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PORTSMOUTH 20<strong>19</strong><br />
MENTAL HEALTH<br />
Awareness<br />
The magazine raising awareness of mental health issues<br />
FREE<br />
covering: Queen Alexandra Hospital<br />
St Mary’s Hospital<br />
Petersfield Hospital<br />
Gosport war Memorial Hospital<br />
INFORM<br />
A-Z contact list<br />
for help & advice<br />
INVOLVE<br />
Focus on Addiction,<br />
Dementia &<br />
Depression<br />
INFLUENCE<br />
How to get<br />
help for mental<br />
health issues<br />
www.mhap co.uk
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Welcome<br />
A very warm welcome to Mental Health<br />
Awareness 20<strong>19</strong>, an independent<br />
magazine which brings the issue of<br />
Mental Health directly to the general<br />
public.<br />
Our objective is to provide educational and<br />
informative content which will raise the<br />
profile of Mental Health issues across the<br />
local community.<br />
There are many different types of Mental<br />
Health disorders that can affect anybody<br />
at any stage in their lives. If you or a family<br />
member or friend have been diagnosed<br />
with a mental health problem you might be<br />
looking for information on your diagnosis,<br />
treatment options and where to go for<br />
support. We provide an important list<br />
of useful first point contact information<br />
which can be used to get help for varying<br />
mental health issues (pages 14 - 15).<br />
In addition, our magazines give a vital<br />
platform to various local mental health<br />
organisations and volunteer groups<br />
to highlight the wide range of support<br />
services that are available to those who<br />
may need them.<br />
In this edition we highlight the Patient<br />
Advice and Liaison Service initiative<br />
(PALS) at Queen Alexandra Hospital (page<br />
25). This service offers ‘on-the-spot’<br />
advice to visitors and provides information<br />
about other organisations or groups that<br />
may be helpful.<br />
We also feature the details of Solent<br />
MIND (page 9) and a mental health blog<br />
providing education, practical skills and<br />
resources for wellbeing (page 21).<br />
Our publication also provides helpful<br />
and informative articles on the following<br />
specific Mental Health issues:<br />
• General Addiction (page 2)<br />
• Alcohol (pages 4 & 5)<br />
• Drugs (page 6)<br />
• Gambling (page 8)<br />
• Dementia (pages 10 - 11)<br />
• Depression (pages 17 & 18)<br />
• Post Natal Depression (page 20)<br />
• Anxiety / Panic Attacks (page 22)<br />
• Phobias (page 23)<br />
• Eating Disorders (page 24)<br />
• Help for Suicidal Thoughts (page 26)<br />
If you would like to be included in the 2020<br />
issue of Mental Health Awareness or wish<br />
to provide any feedback, please send an<br />
email to Ricky at: sales@mhap.co.uk.<br />
Mental Health Publications<br />
Publisher<br />
Email: sales@mhap.co.uk<br />
www.mhap.co.uk<br />
Sales - Ricky Edwards<br />
01375 402546<br />
Mental Health Publications Limited do not make any recommendations as to the fitness of the advertisers appearing in this publication to carry our<br />
their services and no recommendations should be deemed to have been made.<br />
All rights reserved. No part of Mental Health Publications Limited publications may be reproduced or used in any form or by any means either wholly<br />
or in part without prior permission of the publisher.<br />
This magazine is published by Mental Health Publications Limited.<br />
© Mental Health Publications Limited 20<strong>19</strong><br />
www.mhap.co.uk 1
General<br />
Addiction:<br />
What is it?<br />
If you have an addiction, you’re not alone. According<br />
to the charity Action on Addiction, one in three of us<br />
are addicted to something.<br />
Addiction is defined as not having control over doing,<br />
taking or using something to the point where it could<br />
be harmful to you. Addiction is most commonly<br />
associated with gambling, drugs, alcohol & nicotine,<br />
but it’s possible to be addicted to just about<br />
anything, including:<br />
work – workaholics are obsessed with their work<br />
to the extent that they suffer physical exhaustion. If<br />
your relationship, family & social life are suffering &<br />
you never take holidays, you may be a work addict.<br />
internet – as computer & mobile phone use<br />
has increased, so too have computer & internet<br />
addictions. People may spend hours each day<br />
& night surfing the internet or gaming while<br />
neglecting other aspects of their lives.<br />
solvents – volatile substance abuse is when you<br />
inhale substances such as glue, aerosols, petrol<br />
or lighter fuel to give you a feeling of intoxication.<br />
Solvent abuse can be fatal.<br />
shopping – shopping becomes an addiction when<br />
you buy things you don’t need or want to achieve<br />
a buzz. This is quickly followed by feelings of guilt,<br />
shame or despair.<br />
What causes addictions?<br />
There are lots of reasons why addictions begin.<br />
In the case of drugs, alcohol & nicotine, these<br />
substances affect the way you feel, both physically<br />
& mentally. These feelings can be enjoyable & create<br />
a powerful urge to use the substances again.<br />
Gambling may result in a similar mental “high”<br />
after a win, followed by a strong urge to try again &<br />
recreate that feeling. This can develop into a habit<br />
that becomes very hard to stop.<br />
Being addicted to something means that not<br />
having it causes withdrawal symptoms, or a “come<br />
down”. Because this can be unpleasant, it’s easier<br />
to carry on having or doing what you crave, & so<br />
the cycle continues.<br />
Often, an addiction gets out of control because<br />
you need more & more to satisfy a craving &<br />
achieve the “high”.<br />
How addictions can affect you:<br />
The strain of managing an addiction can seriously<br />
damage your work life & relationships. In the case<br />
of substance abuse (for example, drugs & alcohol),<br />
an addiction can have serious psychological &<br />
physical effects.<br />
Some studies suggest addiction is genetic, but<br />
environmental factors, such as being around<br />
other people with addictions, are also thought to<br />
increase the risk.<br />
An addiction can be a way of blocking out difficult<br />
issues. Unemployment & poverty can trigger addiction,<br />
along with stress & emotional or professional pressure.<br />
Getting help for addictions:<br />
Addiction is a treatable condition. Whatever the<br />
addiction, there are lots of ways you can seek help.<br />
You could see your GP for advice or contact an<br />
organisation that specialises in helping people<br />
with addictions.<br />
Alcohol addiction services - Alcoholics Anonymous<br />
0845 769 7555 www.alcoholics-anonymous.org.uk<br />
Drug addiction services - Narcotics Anonymous<br />
0300 999 1212 www.ukna.org.uk<br />
Gambling addiction services - Gamblers<br />
Anonymous UK www.gamblersanonymous.org.uk<br />
Stop smoking services - SmokeFree 0300 1231044<br />
Rehab 4 Addiction - free helpline dedicated to<br />
assisting those suffering from drug, alcohol and<br />
mental health problems. Tel: 0800 140 4690<br />
www.rehab4addiction.co.uk<br />
To speak to someone anonymously about any kind<br />
of addiction, you can also call the Samaritans on 116<br />
123 – 24 hour helpline. Other helpful contacts can be<br />
found on our Mental Health Glossary on pages<br />
14 and 15.<br />
2<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
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www.mhap.co.uk 3
Alcohol<br />
Addiction<br />
Alcohol misuse means drinking excessively. If<br />
someone loses control over their drinking and<br />
has an excessive desire to drink, it’s known as<br />
dependent drinking (alcoholism).<br />
Alcohol consumption is measured in units.<br />
A unit of alcohol is 10ml of pure alcohol, which<br />
is about:<br />
half a pint of lower to normal-strength lager/<br />
beer/cider (ABV 3.6%)<br />
a single small shot measure (25ml)<br />
of spirits (25ml, ABV 40%)<br />
• a small glass (125ml) of wine contains about<br />
1.5 units of alcohol.<br />
Lower-risk limits<br />
To keep your risk of alcohol-related harm low,<br />
the NHS recommends not regularly drinking<br />
more than 14 units of alcohol a week. If you drink<br />
as much as 14 units a week, it’s best to spread<br />
this evenly over 3 or more days.<br />
If you’re trying to reduce the amount of alcohol<br />
you drink, it’s a good idea to have several<br />
alcohol-free days each week<br />
Regular or frequent drinking means drinking<br />
