Tag: wellness

Taking Lithium for Bipolar Disorder: Side Effects by Eleanor

~ Eleanor Segall ~ 5 Comments
Pre Lithium in 2010 (skinny minny)

Post Lithium (on my wedding day in 2019)

I first heard about Lithium carbonate, a natural salt and the ‘gold standard’ medicine for bipolar disorder, when I was in my teen years. My dad was taking it to help his bipolar episodes- Lithium is known to stabilise mood and stop mania and depression from occurring or lessening their impact. I knew then that it was quite a strong drug, that you would need blood tests and that it caused weight gain. But it really helped my dad with his illness.

Fast forward to 2004, I was just 16 and had been diagnosed with bipolar in hospital. My brain was still growing and both I and my psychiatrist were reluctant to try Lithium at that stage, so I was started on Carbamazepine, another mood stabiliser. It was only when this medicine stopped working about 10 years later in 2014, when I was struggling with suicidal depression and anxiety (which then turned into a manic episode that I was hospitalised for), that I seriously considered taking Lithium to help me, like it helped my dad.

Lithium was first found to have benefits for patients with bipolar disorder in the 1950s, with a discovery by psychiatrist John Cade. Even today, we still don’t know what causes the disorder, but it is believed that Lithium stabilises mood – particularly mania. The psychiatrist.com notes this,

‘The real breakthrough in lithium therapy came in 1952, when Erik Stömgren, a Danish psychiatrist and head of the Aarhus University psychiatric clinic in Risskov who had read Cade’s article, suggested to a staff psychiatrist at the hospital, Mogens Schou, that he undertake a randomly controlled study of lithium for mania. Random controls were just being introduced to psychiatric drug trials at that time, and Schou randomly assigned patients to lithium or placebo by the flip of a coin. His results were published in a British journal with the article concluding, “The lithium therapy appears to offer a useful alternative to [electr[electroconvulsive therapy] since many patients can be kept in a normal state by administration of a maintenance dose.”

For me personally, Lithium treatment has changed my life in a number of ways- both good and not so good. Lets start with the good, I havn’t had an episode of mania and psychosis or suicidal severe depression in 8 years, which is largely down to medication helping my bipolar brain chemistry. It has worked for me- which is amazing- and I never thought I would find an effective treatment to help me. I have bipolar 1, the most severe type and although Dad has the same and was helped, I never thought it would lead me to remission. In fact, in 2014 when I was under the home treatment team after hospital, one of the nurses asked me to consider whether Lithium might not work for me and I might have to live with episodes… needless to say I cried as was very fragile and asked her to leave! She was wrong, thankfully.

On to the bad things: Lithium in combination with an antipsychotic Quetaipine has caused me to put on a lot of weight, as it slows metabolism. I also have to have 3 monthly blood tests to check my lithium level is within the correct range as too much is toxic to the body. Thankfully, I drink enough water and eat enough salt so I have never had a toxic reading but its a very careful balance..I have to always look after myself. Another bad side effect is skin sensitivity and acne- Lithium causes spots- so I have had to adapt my skincare regime and diet accordingly. Sometimes certain foods plus Lithium can trigger this too. Again, I have to pay more attention to my physical health as a result of taking Lithium and Quetaipine

The weight gain in particular has been a worry for me and is something I am working on., especially as diabetes runs in my family. Then there is the Lithium thirst…

Lithium as mentioned is a salt, and as it metabolises in the body, makes you incredibly thirsty. You have to be careful not to get dehydrated. Hence my love affair with Robinsons squash and the occasional ice cold fruit juice. No matter how much I drink, I can never fully quench my thirst, even if well hydrated. Lithium thirst is not the easiest… but Robinsons is my friend as its lower in calories and more delicious than plain water! And now I am thirsty again… haha

So I have a love-hate affair with Lithium. Brilliant for my mental health, not so great for my physical health at times. There is also a concern because over time Lithium can cause kidney and thyroid issues, which is why I have blood tests too. So its not perfect, but it really helps me to live my life and have stable mental health. Over time, its important i am monitored. I have been on it 8 years, but it could start causing problems at some point.

Additionally, when I please G-d get pregnant one day, my lithium levels will need to be monitored (but thats a blog for another time).

I don’t have nausea or trembling on Lithium which is good, but the other side effects (particularly weight) have not been so pleasant. I am so grateful though to have a medicine that keeps me well and out of hospital, able to live a life that some others take for granted.

