Tag Archives: mental health

My journey through therapy

Over the past few weeks I've been publishing blogs about different types of therapy. I've been very fortunately that the NHS offered me such fantastic opportunities, each therapy helped me understand something new and helped me grow and develop. Every therapy has its pros and cons. If you want therapy on the NHS, depending on the set up in your area, you will need to be referred, either by you GP or via a psychiatrist.

Follow the links to find out more:

Let me know your experiences.

How mindfulness changed my life

I was introduced to mindfulness in the traditional way, practicing the skill with set times for doing a body scan, focusing on the breath or focusing on the dreaded raisin, but this never particularly clicked with me.

I didn't like the way I was taught it and I was very unwell at the time and it just didn't make sense. For example, we did a task of pouring a glass of water and drinking it, I was made to feel bad for daring to state that I had to judge how heavy the jug of water was going to be so that I was able to pick it up, I was told that all judgments were bad. This is of course, not the case!

What mindfulness is not:

  • A form of relaxation
  • New age Buddhist thing
  • A way to get rid of thoughts
  • A way to sort out your problems
  • Meditation
  • Boring
  • Hippy nonsense
  • A waste of time
  • Anti-Christian (or any of faith or religion)

Since I was first introduced to it, I've come a long way and I've come to love elements of mindfulness. I do not sit down and do the formal practice sessions but for me, mindfulness has become a way of life. I try to live mindfully by focusing on what I'm doing in the here and now. How often do we arrive at a destination, having driven there but we have no recollection of the journey? What I do now is concentrate on what I'm doing in the moment, this includes driving but can be applied to any task, from cleaning my teeth to eating to washing up.

What do I mean by "living mindfully"?
I mean I really pay attention to every task I do, I take in the sights, sounds, smells, textures and tastes of everything. If I'm brushing my teeth I pay attention to the sound of the water running, the feel of the toothbrush on my gums, the taste and smell of the toothpaste and notice the movement of my wrist and arm as I brush.

Of course, my thoughts wonder all the time, I try to stop this happening but I do not judge myself for struggling to stay focused, if I've got a lot on my mind I'm going to find it hard, this is natural and ok. It's about being gentle with myself, if I find my attention and thoughts straying away, I gentle being myself back to the task in hand.

I hear people saying, "I'm not good at it so I've given up trying", being "no good" is a judgment, it's the judgment that's getting in the way rather than how hard or easy the task is.

The biggest change it's had for me is to stop judging myself. Of course, I still do, I may never be able to break the habit of a lifetime but I do not judge the fact that I judge myself. I know it's unhelpful but if I judge the judging, what's the point in even noticing that it's unhelpful?!

The positive effects mindfulness has had, without this being the "aim":

  • I'm more relaxed
  • My mind is clearer
  • My food tastes better
  • I'm a safer driver
  • I relish the simple things in life
  • I'm more content
  • I'm less easily distracted
  • I'm more compassionate towards myself
  • I know myself better
  • I'm more aware of my feelings
  • I notice how beautiful the world is
  • I accept the things I cannot change
  • I forgive easily
  • I appreciate new experiences


Fundamentalists may say you need to do the formal practices to gain the fullest benefit from it but I say you have to do what suits you. Maybe I don't know what I'm missing and at some point I'll try the formal practices again but for now living mindfully works for me.

My thoughts on To The Bone new Netflix movie

The much anticipated movie, To The Bone, has provoked a lot of attention from people within the eating disorder community.

I would prefer it to have caused more of a stir in people who have no experience of eating disorders but are they going to be the people who watch it?!

It’s so hard that so often, when trying to raise awareness of mental illness, we end up preaching to the converted and it ends up being more about whether it’s been a typical representation or whether anyone’s offended or triggered by it.

What I want is for people who do not know anything about eating disorders to watching this film. It doesn’t show the whole recovery story but it does show the difficulty coming to terms with needing treatment.

People within the eating disorder world are putting people off from watching it, this is probably their aim. I’m not quite sure why other people think their story “better portrays” anorexia or why it’s ok to deliberately trigger yourself and then lash out at the film’s leading lady or director.

