Category: CBT

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.

Understanding Mental Health Challenges And Recovery Options by Violet Smith Evans

~ Eleanor Segall ~ Leave a comment

(image: Zohr Nemati: Unsplash)

Mental health is an essential part of overall well-being, yet it is often overlooked until symptoms become overwhelming. Millions of people around the world live with mental health conditions that can affect their mood, thoughts, and behavior. These challenges can interfere with relationships, work, and daily routines, but the good news is that treatment options are more accessible and effective today than ever before.

When individuals understand their condition and seek the right support, they can build healthier coping strategies and regain control of their lives. Two common struggles people face are bipolar disorder and anxiety—both of which can be complicated further when substance use is involved. Exploring recovery options designed specifically for these conditions can open the door to long-term healing.

The Importance of Addressing Mental Health Early

Early recognition of mental health symptoms is critical. Too often, individuals dismiss mood swings, prolonged sadness, excessive worry, or fatigue as “just stress” or “a bad week.” However, these patterns can signal a deeper issue that requires professional support. Addressing mental health concerns at the onset not only improves outcomes but can also prevent the development of secondary challenges such as addiction, chronic stress, or physical health problems.

By taking proactive steps, individuals are more likely to develop resilience and maintain stability over time. Family members, friends, and colleagues also play an important role by offering encouragement and understanding instead of judgment or stigma.

Understanding Bipolar Disorder

Bipolar disorder is one of the most misunderstood mental health conditions. Characterized by extreme shifts in mood, energy, and activity levels, it goes far beyond the typical ups and downs that people experience in daily life. Those with bipolar disorder may experience manic or hypomanic episodes—periods of high energy, impulsivity, and elevated mood—followed by depressive episodes that bring sadness, hopelessness, or loss of interest in activities.

Because bipolar disorder exists on a spectrum, its symptoms vary greatly from person to person. This makes individualized care essential. Professional intervention, therapy, and medical management can significantly reduce the intensity and frequency of mood episodes, allowing individuals to lead fulfilling and balanced lives.

For those seeking guidance, comprehensive Bipolar Disorder Treatment programs provide structured support that combines psychotherapy, medication management, and lifestyle strategies to stabilize mood patterns. These programs focus on helping individuals better understand their triggers, strengthen coping mechanisms, and create long-term wellness plans.

The Overlap Between Mental Health and Substance Use

Mental health conditions often coexist with substance use disorders. This dual challenge, known as co-occurring disorders, can complicate both diagnosis and treatment. For example, individuals with bipolar disorder may use drugs or alcohol during manic episodes to maintain their energy or during depressive episodes to numb emotional pain. Similarly, those with anxiety might turn to substances as a form of temporary relief, leading to dependency over time.

The presence of co-occurring disorders makes it critical to find treatment centers that specialize in dual diagnosis. Traditional approaches that treat mental health and substance use separately may fail to address the underlying causes of each condition, resulting in relapse or incomplete recovery. Integrated treatment programs, on the other hand, provide a holistic approach that tackles both issues simultaneously, improving long-term outcomes.

Anxiety and Its Connection to Addiction

Anxiety disorders are among the most common mental health conditions worldwide. They can manifest as generalized anxiety, panic attacks, social anxiety, or phobias. For many, constant worry and fear interfere with work performance, social interactions, and even physical health.

When anxiety is left untreated, individuals often look for ways to escape their symptoms. Unfortunately, this can lead to reliance on alcohol, prescription medications, or illicit substances. While these may provide short-term relief, they create long-term consequences and increase the risk of developing addiction.

To break this cycle, specialized anxiety and addiction treatment programs are designed to address both issues together. These programs typically combine evidence-based therapies such as cognitive-behavioural therapy (CBT), mindfulness practices, and medical support to help individuals identify the root causes of their anxiety while also treating their substance use.

(image: Sydney Rae: Unsplash)

Building a Strong Support System

Professional treatment is only one piece of the recovery puzzle. Having a strong support network can make a tremendous difference in maintaining long-term wellness. Family therapy, peer support groups, and community-based programs help individuals stay accountable while fostering connections that reduce isolation.

Loved ones can also benefit from education and counseling, as understanding mental health conditions makes it easier to provide the right kind of support. Encouraging open conversations about mental health challenges helps break down stigma and creates an environment where healing is possible.

Healthy Lifestyle and Daily Habits

Lifestyle changes play a critical role in managing conditions like bipolar disorder and anxiety. Regular exercise, balanced nutrition, adequate sleep, and mindfulness practices can all reduce symptom severity. For example, yoga and meditation help regulate stress, while consistent sleep patterns can stabilize mood swings.

Journaling, creative activities, and spending time in nature are additional strategies that promote mental clarity and emotional balance. While these habits may not replace professional care, they work in tandem with treatment to strengthen resilience.

Long-Term Recovery and Hope

Recovery is not a one-time event—it’s an ongoing process that requires commitment, patience, and self-compassion. Relapses or setbacks may occur, but they don’t mean failure. Instead, they can serve as opportunities to re-evaluate strategies and adjust treatment plans.

