A mental health crisis occurs when someone’s thoughts, emotions, or behaviors become so overwhelming that they can’t function safely or cope effectively. Recognizing early warning signs can lead to timely help—and even save a life.

10 Common Warning Signs

1. Extreme mood swings – Rapid shifts from deep sadness to agitation or euphoria that disrupt daily life.
2. Withdrawal – Pulling away from friends, family, work, or activities they once enjoyed.
3. Hopelessness or despair – Expressing feelings like “Nothing matters” or “I can’t go on.”
4. Increased irritability or anger – Uncharacteristic rage, aggression, or emotional outbursts.
5. Changes in sleep or appetite – Severe insomnia, oversleeping, or sudden weight loss/gain.
6. Confusion or disorientation – Trouble focusing, making decisions, or understanding reality.
7. Paranoia or delusions – Believing others are spying on them or plotting harm without evidence.
8. Hallucinations – Hearing voices, seeing things, or sensing things that aren’t there.
9. Neglecting personal care – Stopping bathing, eating, or taking needed medications.
10. Talking about death or suicide – Direct or indirect comments like “I’d be better off dead” or giving away possessions.

What to Do If You See These Signs

These signs don’t always mean a crisis is happening—but if several appear suddenly or worsen quickly, act promptly.

• Talk to the person calmly and without judgment.
• Encourage them to contact a mental health professional.
• Call a crisis hotline or seek emergency care if there’s risk of harm.

A mental health crisis is serious—but with fast, compassionate support, recovery is possible.