Thank you for sharing my book ‘Bring me to Light’!

(image: Norfolk and Suffolk Mental Health Trust)


The other day I was contacted over on Twitter by a senior mental health nurse who had read my book ‘Bring me to Light.: embracing my bipolar and social anxiety’. She felt that it should be read by her colleagues at Norfolk and Suffolk mental health trust, here in England, and so donated a copy to the staff library for them to read- and they shared this photo.

This was by far one of the most touching and special things to have happened on my book journey- while it may seem small, to me it means the world.

I wrote my book, my memoir about living with bipolar disorder and social anxiety to help other people going through it (and their families) feel less alone. However, to see it being used by mental health hospitals- where I have been twice in my life, though in London- brings me hope.

Hope that professionals will read it and learn from it (there were times in hospital that I wasn’t fully happy with my care but most staff were amazing).

Hope that we can make a change and help the stigma around mental illness to fall.

Hope that by sharing my story, it will encourage others to feel comfortable to share theirs without fear of shame or embarrassment.

So thank you to Dawn💕 and Norfolk and Suffolk mental health trust. If you’d like a copy of my book : https://lnkd.in/e3cheTw

How To Create Healthy Daily Habits by Sierra Powell

Photo from  Pexels

Your mental attitude often influences your altitude. People who are happy and successful don’t get there by chance alone. To go where you want to go, you need to take deliberate action, practice self care, and bring energy to everyday activities.. To live the life you want, here are some good ideas to follow, if you are able:

1. Get Out of Bed Early

Even if you don’t have to get up at the same time as the sun every day, it’s still important to get up at a reasonable (early) time so your body can function at its best. The human body and brain have evolved to follow a circadian rhythm, which helps to regulate sleep and wake patterns set by our natural environment, specifically the sun’s rising and setting. This rhythm was set by the natural environment millions of years ago and passed down through generations of humans. This natural circadian rhythm also aligns with the natural cortisol levels inside the body.

Cortisol is a hormone widely recognized for its function in our metabolism, immune system, stress response, and overall energy levels. Cortisol levels start to increase 2-3 hours after the start of sleep and continue to climb until the early morning, which helps wake us up. This rise in cortisol levels occurs in a balanced condition. The cortisol levels in the body will reach their highest point between 8:30 and 9:00 in the morning, and then they will fall as the day progresses slowly. As a result, optimizing one’s energy levels, level of productivity, and general health may be accomplished by the simple practice of adhering to one’s natural circadian cycle and cortisol levels. Note: cortisol can also increase anxiety, which can explain why you may feel more anxious upon waking.

2. Establish a Set Morning Routine

Find out what gets your day off to a roaring start and make it your priority every morning. For instance, if you like to reflect before starting your day give self guided meditation a try. This is a  surefire method to help relieve tension, quiet a buzzing mind, and delve deeper inside yourself. Meditation can improve overall health and wellbeing. Doing a meaningful activity first thing in the morning will help you get off to a good start and be more proactive throughout the day. Rather than racing through the morning to make up for a lost time, beginning your day with a routine may help reduce stress, improve mental tiredness, and boost productivity. If you have no idea where to start then you may find it helpful to examine others morning routines and see what works for you.

3. Read

Reading books is one of the most effective ways to expand one’s horizons intellectually and creatively. Reading in a state of immersion enhances attention and has a relaxing impact similar to meditation. Moreover, reading before bed might help you sleep better. Books that are not works of fiction, in particular, are a great instrument for expanding one’s horizons, developing new ideas, and looking for inspiration. In addition, they give real-life examples of how to deal with a variety of tough situations and give advice on how to get through them.

4. Go on a Stroll

Step outside for some exercise and taking in some oxygen can lift your spirits immediately, help you think more clearly, and give you a break from working on your computer. It is also a very underappreciated exercise that may make your heart and lungs stronger, lower the risk of cardiovascular disease and stroke, alleviate high blood pressure and high cholesterol levels, soothe joint discomfort, and much more. It is an easy way to enhance your general health that is entertaining and has a minimal effect, to put it another way.

