Tag: Depression

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

Nutrition, Sleep And Mindset – The Answer to a Magnificent Menopause by Author Alison Bladh

~ Eleanor Segall ~ Leave a comment

(image: Alison Bladh/ Chocolate PR)

An award winning nutritionist and beauty therapist who’s helped hundreds of women globally to navigate menopause with wellness in mind is celebrating having climbed the Amazon book charts to become a No.1 Bestselling author, outperforming the likes of Davina McCall, Lisa Snowdon and Dr Louise Newson, with new Menopause manual –‘Have a Magnificent Menopause: A Straightforward Guide to Looking Good and Feeling Great’ 

Alison Bladh, 56, who is also a clinical supervisor for Nutritional Therapy at the University of West London, splits her time between the UK and Sweden was excited to see the book reach the top 30 bestselling books overall on Amazon Sweden across all genres including fiction and non-fiction, one of the only health titles to break the coveted Top 50, highlighting the demand for evidence-based, practical menopause support.

Offering women over 40 a no nonsense guide to thriving through perimenopause, menopause and beyond with or without Hormone Replacement Therapy, this straight-talking manual is already being praised as “a breath of fresh air in the menopause space”, and described as “like having a wise best friend, nutritionist and beauty therapist rolled into one.” 

Sharing practical guides, check lists and real women’s stories alongside clinical research and scientific studies, Alison’s mission is simple –  to help women over 40 take back control of their bodies, rediscover their energy, and feel confident and empowered in their skin again, after researching menopause became a passion of hers, having witnessed her mother suffer in silence  at a time when the topic was taboo. 

“Menopause, though more openly discussed in some countries today, is still stigmatised as something negative”, she said. “Growing up in a strict British household, I remember watching my mother and the women around her, all navigating perimenopause, suffering through what was then simply referred to as “The Change”. Nobody talked about it. It was shrouded in silences, misconceptions and misinformation.”

“While things are improving slowly in some parts of the world, this isn’t the case everywhere and there’s still a lot of work to be done. Women deserve knowledge, support and care during this natural stage of life. Menopause isn’t about fading into the background or becoming less relevant. It’s about stepping into a new kind of power, one where experience, wisdom and purpose shape the next chapter of our lives in ways that extend far beyond motherhood.”

The book tackles common challenges, everything from fatigue, brain fog and weight gain to confidence, skincare and mindset, helping women feel vibrant and in control at every stage of life. The tone is supportive and straight talking, cutting through confusing advice and adresses “menowashing” to deliver clear, evidence based solutions that work.

“Menopause is not something to ‘get through’ it is a wake up call to start putting yourself first” she says. “You deserve to feel in control, strong and beautiful and this starts with understanding your body and taking small yet powerful steps each day”.

“Have a Magnificent Menopause: A Straightforward Guide to Looking Good and Feeling Great”  will resonate with any woman who has ever stood in front of the mirror wondering where she went and is now ready to find her again”, she added.

(image: Alison Bladh/ Chocolate PR)

Here she shares 5 practical tips from the book to help women start feeling better today:

Alison’s Top Tips for ‘Thriving, Not Just Surviving’

1. Follow the 90/10 Rule
Healthy eating doesn’t have to mean restriction or perfection. The 90/10 rule is about nourishing your body with supportive foods 90% of the time  like protein, healthy fats, fibre, leafy greens and slow-release carbs  while still leaving room for 10% of the treats that make life enjoyable. Whether it’s a slice of cake with friends or a glass of wine on a special occasion, this balanced approach helps women stay consistent without guilt. It’s realistic, sustainable and removes the all-or-nothing mindset that often leads to frustration. Eating well should be empowering, not punishing.

