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How to Support a Loved One Who Is Struggling With Their Mental Health

Women with their arms around each other, showing support and unity.

When someone we care about is hurting, it’s natural to want to step in and make things better. We make them soup when they have a cold. We apply a Band-Aid for cuts and scrapes. But when a loved one is struggling with mental health, things are never so simple.

Navigating these delicate scenarios can feel confusing and sometimes overwhelming for both you and your loved one. You may worry about saying the wrong thing, not doing enough, or somehow making the situation worse.

Supporting someone through emotional pain is an act of courage in itself, and with the right tools and knowledge, you can play a vital role in their journey.

Start with listening and validation, not “fixing” things.

How do you console a loved one? You start with listening. When someone is struggling, what they need most is often the simplest and hardest thing: to be heard.

Active, nonjudgmental listening can significantly reduce emotional distress. Try to focus less on finding the perfect response and more on offering your attention.

Helpful things you might say could be:

  • “I’m really glad you told me.”
  • “What you’re feeling makes sense.”
  • “You don’t have to go through this alone.”

And remember, validation doesn’t mean agreeing with everything they say. It simply means communicating, “I see you and what you’re going through. Your feelings matter.”

The opposite is also true. Simply because you see their issue, it doesn’t mean you should try to fix things right away. When consoling someone, it’s tempting to offer solutions or reinterpret their pain in a more positive light. But phrases like “You’re overthinking it,” “It could be worse,” or “You just need to calm down,” even when well-intended, can leave someone feeling misunderstood or dismissed.

Focus on connection first and work toward solutions later. Small gestures, such as a short check-in text, a walk together, or an invitation (even if they decline), can act as a gentle yet meaningful reminder that lets your loved one know their person and presence are valued. 

How do you know if someone’s struggling with their mental health?

The signs of mental health struggles can appear in subtle ways at first. From pulling away from friends, family or favorite activities to noticeable changes in sleep or appetite, these shifts become easier to spot when you know what to look for.

Other signs may include:

  • Loss of motivation or interest in favorite activities
  • Increased irritability or hopelessness
  • Difficulty keeping up with daily responsibilities
  • Using alcohol or substances to cope
  • Talking about feeling like a burden

Naming concerns with warmth can open important doors without raising defenses. Try gently naming what you’re noticing: “I’ve seen you withdrawing lately, and I’m really concerned about you.”

What’s the best way to help someone find mental health support?

Bringing up therapy can feel delicate. The key is to share your concern without judgment or urgency and encourage professional help without pressure.

Try these helpful approaches to help you:

  1. Use “I” statements: “I’ve noticed how overwhelmed you seem, and I care about you.”
  2. Express care, not criticism: “You deserve support with this.”
  3. Offer help with logistics (if they want it): Researching therapists, driving them to an appointment, sitting with them as they fill out forms.
  4. Respect their timing: Healing happens at a pace that feels safe.

Supporting someone can also stir your own emotions – fear, frustration, worry and exhaustion are common. It’s okay to acknowledge this, and it’s more than okay to set boundaries when you need them.


What are healthy boundaries? They can look different for each of us. For example, one person may need to limit conversations late at night. Another might choose to encourage their loved one to expand their support network, for more helpful ears.

Boundaries are not an act of distancing but one of care. In the long term, they help preserve your relationship and keep you steady enough to show up in meaningful ways.

You don’t have to navigate this alone.

Supporting a loved one with their mental health is meaningful, but you don’t have to carry the weight by yourself. Counseling can provide both the person struggling and those who care for them a safe, steady place to process what’s happening.

At Jill Smith + Associates Counseling, we walk alongside individuals, couples and families in Columbia and Lexington, South Carolina, with compassion and expertise. If you or someone you love needs support, we’re here to listen, understand, and help you move forward.

Your path to healing begins here.

You’re never alone. At Jill Smith + Associates Counseling, our diverse team of therapists and mental health staff in Columbia and Lexington, South Carolina, is ready to support you at every step. If you’re ready to talk, we’re ready to listen. Contact our team to book your next session.


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