NWVCIL Logo
Medically Reviewed Content
Updated: October 2026
Sources: SAMHSA, NIDA

Depression & Addiction Treatment Centers Near You

Depression and addiction frequently co-occur, requiring integrated treatment approaches. Find dual diagnosis treatment centers addressing both mental health and substance use disorders through coordinated care and evidence-based therapies.

Found 7,770 rehab centers specializing in depression across the United States.

Need Help Finding the Right Treatment Center?

Speak with a compassionate specialist now - 100% free & confidential

Call +1 (833) 244-3031
Available 24/7
All 50 States

Find Depression and Addiction Treatment Centers Near You

Browse dual diagnosis treatment centers below. Filter for programs treating depression and substance abuse together.

Filters:

Showing 20 of 7770 results

Heartview Foundation

Heartview Foundation, located in Bismarck, ND, delivers a full spectrum of addiction recovery solutions for both adults and young people. Their offerings include withdrawal management, structured day treatment, extended live-in support, and flexible outpatient plans. Employing approaches like 12-step guidance, short-term counseling, and cognitive behavioral therapy, this institution serves individuals dealing with combined mental health and substance dependency issues. Heartview Foundation also distinguishes itself with dedicated tracks for adult men and women, providing customized support based on gender. Their dedication to high-standard treatment and personalized recovery paths positions them as a leading option for those in search of impactful and encouraging rehabilitation.

Heartview Fountation

Heartview Foundation in Bismarck, ND, provides extensive care for adults and young adults grappling with addiction. Their offerings include detoxification and various treatment modalities, such as intensive outpatient, outpatient, and day treatment services. Utilizing proven methods like 12-step facilitation, brief intervention, and cognitive behavioral therapy, the center aids individuals in their journey to recovery. Heartview Foundation is particularly adept at supporting those with co-occurring mental health and substance use issues, as well as pregnant and postpartum women. Tailored to meet the needs of both male and female patients, the facility emphasizes personalized support and complete wellness for everyone aiming to conquer substance dependence.

Hefner Comprehensive Treatment Center

Hefner Comprehensive Treatment Center, located in Oklahoma City, OK, delivers outpatient services aimed at addressing substance use disorders in both adults and young adults. This facility features tailored programs for both adult males and females, including those who have faced intimate partner or domestic violence. The treatment methods employed encompass 12-step facilitation, anger management, and brief interventions. Additionally, Hefner Comprehensive Treatment Center provides outpatient options for methadone, buprenorphine, or naltrexone therapy, alongside standard outpatient services. Committed to personalized care and high-quality treatment, this center is focused on aiding clients throughout their recovery process.

Heights Treatment

Heights Treatment, based in Houston, TX, presents a wide array of substance abuse recovery programs tailored for both adults and young adults. This facility focuses on addressing co-occurring substance use issues alongside significant mental health conditions. It offers various treatment options, including intensive outpatient programs, outpatient services, and day treatment, all designed to meet the individual needs of clients. Heights Treatment employs methodologies such as 12-step facilitation, cognitive behavioral therapy, and brief interventions, ensuring that the care provided is rooted in evidence-based practices. Specialized programs are also available for active military personnel, as well as for adult men and women. With an emphasis on delivering high-quality care and customized treatment strategies, Heights Treatment is a reputable option for individuals pursuing recovery.

Helen Ross McNabb Center

The Helen Ross McNabb Center in Knoxville, TN, delivers tailored rehabilitation programs designed for diverse treatment requirements. This establishment features robust outpatient services, including intensive outpatient, day treatment, and partial hospitalization, serving adults, youth, and young adults grappling with addiction and concurrent mental health challenges. Employing strategies such as brief intervention, cognitive behavioral therapy, and motivational interviewing, the center personalizes its therapeutic interventions. Specialized tracks for adult men, adult women, and individuals with trauma histories underscore its dedication to holistic support. The center’s gender-specific treatment modalities for men and women exemplify its pledge to superior and equitable rehabilitation care.

