January Blues: I need help now!

 

So far this series has looked at identifying depression and anxiety, knowing where to get help and the types of help that are available. Mainly concentrating on depression or anxiety in relation to a life changing event and depression that you may struggle to identify a cause for. Most of the information has been in relation to the onset of the illness and relatively mild to moderate in severity.

Today I want to talk about mental health crisises. How to recognise that you are in crisis; and where you can access help.

 

How to recognise that you are in crisis:

A crisis can occur whether you have previously been diagnosed with depression or other mental illness such as bipolar, schitzophrenia or obsessive compulsive disorder. Or it may well come out of the blue and you were otherwise previously healthy as the first episode of a mental illness.

MIND the charity says that Mental health crises include:

 

suicidal behaviour or intention

 

panic attacks/extreme anxiety

 

psychotic episodes (loss of sense of reality, hallucinations, hearing voices)

 

other behaviour that seems out of control or irrational and that is likely to endanger yourself or others.

 

In a mental health crisis help is needed more urgently. However where as the majority of us know what to do in a physical emergency most of us wouldn't know where to get help if we or someone else is in serious mental distress. And the NHS infographics, such as the one below, don't cover mental health either.

 

Please note the above photo mentions NHS Direct which has since been replaced by 111. You can read more about this new service below.

 

Helplines

 

I know I have mentioned helplines in most of the posts in this series but that's because they have a real role to play and are recommended by doctors and mental health charities. If the crisis is a part of an ongoing problem you may already be receiving care from a crisis team (which I will talk more about in my next post) and have numbers to ring for those directly responsible for your care. However if it falls out of those contact hours or you do not currently recieve crisis care the best helpline and one that is manned 24/7 is The Samaritans. Contact them on 08457 90 90 90 

 

Your GP or Out of Hours

 

During the day you may be able to contact your GP surgery for an emergency appointment or phone call consultation. However this might not be guaranteed and you might have to wait longer than you feel you can. In which case the receptionist might be able to advise you where to go.

Outside of surgery hours you can contact your nearest out of hours service for an appointment.

I would say both above situations might be most beneficial in slightly less of a crisis, where you are worried but can wait longer. For example you might have self harmed and feeling a bit calmer but still want to report it and get extra help. As long as you can stop any bleeding. If however it is more severe or you have a more serious injury or burns then seek more immediate help, such as those listed below.

 

Dial 111

 

111 is the new service that replaced NHS Direct. It is to be used in more urgent circumstances where you cannot access your GP but where the situation is not presumed life threatening. In which case of course you would ring 999. They can also inform you of what action to take and where you can access the level of help that you need based on the information that you present them with. Whether it be for yourself or if you need to take action on behalf of someone else. From there they can  make direct appointments for you or put you through to more specialist services such as A&E, out-of-hours doctors (and others depending on the case.) In some cases they can also send for an ambulance.

 

Ring 999

 

If you have seriously harmed (bleeding profusely or severe burns) yourself through self harm, injury or overdose or come across someone that is unconscious or unresponsive as a result of their actions then dial for an ambulance.

 

Go to A&E

 

Going back to those NHS info graphics they are designed to help stop unnecessary use of accident and emergency services because there are too many patients attending that could have been treated elsewhere, which in turn reduces waiting times and how quickly those in real need get treated. However like I mentioned they only cover physical health. Just like you would a physical emergency going to A&E if you are experiencing a mental health crisis is a real option and Accident and Emergency units do have policies and procedures in place for patients that present with the symptoms of a mental health crisis. In some cases if you have previously sought help from a doctor or NHS 111 they might even have told you to go to A&E. Go to A&E if you are also in need of physical treatment as a result of your mental state, such as deep self harm, injury or overdose.

