As of May, anyone in a crisis can text ‘Shout’ to 85258 and get immediate support, at any time of the day or night. How might this free direct messaging service be of use to our therapy clients, and what benefits can non face-to-face support bring to the field of mental health? Shout’s Chief Clinical Office Dr Fiona Pienaar gives us the lowdown on the UK’s first crisis text line service.