How To Help Someone Experiencing a Mental Health Crisis

Carol Williams-Nickelson, PsyD

Licensed Clinical Psychologist, Authority to Practice Interjurisdictional Telepsychology (APIT), Founder/Partner and Chief Executive Officer

Supporting someone through a mental health crisis can be challenging, but your calm presence and understanding can make a significant difference. Here are several practical steps you can take, including what to say and how to help de-escalate the situation.

1. Stay Calm and Listen

Your demeanor sets the tone. Remain calm and speak in a gentle, non-threatening voice. Give the person your full attention, listen without interrupting, and let them share their feelings. For example, you might say, “I’m here for you. Can you tell me what’s going on?”

2. Express Empathy and Support

Avoid judgment and let the individual know their feelings are valid. Use compassionate statements like, “That sounds really tough. I’m so sorry you’re feeling this way,” or “You’re not alone, and I care about you.”

3. Ask Direct, Nonjudgmental Questions

If you’re concerned for their safety, gently ask, “Are you thinking about hurting yourself?” or “Do you feel safe right now?” These questions show you care and help assess the seriousness of the situation without causing alarm.

4. Offer Practical Help

Sometimes, small gestures can help someone regain a sense of control. You might ask, “Would you like me to sit with you?” or “Can I call someone you trust to be here with us?” Make sure your offers are respectful of their wishes.

5. De-escalate the Situation

• • Lower your voice and speak slowly.
  • Maintain a safe distance and avoid sudden movements.
  • Acknowledge their emotions: “I see that you’re really upset right now.”
  • Validate their experience: “It’s okay to feel overwhelmed.”
  • Redirect if needed: Suggest moving to a quieter space or taking deep breaths together

6. Know When to Seek Professional Help

If the person is at immediate risk of harm to themselves or others, call 911 or a local crisis hotline. It’s okay to say, “I’m really concerned for your safety, and I think we should get help together.” Remain with them until help arrives if possible.

7. Follow Up Afterwards

Check in with the person after the crisis has passed. A simple message like, “I’ve been thinking about you. How are you feeling today?” can show ongoing support and help reduce feelings of isolation.

Helping someone in a mental health crisis requires patience, empathy, and a willingness to listen. By staying calm, offering support, and knowing when to seek additional help, you can provide crucial assistance during a difficult time.