This World Mental Health Day 2024, the focus is on mental health at work- it’s time to prioritise mental health in the workplace. As the Mental Health Foundation say, ‘Work can have a huge impact on our mental health. It can be good for our mental health, giving us a sense of purpose, boosting our self-worth, and providing opportunities to connect with others. But it can also be a source of stress and anxiety and contribute to developing or worsening mental health problems. ‘
Introducing Carecoins, a pioneering new mental health platform, which is set to transform the landscape of employee mental wellbeing, offering employers a unique support system for their staff this World Mental Health Day 2024 and beyond.
Designed to connect individuals with qualified mental health therapists in an entirely flexible, hassle-free way, Carecoins ensures efficient and reliable access to professional care, Carecoins brings a unique proposition to the market.
Commenting on this exciting venture, managing director and founder, Tim Ladd, said:
“Put simply, Carecoins gives employees access to the support they need to become a happier, healthier version of themselves.
“We are all acutely aware of the growing mental health crisis in the nation, and the difficulty in accessing resources through the NHS. This means employers need to step up to provide that all-necessary support to staff.”
Mental health is now a significant challenge for a large portion of the UK workforce, with surveys showing at least 63% of employees exhibit signs of burnout, and 91% have experienced high or extreme levels of pressure and stress in the past year.
Finding effective support structures to help combat these trends can be challenging for employers. Providing access to a large pool of BACP accredited therapists, comprehensive mental health and suicide prevention services, specialised support for trauma and bereavement and a number of other resources, Carecoins is a holistic solution for employers
Offering full flexibility, the platform gives access to multiple formats of therapy, ensuring services fit around the user’s life and work schedule and suit their individual needs. As part of its groundbreaking offering, Carecoins supplies every new user an innovative human-to-human consultation to assess their needs and preferences and then allocate a therapist that best matches those requirements.
“The element of personalisation is one that is of vital importance to us – everyone’s mental health journey is different and we wanted to build a platform that could honour that,” added Ladd.
“We also understand that confidentiality is a key concern for many employees. Carecoins can be purchased and utilised anonymously, giving employees the freedom and peace of mind they need to take this important step.”
But the platform does not limit organisations to buying therapy services. It enables access to a wide range of mental health and wellbeing services including Mental Health First Aid training provided by Carecoins’ sister company Red Umbrella.
“Using Carecoins is much more than just a means to an end. It showcases a visible commitment from employers to protect the mental wellbeing and resilience of their employees, making them happier, more engaged and more productive.
“More than that, it encourages a much-needed positive attitude towards mental health in the workplace, which benefits businesses and employees alike.”
So, this World Mental Health Day, definitely check out this platform!
Trigger warning: discussion of self harm/suicide attempts.
I was so excited when I saw my online friend Emily Katy’s brand new book coming out! Emily was one of the first reviewers of my book Bring Me to Light and had taken photos of her reading it with her dog and some horses :). I followed her on social media and saw that she was writing her own memoir on what it was like to live as a teenager with undiagnosed autism and mental ill health. This review is not gifted or sponsored- I just wanted to read Emily’s story.
I want to congratulate Emily and her team as this week it has become a Sunday Times Bestseller which is an incredible feat for any author, especially for their first book!
Emily says,
“Far too many autistic people – women and girls especially – fly under the radar, unseen and unsupported. Many of us reach crisis point and only then (if we are lucky) do we find out that we are autistic. I hope this book can add to the collection of autistic voices demanding change in how autism is understood and recognised”.
I bought this book because I wanted to understand what it was like to live as someone with autism undiagnosed and how that affected Emily’s overall mental health, leading her to be sectioned on a psychiatric unit as her health deteriorated. Although autism is not a mental illness and many see the positives living with a neurodiverse brain, it does impact on mental health, especially when it is undiagnosed by a system not set up to understand it in women.
To the outside world, Emily , who is from the UK like me, looks like a typical girl, with a normal family, living an ordinary life. But inside, Emily does not feel typical, and the older she gets, the more she realises that she is different. As she finally discovers when she is 16, Emily is autistic.
Girl Unmasked is the extraordinary story of how she got there – and how she very nearly didn’t. Still only 21, Emily, writes with startling candour about the years leading up to her diagnosis. How books and imagination became her refuge as she sought to escape the increasing anxiety and unbearable stresses of school life; how her OCD almost destroyed her; how a system which did not understand autism let her down; and how she came so close to the edge that she and her family thought she would never survive. We see how family and friends became her lifeline and how, post-diagnosis, Emily came to understand her authentic self and begin to turn her life around, eventually becoming a mental health nurse with a desire to help others where she herself had once been failed.
