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  • How to survive Valentine’s Day after a breakup: 7 expert coping strategies

    Valentine’s Day can be a tough reminder of a relationship that has ended , making it one of the most emotionally challenging days for those who are newly single. Whether you’re feeling heartbroken, lonely, or just over the romantic hype, you’re not alone. The good news? You can take steps to make this day about healing, self-care, and even celebration in your own way. Here’s how to survive Valentine’s Day after a breakup while prioritising your mental wellbeing. 1. Acknowledge your feelings (but don’t let them control you) Breakups are hard, and emotions tend to resurface on significant days like Valentine’s Day. It’s completely normal to feel sad, angry, or nostalgic. Instead of suppressing these feelings, allow yourself to process them. Try this: Write down your thoughts in a journal, listen to music that resonates with your emotions, or talk to a friend who understands. But set a time limit—don’t let negativity consume your entire day. 2. Reframe Valentine’s Day as a celebration of love (not just romance) Valentine’s Day isn’t just for couples; it’s a day to celebrate love in all forms. Whether it’s self-love, the love of friends, or family, shifting your mindset can help change your perspective. Try this: Plan a fun activity with your best friends, spend quality time with a family member, or even treat yourself to something special, like a spa day or your favorite dessert. 3. Avoid social media triggers Scrolling through endless posts of couples celebrating can make the day harder than it needs to be. Consider limiting your time on social media, or even taking a temporary break. Try this: Instead of doom-scrolling, use that time to read a book, watch a movie you love, or engage in an activity that makes you feel good. 4. Embrace Galentine’s or Palentine’s Day If you’re single, why not embrace the growing trend of Galentine’s Day (Feb 13th) or Palentine’s Day? These celebrations focus on friendships and the people in your life who bring you joy. Try this: Host a game night, plan a brunch with friends, or send small appreciation gifts to the people who support you the most. 5. Practice self-care and self-love Valentine’s Day can be a perfect opportunity to prioritise your own wellbeing. Engaging in self-care can help shift your focus away from sadness and towards personal growth. Try this: Take a relaxing bath, go for a long walk, meditate, or start a new hobby. The goal is to focus on activities that bring you joy and peace. 6. Set New goals and embrace the fresh start A breakup, painful as it is, also presents an opportunity for personal growth and new beginnings. Use this time to focus on your goals and aspirations. Try this: Make a vision board, set new fitness or career goals, or sign up for a class that excites you. Redirecting your energy toward something positive can make all the difference. 7. Seek support if you need it If you’re finding it particularly hard to cope, don’t hesitate to seek support. Speaking with a therapist or counsellor can provide valuable guidance and coping strategies. Try this: If your emotions feel overwhelming, consider talking to a mental health professional. At Schoen Clinic Chelsea in London , we offer expert-led support to help you navigate post-breakup emotions and mental well-being. Final thoughts: You are not alone Valentine’s Day after a breakup can be tough, but it doesn’t have to be unbearable. By reframing the day, practicing self-care, and surrounding yourself with positive influences, you can turn this experience into one of self-discovery and empowerment. Remember: Healing takes time, and it’s okay to feel a mix of emotions. Prioritise your wellbeing, celebrate yourself and embrace the new opportunities that lie ahead. Need professional support? Schoen Clinic offers expert-led mental health services to help you navigate post-breakup emotions. Learn more here .

  • Nursing home vs. care home: What’s the difference and which one is right for your loved one?

    When searching for long-term care options for a loved one, you may come across the terms “nursing home” and “care home.” While they are often used interchangeably, they provide different levels of support. Understanding these differences is crucial in making the best decision for your family member’s health and wellbeing, especially when considering options in York, England. What is a care home? A care home provides residential support for individuals who need assistance with daily activities such as dressing, bathing, and meal preparation. Care homes in York are ideal for older adults or individuals who require some level of support but do not have complex medical needs. Key features of a care home: 24-hour assistance from trained carers Personal care (washing, dressing, toileting) Meals, housekeeping, and social activities No regular medical care from nurses Searching for "care home York" will help you find local options, which provide excellent facilities for those who need a supportive environment without requiring constant medical supervision. What is a nursing home? A nursing home offers all the services of a care home but with the added benefit of on-site registered nurses who provide medical care for residents with more complex health conditions. If your loved one requires specialised dementia care, a dedicated nursing home in York, such as Wellen Court at Schoen Clinic York, provides expert support tailored to individuals with dementia. Key features of a nursing home: 24-hour care from registered nurses and carers Medical support for chronic illnesses, mobility issues, or post-surgical recovery Medication management and monitoring Assistance with daily living activities Searching for "nursing home York" or "private nursing home York" will lead you to high-quality options, including Wellen Court , which specialises in providing expert dementia care in York. Nursing home vs. care home: Which one is right for my loved one? Choosing between a nursing home and a care home depends on the individual’s health, mobility, and medical requirements. Factor Care Home Nursing Home Level of Care Personal care assistance Personal care + medical care Medical Needs No medical staff on-site 24/7 nursing care available Ideal For Elderly individuals needing help with daily tasks Individuals with chronic illnesses or medical conditions Cost Generally lower Higher due to medical care services Specialist dementia care in York If your loved one has dementia, it’s essential to choose a home with specialist dementia care. Some care homes provide dementia-friendly environments, but nursing homes with dementia specialists, such as Wellen Court at Schoen Clinic, offer a higher level of care, ensuring residents' safety and comfort. Key considerations when choosing a home Current and future needs : If your loved one’s health may deteriorate, a nursing home may be a more suitable long-term option. Location : Searching for “nursing home York” or “care home York” can help you find the best options nearby. CQC ratings : Check the Care Quality Commission (CQC) ratings for care standards. Costs and funding : Private nursing homes in York can vary in price, so consider financial support options if needed. Visit the facility : Tour homes to assess staff friendliness, cleanliness, and resident activities. Understanding the difference between a nursing home and a care home is vital in ensuring your loved one receives the right level of care. Whether they need help with daily activities or require ongoing medical supervision, choosing the right home in York will provide peace of mind and the best quality of life. If you’re searching for a private nursing home or specialist dementia care in York, take the time to research, visit facilities, and speak to professionals to find the best solution for your loved one. Wellen Court at Schoen Clinic York provides expert dementia care in a compassionate, specialist environment, ensuring residents receive the highest standard of support. Get in touch with our team today if you need further assistance.