2. Start the Day with Protein, Not Caffeine
Reaching for a coffee first thing in the morning might feel like second nature, but it can actually spike your cortisol and send your blood sugar on a rollercoaster. Instead, start your day with 20–30 grams of protein to support hormone balance, energy, focus and mood. A protein-rich breakfast  such as eggs, Greek yoghurt, tofu scramble or a protein smoothie helps stabilise your blood sugar, reduces mid-morning crashes, and keeps cravings at bay. This small shift can make a big difference to how you feel all day long.

3. Keep a Cooling Toolkit in Your Bag
Hot flushes and sudden temperature spikes can be distressing, especially in public. That’s why I always recommend keeping a “cooling toolkit” with you. This might include a peppermint facial mist, a mini hand fan, cooling wipes, or essential oil rollers (peppermint or lavender work well). Having something to soothe and cool you down helps you manage symptoms discreetly and confidently. It’s a small act of self-care that reinforces one important truth: you are not powerless, you are prepared.

4. Digital Declutter for Hormonal Health
Our devices might keep us connected, but they can also wreak havoc on our hormones. Constant notifications, social media scrolling and screen time raise cortisol levels, interfere with melatonin production and contribute to stress and poor sleep, all of which worsen menopausal symptoms. A daily digital break, even just 20–30 minutes, can calm the nervous system, ease anxiety, and support better emotional balance. Turn off the noise, step away from the screen, and reclaim some stillness. It’s one of the simplest ways to feel more grounded.

5. Swap Wine O’Clock for Magnesium Time
It’s tempting to unwind with a glass of wine at the end of a long day but alcohol can disrupt sleep, trigger hot flushes and make anxiety worse. Instead, create a relaxing evening ritual with magnesium. A warm magnesium-rich drink or a magnesium supplement can help soothe your nervous system, relax tense muscles and prepare your body for restful sleep. It’s a healthier wind-down option that supports hormonal balance and helps you wake up feeling restored instead of groggy. You’re still prioritising yourself just without the hormonal backlash.

For more tips see  https://www.alisonbladh.com/book

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.

5 Daily Habits for Mental Clarity and Emotional Balance by Miranda Spears.

~ Eleanor Segall ~ 2 Comments

(image: Roxana Zerni, Unsplash)

You need daily habits in your life for mental clarity; these daily habits are often vital for wellbeing. Sometimes your mental health might take a dip, you might feel drained, depressed or feeling like you are left behind and cannot keep up. Here are some daily habits that can help to boost your mental health:

Practice Morning Mindfulness

Mindfulness can include simple tasks such as starting off the day on a positive note and setting good intentions by writing or speaking affirmations or engaging in prayer. Every day after you get up, you should make your bed as this is a small exercise that will only take two minutes of your day and prepare for a good day. As soon as you get up, do some simple, mindful stretches like swinging your arms in circles or doing the cobra pose to prepare your body for a focused day quickly. 

Move Your Body

You should move your body and avoid sitting in one place, as moving around ensures that blood flows to your brain better and faster, providing it with oxygen, and activities like taking a stroll, especially early morning strolls when the weather is nice and there is calm in the air, are also good for you. You can breathe in fresh air and it makes you look at things from a new perspective. So, take morning or lunchtime walks so you may be prepared for the day. You can also do activities like yoga which boosts mindfulness and helps you get mental clarity. It can also calm your mood, and you can also do cardio workouts like cycling and running to give your brain the pump of blood it needs and help you think more clearly and better. 

Fuel Your Brain 

If you want your brain to think clearly, you must provide it with the right type of nutrients, too. You should make a list of foods that are good for your mental health and incorporate them into your daily routine. You can have fruits and vegetables, healthy carbs and proteins as your brain cells need nourishment to think better, too! You should also drink water and get yourself hydrated, as water makes your blood move around the body faster, wakes up your brain, and increases brain function. Also, you can take supplements like chlorella, a high protein plant. Some chlorella benefits include detoxification and improved focus, which are good for mental clarity.