(image: Emily Katy)
Emily bravely navigates how being undiagnosed with her autism led to her struggling with OCD, anxiety, self harm and depression -which led to suicide attempts. Thankfully, once Emily was able to get a proper diagnosis of all her symptoms that felt right for her (autism and OCD), she found herself able to recover from her depression. In the book, Emily also discusses ways to help you if you are self harming or feeling suicidal. She talks about how being on a psychiatric unit was extremely distressing and as someone with autism, she found that things like loud noises, unpredictability, lack of normal routine or a schedule and new people coming, were just some of the things she struggled with. While at the unit, Emily was also misdiagnosed as having a personality disorder, as well as an anxiety disorder.
It is clear from reading this important book, that Emily feels one of the reasons she was misdiagnosed was because she was a girl. Autistic females tend to fly under the radar for longer due to assessment methods being developed for males, masking to try to fit in with others socially and their special interests being more socially accepted. As someone with bipolar, I have often been called ’emotional’ or ‘drama queen’ and Emily mentions these labels were given to her and other women with autism too. I found reading the lists of autism myths and facts really helpful to further my understanding.
What stands out to me in Girl Unmasked is Emily Katy’s courage. Not just in telling her own story of the perils of living with undiagnosed autism and how it impacted her mental health, but the fact that after surviving multiple self harm and suicide attempts and being sectioned on a psychiatric unit, she has now become a mental health nurse at just 21 (and now bestselling author) to help others. Emily has managed to move forward with her life and achieve huge things, despite living with the trauma she has faced and she has amazing friends and family too, who are there to support her.
I loved this book and read it in 2 days. Girl Unmasked is not an easy read – it is a meaningful, powerful real story of someone’s life. Please do read with care as it discusses mental health themes alongside autism. On the front of Emily’s book is a rainbow and to me that symbolises the hope with which she lives her life and is now bringing to others.
Emily Katy, 21, lived as an undiagnosed autistic girl for nearly seventeen years. After completing her degree in 2022, she qualified as a mental health nurse. She has a large, highly engaged following on social media: @ItsEmilyKaty X (formerly Twitter) 68.4k followers, 21k Instagram followers and a blog www.authenticallyemily.uk, where she talks about autism and mental health. Emily is a Trustee of the charity ‘The Autistic Girls Network’
Obsessive-Compulsive Disorder (OCD) is a mental health condition characterised by intrusive thoughts and repetitive behaviours that can significantly impact a person’s daily life. While the exact cause of OCD is still unknown, it’s important to understand the factors that can worsen the symptoms. By exploring these triggers, we can gain insight into how to effectively manage and improve the lives of individuals with OCD.
1. Environmental Triggers
Stress and Anxiety
Stress and anxiety play a significant role in exacerbating OCD symptoms. The heightened levels of stress can activate the brain’s fear response, triggering obsessions and compulsions. The constant worry and apprehension experienced by individuals with OCD can further fuel their anxiety, leading to a vicious cycle of escalating symptoms.
Life Transitions and Major Events
Life changes, such as moving to a new place, starting a new job or school, or going through significant life events like marriage, childbirth, or divorce, can trigger or worsen OCD symptoms. These transitions disrupt familiar routines and introduce new stressors, increasing the likelihood of obsessive thoughts and compulsive behaviors.
Lack of Social Support
Social support plays a crucial role in managing OCD. The absence of a strong support system can contribute to feelings of isolation and loneliness, which can worsen OCD symptoms. Having understanding and empathetic individuals who can provide encouragement and help during challenging times is essential for individuals with OCD.
2. Maladaptive Coping Mechanisms
Avoidance and Safety-Seeking Behaviors
Individuals with OCD often develop avoidance strategies to steer clear of triggers that provoke anxiety. However, this avoidance only provides temporary relief and reinforces the anxiety response in the long run. Similarly, safety-seeking behaviors, such as repetitive checking or seeking reassurance, can intensify OCD symptoms by reinforcing the belief that the obsessions are truly threatening.
Rituals and Compulsions
The compulsive behaviors characteristic of OCD provide temporary relief from obsessive thoughts. However, relying on rituals and compulsions as coping mechanisms can inadvertently strengthen the association between the obsessions and the need to perform these behaviors. This perpetuates the cycle of obsessions, anxiety, and compulsions, leading to a worsening of OCD symptoms over time.
