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PRESS RELEASE June 20, 2025 “Trauma isn’t a sign of weakness - it’s a sign you survived” LONDON, UK – As PTSD Awareness Day approaches on June 27 , Schoen Clinic Chelsea is amplifying the message that trauma is not a personal failure; it’s a survival response to experiences that overwhelm the mind and body. Dr Bradley Powell , Chartered Clinical Psychologist at Schoen Clinic Chelsea, offers fresh insight into the psychological and physical effects of trauma and why early access to the right treatment is crucial. “When someone walks into my therapy room struggling with trauma, I don’t ask, ‘What’s wrong with you?’ I ask, ‘What happened to you?’” Dr Powell explains. “That shift in language matters. It reminds people that trauma is not a weakness, it’s a normal response to an abnormal situation.” Understanding PTSD: More Than Flashbacks and Nightmares Post-Traumatic Stress Disorder (PTSD) can arise from a wide range of distressing experiences, not just war or disaster. Dr Powell highlights how people can be affected by violence, loss, bullying, neglect, or even the sudden end of a relationship. “Trauma is subjective,” he adds. “What shakes one person to the core might not even register for someone else, but that doesn’t make it less valid.” Common symptoms include: Intrusive memories or flashbacks Physical sensations like nausea or a racing heart Hypervigilance and emotional numbness Avoidance of triggers or situations Feelings of guilt, shame or brokenness Left untreated, PTSD can lead to long-term disruption in relationships, work and wellbeing. Help Is Available – And Recovery Is Possible The good news, Dr Powell emphasises, is that PTSD is highly treatable. National Institute for Health and Care Excellence (NICE) guidelines recommend trauma-focused Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation and Reprocessing (EMDR) - both of which are offered by Schoen Clinic Chelsea’s expert mental health team. “CBT helps you make sense of what happened, challenge damaging beliefs, and re-engage with life. EMDR can ‘unstick’ traumatic memories so they no longer feel like they’re happening in the present,” says Dr Powell. “These approaches have strong evidence behind them – and they work.” Watch Dr Powell’s Message for PTSD Awareness Day In his video for PTSD Awareness Day, Dr Powell speaks directly to those who may be struggling: “Sometimes a traumatic event can make you feel like a burden or worthless. But with the right support, people heal. You’re not going mad – your body and brain are responding to something painful. There’s help, and there’s hope.” What You Can Do: Support Yourself or Someone You Love Dr Powell shares the following advice: Talk to someone – don’t suffer in silence Rebuild routine – even small steps help Avoid avoidance – structured support is key Validate your reactions – your brain protected you Use grounding techniques to settle your nervous system Look out for signs in others – offer support and compassion ENDS Press Contact: 📧 ukmarketing@schoen-clinic.co.uk 🌐 www.schoen-clinic.co.uk Notes to editors: Interviews with Dr Powell and other Schoen Clinic specialists available on request. About Schoen Clinic Chelsea Schoen Clinic Chelsea is a specialist private mental health clinic in the heart of London, offering evidence-based outpatient care for adults and young people. Its expert multidisciplinary team treats a wide range of conditions, including trauma, PTSD, anxiety, eating disorders, burnout and depression. 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 45 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 specialising in certain areas of medicine – now mental health and wellbeing, eating disorders and dementia care.