 

There they will assess you and sometimes check for any infections that might be causing any symptoms (such as hallucinations) through a blood test and urine test. As well as treating any physical symptoms if you have any. If you're symptoms are beinv made worse by the waiting room environment (which are never easy to cope with anyway) ask if you can wait somewhere quieter. In some cases they will do this automatically. They will also keep a note of your clothing and physical description for security purposes. Should anyone in severe crisis leave the department. You should also be assessed by the psychiatrist on call, alongside a mental health nurse. Unfortunately crisis care at A&E can vary. Sometimes depending on how busy they are. I always used the same one but the experience differed on each ocassion. Ideally you should be treated as stated above. Put in a safe place and treated with compassion and understanding. You can be waiting a long time too to see a psychistrist depending on the time of day and how much other work they have with inpatients etc. But know that you are entitled to be assessed by a psychiatrist and that you have every right to be there. Even if you have no physical injury. Knowing your rights and where to get the help you need is really important

 

I remember during the times that I was in crisis and although the thoughts to do harm were overwhelming, on most occasions there was also a real fear. I was just so scared of these feelings. Personally, I saw that fear as a ray of hope, which might sound strange, but I kept telling myself that as long as that fear was there it meant that a part of me was fighting back; saying get yourself some help, get yourself 'somewhere' safe. However I also know that that fear also escalated those feelings of anxiety making my symptoms even worse. Panicking that I would totally lose control. But I am glad that through that I could say "I need help, now!" In hindsight I can see that the really scary times were those of total clarity and intention. The actual planning of 'I am going to harm myself.'

 

If you ever feel like that or come across someone that does then I hope this post has helped inform you of what you can do.

 

In my next post I'll talk about what care options are available for more severe cases.

 

Sian

January Blues: What help is available?

 

In my previous post on where to get help if you think you may have depression I referred to a questionnaire that your GP should supply you in order to form an assessment of how much depression is affecting you. You can see an online copy of the questionnaire here http://www.nhs.uk/Tools/Pages/depression.aspx  It is important that you fill it out honestly and that you can provide as much other information as possible in order for your GP to suggest treatments they feel will most help you.

 

Possible Treatments

 

See how it goes:

If your depression is relatively mild then after your initial talk with your GP you may feel a bit more empowered and much lighter for having got things off your chest. If this is the case then make a follow up appointment for a week or two to see if this continues. But remember if you continue to feel worse then go back to see them sooner. Furthermore speak to someone that you can trust and open up to regularly. Also remember if you are feeling at the end of your tether with it all then seeing how it goes might to you sound like a cop out. In which case work with your doctor to come up with a more proactive care plan.

 

Self care:

 

Your GP may also write you a book prescription for a self help book about depression/ anxiety that they recommend. You simply take the prescription to your local library and they get a copy of that book for you to lend for a few weeks. It doesn't matter if you are a member of that library or not. You may find it difficult at times to  concentrate but take it bit by bit. Alternatively they could recommend good websites to use that have detailed and useful information. Sometimes just knowing you are being that bit more pro active can lift your mood slightly.

Other tips that may help you is to try and see a bit more day light and get more fresh air. To do gentle excercise. Eat more healthy foods. Even just pampering yourself a bit. Having a bubble bath, putting on a face mask or painting your nails. Listening to your favourite songs or watching your favourite tv show or film. Many a counsellor will tell you to avoid the news and soap operas as they can often make you feel worse. They might sound trivial but they can work to help boost your self esteem and also as a distraction technique, to prevent you thinking as much about your troubles. I would also recommend keeping a diary to help you rate your mood and to notice if anything helps to improve your mood. Even if you simply write:

 

Mood before activity (going for a walk):
Mood after activity:

 

Assigning your mood a number. 1 being the lowest mood imagineable and 10 being the best mood.

 

Talking Therapy:

 

As mentioned in my former post counselling is one of the most recommended forms of treatment available for all kinds of patient and problems. It can help you to gain perspective and to make you feel that you are not alone in dealing with your emotions, feelings and problems. You may benefit from talking to a friend or family member however the added advantage of receiving counselling is that you can talk to someone who is trained to listen and have specific advice to help you cope with this difficult time. Plus, because they don't know you they do not have any preconceptions of you nor pass any judgement. Usually counselling is one on one but there is also the options of relationship counselling, family counselling and group therapy depending on your needs. I spoke in more detail on what types of counselling are available and where you can find counselling that is right for you in my previous post (linked above).