Helen Ross McNabb Center

Situated in Knoxville, TN, the Helen Ross McNabb Center delivers a wide range of rehabilitation services targeting substance use issues and concurrent mental health challenges for both adults and children. The center features intensive outpatient and regular outpatient options that utilize evidence-supported methods like brief interventions, motivational interviewing, and relapse prevention strategies. With focused programs designed for adult males, adult females, and survivors of sexual abuse, this facility addresses a variety of requirements. By catering to all genders among adult and young adult populations, the Helen Ross McNabb Center is committed to providing personalized care and support, prioritizing effective treatment and comprehensive recovery.

Helen Ross McNabb
Maryville, TN

Helen Ross McNabb, situated in Maryville, TN, is a respected addiction recovery facility. They provide distinct therapeutic plans for individuals dealing with substance abuse and concurrent mental health conditions. Services include comprehensive outpatient care, general outpatient support, and medication-assisted treatment options. Employing methods like cognitive behavioral therapy and motivational interviewing, this establishment serves adults and older adults, alongside specific offerings for teenagers, adult males, and adult females. Dedicated to personalized recovery journeys, Helen Ross McNabb guarantees effective treatment for all clients, irrespective of gender, pursuing sobriety.

Helen Farabee Centers
Wichita Falls, TX

Helen Farabee Centers in Wichita Falls, TX, provides thorough recovery programs for individuals and older adults facing challenges with addiction and mental well-being. Services include structured outpatient care, at-home detox support, and individual counseling employing proven methods such as cognitive restructuring and emotional regulation techniques. Tailored support is available for young people, those with dual diagnoses, and individuals involved with the justice system. Emphasizing high standards of support, this establishment is equipped to meet the distinct requirements of both men and women, fostering an atmosphere conducive to regaining health and wholeness.

Helen Farabee Centers

Situated in Vernon, TX, Helen Farabee Centers delivers a wide range of addiction recovery services for both adults and children facing challenges related to substance abuse and mental health. The center features intensive outpatient programs, outpatient detox services, and therapy sessions that incorporate methods like anger management, brief interventions, and cognitive behavioral techniques. Helen Farabee Centers has particular expertise in addressing the needs of clients with dual-diagnosed conditions and provides customized plans for teenagers, elder adults, and those in the criminal justice system. Committed to offering high-quality care and personalized treatment strategies, this center accommodates clients of all genders on their path to healing and recovery.

Hegira Health Inc

Hegira Health Inc, located in Livonia, MI, specializes in a wide range of substance abuse treatments for both adults and children dealing with concurrent mental health issues. The center provides intensive outpatient and outpatient programs, including services for methadone and buprenorphine. Utilizing proven techniques such as cognitive behavioral therapy and the Matrix Model, Hegira Health Inc addresses the unique needs of clients, including those with traumatic experiences, co-occurring conditions, and those affected by the criminal justice system. The center accommodates both male and female patients, ensuring that care is personalized for each individual. Committed to delivering quality and empathetic treatment, Hegira Health Inc plays an essential role in helping individuals navigate their recovery journey.

Hegira Health Inc

Hegira Health Inc, located in Taylor, MI, provides a wide range of substance use recovery services for both adults and children facing significant mental health challenges or emotional issues. The center offers both intensive outpatient and outpatient options, including treatments with methadone and buprenorphine. By implementing techniques such as brief interventions, cognitive behavioral therapy, and the Matrix Model, the center addresses the needs of those impacted by intimate partner violence, sexual trauma, or other adverse experiences. Hegira Health Inc serves both men and women, ensuring that care is tailored to meet the unique needs of each gender. Committed to delivering high-quality care and personalized treatment plans, this facility is focused on assisting individuals as they work towards recovery.

Helen Farabee Centers

Helen Farabee Centers, situated in Haskell, TX, delivers a full spectrum of recovery support. They offer services for detoxifying from substances, treating addiction, and providing focused help for those facing both substance abuse and serious mental health challenges. Their treatment approaches encompass intensive outpatient programs, general outpatient care, and outpatient detox. The center employs proven methods including anger management, brief intervention, and cognitive behavioral therapy. They also have dedicated programs for young people, individuals with dual diagnoses, and those navigating the legal system. Serving adults and seniors of all genders, Helen Farabee Centers is committed to high-quality, personalized care to foster successful recovery.

