Category: Talking Therapy

10 Signs that you may have an Anxiety Disorder: Guest post by Capillus

~ Eleanor Segall ~ 1 Comment

anxietyquote1

(image: Psych Central)

You might feel like a worrier—someone who is unable to let the little things slide, who becomes agitated by small shifts in your schedule, who is kept up at night at the thought of something you said earlier in the day. We all feel worry now and then, but there are people who have an inclination to feel concern and apprehension more than others. If you’re someone who often finds yourself feeling uneasy, fearful, stressed-out, and tense, you might have Generalized Anxiety Disorder (GAD). 

Worrying over the Small Things 

Are the most basic daily tasks—brushing your teeth, taking out the garbage, commuting to work—stressing you out on a regular basis? Do you find that your usual routine is becoming burdensome, making you feel short of breath and unable to focus elsewhere? If so, it’s likely that you’re undergoing some form of GAD. This is a common symptom of GAD, in that people will become overwhelmed by activities that once were normal, leading them to feel stressed and burdened in the face of small tasks.   

Insomnia and Sleep Issues 

Whether it’s due to obsessive cyclical thinking or worrying about things that might have happened earlier in the day, there are many people who are kept awake, either unable to sleep at all or regularly disturbed from their sleep during the night. Insomnia can be brought on by various factors, either by an inability to quell your mind prior to going to sleep or increased cortisol levels, which will leave your body in its “fight or flight” mode even at night. 

Daily Fatigue 

Often as a result of insomnia or poor sleep, daily fatigue can be another symptom found in people with GAD. Without enough rest in the evening, the body and mind will feel sluggish during the day, leaving you exhausted and unable to focus.

Other factors can lead to such fatigue, but they might be wrapped up in other factors of anxiety, whether you are using stimulants such as coffee or alcohol to mentally balance yourself during the day or you are stress-eating unhealthy food as a reaction to increases in overall anxiety. 

Upset Stomach and Indigestion

GAD manifests itself in many different symptoms, and some of the most common ones are physical. A common side effect people have when struggling with GAD is stomach distress, including indigestion, constipation, diarrhea, ulcers, and more. Anxiety itself can lead to stomach issues, but, as said above, other lifestyle decisions made while struggling with anxiety can further exacerbate digestion issues, including poor diet, increased alcohol consumption, poor sleep, etc.

Difficulty Concentrating

A common side effect found in people dealing with GAD is the inability to focus during the day. Laboured by concerns, fears, and fatigue, those with GAD will sometimes find it difficult to completely focus on a task without being derailed by some other worrying quality or event. 

General Agitation and Discomfort

Quick to become aggravated by general unease and things not going your way? Do you feel ill when attempting to talk in public or in under-populated social scenarios? Are shifts in your daily routine cause for unease and panic? These can all be signs of GAD, as the mind becomes easily perturbed by occurrences and situations it might not expect or want. It’s a struggle to deal with such responses, and it can be difficult to break yourself out of such negative cyclical thinking under such circumstances, but you should do your best to be aware of when such thinking crops up. 

Muscle Pain and Discomfort 

One side effect of anxiety often not discussed is that of physical pain. Whether it’s muscle tension, tension headaches, hand tremors, chest tightness, or feeling as if you’re unable to breathe, anxiety can lead to detrimental physical responses that might be cause for concern. 

Hair Loss and Thinning 

Along with other physical effects that anxiety can bring about, one of the more common ones is an effect on hair. GAD can lead to hair becoming thin, brittle, and falling out, both on the head and around the body. For some people already struggling with genetic hair loss, anxiety can lead to hair loss and thinning becoming increasingly worse. Thankfully, there are treatment methods available to facilitate hair regrowth, so you shouldn’t be too worried if you notice the first signs of thinning. 

Panic Attacks

You’re likely to know a panic attack if you’ve ever experienced one. Brought about by an intense feeling of fear, unease, and physical symptoms, panic attacks can be a debilitating response to extreme anxiety. The level of response will depend on the person and the level of anxiety, but they are serious reactions to the feeling of a perceived threat. Please reach for medical support from a doctor, if you need it.

Self-Deprecation

If you are regularly feeling down on yourself, feeling as if you cannot meet the standards of perfection or do not match the image you have of yourself, you might be struggling with anxiety. GAD can often leave people obsessed with a self-described definition of who they should be, and anything beneath that can be a never-ending cause of compounding insecurity. If you feel as if you don’t look good enough, aren’t performing as well as you should, or are unsure of your general abilities at work, school, or elsewhere, these underlying feelings might be brought on by anxiety. 

