Guest post: Bipolar 2- Wading through depression and loss of motivation by Jessica Flores

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This article is about Bipolar 2 disorder, a mood disorder where sufferers can cycle between high and low moods. Jessica writes about her experiences: 

If you have been diagnosed with Bipolar II, you know that it differs from Bipolar I disorder in that you still cycle between high and low, but you never experience complete mania (high mood), which is good. Instead, you get hypomania (a lesser form). Yet, more often than not, you are trying to cope with long periods of substantial depression; which can be more severe and long lasting . Roughly six million people in the United States  and millions around the world, suffer from some form of bipolar disorder, so you aren’t alone.

When I am hypomanic, I find myself excited to go out and have conversations and stay up all night. I want to make friends and craft furniture and redecorate. I end up buying things online for some new life I plan to begin living. It’s why half of my living room has been filled with boxes of mid-century housewares for the last two years. However, I spend most of my time being depressed.

My life often feels like it is happening underwater. Every action I attempt to take exhausts me. Showering daily is impossible. I sleep for half the day and sit in front of the computer to do my job without the energy to move forward or the cognitive wherewithal to make sentences. I don’t have urges to harm myself, but I wonder why I need to keep feeling this way every day. I lose hope for the future- it can be very difficult.

Lately, I have begun to wonder if I am depressed or if I am simply losing motivation.  I feel sluggish. I don’t feel motivated. My house is a wreck. I can’t remember the last time I cleaned the kitchen floor. I thought about getting a maid service last week, but I didn’t want anyone to see my apartment.  Sometimes I have negative self talk and think I am lazy, not depressed.

As it turns out, I am not alone in my thoughts about this. Many people with clinical depression reach a point where they attach negative descriptors to themselves. If people hear they are lazy often enough during depressive episodes, it’s not unusual for them to question whether or not it’s true.

Mute Everyone Out

A depressed person isn’t simply dealing with a lack of motivation, they deal with changes in their sleep patterns, hopelessness, loss of pleasure in things they used to enjoy, changes in weight and/or appetite, and so much more. All of these are potential symptoms of bipolar depression and they can be treated. There are a number of medications that have proven effective in treating Bipolar II and many forms of therapy that are a critical element of a complete treatment plan.

Regardless, that’s a lot to handle all on your own. And what makes it especially difficult is the fact that it’s all being caused in your own mind.

Which is why it’s time to stop thinking of yourself as unmotivated or lazy, and it’s time to stop listening to anyone around you who does. You have a diagnosed medical condition. You are managing as well as you can in the given circumstances. I know it’s hard, but you’re going to need to learn to tell yourself that that’s all there is and you shouldn’t put yourself down for the resulting actions that you choose to take because of your condition. Instead of feeling ashamed, you need to make sure you are getting all of the treatment that you can and learning skills to help you control what you are able to.

Eleanor Roosevelt once said that nobody can make you feel inferior without your consent. This is your battle. To make sure that you yourself don’t make yourself feel bad for how you spend most of your days. By being proud of who you are and accepting your condition, you close yourself off from any hurtful comments any uninformed person could ever tell you. And it’s important for you to be able to do that. Because you’re not any of the negative things you just said. You’re amazing, capable, and strong. Remember that.

 

Jessica Flores is a wife, mother, writer, and woman diagnosed with bipolar II. She knows that her disorder affects her entire family and she works to lessen the impact as best she can. However, she also gives herself permission to experience changes in mood. Her drastic experience motivates her to blog about it and help others who are experiencing trying times.

The Power of Meditation: Guest Post by Jimmy Vick

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Meditation is one of the most preferred activities for all, regardless of gender, age or other factors. People have different opinions about meditation and many consider meditation to be similar to prayer. For others, it is an activity that is meant for relaxation and getting away from their daily hectic lives. In general, meditation is the activity of turning your complete concentration to a single point, concentrating on the breath, on bodily feelings, or on a mantra and affirmation. Meditation is about diverting your thoughts and concentrating on the present.

The main goal of meditation is to achieve an inner state of awareness and strengthen personal and spiritual development. In practice, meditation consists of intense concentration on  sounds, images or emotions. Meditation increases awareness of the present moment, lessens stress, encourages relaxation, and improves personal and spiritual development. The various religious and non religious traditions in the world have given rise to an array of meditative practices. The power and benefits of meditation are many.

