Leading a mentally healthy team
You don’t need all the answers. Noticing, asking and caring go a long way.
By the numbers
How much managers shape the way work feels.
Managers matter
Managers need support
Worldwide
Your role as a leader
A caring guide, not a counselor.
The World Health Organization (WHO) recommends training managers to recognize and respond to people on their team who are going through emotional distress. You are not there to diagnose or treat anyone. You are there to notice, listen, adjust the work where you can, and point people to support.
Read more
Things you can do
- Adjust deadlines, tasks and schedules
- Check in regularly and really listen
- Keep what people share private
- Know where support is, like your Employee Assistance Program (EAP)
- Notice changes early and ask with care
Read more
Leave these to others
- Being their therapist
- Deciding what condition someone has
- Fixing problems outside work for them
- Promising secrecy if someone’s safety is at risk
Mind, a mental health charity, suggests being clear with people about your own skills and the time you can give, so that boundaries are clear from the start.
Read more
Gallup found that only 48% of managers strongly agree they have the skills they need to be exceptional at their job. It says organizations must teach managers how to have meaningful conversations, often enough, with their teams.
Check-ins that really matter
Short, regular one-on-ones build trust before anything goes wrong.
Gallup recommends one meaningful conversation each week with every team member. Between 15 and 30 minutes is enough, but only if it happens often. Trust built in calm weeks makes hard conversations easier later.
Read more
Most meaningful conversations include
- Recognition or thanks for recent work
- Collaboration and relationships
- Current goals and priorities
- Enough time (15–30 minutes, often)
- The person’s strengths and what they do well
Read more
Try asking
- “How are you, really?”
- “Is anything getting in your way that I could help with?”
- “What would make next week easier?”
- “What’s going well this week?”
- “What’s on your plate right now?”
Read more
Mind suggests giving remote workers notice before a conversation about well-being, so they can find a private space. Someone at home may not feel comfortable talking if they share the room with others.
Ideas
- Keep cameras optional for check-ins
- Notice who goes quiet in chats and calls
- Use a call, not only messages, for anything personal
Read more
Regular check-ins tell people they matter. When check-ins keep getting cancelled, people learn that their time isn’t a priority.
Noticing when someone is struggling
Changes in a person, or in the whole team, are worth a gentle question.
Britain’s Health and Safety Executive (HSE) says acting early can reduce the impact of pressure at work. Look for changes from what’s usual for that person. These are prompts to ask, not signs of any condition.
Read more
HSE lists changes like
- Arriving later or taking more time off
- Losing motivation, commitment or confidence
- Mood swings, or reacting more emotionally
- Seeming nervous or jittery
- Withdrawing from others
Read more
HSE lists team signs like
- Lower performance
- More arguments and friction
- More complaints and grievances
- More sickness absence
- People leaving more often
When several people struggle at once, look at the work itself: workload, deadlines, roles or recent changes.
Read more
Instead of… try…
- “What’s wrong with you?” → “How are things going for you?”
- “You seem depressed” → “You’ve seemed quieter in meetings lately”
- “You’re not coping” → “I noticed two deadlines slipped this month”
Asking about a diagnosis is only allowed in limited situations in the U.S., so keep the focus on work and support.
Having the conversation
Prepare, ask privately, listen well, and agree next steps.
Mind advises creating a setting where people feel safe and comfortable to share: a private, quiet space, or a neutral place like a coffee shop. It reminds managers that people are the experts on their own mental health.
A conversation in five parts
- Prepare: note what you’ve noticed and what support you could offer.
- Open gently, in private: “I’ve noticed you seem stretched lately. How are you doing?”
- Listen more than you talk. Let silences happen.
- Ask what would help, instead of assuming. Don’t push your own ideas unless they ask.
- Agree one or two next steps and a time to talk again.
Read more
People share when they’re ready. Respect their choice and keep the offer open.
You might say
- “Here’s the EAP number, in case it’s useful.”
- “Let’s keep our usual check-in on Thursday.”
- “That’s fine. I’m here if anything changes.”
Read more
Helpful responses
- “Thank you for telling me.”
