“They're Just Not Themselves Anymore.”
Family members and friends often notice changes in everyday behavior before they know exactly what is wrong.
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Tell us about your treatment history and symptoms. A consultation is an evaluation, not a commitment — and it starts with your story.
Changes Families Often Notice
Depression does not always look like visible sadness. Family members often notice changes in everyday behavior first. Some common observations include:
Sleep Changes
Sleeping much more or much less than usual.
Loss of Interest
No longer engaging in activities they used to enjoy.
Social Withdrawal
Pulling back from friends, family and social situations.
Appetite Changes
Eating much more or much less than is typical for them.
Less Motivation
Struggling to start or follow through on everyday tasks.
Difficulty Concentrating
Having trouble focusing or remembering things.
Constant Anxiety
Appearing on edge, restless or worried much of the time.
Neglected Routines
Letting go of normal self-care or daily routines.
Exhaustion
Saying they feel exhausted, even without obvious exertion.
Hopelessness
Expressing feeling overwhelmed, stuck or hopeless.
Do Not Focus Only on Whether They "Look Sad"
Depression can show up through functioning, motivation, sleep, anxiety and withdrawal — not only through visible sadness. Someone can be experiencing significant depression without appearing tearful or overtly sad. Paying attention to changes in how they function day to day can be more informative than looking for sadness alone.
How to Start the Conversation
"I've noticed you haven't seemed like yourself lately, and I'm concerned about you. Would you be open to talking with someone?"
Curious whether you'd qualify?
If you've tried medication and you're still not yourself, you may be a candidate for SAINT®. Our team will give you a straight answer.
How to Start the Conversation (Continued)
The goal is to express care without pressure or judgment. A few principles that tend to help:
- Choose a calm moment — not during a crisis or an argument.
- Share specific observations rather than labels or diagnoses.
- Avoid language that sounds like blame or disappointment.
- Offer to help with the next step without taking over.
- Accept that a no today is not permanent.
When Professional Help May Be Appropriate
It may be time to encourage professional help when symptoms persist, worsen, or interfere with daily functioning, work or relationships.
If you are worried about someone's immediate safety — if they have expressed thoughts of self-harm or suicide — this is not the moment for a scheduled consultation. Call or text 988 (Suicide & Crisis Lifeline, available 24/7), call 911, or go to your nearest emergency room.
You Can Help Them Take the First Step
Family members can play a meaningful role without making medical decisions for a competent adult. You can:
- Help research treatment options
- Attend consultations when appropriate and invited
- Help gather insurance information
- Provide observations about changes you have noticed
- Offer logistical support, such as transportation or scheduling
What Happens During an Evaluation?
Understanding what an evaluation involves can make the conversation easier. An evaluation typically discusses symptoms, onset, sleep, mood, treatment history and relevant medical history.
Frequently Asked Questions
How can I tell if someone I love may be depressed?
What if they say they are just tired?
How do I bring up treatment without upsetting them?
Can I schedule a consultation for a family member?
Can family attend an evaluation?
What if I am worried about their immediate safety?
How do I learn whether insurance may cover treatment?
Ready to talk to someone?
The hardest part is usually the first phone call. Everything after that is a series of small, defined steps.
You Can Help Someone You Love Take the Next Step
You don't have to navigate this alone. Our team can help you understand the options available so you can have an informed conversation with the person you care about.