Category: therapies

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.

Healing The Mind And Body Through Supportive Recovery Practices by Isla Salt

~ Eleanor Segall ~ Leave a comment

(image: Yannic Laderach, Unsplash)

Recovery from addiction is a deeply personal and often challenging journey. Each individual faces unique struggles, yet a common thread binds everyone together—the need for healing that nurtures both the body and the mind. Traditional treatments like medical detox and counselling are essential, but recovery extends beyond them. To truly sustain sobriety, many people benefit from incorporating supportive practices that promote physical wellness, emotional balance, and meaningful social connections.

Holistic recovery approaches focus on treating the whole person rather than just the symptoms of substance use disorder. This means addressing the emotional, mental, physical, and even spiritual aspects of health. Within this framework, two practices stand out for their effectiveness and accessibility: yoga as a healing tool and group therapy as a platform for connection and accountability. Together, these methods create a powerful balance, helping individuals not only manage cravings and triggers but also build resilience and long-term stability.

Understanding the Need for Holistic Healing

Addiction impacts far more than just the body. While substances can cause direct harm to organs and brain function, the cycle of dependency often disrupts emotional health and weakens relationships. Recovery programs that focus exclusively on physical detoxification may overlook the importance of mental clarity, emotional regulation, and social support—elements that are equally important in building a healthy life.

Supportive recovery practices go hand in hand with evidence-based therapies to address these needs. By combining structured treatments with holistic methods, people in recovery gain tools to manage stress, regulate emotions, and connect with others who understand their struggles. This integration often leads to improved outcomes and a reduced risk of relapse.

Yoga as a Pathway to Recovery

One of the most effective practices in holistic recovery is yoga for addiction recovery. Yoga provides more than just physical exercise; it is a discipline that strengthens the body, calms the mind, and fosters inner awareness. For people in recovery, yoga offers a constructive way to process emotions, cope with stress, and rebuild confidence.The benefits of yoga extend into multiple dimensions of healing:

  • Physical strength and resilience: Addiction often leaves the body weakened. Yoga helps restore energy, balance, and flexibility, giving individuals a sense of vitality.
  • Mental clarity: Breathwork and meditation in yoga reduce anxiety and improve focus, making it easier to navigate triggers and cravings.
  • Emotional regulation: Yoga encourages mindfulness, helping individuals respond to stress rather than react impulsively.
  • Spiritual connection: For many, yoga fosters a sense of purpose and inner peace, providing a meaningful counterbalance to past struggles.

Practicing yoga in recovery also creates structure and routine, both of which are essential for maintaining sobriety. Whether practiced individually or in a group setting, yoga can become a safe space to reconnect with oneself and rediscover a healthier way of living.

(image: Unsplash: Helena Lopes)

The Role of Community in Recovery

While practices like yoga are powerful for personal healing, recovery is not meant to be a solitary process. Addiction thrives in isolation, and overcoming it requires connection, support, and accountability. This is where community-based approaches such as group therapy play a vital role.

Human beings are social by nature, and support networks are key to emotional resilience. In group settings, individuals can share their stories, listen to others, and gain reassurance that they are not alone in their struggles. This shared experience often reduces shame and fosters empathy, which are critical for long-term healing.

Group Therapy as a Cornerstone of Support

Group therapy for substance abuse provides a safe and structured environment where individuals can open up about their experiences. Guided by a trained therapist, group sessions encourage honesty, accountability, and peer support. Unlike individual therapy, which focuses on one person’s journey, group therapy highlights the power of collective healing. Key benefits of group therapy include:

  • Shared understanding: Listening to others with similar struggles helps normalize feelings and experiences.
  • Accountability: Members often motivate each other to stay on track and celebrate progress.
  • Skill-building: Sessions may teach coping strategies, communication skills, and relapse prevention tools.
  • Hope and inspiration: Seeing others succeed in recovery can inspire confidence and determination.

Group therapy also helps individuals rebuild social skills that may have eroded during addiction. By practicing healthy communication and learning to trust again, participants strengthen the foundations of meaningful relationships outside the therapy room.

