You don't have to figure this out alone.
If drugs or alcohol have become a problem — for you or for someone you love — there are real people you can talk to right now. It's free, it's confidential, and you don't need insurance, a diagnosis, or the right words. You just need to reach out.
Lines open now — they're always open
If you need treatment or don't know where to start
1-800-662-4357SAMHSA National Helpline · Free · 24/7 · Confidential
Run by the U.S. Department of Health and Human Services. They refer you to local treatment, support groups, and community organizations — in English and Spanish.
What happens when you call
- A trained specialist answers. No caller ID games, no pressure.
- They ask a few simple questions about your situation.
- You get referrals to treatment and support near you, including free and low-cost options.
If you're in emotional crisis or having thoughts of suicide
988Suicide & Crisis Lifeline · Call or text · 24/7
For any mental health or substance use crisis — yours or someone else's. You don't have to be suicidal to call. You don't have to know what to say. They'll start.
What happens when you call
- You hear a short message, then reach a trained counselor at a local center.
- They listen. That's genuinely most of what happens.
- Together you make a plan for right now — and for what comes next.
If talking on the phone feels like too much
Text HOME to 741741Crisis Text Line · Free · 24/7
A live, trained volunteer texts with you until you're in a calmer place. Nothing shows on a phone bill from a major carrier.
What happens when you text
- Two automated messages, then a real person joins.
- You text at your own pace about whatever is going on.
- The goal is to get you from a hot moment to a cool one, with next steps if you want them.
Someone not breathing, unresponsive, or turning blue after using? That's an overdose — call 911 now. If naloxone (Narcan) is available, use it.
Where to start
Three honest starting points
There's no single right way to get help. Pick the door that matches where you are today.
"I think I have a problem."
That thought is the actual first step, and it counts. You don't need to hit a dramatic bottom to deserve help. Learn what treatment really looks like — most of it is talking, not locked wards.
See your treatment options"I'm worried about someone I love."
You can't force someone into recovery, but what you say and do genuinely matters. There are proven ways to help — and support lines for you, too.
Read the family & friends guide"I can't afford treatment."
Cost stops too many people before they start. Medicaid, sliding-scale programs, free clinics, and state-funded treatment exist in every state — here's how to find them.
Find affordable care"I just want to find a treatment center."
FindTreatment.gov is the official, searchable directory of licensed providers in the United States — search by location, payment type, and program.
Search FindTreatment.govGood to know
Things people wish they'd known sooner
Addiction is a medical condition
It's not a moral failure or a lack of willpower. Substance use disorder changes how the brain works, and it responds to treatment the way other chronic conditions do. People recover every day — millions are in recovery right now.
Relapse doesn't erase progress
Recovery is rarely a straight line. A return to use is a signal to adjust the plan, not proof that treatment failed or that you can't do this.
Helplines are actually confidential
The SAMHSA helpline doesn't require your name. Calling won't get you arrested, reported, or put on a list. It's information and referrals, full stop.
Support groups are free and everywhere
AA, NA, SMART Recovery, and others hold free meetings daily — in person and online. You can just show up and listen. Nobody makes you talk.