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Author: Dr James Woolley , Consultant Psychiatrist and Group Medical Director, Schoen Clinic UK. 27 May 2025. Many of us are aware of the visible, physical challenges that follow a serious brain injury due to an accident or stroke. However, the invisible mental health consequences, particularly depression, are incredibly common yet often receive less immediate attention. Research suggests that around half of all individuals hospitalised with a brain injury will experience depression within the following year.   This isn't just a fleeting sadness; post-injury depression can profoundly affect a person's recovery, influencing their relationships, ability to return to work or education, and overall quality of life. The impact extends beyond the individual, with the broader societal costs of brain injury in the UK estimated at over £15 billion annually, a figure exacerbated by challenges like depression .   Traditionally, medical focus after a traumatic brain injury understandably prioritises surgical interventions, physical rehabilitation, and managing immediate physical symptoms. While crucial, this can sometimes mean that emerging mental health difficulties, like depression , are addressed much later. For some, it can take a year or more to access the right support and medication for their mental health.   Fortunately, there's growing recognition of this issue, and new research is exploring proactive approaches. A significant UK trial is currently underway across nine trauma centres in England, investigating whether a common type of antidepressant – Selective Serotonin Reuptake Inhibitors (SSRIs) – could help prevent severe depression if administered in the weeks following a brain injury. This builds on smaller studies suggesting such early intervention might be beneficial.   While the exact mechanisms are still being explored, one theory is that SSRIs might do more than just treat established depression . There is evidence linking severe depression to inflammation in the brain after an injury. It’s thought that SSRIs could potentially trigger an anti-inflammatory response, thereby offering a protective effect against the long-term development of depression.   The implications of this research are substantial. If we can find effective ways to prevent depression from taking hold after a brain injury, we can significantly improve long-term outcomes for patients, support their rehabilitation more effectively, and potentially reduce the overall burden on individuals, families, and the NHS. As healthcare professionals, we understand that mental health is integral to overall health and recovery.   This ongoing research represents a hopeful step forward in how we care for individuals who have experienced traumatic brain injuries. It highlights the critical importance of considering mental well-being from the very early stages of recovery. If you or someone you know is recovering from a brain injury, remember that support for mental health could be just as vital as physical rehabilitation. Contact the team at Schoen Clinic Chelsea for specialist mental health support. Dr James Woolley, Consultant Psychiatrist & Group Medical Director, Schoen Clinic UK Abo ut the author: Dr Woolley Dr James Woolley is a highly experienced Consultant Psychiatrist at Schoen Clinic Chelsea, with particular expertise in treating mental health conditions that overlap with physical illness. Trained at the Maudsley Hospital and Institute of Psychiatry, he combines evidence-based medication with psychological therapies such as CBT. Dr Woolley also holds Fellowships with both the Royal College of Psychiatrists and the Royal College of Physicians, and has published widely in leading scientific journals. References: Jorge RE, Acion L, Burin DI, Robinson RG. Sertraline for Preventing Mood Disorders Following Traumatic Brain Injury: A Randomized Clinical Trial. JAMA Psychiatry. 2016;73(10):1041–1047. doi:10.1001/jamapsychiatry.2016.2189 Available at: https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2548277 [Accessed 27 May 2025] Wall, J., 03/04/2024. Have you heard of traumatic brain injury depression? [online] King’s College London. Available at: https://www.kcl.ac.uk/have-you-heard-of-traumatic-brain-injury-depression [Accessed 27 May 2025]. ISRCTN Registry, 23/12/2022. Trial of sertraline to prevent post-traumatic brain injury depression [online] Available at: https://doi.org/10.1186/ISRCTN17518945 [Accessed 27 May 2025].

With over 2 million people in the UK currently seeking mental health support, timely access to high-quality care has never been more important. At Schoen Clinic Chelsea , we’re proud to offer specialist outpatient services for children, adolescents and adults experiencing a range of mental health conditions - including anxiety, depression, ADHD, eating disorders and more. To meet growing demand and deliver the best possible experience for patients and clinicians alike, we partnered with Semble , a leading healthcare practice management platform. This collaboration has helped us streamline day-to-day operations, support multidisciplinary coordination, and scale up our services, doubling our patient capacity in the process. Adapting to meet growing mental health needs Our clinic has seen an increasing number of referrals over the past year, particularly for neurodevelopmental assessments, trauma-informed therapy, and private outpatient psychiatry. While our expert multidisciplinary teams were already delivering outstanding clinical care, the need for more agile and integrated systems became clear as patient volumes rose. Dr James Woolley, Group Medical Director Why we chose Semble Semble’s flexible, user-friendly platform was designed with private healthcare providers in mind. Its ability to support clinical documentation, appointment scheduling, patient communication and operational oversight in one central system made it a natural fit for our evolving needs. "We wanted something that was much more intuitive, that had a clinical focus to it, and was accessible flexibly.”— Dr James Woolley , Group Medical Director Real benefits for patients and clinicians Since implementing Semble, we’ve seen significant improvements in both clinical workflow and patient experience: Fewer missed appointments With automatic booking confirmations and appointment reminders, new patient no-show rates have reduced from around 12% to just 3% —making it easier for more patients to access timely support. Dr Daniel Masud, Consultant Psychiatrist Streamlined clinical documentation The addition of AI transcription tools has made it quicker for clinicians to complete notes and share feedback. “Previously I would probably spend two to three hours typing up reports. Now I’ve reduced that to less than 45 minutes.”— Dr Daniel Masud , Consultant Psychiatrist Enhanced collaboration across teams With better visibility of clinician availability and shared patient timelines, our multidisciplinary teams can coordinate more smoothly, improving continuity of care and decision-making. “Semble gives you oversight of what everybody else is doing and who’s involved in the care.”— Dr Daniel Masud Scalable, patient-centred care With more efficient systems in place, our team can now support more patients while maintaining the quality and compassion that are central to everything we do. “Patients are getting feedback from their appointments the same day. That’s not something we were ever able to come anywhere near before.”— Dr James Woolley Marco Burman-Fourie, Clinic Director A foundation for sustainable growth By simplifying our internal workflows and enhancing communication between patients and clinicians, Semble has helped us respond more effectively to the growing demand for mental health services. Today, Schoen Clinic Chelsea continues to expand its outpatient offering of treatments, therapies and services , ensuring people can access the right care, at the right time, in a way that feels seamless and reassuring. “It’s been a bit of a journey, and a good one for us, because it’s only improved the quality of what we do.”— Marco Burman-Fourie, Clinic Director, Schoen Clinic Chelsea We’re proud to share our story in partnership with Semble.📖 Read the full case study

And how you can access all three in a single day at Schoen Clinic Chelsea Trauma can impact every part of your life - your relationships, your physical health, your ability to feel safe, and even your sense of identity. While no two people experience trauma in the same way, the need for compassionate, effective support is universal. At Schoen Clinic Chelsea , we offer three powerful trauma therapies every Tuesday as part of our Programme of Specialist Therapy Groups . These therapies—Embodied Psychotherapy, Group Trauma (G-TEP), and Reflect & Restore—are grounded in evidence-ased approaches to trauma recovery and designed to help you feel safe, seen, and supported. Below, we explore how each of these therapies works and why they’re so effective for people healing from trauma. Email our team today to learn more or book yourself in. 1. Embodied Psychotherapy: Reconnecting with Your Body After Trauma Trauma often lives in the body. If you’ve experienced a traumatic event, you might recognise symptoms like chronic tension, physical pain, or dissociation (feeling numb or disconnected from your body). These are survival responses - your body’s way of protecting you. But over time, they can make it hard to feel grounded or in control. Embodied Psychotherapy is a somatic, body-based therapy that helps you gently reconnect with your physical self. Rather than focusing only on talking or cognitive processing, this approach uses movement, posture, breathwork, and body awareness to help you process trauma stored in the nervous system. How it works: Sessions involve guided body-awareness exercises and movement. You’ll be invited to notice physical sensations, tension, or impulses, and learn to interpret what your body is communicating. You’ll begin to regulate your nervous system more effectively, learning when to rest, when to activate, and how to return to a sense of safety. Why it’s effective for trauma: Trauma can trap you in a constant state of hypervigilance or emotional shutdown. Embodied approaches work directly with the nervous system, helping your body “complete” the defensive responses it never had the chance to finish. Over time, this can reduce symptoms of PTSD , anxiety , and emotional dysregulation. At Schoen Clinic Chelsea, Brenda Naso facilitates our weekly Embodied Psychotherapy group, offering a supportive space for individuals to explore these principles through movement, awareness, and gentle self-inquiry. 