Category: psychotherapy

How Stress And Anxiety Affect Daily Life And When It May Be Time To Seek Professional Help.

~ Eleanor Segall ~ 2 Comments

(image: Arif Riyanto: Unsplash)

Stress is a normal part of life, but when it becomes persistent or overwhelming, it can have a significant impact on emotional wellbeing, physical health, relationships, and overall quality of life. Many people experience periods of increased stress due to work responsibilities, family obligations, financial concerns, health issues, or major life changes. While occasional stress is expected, chronic stress and anxiety can gradually interfere with daily functioning and make even simple tasks feel difficult.

One of the most common signs that stress is becoming problematic is when it begins affecting sleep. People may struggle to fall asleep, wake frequently throughout the night, or wake up feeling exhausted despite getting several hours of rest. Poor sleep often contributes to increased irritability, difficulty concentrating, memory problems, and reduced productivity during the day. Over time, this cycle can become difficult to break without addressing the underlying causes.

Anxiety can also present itself in many different ways. Some individuals experience constant worrying or racing thoughts that are difficult to control. Others notice physical symptoms such as muscle tension, headaches, rapid heartbeat, stomach discomfort, sweating, or feelings of restlessness. These physical symptoms are real and can significantly impact daily life, even when there is no immediate danger or threat present.

Another important sign of ongoing anxiety is avoiding situations that once felt comfortable. Someone may begin declining social invitations, avoiding public places, postponing important decisions, or putting off responsibilities because they feel overwhelmed. While avoidance may provide temporary relief, it often strengthens anxiety over time and makes returning to normal activities increasingly difficult.

Stress and anxiety frequently affect workplace performance as well. Individuals may find themselves struggling to stay focused during meetings, completing projects more slowly than usual, or feeling mentally exhausted by routine responsibilities. Decision-making may become more difficult, and confidence can gradually decrease. These challenges are common and should not be viewed as personal weaknesses but rather as potential indicators that additional support could be beneficial.

Relationships can also be impacted. Increased stress may cause someone to become more withdrawn, impatient, or emotionally reactive. Misunderstandings with spouses, family members, friends, or coworkers may occur more frequently. Loved ones often notice changes in mood before the individual fully recognizes them. Open communication and early intervention can help prevent these difficulties from becoming more serious.

(image: Unsplash)

Healthy coping strategies play an important role in managing everyday stress. Regular physical activity has consistently been shown to improve mood and reduce anxiety symptoms by releasing natural chemicals that promote emotional well-being. Even moderate activities such as walking, cycling, or yoga can provide meaningful benefits when performed consistently.

Maintaining healthy sleep habits is equally important. Going to bed and waking up at consistent times, limiting caffeine later in the day, reducing screen time before bedtime, and creating a relaxing evening routine may improve sleep quality. Nutrition also contributes to mental wellness, as balanced meals help support stable energy levels and brain function throughout the day.

Mindfulness techniques, deep breathing exercises, meditation, and progressive muscle relaxation can help reduce the body’s stress response. Many individuals also benefit from journaling, spending time outdoors, engaging in hobbies, or maintaining meaningful social connections with supportive friends and family members.

However, self care alone is not always enough. When symptoms persist for several weeks, interfere with work or relationships, or significantly reduce quality of life, speaking with a qualified mental health professional can be an important next step. A comprehensive psychiatric evaluation helps identify contributing factors and allows treatment recommendations to be tailored to each individual’s unique circumstances.

Modern psychiatric care often includes a combination of approaches. Depending on a person’s needs, treatment may involve psychotherapy, medication management, lifestyle recommendations, or collaboration with therapists and primary care physicians. Every treatment plan should be individualized, with ongoing monitoring to ensure that progress continues and adjustments are made when necessary.

Seeking help early can often prevent symptoms from becoming more severe. Mental health conditions are highly treatable, and many individuals experience substantial improvement with appropriate care. Reaching out for professional guidance demonstrates strength and a commitment to long-term health rather than weakness.

If you or someone you care about has been struggling with persistent anxiety, chronic stress, mood changes, difficulty sleeping, or emotional challenges that interfere with daily life, consulting a Carmel IN psychiatrist can provide valuable guidance, accurate diagnosis, and personalised treatment options designed to help restore emotional wellness and improve overall quality of life.

Moving To A New Home : Life Changes by Eleanor

~ Eleanor Segall ~ Leave a comment

(image: Peter Mason- not our actual house!)