Season 2 of America's Sweethearts: Dallas Cowboys Cheerleaders on Netflix offers more than just a behind-the-scenes look at glitter, game-day performances and teamwork. This time, it brings mental health into the spotlight, highlighting the emotional strain and psychological pressures placed on young women striving for perfection under public scrutiny. America's Sweethearts: Dallas Cowboys Cheerleaders, Season 2. Chandi in America's Sweethearts: Dallas Cowboys Cheerleaders, Season 2. Image credit: Netflix From burnout and financial stress to anxiety and identity struggles, America’s Sweethearts  uncovers a reality that resonates with many people today, especially those balancing demanding roles, multiple jobs, and high personal expectations. At Schoen Clinic Chelsea , our expert team of psychiatrists, psychologists and therapists work with adults, children and young people experiencing similar challenges. Whether in person at our London outpatient clinic or virtually via secure online appointments, we help individuals understand and recover from the mental health impact of chronic stress, performance pressure and emotional overwhelm. Contact us today  if you need support for yourself or a loved one. High Pressure, Hidden Struggles Throughout the series, the Dallas Cowboys Cheerleaders are shown juggling a demanding training schedule with part-time jobs, university studies and public appearances. Some reveal they’re working up to four jobs just to support themselves financially, leaving little time for rest, reflection or recovery. Despite their polished public image, many of the cheerleaders begin to show signs of emotional exhaustion. The pressure to perform on the field and social media  creates a mental load that’s often invisible to others. Armani in America's Sweethearts: Dallas Cowboys Cheerleaders, Season 2. Image credit: Netflix At Schoen Clinic Chelsea, we see this pattern in many of our patients. From students and working professionals to elite performers, the pursuit of perfection can lead to burnout , anxiety and even depression if left unaddressed. America's Sweethearts: Dallas Cowboys Cheerleaders, Season 2.  Image credit: Netflix What Netflix’s America’s Sweethearts Reveals About Burnout and Why It Matters Burnout is more than just feeling tired. It’s a state of emotional, physical and mental exhaustion caused by prolonged stress and overwork. It can affect anyone in high-pressure environments, especially when rest and support are limited. In America’s Sweethearts , we see clear signs of burnout: emotional detachment, low mood, difficulty sleeping, self-doubt and increased conflict. For some cheerleaders, these symptoms begin to interfere with daily life and performance, common experiences for people in intense, high-visibility roles. Early intervention for burnout is key. At Schoen Clinic Chelsea, we offer evidence-based therapy options and practical support to help individuals manage stress, rebuild self-esteem and prevent more serious mental health issues from developing. "As a consultant psychiatrist working at Schoen Clinic Chelsea, I see many high-achieving professionals from various walks of life. Not many cheerleaders, but lawyers, accountants, media professionals, doctors, and a range of elite athletes." Says Dr James Woolley , Consultant Psychiatrist, Schoen Clinic Chelsea. He continues, "And with all of them, the need to achieve at the highest level risks burnout, so much of the focus with therapists at the clinic here is on developing and maintaining a healthy balance, recognising that the highest level of performance is only sustainable with attention to both physical and mental health." Jada in America's Sweethearts: Dallas Cowboys Cheerleaders, Season 2. Image credit: Netflix Anxiety and the Pressure to Be “Enough” Another powerful theme explored in the show is anxiety . Whether it’s fear of not being selected, body image struggles, or the mental toll of public exposure, many of the young women speak openly about feeling overwhelmed or not good enough. This anxiety often stems from unrealistic expectations, both internal and external. Over time, it can lead to chronic worry, panic attacks, low self-worth and avoidance behaviours that affect quality of life. “Whilst relentless high standards serve a purpose with regards to achieving success, particularly in elite sports, the pursuit of these standards long term can come at an enormous personal cost, often impacting the likelihood of ongoing achievement. As a Clinical Psychologist, I help people to cultivate and maintain a winners mentality whilst also building a life of meaning beyond achievement, making ongoing goal attainment more sustainable”, says Dr Bradley Powell  at Schoen Clinic Chelsea. Our multidisciplinary team at Schoen Clinic Chelsea supports people struggling with all forms of anxiety, including: Generalised Anxiety Disorder (GAD) Performance anxiety Social anxiety Panic disorder We provide personalised care, which may include Cognitive Behavioural Therapy (CBT) , targeted coping strategies for anxiety and mood, activity scheduling with support from our occupational therapist, and guidance on nutritional wellbeing from our specialist dietician. What We Can Learn From America's Sweethearts: Early Support Matters Chandi in America's Sweethearts: Dallas Cowboys Cheerleaders, Season 2. Image credit: Netflix One of the most important takeaways from America’s Sweethearts is the value of early mental health intervention. Several cheerleaders, and Chandi in particular, share their experiences of pushing through emotional distress, sometimes for months, before finally asking for help. Seeking support early doesn’t mean you’re weak. In fact, it can prevent short-term difficulties from becoming long-term problems. When people access treatment at the first signs of emotional distress, such as low mood, loss of motivation, poor sleep or heightened stress, they often recover more quickly and with better outcomes. If you’re experiencing any of the above, or even if you’re just “not feeling like yourself,” it’s OK to ask for help. How Schoen Clinic Chelsea Can Help At Schoen Clinic Chelsea , we provide personalised outpatient mental health care for adults, children and adolescents. Whether you’re struggling with burnout, anxiety, depression or a combination of symptoms, our expert team is here to help. Appointments available in person at our Chelsea clinic or online Evidence-based therapies tailored to your needs A collaborative team including psychiatrists, psychologists, therapists, occupational therapists and a specialist dietician Support for anxiety, burnout, trauma, eating disorders, neurodiversity and more We take a compassionate, person-centred approach, helping each patient feel heard, understood and supported in finding a path forward. Netflix America’s Sweethearts offers a rare and refreshing insight into the psychological pressure behind the cheerleading spotlight, and in doing so, it reminds us that mental health challenges can affect anyone , regardless of how they appear on the surface. If you’re struggling with stress, anxiety or burnout, you don’t have to face it alone. Get in touch If you’d like to speak to someone about how Schoen Clinic Chelsea can support you or a loved one, please contact us today or make a self-referral online . Our friendly team is ready to help you take the first step toward feeling better. America's Sweethearts is streaming now on Netflix.