- “This stays between us unless you want it shared, or someone’s safety is at risk.”
- “What would help most at work right now?”
In the U.S., medical information an employee shares must be kept confidential, even from coworkers.
Read more
Mind advises that you may need to break confidentiality if someone is at serious risk of harm. It suggests explaining at the start when you might have to share information.
Read more
You can talk about the work while offering support. Let them know they can ask for changes at work if a health issue is involved, and speak with HR before any formal action.
Wellness action plans
A simple written plan for what keeps each person well at work.
A Wellness Action Plan is a practical tool from Mind. Anyone can fill one in, whether or not they have a mental health problem. It helps a person name what keeps them well at work, what can make them unwell, and what support helps.
Read more
Mind says the plan should be written by the person, in their own words, and shared only with their permission. They decide whether HR keeps a copy.
Read more
It helps a person think about
- Changes at work that might help
- Support that would help if they start to struggle
- Things at work that can make them unwell
- What keeps them well at work
Read more
Mind suggests treating the plan as flexible and reviewing it as part of regular one-on-ones. It can be especially useful when someone returns after time off.
Read more
Mind encourages managers to write their own plan with their own manager. It shows the team that looking after your mental health is normal.
Making adjustments work
From the first request to checking that changes still help.
The WHO describes reasonable accommodations as changes that fit work to a person’s needs, like flexible hours, extra time for tasks, or changed assignments. In the U.S., the ADA requires covered employers to provide them for disabilities, which can include many mental health conditions.
A simple process
- Listen for a request. People don’t have to use legal words.
- Ask what’s hard and what they think would help.
- Bring in HR early, and check your workplace’s process.
- Agree changes and write them down together.
- Try them for a set time, then review and adjust.
Read more
How the work is done
- A quieter workspace
- Breaks that fit the person’s needs
- Changed start and finish times
- Time off for appointments
- Working from home on some days
The role itself
- Moving some tasks to others
- Reducing caseloads for a while
- Temporarily changing duties or shifts
Extra support
- A buddy or mentor
- Debriefs after difficult calls or tasks
- Help planning and prioritizing workload
- More regular check-ins with you
Read more
Medical information must stay confidential, even from coworkers. If the team notices a change, like a new schedule, you don’t have to explain why.
You might say
- “That’s a private arrangement, and I’d do the same for any of you.”
- “We’ve changed a few things around to make the workload work better.”
Read more
The Job Accommodation Network (JAN) gives free, confidential advice about job accommodations, for employers and workers. It is funded by the U.S. Department of Labor.
Read more
Mind says it’s best practice to offer adjustments to any staff member who needs them, whether or not they have a formal diagnosis.
Time off & returning to work
Before, during and after time away for mental health.
The WHO recommends return-to-work programs that combine support at work, like adjustments or a phased return, with ongoing care from health professionals. A European review found the same return-to-work principles apply whatever the mental health problem is.
Read more
Ideas
- Agree how and how often you’ll keep in touch, if at all
- Agree who will cover their work, so they don’t worry about it
- Point them to HR for leave options
- Tell them they’re welcome back
In the U.S., unpaid leave can be a reasonable accommodation when it would help someone get back to their job. They may also qualify for leave under the Family and Medical Leave Act.
Read more
Keep contact
- About people, not tasks
- At the frequency they chose
- Brief and pressure-free
Read more
Talk about
- A phased start, like shorter days at first
- Any adjustments that would help
- What coworkers will be told, if anything
- Which tasks to start with
Mind says a Wellness Action Plan can give structure to these return-to-work conversations.
Read more
Ideas
- Build up workload step by step
- Hold short check-ins every week for the first month or two
- Meet on their first morning back
- Review the plan together, and change it if needed
Caring for the whole team
Fair workloads and a team that looks out for each other.
When one person is off or working fewer hours, others may pick up extra work. Gallup found that unmanageable workload and unreasonable time pressure are two of the five factors most linked to burnout. Supporting one person should never mean burning out another.
Read more
Ideas
- Ask “What can pause, wait or be dropped?”
