Aim: Young people with Cerebral Palsy (CP) may face unique physical and social difficulties that can increase their risk of mental health difficulties. This study aimed to explore the experiences of mental health difficulties and access to mental health support in this population.

Methods: A qualitative descriptive design was conducted. Participants were young people with CP aged 13-25 years and parents of children with CP (6-25 years). Nineteen semi-structured interviews were conducted. A narrative thematic analysis was conducted to identify themes related to their mental health journeys.

Results: Four themes were identified from the data: (1) Understanding manifestations of mental health, triggers and the importance of early intervention; (2) Structural and human challenges in accessing mental health services; (3) The interplay between mental health and personal, social, educational, and familial challenges; (4) Navigating future aspirations and holistic mental health support.

Interpretation: People with CP face complex, interconnected challenges to their mental health, influenced by personal, family, social, and systemic factors. Mental health difficulties often go unrecognised or are inadequately addressed, highlighting the need for early identification, integrated service provision, and holistic, person-centred interventions that support young people and their families.