alcohol most weeks. The risk to your health is<br />
increased by drinking any amount of alcohol on<br />
a regular basis.<br />
Risks of alcohol misuse<br />
Alcohol misuse increases your long term risk of<br />
serious health problems such as heart disease,<br />
stroke, liver disease, pancreatitis and various<br />
forms of cancer. It can also lead to social<br />
problems, such as unemployment, divorce,<br />
domestic abuse and homelessness.<br />
Short-term<br />
The short-term risks of alcohol<br />
misuse include:<br />
accidents and injuries requiring hospital<br />
treatment, such as a head injury<br />
violent behaviour and being a victim of violence<br />
unprotected sex that could potentially lead to<br />
unplanned pregnancy or sexually transmitted<br />
infections (STIs)<br />
loss of personal possessions, such as wallets,<br />
keys or mobile phones<br />
alcohol poisoning – this may<br />
lead to vomiting, seizures (fits) and<br />
falling unconscious<br />
People who binge drink (drink heavily over a short<br />
period of time) are more likely to behave recklessly<br />
and are at greater risk of being in an accident.<br />
Long-term<br />
Persistent alcohol misuse increases your risk of<br />
serious health conditions, including:<br />
heart disease<br />
stroke<br />
liver disease<br />
liver cancer<br />
bowel cancer<br />
mouth cancer<br />
breast cancer<br />
pancreatitis<br />
If someone loses control over their drinking and<br />
has an excessive desire to drink, it’s known as<br />
dependent drinking (alcoholism). Dependent<br />
drinking usually affects a person’s quality of life<br />
and relationships, but they may not always find it<br />
easy to see or accept this.<br />
Severely dependent drinkers are often able to<br />
tolerate very high levels of alcohol in amounts that<br />
4<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
would dangerously affect or even kill some people.<br />
A dependent drinker usually experiences physical<br />
and psychological withdrawal symptoms if they<br />
suddenly cut down or stop drinking, including:<br />
hand tremors – “the shakes”<br />
sweating<br />
seeing things that aren’t real<br />
(visual hallucinations)<br />
depression<br />
anxiety<br />
difficulty sleeping (insomnia)<br />
This often leads to “relief drinking” to avoid<br />
withdrawal symptoms.<br />
Realising you have a problem<br />
with alcohol<br />
This is the first big step to getting help. You may<br />
need help if:<br />
you feel you should cut down on your drinking<br />
you often feel the need to have a drink<br />
you need a drink first thing in the morning to<br />
steady your nerves or get rid of a hangover<br />
other people have been criticising or warning<br />
you about how much you’re drinking<br />
you get into trouble because of your drinking<br />
you think your drinking is causing you problems<br />
you feel guilty or bad about your drinking<br />
Someone you know may be<br />
misusing alcohol if:<br />
they regularly exceed the lower-risk daily limit<br />
for alcohol<br />
they’re sometimes unable to remember<br />
what happened the night before because of<br />
their drinking<br />
they fail to do what was expected of them as a<br />
result of their drinking – for example, missing<br />
an appointment or work because of being drunk<br />
or hungover<br />
Getting help with treating<br />
alcohol misuse<br />
If you’re concerned about your drinking or<br />
someone else’s, a good place to start is with your<br />
GP. Try to be accurate and honest about how much<br />
you drink and any problems it may be causing you.<br />
Your level of alcohol intake may be assessed using<br />
various tests and this will determine your type of<br />
treatment. They’ll be able to discuss the services<br />
and treatments available. Initially your alcohol<br />
intake may be assessed using tests, such as the:<br />
Alcohol Use Disorders Identification Test –<br />
a widely used screening test that can help<br />
determine whether you need to change your<br />
drinking habits<br />
Fast Alcohol Screening Test – a simpler test<br />
to check whether your drinking has reached<br />
dangerous levels<br />
Treating alcohol misuse<br />
Treatment options include counselling,<br />
medication and detoxification. Detoxification<br />
involves a nurse or doctor supporting you to<br />
safely stop drinking; this can be done by helping<br />
you slowly cut down over time or by giving you<br />
medicines to prevent withdrawal symptoms.<br />
A dependent drinker usually experiences physical<br />
and psychological withdrawal symptoms if they<br />
suddenly cut down or stop drinking, including<br />
anxiety after waking, sweating, nausea and<br />
vomiting, hallucinations, seizures or fits, hand<br />
tremors, depression and insomnia. This often leads<br />
to “relief drinking” to avoid withdrawal symptoms.<br />
To stop drinking instantly could be harmful and you<br />
should take advice from your GP to do this safely.<br />
Cutting down or stopping drinking is usually just<br />
the beginning, & most people will need some<br />
degree of help or some long term plan to stay in<br />
control or to stay completely alcohol-free. Getting<br />
the right support can be crucial to maintaining<br />
control in the future. Only relying on family, friends<br />
or carers for this is often not enough.<br />
Some people with medium or high levels of alcohol<br />
dependence may need intensive rehabilitation<br />
& recovery support for a period after they stop<br />
drinking completely; either through a programme<br />
of intensive support in their local community or by<br />
a residential rehabilitation service. This may be in<br />
an NHS inpatient unit, or in a medically-supported<br />
residential service, depending on your situation and<br />
the assessed medical need.<br />
Further help for alcohol abuse<br />
As well as the NHS, there are a number of charities<br />
and support groups across the UK that provide<br />
support and advice for people with an alcohol<br />
misuse problem. Helpful contacts for Alcohol<br />
Addiction can be found on our Mental Health<br />
Glossary on pages 14 and 15.<br />
www.mhap.co.uk 5
Drug Addiction<br />
If you need treatment for drug addiction, you’re<br />
entitled to NHS care in the same way as anyone<br />
else who has a health problem. With the right help<br />
and support, it’s possible for you to get drug free<br />
and stay that way.<br />
Where to get help for drugs:<br />
Your GP is a good place to start. They can<br />
discuss your problems with you and get you into<br />
treatment. They may offer you treatment at the<br />
practice or refer you to your local drug service.<br />
If you’re not comfortable talking to your GP, you<br />
can approach your local drug treatment service<br />
yourself. Visit the Frank website to find local drug<br />
treatment services or call the Frank drugs helpline<br />
on 0300 123 6600. They can talk you through all<br />
your options.<br />
Charity and private drugs treatment - as well<br />
as the NHS, there are charities and private drug<br />
and alcohol treatment organisations that can<br />
help you. Visit the Adfam website to see a list<br />
of useful organisations. Private drug treatment<br />
can be very expensive but sometimes people get<br />
referrals through their local NHS.<br />
Your first appointment:<br />
At your first appointment for drug treatment,<br />
staff will ask you about your drug use. They will<br />
also ask about your work, family and housing<br />
situation. You may be asked to provide a sample<br />
of urine or saliva.<br />
Staff will talk you through all of your treatment<br />
options and agree a treatment plan with you.<br />
They can tell you about local support groups for<br />
drug users and their families or carers. You’ll<br />
also be given a keyworker who will support you<br />
throughout your treatment.<br />
What drug treatment involves:<br />
This depends on your personal circumstances<br />
and also what you’re addicted to. Your keyworker<br />
will work with you to plan the right treatment for<br />
you. Your treatment may include:<br />
Talking therapies – talking therapies, such as<br />
cognitive behavioural therapy (CBT), help you<br />
to see how your thoughts and feelings affect<br />
your behaviour.<br />
Treatment with medicines – if you are<br />
dependent on heroin or another opioid drug,<br />
you may be offered a substitute drug, such as<br />
methadone. This means you can get on with<br />
your treatment without having to worry about<br />
withdrawing or buying street drugs.<br />
Detoxification (detox) – this is for people<br />
who want to stop taking opioid drugs like<br />
heroin completely. It helps you to cope with the<br />
