When we think about emergencies, most of us know what to do for a house fire, a heart attack, or even a flat tire. But what about a mental health emergency?

For many people living with depression, anxiety, bipolar disorder, PTSD, schizophrenia, or other conditions, crises can arise suddenly and unpredictably. In those moments, it’s hard to think clearly, remember resources, or make the best decisions. That’s where a Mental Health Emergency Plan comes in.

Creating a plan is not about expecting the worst. It is about being prepared so that if a crisis happens, you and your support team already know the steps to take. And just like with any other part of your care, this is something you can and should create together with your provider.

Why a Mental Health Emergency Plan Matters

Mental health crises are more common than many people realize. The CDC estimates that more than 1 in 5 adults in the U.S. live with a mental health condition, and nearly 1 in 25 live with a serious condition like bipolar disorder or schizophrenia. Crises can involve suicidal thoughts, panic attacks, psychosis, mania, or behaviors that put someone at risk.

When a crisis happens without a plan, people often end up in the emergency room, in police custody, or in situations that feel chaotic and disempowering. But when there’s an emergency plan in place, outcomes can be safer, calmer, and far more patient-centered.

Myths About Mental Health Emergencies That Keep Us Unprepared

Many people avoid making a plan because of misunderstandings. Let’s clear up a few common myths.

Myth #1: I don’t need an emergency plan because I’m doing fine right now.
Truth: Emergency planning is not a prediction. It is preparation. Just like you keep a first aid kit even when you’re healthy, a plan is about readiness, not inevitability.

Myth #2: My provider will know what to do if something happens.
Truth: Providers know treatment, but only you know your preferences, triggers, and comfort levels. A plan ensures your voice is central, even if you can’t speak for yourself.

Myth #3: Making a plan will make me feel worse or “jinx” me.
Truth: Planning is empowering. Far from inviting crisis, it helps reduce anxiety by knowing you already have tools and support lined up.

Myth #4: Only people with severe conditions need an emergency plan.
Truth: Anyone can benefit. Medication side effects, overwhelming stress, or trauma triggers can all cause emergencies. Plans are for everyone.

What to Include in a Mental Health Emergency Plan

Think of your plan as a roadmap for what to do, who to call, and how to stay safe when things feel out of control. Here are the essential pieces:

1. Recognize Early Warning Signs

Every crisis has a beginning. It might be disrupted sleep, racing thoughts, withdrawal, or missed medications. Work with your provider to identify your red flags so you and your support system can act early.

2. List Coping Strategies

With your provider, write down tools that help you manage distress such as breathing techniques, journaling, grounding exercises, listening to music, or calling a trusted friend. Keep them in one place so you don’t have to think of them during a crisis.

3. Identify Your Support Network

List the people you trust to help if you’re struggling. Write down their names and numbers. Even better, talk to them ahead of time so they know they’re part of your plan.

4. Define Treatment Preferences

Include your diagnosis, medications, allergies, preferred hospitals, and your providers’ names and numbers. This ensures emergency staff know your needs immediately.

5. Create a Crisis Communication Plan

Decide who should be contacted in a crisis, who should not, and what you’d like others to communicate on your behalf if you can’t explain.

6. Write Down Professional Resources

Include 988, your provider’s emergency line, local crisis teams, and nearby psychiatric urgent care or hospitals.

7. Consider a Psychiatric Advance Directive

In some states, you can create a legal document outlining your preferences for treatment during a crisis. Work with your provider to see if this is right for you.

Building the Plan With Your Provider

Your provider is your partner in this process. Ask, “Can we create a mental health emergency plan together?” They can help identify risk factors, refine coping tools, and make sure your medical details are accurate. Discuss crisis alternatives like stabilization units or respite care, and review your plan at least once a year or after any major life change.

System-Level Support

Individual plans matter, but healthcare systems play a role too. Clinics can offer routine safety planning, train staff in crisis response, and connect with community crisis resources. Patients can advocate for these services by asking providers, “Do you help patients create emergency plans?”

What You Can Do Today to Prepare for a Crisis

Mental health emergencies can feel overwhelming, but preparation makes them more manageable. Here are steps you can take right now:

• Save 988 in your phone and write it on your plan. This is the Suicide & Crisis Lifeline, available 24/7.
  
• Schedule a conversation with your provider about building or updating your plan.
  
• Tell at least one trusted person you’re making a plan and ask them to be part of it.
  
• Keep a printed copy of your plan in your wallet or with your medications, and share one with your provider or family.
  

Each of these steps may feel small, but together they create a safety net. Having a plan doesn’t mean you expect a crisis. It means you’ve taken charge of your health and safety. A Mental Health Emergency Plan is about empowerment. It ensures that even in your hardest moments, your preferences, your support network, and your treatment choices remain at the center of care.