Balancing Individual and Collective Healing

The combination of yoga and group therapy illustrates how both individual and collective healing practices can work hand in hand. Yoga allows individuals to reconnect with themselves, build strength, and find calm in the face of challenges. Group therapy provides the encouragement and accountability that comes from shared experiences. Together, these practices address both the internal and external dimensions of recovery.

For many, the integration of body-focused and community-based approaches creates a balanced recovery journey. It ensures that healing is not only about overcoming physical dependence but also about cultivating emotional stability and social connection.

The Long-Term Impact of Supportive Practices

Recovery is not a short-term process—it is a lifelong commitment. Supportive practices like yoga and group therapy provide tools that individuals can carry with them long after formal treatment has ended. These practices foster resilience, helping individuals manage stress, cope with setbacks, and continue growing on their path to wellness.

Some people incorporate yoga as part of their daily routine, using it as a grounding practice. Others rely on ongoing group sessions or peer support communities to maintain accountability. The beauty of supportive recovery practices is their adaptability—they can evolve with a person’s needs and provide consistent strength throughout life.

Creating a Sustainable Recovery Lifestyle

The journey to sobriety is about much more than simply avoiding substances. It is about creating a lifestyle that supports health, purpose, and connection. A sustainable recovery lifestyle often includes:

  • Regular physical activity, such as yoga or other mindful exercises.
  • Participation in therapy or peer support groups.
  • Healthy nutrition and sleep habits.
  • Engagement in meaningful work, hobbies, or service.
  • Building strong, supportive relationships.

When individuals embrace both holistic and therapeutic practices, they are better equipped to live fulfilling lives beyond addiction.

Final Thoughts

Healing from addiction requires more than detoxification or medication—it requires a comprehensive approach that nurtures the mind, body, and spirit. Practices like yoga provide personal healing and inner balance, while group therapy fosters community, accountability, and shared growth. Together, they create a powerful foundation for lasting recovery.

By embracing supportive recovery practices, individuals not only overcome addiction but also rediscover the strength, resilience, and joy needed to build a healthier and more purposeful life.

This blog contains sponsored links.

World Suicide Prevention Day Webinar with Bipolar UK

~ Eleanor Segall ~ Leave a comment

Today is World Suicide Prevention Day.

A year or two ago, I recorded this webinar with Bipolar UK talking about our family story (mine and my Dads) with bipolar disorder, suicidal ideation, depression and both of us finding recovery.

Suicide is a terrible but common outcome of bipolar and acute mental health episodes. I also know what it is like to lose a loved one to suicide and mental illness and the pain that brings.

I share this webinar today to raise awareness, but also to encourage people to go to their GP/psychiatrist/ family/ spouse and talk, if safe, about what is going on for you.

Watch here, with care, trigger warning : discusses bipolar episodes, suicidal ideation

In this webinar, Bipolar UK CEO Simon Kitchen shares the findings of the Bipolar Commission on the critical link between bipolar and suicide. He is joined by Ashley Brice, an experienced crisis negotiator with the British police specialising in suicide prevention, and Eleanor Mandelstam, author and freelance writer who lives with bipolar. Together, they explore the risk factors, warning signs, and practical strategies to prevent suicide, offering crucial insight for anyone living with bipolar, supporting someone with bipolar, or wanting to better understand how bipolar impacts mental health and suicide risk.

Eleanor x

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

~ Eleanor Segall ~ 2 Comments

(Image: Unsplash)

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

Understanding the Link Between Mental Health and Addiction

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

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

Comprehensive Assessments for Accurate Diagnosis

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

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

The Role of Integrated Treatment Plans

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

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

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

(image: Alysha Rosly, Unsplash)

Flexible Care Through Programs Like the Intensive Outpatient Program

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

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

The Importance of Ongoing Support and Aftercare

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

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

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

Conclusion

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

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

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

~ Eleanor Segall ~ Leave a comment

Author: Jolian Ardolino

(image: Unsplash: Angelina Sarycheva)

If you’re reading this, you likely know what it’s like to care deeply for others – whether as a nurse, paramedic, therapist, social worker, or in one of the many roles that keep our communities going. But here’s something we don’t say out loud enough: caring for others can quietly take its toll on our own wellbeing, especially when it comes to health anxiety.


