Signs you or a loved one may need help


Read time: 6 minutes

Mental health conditions can affect anyone at any time. Recognizing the signs early makes it easier to get help and support. Sometimes these changes develop slowly. Other times, they appear suddenly. Whether you're concerned about yourself or someone you care about, understanding what to look for is the first step.

The signs below don't automatically mean someone has a mental health condition. However, if you notice several of these lasting for two weeks or more or if they’re interfering with daily life, it may be time to reach out for support. The Office of the Behavioral Health Advocate (OBHA) is here to help you access care in Connecticut. Fill out our intake form and someone will reach out to you.

Please remember, our intake form (coming soon) is not to be used in cases of emergency or if you require immediate care. If you or a loved one is experiencing thoughts of self-harm or suicide but is NOT in immediate danger, call or text 988 to speak with a trained crisis counselor at the Suicide & Crisis Lifeline. If anyone is in danger it is an emergency and you need to call 911.

Emotional and mood symptoms

Mental health concerns often present as persistent changes in how a person feels. These may include:

  • Prolonged sadness: Feeling "empty," "down," or "hopeless" for two weeks or more.
  • Excessive worry or fear: Anxiety that feels uncontrollable and interferes with daily tasks.
  • Extreme mood swings: Shifts from high-energy "highs" to deep "lows" (depressive episodes).
  • Increased irritability: Unusual anger, restlessness, or a "short fuse" with loved ones.

Changes in behavior

Changes in behavior are often the first signs observed by friends and family:

  • Social withdrawal: Losing interest in hobbies or avoiding social interactions.
  • Drop in functioning: Struggling to perform at work or school, or neglecting personal hygiene.
  • Changes in sleep or appetite: Sleeping too much or too little; significant weight gain or loss.
  • Increased substance use: Using alcohol or drugs to cope with emotional pain or to "numb" feelings.

Physical and cognitive symptoms


Mental health is deeply connected to physical health:

  • Physical aches: Unexplained headaches, stomach upset, or chronic pain with no clear physical cause.
  • Cognitive difficulties: Trouble concentrating, "brain fog," or confused thinking.
  • Paranoia or hallucinations: Hearing or seeing things that others do not exist, or experiencing persistent, unfounded fears.

Early intervention makes a real difference. Reaching out for help is a sign of strength, not weakness. Not sure how to start a conversation about mental health? Here are some helpful resources:

Individuals and families