withdrawal symptoms.<br />
Self-help – some people find support<br />
groups like Narcotics Anonymous helpful.<br />
Your keyworker can tell you where your<br />
nearest group is.<br />
Reducing harm – your drugs workers will help<br />
you reduce the risks associated with your<br />
drug-taking. You may be offered testing and<br />
treatment for hepatitis or HIV, for example.<br />
Where will you have<br />
your treatment?<br />
You may have your treatment while living at<br />
home or as a hospital inpatient. If your drugrelated<br />
problems are severe or complicated you<br />
may be referred to a residential rehab. For more<br />
information about residential rehab, or to find a<br />
rehab near you, visit rehabonline.<br />
Other contacts for help with Drug Addiction<br />
can be found on our Mental Health Glossary on<br />
pages 14 and 15.<br />
6<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
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www.mhap.co.uk 7
Gambling<br />
Addiction<br />
Being a compulsive gambler can harm your health<br />
and relationships, and leave you in serious debt. If<br />
you have a problem with gambling and you’d like to<br />
stop, support and treatment is available.<br />
Are you a problem gambler?<br />
Try this questionnaire:<br />
Do you bet more than you can afford to lose?<br />
Do you need to gamble with larger amounts of<br />
money to get the same feeling?<br />
Have you tried to win back money you have lost<br />
(chasing losses)?<br />
Have you borrowed money or sold anything to get<br />
money to gamble?<br />
Have you wondered whether you have a problem<br />
with gambling?<br />
Has your gambling caused you any health<br />
problems, including feelings of stress or anxiety?<br />
Have other people criticised your betting or told<br />
you that you had a gambling?<br />
Has your gambling caused any financial problems<br />
for you or your household?<br />
Have you ever felt guilty about the way you<br />
gamble or what happens when you gamble?<br />
For each time you answer<br />
Score 0 “never”<br />
Score 1 “sometimes”<br />
Score 2 “most of the time”<br />
Score 3 “almost always”<br />
If your total score is 8 or higher, you may be a<br />
problem gambler.<br />
Help for problem gamblers<br />
and for friends and family affected by someone<br />
else’s gambling problem<br />
There’s evidence that gambling can be successfully<br />
treated in the same way as other addictions.<br />
Cognitive behavioural therapy usually has the best<br />
results. Treatment and support groups are available<br />
for people who want to stop gambling:<br />
Gamcare - offers free information, support and<br />
counselling for problem gamblers in the UK and<br />
also for partners, friends and family of people who<br />
gamble compulsively. It runs the National Gambling<br />
Helpline (0808 8020 133) and also offers face-toface<br />
counselling. If you’re having problems because<br />
of another person’s gambling, it’s best to be honest<br />
with them about it. They need to know how their<br />
behaviour is affecting you.<br />
National Problem Gambling Clinic - If you live in<br />
England or Wales, are aged 16 or over and have<br />
complex problems related to gambling, you can<br />
refer yourself to this specialist NHS clinic for<br />
problem gamblers.<br />
Gamblers Anonymous UK - Gamblers Anonymous<br />
UK runs local support groups that use the same<br />
12-step approach to recovery from addiction as<br />
Alcoholics Anonymous. There are also GamAnon<br />
support groups for friends and family affected by<br />
someone else’s gambling problem.<br />
Self-help tips for<br />
problem gamblers<br />
Do:<br />
pay important bills, such as your mortgage, on<br />
payday before you gamble<br />
spend more time with family and friends who<br />
don’t gamble<br />
deal with your debts rather than ignoring them<br />
– visit the National Debtline for tips<br />
Don’t:<br />
view gambling as a way to make money<br />
– try to see it as entertainment instead<br />
bottle up your worries about your gambling<br />
– talk to someone<br />
take credit cards with you when you go gambling<br />
Other contacts for help with Gambling Addiction can<br />
be found on our Mental Health Glossary on pages<br />
14 and 15.<br />
8<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
Solent Mind -<br />
who are we?<br />
We’re Solent Mind, the leading mental health<br />
charity across Hampshire. We’re here to<br />
make sure anyone with a mental health<br />
problem has somewhere to turn to for advice<br />
and support. We won’t give up until everyone<br />
experiencing a mental health issue has<br />
support and respect<br />
Our Services<br />
Solent Mind runs many different services<br />
across Hampshire, Southampton and<br />
<strong>Portsmouth</strong>. We work in different locations<br />
and in a range of ways, whether supporting<br />
people within their local communities<br />
or within hospital settings. We work<br />
across different age groups, with diverse<br />
communities, with individuals and groups.<br />
Our Mission<br />
To provide advice and support to empower<br />
anyone experiencing a mental health<br />
problem. We campaign to improve services,<br />
raise awareness and promote understanding.<br />
Get Support<br />
We can help you with support, advice and<br />
signposting for some of the issues which<br />
can become a struggle when we’re coping<br />
with mental health problems. We hope that<br />
everything we do helps to give you the skills<br />
and tools to maintain your own wellbeing in<br />
to the future.<br />
Improve your wellbeing<br />
Our Wellbeing Centres are friendly places<br />
where you can join in a wide range of groups,<br />
share experiences, get support and learn<br />
techniques to improve and maintain your<br />
wellbeing. Our peer support groups give<br />
you the chance to meet with other people<br />
who’ve experienced mental health issues and<br />
understand what you’re going through.<br />
Solent Mind, T: 023 8202 7810<br />
15-16 The Avenue, F: 023 8202 7811<br />
Southampton,<br />
SO17 1XF.<br />
E: info@solentmind.org.uk<br />
W: www.solentmind.org.uk<br />
Charity Registered No: 1081116<br />
www.mhap.co.uk 9
About Dementia<br />
As you get older, you may find that memory loss<br />
becomes a problem. It’s normal for your memory<br />
to be affected by stress, tiredness, or certain<br />
illnesses and medications. This can be annoying<br />
if it happens occasionally, but if you’re becoming<br />
increasingly forgetful, particularly if you’re over<br />
the age of 65 and it’s affecting your daily life or<br />
is worrying you or someone you know, it may be<br />
a good idea to talk to your GP about the early<br />
signs of dementia.<br />
What is dementia?<br />
Dementia isn’t a single disease, but is a syndrome<br />
(a group of related symptoms) associated with<br />
an ongoing decline of brain functioning. Several<br />
different diseases can cause dementia.<br />
Alzheimer’s disease is the most common<br />
type of dementia and, together with vascular<br />
dementia, makes up the vast majority of<br />
cases. Because both vascular dementia and<br />
Alzheimer’s disease are common – especially<br />
in older people – they may be present together.<br />
This is often called mixed dementia because a<br />
mix of these two conditions is thought to be the<br />
cause of the dementia.<br />
Many of these diseases are associated with an<br />
abnormal build-up of proteins in the brain. This<br />
build-up causes nerve cells to function less<br />
well and ultimately die. As the nerve cells die,<br />
different areas of the brain shrink.<br />
Vascular dementia is caused by reduced blood<br />
flow to the brain. Nerve cells in the brain need<br />
oxygen and nutrients from blood to survive. When<br />
the blood supply to the brain is reduced, the nerve<br />
cells function less well and eventually die.<br />
There are many rarer diseases and conditions<br />
that can lead to dementia, or dementia-like<br />
symptoms. These conditions account for only<br />
5% of dementia cases in the UK.<br />
Mild Cognitive Impairment (MCI) isn’t a cause<br />
of dementia. It refers to a condition in which<br />
someone has minor problems with cognition,<br />
or their memory and thinking, such as memory<br />
loss, difficulty concentrating and problems with<br />
planning and reasoning. These symptoms aren’t<br />
severe enough to cause problems in everyday<br />
life, so aren’t defined as dementia.<br />
How common is dementia?<br />
According to the Alzheimer’s Society there are<br />
around 850,000 people in the UK with dementia.<br />
One in 14 people over 65 will develop dementia,<br />