While some of these signs can be symptoms of generalized anxiety disorder, it is important to remember that we shouldn’t self-diagnose ourselves with general mood disorders. If you’re concerned that you might have GAD, you should meet and discuss these symptoms with your primary care physician (in the UK, GP) or a therapist—someone who can provide you with a diagnosis and thus help you alleviate said symptoms for the betterment of your mental health.  

 

This unsponsored guest blog was written by Capillus at www.capillus.com , a hair loss treatment brand with medical expertise.

 

‘The Meaning of Normal’: Living with a sibling with mental illness : Guest post by Shira

~ Eleanor Segall ~ 4 Comments

mayaangelou2

(image: Thought Clothing)

It hasn’t been normal for so long that sometimes I forget what normal should feel like. When I try to think about it, it feels like a glimpse into someone else’s life, and I am an invasive stranger, trying to reach something that doesn’t belong to me.

What is normal?

Sometimes I think I remember it.

Sometimes I think that normal is that time when I was six and you were three and we didn’t fight. When we played hand in hand like every other child, and our entire world was pink and purple, and the most important thing to us was that our dolls had shiny blonde hair.

And we would play every game under the sun, from barbies to dollhouse to the convoluted imaginary ones that only we knew the rules to, and even then did we ever really know the rules?

I was a witch and you were the princess. We were both witches. We were both princesses. I stole your magic time machine but you found another one, and our living room became the entire universe as we ran through it, believing wholly in the pictures we created, the way that only children can.

But did we ever really exist like that? Were we ever those idyllic children, the children that every parent wishes to have?

Maybe our normal is all the times when I was ten and you were seven and we would push and shove and slap. You were my younger sister who could do no wrong and I was the older one, always blamed for both our shares of misdemeanours.

“You should know better!” They would shout

“But she started it!” I would pout.

“It’s not true!” your bottom lip would stick out.

I think we all know that I probably did start it.

We would fight and yell and cry and shout, never giving in, never admitting that we were wrong. Because we weren’t wrong. We were both right, all the time, every time, and the other was always painfully mistaken. And we roared and yelled and scratched each other, but knew only to cry when a parent was looking. And if nobody was looking, well then nobody would see if we punched back just one more time.

But were we ever really like this? Two demonic screaming children who were never silent and never content with just each other? Were we really the children that every parent dreads to have?

Maybe our normal is the way we grew apart as we grew older. When I was 15 and you were 12 and I would pretend not to know you as I walked past you in school. And maybe our normal is the way we would come home from the same school at the same time separately, both of us walking different routes from the bus because being seen with one another would be unacceptable. Maybe that’s what all teenagers do. Maybe that really was our normal.

Maybe our normal was what came next.

Maybe the years we didn’t talk to each other was what we were always heading towards. Because one day we would put down the dolls, and one day we would run out of things to fight about and we would just…exist.

One next to the other.

Sitting in silence.

Neither speaking.

Neither bothering to reach out first.

Because now I’m 18 and you’re 15 and I don’t remember the last time I spoke to you. The house is thick with anger, so thick that it poisons every interaction, and I couldn’t even tell you what I’m angry about. Because the sister I played with, the sister I happily fought with but would jump on anyone else who dared fight with her is in pain. So much palpable pain, and for the first time I couldn’t just make it go away.

Was I angry with you?

Yes.

Was I angry with myself?

Yes.

And so I let this become our normal. A normal where two siblings exist side by side, but don’t even know how to speak without offending. Where everything I say hurts you and everything you say angers me.

So we made this our new normal.

And I don’t care.

I don’t care.

I don’t.

I care.

And now I’m 20 and you’re 17 and I’m 3000 miles away. But this is our normal now. We don’t speak. We can’t speak. But it doesn’t even matter because there’s nothing to speak about anymore. How can I ask how you are when I already know the answer, and I know it’s not an answer I want to hear. How can you ask how I am when you’re too focused on making it through your own day without worrying about mine?

And anyway, it’s been a long time since we told each other how our day was. Not since I was 14 and you were 11 and we would awkwardly walk home from the bus stop together, backpacks moving up and down and up and down as we compared notes about school, neither of us loving it, neither of us willing to admit that out loud.

But we are not those children anymore, and we don’t have any shared experiences to talk about anymore.

I wonder if you miss me like I miss you. I wonder if you count down the days to my birthday too, hoping that we will both make it past 17 and 20, willing time to hurry up even though maybe all I really want to do is turn back the clock.

And then you are 18, and it’s been 18 years since I sat by your tiny cradle in the hospital and cried when we left, maybe because I wanted another chocolate bar from the hospital vending machine, or maybe because secretly I don’t want to leave my baby sister in a cold hospital far far away.

