So someone you love has a mental health diagnosis. They are struggling. They may or may not have reached out to you for help. You want to help. Now what?

I think one of the most important things that family and friends of those with mental illness need to do is be honest with themselves. Dealing with a mental illness is hard; no one knows this more than those who suffer with it. Being the “go to” person for someone who suffers can be just as draining as dealing with the actual disease. That is why it is so important to be honest with yourself and your loved one about what you can handle.

Support can come in many forms: an ear to listen without judgment, a shoulder to cry on, the extra push someone needs to attend therapy, tough love when it comes to taking meds… We need all of that at different stages in our illness. But dealing with all of that can be exhausting and overwhelming and you might need to take a step back for your own mental health. How you step back can make or break your loved one, so I’m going to talk a little bit about that here.

When someone you love is in the midst of a crisis, obviously you want to be at your best. Completely on top of your game and there for them 24/7. The reality of crisis is that it doesn’t know timetables. My crisis might come at the same time that your youngest starts teething, your dog starts vomiting, and your car gets rear-ended. You’re stretched to the limits, but I need you. What do you do?

Your first instinct might be to hide all of the other shit and try to be on for me. It’s a noble act. But it can’t last, can it? We are not made of elastic and we can break if we try to stretch ourselves too thin. The best you can sometimes do for a friend in need is to tell them the truth: this is my life right now. These are my challenges. Tell me what you need most and I will do my best to cover that need.

I’ve struggled tremendously through my battle with depression and anxiety. I love the people who walk by my side, but I have never expected them to go down with my sinking ship. I would much rather honesty from them than to watch them slowly burn out as they try to be my everything.

So what else can you do? Your friend is cutting. You notice they’re not sleeping. Or you notice sleeping is all they do. What can you do?

Ask.

They’ll probably lie.

Ask again.

And again.

I do not mean bombard them with a Spanish Inquisition style interrogation. I mean remind them of your love and of your acceptance. And ask them what they need. Ask what they are missing. Ask how you can love them better.

It might not happen right away. It might not happen in a week. But if you can prove to your friend that you will not judge them, the gift of trust is immeasurable.

Below are some resources for talking to a loved one about mental health issues. If you truly believe that someone you love is suicidal however, the time for gentle prodding is over. Call the suicide prevention hotline listed below and talk to one of the counselors immediately. They can give you the words you need to give your friend help. They can help you save a life.

The National Suicide Prevention Hotline: 1-800-273-8255 (http://www.suicidepreventionlifeline.org/)

How to talk to a friend who is depressed: http://www.wikihow.com/Help-a-Friend-with-Depression

Talking with a friend or family member: https://www.lundbeck.com/upload/ie/files/pdf/leaflets/How_to_say-lean_on_me.pdf

Specifically for younger readers: http://www.youthbeyondblue.com/help-someone-you-know/supporting-a-friend