Thanks to all who voted for this blog. If theres anything else you’d like to know, just ask a question and I will respond.

Eleanor x

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

~ Eleanor Segall ~ 3 Comments
(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.

Living With Anxiety, Promoting Mental Health And Success In The Workplace By Erin Hallett

~ Eleanor Segall ~ 1 Comment
(image: Erin Hallett)

I sat in A&E on a Wednesday morning trying to control my breathing.

My day began normally with a rushed breakfast and a sweaty commute on the Northern Line. I got to work and started to feel lightheaded and slightly panicky. My chest hurt and I found an empty office to try and calm down. It didn’t work. My brain was screaming ‘heart attack’. A kind colleague put me in a taxi with directions to the hospital.

Of course, I wasn’t having a heart attack. It was a swift diagnosis and then I had hours to wait before seeing the on-call mental health specialist. My panic turned to shame. Especially as I watched ‘real’ sick people come and go from A&E.

It wasn’t my first panic attack, but it was my first one at work.

I was diagnosed with anxiety years earlier in Canada by my GP. I managed it through talking therapies, medication, and support from family and friends. I didn’t have to tell anyone at work and outwardly I always looked like a confident professional. I have what is commonly referred to as ‘high-functioning anxiety’.

My stress levels had been building since I moved to the UK. New country, new job, lots of work travel with more responsibilities, and missing my regular support systems. I felt uncomfortable in my own body; it ached all the time, my memory was unreliable, my hands shook, and my stomach always hurt.

I ignored all the signs and pushed through. It wasn’t one thing, anything specific, or even the building pressures at work. I stopped taking care of myself and I was scared to ask for help. Deep down, I knew it was my fault that I ended up in A&E.

I turned on my phone and scrolled through concerned messages from my team. Excuses raced through my mind: migraine, food poisoning, allergic reaction. Anything but admitting the state of my mental health. How could they, or anyone at work, respect me if they knew my truth?

One of my team members sent a private message asking if I needed a toothbrush. Even now, I can’t explain why it was their simple message that gave me the courage to tell the truth. Perhaps I sensed their kindness and concern? Perhaps because it was ‘normal’ when everything else felt out of control? Whatever the reasons, I decided to be honest with my team and my colleagues from that moment.

I am not unusual. The Mental Health Foundation cites a 2013 study with 8.2 million cases of anxiety in the UK. All my life I had been told I was ‘stressed’, ‘a worrier’, and ‘a perfectionist’. These characteristics make me successful, but they often cost me my mental health.

I recognise that being able to speak out is a privilege and that my seniority made it easier. It was still a risk, but I could no longer afford to be silent about my mental health. My main concern was that I would lose credibility at work. I didn’t want others to see me as weak, unreliable, or incapable.

Senior leadership, my team, and my closest colleagues were immediately supportive and sharing my story changed from being scary to empowering. Speaking out gave me some control over my anxiety and I became a better leader because I could bring my whole self to work. I started to see my anxiety as, if not a strength, something that allowed me to engage honestly with others and with my work.

I would like to share that as a white, middle class Canadian women working in reputable organisations with access to support, I feel that I have had some level of privilege at being able to access this support. Additionally, anxiety as a mental health disorder, is also relatively understood and more accepted.

No matter anyone’s background, including mine, talking about your mental health can be scary and make you feel vulnerable.

There is no one way to support mental health at work and everyone copes differently. It’s not about online yoga classes, taking deep breaths, or flexible working policies. I think it’s about awareness, inclusion, and having difficult conversations. Often when I am struggling, the only thing I want from my employer or a loved one is to be heard.

As a leader with anxiety, I think some of the most important things I can do is speak openly about my experience, help others to do the same, and listen to their stories. I took every opportunity to do these things while working at Imperial College London Business School and I continue to do so in my new role at Cambridge Judge Business School. Instead of just asking my team ‘How are you?’, I ask questions like ‘Are you getting enough sleep?’ or ‘What can I be doing to support you?’.

When I interviewed last year for my role at Judge, I intentionally spoke about my anxiety and how it influenced my leadership and working styles. I felt it was a risk worth taking.