But now you are 18 and I’ve still left you in a hospital far away and it’s still just as hard to leave you there as it was all those years ago. But a 21 year old can’t lie down on the floor and have a tantrum so I keep going and keep going and this is our normal now.

A normal where you’re there and I’m here. A normal where we won’t speak for months on end but then I text you and tell you I miss you and now you answer me too, and I think you miss me too. A normal where we joke and laugh at stupid posts we see on Instagram,  tentatively, both of us till remembering when you were 14 and I was 17 and we ripped each other apart with words until neither of us said anything at all. Is this our normal now?

What is normal?

I looked it up for you.

 

NORMAL:

  • Conforming to a standard, usual, typical, or expected

 

But who gets to decide what that standard is? How do we know when something that once wasn’t normal now is, and if what was once normal is now anything but? Do we decide that? Or do others who stand by and watch get to decide that for us?

I’m sure someone could tell you the scientific answer. I’m sure there is a video out there with a detailed and meticulous answer laid out for us to study.

I’m sure somebody could tell us the answer. Maybe we haven’t even been normal, maybe we always were.

Maybe the imaginary games of our childhood were always meant to turn into imagined grievances causing real rifts. Maybe we were meant to grow apart and then come back together again, a little rougher but a little kinder. Maybe none of it was normal, or maybe all of it was.

Sometimes I wish I could change all of it. If I hadn’t said what I said that one day, or if I hadn’t slammed my door that one time, or if you hadn’t called me that name under your breath, things would all be different now.

But sometimes I know I can change none of it. And maybe that’s ok. Maybe if we hadn’t played all those games as children, if we had never walked down the road together from school, if I had never sent the texts you eventually answered, things would all be different now.

Normal isn’t for us to decide, it isn’t for me to determine. All I know is our normal is all we have, and I wouldn’t change us for the world.

About:

Shira is a writer living in Israel, drawing on every day life experiences. Her sibling lives with a diagnosed mental illness and she has bravely shared their story here.

 

 

 

2020: New Year Round Up by Eleanor

~ Eleanor Segall ~ 8 Comments

 

(image: Prevention.com)

New year posts are always hard to write aren’t they? We start the year in a midst of optimism about goals and achievements and working towards our dream/s. But it can so easily get derailed as life gets overwhelming or busy. However, this post is to say ‘do not give up!’ (to me and to you).

2019 was an amazing, busy, emotional, whirlwind of a year for me. I started the year engaged and half way through wedding planning. In March, my step grandpa sadly passed away at the age of 96. Then, my father in law has stage 3 brain cancer and earlier this year was hospitalised for pneumonia (due to chemotherapy weakening the immune system), which then rapidly became sepsis (poisoning) which can be life threatening. We didn’t know if he would make the wedding and at one point we didn’t know if he would make it through the night.  There was a lot of praying, a lot of fear, a lot of emotion. That was April.

Thankfully, he survived and recovered over months at home. But he is still unwell- we are just lucky he is still here and he made our wedding too.

In May, I started a new job in PR and Communications and met the best colleagues ever. I also spent the year writing my book ‘Bring me to Light’ with Trigger editors Stephanie and Katie. I submitted the manuscript 2 weeks before our wedding.

In late June, I was bridesmaid for my best friends wedding and it was wonderful.

In July, I married my best friend in front of loved ones (including father in law), we moved in together and we went on honeymoon to Sicily, Italy in August to a beautiful place and made good memories. In September, Rob’s cousin got married and that was a lovely family wedding.

In October, I left my new job for personal reasons- although I loved it. The stress of the year, the changes of life had got to my mental health. I am currently working freelance as a writer but applying for jobs too.

Sometime in October/ November, I started EMDR trauma therapy with a wonderful therapist and I hope it continues to help me.

In November, my book was published and sent out to the world and I did some press for it, although I experienced heightened anxiety with it coming out which affected me for a while. Good friends got married too at this time.

In December, I went to Limmud Festival (a conference) with my Dad for our first talk about it and managed to speak, despite my anxiety.

Now, its 2020.

I have some goals for this year. Mainly to be happy, healthy and confident and to give to other people.

This year I would like:

–To publish my children’s stories

-To seek out amazing opportunities to promote my book

-To work as a writer and in social media. I would also love the opportunity to work in schools again part time to develop my skills in early years. For me to be financially independent is something I would love again.

-Manage my panic attacks through therapeutic techniques.

-To raise more mental health awareness

-To be more healthy and look after my body

-To be kind and give to others more.

 

Here’s to a new year of health, happiness and prosperity. How was your 2019/ new year?