“Being neuroaffirmative means replacing the question ‘How can we fix this person?’ with ‘How can we support them to thrive as they are?’” Author:   Dr Bradley Powell, Chartered Clinical Psychologist What Does Neuroaffirmative Mean? Being neuroaffirmative means recognising that neurodevelopmental differences, such as autism , ADHD , and dyslexia, are not problems to be fixed, but valid ways of experiencing the world. This isn’t about denying challenges, but about shifting the perspective from pathology to possibility, toward acceptance, empowerment, and support that genuinely fits. In practice, it's not just about what we do, but how we do it. Understanding Neurodiversity Neuroaffirmative approaches begin with a core belief: there is no single “normal” brain. Instead, there is neurodiversity , the natural variation in how people think, feel, sense, and communicate. Conditions like autism , ADHD , and dyslexia fall within this spectrum of diversity. And yet, traditional clinical language often describes them using a deficit model , with terms like “impaired social functioning” or “disordered attention.” But what if the real challenge isn’t the neurodivergent individual, but the environment or system they’re expected to function within? From Deficit to Difference: Changing the Narrative To support neurodivergent individuals meaningfully, we must change how we speak and think. Neuroaffirmative language reframes traits traditionally seen as impairments into differences or strengths: Instead of saying someone has “deficits in social communication,” we can say they have a different communication style, perhaps more direct, less reliant on eye contact, or more comfortable with written formats. Hyperfocus can be recognised as a strength in the right context, something many creatives, scientists, and entrepreneurs rely on. Dyslexia isn’t just about difficulty with reading; it’s often accompanied by exceptional visual thinking, creativity, and big-picture insight. When we shift the language, we shift our expectations. And expectations shape outcomes. Why Neuroaffirmative Care Matters Traditional mental health systems often encourage neurodivergent individuals to "mask" to hide or suppress their natural ways of being. This can lead to chronic stress, anxiety , and burnout . Neuroaffirmative care supports people as they are , not who they’re expected to be. It improves wellbeing, reduces stigma, and unlocks potential, especially when individuals are free to express themselves authentically. The Double Empathy Problem An essential concept within neuroaffirmative thinking is the Double Empathy Problem . It challenges the assumption that communication difficulties lie solely with the autistic person. Instead, it suggests that misunderstandings often arise from a mismatch in communication styles between autistic and non-autistic individuals. When two neurotypical people communicate, there’s usually shared cultural and social referencing. The same applies when two neurodivergent individuals interact, particularly when their communication norms align. Many autistic people report that conversations with other autistic individuals feel more natural, honest, and easeful than with neurotypical peers. This highlights that the challenge is not a deficit, but a difference in reciprocity. Being neuroaffirmative means recognising this mutual dynamic. Rather than trying to teach neurodivergent people to “mask” or emulate neurotypical norms (like forced eye contact or small talk), it invites both parties to adapt and build bridges. In clinical or social settings, this might look like: Slowing the pace of conversation Using visual supports Validating a preference for direct or written communication When neurodivergent individuals are in spaces where their communication styles are accepted rather than corrected , their stress decreases, and their confidence grows. This reinforces the core neuroaffirmative message: when we create spaces that honour difference, we don’t just reduce distress, we unlock potential. Neuroaffirmative Care in Clinical Practice Being a neuroaffirmative clinician means adapting both mindset and method . Here are some practical examples: Sensory accommodations:  Reduce fluorescent lighting, allow movement, offer fidget tools or weighted blankets Communication flexibility:  Allow time to process, reduce verbal overload, offer written or visual options Reducing pressure:  Don’t insist on eye contact or interpret stimming (e.g., hand-flapping) as distress It also means actively listening to lived experience and being aware of how trauma, masking, and exclusion can shape the presentation of neurodivergence, especially in girls and marginalised groups. Supporting a Positive Neurodivergent Identity An essential part of neuroaffirmative support is helping individuals develop a positive sense of self . This doesn’t mean ignoring challenges. Many neurodivergent people face very real difficulties with executive functioning, sensory overwhelm, or emotional regulation. But instead of only focusing on what’s hard, we help them see their strengths: A child with autism and a passion for trains or coding might find a future in STEM with the right support and mentorship. A teen with ADHD who struggles with routine may shine when encouraged