I want organisations, employers, and employees to understand, and to see through my example, that having a mental health disorder doesn’t mean you can’t be successful or ambitious. Everyone faces challenges. Our organisations need to be a place that talking openly is encouraged and supported. Anxiety has taught me to be kinder, more empathetic, and that bringing these qualities to work are beneficial for me, my colleagues, an organisation’s healthy culture.

Erin Hallett is a mental health writer, advocate and speaker, originally from Canada- she now lives in the UK. Erin works at Cambridge judge business school.

What Tools Go Into Substance Abuse Treatment by Kara Masterson

~ Eleanor Segall ~ 1 Comment
(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.

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

~ Eleanor Segall ~ 3 Comments

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.

Mental Health, Low Self Esteem, Body Image and Fashion.

~ Eleanor Segall ~ 1 Comment

(image: Freestocks at unsplash)

Fashion is a powerful force. It has the ability to make people feel confident, empowered, or at its worst horrible about themselves. It can have a positive impact on mental health and self-esteem if you find something pieces that make you feel good about yourselves. On the other hand, fashion can also have a negative impact on self-esteem and mental health if you’re constantly exposed to images and messages that make you feel inferior or unhappy with who you are. Especially with the inward turn of the pandemic, its hard for people to feel happy and confident about themselves.

The Psychology of Fashion

Fashion is a multi-billion-dollar industry and a big part of many people’s daily lives. It’s a subculture that’s easy to invest in. And, like any other trend, fashion comes and goes, so you’re always in control of how much you invest in it. The psychology of fashion reveals the different aspects of how fashion impacts people’s self-esteem. From the way people perceive others based on the way they’re dressed, to how people present themselves to the world by choosing outfits, fashion has a strong psychological effect on everyone.

Body Image

Our bodies are such an important part of life, and it’s normal to have some insecurities about them. Still, as you grow older, many people struggle with body dysmorphia or an unhealthy obsession with one’s appearance. Constant exposure to images of other people’s bodies that are unrealistic and unattainable can be harmful to your self-esteem, especially in young people who are still forming their self-image. This can lead to eating disorders, body dysmorphia, low self esteem and depression and anxiety. Looking at images of gorgeous models wearing clothes you can’t afford or fit in can makes you feel left out or confused. It’s fun to keep up with trends, but try to avoid getting stuck in a rut of hype culture.

(image: Hannah Morgan at Unsplash)

So what should I do?

You can’t ignore fashion and societal trends- but it’s important to not let fashion (or what is popular to wear) become something that defines who you are. It’s a fun accessory, something you should do for enjoyment, creativity, and confidence. For people who have found themselves struggling with their mental health due to the psychological effects on body image, it’s important to seek help. Talk to your friends and family members, or seek professional help if you need it. There are many ways to find happiness in style- whether you’re into vintage clothing, a specific designer, or a particular style like athleisure. You can read blogs with good recommendations, and wear things that you love, like that pair of perfect trainers or Men’s Off-White Hoodies. There’s something for everyone, and it’s important to have fun with it!

Fashion and societal expectations of how one should look can have a big impact on mental health, so it’s important to be mindful of it. It is also hard to be bombarded with negative messages on body image via social media. The body positive movement has sprung up because of this narrative- showing curvier models and embracing your flaws as beautiful.

There are also many ways to wear your favourite clothes in a way that makes you feel good about yourself, without negatively impacting your mental health. Focus on what makes you feel like the best version of yourself!

This article was written by a freelance writer and contains do follow links.

Promoting Wellbeing, Positive Mental Health and Reducing Stress in the Elderly.

~ Eleanor Segall ~ 1 Comment

(image: Unsplash/Istock)

The UK has an ageing population, with statistics indicating that there are 5.4 million people aged 75 years. A further breakdown also shows that persons aged 85 years and above make up 1.6 million of the population. Indeed, the ageing years are characterised by failing physical and mental health. However, science and society continue to devise ways to make the period less stressful.

Here are some guidelines on how:

  1. The essence of mobility

As people age, one of the first things that deteriorate is mobility. The depletion of muscle tone, coupled with bone issues, may inhibit movement. Usually, it sets in gradually, and when nothing is done, mobility can decrease by as much as 70% to 80%. At that point, an ageing person may need walking aids to support their body weight. However, mobility issues can be thwarted if counter-measures are taken in time.