  • Funding private dementia care: What you need to know

    Caring for a loved one with dementia can be emotionally and financially challenging. As the condition progresses, many families consider specialised dementia care in a nursing home to ensure their loved one receives expert support in a safe and structured environment. But how do you fund private dementia care , and what options are available in the UK, particularly in York? This guide explores the different funding avenues and financial considerations for private nursing home care. Understanding the costs of dementia care The cost of dementia care varies depending on the level of support required, the location of the nursing home, and whether additional medical assistance is needed. In York, specialist dementia nursing homes like Wellen Court at Schoen Clinic provide high-quality care tailored to individuals with dementia. Private nursing home fees can range from £1,000 to £2,000 per week or more, depending on the level of care provided. Funding options for private dementia care While private dementia care can be expensive, there are several funding options available: 1. Self-funding Many individuals fund their own dementia care using personal savings, pensions, or other assets. If you or your loved one has financial resources, self-funding offers the flexibility to choose a preferred nursing home without waiting for financial assessments. 2. Local authority funding If your loved one has limited savings and assets (typically below £23,250 in England), they may qualify for local authority support. To determine eligibility, your local council will conduct a means test to assess their financial situation. If eligible, the council may contribute towards care home fees, although individuals may still need to make some personal contributions. 3. NHS Continuing Healthcare (CHC) funding For individuals with complex and severe health needs, the NHS may cover the full cost of care through NHS Continuing Healthcare (CHC). This funding is not means-tested and is based purely on medical needs. A full assessment by a multidisciplinary team is required to determine eligibility. 4. NHS-Funded Nursing Care (FNC) If your loved one requires nursing care but does not qualify for CHC, they may be eligible for NHS-funded nursing care (FNC). This provides a set contribution towards nursing costs for those in a registered nursing home, such as Wellen Court at Schoen Clinic. 5. Equity release For homeowners, equity release schemes allow individuals to access funds tied up in their property to help pay for dementia care. This can be a useful option for those who want to continue living at home before transitioning into a nursing home. 6. Deferred Payment Agreements (DPA) Some local councils offer deferred payment agreements, allowing individuals to use the value of their home to cover care costs while delaying payment until the property is sold. This can be a viable solution for those who do not want to sell their home immediately. Planning ahead for dementia care To prepare financially for dementia care, consider the following steps: Seek financial advice : Consulting with an independent financial adviser can help explore funding options and long-term care plans. Create a Lasting Power of Attorney (LPA) : An LPA allows a trusted person to make financial and care decisions on behalf of your loved one if they are no longer able to do so. Check benefit entitlements : Some individuals may be eligible for non-means-tested benefits, such as Attendance Allowance, to help with care costs. Finding the right dementia nursing home in York Choosing a suitable nursing home for dementia care involves researching facilities, assessing the quality of care, and considering funding options. Wellen Court at Schoen Clinic provides specialist dementia care in York , ensuring a safe and compassionate environment for residents. Funding private dementia care in a nursing home requires careful planning and consideration of available financial support. Whether self-funding, applying for NHS support, or exploring alternative options, understanding the funding landscape can help families make informed decisions for their loved one’s long-term care. For those seeking expert dementia care in York, Wellen Court at Schoen Clinic offers tailored support in a specialist setting. If you need further guidance on funding options, consider speaking with a financial adviser or contacting local authorities for assistance. References: Legal and General DementiaUK Alzheimer's Society

