Tag: Bipolar

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

~ Eleanor Segall ~ 2 Comments

(images: Christmas For CAMHS)

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

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

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

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

(Image: Christmas for CAMHS)

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

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

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

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

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

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

(image: Christmas For CAMHS)

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

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

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

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

My Podcast On Bipolar With JTeen Mental Health Support Service – Therapists Yaakov Barr And Tehilla Birnbaum.

~ Eleanor Segall ~ 4 Comments

I was delighted to collaborate with JTeen mental health support helpline and service for Jewish teens and young adults aged 11-24, on a podcast talking about my journey with bipolar disorder and social anxiety. I did this to help others and encourage people to seek help, and show its OK to talk about mental illness.

You can watch the podcast here, please watch with care: Trigger warning: discusses suicidal ideation, psychosis, mania, being sectioned under the mental health act and depression. Suitable for 18+

I decided to do this podcast to fight stigma in the Jewish community in London and worldwide and educate people about bipolar, especially parents as it started for me at the age of 15.

Thank you to Yaakov, Tehilla and Michal for making this such a relaxed but important conversation.

Love,

Eleanor

x

7 Ways To Care For Yourself And Your Mental Health This Autumn/ Fall.

~ Eleanor Segall ~ 1 Comment

(image: Ella Ivanescu, Unsplash)

Autumn (or if you’re in the USA, Fall) is one of my favourite seasons. Beautiful autumn leaves, the weather getting gently cooler, cosy hot chocolates and pumpkin spice, the autumn harvest of pumpkins, snuggling in blankets with a good book or TV show and for some- walks in nature with the orange and yellow trees and landscapes. However, did you know that the clocks going back and the change in light and dark, with nights drawing in, can affect your mental health? Studies have shown that when its darker, people are more prone to depression and anxiety and some (like myself at times) struggle with Seasonal Affective Disorder.

There are many ways to take care of yourself if you feel your mood dipping or you are becoming more anxious. If you feel it is affecting your daily functioning, please reach out for support from your doctor (and if you have one, a therapist or psychologist). Here I talk about a few tips to help support your mental health this Autumn.

  1. Make sure you rest as well as play and work

Work can become all consuming, but if you prioritise rest this season too, your body will thank you. Autumn is all about slowing down, recovering, resting (and for animals (and some humans) hibernating). Yes you can work and play hard if you prefer, but make sure you find that balance to support your wellbeing. In our busy lives and for those who are parents or just struggling with their mental health, self care can slip. Practising good self care- eating well, resting, gentle exercise, can really help our minds.

2. Release Control- Give Stress Over

Gabby Bernstein, my favourite spiritual teacher, often says ‘Release control to find peace, surrender it to the Universe’. Surrendering means not obsessing about what we can’t control, but giving it over to a higher power or the universe. This can really help when we feel overwhelmed and stressed, to pray and meditate or simply write down how you are feeling and then ask the universe to take it from you. Journalling thoughts and feelings can help too.

3. Nature walks

Despite the cold, this Autumn, walking in nature can help get the blood pumping and our minds to reset. Sometimes going with a friend, spouse or family member can cheer you up- there is something about the colours of nature, the soft greens that is truly calming.

(image: Erika Mendes, Unsplash)

4. Make your home cosy

Whether its getting some new cushions or blankets, fairy lights or lamps, investing in cosy and light interiors for the darker seasons is a must! I like to use lamps when the nights draw in.

5. Get enough sleep (but not too much!)

During the Autumn/ Winter period, most of us naturally want to hibernate in the evenings. Sometimes this period can make depression and anxiety worse. I know with my bipolar that sometimes I feel lower or more anxious. Getting enough daylight and if you struggle with seasonal affective disorder, use an SAD lamp, which can help you to wake up gently in the mornings. Similarly, make sure you get enough sleep for you to keep your mental and physical health at its best. Depression can cause us to sleep longer hours and hide away- I find daytime distractions can help me not to sleep too much.

6. Take your medication as prescribed

If you struggle with mental health in winter and are prescribed antidepressants or other meds, do not suddenly stop them as this can cause a relapse in your mental health. Make sure you speak to your doctor first!

7. Treat yourself

Treat yourself to a hot chocolate (or pumpkin space drink) and a good book or TV show, wrapped in a cosy hoodie or blanket. You deserve it!

Wishing you all a wonderful and well Autumn/Fall season.

Eleanor

Understanding Mental Health Challenges And Recovery Options by Violet Smith Evans

~ Eleanor Segall ~ Leave a comment

(image: Zohr Nemati: Unsplash)

Mental health is an essential part of overall well-being, yet it is often overlooked until symptoms become overwhelming. Millions of people around the world live with mental health conditions that can affect their mood, thoughts, and behavior. These challenges can interfere with relationships, work, and daily routines, but the good news is that treatment options are more accessible and effective today than ever before.

