Dealing with stress and anxiety
Discussion
Check out a podcast called “disordered”
https://www.disordered.fm/
also look up a book by Claire Weekes called “Hope and help for your nerves” it’s an old book but a very good one.
Don’t think of it as a threat as hard as that is.
https://www.disordered.fm/
also look up a book by Claire Weekes called “Hope and help for your nerves” it’s an old book but a very good one.
Don’t think of it as a threat as hard as that is.
Edited by Endless Nameless on Wednesday 3rd January 23:37
Munka01 said:
Prescribed medical cannabis for my anxiety a year ago, haven't looked back since, Its a shame that baseless claims 45 years ago regarding cannabis are still believed by most today.
Really, I'd love to be able too but I know my wife would hate it. Best thing for nerves ever but I can't with drug testing at my work.
I was a bit of a control freak but then started learning about Taoism (as a philosophy, not a religion). The principle is one of acceptance (I suppose you can call it Stoicism but I don't really understand that beyond "it is what it is" which can't just be what Stoicism is because there are some massive texts about that philosophy!) and trying to accept everything and going with it. It takes a LOT of practice and self-coaching to get to a state where you're happy to sit inside a brick box for 2 weeks on your own because the government tells you to protect the NHS...
I suffered absolutely debilitating anxiety as a young man I was actually quite ill when I look back 25 years later but I have come through it. I think many people that know me personally would be absolutely amazed as I hid it very well. There was a stigma back then too of course.
I always get shot down for this but please at all costs avoid SSRIs I understand for many people they rely on them but they are absolutely horrible drugs when you want to come off them. I believe they are massively over prescribed it's a scandal really. I think I spent 6 months on them before realizing it was the wrong approach and it took the better part of 3 years to get off them and be rid of the horrible side effects. Beta blockers are a win they helped me a lot back in the day. Haven't had any meds for 22 years luckily now.
I have developed coping techniques over the years and now I'm older I don't really get stressed in the same way but one thing I always think of which was a light bulb thing for me back then was to think of yourself as a glass and the water in the glass is stress. When you panic or feel highly stressed that water is brimming over as your brain can only take so much stress. The biggest help I have found in life generally is just to recognize when that stress is building up so you can deescalate it before it becomes too much. This is not as easy as it seems and took me a long time to get a handle on.
If you are finding certain situations stressful like social anxiety this is perfectly normal but if your background stress is high the perfectly normal social anxiety can tip that water level over so you blame or associate that specific situation but it can actually be just your general stress levels that are to blame.
We live in a very highly pressured world with all kinds of worries and stresses it's no surprise that things can get a bit out of hand now and again it's a normal reaction and loads of people suffer to varying degrees. At age 19 I wouldn't have thought I would be capable of handling the pretty considerable stresses I deal with now today (self employed in the motor trade the very worst job for a stress head!) The little stress devil is always there but you can learn to manage it. Taking some action to reduce even low level stress for a time is a start. Give your brain some breathing space. Sometimes you just need to slow down.
One other thing that might be a slightly unfashionable thing to say but is how I dealt/deal with it is I was always absolutely determined to overcome it. I always had a sheer bloody minded attitude towards it and although it's good to vent and certainly good to talk about it I always avoided taking too many steps towards wallowing in it. That might sound really harsh but I think some people do allow themselves to slip into a mindset that's not helpful as they make themselves feel helpless and it's not a helpless situation for the vast majority of people. It's brain chemistry at the end of the day and recognizing that things like over breathing alter this chemistry and these physiological changes actually change your thought processes.
I would add before signing off that my experience was/is competitively "easy" as there's no underlying trauma. These issues are far more serious if you have trauma and will be more suitable for professional help and meds. I was just burned out at work (at the age of 19/20!) I would say I was late 20s before I'd really got a proper grip of it so there are no quick fixes but you can do it.
Best of luck OP please stay positive though!
I always get shot down for this but please at all costs avoid SSRIs I understand for many people they rely on them but they are absolutely horrible drugs when you want to come off them. I believe they are massively over prescribed it's a scandal really. I think I spent 6 months on them before realizing it was the wrong approach and it took the better part of 3 years to get off them and be rid of the horrible side effects. Beta blockers are a win they helped me a lot back in the day. Haven't had any meds for 22 years luckily now.