 5. Fuel Your Body with Healthy Food

It is becoming more common practice for medical professionals to suggest plant-based diets to all their patients, not only those suffering from conditions such as high blood pressure, diabetes, and heart disease. If one cannot wholly commit to a vegan or vegetarian diet, even making an effort to consume more plant-based foods whenever it is practical to do so may cause a significant improvement to one’s overall health.

If you make it a point to concentrate on developing wholesome routines that are manageable for you on a day-to-day basis and that you look forward to doing, you will have a better chance of sticking with them over the long run. Creating healthy routines for one’s daily life will require an investment of time, energy, and focus, but this does not indicate that it is impossible to do so.. Instead, steer clear of drastic solutions, focus on developing good habits, and take your time to help guarantee that your health and success will be long-lasting.

This blog was written by writer Sierra Powell

Reasons Why Group Therapy Might Be Your Next Step to Healing by Lizzie Weakley.

(image: Pexels: §§

Accepting help for mental health issues is an undeniably courageous step in the healing process. Individual counseling can provide you with many helpful tools for coping with your issues, but so can group counselling. Here are a few reasons why group therapy might be the next step in your healing journey. 

Groups Are a Sounding Board 

One of the most beneficial aspects of group counselling is that the group can act as a sounding board. Whatever dilemmas you are facing, whatever you’re struggling with in your mind, you can voice it to your group and get helpful feedback. Your group mates will likely come from diverse backgrounds and have had their own unique experiences. Their outside perspectives can give you insight into how to handle difficult situations and emotions. Whether it is, a group can give you guidance based on their own experiences, which can help yours. 

Group Therapy Can Be More Cost-Effective Than Individual Therapy 

Group therapy can be more budget-friendly than individual therapy. And, just because group therapy tends to cost less, that does not mean it lacks any of the quality you would get from individual counselling. Group counselling can be empowering and helpful in the same way individual therapy is, and it is a great option for those who will have to pay out-of-pocket costs. 

Groups Help You Learn About Yourself 

Each of your group’s members will figuratively hold up a mirror so that you can take a deeper look at yourself. You can only learn so much about yourself on your own; having those outside perspectives can make your self-introspection all the more intensive and meaningful. There are things about yourself you might not be able to see that others can help you uncover. 

Groups Can Help You Develop Social Skills 

Social skills are something many of us adults haven’t fully developed, especially as we struggle with our own psychological issues. In a group, you might feel less isolated, plus you will have the opportunity to engage with other people. Here you can learn how to better get along with others and express yourself in a group setting. Studies have found that adventure-based group therapy can particularly help people develop their social skills. 

Whether you choose to do group therapy due to finances or because you want to build your social skills, it is an option that works well for most people. You get a new support network of people who are going through similar things and are also looking for reciprocal support. Allow them to hold up the mirror so you can look in and see who is really there. 

This article was written by freelance writer Lizzie Weakley

11 Most Effective Ways for People to Protect Their Mental Health- A Guide by The Mental Health Foundation.

(image: Mental Health Foundation)

The 11 most effective ways for people to protect their mental health are revealed in a guide launched today by the Mental Health Foundation. 

The free guide, Our Best Mental Health Tips is based on the Foundation’s own ground-breaking study on what protects people from common problems such as anxiety and depression.  

The innovative study on which the new guide is based combined existing evidence about how we can protect our mental health with experts’ views, alongside the opinions of members of the public. 

Dr Antonis Kousoulis, who led the research and is a Director of the Foundation, said: ‘Our new guide encourages us to take care of the fundamentals of life – our relationships, our experiences, our bodies and our finances.  

The evidence shows that this is far more likely to keep us mentally healthy than the gimmicks and miracle cures promoted by some in the ‘wellness’ industry, who prey on our vulnerability. 

The truth is, there are no quick fixes for good mental or physical health. What works is developing healthy habits in our daily lives, that help us to feel OK and able to cope with everything. 

For example, in our new guide we talk about getting more from our sleep, learning to understand and manage our feelings, planning things to look forward to and getting help with money problems.’ 

