Summary of Signs of mental health issues
- What is the 3-3-3 rule in mental health?
- Why do I act okay when I’m not?
- What is the 5 5 5 rule for anxiety?
- What are signs of losing sanity?
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Did you mean: Act Same Even If You’Re Not
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AI Overview
Acting sane while struggling involves
focusing on routines, managing emotions through, and maintaining social interactions to appear functional and grounded. Prioritize self-care, use positive self-talk, and set small goals to maintain stability. Seek support and use, such as deep breathing, to manage anxiety and maintain calm.
Key Strategies to Act Sane
Establish Routine: Stick to a daily routine, including regular sleep, meals, and exercise to create structure, notes this Quora post and the NIMH website.
Manage Social Interactions: Practice open body language, smile, and engage in normal, light conversation to appear approachable, according to this SocialSelf blog post.
Control Internal Thoughts: Use mindfulness and “cognitive defusion” (noticing thoughts without obsessing over them) to keep emotions in check.
Focus on Purpose: Stay busy with work or hobbies to maintain a sense of purpose and normalcy, suggests this Quora post.
Acknowledge Fears Privately: Instead of displaying anxiety publicly, share, doubts with a trusted person, say this wikiHow article.
Dress and Groom Normally: Maintaining personal hygiene and dressing appropriately helps signal stability to others, according to this wikiHow article.
Techniques for Daily Stability
Take One Hour at a Time: If a full day is overwhelming, focus on getting through the next hour, suggests this wikiHow article.
Practice Active Listening: In conversations, focus on the other person to redirect energy away from internal struggles, notes this SocialSelf blog post.
Avoid Excessive News/Rumination: Limit consumption of stressful media to avoid spiraling, recommends this Psychology Today article.
If you are struggling to maintain daily life, it is crucial to reach out for professional help, such as through the NAMI HelpLine.
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Signs of mental health issues
If you, or someone you know, is having suicidal thoughts and is in immediate danger, call triple zero (000). To talk to someone now, call Suicide Call Back Service 1300 659 467 or Lifeline on 13 11 14.
Key facts
- Mental health problems are common and it is important to be aware of possible signs.
- Feeling worried, depressed, guilty, worthless, overwhelmed or manic may be signs of a mental health issue.
- Changes in sleep, weight, personal hygiene, the way your body feels or activity at school or work may hint at a mental health issue.
- There may not be a serious problem, but seek help if you are concerned about your mental health, or someone else’s.
- Do not ignore thoughts or threats of suicide and seek help immediately if someone talks about suicidal thoughts or is engaging in high-risk activities.
Almost 1 in 2 Australians will experience a mental health disorder at some point in their life. It is important to learn the signs that could hint that a friend or family member is struggling with their mental health.
Often there’s not a single sign, but a combination of signs.
A mental health problem may start out as subtle changes to how you feel, think and behave. If you have ongoing and significant changes, it could be a sign that you are developing a mental health disorder. If something doesn’t seem ‘quite right’, it’s important to have a conversation about getting help.
The list of signs is not meant to diagnose a mental health disorder. It can, however, help make you aware if there’s a good reason for concern, and to encourage you to seek professional support. Getting help early can prevent things from getting worse — you don’t need a diagnosis to benefit from support.
What are the signs of mental health issues?
There are many different signs that may suggest that someone could be experiencing mental health challenges. Some may not be caused by a serious problem and may be a part of normal life.
If at any time you are worried about your own mental wellbeing, or someone else’s mental wellbeing, it is best you speak with a mental health professional as soon as possible. Even if you are unsure, it is safer to get help early.
You can also read more about:
- mental health and where to get help
- talking to your GP about mental health
- Australian mental health services
- kids and mental health
- teenage mental health
Most people get worried or stressed from time to time.
Anxiety could be a sign of a mental health problem if you are constantly worrying and it interferes with your daily activities. You might find yourself going over things in your head repeatedly or unable to concentrate. It might lead you to avoid certain situations, and you may limit your interactions with other people.
Physical symptoms of anxiety may include:
- heart palpitations and shortness of breath
- stomach, chest and shoulder pain
- difficulty sleeping
- shaking and trembling
- sweating
- nausea
- feeling a sense of panic, doom and being out of control
Read more about:
Feeling depressed or unhappy
Feeling depressed may include feeling:
- sad, irritable or numb
- lacking in motivation and energy
- teary all the time
- low interest in a hobby or not enjoying things that you usually enjoy
- hopeless or like a burden to others around you
For more information, also read about:
Emotional outbursts
Everyone has different moods at different times. When mood changes are sudden and dramatic, such as extreme distress or anger, it can be a symptom of mental illness.
