Category: Anxiety Disorder

10 years Of Jami (And Jewish Care) Mental Health Shabbat by Eleanor

~ Eleanor Segall ~ 2 Comments

(image: Jami)

10 years ago, Rabbi Daniel Epstein and the team at Jami charity had an idea about making the stigmatised topic of mental health in the UK Jewish community be more visible amongst synagogues and organisations. They did this by focusing on the day of rest- Shabbat, with Rabbis and speakers of lived experience or mental health professionals. I was lucky to come on board as a volunteer in the first few years, alongside a wonderful team. My role was to help contact Jewish shuls and organisations by email and in the first year I believe we got the Shabbat in to over 80 organisations and over 100 in subsequent years.

My reason for doing this was because I struggled with bipolar disorder (depression, mania and psychosis) and anxiety/PTSD from when I was 15. I felt that no one really talked about it publicly on a communal level and I was inspired by my friend Jonny Benjamin MBE, who was open about having schizoaffective disorder and taking a sledge hammer to stigma. I also admired the work of Jami in the hubs and with their Head Room Cafe and I wanted to make a difference.

I can’t quite believe that the Jami Mental Health Shabbat is 10 years old this year. The Shabbat enabled me to speak about lived experience with my Dad (who also has bipolar) to two large communities (my childhood one- Bushey and husbands- Chigwell) and my Dad spoke at Belsize Square and Edgware Yeshurun about our joint story. I was diagnosed with bipolar at 16 and my Dad was at 44. We were honoured to help dispell stigma through telling our stories from the pulpit, however difficult they were.

The Shabbat has also enabled thousands of people to have conversations and mental illness is no longer hidden in the shadows to be feared. The theme for the tenth Jami Mental Health Shabbat is ‘Bringing Mental Health to the Table’

Jami says, “This special Shabbat is an opportunity for us to encourage conversations on mental health, raise awareness of mental illness and distress and share ideas on how to support ourselves and others within our community. There are many ways for you, your synagogue, school, student or youth group to get involved and everyone can mark Jami Mental Health Shabbat in their own way. Some communities choose to arrange for members of their congregation to share their lived experience or invite mental health professionals to lead a talk, discussion or panel event.”

This year you can get involved by hosting a meal for JMHS and ask your guests to donate instead of bringing a gift, sign up for the free toolkit of resources (services, activities for all ages and much more) or donate at https://jamiuk.org/donate-to-jmhs_meal/ . For other ways to get involved please see: https://jamiuk.org/get-involved/jmhs/.

Jami Mental Health Shabbat coincides with Torah portion- Bo. On this Shabbat, we read about the plague of darkness, which can be likened to the experiences of many living with mental illness and distress. The Torah portion also talks about how the Israelites, full of hope, could see through the darkness into the light. This special Shabbat is an opportunity for us to encourage conversations on mental health, raise awareness of mental illness and distress and share ideas on how to support ourselves and others within our community. 

As the Shabbat is this weekend, I want to show my support. Although I won’t be sharing our story in shul this year, everyone doing so should be so proud. I will be donating to Jami to show my support.

Where to get help with your mental health

If you or someone you know needs mental health help, there are a variety of options depending on the issue of concern.

  • SHOUT – 24/7 crisis text service – Text Jami to 85258
  • Jami is here to help with mental health support: jamiuk.org/get-support/referral, call 020 8458 2223 or email info@jamiuk.org
  • Jewish Listening Line on 0800 652 9249 (Sunday – Thursday 12:00 – 00:00; Friday 12:00 – 15:00)
  • Jteen support line for young adults https://jteen.co.uk/support/
  • Ring your GP or out of hours service for an emergency appointment
  • Contact your Community Mental Health Team (CMHT) if you have one
  • Samaritans – Call Samaritans on Freephone 116 123 (24 hours a day) 
  • Call the Papyrus HopelineUK, on 0800 068 41 41 or text 88247 if you are under 35 and worried about how you are feeling. Or call if you are worried about a young person. 
  • Call 999 or NHS Direct on 111 (England) or 0845 46 47 (Wales)
  • Don’t hesitate to call 999 in mental health emergencies

Heres to 10 amazing years of mental health conversations!

