Mental Health Basics
How to Know When to Reach Out
Understanding the signs that it's time to talk to someone about what you're experiencing
Content note
This resource discusses mental health challenges. If you're feeling overwhelmed, it's okay to pause or reach out for support.
One of the hardest questions to answer is: "Do I actually need help, or should I just keep trying to handle this on my own?"
Here's the truth: if you're asking yourself this question, the answer is usually yes, reaching out would help.
When to Reach Out
You don't have to wait until you're in crisis. Consider seeking support if:
Daily Life Is Affected
- Work or school - Missing days, struggling to focus, or performance dropping
- Relationships - Withdrawing from people, frequent conflicts, or feeling disconnected
- Self-care - Struggling with basic tasks like showering, eating, or leaving the house
- Sleep - Sleeping too much, too little, or waking up unrested
Emotions Feel Unmanageable
- Feeling overwhelmed, anxious, or depressed most days
- Mood swings that feel out of your control
- Anger or irritability that's affecting your relationships
- Persistent numbness or emptiness
- Feelings of hopelessness or worthlessness
You're Using Unhealthy Coping Methods
- Drinking or using substances more than intended
- Self-harm or thinking about it
- Isolating yourself for extended periods
- Excessive phone use, gaming, or other avoidance behaviors
You're Having Scary Thoughts
- Thoughts of hurting yourself or ending your life
- Thoughts of hurting others
- Intrusive thoughts that won't go away
- Feeling disconnected from reality
If you're having thoughts of suicide, reach out now:
- Call or text 988 for the Suicide & Crisis Lifeline
- Call your doctor or therapist
- Go to your nearest emergency room
- Tell someone you trust
"But Other People Have It Worse"
This thought keeps many people from seeking help. Here's why it doesn't hold up:
- Pain isn't a competition
- Your struggles are valid regardless of what others are going through
- Getting help early often prevents things from getting worse
- You wouldn't tell someone with a broken leg to wait because others have broken spines
"I Should Be Able to Handle This"
Mental health struggles aren't a sign of weakness any more than diabetes or a broken bone. Would you try to "handle" a physical injury without medical care?
Seeking help is a sign of strength and wisdom, not weakness.
Types of Support Available
Talk to Your Doctor
- Start with your primary care doctor
- They can screen for mental health conditions
- They might prescribe medication or refer you to a specialist
Find a Therapist
- Therapists provide a safe space to talk and develop coping skills
- Different types: psychologists, licensed counselors, social workers
- Many therapists offer sliding scale fees or accept insurance
Call a Crisis Line
- Available 24/7, confidential, and free
- 988 - Suicide & Crisis Lifeline (call or text)
- Crisis Text Line - Text HOME to 741741
Support Groups
- Connect with others who understand what you're going through
- In-person or online options
- Often free or low-cost
Lean on Trusted People
- Friends or family members who listen without judgment
- Faith community leaders
- School counselors or employee assistance programs
What to Say
Starting the conversation can feel scary. Here are some ways to begin:
- "I've been struggling lately and think I need some support"
- "I'm not feeling like myself and want to talk to someone about it"
- "I've been dealing with [anxiety/depression/overwhelm] and need help"
You don't have to have it all figured out. You just have to start.
What to Expect
When you reach out to a professional:
- Initial conversation - They'll ask questions about what you're experiencing
- Assessment - Understanding your symptoms, history, and needs
- Treatment plan - Developing a plan together that might include therapy, medication, or both
- Follow-up - Regular check-ins to adjust the plan as needed
It might take a few tries to find the right fit. That's normal and okay.
You Deserve Support
You don't have to earn the right to get help. You don't have to be "sick enough" to deserve care. You're worthy of support simply because you're human and you're struggling.
Reaching out is brave. It's the first step toward feeling better.
This resource is educational. In a mental health emergency, call 988 or go to your nearest emergency room.
If you're struggling right now
If any part of this story feels close to home and you're having thoughts of hurting yourself, you do not have to carry that alone. Talking to someone can help create a bit of space to breathe and figure out next steps.
- United States: You can dial 988 to reach the Suicide & Crisis Lifeline.
- You can also reach out to your doctor, a trusted friend, a therapist, or a local crisis line in your country.
This foundation cannot provide emergency response. If you or someone you know is in immediate danger, please contact your local emergency number.
Related tools
These resources might help too. Pick what feels right for where you are.
What Is Mental Health, Really?
Mental health is a spectrum we all exist on, not a binary of sick or well
What Depression Actually Feels Like
Understanding when it's more than just sadness and what depression really means
What Is Anxiety?
Understanding the difference between helpful anxiety and when your nervous system is stuck in overdrive
This is one piece of the puzzle.
At some point, you can swap this box for a real illustration or photo that matches this resource. For now, it's a quiet reminder that you don't have to figure everything out from one page or one night.
Where to go from here
You don't have to turn this into a big project. Pick one small next step that feels doable, and let that be enough for today.