Placeholder image
Westland, MI

Hegira Health Inc, located in Westland, MI, provides a wide range of substance abuse treatments for both adults and young individuals dealing with co-existing mental health issues. Their intensive outpatient and outpatient services feature a variety of treatment options, including methadone/buprenorphine and naltrexone therapies, designed to meet different client needs. The center employs evidence-based methods such as cognitive behavioral therapy and the Matrix Model to deliver tailored support, particularly for those involved in the criminal justice system and clients with dual diagnoses. With dedicated programs for both male and female participants, Hegira Health Inc emphasizes personalized, high-quality care aimed at fostering sustained recovery and overall wellness.

Placeholder image
Lincoln Park, MI

Hegira Health Inc, situated in Lincoln Park, MI, provides extensive outpatient care for individuals struggling with substance abuse and co-occurring mental health challenges, as well as emotional issues in young people. They offer targeted support for those who have experienced intimate partner violence, domestic abuse, sexual assault, and trauma. Employing proven therapeutic methods like brief intervention, cognitive behavioral therapy, and the Matrix Model, Hegira Health Inc serves clients of all genders and age groups. Their commitment to high-quality, personalized treatment plans guides individuals toward lasting recovery.

Placeholder image
Westland, MI

Hegira Health Inc, located in Westland, MI, delivers specialized outpatient substance use disorder services, with a particular focus on individuals facing co-occurring mental health conditions. Their program encompasses medication-assisted treatment options like methadone, buprenorphine, and naltrexone, alongside general outpatient services. Employing strategies such as motivational interviewing, cognitive behavioral therapy, and the Matrix Model, they create personalized recovery plans. Hegira Health Inc also features distinct programs designed for active duty military personnel, adult men, and adult women, ensuring targeted support. Catering to adults and young adults of all genders, the center is committed to providing effective, scientifically-backed treatment within a supportive atmosphere.

Placeholder image

Helen Farabee Centers, located in Decatur, TX, provides extensive programs for treating addiction in both adults and children who are grappling with substance use and mental health issues. The center offers intensive outpatient services, outpatient detox, and therapy sessions, employing research-supported methods such as cognitive behavioral therapy and strategies for managing anger. Tailored programs are available for teenagers, those with dual diagnoses, and individuals entangled in the criminal justice system. Committed to delivering high-quality care, Helen Farabee Centers accommodates clients of all genders, including the elderly. If you or someone close to you is in need of effective and caring addiction rehabilitation, this center is focused on guiding you through the recovery process.

Placeholder image

Helen Farabee Centers, situated in Bowie, TX, deliver an extensive array of rehabilitation services designed for adults and elderly individuals. The center emphasizes detoxification, treatment for substance use issues, and dual diagnosis support for those experiencing mental health challenges. Offering a variety of care options, including intensive outpatient treatment and outpatient detox services, Helen Farabee Centers implement effective strategies such as anger management, brief interventions, and cognitive behavioral therapy. Treatment plans are specifically customized to meet the diverse needs of clients. Additionally, the center features specialized services for adolescents, individuals with co-occurring conditions, and those linked with the criminal justice system. Dedicated to providing high-quality care for both men and women, this facility aims to assist individuals in achieving sustainable recovery.

Placeholder image

Helen Farabee Centers, situated in Graham, TX, delivers a full spectrum of recovery support for individuals of all ages struggling with addiction and psychological health concerns. Their offerings include intensive outpatient programs, detox services on an outpatient basis, and ongoing outpatient care. Emphasizing techniques like cognitive behavioral therapy, anger control, and concise intervention strategies, the center addresses the needs of those with dual diagnoses. They also provide specialized interventions for teenagers, individuals with combined mental health and substance dependencies, and those involved with the legal system. Catering to men and women, including older adults, the facility is dedicated to providing personalized and effective treatment.

Placeholder image

Helen Farabee Centers, situated in Childress, TX, provides a complete suite of addiction recovery options. This establishment facilitates medically supervised detox, comprehensive substance use therapy, and tailored support for those with concurrent mental health conditions. Their program offerings encompass intensive outpatient care and outpatient detox. The center employs scientifically validated methods such as anger management techniques, cognitive behavioral therapy, and brief intervention strategies. Distinctive services are available for young adults, individuals with co-occurring disorders, and those navigating the legal system. Catering to adults and older adults across all gender identities, Helen Farabee Centers delivers excellent care to individuals pursuing healing from addiction and mental health concerns.

