If you're in danger right now or someone you love is, call 911. Otherwise, the lines below are free, confidential, and won't ask about your immigration status.
Crisis lines (24/7, all free)
| Service | Phone / text | Best for |
|---|---|---|
| 9-8-8 Suicide Crisis Helpline | Call or text 988 | Active suicidal thoughts, worried about someone |
| Talk Suicide Canada | 1-833-456-4566 · text 45645 (4 pm – midnight ET) | Alternate to 988 |
| ConnexOntario | 1-866-531-2600 · text "CONNEX" to 247247 | Find local mental health, addiction, gambling services |
| Hope for Wellness Helpline | 1-855-242-3310 | Indigenous callers; Cree, Ojibway, Inuktitut on request |
| Kids Help Phone | 1-800-668-6868 · text CONNECT to 686868 · text RISE to 686868 | Ages 5–29; RiseUp is for African, Caribbean, and Black youth |
| Good2Talk | 1-866-925-5454 · text GOOD2TALKON to 686868 | Ontario post-secondary students, including international students |
| Naseeha Mental Health | 1-866-627-3342 | Muslim newcomers — culturally and spiritually grounded support |
| Trans Lifeline (Canada) | 1-877-330-6366 (Mon–Fri 1–9 pm ET) | Trans / non-binary callers, peer support |
| Health811 | Call or text 811 | "Should I go to ER?" — RN-staffed health advice |
| Talk4Healing | 1-855-554-4325 | 24/7 helpline for Indigenous women across Northern Ontario |
Loneliness, homesickness & the quiet shock of starting over
Many people leave a lively home — family in the next room, neighbours in the courtyard, someone always cooking — and land in a quiet apartment. In a Northern Ontario winter it can be dark by 4:30 p.m. The first month is busy with forms, classes, and finding a bed. Then that busyness wears off. Holidays away from family can make the quiet feel even heavier. That shift is a real loss. It is not a sign that you chose the wrong place, and it is not something you have to carry alone.
Breaking isolation early is easier than waiting until it feels impossible:
- Get outside once a day, even for a short walk while it is still light. A change of room matters when the sun sets mid-afternoon.
- Connect with a local settlement agency. Workers can introduce you to groups, language circles, and people who have already made this move. See the settlement services guide.
- Look for campus and cultural associations in the local directory.
- Use the public library. It is free, warm, and a place to be around other people without having to perform.
- Volunteer a few hours. The volunteering guide lists ways to meet neighbours while you help.
- Use free community spaces — drop-ins, recreation, and events. Start with free things to do in Thunder Bay, and the same guides for Sudbury, Sault Ste. Marie, North Bay, Timmins, and Kenora.
Cultural stigma, shame & pressure to "be strong"
A lot of immigrants hold back. In many families, mental health is not something you name out loud. There can be cultural stigma or shame in asking for help, and a strong pressure to "be strong" for the people counting on you. You may be sending remittances home while you pay rent or tuition here. You may be working below your training because your credentials are not recognised yet. You may be grieving a parent's illness, or a death, from thousands of kilometres away, with no way to sit with your family.
Anxiety, burnout, grief, and the low mood that winter darkness can bring (seasonal depression) are common health issues. Ontario clinicians treat them every day. They are not a personal failure, and they are not a reason to hide.
Three fears that stop newcomers from calling—answered
1. Will this affect my study permit, work permit, PR application, or job?
Seeking care does not go on an immigration file. Ontario's Personal Health Information Protection Act (PHIPA) keeps personal health information private. Doctors, nurse practitioners, campus counsellors, CMHA, and helplines — 988, Good2Talk, and Kids Help Phone — are strictly confidential. They do not report your visit or your call to IRCC, your employer, your professors, or your landlord. A narrow safety exception exists: if a clinician believes someone is in immediate danger, or a child needs protection, and they have enough information to act, they may contact emergency or child-protection services. That exception is about safety. It is not a report to immigration.
2. What if I'm worried someone in my community will find out?
You can speak with a professional who is not in your city. Phone and text lines do not require a walk into a local office. Call or text 988. Ontario post-secondary students can call Good2Talk at 1-866-925-5454 or text GOOD2TALKON to 686868. Kids Help Phone's RiseUp line is for African, Caribbean, and Black youth: text RISE to 686868. Virtual therapy is another private door. Adults can self-refer to the Ontario Structured Psychotherapy Program. Black Mental Health Canada lists culturally safe therapists who meet by video. Naseeha Mental Health (1-866-627-3342) offers Muslim-centred support by phone.
