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Schoen Clinic Chelsea, a premier mental health facility in London , has launched a new partnership with Script Assist, an innovative digital prescription platform, to offer medical cannabis as a therapeutic option for patients with certain conditions. This partnership is the latest advancement in Schoen Clinic UK’s commitment to offering a comprehensive and advanced approach to patient care, and represents a significant step forward in the integration of traditional mental health treatments with innovative approaches. Schoen Clinic Chelsea is renowned for its multidisciplinary team approach and personalised treatment programmes for a range of mental health conditions including anxiety, ADHD, depression, PTSD and eating disorders. Through partnering with Script Assist, the clinic is embracing the digital revolution in healthcare and streamlining the process of prescribing UK-approved medical cannabis. This partnership not only expands treatment options, but ensures a seamless, efficient and personalised healthcare experience for selected Schoen Clinic Chelsea patients.   Script Assist’s platform is designed to connect patients with private doctors for the prescription of medical cannabis for certain conditions (and where clinically indicated), backed by a strong commitment to safety, compliance and patient satisfaction.   The synergy between Schoen Clinic Chelsea’s expertise in mental health and Script Assist’s technology paves the way for a new era in healthcare, where patients have access to a broader spectrum of evidence-based treatments within a supportive, comfortable and clinically-managed environment.   Marco Burman-Fourie, Clinic Director at Schoen Clinic Chelsea  says “This partnership is testament to our shared vision of a future where mental health care is more holistic, compassionate and adaptive to the needs of each individual.”   Hannah Simon, Chief Operating Officer at Script Assist says “We are thrilled to partner with Schoen Clinic Chelsea to expand access to medical cannabis for their patients. At Script Assist, we are committed to empowering and enabling existing healthcare providers to prescribe medical cannabis. Our partnership with Schoen Clinic Chelsea is setting a new standard in integrating emerging medicines with innovative digital solutions for their patients.” Dr James Woolley, Consultant Psychiatrist at Schoen Clinic Chelsea and Schoen Clinic UK Medical Director  says “It has been exciting to be part of developing this new combined treatment approach, especially for patients whose anxiety and depression has not fully resolved with standard treatments. We have already seen significant improvements in symptoms within weeks of starting medical cannabis oils, which are a world away from the CBD products available without prescription on the internet. To hear some of the improvement in sleep, social function and mood has been especially encouraging and as a prescriber being able to offer medical cannabis as part of a holistic treatment package within a safe and supervised clinical setting, gives reassurance that this is an ideal way to use it safely and responsibly.” Dr James Woolley and Dr Divina Pillay are available with Script Assist at Schoen Clinic Chelsea . Please reach out to Schoen Clinic Chelsea, London to find out more about medicinal cannabis private prescription, and how it supports treatment for a range of mental health conditions .

The transition to a leadership role can be both an exciting and overwhelming experience. As you step into this new position, you might find yourself facing increased pressure and responsibility, which can take a toll on your mental health. It's crucial, especially in fast-paced environments like the City of London, to have strategies in place for coping under pressure. In this article, we will explore strategies for coping under pressure, the impact of leadership stress on decision-making and team dynamics, and the role of mental health leadership training.   Whether you are a current leader, an HR professional, or an individual aspiring to a leadership position, this article will equip you with the knowledge and tools to prioritise mental health in your leadership journey. Feel free to contact our team at Schoen Clinic Chelsea for expert support. Understanding the Mental Health Challenges of Leadership Leadership comes with its own set of challenges that can impact mental health. Leaders are expected to make critical decisions, often under tight deadlines. This constant pressure can lead to anxiety and stress-related disorders .  Leaders also face the challenge of maintaining a work-life balance. It's important to acknowledge these challenges and understand that experiencing stress as a leader does not indicate weakness. Rather, it highlights the need for effective stress management techniques. Recognising the Signs of Stress One of the key strategies for new leaders is to prioritise their mental health. This involves recognising the signs of stress and burnout and taking proactive steps to manage them. Stress can manifest in various ways, including physical symptoms like headaches or fatigue, emotional symptoms like irritability or mood swings, and cognitive symptoms like difficulty concentrating or making decisions. New leaders can benefit from the following strategies: Regular self-care activities such as exercise, meditation, and hobbies Seeking support from mentors or coaches Setting realistic expectations and boundaries Regularly checking in with their mental health. By implementing these strategies, new leaders can adjust to their roles without compromising their mental health. This not only benefits them personally, but also has a positive impact on their team and the organisation as a whole. The Impact on Team Mental Health A leader's mental health can have a significant influence on the team's overall atmosphere and productivity. If a leader is visibly stressed, it may create an environment of tension and anxiety among team members. Stress and burnout can lead to poor communication, conflict, and low morale within the team. Conversely, when leaders manage their mental health effectively, it can promote a culture of support and resilience within the team.   Adapting to a leadership role requires developing coping strategies that not only support your mental health but also the mental health of your team. Building a Support Network Having a strong support network is invaluable for new leaders. Connect with mentors, peers, or professional coaches who can offer guidance and support as you navigate the challenges of leadership. Don't hesitate to seek professional help if you're struggling to cope with the demands of your role. Prioritising Self-Care Self-care is not a luxury; it's a necessity for leaders. Ensure you are getting enough rest, eating well, and engaging in regular physical activity. Also, make time for activities that you enjoy and that help you relax and recharge. Delegating and Empowering Your Team Delegation is a key skill for leaders. Trust your team members to take on responsibilities and empower them to make decisions. This not only helps you manage your workload but also fosters a sense of ownership and confidence among your team. Maintaining Work-Life Balance Striking a balance between work and personal life is critical for mental health. Set boundaries to protect your time outside of work and encourage your team to do the same. A healthy work-life balance can prevent burnout and maintain enthusiasm for work. Stress Management Techniques Effective stress management is essential for maintaining mental health in leadership roles. Here are some techniques that can help: Mindfulness and Meditation :   Mindfulness and meditation practices can reduce stress and improve focus and clarity. Incorporate short mindfulness exercises into your daily routine to help you stay grounded and calm. Deep Breathing Exercises :   Deep breathing is a simple yet effective way to reduce stress. Take a few minutes each day to practice deep breathing exercises, which can help lower your heart rate and promote relaxation. Cognitive Behavioural Techniques :   Cognitive behavioural techniques can help you identify and challenge negative thought patterns that contribute to stress. Working with a therapist or counsellor can provide you with tools to reframe your thinking and develop healthier coping strategies. Creating an Open Dialogue Recognising signs of mental health struggles in oneself and in team members is a critical leadership skill. It requires a keen sense of observation and a willingness to engage in open, honest conversations. Leaders should be aware of common signs of mental health issues. These may include changes in behaviour, mood, or productivity levels. It's important to approach these situations with empathy and understanding. Here are some strategies for addressing mental health concerns: Encourage open dialogue about mental health Provide resources and support for those struggling Foster a supportive and non-judgmental work environment Implement mental health policies and training By recognising and addressing mental health issues, leaders can create a healthier, more productive work environment. Embracing Mental Health as a Leadership Priority The journey to becoming an effective leader involves not only developing professional skills but also prioritising your mental health and that of your team. By implementing the strategies outlined in this article, you can create a healthy, supportive work environment that benefits everyone involved. Remember, leadership mental health is not just about coping under pressure; it's about thriving as a leader and enabling your team to do the same. In a competitive and demanding career, taking care of your mental health is not just a personal responsibility but a strategic imperative for long-term success. Get in touch with our caring team at Schoen Clinic Chelsea or explore our specialists today.