Eleanor x

Dealing With January Anxiety- Getting Back To Life After A Trip To Venice. By Eleanor

~ Eleanor Segall ~ 2 Comments

(image: E Mandelstam: Burano)

I was hesitant to write this blog as my husband Rob and I have just come back from a truly wonderful holiday in Venice, Italy and I feel so grateful we had that time together. We had been waiting all year to go away properly and we had the best time. We walked over many bridges, saw some beautiful things such as St Marks Square and Basilica, Museo Correr (where I found the most incredible ballroom that was like the one in Beauty and the Beast- see photo below), The Doges’ Palace and we celebrated Robs birthday by going on a day trip by boat to Murano and Burano Islands. Murano is the home of stunning glassmaking and Burano is the island with the colourful houses and its a UNESCO world heritage site, famous for lace making. It was so pretty! We also toured the Jewish quarter- the ghetto in Cannaregio and synagogues, ate lots of delicious food (pasta and tiramisu) and went to Chabad (the Jewish centre) for shabbat, went shopping, took water buses and gondolas and just really enjoyed the time off work and exploring. Venice is a truly beautiful place and at every turn you can see something new and exciting- whether its a boat or gondola going along the canal or towers of meringues in a bakery window, to seeing an old lady shuffling over a bridge carefully with her stick and Italians carrying their dogs in little bags to keep them warm, Venice is full of character and of life. One of my favourite things was seeing the laundry (yes really) being hung out on pulleys over the canal in the Jewish Ghetto area, as they don’t have gardens.

I surprised myself this trip with how much I was able to do exercise wise. My husband loves to keep busy and lives life at a faster pace than I do and there were mornings where I found this hard and felt overwhelmed by the thought of the day, so rested and went out later in the day. But generally, we were able to go and explore some wonderful things together. There were a few days I did 14,000 steps a day! Which for someone who is quite sedentary normally, I was so pleased I could do this. Venice was just a truly beautiful city- we stayed in a lovely hotel that used to be a Palazzo (Palace) and had Murano glass chandeliers, it also was on the Grand Canal and had a Vaporetto (water bus) and Water taxi stop. Exploring the city with my husband gave me such a lovely focus and I was really amazed by how much I was able to do, how much walking I did, which proved to me that I can be active and explore.

(image: E Mandelstam- Museo Correr)

Coming home, I have felt hugely grateful to have had this time with Rob. However, adjusting back to normal life in January is hard anyway, but after a holiday I find my anxiety rises a bit. There have been plans I wanted to do here that I havn’t been able to do. However, I am working on it and on exposure therapy with myself to try and do more things here, go out the house more (as I work from home) and do what I can so that my anxiety doesn’t stop me from living my life.

When you have an anxiety disorder, it can be tough sometimes to go outside, to meet people, to do basic things in your normal environment. The weather is cold and dark early, all you want to do is hibernate. Which I feel is OK! I do notice though that its when I start feeling more anxious and unable to do things and can’t push myself that I have to take a step back and start looking after myself, just plan in a few small things to achieve. Overplanning for me tends to be a disaster! Even on holiday, if there was too much planned in, I found I couldn’t always do it and so we had to adapt plans, but I still did lots so to me, that was a win.

The January blues can be hard whether you have been lucky enough to go away or whether you are here and contemplating a brand new year and what it can bring. Remember to be kind to yourself and make things achievable. Whether you’re looking for a new job or you want to achieve another goal, know it will unfold at the right time. I am not good with being patient, but sometimes we have to be!

If you are struggling with your mental health and you need more support, please reach out to your GP, psychiatrist or therapist if you have one. I find things like taking my medication on time and getting enough rest also help me too. I am also counting the wins of thank G-d being well enough to travel and enjoying that time with my husband. I still achieved things and I have to remember I am capable of more than I think sometimes. The most important thing for me is making I do not spend too much time indoors- as the anxiety can then worsen.

(image: E Mandelstam- Cannaregio gondola)

How are you finding the January blues/ anxiety?

Eleanor x

Tips To Maintain Your Mental Health After A Baby by Sienna Warton

~ Eleanor Segall ~ Leave a comment

(image: Josh Willink)

Everyone tells you how amazing it is once the baby comes. And it is, no doubt. But everyone also skips the part of how hard and confusing it can be at times. You lack sleep, run on instinct and love, and all of the responsibility comes down on you hard. But all that’s normal. 