2. Group Trauma (G-TEP): Guided Self-Help Using EMDR Principles You may have heard of EMDR (Eye Movement Desensitisation and Reprocessing) - a structured psychotherapy method originally developed for PTSD . EMDR helps people process traumatic memories by engaging the brain’s natural healing mechanisms. It uses bilateral stimulation (such as eye movements or tapping) while the individual recalls distressing memories in a controlled and safe way. G-TEP, short for Group Traumatic Episode Protocol, is a guided self-help format of EMDR designed for groups. Unlike traditional EMDR (which is typically one-to-one), G-TEP allows people to work through trauma in a structured, semi-private way within a group setting, without needing to share their specific traumatic memories aloud. How it works: Participants follow a carefully designed worksheet and set of instructions, guided by a trained facilitator. The process includes drawing timelines, identifying distressing memories or triggers, and using bilateral stimulation techniques (e.g., tapping). You process difficult experiences safely and privately, while still benefiting from the presence and support of others around you. Why it’s effective for trauma: EMDR is one of the most evidence-based treatments for trauma. G-TEP brings these benefits to group settings, making trauma support more accessible. It’s particularly useful when working with individuals who have experienced multiple traumas, recent events, or ongoing stress. At Schoen Clinic Chelsea , our G-TEP group is led by Emma Johnson , an experienced trauma therapist trained in EMDR principles. Her facilitation ensures that each person feels safe, supported, and in control of their own healing process. 3. Reflect & Restore: Integration and Nervous System Regulation Trauma work isn’t just about processing the past - it’s also about learning how to live in the present. That’s where Reflect & Restore comes in. This gentle afternoon group is designed to help you integrate what you’ve experienced throughout the therapeutic day and prepare your nervous system for rest, regulation, and reflection. Using a combination of mindfulness, creative expression, and somatic practices, Reflect & Restore invites you to reconnect with calmness and inner clarity. How it works: The group offers creative tools (like drawing, journaling, or movement) to help you externalise and process your thoughts. Guided meditations, grounding exercises, and body-based techniques help to settle the nervous system. It’s a safe space to share, reflect, or simply be with yourself in a supportive group environment. Why it’s effective for trauma: Healing trauma often involves moving between activation (facing and processing distressing material) and integration (returning to safety and regulation). Reflect & Restore provides a structured, therapeutic way to do this—so you leave the day feeling grounded, rather than overwhelmed. Facilitated by Brenda Naso , this group offers a compassionate close to our Tuesday trauma track. Why this trio of therapies is so effective Each of these therapies targets a different layer of trauma recovery: Embodied Psychotherapy helps you reconnect with your body. G-TEP helps you process traumatic memories safely and privately. Reflect & Restore helps you integrate what you’ve learned and restore calm. By participating in all three groups on the same day, you can move through a full arc of trauma support—from activation to regulation—in a single therapeutic container. This structure allows you to build momentum in your healing journey while feeling supported at every stage. Trauma therapy in London: safe, specialist support at Schoen Clinic Chelsea Schoen Clinic Chelsea is a private mental health clinic in the heart of London offering a broad range of specialist outpatient services for adults and young people. Our Specialist Group Therapies run from Tuesday to Thursday each week, with Tuesdays fully dedicated to trauma recovery. You can attend one group or the full day, with no obligation to commit long-term. Our groups are accessible pay-as-you-go, or through select health insurers and are available to anyone who is suitable for outpatient therapy, whether or not you are seeing a therapist elsewhere. Ready to begin your healing journey? If you’re looking for trauma therapy in London that is evidence-based, compassionate, and truly holistic, we invite you to join us on a Tuesday. Whether you’re processing recent events or working through long-held trauma, these therapies can help you reconnect with yourself, release what’s been held in the body, and begin to heal. Visit our Specialist Group Therapy page to learn more or contact our team to discuss joining the trauma groups.

By Dr James Woolley , Consultant Psychiatrist, Schoen Clinic Chelsea Dr James Woolley, Consultant Psychiatrist, Schoen Clinic Chelsea As Mental Health Awareness Week (13–19 May) and European Mental Health Week (20–26 May) bring mental wellbeing into the spotlight this May, a growing movement is calling for change, not just in how we treat mental illness, but in how we prevent it. Two clear themes have emerged from the headlines, policy reports and public conversations this month: the transformative power of community connection and the urgent need for systemic investment in mental health services. These developments point to a pivotal moment for the future of mental health care in the UK and across Europe. 1. Community care as the cornerstone of mental health recovery The Mental Health Foundation ’s 2025 theme, “Community” , reflects a growing body of research showing that strong social bonds protect against loneliness, anxiety and burnout. Whether it’s a local support group, a workplace wellbeing programme, or an online peer network, connection is increasingly recognised as a powerful protective factor in mental health. Organisations like the Electrical Industries Charity are paving the way with peer-to-peer mental health networks designed to reduce stress and isolation in high-pressure sectors. Meanwhile, the BBC’s Wellbeing Week (10–16 May) has helped normalise conversations around recovery, therapy and resilience, with stories from public figures including Matt and Emma Willis. “We often underestimate how powerful a sense of belonging can be in recovery,” says Dr James Woolley. “Community doesn’t just support mental health—it can transform it.” 2. Strategic investment: NHS Confederation’s six priorities Alongside the community focus, the NHS Confederation has released a landmark report outlining six key investment areas to improve outcomes and reduce demand across mental health services: Support for perinatal mental health: Around one in four new mothers experience a mental health problem during or after pregnancy, with many hiding their struggles. The NHS recommends better funding for health visitors and midwives to identify and support women early. Evidence suggests this could save £490m over ten years by reducing long-term health and social costs. Access to evidence-based parenting programmes: Conduct disorders affect nearly 1 in 20 young people and are linked to lifelong risks including poor mental health, school exclusion and crime. Universal access to parenting interventions like Triple P and Incredible Years can improve outcomes and deliver significant public savings, between £1,000 and £8,400 per child. Expanding early support hubs for young people: Half of all mental health issues begin before the age of 14. Early support hubs offer young people drop-in access to care without referrals or thresholds. Scaling these hubs, alongside mental health teams in schools, will create a more complete system of preventative support for young people. Widening access to NHS talking therapies: Although NHS Talking Therapies have expanded, access gaps remain, particularly for racialised communities, older adults and people with complex needs. The NHS proposes launching a parallel service to support those with more complex difficulties, alongside digital therapies and to help manage demand without replacing human care. Individual Placement and Support (IPS) employment services: Unemployment is both a cause and consequence of poor mental health. IPS services help people with severe mental illness gain and keep employment. Expanding access to IPS could reduce suicide risk and improve quality of life for thousands of people shut out of the workforce. Tackling social determinants of mental health: From poverty and housing insecurity to discrimination and marginalisation, the NHS recognises the urgent need to address the social conditions that fuel poor mental health. This call aligns with the European Mental Health Week 2025 theme: “Care for mental health, invest in social rights.” These evidence-based priorities reflect a shift toward proactive, integrated care, moving away from crisis-driven models to long-term, socially informed mental health planning. 3. The role of media in changing the conversation This May, the UK media has played a key role in amplifying mental health stories. The BBC’s new documentary series Change Your Mind, Change Your Life offers candid insights into the therapy process, while celebrities like Bionic (of Gladiators fame) have publicly discussed their mental health struggles, encouraging open dialogue and challenging stigma. At the same time, The Guardian has sparked debate around the evolving role of emotional support animals in the workplace and examined the hidden mental health costs of the cost-of-living crisis, issues that continue to impact marginalised groups disproportionately. 4. Aligning mental health policy with social justice The theme of European Mental Health Week 2025 — “Care for mental health, invest in social rights” —echoes the NHS’s call to action: that mental health cannot be separated from the social environment. Key policy discussions this month have highlighted the need to tackle structural inequalities, from housing instability and poverty to access to care for older adults, people with disabilities and ethnic minority communities. 5. What you can do: practical steps to support mental health progress Whether you’re a health professional, policy advocate, employer or member of the public, here are three ways to help break down barriers this May: Join or support community-led initiatives during Mental Health Awareness Week and beyond. Speak up for funding and reform, by writing to local MPs or supporting NHS campaigns. Share your story - talking openly about your mental health can help reduce stigma and encourage others to seek support. Closing thoughts 2025 could be a turning point for mental health in the UK - if we commit to the changes we know work. By investing in both community resilience and systemic reform, we can build a more inclusive, compassionate and effective mental health system for future generations. If you or someone you know needs support, Schoen Clinic Chelsea offers expert-led psychiatric and psychological care tailored to individual needs. Contact us today or visit our homepage to find out more about how we support individuals with mental health concerns.

