• Welcome!
  • Qualifications
  • Common Questions
  • Notice of Privacy Practices
  • Map & Directions
  • Urgent & Emergency Services
  • Contact
  • Why Be Sober
The Counseling Practice of Rev. Don Coombs, Ed.D.*
If between sessions you need to reach me, please call the office for routine issues (level 1), or my urgent care number ( for level 2 or 3 issues). 
If I do not respond to an urgent call within one hour, please contact me again.  For a level 2 or 3 issue, you are advised to go to the nearest emergency room or call 911.   A list of support system phone numbers are on the back of each appointment card, and the last number is my urgent care number. 

Level 1 Care:  When should I call the office?
When....
  • Problems seem to be increasing,
  • You have a noticeable increase or decrease in sleep,
  • Your individual warning signs of relapse or regression are observed,
  • You need to cancel or reschedule a session, or
  • You feel unsafe in your stability.
Recommendations:
  • Call the office,
  • Call your sponsor or mentor, and/or
  • Call those persons who are on your support system.

Level 2 Care: When should  I seek special services?
When...
  • Relapsing into an abused substance.  You never know how your body will react to a relapse.
  • Feeling very depressed, hopeless.
  • Experiencing thoughts of self-harm (e.g., suicide, cutting, self-punishing, etc.)
  • Experiencing thoughts of harming others (e.g., fighting, punishing, depriving another, killing someone)

Recommends:
  • For those relapsing into substance abuse, call the nearest detoxification center to see if an admission is advisable.   If you are experiencing a medical emergency from your use or withdrawal, you need to go to the emergency room or call 911.
  • For those experiencing thoughts of harm to self or others, go to your nearest emergency room or call 911.
  • For those who depression is worsening, you may wish to page me, go to the nearest emergency room, call a helpline, or call 911.   Phone numbers for those support systems are provided on the back of your appointment card.

Level 3 Care: When should I seek emergency services?
When....
  • Relapsing into substance abuse and are experiencing an overdose, unusual reaction, or are concerned the substances may be adulterated (i.e., tampered, changed, etc.).
  • You are hearing voices that others don't hear.
  • When those voices are telling you negative things about others (e.g., harming or hurting). 
  • You are seeing things others don't see (e.g., spirits, demons, bugs, dead people, etc.).
  • You are experiencing thoughts of harm to self or others and have immediate access to items that could be used to cause harm.
Recommendation:
  • Call 911, request an ambulance, and tell them about your problems.
  • Get to the nearest Emergency Room, and tell them about your problems.
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