Counselling is not sufficient support if you feel you are in crisis. Signs of crisis may be feelings or thought about immediate suicide or harm to yourself or another. If you find yourself in a major crisis or are considering serious self-harm it is vital to get immediate help. In this case please consider contacting your local accident and emergency department (A&E) at your nearest hospital and ask to speak to someone from the crisis team. You could also call the Samaritans on 116 123 Smith or email jo@samaritans.org (email emergency support). If the crisis is less urgent, please consider contacting your GP or the NHS on 111. Counselling cannot provide an emergency service for clients. In the event of an emergency arising whilst you are engaged in a face-to-face, online or telephone session or if you were experiencing severe suicidal thoughts, we would discuss with you the appropriate support that you could access during this period.