Eleanor x

 

6 Tips to lift you out of the slump of Seasonal Depression: Guest blog by Anita

~ Eleanor Segall ~ 3 Comments

winterpixabay1

(Image: Pixabay)

If you are feeling the pinch of Seasonal Affective Disorder (SAD), you don’t have to wait until next spring to get relief. There are several things most people can do to improve their mood and shake off seasonal depression. Check with your doctor about any of the following that may be a change in pace from your usual routine.

Take a Walk

Basic exercise like walking, biking, or swimming is not only good for people physically, but also helps to lift their spirits. Typically it works by improving circulation, getting the body in motion, and connecting them with the gym or the outdoors, all of which can improve the brain’s function and help to enhance your mood, reducing stress.

Listen to Positive Things

Being around good-natured people can also make you feel better. Anything that lifts you up and makes you feel good, even momentarily, is perfect to listen too. Enjoy music with positive lyrics and an energising beat. View comedy films and television programmes.

You might also want to listen to motivational things. Lectures on self-confidence and self-empowerment can help you learn ways to get to and keep yourself in a better mood. If you’re on the go, try listening to positive podcasts with inspirational or motivational messages. Continuous exposure to these will encourage ideas that can influence your mood and help you feel better.

Eating Healthily

With your doctor’s approval, follow an eating plan that will make you feel good as well as look good. Typically this involves three regular meals daily that total about 2,000 calories or however many your doctor recommends as well as a balanced approach with foods from all five basic food groups: dairy, grains, protein, vegetables and fruits, and healthy fats, unless your doctor stipulates otherwise. Avoid eating too much sugar, caffeine, and salt; eaten in large amounts, they may raise your blood pressure or cause bodily inflammation, which may negatively impact your mood.

Get Enough Sleep

Experts generally recommend getting between seven and eight hours of sleep each night, or sometimes as many as nine hours. If you are unable to get that much rest, take short afternoon naps of about thirty to forty-five minutes. Inadequate sleep can contribute to depression, while getting enough rest can help you to feel your best.

Try a New Hobby

When you feel down, sometimes it just means that you’ve fallen into a rut of routine, so try something new if you are able. Find a new hobby to exercise your creativity, whether that’s with dance, painting, photography, or sculpture. You could also take a noncredit class to learn more about a favorite interest or pastime. The goal is to exercise your brain and steer it away from negative thoughts while enjoying fun and different activities. 

Just make sure that whatever hobby you pick up is something you really are interested, not just something that you think you should learn. If you’re not truly interested in your new skill, you likely won’t maintain it in the long term.

Stay in Touch

Often, when we’re depressed, we isolate ourselves. However, while it may feel better in the short term, isolating from loved ones will actually worsen depression. Reconnect with distant family members or old friends. Take care of your current friendships, and be open to meeting new people who share your interests. 

Take a proactive approach to your mental health and reach out for help and support from a medical professional, should you need it. 

 

This blog was by Anita, a freelance writer from Denver, CO, USA. She studied at Colorado State University and now writes articles about health, business, family and finance. You can follow her @anitaginsburg on Twitter.

 

 

Anxiety, Low mood,Winter and Me. By Eleanor

~ Eleanor Segall ~ 26 Comments

fairylightwinter1

(image: Istock)

I have sat down many times in the past few weeks to try and compose this blog and I havn’t felt able, the weight of it felt too much to put down on ‘paper’. The past month has been a lot more challenging for me, I have had an increase in my anxiety, particularly the social anxiety, fear of judgement and the world in general.

This has meant I have had to cancel media appearances and my book launch for friends and family and I sadly missed an old friend’s beautiful wedding and another old friend’s hen weekend 😦  (as well as missing going to the theatre to see Waitress with a wonderful friend). I have been having panic attacks again about socialising when feeling so vulnerable. This has been really, really hard because I hate letting anyone down, I have just been feeling ill at times and having to cope with the heightened anxiety and its ‘fun’  accompaniment (insomnia, racing thoughts, negative thoughts and chest pain).

My book got published and while that was amazing and a lifelong dream, it also felt exposing as I revealed a lot about my life that many wouldn’t know. So I felt like hiding away because it felt scary (social anxiety again).

Additionally, I started therapy 7 weeks ago to give me tools to a) understand but b) deal with the underlying anxiety about life and while it is helping (I am doing a type of trauma therapy called EMDR), I think it might be bringing issues I have buried to the surface from past trauma. This could be why I am getting triggered in social situations at present. I have a fear of negative judgement and also of crowds. I am working on this in therapy as I have been through a lot so far in my 31 years on this planet!

