Worried about your mental health
Mental health problems are common. One in four people will experience poor mental health at some point in their lives. The page looks and the signs and symptoms and what you can do to get help.
- Mental health problems rarely happen overnight and usually appear gradually. They often start with gradual changes in your thoughts, feelings and behaviour.
- Mental health problems are common. 1 in 4 people will have a mental illness at some point in their lives.
- You may want support if you have noticed changes in the way you think or feel which cause problems in your day-to-day life.
- If you think you need help, try to get treatment as soon as you can. Seeking help early can speed up your recovery.
- If you would like treatment, speak to your GP
About mental health problems
How common are mental health problems?
Mental health problems are common. Up to one in four people will experience poor mental health at some point in their lives. They could be caused by stressful events such as losing a job, bereavement or money issues. These feelings can often be intense, but are often temporary. With the right support and help people make good, positive steps towards recovery.
Some people will experience more serious problems with their mental health. These types of mental health problems often occur as gradual changes that a person may not notice or realise. People might start to behave differently, or start having thoughts or beliefs they didn’t have before.
What are the signs that things may not be right?
Most people will feel low, anxious or irritable at some point in their lives. But if you have several symptoms at the same time, this could mean you have a mental illness, especially if you have had them for some time.
If your day-to-day life is getting worse because of these symptoms, then this could also be a sign that something is not right.
The following symptoms could be signs of mental health problems.
- Being anxious and irritable.
- Having a low mood for a long time.
- Finding it difficult to concentrate or remember things.
- Sleeping less or too much.
- Changes in your mood.
- Finding it difficult to manage everyday life, for example, preparing food and washing regularly.
- Feeling teary.
- Becoming suspicious and paranoid.
- Becoming isolated and withdrawn.
- Having suicidal thoughts.
- Believing that your family and friends want to do you harm.
- Believing that people or organisations are out to get you.
- Experiencing hallucinations. This means sensing things that other people do not, this can include seeing and hearing things.
- Believing that you have special powers or are on a mission.
- Excessive spending and problems managing your money.
Getting help and seeing your GP
Where can I get help?
If you are worried about your mental health, you should try and seek help early. The first step is to visit your GP and explain how you feel.
GPs are experienced in dealing with mental health problems, so try to be open about how you have been feeling.
You might find it hard to discuss personal problems, or struggle to find the words to explain how you feel. If you do struggle you might find it helpful to try the following.
- Ask your GP for a double appointment. This will give you more time to talk to the doctor.
- Take a friend or relative to the appointment. They can help you to explain things to the GP.
- Write down what you would like to say before the appointment. You could also make notes of your symptoms and questions you would like to ask.
Your mental health problems may mean that you have social care needs. Social care needs can include needing help with:
- getting out of the house,
- preparing meals or going shopping,
- managing your money, and
- having social contact with friends and family.
You can ask your local authority for a social care assessment to assess your needs. Your local authority must do this if you may need care and support. The assessment could be face-to-face or online.
This sort of assessment does not look at health needs like medication or talking therapy. If the person assessing you thinks you may also have health needs, they can ask the NHS see you. They may call this a ‘joint assessment’.
Carer’s assessment to help with everyday life
If you are a carer of someone with mental health problems and you believe that your caring role has had an impact on your mental health you should be able to get a carer’s assessment from your local authority.
Can I get help without seeing my doctor?
You do not have to go and see your GP if you don’t want to. You can use self-help and get treatment without going to see a GP. You could try the following options:
Improving Access to Psychological Therapies (IAPT)
‘Improving Access to Psychological Therapies’ (IAPT) services are part of the NHS and mainly offer cognitive behavioural therapy (CBT) for mild to moderate anxiety and depression. There should be an IAPT service available in your area.
You may be able to self refer to your local IAPT service but in some areas a GP will need to make the referral.
Pay for private healthcare
You could pay to see a private psychiatrist. Private psychiatrists can give a diagnosis and prescribe medication for you. They may also refer you to other services such as counselling services which you may have to pay for. Private psychiatrists can be expensive. If you would like to find a private psychiatrist you could:
- ask your GP if they can recommend one to you,
- do a search online or in a phone directory, or
- contact private healthcare providers such as the Priory or Cygnet.
You should check that any private psychiatrist is registered with the General Medical Council.
You can check here: www.gmc-uk.org/doctors/register/LRMP.asp#View.
Pay for private therapy or counselling
You could pay to see a private therapist or counsellor. Some private therapists charge less for people on lower incomes.
It is a good idea to check if a private therapist is a member of a professional body such as the BACP. A therapist that is a member of a professional body will have to meet certain professional standards. As well as following the code of ethics and complaints procedure.
Complementary and alternative treatments
Complementary and alternative treatments look at all parts of your recovery and needs, and aim to look at your physical, mental, spiritual wellbeing. This is known as an holistic approach. Many people with mental illness find this approach beneficial.
People use complementary and alternative treatments to treat many different health conditions. The NHS gives information about these treatments for some health needs. However, there is still a lack of reliable scientific evidence about their use in treating mental disorders.
