When I notice signs that worry me

Some signs aren't an emergency, but they aren't something to let slide either.

2 min read

Signs that are worth taking seriously

  • Sadness or apathy that has lasted more than two weeks.
  • Changes in sleep or eating that don't go away.
  • Pulling away from activities and people they used to enjoy.
  • Frequent negative comments about themselves.
  • Intense irritability that doesn't seem related to what's going on.

Distress often doesn't look like sadness. It looks like irritability, tiredness, distance, or loss of interest. And someone who is struggling can't always ask for help clearly.

Before you act, three questions

  1. 1How long has this sign been going on?
  2. 2Does it line up with something that happened to them?
  3. 3Does it affect just one part of their life, or does it show up in several?

How to say it

"I've noticed that lately you seem to be going through a hard time. I'm not asking so you'll tell me everything. I'm asking because I see you and I care about you."
How to say it

Instead of

"It's not that big a deal."

Try

"I want to take what you're going through seriously, even if I don't fully understand yet what's going on with you."

Instead of

"You'll get over it."

Try

"I can see this has been going on a while, and I think it's important to look closer."

Instead of

"You need to try harder."

Try

"I don't want to make this about effort or willpower if there's something you're struggling with."

Instead of

"If you don't tell me anything, I can't do anything."

Try

"Even if it's hard to explain, we can try to figure it out little by little."

Myths and facts

Myth

"If I ask, I'll make it worse."

Fact

Naming what you see doesn't create the problem. Often it brings relief.

Myth

"It's a phase, it'll pass."

Fact

Maybe. But if it doesn't pass, waiting adds weeks of distress.

Myth

"I don't want to alarm them."

Fact

Worry expressed calmly doesn't alarm. It tells them you see them.

Myth

"If they're still doing their usual things, it's not serious."

Fact

They can keep up part of their routine and still be going through serious distress.

For this week

Once, say something like: "I don't need to ask you anything today. I just want you to know I see you." Don't expect an answer.

Follow-up, week by week

Week

1

Suggested action

Name what you're noticing, without pressure

Week

2

Suggested action

Add more moments of quiet presence

Week

3

Suggested action

If the signs continue, talk to a professional

Week

4

Suggested action

Work out with the professional how to move forward

A question to take with you

What are you afraid of confirming if you ask?

Signs to get help right away

It's best to talk to a professional right away if:

  • They talk about hurting themselves, about dying, or about not wanting to go on, even if they say it in passing.
  • They hurt themselves on purpose.
  • For more than two weeks they have been sad, apathetic, or irritable, and it isn't letting up.
  • They have marked changes in their sleep or eating.
  • They have pulled away from almost everything and almost everyone.
  • They can no longer keep up with school or their routine.

Also if you feel the family can no longer handle this on its own.

If there is immediate risk, go to an emergency room or call your local emergency number.

Next resourceBack to the resources

Only the resource is shared. Never your answers or your reading.