Placeholder image

Helen Farabee Centers, situated in Quanah, TX, delivers a complete spectrum of restorative care. This institution features services for drug and alcohol withdrawal, addiction recovery, and targeted support for those facing dual mental health challenges. Available treatment options encompass intensive outpatient, standard outpatient, and outpatient withdrawal management. The center utilizes proven therapeutic methods, including anger management, brief counseling, and cognitive behavioral interventions. Distinctive programs are designed for young people, individuals with dual diagnoses, and those involved with the legal system. Catering to adults and older adults across all genders, this center prioritizes personalized and high-quality treatment.

Depression & Substance Use Disorder: Key Facts

Classification

Major Depressive Disorder + Substance Use Disorder (Dual Diagnosis)

Co-occurrence

~1 in 3 people with depression also have SUD (NIDA)

Prevalence

21 million adults with major depressive episode/year (NIMH)

Self-medication

Depression is the #1 reason for substance self-medication

Treatment approach

Integrated dual diagnosis (treat both simultaneously)

Key therapies

CBT, DBT, medication management, group therapy

Medications

SSRIs (non-addictive), SNRIs — safe during addiction treatment

Prognosis

Significantly better outcomes with integrated treatment vs sequential

If you or someone you know is experiencing suicidal thoughts, call 988 (Suicide & Crisis Lifeline) or text 988 immediately. Help is available 24/7.

Depression and Addiction: The Dual Diagnosis Connection

How depression and addiction feed each other

Depression and substance use disorder share a deeply intertwined relationship. Depression causes persistent feelings of emptiness, hopelessness, and emotional pain that drive many people toward alcohol or drugs as a form of self-medication. Substances may provide temporary relief, but they alter brain chemistry in ways that worsen depressive symptoms over time — creating a destructive cycle that accelerates both conditions.

The self-medication cycle

The self-medication cycle is the most common pathway from depression to addiction. A person experiencing persistent sadness, fatigue, or emotional numbness turns to alcohol, opioids, or stimulants to feel better temporarily. As tolerance builds, they need more of the substance to achieve the same relief. Meanwhile, the substance disrupts serotonin and dopamine regulation in the brain, deepening the depression. When the substance wears off, the depression returns worse than before — driving further substance use.

Why treating one without the other fails

Treating addiction without addressing underlying depression leaves the root cause intact. The person achieves sobriety but continues suffering from untreated depression, making relapse nearly inevitable as they seek relief. Conversely, treating depression without addressing active substance use is ineffective because ongoing drug or alcohol use undermines the neurochemical changes that antidepressants and therapy work to achieve. This is why dual diagnosis treatment — addressing both conditions simultaneously — produces significantly better outcomes than treating either condition alone.

Signs of Co-Occurring Depression and Substance Abuse

Recognizing co-occurring depression and substance abuse can be challenging because symptoms overlap. Watch for these warning signs:

Emotional and behavioral signs

  • Persistent sadness combined with increased substance use
  • Withdrawal from friends, family, and activities once enjoyed
  • Using drugs or alcohol specifically to cope with emptiness or hopelessness
  • Feelings of worthlessness or excessive guilt alongside substance use
  • Loss of motivation or interest in recovery efforts

Physical signs

  • Significant changes in sleep patterns — insomnia or oversleeping
  • Appetite and weight changes (loss or gain)
  • Chronic fatigue even with adequate rest
  • Increased substance tolerance requiring higher doses
  • Neglect of personal hygiene and self-care

How Dual Diagnosis Treatment Works

Integrated approach

Dual diagnosis treatment treats depression and addiction as interconnected conditions rather than separate problems. Instead of completing addiction treatment first and then addressing depression (the sequential approach that often fails), integrated programs work on both simultaneously. This means therapy sessions address how depressive thoughts drive substance use, while psychiatric care stabilizes mood to support sobriety.

Psychiatric evaluation during early sobriety

Accurate diagnosis of depression requires evaluation during a period of sobriety, because many substances can mimic or mask depressive symptoms. Alcohol is a depressant that causes sadness and lethargy. Stimulant withdrawal causes profound depression. A psychiatrist experienced in dual diagnosis will conduct thorough assessments during early sobriety to distinguish substance-induced mood changes from underlying major depressive disorder, ensuring the right treatment plan.