Here are some of the notable benefits and the power of meditation:

Healing Power

Meditation promotes healing. People who meditate daily can heal many of their illnesses. In meditation, healing takes place because the mind of the person will be calm, alert and completely contented. Meditation  can be very powerful. To accomplish an ideal state of health, one has to be mentally tranquil which can be attained via meditation. Meditation can  assist and promote recovery from ailments from many chronic health issues.

 

No Side Effects

Meditation, when used for treating medical complications, has no side effects. It is the main reason why many people enjoy practising it. It is an activity that people regardless of age and gender can follow. Since meditation does not have any negative side effects, it is suitable and safe alongside medical treatment.

Relaxation

One of the main reasons why most of the people follow meditation in their daily life is for relaxation. We live in a chaotic world where everything is moving very fast. People are really tired and need relaxation in order to get away from their chaotic world. Meditation is a perfect way to assist relaxation in ones daily life. It helps you to stop moving around, working, thinking, talking, seeing, hearing, etc and allow you to rest. Meditation can help you create a cool and calm mind and therefore aids relaxation.

Improve Concentration

If you would like to improve your concentration, meditation can help. Meditation is all about sitting in a calm place and focusing on only one thing at a time. Meditation lets you focus intensely on your daily life. It is a perfect means for you to get away from distractions and direct your attention to what you need to focus on.

Other Benefits of Meditation                                           

  • The relaxation response that you get from meditation allows you to reduce metabolism, lessen blood pressure, and get better heart rate, breathing, and brain function.
  • Meditation gives balance to your overall bodily systems.
  • Meditation is very helpful and can assist us to feel happier.
  • Meditation is a practice that assists us to control our own mind and as a result, our own life and find out more about ourselves.
  • Meditation can aid us to get rid of negative thoughts, worries, nervousness, and everything that can stop us from feeling happy.
  • Meditation can provide us with a calm mind and it gives time free from stress and tension.
  • Meditation is a good method to give clarity of perception. It aids to reduce feelings of negative mood, tension, sadness, and anger.
  • Improvements in communication, flourishing of skills and talents, a powerful inner strength, etc can be achievable through meditation.
  • Meditation offers the capability to unite to an inner source of energy and enhances ones self-awareness.
  • Relaxation, transformation, and quality of life are all natural results of meditating frequently. It helps you promote inner peace and feel more alive.

 

Author Bio

I’m Jimmy Vick.  I have been working as a freelance writer  At present, I work for a best essay writing service online and it allows me to deal with different subjects in which I am an expert. I love writing articles for blogs and other online publications.

On Pacing Myself

pace1I am very much enjoying my work at the moment- however one thing has come to the forefront and that is balancing my work and social life. I have learnt how important it is to pace myself and take things at a slower pace in order to achieve what I would like. Also, my anxiety becomes triggered if I do too much and all at once and so its really important for me to have down time to balance out the other parts of my life.

My anxiety can strike randomly and I have to cancel arrangements, which I hate doing, but is sometimes essential. I try and do too much- so this is a reminder for me to be kind to myself and take things at the right pace for me.

I think this should be applied as a general rule. I can’t be everything to everyone. I must take time to breathe and slow down and appreciate. For only then can I be truly and optimally happy.

Guest Post: The Efficacy of Online Cognitive Behavioural Therapy- CBT by Dr Stacey Leibowitz- Levy

We are delighted to have Dr Stacey Leibowitz-Levy, psychologist writing about Cognitive Behavioural Therapy for us. As with any therapeutic practice, it is very much individual as to whether it will work for you and CBT will not work for everyone- but has been proven to work for many. Here Dr Leibowitz-Levy explains how it can work online.                        

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Online counselling is a growing field with more and more people turning to the internet to seek out counselling help. Counselling services offered online incorporate the range of therapeutic approaches that have been developed within the field of psychology. Approaches to understanding mental ill health and treatment include therapeutic approaches such as logo therapy, psychodynamic therapy, systemic therapy, psychodynamic therapy and Cognitive Behavioral Therapy (CBT). How do these therapeutic modalities translate to the online environment? This article will address the compatibility of CBT in particular as an online counselling approach.