 

Cognitive Behavioural Therapy

 

Or CBT as it is known, whilst controversial for it's choice as a treatment for physical illnesses, can be an effective treatment for mental health problems. It may be used alongside counselling or often combined with it in each session. It is a way of analysising the way in which you think about things and how we form patterns of thought. It looks at ways to prevent some thought patterns that lead to feelings of depression and anxiety from occurring.

 

For example I found CBT extremely useful in helping me to stop negative thoughts from escalating into depression or anxiety and panic and each time it did I would automatically think about self harming. So through using CBT in my counselling sessions and other help I recieved I was able to identify triggers to these feelings and with time learn to rechannel those thoughts. And I can honestly say now, 5 years later I'm still very grateful for each time I can feel down in the dumps or alone etc etc and not have thoughts of self harm. So I think this is a good treatment for anyone that as a consequence of their feelings wants to harm themselves (or others) in anyway be it through cutting to starving yourself. Obviously the greater the feeling to do harm is CBT may only be part of a treatment plan and combined with other treatments.

 

It is also a good treatment for anyone that is having real difficulty in coping with change in their lives. Be it feeling lost after retiring to having to cope with being diagnosed with a long term illness. It won't improve the symptoms of a physical illness but it may help you to have the strength to adjust to having your life uprouted. For example if you feel that as a result of your illness that your life no longer has meaning. In some ways I think had I not learned to have greater control of my thoughts (even though it was a while before being diagnosed with M.E) I would struggle more emotionally and be at greater risk or relapasing into depression.

 

Medication

 

Many people have opposing views on the use of medications such as antidepressants and benzodiapozines (such as xanax and diazapam) to treat depression or anxiety. Some will say they disliked them, that they gave them a false sense of reality and simply masked their emotions; leaving the feelings unresolved and likely to return. While others, myself included, will say that they were a big help in winning back the emotional fight. That they help calm things down so that you can deal with the emotions and any triggers that you identify through talking therapies. Either way using talking therapies too will allow you to deal with any triggers to the way you are feeling that antidepressants alone can't solve. Of course it is entirely your own choice if you want to go down that route. And I do not wish to influence anyones choice as everyone is different.

 

It's a decision that should be made solely between you and your doctor. You might be worried that by taking antidepressants your problems seem to be much more frightening. A kind of "well I must be really bad if I need loony pills". Or you may be scared in case someone sees you taking this medication and will therefore associate you with being mad. Another fear may be that you are worried about the side effects, which some patients may experience. However each patient will react in different ways. The same goes with fear of the withdrawal process, which can cause it's own problems. It can be helpful to reassure yourself that it is your body readjusting to less chemicals and not be filled with fear that you are adjusting. Be sure to thoroughly discuss likely side effects with your doctor so that you can be fully aware of what to expect. And when the time comes that you feel you could cope without them your doctor will advise you on how to do so gradually and safely. But be aware that it may take some time. It could even be years in some cases (I'm still on a low dosage, 5 years later.) And if you want to make the decision about proceeding with medication at a later date then it's up to you.

 

Types of medication

 

There are several types of antidepressants. However they are all designed to act on the same brain chemicals. I won't go in to chemical speak but basically they work on prolonging serotonin, the chemical associated with good mood, as people suffering from depression can have low levels. These are known as SSRIs. More modern antidepressants also work on norepinephrine another chemical that is responsible for energy and alertness. These are known as SNRIs. These may also have less side effects.

 

Tricyclic and tricyclic-related antidepressants were invented in the 1950s and work by prolonging the action of seratonin as well as noradrenaline in the brain. These can cause a few more side effects.

There are also Monoamine oxidase inhibitors (MAOIs) however these are less common, mainly after other types of antidepressants have been tried and are only prescribed by specialists.

