What to do in a crisis

In an emergency or out of hours, if you have harmed yourself or someone else, or are worried that you might, you can go to:

Kingston Hospital
Galsworthy Road, Kingston upon Thames, Surrey KT2 7QB
Tel: 020 8546 7711
West Middlesex University Hospital
Twickenham Road, Isleworth, Middlesex TW7 6AF
Tel: 020 8560 2121

Click here to download a crisis leaflet


For some people, coming to see a therapist for the first time can be a great relief. They think that at last they are getting help with a difficult problem, and feel hopeful. For others seeing a therapist for the first time can raise a lot of difficult and painful thoughts and feelings that they may have tried to avoid. When this happens people can sometimes feel hopeless. This webpage will help you think about what you can do and where you can turn to for help.

Getting in touch with your therapist

You may have talked with your therapist and agreed an action plan to manage these difficult times. If you haven’t done this yet, and you are finding it difficult to cope with your feelings of depression or anxiety, your therapist will be happy to talk things through with you.

If you are struggling to cope on a day when you are not due to see your therapist, call them at the office on 020 3513 4455. They will make themselves available if at all possible. If your therapist is not in the office when you call, one of their colleagues will take your call to support and advise you.

Is there anything else you could do?

When you feel quite desperate or hopeless, it may be because you are stuck in a rut of repeated thoughts and or actions. Just doing something small to change this pattern can help. If you find yourself stuck in a loop of thinking, make a deal with yourself to do something you’ve enjoyed in the past, something like taking a short walk to get some fresh air, or listening to a favourite piece of music, just for 10 minutes or so, to see if you feel any better.

Can family or close friends help?

For some people, talking with friends and or family can help in a crisis. If you have a close family member or a friend you get on well with, they might be the best person to turn to if you are finding yourself unable to cope.

Other sources of help

You might not want to talk to a family member or close friend about things that are so very difficult and/or personal. If this is the case and you are struggling, you could try one of the following help lines:

Shout. Text “Shout” to 85258
Shout is the UK’s first free 24/7 text service for anyone in crisis anytime, anywhere. Supported by a nationwide team of Crisis Volunteers, it takes people from crisis to calm every day of the week.

Samaritans 116 123
(24 hour crisis line for people contemplating harming themselves)

Kingston Samaritans Office 0208 399 6676

Saneline 0300 304 7000
6-11pm weekdays and weekends including Bank Holidays(Practical information, crisis care and emotional support)

No Panic 0300 772 9844
10am – 10pm every day (For people experiencing panic or anxiety problems)

Aanchal 0845 451 2547
(24 hour crisis line for Asian women experiencing domestic abuse)

NHS and other services

If you need to, you can contact your GP on the usual number, during surgery hours. Outside of surgery hours:

South West London and St Georges Mental Health Trust
If you are an existing patient of the trust and you need to speak to someone outside of office hours you can call the crisis line on 0800 028 8000 (5pm – 9am Monday to Friday, 24 hours Saturday and Sunday).

Adults Emergency Duty Social Work Team
Telephone: 020 8744 2442
Type Talk: 1800 1 020 8744 9414
A trained Social Worker will speak to you over the phone to assess the situation and decide the best course of action.

NHS Direct
24 hours a day on 0845 4647

Carers in Mind
If you are a carer for someone with a mental health problem and feel you could do with some support:
Telephone: 020 8940 7384