Integrative psychotherapy is a flexible and person-centred approach to therapy that draws on multiple therapeutic models to provide care that is tailored to the individual. Rather than focusing on one specific framework, like cognitive behavioural therapy (CBT) or psychodynamic therapy, integrative psychotherapists use techniques from a range of approaches, depending on what will best support the client at that moment in their life. Whether you're seeking therapy for anxiety, depression, trauma, or simply want to better understand yourself, integrative psychotherapy offers a compassionate and adaptable way forward. In this article, we explore how integrative psychotherapy works, who it can help, and what you can expect from sessions, with expert insight from Camilla Simpson , an Integrative Psychotherapist at Schoen Clinic Chelsea . What is Integrative Psychotherapy? At its core, integrative psychotherapy is about treating the whole person. Rather than applying a one-size-fits-all model, therapists draw from a range of evidence-based approaches—such as humanistic, psychodynamic, cognitive-behavioural, and somatic therapies—to tailor treatment to your needs. “Integrative psychotherapy is a wonderful way of being able to treat the whole person and treat them as an individual,” says Camilla Simpson. “Not everyone responds well to just having one approach… we tailor a treatment plan according to what they need the most.” The aim is to help clients feel heard, valued and empowered, especially during times of stress, change, or mental health challenges. What conditions can Integrative Psychotherapy help with? Integrative therapy can be helpful for a wide range of mental health concerns, including: Anxiety Depression Addiction Burnout or work-related stress Trauma and PTSD Relationship or family issues Low self-esteem or self-worth Life transitions (e.g. grief , breakups, retirement) Camilla explains, “I see people for a range of conditions, anything from anxiety through to depression. My speciality is in addiction-based work, but I would see anyone who is seeking long-term therapy.” Because this approach adapts to meet you where you are, it’s particularly well-suited to long-term therapy or for people whose difficulties span multiple areas of their life. How does Integrative Psychotherapy work? Camilla Simpson, Integrative Psychotherapist, Schoen Clinic Chelsea In your first few sessions, your therapist will work with you to build a strong therapeutic relationship—the foundation of any effective therapy. You'll explore your reasons for seeking support, what you hope to achieve, and any relevant personal history. From there, your therapist will begin to incorporate different therapeutic techniques based on what will be most helpful. For example, an integrative therapist might use: CBT strategies to challenge unhelpful thought patterns Psychodynamic techniques to explore unresolved past experiences Person-centred therapy to ensure you feel safe, heard, and accepted Somatic tools such as body awareness or posture work Mindfulness or behavioural experiments to support real-world change “Other ways I work with clients is helping them to look at how they can change the way they feel through adopting different body language, poses, or using different words to impact how they feel,” explains Camilla . Therapy may include setting goals or behavioural experiments to try between sessions. “Sometimes I might set a little behavioural experiment for them to go away and practice… like going somewhere new or responding back to a person in a different way.” What makes Integrative Psychotherapy different? Unlike more rigid models of therapy, integrative psychotherapy evolves with you. This is especially important because, as Camilla says, “life changes, and people go through various different situations and stress points throughout their life.” That flexibility is one of its greatest strengths. Here’s how it stands out: Integrative Psychotherapy Traditional Single-Approach Therapy Draws from multiple models Sticks to one model (e.g. CBT only) Highly tailored to individual needs Generalised approach Focuses on whole-person wellbeing May focus on symptom reduction only Adapts over time as needs change Often structured and time-limited This approach allows your therapist to adjust techniques and strategies as you grow in therapy, whether you're facing new challenges or uncovering deeper issues. What to expect in a session Starting therapy can feel daunting, but finding the right therapist makes all the difference. “When people come to see me, they can expect to talk in a very confidential, safe and comfortable environment,” says Camilla . “My style is very empathic, kind… so whilst it might feel scary to come to therapy for the first couple of times, you can expect to be listened to, not judged.” In a typical session, you might: Reflect on recent experiences or emotions Explore recurring patterns or behaviours Practice grounding or body-based techniques Review progress and goals Prepare behavioural tasks or experiments to try between sessions “Together we will work through what the best outcomes are for you at that time,” says Camilla . “We’re not just treating everyone in the same way.” Is Integrative Psychotherapy right for me? If you're someone who values a personalised and compassionate approach to mental health—one that recognises you as more than a diagnosis—integrative psychotherapy may be a good fit. It’s especially helpful if: You’ve tried other therapies but didn’t connect with the approach You’re dealing with multiple issues or don’t fit neatly into a diagnostic box You’re interested in long-term self-exploration as well as symptom relief Even if you’re unsure what you need, many integrative therapists offer an initial consultation to explore your goals and whether it’s the right fit. What about group or therapy? While many people associate therapy with one-to-one sessions, integrative psychotherapy can also take place in group settings or with families. “I work with groups and sometimes families as well,” says Camilla. “Group therapy can be a really powerful way to connect with others and build new ways of relating.” At clinics like Schoen Clinic Chelsea in London, group therapy is often used alongside individual sessions to offer a more holistic and socially supportive experience. Camilla facilitates the Process Group "Intentions" at our specialist mental health clinic each week. It's a reflective and forward-focused space designed to support participants in identifying their personal values, clarifying their goals, and setting meaningful intentions that align with the direction they want their lives to take. Learn more or join the group today. Final thoughts Integrative psychotherapy offers a flexible, human-centred approach to mental health that meets you as you are. By drawing from a range of evidence-based methods, your therapist can help you build insight, improve your wellbeing, and support long-lasting change—on your terms. “Integrative psychotherapy is a really useful way of looking at the person as a whole,” says Camilla . “We make sure that we tick every box.” Whether you’re struggling with anxiety, working through a difficult past, or simply want to better understand yourself, integrative therapy could offer the space—and the tools—you need to heal and grow. Looking for Integrative Psychotherapy in London? Camilla Simpson is an experienced Integrative Psychotherapist at Schoen Clinic Chelsea , where she offers in-person and online therapy for adults, groups, and families. She specialises in addiction and long-term therapy, providing a warm, non-judgmental space for healing. Contact us today to learn more or email our team in London directly to make an enquiry.

