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2.13

Knowing when stress needs professional help

Get professional help when distress lasts two weeks or more or stops you living normally, and get help right away if you think about suicide.

A client sits with her head in her hand while a counselor listens and takes notes in a bright office.
Photo: World Sikh Organization of Canada / Pexels
Area: MindFrom age 16Time to learn: 15 minutes.

You will be able to tell everyday stress from signs that you need professional help, and know where to go.

SafetyThis lesson is not a diagnosis. A certified mental health first aid course teaches these skills in more depth. If you are thinking about suicide, call or text 988 now. In immediate danger, call 911.

Why it matters

Everyone has bad days, but some problems do not pass on their own. Half of all lifetime cases of mental illness start by age 14 and three-quarters by age 24, so it helps to know the signs from a young age.

Half of all lifetime cases of mental illness start by age 14, and three-quarters by age 24, according to diagnostic interviews with 9,282 US adults.
Source: Kessler et al., Archives of General Psychiatry (National Comorbidity Survey Replication), 2005.Self-reported

How to do it

  1. Check how long it has lasted. NIMH advises professional help for severe or distressing symptoms that last 2 weeks or more.
  2. Check for these signs: trouble sleeping; changes in appetite or weight; trouble getting out of bed because of mood; trouble concentrating; losing interest in things you usually enjoy; being unable to do usual tasks; feeling irritable, frustrated or restless.
  3. Check the impact. Is it affecting school, work, relationships or looking after yourself?
  4. If it has lasted 2 weeks and you have any of these signs, book a visit with a family doctor or primary care provider, who can refer you to a mental health professional.
  5. Check the urgent warning signs: talking about wanting to die or being a burden; feeling hopeless, trapped or in unbearable pain; making a plan; withdrawing, saying goodbye or giving things away; using more alcohol or drugs; extreme mood swings.
  6. If any urgent sign is present, call or text 988 now, in the US or Canada. In the US you can also chat at 988lifeline.org.
  7. If someone has already tried to hurt themselves or is in immediate danger, call 911 or go to the nearest emergency department.
  8. Write down what you have noticed and for how long, and bring it to your appointment.

Common mistakes

  • Waiting until things feel “bad enough”.
  • Deciding it is only stress because you can still get to school or work.
  • Trying to cope with alcohol or drugs.
  • Dismissing talk of suicide as attention-seeking.
You can do this when …you can explain the two-week rule, name three signs that mean book an appointment, three warning signs that mean call or text 988 now, and when to call 911.

Sources

  1. NIMH – Caring for Your Mental Health
  2. NIMH – Warning Signs of Suicide
  3. 9-8-8 Canada – I'm not sure if I need help
  4. Kessler et al. (2005), Lifetime prevalence and age-of-onset distributions of DSM-IV disorders

