Signs, Symptoms, and How to Help

Subtitle: Because carers need care too — and your awareness could save a life.

As a carer, you’re often the first person to notice when something isn’t quite right. Whether it’s a change in mood, a decline in personal hygiene, or just a quiet sense that someone’s struggling beneath the surface, your instincts are vital. Mental health is just as important as physical health, and in many cases, it’s harder to see.

This guide will help you recognise the signs, understand the symptoms, and take confident steps to support those in your care — including yourself.

Spot the Signs Early

Mental health issues don’t always come with loud alarms. In vulnerable clients, symptoms can be subtle, slow, and easily mistaken for “just having a bad day.”

• Withdrawal – avoiding conversations, eye contact, or activities they once enjoyed
• Changes in appetite – eating much more or less than usual
• Sleep disturbance – broken sleep, oversleeping, or insomnia
• Neglecting hygiene – not washing, changing clothes, or caring for themselves
• Increased irritability or sadness – especially if out of character
• Confusion or memory issues – beyond what’s typical for their condition
• Excessive worry or fearfulness – particularly around health or safety

Know How to Start a Conversation

It can feel awkward to bring up someone’s mental state — but it matters. Kind, calm words can break down walls and invite trust. Try saying:

• “You’ve seemed a little different lately — how are you really feeling?”
• “I’m here to support you, no matter what’s on your mind.”
• “Would it help to talk to someone together? We can explore support options.”

Avoid pressure. Let the person talk (or not) at their own pace.

Understand Common Conditions in Later Life

• Depression – often masked by physical complaints or fatigue
• Anxiety – linked to routine changes or fear of health decline
• Dementia-related distress – agitation or confusion that mimics mental illness
• Grief and bereavement – especially following the loss of a partner or friend
• Isolation – loneliness is a growing health crisis and affects mental wellbeing deeply

How Carers Can Help

You don’t need to be a therapist — but you can be a lifeline. Here’s how:

• Listen without judgement: Let them speak openly. Sometimes, just being heard is enough.
• Build routine and familiarity: Structure creates emotional stability.
• Promote movement and fresh air: Encourage small walks or fresh air by the window.
• Watch for triggers: Med changes, noise, or bad news can stir up distress.
• Use gentle distraction: Music, photos, or hobbies can redirect anxiety.
• Connect them with professionals: Let them know it’s okay to seek more help. You can make that first step feel safe.

Don’t Forget Your Own Mental Health

Caring is emotional work — it can be draining, overwhelming, and isolating at times.

Ask yourself:

• Have I had enough sleep?
• Am I talking to anyone about how I feel?
• Am I getting support from my team or manager?

If not, it’s time to step back and recharge. You can’t pour from an empty cup.

Final Word from Kate, Director at CareStaff24

“Good carers don’t just help with meals and meds — they lift people up emotionally. Your presence, compassion, and early action can change a life. And if you’re ever unsure, ask for help. You’re never alone in this.”

If you’d like more training in mental health first aid or access to professional support networks, speak to your manager or reach out to local services. You are not just part of the care system — you are the heart of it.