Two weeks ago, my husband and I moved into our new cottage type house (not the one in the photo!). It has been a journey for us to get here and something we have been working towards for several years- and honestly, we weren’t sure we would be able to buy a house (with a mortgage) in the area we live in as we’re in London and prices are expensive. We are also aware to even be on the property ladder is a dream come true for so many and we know many people renting. So we are really grateful this has happened for us as we spent years living in a small 1 bedroom shared ownership apartment and weren’t sure we could move.

Moving to a new home can be unsettling but I remember just sitting down on the couch a few weeks ago and trying to drink in that this house is actually ours. I feel so so grateful.

We spent a couple of years at my Mums due to a dip in our finances (in 2024, I lost all my income overnight and had to rebuild it) and trying to find the right place for us- and over this period of time, two properties (a small house and a flat/apartment ) we offered on fell through due to various twists and turns. I was even considering moving to a different area entirely because it felt like what we needed was out of reach for us.

(image: Tatyana P Unsplash)

The overriding emotion is gratitude because our families and friends have been so supportive and kind to us, feel privileged.

I definitely struggled a lot during the time of being at my Mums due to being in a waiting season of not knowing about jobs, finances and home and health stuff (with my PMOS fertility) and this is a new chapter for us which we hope will be positive. My mental health was understandably slightly affected and I was lucky that I could pay for therapy sessions when I needed them and didn’t spiral too much. I am still pinching myself that our much held prayers have been heard.

If you’re reading this and you are struggling, please know things can turn around quickly, keep faith in your heart despite everything feeling hard. We will never forget the kindness and support shown to us. A person is truly not a person without other people and for me, G-d too. He is behind everything.

Moving home is said to be one of the most stressful things in life- so its important to take things day by day as it can be anxiety provoking.

With love,

Eleanor x

Younger Me: Fund CAMHS Mental Health Services Now!

~ Eleanor Segall ~ Leave a comment

(image: Eleanor Segall, 2006)

This is me aged 17.

One year and a half after my bipolar 1 diagnosis and after a hospitalisation.

On holiday with friends in Spain and already on medication to stabilise my mental health. So many children now are on waiting lists for NHS CAMHS to even get to see a psychiatrist.

It is my hope and prayer that the government fund mental health services and improve access to healthcare. Or people will die from suicide or become hugely unwell.

I support the work of Mind and Rethink Mental Illness in highlighting and campaigning for this.

I was in the Priory North London adolescent unit in 2004 which was funded by the NHS and I had so much help after a mixed bipolar episode became psychosis. The psychiatrists were so caring.

We need more support for the next generation. Please to the UK government- fund CAMHS NHS services!

Eleanor x

Understanding The Different Types Of Bipolar Disorder.

~ Eleanor Segall ~ 2 Comments

(image: Michelle Henderson, Unsplash)

Bipolar disorder is often misunderstood as simply experiencing occasional mood swings. In reality, it is a complex mental health condition that exists on a spectrum, with several distinct types that affect individuals in different ways. Formerly known as manic depression, bipolar disorder involves extreme shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. These are not ordinary ups and downs—they are episodes that can last for days, weeks, or longer, and they can significantly disrupt a person’s life, relationships, and sense of self.

Understanding the different types of bipolar disorder is the first step toward recognition, appropriate treatment, and long-term stability. Whether you are seeking answers for yourself or a loved one, clarity about these diagnoses can open the door to compassionate care and effective support. This article explores the three primary types of bipolar disorder—Bipolar I, Bipolar II, and Cyclothymic Disorder—and highlights the importance of comprehensive recovery pathways.

Bipolar I Disorder

Bipolar I disorder is defined by the presence of at least one manic episode that lasts for at least seven days, or by manic symptoms so severe that immediate hospital care is required. Mania is more than just feeling unusually happy or energetic. During a manic episode, individuals may experience a distorted sense of well-being, racing thoughts, rapid speech, a decreased need for sleep, and impulsive or risky behaviors such as excessive spending or unwise decisions. In some cases, mania can cause a break from reality, known as psychosis.

Depressive episodes often accompany Bipolar I, typically lasting at least two weeks. These episodes can be profound and debilitating, involving deep sadness, loss of interest in activities, changes in sleep and appetite, and difficulty concentrating. The manic episodes of Bipolar I can be severe and even dangerous, making this form of the disorder particularly challenging for both the individual and their support network.

Bipolar II Disorder

Bipolar II disorder is sometimes mistakenly viewed as a milder version of Bipolar I, but it is a distinct diagnosis with its own set of challenges. It is characterised by at least one

major depressive episode and at least one hypomanic episode, but never a full manic episode. Hypomania is a less extreme form of mania that does not cause the same level of impairment in social or occupational functioning and does not involve psychosis.

