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Suicide Hotlines

Text Talk to 741741 Text with a trained crisis counselor from the crisis text line for free, 24/7

CrisisChat.org


Canada

Crisis Services Canada 1-833-4566 or text 45645

Canada Drug Rehab Addiction Services Directory 1-877-746-1963

British Columbia Crisis Hotlines 1-800-784-2433

B.C. Psychological Association - Find a Psychologist 1-800-730-0522

Alberta Crisis Hotlines

Distress Center 403-266-4357

Suicide Information and Education Services 403-342-4966

Psychologists Association of Alberta - Find a Psychologist 1-888-424-0297

Saskatchewan Crisis Hotlines

Saskatoon Crisis Intervention Service 306-933-6200

Mobile Crisis Services 306-757-0127

Manitoba Crisis Hotlines

Manitoba Suicide Prevention Line "Reason to Live" 1-877-435-7170

Manitoba Psychological Society - Find a Psychologist 204-488-7398

Yukon Crisis Hotlines

Yukon Crisis Line 403-668-9111

Mood Disorders Society of Canada  - Yukon Division 1-867-667-8346

Northwest Territories Crisis Hotlines

Northwest Territories Help Line 1-800-661-0844

Nunavut Crisis Hotlines

Nunavut Kamatsiaqtut Help Line 1-800-265-3333

Ontario Crisis Hotlines

Ontario Mental Health Helpline 1-866-531-2600

Good2Talk 1-866-925-5454

Gerstein Crisis Center 416-929-5200

Mental Health Crisis Line in Ottawa 613-722-6914. In the larger Ottawa area 1-866-996-0991

ONTX Ontario Online & Text Crisis Service - Text 741741

District and Crisis Ontario Helplines 416-486-2242

Connex Ontario 1-866-531-2600

Ontario Psychological Association - Find a Psychologist 416-961-5552

Canadian Mental Health Association - Ontario Division 1-800-875-6213

Toronto Distress Center 416-408-4357

Quebec Crisis Hotlines

Centere de Prevention du Suicide de Quebec 1-866-277-3553

Newfoundland and Labrador Crisis Hotlines

Mental Health Crisis Line 1-888-737-4668

Association of Psychology in Newfoundland and Labrador - Find a Psychologist 709-739-5405

New Brunswick Crisis Hotlines

Chimo Helpline 1-800-667-5005

College of Psychologists of N.B. - Find a Psychologist 506-382-1994

Prince Edward Island Crisis Hotlines

The Island Helpline 1-800-218-2885

Nova Scotia Crisis Hotlines

Mental Health Mobile Crisis Line 1-888-429-8167

Association of Psychologists of Nova Scotia - Find a Psychologist 902-422-9183



International


Argentina: 54-0223-493-0430

Australia: 61-2-9223-3333

13-11-14

Austria: 429-9999

France: 01-46-21-46-46

Germany: 0800-1110111

Hungary: 46-323-888

India: 022—27546669

Mexico: 01-800-472-7835

Nicaragua: 505-268-6171

Norway: 47-815-33-300

Philippines: 02-896-9191

Poland: 52-70-000

Portugal: 239-72-10-10

Russia: 8-20-222-82-10

Spain: 91-459-00-50

South Africa: 0861-322-322

South Korea: 2-715-8600

Sweden: 031-711-2400

Switzerland: 143

Taiwan: 0800-788-995

Thailand: 02-249-9977

United Kingdom: 0845790909

Ukraine: 0487-327715

Finding a Therapist

Need a therapist go to Psychology Today on the internet. Use the search parameters to find one in your area that meets your needs.

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Counselor Warning Signs

1. Counselor does not have sufficient and specific training to address your issues and/or attempts to treat problems outside the scope of the practice.

2. Therapist is not interested in the changes you want to make and your goals for therapy.

3. Counselor cannot or does not clearly define how they can help you to solve whatever issue or concern has brought you to therapy.