I have developed coping techniques over the years and now I'm older I don't really get stressed in the same way but one thing I always think of which was a light bulb thing for me back then was to think of yourself as a glass and the water in the glass is stress. When you panic or feel highly stressed that water is brimming over as your brain can only take so much stress. The biggest help I have found in life generally is just to recognize when that stress is building up so you can deescalate it before it becomes too much. This is not as easy as it seems and took me a long time to get a handle on.
If you are finding certain situations stressful like social anxiety this is perfectly normal but if your background stress is high the perfectly normal social anxiety can tip that water level over so you blame or associate that specific situation but it can actually be just your general stress levels that are to blame.
We live in a very highly pressured world with all kinds of worries and stresses it's no surprise that things can get a bit out of hand now and again it's a normal reaction and loads of people suffer to varying degrees. At age 19 I wouldn't have thought I would be capable of handling the pretty considerable stresses I deal with now today (self employed in the motor trade the very worst job for a stress head!) The little stress devil is always there but you can learn to manage it. Taking some action to reduce even low level stress for a time is a start. Give your brain some breathing space. Sometimes you just need to slow down.
One other thing that might be a slightly unfashionable thing to say but is how I dealt/deal with it is I was always absolutely determined to overcome it. I always had a sheer bloody minded attitude towards it and although it's good to vent and certainly good to talk about it I always avoided taking too many steps towards wallowing in it. That might sound really harsh but I think some people do allow themselves to slip into a mindset that's not helpful as they make themselves feel helpless and it's not a helpless situation for the vast majority of people. It's brain chemistry at the end of the day and recognizing that things like over breathing alter this chemistry and these physiological changes actually change your thought processes.
I would add before signing off that my experience was/is competitively "easy" as there's no underlying trauma. These issues are far more serious if you have trauma and will be more suitable for professional help and meds. I was just burned out at work (at the age of 19/20!) I would say I was late 20s before I'd really got a proper grip of it so there are no quick fixes but you can do it.
Best of luck OP please stay positive though!
fridaypassion said:
I always get shot down for this but please at all costs avoid SSRIs I understand for many people they rely on them but they are absolutely horrible drugs when you want to come off them. I believe they are massively over prescribed it's a scandal really. I think I spent 6 months on them before realizing it was the wrong approach and it took the better part of 3 years to get off them and be rid of the horrible side effects. Beta blockers are a win they helped me a lot back in the day. Haven't had any meds for 22 years luckily now.
I found the beta blockers far more useful too. They helped me see the anxiety attacks as false alarms, which meant I could start to deal with them more logically. It's probably been a few months since I've used them, and I was down to a quarter of a tablet. I have to go to a week-long trade show in February and will have them with me.I was OK getting off SSRIs - but I was on the lowest dose, do I halved three times over two months. I know others have had real trouble tapering, and I'm not sure how much they helped me.
As a separate thing, for noisy places I have Vibes and Flare earplugs, the firmer are better overall, bug the latter better when eating.
Sporky said:
I found the beta blockers far more useful too. They helped me see the anxiety attacks as false alarms, which meant I could start to deal with them more logically. It's probably been a few months since I've used them, and I was down to a quarter of a tablet. I have to go to a week-long trade show in February and will have them with me.
I was OK getting off SSRIs - but I was on the lowest dose, do I halved three times over two months. I know others have had real trouble tapering, and I'm not sure how much they helped me.
As a separate thing, for noisy places I have Vibes and Flare earplugs, the firmer are better overall, bug the latter better when eating.
Propanolol ? They were good for me too. I was OK getting off SSRIs - but I was on the lowest dose, do I halved three times over two months. I know others have had real trouble tapering, and I'm not sure how much they helped me.
As a separate thing, for noisy places I have Vibes and Flare earplugs, the firmer are better overall, bug the latter better when eating.
Hi All,
Sorry for not replying sooner. As this is a new account there is a limit of 5 posts in the first 24 hours, so I had to wait until now to reply.
Some amazing replies and extremely helpful. I will be checking out the two books mentioned here, plus the Podcast, and the Toaism philisophy. They all sound really useful.
Extra stuff
I said in my OP that most of the time my stress is caused by things outside my control. It's not that I am busy... in fact when I am extremely busy in work, I excel and thrive on it. I am stressed but in a good/productive way.
My issue appears to be anxiety over "hypothetical" things.
