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When you need help

• Kinds of counseling
• How will I pay for mental health services?
• More information on when you need help

Mental health illnesses are real medical illnesses. Nearly half of all Americans have symptoms of a mental illness at some point in life. So if it happens to you or someone close to you, you are not alone.

Even if you take care of your body and mind, there are no guarantees against mental illness. Even experts don't know the exact cause of most mental illnesses. Sometimes mental illnesses run in families. Other times they are caused by changes in the brain. Still other times they are started by a crisis, trauma, violence, or abuse.

Help is available for mental health problems. If you feel out of control, or feel like a mental health problem keeps you from enjoying life, ask for help. The National Mental Health Information Center can help you locate mental health services near you.

Kinds of counseling

Treatments can help you feel better and be happy again. The best treatment depends on the type of problem that you are facing. It may be one-on-one talk therapy. This is when you talk to a doctor or a counselor alone. Or you may join group therapy, where you talk with other people like yourself along with a counselor. Your doctor may prescribe medication to help control or lessen your symptoms. Sometimes people use talk therapy and medicine, together. For most people, this is better than either one alone.

It's important to find a place that you trust. If you feel you are not improving, keep trying. If you still are not feeling better, see if there is another person, type of therapy, or place that can work better. You may feel more comfortable working with a female mental health professional, or with an all-female support group. You may prefer a group that has the same age, race, religion, cultural background as you, or one that speaks your language.

Your family doctor can be a good first stop to finding the help you need. Talk openly with your doctor.

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How will I pay for mental health services?

If you have health insurance, call your insurance plan, or someone in human resources at your job, and ask for a verbal and written description of what coverage is provided for behavioral health treatments. Many insurers offer coverage for mental health services and/or substance abuse treatments. Some only cover substance abuse if it co-occurs with mental illness. If you plan to use mental health or substance abuse benefits through your insurance plan, you may be required to get a referral from your regular doctor before you can receive services.

Also, your employer may offer an employee assistance program, or EAP. An EAP is a resource provided either as part of, or separate from, employer-sponsored health plans. Usually EAP visits are free, but the number of visits may be limited. Preventive care measures such as health screenings, mental health or substance abuse screening, and/or wellness activities will be provided. An EAP may not include all services and programs, but many provide aid to employees and their families for substance abuse, stress, depression, and other mental health issues. EAP visits are confidential; information discussed in these visits will not be shared with your employer.

If you do not have access to an EAP or employer-sponsored health insurance, you may be able to get Medicare or Medicaid services. To see if you are able to qualify for these and other government programs, and to see what kinds of coverage are provided, contact the Centers for Medicare and Medicaid Services (CMS), at 877-267-2323 (TDD: 866-226-1819) and your State's department of insurance. On the Internet, you can find contact information for your State's department of insurance on http://www.naic.org/state_contacts/sid_websites.htm. You can also find contact information for your state's mental health program from the National Association of State Mental Health Program Directors at http://www.nasmhpd.org/members.cfm.

Your State mental health agency will be helpful in telling you how mental health services in your State are funded. In publicly funded mental health centers, such as those run by State, city or county governments, the cost of many services is calculated according to what you can afford to pay. So, if you have a lack of funds, services are still provided. This is called a sliding-scale, or sliding-fee, basis of payment. In addition, States often work with federal programs, such as Medicaid, to give help to some people or families. Information about medical and health care assistance is available at your county/city social services departments, health and human services department, or Social Security office.

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More information on when you need help

Explore other publications and websites

• Employees With Mental Health Impairments (Copyright © Job Accommodation Network) — This report outlines basic information about common limitations, useful questions to consider, and accommodation possibilities for people who have psychiatric disabilities.
  http://askjan.org/media/Psychiatric.html
• Mental Health Services Locator — This website will help you locate mental health treatment facilities and support services in your state.
  http://store.samhsa.gov/mhlocator
• Mental Illness and the Family: Finding the Right Mental Health Care For You (Copyright © Mental Health America) — This publication discusses how you or someone you know may benefit from a counselor or mental health center. It offers questions and guidelines to help you find the right care.
  http://www.nmha.org/go/information/get-info/mi-and-the-family/finding-the-right-mental-health-care-for-you
• Mental Illness: What a Difference a Friend Makes — This site is for people with mental illness and their friends. You'll find tools to help in the recovery process, learn about the different kinds of mental illnesses, read real-life stories about support and recovery, and watch a video to see how friends can make all the difference.
  http://www.whatadifference.samhsa.gov/
• Mental Treatment and Therapy Guide — This publication discusses the warning signs that a person needs professional help for mental health problems, what to do in emergency situations, and different forms of treatment for mental illness. It also describes the different types of mental health professionals and what they do.
  http://mentalhealth.samhsa.gov/publications/allpubs/cmh94-5001/treatment.asp

Connect with other organizations

• American Psychological Association
  http://apa.org/
• Mental Health America
  http://www.nmha.org/
• National Alliance on Mental Illness
  http://www.nami.org/
• National Institute of Mental Health Information Center, NIH
  http://www.nimh.nih.gov/publicat/index.cfm
• Substance Abuse and Mental Health Services Administration
  http://www.samhsa.gov/

Content last updated March 29, 2010.

Resources last updated March 29, 2010.

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