to explore creative or entrepreneurial outlets. A person with dyslexia might excel in design, engineering, or leadership due to their strong visual thinking skills. Finding neurodivergent role models , authors, athletes, inventors, or activists can be a powerful tool in building identity, especially for those who have felt “less than” for most of their lives. What We Can All Do Being neuroaffirmative is about ensuring that neurodivergent individuals don’t just survive systems, but shape and thrive within them. As clinicians, teachers, employers, and peers, we can all ask: Am I seeing this person through a deficit lens or a difference lens? Am I creating conditions that support autonomy, dignity, and growth? Am I listening to their voice, or trying to make them fit mine? “Neuroaffirmative care doesn’t ask people to fit in — it helps them belong.” How Schoen Clinic Chelsea Can Help At Schoen Clinic Chelsea , our multidisciplinary team includes psychologists, psychiatrists, and therapists experienced in autism, ADHD, and neurodivergent mental health care . We offer assessments, therapy, and tailored support for children, adolescents, and adults. Contact us today to learn how we can support you or a loved one in a neuroaffirmative way. Enquire now  | Learn about our autism assessments | Learn about our ADHD assessments for children and for adults. Dr Bradley Powell, Charted Clinical Psychologist, Schoen Clinic Chelsea About the author Dr Bradley Powell is an award-winning Clinical Psychologist at Schoen Clinic Chelsea with over seven years of experience supporting children, adolescents and adults. He specialises in treating anxiety, depression, low self-esteem and neurodevelopmental conditions such as autism and ADHD. Combining evidence-based therapies with a warm, personalised approach, Dr Powell helps individuals better understand themselves, overcome challenges and build long-term resilience.

Author: Dr James Woolley , Consultant Psychiatrist at Schoen Clinic Chelsea Anxiety among children and young people in the UK has reached crisis levels. In 2023–24 alone, over 204,000 children were referred to NHS mental health services for anxiety, more than double the number seen before the pandemic. That’s the equivalent of one referral every three minutes, or more than 500 children a day in England. Even more striking, in 2016-17, there were only 3,879 such referrals. These statistics reflect a dramatic rise in distress among young people, leaving families, schools and health services urgently searching for answers and solutions. These figures have left even experienced mental health professionals shocked. As one doctor working in children's mental health services told The Guardian: "They really do make your jaw drop... Of course we have seen an increase in demand, but to see these figures in black and white... it's extremely shocking". Find private CAMHS support in London at Schoen Clinic Chelsea today.   NHS Child Mental Health Referrals Are at Record Highs   The latest NHS England data reveals that one in five children and young people aged eight to 25 had a probable mental disorder in 2023. Among eight to 16-year-olds, 20.3% had a probable mental disorder, while the figure rises to 23.3% for 17 to 19-year-olds. This represents a sustained crisis that has continued at similar levels since the sharp increase between 2017 and 2020.   Dr Elaine Lockhart, Chair of the Royal College of Psychiatrists' Child and Adolescent Faculty, explains: "We've seen a dramatic rise in the number of children and young people experiencing anxiety and other mental illnesses in recent years". She emphasises that anxiety can range from a normal response to stress to a clinical condition requiring professional intervention.   Why Is Anxiety Increasing in Children?   The pandemic has undoubtedly played a significant role in this crisis. As Dr Lockhart notes: "There are multiple reasons for children and young people to feel more anxious, including the pandemic, which caused significant disruption to their lives and made many of them feel worried about the future". However, experts point to additional factors, including the cost-of-living crisis placing pressure on families, social media influences, and general uncertainty about the future.   The Mental Health Foundation suggests that this crisis stems from deeper societal issues. They argue that many building blocks of good mental health – including housing, adequate income, and community support – have been eroded in recent years. Signs of Anxiety in Children Anxiety in children can present in many different ways and may not always be easy to spot. Some common signs include: Physical complaints such as stomach aches, headaches, or feeling sick Difficulty sleeping or frequent nightmares Avoidance of school or social situations Excessive worry, reassurance-seeking, or perfectionism Irritability, restlessness, or tearfulness Trouble concentrating or becoming easily overwhelmed If these behaviours persist or begin to interfere with your child’s daily life, it could be a sign of an anxiety disorder that may benefit from professional support.   