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How to have a conversation with young people about mental health

Understanding feelings and behaviours, Practical tools for support
Community support, Youth workers, Schools, NHS staff and commissioners

This resource covers:

The aim of this guide is to help consider how you might initiate a conversation with a young person about mental health and wellbeing, including when a young person is struggling with their mental health.

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We all need good mental health and wellbeing to be able to make the most of life’s opportunities and challenges, and we can nurture good mental health in young people whether they have a diagnosed mental health condition or not. To do this, we need to be able to have supportive and positive conversations with young people about their mental health.

The following tips and advice can help support you to start those conversations.

Checking in with a young person about mental health

As an adult working with young people, you cannot make yourself the adult the young person will turn to for support - first and foremost, young people choose for themselves who they want to turn to. However, you can provide an environment and a presence that helps build trust and supports the young person to open up about their mental health.

You may find when you ask how a young person is feeling, they do not feel comfortable or want to open up to you at that moment – but don’t take that personally!

Young people have told us that even though they may not take you up on a first offer to talk, you should make the offer again. It might take more than one – or even two or three – invitations before they open up, but just reminding them you are there if they need you is a great start to building trust.

We worked with adults supporting young people's mental health to consider when might be a good time to check in with a young person's mental health. Find out more in our guide.

When to check in with a young person

Starting a conversation with a young person about mental health

If you don’t know where to start, start as you would any other conversation. You know your young person and your context. It won't always be a “big” conversation.

You can start by simply asking a heartfelt ‘how are you?’, or saying ‘I’ve noticed you’re a bit down/upset/angry today, do you want to talk?’. It doesn't even need to be when you're worried about them - regularly checking in means that when something is up, they know there's a space to talk.

Do be prepared to find a quieter space if someone does choose to open up more deeply.

For more advice on building trusting and supportive relationships with young people, take a look at our resource on what makes an adult someone young people can turn to about their mental health.

Characteristics of someone to turn to about mental health

Setting boundaries

A young Black woman in a wheelchair talking to an older Black woman on a bench in the park.

One key thing young people told us they valued in adults is when adults clearly set the boundaries of the relationship. This way, young people can adjust their expectations, which helps them feel secure in understanding when and what they can share with a trusted adult, and what will happen with that information.

Make sure to set clear boundaries with the young person and stick to them to avoid young people feeling let down.

For more on how to build relationships with young people, including tips on setting boundaries, take a look at our guide.

Building supportive relationships with young people

Noticing signs of distress

A young Black woman talking about something serious with an older Black woman in the park.

You may feel unsure if a change in behaviour is part of development, or a sign that something more is going on. If this change in behaviour is over a sustained period of time, or is something that’s stopping a young person from being able to engage in an activity, then it is worth checking in to see how they are.

The following signs of distress are worth being curious about:

  • changes in eating and sleeping habits
  • withdrawing from the group
  • displaying aggression towards others
  • self-harming behaviour
  • significant changes in mood, behaviour or personality
  • decline in attendance

If you notice a young person’s not themselves, don’t assume they’re talking to someone about how they feel. Showing you care and offering a listening ear empowers the young person to choose to speak to you, if they want.

How to respond when a young person opens up to you

When a young person starts talking about how they’re feeling, remember it might be the first time they have spoken to someone about their mental health and they may struggle to put their thoughts into words.

Below are some tips on how to provide a supportive and reassuring response.

Two people sat talking across a table. Text reads: "Listen".

Two people sat talking across a table. Text reads: "Listen".

Listen carefully when someone opens up to you about how they are feeling. Try to let them share without interrupting. Repeating back what they’ve told you can help both of you be clear about what they’ve said and how they are feeling.

If they are finding it overwhelming, you can suggest they write it down. That way, they can take their time to think about what they are trying to say, without worrying about how it might come across in conversation, or worrying about getting emotional in front of you.

Two hands shaking hands to make the shape of a heart. Text reads: "Reassure".

Two hands shaking hands to make the shape of a heart. Text reads: "Reassure".

Often, when someone has opened up about how they are feeling, they might immediately feel worried that you won’t take their feelings seriously, or that they have said the wrong thing. Reassure them that they have done the right thing.

Two speech bubbles together, one with a tick inside it. Text reads: "Validate".

