A Black teenage boy wearing a hearing aid speaking to a white non-binary teenager. They are walking on the street outside a shop. Both people are smiling.

Supporting a friend with their mental health

It can be really tough when someone you care about is struggling.

You might feel worried, unsure what to say, or scared of doing the wrong thing. But just being there for a friend can mean more than you think.

We’re here to help you spot when a friend might be going through a hard time, and to give you ideas for how to support them in a way that’s safe, kind and manageable for both of you. Because while it’s important to support others, it’s not all on you to fix things. You need to look after yourself too.

A young Black teenage boy wearing a hearing aid. He is laughing with a young Black man in the park.
We never really spoke of my troubles explicitly; he just knew that I was struggling and was always on hand to suggest fun activities and encourage me to do them with him.

How to know if a friend is struggling

Sometimes it’s clear when someone is going through a tough time. But other times, it’s harder to tell. There’s no simple way to know if someone is struggling with their mental health, because everyone reacts differently. Some people show lots of signs, while others might not show any at all.

And how someone deals with what they’re feeling can be shaped by lots of things – like their culture or religion, how they were raised, their beliefs, or how they’ve learned to cope in difficult times. But there are still signs you can look out for if you’re worried something’s not right.

Some changes you might notice include:

  • seeming restless, agitated, tearful or angry
  • acting withdrawn or distant, like not replying to messages or avoiding people
  • losing interest in things they normally enjoy
  • feeling tired all the time or low on energy
  • talking about feeling hopeless, worthless or trapped
  • sleeping or eating much more or less than usual
  • using alcohol or drugs to cope
  • taking more risks than usual, like gambling or being aggressive
  • struggling to keep up with daily life, like school, work or responsibilities

Sometimes it’s a life event that can cause a friend to struggle. Here are some things to look out for:

  • losing someone close, through death or a relationship ending
  • problems at home, like arguments or family breakdown
  • stress about housing, money, school, uni or work
  • bullying, abuse or neglect
  • feeling lonely or isolated
  • struggling with a long-term illness or pain
  • finding the news or current events overwhelming
Two young people sitting in the grass together.
Some might not show any signs that they’re experiencing poor mental health - it’s not always obvious from the outside.

What to do if you’re worried about someone

It can be really hard to see someone you care about struggling. But you don’t need to be an expert to support them. Often, small everyday things, like listening, checking in, or just being around, can make a big difference.

If you’re worried about someone, here are some things that can help:

  • Tell them you’re worried

    This can be a gentle way to start a conversation. It shows you care, that you're there for them, and that they don’t have to hide how they're feeling around you.

  • Don’t force it

    Try not to pressure them into opening up or getting help before they’re ready. If they don’t want to talk, that’s okay. You can let them know you’re around if they change their mind. Gently asking about how they’re feeling can help them figure out what they want to do.

  • Offer practical help

    Sometimes little things make a big difference. You could offer to go with them to an appointment, help with small tasks like shopping, or just spend time together. Ask what they need and go from there.

  • Carry on as normal

    Keep doing the things you usually do together, whether that’s messaging, hanging out, or just checking in from time-to-time. Acting differently might make them feel more isolated, so try to keep things relaxed and natural.

Two young people standing together and looking up at something.
I found it extremely helpful to discuss boundaries and how best to help each other without compromising our own mental health.

How to talk to a friend who’s struggling

Talking to a friend about their mental health can feel daunting, especially if you’re unsure what to say or how they’ll respond. But even small conversations can make a big difference. You don’t need to have all the answers or say the perfect thing. What matters most is that you’re there and showing that you care.

If you’re not sure where to start, these tips can help:

Pick a time and place where you won’t be interrupted. This could be a quiet room at school or uni, or anywhere you both feel comfortable to chat. Some people find talking while on a walk can take the pressure off the conversation. Try to avoid busy or stressful times. And if you can, give yourself enough time so neither of you feel rushed.

Let them talk at their own pace. They might not be ready to open up, and that’s okay. Don’t push for details. Just giving them space to talk shows that you care and that they can trust you. They might open up more over time.

You don’t have to fix everything – just be there to listen. Try to really hear what they’re saying without interrupting. You could reflect back what you’ve heard to show you understand, using phrases like “It sounds like…” or “It seems that…”.

