How to Start the Conversation

If you feel that someone’s mental health issue or substance use impacts their ability to function well, there are ways to initiate the conversation and show that you care. Be prepared for strong negative emotions. Let them know you care.

• Ask them if they’re okay and tell them they can talk to you safely.
• Be aware of the language you use. Avoid using language that stigmatizes mental health or substance use disorders.
• Be compassionate. No one wants to feel depressed, anxious or be addicted to drugs or alcohol.
• Tell them you are worried because you love them.
• They may want to tell you about mental health problems such as depression, anxiety, trauma or violence. Validate their concerns.
• Be prepared for a negative reaction such as anger or defensiveness. Be patient and come back to the conversation at another time.
• Let them know that you will support them and offer information on professional help.
• Remind them that help is available and their mental health or substance use problem can be treated.
• And finally, protect your own mental and emotional wellbeing.