The Hidden Weight of Health Anxiety in Caring Professions

Caring professionals are often assumed to be unshakeable in a crisis – the calm in the storm, the voice of reason when others are spiralling. But what happens when your own mind starts to race? When a fleeting ache becomes a late-night Google search, and that spirals into a restless night? Or when the stories you hear at work bleed into fears about your own health or loved ones?

Health anxiety isn’t “just worrying” or “hypochondria.” It’s a very real, common challenge for those who look after others. NHS surveys found 76% of staff experienced a mental health issue last year, with over half reporting anxiety. We absorb others’ pain and witness uncertainty, sometimes internalising that anxiety until it shapes our own thoughts and behaviours.


Why Caring Professionals Are Prone to Health Anxiety

Caring roles put us face-to-face with illness, unpredictability, and loss. We’re trained to scan for problems – a strength that can turn inward, fuelling cycles of health anxiety. Many of us are also experts at minimising our own needs. My clients (and yes, I’ve been there myself) often struggle to switch off “helper mode” and create space for their own wellbeing. No wonder health anxiety can creep in.


Recognising the Signs

Health anxiety can show up in subtle – and not-so-subtle – ways:

– Excessive checking: Monitoring your body for symptoms, repeatedly seeking reassurance, or going down “Dr Google” rabbit holes.
– Preoccupation: Struggling to focus on anything but health worries, even outside work.
– Avoidance: Steering clear of situations or tasks for fear of illness.
– Physical symptoms: Real sensations (like palpitations, headaches, or stomach issues) that reinforce anxious thoughts.
– Sleep disturbance: Lying awake, unable to switch off your mind.



My Integrative Approach: You’re Not Alone

As a therapist specialising in anxiety, stress, and burnout among caring professionals, I understand the unique pressures you face – not just as a therapist, but as someone who’s walked in your shoes. At Ardolino Counselling, my approach combines:

– CBT (Cognitive Behavioural Therapy): We map the cycle of anxious thoughts and behaviours, learning practical ways to break free from unhelpful patterns. CBT helps you question catastrophic thinking and gently test healthier beliefs.
– ACT (Acceptance and Commitment Therapy): We work on making space for uncertainty, learning to “unhook” from distressing thoughts, and focusing on what really matters – without trying to eliminate anxiety altogether.
– Person-centred therapy: All our work is grounded in compassion, empathy, and respect for your unique story and strengths.

It’s not about “fixing” you – it’s about working together so you can keep doing the work you care about, without being overwhelmed.

Image: Unsplash: Tim Mossholder)

Practical Tips: Coping Day-to-Day

1. Challenge Catastrophic Thinking 
When a health worry pops up, pause and ask: “What’s the evidence for this thought? Am I assuming the worst?” Label these as “catastrophic thoughts,” and consider: “What’s a more balanced or likely explanation?” Notice how believable the new thought feels and how you might behave differently if you believed it.

2. Ground Yourself in the Present 
When anxiety spirals, try grounding techniques like box breathing or the “5-4-3-2-1” exercise: name five things you can see, four you can touch, three you can hear, two you can smell, and one you can taste. This anchors you in the here and now.

3. Limit Reassurance and ‘Dr Google’ 
Notice when you’re seeking reassurance – asking colleagues, Googling symptoms, or scanning your body. Set gentle limits on these habits, reminding yourself: “Uncertainty is uncomfortable, but I can handle it.” Reducing reassurance-seeking helps break the anxiety cycle.

4. Set Boundaries to Protect Your Energy 
Give yourself permission to say no, or to step back from work worries outside your shift. Small routines – like a walk after work or a tech-free hour – help reinforce this boundary and support your wellbeing.

5. Reach Out for Support 
If anxiety persists, talking things through with a trusted friend, colleague, or therapist can give you perspective and relief. You don’t have to manage it alone.

