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It’s a question of measuring to what extent you are managing — anything that makes you feel overwhelmed or limits your ability to function to the level you would like are basic cues that it is time to seek a counselor. Other signs include:

• Everything you feel is intense or overwhelming (or reversely, you feel numb and detached from life).
• You’ve suffered trauma and you can’t seem to stop thinking about it.
• You have unexplained and recurrent headaches, stomach-aches or a rundown immune system.
• You’re using a substance to cope.
• You take extra measures to either avoid people completely or constantly distract yourself from being by yourself.
• You’re getting negative feedback from work or school.
• You feel disconnected from previously beloved activities.
• Your relationships are strained.
• Your friends or family have told you they’re concerned.

When self-harm or suicidal thoughts are present, talk to someone and see a counselor. This is absolutely a time to engage in a non-judgmental, accepting counseling relationship to find the support and care that you need.