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Emergency support

Cook Counseling Center can provide crisis consultations for currently enrolled students who have an urgent concern during weekday business hours in our Gilbert St. office. Residential students can be seen for crisis consultation in our 107 East Eggleston office from 2-10 p.m., Monday-Thursday.

If you are concerned about yourself or someone else needing emergency mental health care, please call 988 or go to the nearest ER.


  • ACCESS: NRVCS (New River Valley Community Services) Emergency Services provides emergency evaluation and crisis intervention to the New River Valley 24 hours per day, 7 days per week. A friend or family member can call for you if you feel that you are unable to do so yourself. Call 540-961-8400.
  • RAFT: The Raft Crisis Hotline is a program of NRVCS that offers free paraprofessional phone counseling services to the community.Volunteers provide suicide and crisis intervention, empathy and support, mental health and substance abuse information and referrals to the local communities including Virginia Tech and Radford University. Raft operates 4 p.m.: 8 a.m. Monday through Friday and 24 hours on the weekends. NRVCS Case Managers answer the phones during business hours and New Horizons, a residential crisis stabilization program, provides callers with services when volunteers are unavailable. Call 540-961-8400
  • CONNECT: A 24-hour referral and emergency evaluation service of Carillion Health Care. Call 1-800-284-8898 or 540-981-8181.
  • ARC: A mental health admittance and referral service of Montgomery Regional Hospital and Lewis Gale Hospital. Call 804-327-5191 or 877-886-7026.
  • Police: 911

  • Suicide and Crisis Lifeline: Get Support Now. If you or someone you know is struggling or in crisis, help is available. Call or text 988 or chat 988lifeline.org. Available 24 hours a day
  • ULifeline: Text "START" to 741-741 or call 1-800-273-TALK (8255)
  • The Steve Fund: Are you a young person of color? Feeling down, stressed or overwhelmed? Text STEVE to 741741 to connect with a trained crisis counselor 24/7
  • The Trevor Lifeline: Suicide Prevention for LGBTQ Youth - 866-4-U-TREVOR (1-866-488-7386)
  • National Sexual Assault Hotline: 24-hour online hotline - 1-800-656-HOPE (1-800-656-4673)
  • VA COPES Warm Line: The Virginia CCP is called Virginia C.O.P.E.S. which stands for compassionate, optimistic, person-centered, empowering support. Crisis Counselors are available during the following times to take calls. Monday-Friday 9 a.m.-9 p.m. and on Saturday-Sunday from 5-9 p.m. VA C.O.P.E.S can be reached by phone or text at 877-349-6428. Spanish speaking counselors are available. VA C.O.P.E.S is available to all Virginia residents who may be struggling to cope with the effects and circumstances such as isolation, fear, grief and anxiety around COVID 19. VA C.O.P.E.S. counselors are prepared to refer and provide additional information for callers as well but should not be utilized as an emergency or suicide hotline.