The full list of mental health-promoting actions suggested by the new guide is as follows: 

  • Get closer to nature 
  • Learn to understand and manage your feelings 
  • Talk to someone you trust for support 
  • Be aware of using drugs and/or alcohol to cope with difficult feelings 
  • Try to make the most of your money and get help with problem debts 
  • Get more from your sleep 
  • Be kind and help create a better world 
  • Keep moving 
  • Eat healthy food
  • Be curious and open-minded to new experiences 
  • Plan things to look forward to 

Most members of the public involved in the study had experienced their own, or family members’ problems with mental health, so had the benefit of hindsight when assessing what helps most with prevention.  

The study was published in the peer-reviewed American Journal of Health Promotion

The new guide (and the research on which it is based) acknowledges that people may be unable to follow some of its suggestions, for instance because the place they live makes it impossible to sleep well or spend time close to nature. 

Dr Kousoulis added: ‘Enjoying good mental health should be an equally accessible goal for all of us, yet it is often out of reach for many. Government action is needed to create the circumstances that solve problems that are beyond individuals’ reach, and help prevent people having problems with mental health in the first place.’ 

You can download the new guide free of charge from the Mental Health Foundation website. You can also order hard copies by post, with a small charge.

About the Mental Health Foundation   

Our vision is of good mental health for all. The Mental Health Foundation works to prevent mental health problems. We drive change towards a mentally healthy society for all, and support communities, families and individuals to lead mentally healthy lives with a particular focus on those at greatest risk. The Foundation is the home of Mental Health Awareness Week www.mentalhealth.org.uk  

This is a non sponsored article written by the Mental Health Foundation.

4 Effective Ways to Boost Your Mood And Keep Well.

(image: Shutterstock)

Your mental health matters a great deal when it comes to your overall wellbeing. There may be days or times you feel low or maybe you’re someone who is managing a mental health or mood disorder currently.

Regardless of who you are, it’s important that you take positive steps in the right direction to take good care of yourself. Consider making and incorporating these changes and then notice how much better you feel overall. Here are four effective ways to boost your mood and be well so that you can get back to living fully and have a smile on your face while you do it.

1. Exercise & Move More

One effective way to boost your mood and be well is to exercise. Not only workout and break a sweat regularly but also commit to moving more throughout the day. Exercising is great for your mental health and can instantly put you in a better mood. Make working out fun by engaging in activities you enjoy and that get your body moving and making a playlist that keeps you motivated.

2. Get Organised & Declutter

Another effective way to boost your mood and be well is to get organised and reduce the clutter in your home, office, and life. You’ll feel less stressed daily and will be able to easily find what you’re looking for. Go through old boxes and get rid of or donate items you no longer use or want sitting around. As for anything you decide you want to keep but don’t want in your home, it would be useful to look into securing a storage unit with https://www.storagearea.com for the overflow.

3. Stay Social & Connect with Others

If you want to effectively boost your mood and be well then it’s in your best interest to build relationships with others, if you are able. Stay social when you can and make connections that are meaningful and rewarding. Keep a social calendar and be sure to get out and about once in a while so that you’re not always sitting around the house or feeling lonely. Sometimes this can be more difficult, so be kind to yourself.

You may want to join clubs or orgnaisations in your area, volunteer, or play group sports to help you stay better connected, if you want to. Otherwise, take up a hobby or two and make new friends this way as well. If you struggle with making friends or have social anxiety, you aren’t alone and there is a lot of support out there for you too!

4. Eat A Healthy Diet  

What you put in your body for fuel can also impact your mood and mental health. Feel better fast by eating a healthy diet and cutting back on sugar, alcohol, and processed and fried foods. Some foods can also cause anxiety and make you feel uneasy. Stick to a healthy and well-balanced diet filled with fruits, vegetables, and leafy greens, nuts, and lean proteins. It might help to get in the habit of cooking for yourself at home so you have more control over the ingredients you use and what you’re eating. Also, always drink plenty of water to make sure you stay hydrated and have more natural energy to get you through the day.  

Keeping well is something you can do for yourelf- go at your own pace and look after your mental health and overall wellbeing.

This article was written by a freelance writer.