3. What if I don't have OHIP or money for therapy?
Several doors are free and do not require OHIP. 988 is free. CMHA walk-in and crisis services in Thunder Bay are free for ages 16 and up, with no OHIP card and no referral. Community Health Centres, including NorWest CHC in Thunder Bay (525 Simpson Street, 807-622-8235), offer free counselling and serve people without OHIP. Settlement workers can listen and refer you at no cost. If you are a student, campus counselling is available through your school — ask the international office how to book it.
Adults 18 and older can also get free cognitive behavioural therapy (CBT) through the Ontario Structured Psychotherapy Program. You do not need an Ontario health card, a family doctor, or Canadian citizenship. You do need to be 18 or older and living in Ontario. The program is for mild to moderate depression, anxiety, and anxiety-related conditions. It is not a crisis service — use 988 if you are in crisis. In the North West, self-refer through St. Joseph's Care Group. In the North East, central intake is Health Sciences North (call 1-833-496-3677 or email neosp@hsnsudbury.ca). North Bay Regional Health Centre is the designated specialty mental health centre for the northeast and a regional partner; new OSP referrals in the northeast still start with Health Sciences North.
Local services in Northern Ontario
CMHA Thunder Bay
- Office: (807) 345-5564 · toll-free 1-888-269-3100 · 200 Van Norman St (Mon–Fri 8:30–4:30)
- Crisis Response Service: (807) 346-8282 · toll-free 1-866-888-8988 (24/7)
- Mobile Crisis Team: 12 pm – 12 am daily within Thunder Bay city limits
- Free walk-in / talk-in counselling: 16+, no OHIP or referral needed, first-come-first-served
- thunderbay.cmha.ca
CMHA Sudbury / Manitoulin
- (705) 675-7252 · toll-free 1-866-285-2642
- 111 Elm St, Suite 100, Sudbury
- sm.cmha.ca
NorWest Community Health Centres (Thunder Bay)
- Free, confidential counselling for anxiety, depression, trauma, and situational issues
- Open to newcomers including those without OHIP — call to confirm eligibility
- norwestchc.org
Anishnawbe Mushkiki (Thunder Bay)
Indigenous-led Aboriginal Health Access Centre offering culturally-grounded mental health and addictions support. 807-623-0383 · mushkiki.com
Black, African & culturally-specific therapists (virtual)
Northern Ontario has limited in-person culturally-specific options. The good news: every therapist below offers secure video sessions — they work as well from Thunder Bay or Timmins as from downtown Toronto.
- Black Mental Health Canada — therapist directory + culturally-safe care
- Inclusive Therapists — filter for Black, African, South Asian, Latine, 2SLGBTQI+ therapists
- Psychology Today Canada — searchable by language spoken, identity, and insurance accepted
Settlement workers can refer you
If you don't know where to start, your local settlement agency can listen, suggest options, and connect you to culturally-appropriate care. They speak many languages and won't ask about your status.
See our settlement services guide.
Common newcomer pitfalls
- Waiting until things are "really bad." Mental health support is preventive, not just for crisis. The earlier you talk to someone, the easier it gets.
- Not knowing 988 exists. It's free, multilingual, and works from any phone.
- Paying for a therapist when a CHC would have served you free. NorWest CHC and Anishnawbe Mushkiki offer free counselling.
- Going to the ER for non-urgent mental health. Walk-in CMHA, 988, and 811 cover most non-emergency situations.
- Hiding it from your community. Talking helps — and there are therapists who share your background.
Sexual assault and violence counselling
These centres offer confidential counselling. Crisis lines are open overnight. They do not ask about immigration status. Shelter addresses that are kept confidential are not listed here. More options are on the domestic violence guide.
- Centr'Elles (Thunder Bay) — 234 Van Norman Street, Thunder Bay, ON P7A 4B8. Weekday office line 807-788-0613 · toll-free 1-888-415-4156. French-language sexual assault and domestic violence counselling for Francophone women and girls 12+ across Northwestern Ontario. The 24/7 French crisis line their site points to is Fem'aide: 1-877-336-2433.
- Kenora Sexual Assault Centre — 101 Chipman Street, Kenora. 24/7 crisis 807-468-7233 · 1-800-565-6161.
- Sioux Lookout Sexual Assault and Counselling Centre (Nahnahda-Wee-ee-Waywin) — 59 King Street, Sioux Lookout. Office 807-737-4848. 24/7 crisis 1-833-864-4848.
- Ellevive (Timmins) — 330 Second Avenue, Suite 206, Timmins, ON P4N 8A4. Office 705-360-5657. 24/7 women's shelter 705-264-1321 · 1-877-748-8452. Francophone shelter, transitional housing, and sexual assault centre for the Cochrane District, including Kapuskasing and Hearst.
- Ojibway Women's Lodge (North Bay) — 131 Commanda Crescent, North Bay, ON P1B 8G5. Office 705-472-0233. 24/7 crisis 705-472-3321 · 1-800-387-2465. Shelter and transitional housing for Indigenous and non-Indigenous women 16+ and their children.
