10 of your biggest mental health questions answered

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From spotting signs to knowing how to talk about your mental health, Vitality’s Mental Health expert, Silvia Cordoba, answers your burning questions on all things mental health

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What is mental health and why is it important?

Mental health refers to our emotional, psychological and social wellbeing. It is what enables us to respond to the challenges of life and build psychological skills. 

Caring for our mental health is essential to living a long and happy life. Our feelings, thoughts and actions all play a partand by having the right support and tools in place, we can all live healthier lives. 

Everyone has physical and mental health and it’s helpful to understand that ‘mental health’ doesn’t mean ‘mental illness’.

How do I spot the signs of mental ill-health?

Identifying signs of mental health difficulties begins with becoming more self-aware.

This will help us to recognise how we are feeling, as well as what works and what doesn't when it comes to maintaining our psychological wellbeing.

Here are some signs and symptoms of mental ill-health we should be aware of:

  • Changes in how you feel about yourself, others or certain situations
  • Persistent feelings of negative emotions, such as sadness, hopelessness or guilt
  • Feeling socially withdrawn
  • Changing habits or routines into unhealthy ones
  • Physical pain
  • Poor sleep and fatigue

What are symptoms of depression and anxiety?

Depression is characterised by a few symptoms, the main one being low mood that persists for a long time in a way that affects everyday life.

Anxiety is a feeling that can naturally arise in response to a stressful situation, although it can become a struggle if it persists after the situation has been resolved.

Symptoms can include digestive disturbances, aches and pains, heart palpitations, difficulty breathing along with feelings of uncertainty and worry.

They are the most common reasons for people to seek help too.

What treatments are available?

There are a variety of ways we can support our mental health; support groups, therapy, hospitalisation and medication where needed are just a few.

Self-care is another way to support your wellbeing, along with getting the diagnosis and right treatment if it is required.

Remember, you can discuss your mental health with a professional such as a GP or mental health professional, who will be able to direct you and refer you to the right support.

What is CBT?

Cognitive behavioural therapy (CBT) focuses on helping people with mental health triggers in the here and now.

This type of therapy helps you explore the ways you think, feel and behave, with the aim of identifying any unhelpful patterns.

The idea is that by changing these automatic negative patterns, you can better manage challenging situations when they arise.

There are a range of therapies that can help with your mental health. Read about them here.

How does stress affect us mentally and physically?

Stress is natural for all of us to experience; it is our response to something that requires attention or alters our system. 

As well as affecting our bodies, stress impacts our thoughts and feelings, making us feel overwhelmed, anxious or in a rush to do things.

Bringing joy and calmness into our life even when things are difficult is an important way to balance out stress.

To reduce and manage stress, techniques are available to calm our nervous system, such as physical activity and practicing breathing techniques. 

Physically, a lot happens in our body when we’re feeling stressed. This includes the release of adrenalin and cortisol, which travels around the body ensuring we have the energy to respond to any given situation and is known as our ‘fight or flight’ response.

Often, we can feel the involuntary physical effects, such as our heart beating fast, palms sweating and shortness of breath.

To counteract it, we need to trigger our ‘rest and digest’ response, with such activities like grounding, meditation and mindfulness.

What changes can I make to improve my mental health?

Our sleep, eating habits, how much we move our body, our community/social connections and finding joy are all key to our mental wellbeing.

Sleep:

Sleeping seven to nine hours, having a sleep routine and sleeping away from noise and light is going to contribute to our wellbeing. Avoiding caffeine and alcohol in the hours before sleeping is also beneficial.

Nutrition:

Eating a balanced diet with nutritional foods will have a crucial impact in our mood and wellbeing. Try not to skip meals and avoid cutting out foods that make you happy. Eat them in moderation if they are not too healthy for the body.

Physical:

Moving our body is incredibly beneficial for our mental health. Doing exercise in a way that works for you is important for our brain, body and mind.

Relationships:

Cultivating healthy relationships and a good sense of community create a positive impact on our mental health. We are social beings and you do not need to deal with things on your own. Even when you feel you have no one to talk to, a charity like Samaritans or Mind can help – you are not alone.

What is mindfulness and how do I do it?

Being mindful is about being fully engaged in the present moment in whatever it is we are doing, sensing or feeling without any interpretation.

There are many scientifically proven benefits to practicing mindfulness. It can help to relieve stress and anxiety, as well as help to improve sleep, focus and concentration.

From guided meditation apps to in-person classes, there are a variety of resources available to help individuals learn and practice mindfulness and meditation, such as Headspace.

How do I talk about my mental health difficulties?

It’s so important to start the conversation. Reach out to someone you trust, feel safe and comfortable with, whether it’s a partner, friend, family member, colleague, or mental health professional.

Sharing how you’re feeling may feel tough, but those you care about you want to help and taking a moment to talk is a big step towards supporting your mental health.

Before you do, consider your environment; think about where you have a conversation with someone – for example, talking in the car or while on a walk can feel less informal.

Seeking out support groups, whether that’s in-person or virtually, is also a way to connect with others going through similar challenges and may feel less lonely.

What could I say to someone who is feeling low?

The signs of mental ill-health may be different from one person to the other, so it’s often a good idea to check in with others to see what’s going on with them.

What may be a sign of something for you, may not be for them, so try not to assume. Also be openminded to someone’s mood, thoughts or behaviours to create a safe space.

One way to start a conversation could be talking about your own experiences to help break down any barriers; allowing yourself to be vulnerable too is always a good place to start.

Related: 5 ways to build resilience and find happiness

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