PRESS RELEASE: 15 MAY 2025 Schoen Clinic UK are pleased to announce the appointment of Jane Hughes-Cook as Hospital Director at Wellen Court, Schoen Clinic York . Jane brings with her over two decades of leadership experience in mental health and dementia care services, making her ideally positioned to take on this senior role. Jane Hughes-Cook, Hospital Director, Wellen Court, Schoen Clinic York Wellen Court provides bespoke, person-centred nursing care for individuals living with complex dementia and its associated mental health challenges. Jane's appointment comes at a pivotal time as Schoen Clinic York continues to expand and enhance its provision of services. Jane joins Schoen Clinic UK from her recent role as Operations Manager at a national care organisation, where she successfully led multidisciplinary teams and improved outcomes across a portfolio of specialist care homes. Her track record of operational excellence and commitment to quality care aligns perfectly with Schoen Clinic’s mission to provide exceptional, clinically-led services for patients and families. "We’re delighted to welcome Jane to the Schoen Clinic leadership team," said Andy Davey, UK Managing Director . "Her experience, strategic insight and dedication to patient-centred care will be instrumental in driving the continued success of Schoen Clinic York and supporting the complex needs of those we serve." In her new role, Jane will oversee clinical governance, operational performance and staff development at Wellen Court, Schoen Clinic York working closely with clinical leaders to ensure the highest standards of care and compliance. Her immediate focus will include enhancing patient pathways, improving access to services, expanding local partnerships and supporting the wellbeing and development of her team. Commenting on her appointment, Jane says: “I’m honoured to join Schoen Clinic and lead Wellen Court’s specialist dementia service. This is a unique opportunity to make a meaningful difference in the lives of people affected by complex dementia, and I look forward to working with a talented team to further build on the service’s strong foundations.” For media enquiries, please contact: ukmarketing@schoen-clinic.co.uk  — ENDS About Schoen Clinic UK Group The Schoen Clinic Group  was founded in 1985 and has since developed into Germany's fifth-largest privately-owned hospital group. It currently treats 300,000+ patients annually at 46 hospitals and clinics in Germany and the UK. The group also includes the leading online telemedicine clinic: MindDoc. Schoen Clinic entered the UK healthcare  market in 2017 providing award-winning, expert-led healthcare super-specialising in certain areas of medicine – now mental health and wellbeing, eating disorders and dementia care.

with Dr Joe Datt, Consultant Paediatrician , Schoen Clinic Chelsea When a child is diagnosed with autism or ADHD, it can feel like the start of a whole new journey for parents. While a diagnosis can bring clarity, many families are left wondering: “What now?”   Beyond the clinical explanation, they need practical, everyday tools to support their child’s development, manage challenging behaviours, and create a more structured home life. In this article, Dr Joe Datt  shares practical advice and evidence-informed strategies to help parents of children with neurodevelopmental conditions thrive at home and at school. Wh y practical support matters Many parents, once they receive a diagnosis of autism or ADHD for their child, find themselves in urgent need of extra support. While charities like the National Autistic Society ( autism.org.uk ) and Young Minds offer valuable resources and information, parents often need practical, day-to-day strategies they can use at home and share with schools. To help bridge that gap, Dr Datt shares his set of practical tools to support families navigating life with neurodevelopmental conditions like autism and ADHD. Here are some key areas that can make a real difference: 1. Establish structure and routine Children with ADHD , in particular, benefit greatly from structure. Predictable routines help reduce anxiety, improve focus, and promote positive behaviour. “Bring a level of structure so it doesn’t seem as chaotic,” says Dr Datt. “It’s important that children know what their expectations are.” Tips: Create a consistent daily schedule (meals, homework, bedtime) Break tasks into small, achievable steps Use visual aids or checklists to reinforce routines Avoid sudden transitions — give plenty of warning and visual cues Importantly, Dr Datt encourages a collaborative approach. “It shouldn't always be directed by the parents. Encourage the child to ask, ‘What’s our shared goal?’ That way, they’re more likely to buy into it.” 2. Use positive reinforcement and rewards Focusing on what children do well  — and recognising it — is far more effective than constantly highlighting problem behaviours. “It’s very important to reward children and give them a sense of praise,” says Dr Datt. “Praise helps reinforce good behaviours.” Tips: Use sticker charts or reward apps to track daily achievements Give clear, enthusiastic praise (e.g. “Well done for tidying up!”) Reward effort, not just outcomes Focus on encouraging independence in small tasks A simple reward system builds confidence and helps children feel a sense of accomplishment, something especially valuable for children who may struggle with self-esteem. It's also important to seek help for yourself if needed, so don't be afraid to contact our team if you recognise a need for additional mental health support in yourself. 3. Prioritise nutrition and a balanced diet Diet plays a key role in the wellbeing of children with autism or ADHD , especially when sensory sensitivities or medication side effects are involved. “Children with autism may not like certain textures or colours of food,” explains Dr Datt . “And children on ADHD medication may have a reduced appetite, especially at lunchtime.” Key considerations: Encourage a varied, balanced diet tailored to sensory preferences Offer high-protein breakfasts to support focus and energy Monitor for nutritional deficiencies — a multivitamin may help if the diet is very restricted Be cautious with sugary supplements: “Some vitamins can be high in sugar and actually worsen symptoms like hyperactivity.” For children on stimulant medication for ADHD: Monitor height and weight every 6–12 months Watch for missed meals, especially lunch Adjust medication if it severely affects appetite “It’s about optimising the right treatment while making sure growth and development aren’t compromised,” says Dr Datt . 4. Support healthy sleep habits Many children with autism or ADHD struggle with falling asleep, staying asleep, or waking too early, and disrupted sleep can intensify behavioural or attention challenges. “Sleep can be impacted by both the condition itself and the stimulant medication,” explains Dr Datt. “And without good sleep, children can’t function properly the next day.” Sleep strategies: Create a calm-down routine each night (e.g. bath, story, dim lights) Avoid screens for at least two hours before bedtime Cut back on sugar, caffeine and E-numbers, especially in the evening Ensure coexisting health issues (e.g. asthma, allergies) are well-managed Some night-waking is normal, especially in younger children. The goal is to help them return to sleep calmly and consistently. “Bringing structure into bedtime is just as important as during the day,” says Dr Datt . When parents should seek further support for autism or adhd If you’re struggling despite implementing strategies at home, don’t hesitate to seek professional advice. Your paediatrician, GP or therapist can help review treatment options, recommend specialist services, like ours at Schoen Clinic Chelsea , or provide access to parenting programmes tailored to neurodivergent children. Final thoughts from Dr Joe Datt Helping children with autism or ADHD thrive is about more than diagnosis — it’s about giving families the tools to manage everyday life with confidence and compassion. “A balance of structure, praise, nutrition and sleep is absolutely vital,” says Dr Datt . “And involving the child in decisions wherever possible really helps them feel empowered.” With the right strategies in place, children with neurodevelopmental challenges can build the skills they need to flourish, and parents can feel more supported, prepared, and hopeful. Do you need support? Schoen Clinic Chelsea offers specialist assessments and treatment for children and young people with autism, ADHD and other neurodevelopmental conditions. To book an appointment with Dr Joe Datt , please contact us here , email che-privateenuiries@schoen-clinic.co.uk or call our caring team on 0203 146 2300 .