There is a lot of useful self-help information available online. Self-help guides on the internet may be able to help you to understand why you are feeling and behaving in a particular way. Understanding the reason for your thoughts and behaviours can help with your recovery. Self-help can also give you coping skills to deal with your problems.
These are some websites you could try.
- http://www.beatingtheblues.co.uk – for depression
- http://fearfighter.cbtprogram.com/ – for anxiety and phobia
Both are computer based Cognitive Behavioural Therapy (CBT) packages that are available on the internet. They are available free through the NHS. Speak to your GP about whether they can give you log-in details.
Support from a local organisation
Some charities offer therapy, one-to-one support, group support and peer support. A peer support group is where like minded people come together to share information, experiences and offer emotional support to each other. You might be able to find a local group by searching online. If there isn’t a group in your area you may be able to find an online support group or forum.
At Rethink Mental Illness we provide peer support groups and community services in some areas of England. Find out what is available at: www.rethink.org/services-groups
Seeing your GP
What should happen when I see a GP?
Once you have told your symptoms to the GP, they should think about whether you have an illness. Your GP should check your health to work out the type of support you need. They should talk to you about your options. These are some options that your doctor may offer.
- Medical treatment. This could be medications or psychological therapy.
- Advice on eating well, sleeping better and exercise.
Your GP may suggest that you watch your feelings over a couple of weeks. If things don’t improve you should go back for another appointment.
If you need treatment for a mental health problem, your GP should try to help you first before referring you to a mental health specialist.
Most mental health problems can be treated with a combination of medication and talking therapies. GPs can prescribe medication such as antidepressants.
If your doctor feels that you need talking therapies they can refer you to a local NHS service. There may be a long wait before you see a therapist. If there is a long wait you could ask your doctor about other treatment options outside of the NHS.
If your symptoms are particularly bad or if you need expert treatment, your GP may pass your details on to specialist mental health services.
If you have a severe mental health problem, a psychiatrist may manage your care and treatment. You may have help from a specialist team, like a Community Mental Health Team (CMHT). If you get this extra help and support, this could be through the Care Programme Approach (CPA).
Will my GP keep my information confidential?
Your GP should keep information about you confidential. This means that they should not give information about you to your family, employer, police, solicitor, or other organisations unless you give consent. The only time your GP can share information about you without your consent is when:
- it is in your best interests,
- it is required by law, or
- it is in the public interest.
What if I have problems getting help?
Although all doctors should be trained to deal with mental health, you might feel that your GP isn’t very understanding or able to see that you have a problem.
If this happens you should not give up and still try to seek help. You could try to:
- make an appointment with a different GP,
- change GP surgeries,
- get an independent community advocate to help make your views and wishes heard,
- speak to your local Patient Advice and Liaison Service (PALS), or
- make a complaint.
Can mental health problems affect work?
Having a mental health problem may make it more difficult for you to work. You may find it more difficult to complete tasks if your illness affects your concentration.
If you tell your employer that you have a mental health problem you may be entitled to reasonable adjustments under the Equality Act 2010. Reasonable adjustments mean that your employer must put things in place to make it easier for you to do your job. For example, your employer could allow you to work flexibly.
It is up to you if you decide to tell your employer that you have a mental health problem. But your employer only has to give you reasonable adjustments if they know about your illness.
An employer should not ask you questions about your mental health during the application process or during the interview process unless you need adjustments to be able to attend the interview.
For some jobs you have to disclose your mental health to your employer. These jobs include doctor, nurse, teacher and social worker. If you are applying to study or are studying one of these professions you may also need to disclose your mental health.
Can drugs & alcohol cause mental health problems?
Drinking too much or using illegal drugs can cause mental health problems. But if you have a mental illness, you may also use drugs and alcohol to deal with your symptoms. This is known as self-medication. Unfortunately, drugs and alcohol usually make mental health problems worse, even if you feel better in the short term.
If you drink too much alcohol you may develop a mental health problem such as depression or anxiety. You may be able to improve your symptoms if you stop or reduce the amount of alcohol that you drink.
Drugs can also cause mental health problems. This includes both illegal drugs and some legal drugs. For example, using cannabis may make it more likely that you get psychosis or depression.
Benzodiazepines can also cause health problems. People also buy them illegally because of their relaxing effects. They can cause memory and concentration problems if you take them for a long time.
If you have problems with drugs or alcohol and have a mental health problem you should discuss this with your doctor as soon as you can.
Alcohol and drugs can:
- make your medication less effective,
- make your symptoms worse,
- make you feel angry or aggressive, and
- make you feel suicidal.
If you have a mental health problem in addition to alcohol or drug misuse, doctors call this ‘dual diagnosis’. You will probably need specialist help and treatment.
Can people recovery from mental illness?
Many people have mental health problems and many are able to recover if they get the right sort of support and help. People can often feel much better and more positive about themselves and the future once they have sought treatment.
If you are concerned about your mental health then please consider the options on this page and remember that many services and organisations are there to help and support you.