The growing availability of specialized programs for conditions like bipolar disorder and anxiety shows that no one has to face these challenges alone. With proper care, individuals can achieve stability, rebuild relationships, and pursue meaningful goals.

Final Thoughts

Mental health conditions such as bipolar disorder and anxiety can feel overwhelming, especially when compounded by substance use. However, effective treatment and recovery programs provide hope and healing. By seeking out resources tailored to specific needs, individuals can find balance and create a foundation for lasting well-being. It is important to be lead by a psychiatrist about medication and treatment when someone also has substance abuse.

No matter how challenging the journey may seem, recovery is always possible. Support, understanding, and professional guidance are the keys to moving forward and embracing a healthier, more fulfilling future.

This blog contains sponsored links.

Dual-Diagnosis Care: Tackling Addiction and Mental Illness Together by Elizabeth Howard

~ Eleanor Segall ~ 2 Comments

(Image: Unsplash)

A dual diagnosis occurs when an individual simultaneously struggles with a mental health disorder and a substance use disorder. Far more common than many realise, dual diagnoses can involve combinations such as depression and alcohol dependence, anxiety and benzodiazepine misuse, bipolar disorder coupled with stimulant abuse, or PTSD alongside opioid addiction. Attempting to treat one condition in isolation while neglecting the other typically leads to inadequate results and higher relapse rates. Dual-diagnosis care addresses both issues in tandem, recognising the complex interplay between mental health and addiction. Below, we explore five essential components of an effective, integrated treatment approach that fosters sustainable recovery.

Understanding the Link Between Mental Health and Addiction

Self-medication is a common pathway to substance misuse: someone experiencing chronic anxiety may reach for alcohol to calm racing thoughts, while an individual with untreated depression might use opioids to numb emotional pain. Unfortunately, what begins as short-term relief often worsens underlying psychiatric symptoms. Alcohol, for example, disrupts sleep and brain chemistry, intensifying anxiety or depression over time. Conversely, the guilt, shame, and isolation that emerge from addiction can spark or aggravate mood disorders.

Recognising this bidirectional relationship is critical in dual-diagnosis care. Clinicians assess not only which substance came first, but also how each condition fuels the other. By identifying triggers—whether social stressors, traumatic memories, or genetic vulnerabilities—therapists can help patients develop healthier coping strategies. Early psychoeducation enables individuals to see how their mental health and addiction are intertwined, fostering motivation to engage in comprehensive treatment.

Comprehensive Assessments for Accurate Diagnosis

Misdiagnosis is rampant in dual-diagnosis cases: withdrawal symptoms can mask depression, and manic episodes may be mistaken for cocaine highs. To avoid these pitfalls, providers conduct thorough biopsychosocial evaluations that delve into psychiatric history, substance use patterns, family dynamics, medical background, and co-occurring health issues. Standardised screening tools—such as the PHQ-9 for depression, GAD-7 for anxiety, CAGE for alcohol misuse, and the Addiction Severity Index—offer structured insights that guide diagnostic clarity.

Laboratory tests and, when indicated, neuroimaging can reveal medical complications—like liver dysfunction in heavy drinkers or neurochemical imbalances in long-term stimulant users. Ongoing assessments throughout treatment help clinicians monitor progress, adjust medication, and refine therapy goals. An accurate, layered diagnosis ensures that neither the mental health disorder nor the addiction is minimized, laying the groundwork for a cohesive care plan.

The Role of Integrated Treatment Plans

Unlike traditional models that silo psychiatric care and addiction treatment, integrated plans bring multidisciplinary teams together. Psychiatrists, addiction medicine specialists, psychologists, social workers, and certified peer support counsellors collaborate on a unified treatment blueprint. Core elements may include:

  • Medication management to stabilise mood disorders and reduce cravings (for instance, SSRIs for depression and buprenorphine for opioid dependency)
  •  Evidence-based psychotherapies such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and trauma-focused interventions for PTSD
  • Group therapy sessions that address both substance use behaviours and coping skills for anxiety or mood regulation
  • Family therapy and psychoeducation to repair relationships and build a supportive home environment
  • Holistic modalities—mindfulness training, yoga, nutritional counseling—aimed at restoring overall well-being

Coordinated care prevents mixed messages and redundant treatments. When each provider shares a common set of goals and progress metrics, patients receive consistent guidance, and their support network remains informed and engaged.

(image: Alysha Rosly, Unsplash)

Flexible Care Through Programs Like the Intensive Outpatient Program

Not everyone with a dual diagnosis needs round-the-clock residential care. For those with strong support systems, manageable symptom severity, and stable living conditions, outpatient solutions can strike the right balance. A reputable intensive outpatient treatment program offers structured therapy multiple times per week, while allowing individuals to live at home and maintain work or family responsibilities.

These programs typically include group counselling, individual therapy, psychiatric check-ins, and relapse prevention workshops. They serve as a transitional step either before entering less intensive outpatient care or following discharge from an inpatient facility. Flexible scheduling and a mix of virtual and in-person sessions accommodate diverse lifestyles, enabling more people to access high-quality dual-diagnosis treatment without uprooting their lives. In the UK, these were known as ADTU units attached to hospitals, but there are less of these on the NHS.