By it’s nature Hollywood is glamorous and stories are simplified for entertainment purposes. If we want to use a widely accepted form of media to raise awareness, we have to accept these compromises.

This film will do more to get conversations going than any blog writer and I’m happy to thank them for doing it.

Please don’t watch it if you think you may be triggered, it really is that simple. I know it may not be easy as in recovery we’re all ambivalent but it is a simple yes/no desision about whether to watch it. Maybe shut off social media for a few days to let the hype die down and every time you’re tempted to click yet another To The Bone link, say “no”.

Read more about my thoughts on my Metro blog

Quick Mental Health Awareness Q&A

Why is it important to raise awareness?

People with mental illness not only have to suffer the debilitating effects of the illness but also have to suffer stigma, discrimination and a whole host of effects caused by misunderstanding and ignorance. Raising awareness of what mental health will go part way to breaking this down.

The more society understands about mental illness, the more we talk about it, the more normal it will be for people to get the help they need, earlier, and therefore a meaningful recovery is more likely.

People with mental health problems can work provided they can get the right support. At the moment, this support is not available. Raising awareness will ensure moving from benefits into work can be an easier transition and reasonable adjustments within the workplace will ensure staying in work is possible. It’s not rocket science.

So, basically, what is mental illness?

In a nut shell, when chemicals within the brain get out of balance, thoughts and feelings become out of sink with reality, meaning we may behave out of character. This means it can be solved on a number of levels by tackling the thoughts, the feelings, the behaviours or the chemicals but most people think it is best to manage all of them to some degree since they all impact each other.

Is mental illness scary?

As a sufferer, I would say, “yes” – at times I’ve been petrified.

Watching a loved one suffer, I would say, “yes” – at times, it’s devastating.

BUT this does not men we should be sacred to talk about it – talking will only help these situations. Mental illness will always, by its nature, be painful , it will break hearts and break lives but if, by talking about it, we can ease the tensions and heightened emotions, we will be making progress.

If I don’t know anyone with a mental illness, why should I care?

1 in 4 people will experience a mental health problem min any given year. You may think you don’t know anyone but I promise you do, if they’re not talking about it to you, it’s because of fear; fear of judgement, ignorance and discrimination. If you genuinely don”t think you know anyone with mental illness, just for fun, count down a list of friends and ever 4th person, say “it could be them” – that person could suffer this year – think of the devastation that could cause, they might not be able to leave the house, to meet you socially, to go to work, to play with their children, their life might be at risk, they might need specialist treatment – now do you care?

Bit feeling a bit low or a bit worried isn’t that serious is it?

“Depression is sucking the life out of me, it saps me of emotion, it hags over me like a black fog. I feel nothing and everything. I’m completely exhausted but I can’t sleep. I can’t eat. My body aches. No medication is working. I think the only way out is suicide.”

“I feel so overwhelmed that my family is in danger, I have an in uncontrollable compulsion to check the door is locked, multiple time. Thoughts intrude my mind, it doesn’t feel like they’re mine. It’s called anxiety and obsessive compulsive disorder but it feels like it’s ruining my life.”

“I’m trapped in a cycle of not eating. Food feels like the enemy, I’m genuinely terrified of what it will do to my body. I hear a voice telling me that I do not deserve to eat. I so desperately want to break free of this destructive cycle but it feels like there’s no hope. I’ve been told I have anorexia but I don’t think I have because I’m not skinny enough.”

“At times I’ve thought I can fly, it might sound funny but it’s not when I’m feeling so elated I climb out of my 2nd floor flat and flap my arms. Breaking my leg wasn’t enough to stop me, my mind was still racing, I ran out into traffic thinking I was invincible. I felt awful waking up in hospital realizing I’d put so many people at risk. This is the sort of thing I do when I’m manic.”

Suicide is the biggest killer of men under 45 years. Mental illness is incredibly serious, it can stop people working, it can stop people socialising, it can literally stop people living their lives, it affects not only the person with the diagnosis but everyone around them.