While hypomanic episodes may feel productive or even pleasant, they are still part of a pattern that can be destabilizing. The depressive episodes in Bipolar II, however, can be lengthy and severe. In fact, individuals with Bipolar II often seek help during depressive phases and may be misdiagnosed with major depressive disorder if hypomanic episodes go unrecognized. This makes accurate diagnosis essential for effective treatment.

Cyclothymic Disorder

Cyclothymic disorder, or cyclothymia, is often described as a milder but more chronic form of bipolar disorder. It involves numerous periods of hypomanic symptoms and depressive symptoms that last for at least two years in adults (or one year in children and adolescents), but these symptoms do not meet the full criteria for a hypomanic or major depressive episode.

For someone with cyclothymia, mood instability is a constant presence. The mood swings occur for at least half of the time during the two-year period, with no more than two consecutive months of stable mood. As one psychiatrist describes it, “It may seem like you’re just going through a string of good days and a string of bad days. But the mood shifts keep going, and there’s little neutral time in between”. While the symptoms are less severe than in Bipolar I or II, the persistent nature of cyclothymia can still significantly impact relationships, work, and overall quality of life.

The Importance of Bipolar Disorder Rehabilitation

Receiving a diagnosis is an important milestone, but it is only the beginning of the journey. Bipolar disorder is a lifelong condition that requires ongoing management. This is where bipolar disorder rehabilitation becomes essential. Rehabilitation goes beyond simply taking medication—it encompasses a holistic approach to rebuilding functioning, enhancing quality of life, and preventing relapse.

Evidence-based psychological interventions play a critical role in recovery. Approaches such as Cognitive Behavioural Therapy (CBT), Dialectical Behaviour Therapy (DBT), and Acceptance and Commitment Therapy (ACT) have shown promise in helping individuals develop emotional regulation skills, improve social functioning, and manage symptoms. Group-based programs and community re-entry initiatives can also support individuals in transitioning from inpatient settings to more independent living, enhancing medication adherence and global functioning.

Rehabilitation is not about “fixing” someone—it is about empowering individuals to live meaningful lives alongside their condition. With the right combination of medication, therapy, lifestyle adjustments, and social support, many people with bipolar disorder achieve stability and pursue their goals. The path may look different for everyone, but recovery is not only possible—it is the expectation.

Key Takeaways

Understanding the different types of bipolar disorder is vital for recognising the unique experiences of those affected. Bipolar I involves full manic episodes that can be severe and require hospitalisation. Bipolar II features hypomanic episodes alongside often-prolonged depression. Cyclothymic disorder is a chronic pattern of milder mood swings that persist over years. Each type requires a tailored approach to treatment and support.

If you or someone you love is navigating a bipolar disorder diagnosis, remember that you are not alone. Accurate diagnosis, compassionate care, and comprehensive rehabilitation can transform lives. Reach out to mental health professionals, build a support network, and take each step at your own pace. Understanding is the foundation—and from there, healing can begin.

This article is by Alpha Healing Center in India.

Top 10 Actions To Support Good Mental Health And Find Support- Mental Health Awareness Week 2026

~ Eleanor Segall ~ Leave a comment

(image: Mental Health Foundation)

It’s Mental Health Awareness Week (with the Mental Health Foundation) and this year’s theme is Take Action for good mental health- for yourself or a loved one and for the wider community. They say, “we’re asking people to join us in taking action to support good mental health. Even small actions can help us feel hopeful and less powerless. And while our individual actions matter, when we come together we are even more powerful.”

Real change happens when we take action. Here’s some Top 10 tips from the Mental Health Foundation of simple actions to support good mental health, lift your mood and improve your ability to cope with life:

  1. Plan something to look forward to– Making plans for things we enjoy can increase our sense of hope, which is important for our mental health. It could be a plan to sit down with a cup of tea and take a quiet five minutes, or a long-term plan for an ambitious trip. Whether it’s a big or small goal, the important thing is to plan it.

2. Eat Well- One of the simplest ways to improve mental health is by eating a healthy, balanced diet. Not only can it support your emotional health, but introducing small habits, such as staying hydrated or having fruit snacks, can help make changes stick easier.

3. Get closer to nature- Spending time in nature can boost your mood, lessen stress, and help you concentrate.

4. Get good sleep- Good quality sleep helps your brain work better, lifts your mood, and is good for your overall health.

5. Get Creative– Spending time on creative activities is a great way to help ease stress and anxiety. Carve out some time to listen to music, paint, sing, or do whatever you enjoy most.