 

Benzodiazepines are sometimes used to help manage anxiety, panic attacks and obsessive compulsive disorders and sometimes during alcohol withdrawal. They work on the chemical in the brain that helps us to feel calm and to help the cells pass on the message that we are not in any danger, that has been triggered with an anxiety or panic attack. However they will only ever be prescribed for short term use due to their association with addiction.Also because they do not help with the route cause of anxiety nor help you to feel better in the long term. They're only effective for a short time when your body is at peak distress. Other treatments such as counselling, CBT or antidepressants will be recommended as more effective ways to stop the anxiety from building and help you cope more long term.

 

Other Treatments

 

Arts therapies

 

Arts therapy is a less intrusive more complimentary treatment. And is designed to allow people that have difficulty in expressing their feelings to do so in a different way. It is often used when treating children, for example to help them come to terms with grief or divorce. It can be useful with this age group due to them not having the learned the right words to express how they feel or how to process the new information. But can also be effective for people of any age. Different art forms such as   music, art, dance or drama can be utilised to help the sufferer to express their feelings in a way that does not feel like therapy. Each session will be run by a trained therapist who will help you to interpret your work and be there if you want to talk about the emotions it has conjured up. Your GP, specialist, counsellor or local MIND centre should be able to tell you where you you can locally access this kind of therapy.

Alternative medicine

 

Depending on your beliefs you may wish to try alternative medicine or treatment. It will also depend on the GP that you are with what information they have about this. Some way have recommendations and others won't because it doesn't necessarily fall within their remit. However like with anything you undertake be sure to know how it will impact you and whether it will interfere with any medication you take. Just because something is natural or alternative does not mean it won't give you side effects (again it differs with each case). I would recommend that anything you do try you disclose to your doctor as a way to regulate how the treatment is going. Also remember that you will need to pay for any medication or treatment yourself.

 

The treatments I have mentioned here are for relatively moderate depression or anxiety. If your condition becomes worse or you become more at risk of doing harm to yourself then there are further options available. Also if you are diagnosed with another type of mental illness such as bipolar disorder, paranoid schitzophrenia or Obsessive Compulsuve Disorder then more specialized help is available. But in the most instances most depression or anxiety patients will be treated with one or a combination of the above treatments and will find them effective. And if any time you feel you are getting worse or experience nasty side effects then be sure to get back to your doctor as soon as you can.

 

Of course what is important to remember is there are no quick fixes, getting better will take time. And that may be incredibley frustrating at times. Try to have patience and think that each day is a step in the right direction. Think of it like a physical illness or injury if needs be. If you broke your leg or had appendicitis you would need at least 6 weeks to be heeled again. Having a mental health problem is no less real and the mind is a much more complex place.

 

Sian

 

* The information contained within this blog post is for self education purposes and should only be used in conjunction with that of a doctor that understands your personal circumstances.  All information in this blog post has been researched from MIND's website and the NHS website. With some personal experience. Please note that every patient is different  and all medical choices are best decided between you and your medical professional. I do not wish to influence anyone's choices, as it is down to each individual. This post only stands to point out what help is available out there.

January Blues: Where can I get help?

 

Firstly I want to say a very big thank you for all the comments and support I've received so far about this mini series. I'm glad many of you have appreciated it. This post is going to be a point of reference of sorts, should you ever need the information. Actually the post was getting so long I've had to split it into a few posts. One that's more general (which is this post) and another for more of a crisis situation (which hopefully will be published soon) and a post on what treatment options are available.

 

When you are battling with your mental health the hardest thing it can seem to do is to ask for help. Because it can be really difficult to actually admit that there is something wrong. Especially bad enough for you to need help. And of course the thought of needing help can also fill you with fear. Thinking that if you actually told someone what you are feeling then they may think you're crazy, mental or those horrible names nutjob or psycho. And consequently that you will be locked away and sectioned under the mental health act. However in reality this is very rarely the case.And what you are experiencing is something many others are also going through. 1 in 4 people will experience some kind mental health problem at any one time. So try to reassure your self that you will not be locked away.