How Can I Help An Alcoholic Or Addict Parent? by Chaye McIntosh

(image: Jon Tyson on Unsplash)

When a loved one suffers from addiction, it can have just as much of an influence on your life as it does on the addicts. This is especially true if the loved one is a parent or a close relative. Children of addicts within a family are undoubtedly the most affected by addiction. This is particularly true if the addict’s children are still growing up. Unless you’re young or elderly, it’s difficult to cope as the child of an addict. Addiction has the potential to destroy a family. A parent is a glue that ties a family together; if they are addicts, the children must mature and become the house’s adults. This can have a significant negative impact on children’s mental health.

What are the Feelings of an Addict’s Children?

Children look up to their parents as role models. Parents who become addicted to drugs or alcohol, on the other hand, are only concerned with their addiction. Understanding that addiction is an illness is crucial for children of addicts. This is because long-term substance misuse changes the chemistry of an addict’s brain. As a result of this, an addict’s brain is rewired over time as a result of their substance misuse. As a result of their addiction, addicted parents can exhibit poor judgment and decision-making, a lack of self-control, and deviant behaviour choices.

What Can Children Do to Assist Parents Who are Battling Addiction?

Drug and alcohol addiction can have both short- and long-term impacts. Substance misuse can disrupt even the calmest and most loving relationships. When family members quarrel, it becomes commonplace. The level of trust begins to erode. If a relative who consumes illegal substances acts angrily or hides their condition in secrecy, relatives may grow concerned. 

Marriages may disintegrate as a result of addiction-related changes. Communication gets more difficult as displeasure is highlighted. In addition, children often take a step back from their parents to separate themselves from them. Family members may observe their loved ones endure the negative effects of drugs or erupt into rages while inebriated. Others may notice that their relatives have lost weight and are no longer recognizable.

How Can I Help an Alcoholic Parent?

Parents are blessings, so if they are addicts you can try to help them recover- but ultimately they must accept help. Here are some of the things you can do to help them. 

  1. Be Supportive

A person suffering from drug or alcohol addiction needs the support and love of family members. They need someone who will understand what they are going through. As a child, one should make sure that you are fully aware of the supportive needs of your parent- but equally you can’t fix everything.

  1. Talk to them

Talking helps a lot. An addict thinks that everyone is trying to distance themselves from them and if your parent feels like someone is trying to talk to them- they may appreciate it. Children of addicts should make sure to spend some time with their parents, where possible and if able. It can be very difficult to see your parent struggling with addiction and can be harmful also, so you will need to weigh this up. 

  1. Encourage Addiction Treatment

Addiction treatment is the only way to treat drug and alcohol addiction. Children of addicts should be aware that to help their parents they should suggest an addiction treatment program near them. Here are some addiction treatments that you can recommend to your parents:

Telehealth addiction treatment is a new form of treatment where a patient can receive treatment while being in their own homes. So if your parent avoids or doesn’t want to leave home for addiction treatment, suggest they get Telehealth addiction treatment.

  1. Avoid Fighting with them

There is no need to fight with your parents. They are already going through a very tough time. Try to avoid any sort of confrontation with them.

  1. Make them Feel Wanted

Addicts need their children to make them feel wanted. Spend some time with them. Take them out and have a nice dinner every once in a while. 

In The End…

An addict’s brain is rewired, and quitting addictive substances is more difficult than it appears. When a person becomes addicted to drugs or alcohol, his or her brain becomes fully reliant on them to function. As a result, when addicts cut back or stop taking opioids, they may experience uncomfortable withdrawal symptoms. Because they are terrified of experiencing withdrawal symptoms, addicts are sometimes discouraged from attempting sobriety.

As much as you may despise your parent for acting the way they do and refusing to seek treatment, you must respect their decision. Simply take a deep breath and recognise that your parent is afflicted with an ailment over which they have no control.

This article was written by Chaye McIntosh. You can see more about treatment here

How To Know If You Have An Eating Disorder and What To Do Next by Rachelle Wilber

(image: Unsplash)

An estimated 45 million people in the United States (and many millions globally) go on a diet each year to try and shed extra pounds. While exercising and eating healthfully is important, obsessing over losing weight can turn into an eating disorder.

Eating disorders present in a variety of different forms such as bulimia, anorexia, and/or binge eating. Staying aware of the symptoms of an eating disorder and what you should do should you develop one can help you stay healthy.