Journalling for Emotional Release

There are some activities, like journalling, that you can do at the end of the day to let go of any stress that your body has. You can write about the things that went wrong in the day and what went well. Take your time to reflect on things so you do not end up overthinking things and overstimulating your brain. You should have a journal by your bed so if you feel like some unprocessed thoughts are coming to you, you can vent them out in your journal, which should help your mental health. 

Sleep Better

Establish a bedtime routine for yourself that is unique to you so that you can look forward to it every night, and it helps you sleep better. You can read a book, lower the brightness of the lights in your room, and have decaffeinated tea or water. You should also avoid screens before going to bed, the LED light is not good for your eyes and does not let you sleep well. The use of screens has proven to have a strong link with less sleep time and delayed sleep. 

Daily activities for your mental health require you to be consistent and true to yourself if you really want to see the results.. So, start with something small like making your bed and practicing mindfulness and then keep on adding some activities to your routine so by the end of a few days, you meet with a better, improved version of yourself, one with a clear mind and better health.

This blog was written by Miranda Spears.

Crave: Harnessing The Hidden Biology of Addiction and Cancer by Dr Raphael E. Cuomo, PHD.

~ Eleanor Segall ~ 2 Comments

(image: Todd Trapani, Unsplash)

Modern life surrounds us with easy dopamine triggers: sweetened coffee on every corner, endless scrolls of video, nicotine vapes disguised as fashion accessories. My research career has shown me that these cues are not merely temptations; they are biological signals that reshape metabolism, immunity, and even cancer risk. In my book, Crave: The Hidden Biology of Addiction and Cancer, I set out to explain why.

Why cravings feel hard wired

Craving evolved as a survival mechanism. In the brain, the mesolimbic pathway flags calorie dense fruit, social bonding, or safety as worth seeking. That same circuitry now lights up for ultraprocessed snacks and late night streaming. Functional MRI studies reveal identical patterns of dopaminergic surge whether volunteers anticipate nicotine or a sugary drink, and chronic exposure dulls the reward system’s sensitivity. Over time, people need stronger stimuli for the same lift, a neuroadaptation called tolerance. My laboratory group has observed that tolerance often precedes measurable changes in inflammatory biomarkers that predict cancer progression.

From appetite to oncology

The epidemiology is startling. Meta analyses link daily sugary beverage intake with elevated colorectal cancer incidence, independent of body mass. Tobacco remains the most potent modifiable carcinogen worldwide, yet nicotine pouches marketed as “clean alternatives” still activate . Adults who replace smoking with high sugar snacks trade one risk for another; insulin spikes feed oncogenic pathways. Craving is the bridge that explains these patterns.

Listening instead of suppressing

A central message of the book is that craving is not a moral failing. It is feedback. By tuning into the signal, by asking why a craving appears rather than fighting it, we can leverage biology rather than battle it. For example, a brief walk that raises heart rate for ten minutes stimulates endocannabinoids that naturally quell appetite and elevate mood. Clinical trials suggest that this micro intervention yields sharper cognitive performance than an afternoon energy drink.

Sugar Cravings and Mental Health

Craving for sugar sits at the crossroads of addiction science and mental health because sucrose triggers the same dopamine opioid cascade in the brain that reinforces nicotine and alcohol, yet the rapid glucose spikes that follow can crash into irritability and low mood, creating a loop that feels compulsive rather than indulgent.

Evidence based tools break this loop: cognitive behavioural therapy teaches people to notice the stress cue that precedes a sugar hunt, mindfulness based relapse prevention strengthens the ability to ride out urges, nutrition counselling pairs slow digesting carbohydrates with protein to steady blood glucose, and peer groups such as SMART Recovery provide social accountability when willpower fades.

Small pivots, measurable gains

Patients who swap sugary breakfasts for fiber rich protein report fewer mid morning crashes within three weeks. Continuous glucose monitoring confirms smoother glycemic curves, and inflammatory markers such as CRP trend downward after eight weeks. Similar improvements follow digital media fasts that compress social scrolling into defined windows, freeing cognitive bandwidth and reducing late night cortisol spikes that impair immune surveillance.

