Mental health challenges can affect anyone, and often the earliest signs are subtle and easy to overlook. Many people will not tell you directly that they are struggling. Instead, you may notice small shifts in their behaviour, emotions, or daily habits that signal a need for support.
Recognising these signs can make a meaningful difference. You do not need to diagnose or fix anything. You simply need to notice, listen, and respond with care.
Here are some of the common indicators someone may need mental health support and how they may appear in everyday life.
Changes in behaviour
Behavioural changes are often the first signs that something is not quite right. These may include:
• Withdrawing from social activities
• Avoiding work, study, or responsibilities
• Losing interest in hobbies or routines
• Difficulty concentrating
• Increased alcohol or substance use
• Trouble making decisions
These changes can unfold gradually or appear suddenly. Both are worth paying attention to.
Emotional changes
Everyone experiences emotional ups and downs, but persistent shifts can indicate someone is struggling. These may include:
• Feeling unusually sad or flat
• Becoming easily overwhelmed
• Persistent worry or anxiety
• Irritability or frustration
• Expressions of hopelessness
Many people try to hide these emotions, which is why gentle check-ins matter.
Physical symptoms
Mental health challenges often present through physical signs, especially during prolonged stress. You may notice:
• Changes in appetite or weight
• Trouble sleeping or sleeping too much
• Low energy or fatigue
• Frequent headaches, stomach issues, or muscle tension
These signals are sometimes dismissed as “stress” but can reflect deeper challenges.
Changes in communication
How someone communicates can reveal a lot about their mental wellbeing. Look for signs such as:
• Becoming unusually quiet or withdrawn
• Taking longer to respond
• Seeming distracted or disconnected
• Mentioning they feel overwhelmed
• Using phrases like “I can’t do this anymore” or “Everything feels too hard”
These statements should always be taken seriously.
Signs of crisis
Some signs indicate that someone may need urgent support. These can include:
• Talking about wanting to escape or stop the pain
• Thoughts or talk of self-harm
• Giving away possessions
• Sudden withdrawal from loved ones
• Extreme mood swings
If you notice any of these, staying calm, present, and encouraging immediate professional help is essential.
How to approach someone you are worried about
You do not need to be an expert to support someone. A compassionate approach can be incredibly powerful.
Consider:
• Choosing a quiet and private moment to talk
• Asking open, gentle questions
• Listening without judgement
• Letting them speak at their own pace
• Asking how you can support them
• Encouraging help from a GP, counsellor, or other professional
The simple act of being heard can help someone feel less alone.
Learning the skills to support others
Recognising the signs is only the first step. Many people want to help but feel unsure of what to say or how to respond.
MindAid Training offers several options for those who want to build confidence in supporting others. Individuals often begin with our Mental Health First Aid courses, available through our individual training, while workplaces benefit from learning together through our group training programs for businesses.
In the near future, MindAid Training will also introduce additional specialised learning options and shorter community workshops designed to give people even more practical skills. These offerings are currently in development and will be available once training is completed.
These programs give you practical tools to recognise signs, start supportive conversations, and guide someone towards professional help.
Finding trusted information and support
If you’re worried about someone, professional services can help you feel more confident to take the next step. Helpful resources include Lifeline, Beyond Blue, the SANE Helpline, Suicide Call Back Service and Headspace.
Our support and information page brings together a range of Australian services and self-help tools for mental health, substance use, trauma, youth support and community wellbeing. It includes resources like Ask Izzy, YoDAA, Blue Knot Foundation, Positive Choices, and the Black Dog Institute’s self-care guide, plus more.