Lesson Plan
Hidden Voices Plan
Students will learn about psychosis through Alex’s story, recognize associated emotions, and develop empathetic strategies to support peers facing hidden mental health challenges.
Building early mental health awareness helps students reduce stigma, foster empathy, and gain practical skills to support classmates who may experience unseen struggles.
Audience
6th Grade Students
Time
30 minutes
Approach
Scenario reading and guided discussions with empathy-building activities
Materials
Prep
Materials Preparation
15 minutes
- Print one copy per student of Hidden Voices Reading and Hidden Voices Reflection Worksheet
- Prepare and display a set of Emotion Vocabulary Cards in a visible area
- Hang the Supporting Peers Poster on a presentation board
- Review Alex’s scenario and guiding questions to ensure smooth facilitation
Step 1
Introduction & Hook
5 minutes
- Ask students: “What challenges might people face that we can’t see?” and record responses on the board
- Briefly explain that mental health challenges can be invisible and worthy of understanding
- Introduce Alex’s story as an example of an unseen struggle
Step 2
Scenario Reading
10 minutes
- Distribute Hidden Voices Reading
- Have students read silently or in pairs
- Instruct them to underline or highlight words describing Alex’s feelings and experiences
- Prompt quick pairing to share one highlighted phrase
Step 3
Small-Group Discussion
8 minutes
- Form groups of 3–4 students
- Provide each group with a Hidden Voices Reflection Worksheet
- Groups discuss:
- What might Alex be feeling?
- How could his home life affect him?
- What support might help him feel understood?
- Encourage use of Emotion Vocabulary Cards to name emotions accurately
Step 4
Strategy Sharing
5 minutes
- Reconvene as whole class
- Ask each group to share one key supportive strategy they identified
- Teacher records each idea on the Supporting Peers Poster
- Highlight themes like listening, being patient, and encouraging professional help
Step 5
Reflection & Wrap-Up
2 minutes
- Ask students to write on a sticky note:
- One thing they learned today
- One way they could support a friend with an unseen challenge
- Invite volunteers to post or share their reflections briefly
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Slide Deck
Invisible Challenges
What challenges might people face that we can’t see? Discuss your ideas with your table.
Ask students to brainstorm challenges people might face that aren’t visible. Record responses on the board. Explain that mental health struggles can be hidden and important to understand. Introduce Alex’s story as an example.
Alex’s Story
Alex is an 8th grader recently diagnosed with schizophrenia. He reports hearing voices and seeing things that aren’t there. His home life is tense—he often feels blamed by his stepmother and father.
Distribute the Hidden Voices Reading. Ask students to read Alex’s story silently or in pairs. Prompt them to underline words that describe his feelings and experiences.
Emotion Vocabulary
• Anxiety
• Confusion
• Sadness
• Isolation
• Fear
• Frustration
Display the Emotion Vocabulary Cards in a visible area. Encourage students to use precise emotion words when discussing Alex’s situation.
Group Discussion
Discuss in your group:
• What might Alex be feeling?
• How could his home life affect him?
• What support could help him feel understood?
Use your reflection worksheet to record ideas.
Form groups of 3–4 and hand out the Hidden Voices Reflection Worksheet. Circulate as students discuss and prompt them to refer to the emotion cards.
Sharing Strategies
Share one supportive strategy your group identified.
Examples: listening carefully, being patient, encouraging help.
Have each group share one key supportive strategy. Record each idea on the Supporting Peers Poster. Highlight themes like listening, patience, and encouraging professional help.
Reflection & Wrap-Up
On a sticky note, write:
- One thing you learned today
- One way to support a friend with an unseen challenge
Post your note on our Reflection Wall.
Ask students to write on a sticky note: 1) One thing they learned today, 2) One way they could support a friend with an unseen challenge. Invite volunteers to post or share.
Reading
Hidden Voices Reading
Alex is in eighth grade. Lately, he has been hearing voices that no one else can hear. Sometimes the voices whisper mean things about him. Other times they argue loudly, making him feel scared and confused. He also sees shadows moving at the edge of his vision—shapes that vanish when he looks directly at them. These experiences leave Alex feeling alone, even when he is surrounded by friends and teachers at school.
At home, life is tense. Alex’s stepmother and father argue a lot, and they often blame him for the problems in their family. When he tries to explain the voices, they say he’s just making excuses. He wishes they would listen, but most nights he dreads going through the same angry words and slammed doors. Alex stays in his room, hoping if he keeps the TV on low, the noise will distract him from the voices in his head.
Despite everything, Alex does his best in class. He takes notes quickly, because he worries the voices might start up at any moment. Sometimes he finds comfort in drawing cartoons of imaginary worlds—places where the voices can’t follow. He uses art to express the things he can’t say out loud: how lonely he feels, how much he wishes someone could understand.
Alex was recently diagnosed with schizophrenia. His doctor explained that his brain is processing information differently, which can lead to hearing or seeing things that aren’t really there. Alex still doesn’t fully understand what this means for his future, but he is learning that he is not “broken” or “bad.” He is also discovering that talking to a counselor and taking medicine might help him feel more in control.
