Tag: therapy

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

~ Eleanor Segall ~ 2 Comments

(images: Christmas For CAMHS)

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

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

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

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

(Image: Christmas for CAMHS)

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

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

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

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

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

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

(image: Christmas For CAMHS)

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

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

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

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

My Experience With Pregnancy-Related Anxiety by Georgia Anne

~ Eleanor Segall ~ Leave a comment

(image: Georgia Anne)

When I had my son in 2022, I was overwhelmed in the best way possible. 

He was blonde, blue-eyed perfection, and I fell completely in love with him. As he grew, I realised how much I enjoyed being his mum, so much that I knew I wanted to expand our family. That longing feeling stuck around until I asked my husband, “Shall we have another one? I know it’s early but I’m ready,” which he obviously was happy to!

In July 2023, I fell pregnant again with my daughter. The timing overlapped with a busy summer, including marrying my husband, Oskar, in August. With everything going on, those early weeks of pregnancy passed quickly, and my mind was completely preoccupied with wedding plans and family life.

But once things calmed down and the routine returned, something shifted.

When Everyday Anxiety Turned Into Something Bigger

By early autumn, I began to feel a growing sense of anxiety that didn’t feel like my usual ups and downs. By October, it reached a point where I struggled to leave the house. 

Even thinking about stepping outside would trigger panic, and it could take hours to build up the confidence to even think about stepping foot out of the door. I was consumed by fear, anxiety and the panic attacks were frequent.

I’m naturally quite open about how I feel, so I told my husband directly that something wasn’t right and that the anxiety was starting to affect my mood, and I could feel myself slipping into depression.

The guilt that followed made everything heavier.


I felt like I was letting my son down because our daily walks stopped. I worried he wasn’t getting the best version of me anymore. And the more I thought about it, the more overwhelming it all became.

My husband, being the steady and practical person he is, simply said, “Alright then Georgie, let’s get it sorted.”

Speaking Up at My Midwife Appointment

When my next midwife appointment came around, he came with me. I have a habit of downplaying things, and he wanted to make sure I didn’t brush it off.

When she asked how I was feeling, he gently stepped in and explained what had been happening.

What happened next was something I’ll always be grateful for.

Our midwife, by complete luck, was a former mental health consultant. She listened without judgement, spoke to me with genuine kindness, and immediately discussed practical steps to help me manage the anxiety.

Before I left the appointment, she’d already referred me to perinatal mental health services.

Every single time anyone asks about midwives in our area, I always rave about her because of this. She was the best person for the job, for me.

(image: Georgia Anne)

Getting Support: Talking Therapies & Medication

Within a month, I had started talking therapies, and I was given a low dosage of anti depressant, sertraline. It was a huge relief to finally feel like something was moving in the right direction.

I continued with therapy throughout the pregnancy, and in March, my daughter, Freya, was born. Giving my children a small but beautiful 17 month age gap.

After the birth, a mental health consultant at the hospital sat with me to talk through how I was feeling. We discussed baby blues, hormonal crashes, and how to manage my medication over the next few weeks.

And honestly, the main emotion I felt that day was relief. She was here. Safe. Healthy. And I’d made it through.

Where I Am Now

Freya is now a lively toddler: walking, talking, exploring everything.

I’m still on my treatment plan, and I’m okay with that. The difference in how I feel is huge. I can leave the house without fear. I no longer carry the weight of guilt or the worry that I’m letting my children down. I feel lighter, calmer, and more grounded. I’ve learned so much during my time in therapy, the coping mechanisms to help on bad days, the affirmations to remind myself of how far I’ve come and most importantly: how to open up and be completely vulnerable.

I often think back on that period in my life and feel a sense of pride that I was honest with my husband, and that he spoke up for me and didn’t let me sugarcoat. 

What I Learned And What I Want Others to Know

Mental health care is not a luxury. It’s essential, especially during pregnancy because it’s a time when so many physical and emotional changes are happening at once.

Reaching out to my midwife and being honest about how I was feeling was the most important step I took. It led to support that genuinely changed my experience of pregnancy and early motherhood.

If you’re feeling overwhelmed, anxious, low, or unlike yourself during pregnancy, please know this:

You’re not alone, and you deserve support just as much as anyone else.