Sources and numbers last checked . How we check

Topic: Worry and overthinking

All lessons

← 2.12 previous lesson: Telling a friend you're not okay · 2.14 → next lesson: Building a habit by tying it to an old one
1Body16 lessons
  1. 1.1Washing your hands properly
  2. 1.2Getting water out of your ear
  3. 1.3Brushing your teeth for two minutes
  4. 1.4Riding a bike
  5. 1.5Getting up off the floor without your hands
  6. 1.6Slow breathing to calm down
  7. 1.7How to put in a tampon
  8. 1.8How often should you wash your hair
  9. 1.9Reading a nutrition label
  10. 1.10Sleeping with your phone outside the bedroom
  11. 1.11Doing 10 full push-ups
  12. 1.12How to stretch your hip flexors
  13. 1.13How to swaddle a newborn, and when to stop
  14. 1.14Reading a prescription label
  15. 1.15Booking a doctor's appointment and describing symptoms
  16. 1.16Knowing your blood pressure
2Mind15 lessons
  1. 2.1Staying with boredom
  2. 2.2Naming what you feel
  3. 2.3Grounding yourself after a fright
  4. 2.4Letting someone see you upset
  5. 2.5What to wear to a funeral, where to sit, and what to say
  6. 2.6What to write in a sympathy card
  7. 2.7Focusing for 25 minutes
  8. 2.8How to stop overthinking
  9. 2.9The 988 crisis line
  10. 2.10Changing your mind when the evidence changes
  11. 2.11The 7 stages of grief, and why grief comes in waves instead
  12. 2.12Telling a friend you're not okay
  13. 2.13Knowing when stress needs professional help · You are here
  14. 2.14Building a habit by tying it to an old one
  15. 2.15Spending an evening alone without screens
3People17 lessons
  1. 3.1Introducing yourself and asking a question back
  2. 3.2Asking a question in front of a group
  3. 3.3Apologising properly
  4. 3.4Disagreeing without insults
  5. 3.5Writing a clear email, subject line to sign-off
  6. 3.6Comforting someone who is crying
  7. 3.7What to say to someone who lost a loved one
  8. 3.8Saying no without an excuse
  9. 3.9Phoning a business
  10. 3.10How to burp a newborn
  11. 3.11Asking for consent
  12. 3.12Resigning from a job in writing
  13. 3.13Answering interview questions with the STAR method
  14. 3.14Walking into a room of strangers
  15. 3.15How to write an obituary
  16. 3.16Speaking up in a meeting
  17. 3.17Pausing an argument
4Money17 lessons
  1. 4.1Counting back change
  2. 4.2Comparing unit prices
  3. 4.3Endorsing and depositing a check
  4. 4.4How do you write a check
  5. 4.5Setting up direct deposit with a void check
  6. 4.6Why minimum payments cost so much
  7. 4.7The rule of 72
  8. 4.8What does APR mean on a credit card
  9. 4.9Making a monthly budget
  10. 4.10Reading a contract to find how to cancel
  11. 4.11What is a high yield savings account
  12. 4.12What is a contingent beneficiary, and how to name one
  13. 4.13Filing your own tax return
  14. 4.14How retirement accounts save you tax
  15. 4.15Index funds and why fees matter
  16. 4.16Ask for a raise with a number
  17. 4.17Know how long your savings would last
5Safety17 lessons
  1. 5.1Call 911 and give your location
  2. 5.2Plan two ways out in a fire
  3. 5.3Sheltering from a tornado: watch vs. warning
  4. 5.4The five water survival skills
  5. 5.5Test a smoke alarm and change its battery
  6. 5.6Cool a burn with running water
  7. 5.7AED pad placement: how to use an AED
  8. 5.8Carbon monoxide detector beeping: what it means and what to do
  9. 5.9Put out a pan fire with a lid
  10. 5.10How is a fire extinguisher used? The PASS method
  11. 5.11Stop heavy bleeding
  12. 5.12The recovery position
  13. 5.13Spot a stroke and call 911
  14. 5.14Hands-only CPR
  15. 5.15Help a choking adult
  16. 5.16Respond to an opioid overdose with naloxone
  17. 5.17When can an infant car seat face forward
6Information16 lessons
  1. 6.1Work out a tip in your head
  2. 6.2Why gift card payment means scam
  3. 6.3Wrong number text scam, and how to spot other scam texts
  4. 6.4How to turn off location on iPhone and Android
  5. 6.5Working out percent change
  6. 6.6Spot a phishing message
  7. 6.7How to block spam calls on iPhone and Android
  8. 6.8Turn on two-factor login for email
  9. 6.9How to check if your phone is hacked
  10. 6.10Trace a claim before you share it
  11. 6.11Check an AI chatbot's answer
  12. 6.12Spot a bar chart that exaggerates
  13. 6.13Hang up on a 'bank' caller
  14. 6.14What never to paste into an AI chatbot
  15. 6.15Self-reported vs measured numbers
  16. 6.16Relative risk vs absolute risk
7Kitchen17 lessons
  1. 7.1How to set a table
  2. 7.2Cracking an egg cleanly
  3. 7.3Following a recipe and measuring accurately
  4. 7.4Using an oven safely
  5. 7.5How to tell if an egg is bad
  6. 7.6Boiling an egg to the yolk you want
  7. 7.7How to cook rice on the stove
  8. 7.8How long is cooked chicken good for in the fridge
  9. 7.9Chopping an onion with the claw grip
  10. 7.10Storing raw meat safely in the fridge
  11. 7.11Reading food date labels
  12. 7.12How to thaw chicken fast
  13. 7.13How to season cast iron
  14. 7.14Cooking chicken to a safe temperature
  15. 7.15Five dinners you can cook from memory
  16. 7.16Planning a week of dinners with one shopping trip
  17. 7.17Cooking dinner for six, all ready at once
8Home17 lessons
  1. 8.1Making a bed with tucked corners
  2. 8.2Removing sticker residue
  3. 8.3Cleaning a toilet properly
  4. 8.4How to clean a shower
  5. 8.5How to get blood out of clothes
  6. 8.6Laundry symbols: how to read a care label
  7. 8.7Doing a load of laundry
  8. 8.8Cleaners you must never mix
  9. 8.9How to get rid of fruit flies
  10. 8.10Unblocking a toilet with a plunger
  11. 8.11Resetting a tripped breaker
  12. 8.12Building a 72-hour emergency kit
  13. 8.13Shutting off the water
  14. 8.14Reading a utility bill
  15. 8.15How to clean a dryer vent
  16. 8.16Recording a rental's condition on move-in day
  17. 8.17Splitting chores with a housemate
9Hands18 lessons
  1. 9.1Tying shoelaces that stay tied
  2. 9.2How to wrap a present
  3. 9.3Addressing an envelope
  4. 9.4Tying a square knot (reef knot)
  5. 9.5How to tie a clove hitch
  6. 9.6Reading a tape measure
  7. 9.7Hammering a nail in straight
  8. 9.8How to fix a separated zipper
  9. 9.9Sewing on a button that stays on
  10. 9.10Tying a bowline
  11. 9.11How to remove a stripped screw
  12. 9.12Hanging a heavy picture securely
  13. 9.13Tying a four-in-hand necktie knot
  14. 9.14How to put air in tires
  15. 9.15How to change windshield wipers
  16. 9.16Checking the oil and other fluids under the hood
  17. 9.17Assembling flat-pack furniture
  18. 9.18Changing a flat tire

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