Crisis Support

I don’t offer crisis or emergency support, and I’m not able to respond immediately outside sessions. If you feel unable to stay safe or need urgent help, please contact a service that can support you in the moment.

In the UK:

  • Samaritans — 116 123 (24/7 listening support)

  • NHS 111 — urgent medical advice

  • Shout — text 85258 (24/7 crisis text support)

  • 999 or your local A&E — if you’re at risk of harm

If you're outside the UK, please check local emergency services.

Working with self-harm, suicidal thoughts, and coping behaviours

Many people I work with experience things like self-harm, shutting down, bingeing, drinking to cope, or passive thoughts about not wanting to be here. These responses often develop when you didn’t have other ways to cope, and they make sense in the context of trauma.

We can work with these in therapy, as long as:

  • things feel safe enough to engage in sessions

  • there isn’t immediate or life-threatening risk

  • we can talk openly about what’s happening

  • any additional support you need is something you're actively using, rather than just formally in place

I can work alongside a community mental health team if that support is part of what’s helping you stay safe. Therapy alone may not be enough if you're coping with things that require crisis-level help.

If self-harm continues in a way that may lead to medical risk (such as needing emergency care), crisis support will need to be involved either before therapy continues or alongside it.

Therapy is most effective when there is enough stability to work safely, rather than managing emergencies as they happen.

If you're struggling between sessions

We can build a plan together in therapy so you have ways to cope that feel safer and more supportive. This might include:

  • grounding strategies

  • sensory or body-based tools

  • journalling prompts

  • planned sources of support

You don’t have to figure it out alone.

If you need ongoing crisis-level support

We can still work together alongside other care, if that feels right for you. I’m happy to help you identify support that fits alongside therapy.