I tried self hypnosis for my anxiety! You could too… a student writes…

When I approached the Students’ Health Service to seek help with my study-related anxiety, night-time panic attacks and insomnia, I was really not sure what to expect. Although I knew they would have heard it all before, I did not anticipate such swift and effective support. Dr Grant, who I was able to see within a couple of hours of my panicked phone call, suggested a number of helpful options including referring me to a colleague in the Centre for Sports, Exercise and Health who introduced me to a range of approaches, including neuro-linguistic programming (NLP). In just an hour Matt Edwards had taught me a simple method of recalling a desired mental state: in my case, a state of calm and focused concentration on the task at hand. I had never attempted anything like this before, largely due to a deep suspicion of such techniques. I like to think of myself as a ‘rational’ person, not usually drawn to ‘alternative’ medicines or therapies. I felt nervous and a bit silly, but prepared to give it a try. In a private and comfortable office I explained that I was hoping address study-related anxiety and improve my concentration and focus. To my relief this was all the detail I had to give: this was not a counselling session! Matt outlined a range of approaches and we agreed to try a certain NLP technique. He told me to close my eyes and imagine a situation when I had felt calm, focused and in control: the mental state I wanted to be able to recall. He then talked me through a process of cementing in my mind what I could see, hear and feel in this situation. This took about ten minutes or so, but after imagining and magnifying that feeling in my mind’s eye, I felt that I really could return to it any time. Matt explained that in NLP this process is often accompanied by associating this mental state with a physical ‘anchor’: for me, this became a single word. Now, when I say that word to myself, I am able to recall that feeling of being calm and in control. I have used it several times since in class presentations and at home, particularly in the evenings, when my workload seems too much.

Apparently NLP is about being able to visualise what you want to achieve, and then re-create it for yourself by placing yourself mentally in that situation. I am being honest when I say I can’t believe it works, but it really does. I really would recommend anyone else at the end of their academic tether to give it a go – it can’t hurt, and if you believe in it even a little bit, it works wonders.

For a discussion about a referral to Matt Edwards book an appointment with a GP at Students’ Health Service.

Self Injury; a paradox…

It is a strange truth that people self harm to make themselves feel better.

Some people have a glass of wine after a bad experience, some eat a huge bag of crisps or a bar of chocolate. But some people cut themselves, or burn their skin, take an overdose, or punch a wall. All of these options are a human way of coping with stress, though not a healthy way.

Most days at Students’ Health Service we see male and female students who have recently harmed themselves. Our nurses are very sympathetic, brilliant at wound care and completely non judgmental. The GPs would like to help you too, and discover what’s behind the self injury and distress. We are not easily shocked and we have seen many unusual ways that students harm themselves, secondary to depression, anxiety, obsessive thoughts or psychosis.

Alcohol usually makes self harm more frequent, or the injury worse.

Nationally self harm is thought to affect about 5% of people, though this is likely to be an underestimate (Meltzer et al 2002). In a school survey 13% of young people aged 15/16 reported having self harmed at some time in their lives, and 7% in the previous year (Hawton et al 2002).

It is important to assess and treat those who self harm, as the behaviour is often related to an underlying mental health condition, which, if treated, may lead to improvement not just of the depression/ anxiety/ schizophrenia etc but also of the self injury.

If you would like help with self injury, or would like to talk about your mental health in general, please come and see us soon. Don’t forget that the Student Counselling service is also there to help, and the team is very experienced in supporting students with such issues.

 Other support in Bristol;

Contact the Self Injury Self Help Bristol organisation, who provide services for men and women with self injury issues. They run support groups, and also run workshops related to achieving good mental health in general.

Email; sishbristol@yahoo.co.uk

 Phone; 0117 927 9600

Or, Bristol Crisis Service for Women; 07788142 999

Runs a text support service for managing your self injury and emotional distress.

The Olympic Games and the Untold Legacy

This blog is a personal viewpoint from the service’s eating disorders specialist…

Will Devlin, clinical psychologist and specialist in eating disorders for the University of Bristol, looks almost sheepish as he describes his mixed feelings about the great sporting achievements we watched with pride just a few months ago:

“…Don’t get me wrong,” he says, “there’s no doubt that the Olympic Games were a proud moment in the history of the country and many of us have been inspired by the achievements of athletes like Jessica Ennis, Jonnie Peacock, and Anthony Joshua.

“But what I can’t help wondering is what effect images of these almost superhuman, super lean, super muscled athletes is having on people who are unhappy with their bodies.  Very few of us have the genetic make up, let alone the motivation, dedication, sponsorship, training and time to develop the kind of body which we’ve seen so much of during the UK’s summer of sport.

“It’s one thing to be inspired to get fit by the Olympics, even I’ve been inspired to get back to the gym.  But the fact is,” Will says with a smile, patting his tummy, “like most of the population I’ll never have the body of an Olympian however hard I try! 