The Impact of Rising Anxiety in Children in 2025   While referral numbers have soared, the capacity to provide timely treatment has not kept pace. Mental health services are struggling to manage this unprecedented demand. Recent analysis shows that people on mental health waiting lists are eight times more likely to wait at least 18 months for treatment compared to those waiting for physical health care.   The situation is particularly concerning for vulnerable groups. Research shows that autistic children face significant barriers when seeking help from Child and Adolescent Mental Health Services (CAMHS), with many not referred or rejected without assessment due to diagnostic overshadowing and variable professional knowledge about autism.   School Mental Health Support: A Growing but Incomplete Solution   Despite these challenges, there are positive developments. NHS England has rolled out 398 Mental Health Support Teams within schools and colleges, covering 35% of pupils and learners in further education. A further 200 teams are in training and due to become operational by Spring 2025, ultimately covering over 50% of the country's pupils and learners.   The BBC's recent Wellbeing Week (10-16 May 2025) highlighted the importance of connection, sharing, and community in mental health support. The initiative featured content exploring the transformative power of talking, listening, and connecting, including insights into therapy and stories of recovery and resilience.   Early Intervention for Child Anxiety Is Crucial   Early intervention remains crucial. As Dr Lockhart emphasises: "It is therefore vital that we continue to improve and expand mental health support in schools and help children and young people with anxiety to get the support they need quickly". The expansion of school-based mental health services represents a significant step towards providing support where children spend most of their time.   Research suggests that universal school-based mental health interventions hold significant potential, particularly when developed collaboratively with young people themselves. These approaches can help prevent the onset of common mental health conditions like anxiety , depression , and trauma -related difficulties. What Needs to Change: A Coordinated Response to the Child Anxiety Crisis   The youth mental health crisis requires a coordinated response across multiple sectors. While increased awareness and expanding services are positive steps, Laura Bunt, chief executive of YoungMinds , describes "the huge rise in the numbers of young people struggling with their mental health" as "one of the biggest social issues of our time".   The government has committed to recruiting 8,500 more mental health staff to reduce waiting lists, but experts stress that addressing this crisis requires more than additional resources. It demands a fundamental shift towards prevention, early intervention, and addressing the social determinants that contribute to poor mental health.   For families and young people facing anxiety, it's important to remember that effective treatments exist and help is available. While waiting times remain challenging, school-based support services, online resources, and community initiatives can provide valuable assistance. The key message from mental health professionals is clear: anxiety is treatable, support is expanding, and no young person should face these challenges alone. What Parents Can Do & When to Seek Help If you’re concerned about your child’s anxiety, know that you’re not alone and that help is available. What You Can Do: Listen and validate : Create space for your child to talk and let them know their feelings are OK. Stay calm and consistent : Anxious children often seek reassurance. Try to be supportive without over-accommodating their fears. Maintain routines : Structure and predictability can help children feel safe. Encourage coping strategies : Deep breathing, physical activity, and creative outlets can all be beneficial. When to Seek Help: If your child’s anxiety is persistent, worsening, or interfering with their home, school, or social life If they are showing signs of panic attacks, self-harm, or withdrawal If you're feeling overwhelmed as a parent and unsure how to help You can speak to your GP, school counsellor, or seek private specialist support. At Schoen Clinic Chelsea , our child and adolescent mental health team offers expert assessment and evidence-based treatment for anxiety and related conditions. About 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.   ___________________________________________   Key References   1. Royal College of Psychiatrists Press Release (August 2024) - "Shocking rise in children needing treatment for anxiety"     https://www.rcpsych.ac.uk/news-and-features/latest-news/detail/2024/08/27/shocking-rise-in-children-needing-treatment-for-anxiety   2. Children's Commissioner for England Response (September 2024) - Official response to new NHS anxiety referral figures     https://www.childrenscommissioner.gov.uk/blog/childrens-commissioner-responds-to-new-figures-on-children-referred-to-mental-health-support-for-anxiety/   3. The Guardian Investigation (August 2024) - "'Jaw-dropping' number of children in England with anxiety shocks even professionals"     https://www.theguardian.com/society/article/2024/aug/27/jaw-dropping-number-of-children-in-england-with-anxiety-shocks-even-professionals#:~:text=A%20Guardian%20investigation%20published%20on,a%20primary%20cause%20of%20anxiety .   4. ITV News Analysis (February 2025) - "People '8 times more likely to wait a year-and-a-half' for mental health care"     https://www.itv.com/news/2025-02-24/people-8-times-more-likely-to-wait-a-year-and-a-half-for-mental-health-care   5. BBC Wellbeing Week Announcement (May 2025) - Official BBC programme focusing on mental health connection and community     https://www.bbc.co.uk/mediacentre/2025/bbc-wellbeing-week

