Region 10 (Cascadia)
If your experience has caused significant distress, fear, or feelings of psychological instability (Ontological Shock), please contact the appropriate professional services listed below.
Free, confidential support for people in distress.
Call or Text: 988
Text with a trained Crisis Counselor.
Text "HOME" to 741741
Resources organized by jurisdiction. The Cascadia coverage area spans Washington, Oregon, Northern Idaho, British Columbia, and Southeast Alaska. If your local crisis line isn't listed, please dial 988 for nationwide routing in the US or Canada.
24-hour help for substance abuse, problem gambling, and mental health.
1-866-789-1511
24-hour, serving King, Pierce, Clark, and other counties. Mobile crisis teams available in King County.
1-866-427-4747 or 206-461-3222
24-hour statewide Oregon crisis line. Handles mental health, substance use, and military helpline routing.
1-800-273-8255
24-hour crisis support for the Portland metro area.
503-988-4888 or 1-800-716-9769
24-hour support for British Columbia residents. No area code needed.
Call: 310-6789
24-hour culturally-aware crisis support for Indigenous peoples in British Columbia.
1-800-588-8717
Southeast Alaska: Call or text 988 for the Alaska Lifeline. Direct line: Alaska Careline at 1-877-266-4357 (24/7, free, confidential).
Northern Idaho: Call or text 988 to reach the Idaho Crisis & Suicide Hotline. Mobile Response Teams are available statewide.
For those seeking to understand their experience through an academic or Fortean lens (non-clinical):