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Therapy is a must for everyone in life. We need to make it accessible worldwide.

Why is mental health not considered not as important as physical health?

Maybe if everyone could afford to be in weekly care, we'd have a person looking over us who can call out the signs when we're falling apart.

And then maybe we'd all be a little happier and a little safer.

Redditor Downtown_Put8673 wanted the mental health workers out there to please share with us signs to be looking for, they asked:

"Psychiatrists, what made you realize that the person was not doing well?"


The following contains material that can be triggering and not suitable for minors.

'flight to health'

"I can teach you guys about the 'flight to health' that happens after someone survives a suicide attempt. You’ll talk to them, and they have all these genuine plans to make their life better. They’re enthusiastic and ready to get out of the hospital to start their new life."

"They’re going to quit their horrible job, love their family more, etc etc. I am always incredibly worried for these patients because soon the depression slowly brings them down again. It’s hard because convincing these people that they still need a lot of help is difficult because they’re completely genuine." ~ UptownShenanigans

Let's Talk Sleep

"Serious answer: I've worked both inpatient and outpatient. It truly is rewarding to see your care plan help someone. First time I meet them, I go through a whole history, physical, and review of systems and symptoms (psych symptoms). I get people that genuinely start crying . Usually sleep pattern disturbance is a big indicator."

"Adhedonia is the hallmark sign of depression. It is a loss in pleasure in things that you use to enjoy. Like gardening or video games. There are suicide warning signs, such as giving personal belongings away. There are so many signs for different illnesses."

"Such as bipolar, I'll get a man who is spending his rent check or having risky and unsafe sex. It truly is interesting and rewarding. Very subjective." ~ TonyNevada1

I should’ve charged him...

"I knew my psychiatrist wasn’t doing well when he spent the whole 15 minutes pacing the room, complaining how his ideas were not taken seriously by the other doctors at the hospital unit he headed. It was pretty surreal and hilarious - I just let him vent because he seem to need it. I should’ve charged him." ~ peuxcequeveuxpax

Nice Lady

"When I told my therapist the events that led to my marriage, she kinda muttered under her breath 'dude…' So I stopped telling the story to acknowledge her reaction and she apologized. At which point I joked with her, 'aren’t you ethically required to not do that?' Funny thing was that was what made me realize I needed to change my approach, more than anything we discussed. Nice lady, she helped out a bunch." ~ Arsene3000

Too Happy

"Not a psychiatrist but my close friend is an LCSW. She always tells me that 'marked improvement in a short time without any root cause' is a huge red flag. For example, if a clinically depressed patient suddenly starts seeming incredibly happy for no reason, it's a sign that something is wrong." ~ MadameBurner

We're all falling apart. Don't think you're alone.

Speak Up

"Psych nurse here. I had a friend who was never happy, she was in ok moods, could laugh and all that, but she rarely voiced positive emotions. Had a history of past suicide attempts, so she was a friend we always checked on and kept her close with us The week before her suicide, she became extremely happy and giddy, she behaved like she had never done before, before her life got ruined thanks to some events i won't discuss."

"I saw this and voiced my concerns, I knew it was a sign that a suicide attempt was coming. This behaviour is typical on patients who are planning to end it (in most cases). This time we dint get to her in time. We miss her dearly. I married someone with BPD and I know the signs when she isn't well, but thankfully i can act before stuff happens and she has not attempted on her life or harmed herself in 2 years." ~ thatdudefromPR

I'm not haunted...

"After seeing my psych for almost a year, finding out that no, I'm not haunted, it's just the PTSD and anxiety, and a bunch of other revelations, I had an appointment where I told her that for the last month I'd been happier than ever. I was walking on sunshine and for the first time in 15 years I'd gone a week without any suicidal thoughts, food issues, self harm urges, or anxiety attacks."

"At this, she urged me to immediately set up talk therapy and schedule all my appointments ahead while I had energy. She saw that uptick as the red flag it was, but I didn't listen to her. Now 8 months later I've called her one time, barely shower or eat, and I'm back at my worst mentally. (It's fine though I'm used to it)." ~ ImprovSalesmansWitch

Things to Notice

"I'm a psychotherapist not a psychiatrist. I notice a client getting worse if their sleep or eating habits change, anhedonia, trouble with concentration/focus when there wasn't an issue before, or they start to socially withdraw. Huge red flags if they start to give away personal items and all of a sudden feel 'happy.' It takes a while to get severely depressed, etc and it'll take a while to feel better. These huge red flags indicate suicidal thoughts and possible planning." ~ psychness

Not Doing Well...

"As a mainly inpatient psychiatrist, I already know before I see them that they aren’t doing well just by nature of them being admitted. When I see folks in the ER and am determining if they need admission in the first place, it depends. Not doing well because they are manic looks much different than not doing well because they are depressed vs not doing well because they’re psychotic, etc." ~ housetowilson


"Not a psychiatrist but a therapist. When a person has a hard time understanding that their self-destructive behaviors are effecting themselves and their loved ones. To me, that’s an indication that something else is/was going on. Trauma, addiction, etc." ~ abin-sur

Mental health workers are also miracle workers. We should pay them more. Speak up. Get help.

If you or someone you know is struggling, you can contact the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).

To find help outside the United States, the International Association for Suicide Prevention has resources available at

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