Small-town Friday nights look similar for teenagers in small, Southern rural communities. When school is in, the seasons determine the meeting spot. It’s Friday night football under the lights, basketball, soccer, softball, and other high school sports. It’s a run to their favorite fast food chain, classmates’ faces staring back across the counter, taking their orders. It’s driving around with friends with their favorite music; it will become the soundtrack of their memories when they look back one day. Yet for everything you might see on the surface — smiling faces, shared laughter, knowing nods, and trending fashion — sometimes you can’t really sense the depths of the unseen. They can’t always find the words to express it themselves.
When the community sees a need for its own, everyone quickly responds, offering help and lending support. Meeting needs you can see and express is easy. Meeting a need you haven’t heard about or can see from the outside is not.
Haley Cash understands; she knows the depth of the unseen and the inability to find the words to share with anyone else.
“I’ve always loved my little hometown of Fayetteville. I love the charm, the culture, and, most importantly, the people. As a teenager, I prided myself on being at every Friday night football game. When I wasn’t working at the local Pizza Hut, I was hitting up Taco Bell every single afternoon after school and spending a lot of my time just driving around with my friends,” Cash shared. “I wouldn’t have changed any of my experiences growing up in Fayetteville because those memories are something I will always cherish.”
Those are the good memories. Her darker days serve a purpose, too, although she couldn’t see it at the time. For nearly three years, between her middle school and high school years, she struggled silently with something she couldn’t explain.

“Depression and anxiety often start as simple thoughts and feelings and slowly begin to snowball, enveloping you in the darkness, making you feel very isolated and alone. Even though I had many friends and family who loved me and cared about me, it was easy to feel isolated in my bubble of darkness because I knew that nothing I was going through on the inside was able to be seen by others on the outside,” she said.
Ironically, like viewing life in a rearview mirror, the good times in her life revealed the depths of the issues she battled silently.
“I would truly notice just how overwhelmed and sad I was when I was supposed to be having fun, like on camping trips, at sleepovers, and with my friends and family. Sometimes, my head would be swarming with intrusive thoughts that I wasn’t able to stop or control,” Cash explained. “Struggling with a mental illness isn’t always just being sad at night when you’re alone, and then it magically goes away during the day. It would hit me in the middle of activities and days I was supposed to be having fun. Those are the moments when I started to become very aware of how much I was struggling, and I didn’t know how to make it stop.”
As struggles intensified, the isolation of a long weekend became a catalyst for her darkest thoughts. Alone with her mind, she found herself spiraling deeper into despair.
“Being alone with my thoughts often led me down spirals,” Cash reflected. “Without knowing how to manage that or having someone to talk to, it would lead me into very intense suicidal ideations.”

The weight of her prolonged battle with depression had become unbearable. In a moment of profound desperation, Cash attempted to take her life.
“I truly think I had just had enough of the unwanted, uncontrollable thoughts in my head and wanted it to be over,” she explained. “I thought that was the only way to stop it. I now know there were other options, but at the time, I didn’t see any others.”
Following her attempt, Cash’s journey took a turn toward healing. Her family’s response became a crucial lifeline, opening doors to professional help and a path forward.
“After my attempt, my family tried extremely hard to understand what was going on in my head,” Cash said. “They were led to Centerstone to get me into some counseling sessions. While they might not have had much understanding or known how to deal with it at the time, they always made sure I knew they were on my side.”
January, Mental Health Awareness Month, holds special significance for Cash as she reflects on her journey and the challenges faced in her small town. Cash believes that small towns like Fayetteville could better address mental health concerns with more education, communication, and resources.

This lack of awareness has real consequences. “Sometimes, mental illnesses often go untreated for a very long time, simply because of the lack of understanding and knowledge of them,” she pointed out. “This is exactly what happened to me.”
Cash’s experience fuels her passion for raising awareness. She now advocates for better mental health education and open communication in small communities like ours. Her story serves as a powerful reminder that mental health struggles can affect anyone, regardless of their background or circumstances.
“If I could, I would encourage any young person struggling with their mental health to try to find at least one solid person that they can reach out to,” Cash advised. “Even if it seems that everyone around you is happy and doing well, that may not be the case on the inside. Mental health struggles are far more common than we ever realize.”
By fostering open conversations and education about mental health, we can create a community where these struggles are less likely to go unnoticed or untreated. Let’s build this supportive environment by reaching out to others, responding with compassion, and actively working to understand and address mental health needs in our community. GN