Different Types of Eating Disorders

Though problems with food can manifest in different ways, there are three main types of eating disorders.

  • Bulimia: Those with bulimia typically eat large amounts of food and then purge the food afterward by vomiting or using laxatives
  • Anorexia: Those with anorexia avoid eating or eat extremely small amounts of food
  • Binge eating: Those with binge eating may eat large amounts of food in a short amount of time

Look for Common Symptoms of Eating Disorders

One of the best ways to determine if you have an eating disorder is by watching for symptoms in your own habits and behavior. These symptoms may also be noticed by your friends, family, or other loved ones. Some of these symptoms may include:

  • Having a fear of gaining weight or growing fat
  • Withdrawing from activities with family and friends
  • Becoming secretive and lying about it
  • Experiencing anxiety and depression
  • Feeling an intense fear of certain foods, such as foods that are sweet or have high levels of fat
  • Obsessing over the number of calories and food eaten
  • Avoiding situations that involve food
  • Attempting to lose weight by purging, using laxatives or over-exercising
  • Weighing yourself daily or multiple times per day

If you suspect you have an eating disorder, know that you aren’t alone and that help is available. Be proud that you are taking the first step and seeking help. It may be helpful to identify ways that you are not feeling in control in your life and the way you feel around food.

Keeping a journal of these feelings is a great way to learn more about your habits and identify the feelings that triggered your eating disorder. Next, talk with your insurance company (if in the US) or NHS/ privately if in UK and seek out a reputable doctor for eating disorder treatment. There are many specialists, counsellors, and rehabilitation centers available who are highly experienced in helping people recover from their disorder. Please note that the NHS may have waiting lists but seeking help is so important to find recovery.

Having an eating disorder often means you feel a lot of shame about yourself and your eating habits. Talking with a doctor and/or therapist can help you let go of this shame so you can love yourself and take the first steps on your road to healing.

This article was written by freelance writer Rachelle Wilber.

What Tools Go Into Substance Abuse Treatment by Kara Masterson

(image: Darling Quote)

When you’ve developed an addiction to a specific drug or substance, it takes a lot of work to break that addiction. While there are those out there who can use a “cold turkey” approach to addiction, most people have to put in a significant amount of work in order to even begin experiencing healing.

Thankfully, that work comes with tools that can serve people in other areas of their lives. If you’ve been suffering from a substance abuse problem, consider some of the incredible tools that go into helping a person experience a better life.

Replacement Methods

While the cold turkey method works for some people, it often doesn’t work for the rest because they’ll simply hit a point where they either relapse or replace it with something just as harmful. For example, there are people who were able to break a drug habit but the replacement was that they started to overeat instead. Overeating is harmful in its own way as it can lead to different health problems such as obesity and chronic diseases. When you get professional treatments, you’re able to learn how to break a bad addiction and replace it with constructive hobbies and habits.

Professional Therapy

One of the worst things you can do is try to turn a friend or family member into your personal therapist. Their logic is only going to get you so far when you’re trying to beat an addiction. When you’re committed to getting professional substance abuse treatment, you’ll be able to sit and talk with therapists. When a professional has a specialization in treatment for substance abuse, they’re able to recognize signs and symptoms that need to be addressed in order to gain a better approach to your healing journey, along with an insight into methods that are more likely to help you cope with things like detox, cravings, and the specific stressors or triggers that turned you towards drugs in the first place.

Self-Awareness

Self-awareness is so important for each person to have. When you’re aware of yourself, you’ll be able to recognize how much you can handle something. You’ll be able to recognize where you need to course-correct. When you’re working through an addiction treatment program, self-awareness development is an incredible tool because it shows you what needs healing, how you’ve coped with trauma, and more. When you’re aware of yourself, you’ll position yourself to make better choices.

You’ll have to maintain a level of self-discipline that most don’t really want to exert. Think about the millions of people who lose weight. When you’re overweight and stuck on a plateau, weight loss seems impossible. However, if you look at the many testimonials and people who’ve lost weight, you know that it is possible. Use this same logic for your journey through a substance abuse addiction. It is more than possible. Look for examples of people who fought their addiction and won. Use their stories as tools to help you keep going. With this goal, you can dedicate your time to the process, use these tools, and experience a better life. Be kind to yourself and keep going!