This time of year is also not helping me at all- the nights drawing in and the gloomy mornings. I struggle with SAD (seasonal affective disorder) and I start feeling lower this time of year. I am well medicated so my depression is mild in comparison to what it gets like when my medication doesn’t work but it is the anxiety I need to work on and expose myself to feared situations slowly.

To my friends, thank you for your kindness and for trying to support me (and coax me out) through this difficult patch again- you know who you are. If anyone wants to come round for a Disney night with chocolate- please do! 

Despite the negatives, there have been some successes in the past few weeks- seeing family, going to the cinema with Rob to see Last Christmas, going to the garden centre with my sister and bro in law, attending my therapy sessions, promoting the book online, job applying (exhausting but I’ve been doing it), speaking to friends regularly and trying to socialise even if I don’t always make it. I am working on that.

Oh and I have been volunteering for Christmas4CAMHS charity- that provide presents for ill children on mental health wards. I have been helping them gain awareness and raise funds via social media. This has been one of the most rewarding things I have managed to do in the past 2 weeks. Thank you Ro for letting me be involved and giving me some purpose to help others.

Social anxiety and depression are hard things to live with, but I know it will pass again in time and to reach for support if I need it. I am already on anti depressants and anti anxiety meds (as well as the therapy), so will have to wait and see what helps. I have an SAD lamp so need to use it when I wake in the mornings. Perhaps I should push myself to go for walks, although I am currently enjoying being a doormouse. If anyone else is struggling, please reach out- we are stronger together.

 

Guest Interview with Mark Simmonds: Author of ‘Breakdown and Repair’ mental health book.

~ Eleanor Segall ~ 2 Comments

mark1

(image: Mark Simmonds and Lucy Streule)

 

breakbook1

 

What inspired you to write a book about yours and your daughter’s journey with mental health?

It was July 2017 and I was attending a summer party, hosted by the Marketing Society, the organisation that brings together business people working together in the areas of marketing and advertising. Gemma Greaves, the CEO, was delivering a speech, during which she announced that the Society was going to join the mental health crusade. This seemed odd, slightly incongruous. But then it dawned on me that times had changed. Mental health was no longer the taboo topic it was when I suffered my mental breakdown back in 2001.

Everyone was talking about it now. I also had another 16 years’ experience under my belt, including caring for Emily, my daughter, who suffered from anorexia from 2012 until 2018. So, I had no excuse but to come out of the mental health closet and leave a legacy of sorts to the world. And even if that book helped just one person, then it would have been worth the effort.

 

How did you manage to recover from your stress, anxiety and break down, what helped you?

It was the 19th July 2001. Extreme stress at work had brought on the panic attacks, which were soon followed by a mental breakdown and the onset of severe agitated depression. I was no longer communicating with my wife or my three young children, even though we were all living under the same roof. That morning, I went cycling down a country road. My brain felt like a jumble of spaghetti when I collided with a 10-ton truck. It appears I tried to take my own life.

That’s how I recovered from the breakdown, because when I woke up in the John Radcliffe Hospital in Oxford a few hours later, the dense fog seems to have lifted. From that point onwards, I began to behave like a normal human being. No idea why. The physical impact caused by the accident to my brain? The awful realisation that I had come within a whisper of losing my life, my wife and my kids. There are far more conventional ways of recovering from breakdowns, but that was mine.

How did I recover from stress and anxiety? To be honest, I haven’t! I have simply learned to manage it over the years. I have put banisters in place that help keep me on the straight and narrow: I pick the right working environments, I manage my own expectations and set realistic goals. I satisfy my needs as an introvert. I take medication. I sleep well, eat well, exercise enough. But like all mental illnesses, be aware that it’s always lurking in the bushes, ready to pounce at moments you don’t expect.

mark2

(image: Mark Simmonds and Lucy Streule)

Did you find that Emily received good care and how did you help support her?

Yes, Emily received excellent help and support both from the NHS (Buckinghamshire Child and Adolescent Mental Health Services, the Highfield Unit and Cotswold House, Oxford) and from the Cardinal Clinic near Windsor. The dedication and professionalism of all the staff was outstanding and they did their absolute best to help Emily through the illness. But here is the thing. The quality of the support and the hours spent coaxing a patient back to health have little effect or impact until that patient wants to recover.

It took Emily 6 years to decide that she had had enough of anorexia. and it was only then she finally got better. Anorexia (or Ana as we ‘affectionately’ called her) was a brutal enemy, unforgiving and merciless. More than a match for even the most qualified, most experienced doctors, psychiatrists and counsellors.

 

As a father, what was it like to see Emily struggle with anorexia and to try and save her at the time?