The Importance of Ongoing Support and Aftercare

Recovery from a dual diagnosis doesn’t end when formal treatment ends. Long-term success hinges on robust aftercare and relapse prevention strategies that recognize recovery as a lifelong process. Essential components of sustained support include:

  • Peer support groups—such as Dual Recovery Anonymous or integrated 12-step fellowships—that offer lived-experience encouragement
  • Regular outpatient counselling or case management to address emerging challenges and adjust treatment plans
  • Medication-assisted maintenance, when appropriate, to stabilise chronic mental health conditions and prevent relapse
  • Life-skills workshops for stress management, financial planning, and vocational training to strengthen daily functioning
  • Digital tools and telehealth check-ins that enhance accessibility, especially for those in remote areas

Family involvement remains vital: ongoing family therapy sessions and education empower loved ones to recognize early warning signs and respond effectively. Community resources—like sober living homes and recreational recovery programs—further enrich social support, reducing isolation and reinforcing positive lifestyle choices.

Conclusion

Effective dual-diagnosis care transcends the simplistic view of treating mental illness and addiction separately. By acknowledging their deep interconnection, clinicians can offer comprehensive assessments, integrated treatment plans, flexible program options, and enduring aftercare. Whether delivered through residential facilities or outpatient settings, these five components—link recognition, accurate diagnosis, collaborative treatment, adaptable program structures, and sustained support—equip individuals with the skills and stability needed for lasting recovery. Embracing a holistic, patient-centered approach that addresses the whole person, not just isolated symptoms, paves the way for renewed health, purpose, and hope.

This article was written by Elizabeth (Lizzie) Howard, writer and contains a sponsored link.

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

~ Eleanor Segall ~ Leave a comment

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.

Doctor’s Insights: Navigating Life With Bipolar Disorder By Dr Antti Rintanen MD Of The Internet Doctor

~ Eleanor Segall ~ Leave a comment

(image: Emily Underworld: Unsplash)

Living with bipolar disorder can often feel like your emotions are swinging between two extremes. The highs (mania) can be energising but risky, and the lows (depression) can be draining and isolating. As a doctor, I’ve worked with many patients who face this condition—and I’ve seen firsthand how the right tools, treatments, and habits can lead to a more stable and fulfilling life.

What Is Bipolar Disorder?

Bipolar disorder is a mental health condition marked by episodes of depression and mania or hypomania. These mood shifts can affect how a person thinks, feels, and acts. It’s more than just having a bad day or being in a good mood—it can seriously impact relationships, work, and daily functioning.

According to the World Health Organisation, bipolar disorder is one of the top causes of disability for people between 15 and 44 years old.

Medications: The Backbone of Treatment

Most people with bipolar disorder need medication to help manage their symptoms. Lithium, for example, has been used for decades and is one of the most reliable treatments to prevent manic episodes and reduce the risk of suicide. Other options include other mood stabilisers and certain antipsychotic medications.

It’s really important to stick with your medication plan. Stopping suddenly—even if you feel better—can cause serious setbacks. Never adjust or stop medications without medical supervision—even if you’re feeling better, as this significantly increases the risk of relapse, especially into mania. If you have side effects, don’t stop on your own—talk to your doctor about switching or adjusting your dose.

How Therapy Helps

Therapy can help you understand your thoughts, manage emotions, and build better habits. One helpful option is Cognitive Behavioural Therapy (CBT). It teaches people to recognise unhelpful thought patterns and replace them with healthier ones. CBT is especially useful for managing depression and maintaining stability between episodes, though it is less effective during manic phases.

Another type of therapy, called Interpersonal and Social Rhythm Therapy (IPSRT), focuses on keeping your daily schedule steady—especially your sleep and social routines. Why does this matter? Because disruptions to your daily rhythm can trigger mood episodes.

Family-focused therapy also makes a big difference. When your loved ones understand your condition and know how to respond, you’re more likely to stay on track. If you face trauma around your condition, then EMDR therapy can also help with any PTSD or anxiety symptoms.

These therapies don’t replace medication, but they add valuable tools for coping, improving communication, and building resilience.

Everyday Habits That Make a Difference

Beyond medication and therapy, lifestyle habits have a huge effect on mood. Here are a few evidence-based strategies:

  • Stick to a regular sleep schedule. Going to bed and waking up at the same time helps stabilize your mood.

  • Get moving. Exercise—even walking—has been shown to lift mood and reduce stress.

  • Eat well. Omega-3 fats (like those found in fish or flaxseed) may support brain health. While the evidence is mixed, some studies suggest they could help support mood as part of a healthy diet.

  • Manage stress. Mindfulness, breathing exercises, or journaling can help you stay grounded.

  • Avoid alcohol and drugs. These can interfere with treatment and trigger episodes.

It’s worth remembering that lifestyle changes work best alongside—not in place of—medication and therapy. These small, daily actions help support long-term stability and overall well-being.