When to Reach Out

Everyone experiences worry sometimes. But it’s worth seeking help if:

– Health anxiety is interfering with your work, relationships, or daily life.
– You’re finding it hard to “switch off,” even away from work.
– You’re avoiding situations or tasks because of health fears.
– Your anxiety is getting worse, not better, over time.

Mental health struggles are common and nothing to be ashamed of. Reaching out isn’t a sign of weakness – it’s a step towards regaining balance and resilience. Many caring professionals find that talking to someone outside their immediate work circle helps them process fears and develop healthier ways of coping.

Ready for Real Change?

If health anxiety is making it harder to do the job you love, you deserve support tailored to you as a caring professional. At Ardolino Counselling, I offer a free, no-pressure 15-minute consultation to see if therapy feels right for you. Sessions are available UK-wide (online or in Barry, South Wales) with flexible scheduling, including Fridays, evenings, and weekends.

Special Blue Light Card Offer: 
Blue Light Card holders receive 50% off their first 8 sessions. Block bookings are also available for added savings.

You give so much care and skill to others. Let’s make sure you get the same support in return.

Book your free consultation here and take the first step towards a calmer, more confident you.

This post contains a sponsored link and was written by Jolian Ardolino, therapist.

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

~ Eleanor Segall ~ Leave a comment

(image: Emily Underworld: Unsplash)

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

What Is Bipolar Disorder?

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

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

Medications: The Backbone of Treatment

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

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

How Therapy Helps

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

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

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

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

Everyday Habits That Make a Difference

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

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

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

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

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

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

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

Pay Attention to Early Warning Signs

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

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

Build a Strong Support System

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

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

Final Thoughts

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

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

About the Author

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

What Makes A Great Hypnotherapist? by Kevin Whitelaw of Perma Hypnotherapy.

~ Eleanor Segall ~ Leave a comment

(image: Chelsea Gates, Unsplash)

On a regular basis, I speak to people who are set to benefit from hypnotherapy: they have a compelling need to make those changes in their lives, they take responsibility for the outcome and, they’re looking forward to enjoying the benefits. Solution Focused Hypnotherapy is an effective, modern, evidence-based talking therapy. It is designed to support you in making positive changes leading to your sustained wellbeing.

Often, people get a bit stuck when looking for a therapist as they try to find the right therapist for them at that time.

So, what makes a hypnotherapist the right hypnotherapist for you at the moment?

The over-riding factor is your gut instinct: rapport between therapist and client is so important in achieving the best outcomes for wellbeing. What are your feelings as you look through their website and speak to them?

Beyond that, consider the following – any credible hypnotherapist would be happy to confirm the below.

Make sure you consider these when speaking to a hypnotherapist for your mental health:

  • They are open about what certifications they have, from where and what continuous professional development they do. Remember that the term ‘diploma’ is, in itself, meaningless. The key things to look for when assessing a certification are how much work did it take to obtain, who accredited it and what competence does the accreditor have?
  • That they are required to undertake a level of continuous professional development.
  • They are members of recognised professional governing bodies. There are many of these – The key thing to look for is the organisation’s affiliation with the National Council for Hypnotherapy and / or the Complimentary and Natural Health Care Council. Nb – this holds true for the UK. Other countries – especially the USA – have their own arrangements.
  • That they have Professional Indemnity Insurance (PII). This is not to expect anything to go wrong but it does give a degree of assurance as to the quality of their qualifications. Each broker offering PII to hypnotherapists has a list of certifications they accept as being suitable – and they are very shrewd about who they insure.
  • They have lived-experience of the issues you have chosen to resolve. Nb – there is no right or wrong with this one. You will find therapists who both agree and disagree with this point.
  • They are clear about their overall balance between therapy and hypnosis.
  • They allow you to set your own goals and they work to your (rather than their) agenda.
  • They encourage and support you to become proficient in self-hypnosis and managing your wellbeing for the long term.
  • They are happy to share content, resources, and references with you to give a deeper understanding of what they, and you, are doing.
  • They focus on you achieving your goals efficiently – there are no signs of them spinning things out for extra sessions.

