If you are in urgent need and can't get hold of me there are organisations who are able to offer support 24 hours a day.
If you feel you cannot keep yourself safe, your local A & E department can offer emergency assistance. The nearest A&E departments are:
Frimley Park Hospital, Portsmouth Rd, Frimley, Camberley GU16 7UJ, Tel: 01276 604604
Wexham Park Hospital, Wexham St, Slough SL2 4HL, Tel: 01753 633000
During this period of coronavirus isolation I am not able to offer my normal face to face sessions. During this period I will be offering counselling via secure video link or telephone. Once this crisis has passed I will be returning to face to face work in my normal way.
Coronavirus and the associated isolation is creating new challenges for us all. Here are some tips on managing difficult feelings while in isolation.
Ways to Manage Feelings of Anxiety While in Self-Isolation
Anxiety comes from the fight, flight, freeze portion of our brain – the amygdala. An anxiety response is a normal instinct to keep us safe. Unfortunately for many of us that response is triggered too easily or more excessively than we need. This is not our fault! Coronavirus is a real threat, so an anxiety response is reasonable. The difficulty comes when we can’t regulate that fear. We become over anxious and may start to catastrophize (assume the absolute worst) or become anxious about things that are no threat at all. Repressed anxiety can lead to anger, intrusive thoughts or depression. It puts a strain on relationships and erodes our self-confidence.
Here are some ideas to help you re-regulate when anxiety becomes more than a passing thought.
Your initial response may be ‘yes’ but take a moment to really think about that. Is your feeling based on what has actually happened today, or is it grounded in your fear of what could happen?
Try self-talking in a more positive frame, acknowledging what is fact and what is fear.
If your response is based in fear, acknowledge that fear. All feelings are valid and important, being disproportionate, doesn’t mean they should be ignored. It doesn’t help to affirm the feelings, but it does help to support and comfort yourself in experiencing that feeling.
Consider if your fear is a response to something from the past – your feelings about the current situation, may actually belong in an event from the past, a family script or a way of being.
This could take the form of jumping, throwing, running, speed walking or dancing.
Following an exercise routine online is an option – there are lots to choose from.
If you are social distancing (and while government regulations allow) try getting out for a walk, run or cycle ride each day.
If you are self-isolating, try spending time in your garden.
If you are in the highest risk group or are having to totally self-isolate, and cannot be far enough away from others anywhere outside, maybe you could open a door or window and let fresh air in.
Slowly breath in through your nose to the count of 3 and then gently exhale to the count of 5. Repeat this several times and then increase your in breath to 4 and your out breath to 6. Again, repeat several times before increasing to 5 for the in breath and 7 for the out breath. If you have a higher lung capacity you can increase this in further increments, but you shouldn’t feel uncomfortable at any point. You can do this for just a few moments, and it will help, but to maximise the effect, taking 10 minutes to very slowly increase the increments can be particularly beneficial.
Some people love meditation and mindfulness practice, if you are in this group you may already have a mindfulness routine or you can use one from YouTube or an app such as Headspace or Calm (many more are available, I do not endorse any one site or app).
You could try paying attention to something for a moment – maybe notice how a shaft of sunlight is reflecting on the glass of your window, or making a shadow on your lawn, look at a tree and notice the leaves, stroke a pet and pay attention to the feel of their warmth and softness (or not) of their fur.
Try craft or art of some kind – it’s very hard to be fully immersed in an artistic activity without giving it your full attention. If you don’t feel creative consider adult colouring.
Take your shoes off and place your feet firmly on the ground, sitting comfortably upright. Slowly breath in and out a few times. Be fully conscious of the floor beneath your feet, the chair beneath you, your hands on your lap or by your side. Can you feel fabric, or a hard surface? Tense and relax your toes, hands and whole body.
Imagine tension running down you’re your head, through your body, down your legs and feet and out into the ground.
Notice any sounds around you, if you feel warm, cool, hot etc. Be aware of being in this moment, separate from worries or events in your life.
Remind yourself that in this moment, you are safe.
