A Country at Its Limit: The Urgency of Prioritizing Mental Health Today

Talking about mental health in Puerto Rico is no longer optional; it is urgent. We live in an archipelago shaped by consecutive crises—hurricanes, earthquakes, the pandemic, and economic challenges—and that burden is felt in the streets, schools, homes, and workplaces. People are exhausted, and the most recent data confirms it. In recent months, health professionals have warned of a significant rise in emotional crises. In October, adolescent hospitalizations at San Juan Capestrano Hospital doubled, from 15 to more than 30. During that same period, 20 suicides were reported, according to the Suicide Prevention Commission. Behind these numbers are young people asking for help, exhausted adults, and families doing their best to hold on.

In many of these cases, social pressure, economic uncertainty, and the emotional impact of the family environment play a decisive role. Puerto Rico faces not only a crisis of access to services but also one of collective exhaustion. In light of this reality, we need practical tools that work in everyday life. In a country that is emotionally drained, we must begin with the basics: speaking openly about what we feel without fear; pausing before reacting (taking 10 seconds, breathing deeply, and responding calmly); naming our emotions (saying “I feel overwhelmed,” “I am sad,” “I need a moment”); creating self-care routines such as walking, writing, and listening to music; listening without judgment; and seeking professional support before reaching a breaking point.

Even when these practices are in place, stigma remains a powerful barrier. For many, seeking help is still seen as a personal failure, when in reality it is an act of courage and a clear message to future generations. The Department of Health emphasized this in August 2025 with the campaign “Choose to Live in Community,” reminding us that supporting one another can save lives.

At Vimenti, we work with adults and children through the Two-Generation Model because we know that children and young people are directly influenced by the emotional well-being of the adults around them. When a family learns to speak without fear or shame, meaningful changes occur: there is greater connection and stronger opportunities to prevent crises. When an adult acknowledges their exhaustion, anxiety, or sadness and decides to seek help, they set a powerful example of courage and self-care. A child who feels heard learns to name their emotions and seek support when needed.

Mental health must be a priority now because our emotional well-being is not only personal; it affects our ability to function and our relationships with friends and family. Recognizing what we feel, talking about it, and seeking support strengthen each individual and, at the same time, help build a Puerto Rico full of hope. Taking care of ourselves is an act of courage that transforms emotional fatigue into energy and allows us to look to the future with confidence and clarity.

by Génesis M. Ramos Feliciano

Case Worker, Vimenti