Mental Health Crisis


A mental health crisis often means that you no longer feel able to cope or be in control of your situation.

You may feel great emotional distress or anxiety, cannot cope with day-to-day life or work, think about suicide or self-harm, or experience hallucinations and hearing voices.

A crisis can also be the result of an underlying medical condition, such as confusion or delusions caused by an infection, overdose, illicit drugs or intoxication with alcohol. Confusion may also be associated with dementia.

Whether you experience a sudden deterioration of an existing mental health problem or are experiencing problems for the first time, you'll need immediate expert assessment to identify the best course of action and stop you getting worse.


Where can I get urgent help?

If you have already been given a Crisis Line number from a health professional, call it.

If you're under the care of a mental health team and have a specific care plan that states who to contact when you need urgent care, follow this plan.

Call NHS 111 (Option 2)

You can call NHS 111 and select Option 2 if you or someone you know needs urgent mental health care, but it's not life threatening.

Mental Health 111 (Option 2) is available 24 hours a day, 7 days a week, and is free to call from a mobile (even when the caller has no credit left) or from a landline.

The 111 Option 2 service can help you if:

  • you have an existing mental health problem and your symptoms get worse
  • you experience a mental health problem for the first time
  • someone has self-harmed but it does not appear to be life threatening, or they're talking about wanting to self-harm
  • a person shows signs of possible dementia
  • a person is experiencing domestic violence or physical, sexual or emotional abuse

SilverCloud online mental health therapy courses

People across Wales can now access free online therapy without needing to go through their GP.

People aged 16 and over experiencing mild to moderate anxiety, depression or stress can sign-up for a 12-week course of SilverCloud online therapy via their smartphone, tablet, laptop or desktop computer.

The roll-out of direct access to online therapy for Wales’ entire 16+ population recognises that people need immediate help in managing their mental health and wellbeing as the impact of COVID-19 continues to be felt, and reduces barriers to accessing this support.

To sign up or find out more, visit


Samaritans has a free to call service 24 hours a day, 365 days a year, if you want to talk to someone in confidence. Call them on 116 123.

Useful Resources

Melo - Mental Well-being help and support

Mind provides information about how to plan for a crisis

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