How to Start a Conversation About Mental Health

The first thing to consider when starting a conversation about mental health is the environment. Choosing somewhere private allows the person to open up without fear of embarrassment or loss of privacy.

Ask Open-Ended Questions

When having the conversation, avoid closed questions that prompt simple “yes” or “no” responses. Instead, ask open-ended questions such as:

• “How are you feeling?”

• “Tell me more about what you’ve been experiencing.”

These questions encourage insightful and meaningful responses.

The Importance of Non-Judgemental Listening

Listening non-judgementally is a vital part of any conversation about mental health.

What is Non-Judgemental Listening?

Non-judgemental listening means giving your undivided attention and showing genuine interest in what the person is saying. While it’s natural to have opinions, keep them to yourself and communicate empathetically, avoiding any form of personal judgment.

Avoid Assumptions

Instead of assuming, seek clarification:

• “I don’t want to assume anything. Can you tell me more about your experiences?”

Non-Verbal and Verbal Communication Tips

Non-judgemental listening involves more than words. Pay attention to your body language and tone:

• Use a calm tone and moderate volume.

• Keep an open body position with your arms and legs uncrossed.

• Maintain eye contact but avoid staring.

After they’ve finished speaking, summarize and relay what they’ve shared to show understanding:

• “It sounds like you’re saying you’ve been feeling overwhelmed at work, is that right?”

When and Who to Contact for Further Help

If someone is in a state of crisis, you may need to seek help for them. The level of help required depends on their current condition.

Who to Contact:

• A close friend or family member.

• A Crisis Line (if already assigned to a healthcare professional).

• The Samaritans: Call 116 123.

• NHS 111.

When to Contact Emergency Services

A mental health emergency should be treated as seriously as a medical emergency.

Call 999 or go directly to A&E if they are:

• Expressing serious and immediate suicidal thoughts.

• Contemplating self-harm or harm to others.

• Showing symptoms of a severe underlying medical condition.

• Having inflicted harm upon themselves.

Important Considerations

It’s essential to recognize that some individuals may decline assistance, and they cannot be forced to seek A&E care. Fleeting suicidal thoughts are not uncommon, and many individuals will never act on them. Assess the situation carefully to determine the appropriate level of support.