  • The importance of early autism diagnosis and intervention

    Autism Spectrum Disorder (ASD) affects how individuals communicate, interact, and process the world around them. Early diagnosis and intervention play a crucial role in supporting children with autism, helping them reach their full potential. In this article, we explore why early autism diagnosis matters, the benefits of timely intervention, and the services available for families seeking private autism assessments and speech & language therapy in Chelsea, London. Why early autism diagnosis matters Recognising autism in its early stages allows children to access essential support at a critical period of development. Research suggests that early intervention can significantly improve communication, social skills, and overall cognitive development. Key reasons for early diagnosis include: Improved social and communication skills – Early support helps children develop essential communication abilities, reducing frustration and enhancing interactions with peers and family members. Better educational outcomes – With a diagnosis in place, tailored educational plans can be developed to support the child’s learning needs, ensuring they thrive in school settings. Emotional and behavioural benefits – Understanding an autism diagnosis early on can help manage challenging behaviours and emotional regulation, fostering a more supportive environment at home and in school. Access to specialised therapies – Early identification means quicker access to therapies such as speech and language therapy, occupational therapy, and behavioural interventions that can enhance a child’s quality of life. Signs of autism in young children While autism presents differently in each individual, some common early signs parents and caregivers should look out for include: Limited eye contact or facial expressions Delayed speech or language development Repetitive behaviours Difficulty understanding social cues Strong attachment to routines and resistance to change Sensory sensitivities, such as an aversion to certain textures or sounds If you notice these signs in your child, seeking a private autism assessment in Chelsea, London, can provide clarity and access to professional support. Autism can be identified at any age While early diagnosis is beneficial, it’s never too late to seek an autism assessment. Many individuals go through life without a diagnosis, only realising in adulthood or later years that they may be on the autism spectrum. At Schoen Clinic in Chelsea, Amrita Mahal, a Speech, Language & Communication Therapist , has worked with clients across a wide age range. She recently assessed an 80-year-old gentleman who had spent his life struggling with communication and relationships. While writing his biography, he began to reflect on his experiences and recognised patterns that led him to suspect he might have autism. Seeking an assessment helped him put his life into context, providing clarity on past challenges and a deeper understanding of himself. This case highlights that autism assessments are valuable at any stage of life. Whether you're five, fifty, or even ninety, recognising communication difficulties and seeking professional support can be life-changing. Benefits of early intervention Intervention strategies tailored to an autistic child’s specific needs can make a profound difference in their development. Some key benefits include: 1. Enhanced communication skills Speech and language therapy helps children improve their ability to express needs, understand language, and engage with others. This is particularly crucial for nonverbal children who may benefit from alternative communication methods such as sign language or speech devices. 2. Stronger social connections Early intervention programs focus on improving social interaction skills, teaching children how to engage in play, take turns, and form relationships with peers and caregivers. 3. Increased independence Autistic individuals often struggle with daily tasks, but early therapy can enhance skills like dressing, eating, and self-care, fostering greater independence as they grow. 4. Academic success Children diagnosed early can receive individualised education plans (IEPs) that cater to their learning styles, helping them succeed in school settings. Private autism assessments in Chelsea, London For parents concerned about their child’s development, seeking a private autism assessment in Chelsea provides a faster route to diagnosis and support compared to national waiting times. Private assessments are conducted by experienced specialists, offering a comprehensive evaluation tailored to each child’s needs. Speech & Language Therapy for autism in Chelsea Speech & language therapy is a cornerstone of autism intervention, helping children develop critical communication skills. In Chelsea, families have access to expert therapists who provide personalised strategies, including: One-on-one therapy sessions focusing on speech clarity and language comprehension Social communication training to enhance peer interactions Parent coaching to reinforce strategies at home Final thoughts Early autism diagnosis and intervention pave the way for a brighter future, equipping children with the tools they need to thrive. However, as seen through Amrita Mahal’s experience, diagnosis and support can be beneficial at any stage of life. If you’re based in Chelsea, London, and seeking a private autism assessment or speech & language therapy, taking action now can make a lasting impact on your child’s—or even your own—development. If you suspect you or your child may have autism, don’t wait—early intervention is key. Contact us today to explore your options and begin the journey toward a more supported and fulfilling life.

  • How to choose the right private dementia nursing home in York & what to expect during the transition

    As the condition progresses, specialist dementia care may become necessary to ensure your loved one receives the support, safety and medical attention they need. Finding the right private dementia nursing home in York can feel overwhelming, but with the right approach, you can make an informed decision that prioritises their comfort and wellbeing. In this guide, we’ll walk you through the essential factors to consider when choosing a specialist dementia care home and what to expect during the transition. Step 1: Understanding your loved one’s needs Before beginning your search, consider your loved one’s specific care requirements. Ask yourself: Do they need 24-hour nursing care, or would residential dementia care suffice? Do they require support for mobility issues or other health conditions? How important are specialised therapies such as music therapy or reminiscence sessions? Identifying these factors will help you choose a care home that offers the right level of personalised support. Step 2: Researching dementia nursing homes in York What to look for in a specialist dementia care home Expertise in dementia care – Ensure the home has specialist staff trained in dementia care, including nurses, carers, and therapists. Safe and dementia-friendly environment – Look for features such as secure layouts, clear signage, and accessible outdoor spaces. Person-centred care plans – The best dementia care homes tailor their approach to each individual’s preferences and needs. Quality of life enhancements – Consider homes that offer engaging activities, social programmes, and therapies designed for cognitive support. Medical and nursing support – If your loved one has complex health needs, check whether the home provides 24/7 nursing care and access to specialist medical professionals. How to compare your options Check CQC ratings – The Care Quality Commission (CQC) provides independent assessments of care homes in England. Read reviews & testimonials – Hearing from other families can offer insight into the level of care provided. Visit the home – Book a tour to observe staff interactions, assess cleanliness, and get a feel for the environment. Step 3: Key questions to ask during a care home visit When visiting a dementia care home, asking the right questions will help you make an informed decision: Staff & training: What dementia-specific training do staff members receive? Care approach: How is person-centred care implemented in daily routines? Family involvement: How are families kept informed and involved in care decisions? Daily life & activities: What enrichment activities are available for residents? Costs & fees : What is included in the cost, and are there additional charges for extra services? Step 4: Preparing for the move – what to expect Transitioning a loved one into a dementia care home can be an emotional process. Here’s how to make the move as smooth as possible: Emotional preparation Have Open Conversations – If your loved one is able to understand, discuss the move with them sensitively and positively. Acknowledge Mixed Feelings – It’s natural to feel guilt, sadness, or even relief. Support groups and counselling can help. Practical preparations Personalise Their Space – Bringing familiar items such as photographs, a favourite blanket, or familiar music can create a sense of comfort. Organise Important Documents – Ensure medical records, medications, and care plans are ready for a smooth transition. The first few weeks: what to expect Adjustment Period – It may take time for your loved one to settle into their new environment. Be patient and offer reassurance. Regular Visits – Frequent visits can help them feel secure and supported. Stay in Communication – Keep in touch with the care team to stay updated on their wellbeing. Finding the best dementia nursing home in York If you’re looking for a specialist dementia care home in York, Wellen Court at Schoen Clinic York provides expert 24-hour nursing care in a safe, compassionate, and engaging environment. Our person-centred approach ensures that each resident receives the tailored support they need to live with dignity and comfort. Contact us today to arrange a visit and learn more about how we can support your loved one through every stage of their dementia journey.