3. Biological Factors
Genetic Predisposition
Research suggests that genetics plays a role in the development of OCD. Individuals with a family history of OCD are more likely to develop the disorder themselves. Genetic factors can influence the severity of symptoms, making individuals more susceptible to experiencing a worsening of OCD symptoms.
Neurochemical Imbalances
Neurotransmitters, such as serotonin, play a crucial role in regulating mood and anxiety. In individuals with OCD, there may be imbalances or dysregulation in the neurotransmitter systems, particularly serotonin. These imbalances can contribute to the intensity and persistence of obsessions and compulsions, leading to a worsening of symptoms.
4. Lack of Treatment or Inadequate Treatment
Delayed or Ineffective Diagnosis
OCD can often be misdiagnosed or undiagnosed for an extended period, delaying the initiation of appropriate treatment. Without a proper diagnosis, individuals with OCD may struggle to understand their symptoms and may not receive the necessary support and interventions, which can contribute to the worsening of their condition.
Inadequate Therapy or Medication
Effective treatment for OCD often involves a combination of evidence-based therapy approaches, such as Cognitive-Behavioral Therapy (CBT) and medication, particularly selective serotonin reuptake inhibitors (SSRIs). However, finding the right therapy and medication that works for an individual can be challenging. Inadequate therapy or medication can impede symptom management and lead to a deterioration of OCD symptoms.
5. Lifestyle Factors
Lack of Sleep and Fatigue
Sleep deprivation and fatigue can significantly impact mental health, including OCD symptoms. The lack of quality sleep disrupts cognitive functioning and emotional regulation, making it more difficult for individuals with OCD to manage their symptoms effectively. Fatigue can intensify obsessive thoughts and decrease resilience, contributing to a worsening of OCD symptoms.
Substance Abuse and OCD
Substance abuse, such as alcohol or illicit drugs, can worsen OCD symptoms. Substance use can disrupt neurochemical balance, exacerbating anxiety and compulsive behaviors. Additionally, individuals may turn to substance abuse as a maladaptive coping mechanism, further worsening their overall mental health and OCD symptoms.
Understanding the factors that contribute to the worsening of OCD symptoms is crucial for effective management and improvement of individuals’ lives with this disorder.With the right interventions and support, individuals with OCD can lead fulfilling lives despite their challenges.
This article was written by freelance writer Sandra Hernandez.
On the 1st March 2016, I started this blog as a way to provide therapy for myself- as I was going through panic attacks, (caused by trauma). Can you believe that was 7 years ago?! I can’t! Since then I have had several years of therapy and my life changed so much too for the better- I met my husband, we got married and moved to our first home.
The blog has turned into a book Bring me to Light (with Trigger), writing for Metro.co.uk, Glamour, the Telegraph, Happiful, Rethink Mental Illness, Mind and other incredible organisations, I have partnered with large and small brands, charities, businesses, writers to create content that battles stigma on mental health. We have been awarded as a Top 10 UK blog by Vuelio since 2018 (thank you) and I love to share my story to help others and educate people about bipolar, anxiety, panic disorders, psychosis, mania and mental health in the workplace (amongst other mental health topics!). I have also recorded podcasts and have begun speaking in the community about bipolar with my Dad.
I cannot believe it has been 7 years since I opened up my computer to write- I was struggling. a lot. Writing has been such a therapy and a saviour to me.. and I hope this blog helps you too!
As always, I want to thank all my contributors and brands (sponsored or not), as well as the digital agencies and freelance writers who provide content too.
This year March 22- 23 we have featured (where it says my name, I wrote it!)
Mental illness can affect anyone, regardless of age, gender, or background. It is important to recognise the signs and symptoms of mental illness in order to get help as soon as possible. Knowing what to look for can be tricky, so here are some common warning signs that you or a loved one may need psychiatric help.
Unexplained Changes in Mood and Behaviour
One of the most common signs of mental illness is a sudden and unexplained change in mood or behaviour. This could include changes in sleep patterns, eating habits, energy levels, attitude towards others, or motivation levels. If you notice any sudden shifts in these areas that last more than two weeks and cannot be attributed to a specific event or life change, it may indicate an underlying mental health issue.