Geriatricians (primary care doctors for the aged) advise ageing persons to dedicate some minutes of their days to walk. According to these experts, 150 minutes in a week is adequate. When the elder individual has enough energy, an average of 20 minutes daily is perfect. However, another person with mobility issues can engage in a guided basic workout for at least 15 minutes a day. Among the elderly, the risk of falling is incredibly high. This may therefore require a specialised alarm for elderly persons. This is worn like a wristwatch and can be used to monitor the number of daily steps, call for help when needed, etc. So, as you encourage an older person to take mobility issues seriously, it helps to ensure that it’s done safely.

  1. Reinforced social networks

It is essential to belong to a strong and supportive social network during the later years. Retiring from active duty and work can trigger depression. Although statistics indicate that depression in older adults is less prevalent than in the younger generation, it is still a cause for concern. Research in UK care homes revealed that 40% of the ageing generation endure chronic depression. This is likely due to the separation from their immediate family and friends.

Fortunately, this can be resolved when these seniors are encouraged to participate in social engagements. It can be in the form of a support group, a reading club, or other recreational groups purposely for older adults. As simple as these social networks may seem, they play a vital role in their life. It generates a sense of belonging, which subsequently promotes healthy mental well-being.

  1. Attention to regular quality sleep

According to the British Geriatrics Society, insomnia is prevalent amongst elderly people. Whether housed in a care home or not, the difficulty in initiating and maintaining sleep is a hurdle many older adults cannot cross without help. Insomnia is both a physical and mental well-being issue. This explains why experts say it should always be tackled from both angles.

In other words, as doctors prescribe pills to aid sleep, it is advisable to focus on the root cause of insomnia. It is possible to boost sleep quality by speaking to medical professionals and also assessing if there is a mental health cause to the insomnia too.

Elderly adults need both physical and mental health care as they transition into this new phase of life. These are just some ideas to help.

This article was written by a freelance writer.

What To Do When You Feel Alone: by Eleanor

~ Eleanor Segall ~ 8 Comments


As I started opening this page to write this blog post, on youtube, the Jessie J live concert I was listening to flicked on to one of my favourites of hers, ‘Who You Are’.

The lyrics:

‘Don’t lose who you are

In the blur of the stars

Seeing is deceiving

Dreaming is believing

its Ok not to be OK

Sometimes its hard to follow your heart

Tears don’t mean you’re losing

Everybody’s bruising

Just stay true to who you are.’ (Jessie J)

I wanted to write a post on what to do when you feel alone. This sums it up- self care and staying true to yourself.

  1. Its ok to cry. Let the emotion out, feel the grief/fear/sadness/anger. Allow it to be present and wash over you. Crying can be healing.

2. Seek support from a loved one, someone you trust or a helpline like Samaritans. You are never truly alone even if you don’t have a supportive family or friends- though it is harder.

3. Write out your feelings on paper in a journal or talk about them with a therapist if you can access one.

4. Do a little activity to make you feel a bit happier– talk to a friend, sing, paint, write, do sport- whatever your thing is- do it.

5. Find a support group- Mind run good ones or a local charity to you.

6. Remember – these emotions, these feelings will pass like clouds eventually. This too shall pass. make sure you keep speaking, sharing and healing yourself.

7. If you are feeling very depressed or at crisis point, call a helpline or go to your GP.

8. Make sure you eat, drink and look after yourself. If this isnt possible- see point 7.

Sometimes we can all feel alone or lonely in the world. Its a part of being human. But taking small steps towards looking after ourselves and our mental health can be really helpful.

What helps you?

Eleanor x

How to Transform Social Anxiety/Phobia by Lewis McDonnell at Phobia Support Forum

~ Eleanor Segall ~ 1 Comment
(image: Pexels: Brett Jordan)

Social anxiety is quite common but it affects people in different ways, situations and circumstances. Some people may find they have anticipatory anxiety before certain events, like interview days, big events like weddings and public speaking. But for those that suffer with everyday social anxiety this can be equally debilitating.

Living with social anxiety can be tough because it literally affects everything we do. From the choices we make, activities we participate in, opportunities that are presented to us and naturally, the way we live our lives. It can also have a huge impact on the direction of our life and how it unfolds.

For many people living with social anxiety, it can range from mild to very extreme. It’s often triggered due to particular circumstances. Big events such as:–

  • Going on a date
  • Meeting new friends
  • New job interview.

It can also be triggered by everyday events. For example:-

  • Going to the supermarkets or the shops
  • Speaking with the cash register assistant
  • Asking for directions
  • Walking around in public places.