6. Move regularly- Being active can boost your mood and raise your self-esteem. It’s also an effective stress management technique. Whether you go for a walk, do some yoga, or vigorously clean the kitchen, it all counts.

7. Try Mindfulness- Being fully aware in the present moment can positively change the way you feel about life and how you approach challenges. Aim to notice the colour of the sky, the sound of leaves, or the feeling of your feet on the ground.

8. Friends- Having good relationships with others can help you feel like you belong, allow you to share experiences, and receive emotional support. It’s a great reason to have a catch-up with a friend on the phone.

9. Be Kind to yourself– Bad days happen to everyone. If you’re having a tough time, remember to treat yourself with kindness and understanding. You’re doing the best you can.

10. Talk things over with someone you trust- It can take a lot of courage to tell someone else how we’re feeling or what we’re finding hard. Just talking things through with a person we trust can feel like a relief and make us feel less alone.

(Source for Top 10 tips: Mental Health Foundation)

There are times when some of the above will be or feel too much, for example if facing a deep depression or a serious episode of mental illness. In these cases, the most important thing is to reach for help from your doctor or therapist (or both) and get referred in to mental health services to see a psychiatrist. Practising self care such as eating, sleeping and taking prescribed medication as well as simple things like showering and getting dressed can make a big difference on a day to day basis.

Remember that you are not alone and that you have so much to give and offer to the world. Take small achievable actions and reach for help and support from a trusted place, charity or helpline.

Support lines in the UK:

First port of call if a new referral (not already known) is to call 111 or request an urgent GP appointment

  • call 116 123 to talk to Samaritans, or email: jo@samaritans.org for a reply within 24 hours
  • if you’re under 19, you can also call 0800 1111 to talk to Childline – the number will not appear on your phone bill
  • There are other specialist organisations if needed for specific communities.

(Image: Mental Health Foundation)

Living In Remission With Bipolar 1 Disorder- Time To Talk Day by Eleanor.

~ Eleanor Segall ~ Leave a comment

(image: Mind/Rethink Mental Illness)

Time to Talk Day is today and it is ‘the nation’s biggest mental health conversation’. This year’s theme is Brave the Big Talk, have conversations about mental health experiences that might feel a bit unspoken, with an aim to destigmatise mental health issues.

Today I would like to talk about living in remission with Bipolar 1 Disorder (I was diagnosed aged 16 in 2004 and am now 37!). I am lucky that although the illness I have when unmedicated is severe- I have had episodes of psychosis and mania and suicidal depression, and been hospitalised twice, I live in remission these days.

What does remission mean to me?

  • It means my medication (Lithium and Quetaipine- a mood stabiliser and anti psychotic) stops the very high (manic) and very low (depressive) moods and I can cope better. I am still a work in progress but its way less severe!
  • It means that although I have ongoing therapy to deal with past trauma, I don’t need to see a psychiatrist at present and am managed by my GP.
  • It also means that I don’t have to worry too much about bipolar episodes, which is not the same for everyone with our illness! I do however still struggle with anxiety, which I have spoken about before and some days can be harder than others.

Time to Talk Day say, ‘ Talking openly and honestly can be the first step towards better mental health for everyone. It can even save lives. Talking can reduce stigma and help people feel comfortable enough to seek help when they need it.‘

So whether you talk to a friend or an employee or listen to someone else, you can be making a big difference today. Find more about getting involved here: https://www.mind.org.uk/get-involved/time-to-talk-day/

Thanks to Mind and Rethink Mental Illness for creating such an important day,

Eleanor

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

~ Eleanor Segall ~ 2 Comments

(image: Jami)

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

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

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

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

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

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

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

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

Where to get help with your mental health

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

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

Heres to 10 amazing years of mental health conversations!

Eleanor x

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

~ Eleanor Segall ~ 2 Comments

(images: Christmas For CAMHS)

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

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

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

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

(Image: Christmas for CAMHS)

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

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

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

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

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

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

(image: Christmas For CAMHS)

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

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

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

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

My Experience With Pregnancy-Related Anxiety by Georgia Anne

~ Eleanor Segall ~ Leave a comment

(image: Georgia Anne)

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

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

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

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

When Everyday Anxiety Turned Into Something Bigger

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

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

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

The guilt that followed made everything heavier.


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

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

Speaking Up at My Midwife Appointment

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

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

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

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

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

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

(image: Georgia Anne)

Getting Support: Talking Therapies & Medication

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

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

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

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

Where I Am Now

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

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

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

What I Learned And What I Want Others to Know

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

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

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

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

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

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

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

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.