When individuals understand their condition and seek the right support, they can build healthier coping strategies and regain control of their lives. Two common struggles people face are bipolar disorder and anxiety—both of which can be complicated further when substance use is involved. Exploring recovery options designed specifically for these conditions can open the door to long-term healing.

The Importance of Addressing Mental Health Early

Early recognition of mental health symptoms is critical. Too often, individuals dismiss mood swings, prolonged sadness, excessive worry, or fatigue as “just stress” or “a bad week.” However, these patterns can signal a deeper issue that requires professional support. Addressing mental health concerns at the onset not only improves outcomes but can also prevent the development of secondary challenges such as addiction, chronic stress, or physical health problems.

By taking proactive steps, individuals are more likely to develop resilience and maintain stability over time. Family members, friends, and colleagues also play an important role by offering encouragement and understanding instead of judgment or stigma.

Understanding Bipolar Disorder

Bipolar disorder is one of the most misunderstood mental health conditions. Characterized by extreme shifts in mood, energy, and activity levels, it goes far beyond the typical ups and downs that people experience in daily life. Those with bipolar disorder may experience manic or hypomanic episodes—periods of high energy, impulsivity, and elevated mood—followed by depressive episodes that bring sadness, hopelessness, or loss of interest in activities.

Because bipolar disorder exists on a spectrum, its symptoms vary greatly from person to person. This makes individualized care essential. Professional intervention, therapy, and medical management can significantly reduce the intensity and frequency of mood episodes, allowing individuals to lead fulfilling and balanced lives.

For those seeking guidance, comprehensive Bipolar Disorder Treatment programs provide structured support that combines psychotherapy, medication management, and lifestyle strategies to stabilize mood patterns. These programs focus on helping individuals better understand their triggers, strengthen coping mechanisms, and create long-term wellness plans.

The Overlap Between Mental Health and Substance Use

Mental health conditions often coexist with substance use disorders. This dual challenge, known as co-occurring disorders, can complicate both diagnosis and treatment. For example, individuals with bipolar disorder may use drugs or alcohol during manic episodes to maintain their energy or during depressive episodes to numb emotional pain. Similarly, those with anxiety might turn to substances as a form of temporary relief, leading to dependency over time.

The presence of co-occurring disorders makes it critical to find treatment centers that specialize in dual diagnosis. Traditional approaches that treat mental health and substance use separately may fail to address the underlying causes of each condition, resulting in relapse or incomplete recovery. Integrated treatment programs, on the other hand, provide a holistic approach that tackles both issues simultaneously, improving long-term outcomes.

Anxiety and Its Connection to Addiction

Anxiety disorders are among the most common mental health conditions worldwide. They can manifest as generalized anxiety, panic attacks, social anxiety, or phobias. For many, constant worry and fear interfere with work performance, social interactions, and even physical health.

When anxiety is left untreated, individuals often look for ways to escape their symptoms. Unfortunately, this can lead to reliance on alcohol, prescription medications, or illicit substances. While these may provide short-term relief, they create long-term consequences and increase the risk of developing addiction.

To break this cycle, specialized anxiety and addiction treatment programs are designed to address both issues together. These programs typically combine evidence-based therapies such as cognitive-behavioural therapy (CBT), mindfulness practices, and medical support to help individuals identify the root causes of their anxiety while also treating their substance use.

(image: Sydney Rae: Unsplash)

Building a Strong Support System

Professional treatment is only one piece of the recovery puzzle. Having a strong support network can make a tremendous difference in maintaining long-term wellness. Family therapy, peer support groups, and community-based programs help individuals stay accountable while fostering connections that reduce isolation.

Loved ones can also benefit from education and counseling, as understanding mental health conditions makes it easier to provide the right kind of support. Encouraging open conversations about mental health challenges helps break down stigma and creates an environment where healing is possible.

Healthy Lifestyle and Daily Habits

Lifestyle changes play a critical role in managing conditions like bipolar disorder and anxiety. Regular exercise, balanced nutrition, adequate sleep, and mindfulness practices can all reduce symptom severity. For example, yoga and meditation help regulate stress, while consistent sleep patterns can stabilize mood swings.

Journaling, creative activities, and spending time in nature are additional strategies that promote mental clarity and emotional balance. While these habits may not replace professional care, they work in tandem with treatment to strengthen resilience.