Exploring the vital link between belonging and emotional wellbeing this Mental Health Awareness Week Mental Health Awareness Week 2025, spearheaded by the Mental Health Foundation , is shining a spotlight on a theme that affects every one of us: community. At a time when loneliness is rising and many people are feeling increasingly disconnected, this year’s theme couldn’t be more timely. Research consistently shows that a strong sense of belonging and social connection plays a powerful role in protecting and promoting good mental health. So, what does ‘community’ really mean in a mental health context — and how can we all help foster it? In this blog, we explore the psychology of belonging, the impact of loneliness on the brain, and how community, in all its forms, can support recovery and resilience. What is community in a mental health context? We often think of community as a geographical place — a neighbourhood, town, or workplace. However, in terms of mental health, community is more about connection than location. It refers to the people, relationships and environments that give us a sense of safety, acceptance and purpose. Community can look like: A peer support group or therapy group A friendship circle or family network A shared cultural or religious group A team at work, school or sport Even a trusted online space At Schoen Clinic, we see firsthand how group therapy and social connection can play a powerful role in mental health recovery. Whether it’s sharing experiences with others who understand or simply feeling less alone in your struggles, being part of a supportive group is often a turning point in someone’s healing journey. The psychology of belonging The need to belong is not just a social nicety — it's a basic human need, as fundamental as food and shelter. Psychologist Abraham Maslow included belonging as a core tier in his hierarchy of human needs, and newer research continues to confirm this. When people feel connected, included, and accepted, it supports: Emotional regulation Self-esteem and identity Reduced risk of depression and anxiety Stronger resilience to life stressors In contrast, when we feel excluded, isolated or rejected, it can activate areas of the brain associated with physical pain. Belonging isn’t just ‘nice to have’ — it’s essential for emotional and physiological wellbeing. How loneliness affects the brain Loneliness isn’t just a feeling — it’s a serious mental health risk. In fact, studies show that chronic loneliness can: Increase the risk of depression , anxiety , and suicidal thoughts Lead to higher stress hormone levels (like cortisol) Impair immune function Affect sleep , cognition , and self-worth Recent neuroscience research has shown that loneliness actually alters the way the brain processes social information. People who are persistently lonely may become hyper-vigilant to social threats or rejection, which can make it harder to connect, creating a vicious cycle. At Schoen Clinic Chelsea in London, many of our patients speak about loneliness as both a cause and a consequence of their mental health difficulties. That's why part of our therapeutic approach includes rebuilding relationships, supporting group engagement , and helping people feel part of something again. Building resilient communities that support mental wellbeing So, how can communities, from local groups to national networks, protect mental health? Here are some of the key ways: Reducing stigma: Open conversations in the community reduce shame around mental health struggles. Promoting early support: Trusted community services and networks encourage people to seek help sooner. Providing structure and meaning: Being part of something bigger than ourselves gives us purpose and routine. Creating safety nets: Community groups can help identify people who are struggling and offer early intervention. Community doesn't have to mean hundreds of people. Even a small group of trusted individuals can act as a protective buffer against life's challenges. Why not contact our team if this is something you'd like to explore further with our specialists? Ways to cultivate belonging in everyday life Whether you're struggling with your mental health or want to support others, there are everyday ways to build more connection and community: 1. Join a group with shared interests Whether it’s a book club, walking group, or therapy group, shared activity fosters connection. 2. Volunteer or give back Helping others can boost your own sense of purpose and belonging. 3. Reach out — even when it’s hard Loneliness can be self-perpetuating. Taking small steps to reconnect, even just saying hello, makes a difference. 4. Create safe spaces for honest conversations You don’t need to be a mental health professional to listen without judgment. 5. Be consistent Belonging grows through repeated, meaningful interactions, not one-off gestures. How Schoen Clinic supports connection and recovery At Schoen Clinic Chelsea , we understand that healing doesn't happen in isolation. That’s why many of our treatment plans include group therapy, peer support, and community-based interventions. From trauma-focused sessions to reflective therapy groups, we help people find belonging, rebuild trust, and rediscover hope. If you or someone you care about is feeling isolated, anxious or overwhelmed, know that you're not alone — and help is available. Explore our specialist therapy groups Meet our mental health specialists This Mental Health Awareness Week, let’s remember: Community isn’t just about where we are, it’s about who we’re with. Together, we can create a world where everyone feels seen, heard and valued. Get involved this #MentalHealthAwarenessWeek by sharing with the hashtag #ThisIsMyCommunity

When a beloved pet dies, the grief can feel as deep and overwhelming as losing a human family member. For many people, pets are not "just animals”, they’re companions, confidants, and cherished members of the family. They witness our everyday lives, offer unconditional love, and become entwined in the very fabric of our emotional world. So when the time comes to say goodbye, it can feel as though a piece of us is missing. Yet, in a society that often underestimates pet bereavement, many grieving owners find themselves struggling in silence, feeling isolated, confused, or even ashamed of the intensity of their emotions. If you’re navigating the loss of a dog, cat, or another beloved animal, your grief is valid, and you’re not alone. Understanding why pet loss hurts so much, how long it might take to heal, and whether your feelings are “normal” can be the first step toward finding comfort in the most painful of times. Whether you're grieving a recent loss or supporting someone through theirs, this guide offers gentle, practical support for navigating the emotional journey that follows the death of a pet. From understanding why the loss feels so profound to strategies that may help you cope and heal, this article is here to walk beside you in your grief. Why does losing a pet hurt so deeply? The grief that follows losing a pet is often underestimated by others—but the bond between humans and animals can be as strong as any human relationship. In fact, psychologists have found that the emotional pain of pet loss can mirror the grief experienced after the death of a close relative. Here’s why: Unconditional love and emotional safety Pets love us without judgment. They don’t care about our flaws, our appearance, or our successes. A dog wagging its tail at the door or a cat curling up beside us on a hard day can provide comfort in a way that’s pure and uncomplicated. Losing that consistent source of emotional support can create a profound void. Routine and presence Pets are part of our daily rhythm—from morning walks to feeding times to shared moments of rest. Their absence is not just emotional, it’s physical. You might find yourself instinctively checking for them in their favourite spot or reaching for a leash that’s no longer needed. This disruption to routine can trigger a deep sense of disorientation and sadness. Connection without words Pets communicate with us in unique, nonverbal ways. They respond to tone, mood, and movement. They often become attuned to our emotional needs and provide silent support in difficult times. When that silent, soothing presence disappears, the silence can feel deafening. The circumstances of loss Grief can also be complicated by the way a pet dies. Whether it’s sudden, due to illness, or following the difficult decision to euthanise, the circumstances can leave owners struggling with guilt, “what if” questions, and lingering distress. Even when the decision is made out of love and compassion, it can feel emotionally complex. When that presence suddenly disappears, it creates a painful void, and one that often isn’t fully recognised by wider society. The loss of a family pet can deeply affect every member of a household, and yet pet bereavement is often minimised or misunderstood. “Grief is the price we pay for love.” – Queen Elizabeth II Is it normal to grieve when a pet dies? Absolutely. It is completely normal to experience grief after the death of a pet. In fact, many mental health professionals now recognise pet bereavement  as a legitimate form of grief that deserves the same compassion, validation, and support as any other loss. The grief you feel may include: Sadness : A deep sense of sorrow and the loss of their presence. Anger or guilt : Especially if the pet’s death was sudden or if you had to make a euthanasia decision. Loneliness : The home may feel emptier, quieter, and emotionally hollow. Disbelief or shock : Particularly in the early days, it may feel surreal that they’re gone. Disruption of identity : For many, being a pet owner is part of who they are—losing that role can shake your sense of self. Some people may cry openly and seek comfort from others. Others may feel numb, distracted, or overwhelmed. There is no “correct” way to grieve, and each person’s experience is shaped by their bond with the animal, past experiences with loss, and overall mental health. You may also find that not everyone understands your grief. Friends or colleagues might offer well-meaning but dismissive comments like “it was just a dog” or “you can always get another cat.” These remarks can compound the pain by making you feel unseen or invalidated. Surrounding yourself with people, or professionals who understand the significance of pet loss, can be vital. You are not alone Grieving the death of a pet is a deeply personal experience, and no two people will walk the same path. What’s most important is allowing