Ask twice, people urged, as new research shows over three quarters of people in the East of England would say they are ‘fine’ even if struggling with a mental health problem

Wednesday 3 October 2018

New research released by the mental health anti-stigma campaign, Time to Change, reveals that when asked, 77 per cent of people in the East of England would tell friends and family we are ‘fine’, even if struggling with a mental health problem.

When asked why, responses suggest we doubt whether people really want to hear the honest answer.

The top concerns in the East of England were1:
• Just because people ask how you are, doesn’t mean they really want to know (55%)
• I don’t want to burden people (50%)
• I’d only talk if I was confident my friend or family member really wanted to listen (42%)

The national survey of over 2,000 people highlights that asking ‘How are you?’ can often prompt no more than a meaningless exchange. To tackle this, Time to Change is urging people to ‘Ask Twice’ if they suspect a friend, family member, or colleague might be struggling with their mental health. The campaign says the simple act of asking again, with interest, shows a genuine willingness to talk and listen.

‘Ask Twice’ is launched as part of Time to Change’s five-year In Your Corner campaign, which encourages us to be more open and supportive of the one in four people living with a mental health problem in any given year.

While there has been a positive shift in the way mental health problems are viewed in England, insight shows that in practical terms many people are still unsure of how to be more supportive.

Jo Loughran, Director of Time to Change, said: “We all hear it dozens of times a day: ‘How are you?’ ‘Fine thanks, how are you? ’Our research shows that, as a nation, we find it hard to answer honestly. This could mean someone close to you is struggling with their mental health – they might just be waiting for your cue to talk about it. Asking twice is a simple, effective way to show our friends and family members that we are asking for real; that we are ready to listen, whether that’s now or whenever they’re ready.”

Alan Phillips, 51, from Essex, has experienced depression and anxiety. He said: “I’ve pretended to be fine when I’m not more times than I can remember! It’s been very difficult coming to terms with my depression and anxiety but what I’ve found most helpful is talking about it and having supportive people around me.

“Just the simple action of really asking people how they are, more than once if necessary, can make a world of difference to their day – or week, or even whole life.”

Time to Change has compiled some tips on how to support a friend who does open up:
• Take it seriously, don’t judge
• Actively listen – ask open questions, summarise to show you’ve listened and reflect.
• Remember you don’t have to fix it
• A simple “that sounds difficult” can show you care.

For more information, tips, and to view the campaign video, visit

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