Managing Debt UK 2026 — Repayment Strategies, APR and Getting Out of 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.

If you're struggling with debt, free confidential help is available from StepChange (0800 138 1111), National Debtline (0808 808 4000), and Citizens Advice.

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.

For the wider cluster covering DMPs, IVAs, DROs, bankruptcy, creditor protection and formal debt routes, use the main Debt Solutions UK hub.

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

Key Statistics

StatSource
46% of people in problem debt also have a mental health problemMoney and Mental Health Policy Institute
People with mental health problems are 3.5x more likely to be in problem debtMoney and Mental Health Policy Institute
100,000+ people in England attempt suicide while in problem debt each yearUniversity of Bristol
72% of people with mental health problems say their finances make their condition worseMind

Breathing Space Scheme

FeatureStandard Breathing SpaceMental Health Crisis Breathing Space
Duration60 daysDuration of crisis treatment + 30 days
Who can applyAnyone through a debt adviserMental health professional certifies
What it pausesCollections, enforcement, contact from creditorsCollections, enforcement, contact from creditors
Interest frozenYesYes
How many timesOnce per 12 monthsNo limit — each crisis qualifies
Applies toMost debts (not ongoing liabilities like rent)Most debts

Equality Act 2010

ProtectionDetail
Mental health is a protected characteristicIf it substantially affects day-to-day activities
Creditors must make reasonable adjustmentsCommunication, collections, payment methods
Discrimination is unlawfulCan’t treat you less favourably because of mental health
Examples of adjustmentsWritten communication only, longer deadlines, single point of contact, simplified statements

FCA Rules for Creditors

RequirementDetail
Treat vulnerable customers fairlyFCA Consumer Duty and CONC rules
Identify vulnerabilityCreditors must have systems to identify mental health issues
Pause collectionsMust consider pausing when mental health crisis disclosed
Consider writing off debtWhere recovery would cause further harm
Avoid causing further distressExcessive calls, threatening letters, etc.

Practical Steps

If You Have Debt and a Mental Health Problem

StepAction
1Tell your creditors about your mental health condition
2Ask your GP or mental health team to complete a DMHEF form
3Contact a free debt advice service — they’re experienced with mental health
4Ask about Breathing Space — your debt adviser can apply
5Request reasonable adjustments — e.g. written contact only
6Don’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

ProblemSolutions
Can’t open lettersAsk a trusted person to open them with you; stack them — they can wait
Can’t make phone callsWrite an email or online message instead; use webchat services
Can’t face debt advisersStepChange has an online tool — no phone call needed
Overwhelmed by multiple debtsA debt adviser will deal with creditors on your behalf
Can’t think clearlyYour debt adviser will do the thinking and planning

The Debt and Mental Health Evidence Form (DMHEF)

DetailInformation
What it isA standardised form providing evidence of mental health conditions to creditors
Who completes itGP, psychiatrist, CPN, mental health nurse, social worker
Who accepts itMost major banks, utilities, credit companies, local authorities
What it achievesCreditors should consider: pausing collections, freezing interest, reducing payments, writing off debt
How to get oneAsk your debt adviser or download from the Royal College of Psychiatrists website
CostYour health professional may charge for completing it (typically £0–£50)

What Creditors Should Do

ActionWhen
Pause collectionsDuring mental health crisis or while evidence is being gathered
Freeze interest and chargesWhen mental health is impacting ability to manage debt
Accept reduced paymentsBased on what you can realistically afford
Consider writing off debtWhere the condition is long-term and recovery unlikely
Single point of contactProvide one person to deal with
Communicate accessiblyPreferred method of contact, plain language
Stop all enforcementDuring Breathing Space period

Support Organisations

Debt Advice (Free)

OrganisationContactBest for
StepChange0800 138 1111 / stepchange.orgOnline tool available — no phone call needed
National Debtline0808 808 4000Phone advice and fact sheets
Citizens Advice0800 144 8848General advice including debt
Christians Against Povertycapuk.orgCommunity-based support
Money Helper0800 138 7777General money guidance

Mental Health Support

OrganisationContactSupport type
Samaritans116 123 (24/7, free)Emotional support, suicidal feelings
Mind0300 123 3393 / mind.org.ukMental health advice and support
Rethink Mental Illness0808 801 0525Support and practical advice
SHOUTText “SHOUT” to 85258Free text-based crisis support
NHS crisis teamVia your GP or A&EUrgent mental health support

Combined Debt and Mental Health

OrganisationWhat they offer
Money and Mental Health Policy InstituteResearch, tools, and resources
Mental Health & Money AdviceSpecialist guidance combining both

For a Trusted Friend or Family Member

How to helpDetail
Offer to help open postSit together, take it slowly
Make phone calls on their behalfWith their consent and a letter of authority
Help them access adviceGo with them or help them use online tools
Don’t judgeDebt can happen to anyone, especially during a mental health crisis
Encourage professional helpBoth debt advice and mental health support
Know the crisis numbersSamaritans: 116 123, SHOUT: text 85258

Summary

Key pointDetail
Debt and mental health are closely linkedEach makes the other worse
You have legal protectionsBreathing Space, Equality Act, FCA rules
Tell creditors about your conditionThey must take it into account
DMHEF formMedical evidence that creditors must consider
Mental Health Crisis Breathing SpacePauses all collections during crisis treatment
Free adviceStepChange (online tool), National Debtline, Citizens Advice
In crisisSamaritans: 116 123 (24/7, free)

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Sources

  1. MoneyHelper — Dealing with debt
  2. Citizens Advice — Debt and money