yourself to feel what you feel, without shame or self-judgment. Whether your pet was by your side for a few months or many years, your bond mattered. Your grief is a reflection of that love. In the sections that follow, we’ll explore practical ways to cope with pet loss, how to support children or other family members, and when to seek additional help if your grief feels too heavy to carry alone. How to cope with the loss of a pet: Practical strategies for healing When your pet dies, it can feel like life has been turned upside down. The depth of grief may take you by surprise, especially when your routine, home life, and emotional landscape all shift at once. While no advice can take away the pain, there are ways to support yourself as you navigate this profound loss. 1. Allow yourself to grieve fully It’s natural to want to “stay strong” or push past the pain, especially if those around you don’t fully understand the depth of your loss. But bottling up emotions can delay healing and even lead to complicated grief. Let yourself cry. Talk about your pet. Write down what you’re feeling. If anger or guilt arises—especially around euthanasia decisions—acknowledge those emotions too. Grief is not linear, and there’s no wrong way to feel. Coping with grief when a pet dies requires patience and self-compassion. Tip:  Consider journaling each day, even if just for a few minutes. It can help release overwhelming emotions and track how your grief evolves over time. 2. Create a memorial or ritual Honouring your pet’s life can provide a sense of closure and help you begin to process the loss. Simple acts of remembrance give your grief a place to go—and can turn pain into reflection. Some ideas include: Lighting a candle at a specific time each day Creating a memory box with photos, a collar, or favourite toy Planting a tree or flowers in your pet’s honour Writing them a goodbye letter Holding a small farewell ceremony with family or close friends These rituals help mark the importance of their life—and their loss—in a way that feels real and meaningful. Many grieving pet owners find comfort in these personal memorials, which honour the love and connection they shared. 3. Talk to someone who understands You might find that some people don’t “get it”—and their attempts to comfort you feel hollow. Seek out others who understand the bond between humans and animals. This could include: Close friends or family  who knew your pet well Pet loss support groups , often available online or locally A trained therapist or counsellor , especially one experienced in bereavement Veterinary grief support lines , which are sometimes offered by local vets or pet charities Realise this : You don’t need to justify your grief. The pain you feel is a measure of your love—and that deserves to be heard. If you’re looking for professional support, consider searching for pet loss counselling in your area. 4. Maintain a gentle routine After the loss of a pet, your daily routine may feel fractured. The absence of walks, feeding times, or bedtime cuddles can leave hours of silence where there used to be companionship. Try to: Get up at a regular time Spend time outdoors, even briefly Prepare simple, nourishing meals Set small goals—like going to the shop or calling a friend Keeping a light structure in your day can support your emotional resilience and help reduce feelings of emptiness or chaos. When coping with the death of a pet, even small daily rituals can help anchor your grief. 5. Express yourself creatively For some people, grief lives in the body, not just the mind. Finding ways to express emotion non-verbally  can be deeply healing. Try: Drawing, painting, or collage Writing poetry or a memory story about your pet Creating a photo album or digital slideshow Making a piece of jewellery or art in their memory You don’t have to be “artistic” to benefit. The goal is to give your grief a creative outlet. These activities can be especially powerful when coping with pet bereavement after the sudden death of a dog or cat. 6. Look after your physical health Grief doesn’t just affect our minds—it can affect sleep, appetite, and energy levels too. You might feel exhausted one day and restless the next. Try to: Stay hydrated Eat balanced meals (even if your appetite is low) Move your body in gentle ways—walks, stretching, or yoga Rest when you need to, without guilt Being kind to your body during this time can also support your emotional recovery. Looking after yourself physically is one of the most important steps in coping with grief after losing a pet. 7. Consider whether—and when—to get another pet Many grieving pet owners ask: “Should I get another pet?” There’s no one-size-fits-all answer. Some people feel ready within weeks; others need months or years. You might feel conflicted, guilty for “replacing” your pet or worried you won’t bond with another. Take your time. It’s okay to wait until you feel emotionally ready , and it’s okay to decide not to get another pet at all. Your grief needs space first. Any future animal will never be the same, but it might one day be just as loved. If you're considering another dog after your dog passed away, remember: grief and readiness are different timelines. 8. Know when to seek extra support Grief is a natural response, but sometimes it can become overwhelming, especially if it brings up past trauma , depression , or anxiety . You might benefit from extra help if you’re: Unable to eat or sleep for extended periods Experiencing panic attacks, numbness, or despair Feeling guilty or ashamed about the way your pet died Struggling with day-to-day functioning Pet loss counselling is available through some mental health services, therapists, and veterinary networks. Reaching out doesn’t mean you’re “not coping”—it means you’re honouring your grief by giving it space to heal. A gentle reminder Your grief is a reflection of love. The time you spent with your pet mattered - every walk, cuddle, and quiet moment. While the pain may never fully go away, it will soften. With time, you may find peace not in forgetting your pet, but in remembering them with gratitude. Helping children cope with the loss of a family pet For many children, the death of a pet is their first experience of loss. It can be confusing, frightening, and deeply upsetting. Pets are often seen by children as siblings, playmates, or protectors. When that bond is suddenly broken, they may struggle to understand what’s happened or express how they feel. Here’s how you can help them grieve in a healthy and supported way. 1. Be honest, but age-appropriate It can be tempting to use euphemisms like “put to sleep” or “gone away,” but these can create more confusion—especially for younger children. Speak gently, but clearly: “Our dog was very sick, and he died today. That means his body stopped working, and he’s not coming back.” “We had to help our cat die peacefully, because she was suffering and we didn’t want her to hurt anymore.” Avoid overloading them with detail, but don’t be afraid to use the word “death” or “died.” Children benefit from clear explanations that help them process the permanence of the loss. 2. Let them grieve in thier own way Children may not show grief the same way adults do. Some may cry or ask questions repeatedly. Others may seem unaffected, want to play, or avoid the topic altogether. These responses are all normal. Encourage them to: Draw pictures or write stories  about their pet Create a memory jar  with shared moments or messages Attend a goodbye ceremony  or light a candle together Keep a photo  of their pet in their room if they’d like to Reassure them that it’s okay to be sad, angry, or even relieved—especially if the pet had been unwell. Help them name and validate those feelings. 3. Reassure them about death and safety Younger children, especially under the age of 7, may worry that death is contagious—or that they or you might die next. Reassure them: “Pets usually don’t live as long as people do.” “We’re all healthy right now, and you’re safe.” Keep communication open. Let them return to the topic when they’re ready, even weeks or months later. When to seek professional help While grief is a normal, natural process, it can sometimes develop into prolonged or complicated grief, especially if the loss triggers past trauma, emotional isolation, or unprocessed guilt. You may want to consider professional help if you or your child: Can’t function in daily life weeks after the loss Feel intense guilt or shame you can’t shake Avoid places, routines, or thoughts that remind you of your pet Experience sleep issues, depression, or social withdrawal Find yourself stuck in anger or numbness for long periods Grief counselling or talking therapy can provide a safe, non-judgmental space to explore what you’re going through. Some therapists specialise in pet bereavement, and many offer support online or by phone. If you're in the UK and looking for pet loss support, consider local services offering grief counselling for pet owners. Many clinics also offer virtual appointments, making support more accessible. At Schoen Clinic Chelsea we have a wonderful team of caring mental health specialists available, offering appointments in as little as 24 hours. You can also contact: Your GP  or mental health service for referral Veterinary clinics , which may offer local support group information Charities like Blue Cross (UK) , which run pet loss helplines Moving forward with love and memory Your grief may soften with time, but the love you had for your pet will always remain. Some people find healing in creating a permanent memorial or tribute, such as: A personalised photo book A custom pawprint or painted stone A donation to an animal rescue in your pet’s name Adopting another animal— only when you’re ready , and never to replace the one you've lost There’s no rush to “move on.” Instead, aim to move forward  with your pet’s memory woven into your life. They may be gone, but their impact remains: in the routines you shared, the comfort they gave, and the lessons they taught about love, presence, and joy. If you're wondering what to do when your dog dies or how to help someone grieving the loss of a pet, know this: support, love, and understanding are powerful tools. In loving memory Grieving a pet is not “less than” grieving a person. It is real. It is valid. It is love in its most unconditional form—mourning a bond built on companionship, trust, and mutual care. Whether you lost your dog last week, are still coping with the loss of a cat from years ago, or need help supporting a loved one through the death of a pet, this grief deserves space and compassion. Healing doesn't mean forgetting—it means remembering without pain. Be kind to yourself. You are not alone. If you need support, please don't hesitate to contact our caring team in London today. You can reach out to us online , or directly via email at che-privateenquiries@schoen-clinic.co.uk References: The Kennel Club  - https://www.thekennelclub.org.uk/health-and-dog-care/health/health-and-care/a-z-of-health-and-care-issues/coping-with-the-loss/ Blue Cross UK: Pet Bereavement Support Service  – Resources, support, and helpline for grieving pet owners https://www.bluecross.org.uk/pet-bereavement-and-pet-loss The Ralph Site  – A non-profit pet loss support website with articles and personal stories https://www.theralphsite.com/ Child Mind Institute  – Explains how children process grief and how to support them https://childmind.org/guide/helping-children-cope-with-grief/   Winston’s Wish  – UK charity supporting grieving children (includes advice about pet loss) https://www.winstonswish.org/ Cruse Bereavement Support  – UK charity offering support and counselling for all types of grief https://www.cruse.org.uk/ Mind UK  – Mental health charity with advice for coping with loss https://www.mind.org.uk

