Credit & Debt

Debt and Mental Health — Your Rights, Support, and Practical Steps

How debt affects mental health, how mental health affects debt, your legal rights, and practical steps to manage both together in the UK.

Debt and mental health are deeply connected. The Money and Mental Health Policy Institute found that people in problem debt are three times more likely to have thought about suicide. If you’re struggling with both, there are legal protections and practical support available.

Direction What happens
Debt → mental health Worry, anxiety, depression, sleep problems, relationship strain, suicidal thoughts
Mental health → debt Difficulty managing money, impulsive spending (mania/hypomania), inability to open post, missing payments, reduced income from being unable to work
Both together A cycle where each makes the other worse

Key Statistics

Stat Source
46% of people in problem debt also have a mental health problem Money and Mental Health Policy Institute
People with mental health problems are 3.5x more likely to be in problem debt Money and Mental Health Policy Institute
100,000+ people in England attempt suicide while in problem debt each year University of Bristol
72% of people with mental health problems say their finances make their condition worse Mind

Breathing Space Scheme

Feature Standard Breathing Space Mental Health Crisis Breathing Space
Duration 60 days Duration of crisis treatment + 30 days
Who can apply Anyone through a debt adviser Mental health professional certifies
What it pauses Collections, enforcement, contact from creditors Collections, enforcement, contact from creditors
Interest frozen Yes Yes
How many times Once per 12 months No limit — each crisis qualifies
Applies to Most debts (not ongoing liabilities like rent) Most debts

Equality Act 2010

Protection Detail
Mental health is a protected characteristic If it substantially affects day-to-day activities
Creditors must make reasonable adjustments Communication, collections, payment methods
Discrimination is unlawful Can’t treat you less favourably because of mental health
Examples of adjustments Written communication only, longer deadlines, single point of contact, simplified statements

FCA Rules for Creditors

Requirement Detail
Treat vulnerable customers fairly FCA Consumer Duty and CONC rules
Identify vulnerability Creditors must have systems to identify mental health issues
Pause collections Must consider pausing when mental health crisis disclosed
Consider writing off debt Where recovery would cause further harm
Avoid causing further distress Excessive calls, threatening letters, etc.

Practical Steps

If You Have Debt and a Mental Health Problem

Step Action
1 Tell your creditors about your mental health condition
2 Ask your GP or mental health team to complete a DMHEF form
3 Contact a free debt advice service — they’re experienced with mental health
4 Ask about Breathing Space — your debt adviser can apply
5 Request reasonable adjustments — e.g. written contact only
6 Don’t ignore it — it gets easier once you start, even if the first step is hard

If You Can’t Face Opening Post or Making Calls

Problem Solutions
Can’t open letters Ask a trusted person to open them with you; stack them — they can wait
Can’t make phone calls Write an email or online message instead; use webchat services
Can’t face debt advisers StepChange has an online tool — no phone call needed
Overwhelmed by multiple debts A debt adviser will deal with creditors on your behalf
Can’t think clearly Your debt adviser will do the thinking and planning

The Debt and Mental Health Evidence Form (DMHEF)

Detail Information
What it is A standardised form providing evidence of mental health conditions to creditors
Who completes it GP, psychiatrist, CPN, mental health nurse, social worker
Who accepts it Most major banks, utilities, credit companies, local authorities
What it achieves Creditors should consider: pausing collections, freezing interest, reducing payments, writing off debt
How to get one Ask your debt adviser or download from the Royal College of Psychiatrists website
Cost Your health professional may charge for completing it (typically £0–£50)

What Creditors Should Do

Action When
Pause collections During mental health crisis or while evidence is being gathered
Freeze interest and charges When mental health is impacting ability to manage debt
Accept reduced payments Based on what you can realistically afford
Consider writing off debt Where the condition is long-term and recovery unlikely
Single point of contact Provide one person to deal with
Communicate accessibly Preferred method of contact, plain language
Stop all enforcement During Breathing Space period

Support Organisations

Debt Advice (Free)

Organisation Contact Best for
StepChange 0800 138 1111 / stepchange.org Online tool available — no phone call needed
National Debtline 0808 808 4000 Phone advice and fact sheets
Citizens Advice 0800 144 8848 General advice including debt
Christians Against Poverty capuk.org Community-based support
Money Helper 0800 138 7777 General money guidance

Mental Health Support

Organisation Contact Support type
Samaritans 116 123 (24/7, free) Emotional support, suicidal feelings
Mind 0300 123 3393 / mind.org.uk Mental health advice and support
Rethink Mental Illness 0808 801 0525 Support and practical advice
SHOUT Text “SHOUT” to 85258 Free text-based crisis support
NHS crisis team Via your GP or A&E Urgent mental health support

Combined Debt and Mental Health

Organisation What they offer
Money and Mental Health Policy Institute Research, tools, and resources
Mental Health & Money Advice Specialist guidance combining both

For a Trusted Friend or Family Member

How to help Detail
Offer to help open post Sit together, take it slowly
Make phone calls on their behalf With their consent and a letter of authority
Help them access advice Go with them or help them use online tools
Don’t judge Debt can happen to anyone, especially during a mental health crisis
Encourage professional help Both debt advice and mental health support
Know the crisis numbers Samaritans: 116 123, SHOUT: text 85258

Summary

Key point Detail
Debt and mental health are closely linked Each makes the other worse
You have legal protections Breathing Space, Equality Act, FCA rules
Tell creditors about your condition They must take it into account
DMHEF form Medical evidence that creditors must consider
Mental Health Crisis Breathing Space Pauses all collections during crisis treatment
Free advice StepChange (online tool), National Debtline, Citizens Advice
In crisis Samaritans: 116 123 (24/7, free)