Tag: Bipolar

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.

Top 10 UK Mental Health Blog 2025 By Vuelio This Mental Health Awareness Week!

~ Eleanor Segall ~ 4 Comments

(image: Vuelio)

Thank you so much to Christina and all at Vuelio for listing Be Ur Own Light as a Top 10 UK Mental Health blog for the 8th year running! This is an important accolade to us and this year we have moved up a place to Number 6!

It is an honour to be listed amongst so many fantastic bloggers and organisations who work so hard to bring important mental health content, you can see the full list here . Well done to everyone.

As we approach our 10th blogging year next year, this continues to be so important for us-to educate and battle stigma about all things mental health. Thank you again Vuelio!

Love,

Eleanor x

Social Anxiety: Find What Makes You Feel Alive. by Eleanor

~ Eleanor Segall ~ Leave a comment

(image: yourhappyplaceblog)

For those of you who have read my blogs or book, you will know that I have lived with mental health issues since I was young (diagnosed with bipolar at 16, depression and anxiety at 15 and lots of anxiety as a younger child).

My bipolar is medicated so that my brain functions fairly ‘typically’ ie i don’t get mania or severe depression, but I do get bad anxiety and milder depression.

What started as a teen to protect me from harm, became a full fledged panic disorder and social anxiety. Hiding away became my way to protect myself from the world, from people’s negative judgements, from life.

Even now at 36, I navigate a lot of the same anxious thoughts, behaviours and feelings. I don’t often share this part of my life anymore but I feel it is essential.

Yesterday, after having a particularly bad patch with anxiety where I cancelled many arrangements, stayed inside a lot etc, I spoke to my wonderful therapist because I needed to unpack what was going on for me.

In the course of the discussion about the different issues going on for me that could be causing the social anxiety/agoraphobia element I realised this key truth.

I have built metaphorical walls around myself in many parts of my life (my body, my friendships, my relationships in general), to keep myself safe from trauma I have faced. Part of that comes out as social anxiety as a protection mechanism and there’s time when that worsens. And times when its better.

But what I did realise is this.

I would like to feel properly alive and start taking down some of the walls, so I can live. Sometimes, the walls keep me safe and cosy. Sometimes they are not serving me anymore. I also want to boost my self esteem so that I stop retreating and hiding, or if it happens as it will, to find a way to work with it. I have had EMDR before so it may be returning to that for a while to unpick the knots!

I am very much a work in progress and so, I know I will always live with some level of anxiety. It is about how I learn to live well despite life’s challenges.

Do you find you put up walls or have social anxiety too?

I am sharing because it is therapeutic but I was even anxious sharing this as its so personal.

Love,

Eleanor x

9th Blog Anniversary of Be Ur Own Light!

~ Eleanor Segall ~ Leave a comment

(image: Ginger Ray)

Whenever 1st March rolls around, I feel a tremendous sense of pride but also – how has it been so many years since I started blogging on WordPress about my mental health?

Be Ur Own Light Blog started on 1st March 2016 after I had had to leave a face to face job because I was having panic attacks and couldn’t get in to work. I saw blogging as a form of therapy.. and in truth, I was only originally sharing with friends and family because I felt really alone with it. That eventually snowballed into me writing for Rethink Mental Illness and then in the national media, speaking at a few in-person events and recording podcasts. It was also an honour to be included in several books including ‘The Book of Hope’ by Jonny Benjamin MBE and Britt Pfluger, talking about life with bipolar.

There’s times I still feel alone with my health but I also have so much support and understanding from family and friends and readers here too, which helps a great deal.

I just want to thank everyone we have collaborated with in the past year (sponsored or not)- brands, charities, businesses, individuals making a difference in the mental health world. Thank you for writing blogs for Be Ur Own Light and our personal mission of taking a sledgehammer to the stigma of mental illness (or trying to!).

Thank you also to everyone who has promoted or bought my books, especially my recent kids book ‘Arabella and the Worry Cloud’. I am so proud of ‘Bring me to Light’ too and hope sharing my story continues to help people.

If you’ve been following this journey for 9 years (or longer)- thank YOU for being here for the ride and continuing to read, support and show up.

It has been harder for me in the past 2 years to authentically share everything about my mental health and other health things on here but one day I hope that our journey can inspire others. I live in remission from Bipolar due to my medications holding me and I never forget daily how lucky I am to have access to mental health medications (due to living in the UK) and an excellent therapist, plus support from family.

Going forward, I will still be blogging but I am hoping that the sequel to Arabella and the Worry Cloud will manifest soon. I have written it, I just need the funds to secure everything! Shout out to my friend and illustrator Shelley. I hope also that Arabella will continue to reach more children and find it’s way to all who need its message.

Thank you all of you for enabling me to blog and write and hopefully help people with bipolar, depression, anxiety, PTSD, panic attacks etc. Thank you to every person who has read a blog, bought a book, shared an article, commissioned me in the press to write an article on mental health or current affairs and to all who have or continue to believe in me- including my amazing husband and family. and of course G-d who is behind everything.