In today's digital world, social media plays a dominant role in the lives of children, teens, and adolescents. While it offers opportunities for connection, learning and self-expression, it also has a profound and often concerning impact on young minds. From increased anxiety and depression to sleep deprivation and exposure to harmful content, the effects of social media on mental health are becoming more evident. Understanding these effects is crucial for parents, educators, and healthcare professionals. Contact us today if you need specialist mental health support for a child or young person. The psychological impact of social media on adolescents Social media is not just a tool for communication - it's become a central part of adolescent identity and socialisation. However, constant exposure to online interactions, validation-seeking, and curated lifestyles can have damaging effects on young people's mental wellbeing. Increased anxiety and depression: Stu dies show a strong correlation between excessive social media use and higher rates of anxiety and depression among teenagers. Platforms like Instagram and TikTok encourage users to compare themselves to idealised images and lifestyles, leading to feelings of inadequacy, low self-esteem, and, in some cases, clinical depression. Fear of Missing Out (FOMO): Adolescents often feel pressured to keep up with their peers online, fearing they are missing out on social events, experiences, or trends. This constant comparison can lead to heightened stress and compulsive social media use. Social validation and dopamine addiction: The brain’s reward system is highly sensitive during adolescence, making young people particularly susceptible to the addictive nature of likes, comments, and shares. Studies have found that social media triggers the release of dopamine - the same chemical associated with pleasure and addiction - leading to compulsive scrolling and a need for validation. Cyberbullying and emotional distress: Many adolescents experience online harassment, which can lead to severe emotional distress, self-harm, and even suicidal ideation. The anonymity of social media often emboldens bullies, making the abuse more intense and widespread. Self-identity and body image issues: Teenagers are in a critical stage of identity formation, and social media often distorts their perception of reality. Many young people struggle with body image issues due to exposure to unrealistic beauty standards, filters, and edited photos. Social media’s influence on teen behaviour and cognitive development The adolescent brain is still developing, making young people particularly vulnerable to the behavioural effects of social media. Reduced attention span: The fast-paced nature of social media, with its endless scrolling and short-form content, can shorten attention spans and reduce the ability to focus on more extended tasks like studying or reading. Disrupted sleep patterns: Many teens stay up late engaging with social media, often at the expense of their sleep. The blue light emitted by screens suppresses melatonin prod uction, making it harder for them to fall asleep, leading to chronic sleep deprivation. Exposure to harmful content: Social media algorithms often expose young users to harmful content, including extreme dieting , self-harm promotion and misogynistic ideologies , to name but a few. This can shape their beliefs, behaviours and attitudes in deeply damaging ways. Self-diagnosis of mental health conditions: A growing number of teenagers turn to TikTok and other platforms for mental health advice, often self-diagnosing conditions such as ADHD , autism , and depression based on unverified information. While awareness is valuable, misdiagnosis can lead to unnecessary anxiety and inappropriate coping mechanisms. Adolescence : a stark reflection of the dangers of social media Netflix’s recent hit series ' Adolescence' provides a chilling portrayal of how social media affects young minds, raising urgent question s about online safety, cyberbullying, and the mental health crisis among teenagers. The series follows a 13-year-old boy and his family grappling with the consequences of a devastating incident - spurned on by cyberbullying, isolation, online radicalisation and misogyny - offering a powerful and unsettling reflection of real-world issues. Cyberbullying’s devastating impact: The series presents the tragic consequences of cyberbullying, showing how relentless online harassment can push teenagers to their emotional breaking points. The rise of harmful ideologies: A central theme in Adolescence is the spread of misogynistic content. It exposes how certain platforms fuel toxic masculinity and radicalisation, influencing young people’s worldviews in harmful ways. These are just a few of the issues raised within the mini-series, but we explore more in one of our recent articles . The need for action: how we can protect young minds While social media is deeply embedded in modern life, there are ways to mitigate its negative impact on young people: Encourage open conversations: Parents, teachers and mental health professionals must foster open discussions about the emotional effects of social media, encouraging teens to share their experiences and concerns. Set healthy boundaries: Establishing screen time limits and encouraging digital detoxes can help reduce over-reliance on social media. Promote media literacy: Teaching young people to critically evaluate online content can help them differentiate between reality and the curated perfection often portrayed on social media. Encourage offline activities: Supporting hobbies, sports, and face-to-face interactions can help balance social media use and promote healthier mental well-being. Seek professional help when needed: If a young person is struggling with the effects of social media, professional support from a psychologist or counsellor may be necessary to address anxiety, depression, or self-esteem issues. Final thoughts Social media is a double-edged sword for young minds - offering connection and self-expression while also exposing them to anxiety, addiction, and harmful content. Shows like Adolescence serve as a wake-up call, highlighting the urgent need to safeguard adolescent mental health in the digital age. By raising awareness, setting boundaries, and encouraging healthier digital habits, we can help young people navigate social media in a way that enhances rather than harms their wellbeing. If you need support for a child or young person experiencing mental health challenges , please don't hesitate to reach out to our caring team in London today.

A cancer diagnosis is life-changing — not just physically, but emotionally and psychologically too. One of the most common, yet often overlooked, side effects is disrupted sleep. Many people living with cancer experience insomnia, night waking, or poor-quality sleep, which can persist throughout treatment and into survivorship. In fact, a recent meta-analysis of 160 studies, encompassing over 46,000 patients, found that approximately 60.7% of cancer patients experience sleep disturbances  (95% CI 58.1–63.3%). This research underscores the significant impact sleep problems can have on quality of life during cancer treatment and beyond. In this article, we explore the multifaceted relationship between cancer and sleep, how mental health factors in, and why specialised support is crucial. Why does cancer affect sleep? Sleep problems in cancer are complex. They often arise from a mix of physical symptoms, treatment-related side effects, and the psychological impact of facing a serious illness. Common reasons cancer patients struggle with sleep include: Stress and anxiety  related to diagnosis and treatment Pain or discomfort  from the cancer or its treatment Side effects of medications , such as corticosteroids or hormone therapies Changes in daily routine  due to hospital stays or altered activity levels Cancer-related fatigue , which can disrupt regular sleep patterns Fear of recurrence or disease progression , even after treatment “ When we talk about sleep issues in cancer patients, we ’ re not just looking at physical symptoms — we ’ re often seeing the psychological toll of facing a serious diagnosis. Insomnia can be both a symptom and a cause of emotional distress.” — Dr Greg Shields, Consultant Psychiatrist and Cancer Specialist Psychiatrist , Schoen Clinic Chelsea The psychological impact of a cancer diagnosis on sleep For many individuals, insomnia begins soon after diagnosis. The mind can race as it processes the emotional burden, treatment options, and future uncertainties. Night-time, with its quietness, often magnifies feelings of anxiety, making sleep seem even more elusive. Over time, ongoing poor sleep can contribute to fatigue, low mood, and reduced ability to cope with daily challenges. This creates a difficult cycle where lack of sleep further intensifies emotional stress. “ We often see a cycle where people become anxious about not sleeping — and that anxiety itself makes it even harder to sleep. Addressing this early is key.” — Dr Greg Shields Persistent sleep issues can also increase the risk of clinical depression and other mental health concerns. The effects are far-reaching, impacting overall quality of life during a challenging time. What does the research say? The connection between cancer, mental health, and sleep  is well-established: A 2023 BMJ Open study  found that sleep disturbances are highly prevalent among cancer patients, up to 95% in fact, and can persist well beyond the initial diagnosis, throughout treatment and even a decade into survivorship. Research  highlights a significant relationship between emotional wellbeing and sleep quality, especially for those under the stress of a serious illness. Clinical evidence  shows that Cognitive Behavioural Therapy for Insomnia (CBT-I)  can effectively improve sleep quality among cancer patients, offering long-term benefits over purely medication-based approaches. “ CBT-I is one of the most evidence-based treatments we have for insomnia, especially in cancer patients. It helps people retrain unhelpful thoughts and behaviours around sleep — and crucially, it empowers them to take back some control.” — Dr Greg Shields Practical strategies and innovative tools While the strategies discussed here provide an overview of the methods we employ at Schoen Clinic Chelsea, it’s important to note that detailed, personalised advice is best obtained through a consultation. That said, here are some general approaches and innovative tools that we often discuss with our patients: 1. Prioritise high-level sleep hygiene Instead of getting into minute details, we encourage patients to establish a consistent sleep routine and create a sleep-conducive environment. Specific tips and individual adaptations are best discussed during your consultation. 