This article was written by Kara Masterson.

Unbroken- The Inspirational Madeleine Black, The Courage Cultivator. How She Learnt To Heal After Sexual Violence.

(image: Madeleine Black)

Trigger warning: discusses sexual violence and mental illness.

I have known about the incredible speaker, author and advocate Madeleine Black for a while, through my Dad Mike. She is an outstanding and powerful advocate of courage after adversity, of hope after despair and of resilience despite intense pain. For me personally, coming from the same community, I feel that Madeleine is a shining light to so many- as sexual violence has historically not been talked about openly.

Please note the rest of the article will discuss Madeleine’s journey with sexual violence and how she was able to move forward.

Used, Beaten but Never Broken.

I remember wishing they would kill me to make it all end.”- Madeleine Black 

It takes courage to speak the unspeakable. But for many years, Madeleine Black felt too afraid and too ashamed to utter a word of what happened to her. Violently attacked at the age of thirteen, her story is one of pain – but also of healing, resilience and forgiveness. Madeleine uses her personal and moving story to show us that it’s not the events in our life that define us, but by how we choose to reclaim our lives after them. How we become unbroken.

Madeleine grew up in Glasgow, Scotland and London into a loving Jewish family. At the age of 13, she went out with a friend in a group to a cafe in London, drank alcohol for the first time (like a normal teenager) and met two male international students that night, acquaintances of her friend. They took advantage of her age and vulnerability. Instead of dropping her home safely as she was drunk and could not consent, they carried her to a nearby flat and violently gang raped her, leaving her with terrible injuries. Her friend was sleeping in the next room. Madeleine talks of seeing herself floating above her body as if she wasn’t really there – dissociation as a trauma response. She was told by one of the men that if she told anyone about the gang rape, they would come and kill her.

Madeleine has said, ‘For many years after that night, my memories of what happened after he held the blade to my throat and threatened my life were fragmented… difficult to piece together. It was too extreme, too violent for me to understand.’

Madeleine struggled with her mental health following this trauma at such a young age. Living in a state of shock and self-loathing, it took her years of struggle to confront the buried memories of that first attack and begin to undo the damage it wrought, as men continued to take advantage of her fragility in the worst possible way. Madeleine was raped three more times before the age of eighteen, experiencing more trauma in her life than most ever will. Due to the aftermath of the trauma she faced, Madeleine used drugs and alcohol to numb the pain and developed phobias and an eating disorder. While she couldn’t remember lots of details of that night, it left her feeling ‘worthless, dirty and contaminated’. She had a suicide attempt by overdose, hoping to end her life and had her stomach pumped. She was then admitted to a childrens psychiatric unit struggling with suicidal depression and self harm.

After a few years, she eventually found the courage to tell her parents what really happened to her. After growing up with burdens no teenager should ever have to shoulder, she found the heart to carry out the best revenge plan of all: leading a fulfilling and happy life. She met her husband, a loving and kind man, who helped her to heal from the traumas she faced with men and they are happily married and have children together, three daughters. Madeleine learnt through this that she is loveable and she is loved.

(image: Forgiveness Project/Madeleine black)

However, piecing her life back together was long and painful. Forgiveness was the key for her to move forward- not to forgive the act of rape- but to understand what led the rapist to do so. It takes a real desire to understand those who have done us so much harm. It is the ultimate act of courage.

Madeleine has said,

‘I want to end the shame, stigma and silence surrounding sexual violence enabling others to find their voice, whatever their story is.  I want people to know that it’s not what happens to us that is important but what we do with it.  I will show how changing my mindset tapped into my resilience and transformed my life, making people question their own thinking and encouraging them to see that there are always choices to make, and if we choose to, we can get past anything that happens to us in life both professionally and in our personal life. I wants to encourage others to live their life courageously too; but ultimately, I want to inspire hope and show people that we are all so much stronger than we think we are.’

(image: Madeleine Black)

Madeleine found that since the attack, she had been burying memories and started to experience flashbacks when her daughter turned 13, the same age as when she was raped. This can be a part of PTSD- post traumatic stress disorder. She learnt that she must let go of her anger and make peace with her past, as her personal journey.

