therapy agencies in the united states have an on call emergency number. The client calls the office number where you recieve treatment and those phones automatically route the call to the on call personnel. Under extreme emrgencies the on call person call and will put in a call to the persons therapist. The national suicide hotline works 24/7 so you also have that option. and worse case scenerio there is your local ER. I have used them also. All you have to do is walk in the ER and tell the receptionist you need to speak to the staff psychiatrist that is on call. There are also local crisis centers that can help you also. take care.