and the condition affects 1 in 6 people over 80.<br />
The number of people with dementia is increasing<br />
because people are living longer. It is estimated<br />
that by 2025, the number of people with dementia<br />
in the UK will have increased to around 1 million.<br />
Symptoms of Dementia<br />
Dementia is not a natural part of the ageing<br />
process and you need to be aware of the<br />
symptoms of dementia, which tend to worsen<br />
with time and can affect the way you speak, think,<br />
feel and behave.<br />
People with dementia can become apathetic<br />
or uninterested in their usual activities, or may<br />
have problems controlling their emotions. They<br />
may also find social situations challenging<br />
and lose interest in socialising. Aspects of<br />
their personality may change. A person with<br />
dementia may lose empathy (understanding and<br />
compassion), they may see or hear things that<br />
other people do not (hallucinations).<br />
Because people with dementia may lose the<br />
ability to remember events or fully understand<br />
their environment or situations, it can seem<br />
as if they’re not telling the truth, or are wilfully<br />
ignoring problems.<br />
As dementia affects a person’s mental abilities,<br />
they may find planning and organising difficult.<br />
10<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
as completing a thorough assessment. A GP, or a<br />
doctor specialising in memory problems, will run<br />
a series of tests and assessments to see if there<br />
is an alternative explanation for the problems. The<br />
doctor will also want to discuss how the problems<br />
being experienced have developed over time.<br />
Maintaining their independence may also become<br />
a problem. A person with dementia will therefore<br />
usually need help from friends or relatives,<br />
including help with decision making.<br />
Although dementia isn’t just about memory loss,<br />
it’s one of the key symptoms. Others include:<br />
increasing difficulty with daily tasks and<br />
activities that require concentration and planning<br />
changes in personality and mood<br />
understanding - periods of mental confusion<br />
language - difficulty finding the right words or<br />
not being able to understand conversations<br />
as easily<br />
memory loss, thinking speed and<br />
mental sharpness<br />
judgement<br />
movement<br />
Why is it important to<br />
get a diagnosis?<br />
Although there is no cure for dementia at<br />
present, if it’s diagnosed in the early stages,<br />
there are ways you can slow it down and<br />
maintain mental function.<br />
A diagnosis can help people with dementia get<br />
the right treatment and support, and help those<br />
close to them to prepare and plan for the future.<br />
With treatment and support, many people are able<br />
to lead active, fulfilled lives.<br />
Dementia is diagnosed by doctors ruling out other<br />
conditions that could cause the symptoms, as well<br />
How to talk to someone you<br />
think has signs of dementia<br />
Raising the issue of memory loss and the<br />
possibility of dementia can be a difficult thing<br />
to do. Someone who is experiencing these<br />
symptoms may be confused, unaware they have<br />
any problems, worried or in denial.<br />
Before starting a conversation with someone you’re<br />
concerned about, the Alzheimer’s Society suggests<br />
that you ask yourself the following questions:<br />
have they noticed the symptoms?<br />
do they think their problems are just a natural<br />
part of ageing?<br />
are they scared about what the changes<br />
could mean?<br />
are you the best person to talk to them about<br />
memory problems?<br />
do they think there won’t be any point in<br />
seeking help?<br />
When you do talk to them, choose a place that is<br />
familiar and non-threatening. And allow plenty of<br />
time so the conversation isn’t rushed.<br />
You may like to suggest that you accompany<br />
your friend or relative to the GP so you can<br />
support them. This also means that after<br />
the appointment, you can help your friend or<br />
relative recall what has been discussed.<br />
If the diagnosis is dementia<br />
A dementia diagnosis can come as a shock,<br />
but over time some people come to view it in a<br />
positive way. This is because a diagnosis is the<br />
first step towards getting the information, help<br />
and support needed to manage the symptoms.<br />
A diagnosis of dementia can help people with<br />
these symptoms, and their families and friends,<br />
take control, make plans and prepare for the future.<br />
Further help and information<br />
Other contacts for help with Dementia can be found<br />
on our Mental Health Glossary on pages 14 and 15.<br />
www.mhap.co.uk 11
Uplands Independent Mental Health Rehabilitation Hospital<br />
is part of the CareTech Community Services Specialist Services and has gone<br />
through a £1M major redevelopment which started on 2nd January 2018 and<br />
finished in February 20<strong>19</strong>. Uplands is part of the CareTech Mental Health Pathway<br />
and provides mental health recovery and rehabilitation with those who have<br />
challenging and complex mental health needs for service users that are informal or<br />
detained under the Mental Health Act.<br />
Uplands has a new model of care and pathway, with a new lockable High<br />
Dependency Unit (HDU) which officially opened in November 2018 and a Complex<br />
Care Unit (CCU) which also includes 4 self-contained hospital campus based flats.<br />
Bedrooms have been upgraded with ensuite bedrooms, fixtures and fittings are<br />
designed to minimise or remove ligature risk e.g. door handles, bedroom furniture.<br />
There are new updated kitchens in each of the units whereby service users can be<br />
supported to cook, laundry facilities, lounge/dining area, female lounge, clinical<br />
treatment rooms, soothing sensory rooms, visitors and multi-faith room and a<br />
therapy room which one of the service user’s named as the “multi-purpose and<br />
learning suite”.<br />
The team work closely to achieve and maintain the mental and physical wellbeing of<br />
each of the service users, helping them to achieve their goals and giving them hope<br />
as part of their recovery.<br />
Office: 01329 221817 / Fax: 01329 221804<br />
61 Park Lane Fareham Hampshire PO16 7HH<br />
www.uplandsindependenthospital.co.uk<br />
12<br />
Uplands <strong>MHAP</strong> Ad 20<strong>19</strong>.indd 1 27/<strong>09</strong>/20<strong>19</strong> 11:27<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
At HIPPO we support causes that have<br />
a positive impact on individuals and<br />
communities across Britain.<br />
See what we do at:<br />
hippowaste.co.uk/charity-community/<br />
THIS YEAR WE ARE<br />
PROUD TO SUPPORT:<br />
www.mhap.co.uk 13
A Summary of Contact Numbers<br />
and Information for Selected Mental Health Disorders<br />
Specialised Area<br />
Mental Health<br />
General Addictions<br />
Alcohol Misuse<br />
Drugs /<br />
Substance Abuse<br />
Gambling<br />
Smoking Dependency<br />
Dementia<br />
Anxiety Disorders &<br />
Social Anxiety Disorder<br />
Contact Details<br />
SANE - emotional support, information & guidance for people affected by mental illness, their families<br />
& carers. SANEline: 0300 304 7000 www.sane.org.uk/support<br />
Mind - 0300 123 3393 (Mon-Fri, 9am-6pm) www.mind.org.uk<br />
Rethink Mental Illness - support and advice for people living with mental illness.<br />
Phone: 0300 5000 927 (Mon-Fri, 9.30am-4pm) www.rethink.org<br />
Mental Health Foundation - provides information & support for anyone with mental health problems<br />
or learning disabilities. www.mentalhealth.org.uk<br />
Young Minds - information on child & adolescent mental health. Parents helpline 0808 802 5544<br />
www.youngminds.org.uk (Mon-Fri, 9.30am-4pm)<br />
The Samaritans - confidential support for people experiencing feelings of distress or despair.<br />
Phone: 116 123 (free 24-hour helpline). www.samaritans.org.uk<br />
NHS Choices – www.nhs.uk/conditions/online-mental-health-services<br />
Information on online mental health services.<br />
British Association for Counselling & Psychotherapy – 01455 883 300 www.itsgoodtotalk.org.uk<br />
Adfam - a national charity working with families affected by drugs & alcohol.<br />
Has a database of local support groups. www.adfam.org.uk<br />
Rehab 4 Addiction - free helpline dedicated to assisting those suffering from drug, alcohol and mental<br />
health problems. Tel: 0800 140 4690 www.rehab4addiction.co.uk<br />
Addaction - a UK-wide treatment agency that helps individuals, families & communities manage<br />
