How to Advocate for Your Mental Health When It Feels Impossible
- Sep 5, 2021
- 6 min read
Updated: 7 days ago

When Simone Biles withdrew from the 2020 Olympic gymnastics finals, she did not wait for a breaking point to force her hand. She named what she felt, drew a line, and stepped back before the moment could do it for her. That single decision, made on the world's biggest stage, taught millions of people how to advocate for your mental health long before a crisis makes the choice for you.
Advocating for your mental health means naming what you feel, setting a limit before you hit a breaking point, and asking for support before a crisis forces the decision instead of you.
Below, you'll find what Biles and Michael Phelps actually modeled, five concrete steps you can use this week, and how to tell when self-advocacy on your own stops being enough.
In This Article
What Simone Biles' Decision Actually Modeled
How to Advocate for Your Mental Health in Five Steps
Why This Is Harder Than Advocating for a Broken Bone
How Chateau Approaches Mental Health Advocacy and Burnout
When to Seek Professional Help
Frequently Asked Questions
What Simone Biles' Decision Actually Modeled
Biles was on the cusp of another Olympic medal when she withdrew from the women's team gymnastics final. She did not frame the decision as giving up. She framed it as protecting herself from an injury that could happen if her mind and body were not aligned. Michael Phelps, one of the most decorated Olympians in history, publicly backed her choice during an NBC interview, saying it took real strength to make that call in front of a global audience.
Their reactions mattered because both athletes treated mental health as a physical fact, not a personal weakness. A twisted ankle gets you pulled from competition without debate. Biles and Phelps argued that a mind under too much strain deserves the same response. That reframing is the whole point of advocacy: insisting that an invisible limit gets treated as seriously as a visible one.
How to Advocate for Your Mental Health in Five Steps
You don't need an Olympic stage to practice this. You need a few specific habits, repeated consistently, even when no one is watching.
Name the feeling in specific terms. "Stressed" is vague. "I'm anxious about this deadline and I haven't slept well in four days" is something you can act on.
Say it to one person before you say it to everyone. A trusted friend, partner, or colleague can help you rehearse the harder conversation, the same way workplace disclosures work best with a plan in hand.
Set one boundary and hold it. Decline a request, leave an event early, or take a day off. Small boundaries build the confidence for bigger ones.
Track the pattern, not just the moment. A single hard day is normal. Three weeks of the same hard day is a pattern worth addressing directly.
Ask for support before you're in crisis. Waiting until you cannot function anymore removes your ability to choose the timeline or the type of help you get.
These five habits work whether the pressure is a competition, a work deadline, or a family responsibility. The goal is the same in every case: catch the strain early enough that you still have options.
Why This Is Harder Than Advocating for a Broken Bone
A broken bone shows up on an X-ray. Anxiety, depression, and chronic stress do not show up anywhere a coach, manager, or family member can see them, which is exactly why they get dismissed more often. Anxiety and depression frequently show up together and compound each other, making it harder for the person experiencing them to separate "having a rough week" from "living with a condition that needs treatment."
Unresolved mental strain does not stay contained to the mind, either. Chronic stress shows up as fatigue, muscle tension, digestive trouble, and disrupted sleep. Research published in Sports Health found that mental health symptoms in athletes are directly associated with higher injury risk and slower recovery times, which is the clinical version of what Biles said in plain language: an unaddressed mind can take the body down with it.
That connection is why waiting for a visible symptom before taking mental health seriously puts people at a disadvantage. The invisible symptoms are just as real, and they compound the longer they go unaddressed.
How Chateau Approaches Mental Health Advocacy and Burnout
At Chateau Health & Wellness, self-advocacy is treated as a skill clients build, not a trait they either have or don't. In a 56-bed residential setting with a 4:1 clinician-to-client ratio, clients get the individual attention needed to practice naming what they feel and asking for what they need, often for the first time in a supported environment. First responders and other high-stress professionals face many of the same barriers to speaking up that elite athletes do, and Chateau's trauma-informed model was built with that overlap in mind.
Clients arrive at Chateau's Wasatch Mountain facility at very different points on this spectrum. Some are early, recognizing warning signs and choosing to act before a full crisis. Others arrive after self-advocacy alone stopped working. Both paths are covered in detail in what to expect during the first week of residential treatment, including how the clinical team helps someone find their voice again if stress or trauma has buried it.
The through-line across every program length, whether 30, 60, or 90 days, is the same skill Biles demonstrated on the world stage: naming the problem honestly and asking for the right kind of support before it's forced on you.
When to Seek Professional Help
Self-advocacy has a ceiling. If you have named the feeling, set boundaries, and asked people around you for support, and the same struggle keeps resurfacing anyway, that is a signal the issue needs more than personal effort. Sustained sleep disruption, ongoing withdrawal from people you care about, or a persistent sense of dread are reasons to bring in a licensed clinician rather than keep managing it alone.
At Chateau Health & Wellness, we provide trauma-informed residential mental health treatment in a private, boutique setting in Utah's Wasatch Mountains.
Frequently Asked Questions
How do you advocate for your mental health when others expect you to push through?
Advocating for your mental health when others expect you to push through starts with naming the feeling out loud, to yourself first, then to one trusted person. Say what you need in plain terms, not qualifiers. You do not need permission to protect your own well-being, and you do not owe anyone an explanation beyond the truth.
What did Simone Biles' Olympic withdrawal teach us about mental health advocacy?
Simone Biles showed that stepping back mid-competition, at the height of public pressure, is a legitimate act of self-advocacy rather than a failure. Her decision proved that recognizing your limit and acting on it protects long-term health better than pushing through, a lesson that applies far beyond elite sports.
What is the first step in advocating for your own mental health?
The first step is naming what you feel in specific terms, such as anxious, exhausted, or overwhelmed, instead of brushing it off as stress. Specificity turns a vague feeling into something you can act on, whether that means setting a boundary, adjusting your schedule, or reaching out for professional support.
When does self-advocacy stop being enough for a mental health struggle?
Self-advocacy stops being enough when the same struggle keeps returning despite your best efforts to manage it, or when it starts affecting sleep, relationships, or daily functioning. At that point, a licensed clinician can offer tools and structure that self-management alone cannot provide.
How can you tell if stress has turned into a bigger mental health problem?
Stress has likely become a bigger mental health concern when it persists for weeks instead of days, disrupts sleep or appetite, or starts showing up as physical symptoms like headaches or fatigue. Ongoing withdrawal from people or activities you once enjoyed is another signal worth taking seriously.
Chateau Health & Wellness offers residential mental health and addiction treatment for adults 26 and older who have reached the point where self-advocacy alone is not enough. Visit the admissions page to start the process, or call (801) 877-1272 to talk with the team about programs designed around trauma, depression, anxiety, and burnout.

About The Author
Ben Pearson, LCSW - Clinical Director
With 19 years of experience, Ben Pearson specializes in adolescent and family therapy, de-escalation, and high-risk interventions. As a former Clinical Director of an intensive outpatient program, he played a key role in clinical interventions and group therapy. With 15+ years in wilderness treatment and over a decade as a clinician, Ben has helped countless individuals and families navigate mental health and recovery challenges.