Love and gratitude,

Ellie x

National UK Inquiry Reveals 19% Increase In Suicide for People Living With Bipolar- With Bipolar UK

~ Eleanor Segall ~ Leave a comment

(image: Michelle Henderson: Unsplash)

Trigger warning: discusses suicide

The National Confidential Inquiry into Suicide and Safety in Mental Health (NCISH) released its Annual Report for 2025 last week, revealing that over the past decade, nearly 20% more individuals with bipolar disorder are dying by suicide due to shortcomings in the UK’s mental health system.

According to national charity Bipolar UK, the report provides stark evidence that specialist care is lacking, Lithium (an important mood stabiliser medication) is under-prescribed and suicide prevention measures are falling short.

The report highlights that from 2012 to 2022, there were 1,491 suicides by patients with bipolar, with an alarming 19% increase from 2019 to 2022. Despite Lithium being a clinically proven suicide prevention treatment for people with bipolar, only 39% of those who died were prescribed it and just 12% were receiving psychological therapy​.

This data echoes the findings and lived experience of Professor Tania Gergel, Head of Research at Bipolar UK, in her recent article in The Lancet Psychiatry where she said: “Globally, 15-20% of people with bipolar disorder die by suicide, with 30-60% making at least one attempt. These rates are not decreasing despite an overall decline in global suicide rates.”

According to the Nuffield Trust, there is set to be a £4.8 billion unfunded shortfall in the NHS England revenue budget for 2024/25, raising the prospect that without further funding, service cuts may be inevitable.

With bipolar increasing an individual’s risk of suicide by 20 times that of the general population, Bipolar UK is urging the government to commit to addressing health waiting lists and to invest money in creating a dedicated care pathway for bipolar to reduce suicide rates.

Simon Kitchen, CEO of Bipolar UK, said: “This report is devastating but not surprising. We’ve been shouting from the rooftops that people with bipolar aren’t getting the care they need and now the data lays it bare.

“Bipolar carries one of the highest suicide risks of any mental illness, yet specialist services are practically non-existent, and Lithium – the gold-standard treatment for suicide prevention – is underused. The time for excuses is over. We need real action, and we need it now.”

The charity has heard from its community of people living with the condition, who are concerned that they are unable to access psychiatrists, have little to no continuity of care and are not being monitored adequately when at high risk. There is also a lack of bipolar specialists in the UK, leading to people not receiving a correct diagnosis or waiting too long to receive one – all of which add to the risk of suicide.

Professor Gergel said: “Neither bipolar disorder nor suicide in people with bipolar disorder are research priorities, resulting in major knowledge gaps in both. This can and must change. The shocking statistics might well underestimate the prevalence of suicide in people with bipolar disorder, given the probability of death by suicide before treatment or accurate diagnosis.”

Adding to that, Simon Kitchen said: “Suicide prevention in bipolar requires a shift in both research priorities and clinical practice. We know lithium saves lives, but it is still under-prescribed. We know specialist care works, but most services are generic and fail to meet the specific needs of people with bipolar. Bipolar suicide is not inevitable, but without urgent action, people will continue to die.”

(image of Prof Gergel, Bipolar UK)

The NCISH report also revealed broader systemic failures contributing to preventable deaths. Alarmingly, patients with bipolar were more likely to:

  • Die within three months of being discharged from inpatient care, highlighting dangerous gaps in post-discharge support​.
  • Miss vital clinical appointments, often due to social isolation or side effects from medication, with 15% identified as non-adherent before their deaths​.
  • Experience extreme distress without access to psychological therapies, with only 12% receiving talking therapies​.

With more than a million people living with bipolar in the UK, the figures from this latest inquiry represent lives lost and has led Bipolar UK to call for urgent action, including implementing:

  1. Specialist bipolar services in every NHS region to ensure timely diagnosis, access to evidence-based treatments and care tailored to the complexities of the condition.
  2. Increased lithium prescribing, in line with NICE guidelines, ensuring every person with bipolar who could benefit from it is given the opportunity.
  3. Enhanced suicide prevention measures, including better follow-up after hospital discharge and targeted support for those who miss appointments or struggle with medication adherence.

Simon Kitchen concluded: “We need all UK health authorities and departments of health across the nation to act now because lives depend on it. The evidence is undeniable, the solutions are clear, and the cost of inaction is catastrophic. Specialist care, Lithium, and targeted suicide prevention measures can and will save lives.

“Bipolar suicide is a national emergency, and the upcoming 10-Year Plan is the critical opportunity to turn the tide. Bipolar-specific services are not optional; they are a lifeline.

“The government and NHS must act now, before more lives are lost to preventable tragedy. It is time to get it right.”

(image: Simon Kitchen, CEO, Bipolar UK)

For more information about suicidal thinking and bipolar, visit: Bipolar and suicide prevention

About Bipolar UK   

Bipolar UK is the only national charity dedicated to supporting people affected by bipolar. Bipolar UK provides a range of services, including information and advice, a network of support groups, an eCommunity, workplace training and telephone and email peer support. Bipolar UK also works in partnership with research organisations and campaigns for change to tackle critical issues. For more information, visit www.bipolaruk.org 

Children’s Mental Health Awareness Week with Place2Be: Know Yourself, Grow Yourself.

