Nearly 1 in 5 adults in the United States is living with a mental health condition, yet the person beside you on the bus, sitting across from you at work, or waiting in line at the grocery store might be struggling in silence. May is Mental Health Awareness Month—an observance dating back to 1949—and this year the message from mental health professionals like Katie Hoye, CEO of Riveredge Hospital, is urgent: the gap between those who need care and those who receive it cannot wait.

The numbers tell a stark story. More than 1 in 20 Americans experience a serious mental illness that significantly interferes with daily life. Tens of millions require treatment each year, yet stigma, cost, and uncertainty keep many from seeking help. The trends are troubling: anxiety and depression rates are climbing, suicide rates are rising—particularly among young people—and crisis services across the country are overwhelmed by demand.

But behind these statistics are real people. They are neighbors, coworkers, friends, and family members whose struggles are often invisible but deeply real. Hoye, speaking from her work at Riveredge Hospital where she oversees care for individuals and families navigating mental health challenges, describes witnessing both the weight of unmet need and the extraordinary resilience of those who do seek treatment. In every story, she says, there is strength and hope.

What makes May 2024 different from previous years is the unmistakable momentum toward change. Awareness is growing. More people are talking openly about mental health than ever before, a shift that itself breaks down the barriers of shame and silence that have long kept people from reaching out. Innovations are expanding access where it matters most. Telehealth has made therapy and psychiatric care available to people in rural areas, those with mobility challenges, and those who simply cannot afford to travel for appointments. Integrated, trauma-informed treatment approaches—addressing mental health, substance use, and physical health together—are helping individuals achieve more sustainable recovery rather than treating symptoms in isolation.

The evidence is clear: treatment works. Positive outcomes are not theoretical or aspirational. They are happening every day.

Breaking this silence requires action at every level. For individuals, it starts with compassion: if you suspect a loved one is struggling, listen without judgment and encourage them to seek professional support. For those in crisis, the 988 Suicide and Crisis Lifeline offers free, confidential support 24/7 via call, text, or chat. For emergencies, 911 and emergency rooms remain the appropriate response.

Hoye calls for systemic investment as well—specifically, inspiring and supporting the next generation of mental health professionals who will meet the growing demand for care. Without those trained, compassionate clinicians, even the most innovative programs will fall short.

The commitment being asked of Austin and the nation is straightforward: speak openly about mental health. Replace stigma with understanding, silence with conversation, and barriers with access to care. Those struggling should know they are not alone, and those around them should know they have a role to play in healing.