“Let me know if you need anything” is kind, but it gives someone another decision to make. A small, specific offer may be easier to consider: a lift to an appointment, company while making a call, or help writing down questions.
SAMHSA’s guidance on helping someone with mental-health or substance-use concerns emphasises being present and listening without judgment. Support is not the same as forcing agreement or becoming responsible for another adult’s treatment decisions.
Ask before organising
Try: “Would it help if I sat with you while you looked at the appointment information?” That leaves room for a yes, a no or a different request. The wording is an example, not a script that guarantees a positive response.
Avoid contacting employers, relatives or services on the person’s behalf without appropriate consent, except where an immediate safety situation requires emergency help. Ask what can be shared and with whom.
Make the offer specific enough to keep
“I can drive on Tuesday morning” is clearer than “I will always be available.” If transport is not possible, another useful action may be helping identify a route or writing down the provider’s access instructions.
Keep the task separate from clinical decisions. You can help someone prepare a question about medication; you should not tell them to change or stop it. A prescriber or pharmacist can address those concerns.
Name a boundary without turning it into a threat
A boundary describes what you can do. For example: “I can talk this evening for half an hour, but I cannot answer messages throughout my workday.” It is different from demanding that someone recover on a timetable to keep your approval.
If a situation is unsafe, prioritise safety and get appropriate help. Compassion does not require remaining in threatening circumstances or handling a medical emergency alone.
Keep ordinary conversation in the relationship
Ask about things beyond appointments and substance use. A shared meal, a walk if suitable, or a familiar hobby may offer ordinary company without turning every meeting into a progress review. Let the person say what feels welcome.
Do not interpret a missed message as proof of what has happened. If you are worried, describe the observation and ask directly and calmly. Avoid building a story from partial information.
Support needs support too
Consider your own rest, limits and access to qualified guidance or a suitable support group. Protect the person’s privacy when discussing the situation. You can seek help for your own experience without broadcasting someone else’s details.
For another part of a support network, learn what a peer support worker can offer. This page is general education, not a crisis response plan or a substitute for professional care.