I have suffered from depression at various stages in my life and have experienced living at the bottom of the dark pit where Emily found herself. So, it was painful to watch her suffer because I knew exactly what she was feeling. The upside was that I was able to empathise and sympathise with her. I got it. And the way in which I talked to my daughter and tried to support her was more in line with what she needed. People who are suffering from mental ill health don’t respond very well to rational or logical arguments because their brains are temporarily ‘broken’. The neurotransmitters are not connecting with one another. They need lots of hugging, hand holding, being listened to and loved. An irrational and emotional approach is more effective than a rational one.

Where are you both now in terms of recovery?

As far as my daughter was concerned, it was just 12 months ago when the full-blown Anorexia Wars came to an end. We are all fully aware that war could break out again sometime in the future. As a good friend described it, all we could hope was “that Ana will get incarcerated and gagged in small section deep in Emily’s brain, a high security area from which she can never escape.”

Thankfully, at the moment, our daughter is flying high. She is living and working in London for ITV, eating well, drinking alcohol in moderation (trust me that is a positive thing!), firmly back on track.

As far as I am concerned, life is great. As I mentioned earlier in this piece, I don’t think that you ever escape fully from either stress or anxiety, but I am determined not to let it get in the way of doing great things, trying new stuff, taking risks, saying things that you might regret, taking on people with whom you don’t agree. I want to make sure I end up under the right tombstone.

 

How has reaction to the book been and how was the writing process?

The writing process was a joy! I loved more or less every minute of it. Working closely with Kasim, my editor at Trigger to agree the overall shape and structure of the book, researching stories and expert perspectives/points of view to add colour, collaborating with the wonderfully talented graphic designer, Lucy Streule, around the illustrations. And spending hour after hour with my wife and family editing, tweaking, improving the book. A wonderful experience.

The reaction has been great, both from friends and from people I have never met.

Alastair Campbell comes into the latter category and he kindly agreed to endorse my book. This is what he said: “I loved this book and devoured it in a single day. Whether on his own illness, his mother’s or his daughter’s struggles, Mark writes clearly and without sentimentality. He is brutally honest about the reality of mental illness across the generations with important insights about how to survive it. Though it is filled with sadness and heartbreak, ultimately his story is a testimony to the power of love and of the human spirit.”

 

breakbook2

Mark Simmonds published his first book, Breakdown and Repair, with Trigger Publishing, in March 2019 (https://www.amazon.co.uk/Breakdown-Repair-Fathers-Success-Inspirational/dp/1912478994). It provides a full account of his daughter’s struggle against anorexia and is illustrated by Lucy Streule. It also talks candidly about his own experiences with mental ill health.

You can also follow Mark on Instagram (mentalhealthmark).

 

Dear NHS: The Search for EMDR Therapy by Eleanor

~ Eleanor Segall ~ 11 Comments

sunsetlake1

(image: Freepik)

Today I am writing because I have had enough with the NHS mental health services.  Firstly, I was told that in my area of London, the NHS- national health service doesn’t fund EMDR (rapid eye movement processing therapy- for trauma and PTSD). Why, I have no idea as it is desperately needed. However, I was referred to IAPT wellbeing service (still under NHS), who do have EMDR therapists. Some telephone questionnaires later and I have found that I have been discharged from IAPT – to another team that doesn’t provide the therapy I so dearly need.

I have had years of therapy- CBT x3 and psychodynamic- most had to be privately funded due to the waiting lists in NHS. I need vital treatment for the trauma I faced of becoming so unwell,being in hospital and all I faced during mania and psychosis. My trauma comes out in anxiety and panic attacks which disrupt my daily living. EMDR helps process trauma and I am hoping it will help me to live fully again.

Due to this, the only option with therapy may be to go privately- which is expensive and not ideal for me- I can’t afford it alone. However, I have found an accredited therapist online so this will have to be the route I go down I think. I will speak to the psychiatrist in the other team but don’t hold out any hope as they don’t fund EMDR and there is a 2 year psychology waiting list. Yup, you heard that correctly, 2 years.

I am not doing so well- I have been feeling lower in the mornings and more anxious since having to leave my job. This was another blow today.

Yet….

I am trying to keep myself positive and focused and going. But some days, I just feel like hiding away.

Some positives- I am grateful for:

  1. My new bright pink cardigan is making me smile
  2. Our wedding photos and video come back today
  3. Finding a therapist
  4. Bipolar UK sharing about my book
  5. Love and support from others
  6. Job interviews and book promotion

When people say fund our NHS mental health services, they mean it. People like me are denied access to vital support and put on waiting lists or fobbed off. Its not OK.