4. Therapist provides no explanation of how you will know when your therapy is complete.

5. Counselor does not seek consultation with other therapists.

6. Therapist makes guarantees and/or promises.

7. Therapist has unresolved complaints filed with a licensing board.

8. Therapist does not provide you with information about your rights as a client, confidentiality, office policies, and fees so you can fairly consent to your treatment. Note: The requirement for information provided to new clients by therapists differs by state and licensure requirements.

9. Counselor is judgmental or critical of your behavior, lifestyle, or problems.

10. Therapist “looks down” at you or treats you as inferior in subtle or not so subtle ways.

11. Counselor blames your family, friends, or partner.

12. Counselor encourages you to blame your family, friends, or partner.

13. Therapist knowingly or unknowingly gets personal psychological needs met at the expense of focusing on you and your therapy.

14. Counselor tries to be your friend.

15. Therapist initiates touch (i.e., hugs) without consent.

16. Counselor attempts to have a sexual or romantic relationship with you.

17. Therapist talks excessively about personal issues and/or self-discloses often without any therapeutic purpose.

18. Counselor tries to enlist your help with something not related to your therapy.

19. Therapist discloses your identifying information without authorization or mandate.

20. Counselor tells you the identities of other clients.

21. Therapist discloses they have never done personal therapy work.

22. Counselor cannot accept feedback or admit mistakes.

23. Therapist focuses extensively on diagnosing without also helping you to change.

24. Counselor talks too much.

25. Therapist does not talk at all.

26. Counselor often speaks in complex “psychobabble” that leaves you confused.

27. Therapist focuses on thoughts and cognition at the exclusion of feelings and somatic experience.

28. Counselor focuses on feelings and somatic experience at the exclusion of thoughts, insight, and cognitive processing.

29. Therapist acts as if they have the answers or solutions to everything and spends time telling you how to best fix or change things.

30. Counselor tells you what to do, makes decisions for you, or gives frequent unsolicited advice.

31. Therapist encourages your dependency by allowing you to get your emotional needs met from the therapist. Therapist “feeds you fish, rather than helping you to fish for yourself.”

32. Bottom of Form Counselor tries to keep you in therapy against your will.Top of Form

33. Therapist believes that only the therapist’s counseling approach works and ridicules other approaches to therapy.

34. Therapist is contentious with you or frequently confrontational.

35. Counselor doesn’t remember your name and/or doesn’t remember your interactions from one session to the next.

36. Therapist does not pay attention or appear to be listening and understanding you.

37. Counselor answers the phone during your session.

38. Therapist is not sensitive to your culture or religion.

39. Counselor denies or ignores the importance of your spirituality.

40. Therapist tries to push spirituality or religion on to you.

41. Counselor does not empathize.

42. Therapist empathizes too much.

43. Counselor seems overwhelmed with your problems.

44. Therapist seems overly emotional, affected, or triggered by your feelings or issues.

45. Counselor pushes you into highly vulnerable feelings or memories against your wishes.

46. Therapist avoids exploring any of your emotional or vulnerable feelings.

47. Counselor does not ask your permission to use various psycho therapeutic techniques.

48. Therapist tries to get you to exert overt control over your impulses, compulsions, or addictions without helping you to appreciate and resolve the underlying causes.

49. Counselor prematurely and/or exclusively focuses on helping you to appreciate and resolve the underlying causes of an issue or compulsion when you would instead benefit more from learning coping skills to manage your impulses.

50. Your counselor habitually misses, cancels, or shows up late to appointments.

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Seeking a Therapist; Things to Consider

· Make sure the provider has experience treating people who have experienced a trauma.

· Try to find a provider who specializes in evidence-based medications for PTSD or effective psychotherapy for PTSD (e.g., cognitive behavioral       therapy (CBT); Cognitive Processing Therapy (CPT); prolonged exposure therapy (PE); or eye movement desensitization and reprocessing   (EMDR)).