the effects of drug and alcohol misuse. www.addaction.org.uk<br />
Drinkline - the national alcohol helpline. Free & confidential 0300 123 1110<br />
Alcoholics Anonymous - 0845 769 7555 (24 hr) www.alcoholics-anonymous.org.uk<br />
Al-Anon Family Groups - offers support to the families & friends of problem drinkers.<br />
Helpline 0207 403 0888. www.al-anonuk.org.uk<br />
The National Association for Children of Alcoholics - for children of alcohol-dependent parents and others<br />
concerned about their welfare. Free confidential helpline 0800 358 3456. www.nacoa.org.uk<br />
FRANK drugs helpline 0300 123 6600<br />
Narcotics Anonymous - 0300 999 1212 (daily until midnight) www.ukna.org<br />
GamCare – the National Gambling Helpline 0808 8020 133 - offers free information, support and<br />
counselling for problem gamblers in the UK.<br />
Gamblers Anonymous - runs local support groups www.gamblersanonymous.org.uk<br />
GamAnon - support groups for friends and family. www.gamanon.org.uk<br />
NHS Smokefree - helpline on 0300 123 1044<br />
There is also support available from your local stop smoking service.<br />
www.nhs.uk/Service-Search/Stop-smoking-services/LocationSearch/1846<br />
National Dementia - helpline 0300 222 1122<br />
Alzheimer's Society - helpline 0300 222 1122 www.alzheimers.org.uk<br />
Alzheimer's Research UK - 0300 111 5 111 www.alzheimersresearchuk.org<br />
Dementia UK - to talk to an Admiral Nurse, who are registered nurses & experts in dementia care,<br />
call 0800 888 6678 www.dementiauk.org<br />
The Carers Trust - if you are looking after someone with dementia, get help & support & even a break<br />
from caring. www.carers.org<br />
Anxiety UK - Phone: 03444 775 774 (Mon-Fri, 9.30am-5.30pm) www.anxietyuk.org.uk<br />
Anxiety Care UK – www.anxietycare.org.uk<br />
14<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
Panic Disorder<br />
Phobias<br />
Depression<br />
Bipolar Disorder<br />
Postnatal Depression<br />
Psychotic Depression /<br />
Episodes / Confusion<br />
(Sudden Delirium)<br />
Seasonal Affective<br />
Disorder<br />
No More Panic – www.nomorepanic.co.uk<br />
No Panic – www.nopanic.org.uk / helpline: 08449 674848 (10.00am – 10.00pm)<br />
Triumph Over Phobia – www.topuk.org<br />
Depression Alliance - for sufferers of depression. www.depressionalliance.org<br />
Bipolar UK - www.bipolaruk.org.uk<br />
The Association for Post Natal Illness - 0207 386 0868 www.apni.org<br />
Pre and Postnatal Depression Advice and Support - 0843 2898401<br />
www.pandasfoundation.org.uk<br />
If you think the person's symptoms are placing them or others at possible risk of harm you can<br />
take them to your nearest A&E department, call their GP or local out-of-hours GP or call 999 to ask<br />
for an ambulance.<br />
SAD Association - www.sada.org.uk<br />
Beat - Phone: 0808 801 0677 (adults) or 0808 801 0711 (for under-18s)<br />
Eating Disorders<br />
Website: www.b-eat.co.uk (Anorexia Nervosa, Binge Eating Disorder & Bulimia).<br />
Body Dysmorphic<br />
Body Dysmorphic Disorder Foundation – www.bddfoundation.org<br />
Disorder<br />
Respect – 0808 802 4040 www.respect.uk.net<br />
Anger<br />
National Domestic Abuse - helpline – 0808 2000 247<br />
Refuge – www.refuge.org.uk<br />
Autism Spectrum<br />
The National Autistic Society - Autism Helpline 0808 800 4104 www.autism.org.uk<br />
Disorder<br />
Dissociative Disorders MIND - www.mind.org.uk has a list if useful contacts<br />
Cruse Bereavement Care - Phone: 0844 477 9400 (Mon-Fri, 9am-5pm)<br />
Grief / Bereavement www.crusebereavementcare.org.uk<br />
Hoarding Disorder www.ocduk.org – 0845 120 3778<br />
Obsessive Compulsive<br />
Disorder<br />
Paranoia<br />
Post-Traumatic<br />
Stress Disorder<br />
Premenstrual<br />
Dysphoric Disorder<br />
Sexual Abuse<br />
Self-Harm<br />
Stress<br />
Suicide / Suicidal<br />
Feelings<br />
OCD Action - support for people with OCD related disorders.<br />
Phone: 0845 390 6232 Website: www.ocdaction.org.uk (Mon-Fri, 9.30am-5pm)<br />
National Paranoia Network – 0114 271 8210 www.nationalparanoianetwork.org<br />
ASSIST trauma care – helpline 0178 856 0800 www.assisttraumacare.org.uk<br />
Combat Stress – helpline 0800 1381 6<strong>19</strong> www.combatstress.org.uk<br />
PTSD Resolution – 0300 302 0551 www.ptsdresolution.org<br />
National Association for Premenstrual Syndrome – www.pms.org.uk<br />
The National Association for People Abused in Childhood (NAPAC)<br />
0808 801 0331 (freephone, Monday–Thursday 10am–9pm and Friday 10am–6pm) www.napac.org.uk<br />
HAVOCA (Help for Adult Victims of Child Abuse) www.havoca.org<br />
Lifecentre - helpline: 0808 802 0808 www.lifecentre.uk.com<br />
Harmless – email info@harmless.org.uk<br />
Men's Health Forum - 24/7 stress support for men by text, chat and email.<br />
Website: www.menshealthforum.org.uk<br />
PAPYRUS - Young suicide prevention society. HOPElineUK 0800 068 4141<br />
(Mon-Fri,10am-5pm & 7-10pm. Weekends 2-5pm) www.papyrus-uk.org<br />
Childline – for children and young people under <strong>19</strong><br />
Call 0800 1111 – the number won’t show up on your phone bill<br />
CALM - the Campaign Against Living Miserably, for men aged 15-35. www.thecalmzone.net<br />
The Silver Line – for older people Call 0800 4 70 80 90<br />
www.mhap.co.uk 15
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16<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
Depression<br />
Overview<br />
Depression is more than simply feeling<br />
unhappy or fed up for a few days. Most people<br />
go through periods of feeling down, but when<br />
you’re depressed you feel persistently sad for<br />
weeks or months, rather than just a few days.<br />
Some people think depression is trivial and not<br />
a genuine health condition. They’re wrong – it<br />
is a real illness with real symptoms. Depression<br />
isn’t a sign of weakness or something you can<br />
“snap out of” by “pulling yourself together”. The<br />
good news is that with the right treatment and<br />
support, most people with depression can<br />
make a full recovery.<br />
Symptoms<br />
Depression affects people in different ways and<br />
can cause a wide variety of symptoms. But as<br />
a general rule, if you’re depressed, you feel sad,<br />
hopeless, anxious, tearful and lose interest in<br />
things you used to enjoy. There can be physical<br />
symptoms too, such as feeling constantly tired,<br />
sleeping badly, having no appetite or sex drive,<br />
and various aches and pains. The symptoms<br />
of depression may persist for weeks or months<br />
and are bad enough to interfere with your work,<br />
social life and family life. There are many other<br />
symptoms of depression and you’re unlikely to<br />
have all of those listed below.<br />
Psychological symptoms:<br />
continuous low mood or sadness / feeling<br />
hopeless and helpless / having low self-esteem<br />
feeling tearful / feeling anxious or worried<br />
feeling irritable and intolerant of others /<br />
feeling guilt-ridden<br />
having no motivation or interest in things<br />
/ not getting any enjoyment out of life<br />
finding it difficult to make decisions<br />
having suicidal thoughts or thoughts of<br />
harming yourself<br />
Physical symptoms:<br />
moving or speaking more slowly than usual<br />
changes in appetite or weight (usually<br />
decreased, but sometimes increased) /<br />
constipation<br />
unexplained aches and pains<br />
lack of energy / low sex drive (loss of libido) /<br />
changes to your menstrual cycle<br />
disturbed sleep / finding it difficult to fall asleep<br />
at night / waking up very early in the morning<br />
Social symptoms:<br />
not doing well at work<br />
avoiding contact with friends and taking part in<br />
fewer social activities<br />
neglecting your hobbies and interests<br />
having difficulties in your home and family life<br />
Severities of depression<br />
Doctors categorize the symptoms of depression<br />
from mild to severe:<br />
mild depression – has some impact on your<br />
daily life and you may simply feel persistently<br />
low in spirit<br />
moderate depression – has a significant impact<br />
on your daily life<br />
severe depression – makes it almost<br />
impossible to get through daily life; a few people<br />
with severe depression may have psychotic<br />
symptoms and it can make you feel suicidal<br />
and that life is no longer worth living.<br />
How to tell if you have<br />
depression and when<br />
to see a doctor<br />
Most people experience feelings of stress,<br />
unhappiness or anxiety during difficult times.<br />
A low mood may improve after a short period<br />
of time, rather than being a sign of depression.<br />
However, it’s important to seek help from your<br />
www.mhap.co.uk 17