Coordinated care teams

Effective dual diagnosis programs use coordinated care teams where psychiatrists, addiction counselors, therapists, and medical staff communicate about each patient's progress. The psychiatrist managing antidepressant medication works closely with the addiction counselor guiding recovery, so treatment decisions account for both conditions. This prevents the common problem of one provider unknowingly undermining another's treatment plan.

Medication management alongside addiction treatment

One of the most important aspects of dual diagnosis care is safe medication management. Antidepressants like SSRIs and SNRIs are non-addictive and can be prescribed safely during addiction treatment. A psychiatrist monitors medication effectiveness, adjusts dosages, and watches for interactions — all while the person is actively working on recovery from substance use disorder.

Evidence-Based Therapies for Depression in Recovery

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is the gold standard for treating co-occurring depression and addiction. CBT helps identify negative thought patterns that drive both depressive episodes and substance use — such as "nothing will ever get better" or "I can't cope without drinking." Patients learn to challenge these distortions and replace them with realistic, constructive thinking. Research consistently shows CBT reduces both depressive symptoms and substance use relapse rates.

Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT) is particularly effective for people with severe depression, emotional dysregulation, or self-harm behaviors alongside addiction. DBT teaches four core skill sets: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. These skills directly address the emotional pain that drives self-medication and provide healthier alternatives to substance use.

Group therapy

Group therapy combats the isolation that is central to both depression and addiction. Hearing others share similar struggles reduces shame and hopelessness. Dual diagnosis groups specifically address how depression and substance use interact, offering peer support from people who understand both conditions. Group settings also build social skills and accountability that support long-term recovery.

Medication management

Antidepressant medications are a critical component of treatment for many people with co-occurring depression and addiction. SSRIs (selective serotonin reuptake inhibitors) like sertraline and fluoxetine are first-line treatments because they are effective, well-tolerated, and — importantly — non-addictive. They carry no abuse potential and do not produce euphoria, making them safe to prescribe during addiction recovery. SNRIs like venlafaxine and duloxetine are also effective alternatives.

Levels of Care for Depression and Addiction

When residential treatment is needed

Residential treatment is recommended when depression is severe — particularly when suicidal ideation is present, when the person has made previous suicide attempts, or when outpatient treatment has failed. Residential programs provide 24/7 psychiatric monitoring, immediate medication adjustments, and a safe environment removed from triggers. People with severe addiction alongside major depression often need this level of structured support to stabilize both conditions.

Intensive Outpatient Programs (IOP)

Intensive Outpatient Programs provide 9–20 hours of structured therapy per week while allowing patients to live at home. IOP is appropriate for moderate depression with addiction, for people stepping down from residential care, or when the person has a stable living environment and support system. Dual diagnosis IOP programs include both addiction counseling and psychiatric services.

Outpatient care with medication management

Standard outpatient treatment works well for mild to moderate depression with substance use disorder, especially when combined with antidepressant medication. This typically involves weekly therapy sessions, regular psychiatric check-ins for medication management, and support group participation. Outpatient care allows people to maintain work, family, and daily responsibilities while receiving treatment.

Choosing the right level of care

The appropriate level of care depends on several factors: severity of depression (mild vs. severe with suicidal thoughts), severity of addiction, previous treatment attempts and outcomes, strength of social support, co-occurring medical conditions, and safety concerns. A professional assessment by a dual diagnosis specialist can determine the best starting point. Many people move through multiple levels of care as they progress in recovery.

Antidepressant Medications in Recovery

SSRIs: the first-line treatment

Selective serotonin reuptake inhibitors (SSRIs) such as sertraline (Zoloft), fluoxetine (Prozac), and escitalopram (Lexapro) are the most commonly prescribed antidepressants for people in addiction recovery. They work by increasing serotonin availability in the brain, gradually improving mood, sleep, and motivation over 4–6 weeks. SSRIs are not addictive, do not produce a high, and have no abuse potential — making them fundamentally different from the substances being treated.

