In crisis? Do you need urgent help?
Most people feel in emotional crisis at some time in their lives. For some this passes quite quickly but for others the feeling lasts for a while. If the feeling is overwhelming or you feel so distressed that you have thoughts of harming yourself or you feel you are at risk of harming others then you need to:
- Phone or visit your GP as soon as possible and explain to him or her how you are feeling.
- If your GP surgery is closed call NHS 24 on 111
- Or phone Samaritans 08457 90 90 90
- You can also call Breathing Space 0800 83 85 87
Not at crisis point but scoring high for stress, burnout, anxiety or depression
Seek professional help. This can be through your GP, a therapist that is senior and experienced in dealing with doctors and mental health or a psychiatrist.
They might suggest talking therapies and / or medication.
I have listed organisations and resources that can help here.
This includes services such as the DocHealth service, “a new confidential, not for profit service giving doctors an opportunity to explore difficulties, both professional and personal, with senior clinicians. It is a pilot service is delivered by Consultant Medical Psychotherapists based at BMA House in London.”
There are lots of free CBT resources on-line or in books that I have listed further below.
There are many different types of talking therapies, some of which include counselling, CBT (cognitive behavioural therapy) and psychotherapy. I have discussed CBT in a little more detail further down this page.
The Mental Health foundation have resources explaining the different treatment modalities in more detail.
NHS choices have heaps of resources and audio guides on their Moodzone, which deals with the kind of feelings and common life problems that affect lots of us from time to time.
As NHS choices state:
“CBT cannot remove your problems, but it can help you deal with them in a more positive way. It is based on the concept that your thoughts, feelings, physical sensations and actions are interconnected, and that negative thoughts and feelings can trap you in a vicious cycle.”
CBT has been used widely in the NHS and is now a major part of the services offered by the national IAPTS (improving access to psychological therapies) programme. There is good evidence of its effectiveness in anxiety and depression.
Most of the following are recommended by the Royal College of Psychiatrists in their useful page on CBT
Free online CBT resources
MoodGYM: Information, quizzes, games and skills training to help prevent depression
Living Life to the Full: Free online life skills course for people feeling distressed and their carers. Helps you understand why you feel as you do and make changes in your thinking, activities, sleep and relationships.
FearFighter: free access can only be prescribed by your doctor in England and Wales
Other useful CBT web links
Beating the Blues (not free)
Self-help books using CBT
The ‘Overcoming’ series, Constable and Robinson
Self-help books which use the theories and concepts of CBT to help people overcome many common problems. Titles include: overcoming social anxiety and shyness, overcoming depression and overcoming low self-esteem.
Reading Well Books on Prescription helps you manage your well-being using self-help reading. The scheme is endorsed by health professionals, including the Royal College of Psychiatrists, and is supported by public libraries.