In order to address the many challenges of social anxiety, we need to understand the specific causes.

Causes

Social anxiety manifests itself as tension in the body, elevated heart rate, paranoia, awkwardness, inhibition, not being able to express ourselves in certain moments where we want/need to. This is often caused by the beliefs and the ideas that we hold in our mind. When these are triggered, or we are provoked/threatened by the particular circumstance, this is when the anxiety kicks in.

In our everyday existence, we have two types of thinking.

One type of thinking is known as logistical thinking. This is simply our organisational logical thinking such as, today, I need to get the train. Or we may have thought when we go to the shop, I’m going to buy apples today, they are on the list, together with potatoes and rice. It’s very logistical. This kind of thinking holds no real emotion and is more matter of fact.

However, most people living with social anxiety describe themselves as self-conscious and this is an accurate description of the second kind of thinking, known as self-referential thinking.

Self-referential thinking is where we are referring back to ourselves.

For example… we might have the logistical thought, OK, I need to get the train. But then self-referential thinking would come in, making us consider, what happens if I miss the train? What happens if I’m late for work? What happens if the train is delayed? What will people on the train think of me? Should I be getting the train to work rather than driving?

This is where we apply personal meaning to our circumstances and to the logistical tasks of the day. We give it meaning that relates back to our self-image and identity. Within this, self-referential thinking is where a lot of anxiety is created.

Examples of self-referential thinking

Note: everyone is unique and everyone has their own thought patterns, leanings and identity. Here are some examples of self-referential thinking that can provoke anxiety in people:-

  • What will people think of me?
  • What if they don’t like me?
  • I hope I don’t come across as being awkward.
  • What if I embarrass myself?
  • Are they looking at me?
  • What if I make a mistake?

All of these thoughts can be considered seeds. The first domino in the sequence triggers the momentum of catastrophizing self-referential thinking. This can lead to a sense of anxiety, dread, panic or embarrassment.

(image: Cloudlead blog)

Struggle with social anxiety

I actually used to really struggle with social anxiety and this would prevent me from speaking in front of groups. It would make me feel very self-conscious and on edge when I was in supermarkets, when I was around people in public places. I’d often worry about what other people were thinking of me or how I was coming across and I really used to beat myself up over this. It made me feel as though I was somehow inferior or there was something wrong with me.

In my quest to beat social anxiety, I tried a lot of things to try and overcome this. Some of the things I found most impactful were part of my own professional therapy training.

During our practice sessions with my colleagues, we would get to work through many of our fears and anxieties. That provided me with a great deal of relief and clarity.

Another thing that really helped me was the concept of self-acceptance. Because it’s often the things that we reject about ourselves that we then project onto other people. So if we don’t like the shape of our body or the way we look, we will assume that perhaps other people won’t like that either. But that is a projection of our mind onto these people.

It’s none of our business what other people think, it matters more about what we think and self-acceptance is a beautiful concept. A practice where we draw in the things that we feel such great resistance to. Then we seek to embrace it, accept it and claim ownership over it. That way we take back our power and finally give ourselves permission to exist as we are, without judgement or criticism.

After all, this is about reclaiming your sovereignty, your identity, your freedom from these thoughts, insecurities and worries. These are the things holding you back from living your best life, enjoying your life and fulfilling your potential.

Comedians have social confidence

Take comedians for example, they often talk about embarrassing moments and they talk about all the taboo topics such as farting and other awkward encounters whilst everyone in the audience cringes with laughter at the shock factor.

But whilst the audience cringes with laughter, the comedian stands there proudly and boldly, proclaiming to the world. They take ownership of their so-called insecurity or embarrassing moments and they do so with confidence. That’s because a confident person is a self-accepting person. They have claimed ownership over their embarrassing moments and taken their power back from them.

Bringing self-awareness into your thoughts

The first stage of transforming your anxiety is bringing self-awareness to your thought process. The question you need to ask yourself is: What is making me feel anxious?

Some people are afraid of judgement, criticism, embarrassment, drawing attention to themselves, being the odd one out, being rejected.

Whatever it is to you will be unique and if you spend time thinking about this, you will begin to get a clearer understanding of what’s really generating all of this anxiety. It can be helpful to use a notepad and pen for this exercise.

