A man sits on the floor in a dimly lit room with his head resting in his hand, appearing deep in thought or emotional distress.

Mental Health Crisis: What Do I Do?

Experiencing or witnessing a mental health crisis can be overwhelming, confusing, and often frightening. Whether it’s a loved one showing signs of severe distress, or you find yourself in a moment of intense emotional upheaval, knowing how to respond can make all the difference. Dealing with a mental health crisis—whether it's someone you care about or even yourself—can feel really overwhelming and scary. It’s hard to know what to do in those moments. But you’re not alone, and even just a little guidance can make a big difference. I want to share some heartfelt, practical tips—like a comforting voice in tough times—to help you respond with confidence, compassion, and hope. You’ve got what it takes to navigate these moments with kindness and care.

What is a Mental Health Crisis

A mental health crisis occurs when someone’s emotional or psychological state becomes so intense that they are unable to cope, and their safety or well-being is at risk. This could involve feelings of extreme despair, suicidal thoughts, hallucinations, aggressive behavior, or an inability to function normally.

It’s important to remember that a crisis is a sign that someone is struggling deeply and needs support, understanding, and sometimes immediate intervention. It’s not a reflection of their character or worth—it’s a human experience that requires compassion and appropriate action.

Recognizing the Warning Signs

While every person’s experience is unique, some common warning signs of a mental health crisis include:

  • Expressing feelings of hopelessness or worthlessness
  • Talking about wanting to die or self-harm
  • Sudden or drastic changes in behavior or mood
  • Withdrawal from loved ones or activities
  • Extreme agitation, aggression, or violence
  • Confusion, disorientation, or hallucinations
  • Giving away possessions or saying goodbye unexpectedly

Trust your instincts—if something feels off or you’re worried about someone’s safety, it’s better to act than to hesitate.

A woman sits wrapped in a dark blanket by a window, gazing outside with a contemplative and somber expression.

How to Respond Compassionately and Effectively

1. Stay Calm and Present

Your calm demeanor can help create a safe space for the person in distress. Speak softly, listen attentively, and be patient.

2. Express Care and Concern

Let them know you’re there for them. Use empathetic language like, “I’m here for you,” or “It’s okay to feel overwhelmed. You’re not alone.”

3. Ask Open-Ended Questions

Gently encourage them to share what they’re experiencing. For example, “Can you tell me what’s been going on?” or “How are you feeling right now?”

4. Avoid Judgment or Minimizing

Refrain from dismissing their feelings or offering quick solutions. Instead, validate their experience: “That sounds really hard, and I’m glad you’re sharing this with me.”

5. Ensure Safety

If you believe there’s an imminent risk of harm to themselves or others, take immediate action:

  • Call emergency services (911 or local crisis helpline)
  • If safe, remove any objects that could be used for self-harm
  • Stay with them until professional help arrives

6. Connect Them to Support

Encourage them to reach out to mental health professionals, hotlines, or trusted individuals. Offer to accompany them if appropriate

When and How to Seek Help

If someone is in crisis, don’t delay seeking help. Contact local emergency services or mental health crisis lines. In many places, there are specialized helplines available 24/7—such as the National Suicide Prevention Lifeline or local crisis centers—that can offer immediate guidance.

Remember, responding with kindness, patience, and understanding can profoundly impact someone’s recovery journey. Your support can be a lifeline—literally and figuratively.

Final Thoughts

A mental health crisis is a sign that someone is struggling deeply, but it’s also an opportunity for compassion, connection, and hope. By recognizing warning signs and responding thoughtfully, you can help create a safe space for healing and recovery. 

You don’t need to be a mental health professional to make a difference—you just need to be present, compassionate, and willing to listen. When in doubt, seek help from trained professionals—they are equipped to provide the care and intervention needed in these situations.

Additional Support

  • Hotlines and Crisis Services:
    • National Suicide Prevention Lifeline: 1-800-273-TALK (8255) — available 24/7 for immediate support 
    • Crisis Text Line: Text HOME to 741741 — free, confidential support via text message 
    • Local mental health crisis centers and helplines — check your community’s resources (go HERE to see what support is available in the city of Chicago)
  • Mental Health Professionals:
    • Therapists, counselors, and psychiatrists can provide ongoing support and treatment tailored to individual needs. Don’t hesitate to seek help for diagnosis, therapy, or medication management.
  • Support Networks:
    • Trusted friends and family members can offer emotional support, companionship, and encouragement to seek professional help.  
    • Support groups—both in-person and online—provide a sense of community and understanding for those facing similar challenges.
  • Resources

Remember! Reaching out is a sign of strength, not weakness. If you’re unsure where to start, consider speaking with a mental health professional who can guide you to the appropriate resources. You don’t have to face these challenges alone—help is available, and recovery is possible.