Worried about someone else
You are not the one struggling, and you are still in it.
Most of what is written for families is written about the person who is unwell. This is written for you: what actually helps, what to avoid saying, and where your part ends.
Who are you worried about
Narrow it, if you want
Nothing here tells you what is wrong with them. There is no checklist to match somebody against, because deciding what a person has when they have not asked you to is its own harm. And none of it is a guarantee. They have their own say in this, and if things do not improve that is not a verdict on how well you did any of it.
4 practices in Your body
Showing 4 of 4. Every one carries a verse or a sound report and a named piece of research, and every one is a draft.
Reaching for another person when you are wound up is not a distraction from coping. Contact can turn the alarm down at the source.
This is why a short call, a message to someone who knows you, or sitting in the same room as family is worth doing before you get as far as the breathing exercises. It also explains why going quiet during a bad patch makes everything harder to shift. Small contact counts, and it does not have to be a conversation about how you are.
When someone is frightened, your words may not reach them however sensible they are. Drop your voice, slow right down, and let the tone do the work.
In high alarm, hearing tips towards low rumbling sounds and away from the range the human voice sits in, so reassurance can genuinely fail to land. Say less. Keep your face soft, get down to their eye level, leave gaps. Once they have come down, the conversation you were trying to have becomes possible.
When someone cannot take in your reassurance while they are frightened, that is the receiver and not their willingness. Wait for the wave to pass and try again.
In high arousal, hearing shifts away from the band the human voice occupies, so kind words can genuinely arrive as noise. It is easy to read that as stubbornness or a refusal to be helped. Stay, stay quiet, keep your own breathing slow, and save the sentence you wanted to say for ten minutes later, when it can actually land.
Connection settles people, but the right amount of it varies enormously. Some settle with a house full of family and some with one person and no talking at all.
If closeness costs you something, plan around that rather than pushing through. Shorter visits, sitting side by side instead of face to face, a walk rather than a table. For autistic people, and for anyone who finds eye contact and noise expensive, the aim is the same and the dose is different.
If it is more urgent than this
If you are frightened for their safety, or for yours, a page is not the right speed.
Something to do in the next minuteWho to contact, by country