Every parent gets that mix of joy and struggle at some point. However, if the downs start to outweigh the ups, you should take a pause and look at it more deeply.

All the Emotions No One Warns You About

Before birth, it’s all about the baby – the ultrasound photos, due date, tiny clothes and picking names. But few people prepare you for what happens after.

In reality, many of the emotional changes begin well before birth. Reading about mental health during pregnancy can help expecting parents notice early signs of anxiety or mood shifts that often carry into postpartum life.

All the hormonal changes and lack of sleep can make even the simplest task feel difficult. Anxiety, sadness, and self-doubt can creep in, sometimes out of nowhere. In fact, around one in five women experience postpartum depression or anxiety, and partners often feel it too. 

But remember, no one really gets into it completely ready, and everyone learns as they go. 

Rest Isn’t a Bonus, but a Necessity 

“Sleep when the baby sleeps.” You’ve heard it a million times, and it’s certainly easier said than done. But rest really is essential. It’s how your body heals, and your mind resets.

You can try using the 5-5-5 rule: five days in bed, five days on the bed, five days near the bed. No strict formula to it, of course, but use is a reminder to slow down a bit.

If naps still seem impossible, just lie down for a few minutes and breathe, even when your brain insists that your baby needs you every second. And if someone offers to take a night shift, let them. One full night of sleep can change how you see everything.

Pregnancy and early parenthood can really impact maternal well-being. You must learn how to rest effectively, because your recovery is your number one priority next to your baby.

When “Baby Blues” Don’t Fade

Crying for no clear reason? Worrying constantly about the baby? That’s normal in those first days. However,  if it lasts more than two weeks, or you start feeling numb, detached, constantly anxious and worried, there could be something more to it.

Watch out for signs like:

  • Persistently low mood
  • Trouble bonding with your baby
  • Racing thoughts or panic
  • Appetite or sleep changes that don’t make sense
  • Thoughts of harm to yourself or your baby

If these sound familiar, reach out to your doctor, midwife, or mental-health professional. With help, things do get better. Getting support early makes healing faster and safer, for both of you.

Take Care of Your Body

It’s hard to think clearly when you haven’t eaten since breakfast or when you’ve lived on coffee for days. Keep yourself hydrated – a water bottle within reach works best. Your body needs steady fuel, especially if you’re breastfeeding.

Once your doctor says it’s okay, take short walks or stretch a little. You don’t need to “work out”, just move a bit. And if you’re healing from a C-section or stitches, follow the recovery plan. Pain makes everything harder.

Small Things Count

Some days, you’ll feel like you’ve disappeared under all the baby tasks. But you’re still there, you just need to remind yourself.

Try reclaiming tiny moments. Close the bathroom door and take that shower – even if it’s a quick one. Put on a song you love. Drink your coffee before it goes cold. It sounds silly, but it matters. The little things add up. You don’t need a meditation app or fancy breathing routine. 

Just stop for a second, notice your breath, maybe wiggle your toes on the floor. That’s it. Even a minute or two of peace can reset your nervous system.

Know When to Ask For Help

There’s a point where no amount of self-care or deep breathing can help.  If you’re struggling to function, or if each day feels harder instead of easier, that’s your signal.  That doesn’t mean you’re weak; it means you’re human.

Postpartum depression and anxiety are real medical conditions, but they’re treatable. A doctor, midwife, or therapist who understands postpartum life can help you find the right mix of support. Sometimes that’s talking, sometimes medication, sometimes both. The right kind of help makes everything easier.

Give Yourself Time

Recovery after birth doesn’t move in a straight line. One day you’ll feel like yourself again, the next you won’t, and that’s fine. Your body, mind, and heart all need time to settle into this new life you have. 

Rest when you can, ask for help when you can’t. 

Some days, progress is just making it through – and that’s still progress.

Happy Holidays! Festive Greetings From Eleanor

~ Eleanor Segall ~ 2 Comments

(image: Jamie Davies, Unsplash)

What a year it has been, the ninth year of our blog! And now we are nearly at the end of 2025 and approaching Christmas. Thank you to every single person who reads, comments, shares and supports this blog.

