5 Ways to Support a Friend Who’s Struggling with Mental Health

Practical Steps for Compassionate Help and Suicide Prevention
One in five U.S. adults experiences mental illness each year. But behind every statistic is a person—someone you might know and care about. Knowing how to support a friend through a tough time can make all the difference. Here are five simple, powerful ways to show up with empathy and action.
1. Recognize the Warning Signs
Changes in mood, behavior, or energy can signal that someone is struggling. Look out for:
- Persistent sadness or irritability
- Withdrawing from social activities
- Sleep issues or fatigue
- Loss of interest in things they once enjoyed
- Talking about feeling hopeless or like a burden
If they express suicidal thoughts or show signs of crisis, seek help immediately—call or text 988 in the U.S.
2. Start a Supportive Conversation
A caring check-in can open the door to healing. Try:
- “I’ve noticed you’ve seemed down lately—want to talk about it?”
- “I care about you and I’m here to listen.”
Be patient, nonjudgmental, and avoid minimizing their feelings. Use open-ended questions and practice active listening.
3. Offer Practical Help
Small actions can make a big difference. You might:
- Bring over a meal or help run errands
- Invite them for a walk or gentle activity
- Offer to help find or schedule a therapist
- Check in regularly with a simple “thinking of you” text
Ask permission before stepping in, and respect their space if they’re not ready.
4. Encourage Professional Support
If their symptoms persist or worsen, encourage them to talk to a mental health professional. Options include:
- Therapists for talk-based support
- Psychiatrists for diagnosis and medication
- Social workers for additional resources and counseling
You can help by offering to research options, sit with them during a call, or go with them to an appointment.
5. Know How to Respond in a Crisis
If your friend is in immediate danger:
- Stay with them and keep the environment safe
- Listen calmly and avoid judgment
- Call or text 988, or dial 911 if necessary
- Use grounding techniques to keep them present until help arrives
Your calm presence can be life-saving.
You Don’t Have to Have All the Answers
Being a supportive friend means showing up with compassion, not perfection. Just being there—really there—can provide comfort, hope, and strength when it’s needed most.