  • The benefits of private dementia care: Why specialist support matters

    Caring for a loved one with dementia can be an emotional and challenging journey. As the condition progresses, many families seek professional support to ensure their loved one receives the best possible care in a safe and compassionate environment. Private dementia care services, such as those offered at Wellen Court at Schoen Clinic York , provide specialist support tailored to the unique needs of individuals living with dementia. In this article, we explore the key benefits of private dementia care and why choosing a specialist dementia nursing home can make a significant difference in the quality of life for both residents and their families. 1. Specialist, person-centred care There are many different types of dementia , each affecting individuals differently, requiring a personalised approach to care. At Wellen Court at Schoen Clinic York, we focus on person-centred care, ensuring that each resident's preferences, history, and personal needs are taken into account. Our team of highly trained dementia care specialists provides tailored support that promotes independence while maintaining dignity and respect. 2. Expert medical and nursing support One of the significant advantages of a private dementia nursing home is access to expert medical care. At Wellen Court, residents benefit from 24-hour nursing support, ensuring they receive the appropriate medical attention whenever needed. Our multidisciplinary team includes specialist dementia nurses , carers, and therapists who work together to provide holistic care that supports both physical and mental wellbeing. 3. Safe, purpose-built environment Safety is a primary concern for individuals living with dementia, as memory loss and confusion can lead to increased risks of falls or wandering. Our specialist dementia care home in York is designed to provide a secure and calming environment, with dementia-friendly layouts, sensory gardens, and specially adapted facilities to promote comfort and ease of movement. 4. Enhanced quality of life Moving into a private dementia care home can significantly improve a resident's quality of life. At Wellen Court, we offer engaging activities, therapies, and social opportunities tailored to individual needs. From music therapy to gentle exercise and reminiscence sessions, our goal is to enhance cognitive function, encourage social interaction, and improve overall wellbeing. 5. Respite and support for families Caring for a loved one with dementia can be physically and emotionally demanding. Choosing private dementia care provides families with peace of mind, knowing their loved one is receiving exceptional care. Additionally, we offer respite care options, allowing family caregivers the opportunity to rest and recharge while ensuring their loved one continues to receive specialist support. 6. Premium comfort and amenities Private dementia care homes often provide superior facilities and services compared to standard care options. At Wellen Court, our residents enjoy comfortable en-suite rooms, beautifully maintained gardens, and high-quality dining experiences tailored to individual dietary needs. These premium amenities contribute to a homely, supportive atmosphere where residents feel valued and cared for. 7. A holistic approach to dementia care At Schoen Clinic York, we believe in a holistic approach that goes beyond medical treatment. Our dementia care services integrate psychological support, therapeutic activities, and nutritional guidance to ensure every aspect of a resident's wellbeing is addressed. Our compassionate team works closely with families to develop bespoke care plans that evolve with the individual's needs. Choosing the right private dementia care home in York Selecting the right dementia care home is a crucial decision for families. Wellen Court at Schoen Clinic York offers specialist dementia nursing care in a secure, compassionate, and stimulating environment. Whether you are exploring long-term care options or seeking short-term respite care, our expert team is here to provide guidance and support. If you are considering private dementia care for your loved one, contact Schoen Clinic York today to learn more about how Wellen Court can provide the highest quality of care for those living with dementia.

  • How to create a dementia-friendly home environment

    Creating a dementia-friendly home environment is essential for ensuring the safety, comfort, and wellbeing of individuals living with dementia. With the right adjustments, you can reduce confusion, prevent accidents, and promote independence. In this comprehensive guide, we've compiled 9 simple steps to help you make living spaces safer and more accommodating for someone with dementia . 1. Maximise lighting Proper lighting can minimize confusion and reduce the risk of falls. Consider the following: Use natural light: Open curtains during the day to let in as much natural light as possible. Bright, even lighting: Ensure stairways, hallways, and other key areas are well-lit to eliminate shadows and glare. Motion-sensor lights: Install these in bedrooms, bathrooms, and hallways to make nighttime navigation easier. 2. Declutter the space A clutter-free environment can reduce overstimulation and help individuals navigate their surroundings more easily: Clear pathways: Remove unnecessary furniture and objects from living areas to create clear walkways. Organise essentials: Keep frequently used items in consistent and easily accessible locations. 3. Use contrasting colours Colour contrast helps individuals with dementia distinguish between different objects and areas: Highlight key features: Use contrasting colours for doors, light switches, and furniture to make them stand out. Avoid patterns: Opt for simple, solid colors over complex designs that may cause confusion. 4. Enhance kitchen safety The kitchen presents many potential hazards, but with careful planning, it can be made safer: Appliance safety: Use appliances with automatic shut-off features and consider isolating gas controls. Secure hazardous items: Store sharp objects, cleaning supplies, and other dangerous items in locked cabinets. 5. Make bathrooms safer Bathrooms can be challenging spaces for those with dementia, but these adjustments can help: Install grab rails: Place these near the toilet and in the shower for added support. Contrasting toilet seats: A colored seat can make the toilet more visible. Remove door locks: Consider removing locks to prevent individuals from accidentally locking themselves in. 6. Add clear signage Labels and signs can support navigation and reduce confusion: Simple labels: Mark rooms, cupboards, and drawers with words or pictures to indicate their purpose. Position at eye level: Ensure signs are visible and easy to read. 7. Reduce noise levels Managing background noise can help prevent sensory overload: Minimise distractions: Avoid running multiple devices like TVs and radios simultaneously. Use soft furnishings: Carpets, curtains, and cushions can absorb sound and create a quieter environment. 8. Maintain familiarity A familiar environment can provide comfort and reduce anxiety: Keep layouts consistent: Avoid making major changes to furniture arrangements or decor. Display personal items: Use photographs, cherished items, and familiar objects to create a sense of home. 9. Secure outdoor spaces The area outside the home should also be safe and dementia-friendly: Install secure exits: Use locks or alarms on doors and gates to prevent wandering. Create safe pathways: Ensure outdoor walkways are even, well-lit, and free of obstacles. Why a dementia-friendly home matters Adapting a home for someone living with dementia is about more than safety; it’s about promoting their independence, dignity, and quality of life. Small changes can make a big difference in reducing stress and improving daily routines for both individuals with dementia and their caregivers. If you’d like more guidance on creating a dementia-friendly home or need support with complex dementia care , the team at Schoen Clinic York is here to help. Our experts specialise in dementia care and are dedicated to providing practical advice and compassionate support for families. Reach out to the team via email today.

