Coping With Health Anxiety In Caring Roles: A Guide For Professionals Who Hold It All Together by Jolian Ardolino at Ardolino Counselling

Author: Jolian Ardolino

(image: Unsplash: Angelina Sarycheva)

If you’re reading this, you likely know what it’s like to care deeply for others – whether as a nurse, paramedic, therapist, social worker, or in one of the many roles that keep our communities going. But here’s something we don’t say out loud enough: caring for others can quietly take its toll on our own wellbeing, especially when it comes to health anxiety.


The Hidden Weight of Health Anxiety in Caring Professions

Caring professionals are often assumed to be unshakeable in a crisis – the calm in the storm, the voice of reason when others are spiralling. But what happens when your own mind starts to race? When a fleeting ache becomes a late-night Google search, and that spirals into a restless night? Or when the stories you hear at work bleed into fears about your own health or loved ones?

Health anxiety isn’t “just worrying” or “hypochondria.” It’s a very real, common challenge for those who look after others. NHS surveys found 76% of staff experienced a mental health issue last year, with over half reporting anxiety. We absorb others’ pain and witness uncertainty, sometimes internalising that anxiety until it shapes our own thoughts and behaviours.


Why Caring Professionals Are Prone to Health Anxiety

Caring roles put us face-to-face with illness, unpredictability, and loss. We’re trained to scan for problems – a strength that can turn inward, fuelling cycles of health anxiety. Many of us are also experts at minimising our own needs. My clients (and yes, I’ve been there myself) often struggle to switch off “helper mode” and create space for their own wellbeing. No wonder health anxiety can creep in.


Recognising the Signs

Health anxiety can show up in subtle – and not-so-subtle – ways:

Excessive checking: Monitoring your body for symptoms, repeatedly seeking reassurance, or going down “Dr Google” rabbit holes.
– Preoccupation: Struggling to focus on anything but health worries, even outside work.
– Avoidance: Steering clear of situations or tasks for fear of illness.
– Physical symptoms: Real sensations (like palpitations, headaches, or stomach issues) that reinforce anxious thoughts.
– Sleep disturbance: Lying awake, unable to switch off your mind.



My Integrative Approach: You’re Not Alone

As a therapist specialising in anxiety, stress, and burnout among caring professionals, I understand the unique pressures you face – not just as a therapist, but as someone who’s walked in your shoes. At Ardolino Counselling, my approach combines:

– CBT (Cognitive Behavioural Therapy):
We map the cycle of anxious thoughts and behaviours, learning practical ways to break free from unhelpful patterns. CBT helps you question catastrophic thinking and gently test healthier beliefs.
ACT (Acceptance and Commitment Therapy): We work on making space for uncertainty, learning to “unhook” from distressing thoughts, and focusing on what really matters – without trying to eliminate anxiety altogether.
Person-centred therapy: All our work is grounded in compassion, empathy, and respect for your unique story and strengths.

It’s not about “fixing” you – it’s about working together so you can keep doing the work you care about, without being overwhelmed.

Image: Unsplash: Tim Mossholder)

Practical Tips: Coping Day-to-Day

1. Challenge Catastrophic Thinking 
When a health worry pops up, pause and ask: “What’s the evidence for this thought? Am I assuming the worst?” Label these as “catastrophic thoughts,” and consider: “What’s a more balanced or likely explanation?” Notice how believable the new thought feels and how you might behave differently if you believed it.

2. Ground Yourself in the Present 
When anxiety spirals, try grounding techniques like box breathing or the “5-4-3-2-1” exercise: name five things you can see, four you can touch, three you can hear, two you can smell, and one you can taste. This anchors you in the here and now.

3. Limit Reassurance and ‘Dr Google’ 
Notice when you’re seeking reassurance – asking colleagues, Googling symptoms, or scanning your body. Set gentle limits on these habits, reminding yourself: “Uncertainty is uncomfortable, but I can handle it.” Reducing reassurance-seeking helps break the anxiety cycle.

