Mental health challenges can feel overwhelming, especially when stress, anxiety, depression, panic, or emotional pain suddenly become too heavy to manage alone. If you or someone you care about is facing a mental health crisis in St. Louis, Missouri, knowing where to turn can save lives.
This page provides trusted crisis resources in St. Louis and explains when professional therapy may be the right next step for long-term emotional support.
Whether you’re feeling unsafe, emotionally overwhelmed, or simply unsure what to do next, help is available.
You should seek emergency mental health support if you or someone else is experiencing:
Thoughts of self-harm or suicide
Severe panic attacks
Emotional breakdowns that feel uncontrollable
Psychosis, paranoia, or disconnection from reality
Domestic violence situations
Substance-related mental health emergencies
If safety is at risk, don’t wait.
Below are trusted crisis resources serving the St. Louis area. These services provide immediate help for people experiencing emotional or psychological emergencies.
The 988 Lifeline offers free, confidential support 24/7 for people in emotional distress.
Call or text 988
Online chat available
Available nationwide, including St. Louis
They provide crisis counseling, emotional support, and referrals to local services.
Behavioral Health Response (BHR) provides mobile crisis services across St. Louis.
314-469-6644
Available 24/7
Supports children, teens, and adults
BHR helps de-escalate crises and connect individuals with community-based care.
SSM Health offers urgent psychiatric evaluations and crisis stabilization.
They support individuals experiencing acute mental health symptoms who need same-day professional care.
St. Louis County also provides access to crisis hotlines, emergency mental health programs, and hospital-based psychiatric services.
These services are designed to respond quickly when emotional safety is at risk.
If you believe someone is in immediate danger:
Call 911
Go to the nearest emergency room
Stay with the person until help arrives
Emergency responders in St. Louis are trained to connect individuals with mental health professionals when safety is involved.
Not every situation is a crisis, but ongoing stress, anxiety, depression, trauma, and emotional struggles still deserve care.
If you’re experiencing:
Persistent anxiety
Depression
Burnout
Relationship challenges
Parenting stress
Teen emotional issues
Trauma symptoms
…therapy can provide long-term tools and relief.
That’s where professional counseling makes a meaningful difference.
At Pearlman & Associates, we provide compassionate, evidence-based therapy for individuals, couples, teens, and families across St. Louis, MO.
Our licensed therapists specialize in:
Stress management
Trauma-informed care
We focus on helping clients feel emotionally safe, supported, and empowered to heal.
655 Craig Road, Suite 300, St. Louis, MO 63141
314-942-1147
https://www.stlmentalhealth.com
bryan@stlmentalhealth.com
Appointments are often available this week.
Crisis services provide immediate safety. Therapy provides lasting growth.
Consider therapy if you want to:
Understand emotional patterns
Learn coping skills
Improve relationships
Reduce anxiety or depression
Build emotional resilience
Long-term mental wellness begins with consistent support.
Call 988, contact Behavioral Health Response, go to the ER, or call 911 if safety is at risk.
Yes. The 988 Suicide & Crisis Lifeline is available 24/7 in St. Louis and throughout Missouri.
If you’re not in immediate danger but struggling emotionally, therapy offers structured long-term support.
Yes, they often have same-week therapy availability for St. Louis residents.
Anxiety, depression, trauma, teen therapy, couples counseling, and family therapy are commonly offered.