Alex hopes that one day people will look past the voices and the misunderstandings to see the real him. He dreams of a time when he can share his thoughts without fear of being blamed or ignored. Until then, Alex holds on to small moments of kindness—a teacher’s patient question, a friend’s quiet smile—and uses them as reminders that he is not alone.
Worksheet
Hidden Voices Reflection Worksheet
Use this worksheet during your small-group discussion after reading Hidden Voices Reading. Work together to answer the following questions.
Part 1: Identifying Emotions
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What emotions do you think Alex is experiencing? List three emotions and explain briefly why you chose each.
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Part 2: Home Life Impact
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How might Alex’s tense home environment (blame, arguments) affect his mental well-being and daily life at school? Provide specific examples.
Part 3: Emotion Vocabulary Matching
-
Choose two words from the Emotion Vocabulary Cards that best match how Alex feels. Explain why you selected each word.
• Word 1: ____________________
Explanation:
• Word 2: ____________________
Explanation:
Part 4: Supportive Strategies
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Brainstorm three strategies that classmates or friends could use to help Alex feel understood and supported. Use ideas from the Supporting Peers Poster if helpful.
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Strategy 1:
Description:
-
Strategy 2:
Description:
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Strategy 3:
Description:
-
Be prepared to share one key insight from your group with the whole class!
Activity
Emotion Vocabulary Cards
Use these cards to help identify and discuss feelings accurately. Cut out or display the cards during activities. Choose words that best describe what Alex might be experiencing.
| Emotion | Definition |
|---|---|
| Anxiety | A feeling of worry or nervousness, often about what might happen |
| Confusion | A state of being unclear, puzzled, or unable to understand |
| Sadness | A feeling of unhappiness, sorrow, or emotional pain |
| Isolation | A feeling of being alone, separated, or cut off from others |
| Fear | An emotion caused by the belief that something is dangerous |
| Frustration | A feeling of annoyance when blocked from achieving something |
| Overwhelm | A feeling of being overcome or deeply burdened by emotions |
| Loneliness | A feeling of sadness because one lacks companionship |
| Hope | A feeling of expectation and desire for a positive outcome |
Use these cards when discussing Alex’s story. Refer to the definitions to choose the word that best matches how he might feel.
Activity
Supporting Peers Poster
Use this poster to collect and display ways we can support classmates like Alex. When your group shares a strategy, write it in the next available slot and explain why it helps.
Strategy 1: _______________________________
Why it helps: _______________________________
Strategy 2: _______________________________
Why it helps: _______________________________
Strategy 3: _______________________________
Why it helps: _______________________________
Strategy 4: _______________________________
Why it helps: _______________________________
Strategy 5: _______________________________
Why it helps: _______________________________
Feel free to add more strategies below as needed!
Cool Down
Reflection Exit Ticket
Please take a moment to answer the following before you leave:
-
One thing I learned today about mental health and empathy:
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Choose one emotion word from the Emotion Vocabulary Cards that best describes Alex’s experience and explain why:
-
Name one supportive strategy from the Supporting Peers Poster you will try with a friend, and describe how you will use it:
Worksheet
Personal Coping Plan
Use this worksheet to build a personalized plan for managing voices and difficult emotions. Fill in each section as honestly and fully as you can.
Part 1: Recognizing Voices & Emotions
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Describe the voices or thoughts you hear when you feel upset or stressed. What do they say?
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How do these voices or thoughts make you feel (e.g., scared, angry, confused)? List up to three emotions.
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Part 2: Identifying Triggers
Think about what typically happens before the voices start or your emotions spike. List at least three triggers.
Part 3: Coping Strategies Toolbox
Below are some strategies you might try. Pick three that feel most helpful, then plan how you will use them.
• Deep Breathing (inhale for 4 counts, hold, exhale for 6 counts)
• Grounding (name 5 things you see, 4 things you feel)
• Drawing or Coloring
• Listening to Music
• Positive Self-Talk (use reassuring phrases)
• Journaling
• Physical Movement (walk, stretch)
Strategy 1: _____________________________
How I will use it:
Strategy 2: _____________________________
How I will use it:
Strategy 3: _____________________________
How I will use it:
Part 4: Step-by-Step Action Plan
Write out a clear sequence of steps to follow when you notice voices or overwhelming feelings.
- Notice: What will you pay attention to?
- Pause: How will you stop and collect yourself?
- Choose: Which coping strategy from your toolbox will you try first?
- Follow Through: What will you do next if the first strategy doesn’t help?
- Check In: How will you know if you’re feeling calmer?
Part 5: Support Network
List people you can reach out to when you need extra help. Include their name and how you will contact them.
- Name: ___________________________ Role (e.g., parent, friend, counselor): ______________
Contact (phone, text, in person): _________________________________________
- Name: ___________________________ Role: _______________________________
Contact: ______________________________________________
- Name: ___________________________ Role: _______________________________
Contact: ______________________________________________
Part 6: Reflection & Next Steps
- After using your plan, what worked well?
- What would you adjust next time?
Keep this plan somewhere you can see it. Update it whenever you discover new strategies or supports.