This is to wish you and your family a very happy Christmas/ holiday period, filled with light, love and laughter. We celebrate Chanukah and it has been a difficult time this year but we tried to make it joyous and still lit our candles.

Sometimes the festive season brings into focus the things that we don’t want in our lives or difficult relationships. It can impact our mental health. Please don’t suffer alone and protect yourself, if you need to talk to someone please call the Samaritans at 116 123.

Have a wonderful Christmas/ festive season and even better new year! 2026 will be the tenth year of this blog!

What traditions do you do this time of year?

With love always,

Eleanor x

Christmas For CAMHS 2025- Making Christmas And The Festive Season Special For Young People In NHS Mental Health Units.

~ Eleanor Segall ~ 2 Comments

(images: Christmas For CAMHS)

Every year, the incredible charity Christmas For CAMHS brightens up the lives of children and teens on NHS CAMHS mental health wards. These are for children who are too ill with their mental health (often distressed and traumatised) to be at home with their families, friends and loved ones. In 2004, when I was just 16 and going through a bipolar episode, at Christmas, I was in a mental health ward away from home (I am Jewish and don’t celebrate Christmas religiously but there is something about being given a gift, a card, activities when you are far from home that warms the soul). I know how scary it can be to live in hospital with other ill children and teenagers. So, I absolutely love the work of this important charity.

Christmas For CAMHS was founded by Dr Ro Bevan. While working as a doctor on a children’s ward in 2015, she saw first hand that, during the festive season, hospitals supporting children with physical illnesses were showered with huge amounts of gifts, festive treats and celebrations – as they should be! They even had enough to cover ward birthdays the following year! The following year she was working on a child and adolescent mental health ward. She was shocked by the contrast. So she posted about the inequality on Facebook – “We had no presents donated. Our patients had one present each using money scrimped and saved from the NHS budget.” Her plea went unexpectedly viral, inspiring an intrepid bunch of volunteers to come together with her to create our charity Christmas For CAMHS. We had to make sure that no child or young person on a UK mental health ward was ever forgotten at Christmas again. 

Since then the charity has gone from strength to strength, providing some essential Christmas hope for almost 9875 children and young people. Last year, in 2024, the charity sent over 1100 individual gifts (with an additional fidget toy too) to these children and young people – that’s gifts to every young person in every CAMHS unit in the UK! 

They also sent 52 special additional gifts for young people on the ward particularly in need, such as those with no parental support and young people in foster care – this included items such as oodies, comic books and specialist art equipment. But that wasn’t everything! As well as individual gifts and goodies, they sent wellbeing advent calendars, festive decorations and activity kits – great for distracting and boredom-busting – paper chains, homemade cards and ward gifts such as jigsaws, art kits, books and board games. Festive season in a box!

(Image: Christmas for CAMHS)

The charity say, ‘It’s never really about the gift itself. For these young people struggling with conditions such as anorexia, psychosis, bipolar disorder and depression, it’s about a glimmer of hope — the knowledge that someone out there cares for them, is thinking of them, and wants them to feel less alone at a very hard time of year to be poorly in hospital. This is why what we do is so important. These fragments of hope and glimmers of joy can, and do, change the course of lives.’

A recipient of the charity’s kindness who was in hospital years before, told them the following and reached out to the charity.

She said: “I was in a CAMHS inpatient unit over the Christmas period when I was 17. While friends were studying for A Levels and passing their driving tests, I was really struggling to keep myself safe and needed to focus on basics like brushing my teeth and eating regularly. Staying in an inpatient unit is a really tough experience for anyone, but Christmas is particularly hard when the pressure to be with family and enjoy the festive period is much higher.”

I wasn’t safe enough to go home overnight yet, so woke up in hospital on Christmas Day. I remember feeling really low that morning, but the unit had received a care package filled with presents which were given to all of us who were there over the Christmas period. I don’t remember what l picked out, or what the other presents were, but I remember feeling like the universe wasn’t such a bad place after all.”

It felt really special that even when I couldn’t care for myself, there were people who did care for me.I hold that memory close to this day and I’m so grateful to Christmas For CAMHS for helping me through a really difficult time.”

I can relate to this person, I was lucky enough that in 2004, we did receive a small gift and I did get some cards from people in hospital with me (I was struggling with bipolar and psychosis at this time but I still remember that lovely feeling of being thought about by the ward staff).

