations. You can call a hotline to get help figuring out what kind of help you need.

What to Expect at the Hospital

Going to the hospital for mental health can feel scary. You’re trusting strangers during a vulnerable time. This can be even harder if you’ve had bad experiences with healthcare. Or if people like you have faced bias in medical settings. Your concerns about how you’ll be treated are real and valid.

It takes courage to seek help when you’re not sure what to expect. But when your safety is at risk, getting help is safer than facing a mental health crisis alone. It’s just like if you broke your leg. You’d risk going to the hospital to get the care you need.

If You Have Problems with Your Care
During Your Stay
  • Your support person can help speak up for you
  • Talk to your “charge nurse” (the nurse in charge of managing that part of the hospital)
  • Ask to speak with the attending physician (the doctor in charge)
  • Ask for patient relations (also called patient advocacy). They review complaints and may contact you later (this takes time)
If Problems Continue
If You Want to Leave but Are on a Medical Hold
  • Ask to discuss this with the attending physician to understand their reasoning
  • Once a court order is filed, it becomes a legal matter with specific rights and timelines
Healthcare provider in mask placing supportive hand on shoulder of person wrapped in blue blanket in emergency medical setting

At the Emergency Room

What to Expect

  • Staff will ask about what you’re experiencing, your medications, and your medical history
  • You can usually have a support person with you during evaluations
  • They’ll do a physical exam, urine and blood tests
  • You may get an EKG to check your heart

Why This Happens

  • They need to rule out medical conditions that can look like mental health crises
  • This happens even if they don’t think you took anything. They don’t want to miss anything, so the hospital has a list of tests that everyone gets
  • The goal is to make sure you’re medically safe and understand what’s causing your symptoms

Psychiatric Emergency Department

  • Some hospitals have separate psychiatric emergency departments. You can go there or the regular emergency room. Both will help you get to where you need to go
  • You will usually need to wait to see someone and while they plan your care
  • You will see a mental health provider who will figure out what you need
  • They’ll ask detailed questions about your mental health history, current crisis, and safety
  • They will help you come up with a plan

Will They Make Me Stay at the Hosptial?

Most of the time, this is a decision between you and your doctor. You both work together to figure out what you need to get through this health emergency.

Being forced to stay in the hospital (involuntary holds) exist but are used thoughtfully. What you should know:

  • Laws about involuntary holds are different by state and are changing
  • Most medical providers only do this when the risk of you hurting yourself or others outweighs taking away your freedom
  • Doctors want to help, not harm. They are trying to make the best decision for your health.
  • If you disagree with a hold, you have legal rights and can contest it.

What if I Have to Stay?

You’ll get intensive treatment to help you recover:

  • You’ll be in a safe environment with 24-hour medical support
  • You’ll work with a doctor who will help you figure out if medication will help
  • You may have therapy
  • You may attend group sessions and activities
  • Staff will help you plan for continuing care when you’re ready to leave

Length of stay varies just like any other health problem. It depends on your condition and what you need to heal.

About Medications

  • Decisions about medication are usually made with your input
  • The only exception is if you’re actively harming yourself or may hurt others in that moment
  • You can ask questions about any medication and why it’s recommended

Quick Answers

How long can a mental breakdown last?

The most difficult part can last hours to weeks, but recovery time is different for everyone. Think of it like recovering from the flu – some people feel better in a few days, others need weeks.

Getting professional help can make the crisis shorter and help prevent future ones.

Can you recover from a mental health crisis?

Yes. Mental health crises are treatable, just like other medical emergencies.

After you recover, you may need ongoing support like therapy or medication. Many people find their lives are better after getting help during a crisis, especially if they get connected to treatment for the first time.

What if they don't believe me or think I'm being dramatic?

This fear is understandable, especially if you’ve felt like you had to prove your mental health condition before. Your experience is real and deserves medical care.

Most people don’t know if they need emergency care or another type of help. Even doctors have trouble knowing when they’re the patient. It’s okay to go to the emergency department or call a hotline if you’re unsure – it’s their job to figure out what would help you.

What about work, school, and other responsibilities?

Hospitals provide medical leave documentation for work and school. Both legally have to accommodate you when you’re dealing with a medical emergency. 

For other responsibilities, call or text a neighbor or someone you trust. You don’t have to explain details – you can say you’re out of town for a family emergency. Hospital social workers can also help you figure out what to do.

Try to remember that getting help now will allow you to take care of your responsibilities in the long run. You’ll get better faster, just like you would if you got medical care for an injury.

Will medication change who I am?

This worry is very common and makes sense. Many people have lived with depression or anxiety for so long, it’s hard to imagine feeling different.

Medication makes symptoms like intense sadness improve or go away. This gives you more space to be who you are beyond your mental health condition. You’re still you – just with a tool to treat chemical imbalances in your brain.

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