  • How to lower cortisol naturally: Expert insights from Dr Daniel Masud

    Cortisol, commonly known as the stress hormone, plays a crucial role in regulating metabolism, immune response, and overall wellbeing. However, chronically high cortisol levels can lead to health issues, including weight gain, fatigue, anxiety, and heart problems. Understanding how to manage cortisol naturally can significantly enhance your mental and physical health. What is cortisol? Cortisol is a hormone produced by the adrenal glands in response to stress. It is essential for the fight-or-flight response, helping the body react to challenges. However, when cortisol levels remain elevated for prolonged periods, they can negatively impact health, particularly in men who often seek ways to lower cortisol for improved physical performance and wellbeing. Symptoms of high cortisol levels Persistent stress can keep cortisol levels high, leading to various physical and mental health symptoms. These include: 1. Changes in mood and mental health Anxiety or irritability: Cortisol is part of the body’s stress response, and chronically high levels can lead to anxiety or a persistently low mood. Difficulty concentrating: High cortisol can impair cognitive functions, making it harder to focus or remember things. Depression : Chronic stress and cortisol are linked to depression, especially if other stressors are also present. 2. Weight gain, especially around the midsection Increased belly fat: Cortisol promotes fat storage, particularly around the abdomen. Food cravings: High cortisol can increase cravings for sugary or fatty foods, leading to weight gain over time. 3. Low energy and fatigue Feeling tired despite adequate sleep: If cortisol levels remain high, you might feel tired or fatigued throughout the day, even after a good night’s sleep. Difficulty Sleeping: High cortisol at night can interfere with sleep quality, leading to insomnia or waking up frequently. 4. High blood pressure and heart issues Increased blood pressure: Cortisol increases blood pressure as part of the fight-or-flight response, which can be problematic if levels remain elevated. Heart palpitations: Some people experience an increased heart rate or palpitations with high cortisol levels. 5. Digestive issues Digestive upset: High cortisol can alter digestion, leading to symptoms like bloating, indigestion, or changes in bowel movements (diarrhoea or constipation). Reduced nutrient absorption: Long-term stress can affect how nutrients are absorbed, leading to deficiencies even if you’re eating well. 6. Skin and hair changes Acne or skin breakouts: High cortisol can lead to increased oil production, contributing to acne and other skin issues. Hair loss: Chronic high cortisol levels can contribute to hair thinning or shedding due to the hormonal imbalance. 7. Lowered immune response Frequent illness: Cortisol suppresses the immune system, so high levels can make you more susceptible to colds, infections, and slower healing. 8. Reduced libido and fertility issues Reduced sex drive: High cortisol can reduce libido by interfering with sex hormones. Menstrual irregularities: For women, high cortisol may lead to irregular or missed periods. How to lower cortisol levels naturally Dr Daniel Masud, Consultant Psychiatrist at Schoen Clinic Chelsea Dr Daniel Masud explains , "Lowering cortisol is increasingly recognised as essential for both mental and physical health, particularly in men. Through exercise, mindfulness, dietary choices, sleep optimisation, and social support, men can achieve healthier cortisol levels." With the added benefit of wearable technology and growing acceptance of mental health care, managing cortisol has become more accessible and holistic than ever. He continues, "The positive effects extend to improved energy, resilience, physical fitness, and emotional wellbeing, all of which contribute to a better quality of life. The desire to lower cortisol often centres around improving quality of life and minimising stress-related health risks." Common motivations are: Physical Health and fitness:  High cortisol is associated with weight gain (especially around the abdomen) and muscle loss, both of which can hinder fitness goals. Lowering cortisol can support muscle growth, fat loss, and overall physical performance. Lowering cortisol can reduce the risk of high blood pressure, heart disease, and obesity. Many men experience easier weight management and enhanced physical performance. Enhanced mental wellbeing:   Chronic stress and anxiety are linked with persistently high cortisol levels. Lowering cortisol can contribute to better mood stability, clearer focus, and reduced risk of mental health disorders. Reducing cortisol can alleviate symptoms of anxiety and depression. Men report feeling more emotionally resilient and mentally focused with lower cortisol levels. Hormonal balance:  Elevated cortisol levels can interfere with testosterone production. Since testosterone is essential for energy, mood, and muscle health in men, balancing cortisol can help maintain healthy testosterone levels. Lower cortisol helps preserve testosterone levels, benefiting muscle mass, energy levels, and libido. Improved sleep quality:  High cortisol disrupts sleep patterns, leading to poor rest and exacerbating stress. Men often aim to lower cortisol to improve sleep quality and recovery, enhancing focus and productivity in both personal and professional life. Boosted immune system:  Since chronic stress can weaken immune responses, reducing cortisol supports a stronger, more resilient immune system, which can improve overall health. Prioritising quality sleep can help to lower cortisol levels Effective strategies for lowering cortisol are: 1. Regular physical activity Exercise benefits: Exercise can effectively reduce cortisol, but moderation is key. Intense, long-duration exercise can actually raise cortisol, so balancing aerobic exercise with strength training and shorter, high-intensity sessions is recommended. Trends: Many men are shifting towards interval training, yoga, and outdoor activities, which have shown to promote relaxation and reduce cortisol. 2. Mindfulness and meditation Mindfulness techniques : Meditation, deep breathing, and mindfulness practices help activate the body’s relaxation response, counteracting stress. Popular practices: Mindfulness apps and guided meditation platforms have surged in popularity, making stress management accessible. Studies show: Regular meditation can reduce cortisol production, improve focus, and promote emotional resilience. 3. Balanced diet and nutritional choices Avoiding stimulants and sugars: Excessive caffeine and refined sugar can increase cortisol production. Instead, opt for whole foods rich in antioxidants, like leafy greens, berries, and nuts, which can reduce inflammation and cortisol. Adequate protein and healthy fats: Diets rich in lean protein and omega-3 fatty acids (from sources like salmon, walnuts, and flaxseed) support hormonal balance and improve brain health. Supplements: Many men are exploring adaptogens, such as ashwagandha and Rhodiola rosea, which have been studied for their cortisol-lowering properties. 4. Sleep optimisation Prioritising quality sleep : A regular sleep schedule, minimising screen time before bed, and creating a calm sleep environment can support healthy cortisol rhythms. Emerging trends: Wearable sleep trackers are increasingly popular, as they allow men to monitor their sleep quality and make adjustments. The science: Consistent, restful sleep lowers cortisol and improves mood, energy, and overall resilience to stress. 5. Social support and connection Building relationships: Social interactions reduce stress and promote the release of oxytocin, a hormone that lowers cortisol. Trend: Men’s mental health support groups and social networks are on the rise, helping men build supportive connections that buffer against stress. 6. Therapeutic practices Massage and Acupuncture: Both massage therapy and acupuncture have been shown to reduce cortisol and improve relaxation. Aromatherapy: Scents like lavender and chamomile can help reduce stress and cortisol. Many men incorporate essential oils or scented candles into their relaxation routines. The role of wearable technology in cortisol management Dr Masud also highlights the growing trend of wearable health technology for monitoring stress levels. Devices that track heart rate variability, sleep quality, and stress responses provide valuable insights into daily cortisol fluctuations, helping individuals optimise their lifestyles for better health. Man wearing a smartwatch to track health and fitness Expert advice for managing cortisol Dr Masud recommends incorporating small daily habits to keep cortisol in check: “Managing cortisol should not be your sole focus but part of a wider plan to holistically improve your health and wellbeing. At Schoen Clinic , I often remind my clients to take five minutes in the morning and evening to relax with deep breathing or a quick mindfulness exercise. These small breaks can make a real difference in managing everyday stress.” Final thoughts: Taking control of your cortisol levels Lowering cortisol is not just about reducing stress - it’s about improving overall quality of life. By integrating healthy habits like balanced exercise, proper nutrition, mindfulness, and quality sleep, you can support optimal cortisol levels and long-term wellbeing. Explore stress management and mental wellbeing at Schoen Clinic Chelsea If you’re experiencing symptoms of chronic stress or high cortisol, our specialists at Schoen Clinic Chelsea can provide expert guidance. Get in touch today to explore personalised strategies for better health.