(image: Christmas For CAMHS)

Christmas For CAMHS is a charity extremely close to my heart. This year, they hope to reach their 10,000th child this Christmas. Times are really tough for charities and they need your help to be Father Christmas and his Elves in all of the CAMHS wards in the UK again this year. You can support Christmas for CAMHS by donating online or choosing a gift from their wish list:

https://www.justgiving.com/campaign/christmas-camhs 

Thank you Christmas for CAMHS and all its staff and volunteers for bringing light and hope to poorly young people going through a challenging time.

For more: please see https://www.christmasforcamhs.org.uk/

How Human Design Can Support Better Mental Health.

~ Eleanor Segall ~ Leave a comment

(image: Fuu J: Unsplash)

Sometimes life feels like a constant effort to keep up. We try to do things the “right” way, to make choices that look successful, to follow what others say will make us happy. Yet inside, many of us still feel anxious, confused, or tired. We wonder why it seems easier for others to find peace or purpose.

Human Design offers a different way to understand yourself. It is not about fixing or changing who you are. It is about learning how you naturally work: your energy, emotions, and ways of making decisions. When you understand this, life can start to feel lighter and more peaceful.

You can get a free Human Design Chart online using your birth details. The chart may look unusual at first, but it gives insight into how you are wired, how you connect with others, what drains you, and what supports your wellbeing.

So much of our mental stress comes from trying to be someone we are not. Human Design can help you see that your way of being is not wrong, it is simply different.

For example, some people are made to act quickly and follow their gut. Others are meant to take time and wait until things feel clear. If you are naturally the second type, trying to rush decisions can create anxiety or pressure. Learning your own rhythm helps you slow down and trust yourself. That simple understanding can calm the mind and reduce self-doubt.

Human Design reminds us that there is no single right way to live. Everyone has a different type of energy and purpose. When we stop comparing ourselves to others, something inside us relaxes.

You may begin to notice when your energy feels low and choose rest instead of pushing through. You might stop blaming yourself for needing quiet time or for feeling different. This acceptance helps reduce guilt and stress, which are heavy weights on mental health.

Another quiet gift of Human Design is how it can improve relationships. We often expect others to think, feel, or react the way we do. But when you understand that people have different emotional patterns and decision styles, it becomes easier to give space and kindness.

You may find more patience with your partner or family. You may notice that certain people energize you while others drain you, and you can make choices that protect your peace. Healthier connections grow from understanding, not control.

Human Design is not a quick fix. It is more like a mirror that helps you see yourself clearly. You can explore at your own pace, and you do not have to believe in anything spiritual to find meaning in it. It is simply a way to understand your patterns and give yourself permission to live more gently.

If you want to explore further, you can look into Human Design Software to study your chart more deeply and learn how your energy works day to day. But even just reading your basic chart can spark a lot of reflection and relief.

Good mental health often begins with acceptance. Human Design invites you to stop forcing yourself to fit an idea of how life “should” be and to start listening to what feels right for you.

When you live closer to your true design, life often feels softer. You react less, you rest more, and you start to trust that your own way is enough. There is no competition in that, just a quiet kind of peace.

In the end, Human Design is simply one more way to understand yourself with kindness. And that kindness, over time, becomes the foundation for healing.

This blog post contains sponsored links. Check out more at bodygraph.com

My Experience With Pregnancy-Related Anxiety by Georgia Anne

~ Eleanor Segall ~ Leave a comment

(image: Georgia Anne)

When I had my son in 2022, I was overwhelmed in the best way possible. 

He was blonde, blue-eyed perfection, and I fell completely in love with him. As he grew, I realised how much I enjoyed being his mum, so much that I knew I wanted to expand our family. That longing feeling stuck around until I asked my husband, “Shall we have another one? I know it’s early but I’m ready,” which he obviously was happy to!

In July 2023, I fell pregnant again with my daughter. The timing overlapped with a busy summer, including marrying my husband, Oskar, in August. With everything going on, those early weeks of pregnancy passed quickly, and my mind was completely preoccupied with wedding plans and family life.

But once things calmed down and the routine returned, something shifted.

When Everyday Anxiety Turned Into Something Bigger

By early autumn, I began to feel a growing sense of anxiety that didn’t feel like my usual ups and downs. By October, it reached a point where I struggled to leave the house. 