Chemsex refers to the practice of using drugs to enhance or facilitate sexual experiences. Initially prevalent among men who have sex with men, it is now increasingly seen in heterosexual and LGBT+ communities. This article sheds light on chemsex addiction, exploring its prevalence, causes, and impact on mental health and relationships. It highlights the signs of addiction, the importance of overcoming stigma, and available support resources. Whether you're a concerned individual, a friend, a family member, or a mental health professional, this article offers valuable insights into understanding and addressing chemsex addiction. Understanding chemsex and its prevalence The term 'chemsex' emerged in the UK in the early 2010s, describing the use of drugs like GHB, mephedrone, and crystal meth during sexual encounters. Predominantly found within the LGBTQ+ community, particularly among gay men, chemsex often occurs at parties or social gatherings. These substances enhance sexual pleasure and endurance but pose significant health risks. Due to its covert nature, the exact prevalence of chemsex is difficult to determine. However, studies suggest that it's a growing concern, particularly in urban areas with large LGBTQ+ populations. Understanding the implications of chemsex is crucial in addressing the associated risks and providing necessary support and resources. Why do individuals engage in chemsex? The reasons why individuals engage in chemsex are complex and multifaceted. For some, it's a way to enhance sexual pleasure and overcome inhibitions. The drugs used can increase libido, prolong endurance, and intensify sensations, making them more gratifying. For others, chemsex is a means of coping with social pressures and feelings of isolation. The LGBTQ+ community, particularly gay men, often face stigma and discrimination. This can lead to feelings of loneliness and a desire for connection, which chemsex can seemingly provide. However, the temporary relief and pleasure often come with significant health risks and the potential for addiction. It's important to understand these risks and seek help if needed. What are the risks associated with chemsex? Chemsex involves the use of drugs such as GHB, methamphetamine, and mephedrone, which can significantly alter consciousness, ranging from a loss of inhibition to severe outcomes such as coma. Although studies are limited, some research exists. For example, the German Chemsex Survey examined the mental health impact of chemsex on 1,583 men who have sex with men. Published in 2020, the study found that chemsex is linked to negative mental health outcomes. One significant mental health issue related to chemsex is the "comedown," which tends to be more severe than a typical hangover. After prolonged drug use, individuals often suffer from intense ‘coming down’ symptoms such as body aches, headaches, extreme fatigue, depression, and anxiety. These symptoms are not the only concern. Long-term effects can include chronic depression , anxiety, other mood disorders, and addiction . Additional risks identified by sexual health experts include: Increased STI risk: Impaired judgment can lead to risky behaviours, raising the likelihood of contracting infections like syphilis, gonorrhoea, chlamydia, HIV, or hepatitis C. Reduced inhibitions: Drugs used in chemsex often reduce inhibitions, resulting in decreased condom use, increased sharing of drug paraphernalia, and higher-risk sexual activities. Missed PrEP doses: Forgetting to take PrEP (pre-exposure prophylaxis for HIV) or delaying medical care after exposure can significantly increase the risk of HIV infection. Immediate health crises: Stimulants like methamphetamines can overload the cardiovascular system, potentially causing strokes, heart attacks, aspiration pneumonia, overdose, and death. Impact on chronic illnesses: Chemsex can exacerbate chronic conditions such as HIV, depression, asthma, high blood pressure, and diabetes by leading to missed doses of medication. Violent behavior: Drugs used in chemsex can induce paranoia, hallucinations, and distorted thinking, which can result in violence, sexual assault, robbery, and even death. Recognising the signs of chemsex addiction Recognising chemsex addiction can be challenging as it often starts as a social activity. Key signs include an increased focus on chemsex, overshadowing other interests and responsibilities, and continued use despite negative consequences like health problems, relationship issues, or legal troubles. Common indicators of chemsex addiction are: Neglecting responsibilities at work, school, or home Continued use despite knowing the harm it causes Failed attempts to cut down or control drug use Spending excessive time obtaining, using, or recovering from drugs Abandoning important social, occupational, or recreational activities due to drug use. The impact of chemsex on mental health and relationships Chemsex can have a profound impact on mental health. It can lead to feelings of anxiety, depression, and isolation. The use of drugs to enhance sexual experiences can also create a psychological dependency. This dependency can affect relationships. It can lead to a cycle of drug use and sexual activity that can strain relationships with partners, family, and friends. It can lead to feelings of shame and guilt, making it harder for individuals to seek help. Understanding these impacts is crucial in addressing chemsex addiction and providing the necessary support for those affected. Overcoming stigma and seeking help The stigma associated with mental health challenges, such as addiction, often prevents individuals from seeking help. Reducing the stigma surrounding HIV is equally crucial, as fear of having contracted HIV can deter individuals from seeking support. Since the HIV epidemic of the 1980s, medical advancements have dramatically improved the prognosis for those living with HIV. Effective antiretroviral therapy (ART) now enables individuals to lead long, healthy lives and eliminates transmission risk when adhered to consistently. Dispelling outdated myths about HIV is essential, as understanding and compassion encourage treatment adherence and improve quality of life. Support from friends, family, and mental health professionals is invaluable, providing a safe, non-judgmental space for individuals to share their experiences. It's also incredibly important not to view HIV as a "gay" issue. In 2022, figures for England from the UK Health Security Agency found that the number of new HIV diagnoses among heterosexuals was higher than for gay and bisexual men. Chemsex recovery journey Remember, seeking help is not a sign of weakness but a courageous step toward recovery and a healthier life. Reach out to professionals who understand chemsex addiction and can offer the necessary support and treatment. At Schoen Clinic Chelsea , we provide specialised support for individuals struggling with chemsex addiction. Our dedicated team includes Psychotherapist Darja Lee , who has extensive expertise in guiding individuals through their recovery journey with compassion and care. "People often feel a void after they have been through the difficult detox phase and started on the road to recovery. It can be a challenge to find new ways of being when chemsex addiction was an integral part of one’s lifestyle", she says. We pride ourselves on offering a non-judgemental and LGBTQ+ friendly environment, ensuring that all patients receive the support they need in a safe and understanding space. Recovery from chemsex addiction is challenging and requires commitment, resilience, and a strong support network. With the right resources, recovery is possible. The process often includes detoxification, therapy to address underlying issues, support groups, relapse prevention strategies, and ongoing care. Each recovery journey is unique, so it's important to find a treatment plan that suits your needs. Chemsex addiction is complex and requires a comprehensive approach, addressing both physical and emotional aspects. Community resources also play a vital role, including local health departments, LGBTQ+ organisations, public health initiatives, and accessible treatment options. Remember, it's never too late to seek help. Sexual health support: Free, at home STI tests https://www.dean.st/ https://www.sexualhealth.cnwl.nhs.uk/clinic/mortimer-market-centre-including-margaret-pyke-centre/ https://www.nhs.uk/service-search/sexual-health/find-a-sexual-health-clinic https://www.chelwest.nhs.uk/services/hiv-sexual-health/clinics/10-hammersmith-broadway https://www.homerton.nhs.uk/sexual-health/ References: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628089/#ref1 https://discovery.ucl.ac.uk/id/eprint/10066177/1/Shahmanesh_Chemsex%20behaviours%20among%20men%20who%20have%20sex%20with%20men.%20A%20systematic%20review%20of%20the%20literature_AAM.pdf https://www.independent.co.uk/news/world/europe/chemsex-parties-rise-gay-men-lgbt-hiv-cause-risk-prep-drugs-dating-app-grindr-europe-a9103881.html https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2020.542301/full https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10971601/ https://www.tht.org.uk/news/heterosexual-hiv-diagnoses-overtake-those-gay-men-first-time-decade Stuart D. Chemsex: origins of the word, a history of the phenomenon and a respect to the culture. Drugs and Alcohol Today 2019;19(1):3–10. https://www.tht.org.uk/hiv/living-well-hiv/hiv-treatment Darja Lee Darja Lee is an Integrative Psychotherapist in London with over 10 years of experience in mental health. She specialises in treating adults with addiction issues and extends support to their families. In addition to chemsex addiction, Darja also addresses anxiety, depression, trauma, compulsive behaviours, relationship challenges, and self-esteem issues. Her holistic approach integrates psychodynamic, attachment-focused, and relational methods, aiming to empower clients to achieve self-understanding, healthier relationships, and overall wellbeing.