  • What is Pathological Demand Avoidance (PDA)?

    There is an emerging understanding of a developmental disorder called Pathological Demand Avoidance (PDA) which can lead to serious eating difficulties, together with many other social, educational and relational problems. If you need support, please feel free to contact our team . A key feature of PDA is overwhelming resistance to the ordinary demands and activities of daily life. Activities such as getting dressed, leaving the house and eating meals are met with complete opposition; regular parenting strategies will not help. The child is likely to seem controlling, dominant and impossible to persuade. In resistance to a demand, they may become suddenly aggressive or go into a form of lockdown. If the avoidance of food becomes a core feature of a child or young person’s PDA, the restriction can become severe and very harmful to physical and mental health. Restrictive symptoms towards food in PDA may appear to have some similarities with anorexia nervosa, but if pathological demand avoidance is the primary profile, this needs to be identified and incorporated into care and treatment. Unlike anorexia , poor body image is not a precipitating or maintaining feature of PDA. Is Pathological Demand Avoidance (PDA) a type of autism? PDA is now recognised as being a sub-type of Autistic Spectrum Disorder (ASD) . However, there are some significant differences: a child or young person with PDA may seem to have social and communication skills which are within normal parameters. There may be little or no appearance of ‘ autistic traits ’ and as such, PDA may persist as a hidden disorder, with parents feeling they are failing and ineffective, while the child’s behaviour becomes increasingly entrenched and controlling. In PDA, it is anxiety that drives the expression of inflexible, oppositional behaviour: unable to process and adapt to their environment, the individual expresses a rigid, overwhelming expression of control. Negotiation techniques, using concepts of rewards and best interests, will be ineffective. What works for people with PDA? At Schoen Clinic , we are experienced in working with young people who have a PDA profile and equally, in undertaking clarifications of the diagnosis for an individual. To test for a PDA profile, the same assessment will be undertaken as for ASD , evaluated by a multi-disciplinary team. If a person has a PDA profile, it is important to recognise the relationship between the disorder and anxiety. For parents, this means reframing the perspective: they are not acting primarily in opposition to you, they are struggling to adapt to their environment and expressing this as a need for absolute control. Supporting a child to feel less anxious will enable them to gradually take a more flexible approach to situations. For professional services (health and education), a person with PDA may not respond well to routine and rules but may be more accepting if relationships improve and their anxiety is reduced. Care, treatment and support need to consider the PDA profile and how it frames a person’s experience of their world. Please reach out to our caring team  at Schoen Clinic if you need support for yourself or a loved one. Our specialists in London  and York  offer highly specialised treatments for children, teens and adults.