Pay Attention to Early Warning Signs

Everyone’s symptoms are different, but common early signs of mania include less need for sleep, racing thoughts, and impulsive decisions. Signs of depression may include feeling hopeless, withdrawing from others, or sleeping too much.

Keeping a mood diary or using an app can help track how you’re doing. You might also ask a trusted friend or family member to gently point out changes you might not notice.

Build a Strong Support System

Having a support system—whether friends, family, or a support group—makes a real difference. Research shows that people with strong social support tend to manage bipolar disorder better and have fewer hospitalisations.

It also helps when your loved ones are informed and involved. When people understand what you’re going through, it’s easier for them to support you in ways that actually help.

Final Thoughts

Living with bipolar disorder isn’t easy, but it’s manageable. With the right treatment, daily routines, emotional awareness, and a good support network, it’s absolutely possible to live a meaningful and empowered life.

You are more than your diagnosis. And there are tools—backed by science—that can help you thrive.

About the Author

Dr. Antti Rintanen is a licensed physician from Finland and founder of The Internet Doctor, where he shares reliable, accessible health advice. He writes about both physical and mental well-being with a focus on evidence-based care.

Cognitive Behavioural Therapy For Perfectionism by NOSA CBT

~ Eleanor Segall ~ Leave a comment

(image: Kateryna Hliznitsova, Unsplash)

Struggling with perfectionism? Learn how CBT for perfectionism helps challenge self-criticism, set realistic goals, and break free from the pressure to be perfect.

If you ever feel paralyzed by the thought of making mistakes or constantly push yourself to impossible standards, you might benefit from CBT for Perfectionism. At NOSA CBT, we understand how perfectionism can lead to burnout, procrastination, and nonstop anxiety. In this blog, we will explore what perfectionism really is, why it develops, and how Cognitive Behavioural Therapy (CBT) provides practical ways to break out of the perfectionist trap.

What Is Perfectionism?

Perfectionism is not just about wanting to do things well. It usually means aiming for flawless results and feeling that anything less than perfection is a failure. Many perfectionists believe their worth depends on never making mistakes. This can cause chronic stress and harsh self-criticism whenever the outcome is not 100 percent perfect.

Sometimes, perfectionistic habits come from fear of judgment or failure in front of others. This fear creates a cycle: always striving, never satisfied, and relying on achievement for self-esteem. Ironically, trying to be flawless can keep you from getting started on projects, since the fear of messing up becomes more overwhelming than the desire to make progress.

How Perfectionism Develops

Perfectionism can grow from many sources: family expectations, social pressures, or ways of coping you learned over time. You might have grown up in a home where you were praised only when you excelled, making you feel like mistakes were unacceptable. Or maybe you live in a culture where success is linked to being the best, reinforcing the idea that any slip-up equals total failure.

Often, perfectionists tie their self-worth directly to their accomplishments. Rather than seeing an outcome as separate from who they are, they treat any disappointment as a personal shortcoming. Once these ideas take hold, they shape your approach to work, relationships, and even leisure activities. Recognizing why perfectionism developed does not mean it vanishes overnight, but it can help you spot triggers that feed that anxiety about not being “good enough.”

(image: Brett Jordan: Unsplash)

How CBT for Perfectionism Works

CBT for Perfectionism focuses on finding and challenging the thoughts and beliefs that drive unhealthy perfectionism. Instead of telling you how to get perfect results, CBT helps you understand why imperfection feels so scary in the first place. Then, you can test whether those fears are truly accurate and replace them with more realistic, kinder ways of thinking.

  1. Mapping Unhelpful Thoughts
    Early on, you might keep track of moments when you feel overwhelmed or anxious about not doing something “well enough.” This reveals the core thoughts fueling your stress, such as “If I don’t get every detail right, I’m a failure.”
  2. Challenging Distorted Beliefs
    Next, CBT teaches you to question these beliefs. Is it realistic to think one mistake ruins everything? Are you really worthless if you miss a tiny detail? Finding evidence that contradicts these absolutes can weaken their hold.
  3. Encouraging Realistic Standards
    CBT does not say you have to lower your standards across the board. Instead, it prompts you to set challenging but achievable goals. This shift allows you to celebrate progress rather than obsessing over small flaws.
  4. Self-Compassion
    One of the most important parts of CBT is learning to be gentle with yourself when things do not go perfectly. Instead of harsh self-criticism, you practice talking to yourself in a supportive, encouraging way. This approach boosts resilience and motivation, even when you stumble.

By repeating these steps and noticing changes in your thoughts and behaviors, you can develop a healthier mindset that balances striving for excellence with recognizing that mistakes are a normal part of growth.