Even thinking about stepping outside would trigger panic, and it could take hours to build up the confidence to even think about stepping foot out of the door. I was consumed by fear, anxiety and the panic attacks were frequent.

I’m naturally quite open about how I feel, so I told my husband directly that something wasn’t right and that the anxiety was starting to affect my mood, and I could feel myself slipping into depression.

The guilt that followed made everything heavier.


I felt like I was letting my son down because our daily walks stopped. I worried he wasn’t getting the best version of me anymore. And the more I thought about it, the more overwhelming it all became.

My husband, being the steady and practical person he is, simply said, “Alright then Georgie, let’s get it sorted.”

Speaking Up at My Midwife Appointment

When my next midwife appointment came around, he came with me. I have a habit of downplaying things, and he wanted to make sure I didn’t brush it off.

When she asked how I was feeling, he gently stepped in and explained what had been happening.

What happened next was something I’ll always be grateful for.

Our midwife, by complete luck, was a former mental health consultant. She listened without judgement, spoke to me with genuine kindness, and immediately discussed practical steps to help me manage the anxiety.

Before I left the appointment, she’d already referred me to perinatal mental health services.

Every single time anyone asks about midwives in our area, I always rave about her because of this. She was the best person for the job, for me.

(image: Georgia Anne)

Getting Support: Talking Therapies & Medication

Within a month, I had started talking therapies, and I was given a low dosage of anti depressant, sertraline. It was a huge relief to finally feel like something was moving in the right direction.

I continued with therapy throughout the pregnancy, and in March, my daughter, Freya, was born. Giving my children a small but beautiful 17 month age gap.

After the birth, a mental health consultant at the hospital sat with me to talk through how I was feeling. We discussed baby blues, hormonal crashes, and how to manage my medication over the next few weeks.

And honestly, the main emotion I felt that day was relief. She was here. Safe. Healthy. And I’d made it through.

Where I Am Now

Freya is now a lively toddler: walking, talking, exploring everything.

I’m still on my treatment plan, and I’m okay with that. The difference in how I feel is huge. I can leave the house without fear. I no longer carry the weight of guilt or the worry that I’m letting my children down. I feel lighter, calmer, and more grounded. I’ve learned so much during my time in therapy, the coping mechanisms to help on bad days, the affirmations to remind myself of how far I’ve come and most importantly: how to open up and be completely vulnerable.

I often think back on that period in my life and feel a sense of pride that I was honest with my husband, and that he spoke up for me and didn’t let me sugarcoat. 

What I Learned And What I Want Others to Know

Mental health care is not a luxury. It’s essential, especially during pregnancy because it’s a time when so many physical and emotional changes are happening at once.

Reaching out to my midwife and being honest about how I was feeling was the most important step I took. It led to support that genuinely changed my experience of pregnancy and early motherhood.

If you’re feeling overwhelmed, anxious, low, or unlike yourself during pregnancy, please know this:

You’re not alone, and you deserve support just as much as anyone else.

There is help available through midwives, GPs, perinatal mental health teams, talking therapies, charities, and NHS services.

Reaching out doesn’t make you weak. It’s the first step toward feeling like yourself again.

Georgia Anne is a UK lifestyle blogger who writes about motherhood, identity, and alternative living. After experiencing pregnancy-related anxiety, she became passionate about speaking openly about maternal mental health and helping others feel less alone. She lives in England with her husband and two children, and shares her honest reflections at georgiaanne.co.uk.

My Podcast On Bipolar With JTeen Mental Health Support Service – Therapists Yaakov Barr And Tehilla Birnbaum.

~ Eleanor Segall ~ 4 Comments

I was delighted to collaborate with JTeen mental health support helpline and service for Jewish teens and young adults aged 11-24, on a podcast talking about my journey with bipolar disorder and social anxiety. I did this to help others and encourage people to seek help, and show its OK to talk about mental illness.

You can watch the podcast here, please watch with care: Trigger warning: discusses suicidal ideation, psychosis, mania, being sectioned under the mental health act and depression. Suitable for 18+

I decided to do this podcast to fight stigma in the Jewish community in London and worldwide and educate people about bipolar, especially parents as it started for me at the age of 15.