SNRIs and bupropion

Serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine (Effexor) and duloxetine (Cymbalta) target both serotonin and norepinephrine, which can be helpful for depression with prominent fatigue or chronic pain. Bupropion (Wellbutrin) is another option that acts on dopamine and norepinephrine — it can help with depression, low energy, and is also used to support smoking cessation. None of these medications carry addiction risk.

Addressing the stigma around psychiatric medication

Many people in recovery resist antidepressants because they feel taking any medication contradicts sobriety. This misconception is dangerous. Antidepressants are not mood-altering substances in the way drugs of abuse are — they restore normal brain chemistry rather than creating artificial highs. Untreated depression is one of the strongest predictors of addiction relapse. Taking prescribed, non-addictive medication to manage a medical condition is not a failure of recovery — it supports it.

Why stopping psychiatric meds leads to relapse

A common and harmful pattern occurs when people in recovery stop their antidepressants because they feel better, believe they no longer need them, or face pressure from others to be "medication-free." When depression returns — often within weeks — the emotional pain drives them back to substances. Antidepressant treatment for co-occurring depression should be maintained for at least 12 months after stabilization, and many people benefit from long-term maintenance. Any changes to psychiatric medication should be made gradually under medical supervision.

Frequently Asked Questions About Depression and Addiction

What is dual diagnosis treatment for depression and addiction?

Dual diagnosis treatment addresses both depression and substance use disorders simultaneously through integrated care. This approach recognizes that mental health and addiction affect each other and must be treated together for lasting recovery. Treatment includes psychiatric care, medication management, therapy (CBT, DBT), and specialized counseling that addresses both conditions comprehensively.

Can depression cause substance abuse?

Yes, depression significantly increases the risk of substance abuse. Many people self-medicate depression symptoms with alcohol or drugs, seeking temporary relief from emotional pain, low energy, or insomnia. However, substance use worsens depression long-term by disrupting serotonin and dopamine regulation, creating a vicious cycle. Proper treatment addresses root causes of depression while providing healthier coping strategies than substances.

Will antidepressants interfere with addiction treatment?

No, appropriate antidepressant medication actively supports recovery. Quality dual diagnosis programs work with psychiatrists to find effective antidepressant treatment while addressing addiction. Medications like SSRIs and SNRIs are non-addictive and help stabilize mood, making it easier to engage in therapy and maintain sobriety. Never stop psychiatric medications without medical guidance.

How do I find a treatment center for depression and addiction?

Look for centers explicitly offering dual diagnosis or co-occurring disorder treatment. Verify they have licensed mental health professionals, psychiatric services, medication management capabilities, and experience treating both conditions together. Use our directory to filter for dual diagnosis programs, read reviews, and verify accreditation. Contact admissions teams to discuss your specific needs.

Is residential treatment necessary for depression and addiction?

Not always. Treatment level depends on severity of both conditions, previous treatment attempts, safety concerns, and support system. Some people do well with intensive outpatient care plus medication management. Residential treatment provides 24/7 support for severe depression, suicide risk, or when outpatient treatment hasn't succeeded. A professional assessment determines the most appropriate level of care.

Can addiction cause depression or does depression cause addiction?

The relationship is bidirectional — it works both ways. Depression can lead to substance abuse through self-medication, as people use drugs or alcohol to escape emotional pain. At the same time, chronic substance use alters brain chemistry in ways that cause or worsen depression — alcohol is a central nervous system depressant, stimulant withdrawal causes profound depression, and opioid use disrupts the brain's natural mood regulation. In many cases, both conditions develop and reinforce each other simultaneously, which is why integrated dual diagnosis treatment is essential for lasting recovery.

Will I need antidepressants forever?

Not necessarily. Many people take antidepressants for 12–24 months after their mood stabilizes, then gradually taper off under medical supervision. However, some people with recurrent major depression (three or more episodes) benefit from long-term maintenance medication. The decision depends on depression severity, number of past episodes, family history, and individual response to treatment. What is critical is never stopping antidepressants abruptly — doing so can cause withdrawal symptoms and trigger relapse in both depression and addiction. Always work with your prescribing psychiatrist to make any medication changes.

Medical Review and Sources

Medically Reviewed Updated April 10, 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

Need Help Finding Treatment Now?

Speak with a compassionate specialist who can help you find the right dual diagnosis program for depression and addiction — 100% free and confidential, available 24/7.