Online counselling and mental health helplines represent a significant shift in the accessibility and availability of mental health support. Online counselling refers to the provision of psychological support and therapy through digital platforms, such as video calls, chat services, or email. Mental health helplines, on the other hand, are typically phone-based services that offer immediate support, guidance, and referrals for individuals in distress. Both these modes provide crucial assistance to those in need, especially in a country like India where mental health issues often carry a stigma, making face-to-face consultations challenging.

Forces Driving Individuals to Reach Out to Mental Health Helplines

Several factors compel individuals to seek help through mental health helplines. These include:

• Stigma and Privacy: The stigma associated with mental health issues in India can prevent individuals from seeking face-to-face help. Helplines offer anonymity, which encourages people to open up about their struggles without fear of judgment. This is particularly important for issues like social anxiety, bullying, or low motivation.
• Accessibility: Geographic and socio-economic barriers can make it difficult for individuals to access mental health services. Helplines provide immediate and free or low-cost support, making them accessible to a broader population, including those facing career issues or burnout.
• Immediate Need: Mental health crises often require immediate attention. Helplines can offer real-time support, helping individuals manage their stress, anxiety, and depression until they can access longer-term care.
• Awareness and Outreach: Increasing awareness about mental health and the availability of helplines through campaigns and education has encouraged more individuals to seek help, addressing issues such as test anxiety or phobia.

Difficulties in Seeking Mental Health Assistance

Despite the availability of helplines, several challenges still prevent individuals from seeking help:

• Lack of Awareness: Many people are still unaware of the existence of mental health helplines or how to access them.
• Cultural Barriers: Cultural beliefs and attitudes towards mental health can deter individuals from seeking help, as they may fear being labelled as "weak" or "crazy," impacting those dealing with breakups or peer pressure.
• Trust Issues: Individuals may be hesitant to trust the confidentiality and effectiveness of helplines, especially when they are unsure about the qualifications of the counsellors.
• Technological Barriers: Access to the Internet or phone services can be limited in rural or economically disadvantaged areas, making it harder for some individuals to reach out.

Ways to Access Mental Health Helplines

There are various ways by which individuals can reach out to mental health helplines in India:

• Telephone: Most mental health helplines operate through toll-free numbers, providing direct access to trained counsellors.
• Online Platforms: Many helplines have integrated online chat services, allowing individuals to communicate with counsellors via text.
• Mobile Apps: Several mental health organizations have developed mobile apps that offer support, resources, and direct contact with counsellors.
• Email Services: Some helplines offer email support, allowing individuals to reach out at their convenience and receive written guidance.

When to Reach Out to a Mental Health Helpline vs. Online Counselling

• Reaching Out to a Mental Health Helpline: Mental health helplines are ideal for immediate, short-term support during crises or moments of acute distress. If you are experiencing severe anxiety, panic attacks, suicidal thoughts, or any form of emotional crisis where immediate help is required, a helpline provides instant access to trained online counsellors who can offer immediate guidance and support. Helplines are typically available 24/7 and are designed to provide quick intervention, stabilize the situation, and direct you to further resources if needed.
• Reaching Out for Online Counselling: Online counselling, on the other hand, is suited for ongoing, long-term mental health support and therapy. If you are dealing with chronic mental health issues such as depression, relationship problems, stress management, or job satisfaction, online counselling provides a structured environment for regular sessions with a licensed online therapist. This mode of counselling is beneficial for building a therapeutic relationship, working through complex issues over time, and developing coping strategies and skills for long-term mental health management. Online therapy or counselling is scheduled, allowing for continuity of care and deeper therapeutic work compared to the immediate, situational support offered by helplines.

Some Mental Health Helplines in India

India has several mental health helplines that cater to various needs:

• Kiran (1800-599-0019): Launched by the Ministry of Social Justice and Empowerment, Kiran offers support for psychological crises and mental health issues, providing counselling in multiple languages.
• Tele MANAS (Toll-free, 24/7 helpline number - 14416): Launched by the Ministry of Health & Family Welfare to provide free tele-mental health services all over the country round the clock, serving those who live in isolated or underserved locations in particular.  
• Snehi (91-22-2772 6771): Snehi provides emotional support and suicide prevention services, offering a confidential space for individuals to discuss their issues.
• Vandrevala Foundation (1860-266-2345 / 1800-233-3330): This helpline offers 24/7 support for a range of mental health concerns, staffed by trained psychologists and counsellors.
• AASRA (91-22-2754 6669 / 91-9820466726): For those who are depressed, anxious, or having suicidal thoughts, AASRA provides a 24/7 helpline with instant support and recommendations.

Role of Online Counselling Platforms

Online counselling platforms significantly enhance the reach and effectiveness of mental health helplines. These platforms offer several advantages:

• Broader Reach: Online platforms can reach individuals across various geographic locations, including remote areas where mental health services are scarce.
• Convenience: Individuals can access counselling services from the comfort of their homes, reducing the barriers associated with visiting a clinic.
• Flexible Communication: Platforms offer multiple modes of communication, such as video calls, chats, and emails, catering to different preferences and comfort levels.
• Anonymity: Online therapy platforms provide a level of anonymity that can make individuals more comfortable seeking help.

Conclusion

Mental health helplines and online counselling platforms like TalktoAngel are vital resources in India’s mental health landscape. They provide accessible, immediate, and confidential support to individuals in distress, helping bridge the gap in mental health services. Despite challenges such as stigma, lack of awareness, and technological barriers, these services are increasingly recognized for their role in promoting mental well-being. By continuing to raise awareness, improve accessibility, and integrate online platforms, we can ensure that more individuals receive the support they need to lead healthier, happier lives.

Contribution by: Dr (Prof) R K Suri, Best Clinical Psychologist & Life Coach & Mr. Utkarsh Yadav, Counselling Psychologist

References:

• https://www.thelivelovelaughfoundation.org/find-help/helplines
• https://findahelpline.com/countries/in
• http://www.aasra.info/
• https://www.vogue.in/wellness/content/verified-mental-health-helplines-and-services-pan-india-suicide-helplines-therapists-counsellors