GP if you think you may be depressed. Don’t wait<br />
before seeking help for depression, the sooner<br />
you see a doctor, the sooner you can be on the<br />
way to recovery.<br />
Depression can often come on gradually, so it<br />
can be difficult to notice something is wrong.<br />
Many people try to cope with their symptoms<br />
without realising they’re unwell. It can<br />
sometimes take a friend or family member to<br />
suggest something is wrong.<br />
What causes depression?<br />
Depression is fairly common, affecting about 1 in<br />
10 people at some point during their life. It affects<br />
men and women, young and old. Studies have<br />
shown that about 4% of children aged five to 16 in<br />
the UK are anxious or depressed.<br />
Sometimes there’s a trigger for depression. Lifechanging<br />
events, such as bereavement, losing your<br />
job or even having a baby, can bring it on. People<br />
with a family history of depression are more likely<br />
to experience it themselves. But you can also<br />
become depressed for no obvious reason.<br />
Grief - it can be difficult to distinguish between<br />
grief and depression. They share many of the<br />
same characteristics, but there are important<br />
differences between them. Grief is an entirely<br />
natural response to a loss, while depression is an<br />
illness. People who are grieving find their feelings<br />
of sadness and loss come and go, but they’re<br />
still able to enjoy things and look forward to the<br />
future. In contrast, people who are depressed<br />
constantly feel sad. They don’t enjoy anything<br />
and find it difficult to be positive about the future.<br />
Postnatal Depression – some women<br />
develop depression after they have a baby<br />
and it’s treated in a similar way to other types<br />
of depression, with talking therapies and<br />
antidepressant medicines.<br />
Bipolar Disorder (also known as manic<br />
depression) - there are spells of both<br />
depression and excessively high mood (mania);<br />
the depression symptoms are similar to clinical<br />
depression, but the bouts of mania can include<br />
harmful behaviour, such as gambling, going on<br />
spending sprees and having unsafe sex.<br />
Seasonal Affective Disorder (SAD) – also<br />
known as “winter depression”, SAD is a type<br />
of depression with a seasonal pattern usually<br />
related to winter.<br />
Treating depression<br />
Treatment for depression can involve a<br />
combination of lifestyle changes, talking<br />
therapies and medication. Your recommended<br />
treatment will be based on whether you have<br />
mild, moderate or severe depression.<br />
If you have mild depression, your doctor may<br />
suggest waiting to see whether it improves on<br />
its own, while monitoring your progress. This<br />
is known as “watchful waiting”. They may also<br />
suggest lifestyle measures such as exercise<br />
and self-help groups. Talking therapies, such as<br />
cognitive behavioural therapy (CBT), are often<br />
used for mild depression that isn’t improving or<br />
moderate depression. Antidepressants are also<br />
sometimes prescribed.<br />
For moderate to severe depression, a combination<br />
of talking therapy and antidepressants is often<br />
recommended. If you have severe depression, you<br />
may be referred to a specialist mental health team<br />
for intensive specialist talking treatments and<br />
prescribed medication.<br />
Living with depression<br />
Many people with depression benefit by making<br />
lifestyle changes, such as getting more exercise,<br />
cutting down on alcohol, giving up smoking and<br />
eating healthily. Reading a self-help book or<br />
joining a support group are also worthwhile. They<br />
can help you gain a better understanding about<br />
what causes you to feel depressed. Sharing your<br />
experiences with others in a similar situation can<br />
also be very supportive.<br />
Further Help and Information<br />
Other contacts for help with Depression can be<br />
found on our Mental Health Glossary on pages<br />
14 and 15.<br />
18<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
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Home visits & telephone counselling also available.<br />
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An exploratory session will help you decide<br />
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I can help you clarify your thoughts and problems<br />
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www.mhap.co.uk <strong>19</strong>
Post Natal<br />
Depression<br />
Postnatal depression is a type of depression that<br />
many parents experience after having a baby.<br />
It’s a common problem, affecting more than 1 in<br />
every 10 women and up to 1 in 25 new fathers<br />
within a year of giving birth.<br />
Many women feel a bit down, tearful or anxious<br />
in the first week after giving birth. Having a baby<br />
is a life-changing event and it often takes time to<br />
adapt to becoming a new parent. Looking after a<br />
small baby can be stressful and exhausting. This<br />
is often called the “baby blues” and is so common<br />
that it’s considered normal.<br />
Unlike the “baby blues”, which generally do<br />
not last more than 2 weeks after giving birth,<br />
postnatal depression can start any time in the<br />
first year after giving birth. It’s important to seek<br />
help as soon as possible if you think you might be<br />
depressed, as your symptoms could last months<br />
or get worse and have a significant impact on you,<br />
your baby and your family. With the right support<br />
most women make a full recovery.<br />
Symptoms<br />
There is no evidence that there’s anything<br />
specific you can do to prevent the condition<br />
developing, apart from maintaining a healthy<br />
lifestyle. However, if you or your family have a<br />
history of depression or mental health problems<br />
earlier in life or during and after pregnancy, tell<br />
your GP if you’re pregnant or thinking of having<br />
a baby. If you have had a mental health problem<br />
while pregnant, your doctor should arrange for<br />
you to be seen regularly in the first few weeks<br />
after birth. Signs that you or someone you know<br />
might be depressed include:<br />
a persistent feeling of sadness and low mood<br />
/ lack of enjoyment and loss of interest in the<br />
wider world<br />
lack of energy and feeling tired all the time /<br />
trouble sleeping at night and feeling sleepy<br />
during the day<br />
difficulty bonding with your baby<br />
withdrawing from contact with other people<br />
problems concentrating and making decisions<br />
frightening thoughts – for example, about<br />
hurting your baby<br />
Getting help for<br />
postnatal depression<br />
Speak to your GP or health visitor if you think you<br />
may be depressed. Many health visitors have been<br />
trained to recognise postnatal depression and<br />
have techniques that can help. If they can’t help,<br />
they’ll know someone in your area who can. Don’t<br />
struggle alone hoping that the problem will go<br />
away. Remember that:<br />
a range of help and support is available,<br />
including therapy<br />
depression is an illness like any other / it’s<br />
not your fault you’re depressed – it can happen<br />
to anyone<br />
being depressed doesn’t mean you’re a bad<br />
parent / it doesn’t mean you’re going mad<br />
your baby won’t be taken away from you<br />
– babies are only taken into care in very<br />
exceptional circumstances<br />
Treatments<br />
Postnatal depression can be lonely, distressing and<br />
frightening, but support and effective treatments<br />
are available. These include self-help such as<br />
talking to your family and friends about your<br />
feelings and what they can do to help; making<br />
time for yourself to do things you enjoy; resting<br />
whenever you get the chance and getting as much<br />
sleep as you can at night; exercising regularly;<br />
eating a healthy diet. Psychological therapy and<br />
antidepressants may also be prescribed..<br />
Local and national organisations, such as the<br />
Association for Post Natal Illness (APNI) and Pre<br />
and Postnatal Depression Advice and Support<br />
(PANDAS), can also be useful sources of help and<br />
advice – see pages 14 &15..<br />
20<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
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www.mhap.co.uk 21
Anxiety /<br />
Panic Attacks<br />
Anxiety is a normal emotion that we all<br />
experience, such as in the run up to exams or a<br />
job interview. But when anxiety becomes much<br />
more severe this feeling can take over and begin<br />