Mental health services are still not properly funded, waiting lists are too long and people are not receiving the teat,jet they need.

If it’s all so bleak, what’s the point?

It is possible for everyone to recover a meaningful life, no matter how serious their mental illness has been. For some people this will mean managing with medication and ongoing therapy but the majority of people can move on to be so completely free from their mental illness. This is all only possible provided they have access to appropriate support and treatment – this wil only happen if people feel they can come forward for help and if they help is there!

What do we need to do?

  1. Share this blog 🙂 It’s one small step on the road.
  2. If you think someone might be struggling, just asks them how they are and if there’s anything you can do and don’t be scared.
  3. If you have a story to tell, share it. I know it’s hard but someone has to break the silence – knowledge can only come from the knowledgeable.
  4. Take in interest in things like Time to Change and Heads Together, follow them on Facebook or regularly visit their campaign pages, they’re the experts on how we’re going to move forward with all this!

This is my dream

This year’s theme for Mental Health Awareness Week is Surviving or Thriving. I absolutely love this, to me it’s making the point that so many people miss. Getting through a mental illness is all about surviving, surviving the illness itself, surviving what the illness takes away from you, surviving the mental health system and more. 

But once on the road to recovery (which I truely believe is possible for everyone) it really is about finding how to thrive. Many people get stuck in survival mode and I want to cry out to them, you can do better, there is more out there for you, I promise.

I want to be an example, dare I say, an inspiration, that survival in possible.

When your mind is sick and all around you is black, it can feel like there is no hope, like you’re all alone and no one has ever felt as bad as you feel before. I have been there, I have been in deep dark depression and debilitating anorexia. At times I’ve been so stuck in my head my behaviour has made no sense at all. I’ve been in that place where you make the same mistakes over and over again, desperately hoping something will magically solve itself.

But I survived, I fought my way to freedom.

It is wonderful to be positive about the possibility of freedom from mental illness but sometimes there’s an added dimension that makes recovery far harder than just taking medication and forging a few new neural pathways (if that wasn’t hard enough!).

Eating disorders, in particular, are incredibly difficult to recover from because as they are a coping mechanism and therefore there’s a big part of the sufferer that does not actually want to recover. This can be really hard to admit, and nearly impossible for other people to understand. I argued with myself, I was going through hell, I hated what was going on, so, of course I wanted to get better but a big part of me was holding onto (what felt like) a safe coping mechanism.

So, I want to be a warning.

I have recently spent some time thinking about what my mental illness took away from me.

Sufferers are all too aware of how much we lose to our illness but at times we can be so embroiled in the thoughts, feelings and behaviours that we become blind to the scale of the impact.

Anorexia has the highest mortality rate of any psychiatric disorder, from medical complications associated with the illness as well as suicide. – Beat

I’m fortunate that I’m here to tell my story, however…

I have problems with my bones, colon and stomach, I have fibromyalgia and could be infertile. I have to have frequent blood tests which often show deficiencies and I continue to take medication and undergo other treatments including operations to manage the various conditions. Consequences other people face include ongoing liver, kidney or even heart problems, with eating disorders, no body system is left untouched.

If you or someone you know is struggling to break free, I implore you to do everything you can to find that tiny part that does want things to be different and hold on tight! Things will only be different if you try something different. 

Surviving mental illness takes effort, thriving takes something else!

Thriving at life isn’t easy, the truth is, life’s hard – I don’t think anyone would deny that! I have to work hard at the little things, being spontaneous, using the phone, knowing how to take care of myself, smiling when I have no energy and being socialable when I don’t want to. That feeling “stop the world I want to get off!’ – I get that a lot! But I’ve discovered the things I like, I know what makes me happy and I make sure I take time out of life.

When making my way back into the world of work I did some volunteer work to a) find out what I was good at and b) find out what I liked. Trying new things with no strings attached is fun and liberating! It became fairly obvious that my forte was going to be in the mental health world, my personal experience built on my background education. Since then I’ve been gaining experience in a variety of settings and more than anything I’m enjoying writing 🙂

There is no definition of thriving, you are not going to know when you’ve ticked that box and that can be tough! It’s a journey not a destination!

My dream is that people can see that I can recovered and have hope that they can develop their own version of recovery, I want those struggling with the pull of addictive behaviours to find the desire to break free and I want those stuck in survival mode to break free and find how to thrive in their unique way.

What’s the point of raising mental health awareness?

I’m really excited to see the The Duke and Dutchess of Cambridge and The Prince of Wales heading up the Heads Together mental health campaign. Only good can come from talking more about mental health and ‘celebrity’ status can aid this.


They’ve brought together The Mix, Place2Be, Contact, Mind, CALM, Best Beginnings, Anna Freud and Young Minds so let’s hope this campaign does the business and gets everyone talking about mental health the way us Brits talk about the weather! (Maybe not, that would be weird!!)

It is great that Heads Together is the charity of the year for the London Marathon and I’m really excited everyone is wearing the #HeadsTogether headbands but will anyone know what it’s all about and why we need to get everyone talking about mental health? What are we actually going to talk about when we get started? Here’s what I want to say, I’m sure many others with mental illness would echo my words:

  1. My mental health diagnosis doesn’t mean I can’t work. Everyone has skills and experience to offer the work place, it is an employer’s duty to offer reasonable adjuastments to enable people to work despite a diagnosis. Please do not discriminate against me, I am not my illness.
  2. Just because my illness is hidden I should not be made to feel ashamed or guilty nor should I feel I have to prove or justify my illness because people assume I’m making it up.
  3. Sometimes my mind makes me behave out of character, please forgive me, don’t judge me.
  4. It’s ok to talk to me about mental health, it’s not catching, it does not make you weak. The only way we’re going to reduce stigma is if we make it a normal and natural thing to talk about.
  5. Caring for someone with a mental health diagnosis is tough, carers need support too.
  6. Mental health education in schools is vital, early diagnosis means recovery is more likely.
  7. Recovery is different for everyone. Some people need to stay on medication for life, some people need therapy on and off for life. Not everyone will be in full time paid work but striving for recovery means an illness can be managed and a meaningful life can be found.


So, however we do it and whoever does it, raising awareness of mental health issues is important and these are some key messages. We can use all the gimmicks and celebrity endorsement we like but we must remember key messages we’re trying to communicate!

How do you love someone who doesn’t love themselves?

It can be absolutely devastating to watch someone self destruct. This can be through drugs, alcohol, an eating disorder, self harm or more subtly through constant self deprecating thoughts and language. I’m not talking about someone who doesn’t like the odd characteristic in themselves but someone embroiled in these behaviours who has a deep seated hatred of themselves.

It can absolutely rip your heart out when you know someone is doing themselves harm and the way out seems painfully obvious. 

If someone is taking drugs or drinking too much, if only they would stop…

If someone is ravaged by restricting and binge eating, if only they would eat regularly…


I’ve watched close friends make the same mistakes time after time and they turn to me in desperation. I know if only they could respect themselves, they could break their destructive cycles and they’d start to see the light at the end of the tunnel. But they don’t believe they deserve respect from anyone, let alone themselves.

Watching someone in pain, at times can feel like you’re grieving. Where is the person? How do they not see themselves as you see them? Why are they in so much pain? It’s important to be honest about this grief. You have not lost them but if this is how it feels, be honest, at this moment, they may still be there in body but if their mind is not all there, they can feel missing.


I have been both the person watching on and the person being watched.

Until recently, I had no idea what it meant to even feel ok about myself. I feared that if I liked myself, I would be arrogant so I ran in the opposite direction and I hated myself. From a young teen I travelled through various self destructive behaviours always with an internal self loathing running commentary. I pushed everyone away at the same time as I cried out for their help. I would say I was incredibly hard to love.

There are no simple answers but here are a few of my thoughts.

Accept that, although the answer looks obvious to you, you are unlikely to be able to, nor is it your job to fix the person. Even if the person in pain is your son or daughter for whom you feel responsible, they are their own person, you can only advise and guide, you cannot fix. When I accept this, I find I have more space to do what I can do.