Today is World Mental Health Day and the theme this year is ' make mental health and wellbeing for all a global priority '. Mental health problems don't discriminate and can affect anyone at any time in their life. At Schoen Clinic Chelsea , our specialists are committed to raising awareness and improving the lives of those affected by mental health problems all year round. For World Mental Health Day this year, we're sharing some simple strategies you can implement into your daily routine to improve your mental health and wellbeing. Here are 3 mental health and wellbeing tips. Number 1: It’s good to talk. Studies have shown that sharing our feelings, emotions and thoughts with others does wonders for our wellbeing. It’s so important to find someone you can confide in, whether that be a mental health professional or simply a friend or family member you can open up to. Finding someone you can trust to talk to pays dividends." Schoen Clinic Chelsea offers a variety of trusted therapies, approved by the National Institute for Health and Care Excellence (NICE), which includes talking therapies. Based in the heart of the Royal Borough of Kensington and Chelsea, patients are welcomed into a discreet and contemporary clinic and have access to some of the best mental health specialists in London, for mental health therapy, counselling and treatment for children teens and adults, including eating disorders. Number 2: The mind and body are connected. Of course, we know that but we often forget to take good care of ourselves in terms of nutrition and exercise. Whether you’re working from home or in the office, the importance of very basic things such as getting enough sunlight and fresh air often get forgotten when we get caught up in the rush of our busy modern lives. Ensuring you nurture both your body and mind can go leaps and bounds towards maintaining positive mental health. But it's not just nutrition and exercise that can assist in helping to improve your daily mental health. Connections with the world around you play a key part too. Our team at Schoen Clinic Chelsea regularly sees patients from high-pressure roles experiencing burnout from work and people going through difficult times in relationships. The two are often connected as stress from the workplace can seep into personal life and cause conflict within relationships. Adjusting to change or new ways of living can present obstacles for many people, so helping those with adjustment disorders (including life transitions, major life events, divorce, parenting, chronic medical conditions etc) to build connections can assist in grounding individuals who might otherwise find it difficult to cope. Number 3: Foster connections. We often think of connection as connection with others, but connecting with yourself, your job and your community is often overlooked, again as a result of our busy lives. It’s so important that everything you connect yourself to is working for you and not against you and brings a sense of balance and wholeness to your life. Happy World Mental Health Day! Access world-class mental healthcare at one of London’s top private mental health clinics, with assessments in as little as 24 hours and leading experts. Contact us today. At Schoen Clinic Chelsea, we want you to feel like yourself again. We welcome both privately insured and self-funding patients at Schoen Clinic Chelsea . Get in touch with our caring team today by phone on 0203 146 2300 , or send an email to che-privateenquiries@schoen-clinic.co.uk

Stress and burnout are two of the most common issues faced by professionals today. People often present with insomnia, lack of enjoyment, anxiety and stress-related conditions like irritable bowel syndrome, migraines and sexual dysfunction. While they may seem like separate things, they are often closely connected and can have a significant impact on an individual's physical and mental health , as well as their overall job performance. Stress refers to the physical and mental response to a challenging situation, which can result in feelings of anxiety, tension, and pressure. In the workplace, stress can be caused by a wide range of factors, including high workloads, tight deadlines, interpersonal conflicts and a lack of support or recognition. While some amount of stress can be beneficial in helping individuals to stay focused and motivated, excessive or prolonged stress can lead to a range of negative health outcomes, including exhausted adrenals, anxiety, depression, and chronic fatigue syndrome. Stress is an inevitable part of working in a high-pressure workplace. The pressure to meet deadlines, deliver targets and achieve goals can be overwhelming leading to anxiety, burnout, and other mental health problems. However, it is possible to manage stress in such an environment without compromising productivity or job satisfaction. Here are some effective tips on how to manage stress in a high-pressure workplace Prioritise tasks - a high-pressure workplace can be demanding, so it is important to prioritise tasks to avoid feeling overwhelmed. List all your tasks and prioritise them in order of importance. Focus on the most important ones and delegate others to colleagues if possible. Take regular breaks - taking regular breaks is essential to manage stress levels in a high-pressure workplace. Step away from your desk and take a walk, stretch or meditate. This will help you to clear your mind and refresh your focus. Set realistic goals -  setting unrealistic goals can be a major cause of stress in the workplace. Be realistic with your goal setting and try to break them into smaller achievable steps. Celebrate every milestone, no matter how small. Communicate effectively - effective communication is critical in a high-pressure workplace where things can quickly get out of hand. Regularly communicate your progress to your colleagues and superiors. If you are facing any challenges, ask for help. Stay organised -  a cluttered workspace can increase stress levels. Create a schedule or a to-do list and stick to it. Keep your workspace clean and organised to avoid unnecessary distractions. Learn to say 'no' -   it's important to recognise your limits and be able to say 'no' when necessary. Taking on too many responsibilities can lead to burnout and stress. Prioritise your own well-being and set boundaries. A healthy diet, regular exercise and enough sleep can help to reduce stress levels. Don't neglect your physical and mental health in the pursuit of work goals. Burnout is not the same as stress So, now that we’ve covered some ways to manage stress, it’s important to acknowledge that burnout is also a very real problem faced by many professionals. Burnout is a state of emotional, physical, and mental exhaustion that results from prolonged or chronic stress. It is often characterised by feelings of cynicism, detachment and reduced effectiveness at work. Burnout can occur when someone feels overwhelmed, unsupported, or undervalued and may result in a range of negative health outcomes, including depression, anxiety, poor sleep along with a weakened immune system. While stress and burnout are closely connected, they require different approaches to management and treatment. While stress can often be alleviated through stress-reducing activities such as exercise, mindfulness meditation and a healthy diet, burnout often requires more significant change to  a person's work environment or lifestyle. For example, it may be necessary to set clearer boundaries around work-life balance, seek out more supportive colleagues or supervisors, or take time off to recharge and recover. Find expert help for burnout in London When seeing patients with burnout at Schoen Clinic Chelsea , our specialists carefully uncover the various underlying causes in order to address them effectively. What is key, is that it’s about two people meeting and leaving the persona at the office and taking the space to reclaim a sense of wholeness. A typical appointment for burnout would involve an open and honest conversation about how the patient is feeling with regard to varying aspects of their life. Are they feeling pressure at home or at work? Are they having relationship problems or suffering from a loss?   Regardless of whether someone is experiencing stress or burnout, it is essential to take steps to minimise the impact on their physical, emotional and mental well-being. This may involve reaching out to a mental health professional like our specialists at Schoen Clinic Chelsea, seeking stress management training, or developing a self-care routine that includes regular exercise, healthy meals and quality sleep. Ultimately, managing stress and burnout requires a proactive approach, and it is essential for employers, colleagues and individuals alike to prioritise their own well-being and that of those around them. Managing stress in a high-pressure workplace is essential for your wellbeing and productivity. Prioritise tasks, take regular breaks, set realistic goals, communicate effectively, stay organised, learn to say 'no' and take care of yourself. By following these tips, you can effectively manage stress levels in your workplace and maintain your overall health and wellbeing. By taking proactive steps to manage stress and burnout, individuals can remain healthy, productive and engaged in their work, contributing positively to their own well-being and that of their colleagues and employers alike. If you need support for stress, burnout or another mental health condition, our specialists at our leading London clinic Schoen Clinic Chelsea  are available, offering a variety of treatments and therapies.

