How to Support a Loved One Struggling with Mental Illness

Start Here: Take Care of Yourself First

Supporting a loved one with mental illness is never easy. It requires patience, empathy, and emotional strength. That’s why the very first step in helping someone else is making sure you’re okay, too.

Caregiver burnout is real. Many caregivers experience emotional exhaustion, frustration, sleep disruption, and even depression. Just like the flight attendant reminds you to secure your own oxygen mask first, you can’t show up for someone else if you’re running on empty. Make sure you’re:

• Taking breaks

• Eating and sleeping well

• Talking to a therapist or support group

• Setting boundaries with your loved one to preserve your emotional bandwidth

Understand What They’re Going Through

Mental illness affects everyone differently. Some people show signs of deep sadness and hopelessness, while others might be irritable, withdrawn, or overwhelmed by fear. Learn about their specific condition—whether it’s depression, anxiety, bipolar disorder, or something else—so you can understand their symptoms and how they manifest.

Don’t assume. Instead, observe patterns and changes in their behavior, and offer a safe, nonjudgmental space to talk. Keep in mind that people may not always be ready to accept help, and that’s okay, too.

Ask What They Need—Then Really Listen

The most powerful way to help is to ask: “What do you need right now?” or “How can I support you?” Let your loved one lead the conversation. If they don’t know what they need, that’s okay. Offer gentle suggestions or simply stay present.

Avoid jumping into fix-it mode unless asked. Sometimes your job is just to sit beside them in silence, to listen, or to offer reassurance that they’re not alone.

Avoid Common Pitfalls: What Not to Say or Do

It’s tempting to offer solutions or motivational pep talks, but these can sometimes come off as dismissive. Avoid phrases like:

• “Just think positive.”

• “You have nothing to be sad about.”

• “Other people have it worse.”

These minimize your loved one’s experience. Instead, say:

• “That sounds really hard. I’m here.”

• “You don’t have to go through this alone.”

Don’t force conversations or make them feel guilty for needing space. Let them know you’re there when they’re ready.

Make Life Easier: Remove Barriers and Create Routines

Simple daily tasks can feel overwhelming for someone with a mental illness. Help remove friction:

• Prepare meals

• Offer rides or help with errands

• Create calm environments (turn off loud TVs, silence phones)

• Suggest simple activities: a walk, tea on the porch, or watching a favorite movie together

Even if they say no, the offer reminds them that someone cares.

Keep the Lines of Communication Open

Mental illness often causes people to withdraw. That doesn’t mean they want to be left alone. Check in regularly—even a text message or “thinking of you” note can make a big difference.

When they say “I’m fine,” consider what might be behind those words. If you’re unsure, ask gently if they’re open to talking more, and respect their response either way.

Reevaluate Their Treatment Plan if Needed

You may notice things your loved one doesn’t: worsening symptoms, medication side effects, or behaviors that aren’t improving. This could be a sign that it’s time to reassess their treatment.

Modern therapies like TMS (Transcranial Magnetic Stimulation) and Ketamine Infusion Therapy have helped many people who haven’t responded to traditional medications. Axis Integrated Mental Health offers both options, along with expert guidance on finding the right fit.

Help Them Connect to the Right Professionals

Booking appointments, navigating insurance, or just finding the right psychiatrist can feel overwhelming when someone is depressed or anxious. Offer to:

• Look up providers

• Book appointments

• Accompany them to their visit

• Help make a list of symptoms to bring up

At Axis Integrated Mental Health, we offer appointments within 7 days, and you can book online—no long waits or phone tag.

Crisis Situations: When Immediate Help Is Needed

If your loved one talks about self-harm, suicide, or hurting others, that’s an emergency. Do not wait:

• Call 911 (ask for a Crisis Intervention Team officer if available)

• Call or text 988 (Suicide & Crisis Lifeline)

• Go to the nearest emergency room

It’s better to overreact than underreact in these situations.

Support Is a Two-Way Street

Caregivers often feel invisible. But you matter too. Let your loved one support you when they’re able, emotionally or just by appreciating your presence.

If you’re struggling, don’t hesitate to reach out to a therapist or join a caregiver support group. Axis offers resources not just for patients, but for families too.

Your Support Matters More Than You Think

Mental illness can feel isolating, but having one person who shows up can make all the difference. Be patient. Be kind. And remind yourself that even small acts of support ripple far beyond what you see.

Axis Integrated Mental Health proudly supports caregivers and families throughout Denver and Aurora. If you’re not sure where to start, schedule a consultation with our team—we’re here to help you help the people you love.

Learn More and Get Support

• Find a Mental Health Provider

• Tips for Caregivers – National Institute on Aging

• Supporting Someone with Depression – NHS

If you're ready to take the next step, schedule an appointment with Axis by calling us at (720) 400-7025 or book online.