CBT is a widely-utilised mode of therapy that focuses on an awareness of the relationship between thoughts, feelings and behaviour. The aim of CBT is to address difficulties through modifying distorted thoughts, unhelpful behaviour and unpleasant emotions. In order to achieve this end, the client works collaboratively with the therapist in building awareness and understanding of his/her condition, and an accompanying skill set for evaluating and changing distorted beliefs (as well as modifying dysfunctional behavior). The therapist develops clear objectives and a treatment plan that requires active participation from the client during sessions, and follows through on homework assignments between sessions.

This form of therapy is characterized by a structured, time limited and outcome focused approach to managing mental health challenges. Often CBT is focused on a specific issue such as anxiety or managing depressive thoughts and, as such, many CBT interventions are available in a protocol format. CBT offers a delineated and clearly defined intervention that is largely directed by a clearly defined process and structure. This is in contrast to many other therapeutic approaches that have less defined parameters and take their cue on a session to session basis from the client.

The format and approach of CBT lends itself to an online format in that the structure and process are not only defined and constrained by the relationship between therapist and client but are also defined by a clearly delineated therapeutic procedure. This procedure offers a framework within which to deliver support which can easily be translated to an online process. CBT follows a set format. It is driven by the imperative of building an understanding of the issues the client is experiencing and imparting a certain skill set to assist the client in managing his/her mental health issues. CBT is thus based on specific content and has a strong psychoeducational aspect, which means that delivery online can be located in tangible and clear cut content and outcomes for the client.

This also allows for versatility in the delivery of CBT online. While face to face time with a therapist may be desirable for some clients, the option of online delivery of psychoeducational as well as skills based elements in other formats also works well. For instance, the psychoeducational aspect could be communicated very effectively through a video delivery. CBT lends itself to the format of online courses where clients are guided through a process of identifying and understanding their particular issues and developing the skills to manage them. Interspersing this with face to face time or the opportunity to clarify or ask questions in a chat or e-mail format makes for a very effective online intervention.

While many of the issues addressed in CBT are personal to the client, the possibility of locating these issues within a more general format is very much part of the CBT approach. There is a set way of getting information from, and accessing and understanding the client’s experience, with the client having to act on this information between sessions. This more “scientific” process also makes for an approach that lends itself to an online format.

The efficacy of CBT as an online intervention is borne out by the number of sites specifically offering online CBT in a variety of formats (for some examples, see here and here). The online availability of this well researched and well-verified approach to managing mental health problems offers increased affordability, accessibility and greater choice for mental health consumers.

Dr. Stacey Leibowitz-Levy is a highly-experienced psychologist with a Master’s Degree in Clinical Psychology and a PhD in the area of stress and its relation to goals and emotion. Dr. Stacey has wide ranging skills and expertise in the areas of trauma, complex trauma, anxiety, stress and adjustment issues. Stacey enjoys spending time with her husband and children, being outdoors and doing yoga.

The Serenity Prayer, Hope and Manifestation

Whenever I have felt unwell, low, hopeless and like nothing would ever change (often after experiencing a low or high bipolar episode and being unemployed/ feeling very alone), I have found that certain prayers and ideas have comforted me and helped me grow and have hope.

One of these (as well as many Jewish prayers) is the Serenity prayer. Its words give me comfort. They have even been put to a song by India Arie, whose music aims to heal others struggling with difficulties, broken hearts, stress, sadness.

So today I thought I would share it with you. I would say I am quite a spiritual person and I believe that prayers really do manifest if they are meant for you- your heart is listened too. At times when I have felt hopeless, I turned to God (if you don’t believe in God replace with the universe). And even if my prayers didn’t manifest directly at that exact moment- they often do manifest – even if it takes a year or two.

I hope this will help you feel a little comforted or healed, like it always does for me. Serenity is so important, even if it takes a long time to reach

Have hope :

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Guest post by Marcus – 7 Tips to Improve the Symptoms of Bipolar Disorder

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Bipolar disorder (formerly referred to as manic depression) is a condition characterized by mood oscillations- moving between high and low mood. A person suffering from bipolar disorder experiences mood changes and these changes are often erratic and unforeseen.

Symptoms of this disorder regularly change and that is one of the reasons why it can be such a difficult condition to treat and keep a consistent state of mood and activity for sufferers. However, it is possible!

