What to Do When Someone Is Having a Mental Health Crisis

Imagine you are hanging out with a friend, and suddenly they start acting really strange. Maybe they are shaking, crying hard, or saying things that don’t make sense. Or maybe they get very angry and start yelling at you for no clear reason. That feeling in your stomach tells you something is wrong. This could be a mental health crisis.

A mental health crisis is when someone feels so overwhelmed that they can’t handle their emotions or thoughts. It might look like a panic attack, where they can’t breathe. It could be a meltdown from too much stress. Or they might be so sad they just want to give up. If you ever see this happening, you might feel scared or confused. But you can help. And you don’t need to be a therapist or a doctor to do it.

The first thing to remember is to stay as calm as you can. I know, that is easier said than done. But here is the truth: when you stay calm, your calmness can rub off on the other person. Take a deep breath. Let it out slowly. Then, talk to them in a quiet, gentle voice. Do not yell or sound bossy. Use simple words. Say something like, “I am here with you,” or “You are safe right now.”

Next, listen. Do not try to fix them or tell them to “just relax.” That never works. Instead, let them talk if they want to. If they don’t want to talk, just sit with them. Sometimes being quiet next to someone is the best help. You don’t have to have perfect words. Just being there shows them they are not alone.

Also, pay attention to what is around you. If there are things that could hurt them, like sharp objects or something they might throw, gently move those things away. Do it slowly so you don’t scare them. Give them space. Do not crowd them or touch them unless they say it is okay. Some people in crisis feel trapped if someone gets too close.

If the person seems like they might hurt themselves or someone else, you need to get help fast. Call 911 or the emergency number where you live. Tell the operator that someone is having a mental health crisis. Ask for someone trained in crisis response. Many places now have officers or social workers who know how to handle these situations without making things worse.

Speaking of social workers, that is a big part of what they do. Social workers who focus on mental health crisis response are trained to show up when things are really hard. They know how to talk to people who are scared or angry. They know how to find a safe place for them to calm down. They connect people to counselors, doctors, or support groups. If you are thinking about a career in social work, this is one path you can take. You could be the person who helps someone in their worst moment and guides them toward a better one.

There are a few other things you can do if you are helping someone in crisis. Try to match their energy without copying it. If they are talking fast, you talk a bit slower. If they are pacing, you can stand still. This helps them feel more in control. Do not argue with them about what they are feeling. Even if their fears don’t seem real to you, to them they are very real. Say things like, “I see that you are really scared right now,” instead of “There is nothing to be scared of.”

When the crisis starts to calm down, do not just leave. Stick around until they feel better or until help arrives. Check in with them later. Send a text or give a call. Ask how they are doing. Let them know you still care. A crisis can be lonely, and knowing someone remembers can make a huge difference.

If you are the one going through a crisis, please know that asking for help is brave. You can call a crisis hotline. There are numbers you can text or call day or night. The people on the other end are trained to listen and help you find your way through. You are not a burden. You matter.

Mental health crises happen to all kinds of people. It can happen to your neighbor, your classmate, or your family member. It can even happen to you. The more we understand how to respond, the less scary it becomes. And the more we can show up for each other with kindness and patience.

So remember the basics: stay calm, listen, keep the space safe, and get help when needed. That’s the heart of crisis response. You don’t need a degree to start helping. But if you want to make it your life’s work, social work is a great way to do it. Either way, you can be someone who makes a hard moment a little bit easier.

Frequently Asked Questions

How much does a counseling degree cost?

The cost can vary a lot, just like any college degree. A master’s degree at a public university might cost between $30,000 and $60,000 for the whole program. Private schools can cost more. Don’t let the price tag scare you right away—look into financial aid, scholarships, and grants specifically for people going into mental health fields. Many future counselors use student loans, but it’s smart to look for schools that offer good value.

Are online therapy degrees respected?

Yes, if they come from an accredited school. Accreditation means a trusted group has checked the program’s quality. Many great schools offer online or hybrid programs. The key is to make sure the program is accepted by the licensing board in the state where you want to work. Always check this before you enroll!

Can I study online?

Yes! Many schools offer online or hybrid programs for addiction counseling. This is great if you need to keep working or have family responsibilities. Just make sure the program is accredited, which means it meets quality standards, and that it will prepare you for your state’s licensing requirements.

Do I need to be good at science for a therapy degree?

Yes, but maybe not in the way you think! You will need to take some science and math classes in college. Psychology involves understanding how the brain works, which is a science. But being a great therapist is more about people skills than chemistry. The most important “science” is learning research-based methods to help people. If you are curious about people and why they act the way they do, you have the right kind of mind for this field.