Ways to Express Frustration and Anger Safely While in Self-Isolation
We all feel angry sometimes and when we are restricted, or in close proximity to others, moments of anger are more likely to occur.
Anger is often a secondary emotion that covers pain or sadness and suppressing anger can lead to anxiety, depression, stomach upsets, sleeplessness, headaches and many more difficulties.
Here are some ideas to release anger that can be carried out within the lockdown restrictions. You may have additional ideas of your own.
This could take the form of jumping, stamping, punching a pillow, running, speed walking or dancing.
An aerobic exercise routine online could help – anything that raises the heart rate.
If you have a garden, or reinforced floor, a slam ball could be a good form of anger release – and good exercise at the same time – they cost in the region of £20.
If you have enough space in the garden, hitting or kicking a ball with force is a great.
You could try tearing multiple sheets of paper or cardboard, kicking empty cans or popping or stamping on bubble wrap.
Slowly breath in through your nose to the count of 3 and then gently exhale to the count of 5. Repeat this several times and then increase your in breath to 4 and your out breath to 6. Again, repeat several times before increasing to 5 for the in breath and 7 for the out breath. If you have a higher lung capacity you can increase this in further increments, but you shouldn’t feel uncomfortable at any point. You can do this for just a few moments and it will help, but to maximise the effect, taking 10 minutes to very slowly increase the increments can be particularly beneficial.
No one thing works for everyone, and this is not an exhaustive list, see what feels OK for you and give it a try.
Ways to Process Bereavement and Grief During Lockdown
Bereavement is what has happened to you, mourning is what you do and grief is what you feel. In order to start grieving and move on to a different, but meaningful way of living, we need to fully mourn the loss of our loved one. Separate from ‘stages of grief’, it is thought that we have six ‘reconciliation needs of mourning’ (Wolfelt, 2016). These include:
Having these needs met helps us to acknowledge our loss and start the process of grieving.
Funerals are a vital part the grieving process because they provide a framework that facilitates mourning. A lack of funeral may leave the bereaved person feeling they have ‘unfinished business’, that they have not said goodbye properly, or even that the person has not really gone. This can make grief especially hard.
If you were not able to be with your loved one during their last days, and especially if no family or friends were allowed to be with them, the loss may feel particularly traumatic.
Not having the ritual of a funeral will be very hard, but it is possible to create a form of substitute ritual from your own home to help recreate ways to get your reconciliation needs met. There isn’t a right or wrong way to approach this, but I have included some possibilities here.
Acknowledging the reality of the death and moving toward the pain of loss
This may sound obvious, but there is a difference between knowing someone has died and really connecting with that deeper, feeling level of understanding. Without a funeral, it can take much longer to reach that point.
Searching for meaning
Developing a new self-identity
Most of us identify ourselves in relation to others. We may be a spouse, a child, a sibling, a parent, a grandchild, a friend, a colleague, a classmate, a team member etc. etc. When someone dies that role shifts. Of course, we will always be that person in one way, but now it is defined from a different angle. For example, if you are a spouse and that person dies, you will now be defined as a widow(er). A funeral helps with this, because implicitly people around us are saying they acknowledge our loss and they recognise the change that has happened to us.
Depending on the relationship, some people literally feel a part of them is lost when someone they love dies. Having friends and family around us to recognise our continued, but changed, existence is an essential part in helping us accept our altered identity.
This is not an exclusive list, anything that gives you permission to grieve, an opportunity to share memories of your loved one and a chance to concentrate on your loved one will be hugely beneficial in allowing the necessary process of grief to take place.
In addition to counselling, support groups can often be helpful to many people.
In addition to counselling, many people find having a mentor or the support of other addicts very beneficial. this includes a few of the organisations available.
Self care is a really important aspect of our emotional well being, but it is not something everyone finds easy to do. In the rush of a stressful life, taking care of ourselves often falls off the agenda.
Self care will look different to different people, it could involve taking time for a soothing cup of tea, a relaxing bath or a walk in the sunshine. It may help to join a gym or have a massage. Seeing a friend or joining an activity you enjoy could make all the difference. It doesn't matter how you look after yourself, it just matters that you do.