Negative Self-Talk or Rumination
Another sign that someone needs professional help is if they frequently engage in negative self-talk or ruminate on the same thoughts over and over again. For example, if they often say things like “I’m not good enough” or “I can’t do anything right” without any basis for those statements, this could be a sign that something more serious is going on beneath the surface. Additionally, if someone spends hours every day thinking about their mistakes from the past without being able to move forward—this could also be an indication that professional help is necessary.
Isolation from Friends and Family
Finally, if someone begins isolating themselves from friends and family members more often than usual—or does not seem interested in having conversations with them—this could be another indicator that something more serious is happening mentally. It’s normal for people to want some alone time once in a while—but if you notice your loved one consistently avoiding social activities and interactions with others over long periods of time—it may mean they need extra emotional support from a professional psychiatrist before they can get back on track.
Other Behaviours
Other behaviours you should watch out for is frequent tearfulness, self harm thoughts or ideas, suicidal thoughts and ideation- as this indicates someone is reaching a crisis point with their mental health. In some there may be an increase in activity or mania. This can lead to psychosis- where your mind loses touch with reality, common in bipolar disorder and schizophrenia (but can also happen outside these conditions).
Mental health issues are complex and often difficult to recognise at first glance. However, it’s important to understand that early intervention can make all the difference when it comes to managing mental illness effectively. If you notice any of these warning signs in yourself or a loved one—don’t hesitate to reach out for help!
Professional psychiatric services should always be sought out when necessary as this will create better outcomes for everyone involved in the long run. In the UK, that may be via the NHS but due to overwhelmed services, if you can afford private treatment, go down this route as it will be quicker!
This article was. written by Brooke Chaplan, freelance writer.
Borderline personality disorder (BPD) affects people’s thoughts about themselves and others. People with borderline personality disorder experience extreme emotions. A person with this disorder is likely to have intense relationships with many ups and downs. Other signs of borderline personality disorder include impulsivity and changes in one’s self-image. Anger management issues and mood swings can both be symptoms of BPD. They could also fear being left behind or abandoned.
Sometimes, people with borderline personality disorder are also affected by obsessive-compulsive disorder or OCD. The person and their loved ones may find it challenging to cope with a borderline personality disorder. But borderline personality disorder is something that can be learned to manage. You can learn to manage borderline personality disorder with the proper professional care, self-help techniques, and coping skills and have a happy and successful life.
Coping mechanisms for borderline personality disorder
A borderline personality disorder is a condition that affects each person differently. Find out what works for you by taking your time. Everyone’s situation may be different, but by taking the actions listed below, you can cope with borderline personality disorder :
1. Engage in physical activities
Exercise may help you stabilize and regain emotional control if you have problems coping with BPD. Exercises like yoga, boxing, running, and cycling may be beneficial.
2. Take some time off for yourself
Although social isolation has adverse effects, occasionally removing yourself from other people might be a healthy coping mechanism for BPD. Spend some time alone, and rejuvenate yourself without the influence of others. Reflecting alone might assist you in readjusting if you are experiencing intense anger or feeling emotionally out of control.
3. Write emails or letters to people but don’t send them
This is a great way to express feelings and decompress. The effects are similar to keeping a journal, making it possible to express yourself without having your words negatively affect your relationships. By delaying sending the message, you can go back and read what you said after the initial emotions have subsided.
4. Take breaks
Feelings of rage and anger might be reduced temporarily by leaving a stressful setting and looking after yourself.
5. Keep yourself occupied as much as you can
Keep yourself occupied to divert your attention from your current feelings. Holding a fidget toy such as a slinky, helps keep your hands engaged and allows your mind to concentrate on the recent activity.
(image: Unsplash)
Is obsessive-compulsive disorder related to borderline personality disorder?
BPD is thought to be fundamentally linked to obsessive-compulsive symptoms. These symptoms are intense, and BPD patients who experience them often exhibit poor insight, resistance, and sometimes obsessive control in interpersonal interactions.
A 5% prevalence of borderline personality disorder (also known as BPD) has been seen in OCD patients. Additionally, these patients with BPD and OCD had greater rates of anxiety, mood, and eating problems. These examples of co-occurring BPD and OCD have been linked to motor impulsivity, mental compulsions, and compulsions involving interpersonal domains.
How is OCD treated?
Treatment for obsessive-compulsive disorder may not provide a cure, but it can help keep symptoms under control so they don’t interfere with your everyday life. Some patients may require long-term, continuous, or more extensive treatment depending on how severe their OCD is. Psychotherapy and medicines are the two essential OCD treatments, and treatment is frequently most successful when these are used in conjunction.