4. Set Boundaries to Protect Your Energy 
Give yourself permission to say no, or to step back from work worries outside your shift. Small routines – like a walk after work or a tech-free hour – help reinforce this boundary and support your wellbeing.

5. Reach Out for Support 

If anxiety persists, talking things through with a trusted friend, colleague, or therapist can give you perspective and relief. You don’t have to manage it alone.

When to Reach Out

Everyone experiences worry sometimes. But it’s worth seeking help if:

– Health anxiety is interfering with your work, relationships, or daily life.
– You’re finding it hard to “switch off,” even away from work.
– You’re avoiding situations or tasks because of health fears.
– Your anxiety is getting worse, not better, over time.

Mental health struggles are common and nothing to be ashamed of. Reaching out isn’t a sign of weakness – it’s a step towards regaining balance and resilience. Many caring professionals find that talking to someone outside their immediate work circle helps them process fears and develop healthier ways of coping.

Ready for Real Change?

If health anxiety is making it harder to do the job you love, you deserve support tailored to you as a caring professional. At Ardolino Counselling, I offer a free, no-pressure 15-minute consultation to see if therapy feels right for you. Sessions are available UK-wide (online or in Barry, South Wales) with flexible scheduling, including Fridays, evenings, and weekends.

Special Blue Light Card Offer: 
Blue Light Card holders receive 50% off their first 8 sessions. Block bookings are also available for added savings.

You give so much care and skill to others. Let’s make sure you get the same support in return.

Book your free consultation here and take the first step towards a calmer, more confident you.

This post contains a sponsored link and was written by Jolian Ardolino, therapist.

Heston Blumenthal OBE: My Life With Bipolar BBC Documentary Review by Eleanor

(image: Melanie Blumenthal)

Last week, acclaimed chef, restauranteur and mental health advocate, Heston Blumenthal OBE starred in the BBC documentary ‘Heston: My Life with Bipolar’ which explored his fairly recent bipolar disorder diagnosis. Heston subsequently became an ambassador for national charity Bipolar UK, and has been actively supporting the charity’s mission to help reduce the average 9.5 year delay to diagnosis and end the stigma surrounding the condition.

In 2023, Heston began experiencing both depressive and manic episodes, hearing voices and seeing hallucinations, as well as depression with suicidal thoughts. Mania can also cause you to have intense creativity, speak faster and not listen to others as well as causing delusions and psychosis. Heston’s wife Melanie could see that his health was deteriorating rapidly and that he was a danger to himself. Despite the trauma of sectioning and hospitalisation, this set Heston on the path of not only a bipolar diagnosis, but medicine, therapy and ongoing treatment to help him live a healthy and happy life again.

Heston said to Bipolar UK, “I was living with undiagnosed bipolar for many years, so it’s been an extraordinary journey to get where I am today, and I’m delighted to have had the opportunity to talk to others living with the condition and find out more about their experiences.

“There is still a lot of stigma regarding bipolar, and mental health support is still lacking, but it is vital to be able to talk openly about the condition. I know this isn’t always easy, but I hope by sharing my experience, people will gain a greater understanding of bipolar and an insight into how I’m managing it.”

The documentary was extremely powerful to watch and sad in places, but inspiring. As someone who faced a similar situation to Heston in terms of a manic episode with psychosis/delusions that led to being sedated, sectioned by psychiatrists and hospitalised, my heart went out to him as I know how traumatising this can be. I found the needle being shown as a reenactment for sedation quite challenging to watch! However, the documentary was more than just showing what happened to Heston, who didn’t know he had bipolar til 2023, when he was in his 50s.

I found the discussion that Heston had with his son Jack, about how he was during a manic episode to be really enlightening. A lot of children of parents with bipolar find it challenging when their parents personality is almost hijacked by the episodes. Mania can lead to quickened speech, manic and grandiose ideas, lack of sleep and risky behaviour. You could see how much love Heston and Jack had for each other and how special is family is to support him through this and appear on camera. This includes his wife Melanie, who has been Heston’s rock!