Practical first steps

There exist a number of science grounded experiments readers can try: hydrate before caffeine to blunt adrenal overstimulation, pair resistance exercise with a protein rich meal to modulate leptin, schedule technology free evenings to restore natural melatonin rhythms. Track how your body responds, adjust, repeat. The data you gather on yourself becomes a personalised research study with real health dividends.

Final thought

Our ancestors survived by responding to biological urges; we thrive today by understanding them. Crave offers a map from reflexive consumption to intentional living, informed by years of bench science, clinical trials, and population studies. My hope is that readers finish the book feeling empowered to decode their own signals, rewrite their relationship with desire, and protect long term health in the process.

If that resonates, I invite you to explore the full story within the pages of Crave and share your experiences. Let curiosity, not discipline alone, guide your next step. To get your copy of Crave, please see the following link: https://www.amazon.com/dp/B0F8YVNB2S

(image: Raphael E Cuomo PHD)

Suicide Prevention Lessons In UK Secondary Schools- Congratulations 3 Dads Walking!

~ Eleanor Segall ~ 2 Comments

(image: Robinson/Tim Owen/Mike Palmer/Andy Airey)

With everything going on in the world today, some stories can get missed in the flurry of competing news. However, when I saw a post by the Oli Leigh Trust, a charity in my community dedicated to suicide prevention, that suicide prevention lessons are going to be made compulsory in secondary schools, I was so happy. Department for Education (DfE) announced on Tuesday that lessons discussing suicide prevention would be compulsory in secondary schools from September 2026.

Growing up, when I had my own issues with depression and suicidal ideation as part of my bipolar disorder, mental health was not spoken about openly in schools. We know that sadly, the suicide rate in the UK and worldwide has been rising. A group of Dads, Andy Airey, Mike Palmer and Tim Owen, 3 Dads Walking, who lost their daughters Sophie, Beth and Emily to suicide came together to campaign to Sir Keir Starmer and the UK government. Heres what they told the BBC,

‘Lives will be saved. Our Voices have finally been heard. ‘ He said the trio began campaigning shortly after their first walk to raise awareness in 2021 and admitted it had at times felt “like we were swimming through treacle uphill”, but now their “voices have been heard”.

“We have covered a lot of ground, literally and figuratively, over the last few years, but to come to a point where a significant change is going to happen still feels quite unreal. I’m stunned.”

“We are really proud of what we have achieved.”

Suicide is the biggest killer of under 35’s in the UK. In their first walk, they raised nearly 1 million pounds for Papyrus charity. In their second, they walked to all 4 UK parliaments to ensure every child was taught the skills to cope with suicidal thoughts. They then met with MPs to discuss how suicide prevention could be embedded in the curriculum.

“If this is the biggest killer of our young people, why aren’t we talking about it?”

So today I say thank you and congratulations to Andy Airey, Mike Palmer and Tim Owen- three courageous men spreading light and goodness in memory of their beloved daughters. Suicide prevention is so sadly needed.

For more on 3 Dads Walking please visit their website here: https://www.3dadswalking.uk/

Please note: This is not a sponsored post, I have been inspired by the heroism of these 3 Dads.

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

~ Eleanor Segall ~ Leave a comment

Author: Jolian Ardolino

(image: Unsplash: Angelina Sarycheva)

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


The Hidden Weight of Health Anxiety in Caring Professions

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

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


Why Caring Professionals Are Prone to Health Anxiety

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


Recognising the Signs

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

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



My Integrative Approach: You’re Not Alone

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

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

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

Image: Unsplash: Tim Mossholder)

Practical Tips: Coping Day-to-Day

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

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

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

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

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

When to Reach Out

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

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

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

Ready for Real Change?

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

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

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

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

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