If your loved one has a mental health problem, it's natural to want to help them feel better. They may even ask you directly for support.

As a caregiver, you might feel stressed, exhausted, or confused about how to help. You might even believe you should sacrifice your own health for theirs.

If you feel this way, you're not alone. According to the National Institute of Mental Health, about 1 in 5 people in the United States face a major mental health challenge annually. And caregivers of people with chronic conditions, including mental illness, can experience depression and anxiety.

One way to be an effective caregiver is to make sure you're taking care of your own health. You'll be more able to handle the challenges of supporting your loved one. Taking time for yourself, even a few minutes every day, will help you recharge.

To improve your mental health:

• Find a balance. Decide how you can and can't help your loved one. Let them know what to expect.
• Take time for yourself. Don't give up your interests and hobbies.
• Practice good mental habits. Your feelings are still valid. Be sure to notice positive moments in each day.
• Don't turn to alcohol or use illicit (or recreational) drugs. Drinking and drug use make stress and anxiety worse. If you use drugs or alcohol to reduce stress, see your doctor for help.
• Talk with a therapist. Search online in your area.
• Build a support network. Talk with friends, family, and other people you trust about how they can help you. You can also join a local support group or find online support groups.

To improve your physical health, focus on:

• Exercising. Daily exercise reduces stress.
• Sleeping. The right amount of sleep will lead to making better decisions.
• Relaxing. You can try deep breathing, meditation, and muscle relaxation.
• Eating well. Stay away from processed foods and high amounts of sugar.

Your loved one may not always be able to make decisions that support their recovery. Try to find a more stable time when they're not in crisis to discuss the future.

One tool that may help you both is called a psychiatric advance directive (PAD). Your loved one can make decisions about their treatment ahead of time in case they're unable to make them later on.

A PAD form may vary among states. Parts of the directive include:

• Advance instruction. Your loved one might include:
  • Where they’d like to be treated
  • Health conditions or allergies that doctors need to know
  • Who should care for them
  • Who is allowed to visit them
  • What medicines or types of treatment they prefer
  • Who to contact and who not to contact when they are not well
  • Any child-care instructions
  • People who can help with things such as bills and pet care
  • What to tell their employer
• Health care power of attorney. Your loved one chooses a trusted person who will make treatment decisions for them. This person is also called their health care agent. They may need to be contacted by health care professionals if there's an emergency or mental health crisis.

When a PAD is created, it is based on your preferences for future mental health treatments. The PAD will go into effect if a doctor or psychologist finds that your loved one is unable to make decisions based on their condition. This condition could involve:

• Being unconscious
• Being catatonic (can't move or speak)
• Mania (extreme excitement)
• Psychosis (extreme mental confusion)

State laws vary with PADs. You can learn about your state at nrc-pad.org.

While you can play a key role in helping your loved one feel better, it is vital to take care of yourself along the way. Remember, your ongoing support will improve their chances of recovery as well.