Category: therapies

What Therapies Can Help Calm People With ADHD?

~ Eleanor Segall ~ Leave a comment

(image: Christina at wocintechchat.com at Unsplash)

Attention Deficit Hyperactivity Disorder (ADHD) affects both children and adults. It can make it harder to stay focused, manage emotions, and control impulsive behaviour. While medication can be helpful for many people, it is not the only option. A range of therapies can help people with ADHD feel calmer, improve daily life, and build better coping skills.

According to the NHS, ADHD affects around 3 to 4% of adults in the UK. Research also suggests that around 5% of children worldwide have ADHD, making it one of the most common neurodevelopmental conditions.

Behavioural therapy

Behavioural therapy is one of the most widely used treatments for ADHD. It focuses on changing unhelpful behaviours and encouraging positive habits through clear goals and rewards.

For children, parents and teachers often play an important role by providing consistent routines and positive reinforcement. Adults can also benefit by learning strategies to manage distractions, improve organisation, and reduce impulsive behaviour.

Over time, these techniques can help people feel more in control and less overwhelmed.

Cognitive Behavioural Therapy (CBT)

Cognitive Behavioural Therapy, often called CBT, helps people understand how their thoughts, feelings, and behaviours are connected. Although it does not cure ADHD, it can help manage common challenges such as anxiety, stress, low self-esteem, and emotional regulation.

Many people with ADHD find that CBT gives them practical tools to handle everyday situations more calmly. Learning how to break tasks into smaller steps and challenge negative thinking can make a big difference.

Mindfulness therapy

Mindfulness encourages people to focus on the present moment rather than becoming distracted by racing thoughts or outside distractions.

Simple breathing exercises, guided meditation, and body awareness techniques can help reduce stress and improve concentration. While mindfulness may take time to learn, regular practice can help some people respond more calmly to difficult situations instead of reacting impulsively.

Many people include mindfulness as part of their daily routine alongside other treatments.

Cryotherapy

Cryotherapy is another therapy that some people explore as part of their wider wellbeing routine. It involves exposing the body to very cold temperatures for a short period (Source: The Good Practice), either through whole-body cryotherapy or localised treatment.

Some people report feeling more relaxed, energised, or mentally refreshed after cryotherapy sessions. The cold exposure may also help reduce muscle tension and support recovery after exercise, which can contribute to an overall sense of wellbeing.

However, there is currently limited scientific evidence to show that cryotherapy directly treats or calms ADHD symptoms. It should be viewed as a complementary wellness option rather than a replacement for established treatments such as behavioural therapy, CBT, or medication. Anyone considering cryotherapy should speak with a qualified healthcare professional, especially if they have underlying health conditions.

Occupational therapy

Occupational therapy helps people develop practical skills for everyday life. An occupational therapist may suggest ways to improve organisation, time management, and daily routines.

This type of therapy can also help people adapt their home, school, or work environment to reduce distractions and make tasks easier to manage.

Small changes, such as creating structured routines or using visual reminders, can have a positive impact on daily life.

Exercise and movement therapy

Regular physical activity can help reduce restlessness and improve mood. Exercise encourages the release of chemicals in the brain that support focus, motivation, and emotional wellbeing.

Activities such as swimming, cycling, walking, yoga, or team sports may help people feel calmer while also improving sleep and reducing stress. The best results usually come from choosing activities that are enjoyable and can be done consistently.

Finding the right approach

There is no single therapy that works for everyone with ADHD. Each person experiences the condition differently, so treatment often involves trying different approaches or combining several therapies.

Behavioural therapy, CBT, mindfulness, occupational therapy, and regular exercise all have strong evidence supporting their role in helping people manage ADHD symptoms. Cryotherapy may also appeal to some people as part of a broader wellbeing plan, although more research is needed to understand its specific effects on ADHD.

Working with healthcare professionals can help identify the most suitable combination of therapies, allowing people with ADHD to feel calmer, build confidence, and enjoy a better quality of life.

A Free Mental Health Toolkit: Introducing Tough Minds by Michael Mander

~ Eleanor Segall ~ Leave a comment

(Image: Tough Minds/ Michael Mander)

If you’ve ever tried to get mental health support, you’ll know that it can feel like watching a game of ping-pong. You call one service, and they refer you to another. They point you to a helpline, which suggests a group. And at the end of it all is the bottom of a waiting list.

There’s a big shortage of mental health support out there. Whether you’re one of the millions struggling with a severe mental health illness, or simply going through a difficult time in your life, it’s never been harder to find care.

It’s not good enough, and everyone deserves access to the support they need – whether that’s a therapist, a diagnosis, a helpline, a support group. 

But the truth is that no service, however good, can give us everything we need, all of the time. The toughest moments in life don’t wait for a therapy appointment. There will always be moments where you’re on your own with it.

That gap is what I built Tough Minds for.

Tough Minds is a completely free, online toolkit to help you go from a difficult moment into a lighter one. There are breathing exercises, guided meditations, an urge-surfing timer, and calming soundscapes to help you relax or decompress. 

These are exactly the sort of exercises that a therapist or counsellor might recommend you try – but the ones that are so hard to remember at 2am when you’re in a crisis, or when you’re trying to fight off a difficult urge, or when you just need five minutes to breathe before a job interview. 

That’s why Tough Minds has no sign-up, no app to download, nothing to pay for, no ads. Whenever you need it, you can just go to Tough Minds.

(image: Mediensturmer: Unsplash)

Building emotional resilience

Those in-the-moment tools are only half of the reason I created Tough Minds. The other half is about building the underlying skills that can make those difficult moments less frequent and less severe.

We are less likely to be taught how to look after our mental health in school – and that’s a problem. We only ever learn how to look after our minds once we hit a crisis point – which is a bit like taking your first driving lesson when you’re already halfway round the M25 (UK motorway).

It doesn’t have to work that way.

Building Emotional Resilience

Tough Minds also has tools, games and exercises to help you build emotional resilience – the sort of skills you might learn in therapy. There are skills that help people manage emotionally difficult moments and even help with some mental illnesses. Skills like having a wide vocabulary for your own emotions, or knowing how to catch and reframe a spiralling thought before it takes hold.

These are skills like any other – they can be built so they’re there when you need them. That’s the part of Tough Minds I’m most excited to keep building: to improve and steady mental health.

None of this is about pretending that a website or an app can do the job of real support services, or the human-to-human support that so many of us benefit from. 

However, what Tough Minds can do is help all of us take care of ourselves. Not instead of support, but around it: when you’re on a waiting list, the days between sessions, the stretch of life after a course of treatment ends, and for the times life is just a little hard. 

If that sounds useful to you, you can find Tough Minds at toughminds.org. It’s free, and it’s there whenever you need it.

Michael Mander, founder of Tough Minds

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

~ Eleanor Segall ~ 2 Comments

(image: Arif Riyanto: Unsplash)

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

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

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

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

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

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

(image: Unsplash)

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

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

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

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

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

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

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

Younger Me: Fund CAMHS Mental Health Services Now!

~ Eleanor Segall ~ Leave a comment

(image: Eleanor Segall, 2006)

This is me aged 17.

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

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

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

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

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

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

Eleanor x

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

~ Eleanor Segall ~ Leave a comment

(image: Mental Health Foundation)

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

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

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

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

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

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

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

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

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

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

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

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

(Source for Top 10 tips: Mental Health Foundation)

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

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

Support lines in the UK:

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

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

(Image: Mental Health Foundation)

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.