There is help available through midwives, GPs, perinatal mental health teams, talking therapies, charities, and NHS services.

Reaching out doesn’t make you weak. It’s the first step toward feeling like yourself again.

Georgia Anne is a UK lifestyle blogger who writes about motherhood, identity, and alternative living. After experiencing pregnancy-related anxiety, she became passionate about speaking openly about maternal mental health and helping others feel less alone. She lives in England with her husband and two children, and shares her honest reflections at georgiaanne.co.uk.

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

~ Eleanor Segall ~ 4 Comments

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

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

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

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

Love,

Eleanor

x

CBT vs EMDR: Which Therapy Is Right for You? by Andrew Kemp, Therapist at Clear Mind CBT.

~ Eleanor Segall ~ 2 Comments

(image: Toa Heftiba: Unsplash)

When people begin looking for psychological support, Cognitive Behavioural Therapy, or CBT for short, is one of the most well-known and accessible forms of psychotherapy. Recently, more and more therapists are offering Eye Movement Desensitisation and Reprocessing (EMDR), particularly for trauma.Both are well established, evidence-based treatments that can help people move forward from distressing experiences — but they do so in quite different ways.

If you’ve been wondering what sets them apart, or which might be the best fit for you, this post aims to break down the differences in a clear and down-to-earth way.

Understanding CBT

Cognitive Behavioural Therapy (CBT) is arguably the most widely accessed and researched psychological approaches, particularly in the UK. It’s based on the understanding that our thoughts, emotions, physical sensations, and behaviours are all connected. When one of these areas becomes unhelpful — for example, when our thoughts become overly negative or worrisome — it creates a negative cycle that keeps us stuck and in turn maintains that distress.

CBT helps a person to notice these patterns and challenge them with practical, realistic alternatives. The aim is not to “think positively” but to think more accurately. For instance, if you often find yourself thinking “I always mess things up,” CBT would explore the evidence for and against that thought, helping you see the situation in a more balanced light.

Sessions are focused on the present and typically structured towards achieving mutually agreed goals. There is less emphasis on the past and childhood, although this can be useful to consider in relation to the development of a person’s belief system or how they see the world today. This, in turn, influences a person’s responses to distress. CBT continues outside of sessions as clients engage in task such as trying alternative response to distress, or journalling at challenging times. 

CBT for trauma focuses on making changes to the way a person thinks about a traumatic event, and themselves within that event. Re-living is a key element of CBT for trauma and enables the person to safely revisits the traumatic memory in a structured, supportive way with their therapist. This allows the brain to process the event as a memory, rather than something that is still happening now, which in turn reduces distress around the event and any associated flashbacks or nightmares. The overall aim is to reduce distress, restore a sense of safety and control, and help the person make sense of what happened so the trauma feels like something from the past — not something still happening in the present.

CBT is highly effective for anxiety, low mood/depression, panic attacks, phobias, obsessive-compulsive disorder (OCD), PTSD/trauma, poor sleep/insomnia and many other mental health difficulties.

Understanding EMDR

Eye Movement Desensitisation and Reprocessing (EMDR) might sound unusual at first — after all, what do eye movements have to do with mental health? Yet EMDR is a powerful, evidence-based therapy originally developed to help people recover from trauma.

The theory behind EMDR is that when something distressing happens, our brains sometimes struggle to process it properly. The memory can get “stuck,” remaining vivid and the person continues to experience the fear as if the event is happening again. EMDR helps the brain work through these memories so they can be stored more adaptively — as something that happened in the past, rather than something that continues to feel threatening now.

During EMDR sessions, the therapist will guide you through sets of bilateral stimulation — this could involve following their fingers with your eyes, hearing alternating tones through headphones, or feeling gentle taps on your hands. This process is thought to mimic the way the brain naturally processes memories during REM sleep.

One benefit of EMDR is that it’s not necessary to go into detail about the event if you don’t want to. The focus is on how it feels in your body and what comes up in the moment. Over time, people often report that distressing memories lose their emotional intensity, and the beliefs tied to those experiences begin to shift to something most positive and empowering, rather than fearful or critical.

Can CBT and EMDR Be Combined?