Eleanor x

 

A guide to Therapies and finding the right one for you: Guest blog by the Worsley Centre

~ Eleanor Segall ~ 1 Comment

louisn1

(image: Quotir)

If you find yourself at a point in life where you think you might need to seek some professional help, then the decision as to which therapy is right for you can be a daunting one. At its worst, depression and anxiety related disorders can take away our ability to make rational, informed decisions, so how could you possibly know which one is right for you? 

There’s no definitive way of knowing, and even if you start one course of therapy, only to discover it isn’t for you, it’s important to remember it’s not a one-size-fits all decision. If you’re trying to take a long-term approach to taking care of your mental health, then you need to take the time and effort to find the appropriate course of treatment to meet your needs. 

So here’s a basic guide to some of the most common therapies, and how they might be able to help you (although it’s worth bearing in mind that this isn’t an exhaustive list). 

Counselling 

This might sound like a catch-all term to describe all of the therapies below, but actually counselling is subtly different from other types of therapy. Counselling can often be a useful short term strategy to cope with events in our lives which can, quite understandably, cause mental health stresses. These can include bereavement, miscarriage, sudden redundancy, relationship problems or problems with infertility. Counselling sessions normally last for 6-12 weeks, though they can of course be tailored to every individual person’s needs. 

Psychotherapy 

Psychotherapy is primarily a talking therapy, but may also utilise art, writing, music or drama. Psychotherapy can help with a range of conditions, including anxiety, stress, depression, eating disorders, post-traumatic stress disorder, obsessive compulsive disorder. This therapy aims to teach you to manage painful emotions and relationships more successfully. 

Psychotherapy basically involves talking with the patient, discussing strategies to solve problems and changing behaviour. 

It’s worth noting that most of the other therapies in this post are forms of psychotherapy. 

Psychodynamic therapy 

This is a form of psychotherapy which focuses less on the patient-therapy relationship. Patients are told to speak freely and openly about any issues that come to mind, whether it be fears, anxieties or desires. It is a more short-term incarnation of psychotherapy. It’s often used to treat people with serious depressive disorders, or who may struggle to forge meaningful relationships in their lives. 

Interpersonal Psychotherapy 

Interpersonal psychotherapy is a short-term form of psychotherapy treatment. It’s very structured, and includes a lot of homework and continuous assessment. It primarily looks at ways depression can be triggered by changes in relationships to others, such as bereavement, or relocation. 

It will usually start with a 1-3 week assessment of symptoms, as wells as social history and the patient’s relationships. The therapy aims to come up with treatment strategies to deal with problem areas in a patient’s life; over the course of the treatment the emphasis of these problem areas might change, as will the therapist’s strategies. IPT is a relatively young form of psychotherapy treatments. 

 

Cognitive Behavioural Therapy 

Cognitive behavioural therapy is a short-term form of psychotherapy which puts its focus on problem solving as a way of breaking certain thought patterns and modes of behaviour. It’s very much a therapy which focuses on the here and now, as opposed to trying to look for explanations of present day behaviour in past events. CBT has proven to be effective in the treatment of anxiety and panic disorders, depression, post-traumatic stress disorder, phobias and obsessive compulsive disorder. 

CBT works on the concept that a person’s perception of a certain situation determines their and feelings, and hopefully break free of unhelpful patterns of behaviour. 

Mindful Based Cognitive Therapy 

This is another form of cognitive therapy which incorporates mindfulness strategies and breathing exercises into courses of treatment. Mindfulness techniques use breathing and meditation to place people in the present moment, and MBCT uses these techniques to encourage patients to deal with overwhelming or stressful situations.  Again, it aims to break unhelpful thought patterns which can lead to recurrent episodes of depression or anxiety. As well as mindfulness, patients are taught to understand the relationship between how you think and how you feel. 

Neuro-Linguistic Programming Therapy 

Neuro-linguistic programming focuses on behaviour modification techniques to help improve a client’s sense of self-awareness, confidence and communication skills. Again, it helps people to understand that the way they operate in the world is in turn affected by how they view of the world. 

It’s often used to treat phobias, help people deal with self-esteem problems, post-traumatic stress disorder and is designed to help patients understand the workings of their own mind. 

Couples and Family Therapy 

The title of this therapy is relatively self-explanatory, but basically it encourages individuals to resolve problems in the context of family units, or as part of a couple. This helps people to better understand their role within a group dynamic, and how their actions affect the other person within a family or couple. 

During the therapy, family members are encouraged to work together to solve a problem which may be directly affecting a family member, with each person encourage to express their thoughts and feelings in an open and supportive forum. Family and couples therapy is geared towards making different family members empathise with one another, understand each other’s point of view, and switch roles where necessary. 