Little things can help and here are 7 tips that might just help make symptoms slightly better:

  1. Make sure you get the Right Amount of Sleep

People who suffer from bipolar disorder often have erratic sleeping patterns. It is believed that one-quarter of these cases sleep too much at night while about a one-third experience difficulty in falling sleep, thereby suffering from insomnia.

As irregular sleeping patterns may precipitate depressive episodes, experts advise setting up an alarm to ensure one gets up at the same time each morning as well as setting fixed hours for sleep in the evening so that the body can adapt to this necessary function.

  1. Consistently take your prescribed Medication

According to Cara Hoepner, a nurse practitioner who also has this condition, discipline is the key when it comes to taking medication prescribed for bipolar disorder. However, she also agrees this can be a difficult task, seeing as some of the medications commonly prescribed (such as Lithium) require constant monitoring via blood tests to ensure they do not become harmful to the patient. Lithium can be toxic in rare cases and so its important to work with a good medical team.

Coupled with the fact that skipping medication will often trigger a relapse, she advises that all patients with this condition should exercise diligence and discipline in taking their meds. Tablet boxes can be very helpful for multiple medications.

  1. Shun Drugs and Alcohol

An expert in bipolar disorder, Bearden, claims that nearly half of patients of bipolar disorder have problems with substance abuse. He also states that this is one of the major reasons why many treatments do not succeed, due to it impeding recovery.

He therefore advises that while alcohol may appear a welcome refuge for bipolar patients in that it temporarily relieves depression, the mere fact that it triggers a depressive state in the brain as well as erratic sleeping patterns and mood oscillations, goes against the purpose. In addition, alcohol and drugs may impair cognitive functioning and hinder chances of  recovery- they exacerbate high and low episodes in the condition.

  1. Invest in Therapy

One of the best ways to improve bipolar disorder symptoms is to invest in therapy, including talking therapies, CBT, art therapy and more. While it may seem unappealing to many patients, therapy actually goes a long way in improving their chances of recovery.

Cognitive behavioural therapy helps patients understand and interpret events and thoughts, thereby enabling them to get back to their normal routine. There are other therapies which assist recovery and maintaining stable relationships .

  1. Learn the Triggers

Learning the triggers of bipolar disorder may help the patient nip the episode in the bud by actually dealing with these triggers before they develop into a full-blown episode.

Some of the triggers that make people unwell include sleep deprivation, social isolation and stressors eg divorce, death, change or job or having a baby . Other major changes in your life may also trigger depressive or manic tendencies, especially if they disrupt your routine so be careful to look after yourself in times of high stress.

  1. Learn the Side Effects

The most common side effect of taking Lithium or other anti psychotic medication  is metabolic syndrome, a side effect that majorly involves the impairment in the functionality of the kidney and the pancreas. A spectrum of effects such as high cholesterol, insulin resistance and weight gain would ensue, and this is where you need to deal with the to keep optimal health. A healthy diet and exercise is always important.

  1. Connect with Friends and Family (Support Network)

If you have a good support network, its so important to share how you are feeling with    close relations or best friends. By discussing your problems with those you trust, they hopefully will provide the emotional support needed to get through difficulties and help recommend further treatment or come with you to the Doctor.

In a nut shell, do not sit back and let your mood disorder take over without help. Speak out and let your friends and family help you out. In some families, there is a stigma so please do be careful as to who you let in when you are unwell.

Living with bipolar disorder is not an easy experience. However, by understanding how to deal with the symptoms, you can certainly improve your symptoms to keep you healthy and well. Read widely and remember that however debilitating episodes can be, Bipolar can be managed on medication and with therapy and. support. You are not alone.

Marcus regularly blogs at psysci, a psychology, science blog that examines the latest research and explains how findings can impact and improve people’s lives

Therapy Tales Part One.

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My therapy journey began at just 15 years old- when I went to see the school counsellor for talking therapy due to suffering my first anxious and depressive episode (before I was diagnosed as bipolar).

Since then- 13 years later, I have tried many different kinds of therapies to help heal me from my anxiety disorder and help manage my bipolar disorder. Therapy still has a stigma, which is wrong,- but it is vital to the healing and recovery of mental illness and general healing from stressful life events eg deaths, divorce, moving house, illness.