· Find out what type(s) of insurance the provider accepts and what you will have to pay (out-of-pocket costs) for care.

· You may find more than one therapist. We also have information about Types of Therapists and Choosing a Therapist, (en Español).

  First steps

· Contact your family doctor to ask for a recommendation. You can also ask friends and family if they can recommend someone.

· If you have health insurance, call to find out which mental health providers your insurance company will pay for. Your insurance company may   require that you choose a provider from among a list they maintain.

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PTSD: National Center for PTSD, VA PTSD Program Locator

• Sidran Institute Help Desk will help you find therapists who specialize in trauma treatment. Email or call the Help Desk at (410) 825-8888.

• Anxiety and Depression Association of America offers a therapist search by location and mental health disorder. Call (240) 485-1011 or email.

• Association for Behavioral and Cognitive Therapies offers a search of licensed therapists who offer cognitive or behavioral therapies.

• EMDR International Association has a locator listing professionals who provide EMDR.

• ISTSS Clinician Directory is a service provided by the International Society for Traumatic Stress Studies (ISTSS) that lets you consider many     factors in searching for a clinician, counselor, or mental health professional.

• American Psychological Association has a Psychologist Locator that allows you to search by location, specialty, insurance accepted, and   gender   of provider.

• Psychology Today, offers a therapist directory by location. You can also find treatment centers here.

 Substance Abuse and Mental Health Services Administration (SAMHSA) offers a Mental Health Services Locator by location and type of facility   (inpatient, outpatient, residential). Call for assistance 24 hours a day 1-800-662-HELP (4357)..

PTSD Symptoms

PTS is diagnosed after a person experiences symptoms for at least one month following a traumatic event. However symptoms may not appear until several months or even years later. The disorder is characterized by three main types of symptoms:

  • Re-experiencing the trauma through intrusive distressing recollections of the event, flashbacks, and nightmares.
  • Emotional numbness and avoidance of places, people, and activities that are reminders of the trauma.
  • Increased arousal such as
  • difficulty sleeping and concentrating, feeling jumpy, and being easily irritated and angered.
  • directly experiencing the traumatic events
  • witnessing, in person, the traumatic events
  • learning that the traumatic events occurred to a close family member or close friend; cases of actual or threatened death must have been violent or accidental
  • experiencing repeated or extreme exposure to aversive details of the traumatic events (Examples are first responders collecting human remains; police officers repeatedly exposed to details of child abuse).
  • This does not apply to exposure through electronic media, television, movies, or pictures, unless exposure is work-related.

The presence of one or more:

  • spontaneous or cued recurrent, involuntary, and intrusive distressing memories of the traumatic events
  • recurrent distressing dreams in which the content or affect (i.e. feeling) of the dream is related to the events
  • flashbacks or other dissociate reactions in which the individual feels or acts as if the traumatic events are recurring
  • intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic events
  • physiological reactions to reminders of the traumatic events Persistent avoidance of distressing memories, thoughts, or feelings about or closely associated with the traumatic events or of external reminders (i.e., people, places, conversations, activities, objects, situations)

Two or more of the following:

  • inability to remember an important aspect of the traumatic events (not due to head injury, alcohol, or drugs)
  • persistent and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g., “I am bad,” “No one can be trusted,” "The world is completely dangerous").
  • persistent, distorted blame of self or others about the cause or consequences of the traumatic events
  • persistent fear, horror, anger, guilt, or shame
  • markedly diminished interest or participation in significant activities
  • feelings of detachment or estrangement from others
  • persistent inability to experience positive emotions

Two or more of the following marked changes in arousal and reactivity:

  • irritable or aggressive behavior
  • reckless or self-destructive behavior
  • hyper vigilance
  • exaggerated startle response
  • problems with concentration
  • difficulty falling or staying asleep or restless sleep

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