Everyone is different, so ask what would be helpful for them. This could be something small, like checking in later or going to an appointment with them. Let them take the lead in what they feel comfortable with.

Let them know they’re not a burden and you’re glad they spoke to you. Keep inviting them to do the things you’d normally do together, even if they don’t always say yes. Feeling included and supported can make a big difference.

You don’t need to be a mental health expert to be there for them. Focus on how they’re feeling, rather than trying to label or fix things. Judging or making assumptions might make them feel misunderstood or overwhelmed.

Try questions like “How have you been feeling lately?” or “What’s been going on for you?” These types of questions help keep the conversation going. Avoid asking “why” questions, which can feel a bit too direct or like they need to justify themselves.

If it feels right, you can gently suggest things that might help them feel more grounded, like resting, going outside, journaling or doing something creative. Don’t make it sound like a fix, just something they could try.

Let them know about other places they can get support, like their GP, a counsellor, or a helpline. Offer to help them look up services or go with them if that's what they need.

Should I tell someone what my friend said?

If your friend is in danger, their safety comes first. That means it’s okay to tell a trusted adult, even if your friend has asked you not to. This could be a parent, teacher, doctor or someone else you trust.

You should tell someone if:

  • they’ve said they want to hurt themselves or end their life
  • they’re in immediate danger to themselves or others
  • they’ve told you about abuse or neglect

If you can, let your friend know you’re going to tell someone. You could say something like, “I know you don’t want anyone to know, but I’m really worried about you and I don’t want you to go through this alone.”

If it’s not an emergency, it’s best to respect their privacy. But you could still encourage them to speak to someone themselves or offer to go with them to get help.

Two young people wearing coats and walking together down a street.
Try not to interrupt or rush the person talking. It’s best to have the conversation with them when you do not have somewhere to go or something to do soon after. This can add to the pressure and make them feel unheard or abandoned.

What if they won’t accept my help?

If you’re really worried about someone, it can feel frustrating or upsetting when they don’t want your support. But people don’t always feel ready to talk or get help, and that’s okay. You can’t force them to open up, but just being there can help. There are still ways you can support them in this tricky time.

  • Let them know where to find help

    Even if they don’t want help right now, they might change their mind later. Sharing details of any services, websites or helplines you know could make it easier for them to reach out when they’re ready. There are lots of organisations and helplines out there that can support them.

  • Encourage them to talk to someone else

    If they don’t want to talk to you, you can suggest they speak to someone else they trust, like another friend, a family member, a teacher or a faith leader.

  • Say you’ll be there if they change their mind

    Even if they’re not ready now, knowing you’re there might help them feel less alone. Show your support by letting them know you’re always there if they want to talk.

  • Check in on them again later

    If it feels safe and manageable for you, try to keep in touch and regularly check in on them. A simple text or “how are you doing?” can go a long way.

A group of young people walking on the street and talking.
Remind your friends that there is no shame in speaking openly about what they are going through, whether it be with their loved ones or a mental health professional.

Looking after yourself

Supporting someone else with their mental health can be really tough. Your feelings are valid and it’s important to look after your own wellbeing too. Besides, you can’t help others if you’re running on empty.

Here are some tips for looking after yourself while you look after someone else:

  • Set boundaries

    It’s okay to say no. You don’t have to be available all the time. Try to notice when things are getting too much and take a step back. You can still care about someone and take time for yourself. Let them know if you need a break, or if there are things you can’t talk about. You’re not responsible for solving everything and that’s okay.

  • Share the carer role

    It’s not all on you. So try not to do everything on your own. Encourage your friend to talk to other people they trust, like family, other friends, or a mental health professional. You could suggest they talk to their GP or share helplines with them that they could call. The more support they have around them, the less pressure there is on you.

  • Talk to someone

    You deserve support too. Talk to someone you trust about how you're feeling. You don’t have to share everything about your friend, just focus on your own thoughts and emotions. If you’re finding it hard to talk to someone you know, you can also call a helpline for support.

  • Make time for yourself

    Try to keep doing things that help you feel good, like hobbies, seeing friends or getting outside. You’re allowed to enjoy things, even if someone you care about is struggling. And looking after your own health means you’ll be in a better place to support someone else.