Sleep problems
A change in your sleep patterns could be a symptom of a mental health problem. This includes insomnia or sleeping too much. Some people might sleep all day and be up all night.
Weight or appetite changes
For some people, eating more or less than usual, weight gain or rapid weight loss could be a warning sign of a mental health disorder.
Being more quiet or withdrawn than usual
Withdrawing from life, especially if this is a major change from your usual personality, could indicate a mental health disorder. If a friend or loved one is isolating themselves and refusing to join in social activities, they may need help.
Substance abuse
Using substances to cope, such as alcohol or drugs, can be a sign of mental health problems. Using substances can also increase your risk of developing mental illness.
Feeling guilty or worthless
Persistent unpleasant thoughts like ‘I’m a failure’, ‘it’s my fault’ or ‘I’m worthless’ are all possible signs of a mental health disorder. You, your friend or loved one may need help if they have low self-esteem and often criticise or blame themselves for things beyond their control.
Suicidal thoughts
With some mental health problems, you may have suicidal thoughts about wanting to end your life or to self-harm. You may have harmed yourself or be thinking about ways to die. Some people may have thoughts of harming others.
People may express feeling depressed, sad, hopeless, like a burden to others or worthless. These can be warning signs that someone is having suicidal thoughts.
Suicidal thoughts do not necessarily mean that you are planning to take your life. Sometimes, it just means you want your suffering to end. Other times, you may want to act on them. These thoughts can be very distressing. If you have suicidal thoughts, remember you are not alone. Many people who have had suicidal thoughts have found a way through them.
Read more about:
If you, or someone you know, is having suicidal thoughts and is in immediate danger, call triple zero (000). To talk to someone now, call Suicide Call Back Service 1300 659 467 or Lifeline on 13 11 14.
Feeling extremely excited or upbeat
Your friend or family member might seem manic, or be overly happy or excited. They might make impulsive decisions or spend large amounts of money that they can’t afford.
Neglect and performing less well
You may notice that a friend or relative seems less capable than they used to be. They might be doing poorly at school or work and not meeting their responsibilities. They might stop caring about their appearance or personal hygiene. They may have trouble remembering things or focusing on a task.
High-risk behaviour
If a friend or relative starts doing risky things — such as unprotected sex, substance abuse, dangerous driving or crime — this could indicate a mental health problem. Seek help straight away.
Unusual or strange thoughts
Someone might have a mental health problem if they think unusual or strange thoughts, including:
- that they have a special power
- someone else is controlling their thoughts or actions
- people are out to get them (without any clear reason)
- they can see or hear things that other people can’t
If you are concerned about a friend or loved one, ask them how you can help. The first step for a person with symptoms of a mental health disorder is to see a doctor or other healthcare professional.
- Medicare Mental Health — for advice and to get connected to local mental health services, you can call 1800 595 212. Check the operating times.
- Beyond Blue — call 1300 22 4636
- ReachOut — online mental health support for young people
- SANE Australia — access a range of free mental health supports
If you need more information and support, visit Lifeline for 24 hour crisis support and suicide prevention services. Lifeline listens confidentially without judgment and can suggest where to get help that is right for you.
Daily actions to improve your mental health
Research from MindSpot has shown that regularly performing five simple daily actions can improve your mental health.
Read about
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ASK YOUR DOCTOR — Preparing for an appointment? Use the Question Builder for general tips on what to ask your GP or specialist.
Resources and support
- Learn more about suicide and how it affects different communities and age groups at Suicide Prevention Australia.
- Read about mental health, suicide and how to have conversations during difficult times at R U OK?
- Visit Headspace for information, support and resources about mental health in young people.
Embrace Multicultural Mental Health offers mental health resources and personal stories translated into various community languages.
Information for Aboriginal and/or Torres Strait Islander peoples
- Beyond Blue offers helpful contacts and information about depression and anxiety for Aboriginal and/or Torres Strait Islander people.
- Black Dog Institute has support services for Aboriginal and/or Torres Strait Islander people.
- Visit 13YARN or call 13 92 76 to talk to an Aboriginal or Torres Strait Islander crisis support worker. This service is available 24/7.
HERE is a suicide prevention hub, which connects people of diverse genders and sexualities and their loved ones.
Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: June 2025