How can you cope with OCD?
Below you’ll find mechanisms that will help you cope with obsessive-compulsive disorder:
1. Acknowledge your OCD’s existence
Like the monster you used to think lived beneath your bed as a child, OCD can seem like an uncontrollable power waiting to strike. Give your OCD a name and a shape rather than letting it be a faceless villain. It might benefit kids and adults to view OCD as a distinct condition. Remember, OCD is not your fault, and there is no need to feel ashamed.
2. Maintain an OCD journal
An OCD journal serves the same purpose as the food journals that some people use to record their daily dietary intake when on a diet. You can keep note of your triggers in an OCD journal, discover new ones, and evaluate the general state of your OCD. Keep an OCD journal with you at all times, and write down what happens when you perform a compulsion. After reading through your diary entries at the end of the day, ask yourself the following questions.
● Why did these circumstances make me OCD-prone?
● What would have occurred if my resolutions hadn’t been carried out?
● What proof is there that what I feared would occur?
3. Use Exposure and Response Prevention (ERP) techniques
ERP is a popular method for addressing and maybe easing OCD. When adopting ERP, a person exposes themselves to a circumstance that causes an obsession and then refrains from acting on their compulsion. Try creating an OCD ladder by ranking your triggers and associated anxieties on a ten-rung ladder from 1 to 10 in terms of their seriousness. You should start with a low-level trigger when you initially start ERP, and after you’ve faced it, wait 10 seconds before acting on your urge. Increase the amount of time you go without gradually employing your compulsion until you can handle the task or scenario without it. As you master your triggers, climb the OCD ladder.
4. Redirect your focus
If you have OCD compulsions or obsessions or feel one coming on, try diverting your attention from the problem. You can either mentally or physically refocus your attention. Try repeating the program if, after the period of refocusing, you still feel the need to finish your obsession.
5. Keep your stress levels down
OCD is difficult to live with, and stress can make these tasks even more difficult. Keeping your stress level low is essential because it has been demonstrated that stress dramatically increases OCD in people. Make sure to arrange some time each day to relax. Finding an hour each day to decompress, watching some TV, reading a book, or going for a run, can be pretty helpful.
Final thoughts
You can learn coping methods and healthy lifestyle choices without allowing the illnesses and symptoms to define you. Finding strategies that work for you is critical. You should also be open and honest with close family members about your needs. For example, you should tell family members how to help you if you feel angry or emotional. You are not defined by your illness and you can learn to cope- reach for support.
About the Author: Dr. Joann Mundin is a board-certified psychiatrist who has been in practice since 2003. She is a Diplomate with the American Board of Psychiatry and Neurology and a Fellow with the Royal College of Physicians and Surgeons of Canada. Currently associated with Mindful Values, she provides assessments and treatment for patients with severe mental illness.
According to new data from Mental Health Statistics, during 2020, 58% of workers experienced some kind of work-related stress, while 63% were experiencing moderate levels of anxiety.
Health experts have warned, that if these mental health issues are left untreated, it can impact our day-to-day lives, including the ability to do our jobs.
That’s why the team of experts at Delamere, have shared five ways to open up the conversation about mental health with your employer:
Find the Right Time and Place to Talk
When approaching the conversation of mental health with your employer, one thing that will help is finding the right time to talk. Talking to your boss on a day when they seem overwhelmed might result in you not getting the best response, so make sure to schedule a call or an in-person conversation with them ahead of time.
As well as the right time, it’s also important to find an appropriate place to have the conversation. Find a place that will allow you to talk in a professional and calm way, and is a quiet space in your workplace. If somewhere suitable isn’t available you could also suggest meeting outside the office or even going for a walk.
Plan what you are going to say ahead of your meeting
Before speaking to your manager one of the best ways you can prepare is by planning what you want to discuss ahead of time. This will not only calm any nerves you might be having ahead of the conversation but will also ensure that you are only sharing what is needed to frame how your mental health is impacting your work.
Points you can prepare in advance could include, identifying tasks within your current role and workload that is making you stressed, reminding your boss of your achievements so that they remember you are more than capable, explaining what factors might need to change in order to help you.
Decide Who To Speak To
If you decide to open up to your employer about your mental health, consider who you will feel most comfortable having the conversation with.
If you have a good relationship with one of your managers, it might be helpful talking to them about what you are going through. However, if you find that they aren’t very approachable, consider speaking to someone within your HR department that will be able to help you.