  • What is mirror exposure therapy?

    Mirror exposure therapy is an approach recognised as being effective in reducing body image distress. It can be used as part of a treatment programme for people with eating disorders who experience high levels of body dissatisfaction. This might be expressed in very frequent body checking in the mirror, or mirror avoidance, due to the high levels of anxiety caused when the individual sees their own image. Mirror exposure works on the same principle as other forms of exposure therapy: when something provokes overwhelming anxiety, rather than avoiding it, if you are exposed to it in a supported way, you become better able to manage your emotions and over time, anxiety will decrease. Feel free to contact our team if you need support. What do we mean by body image? To understand how mirror exposure therapy works, we need to explore the concept of body image, which is more complex than it might seem. There are three components of body image: cognitive, which means your perceptions of your body, for example, a person may look in the mirror and see their own image as being much larger than it really is. The affective component means the emotional experience in relation to their body image, for example, a person may experience an overwhelming amount of distress in response to seeing their image in a mirror. The behavioural component describes actions in response to body image, for example, checking a particular body part repeatedly in the mirror to the extent that it becomes a dominating behaviour, or avoiding mirrors to an extreme extent (which perhaps means an individual is unable to go clothes shopping). Why mirror exposure therapy for body image problems? There are a range of interventions to help address the thoughts, behaviours and feelings around poor body image, using a cognitive behavioural therapy (CBT) based approach. It is recognised, however, that body image programmes which include mirror exposure therapy are more effective than those which do not (Morgan et al., 2014). This is sometimes described as practical body image, with the practical element of the programme being the mirror exposure. It seems that mirror exposure is very important in helping the individual to tolerate and accept their body at a healthy weight. How does mirror exposure therapy work? At Schoen Clinic, we developed the first Practical Body Image Programme for adolescents which has been tested and refined through clinical trials. Mirror exposure is one module of our Practical Body Image programme which is undertaken at the final stage of weight restoration. Young people must be more than 90 per cent of a healthy weight because the programme is about accepting your body when you are at a healthy weight (not normalising being underweight). During mirror exposure therapy, the individual stands in front of a mirror for 30 minutes, wearing tightly fitted clothes. They need to look at the whole body (not ignoring difficult parts or only focusing on one area). Every five minutes, the practitioner will ask the individual to rate the anxiety they are feeling on a scale of 0 to 10. After 30 minutes have passed, the individual is asked to draw a line on a graph showing their anxiety levels. The idea is to support reflection on what increases or decreases anxiety and for the overall experience of exposure to reduce anxiety in the longer term. This is repeated for a further five sessions, occurring twice weekly. Does mirror exposure therapy ever make things worse? Mirror exposure therapy can be very challenging and it is possible that during the programme, a participant may feel worse before they feel better. Practical body image programmes ask participants to expose themselves to things they find very difficult and scary, but in a supported way to reduce anxiety overall in the long term. There needs to be careful supervision to monitor anxiety levels and possible weight changes. Mirror exposure and body acceptance We recognise that some degree of body dissatisfaction is normal and widespread within the general population. Mirror exposure within the Practical Body Image programme is about promoting tolerance and acceptance of the body at a healthy weight which will significantly support the individual in the process of achieving and sustaining recovery from an eating disorder. References Morgan, J. F., et al (2014) Ten session body image therapy: efficacy of a manualised body image therapy, European Eating Disorders Review, 22(1), 66-71. Please reach out to our caring team  at Schoen Clinic if you need support for yourself or a loved one. Our specialists in London  and York  offer highly specialised treatments for children, teens and adults.

  • What is diabulimia?