Thank you to Yaakov, Tehilla and Michal for making this such a relaxed but important conversation.

Love,

Eleanor

x

CBT vs EMDR: Which Therapy Is Right for You? by Andrew Kemp, Therapist at Clear Mind CBT.

~ Eleanor Segall ~ 2 Comments

(image: Toa Heftiba: Unsplash)

When people begin looking for psychological support, Cognitive Behavioural Therapy, or CBT for short, is one of the most well-known and accessible forms of psychotherapy. Recently, more and more therapists are offering Eye Movement Desensitisation and Reprocessing (EMDR), particularly for trauma.Both are well established, evidence-based treatments that can help people move forward from distressing experiences — but they do so in quite different ways.

If you’ve been wondering what sets them apart, or which might be the best fit for you, this post aims to break down the differences in a clear and down-to-earth way.

Understanding CBT

Cognitive Behavioural Therapy (CBT) is arguably the most widely accessed and researched psychological approaches, particularly in the UK. It’s based on the understanding that our thoughts, emotions, physical sensations, and behaviours are all connected. When one of these areas becomes unhelpful — for example, when our thoughts become overly negative or worrisome — it creates a negative cycle that keeps us stuck and in turn maintains that distress.

CBT helps a person to notice these patterns and challenge them with practical, realistic alternatives. The aim is not to “think positively” but to think more accurately. For instance, if you often find yourself thinking “I always mess things up,” CBT would explore the evidence for and against that thought, helping you see the situation in a more balanced light.

Sessions are focused on the present and typically structured towards achieving mutually agreed goals. There is less emphasis on the past and childhood, although this can be useful to consider in relation to the development of a person’s belief system or how they see the world today. This, in turn, influences a person’s responses to distress. CBT continues outside of sessions as clients engage in task such as trying alternative response to distress, or journalling at challenging times. 

CBT for trauma focuses on making changes to the way a person thinks about a traumatic event, and themselves within that event. Re-living is a key element of CBT for trauma and enables the person to safely revisits the traumatic memory in a structured, supportive way with their therapist. This allows the brain to process the event as a memory, rather than something that is still happening now, which in turn reduces distress around the event and any associated flashbacks or nightmares. The overall aim is to reduce distress, restore a sense of safety and control, and help the person make sense of what happened so the trauma feels like something from the past — not something still happening in the present.

CBT is highly effective for anxiety, low mood/depression, panic attacks, phobias, obsessive-compulsive disorder (OCD), PTSD/trauma, poor sleep/insomnia and many other mental health difficulties.

Understanding EMDR

Eye Movement Desensitisation and Reprocessing (EMDR) might sound unusual at first — after all, what do eye movements have to do with mental health? Yet EMDR is a powerful, evidence-based therapy originally developed to help people recover from trauma.

The theory behind EMDR is that when something distressing happens, our brains sometimes struggle to process it properly. The memory can get “stuck,” remaining vivid and the person continues to experience the fear as if the event is happening again. EMDR helps the brain work through these memories so they can be stored more adaptively — as something that happened in the past, rather than something that continues to feel threatening now.

During EMDR sessions, the therapist will guide you through sets of bilateral stimulation — this could involve following their fingers with your eyes, hearing alternating tones through headphones, or feeling gentle taps on your hands. This process is thought to mimic the way the brain naturally processes memories during REM sleep.

One benefit of EMDR is that it’s not necessary to go into detail about the event if you don’t want to. The focus is on how it feels in your body and what comes up in the moment. Over time, people often report that distressing memories lose their emotional intensity, and the beliefs tied to those experiences begin to shift to something most positive and empowering, rather than fearful or critical.

Can CBT and EMDR Be Combined?

Absolutely. Many therapists are trained in both and will tailor the approach depending on your needs. For example, someone with trauma may start with CBT techniques to manage anxiety and develop coping skills, then move into EMDR once they feel more grounded and ready to process deeper memories. In some cases, EMDR can help resolve traumatic roots of long-standing patterns, while CBT provides the tools and strategies to maintain progress in day-to-day life.

It isn’t about one being “better” than the other — it’s about finding what works for you, at the right time and pace.

Which One Should You Choose?