Consider That Your Boss May be More Receptive Than You Think
Though talking about your mental health with your employer may feel like an uncomfortable situation, they may actually be more understanding than you anticipate them to be.
Mental illness is very common illness and a lot of people, unfortunately, suffer from this in the workplace. So when you start the conversation, the chances are your boss or employer will have already had direct experience with dealing with it or even experienced it themselves.
Focus on Your Productivity and Ability to Work
To get the most out of your conversation with your employer, think beforehand about how your mental health is impacting your productivity and ability to work.
If you go into the meeting with this already prepared, the chances are you will have greater success coming up with solutions on how your employer can support you and what you need to get better. Whether it’s more flexible working hours or a lighter workload.
This article was written by Delamere residential addiction care.
Trigger warning: discusses eating disorders and OCD
It has taken me almost thirty-five years to acknowledge that I have struggled with mental illness myself. I’ve spent a lifetime in denial. It wasn’t until writing my memoir Pushing Through The Cracksin 2021 that I observed my life objectively. I witnessed the experiences I’d gathered since childhood and how they had shaped me into the woman I am today. A woman of strength, but also one diagnosed with a mental health disorder – Binge eating disorder. A label I neither wanted nor could accept. Not until now.
This isn’t my first experience with mental illness. In my teens, my life was in turmoil. After my parents’ unexpected divorce, my mother remarried a gambler with a volatile temper within two years. My father moved to Australia, and with the upheaval of my home life and the onslaught of puberty, I felt lost. My body was changing, and I’d become uncomfortable with my new shape. What began as a diet to slim my blossoming body developed into anorexia. In the 1980s, treatment was non-existent, at least for me. Instead, my GP gave me a telling-off and threatened to put me in a hospital and force-feed me via a drip. His threats petrified me, and I gradually increased my food intake again. It took me two years to recover. Ultimately, my anorexia was untreated, so it left me with a legacy of disordered thoughts about my body and food throughout my adult life.
A few years after my father’s death in my mid-thirties, I became fixated on turning electrical items off – the cooker, iron, hair straighteners, television – anything that was plugged in. I would touch the switches whilst talking out loud to myself, repeatedly, trying to confirm they were in the ‘off’ position. I knew they were off, but somehow, I couldn’t accept that they were off. Additional obsessions snuck in gradually. I began checking the fridge door was closed, then every door and window in my home. What started as checking became an arduous set routine every night to ensure the doors and windows were locked multiple times. I was terrified someone was going to break in. Checking the doors eased that terror, temporarily.
It continued for several months, and I couldn’t stop the thoughts no matter how hard I tried. I moved back to the UK in 2010 and it appeared the huge disruption to my life interrupted the intrusive thoughts and checking behaviours, and they stopped. As the mother of a child with severe Obsessive-Compulsive Disorder (OCD), I now recognise what I experienced back in my thirties may well have been OCD.
Fast forward to my late forties, a divorce behind me, and a period of depression to follow, I remarried and began a new life with a blended family. But within a couple of years, both of my sons and my new husband began struggling with their mental health. Mental illness filled our once happy home with depression, anxiety, alcoholism, OCD, and gambling, and it turned my entire world upside down whilst I tried to care for them all. I was under immense stress and turned to something to help me cope – food.
It began with me ‘rewarding’ myself with chocolate bars late at night when everyone else had settled. Over time, the ‘reward’ became a buffet of junk — mostly heavily processed carbs and sugar. All eaten quickly, in secret, and shrouded in shame. Within a few months, I was eating around 5000 calories during a night-time binge. In-between the binges were days of restricted food intake. I gained a large amount of weight, which I hated myself for. The self-loathing was overwhelming.
I realised I had a problem in late 2019 and went to my GP, who referred me to an eating disorder clinic. They diagnosed me with Binge eating disorder (BED), and I began a recovery programme, which I stuck to until the Covid pandemic interrupted my sessions, and I threw in the towel. As a result, I slipped back into bingeing again when life overwhelmed me.
In 2021, I self-referred myself back to the ED clinic. I’m still on a waiting list, however, I’ve taken steps to get support and am in recovery now. I am 24 days binge-free at the time of writing this, which feels like such a huge personal triumph after a long period of relapse.
I think the toughest part for me has been accepting that I had a mental health disorder. I also felt overwhelming guilt that I had perhaps somehow genetically gifted my son’s mental illness to each of them. It’s taken me a long time to accept my diagnosis and our family’s situation. But from that place of acceptance, I have finally found peace….and recovery.