Key CBT Techniques for Perfectionism

Several CBT techniques help reduce the pressure to be perfect:

  1. Thought Records
    • Write down situations that trigger perfectionistic stress, along with the thoughts and emotions they spark. Then, look for evidence that challenges these extreme conclusions. Over time, seeing flaws in your perfectionistic thinking can loosen its grip.
  2. Behavioural Experiments
    • Sometimes, you might intentionally aim for “good enough” rather than perfect results. Whether it’s a work project or a household task, see how it feels to let go of total precision. Often, you’ll realize minor imperfections rarely lead to disaster.
  3. Graded Exposure
    • Gradually face your fear of imperfection. For example, leave a small mistake in a draft and show it to a friend or colleague, just to prove to yourself that a minor error doesn’t lead to rejection or failure.
  4. Self-Compassion Exercises
    • Through affirmations or mindfulness, you learn to accept that everyone slips up sometimes. Treat mistakes as opportunities to learn, not signs of personal failure.

When practiced consistently, these strategies help you maintain high standards without feeling constantly overwhelmed by the need to be flawless.

Dealing with Setbacks and Ongoing Habits

Real change rarely happens in a straight line, especially if you’ve spent years developing perfectionistic habits. It’s normal to have setbacks when deadlines loom or when life throws unexpected challenges your way. If you catch yourself slipping back into rigid thinking, it doesn’t mean CBT “failed.” It just means it’s time to revisit the strategies and tools that helped you before.

Setbacks can even be helpful. Each time perfectionistic thoughts resurface, you have another opportunity to apply the CBT methods you’ve learned. Over time, these relapses often become less intense and less frequent because you have a more flexible framework for coping.

Who Can Benefit from this Therapy?

Anyone who struggles with all-or-nothing thinking can find CBT useful. High achievers sometimes get stuck in endless cycles of tweaking or revising because they feel nothing is ever “perfect.” Students may push themselves to the limit, convinced that a single slip in grades defines their future. Even in personal settings, the need to appear flawless can drain your energy and enjoyment of everyday life.

It’s also important to remember perfectionism isn’t limited to a certain personality type. You might feel confident in some areas yet be extremely hard on yourself in others. CBT meets you where you are. It offers practical tools for tackling unhelpful beliefs and separating your self-worth from your achievements.

Rounding Up 

Ultimately, CBT for Perfectionism aims to loosen the grip of harsh self-standards and critical inner voices that overshadow day-to-day satisfaction. Striving for excellence can be motivating, but perfectionism can turn into a never-ending burden that undermines your confidence and well-being.

By challenging black-and-white thinking, trying out more balanced behaviours, and learning self-compassion, you can find a healthier mindset that values progress over flawlessness. If you’ve noticed perfectionistic habits affecting your life, consider exploring CBT techniques or reaching out for professional support to build a more flexible and resilient approach to reaching your goals.

How Counselling Can Help You Manage Your Anxiety by Buick Hamblin, Therapist.

~ Eleanor Segall ~ Leave a comment

(image: Unsplash)

Anxiety affects millions of people worldwide, impacting their daily lives and overall well-being. Counselling offers a supportive and effective way to manage your anxiety, helping you regain control and improve your mental health.

Understanding Anxiety 

Anxiety is a common mental health condition that manifests in various forms, including social anxiety disorder, generalised anxiety disorder (GAD), and panic disorder. Symptoms often include excessive worry, panic attacks, and constantly feeling anxious. These symptoms can interfere with daily activities, making it crucial to seek appropriate help.

How Counselling Helps with Anxiety 

Counselling for Anxiety

Counselling provides a safe space to explore and understand your anxiety. A therapeutic counsellor works with you to identify the root causes of your anxiety and develop strategies to manage it effectively.

Therapy for Anxiety 

Different types of therapy can be used in counselling to address anxiety. Cognitive Behavioural Therapy (CBT) helps reframe negative thoughts, while exposure therapy gradually reduces fear responses. Both are proven methods in managing anxiety and improving mental health.

Types of Counselling for Anxiety 

Cognitive Behavioural Therapy (CBT) 

CBT is a widely used approach that helps you understand and change negative thought patterns contributing to anxiety. It focuses on developing practical skills to manage anxiety symptoms and anxious thoughts. 

For example, if you often experience negative thoughts like “I can’t handle this situation,” CBT can help you reframe this thought to something more constructive, like “I can take small steps to manage this situation.”

Exposure Therapy

Exposure therapy is particularly effective for phobias and social anxiety. It involves gradual exposure to anxiety-provoking situations, helping you build tolerance and reduce avoidance behaviours. For instance, if you have a fear of public speaking, exposure therapy might start with speaking in front of a small group and gradually working up to larger audiences.

Talking Therapies

Alongside private talking therapy practices, NHS talking therapies service provides a space to express your feelings and gain insights into your anxiety. Whether through face-to-face sessions, group therapy, or online counselling options, talking therapies offer valuable support. These sessions can help you feel heard and understood, which is a crucial step in managing anxiety.

How Therapy Sessions Work 

Therapy sessions are tailored to your specific needs. During these sessions, you and your counsellor will create a treatment plan focused on your goals. Regular sessions build a therapeutic relationship, essential for effective treatment. 

The consistency of therapy sessions helps reinforce strategies to manage anxiety. For example, your counsellor might help you track your anxiety levels and identify what can trigger anxiety, which can be discussed and addressed in each session.