Two young Muslim women in headscarves talking.
I realised that setting boundaries in friendships doesn’t mean not being there, or being a bad friend, it simply means putting your mental health first.

How to respond in a crisis

Sometimes, a friend may go through a mental health crisis. This could mean they’re feeling suicidal, self-harming, or seeing or hearing things that others don’t.

If you’re there when this happens, this can be really scary. You might feel unsure about what to say or do in the moment. That’s okay – remember that just being there can help.

What you do next depends on how urgent the situation is. Here are some steps you can take:

If they have hurt themselves and need medical help, have said they’re going to end their life, or are putting themselves or others at risk, they need urgent help.

Call 999 or help them get to A&E. If you can, stay with them until they see a doctor.

A mental health crisis is just as serious as a physical injury and your friend deserves support.

  • Call NHS 111 and choose option two for urgent mental health support.
  • Help them make an emergency GP appointment.
  • Encourage them to call Samaritans on 116 123. If they want, you can help them make the call or sit with them while they do it. You can also call Samaritans yourself.
  • If they’ve talked about a way they might hurt themselves, it can help to remove anything they could use.

Call 999 and ask for the police. It’s okay to put your safety first. That’s not getting someone in trouble, it’s protecting everyone involved.

  • Ask what they need: Try saying: “What do you need right now?” or “Is there anything I can do to help?” Let them tell you what feels helpful.
  • Listen and stay present: Give them your full attention. Try not to interrupt, give advice or say they’re wrong. Just listen and show you care.
  • Try to stay calm: Speak gently, keep your body language relaxed and stay with them if you can.
  • Help them contact someone: Ask if there’s a trusted person they’d like you to call, like a parent, teacher, doctor or friend. Sometimes just knowing someone else is aware can help. And it can take the pressure off you too.

Support for specific mental health problems

  • For information on how you can support someone with a specific mental health problem, take a look at our guides.

Saying something supportive like, "I hope you get well soon, I'll see you when you're feeling better," can really help your friend out.
Remember your friend does not need you to fully understand their situation, they just need you to support them and be there for them.

Get help now

If you need help supporting a friend, or you're struggling to cope yourself, it's not all on you. Here are some organisations who can help you. 

  • Childline

    If you’re under 19 you can confidentially call, chat online or email about any problem big or small.

    Sign up for a free Childline locker (real name or email address not needed) to use their free 1-2-1 counsellor chat and email support service.

    Can provide a BSL interpreter if you are deaf or hearing-impaired.

    Hosts online message boards where you can share your experiences, have fun and get support from other young people in similar situations.

    Opening times:
    24/7
  • Papyrus

    Offers confidential advice and support for young people struggling with suicidal thoughts, as well as family and friends; and information about how to make a safety plan.

    Its helpline service - HOPELINE247 - is available to anybody under the age of 35 experiencing suicidal thoughts, or anybody concerned that a young person could be thinking of suicide.

    Opening times:
    24/7 every day of the year
  • Samaritans

    Whatever you're going through, you can contact the Samaritans for support. N.B. This is a listening service and does not offer advice or intervention.

    Opening times:
    24/7
  • Hub of Hope

    A national database of mental health charities and organisations across Britain that offer mental health advice, including for family members.

  • CALM (Campaign Against Living Miserably)

    Provides support to anyone aged 16+ who is feeling down and needs to talk or find information.

    Free webchat service available.

    Read information about the helpline and how it works.

    Opening times:
    5pm - midnight, 365 days a year
  • Youth Access

    Provides information about local counselling and advice services for young people aged 11-25.

    Put in your location and what you need help with into their 'Find help' search, and see what services are available in your area.

Patient Information Forum Trusted Information Creator (PIF TICK) logo

This page was last reviewed in July 2025.

It was co-created by young people with lived experience of supporting a friend.

We will next review the page in 2028.

YoungMinds is a proud member of PIF TICK – the UK's quality mark for trusted health information.

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 are in crisis right now and want to talk to someone urgently, find out who to contact on our urgent help page.

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Please note:

This form is not a mental health support service. We cannot reply to this. If you are at risk of immediate harm, call 999 and ask for an ambulance or go to your nearest A&E. If you are worried about your mental health, call: Childline (for under 19s) on 0800 11 11; or Samaritans on 116 123.