Absolutely. Many therapists are trained in both and will tailor the approach depending on your needs. For example, someone with trauma may start with CBT techniques to manage anxiety and develop coping skills, then move into EMDR once they feel more grounded and ready to process deeper memories. In some cases, EMDR can help resolve traumatic roots of long-standing patterns, while CBT provides the tools and strategies to maintain progress in day-to-day life.

It isn’t about one being “better” than the other — it’s about finding what works for you, at the right time and pace.

Which One Should You Choose?

If you’re feeling stuck in unhelpful thoughts or patterns — for example, overthinking, avoidance, or self-criticism — CBT can be a great place to start. It’s structured, practical, and gives you tools you can continue using long after therapy ends. If you’ve experienced trauma, flashbacks, or distressing memories that feel “frozen in time,” EMDR might be more suitable. It’s gentle yet powerful, and often helps people move on from experiences they’ve been carrying for years.

Ultimately, the best way to decide is to talk with a qualified therapist who can help assess your situation and guide you towards the most appropriate treatment.

Final Thoughts

Both CBT and EMDR offer genuine hope for change. Whether you’re learning to manage anxiety, heal from trauma, or simply understand yourself better, the right therapeutic relationship can make all the difference.

At its heart, therapy isn’t just about techniques — it’s about feeling safe, understood, and supported while you make sense of your experiences. Whether through CBT, EMDR, or a combination of both, the goal is the same: helping you feel more in control of your thoughts, emotions, and your life again.

This blog was written by UK therapist Andrew Kemp at www.clearmindcbt.com and contains sponsored links.

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

~ Eleanor Segall ~ 1 Comment

(image: Ella Ivanescu, Unsplash)

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

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

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

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

2. Release Control- Give Stress Over

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

3. Nature walks

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

(image: Erika Mendes, Unsplash)

4. Make your home cosy

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

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

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

6. Take your medication as prescribed

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

7. Treat yourself

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

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

Eleanor

Understanding Mental Health Challenges And Recovery Options by Violet Smith Evans

~ Eleanor Segall ~ Leave a comment

(image: Zohr Nemati: Unsplash)

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

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

The Importance of Addressing Mental Health Early

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

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

Understanding Bipolar Disorder

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

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

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

The Overlap Between Mental Health and Substance Use

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

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

Anxiety and Its Connection to Addiction

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

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

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

(image: Sydney Rae: Unsplash)

Building a Strong Support System

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

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

Healthy Lifestyle and Daily Habits

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

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

Long-Term Recovery and Hope

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

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

Final Thoughts

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

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

This blog contains sponsored links.

Healing The Mind And Body Through Supportive Recovery Practices by Isla Salt

~ Eleanor Segall ~ Leave a comment

(image: Yannic Laderach, Unsplash)

Recovery from addiction is a deeply personal and often challenging journey. Each individual faces unique struggles, yet a common thread binds everyone together—the need for healing that nurtures both the body and the mind. Traditional treatments like medical detox and counselling are essential, but recovery extends beyond them. To truly sustain sobriety, many people benefit from incorporating supportive practices that promote physical wellness, emotional balance, and meaningful social connections.

Holistic recovery approaches focus on treating the whole person rather than just the symptoms of substance use disorder. This means addressing the emotional, mental, physical, and even spiritual aspects of health. Within this framework, two practices stand out for their effectiveness and accessibility: yoga as a healing tool and group therapy as a platform for connection and accountability. Together, these methods create a powerful balance, helping individuals not only manage cravings and triggers but also build resilience and long-term stability.

Understanding the Need for Holistic Healing

Addiction impacts far more than just the body. While substances can cause direct harm to organs and brain function, the cycle of dependency often disrupts emotional health and weakens relationships. Recovery programs that focus exclusively on physical detoxification may overlook the importance of mental clarity, emotional regulation, and social support—elements that are equally important in building a healthy life.

Supportive recovery practices go hand in hand with evidence-based therapies to address these needs. By combining structured treatments with holistic methods, people in recovery gain tools to manage stress, regulate emotions, and connect with others who understand their struggles. This integration often leads to improved outcomes and a reduced risk of relapse.