 

However when you feel like that asking for help is the biggest step you can take. You may have had people telling you that you need help for some time. And perhaps you dismissed them. However deciding to get help needs to be very much your own want and recognition that you need that help. If you are concerned about a friend or family member there is a specific page on the MIND website for advise http://www.mind.org.uk/information-support/helping-someone-else/

 

But where do you turn to when you want help? Would you know? Would you know how to help someone else that is suffering or in crisis? Below I have shared some options of where to get help in the early stages.

 

Talk to someone- firstly you might just want to talk to a friend or family member. Think who will understand and will listen without judgement. If there have been people who have been wanting you to seek help then they might be a good place to start. As long as you feel that they will listen and genuinely care about you. It may be that that is all the support you need. Just getting things off your chest and maybe thinking up solutions with a friend can be a big help.

 

Talk to your GP - when you have a mental/ emotional problem you may think that going to the GP is a waste of time. That they can only help for physical problems. However, in truth GP's see a large number of people with mental health issues each day. One GP once told me (after I had said that I felt that I was wasting his time) that it was actually about 80% of his job. That being said you need the right GP. One that you feel comfortable with and one who you feel actually really listens to you. Those 2 factors are very important. So if you feel uncomfortable with a certain GP or that they haven't treated you with compassion then ask to see another GP in your surgery. Do not let a bad experience affect your right to be listened to and to get the help that you need. And if you burst out crying in there don't worry about it. They should get you to complete a questionnaire that they can use to assess how you're mental health is, you can find an online copy of it here http://www.nhs.uk/Tools/Pages/depression.aspx Fill it out honestly. That way they can help you on a course of treatment that is right for you. I am preparing a separate post on what help and treatments are available.

 

Counselling- Counselling is one of the course of treatments that could be suggested for you. But as it is not exclusive to needing to see your GP first I wanted to mention it in this post. Counselling on the NHS can have long waiting lists due to the high amount of people that need it. The NHS are trying to put more counsellors into GP surgeries to reduce waiting times for this much needed service but wait times can still be long. Especially for a service where the sooner the better. However if you feel you cannot wait that long then there are other options available.

If you are employed then your employer may be able to get you a counsellor through occupational health. And this in no way should affect your standing at work or make you feel less employable. It is a service they can provide to look after the wellbeing of their staff. So if you are experiencing any problems, even ones that are not work related, then ask your boss if an appointment can be made for you. You don't have to tell them the reason either unless you feel you want to.

If you wish to see a private counsellor then you will need to pay.As with most service providers nowadays a simple search on Google can tell you where there are local counsellor's in your area. Along with a pinpoint to their location and contact details. I simply typed in "where can I find a counsellor?" and a list of local places came up on my phone.

 

The following site also has a list of directories that you can use:

http://www.nhs.uk/conditions/stress-anxiety-depression/pages/free-therapy-or-counselling.aspx

 

And there is also:
Www.counselling-directory.org.uk

 

Charities

 

Mental health charities do such a fantastic job for raising awareness of mental health issues and also offering services to help sufferers.

 

MIND

 

MIND is a mental health charity that not only is an organization that fights for the rights of those with mental illness but also has thousands of branches across the UK. Each branch offers a number of services available to each community. On the link below you can see what services they offer in your area. Some even offer free counselling, which can sometimes be accessed sooner than through your GP surgury.

http://www.mind.org.uk/information-support/local-minds/

 

Other services include:

 

supported housing
crisis helplines
drop-in centres
employment and training schemes befriending

 

You can seek lots of information about different conditions and issues surrounding mental health on their website www.mind.org.uk or their infoline 0300 123 3393 or text 86463 or email info@mind.org.uk 

 

Other charities and organizations that offer specific help for different issues or clearer groups of society are:

 

Calm (Campaign against living miserabley)

 

Free support and information for young men in the UK between the ages of 15-35
0800 585858
www.thecalmzone.net

 

Women's Aid

 

Is a charity for women and children experiencing domestic abuse.
0808 2000 247
www.womensaid.org.uk

 

Cruse Bereavement Care

 

Offers specific support to anyone following the death of a loved one.
0844 477 9400
www.cruse.org.uk

 

B-eat (Beating Eating Disorders)