Emily J. Johnson is the author of Pushing Through The Cracks, her memoir of her family’s struggles with mental health. She lives in the UK and this is her first blog on this subject!
Pushing Through The Cracks: In the Darkness of Her Family’s Mental Illness She Found Light by Emily J. Johnson is an incredible book. It is a story that I don’t believe has ever been written about before in such a way in the mental health space, I have certainly never come across it. Its a true memoir that occurred here in the UK during lockdown.
Emily wrote to me and kindly sent me a free copy of her book. I was hooked from the first page- this is a story of survival against the odds, of how mental illness can rip a family apart but how healing and hope are possible. Of strength through immense difficulty. Of light winning over darkness.
Four years ago, in the UK, Emily, a divorced mother of two, was living her best life with a new partner and blended family of six. But then addiction and mental illness entered her home uninvited, threatening to tear the whole family apart.
With an alcoholic husband and two teenage sons – one a depressed gambler and the other with chronic obsessive-compulsive disorder (OCD)– Emily is left to cope alone. And when the Covid pandemic hits, Emily, a ‘serial people-pleaser, enabler and born rescuer’, almost breaks too.
This true story delves into the darkest sides of mental illness and addiction with raw, often harrowing honesty. It shines a light on taboo subjects including self-harm, suicidal feelings, gambling, alcoholism, depression, severe OCD and eating disorders, all exacerbated by an unprecedented global pandemic and dwindling support services.
This is a story of remarkable strength, self-realisation and reclamation of a lost identity. This is a story of finding hope, pushing through the cracks in the darkness. It is also a story that touches on the difficulties of accessing UK NHS mental health services at times, especially CAMHS.
I found Emily’s strength through such severe adversity – dealing with a husband and two sons with severe mental illness, whilst carrying on with her own life when mental illness permeated every part, to be so inspiring. Her marriage falls apart, her children are unable to attend work and education, the family embarks on several different recovery journeys- navigating NHS mental health care and all its difficulties. Her sons addictions and acute OCD worsen and add to the pressures for Emily. How does she as a mother fix it all? She realises.. she can’t fix anyone and its not her job too.
The front cover features a dandelion pushing through the cracks of the ground. Emily describes the moment she hits rock bottom but then saw a dandelion poking through- which symbolised hope and light for her,
‘(image: Emily J. Johnson)
‘I pick up my phone and call a crisis support line…I desperately want someone to listen to me, to ease my pain, to hear my stories…(of mental illness at home)
I throw my phone across the path in frustration… something catches my eye, a beautiful yellow dandelion is growing through a crack in the concrete. Its golden yellow petals cut through the greyness of the broken path and it overshadows the filth and discarded cigarette butts around it. Despite its surroundings, it has found ways to push up through that crack, to have life. it is. not complaining or giving up, it’s surviving and it will go on to finish flowering. One day soon, the wind will carry its dainty seeds somewhere else to carry on the cycle of its life.
Just like that dandelion, I have pushed through adversity and survived. …I close my eyes and raise my face to the sunshine… Even in the midst of all this chaos, this darkness, there is warmth and light. There is hope.” (from chapter Dandelion) (Emily J. Johnson)
This is also a book which exposes the difficulties and realities of living with mental illness. I will add a trigger warning- it doesn’t hold back on the reality of mental illness including self harm, addiction, alcoholism, suicidal thoughts etc- so please read with care.
Thank you Emily for letting me read and follow the journey of your family. I hope your husband and sons are able to fully battle their demons and recover or stay in remission. Pushing Through the Cracks by Emily J. Johnson can be bought from Amazon and good book shops.
Managing OCD without the stress of a global pandemic is challenging enough. COVID-19 has presented some unique challenges for many OCD sufferers, forcing people to be restricted to their homes, encouraging obsessive behaviours like handwashing and limiting access to in-person therapy.
In this article, we’re going to break down the challenges OCD sufferers face in the times of COVID, along with how to support loved ones and how to access support.
What are the new challenges for OCD sufferers?
People with OCD typically have behaviours that fall into the following categories:
Checking: Repeatedly checking tasks that have already been done, such as locking a door or turning off the tap. Checking behaviours can also include believing you have a medical illness and repeatedly getting medical exams or visiting the doctor.
Contamination: A compulsion to repeatedly clean yourself and the surrounding areas. Being in a dirty environment can cause feelings of fear or anxiety.
