254. how to help someone who doesn’t want help (without making it worse)
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This episode of 'She Persisted' tackles the emotional complexity of supporting someone who is struggling with depression and anxiety but doesn’t want help. The host, Sadie, shares her personal story of being suicidally depressed at 14 and how her parents’ well-intentioned but misguided attempts to 'fix' her—like blasting loud music to wake her up or lecturing about future consequences—only increased her sense of isolation and overwhelm. She explains that when someone is in a state of hopelessness, even love and support can feel like pressure, because they’re already emotionally exhausted and feel powerless. The turning point came when her father learned Dialectical Behavior Therapy (DBT) skills, particularly validation, and began asking her to rate her mental state on a scale of 1 to 10 during routine check-ins. This simple, consistent practice allowed her to feel seen and understood without having to articulate her pain in full. The episode emphasizes that true support isn’t about solving problems but about validating emotions, reducing pressure, and building safety through consistent presence. The host stresses that it’s not your job to pull someone out of crisis—your job is to make sure they don’t feel alone in it.
Validate before you problem-solve: Start with empathy and acknowledgment of suffering before offering advice.
Use simple, non-invasive check-ins: Asking 'How are you today on a scale of 1 to 10?' can be more effective than open-ended questions.
Consistency builds safety: Small, regular check-ins are more sustainable and less overwhelming than one big emotional conversation.
Anger often masks deeper pain: When someone pushes you away, it’s rarely personal—it’s often a reaction to feeling misunderstood or pressured.
Professional care is essential: Support from loved ones should complement, not replace, professional mental health treatment.
…and 1 more takeaway available in PodZeus
The Hidden Burden of Support
“When you're already overwhelmed, love and support can feel like pressure.”
Why Trying to Help Can Backfire
The host explains how problem-solving mode—like pushing someone to go to school or offering solutions—can feel invalidating when someone lacks the energy to try. She shares her own experience of being woken by loud orchestra music, which only deepened her despair.
The Power of Validation and Numbers
“The moment where it started helping... was when I felt understood. And even if I wasn't understood, I felt seen.”
How to Check In Without Pressure
The episode offers practical tools: use specific, low-effort questions (e.g., 'What feels hardest right now?' or 'On a scale of 1 to 10, where are you at?'), avoid big emotional conversations, and prioritize consistency over intensity.
The Role of Professional Support and Connection
“It's not your job to pull them out of crisis. Your job is to make sure they don't feel alone in it.”
“It's not your job to pull them out of crisis. Your job is to make sure they don't feel alone in it.”
“The moment where it started helping... was when I felt understood. And even if I wasn't understood, I felt seen.”
“You are not the only one feeling this way. People care about you. You are loved.”
Host
Sadie
person
DBT
other
She Persisted Podcast
media
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other
Three East
organization
Dr. Maddie Elberger
person
Dr. Caroline Fleck
person
TikTok
other
other
YouTube
other
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