- Bring in temporary help if you can
- Push back on new work from above when the team is stretched
- Thank people for covering, specifically
Read more
Gallup found that people who feel they are often treated unfairly at work are 2.3 times more likely to have a high level of burnout. Make it clear that anyone on the team can ask for changes when they need them.
Read more
The WHO recommends mental health awareness for all workers to reduce stigma. Small things help, like mentioning the EAP in team meetings or saying you took time off to rest.
Read more
After a frightening incident, a loss, or a colleague’s crisis, people may need space to talk and practical support.
Looking after yourself as a leader
Supporting others is easier when you are supported too.
Gallup says managers are more likely to be burned out and disengaged than their teams. Mind reminds leaders that you cannot pour from an empty cup: to support others well, you need to look after your own mental health.
Read more
Mind suggests
- Be clear about the time you can give
- Be honest about your skills and limits
- Give one-on-ones a set start and finish time
Read more
Gallup recommends that managers get a meaningful weekly conversation with their own manager, too. It also suggests building a community of managers who support and mentor each other.
Ideas
- A mentor or coach
- A peer group of other managers
- Your EAP, which is for you too
Read more
If stress or low mood lasts two weeks or more, or gets in the way of daily life, it’s a good time to talk with a professional.
When and where to get help
If someone is in crisis, and support for everyday worries.
If someone tells you they are thinking about suicide, or you are worried about their safety, stay calm and act straight away. You don’t need special training to help someone connect to support.
Five action steps (NIMH)
- Ask directly whether they are thinking about suicide. Asking does not increase the risk.
- Be there. Listen without judging.
- Help keep them safe. Don’t leave them alone if they are in danger.
- Help them connect: call or text 988 together, or reach a trusted person or professional.
- Follow up in the days after.
Where to turn
- 988 Suicide & Crisis Lifeline: call or text 988, or chat at 988lifeline.org (free, 24/7, U.S.)
- Crisis Text Line: text HOME to 741741 (free, 24/7, U.S.)
- Job Accommodation Network (askjan.org, 800-526-7234): free advice on accommodations
- Your EAP: free, confidential short-term counseling and referrals, for you and your team
- Your HR team: for leave, adjustments and workplace processes
📝 Worksheets for this guide
Fill these in privately in the app. Your answers stay on your phone.
Sources
- World Health Organization (WHO) (2026). Mental health at work (fact sheet)
- Gallup. Employee Engagement Strategies Checklist
- Gallup (2018). Employee Burnout, Part 1: The 5 Main Causes (Wigert & Agrawal)
- American Psychological Association (APA) (2024). 2024 Work in America: Psychological Safety in the Changing Workplace
- Mind (mental health charity, UK). Wellness Action Plan: Guide for Line Managers
- Health and Safety Executive (HSE, UK). Signs and symptoms of stress
- Health and Safety Executive (HSE, UK). What are the Management Standards?
- U.S. Equal Employment Opportunity Commission (EEOC). Depression, PTSD, & Other Mental Health Conditions in the Workplace: Your Legal Rights
- Job Accommodation Network (JAN). Mental Health Conditions (accommodation ideas)
- Job Accommodation Network (JAN). Contact Us
- National Institute on Deafness and Other Communication Disorders (NIH). Job Accommodation Network (JAN) directory listing
- European Agency for Safety and Health at Work (EU-OSHA) (2024). Summary: A review of good workplace practices to support individuals experiencing mental health problems
- U.S. Office of Personnel Management (OPM). What is an Employee Assistance Program (EAP)?
- National Institute of Mental Health (NIMH) (2026). Caring for Your Mental Health
- National Institute of Mental Health (NIMH). 5 Action Steps to Help Someone Having Thoughts of Suicide
- National Institute of Mental Health (NIMH). Help for Mental Illnesses
- 988 Suicide & Crisis Lifeline. 988 Suicide & Crisis Lifeline
- Crisis Text Line. Crisis Text Line
- Substance Abuse and Mental Health Services Administration (SAMHSA). Crisis Text Line (Disaster Behavioral Health resource)
This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