If you’re feeling stuck in unhelpful thoughts or patterns — for example, overthinking, avoidance, or self-criticism — CBT can be a great place to start. It’s structured, practical, and gives you tools you can continue using long after therapy ends. If you’ve experienced trauma, flashbacks, or distressing memories that feel “frozen in time,” EMDR might be more suitable. It’s gentle yet powerful, and often helps people move on from experiences they’ve been carrying for years.

Ultimately, the best way to decide is to talk with a qualified therapist who can help assess your situation and guide you towards the most appropriate treatment.

Final Thoughts

Both CBT and EMDR offer genuine hope for change. Whether you’re learning to manage anxiety, heal from trauma, or simply understand yourself better, the right therapeutic relationship can make all the difference.

At its heart, therapy isn’t just about techniques — it’s about feeling safe, understood, and supported while you make sense of your experiences. Whether through CBT, EMDR, or a combination of both, the goal is the same: helping you feel more in control of your thoughts, emotions, and your life again.

This blog was written by UK therapist Andrew Kemp at www.clearmindcbt.com and contains sponsored links.

7 Ways To Care For Yourself And Your Mental Health This Autumn/ Fall.

~ Eleanor Segall ~ 1 Comment

(image: Ella Ivanescu, Unsplash)

Autumn (or if you’re in the USA, Fall) is one of my favourite seasons. Beautiful autumn leaves, the weather getting gently cooler, cosy hot chocolates and pumpkin spice, the autumn harvest of pumpkins, snuggling in blankets with a good book or TV show and for some- walks in nature with the orange and yellow trees and landscapes. However, did you know that the clocks going back and the change in light and dark, with nights drawing in, can affect your mental health? Studies have shown that when its darker, people are more prone to depression and anxiety and some (like myself at times) struggle with Seasonal Affective Disorder.

There are many ways to take care of yourself if you feel your mood dipping or you are becoming more anxious. If you feel it is affecting your daily functioning, please reach out for support from your doctor (and if you have one, a therapist or psychologist). Here I talk about a few tips to help support your mental health this Autumn.

  1. Make sure you rest as well as play and work

Work can become all consuming, but if you prioritise rest this season too, your body will thank you. Autumn is all about slowing down, recovering, resting (and for animals (and some humans) hibernating). Yes you can work and play hard if you prefer, but make sure you find that balance to support your wellbeing. In our busy lives and for those who are parents or just struggling with their mental health, self care can slip. Practising good self care- eating well, resting, gentle exercise, can really help our minds.

2. Release Control- Give Stress Over

Gabby Bernstein, my favourite spiritual teacher, often says ‘Release control to find peace, surrender it to the Universe’. Surrendering means not obsessing about what we can’t control, but giving it over to a higher power or the universe. This can really help when we feel overwhelmed and stressed, to pray and meditate or simply write down how you are feeling and then ask the universe to take it from you. Journalling thoughts and feelings can help too.

3. Nature walks

Despite the cold, this Autumn, walking in nature can help get the blood pumping and our minds to reset. Sometimes going with a friend, spouse or family member can cheer you up- there is something about the colours of nature, the soft greens that is truly calming.

(image: Erika Mendes, Unsplash)

4. Make your home cosy

Whether its getting some new cushions or blankets, fairy lights or lamps, investing in cosy and light interiors for the darker seasons is a must! I like to use lamps when the nights draw in.

5. Get enough sleep (but not too much!)

During the Autumn/ Winter period, most of us naturally want to hibernate in the evenings. Sometimes this period can make depression and anxiety worse. I know with my bipolar that sometimes I feel lower or more anxious. Getting enough daylight and if you struggle with seasonal affective disorder, use an SAD lamp, which can help you to wake up gently in the mornings. Similarly, make sure you get enough sleep for you to keep your mental and physical health at its best. Depression can cause us to sleep longer hours and hide away- I find daytime distractions can help me not to sleep too much.

6. Take your medication as prescribed

If you struggle with mental health in winter and are prescribed antidepressants or other meds, do not suddenly stop them as this can cause a relapse in your mental health. Make sure you speak to your doctor first!

7. Treat yourself

Treat yourself to a hot chocolate (or pumpkin space drink) and a good book or TV show, wrapped in a cosy hoodie or blanket. You deserve it!

Wishing you all a wonderful and well Autumn/Fall season.

Eleanor