~ Eleanor Segall ~ 3 Comments

(image: Place2Be)

Did you know 1 in 5 children face mental health challenges? Let’s make a difference together this #ChildrensMentalHealthWeek by taking part and donating to Place2be if you can.

The theme of this year’s week is ‘Know Yourself, Grow Yourself’, which is about encouraging children and young people across the UK to embrace self-awareness and explore what it means for them.

This year Place2be is partnering with Here4You, supported by the Walt Disney company and the Inside Out 2 characters to explore the theme.

I was diagnosed with anxiety and depression as a 15 year old, and had anxiety from a young age. I was also diagnosed with bipolar disorder at 16 and in a CAMHS unit in hospital in 2004. We know these days that more children are struggling, which is why awareness weeks like this are so important.

Through my kids book, Arabella and the Worry Cloud, I try to help children with their own anxiety to help them process their feelings with a trusted adult.

Check out: https://www.childrensmentalhealthweek.org.uk/ for more information and how you and your family/school can get involved with Childrens Mental Health Awareness Week.

Jami Mental Health Shabbat 2025 by Eleanor

~ Eleanor Segall ~ 2 Comments

(image: Jami charity)

This weekend is the Jami Mental Health Shabbat 2025. This is an initiative very close to my heart as I was a volunteer with this project from its inception in 2017-2018, helping to get the shabbat into communities. The Shabbat grew from an idea to be more open about mental health across Jewish communities in the UK, with Rabbi Daniel Epstein at the healm (and the brilliant team at Jami), to a nationwide yearly initiative in synagogues, schools and homes. It raises awareness of mental illness and distress, encouraging conversations and breaking down the stigma in our communities by placing this discussion at the heart of them, through lived experience and Rabbis speaking about it in their pulpit.

The Shabbat has other initiatives including hosting a shabbat meal and asking guests to donate to Jami instead of a gift, a toolkit with resources to use, Challah makes and an open mic night on Sunday 3rd at the Head Room Cafe for the whole community.

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

Over the years, my Dad and I have given our talk about our lived experience of bipolar for this shabbat and in communities to hundreds of people including Bushey United and Chigwell United Synagogues, Belsize Square Synagogue and Edgware Yeshurun Synagogue. We also have spoken at Limmud Conference in Birmingham to share our story and had a question and answer session. This wasn’t easy for me with my anxiety as you can imagine!

This year, for personal reasons we are taking a break from speaking our mental health story, but we both support this shabbat and amazing charity. You can also read our story in my book ‘Bring me to Light: Embracing my Bipolar and Social Anxiety’

If you’d like to take part in the shabbat this year, please go to www.jamiuk.org/jmhs .

Let’s keep raising awareness of mental illness and distress and shine our light to the world. No one should ever feel alone in their community due to mental ill health.

Love,

Eleanor

New Year, Rome Holiday and Health by Eleanor

~ Eleanor Segall ~ 2 Comments

(image: QuoteFancy)

Hi everyone!

Wishing you all a very Happy New Year 2025!

January can be a challenging month for us all, post the festivities and time off work. I just thought I would write a little update here.

This year, I am looking for a new role in Digital Communications for charities/ lifestyle brands, Journalism or Writing. I have also written the sequel to Arabella and the Worry Cloud– which is very exciting. I loved writing it and hope to work on it further this year :). The story came to me in Summer 2024 and I have been refining it. This month, my story (and my Dads) is also featured in ‘The Inherited Mind’, an amazing book by journalist James Longman about his search to understand whether mental illness is inherited – which is out now with Hyperion Books!

I had some time off over Christmas break and my husband Rob and I spent a wonderful holiday in Rome. It was really wonderful to explore the city (Robs first time there), eat lots of delicious food and just have time together! We tend to go away in the Winter due to Robs annual leave and have lots of lovely memories to sustain us through the new year (we went to the Colosseum and Roman Forum, Stadio Olimpico and Jewish Museum). We visited lots of restaurants and an amazing gelato shop (Marlene’s) and went shopping. We spent New Years Eve eating a yum dinner with wine and it was a very special week.

My health is a work in progress. I am working with the NHS Oviva programme to lose weight at the moment- which I hope will boost my fertility and general health- both mental and physical (and hopefully improve my PCOS). I will give more updates on that when I have experienced more of the programme- but I am working alongside a dietitian and medical professionals.

Mentally, it has not been an easy time and there has been a lot going on outside of all of this, but I am trying to take it day by day, hour by hour and create new opportunities for myself to thrive. There’s times where we all don’t feel good enough and have imposter syndrome. I do believe miracles happen when we choose joy and choose to co-create. The right opportunities will come- career wise, financially and health wise. I have been feeling more anxious at times but every day is different and I am trying to reset and look after myself, and those around me.

Here’s to a a happy and healthy 2025 with lots of amazing things manifesting!

How was your break?

Love,

Eleanor