I have done many forms of therapy, starting off with talking therapies- where you talk to your therapist about whats going on in your life (and sometimes they psychoanalyse in order to help you). I then did 3 lots of Cognitive Behavioural therapy (CBT). This is where you unpack your negative thoughts and assumptions that cause your illness in thought records, where you learn to challenge thoughts and change behaviour. However, for me, CBT was frustrating. I felt like I couldn’t fully apply it and it didn’t click with my brain.

I felt that the anxiety and panic I was dealing with was very much in the subconscious- and so the CBT could not eradicate the emotional, deep response that had formed within me to certain situations. It was then I began to realise the power of exposure therapy- which is essentially, exposing yourself to your feared situation slowly, with support. The more I went out, the more people I saw and the more I did, the anxiety began to lessen. It boosted my self esteem too to know I could overcome my fears. It is something that has to be practised and you have to be kind to yourself too and in the right head space for it to work,.

Of course, therapy works in conjunction with medications and it is also vital to make sure you like your therapist and have a good relationship with them. If you dread seeing them and you aren’t getting much from it, they are likely to be the wrong therapist for you.

I have done many other therapies: art therapy (which I loved and recommend hugely if you enjoy it), meditation and deep breathing (which I still do and which really helps my anxiety) and of course the unique therapy that friends and family bring. There are more therapies out there including ACT and its always worth googling therapies.

Ultimately, don’t be too scared about sharing with a therapist. They are trained professionals, have seen it before and they are there to support you. It is also very much trial and error. Even though CBT wasn’t for me, I found other therapies which have worked.

Just be aware that NHS therapy waiting lists are months long, so if you have the money to get private care, do.

I have worked with both psychologists, psychotherapists, occupational therapists (during a period of group therapy) and of course psychiatrists in order to keep well. It is very much a collaborative effort and now I am much better, I can deal with it with my support network (with my psychiatrist in the background)

I hope you find the right course of therapy for you and know you can heal from whatever stresses you are dealing with.

On Meditation for Relaxation and Healing.

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I write this blog post from a very healing place where a relative of mine lives- the Cotswolds, Gloucestershire in England. It is a place of nature, green fields, hills, farms, animals and I associate its beauty with rest and relaxation. (There are shops and cinemas here too though- I think I would miss that!). The Cotswolds are a great place for me to rest and recharge my batteries. I find that the pace of life is slower and quieter here and when I have been working hard and need a break, I visit here and come back rejuvenated.

So, this blog is about meditation, a form of relaxation and clarity of mind that I have found healing.

I discovered meditation a few years ago but didn’t really start doing it until about a year ago, when I downloaded a free app called Headspace. This allowed me to have 10 free sessions of 15 minute meditations. At the time, I was suffering from work anxiety and related panic attacks. I found that listening to a guided meditation, recorded so I could play it when lying on my bed before sleep,  very helpful and relaxing. It centred me and made me focus less on my anxious thoughts and worries about my career and illness. I just had to breathe and relax for that minute, whatever else was happening outside of it.

Meditation is a guided visualisation, focusing on the breath and slowing down breathing for relaxation and clarity, through inhaling deeply and exhaling slowly. It also teaches you how to relax muscles in your body, if you choose a deep muscle relaxation meditation. The person guiding you may tell you to breathe in deeply then out slowly, clench or unclench muscles and focus on the breath and the present mindfully, in order to relax you and sharpen the senses.

Meditation is not about falling asleep, although I often do it before I go to sleep. It is about centring yourself in your present reality, clearing your mind and worries through focusing on deep breathing and /or guided visualisations or affirmations. This eventually relaxes your subconscious and keeps you grounded in the present, linked to mindfulness.

I recently listened to a fantastic meditation which included positive life affirmations ‘You can do it’, ‘You are strong and confident’, whilst breathing in and out. This was by the amazing practitioner Holly Matthews, at the Bossing It Academy. I listened to this twice and did the exercises the night before a job interview. It really works on the subconscious level and helps you feel strong and confident!

I first was introduced to meditation as a healing therapy through regular Day unit relaxation sessions when I came out of hospital. We were taken through a guided visualisation of a relaxed place eg a beach or a starry night and followed our breathing and relaxation of muscles. I then bought CDs of relaxation music to listen to at home. When I was a teenager, I had previously listened to similar relaxation music and I find it can be incredibly healing if suffering from anxiety disorders in particulat as it focuses you and permits relaxation.