Benefits of Counselling for Different Types of Anxiety 

Generalised Anxiety Disorder (GAD)

Counselling helps manage chronic worry and stress, providing tools to cope with daily life. Techniques such as mindfulness and relaxation exercises can be incorporated into your daily routine to reduce overall anxiety levels.

Panic Disorder

Techniques like CBT are used to cope with panic attacks, reducing their frequency and intensity. Learning breathing exercises and grounding techniques can help you regain control during a panic attack, and if CBT doesn’t work for you there are other options of therapy available.

Obsessive-Compulsive Disorder (OCD)

Counselling aids in managing obsessive thoughts and compulsions, promoting healthier coping mechanisms. For example, a counsellor might use exposure and response prevention (ERP) therapy, a type of CBT specifically designed for OCD, to help you resist the urge to perform compulsive behaviours. This approach is effective in treating anxiety associated with OCD.

Post-Traumatic Stress Disorder (PTSD)

Counselling addresses trauma, helping reduce PTSD symptoms through therapeutic approaches like CBT and Eye Movement Desensitization and Reprocessing (EMDR). These therapies can help you process traumatic memories and reduce their impact on your daily life.

Social Anxiety Disorder

Strategies in counselling help overcome social fears, improving social interactions and confidence. Role-playing and social skills training can be part of your therapy to help you feel more comfortable in social situations. By learning to manage your anxiety, you can gradually overcome social anxiety disorder and improve your quality of life.

Addressing Specific Concerns 

Health Anxiety

Counselling helps those who constantly worry about their health by addressing underlying fears and developing coping strategies. Techniques like CBT can help you challenge and reframe catastrophic thinking related to health concerns.

Stress and Anxiety

Techniques to manage stress are integrated with anxiety treatment, offering comprehensive support. Learning time management and relaxation techniques can help reduce the overall impact of stress on your anxiety levels.

Seeking Additional Support

While counselling is a crucial component in managing anxiety, there are other resources available to complement your treatment. Organisations like Anxiety UK offer additional support, information, and resources for individuals struggling with anxiety disorders. 

These organisations can provide helplines, support groups, and educational materials to further assist you in your journey towards better mental health.

Accessing Mental Health Services If you’re struggling with Anxiety

It’s important to know that help is available (although there can be waiting lists for therapy). The mental health service in your area can provide access to counselling and other forms of support. Your general practitioner (GP) can refer you to appropriate services, or you may be able to self-refer to local mental health teams. 

Remember, seeking help is a sign of strength, not weakness, and taking this step can be the beginning of your journey to managing your anxiety effectively.

Embracing a Healthier Future 

Counselling offers effective strategies to manage your anxiety, tailored to your specific needs. By working with a counsellor, you can gain control over your anxiety and improve your mental health. 

Whether it’s through CBT, exposure therapy, or talking therapies, counselling provides the tools and support needed to navigate your anxiety and lead a more fulfilling life. Understanding the types of anxiety disorders and how they can be managed through therapy is crucial in overcoming anxiety.

If you’re struggling with anxiety, consider exploring counselling services. Taking the first step towards seeking help can make a significant difference in managing your anxiety and enhancing your quality of life.

Buick Hamblin is an experienced counsellor and psychotherapist with over 20 years in the field. Specialising in person-centred therapy and cognitive behavioural therapy (CBT), she offers compassionate, non-judgmental support to clients dealing with a range of issues, including depression and relationship problems. Accredited by the BACP since 2007, Buick provides flexible counselling options both in Grantham, UK and online.

The Mental Health Impact and Trauma: A Guide for Road Accident Victims.

~ Eleanor Segall ~ 4 Comments

(image: Matthew Ball, Unsplash)

Road accidents can have devastating consequences, not only physically but also mentally. While physical injuries are often visible and receive immediate attention, the psychological impact of such traumatic events can sometimes be overlooked.

Road accident victims must prioritise their mental health alongside their physical recovery. In this guide, we’ll explore the importance of addressing mental health after a road accident and provide practical tips for staying mentally resilient during the recovery process.

Understanding the Impact

The aftermath of a road accident can trigger a range of emotional responses, including shock, fear, anger, sadness, and anxiety.

These feelings are normal reactions to a traumatic event. Still, if left unaddressed, they can develop into more serious mental health issues such as post-traumatic stress disorder (PTSD), depression, or anxiety disorders.

Victims need to recognise and acknowledge their emotions rather than suppress them, as this can help prevent long-term psychological complications.

Tips for Maintaining Your Mental Well-being

In the aftermath of a road accident, prioritising mental well-being is crucial. Here are essential tips for maintaining your mental health.

Manage Stress

Dealing with the aftermath of a road accident can be incredibly stressful, but some techniques can help manage stress levels.

Mindfulness meditation, deep breathing exercises, and progressive muscle relaxation are all effective ways to reduce anxiety and promote relaxation.

It’s also helpful to practice stress management techniques such as time management, setting boundaries, and prioritizing tasks to avoid feeling overwhelmed. Remember to be patient and permit yourself to take breaks when needed.