Symmetry and Ordering: The need for things to be in order and/or symmetrical. Behaviours related to symmetry and ordering can be triggered if things are not organised. Some people with OCD may experience hoarding behaviours which also fall into this category.
Ruminations and Intrusive Thoughts: These are common for people with OCD. Intrusive thoughts experienced by OCD sufferers can sometimes be disturbing and violent, directed towards themselves or loved ones.
New behaviours and triggers are being experienced by OCD sufferers in all of the above categories since COVID-19.
New Checking Behaviours
With OCD sufferers being confined to their homes, they may be experiencing more frequent checking triggers, repeatedly turning off lights before bed, locking doors, even repeatedly checking the news for updates. People with OCD checking behaviours may also convince themselves they have COVID-19, with a desire to repeatedly get tested while also experiencing paralysing anxiety around leaving the house through fear of infecting others.
New Contamination Behaviours
As you can imagine, experiencing contamination behaviours and triggers as an OCD sufferer during a global pandemic is a complete nightmare.
OCD sufferers who experience contamination triggers likely already experience anxiety soothing behaviours such as repeatedly washing hands, cleaning themselves and their surroundings. COVID-19 will only be worsening these triggers and behaviours for OCD sufferers.
With more emphasis being placed on how we wash our hands, the frequency of handwashing and using hand sanitiser, OCD contamination sufferers will likely be triggered whenever they are reminded of COVID-19 to do these behaviours compulsively.
New Symmetry and Ordering behaviours
Spending more time at home in lockdown and isolation may be triggering symmetry and ordering behaviours for some OCD sufferers. They are constantly surrounded by their triggers, resulting in more frequent behaviour indulgences to ease anxiety. Frequent changes in COVID regulations could become a new trigger for OCD sufferers with symmetry and ordering behaviours.
During lockdown, a lot of people have been inspired to ‘Marie Kondo’ their homes, organising and discarding items that no longer ‘bring joy’. Many OCD sufferers will be organising and reorganising their homes compulsively to ease anxiety.
New Ruminations and Intrusive Thoughts
During a global pandemic, OCD sufferers could start to have intrusive thoughts about loved ones being infected with COVID-19. These thoughts can quickly spiral, with sufferers believing they are the cause of their loved one being infected, even if they are not showing symptoms or have tested negative.
People with COVID-19 can be asymptomatic, meaning they can have COVID and be infectious without showing any symptoms. Due to this fact, many people with OCD will convince themselves that they have COVID and are asymptomatic, causing them to isolate themselves possibly unnecessarily.
How to support loved ones during these challenging times
As unfortunate and uncomfortable as it is, one of the best treatments for OCD is exposure and response prevention, a type of therapy that exposes the patient to the situations that make them anxious as a way of normalising these moments and learning ways to cope with the anxiety without resorting to the usual anxiety soothing behaviours.
For the OCD sufferer, this means facing a lot of discomfort throughout treatment. If you’re living with an OCD sufferer who is struggling with frequently being triggered, possibly even by things you are doing, it may be tempting to stop what you’re doing that is triggering your loved one. However, it could be more beneficial long-term to behave normally, continuing whatever action you are doing that may be triggering, as a way of exposing your loved one to their trigger to normalise it. If you live with someone with OCD and are triggering them and don’t know how to behave around them, it could be worth speaking with a therapist to get some advice.
Talking things through can always be helpful for anyone suffering from any mental health issue. If you can talk to your loved one about their OCD struggles in a patient, calm and empathetic way, this is a great way to support.
How to access support as an OCD sufferer
Access to in-person therapy is currently limited worldwide due to COVID. If you’re looking for a way of accessing support, either for yourself or a loved one, there are online options.
Online therapy is becoming more and more popular, with users enjoying the ease and accessibility without having to leave their homes.
The best form of treatment for OCD is therapy treatment using CBT (Cognitive Behavioural Therapy) and ERP (Exposure and Response Prevention). This type of treatment can be done in-person or online.
Alongside therapy, there are many other tools that someone suffering from OCD can use to reduce and manage symptoms, such as worksheets, meditation, journaling and more. Each OCD sufferer is individual and has a unique experience. One person with OCD may struggle with contamination behaviours, while another could only ever experience ruminations. This is why everyone’s treatment plan will look a little different.
When speaking with a loved one about getting help, remember to approach the conversation with patience and empathy. Seeking help for OCD is tough, and the person struggling may need time to come around and ask for the help they need. Discuss options with them in an open-minded way without any expectations.
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