Local services across Northern Ontario
Verified entries from settlement.org and 211 Ontario directories. Confirm hours and intake before visiting.
Thunder Bay
- Canadian Mental Health Association — Thunder Bay Branch — 200 Van Norman Street, Thunder Bay. Office 807-345-5564. Crisis line 807-346-8282 · toll-free 1-866-888-8988 (24/7/365). Crisis response, community programs, safe beds.
- NorWest Community Health Centres — Thunder Bay — 525 Simpson Street, Thunder Bay. 807-622-8235 · toll-free 1-866-357-5454. Free, confidential primary care and mental health for people facing barriers to traditional care.
Greater Sudbury
- CMHA Sudbury/Manitoulin — 111 Elm Street, Suite 100, Sudbury. 705-675-7252 · toll-free 1-866-285-2642. Walk-in or phone intake; mental health, substance use, case management, advocacy. Extended hours Wednesdays to 6 PM.
- Compass (formerly Child and Family Centre) — 62 Frood Road, Sudbury (mindSPACE walk-in). 1-800-815-7126. Lead agency for child and youth mental health across Sudbury/Manitoulin districts.
- Health Sciences North — Mental Health & Addictions — 41 Ramsey Lake Road, Sudbury. 705-523-7100. Acute inpatient psychiatry, community mental health, addictions, crisis intervention. Regional hub for Sudbury, Manitoulin, East Algoma.
Sault Ste. Marie
- Sault Area Hospital — Crisis Services — 750 Great Northern Rd, Sault Ste. Marie. Crisis line 705-759-3398 · 24/7 line 1-800-721-0077. Mental health crisis response, mobile crisis team.
- CMHA Algoma — 386 Queen St E, Sault Ste. Marie. 705-759-0458. Central Access 705-759-5989 · toll-free 1-866-531-2600. Mental health support, case management, addictions.
- Algoma Family Services — 705-945-5050 · 24/7 crisis line 1-800-721-0077. Child and youth mental health (ages 0–18), addictions, family services across Algoma.
North Bay
- CMHA North Bay and District — 194 Main Street West, North Bay. 705-476-4088 · toll-free 1-844-476-4088. After-hours crisis through North Bay Regional Health Centre 1-800-352-1141 (24/7). 25+ specialized programs including peer support and addiction treatment.
- North Bay Regional Health Centre — Mental Health Services — 50 College Drive, North Bay. 705-474-8600. 24-hour crisis line 1-800-352-1141. Designated specialty mental health centre for Northeast Ontario.
- Hands TheFamilyHelpNetwork.ca — 391 Oak Street East, North Bay. 705-476-2293 · toll-free 1-800-668-8555 · 24/7 crisis 1-844-287-9072. Child and youth mental health, autism services, family support.
Timmins
- Timmins & District Hospital — 24/7 Mental Health Crisis Line — 700 Ross Ave E, Timmins. 705-264-3003 · toll-free 1-888-340-3003. 24/7 crisis line and hospital mental health programs.
- CMHA Cochrane-Timiskaming (Second Avenue Site) — 330 Second Avenue, Suite 201, Timmins. 705-267-8100. Mental health case management, community support, housing support. Mon–Fri 8:30–4:30 (closed noon–1).
- Timmins Family Health Team — Suite 300, 123 Third Ave, Timmins. 705-267-1993. Primary care including mental health support through allied health team.
Sources & references: Local services cross-referenced with settlement.org (OCASI's Ontario newcomer directory) and 211 Ontario. Confirm current hours and intake before visiting.
Don't want to call alone?
A settlement worker can call with you.
They can listen, translate, and stay on the line while you connect to a counsellor or crisis service. Free, confidential, no immigration status check.
DON'T LIVE NEAR A SETTLEMENT OFFICE?
Call the regional org for your area.
Settlement workers will register you by phone or video and help you find local supports. There's no requirement to live in the same town as the office — these services are funded for all of Northern Ontario.
- NW Ontario — Thunder Bay, Kenora, Dryden, Sioux Lookout, Marathon Thunder Bay Multicultural Association
- Greater Sudbury, Manitoulin, Espanola SMFAA — Sudbury Multicultural & Folk Arts Association
- Algoma — Sault Ste. Marie Sault Community Career Centre
- Nipissing — North Bay, Parry Sound, Timiskaming NOMC — Northeastern Ontario Multicultural Centre
- Cochrane District — Timmins Timmins & District Multicultural Centre
- Hearst, Kapuskasing — French-language services SÉO — Settlement services (Northeast)
Last reviewed: October 2026. Wellness Together Canada was decommissioned April 2024 and is not active in 2026; use 988 / ConnexOntario / Health811 instead.