Navigating the legal aftermath of a road accident can amplify stress during recovery. However, you can alleviate some of that burden with a dependable legal team like Herrman & Herrman providing support.

Entrusting your case to experienced professionals allows you to shift focus towards prioritising your mental health and overall well-being.

Knowing that competent advocates are handling the legal complexities empowers you to engage in self-care practices without the added pressure of legal concerns weighing on your mind.

Seek Support

Seeking support is paramount for road accident victims. Opening up to trusted friends, family, or mental health professionals can offer validation, comfort, and valuable perspective during a challenging time.

Furthermore, consulting a qualified therapist provides a safe space to process trauma. Therapies like cognitive-behavioral therapy (CBT) or eye movement desensitisation and reprocessing (EMDR) are particularly effective in addressing trauma-related symptoms.

By actively seeking support and engaging in therapy, victims can embark on a journey of healing, resilience, and eventual recovery, empowered by the guidance and expertise of those who understand and specialise in mental health care.

Self-Care Practices

Self-care is indispensable for preserving mental well-being throughout the recovery journey. Prioritise ample sleep, a nourishing diet, regular exercise, and indulging in hobbies that foster joy and relaxation.

Steer clear of detrimental coping mechanisms like substance abuse, as they can compound mental health challenges. Tending to your physical health bolsters mental resilience and facilitates recovery.

By nurturing yourself holistically, you cultivate a foundation of strength and vitality, empowering you to navigate the emotional complexities of post-accident recovery with greater resilience and grace.

Remember, self-care isn’t an indulgence; it’s a vital component of healing and self-preservation.

Connect with Others

In the aftermath of a road accident, isolation can intensify feelings of loneliness and depression. Therefore, victims need to connect with others actively. Whether it’s spending quality time with loved ones, seeking support from friends, or participating in support groups tailored for individuals with similar traumas, fostering connections is paramount.

Engaging with those who comprehend your experiences can offer validation, empathy, and a profound sense of belonging.

By building a network of understanding and supportive individuals, road accident victims can navigate their emotional journey with resilience, knowing they are not alone in their struggles.

Setting Realistic Expectations

Recovery from a road accident, both physically and mentally, takes time and patience. It’s essential for victims to set realistic expectations for their recovery and to be gentle with themselves along the way.

Healing is sometimes linear, and setbacks or challenges may occur along the road. By accepting this reality and focusing on progress rather than perfection, victims can cultivate resilience and navigate the ups and downs of recovery more effectively.

 

Conclusion

Road accidents can have a profound impact on both physical and mental health. Still, with the proper support and coping strategies, victims can navigate the recovery process with resilience and strength.

By prioritising their mental health, seeking support, practicing self-care, managing stress, connecting with others, and setting realistic expectations, road accident victims can promote healing and regain a sense of control over their lives.

Remember, it’s okay to ask for help and to take things one day at a time. Your mental health matters, and you deserve support and compassion as you journey toward recovery.

This article was written by a freelance writer.

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Road to Recovery: 5 Ways To Combat Addiction by Lauren Perry.

~ Eleanor Segall ~ Leave a comment

(image: free image)

Addiction is a multifaceted problem that can impact individuals from all walks of life, irrespective of their age, gender, or background. Whether it’s substance abuse, alcohol addiction, or behavioural disorders, seeking help is the first step to recovery. In this article, we will explore five ways to combat addiction and pave the way to a healthier, addiction-free life. Whether you’re personally grappling with addiction or you’re supporting someone on their path to recovery, these insights will provide valuable guidance for understanding and combating addiction effectively.

Seek Professional Help

The journey to recovery from addiction frequently commences with the essential step of seeking professional help. Therapists, counsellors, and healthcare providers play pivotal roles in guiding individuals toward a healthier, addiction-free life. For those dealing with co-occurring mental health and substance abuse disorders, specialised treatment centers, known as dual-diagnosis treatment centers, offer a higher level of care and a tailored approach to recovery. These centers are equipped to assess and address the root causes of addiction, including the often complex interplay of underlying mental health issues.

Build a Support System

In the journey of addiction recovery, building a robust support system is an invaluable asset. Building a support system involves connecting with loved ones and friends or engaging in support communities, like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA). The path to recovery is undeniably challenging, and having a network of individuals who understand and care can make a significant difference.

Sharing experiences and challenges with others who have faced similar struggles can provide a unique bond and a sense of belonging, reducing feelings of isolation and alienation that often accompany addiction. This shared journey toward recovery cultivates a sense of hope and resilience, proving to individuals that they are not alone in their pursuit of a healthier, addiction-free life.

Cognitive-behavioral therapy (CBT)

Behavioral therapy (CBT) is a known and highly effective method used in addiction treatment. CBT zeroes in on identifying and transforming negative thought patterns and behaviors intricately linked to addiction. Through collaboration with a therapist, people gain the ability to explore the seated origins of their addiction, which are frequently connected to past events or instances of trauma.