Anxiety is a common mental health condition that affects a significant portion of the population, with 22.5% of people reporting high levels of anxiety during 2021 and 2022 . While some individuals may experience more noticeable symptoms, others may exhibit high-functioning anxiety - a form of anxiety characterised by the ability to perform well in various areas of life, despite feeling anxious. So how exactly does high-functioning anxiety develop in the workplace and what symptoms should we be on the lookout for? A Consultant Psychiatrist at Schoen Clinic Chelsea says “People with High-Functioning Anxiety (HFA) are able to accomplish tasks and manage themselves in various settings across the professional and social spheres. Nevertheless, they will internally experience the same symptoms as those with Generalised Anxiety Disorder (GAD) . These symptoms could include physiological manifestations of anxiety, such as increased heart rate, headaches and stomach upset as well as the psychological aspect which includes an impending sense of doom and racing thoughts.” The difference between HFA and GAD is that in HFA, people can manage the daily demands made on them and therefore do not meet the criteria to be formally diagnosed with an anxiety disorder. In presentations of GAD, there is an impairment in being able to take care of one’s self, being so anxious at night that it disrupts sleep patterns contributing to fatigue and not being able to complete tasks during the day. People with HFA often feel trapped in a vicious cycle of self-doubt and uncertainty and the coping strategy is often to do more and keep the mind occupied. This leads to exhaustion and feeling depleted. Going above and beyond is often commended in workplace cultures without looking at the personal cost to the individual. It is a common misconception held by high achievers that hustling is the only option for success, often this is exacerbated by the workplace culture leading to anxiety in the workplace. What causes HFA? The causes of high-functioning anxiety in the workplace are multifactorial and can be a product of internal or external factors. The development of anxiety in the workplace will also vary from person to person. Some potential causes include: Perfectionism:   high achievers often set exceedingly high standards for themselves, leading to constant self-imposed pressure to excel. The fear of failure can trigger anxiety symptoms even when the person appears to be performing well. Workload and deadlines:  an excessive workload, tight deadlines, or a fast-paced work environment can create high levels of stress and trigger anxiety symptoms. This pressure to consistently meet expectations can contribute to anxiety in the workplace. Work-life balance: difficulty maintaining a healthy work-life balance can significantly impact an individual's mental health. The inability to disconnect from work-related stressors can perpetuate anxiety symptoms, even outside of working hours. Fear of judgment:  a constant fear of being judged by colleagues, superiors, or subordinates can contribute to high-functioning anxiety. This fear may stem from a desire to maintain a positive image and may result in overthinking and self-doubt. How does HFA present? Now we’ve looked into some of the causes, let’s take a look at how high-functioning anxiety presents in individuals. It’s important to note that due to its very nature, high-functioning anxiety may often go unnoticed by others, manifesting in subtle ways. Common symptoms may include: Excessive worrying:   individuals with high-functioning anxiety may constantly worry about work-related matters, including minor details or future projects, leading to persistent feelings of unease. Perfectionism and overachievement: striving for perfection and constantly seeking approval can be common characteristics of high-functioning anxiety. While this drive for excellence can lead to success, it can also cause significant stress and anxiety. Difficulty with delegation:  people with high-functioning anxiety may struggle with delegating tasks, fearing that others may not meet their standards. This can result in an excessive workload and increased anxiety levels. Physical symptoms: anxiety can manifest in various physical symptoms, such as headaches, muscle tension, gastrointestinal issues, fatigue, or difficulty sleeping. Treating high-functioning anxiety (HFA) Addressing high-functioning anxiety in the workplace requires a comprehensive approach that combines self-care strategies and professional support. Cognitive-Behavioural Therapy (CBT) can be highly effective in managing anxiety by helping individuals identify and challenge negative thought patterns, develop coping mechanisms and learn relaxation techniques. In addition to therapy, there are many stress management techniques such as mindfulness, deep breathing exercises, and regular physical activity that can help reduce anxiety symptoms and improve overall well-being. High-functioning anxiety in the workplace is a significant concern which can impact an individual's well-being and performance and it is important to recognise the signs early. Schoen Clinic Chelsea is a leading London private mental health clinic specialising in offering group and one-to-one therapies for adult mental health conditions. If you’re struggling, please speak to your GP or contact our clinic by calling 020 3146 2300 or email che-privateenquiries@schoen-clinic.co.uk

By Dr Bradley Powell , Clinical Psychologist at Schoen Clinic Chelsea Actor Chris Hemsworth might be best known for portraying Thor in the Marvel Cinematic Universe, but in the National Geographic series Limitless , he’s exploring something far more relatable: the fears, anxieties, and challenges of ageing. In the second season, Hemsworth sets out to understand how we can live better for longer, and what it really means to thrive as we age. Credit: National Geographic, Limitless with Chris Hemsworth For men in 2025, this couldn’t be more timely. We’re living longer than ever, but many of us quietly worry about our health, our future, and whether we’re making the most of the time we have. Hemsworth’s journey doesn’t offer easy fixes, but it does highlight some powerful psychological truths that can help us live more meaningfully, with courage and connection. What Limitless Gets Right About Men’s Mental Health In this season, Hemsworth pushes himself beyond the gym and into deeply uncomfortable territory. Climbing a towering dam. Performing live on stage with Ed Sheeran. These aren’t just stunts, they’re psychological experiments in vulnerability. As a psychologist, this resonates. Fear, whether of failure, ageing, or rejection, often shrinks our world. In therapy, we use a process called exposure to help people gradually face their fears, reducing their emotional grip. “For men, who are often taught to avoid vulnerability, stepping into fear isn’t weakness. It’s strength.” By deliberately stepping into discomfort, we give ourselves permission to grow. Hemsworth shows that courage isn’t about being fearless, it’s about showing up anyway. Ageing and Health Anxiety: Learning to Let Go of Control Credit: National Geographic, Limitless with Chris Hemsworth In season one, Hemsworth shared that he carries a genetic predisposition to Alzheimer’s , a revelation that sparked public conversations about health anxiety , especially in men. It’s common for health worries to creep in as we age. A new ache, a forgotten name, and suddenly, our thoughts spiral. From a clinical perspective, this type of anxiety thrives when we fixate on the unknown and try to control the uncontrollable. What helps is a psychological shift known as reframing . Instead of chasing the illusion of certainty, we redirect our focus to what’s in our hands: Moving our bodies Nourishing ourselves well Prioritising good sleep ( Research Links Sleep Disorders to Accelerated Brain Ageing ) Investing in relationships As Hemsworth learns, chasing extreme biohacks or trying to “outrun” ageing can actually make anxiety worse. The healthier mindset is balance , caring for your health without turning life into a self-optimisation experiment. Why Connection Matters More Than Biohacking The biohacking world is full of bold claims: longer life through supplements, strict diets, cold plunges, and even plasma infusions. But one of the most important messages in Limitless is that longevity without connection is meaningless . Credit: National Geographic, Limitless with Chris Hemsworth Psychological research consistently shows that strong social ties are one of the most powerful predictors of health and lifespan. You can eat well, train hard, and do all the right things, but if you’re lonely or disconnected , your mental and physical health will suffer. And for many men, this is the harder part. As we grow older, friendships can quietly fade. Life becomes busy, and reaching out can feel awkward. But prioritising connection, whether that’s with family, old friends, or community, is just as important as any fitness plan. A Truth Worth Facing Hemsworth puts it beautifully: “Suffering comes from denial of our inevitability of death.” Instead of denying it, we can let the reality of life’s limits bring clarity. Fear and discomfort aren’t stop signs – they’re signals to pay attention. Ageing is inevitable – but anxiety doesn’t have to be. You don’t need a perfect routine or perfect body to live with purpose. You don’t need to climb a dam or share a stage with Ed Sheeran to grow. But you do need to face the fears you’ve been avoiding, care for your health without obsessing, and invest in the relationships that sustain you. That’s the real definition of being limitless . Limitless is streaming now on National Geographic / Disney+. Struggling With Fear, Ageing, or Anxiety? At Schoen Clinic Chelsea, we support men facing the unique mental health challenges that often go unspoken, from health anxiety and fear of ageing to loneliness and emotional shutdown. Our psychologists can help you explore these issues in a safe, compassionate space, using evidence-based therapies to build resilience and improve wellbeing. Ready to start? Learn more about our therapy services in London or get in touch for confidential support. About the author Dr Bradley Powell, Clinical Psychologist, Schoen Clinic Chelsea Dr Bradley Powell  is an award-winning Clinical Psychologist at Schoen Clinic Chelsea with over seven years of experience supporting children, adolescents and adults. He specialises in treating anxiety, depression, low self-esteem and neurodevelopmental conditions such as autism and ADHD. Combining evidence-based therapies with a warm, personalised approach, Dr Powell helps individuals better understand themselves, overcome challenges and build long-term resilience.