I posted a second thread on this forum in the Job section about a work project. This is the kind of thing that really stresses me out. I work in a global company, so sometimes feel on edge about what I am going to wake up to as others have been working during the night.
I will often wake up, check and find nothing of concern at all - once again proof of worrying over nothing.
I often make up imaginary scenarios and then getting worked up over it.
This is only sometimes, about 70-80% of the time things are fine and normal.
Will re-read all replies - but just wanted to reply quickly whilst I have a few minutes this morning.
Sorry for not replying sooner. As this is a new account there is a limit of 5 posts in the first 24 hours, so I had to wait until now to reply.
Some amazing replies and extremely helpful. I will be checking out the two books mentioned here, plus the Podcast, and the Toaism philisophy. They all sound really useful.
fridaypassion said:
I suffered absolutely debilitating anxiety as a young man I was actually quite ill when I look back 25 years later but I have come through it.
<SNIP>
Best of luck OP please stay positive though!
Thank you for such a long, detailed and helpful post. The water in a glass analogy sounds a great way to think about it - we all have limits and the water can get to dangerously high levels so it is useful to see it approaching to then take action. <SNIP>
Best of luck OP please stay positive though!
Extra stuff
I said in my OP that most of the time my stress is caused by things outside my control. It's not that I am busy... in fact when I am extremely busy in work, I excel and thrive on it. I am stressed but in a good/productive way.
My issue appears to be anxiety over "hypothetical" things.
I posted a second thread on this forum in the Job section about a work project. This is the kind of thing that really stresses me out. I work in a global company, so sometimes feel on edge about what I am going to wake up to as others have been working during the night.
I will often wake up, check and find nothing of concern at all - once again proof of worrying over nothing.
I often make up imaginary scenarios and then getting worked up over it.
This is only sometimes, about 70-80% of the time things are fine and normal.
Will re-read all replies - but just wanted to reply quickly whilst I have a few minutes this morning.
I think over time I've accredited most of my anxiety to certain factors, primarily job satisfaction, relationship health, alcohol consumption levels and finances. I endured a break up last year, 13 years (we'd been together since school practically) so my entire world as I knew it fell apart. I had to leave our home, and move into a family members house with nothing but four bags and a suit case. I'd just finished a degree also so had no job. Safe to say it was probably the lowest point of my life, I was suffering (and still do) panic attacks and I went off the rails a few times with the drink.
I've arrived at a much better headspace, not through medication or therapy or any traditional methods but just through sheer determination and I suppose, sutbborness. I was determined not to let my head win and started to take things a day at a time, started picking up old hobbies that I never had time for or cared for. I started to eat better and really take note of what I was consuming. Back to basics, I suppose.
New year, I've lost a couple of stone and currently viewing flats in a city I've never lived in before. I'm back into work, not where I'd like to be, but it's easy work and I'm surrounded by a good team. I'm seeing someone new which is a breath of fresh air. I still have plenty of bad days, but each 'good' day is a positive step in the right direction and another rung on the ladder to getting to a better place. A small victory, if you would. It can and does get better.
I've arrived at a much better headspace, not through medication or therapy or any traditional methods but just through sheer determination and I suppose, sutbborness. I was determined not to let my head win and started to take things a day at a time, started picking up old hobbies that I never had time for or cared for. I started to eat better and really take note of what I was consuming. Back to basics, I suppose.
New year, I've lost a couple of stone and currently viewing flats in a city I've never lived in before. I'm back into work, not where I'd like to be, but it's easy work and I'm surrounded by a good team. I'm seeing someone new which is a breath of fresh air. I still have plenty of bad days, but each 'good' day is a positive step in the right direction and another rung on the ladder to getting to a better place. A small victory, if you would. It can and does get better.
Jimmy No Hands said:
New year, I've lost a couple of stone and currently viewing flats in a city I've never lived in before. I'm back into work, not where I'd like to be, but it's easy work and I'm surrounded by a good team. I'm seeing someone new which is a breath of fresh air. I still have plenty of bad days, but each 'good' day is a positive step in the right direction and another rung on the ladder to getting to a better place. A small victory, if you would. It can and does get better.
Great stuff. I don't know how old you are but for me, the best thing about being 59 (next week) is that I have more experience of life's ups and downs and of getting through them. I've had two bad break ups, looked after my late dad with alzheimers and been critically injured in an accident. But I've made it through all of those things and genuinely know there are potentially fantastic things around the corner. I cant say I feel great every moment of every day but that's the point really. Things might go wrong sometimes and I might have crappy days but that's all part of life. Some people have recommended drugs of various kinds and they can be helpful but the thing I realised when I trained in mindfulness (which I also recommend... but didn't in my first reply) is that drugs help but they mean you always have to rely on them at some point in your life whereas if you train your brain to respond differently, it means you don't have the issues you're dealing with. So whether you practice mindfulness or retrain your response via Taoism or Stoicism or by implementing the books recommended, this is how you can change things in the long run.
ItIsPrivate said:
Thank you for such a long, detailed and helpful post. The water in a glass analogy sounds a great way to think about it - we all have limits and the water can get to dangerously high levels so it is useful to see it approaching to then take action.
Extra stuff
I said in my OP that most of the time my stress is caused by things outside my control. It's not that I am busy... in fact when I am extremely busy in work, I excel and thrive on it. I am stressed but in a good/productive way.
My issue appears to be anxiety over "hypothetical" things.
I posted a second thread on this forum in the Job section about a work project. This is the kind of thing that really stresses me out. I work in a global company, so sometimes feel on edge about what I am going to wake up to as others have been working during the night.
I will often wake up, check and find nothing of concern at all - once again proof of worrying over nothing.
I often make up imaginary scenarios and then getting worked up over it.
This is only sometimes, about 70-80% of the time things are fine and normal.
Will re-read all replies - but just wanted to reply quickly whilst I have a few minutes this morning.
No worries I really hope it helps. Extra stuff
I said in my OP that most of the time my stress is caused by things outside my control. It's not that I am busy... in fact when I am extremely busy in work, I excel and thrive on it. I am stressed but in a good/productive way.
My issue appears to be anxiety over "hypothetical" things.
I posted a second thread on this forum in the Job section about a work project. This is the kind of thing that really stresses me out. I work in a global company, so sometimes feel on edge about what I am going to wake up to as others have been working during the night.
I will often wake up, check and find nothing of concern at all - once again proof of worrying over nothing.
I often make up imaginary scenarios and then getting worked up over it.
This is only sometimes, about 70-80% of the time things are fine and normal.
Will re-read all replies - but just wanted to reply quickly whilst I have a few minutes this morning.
Stress can work for you for sure I'm the same my brain goes to mush when I'm not busy I really prefer to be crazy busy with work but watch out for that worry over the hypothetical things as you put it...the background stress when you're busy you might think is under control but remember that capacity. You might be able to find a way to reduce the day to day maintenance stress and magically that could help resolve the other things you might well not think are related.
I would get a certain task or job or project done and then afterwards feel totally de stressed and calm even though I didn't actually perceive it was causing any stress. It must have been with the weight that left my shoulders when it was done. Picking up all these queues is all part of of longer term management its like learning a new life skill. Not easy!
Jimmy No Hands said:
I think over time I've accredited most of my anxiety to certain factors, primarily job satisfaction, relationship health, alcohol consumption levels and finances. I endured a break up last year, 13 years (we'd been together since school practically) so my entire world as I knew it fell apart. I had to leave our home, and move into a family members house with nothing but four bags and a suit case. I'd just finished a degree also so had no job. Safe to say it was probably the lowest point of my life, I was suffering (and still do) panic attacks and I went off the rails a few times with the drink.
I've arrived at a much better headspace, not through medication or therapy or any traditional methods but just through sheer determination and I suppose, sutbborness. I was determined not to let my head win and started to take things a day at a time, started picking up old hobbies that I never had time for or cared for. I started to eat better and really take note of what I was consuming. Back to basics, I suppose.
New year, I've lost a couple of stone and currently viewing flats in a city I've never lived in before. I'm back into work, not where I'd like to be, but it's easy work and I'm surrounded by a good team. I'm seeing someone new which is a breath of fresh air. I still have plenty of bad days, but each 'good' day is a positive step in the right direction and another rung on the ladder to getting to a better place. A small victory, if you would. It can and does get better.
What you mentioned in your first paragraph is no doubt the “cause “ anxiety always has a cause , your subconscious mind was not at peace with all the background noise you had going on, your internal alarm (anxiety) was ringing loud to get your attention and make some changes. I've arrived at a much better headspace, not through medication or therapy or any traditional methods but just through sheer determination and I suppose, sutbborness. I was determined not to let my head win and started to take things a day at a time, started picking up old hobbies that I never had time for or cared for. I started to eat better and really take note of what I was consuming. Back to basics, I suppose.
New year, I've lost a couple of stone and currently viewing flats in a city I've never lived in before. I'm back into work, not where I'd like to be, but it's easy work and I'm surrounded by a good team. I'm seeing someone new which is a breath of fresh air. I still have plenty of bad days, but each 'good' day is a positive step in the right direction and another rung on the ladder to getting to a better place. A small victory, if you would. It can and does get better.
I think it's hard to overstate the importance of deep breathing exercises to stress and anxiety. IMO
It's the central trick to 95% of the apps, excercises, meditations.
Because it really works, and the physiological process is well studied
Nothing complicated required, get into the habit of deep breathing in stressful situations, and force it into your routine via your favoured method a few times a day.
It's the central trick to 95% of the apps, excercises, meditations.
Because it really works, and the physiological process is well studied
Nothing complicated required, get into the habit of deep breathing in stressful situations, and force it into your routine via your favoured method a few times a day.
I think you should try different therapies before any medication. Perhaps see a physiotherapist too regarding tensing up etc to see if there's any issues with your posture. How you carry yourself can have an effect on how you feel.
CBT can be done on your own or with another person - a search online will provide lots of resources.
Self-help books - read a few of them. I've personally read about a dozen. Some helped better than others.
Group therapy - would you be comfortable speaking in a group setting?
Mindfulness - breathing exercises can help in the moment, in my experience.
You might find the best thing for you is to speak to an actual therapist. The NHS is woefully underfunded in this department so going private is much better.
Ruminating and doing online tests to see if you have X or Y is a rabbit hole, so tread carefully if doing that.
Medication should be considered if the other stuff isn't working. I was on medication for a few years, took me the best part of a year to taper off them but it worked for me. It took a bit of trial and error at the start to find the right one and dosage.
Finding out what works for you is an individual thing. Good luck.
CBT can be done on your own or with another person - a search online will provide lots of resources.
Self-help books - read a few of them. I've personally read about a dozen. Some helped better than others.
Group therapy - would you be comfortable speaking in a group setting?
Mindfulness - breathing exercises can help in the moment, in my experience.
You might find the best thing for you is to speak to an actual therapist. The NHS is woefully underfunded in this department so going private is much better.
Ruminating and doing online tests to see if you have X or Y is a rabbit hole, so tread carefully if doing that.
Medication should be considered if the other stuff isn't working. I was on medication for a few years, took me the best part of a year to taper off them but it worked for me. It took a bit of trial and error at the start to find the right one and dosage.
Finding out what works for you is an individual thing. Good luck.
lizardbrain said:
I think it's hard to overstate the importance of deep breathing exercises to stress and anxiety. IMO
It's the central trick to 95% of the apps, excercises, meditations.
Because it really works, and the physiological process is well studied
Nothing complicated required, get into the habit of deep breathing in stressful situations, and force it into your routine via your favoured method a few times a day.
This is where the breath right nose strips come in handy. It's quite a big relief.It's the central trick to 95% of the apps, excercises, meditations.
Because it really works, and the physiological process is well studied
Nothing complicated required, get into the habit of deep breathing in stressful situations, and force it into your routine via your favoured method a few times a day.
Not medical advice but things that have/are working for me... Not an exclusive list but from the top of my head...
1) ditching or seriously reducing social media. Twitter got completely ditched as it turned into negative toxic clickbait BS and I always left that site feeling more anxious than I was before. I read Instagram but don't have any personal friends on there, more for following accounts and have Reddit but again, only view the subs I've subscribed too. Both only on laptop, not mobile phone.
2) installed an ad blocker (apologies PH admins). For me it's a pain in the arse being constantly bombarded to buy stuff. Stuff I don't need but the science behind the ads keeps tempting me.
3) embraced minimalism. Can be very complicated or extremely simple. I do it the latter way - just ditched stuff I didn't use or didn't need. Quite liberating. Less processions, less stuff to worry about and maintain, less clutter, free-er mind.
4) reduced caffeine intake. I'm now pretty much an americano in the AM only. On the rare occasion I'll have one in the afternoon but PM is mostly decaf or just water cold.
5) reduced alcohol intake. This has been something I've been working on the last 5-6 months and it's really paying dividends now. Monthly alcohol consumption must be 80% lower than this time last year.
6) food and exercise - make time to prepare and eat proper food. No or limited takeaways and processed junk and make exercise part of the daily or weekly routine.
7) journaling is great for freeing up the mind. When the brain feels like it's spinning at a million mph, grab paper and a pen and write down what's flying around up there. Great for freeing up the brain again.
8) meditating is something I've added recently. People will have different methods but I just use headspace before bed.
When a therapist recommended these to me I thought what alot of middle class hippy BS. But amazingly they have worked wonders. They all help towards the most important thing for me, SLEEP. I was a horrendous sleeper before and seeing big improvements now. And the difference in anxiety between and a bad night and good night sleep is frightening.
Another huge help as mentioned above was seeing a therapist. Think I had 10 sessions at £75 a pop and worth every penny. Huge weight of my shoulders just as soon as I sat down and introduced myself to the chap.
1) ditching or seriously reducing social media. Twitter got completely ditched as it turned into negative toxic clickbait BS and I always left that site feeling more anxious than I was before. I read Instagram but don't have any personal friends on there, more for following accounts and have Reddit but again, only view the subs I've subscribed too. Both only on laptop, not mobile phone.
2) installed an ad blocker (apologies PH admins). For me it's a pain in the arse being constantly bombarded to buy stuff. Stuff I don't need but the science behind the ads keeps tempting me.
3) embraced minimalism. Can be very complicated or extremely simple. I do it the latter way - just ditched stuff I didn't use or didn't need. Quite liberating. Less processions, less stuff to worry about and maintain, less clutter, free-er mind.
4) reduced caffeine intake. I'm now pretty much an americano in the AM only. On the rare occasion I'll have one in the afternoon but PM is mostly decaf or just water cold.
5) reduced alcohol intake. This has been something I've been working on the last 5-6 months and it's really paying dividends now. Monthly alcohol consumption must be 80% lower than this time last year.
6) food and exercise - make time to prepare and eat proper food. No or limited takeaways and processed junk and make exercise part of the daily or weekly routine.
7) journaling is great for freeing up the mind. When the brain feels like it's spinning at a million mph, grab paper and a pen and write down what's flying around up there. Great for freeing up the brain again.
8) meditating is something I've added recently. People will have different methods but I just use headspace before bed.
When a therapist recommended these to me I thought what alot of middle class hippy BS. But amazingly they have worked wonders. They all help towards the most important thing for me, SLEEP. I was a horrendous sleeper before and seeing big improvements now. And the difference in anxiety between and a bad night and good night sleep is frightening.
Another huge help as mentioned above was seeing a therapist. Think I had 10 sessions at £75 a pop and worth every penny. Huge weight of my shoulders just as soon as I sat down and introduced myself to the chap.
Hoofy]Some people have recommended drugs of various kinds [snip said:
For me the anxiety attacks were "big" enough that I couldn't employ any calming techniques during them. The beta blockers gave me enough space to recognise them as being a mistake by my brain, at which point I could tackle them more logically. In the two years since my first prescription I've used just under half a packet in total, most of that in the first three months or so (which still wasn't many).
I absolutely agree with those who've said that mindfulness, meditation, and all the other fix-your-own-brain stuff is the right long term approach, and if you can solve your problems with just those then that's a very good way to do it. I was getting full "imminent doom" and fight or flight every time I tried to get a train to London.
Sporky said:
Hoofy said:
Some people have recommended drugs of various kinds
I didn't mean my post as a recommendation, just recounting my experience.For me the anxiety attacks were "big" enough that I couldn't employ any calming techniques during them. The beta blockers gave me enough space to recognise them as being a mistake by my brain, at which point I could tackle them more logically. In the two years since my first prescription I've used just under half a packet in total, most of that in the first three months or so (which still wasn't many).
I absolutely agree with those who've said that mindfulness, meditation, and all the other fix-your-own-brain stuff is the right long term approach, and if you can solve your problems with just those then that's a very good way to do it. I was getting full "imminent doom" and fight or flight every time I tried to get a train to London.
I agree that it can help if things are so bad that you cannot focus. In fact, The Priory do just that - if things are so bad that the client can't be helped through their service, they will administer a relevant drug to get things under control... and then begin the therapy or counselling.
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