Consider what you are doing, good enough. Whatever you do, you will be showing love. People show and receive love in different ways, this may not be the time to have a deep conversation about exactly what’s right for them but if you show love through words, actions or gifts, keep going. Sometimes just being there is all that is needed or possible, just keep being there.


Make sure you get the support you need. Acknowledge that you are going through a tough time too. You might feel grief or anger, fear or shear desperation, no emotion is wrong. Give yourself some TLC or ask for it from others, there’s no point in your life veering off too!

It is likely that time after time someone in self-destruct mode will push you away, this can feel like a personal attack but try not to see it that way. Give them time and space (this will show them love) but do go back and let them know you’re still there for them.

As hard as it is, almost impossible at times, remember that the person you love is in there somewhere. No matter how hard they try to push you away, no matter how much they hate themselves, no matter how destructively they are behaving, they are the same person underneath.


People do not behave destructively for no reason, they are not deliberately trying to cause you pain. Most people in this position have not been shown the love or emotional care they need, for this they will need professional help. If at all possible, they need someone to remember who they are beyond the destructive behaviour and love them for who they are. You do not have to condone or even accept what they’re doing, just love the person underneath.

Healing can and does occur.

Surviving a festival with a mental illness

I’ve come away, for the first time, to Spring Harvest (a Christian festival/conference) with my husband. I’m very fortunate, at the moment, to be mentally well but I’m always aware of how much my mental illness impacted my life, either stopping me enjoying things, or stopping me doing things altogether.

I’m not suggesting anyone will be able to strike out to the next festival mid crisis but when on the road to recovery, we need things to challenge us and this might be just the thing…I hope this blog will help someone think they could cope with coming away to Spring Harvest (or similar) even if they are still struggling. A Christian festival is fantastic place to find support, friendship and fellowship with people who could draw you closer to the ultimate healer.
I just have a few pointers on how to ensure you get the most out of it even when times are hard.

  1. Be prepared – If anxiety is a problem, predicting that every disaster that will happen will come as second nature but a few simple plans can reduce fears. Ensure you have confirmation emails ready and/or wrist bands etc. Ask people who’ve been before how to prepare/what to pack etc, phone or email the organisers, explain you’re concerns, they’ll be more than happy to help, they’ll want to put your mind at ease. 
  2. Pack something comforting – whether your favourite food, a teddy, a cosy jumper or your iPad, have something with you that reminds you of home and you can call on to if your having a wobble.
  3. Go with someone you know well – talk to them about any apprehension and ask them to watch out for signs you’re not coping. Let them know they do not necessarily need to look after you, as you can look after yourself but if they’re there for support, it’ll help.
  4. Don’t try and do everything – when you’re faced with a programme packed full of events it can be easy to feel overwhelmed and think you’ll miss out if you don’t go to everything and pack your time but the reality is, you cannot do everything and you’re there to enjoy yourself, you won’t if you’re dashing around! Take time to look at the planner, mark what you want to do so you don’t forget, then just do it.
  5. If you’ve come in a group you don’t have to do everything with them – being in a group can be reassuring so take advantage of that! But it can also be exhausting so make sure you do the things you want to do, on your own, or just with 1 friend. Be aware of what your character needs, when recovering from depression a good balance of time with people and time alone is important. 
  6. Make sure you have food plans – mental instability plus lack of physical energy is not a good combination, make sure you have plans for regular meals. This can be tricky and depends on the exact nature of the festival. At Spring Harvest, there is a great choice of self catering, buying meals on site or a half board dining package. If you have an eating disorder, self catering is often best but recovering I have found half board really helps as it’s helped me break unhelpful disordered habits (such as sticking to salads etc). 
  7. Plan relaxation time – if the weather’s nice, go for a walk or find a safe place and just spend some time sitting reading or having some “down time”. Don’t worry about missing out, what’s the point of sitting in a seminar if you’re not really listening or listening to a band if you’re mind’s elsewhere?! Take time to recharge.
  8. Make sure you take all you treatment – if you need medication, a week before you’re due to go, make sure you have enough so you have time to put a repeat prescription in. If you have therapeutic techniques you need to practice or worksheets you need to fill in, make sure you set aside time. You may be going on holiday but recovery is a full time occupation!
  9. Have a back up plan – make sure, if things get too much, you have a plan for what you will do, will you stay in the chalet? Want a friend to stay with you? Or will you need to have a way of getting home? Often, if we have a “get out plan” we don’t need it, just having it there is all the reassurance we need. 
  10. Remember why you’re there – if you’re struggling at a Christian festival, focus on God or ask for prayer; people willing to lend an ear or a hand in fellowship will not be in short supply! At a secular festival, focus on the music, remember loving music is part of what makes you you, mental illness does not have to define you.

So, if you’ve been to a festival before or you’re considering one for the first time, be bold. Put your mental illness, where it belongs, on one side. There are many to choose from. Spring Harvest have kicked off the 17:21 campaign, a scroll is visiting 22 festivals celebrating what unites us as Christians, including:

Give it a go!

What is happiness?

It’s International Day of Happiness but what does that mean? Do we all have to be happy all day? Can we force happiness? How do we know when we’re truly happy? Is superficial happiness good enough?

Having suffered from severe depression I’m well versed with measuring that, rating each symptom depending on how serious it feels or how often you feel like that over a given period of time. So, recovery is measured by a lack of symptoms but a lack of depression does not mean you are happy.

Happiness can be thought of as an emotion, most people can say at any given moment whether they are happy or not. But being happy overall is slightly different. Words such as content or satisfied may be more important to consider.

So, how do we measure happiness?

Positive Psychology researchers use 3 measures:

  • Positive affect (mood and emotions)
  • Negative affect
  • Satisfaction with life

As with measuring symptoms of a mental illness, so, we can subjectively measure positive and negative mood and emotions. The Positive and Negative Affect Scale is a good example of how we can measure our mood and emotions. It can be used in the moment or over there past week.


Measuring our satisfaction with life is very interesting and full of variables. Things may include:

  • Have you achieved goals?
  • Do you have friends? Do you measure strength and depth of friendship or number of friends?
  • Can you trust the people who influence your life to have your happiness as a priority?
  • Does money factor? For some people this would be quantity, for others, having enough would be an important factor.
  • Have you had children? Are they happy? Do they need to be achieving to feel you’ve achieved?
  • How healthy are you? Have you recovered from an illness? Do you manage chronic illnesses well? What impact does illness have on your overall life?
  • How are the people you care about? Are they happy?
  • What personality traits are important? Are you kind, generous and warm-hearted? Are assertiveness, ambition and gregariousness important characteristics? Is it important that other people notice these characteristics in you?
  • Is a lack of greed or selfishness more important than positive characteristics?
  • Is it ok to put yourself first? If so, how much? How often?
  • Do you have enough time with the people you like, doing the things you enjoy?
  • When things aren’t going so well, do you feel able to change it?
  • How in control of your life do you feel? Do you have self-belief?
  • DOes a belief in a higher power impact you positively or negatively?
  • How much importance do you place on what other people think of you?
  • Is your work life balance how you want it?
  • Is what you do worthwhile?
  • ARe little things more important than the big things? Or vice versa?


Different people will leave different levels of importance on each of these and may consider other things play a bigger part in general happiness and well-being.

It is perfectly possible to be satisfied and content, even if things are not objectively “going well” as our higher functioning is able to see coping with adversity as a positive.

The government considered happiness so important in 2010 they asked the office of national statistics to survey the country’s happiness. Discussing how the survey would work, they found happiness was intangible but well-being is more easily measured. They asked 4 questions:

  1. Overall, how satisfied are you with your life nowadays?
  2. Overall, to what extent do you feel the things you do in your life are worthwhile?
  3. Overall, how happy did you feel yesterday?
  4. Overall, how anxious did you feel yesterday?

Recent findings (up to Sept 2016) include:

  • Life satisfaction, worthwhile and happiness have been steadily increasing since 2012 to October 2014, since then, they’ve plateaued.
  • Anxiety was steadily decreasing to October 2014, since then it has been increasing.