If you’re struggling with intense emotions, relationship difficulties, or feeling overwhelmed by day-to-day life, group therapy can offer a powerful, supportive space for healing. At Schoen Clinic Chelsea, our DBT-informed skills group helps adults develop practical strategies to manage distress, build emotional regulation, and improve interpersonal effectiveness, all within a structured therapeutic setting. Led by experienced Psychotherapist Zoe Laxton , the group is part of our broader specialist group therapy offering at our private mental health and wellbeing clinic in London . “DBT is a fantastic tool and can benefit so many areas of our lives,” says Zoe. Read on to learn more about the benefits of DBT-informed group therapy, what to expect from sessions, and how to join. What Is DBT-Informed Group Therapy? Dialectical Behaviour Therapy (DBT) is an evidence-based psychological treatment originally developed to support individuals with Borderline Personality Disorder (BPD) and chronic emotion dysregulation. Today, it is widely used to support people dealing with a range of mental health conditions, including: Anxiety disorders Depression ADHD PTSD and trauma-related difficulties Emotional dysregulation Relationship problems Self-harming behaviours DBT-informed group therapy focuses on teaching core coping skills that help individuals navigate emotional distress more effectively, improve relationships, and lead more balanced, mindful lives. “In the groups, we will work together on a particular skill or two each session,” explains Zoe. “We’ll learn different skills that we can put into practice in the room and also outside the therapy room as well.” What Skills Will You Learn? The DBT-informed group at Schoen Clinic Chelsea focuses on four key areas of psychological resilience: 1. Mindfulness Mindfulness teaches you how to stay present, grounded, and aware of your thoughts and surroundings. “Mindfulness is about staying grounded and in the present moment and really being connected with what's going on with our surroundings,” Zoe says. By developing mindfulness skills, group members can start to notice and respond to emotions with greater clarity and calmness rather than reacting impulsively or becoming overwhelmed. 2. Distress Tolerance These are your “firefighting” skills, useful in moments of high emotional intensity or crisis. “Perhaps there's been an event that has resulted in you becoming incredibly emotionally aroused, and what we'd need to do is to bring this level of intensity of the emotion down. These skills of distress tolerance are really great for doing that,” Zoe explains. Distress tolerance techniques help you cope with overwhelming emotions without resorting to unhealthy or harmful behaviours. 3. Emotional Regulation These skills focus on identifying, naming, and managing emotions more effectively. “The goal is to not let your emotions control you,” says Zoe. “And that can be really difficult for some people who experience emotions incredibly intensely.” Participants learn how to increase emotional awareness, reduce vulnerability to emotional shifts, and foster more stable moods over time. 4. Interpersonal Effectiveness Communication challenges often worsen mental health difficulties. This module helps individuals express their needs clearly, set healthy boundaries, and improve relationship dynamics. “Perhaps you have difficulty in communicating effectively or getting your needs met,” Zoe says. “Perhaps you have difficulties being able to put in boundaries with other people.” How Is This Group Different from Individual Therapy? Group therapy offers the opportunity to learn in a community—with the added benefit of peer support and shared experiences. While individual therapy is highly personalised, group work allows members to see that they are not alone in their struggles. Zoe notes that many participants combine group therapy with individual sessions for a more comprehensive treatment experience. “In individual therapy, we will identify specific skills that are applicable to you and your life,” she explains. “Some skills are great for some people, some not so other. It’s about building this personal toolbox of skills to use in your day-to-day life.” Who Can Benefit from DBT-Informed Skills Groups? This group is designed for adults who: Feel overwhelmed by emotions or mood swings Struggle with anxiety, panic, or emotional sensitivity Have difficulty managing relationships or setting boundaries Are recovering from trauma or living with BPD Want to develop mindfulness, confidence, and emotional resilience Participants do not need a formal diagnosis to benefit from the group. Many attend because they feel stuck, disconnected, or unable to regulate their emotions effectively. Meet the Facilitator – Zoe Laxton Zoe Laxton (MBACP, GMBPsS) is a registered psychotherapist currently completing her Doctorate in Counselling Psychology and Psychotherapy . Zoe Laxton, Psychotherapist at Schoen Clinic Chelsea Her work is grounded in integrative, person-centred care, drawing from DBT, CBT, psychodynamic and existential therapies. Zoe has experience supporting individuals with a wide range of challenges including: Borderline Personality Disorder (BPD) Anxiety and generalised worry Childhood trauma and attachment difficulties ADHD Depression and low mood Relationship issues and emotional overwhelm “My aim is to help people understand themselves more deeply, manage emotions more effectively, and feel more empowered in their daily lives,” Zoe shares. Learn more about Zoe Laxton and book a consultation. How to Join the Group Our DBT-informed skills group runs weekly at Schoen Clinic Chelsea , located in West London. Sessions are facilitated in a safe, confidential space and designed for adults aged 18 and over. To explore whether this group is right for you, or for your patients if you're a referring clinician, get in touch with our team or visit our specialist therapy group page below. Explore our Specialist Therapy Groups in London Watch the Video 🎥 Hear directly from Zoe Laxton in this short video introduction to the group At Schoen Clinic Chelsea, we believe therapy should empower individuals with tools they can carry into every aspect of life. Whether you’re living with BPD, navigating trauma, or simply looking for a healthier way to manage stress and emotions, our DBT-informed group offers a structured, supportive path forward. For more information or to book your initial appointment, contact our team today.

By Dr James Woolley , Consultant Psychiatrist at Schoen Clinic Chelsea. As a Consultant Psychiatrist, I often discuss the cornerstones of good mental health with my patients: therapy, medication where appropriate, exercise, and strong social connections. However, a growing and compelling area of research is shining a light on another powerful factor we may be overlooking: our diet. Recent studies and headlines are increasingly pointing towards a significant link between ultra-processed food (UPFs) and mental health conditions such as depression , anxiety , and low mood. While the idea that food affects how we feel isn’t new, the emerging science is painting a much clearer picture. We’ve all reached for a biscuit or a bag of crisps when feeling low, it’s often called ‘comfort eating’. But what if that short-term comfort is contributing to a longer-term problem? What Are Ultra-Processed Foods? While there’s no single, universal definition of ultra-processed foods, most experts agree they go far beyond basic food processing. UPFs are industrial formulations typically made with five or more ingredients, including additives you wouldn’t use at home, like preservatives, emulsifiers, sweeteners, and artificial colours or flavours. These foods include: Fizzy drinks and sweetened juices Sugary breakfast cereals Many packaged breads Mass-produced ready meals Crisps, biscuits, and other packaged snacks They're engineered to be hyper-palatable and convenient, but they often lack essential nutrients our brains need to thrive. New Research Linking Food and Mental Health In 2024, a large-scale review published in The BMJ analysed data from nearly 10 million people and found direct associations between high UPF consumption and an increased risk of mental health issues , including depression and anxiety disorders. This adds to a growing body of research suggesting that what we eat has a profound impact on brain health, emotional regulation , and psychological resilience. While the evidence doesn’t yet prove causation, the strength of the link is becoming too significant to ignore. 3 Ways Diet Affects Mental Health Researchers are exploring several key biological mechanisms through which diet may influence mental wellbeing: 1. The Gut-Brain Axis Our gut is home to trillions of microbes, known collectively as the gut microbiome, that communicate directly with the brain. In fact, over 90% of serotonin, a neurotransmitter involved in mood regulation, is made in the gut. Diets high in ultra-processed foods may disrupt this delicate microbial balance, which in turn could contribute to low mood, anxiety , or changes in emotional resilience. 2. Inflammation and Depression UPFs are known to promote chronic low-grade inflammation throughout the body. This type of systemic inflammation has been increasingly linked to depressive symptoms and cognitive decline. A poor diet may not only affect the body but may also create a pro-inflammatory environment in the brain. 3. Nutrient Deficiencies UPFs are often low in essential nutrients such as omega-3 fatty acids, B vitamins, zinc, magnesium, and other micronutrients needed for healthy brain function. Over time, this can leave the brain under-fuelled, affecting everything from concentration to emotional regulation. A Psychiatrist’s Advice: Small, Sustainable Changes This article isn’t here to create fear around food or suggest a one-size-fits-all dietary overhaul. No food is inherently “bad”, and being overly restrictive can do more harm than good, especially for those with a history of disordered eating. Instead, the goal is awareness. By making small, sustainable swaps, we can give our minds better fuel to function at their best. Try asking yourself: Could I replace a sugary breakfast cereal with porridge and berries? Instead of a fizzy drink, would sparkling water with fresh lime hit the spot? Can I cook a simple homemade meal one more time this week? These changes don’t need to be perfect. What matters is progress, not perfection. Diet: A Key Pillar of Mental Health Food is not a cure-all for mental illness. It should never replace professional support such as psychiatric care, therapy or medication. However, there is growing evidence that nutrition plays a central role in mental wellbeing, and it deserves more attention. At Schoen Clinic Chelsea , our clinicians take a holistic, evidence-informed approach to mental health treatment. We encourage patients to consider how sleep , activity, relationships, and nutrition all interact to support recovery. Caring for our minds means caring for our bodies, and what we put on our plates can be a good place to start. Further Reading The BMJ – Ultra-processed food exposure and mental health outcomes: Read the study The Guardian – Ultra-processed foods linked to 32 health issues: Read article BBC Future – How gut bacteria affect your brain: Read more MIND Charity – Food and mood: Support resources NHS Eatwell Guide – Healthy eating basics Need Support with Your Mental Health? If you're struggling with low mood, anxiety, or want to explore holistic mental health support , our team at Schoen Clinic Chelsea includes experienced psychiatrists, therapists and dietitians who can help. Explore our outpatient services or book an assessment today. About the Author:   Dr James Woolley  is a Consultant Psychiatrist at Schoen Clinic Chelsea with a special interest in complex trauma, anxiety disorders and emerging treatments for treatment-resistant mental health conditions.

Bulimia nervosa is a complex and often misunderstood mental health condition. At Schoen Clinic, we believe that understanding bulimia and its impact on both physical and mental health can be a vital step in supporting recovery. This FAQ guide is designed to answer key questions about the causes, symptoms, and treatment of bulimia, providing insight and information to anyone affected by this challenging condition. Whether you're seeking support for yourself or a loved one, we hope these answers offer clarity and encourage you to reach out for help . How is bulimia different from other eating disorders? While all eating disorders involve unhealthy relationships with food and body image, bulimia is characterised by cycles of binge eating followed by compensatory behaviours like purging, fasting, or excessive exercise. Unlike anorexia , where significant weight loss is common, those with bulimia may maintain a “normal” weight, making it harder to detect. Other disorders, like binge eating disorder, lack the purging behaviours associated with bulimia. Can bulimia be cured completely? With early intervention and comprehensive treatment, many individuals achieve long-term recovery from bulimia. While some may experience lingering struggles, others regain a healthy relationship with food and body image. Therapy, lifestyle changes, and continuous support play vital roles in promoting sustained recovery. Is bulimia genetic? Research shows a genetic component to eating disorders, and bulimia can run in families. Studies indicate that genetic predisposition, alongside environmental factors, may increase the risk of developing bulimia. Bulimia and mental health: how are they linked? Bulimia is strongly linked to mental health challenges such as anxiety, depression, and trauma. Often, these underlying issues drive unhealthy eating behaviours as a means of coping. Effective treatment addresses both the eating disorder and co-occurring mental health conditions for a holistic approach to recovery. How does bulimia affect physical health? Beyond mental health, bulimia can have severe physical consequences , including digestive issues, electrolyte imbalances, and damage to teeth and the oesophagus due to frequent vomiting. Over time, untreated bulimia can lead to long-term physical effects, including organ damage and potentially life-threatening conditions. What treatments work best for bulimia recovery? Effective treatment typically involves a combination of therapy (such as Cognitive Behavioural Therapy ), nutritional counselling , and medical support. Treatment plans should be personalised, addressing both the physical and emotional aspects of bulimia. At Schoen Clinic, we offer specialised therapy options, ensuring a comprehensive path to recovery. Is bulimia only about binge eating and purging? While bingeing and purging are core behaviours in bulimia, the disorder is also marked by psychological and emotional struggles, including self-esteem issues, body dissatisfaction, and a preoccupation with food and weight. Treatment targets these underlying issues to support long-term recovery. Bulimia therapy options in the UK Therapeutic approaches for bulimia in the UK include Cognitive Behavioural Therapy (CBT), Family-Based Therapy, and other evidence-based methods designed to address the unique emotional and behavioural aspects of bulimia. Schoen Clinic offers various therapy options , including outpatient and inpatient services, to support individuals throughout their recovery journey. What causes bulimia? Bulimia often arises from a combination of biological, psychological, and sociocultural factors: Sociocultural Influences : The constant exposure to media ideals can foster body dissatisfaction. Pressures from social media and society's emphasis on thinness can contribute to unhealthy relationships with food. Genetics and Brain Chemistry : Research suggests some people are genetically more vulnerable. Changes in brain chemicals, such as serotonin, also play a role. Psychological and Developmental Factors : Traumatic events, childhood experiences, and co-occurring mental health issues like anxiety or depression are often linked to bulimia. By understanding the root causes, treatment plans can be tailored to address these factors, acknowledging that bulimia’s origins are seldom due to one single cause. What are the physical symptoms of bulimia? Bulimia involves physical effects beyond bingeing and purging, such as dizziness, faintness, tooth decay, throat pain, and swelling of the face and glands due to frequent vomiting. Recognising these symptoms early on is essential for receiving proper care. What are the psychological symptoms of bulimia? Psychological indicators can include preoccupation with food, body image issues, depression, anxiety, and social withdrawal. Often, these symptoms indicate deeper emotional struggles and the need for comprehensive support. What behavioural signs indicate bulimia? Individuals may show telltale behaviours, such as making frequent trips to the bathroom after eating, concealing food, or taking extreme measures to offset eating, like excessive exercise or laxative use. Being aware of these signs can facilitate early intervention. Who can develop bulimia? Though typically diagnosed in young women, but it's important to understand that bulimia can happen to anyone. As such, no one should feel ashamed to seek help or support if it is needed. In most cases, bulimia develops in adolescence or the early stages of adulthood but it is possible to develop at any time in your life. According to the eating disorder charity BEAT, every year, 1% to 2% of the population  will develop bulimia. Bulimia nervosa is now recognised to develop in anyone, regardless of sex, gender, age, race, ethnicity or body shape. It is also important to note that, as well as the sufferers themselves, bulimia nervosa affects an individual's family, friends and loved ones. As such, it is important to undergo bulimia therapy and dietary treatment as soon as possible. How is bulimia diagnosed? Clinicians evaluate physical, psychological, and behavioural signs for diagnosis. Common symptoms include frequent bingeing episodes with compensatory behaviours, excessive focus on body image, and a distorted relationship with food. What are the long-term effects of bulimia? Untreated bulimia can lead to lasting health issues, from severe dehydration and dental decay to life-threatening conditions, such as heart or kidney damage. Recognising the signs early can help prevent these complications. How can bulimia be prevented? Prevention is challenging, but understanding the risks and fostering a positive body image can help. Awareness of mental health and seeking support for conditions like depression or anxiety can also reduce vulnerability to bulimia. Can emetophobia (fear of vomiting) be linked to bulimia? Yes, emetophobia (the intense fear of vomiting) can sometimes be linked to bulimia, although the relationship is complex. In some individuals, a fear of vomiting may actually prevent purging behaviours, while in others, it may contribute to a heightened preoccupation with food, control, and anxiety. For people with bulimia, emetophobia might emerge over time due to frequent episodes of self-induced vomiting, leading to increased distress around meals or purging. Treatment for bulimia that also considers emetophobia , often through psychological therapies like Cognitive Behavioural Therapy (CBT), can help address both conditions simultaneously. At Schoen Clinic, we tailor treatment plans to each person’s specific experiences and co-occurring fears, ensuring a compassionate and holistic approach to recovery. How to start seeking help for bulimia If you or a loved one are showing signs of bulimia, early intervention and treatment can make all the difference. Schoen Clinic offers specialist bulimia treatment at our outpatient clinic in London . Our multidisciplinary team provides tailored support, including therapy, dietary guidance, and medical care, across these locations to meet the unique needs of individuals facing bulimia. Our teams offer a compassionate approach to treatment, with personalised plans to support both the physical and emotional aspects of bulimia. Reach out to us today to start your journey toward recovery.

What is bulimia nervosa? If you need support for bulimia, please reach out to our team for help. Bulimia nervosa, often known as bulimia, is a severe eating disorder that can result in very serious complications if not treated early. People experiencing bulimia may covertly binge and purge, seeking to burn off the additional calories in an undesirable way. Binging is defined as consuming excessive amounts of food without self-control. Individuals with bulimia may also employ a range of techniques to burn calories and avoid gaining weight. For instance, following bingeing, the individual might attempt self-induced vomiting or abuse laxatives, diet pills, diuretics, or enemas. Others may try other strategies to burn calories and avoid gaining weight, such as fasting, tight dieting, or excessive overexercising. Our specialists at Schoen Clinic have been treating eating disorders for over 35 years and are highly regarded as leaders in the field of clinical research and optimised patient outcomes. If you need support with bulimia or any other eating disorder, we're here to help . Bulimia risk factors Like other eating disorders, bulimia nervosa is complex, which means that it can have a variety of underlying causes, such as genetics, neurochemical imbalances, and environmental stressors like abuse or trauma exposure. A person who is inclined to having an eating disorder is also often affected by other psychological and emotional problems, such as an anxiety condition, depression, and poor self-esteem. Understanding the underlying causes of bulimia nervosa and recognising its warning signs can help people seek out early treatment that can greatly enhance the outcomes for those who are suffering from the disorder. Since there are several contributing factors to bulimia, there are many different therapy options accessible in order to get the best possible outcome. The physical effects of bulimia nervosa Bulimia Nervosa is an eating disorder with physical effects on the body which are serious, harmful and if left untreated, can result in long-term problems. Although the physical effects of Anorexia Nervosa, including the condition’s mortality rate, are perhaps better recognised, the physical effects of Bulimia are multiple and should not be under-estimated. Bulimia effects can, for some, become life-threatening and certainly for many, bulimia can have a long-term health impact. The frequent, recurrent pattern of bingeing and purging that characterises bulimia can have detrimental repercussions on a person's physical health. Bulimia treatment is essential: the longer the condition persists without effective treatment, physical effects become increasingly serious and lasting. Here, we will break down the; Immediate physical signs of Bulimia Long-term physical effects of Bulimia Treatment and support Physical signs of bulimia There are a range of immediate physical effects of Bulimia. The effect on each individual will vary according to the pattern of their eating disorder and individual physiology. Physical signs can include: Russell’s sign Swollen face Tooth decay Sore throat Dehydration One of the most well-known Bulimia effects is ‘Russell’s sign’: calluses on the knuckles and hands caused when inducing vomiting as in doing so, this part of the hand scrapes against the teeth. Russell’s sign, however, is not present in all people with Bulimia; many will purge without causing this Bulimia effect and may depend on other types of purging (laxatives, over-exercising). When someone has bulimia, their outward look frequently conceals the reality that they have a harmful eating condition. Along with a host of other grave bodily symptoms, a person's oral health may deteriorate as the condition worsens. Tooth decay is closely linked to the binge-vomit cycle because the contents of the stomach are highly acidic and repeated cycles of vomiting cause tooth enamel to break down through this acidic content. Bad breath is another bulimia effect. These effects of an eating disorder vary depending on its degree and duration, but the longer an individual is affected by it, the more serious the condition becomes. People can recover and heal, as well as have the majority, but not all, of the physical effects reversed, with prompt and appropriate treatment. Often, the first person to spot bulimia symptoms is a dentist. Teeth are permanently degraded by vomiting, and they may start to darken or vary in size, shape, or length. They frequently weaken, grow more transparent, and become fragile. Gums and soft tissues in the mouth are also harmed in addition to the teeth being damaged. By inducing vomiting with fingers or any another object, those who purge may develop sores on the inside of their cheeks, on the back of their throat, or on the roof of their mouth. Face swelling is one of the bulimia effects sufferers find most distressing: At Schoen Clinic we don't use these terms but this symptom is often referred to as ‘bulimia cheeks’, ‘bulimia face’ or 'chipmunk cheeks', this swelling can make people feel their face ‘looks fat’. What is taking place is the body’s reaction to self-induced vomiting and the dehydration it causes. The body reacts by trying to hold on to as much water as possible and this is most evident in the parotid glands (around the jawline and side of the face). Warning signs of bulimia If you're worried that a friend or loved one may be bulimic it's important to know what to look out for. If you do believe they have bulimia, reach out to them in a safe, non-judgmental way to let them know you care for them, or seek advice from a specialist . It's important they get professional help as early as possible to provide them with the best chance of overcoming the condition. Characteristics to be aware of: Social exclusion Bathroom use immediately after eating Mood or personality change Avoiding eating in front of others Dental decay, receding gum lines, and yellow, painful teeth Talking about food or weight all the time Acting impulsively Excessive or recent drinking or drug usage A strong dread of gaining weight Obsession with appearance Keeping or concealing food Obsession with plain, loose-fitting apparel Calorie counting and weight tracking Body image distortion Withdrawing from the outside world Frequently weighing themself Long-term physical effects of bulimia Bulimia has a devastating impact upon the whole body in the long term, causing multiple serious effects: Electrolyte imbalance, particularly potassium Chronic fatigue Loss or disruption of menstrual cycle Bone weakness Electrolytes are electrically charged salts, or ions, used by the body to regulate hydration, together with nerve and muscle function. They are determined by hydration: how much water is present in the body. A long-term pattern of purging leaves the body’s electrolytes in a persistent imbalance, with the risk of effects on heart and kidney function. Potassium is an electrolyte (and also classified as a mineral) which is often depleted by the binge-purge cycle and is particularly important for heart function. People with bulimia should have a test of potassium levels and receive a supplement, if required because very low potassium levels can cause irregular heart rhythms and the breakdown of heart tissue fibres. Other long-term physical effects of bulimia nervosa and potential risks include menstrual cycle disruption and associated fertility problems. Chronic fatigue caused by the constant depletion of nutrients during purges is also a risk, together with future problems with bone health, due to loss of calcium. Tooth decay caused by bulimia may be permanent and difficult to treat. Gastrointestinal effects of bulimia Due to frequent vomiting, laxative usage, and/or diuretic use, those with bulimia may have a range of gastrointestinal symptoms. Gastrointestinal bleeding and reflux can be brought on by vomiting and abusing laxatives excessively. The oesophagus relaxes as a result of frequent vomiting, making it simple for the contents of the stomach to ascend up into the throat and mouth. An individual with bulimia may also involuntarily vomit if they lean over after eating or when they burp, for instance. Although rare, if the vomiting behavior isn't addressed and irritation of the esophagus becomes severe, it may result in a ruptured esophagus. Electrolyte abnormalities and dependence on laxatives are common in those who overuse laxatives. In some cases, the colon may extend and weaken as a result of binge eating and laxative usage, leading to chronic constipation. In extreme cases, some people with bulimia have permanently lost their bowel function and must use a colostomy bag for the rest of their lives. Bulimia treatment & support Fortunately, there is good, established bulimia treatment, with strong evidence for its effectiveness. Bulimia treatment is based on a CBT (Cognitive Behavioural Therapy) based approach, supporting individuals to consider the links between their thoughts, feelings and behaviour. It is a practical, problem-solving approach and in bulimia treatment, the triggers for a binge are considered and how this could be overcome by changing the pattern of thoughts, feelings and behaviour. Treatment is almost always provided in an outpatient setting (seeing a CBT therapist once a week), unless there are other problems which necessitate an inpatient admission. Group support may also be helpful. Seeking treatment for Bulimia as early as possible is very important, both in terms of reducing your risk of long-term, enduring physical side-effects and because it is recognised with Bulimia and other eating disorders, early treatment is linked to better outcomes. This is because the longer eating disorders persist, the more entrenched and difficult to treat they become. Get in touch with our caring team  at Schoen Clinic today if you need bulimia support for yourself or a loved one. Our bulimia specialists in London  and York  offer highly specialised treatments and welcome children, teens and adults.

Emetophobia, or the intense fear of vomiting, is a condition that can significantly impact a person's life. It's more than just a dislike of feeling sick. This irrational fear can lead to avoidance behaviours, social isolation, and severe anxiety . It's a complex issue that requires understanding and effective treatment. In this guide, we'll explore the symptoms, causes, and various emetophobia treatment options available. If you're looking for a diagnosis, our specialists at Schoen Clinic Chelsea offer assessments for a range of mental health conditions, including emetophobia. Reach out to our team today . Whether you're suffering from emetophobia, suspect you might have it, or are seeking information to help a loved one, this guide is for you. What is emetophobia? Emetophobia is a specific phobia characterised by an intense, irrational fear of vomiting. It's not just about fearing the act of vomiting itself. People with emetophobia often fear the possibility of vomiting, the feeling of nausea, or even witnessing others vomit. This fear can be so overwhelming that it interferes with their daily life. The causes of emetophobia can vary. It may stem from a traumatic event related to vomiting, or it could be linked to other anxiety disorders . Genetics may also play a role. It's important to note that emetophobia is different from a general dislike of vomiting. It's a severe fear that can trigger intense anxiety and avoidance behaviours. With the right knowledge, resources and specialist help, it's possible to overcome this fear and regain control over your life. The impact of emetophobia on daily life: avoidance behaviours Emetophobia can have a profound impact on a person's daily life. The fear of vomiting can lead to avoidance behaviours. Individuals may avoid certain foods, social situations, or even medical care for fear of triggering nausea. This can lead to social isolation and health issues. Some common situations individuals with emetophobia may avoid include: Dining at a restaurant Having coffee with a friend Taking a car ride Visiting an amusement park or children's playground. Emetophobia can also cause significant stress and anxiety . The constant worry about vomiting can be mentally exhausting and interfere with daily activities. Despite these challenges, it's important to remember that emetophobia is treatable. With the right help and support, individuals can learn to manage their fear and improve their quality of life. Identifying emetophobia: symptoms and triggers Emetophobia is more than just a dislike of vomiting. It's an intense, irrational fear of vomiting that can trigger a range of symptoms. Physical symptoms may include sweating, rapid heartbeat, and nausea. Psychological symptoms can involve intense anxiety , panic attacks, and obsessive thoughts about vomiting. Triggers can vary greatly among individuals. Some may fear vomiting themselves, while others fear seeing or hearing someone else vomit. Certain situations or objects may also trigger symptoms. These can include hospitals, medications, certain foods, or even specific words related to vomiting. Emetophobia test: self-assessment tools Identifying emetophobia can be a challenge. It's not uncommon for individuals to mistake their symptoms for general anxiety or a fear of illness. Self-assessment tools can be a helpful starting point. These tests often involve a series of questions designed to gauge your fear of vomiting. However, these tools should not replace professional diagnosis. They are meant to provide insight and guide you towards seeking professional help if needed. Remember, if you suspect you have emetophobia, it's important to consult with a mental health professional to receive an accurate diagnosis. They can provide a thorough assessment and guide you towards appropriate treatment. Treatment options for emetophobia Emetophobia, like other phobias , can be effectively managed with the right treatment. The choice of treatment often depends on the individual's specific needs and circumstances. Professional help is essential in this journey. It often involves a combination of therapy, medication, and self-help strategies. Cognitive Behavioral Therapy (CBT) for Emetophobia Cognitive Behavioral Therapy (CBT) is a common treatment for emetophobia. It involves changing negative thought patterns that lead to fear and anxiety. CBT helps individuals understand their fear. It also equips them with coping strategies to manage their anxiety. The goal of CBT is not to eliminate the fear entirely. Instead, it aims to reduce the fear's impact on the individual's daily life. Remember, the effectiveness of CBT often depends on the individual's commitment to the process. Emetophobia Exposure Therapy Exposure therapy is another effective treatment for emetophobia. It doesn't involve exposing you to vomit, but it does involve recognising your avoidance behaviours, and a gradual exposure to these fear triggers. The idea is to desensitise the individual to their fear. Over time, the fear response to the trigger decreases. It's a gradual process that requires patience and commitment. Remember, it's normal to feel increased anxiety during the initial stages of exposure therapy. Additional emetophobia treatments and support Apart from CBT and exposure therapy, there are other treatments and support options available. These include medication, relaxation techniques, and support groups. Medication: Anti-anxiety medications can be used in conjunction with therapy. Always consult with a healthcare professional before starting any medication. Relaxation techniques: Techniques such as deep breathing, progressive muscle relaxation, and mindfulness can help manage anxiety symptoms. Support groups: Connecting with others who are experiencing the same fear can provide comfort and understanding. Remember, the journey to overcoming emetophobia is unique for everyone. It's important to find a treatment plan that works best for you. Managing emetophobia: practical tips and strategies Managing emetophobia involves more than just professional treatment. It also requires practical strategies that can be implemented in daily life. These strategies can help reduce anxiety, manage triggers, and improve overall wellbeing. They can be used in conjunction with professional treatment for better results. Here are some practical tips and strategies for managing emetophobia: Practice relaxation techniques regularly, such as deep breathing and progressive muscle relaxation Keep a journal to track your progress and identify triggers Educate yourself about emetophobia to demystify the fear of vomiting Seek support from friends, family, or support groups to share your experiences and feelings. Remember, overcoming emetophobia is a journey. It requires patience, commitment, and self-compassion. Remember, you are not alone in this journey. With the right support and treatment, you can manage your fear and improve your quality of life. Get in touch today if you, or a loved one needs specialist support. Our team of mental health specialists at Schoen Clinic Chelsea is here to support you at our London outpatient clinic. References and resources: https://www.oxfordhealth.nhs.uk/ohspic/problems/emetophobia/ https://www.emetophobia.co.uk https://www.emetophobia.net https://www.anxietyuk.org.uk/anxiety-type/emetophobia/ https://www.youngminds.org.uk/young-person/blog/coping-with-emetophobia/