Mental health challenges can show up in many ways — and not all of them are obvious. In fact, many people in crisis appear quiet, distant, or simply “off.” But whether it’s subtle or severe, a mental health crisis is any situation where a person’s mental state puts them or others at risk of harm, or significantly interferes with their ability to care for themselves.
This might mean someone is struggling with suicidal thoughts, intense emotional distress, or disconnection from reality. But a crisis can also involve neglecting essential needs — like eating, drinking water, sleeping, or taking prescribed medication — because the person simply can’t cope with what they’re feeling.
When someone is in crisis, they may feel like life is spiraling out of control, or that they’re emotionally drowning with no way out.
Common Warning Signs of a Mental Health Crisis
It’s not always easy to tell when someone is struggling, but these signs may indicate that someone is approaching or already in a mental health crisis:
- Sudden changes in hygiene or self-care
- Not showering, brushing teeth, changing clothes, or taking care of personal appearance.
- Withdrawing from social interactions
- Avoiding friends and family, skipping work or school, canceling plans, or losing interest in activities they once enjoyed.
- Extreme mood swings
- Rapid changes in emotions that are out of character.
- Talking about hopelessness or feeling like a burden
- Expressing thoughts like “What’s the point?” or “Everyone would be better off without me.”
- Increased use of alcohol or drugs
- Using substances to escape or numb emotional pain.
- Threatening self-harm or harm to others
- Any verbal or physical behaviors that raise safety concerns, including talk of suicide, violence, or reckless behavior.
If You’re Not Sure — Reach Out
You don’t have to be a mental health expert to notice when something’s wrong. If something feels off — trust your gut. Ask how they’re doing. Listen without judgment. Let them know you care. Those small steps can open the door to getting them the support they need.
And if you are the one struggling: you are not alone. Help is here — and it’s okay to ask for it.
We’re Here for You, 24/7
The Rockland Behavioral Health Response Team (BHRT) is here when you need us most. We’re a free, mobile mental health crisis team, available 24/7. Whether you need to talk on the phone or want someone to come to you — at home, work, school, or anywhere in the community — we’re here to help.
Our team of trained professionals responds with compassion, care, and experience, offering immediate support and helping you find the next steps toward healing.
Call us anytime at 845-517-0400
Your mental health matters. Your life matters. And help is just a call away.