This profound self-reflection is a crucial initial step toward recovery. CBT equips individuals with the tools to challenge and modify self-destructive habits and beliefs, empowering them to break free from the cycle of addiction and pursue a life of lasting sobriety. CBT is not merely a therapeutic intervention; it’s a transformative journey that enables individuals to regain control over their lives, nurturing emotional resilience and self-awareness as they navigate the path to recovery.

Medication-Assisted Treatment (MAT)

Medication-assisted therapy (MAT) contributes to aiding individuals in their quest to conquer addiction. This comprehensive strategy combines counselling and behavioural therapies with specific medications designed to reduce cravings and alleviate withdrawal symptoms. Substances like methadone, buprenorphine, and naltrexone can be prescribed as part of MAT, tailored to an individual’s unique needs. MAT is a significant aid in addressing the physical aspects of addiction, facilitating a more comfortable and effective journey toward recovery. By helping to manage the intense cravings and symptoms of withdrawal, MAT can make the process more manageable and increase the chances of successful, long-term recovery.

Lifestyle Changes and Self-Care

In the pursuit of addiction recovery, the role of lifestyle changes and self-care cannot be overstated. A healthy lifestyle is a cornerstone for maintaining lasting recovery. Incorporating regular physical activity, adopting a balanced diet, and ensuring adequate sleep are fundamental steps in restoring both physical and emotional well-being. These changes not only promote physical health but also contribute to emotional stability, fostering a more robust foundation for recovery. Additionally, self-care practices such as mindfulness meditation, yoga, and stress management techniques play an instrumental role in reducing the risk of relapse.

By nurturing mental and emotional resilience, individuals can better cope with the challenges they may encounter on their journey toward a healthier, addiction-free life. These practices instill the necessary tools to manage stress, anxiety, and other emotional triggers, ultimately enhancing an individual’s ability to make healthy choices and maintain a life free from addiction.

Conclusion

Overcoming addiction is a demanding yet crucial path for individuals battling it and their families. Seeking professional help, building a support system, engaging in therapies like CBT, considering medication-assisted treatment, and adopting a healthy lifestyle can significantly improve the chances of recovery. It’s important to remember that addiction is a treatable condition, and with the right strategies and support, a fulfilling, addiction-free life is achievable.

This article was written by Lauren Perry.

How To Safely Treat An Eating Disorder by Lizzie Weakley.

~ Eleanor Segall ~ 1 Comment

(image: Annie Spratt: Unsplash)

Eating disorders are complex mental health conditions that require a multi-dimensional approach to treatment. They can affect people of all ages, genders, races, and backgrounds, causing severe emotional and physical distress if left untreated. The good news is that there are many safe and effective treatment options available to those struggling with eating disorders. This article will explore some of the most effective ways to safely treat an eating disorder, including therapy, medication, nutrition counselling, and support groups.

Eating Disorder Treatment Therapy

One of the most important aspects of care is eating disorder treatment therapy. There are different types of therapy available to those struggling with an eating disorder, such as cognitive-behavioural therapy (CBT), dialectical behaviour therapy (DBT), and family-based therapy (FBT). These therapies can help individuals identify and change distorted thoughts and behaviours around food, body image, and weight. CBT is particularly effective in treating individuals with anorexia nervosa and bulimia nervosa, while DBT can help those struggling with binge eating disorder and emotional dysregulation. FBT is a family-based approach to treating eating disorders in adolescents and children, which focuses on empowering the family to help the individual recover.

Medication

Medication may also be prescribed to individuals with eating disorders, particularly those with comorbid conditions such as anxiety or depression that are affecting their recovery. Antidepressants can help reduce symptoms of depression or anxiety, while antipsychotics may be prescribed for those with severe symptoms of body dysmorphia, or the distorted belief that their body is flawed. However, medication should be used alongside therapy and other forms of treatment, and under the close supervision of a medical professional.

Nutrition Counselling

Nutrition counseling can be an important part of eating disorder treatment, particularly for those with severe malnutrition or gastrointestinal problems. A registered dietitian can help individuals create a balanced and customized meal plan, learn about appropriate portions, and manage food fears and weight concerns. Nutrition counseling may also include education around mindful eating, intuitive eating, and healthy coping mechanisms. However, it is important to note that nutrition counseling alone is not sufficient for treating eating disorders.

Support Groups

Support groups can be a valuable resource for individuals struggling with eating disorders, as they provide a safe and non-judgmental environment for sharing experiences and gaining support. They can be particularly beneficial for those who cannot afford or access individual therapy, or who prefer a group format. Local and online support groups are available, and many are free or low-cost. Support groups can also provide a sense of community and belonging, which can be helpful in reducing feelings of isolation and loneliness.

Eating disorders can be devastating, but there is hope for recovery. Treatment may involve a combination of therapy, medication, nutrition counselling, and support groups, depending on the individual’s unique needs and circumstances. Recovery is a journey, and it may take time and patience, but with the right support and resources, it is possible. If you or someone you know is struggling with an eating disorder, reach out to a healthcare professional for help. Remember, you are not alone.

Lizzie Weakley is a freelance writer from the USA.