Social anxiety is just a symptom of an unconscious behavioural response. The good news is that it can be changed because all behaviours can be changed. This isn’t something that you’re born with. This isn’t something that you’re destined to live with for the rest of your life. It is something that can be resolved and there are many ways to do this.

Taking the right path for you

Some people feel inspired to take the route of exposure and setting themselves social challenges. This is done in the way of, OK, if I’m afraid of talking to people or more afraid of what people think, I’ll set myself a challenge. Every time I go out in a social situation, I’ll ask someone for the time or ask the shop assistant, how are you doing today?

But whilst that’s all very well for a lot of people living with social anxiety, it can be very intense and confronting, even just getting to that stage can be challenging. So for that reason, professional one to one therapy can be really helpful for this.

Some recommendations would be to first find a therapist that you trust, that you feel a genuine connection with them. Always check to see if they have a proven track record for helping people get results, and that they really are an expert in their field.

Once you find that connection, build that trust and learn to enjoy your unique character, your anxiety levels will fall as you take back control.

Social anxiety is an unconscious behavioural response that’s generated by our beliefs and thought processes, all of which can be challenged and changed..

Conclusion

At some point in our lives, the vast majority of humans on this earth will experience a degree of anxiety in certain social settings. How we react, adapt and behave within these settings is dictated by our attitude and perception of the experience.

This article was written by Lewis McDonnell from the Phobia Support Forum.

How To Stay Motivated And Keep A Good Mindset Throughout Physical (Physio) Therapy by Sierra Powell

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Physical (physio) therapy sticks out as an important part of the recovery process if you find yourself in pain or overcoming an injury. Continuing to do your physical therapy may seem overwhelming, so you could end up losing your motivation. This means you should find some ways to keep yourself motivated, so you can enjoy all the benefits of physical therapy.

Ask Someone to Help You

If you struggle with motivation, you can always talk with people close to you for some help. For example, if you have a family member you trust, you can mention your lack of motivation. From there, you can ask that person to keep you motivated and check in with you, so you can stick with the physical (physio) therapy and overcome your injury.

Sometimes, motivation simply requires another person to help you out. If you let someone work alongside you, then you don’t have to tackle the challenge on your own. Having the additional support can help you remain motivated and stick with the therapy process.

Remember the Potential Benefits

Sometimes, people don’t like to go through physical (physio) therapy since they may feel pain and spend multiple hours tackling the process. For example, if you deal with sciatica pain, you may feel excruciating back pain while you go through therapy. Since you may not want to deal with the pain, you may lose your motivation to continue.

You need to remember the benefits of physical (physio) therapy, so you can stick with it. After all, you can lower your pain in the future if you effectively treat it now, so make sure you remember this point whenever you want to quit.

Make Note of Your Progress

When you go through physical (physio) therapy, you may overlook the progress you make if you focus on the negatives. For example, if you don’t like spending an hour every few days working on your physical (physio) therapy, you won’t realise the progress you made. If you change your mindset to focus on your progress, you may build your motivation up again.

This means you should remember how much time and hours you put into the process to help you stick with it. That way, you can get a better understanding of how much it helped you out since you can see how much you have progressed compared to the beginning.

Enjoy Every Victory

On top of tracking your progress, you should also celebrate each victory you experience. For example, if you go through physical (physio) therapy to help you walk again, you should celebrate once you take your first step. Even though it may not seem like much, reminding yourself of each of these moments can help you feel motivated to continue.

Even the smallest victories can help you with motivation, so make sure you never overlook them. You can enjoy the first step, but you should also celebrate every step you take. You can apply this type of thought process to any therapy you need to participate in.

Create a Timeline for Yourself

Sometimes, people need to know how much they must dedicate to the process if they want to keep themselves motivated. For example, if you need to go through physical therapy twice a week for a month, you can note how many days you have left. This means if you just finished your second session, you only have six more to go through.

Creating a timeline like his can help you visualise what you still need to do. You can mark these days on a calendar to keep track of each important date, so you can make sure you go through the whole process and finish it.

Conclusion

Maintaining your motivation requires you to focus on your mind, since doing so will help you look at the situation positively.

Make sure you keep yourself in a good headspace and boost your mental health, so you can get through the recovery process and get back to your usual life. Self care is so important.

This requires tons of effort on your part, but you can help yourself to get better and recover.

Sierra Powell is a content writer from the USA.