Two speech bubbles together, one with a tick inside it. Text reads: "Validate".

No matter what a young person is struggling with, their experiences are valid and it can be helpful to remind your young person of this. You could say ‘it’s really understandable that you’re feeling…’ to let them know that their feelings are okay.

A circle with a tick in it. Text reads: "Act".

A circle with a tick in it. Text reads: "Act".

When a young person opens up about how they are feeling, having that time and space to share their concerns with you may be enough. However, if they do need further help, there are a number of services that you can signpost them to. 
Accessing help can be daunting, so it is important to ask your young person what help they need as they go through the process. It is important to consider how severe their distress is – are they doing okay? Are they struggling? Or are they unwell or in crisis? The NSPCC have more about this continuum, under ‘Understanding’ here.
If you are worried that a young person is at immediate risk of harm, or is not safe, call 999 or take them to A&E. The NHS is very clear that a mental health emergency should be taken as seriously as a physical one – and that you will not be wasting anyone’s time.

You can also contact your local NHS urgent mental health helpline (England only) or 111 for 24-hour advice and support.
A lightbulb with a symbol of three people inside. Text reads: "Remember it's not all on you".

A lightbulb with a symbol of three people inside. Text reads: "Remember it's not all on you".

It’s a great privilege for a young person to reach out to us for help, but it can feel daunting and worrying. Young people aren’t asking trusted adults to have all the answers, fix all their problems or be a mental health expert. From our research, one of the most valuable things you can do is simply to offer to be by their side for the journey.

Taking action

If you have a serious concern about a young person’s safety, you can make a safeguarding referral directly to the young person’s local social care team. The best way to find out the correct contact details is to call the Local Authority’s switchboard or search online for the name of the Local Authority and ‘safeguarding’. If you are concerned about the immediate safety of a young person, you should call the emergency services on 999.

Conversations that support mental health

Below are some tips for how to ensure the conversations you are having are supporting a young person's mental health and improving their wellbeing.

  • Be there with a listening ear

    Just listening might be enough for a young person. They might need nothing more than a regular or occasional check-in.

  • Stay curious

    Keep an eye out for changes in their behaviour and more subtle pleas for help.

  • Know where to get help

    Know where to go for further help for a young person. Bookmark our ‘I need help’ page for an up-to-date list of national services.

  • Create time to talk

    Life gets busy and young people tell us they don’t want to burden adults with how they’re feeling. Take time to slow down and be available for young people to turn to.

  • Share some tips

    Share with your young people the top tips you use for your own mental wellbeing, particularly around times of stress, such as Christmas, returning to school in September, and during summer exams.

  • Make the most of local activities

    Give young people access to local activities that will help their mental health. Taking a local walk, trying a new skill, or helping someone in the community can all improve wellbeing.

We asked young people for their tips on having positive conversations about mental health.

Here's what they said:

  • Pick an appropriate time to bring up concerns. Don’t do it when in a rush.
  • Allow us space to talk to you, listen to what we are saying. Don’t jump to conclusions or make assumptions.
  • Signposting can be isolating. We might need support to call the services a professional has referred us to.
  • Sometimes I just need someone to listen. I don't necessarily need answers or solutions, I just want someone to take the time to listen to me.
  • Keep checking in on us! Remind us we aren't forgotten, even if we don't want to engage.
  • Confidentiality (in line with safeguarding) and the option for anonymity are fundamental to good support.
  • Don’t try to ‘fix’ the young person or their problems unless this is what they want. Trusted adults should ask them what actions to take – don’t assume.
  • Keep viewing us as a whole person and have conversations about normal things as well.

Information and advice for parents and young people

We have lots of information and advice guides that you can signpost parents and young people to for support with their mental health.


Whether you love the page or think something is missing, we appreciate your feedback. It all helps us to support more young people with their mental health.

Please be aware that this form isn’t a mental health support service. If you or a young person you work with is in crisis right now and wants to talk to someone urgently, find out who to contact on our urgent help page.

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This form is not a mental health support service. We cannot reply to this. If you or a young person you know is at immediate risk of harm, call 999 and ask for an ambulance or go to your nearest A&E. If you are worried about the mental health of a young person you work with, you can signpost them to our website or suggest they contact one of these helplines: Childline (for under 19s) on 0800 11 11; or Samaritans on 116 123.

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