If someone is exhibiting strong signs of depression or anxiety, it is wise to encourage them to seek medical help. Many people, including those working in healthcare settings, are reluctant to do so, possibly because there remains a stigma surrounding mental health conditions that can lead to feelings of embarrassment or shame, or because they are fearful of recriminations, such as social care becoming involved because they have children, or losing their job. 

Reassurance is vital in such cases – for example, citing information provided by the Mental Health Foundation that most people who experience mental health problems recover fully or are able to live with and manage them, especially if they get help early on. It may be useful to explain what is likely to happen when talking to the GP. This usually involves establishing what symptoms the individual is experiencing and how severe they are. A questionnaire is often used. 

An important aspect is how much of an impact symptoms are having on everyday functioning
and how the patient is finding life generally at the moment – for example, what their living and working arrangements are, and the state of any significant relationships. 

The patient is also likely to be asked if they have experienced mental health problems in the past, and if so which treatments they tried and how they found them, plus the usual questions about other conditions or medication.

Confidentiality is of paramount importance, even during an informal chat. It can take a lot of courage to talk about personal mental health, particularly for those who haven’t previously opened up. Fostering a rapport based on understanding, privacy and trust is crucial.