Poor mental health costs £99bn and causes 300,000 people to leave work each year. NHS antidepressant drug prescriptions more than doubled in ten years, and mental health provision is in crisis. Christians struggle to know how to engage with this growing problem. Our silence has compounded the sense of isolation by those with poor mental health; alternatively, our easy answers or immediate spiritualising of the issues leaves people feeling misunderstood or stigmatised. Experts agree that relationships and community are important for our mental health. Therefore churches can play a significant role as they seek to be communities of authentic relationships where people don’t have to hide their struggles but appropriate boundaries are also respected. Nonetheless we struggle to find a framework out of which to form our response.