Ask A Therapist: When Should a Loved One Seek Professional Help?

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Yes, it can be difficult to know the difference between a temporary rough patch and a deeper mental health concern. Many people delay seeking help because they hope things will improve on their own, or because family and friends are unsure when to step in. If you are worried about someone you care about, the following warning signs may indicate it is time to encourage a consultation with a licensed therapist or mental health professional.

1. Noticeable Changes in Mood That Persist

Occasional sadness, irritability, or anxiety is part of life. However, if your loved one shows ongoing mood changes lasting more than two weeks — such as persistent hopelessness, anger, emotional numbness, or overwhelming worry — professional support may be needed.

2. Withdrawal From Family, Friends, and Activities

Pulling away from social interaction, avoiding phone calls, skipping events, or losing interest in hobbies they once enjoyed can be a sign of depression, anxiety, trauma response, or other mental health challenges.

3. Significant Changes in Sleep or Appetite

Sleeping far more or far less than usual, frequent insomnia, nightmares, or major weight loss or gain without a medical cause can all be linked to emotional distress.

4. Difficulty Functioning in Daily Life

If mental or emotional struggles begin interfering with work, school, parenting, or basic responsibilities, it is a strong signal that outside support could help restore balance and coping skills.

5. Increased Use of Alcohol or Drugs

Using substances to “take the edge off,” numb feelings, or escape problems can quickly lead to dependency and often signals an underlying mental health concern that needs attention.

6. Expressions of Worthlessness, Guilt, or Feeling Like a Burden

Statements such as “I’m a failure,” “Everyone would be better off without me,” or constant self-blame should always be taken seriously. These beliefs are common in depression and trauma-related conditions and benefit from therapeutic intervention.

7. Talk of Self-Harm or Suicide — Even Indirectly

Any mention of wanting to die, self-harm, or not wanting to exist is a medical and mental health emergency. Take these statements seriously, stay with the person if possible, and seek immediate professional help. In the U.S., calling or texting 988 connects you to the Suicide & Crisis Lifeline for 24/7 support.

How to Start the Conversation

Approach your loved one with compassion, not criticism. Use “I” statements such as, “I’ve noticed you seem overwhelmed lately, and I care about you. Would you consider talking to a therapist?” Offer to help research providers, check insurance coverage, or accompany them to an appointment if they are nervous.

Seeking therapy is not a sign of weakness — it is a proactive step toward health, stability, and resilience. Early support often prevents challenges from becoming crises and gives people tools to manage life more effectively.

If you are ever unsure whether a situation is serious, it is always better to reach out to a professional for guidance. Help is available, and recovery is possible.

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