Author: Dr James Woolley , Consultant Psychiatrist and Group Medical Director, Schoen Clinic UK. 4 June 2025. Recent developments in May 2025 have cast a renewed spotlight on Attention Deficit Hyperactivity Disorder (ADHD ) in the UK. New estimates indicate the significant scale of ADHD prevalence, while NHS England has launched strategic initiatives to improve data collection and service provision. These updates, coupled with ongoing refinements in clinical guidance, mark a crucial period for enhancing ADHD care across the nation.   Understanding the Scale: A National Snapshot This past month, striking new figures emerged suggesting that almost 2.5 million people in England may be affected by ADHD . This is the first time such a comprehensive public estimate of the condition's prevalence has been made available, underscoring the widespread nature of ADHD and the urgent need for accessible and effective support services.   The challenges in accessing these services are highlighted by recent waiting time data. For example, in Birmingham, the average wait from referral to a child's first ADHD assessment in April 2025 was approximately 15 months, with a further wait to around 18 months for a diagnosis appointment. These figures illustrate the high demand currently placed on neurodevelopmental pathways.   NHS England's ADHD Strategy: Enhancing Data and Service Delivery In a significant move to address these challenges, NHS England published a new ADHD data improvement plan in late May 2025. This plan outlines a roadmap for enhancing the quality of data and introducing regular, comprehensive reporting on ADHD services. The long-term vision is to establish accurate national data covering all aspects of the ADHD pathway, from initial referral through to treatment outcomes. This data aims to be linkable, consistently defined, and straightforward for providers to collect.   Key aspects of this initiative include: Improved Reporting: Commencing in May 2025, reporting will cover the number of individuals awaiting ADHD assessments, those with an ADHD diagnosis, and overall prevalence rates. Future Data Expansion: From Autumn 2025, reporting is expected to expand to include re-referrals, the number of assessments undertaken, and diagnosis rates. Looking further ahead to 2026, NHSE plans to explore options for retrieving and reporting data on other conditions which occur along with ADHD in individuals. Guidance for Providers: Technical guidance on data recording, completeness, and quality is set to be issued for implementation by Autumn 2025, aiming to standardise and improve the data submitted by healthcare providers.   This data-driven approach is vital for understanding patient experiences, enabling targeted service improvements, and supporting efforts to tackle health inequalities in ADHD care.   Refining Clinical Guidance and Advancing Research Alongside these systemic changes, clinical guidelines continue to be refined. The National Institute for Health and Care Excellence (NICE) guideline (NG87) on ADHD diagnosis and management, which covers children, young people, and adults, was last reviewed in May 2025, ensuring that recommendations for recognition, diagnosis, and management remain current.   The scientific understanding of ADHD also continues to advance. Recent attention has been drawn to the work of researchers like Professor Barbara Franke, a molecular psychiatrist who is making significant contributions to redefining the genetic basis of neurodevelopmental conditions, including ADHD.   Moving Forward These recent developments signal a concerted effort to better understand, diagnose, and manage ADHD in the UK. While challenges related to waiting times and service capacity persist, the focus on robust data collection and the ongoing refinement of clinical guidelines provide a strong foundation for improving outcomes for individuals with ADHD and their families.   For us at Schoen Clinic, staying abreast of these changes is crucial for providing the best possible care and support. As new data becomes available and service pathways evolve, collaborative efforts across healthcare - with the independent sector increasingly support the NHS, education, and community services will be essential in meeting the needs of this significant population. At Schoen Clinic Chelsea, our team of ADHD specialists offer full and comprehensive ADHD assessments for children and adults . Contact our team for more information or support today. Dr James Woolley, Consultant Psychiatrist & Group Medical Director, Schoen Clinic UK About 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.

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].

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.

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