    Diabulimia is a term which has come into recent usage to describe people who are suffering from Type 1 diabetes and a related eating disorder. Specifically, it means people with Type 1 diabetes who omit or reduce their intake of insulin to lose weight. This makes diabulimia extremely dangerous: if people with Type 1 diabetes fail to take the correct amount of insulin, they place themselves at risk of many serious complications which can include eye problems (including risk of blindness), kidney problems, nerve damage and even amputations. If you're worried and need support, please don't hesitate to contact our team today. Diabulimia treatment is challenging because of the way it requires multi-disciplinary expertise across medical services which do not ordinarily need to come together. Diabetes professionals may not recognise that a patient’s persistently poor diabetes control reflects hidden diabulimia symptoms. Equally, even if they suspect this could be the case, professionals may feel they lack the expertise and confidence to speak to a patient about their concerns or to raise mental health issues . Warning signs and symptoms Identifying diabulimia warning signs as soon as possible is very important, although this can be difficult because poor diabetes management may be caused by a number of different factors, especially in adolescents and young people. Some reports suggest up to 40 per cent of young women with Type 1 diabetes restrict their insulin with the intent of weight loss. It is also recognised that diabetes control among adolescents and young adults can be poor for other reasons (moving away from parental control to managing themselves; moving away from home and leading less structured lifestyles). The following symptoms, both physical and psychological, could be considered as potential diabulimia warning signs: Severe fluctuations in weight Repeated incidences of hyperglycemia (high blood sugar level) leading to hospitalisation Elevated HbA1c (a blood test which reflects diabetic control) Missing meals or avoiding eating with others Secrecy about diabetes management/avoidance of diabetes appointments A fear insulin ‘makes you fat’ Frequent yeast or urinary infections Drinking abnormally high amounts of fluids Irregular periods or no periods at all Deteriorating or blurry vision Dry hair, skin and dehydration Loss of appetite Preoccupation and anxiety around body image Avoidance of carbohydrates in order to lower insulin doses Health consequences Diabulimia health consequences are serious and multiple, affecting both physical and mental health. The consequences listed below can be caused by diabulimia, although they may also be a result of poor diabetes control due to other factors. Short-term consequences The short-term consequences of diabulimia can include: Fatigue Dehydration Poor immunity, leading to repeated infections Ketoacidosis, a dangerous medical condition in which there are high levels of glucose and the blood. Diabetic ketoacidosis (DKA) often requires admission to the hospital and can be life-threatening. Long-term consequences The long-term consequences of diabulimia can include: Irreversible damage to eyesight (retinopathy) Nerve damage leading to pain, tingling or numbness of the limbs (neuropathy) Damage to the kidneys (nephropathy) Treatment and support Once identified, diabulimia treatment requires a multi-disciplinary approach, addressing the emotional and psychological difficulties the individual is experiencing. Diabulimia cannot be effectively treated within the scope of diabetes management alone. Diabulimia treatment is dependent upon the underlying emotional issues being identified and addressed at the same time as measures to improve diabetes control. Treatment and support must incorporate acknowledgement that diabetes necessitates a greater focus on specific food intake than is ordinarily necessary and this can quickly become tangled with weight and body image issues. Skilled diabetes management and eating disorders expertise are required for effective treatment and full diabulimia recovery, avoiding harmful and potentially dangerous short and long-term health effects. It is important to recognise that people with Type 2 diabetes also experience eating disorders which are serious and debilitating but with a different presentation to diabulimia. Typically, people with Type 2 diabetes are affected by binge eating disorder (with the resulting problem of poor diabetes control and obesity). Please reach out to our caring team  at Schoen Clinic if you need support for yourself or a loved one. Our specialists in London  and York  offer highly specialised treatments for children, teens and adults.

  • What is compulsive eating?

    Compulsive eating is a type of behaviour with food: when a person eats in a way that feels out of control, that has an emotional component and involves eating an uncomfortably large amount. Compulsive eating is not an eating disorder in itself. It can be a recognised feature which is part of known eating disorders such as bulimia nervosa and binge eating disorder. If you need support, please don't hesitate to contact our team at Schoen Clinic. What are the signs of compulsive eating? It may be difficult to identify compulsive eating as a distinct feature compared with the normal parameters of food consumption. We all have favourite foods which we turn to for comfort and food types which we might like to avoid or limit but find it hard to do so. It is normal to feel our eating is not as controlled as we may wish to lose or maintain weight. It is also normal to have certain foods that we turn to for comfort. If you are concerned you may have a problem, consider these signs which indicate compulsive overeating may be present: Eating rapidly and in secret. You may dislike eating in public or socially. Eating beyond the feeling of comfortable fullness; feeling completely unable to stop. Turning to food whenever you experience difficult feelings, moods or situations The urge to eat large amounts of food and/or forbidden food is experienced as utterly overwhelming Looking at feelings and well-being as a whole, these are indications you may be experiencing compulsive overeating: Always trying to diet but unable to lose weight Immense feelings of self-dislike/disgust at eating habits and inability to lose weight Depression and low self-esteem are often present A sense that life would improve if weight could be lost but feeling powerless to achieve this Is compulsive eating the same as binge eating? Binge eating is part of the diagnostic criteria for bulimia nervosa and binge eating disorder and as such, clear measures have been developed to define a binge: Quantity of food consumed in a binge is described as: “an amount of food that is definitely larger than most people would eat” (American Psychiatric Association, 2013) Feeling out of control during the binge Binge behaviour occurs at least once a week for a period of three months It could be argued that binge eating, particularly as part of a diagnosis of bulimia or binge eating disorder, is a more specific classification than compulsive eating. A binge requires the food consumption to be large (although what is large for one person may be normal for another), as well as the accompanying feelings of loss of control, shame and secrecy. Compulsive overeating is more focused on the feelings around the eating behaviour, rather than the amount consumed in a single episode. Compulsive overeating could be present in an overall pattern without the presence of single, large binges. In practice, many clinicians suggest the difference between definitions is slight: individuals present and talk about experiencing binges, compulsion and food addiction. The key, common characteristic is the underlying feelings of loss of control, disgust and secrecy and the link between food consumption and difficult emotions. How is compulsive eating treated? If you feel you may be suffering from compulsive overeating, an assessment may be very important, particularly if you have accompanying, harmful purging behaviours of bulimia nervosa. At Schoen Clinic, we offer private assessments for individuals of all ages and run one-to-one Cognitive Behavioural Therapy programmes for people with bulimia. There is a strong evidence base for the effectiveness of this approach. Please reach out to our caring team  at Schoen Clinic if you need support for yourself or a loved one. Our specialists in London  and York  offer highly specialised treatments for children, teens and adults.

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