Updated September 2023
CALLING, TEXTING & EMAILING
Clinicians will provide you their contact information and are available via phone, text and email for the following situations:
- Cancellation, rescheduling, being late to an appointment, needing the link for telehealth
- Requests for paperwork
- FMLA, Diagnosis letters, etc
- If you think you may need to get a higher level of care from the Emergency Room, EmergencyServices, Police, etc. and/or need to speak to your therapist in the next 24 hrs or you will have to go to the ER).
- Letting your therapist know you have gone to the ER or Emergency Services, and/or you are being hospitalized or discharged. The clinician can potentially be available to talk to theemergency treatment team if needed/consented to as appropriate.
Keep in mind that these modes are NOT HIPAA protected, so please leave your information at your own risk/consent. We do offer secure, HIPAA compliant messaging through Simple Practice.
If it is an emergency that requires immediate attention or cannot wait 12 hours, please call 911 and/or go toyour local emergency room/emergency services to ask for a mental health assessment.
You can reach out to your clinician in an emergency, as defined below:
- You are in active danger or threat of harm
- You are actively planning to hurt yourself or other people
- You’re having active hallucinations, delusions, paranoia, etc. that are putting you at risk
- You are not able to take care of yourself (not eating/drinking for days, not taking medication as prescribed and creating risk/harm, etc.)
- When in doubt- you can reach out and ask but the clinician will assess the situation to offer next steps as outlined below
- When you reach out it will be to either:
- to see if you need a higher level of care (Emergency Services, ER, Police, Hospitalization, IOP,etc)
- Create a safety plan with your clinician.
- OR to request an extra session if you feel like it will help process the event to avoid a higher level of care. Clinicians will do their best to offer their next available times, but this cannot be guaranteed that it will be the same or next day.
When in doubt, if your clinician does not respond immediately or in an emergency, contact 911 and/or go to your local emergency room/emergency services and ask for a mental health assessment.
ADDITIONAL NUMBERS TO CALL
If you need to contact emergency services the numbers are as follows:
- Fredericksburg, Spotsylvania County & Stafford County: 540-373-6876
- Caroline County: 804-633-4148
- King George County: 540-775-5064
- Text the crisis text line to talk to someone immediately by texting HOME to 741741.
- Virginia Beach VBCSB crisis response: 757-385-0888
- Richmond behavioral Health (community mental health services for Richmond area) https://www.rbha.org/
- RVA Crisis Services: 804-819-4100
- Empower house for domestic violence https://www.empowerhouseva.org/
- National Sucide Prevention Hotline: 1-800-273-8255 or 988 or https://988lifeline.org/
- National Sexual Assault Hotline 800-656-4673 or https://www.rainn.org/resources
- TransLifeLine 877-565-8860 or https://translifeline.org/
- The Trevor Project: Text START to 678-678, Call 1-866-488-7386, or go to thetrevorproject.org/get-help from your computer to connect to a live chat