His fear is that amidst the pride and positive social change inspired by the Olympics, one untold legacy will be an increase in the number of people at risk of eating disorders: “I worry that if more of us end up unhappy with our bodies, then more of us might resort to unhealthy attempts to shape up as we aspire to a rippling six-pack, tight buns or super-pert breasts.

It’s not a popular view, that inspiring a nation with acts of sporting heroism could actually be bad for some people, but as I listen to Will’s concerns I do see his point: “Condemnation is growing on all sides at the use of size zero models on the catwalk, and Kate Moss was roundly criticized for endorsing starvation when she said, ‘nothing tastes as good as skinny feels’ …but it’s not easy to say that super lean athletes might have just the same effect as emaciated supermodels on those of us who want the perfect body but simply can’t have it.  “And don’t forget,” Will says, “the athletes themselves face these same pressures, eating disorders are rife amongst sports men and women, in fact it is estimated that more than one in 10 elite athletes may have an eating disorder.”

Will’s comments get me thinking about this untold legacy, and what some of the unintended outcomes of our summer of sport might be.  There’s no doubt that the efforts of Team GB and our paralympian heroes have the power to inspire a generation, but perhaps it’s also important to recognize that the pursuit of athletic success and the body beautiful may also have its downsides.

Will works at the University’s Student Health Service.  If you think you might have an eating disorder, talking to one of the service’s GPs will ensure you get access to the specialist help you need.

 

Self Hypnosis; what could you do?

Self-hypnosis: what is it that you want?

by Matt Edwards; Sports, Exercise and Health Dept

Imagine or remember this. Sat in the library or at a desk, reading up for next week’s essay. Get to the end of the page, and realise….you’ve not taken in a single word. In fact it’s like you’ve just woken up, drifted back to reality. Where have you been?

One way to think about this is as follows;- it happens sometimes when you’re driving (“how did I get here?!”) –  it’s a kind of light ‘trance state’, a zoning-out, where your mind and body can do quite complex things like reading or driving, but – and this is the good bit – you’re doing this stuff quite happily whilst an important part of you is thinking about something else entirely.

Sometimes called day-dreaming, it’s a natural and useful experience, even a skill, that too often we’re told not to engage in.

You can learn to deliberately use and enhance this skill through self-hypnosis. Self hypnosis is a powerful, congruent way to go into and explore these kinds of natural, resourceful states of mind. Whether for simple relaxation, or as a chance to allow your mind to examine an idea or a goal or an issue, the change in mind-body state that self-hypnosis encourages can be enormously powerful.

Imagine being able to have better control over your state of mind, to decide how confident you want to feel going into your PhD viva, as one recent student I worked with discovered for herself.

How good could that be? And what is it that you want?

Eating Your Heart Out

Many of us eat chocolate when we want a treat, or when we’re having a bad day – and where’s the harm in that? 

 

We don’t just eat for health; the fact is eating is one of life’s pleasures.  There’s no reason why we shouldn’t enjoy food or use it now and then to lift our spirits: as the saying goes, “all things in moderation.” The difficulty comes when comfort eating becomes our main way of dealing with upset. 

 

Comfort eating provides a distraction from difficult thoughts and negative emotions but when it’s our only way of coping it can easily get out of hand: a bar of chocolate or a slice of toast can be the trigger for a full on binge.  Many people who overeat like this say that whilst they’re bingeing everything else seems to stop: they feel in a world of their own where difficult thoughts and feelings can’t touch them.  It’s only afterwards that the distress returns, only when it does it’s made worse by uncomfortable bloating, concerns about weight gain, frustration, guilt and shame. 

 

Such negative feelings in the aftermath of a binge can erode self esteem and increase vulnerability to future stresses and from here it’s easy to see how a vicious cycle can develop: upset leading to binge eating and binge eating leading to greater vulnerability to future upset so making binge eating ever more likely.  Many specialists see such vicious cycles as being at the heart of eating disorders.

 

There’s no harm in eating for comfort now and then, but if you find yourself trapped in the vicious cycle then it can be useful to know that there are ways of breaking out.  Whilst many people can break out on their own and with the support of friends and family, some people will need professional help. 

 

If you are struggling to manage disordered eating then perhaps the Student’s Health Service can help.  The Service offers specialist support for people with eating disorders and many students have used it to turn their lives around.  If you think you might need specialist help then the first step is a visit to your doctor.  Whilst it can be embarrassing to talk about such problems, all our doctors are fully trained and highly experienced in working with people battling eating disorders.   they may refer you to the practice’s psychologist or on to a more specialised doctor. There’s no shame in seeking help: rest assured you’ll be treated in confidence, with respect and sensitivity.

www.b-eat.co.uk

 

 

Antidepressants; friend or foe?

Antidepressants; friend or foe

 Two (unrelated) students asked me to write this blog. Independently they mentioned at the end of their consultations that there was a lack of positive stories about using antidepressant medication, and that other students might like to hear about some success stories such as theirs. They felt that these ‘good news’ tales might balance some of the very negative opinions that they and their peers were reading online.