Should we strive for happiness?


In my experience, I think this quote puts it perfectly. Striving for something intangible is fruitless, you will never know when you’ve achieved it. This does not mean, sit around doing nothing and happiness will arrive. Knowing what makes you happy is important, striving to achieve goals and thinking and behaving positively will all help.

I also believe we need to have times of unhappiness in order to recognise and appreciate the times of happiness. I do not strive to be unhappy, angry, anxious or frustrated but in experiencing these things, I enjoy the relief, joy and happiness all the more having been through tougher times.

Survey reveals referral rates need to improve

As part of Eating Disorders Awareness Week, Beat, the UK’s leading eating disorders charity, asked nearly 1700 people, (1420 of which had an eating disorder, the others knew someone close to them with an eating disorder) about their experience with GPs.

I took part in this survey to get my voice heard and it seems many people feel the same way I do…

The survey revealed that half of sufferers rated their experience as “poor” or “very poor”. Of people who would have benefitted from immediate psychological support 3 in 10 were not referred to specialised services.

More than half of the sufferers felt their GP didn’t understand them and only one third (34%) thought their doctor knew how to help them.

Only 20% of patients came away from their appointment with information about eating disorders and services that could help them.

It will have taken many of these people months if not years to have reached the point of asking for help, the courage to make the appointment, get through the door and start talking about their problem would have taken such courage, to be turned away with nothing is very worrying.



Why is early referral so important? Simple – recovery rates improve.

Anorexia has the highest mortality rate of all mental illnesses and currently, of those who live, many remain chronically ill. The sooner someone is referred for specialist support the higher their chances of full recovery.

It is important to work out why these vital referrals aren’t happening…

I do not want to come across as GP bashing, there is no way that some of the most caring people in our society are deliberately denying people the support and treatment they need. Andrew Radford, Beat’s Chief executive believes medical students, hoping to become GPs, need more training. I went to medical school, the shear volumes of information you need to absorb is vast. Maybe it’s not just about “recognising the signs and symptoms” as Mr Radford put it, maybe there’s more to it.

When I went to the GP as a 15 year old, I was not referred. I was not given any information. I did not receive the help I needed. It was hard enough just getting through the door but there is no way of turning back the clock to find out why. Maybe I didn’t explain myself well enough? Maybe there should be more eduction in schools so I was more equipped when I went to my GP?

My experience was 20 years ago but the Beat survey reveals this is still happening today. Is it the “old school” doctors who aren’t keeping up to date with training? Do newer GPs need more training? Are GPs/secondary services using out-dated/overly stringent criteria as referral criteria e.g. BMI? Is there an inaccurately held belief that if you refer someone there’ll develop an eating disorder where there wasn’t one? Are GPs so overworked, although they know the signs and symptoms to looks out for, they miss them? Do they think, “if it’s that serious they’ll come back”? Do patients go with too many problems and the GPs are distracted by other issues they consider more important? Do doctors not have enough times to refer people? Are doctors unaware of what secondary care is available? Do GPs think the secondary care is inappropriate/unhelpful? Is the mental health stigma still getting in the way?

We really need to get to the bottom of what is going wrong in the consultations where people are not getting what they need.

Perhaps some positive news is that once some of the sufferers swapped GPs (as nearly 1 in 6 did) they reported receiving the help they needed. When I approached a GP in my 20s I’m very glad to say I’ve had much better support. By this time I was a lot sicker, my GP had to persuade me to access the secondary and then tertiary services, she was excellent. Since then, I’ve moved a couple of times and each time, I’ve had a mixed experience with GPs. It’s been very difficult to find what I need but each time, with some perseverance I’ve found a GP with the right skills and experience to support me. Maybe I am a tricky/difficult patient but I’m definitely not alone with these feelings as the Beat research reveals.


Somehow we need to make sure that every single one of the 725,000 people in the U.K. affected by an eating disorder gets the support and treatment they need to recover.

Please share your thoughts in the comments section below.

For more information:

Independent.co.uk

Full results of Beat survey