to interfere with everyday life. Conditions under<br />
the anxiety disorder umbrella include: social<br />
anxiety, generalised anxiety disorder (GAD),<br />
panic disorder, obsessive-compulsive disorder<br />
(OCD), phobias, and post-traumatic stress<br />
disorder (PTSD).<br />
For people with an anxiety disorder, feelings like<br />
stress, panic and worry are longer lasting, more<br />
extreme and far harder to control. Anxiety can<br />
stop people living the life they want – whether<br />
that means not being able to work, see friends or,<br />
in the most severe cases, even leave the house.<br />
As with many mental health conditions, the exact<br />
cause of panic disorder isn’t fully understood.<br />
But it’s thought the condition is probably linked<br />
to a combination of things, including a traumatic<br />
or very stressful life experience, such as<br />
bereavement, having a close family member with<br />
the disorder or an imbalance of neurotransmitters<br />
(chemical messengers) in the brain.<br />
Symptoms<br />
Everyone experiences feelings of anxiety and<br />
panic at certain times. It’s a natural response<br />
to stressful or dangerous situations. But for<br />
someone with panic disorder, feelings of anxiety,<br />
stress, panic or fear occur regularly and at any<br />
time, often for no apparent reason. You may<br />
start to avoid certain situations because you fear<br />
that they will trigger another attack. This can<br />
create a cycle of living “in fear of fear”. It can add<br />
to your sense of panic and may cause you to<br />
have more attacks.<br />
A panic attack is when your body experiences a<br />
rush of intense mental and physical symptoms.<br />
It can come on very quickly and for no apparent<br />
reason and can be very frightening and<br />
distressing. Symptoms may include a racing<br />
heartbeat, feeling faint, sweating, nausea, chest<br />
pain, shortness of breath, trembling, hot flushes,<br />
chills, shaky limbs and, a choking sensation.<br />
Most panic attacks last for between 5 and 20<br />
minutes, but may last up to an hour. The number<br />
of attacks you have will depend on how severe<br />
your condition is, sometimes once or twice a<br />
month, while others have them several times a<br />
week. Although panic attacks are frightening,<br />
they’re not dangerous. An attack won’t cause you<br />
any physical harm, and it’s unlikely that you’ll be<br />
admitted to hospital if you have one.<br />
Treatments for<br />
panic disorder<br />
Panic disorder is treatable and you can make<br />
a full recovery. If you’ve been experiencing<br />
symptoms of panic disorder visit your GP. They’ll<br />
ask you to describe your symptoms, how often<br />
they occur and how long you’ve had them. They<br />
may also carry out a physical examination to<br />
rule out other conditions that could be causing<br />
your symptoms. If you don’t get medical help,<br />
panic disorder can escalate and become very<br />
difficult to cope with. You’re more at risk of<br />
developing other mental health conditions, such<br />
as agoraphobia or other phobias, or an alcohol<br />
or drug problem.<br />
Treatment aims to reduce the number of panic<br />
attacks you have and ease your symptoms,<br />
using one or a combination of Psychological<br />
therapy (based on cognitive behavioural therapy)<br />
and medication. If your symptoms don’t improve<br />
after CBT, medication and connecting with<br />
a support group, your GP may refer you to a<br />
mental health specialist such as a psychiatrist<br />
or clinical psychologist.<br />
22<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
Phobias<br />
A phobia is an overwhelming and debilitating fear<br />
of an object, place, situation, feeling or animal<br />
and they are the most common type of anxiety<br />
disorder. They can affect anyone, regardless of<br />
age, sex and social background. Phobias are more<br />
pronounced than fears. They develop when a<br />
person has an exaggerated or unrealistic sense<br />
of danger about a situation or object. If a phobia<br />
becomes very severe, a person may organise their<br />
life around avoiding the thing that’s causing them<br />
anxiety. As well as restricting their day-to-day life,<br />
it can also cause a lot of distress..<br />
Symptoms<br />
A phobia is a type of anxiety disorder. You may<br />
not experience any symptoms until you come into<br />
contact with the source of your phobia. However,<br />
in some cases, even thinking about the source<br />
of a phobia can make a person feel anxious or<br />
panicky. This is known as anticipatory anxiety.<br />
Symptoms may include:<br />
unsteadiness, dizziness and light-headedness,<br />
nausea,<br />
sweating,<br />
increased heart rate or palpitations,<br />
shortness of breath,<br />
trembling or shaking<br />
an upset stomach.<br />
Types of phobia<br />
There are a wide variety of objects or situations<br />
that someone could develop a phobia about.<br />
However, phobias can be divided into two<br />
main categories:<br />
Specific or simple phobias - centre around a<br />
particular object, animal, situation or activity. They<br />
often develop during childhood or adolescence<br />
and may become less severe as you get older.<br />
Common examples of simple phobias include:<br />
animal phobias – such as dogs, spiders,<br />
snakes or rodents<br />
environmental phobias – such as heights,<br />
deep water and germs<br />
situational phobias – such as visiting the<br />
dentist or flying<br />
bodily phobias – such as blood, vomit or<br />
having injections<br />
sexual phobias – such as performance<br />
anxiety or the fear of getting a sexually<br />
transmitted infection<br />
Complex phobias - tend to be more disabling<br />
than simple phobias. They tend to develop during<br />
adulthood and are often associated with a deeprooted<br />
fear or anxiety about a particular situation<br />
or circumstance. The two most common complex<br />
phobias are:<br />
Agoraphobia – a sufferer will feel anxious about<br />
being in a place or situation where escaping<br />
may be difficult if they have a panic attack.<br />
Social phobia (also known as social anxiety<br />
disorder) - centres around feeling anxious in<br />
social situations.<br />
Causes<br />
Phobias don’t have a single cause, but there are a<br />
number of associated factors. For example:<br />
it may be associated with a particular incident<br />
or trauma,<br />
it may be a response that a person develops<br />
early in life from another family member or<br />
genetics may play a role – there’s evidence<br />
to suggest that some people are born with a<br />
tendency to be more anxious than others.<br />
Treating phobias<br />
Almost all phobias can be successfully treated<br />
and cured. If you have a phobia, you should<br />
seek help from your GP. Simple phobias can<br />
be treated through gradual exposure to the<br />
object, animal, place or situation that causes<br />
fear and anxiety ( known as desensitisation or<br />
self-exposure therapy). Other contacts for help<br />
with Phobias can be found on our Mental Health<br />
Glossary on pages 14 and 15.<br />
www.mhap.co.uk 23
Eating Disorders<br />
An eating disorder is when a person’s relationship<br />
with food becomes abnormal, forcing them to change<br />
their eating habits and behaviours. It can involve<br />
eating too much or too little, or becoming obsessed<br />
with your weight and body shape. It can take over<br />
your life and make you ill. Men and women of any age<br />
can get an eating disorder, but they most commonly<br />
affect young women aged 13 to 17 years old.<br />
Eating problems can disrupt how a person eats<br />
food and absorbs nutrients, which affects physical<br />
health, but can also be detrimental both emotionally<br />
and socially. Eating disorders often occur alongside<br />
other mental health conditions, such as anxiety,<br />
depression, panic disorder, obsessive-compulsive<br />
disorder and substance misuse disorders.<br />
Types of eating disorders<br />
Anorexia Nervosa – keeping your weight as low<br />
as possible by restricted food intake and/or<br />
excessive exercise<br />
Bulimia Nervosa – binge eating followed<br />
by deliberate purging (deliberately sick, use<br />
laxatives) to restrict what you eat, or do too much<br />
exercise to try to stop yourself gaining weight<br />
Binge Eating Disorder (BED) – episodes of<br />
overeating in a short space of time until you<br />
feel uncomfortably full, and are then often<br />
upset or guilty<br />
Other Specified Feeding or Eating Disorder<br />
(OSFED) - when your symptoms don’t exactly<br />
match those of anorexia, bulimia or binge<br />