2. Leveraging technology for insights Devices like the Apple Watch or other smart wearables can be useful for: Tracking your sleep schedule Monitoring sleep quality and disturbances Providing data that can help identify patterns or potential issues These insights can be valuable for you and your healthcare team to fine-tune your sleep management strategy, however they can also become a focus of unnecessary anxiety. It’s important to use them as part of a holistic and psychologically-informed treatment plan. 3. Accessing specialist guidance Psychological interventions like Cognitive Behavioural Therapy for Insomnia (CBT-I)  are tailored to help retrain unhelpful thoughts and behaviours related to sleep. More in-depth advice on how these methods can work for you is available during a one-on-one consultation. “ The mind and body are never separate — especially in cancer. When we treat sleep problems, we ’ re really treating the person as a whole. Technology and personalised therapies go hand in hand in helping our patients improve their sleep and overall wellbeing.” — Dr Greg Shields 4. Connecting with our expert team If sleep issues continue to affect your quality of life, it’s essential to speak with your healthcare provider. At Schoen Clinic Chelsea, we provide a holistic, specialist approach that includes: Evaluating potential medication impacts on sleep Supporting lifestyle adjustments and mental health therapies Offering referrals to targeted psychological and occupational therapy services As an expert in the crossover between cancer treatment and mental healthcare, Dr Shields also offers a specialised 6-week CBT-i programme  to help individuals with cancer or other serious illnesses who are struggling with insomnia. A whole-person approach to cancer care At Schoen Clinic Chelsea , we understand that sleep is not just a symptom but a cornerstone of mental resilience, immune function, and overall recovery. Comprehensive care means addressing every facet of your wellbeing — not just the physical aspects of cancer. “ Addressing sleep isn ’ t about handing out a list of dos and don'ts; it ’ s about understanding your story and tailoring an approach that supports your overall health. That ’ s the essence of our holistic care.” — Dr Greg Shields Final thoughts Struggling with sleep after a cancer diagnosis is incredibly common, but it’s not something you have to face alone. By recognising the multiple factors at play and working closely with our specialist team, many of our patients have seen notable improvements in their sleep, mood, and overall quality of life. If you or a loved one is experiencing ongoing sleep challenges during cancer treatment or recovery, please consider booking a consultation. Our expert team is here to help you understand and manage these complexities, using personalised strategies that encompass both mental health and physical wellness. Interested in learning more about how we can help improve your sleep and overall wellbeing during cancer treatment? Contact us today at Schoen Clinic Chelsea to schedule your consultation. Reviewed by Dr Greg Shields, Consultant Psychiatrist & Cancer Specialist on 16/04/2025

Have you ever caught yourself saying, "I’ve got my walls up"? It's a phrase we're noticing a lot more in reality TV and dating shows like Love Island , Married at First Sight (MAFS) L ove is Blind or First Dates - whether you’ve heard it on TV or said it yourself, it’s a phrase that reflects something deeply human: the need to protect ourselves emotionally. But why do we put up emotional walls? What are we really protecting, and how can we learn to relate to others without completely shutting ourselves off? According to Brenda Naso , an Embodied Psychotherapist at Schoen Clinic Chelsea , these walls are more than just metaphorical—they're protective systems rooted in our past experiences. Emotional walls: what are they, really? In psychotherapy, emotional walls are often described as defence mechanisms. They are the unconscious or conscious barriers we put up to shield ourselves from emotional pain, intimacy, or vulnerability. Brenda explains: “These walls, these armours are there to protect something, right? Sometimes they are there to protect something that is very young in us, from our early childhood.” This means that emotional guarding often originates from earlier experiences—times when we felt unsafe, hurt, or emotionally neglected. As we grow older, these defences can solidify, causing us to disengage from relationships and the world around us. Why do we become emotionally guarded? Many people searching online ask, "Why do I push people away emotionally?"  or "How do I stop sabotaging my relationships?"  The answer often lies in unhealed emotional wounds. Emotional guarding can stem from: Childhood trauma or neglect Betrayal or heartbreak in past toxic relationships Attachment issues or inconsistent caregiving Fear of vulnerability or rejection Brenda  notes that while having boundaries is healthy, emotional walls become problematic when they cut us off from others entirely: “It is helpful and healthy for us to have boundaries and to take care of ourselves. But when we create a really strong boundary between us and the outside world, that’s when we may need support.” Video: Brenda Naso discusses setting healthy emotional boundaries Boundaries vs. walls: what’s the difference? The language we use matters. Instead of "walls," Brenda encourages us to think about “skin.” Why? Because skin is semi-permeable, it protects us, but it also allows connection. “I always like to think about permeability,” she says. “If boundaries are completely impermeable, then we are probably pushing people away. If they’re completely open, we might be putting ourselves at risk.” This perspective reframes the way we think about emotional safety. It’s not about tearing down all barriers. It’s about developing flexible, responsive boundaries that allow for closeness with safe people and protection from harmful ones. How embodied psychotherapy helps Brenda Naso, Psychotherapist at Schoen Clinic Chelsea So what can you do if you find yourself emotionally guarded? Embodied psychotherapy offers a powerful approach. It focuses not only on talking about your experiences but also on how these experiences live in the body. According to Brenda : “Psychotherapy - and especially embodied psychotherapy - can help you open that enquiry: what is the function of this wall? If I’m an adult, why am I maintaining it?” In a safe therapeutic space, you can explore: The root of your emotional defences How emotional pain manifests physically (e.g., tension, numbness, tightness) Ways to become more aware of your boundaries and gradually shift them You don’t need to dismantle your emotional protection all at once. Instead, you can learn how to adjust your “permeability” depending on the situation and the people you’re interacting with. Signs you might be emotionally guarded It’s not always easy to recognise when your walls are up. Here are a few common signs: You struggle to trust others or let people in You feel numb or detached in relationships You avoid vulnerability or deep emotional conversations You fear being hurt or rejected if you open up You often feel alone, even in relationships If any of these sound familiar, you're not alone. Many people develop emotional walls as a way to cope, but you don’t have to stay behind them. Building healthier relationships with more permeable boundaries Healing isn’t about becoming completely open or exposed. It's about learning to tune into your needs, developing emotional flexibility, and cultivating a sense of safety in connection. Here are a few steps to get started: Reflect compassionately : Ask yourself, "What life experience made me guarded?" Approach this reflection with kindness rather than judgment. Seek professional support : A therapist—especially one trained in embodied psychotherapy—can guide you through the process of safely exploring and reshaping your boundaries. Practise self-awareness : Notice when your emotional guard goes up. Is it around certain people or situations? What feelings are underneath the defensiveness? Experiment with openness : In safe relationships, practise small acts of vulnerability and observe what it feels like to be seen and supported. Redefine strength : Remember, strength isn’t about shutting people out—it’s about knowing when and how to let them in. Final thoughts Being emotionally guarded is a natural response to pain—but it doesn’t have to define your relationships. With support and self-awareness, you can build boundaries that are protective yet permeable—like skin, not walls. As Brenda Naso reminds us, “It’s okay to have more permeable boundaries when we feel safe. But if someone has harmed us, it’s also natural to want to close the permeability.” If you're ready to explore the emotional walls you’ve built and start building healthier, more responsive boundaries, our experienced therapists at Schoen Clinic Chelsea are here to help. If you’re interested in embodied psychotherapy or want to explore emotional guarding in your own life, contact us at Schoen Clinic Chelsea today.