(image: Marcel Straub, Unsplash)

 Ready to break free? 

The author Kevin Whitelaw helps adults across the globe overcome anxiety, stress, and self-doubt using Solution Focused Hypnotherapy. Book your free consultation today.

Cognitive Behavioural Therapy For Perfectionism by NOSA CBT

~ Eleanor Segall ~ Leave a comment

(image: Kateryna Hliznitsova, Unsplash)

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

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

What Is Perfectionism?

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

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

How Perfectionism Develops

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

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

(image: Brett Jordan: Unsplash)

How CBT for Perfectionism Works

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

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

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

Key CBT Techniques for Perfectionism

Several CBT techniques help reduce the pressure to be perfect:

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

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

Dealing with Setbacks and Ongoing Habits

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

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

Who Can Benefit from this Therapy?

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

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

Rounding Up 

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

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

How to Get the Most Out of Therapy by Elizabeth Howard

~ Eleanor Segall ~ Leave a comment

(image: Kateryna Hliznitsova: Unsplash)

As the world gets more concerned and more appreciative of mental health and its impact on life, therapy has become more of a viable option for many. Whether you’re trying to cope with trauma or just work on some aspects of your personality and lifestyle, therapy is a great tool, but before you’re ready to jump in, you’ll need to know how to get the most out of your therapy. 

Be open 

The first and most important thing to keep in mind about therapy is that before you even sit in the office, you should have an open and comfortable attitude about the entire process. Much therapy gets stagnant as clients wait for breakthroughs just because they’re not ready for uncomfortable conversations or for sharing intimate details about your life. Withholding crucial information like that of your family members or crucial events in your life will only slow down the progress you’re able to get out of therapy. Instead, trusting the professional you’ve partnered with and really internalising their advice will allow you to get acclimated to the process much faster, and you’ll get more out of it as a result.  

Get ready for uncomfortable conversations  

As previously mentioned, another thing you’ll need to ensure is that you’re mentally prepared for the uncomfortable conversations you may have in the therapist’s office. This is because a lot of the trauma people carry throughout their lives is tied to a few incidents earlier in life, and talking about those incidents is the first step to truly healing. That means you’ll have to eventually vocalize your deepest fears and insecurities and the issues you’ve been going through, both to allow your therapist to better understand your psyche and to help yourself make important breakthroughs throughout your journey. 

Find the right therapist 

Another part of getting the most out of your therapy is finding the right therapist to guide you on your journey because the person you’re working with will eventually be entrusted with the deepest parts of your personality and subconscious. This means finding someone you’re fully comfortable with and one that is easy to visit; in your own country. Chicago residents (USA), for example, should look for an experienced therapist in Chicago. Finding a professional that you’re comfortable with and someone who’s nearby will only make it easier to regularly make your appointments and make time for therapy, pushing yourself towards more progress. 

Be consistent 

Consistency is the most important part of any major life goal you’re trying to achieve, and that includes therapy because of how unique the experience of therapy is for most people. If you’re not making it to your therapist’s office week after week for your regularly scheduled appointments, you won’t be able to make those important breakthroughs because each appointment will mostly be concerned with you and your therapist getting used to each other again. If you feel that your therapy isn’t working in its earliest stages, you shouldn’t let that discourage you since different people make progress over different periods.  

Do the homework 

Most therapists out there know the importance of daily self-improvement habits for their clients, and that includes things like journalling or keeping a dream diary. This can be tiring at first, but this homework is crucial to the entire process since your therapist will get a better idea of your underlying fears and the thoughts that take control of your unconscious mind most often. This will help your own progress, so you get the most out of therapy you possibly can. You can communicate all of your fears if you’re writing them down regularly for therapy.  

Like most aspects of self-improvement, therapy has the capacity to change your life and can even cause you to have a major shift in perspective about key moments in your life. However, before you’re ready to embark on the phase of your life that will inevitably have a giant impact on you, it’s important to prepare yourself for what’s next so that you can get the most out of the therapy you’re participating in. 

Elizabeth Howard is a freelance writer. (this article contains sponsored links)