eating disorder.<br />
Symptoms of eating<br />
disorders include:<br />
dramatic weight loss /spending a lot of time<br />
worrying about your weight and body shape<br />
avoiding socialising when you think food will be<br />
involved<br />
eating very little food / eating a lot of food very<br />
fast / cutting food into small pieces or eating<br />
very slowly<br />
deliberately making yourself sick or taking<br />
laxatives after you eat<br />
wearing loose or baggy clothes to hide<br />
weight loss<br />
exercising excessively or obsessively exercising<br />
lying about how much and when they’ve eaten,<br />
or how much they weigh<br />
having very strict habits or routines around food<br />
changes in your mood<br />
You may also notice physical signs including<br />
feeling cold, tired or dizzy, problems with your<br />
digestion, your weight being very high or very<br />
low for someone of your age and height and not<br />
getting your period for women and girls.<br />
What causes eating disorders?<br />
There is no single reason why someone may<br />
develop an eating disorder - it can be the result<br />
of a combination of genetic, psychological,<br />
environmental, social and biological factors.<br />
Getting help for an<br />
eating disorder<br />
If you think you may have an eating disorder, even<br />
if you aren’t sure, see your GP as soon as you can.<br />
They’ll ask you questions about your eating habits<br />
and how you’re feeling, and will check your overall<br />
health and weight. If they think you may have an<br />
eating disorder, they should refer you to an eating<br />
disorder specialist or team of specialists.<br />
You can also talk in confidence to an adviser from<br />
eating disorders charity Beat by calling their adult<br />
helpline on 0808 801 0677 or youth helpline on<br />
0808 801 0711.<br />
Treatment for eating disorders<br />
While they can be very serious mental health<br />
conditions they are also treatable and, although<br />
it may take a long time, full recovery is possible.<br />
Treatment normally consists of monitoring<br />
a person’s physical health while addressing<br />
the underlying psychological problems with<br />
psychological therapy such as cognitive behavioural<br />
therapy (CBT) or family therapy. Medication such as<br />
a type of antidepressant may also be used.<br />
24<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
Patient Advice and Liaison<br />
Service (PALS) at Queen<br />
Alexandra Hospital<br />
<strong>Portsmouth</strong> Hospitals NHS Trust provides the Patient Advice and Liaison Service (PALS)<br />
at Queen Alexandra Hospital.<br />
PALS is a support service which can help you with any questions or concerns you may<br />
have about the care provided at the hospital. They can then liaise with the relevant<br />
department or individual on your behalf to help answer your queries.<br />
PALS is also here to offer ‘on-the-spot’ advice to visitors and provide information about<br />
other organisations or groups that may be helpful.<br />
The service is free, confidential and<br />
provides impartial information,<br />
advice and support.<br />
@PortHosp | @QAHospitalNews | @QAPatExp<br />
Contact us:<br />
Monday-Friday 9:00am-5:00pm<br />
• Freephone: 0800 917 6039<br />
• Email: PHT.PALS@porthosp.nhs.uk<br />
• Or you can visit us Monday to Friday<br />
(10am to 3pm) at the Main Reception<br />
in Queen Alexandra Hospital<br />
The Trust is working towards a cleaner, healthier<br />
environment for all our staff, patients and visitors.<br />
We operate a smoke-free policy and wishes to advise all<br />
visitors that smoking is not permitted anywhere on the<br />
hospital grounds.<br />
www.mhap.co.uk 25
Help for Suicidal<br />
Thoughts<br />
Suicide is when someone purposely ends their<br />
own life. This section looks at why someone<br />
might think about suicide and how you can<br />
help them. People might think about suicide<br />
for different reasons. There’s no right or wrong<br />
way to talk about suicidal feelings – starting<br />
the conversation is what’s important.<br />
If you are worried that someone may be<br />
thinking about suicide, talk to them. Ask them<br />
about how they are feeling and offer to help.<br />
Talking to someone about their suicidal<br />
thoughts does not make them more likely to<br />
end their life.<br />
You can help someone who is feeling<br />
suicidal by listening to them without judging<br />
them and trying to help them think about<br />
other options.<br />
Helping someone with suicidal thoughts is<br />
likely to have a big impact on you. Find out<br />
what support is available to you. If someone<br />
does try to end their life, this is not your fault.<br />
If you’re feeling like you<br />
want to die, it’s important<br />
to tell someone<br />
Help is available right now if you need it. You<br />
don’t have to struggle with difficult feelings<br />
alone. Talk to someone you trust. Let family<br />
or friends know what’s going on. They may be<br />
able to offer support and help keep you safe.<br />
Alternatively, you could call your GP and ask<br />
for an emergency appointment or call 111 out<br />
of hours – they will help you find the support<br />
and help you need. You could also contact<br />
your mental health crisis team.<br />
Important -<br />
is your life in danger?<br />
If you have seriously harmed yourself – for<br />
example, by taking a drug overdose – call 999<br />
for an ambulance or go straight to A&E or ask<br />
someone else to call 999 or take you to A&E.<br />
Phone a helpline<br />
These free helplines are there to help when<br />
you’re feeling down or desperate. Unless it<br />
says otherwise, they’re open 24 hours a day,<br />
every day.<br />
Samaritans – for everyone<br />
Call 116 123<br />
Email jo@samaritans.org<br />
Campaign Against Living Miserably<br />
(CALM) – for men<br />
Call 0800 58 58 58 – 5pm to midnight<br />
every day<br />
Visit the webchat page<br />
Papyrus – for people under 35<br />
Call 0800 068 41 41 – Mon to Friday 10am<br />
to 10pm, weekends 2pm to 10pm<br />
Text 07786 2<strong>09</strong>697<br />
Email pat@papyrus-uk.org<br />
Childline – for children and<br />
young people under <strong>19</strong><br />
Call 0800 1111 – the number won’t show<br />
up on your phone bill<br />
The Silver Line – for older people<br />
Call 0800 470 80 90<br />
26<br />
to advertise in the next issue of Mental Health Awareness call: 01375 402 546
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Exercise and Mental Health<br />
There are many reasons why physical activity is good<br />
for your body – having a healthy heart and improving<br />
your joints and bones are just two, but did you know<br />
that physical activity is also beneficial for your<br />
mental health and wellbeing?<br />
Various studies suggest that exercise and physical activity<br />
can help with depression and anxiety, stress management<br />
and improving self-esteem. A study in the British Journal of<br />
Psychiatry found that people who engage in regular<br />
leisure-time activity of any intensity are less likely to have<br />
symptoms of depression. This is because exercise releases<br />
natural chemicals, such as serotonin, dopamine and<br />
endorphins into the body which all help boost your mood.<br />
Even just a few minutes of physical activity are better<br />
than none. Start off with 15 – 30 minutes of exercise to<br />
get you started, but if your body tells you to break after<br />
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• UK Increased based Centra confidence telecare to team, live independently all at the touch and of safely a button. at home<br />
• Faster response times to falls and accidents<br />
Why<br />
Why<br />
use<br />
use<br />
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• Reduced cost telecare? of using technology.<br />
Increased confidence to live independently and safely at home<br />
• Increased confidence to live independently and safely at home<br />
To Faster find out response how we times can help to falls you please and accidents call us on<br />
• Faster response times to falls and accidents<br />
0300 Reduced 456 3548 cost or of visit care www.centragroup.org.uk/ifp<br />
using technology.<br />
• Reduced cost of care using technology.<br />
To find out how we can help you please call us on<br />
To find out how we can help you please call us on<br />
0300 #lifeisforliving<br />
456 3548 or visit www.centragroup.org.uk/ifp<br />
0300 456 3517 3548 or visit www.centragroup.org.uk/ifp<br />
#lifeisforliving<br />
#lifeisforliving<br />
201 Centra Southend ad A5.indd 1 18/06/20<strong>19</strong> 10:20:57<br />
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