The ultimate goal of family and couples therapy is restore healthy relationships. This branch of therapy essentially believes that family life is like being part of a system, which is only as strong as the individual within it. Family and couple therapy ultimately aims to restore balance to this system. 

These are, arguably, the most well-known and high-profile forms of therapy. As outlined at the beginning of this article, it’s not an exhaustive list; there are many more specific types of therapy which may prove to be the right one for you. It’s also worth mentioning that it’s perfectly normal to try a few of the therapies on this list, as it might take a few referrals before you find the right one for you. 

The Worsley Centre offers counselling and psychotherapy sessions for couples, individuals and groups in the Greater Manchester area. 

https://theworsleycentre.com/ 

 

An Increase in Anxiety: Panic attacks and Therapy thoughts.

~ Eleanor Segall ~ 7 Comments

panic1

(image: Your Tango)

Hi friends,

It has been a while since I’ve shared a personal blog and I want to be as honest as possible.

It has been a whirlwind of a time- I got married to my wonderful husband in July- we really had the best day, I have been editing and finishing writing my book Bring me to Light and I also started a new job at a charity in May- which has meant I have been blogging less. I love my new job however I am much busier!

This has meant an increase in my anxiety levels and panic attacks in the mornings at times, related to social anxiety. I worry about the day ahead and sometimes don’t feel able to leave home. I have been trying to combat this but its been really hard and is still ongoing for me.

I have had a lot of CBT and talking therapies but believe my anxiety to be trauma based re what happened to me 5 years ago, being sectioned and in hospital. As such, I would like to have EMDR therapy, a type of therapy that helps to process trauma through focusing on images and rapid eye movement. It is hard to describe but I believe this is what I need in order to keep my anxiety disorder under control- and get rid of most of it.

In the mean time I have been leaning on my support network and have been prescribed beta blockers for when the anxiety is at its highest. I have also been referred back to psychiatry in order to get a referral for EMDR.

Except…. my NHS borough don’t fund EMDR therapy so the only route in is via a service called IAPT. It may be that I have to go privately if the NHS standard of therapy is not good enough but there we are. There is still a 2 year waiting list to even have an assessment for therapy, but via IAPT it is quicker, so I hope I can get some form of help for me. The funding for mental health in the UK is atrocious and I hope this will improve….

Having the support of my parents, Rob and family has been hugely helpful to me and my new amazing colleagues who believe in me and have been very supportive.

But, it has been exhausting.

Panic attacks make me want to sleep, blank out and sometimes you can’t do that. You have to face the day and fight. That’s where the beta blocker meds come in for me right now as they calm the body down when you need to show up to something (deep breathing doesn’t do it for me). Usually, I feel better once I don’t react to the anxiety negatively and try to dig deep and push through, but its not easy.

This week, we are going on honeymoon in Italy and I am looking forward to a relaxed, sunshiney break by and in the pool, beach and spa with Rob and eating lots of delicious Italian food. A break is desperately needed and I hope I won’t have any panic attacks on holiday, but have a restful time!

Here’s hoping I will find something that will help ease the panic. I have tried so many things for so many years and it’s still here.

Eleanor x

 

Mental Health Awareness Week: The Mental Health Foundation: Body Image 13th-19th May 2019

~ Eleanor Segall ~ Leave a comment

mentalhealthawarenessweek

(image: Mental Health Foundation)

This week, starting today is the Mental Health Awareness Week by the UK charity the Mental Health Foundation. Its theme is looking at Body Image, how we think and feel about our bodies.

Mental Health Foundation say ‘Body Image can affect us all at any age- during this week we are publishing new research and campaigning for change’    .

They continued,

‘Last year we found that 30% of all adults have felt so stressed by body image and appearance that they felt overwhelmed or unable to cope. That’s almost 1 in every 3 people.

Body image issues can affect all of us at any age and directly impact our mental health.

However there is still a lack of much-needed research and understanding around this.

As part of Mental Health Awareness Week:

  • We will be publishing the results of a UK-wide survey on body image and mental health.
  • We will look at body image issues across a lifetime – including how it affects children and young people, adults and people in later life.
  • We will also highlight how people can experience body image issues differently, including people of different ages, genders, ethnicities and sexualities.
  • We will use our research to continue campaigning for positive change and publish practical tools to help improve the nation’s relationship with their bodies.’
  • The good news is that we can tackle body image through what children are taught in schools, by the way we talk about our bodies on a daily basis and through policy change by governments across the UK.’

For more on how you can get involved see : https://www.mentalhealth.org.uk/campaigns/mental-health-awareness-week