Crisis Text Line

Text HOME to 741741

National Alliance on Mental Illness (NAMI)

general information on mental health and how to reduce stigma.


If you or a loved one is experiencing mental health and/or substance abuse problems, a good place to start is by making an appointment with your primary care provider.

Alcoholics Anonymous

Help for alcohol problems
(503) 223-8569


Help for family and friends with alcohol/drug problems

Comprehensive Healthcare

Provides a wide range of mental health and substance abuse recovery services to residents of Klickitat County.

Goldendale — 509 773-5801
White Salmon — 509 493-3400

Hood River County Prevention Department

Substance abuse prevention programs for Hood River County.


Klickitat-Lyle Substance Abuse Coalition

A coalition representing community members and stakeholders from the towns of Kliciktat and Lyle, Washington, whose aim is to reduce substance abuse among youth and build stronger community connections.

509 316-9523

Mid-Columbia Center for Living

Behavioral health agency serving Hood River, Sherman and Wasco counties, offering many mental health and substance abuse programs.

24/7 crisis support available — 1-888-877-9147


Support group for caregivers, friends, and family members of persons with mental illness; meets monthly in The Dalles the 1st Thursday of every month from 6 to 7:30 pm at One Community Health, 1040 Webber street. Open to all Gorge residents.

Any local questions, call or text

Barbara — 541-980-7479
Margie — 541-380-0829

Narcotics Anonymous

Help for drug problems

One Community Health

Whole person integrated medical, dental, and behavioral health (mental health and substance use) services to all people in Hood River and Wasco counties in Oregon, and Klickitat and Skamania counties in Washington, with clinics in Hood River and The Dalles.

541 386-6380

Skamania County Community Health

Provides mental health and substance use disorder services for residents of Skamania County. 24/7 crisis services: 509 427-3850. In addition, Skamania County’s Pathways HealthConnect program connects individuals 18+ to the services and supports needed to live a healthier lifestyle. Skamania County Community Health Facebook page.

24/7 crisis services
509 427-3850

Oregon YouthLine

Teen to Teen crisis counseling
(877) 968-8491

The Next Door

Outpatient behavioral health- individual and family therapy services, case management, skills training and substance abuse. Serving anyone in the Gorge, with offices in Hood River and The Dalles.


Therapy in the Gorge

A list of professional therapists in private practice in the Columbia River Gorge.

Trevor Project

LGBTQ Teen Support

Youth Think

Wasco County behavioral health promotion and prevention for youth and families. Youth Think Facebook page.

541 506-2673