Yoga as a Pathway to Recovery

One of the most effective practices in holistic recovery is yoga for addiction recovery. Yoga provides more than just physical exercise; it is a discipline that strengthens the body, calms the mind, and fosters inner awareness. For people in recovery, yoga offers a constructive way to process emotions, cope with stress, and rebuild confidence.The benefits of yoga extend into multiple dimensions of healing:

  • Physical strength and resilience: Addiction often leaves the body weakened. Yoga helps restore energy, balance, and flexibility, giving individuals a sense of vitality.
  • Mental clarity: Breathwork and meditation in yoga reduce anxiety and improve focus, making it easier to navigate triggers and cravings.
  • Emotional regulation: Yoga encourages mindfulness, helping individuals respond to stress rather than react impulsively.
  • Spiritual connection: For many, yoga fosters a sense of purpose and inner peace, providing a meaningful counterbalance to past struggles.

Practicing yoga in recovery also creates structure and routine, both of which are essential for maintaining sobriety. Whether practiced individually or in a group setting, yoga can become a safe space to reconnect with oneself and rediscover a healthier way of living.

(image: Unsplash: Helena Lopes)

The Role of Community in Recovery

While practices like yoga are powerful for personal healing, recovery is not meant to be a solitary process. Addiction thrives in isolation, and overcoming it requires connection, support, and accountability. This is where community-based approaches such as group therapy play a vital role.

Human beings are social by nature, and support networks are key to emotional resilience. In group settings, individuals can share their stories, listen to others, and gain reassurance that they are not alone in their struggles. This shared experience often reduces shame and fosters empathy, which are critical for long-term healing.

Group Therapy as a Cornerstone of Support

Group therapy for substance abuse provides a safe and structured environment where individuals can open up about their experiences. Guided by a trained therapist, group sessions encourage honesty, accountability, and peer support. Unlike individual therapy, which focuses on one person’s journey, group therapy highlights the power of collective healing. Key benefits of group therapy include:

  • Shared understanding: Listening to others with similar struggles helps normalize feelings and experiences.
  • Accountability: Members often motivate each other to stay on track and celebrate progress.
  • Skill-building: Sessions may teach coping strategies, communication skills, and relapse prevention tools.
  • Hope and inspiration: Seeing others succeed in recovery can inspire confidence and determination.

Group therapy also helps individuals rebuild social skills that may have eroded during addiction. By practicing healthy communication and learning to trust again, participants strengthen the foundations of meaningful relationships outside the therapy room.

Balancing Individual and Collective Healing

The combination of yoga and group therapy illustrates how both individual and collective healing practices can work hand in hand. Yoga allows individuals to reconnect with themselves, build strength, and find calm in the face of challenges. Group therapy provides the encouragement and accountability that comes from shared experiences. Together, these practices address both the internal and external dimensions of recovery.

For many, the integration of body-focused and community-based approaches creates a balanced recovery journey. It ensures that healing is not only about overcoming physical dependence but also about cultivating emotional stability and social connection.

The Long-Term Impact of Supportive Practices

Recovery is not a short-term process—it is a lifelong commitment. Supportive practices like yoga and group therapy provide tools that individuals can carry with them long after formal treatment has ended. These practices foster resilience, helping individuals manage stress, cope with setbacks, and continue growing on their path to wellness.

Some people incorporate yoga as part of their daily routine, using it as a grounding practice. Others rely on ongoing group sessions or peer support communities to maintain accountability. The beauty of supportive recovery practices is their adaptability—they can evolve with a person’s needs and provide consistent strength throughout life.

Creating a Sustainable Recovery Lifestyle

The journey to sobriety is about much more than simply avoiding substances. It is about creating a lifestyle that supports health, purpose, and connection. A sustainable recovery lifestyle often includes:

  • Regular physical activity, such as yoga or other mindful exercises.
  • Participation in therapy or peer support groups.
  • Healthy nutrition and sleep habits.
  • Engagement in meaningful work, hobbies, or service.
  • Building strong, supportive relationships.

When individuals embrace both holistic and therapeutic practices, they are better equipped to live fulfilling lives beyond addiction.

Final Thoughts

Healing from addiction requires more than detoxification or medication—it requires a comprehensive approach that nurtures the mind, body, and spirit. Practices like yoga provide personal healing and inner balance, while group therapy fosters community, accountability, and shared growth. Together, they create a powerful foundation for lasting recovery.

By embracing supportive recovery practices, individuals not only overcome addiction but also rediscover the strength, resilience, and joy needed to build a healthier and more purposeful life.

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

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.