Long-Term Recovery and Hope

Recovery is not a one-time event—it’s an ongoing process that requires commitment, patience, and self-compassion. Relapses or setbacks may occur, but they don’t mean failure. Instead, they can serve as opportunities to re-evaluate strategies and adjust treatment plans.

The growing availability of specialized programs for conditions like bipolar disorder and anxiety shows that no one has to face these challenges alone. With proper care, individuals can achieve stability, rebuild relationships, and pursue meaningful goals.

Final Thoughts

Mental health conditions such as bipolar disorder and anxiety can feel overwhelming, especially when compounded by substance use. However, effective treatment and recovery programs provide hope and healing. By seeking out resources tailored to specific needs, individuals can find balance and create a foundation for lasting well-being. It is important to be lead by a psychiatrist about medication and treatment when someone also has substance abuse.

No matter how challenging the journey may seem, recovery is always possible. Support, understanding, and professional guidance are the keys to moving forward and embracing a healthier, more fulfilling future.

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

Maaglei Nefesh Mental Health Fundraising Campaign for Jewish New Year

~ Eleanor Segall ~ Leave a comment

I am honoured to be an Ambassador for Maaglei Nefesh מעגלי נפש with Rav Yoni Rosensweig, an organisation that is close to my heart. In recent years, it has provided support to those who are struggling with mental illness, yet still wish to find a way to live their life in accordance with Halacha (Jewish Law) to the best of their abilities. Maaglei Nefesh saves lives, helping people with bipolar disorder, depression, anxiety, OCD, PTSD, eating disorders, schizophrenia, psychosis and many kinds of mental illness. Maaglei Nefesh does groundbreaking work globally and has been at the forefront while helping to break stigmas and silence that can surround those suffering. The organisation contributes to literally saving lives, as well as vastly improving the quality of life for many.

This Rosh Hashana, please partner with me if you can to help ensure that Maaglei Nefesh can continue to provide such important assistance to all who request it. During this campaign any sum you donate will be matched so that your impact and the positive effect your donation has will be doubled.

You can donate whatever you can afford to my page here: https://causematch.com/mnefesh/eleanormandelstam

Thank you so much for supporting this important cause. May we all be blessed with a sweet, happy, peaceful and secure new year.

Love, Eleanor

Expert Advice On Bipolar And Staying Well During The Summer With Bipolar UK

~ Eleanor Segall ~ 3 Comments

(image: Angelo Pantazis, Unsplash)

More than one million people (including myself) are living with bipolar in the UK and, despite the summer meaning excitement and positivity for most, for many living with bipolar this is not always the case.

Common challenges in summer can impact people living with the condition- including high temperatures which can interfere with certain medications (including Lithium and anti psychotics or anti depressants), the longer daylight hours which can disrupt mood stability, and travelling which can sometimes trigger symptoms.

There are ways to manage seasonal challenges, and Bipolar UK is now sharing its top tips to help people navigate the summer months!

Top tips for navigating the next few summer months if you have bipolar from Bipolar UK:

  1. Sleep

Maintaining a regular sleep routine is an important way to support mood stability. Lighter nights can make it more difficult to switch off and wind down; and early sunrises can cause disruptions to sleep. Blackout curtains or an eye mask might help.

  1. Heat

Hot weather can affect both physical and mental wellbeing. Certain medications used to treat bipolar can make it harder for the body to regulate its own temperature, leading to overheating. Staying cool, drinking plenty of water and staying out of the sun during the hottest parts of the day can help reduce the risk of overheating and becoming dehydrated. Rest is important so communicate with friends and family about how you’re feeling and if you need to rearrange plans.

  1. Travel

Be mindful when travelling to different time zones. Jetlag can have an impact on bipolar symptoms. Try to make time to sleep and rest whilst on the plane and when you arrive so you can acclimatise. Set a reminder on your phone of when you need to take your medication so you can stick to your schedule. 

  1. Sensitivity

Some bipolar medications can increase sensitivity to sunlight so protecting your skin with a high factor suncream when outside is important, as well as seeking shade when possible. Continue to take your medication as prescribed but do speak to your medical professional if you have any concerns.

  1. Socialising

There are often more social activities during the summer, with people wanting to make the most of the better weather. If it all feels too much, learn to say “no” and preserve your energy. Pick and choose which activities you’d like to do, but don’t feel obliged to do them all.

  1. Routine

Longer days can lead to changes in routine which can trigger shifts in mood. Some people with bipolar feel their mood can shift more easily into hypomania and mania during the summer months, whereas others notice their mood dips into depression. Noticing the signs early and speaking to your mental health team, family or other support network can ensure you get help when you need it and potentially avoid a relapse.