 

Offers advise and information on eating disorders.
0845 6341414
Youth line 0845 6347650
www.b-eat.co.uk

 

Headway

 

Offers support and advise to anyone affected by brain injury.
0808 800 2244
www.headway.org.uk

 

Relate

 

For advise and counselling for any type of relationship and the problems that can occur within them. They have centres around the country. Visit their website for all services they offer.
0300 100 1234
www.relate.org.uk

 

Helplines and other contacts

 

When you are in distress phoning a helpline can be useful. Your GP or your local MIND centre will have access to local helplines. However these might have limited hours. If you are in a more desperate need to talk to someone, then The Samaritans is a 24/7 service. Their helpline is 08457 90 90 90 or if you don't feel up to using the phone you can also email them jo@samaritans.org More information can also be found on their website www.samaritans.org 

 

In my next post I will be talking about what types of treatments are available for moderate depression and anxiety. Then a post on where to get help in more of a crisis situation.

 

Sian

January Blues: Why do I feel so bad?

 

When you feel so down and depressed or anxious and panicky it's only natural you will ask yourself "why?" Why do I feel like this? And a lot of the time the answer will be "I don't know".  Which will frustrate you all the more. It's frustrating because your logical brain is screaming "but there must be a reason!" But all you can do is cry "I don't know" some more. And this might be the case for a while.

If your symptoms are a reaction to an event, such as losing a family member or friend, a relationship breaking up or losing your job, then that can be reasoned. It's in no way easy but at least you can say "I feel this way because..." . You have a clearer idea about why you feel as you do that can be worked on to help you start to feel better.

 

There are many different forms of depression that can stem from an event, or time of year such as:

 

* postnatal depression
* grief
* post traumatic stress disorder
* seasonal affective disorder

 

All of which can seriously affect your mental health and are recognised conditions, that some form of treatment can be sought. I will get on to treatment in another post but know that they're is help that you can get for these conditions if they are having a more chronic affect on you.

 

 

However in many cases people can really struggle to find a logical and explainable reason that they feel so bleak. Made worse by feeling numb and empty. Really not knowing what is the matter at all. Only that you feel so hopeless and shut down and even the simplest of things like getting out of bed or getting dressed feel unachievable. And this can lead to thinking it's all your fault you feel that way or even that you deserve to feel as you do. Well, you don't. Furthermore you may feel that you must be a bad person; that you must have done something wrong. Which in all likelihood is also false. Only the darkness inside of you will have you convinced otherwise.

 

What can be even more difficult to comprehend is if you feel depressed at a time in your life when you are 'supposed' to feel happy. For example my own experience of feeling depressed when I graduated from university, which you can read about in my introductory post to this mini series. And another story that I often reference is that of Olympic cycling gold medalist Victoria Pendleton, who was self harming even on the night she won her Olympic gold medal; an achievement she had worked so hard for years to achieve. But the outside world only sees a projection of ourselves not all the darkness that we are struggling to ward off.

 

 

Most of the time there will be answers as to why we feel as we do, but they can be very deep set. Chances are we're reacting to something. In some cases this could be something from years back. Something that has been locked up for too long and finally needs to come out. Or in some cases (and not wanting to scare anyone) an undiagnosed illness that is affecting our neurology or hormomes. I remember during the time I was at my worst it was found that I had really high levels of prolactin, which although wasn't the main cause of my condition was certainly a factor in making it worse.

Whether you have a clear idea of what is causing your condition or really struggling to find one the best thing that you can do is to seek help. If you have friends or family that understand speak to them. But your gp is a good first point of call, and they will not find your problems trivial (well they shouldn't.) They will be able to suggest a course of action to help you find out what is causing these feelings. My next post is going to be one with more information on where to get help. But if in the mean time you require help do visit your gp or you could ring the MIND helpline on 0300 123 3393 or texr 86463.

