If this is an emergency
Cobalt Psychiatry is an outpatient practice. We do not provide emergency care, crisis services, or after-hours coverage. If you are having a psychiatric or medical emergency — including thoughts of harming yourself or someone else — do not wait. Call 911, call or text 988 to reach the Suicide and Crisis Lifeline, or go to your nearest emergency room right now. Emergencies need immediate help that only emergency services can provide.
When to get emergency help now
Call 911, or call or text 988, or go to your nearest emergency room if you or someone else is experiencing:
- Thoughts of suicide, self-harm, or not wanting to be alive
- Thoughts of harming or killing someone else
- A medical emergency such as chest pain, trouble breathing, or a possible overdose
- A severe medication or allergic reaction — swelling, fainting, or a spreading rash
- Severe confusion, agitation, or loss of touch with reality, or any time you feel unsafe
If you are not sure whether something is an emergency, treat it as one. It is always better to call 911 or 988 and be safe. You will not get in trouble for reaching out, and help is available 24 hours a day, every day.
Crisis numbers to save now
These services are free, confidential, and available 24 hours a day, 7 days a week. It is a good idea to save them in your phone now, before you ever need them.
| Help line | How to reach it |
|---|---|
| Any life-threatening emergency | Call 911 |
| 988 Suicide and Crisis Lifeline | Call or text 988 |
| Crisis Text Line | Text HOME to 741741 |
| Veterans Crisis Line | Call 988 then press 1, or text 838255 |
| Nearest emergency room | Go in person, or call 911 for transport |
| SAMHSA Helpline (mental health and substance use) | Call 1-800-662-4357 |
| Poison Control | Call 1-800-222-1222 |
| Cobalt Psychiatry — non-emergencies only | 405-876-8118 (OK) or 469-833-2711 (TX), Mon–Fri 9–3 |
What to do in specific situations
1. If you are thinking about suicide or self-harm
- Call or text 988 now to reach the Suicide and Crisis Lifeline — a trained counselor will talk with you, 24/7, free and confidential.
- If you have a way to hurt yourself or feel you cannot stay safe, call 911 or go to your nearest emergency room right away.
- If you can, reach out to someone you trust and ask them to stay with you until you have help.
2. If you are thinking about harming someone else
- Call 911 immediately if anyone is in danger.
- Call or text 988 to talk with a crisis counselor about what you are feeling.
- If you safely can, move away from the person you are worried about hurting.
3. If you have a medical emergency
- Call 911 for chest pain, trouble breathing, severe bleeding, fainting, or a suspected overdose.
- For a suspected overdose or poisoning, call Poison Control at 1-800-222-1222.
- Do not try to drive yourself if you are seriously ill — call 911 for transport.
- If you can, unlock your door and let someone nearby know help is on the way.
- Bring a list of your current medications if you go to the emergency room.
4. If you have a severe medication or allergic reaction
- Call 911 for swelling of the face, lips, or throat, trouble breathing, or fainting — these can be life-threatening.
- Stop the medication and get help; do not wait to see whether it gets worse.
- For a milder reaction such as a small rash, call our office during business hours and tell us it is urgent.
- If it is after hours and you are worried, go to an urgent care clinic or emergency room.
5. Severe agitation, mania, or a break from reality
- Signs: racing or disorganized thoughts, going days without sleep, seeing or hearing things others don’t, or feeling out of control.
- What to do: call or text 988 to talk it through, or call 911 or go to the emergency room if there is any risk of harm.
- For a loved one: stay calm, keep everyone safe, and call 911 if the situation is escalating.
- Don’t wait: these symptoms can get worse quickly and are much easier to treat early.
- Afterward: once things are stable, let us know so we can follow up and adjust your care.
6. Helping someone else who is in crisis
- Take it seriously, stay with them, and safely remove access to anything dangerous if you can.
- Call or text 988 together, or call 911 if they are in immediate danger.
- Listen without judgment — you do not have to fix it; getting them to help is enough.
7. Veterans in crisis
- Call 988 and press 1 to reach the Veterans Crisis Line, staffed by people who understand military experience.
- You can also text 838255 or chat online at VeteransCrisisLine.net. You do not need to be enrolled in VA care to use it.
8. Substance use or a suspected overdose
- For a suspected overdose, call 911 immediately and call Poison Control at 1-800-222-1222.
- If naloxone (Narcan) is on hand and you suspect an opioid overdose, give it and still call 911.
- For substance-use help that is not an emergency, call the SAMHSA Helpline at 1-800-662-4357, 24/7.
- Never leave someone who has overdosed alone — stay with them until help arrives.
9. If you are traveling or outside the U.S.
- Call the local emergency number for where you are, or go to the nearest hospital.
- The 988 and 741741 lines work anywhere in the United States; outside the U.S., look up the local crisis line.
10. Urgent — but not an emergency
- For urgent concerns like a worrying side effect, a rash, or quickly worsening symptoms, call our office during business hours and say it is urgent.
- If it is after hours and cannot safely wait, treat it as an emergency and call 911 or 988.
11. After a crisis — let us help
- Once you are safe, call our office so we can follow up, adjust your treatment, and support your recovery.
- If you were seen in an emergency room or hospital, ask them to send us the records, or bring them to your next visit.
- Reaching out for help is a sign of strength, not weakness — you do not have to go through this alone.
- Ask us about creating a written safety plan at your next appointment so you know exactly what to do if a crisis returns.
Reaching our office for non-emergencies
Our office is for routine, non-urgent care during business hours only (Monday through Friday, 9:00 AM to 3:00 PM). Please call us — not 911 or 988 — for things like:
- Scheduling, rescheduling, or canceling an appointment
- Prescription refills and pharmacy questions
- Billing or insurance questions
- A non-urgent question about a medication or side effect
- Paperwork, records, or coordinating with another provider
- Anything that can reasonably wait until business hours
Call 405-876-8118 (Oklahoma) or 469-833-2711 (Texas) during business hours. Our office is not monitored after hours, on weekends, or on holidays — so anything that cannot safely wait should be treated as an emergency using 911, 988, or your nearest emergency room.
The information on this page is for general educational purposes only and is not medical advice, and reading it does not create a doctor-patient relationship. Cobalt Psychiatry is an outpatient practice and does not provide emergency, crisis, or after-hours services. If you are experiencing a medical or mental health emergency, call 911, call or text 988 (the Suicide and Crisis Lifeline), or go to your nearest emergency room.