Meditation is an ancient Eastern art, practised by Buddhists and others in Asia, which has come to us in the West. It is so unbelievably powerful at managing stress and anxiety and I would thoroughly recommend doing it, with a recording of  professional guiding you through the process or listening to relaxation music. There are even meditation classes out there you can take as well as music on Youtube and other websites!

So remember to breathe, ground yourself in your present, listen to the sounds around you but bring it back to your breathing and your current reality. I have found meditation helps heal me and I hope it helps you too.

The best way to support a friend or family member through anxiety and depression.

I have been asked by my friends to write an article about how best to support someone through a mental health issue. There is not a one sized fits all answer, due to the fact that every illness and person is unique with their own brain chemistry and life experience. However, I am  going to offer a few tips on what you can do if someone is suffering from an anxiety disorder or depression (for this article I am going to leave out other illnesses eg bipolar, schizophrenia, psychosis, addictions but will speak about them at a later date)

So what can you do if your loved one is suffering from  an anxiety disorder/ depression?

Anxiety disorders are a group of multi faceted disorders which can include things like generalised anxiety, social anxiety, health anxiety, OCD, PTSD and more. Your loved one may be suffering from lack of sleep, nightmares, inability to sit still, palpitations, racing or obsessive thoughts, panic attacks and hyperventilation. They may feel more on edge, or in the case of OCD- be checking and analysing everything. Anxiety disorders run in certain patterns and all are unique to the individual- what one person with anxiety may have will be different to another, however there are some general patterns to anxiety.

When a person is suffering from anxiety, they may also have physical health symptoms as above due to the increase in adrenaline and the stress hormone, cortisol.

Depression or depressive disorders are sometimes caused due to a chemical imbalance in the brain (not enough seretonin) and can require medication to return the brain to its usual state. Some are a mixture of chemical imbalance and challenging life experiences or brought on from a period of stress eg divorce, moving house, losing a baby, having a baby, being unemployed etc . Symptoms typically can include loss of motivation, feeling tearful, low and hopeless, not wanting to engage socially or be involved with activities one enjoys.

If your loved one is suffering from anxiety or depression the best way you can help is by speaking and interacting with them calmly- not judging them or accusing them of anything bad, but simply being a laid back, supportive friend or partner. If someone can’t socialise, its best to just text once in a while and check up on how they are doing- or send a hand written note or card. Most importantly, do not pressure the person to see you, talk to you or go out.. but just be there for them calmly as a listening ear and encourage them to do small achievable things for themselves.

It is good to encourage your friend to go out with you but not to pressurise. Similarly, getting a bit of fresh air can help. If your friend or loved one is at crisis point ie threatening to take their own life, feeling suicidal, not eating or sleeping and being involved in self harming or risk taking behaviours, it is very important to do the following:

1) If a friend is suicidal, listen to them but do not promise to keep it a secret. You must tell their nearest relative/ best friend/ someone they trust if you believe they are in danger of a suicide attempt or at harm to themselves . Encourage them to see their GP immediately or speak to a help line and the GP will be able to tell you if a psychiatric referral is needed. A psychiatrist and team known as the Crisis Team will then  step in to help.

2) If a loved one you live with is suicidal, go with them to the Doctor or get a doctor to come out to you. There is stigma around this BUT if your loved one is really ill and their brain is effectively temporarily ‘broken’ much like a broken leg, it needs fixing. Your loved one needs help and support to recover whether its medication, counselling or more support at home. Do not blame yourself. This is an illness- not something you have done.

Ultimately, be loving, caring and supportive and CALM- however angry or frustrated you feel. Being frustrated to someone who is unwell can cause them to have feelings of guilt, low self esteem or worthlessness which the depression/ anxiety may perpetuate.

Be there as a support and listening ear but make sure you have a break and take time for you too.

Monday Update: Rethink and Thank You

This is just a short update post- I just want to thank everyone who visited my blog as a result of my Rethink article and everyone who read the article and found it useful!
It is always a pleasure to write for such an important and caring charity and I love writing and partnering with Rethink.

I have also been receiving some brilliant guest posts to my inbox which will start going up soon.

Thank you for making the Be Ur Own Light community the shining light that it is and is becoming.

Love from a cold, grey London but with warmth 🙂

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