 

Sian

January Blues: Signs and Symptoms

 

Often our mental health can be neglected and actually it can take a long time for us to realise that something isn't quite right. Unlike our physical health where we will pick up on symptoms much sooner and take action. Where as with our mental health we will carry on as usual, trying to keep up with this fast paced world we live in. Telling ourselves it's nothing. That we need to buck up or get a grip. We haven't got time to contemplate being depressed. Likewise we don't want to be stigmatised or considered weak and incapable. Or those awful labels nut job, crazy, fruit loop. Only the more you try and brush it under the table the bigger the problem is going to get. There is a reason people say "don't bottle things up" . And it's because it's true. Or we may not start to realise something is wrong until we get physical symptoms that we might not attribute to being a consequence of our mental health. And it's usually these physical symptoms that will lead us to our doctors.

 

Sometimes other people, those that are closest to us, may even start to notice before us. And consequently become concerned. However the biggest step is in noticing for yourself and in actually admitting that something is not quite right. Sometimes you'll only start realising when symptoms start affecting your day to day life or again when you experience more physical symptoms.

 

 

To help you know what the signs and symptoms are the following list I refer to MIND's symptoms page, which you can see here as it's very comprehensive and they are one of the best places to go for help and advice regarding mental health.

 

Feelings

 

* I am low-spirited for much of the time, every day

* I feel restless and agitated

* I get tearful easily

* I feel numb, empty and full of despair

* I feel isolated and unable to relate to other people

* I am unusually irritable or impatient

* I find no pleasure in life or things I usually enjoy

* I feel helpless

* I have lost interest in sex

* I am experiencing a sense of unreality

 

Behaviour

 

* I’m not doing activities I usually enjoy

* I am avoiding social events I usually enjoy

* I have cut myself off from others and can’t ask for help

* I am self-harming

* I find it difficult to speak

 

Thoughts

 

* I am having difficulty remembering things

* I find it hard to concentrate or make decisions

* I blame myself a lot and feel guilty about things

* I have no self-confidence or self-esteem

* I am having a lot of negative thoughts

* The future seems bleak

* What’s the point?

* I have been thinking about suicide

 

Physical symptoms

 

* I have difficulty sleeping

* I am sleeping much more than usual

* I feel tired and have no energy

* I have lost my appetite, and am losing weight

* I am eating a lot more than usual and putting on weight

* I have physical aches and pains with no obvious physical cause

* I am moving very slowly

* I am using more tobacco, alcohol or other drugs than usual

 

People suffering from depression may also suffer from anxiety. They are both different conditions but can

 

Anxiety and Panic attacks

 

* feeling like your mind is full or busy

* having repetitive thoughts

* difficulty concentrating or remaining focused

* not wanting to go out as much

* losing interest in things you used to enjoy

* feeling self conscious

* the thought of going out or being in a crowd makes brings on physical symptoms for example sweating or feeling like you're struggling to breathe.

 

 You can see more of the physical symptoms associated with anxiety on the image below:

 

 

*  difficulty relaxing or getting to sleep

* headaches

* aching muscles

* sweating dizziness

* feeling as though you can't breath

* tightness in your chest

* gastric problems

* tiredness

* feeling generally unwell

 

If you are severely depressed: (again this information is from MIND)

 

Psychotic experiences

 

* You may start to have experiences or thoughts that others around you do not share. For example, you may hear voices, see visions, believe that you are evil, or are influencing events in a way that is harmful to others.

* You may believe that you are a bad person and you deserve to feel as you do. These are false beliefs and may be part of the depression.

 

Suicidal thoughts

 

* You may feel that life is not worth living and start thinking about ways of killing yourself.

If you would like more information you can find it on the following websites linked below. I will be doing a post on where to get help soon if you are worried about your mental health or that of a friend or relative. But if you are worried in the mean time or feeling desperate be sure to visit.

 

MIND
 Www.mind.org.uk 
infoline 0300 123 3393
or text 86463
or email info@mind.org.uk

 

The Samaritans
Www.samaritans.org
contact them on 08457 90 90 90
or email jo@samaritans.org 

 

Time to Change
Www.time-to-change.org.uk

 

Or contact your local gp.

 

Until next time. Take care.

Sian