Can CareSync Psych respond to an emergency through the patient portal?

No. The portal, voicemail, email, web forms, and social media are not monitored continuously and must not be used for emergencies. Call 911 for immediate danger or a medical emergency, and call or text 988 for behavioral health crisis support.

CareSync Psych™

Crisis & After-Hours Support

Q: Do I have to be suicidal to contact 988?

No. The 988 Suicide & Crisis Lifeline supports people experiencing many forms of emotional distress, including anxiety, panic, loneliness, relationship problems, substance-use concerns, and mental health crises.

Q: Can I contact 988 about someone else?

Yes. You may contact 988 if you are concerned about another person and need guidance.

You do not have to face a mental health crisis alone. Use the options below to connect with the right level of help now.

Call 911: Immediate Danger Call 988 Text 988

CareSync Psych is an outpatient practice—not an emergency or 24-hour crisis service.

If there is immediate danger, act now.

Call 911 or go to the nearest emergency department if you or another person may act on thoughts of suicide or violence, has made an attempt, has a weapon or other lethal means available, is severely confused or unable to stay safe, has a suspected overdose, or is experiencing a medical emergency. Do not rely on voicemail, email, portal messages, or website forms during an emergency.

Choose the right next step

What kind of help do you need?

If you are uncertain, choose the more immediate option. A 988 counselor can also help you think through what support is appropriate.

Immediate danger or medical emergency

Examples include an attempt in progress, overdose, serious injury, imminent threat, inability to maintain safety, or severe symptoms requiring urgent medical evaluation.

Call 911 or go to the nearest emergency department.

Call 911

Emotional distress or behavioral health crisis

You may contact 988 for suicidal thoughts, emotional distress, panic, substance-use concerns, loneliness, relationship problems, or when you need someone to talk with.

You do not have to be suicidal to contact 988.

Call 988

Routine or non-urgent CareSync Psych need

Use the patient portal or office voicemail for scheduling, non-urgent medication questions, refill requests, paperwork, or routine clinical concerns.

Messages are not monitored continuously and typically receive a response within 72 hours.

Contact the Office

Woman texting 988 and receiving compassionate mental health crisis support

Free • Confidential • Available 24/7

Connect with the 988 Suicide & Crisis Lifeline

988

Call, text, or chat with a trained crisis counselor anywhere in the United States and its territories. A counselor will ask about your safety, listen without judgment, provide support, and help identify useful next steps or local resources.

Call 988 Text 988 Chat with 988

Veterans and service members may call 988 and press 1. Spanish-speaking callers may call 988 and press 2; text AYUDA to 988 for Spanish-language text support.

CareSync Psych policy

After-hours communication

CareSync Psych does not provide 24/7 monitoring, emergency evaluation, crisis response, or guaranteed after-hours coverage.

Outside regular office hours, established patients may leave a voicemail or send a message through the patient portal for non-urgent needs. Messages typically receive a response within 72 hours. Weekends, holidays, provider availability, and the nature of the request may affect response time.

Do not use email, voicemail, portal messages, online scheduling notes, contact forms, or social media for an urgent safety concern. These channels may not be reviewed in time to help during a crisis.

Self-pay after-hours appointments may be requested and will be considered based on provider availability and clinical appropriateness. An appointment request is not confirmed until CareSync Psych provides confirmation.

Woman contacting crisis support while a trusted person remains beside her

Medication concerns

Refills, missed doses, side effects & medication emergencies

Routine refill or medication question

Submit refill requests through the patient portal or contact the office before your medication runs out.
Contact your pharmacy first to confirm whether refills remain or a prescription is ready.
Do not change the dose, stop medication abruptly, combine medications, or use someone else’s medication unless directed by a qualified clinician.
Routine refill requests and medication questions are not monitored as emergencies.

Possible overdose or serious reaction

Call 911 for trouble breathing, loss of consciousness, seizure, severe confusion, swelling of the face or throat, chest pain, or other life-threatening symptoms.

For a suspected poisoning or medication exposure in the United States, contact Poison Control at 1-800-222-1222 or use its online guidance.

Call 911 Call Poison Control

Man moving through a dark tunnel toward daylight as a symbol of mental health recovery and hope

While connecting with help

Take immediate steps toward safety

These steps do not replace 911, 988, or emergency evaluation. They may help reduce risk while support is being arranged.

Move toward people and support.
Go to a safer shared space and ask a trusted person to stay with you. Avoid being alone if you may be unable to stay safe.

Create distance from lethal means.
Ask a trusted person to secure firearms, medications, sharp objects, or other items that could be used for harm. Do not place yourself at risk while doing so.

Call, text, or chat with 988.
Be direct about what is happening, whether there is a plan, whether means are available, and whether substances are involved.

Use 911 for immediate danger.
If safety cannot be maintained, an attempt is underway, or urgent medical help is needed, call 911 or go to the nearest emergency department.

Helping someone else

If you are worried about a friend or loved one

Stay calm, direct, and present

Ask directly whether they are thinking about suicide or harming someone.
Listen without judgment, arguing, lecturing, or making promises you cannot keep.
Do not agree to keep a suicide plan secret.
If it is safe, stay with them or arrange for another trusted adult to remain present.

Connect them with appropriate help

Call or text 988 yourself for guidance when you are concerned about another person.
Call 911 when there is immediate physical danger, an attempt in progress, or an urgent medical emergency.
Avoid physically intervening if doing so could place you or others in danger.
Share clear information with responders, including location, known risks, substances, and access to weapons or medications.

Common questions

Crisis and after-hours FAQ

Do I have to be suicidal to contact 988?

No. The 988 Lifeline supports people experiencing many forms of emotional distress, including anxiety, panic, loneliness, relationship problems, substance-use concerns, and mental health crises.

Can CareSync Psych respond to an emergency through the portal?

No. The portal, voicemail, email, web forms, and social media are not monitored continuously and must not be used for emergencies. Use 911 for immediate danger or a medical emergency, and 988 for behavioral health crisis support.

What is the difference between 988 and 911?

988 specializes in behavioral health crisis counseling and emotional support. 911 dispatches police, fire, or emergency medical services for immediate threats to life or safety, serious injuries, medical emergencies, or crimes in progress.

Can I contact 988 about someone else?

Yes. You may call, text, or chat with 988 if you are concerned about a friend, family member, patient, coworker, or another person and need guidance.

Where can I find support for specific concerns?

Visit the CareSync Psych Mental Health Resources page for national crisis, safety, treatment, peer-support, substance-use, domestic-violence, sexual-assault, eating-disorder, OCD, depression, bipolar, veteran, youth, caregiver, Spanish-language, and accessibility resources.

More support is available

Explore the CareSync Psych Mental Health Resource Directory

Find national support for mental health, substance use, domestic violence, sexual assault, eating disorders, OCD, depression, bipolar disorder, veterans, teens, caregivers, and more.

View Mental Health Resources Contact CareSync Psych

Important: External crisis and resource organizations are independent of CareSync Psych. Links are provided for convenience and do not create a treatment relationship or replace individualized medical or mental health care. Services, phone numbers, and availability may change. If a resource is unavailable and the situation is urgent, call 911 or 988 as appropriate.