In her debut book Unbroken, Madeleine tells her deeply moving and empowering story, as she discovers that life is about how a person chooses to recover from adversity. We are not defined by what knocks us down – we are defined by how we get back up. She also hosts the Unbroken podcast where she has guests sharing their own stories of hope and courage.

Madeleine is also a TEDX Speaker sharing her journey to end the shame around sexual violence , works with the Global Resilience project and is the Patron for Say Women which helps rape and abuse survivors. She currently also works as a psychotherapist.

(image: Madeleine Black)

I will leave you with Madeleine’s words:

‘I am not my body or the things that were done to me. I am so much more than the sum of one night’

Thank you to Madeleine for giving me a copy of her book Unbroken to read and for all you do. You can get your copy here

What It Means To Have An NHS Perinatal Psychiatry Planning Meeting.

Yesterday was the first NHS meeting with the Perinatal (pre conception/birth) Psychiatrist. I didn’t know what to expect from it, though a few weeks ago I had the non NHS meeting with a very good consultant psychiatrist. They were both lovely women who are very good at their jobs- I had had to initially try for a private referral due to NHS waiting lists, but then managed to get an NHS appointment.

I was a bit nervous to see how the NHS would handle it, as they will be who I have care with going forward, so I was pleasantly surprised to be treated with respect and insight and kindness. I know that sounds weird, but those of you who know what my hospital admission in 2014 was like, will know that it wasn’t all plain sailing. Due to lack of insight, decisions happened about me and not always with me and so to feel empowered for me and my husband is very important.

Essentially these meetings now I have been well for a long time, are to plan ahead and discuss psychiatric history, what medications are needed, how it can be managed and what this would mean for a foetus and baby too. Birth carries a strong risk of relapse with the bipolar disorder, including the risk of psychosis and depression and so medication particularly for me needs to be planned carefully. I will need to be monitored once pregnant.

I am on 3 different types of psychiatric medication and also a contraceptive pill. Before we start trying to have children, I will need to have a time of withdrawal from the pill, which could send my hormones all over the place (i used to have PMDD symptoms where I felt very depressed and suicidal on periods so this is a slight concern). Then I may need to taper down one of my medicines (possibly sertraline) with the assistance of the mental health team, to reduce the effect on a baby. As baby will have a time of withdrawal from medications after birth while in hospital- which scares me too that they will be affected temporarily so want to make sure any baby is safe, as do the team I will work with.

The Dr also mentioned I would need to be in hospital for 5 days after birth so my Lithium level can be monitored (too high it can be toxic to humans) and I will need regular blood tests also- which are a source of anxiety, I hate hospitals due to past trauma. There was also a mention of needing to stop Lithium pre Labour and my Lithium levels as a result being quite high from birth too. So this information is good, knowledge is power but its also a bit terrifying to factor this all in.

I am scared but its also…. exciting in a weird way. Despite not yet trying to fall pregnant for a number of reasons so far- (which include possible bipolar relapse and changing meds/ time frames and starting a new job role), I have wanted to be a mother my whole life and I have more challenges than most due to the psychiatric and hormonal changes and how the baby would be. I question whether I am doing the right thing too by trying for a natural pregnancy in future and thats really hard. But egg harvesting and surrogacy is not easy either.. and its like going between a rock and a hard place at times with the best thing to do.

The doctors also mentioned I should visit a mother and baby hospital unit during my pregnancy to see what its like and what support is given- as my worries about it being like a severe psychiatric ward are high. Apparently, its a much calmer, supportive and therapeutic environment. I don’t want to be in hospital but these are the types of things one has to factor in with the bipolar being biological with mood changes.

Rob is endlessly supportive – we are embarking on a somewhat unknown journey – but are now armed with way more information from both psychiatrists and are very thankful to live in the UK.

So, this will be the last update from me on this for a while but knowledge truly is power and I know that with the help of our healthcare system- mental health teams and perinatal psychiatry/ obstetrics, my family, medication, self care etc I should be safeguarded and cared for well.

When the time is right, we pray our miracle will manifest.

Thanks for reading,

Eleanor x

PS shout out to my parents, Rob and family for their constant support.