The documentary ended with Heston visiting the mother of Rebecca McLellan, a young woman with bipolar who died by suicide due to neglect from mental health services. Rebecca had raised the alarm with the crisis team at her local hospital various times but was not treated with respect and dignity. The pressure of her illness and lack of support led her to take her own life.

Heston wants to highlight the suicide risk that bipolar brings and how much more mental health support is needed from the government. He is now working as an ambassador with Bipolar UK to raise awareness. Bipolar UK is on a mission to ensure people with bipolar get a quicker diagnosis so they can access effective treatment, support, and self-management, enabling them to live well and fulfil their potential.

Simon Kitchen, Bipolar UK CEO, added: “Heston is such an incredible ambassador for everyone in the UK living with, or affected by, bipolar. We could not be prouder to be working with him. His willingness to be so vulnerable on camera and to share such personal details about his experiences has resonated with many people in our community – and will help people who don’t know much about bipolar to begin to understand this complex and much-misunderstood condition. Heston is living proof that despite the sometimes severe and fluctuating nature of the condition, living with bipolar should not be a barrier to following your ambitions”

As one of the million people in the UK living with bipolar, I know how much more funding is needed in the NHS and a new bipolar pathway with more mental health support needs to be set up. Early prevention and support is key to stop bipolar escalating into suicide or mania.

Although it was a very personal watch for me, due to having been diagnosed with bipolar since aged 16 and my Dad having bipolar too, I thought that Heston’s documentary was so inspiring. He has only been living with the condition for two years and is using his platform for the good. Heston is now on Lithium medication to stabilise his moods as well as an anti psychotic medication.

Bipolar UK say that according to the stats, someone with bipolar takes their own life every day. Hopefully Heston’s documentary will act as a reminder and catalyst to our government to begin change. Thank you Heston and Melanie for being vulnerable and sharing your important story.

(image: Bipolar UK)

Heston: Life with Bipolar is out now on BBC Iplayer.

Feedspot Awards- Top 25 Women’s Mental Health Blog and Top 4 UK Bipolar Blog!

(images: Feedspot)

Thanks to Anuj and the team at Feedspot for giving us these awards! You can check out the full lists here:

https://bloggers.feedspot.com/women_mental_health_blogs

https://bloggers.feedspot.com/uk_bipolar_blogs/?

Really happy to be on these lists!

Love,

Eleanor x

On Mindfulness And Waking up And Smelling The Roses (Literally!) by Eleanor

(image: Nkni, Unsplash)

Sometimes the world and life gets so busy, hectic and at times, very dark. We are bombarded with negative stories and awful news, social media means we have access to this constantly and everyone is always going through something difficult in life. Whether its struggling with your mental health or whether life events come and derail your mood, life can be challenging.

What I learnt this week was that sometimes I can stay too much in my head and own space, worrying, overthinking, overplanning- because I care too much. It can be hard when you’re an emotional person to stay always rational and content. Gratitude is hugely important for this, being thankful and giving it over to the universe or higher power. However, I wanted to share with you how nature got me out of a worried, controlling (of my own universe) place…

I had spent all day working at home, hadn’t been out and decided to go out to visit my Dad with Rob. It sounds so small but I was instantly taken with the array of beautiful roses and flowers in people’s gardens. The zesty orange roses, their pale pink delicate friends, shocking pink bright roses and white ones poking their heads amongst the other colours. And as we arrived in my Dad’s road, each house had so many stunning roses.

It made me so much more mindful and content, to be in nature and just really appreciating our world. So thats my message for you today- step outside and smell the roses, because we can often miss them when we’re on our devices or not mindful and present in the world. Have a small walk if you can, take in fresh air, go and visit the flowers and the trees and breathe.

Have a lovely weekend,

Eleanor