(image: Link Hoang, Unsplash)

Bipolar UK offers support to anyone affected by bipolar with their free UK-wide services – peer support line, peer support groups and eCommunity – and resources, including their Could it be bipolar?  campaign and Mood Tracker app.

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.

Heston Blumenthal OBE: My Life With Bipolar BBC Documentary Review by Eleanor

~ Eleanor Segall ~ Leave a comment

(image: Melanie Blumenthal)

Last week, acclaimed chef, restauranteur and mental health advocate, Heston Blumenthal OBE starred in the BBC documentary ‘Heston: My Life with Bipolar’ which explored his fairly recent bipolar disorder diagnosis. Heston subsequently became an ambassador for national charity Bipolar UK, and has been actively supporting the charity’s mission to help reduce the average 9.5 year delay to diagnosis and end the stigma surrounding the condition.

In 2023, Heston began experiencing both depressive and manic episodes, hearing voices and seeing hallucinations, as well as depression with suicidal thoughts. Mania can also cause you to have intense creativity, speak faster and not listen to others as well as causing delusions and psychosis. Heston’s wife Melanie could see that his health was deteriorating rapidly and that he was a danger to himself. Despite the trauma of sectioning and hospitalisation, this set Heston on the path of not only a bipolar diagnosis, but medicine, therapy and ongoing treatment to help him live a healthy and happy life again.

Heston said to Bipolar UK, “I was living with undiagnosed bipolar for many years, so it’s been an extraordinary journey to get where I am today, and I’m delighted to have had the opportunity to talk to others living with the condition and find out more about their experiences.

“There is still a lot of stigma regarding bipolar, and mental health support is still lacking, but it is vital to be able to talk openly about the condition. I know this isn’t always easy, but I hope by sharing my experience, people will gain a greater understanding of bipolar and an insight into how I’m managing it.”

The documentary was extremely powerful to watch and sad in places, but inspiring. As someone who faced a similar situation to Heston in terms of a manic episode with psychosis/delusions that led to being sedated, sectioned by psychiatrists and hospitalised, my heart went out to him as I know how traumatising this can be. I found the needle being shown as a reenactment for sedation quite challenging to watch! However, the documentary was more than just showing what happened to Heston, who didn’t know he had bipolar til 2023, when he was in his 50s.

I found the discussion that Heston had with his son Jack, about how he was during a manic episode to be really enlightening. A lot of children of parents with bipolar find it challenging when their parents personality is almost hijacked by the episodes. Mania can lead to quickened speech, manic and grandiose ideas, lack of sleep and risky behaviour. You could see how much love Heston and Jack had for each other and how special is family is to support him through this and appear on camera. This includes his wife Melanie, who has been Heston’s rock!

The documentary ended with Heston visiting the mother of Rebecca McLellan, a young woman with bipolar who died by suicide due to neglect from mental health services. Rebecca had raised the alarm with the crisis team at her local hospital various times but was not treated with respect and dignity. The pressure of her illness and lack of support led her to take her own life.

Heston wants to highlight the suicide risk that bipolar brings and how much more mental health support is needed from the government. He is now working as an ambassador with Bipolar UK to raise awareness. Bipolar UK is on a mission to ensure people with bipolar get a quicker diagnosis so they can access effective treatment, support, and self-management, enabling them to live well and fulfil their potential.

Simon Kitchen, Bipolar UK CEO, added: “Heston is such an incredible ambassador for everyone in the UK living with, or affected by, bipolar. We could not be prouder to be working with him. His willingness to be so vulnerable on camera and to share such personal details about his experiences has resonated with many people in our community – and will help people who don’t know much about bipolar to begin to understand this complex and much-misunderstood condition. Heston is living proof that despite the sometimes severe and fluctuating nature of the condition, living with bipolar should not be a barrier to following your ambitions”

As one of the million people in the UK living with bipolar, I know how much more funding is needed in the NHS and a new bipolar pathway with more mental health support needs to be set up. Early prevention and support is key to stop bipolar escalating into suicide or mania.

Although it was a very personal watch for me, due to having been diagnosed with bipolar since aged 16 and my Dad having bipolar too, I thought that Heston’s documentary was so inspiring. He has only been living with the condition for two years and is using his platform for the good. Heston is now on Lithium medication to stabilise his moods as well as an anti psychotic medication.

Bipolar UK say that according to the stats, someone with bipolar takes their own life every day. Hopefully Heston’s documentary will act as a reminder and catalyst to our government to begin change. Thank you Heston and Melanie for being vulnerable and sharing your important story.

(image: Bipolar UK)

Heston: Life with Bipolar is out now on BBC Iplayer.

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.