Well I have worked at the Students’ Health Service for over 10 years and it has certainly been my experience that the vast majority of students that I treat with antidepressants get better. Treatment times vary, as does the need to try more than one type of pill before finding that one that works for an individual, but alongside psychological therapies, medication is usually successful in helping students return to normality.

Of course we must consider possible side effects (minimised by starting with a half dose for the first week in many cases), and appropriate length of treatment (6 months for a first episode, 2 years or more for recurrences ). It is also vital to withdraw the medication very slowly tailored to an individual’s response. The GPs at SHS are fastidious in planning regular follow up for patients on antidepressants and strive to have continuity of care to allow us to get to know each student as best we can, therefore giving a better overview of treatment response.

Evidence suggests that medication is most appropriate in cases of moderate to severe depression, so we are much less likely to prescribe it for mild cases, and we always encourage other supportive treatments such as increased exercise, counselling and psychological input as necessary.

Six million people are thought to suffer from depression in the UK, and in the last few years the NHS has noted a significant (26%) rise in the prescription of antidepressant medication. Much has been written and theorised on the reasons for this, but it is a phenomenon noted throughout the population, and students are no exception unfortunately. In the face of rising numbers of people with mental health issues it is good to have a treatment that works to offer them, and which shows benefit within usually 4 to 6 weeks. Sometimes people need to take something just to be able to get back to a point of functioning well enough to start talking therapies, of which there is steadily increasing availability on the NHS.

Antidepressants work for the majority of students that we treat, though it needs to be the right one for the individual. They can be life changing, and should always be considered and discussed as an option, though decisions should be made on a case by case basis of course.

I am confident in stating that antidepressants are an important option to be considered in the consultation between the GP and any student who is feeling depressed, and we see significant positive effects on an almost daily basis in our population. It is true that these good news stories don’t excite the media in the same way as negative stories, but that’s no great surprise.

If you are worried about your moods, or feeling low, please do come and talk to us, we really do want to know and help you, in whatever way suits you best.

 

Mental Wellbeing Week (20/02/12)

Look around you.

Wherever you are, whatever you are doing,  1 in 6 of the people around you will be struggling with a mental health problem at this time. 1 in 4 will have a problem at some time in their lives. Maybe it’s you, maybe it’s your flatmate or friend, partner or another student on your course.

The important thing is to know how and when to get help if you or your friends need it, or advice if you’re not sure what to do.

At the Students’ Health Service 1 in 4 of our doctors’ consultations is for a mental health problem.

Students, like anyone, can develop anxiety, depression, social phobia, obsessive compulsive disorder, eating disorders, bipolar and schizophrenic disorders, as well as rarer problems such as body dysmorphic disorder and borderline personality disorder. (For more information see www.patient.co.uk )

If you are thinking of harming yourself, we want to help you.
If you can’t leave the house because of fear or low mood, we would like to hear from you.
If you think that life’s not worth living please talk to us.

If you know someone who is suffering, please encourage them to make an appointment with a GP or bring them in yourself. We don’t judge, we listen. We really want to help you.
This is what we do, this is why we are here.

It is time we as a society started talking more openly about mental health issues and how to deal with them positively.
Less stigma would lead to quicker access to help and better long term health.
So look around you… 1 in 6 of us is suffering.

Can you act today to help that person feel better?

Talk to the Students’ Health Service or Student Counselling Service for guidance, support or treatment.

Mental Wellbeing Week starts 20th February, at locations around the precinct, especially between Senate House and the Library, with free activities and much more.

 Students’ Health Service; 0117 3302720

Student Counselling Service

Other good sources of info;

Mind

Living Life to the Full  (depression advice)

Moodgym  (depression advice)

b-eat  (eating disorders information)

Bipolar UK  (bipolar disorder support)

Relaxation techniques for anxiety

So there I was contemplating a raisin…

We were sitting in a circle with our eyes closed, trying to clear our minds of the daily maelstrom of thoughts and tasks. In our hands we each held a small dried fruit, and we were being asked to focus on it, touch it, smell it, listen to it (!) and finally taste it. The only problem was that I couldn’t switch off and I couldn’t stop making lists in my head…

Mindfulness based relaxation is a lot trickier than you might think!

As GPs we like to take time out to review what we offer to our students and we recently had the opportunity to try mindfulness (a type of relaxation technique) for ourselves. It is recommended for stress and anxiety and it is also offered by the Student Counselling Service, so it’s no bad thing for us to try it out. It was revealing to find that I was absolutely hopeless at relaxing and switching off! There’s a real skill to be learnt and I can see how this would be a fantastic life long technique for dealing with future stress and challenging times.

So if you find yourself lying awake at night because of worries, if you’re anxious on a pretty regular basis, or panicky when in certain situations, this could be for you.

The raisin is just the beginning, but peace of mind and the ability to take back control over your emotions lie ahead if you are able to invest some time and patience in learning something new, just for you.

If you need to talk to someone about anxiety then please contact us at the Students’ Health Service on 0117 3302720, or you could contact the Student Counselling Service.

Other good sources of info: