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Information sheetGetting help and stigma · No. 436

First steps to getting help

Taking the first step towards mental health support can feel overwhelming, but it usually only takes one small, manageable action.

2 min read · Awareness resource · Reviewed 2026-09-15

Deciding to get help is often the hardest part. Once you take that first small step, the rest tends to feel more manageable than you expected.

What it is

Getting help for your mental health does not have to start with a big, formal appointment. It can begin with a phone call, a message to a helpline, a conversation with someone you trust, or simply looking up what support is available to you. The "first step" is really just any action that moves you from struggling alone towards being supported.

Signs to notice

  • You have thought "maybe I should talk to someone" more than once recently.
  • Sleep, appetite, concentration or mood have been off for weeks, not just days.
  • You are relying more on avoidance, substances or overworking to cope.
  • Friends or family have gently mentioned that you seem different lately.
  • You feel unsure where to even begin looking for support.

What helps

  • Start smaller than you think you need to. A five-minute call to a helpline counts as a real first step.
  • Write down, in one or two sentences, what has been going on. This makes it easier to explain when you do reach out.
  • Check what your employer offers through Cleared Mind's EAP, since this is often free, confidential and requires no referral.
  • Tell one trusted person that you are thinking of getting support. Saying it out loud can make it feel more real and less scary.
  • Give yourself permission to try a service once and change your mind if it does not feel right, rather than deciding in advance that nothing will help.
  • Book the appointment or make the call before you have time to talk yourself out of it.
  • Keep expectations realistic. The first conversation is usually about listening and understanding your situation, not solving everything at once.
  • Remind yourself that asking for help is a strength, not a failure, even if it does not always feel that way in the moment.

When to reach out for help

If you have been carrying something difficult for weeks, if it is affecting work, relationships or daily functioning, or if you simply feel you cannot manage it alone anymore, that is enough reason to reach out. You do not need to wait for a crisis.

Getting help in South Africa

Cleared Mind's EAP counsellors are a confidential, no-cost first step for employees and often their dependants. SADAG's Mental Health Line (011 234 4837) offers support and referrals, and the Suicide Crisis Helpline (0800 567 567, or SMS 31393) is available 24 hours a day if things ever feel urgent.