Nobody chooses to have anxiety. I’m not talking about that anxious feeling you might get before flying or before an exam. Instead, I mean general anxiety, where you overthink most things and live in a state of heightened angst and awareness most of the time.

Our youngest is back at uni tomorrow. He has mixed feelings. He’s looking forward to a more ‘him’ mix of modules this semester, but he’s also very anxious because it’s a new timetable, new lectures, possible new lecturers and, unlike many of his peers, he’s at uni 5 days a week.

Because uni has been harder than any of us anticipated, he has taken steps to keep his anxiety under control, and as I wrote last week, he has been to see the GP, mental health nurse and then therapist, and CBT will continue this coming week.

What we all need to remember, is that anxiety is not a choice. Like depression and other mental health issues, anxiety is not something you can change with a positive mental attitude or by simply stopping worrying. And anxiety can cause ripples that make other things less bearable.

If I am anxious, I get more jumpy, more stressed and my eating patterns change (either increasing or decreasing). I also get palpitations, and I sometimes get IBS symptoms. Anxiety causes an increase in cortisol, and our bodies go into fight, flight or freeze mode. Anxiety is a throw back to our hunter gatherer ancestors. Going into survival mode when predator was close, or when you travelled to a new area where there may be unknown dangers meant you were more likely to survive. Going into survival mode because there is a stressor you cannot control in the 21st Century means that our busy modern lives may be impacted.

There are lots of things we can do when we feel anxious. Being outside, going for walks, and being near animals may help, as can yoga, controlled breathing, mindfulness, grounding and similar activities. I find playing loud music and screaming (or swearing) really loud whilst driving in the middle of nowhere very cathartic and it definitely helps to relieve short term anxiety and stress, but it’s not something my vocal chords could manage on a daily basis!

So, what do we do when anxiety comes calling? If possible, we remove the stressor(s), but this is not always possible. We use different techniques and activities, we talk to health care professionals, we take medication (if appropriate or advised) and we take each day at a time. We also need to be honest and talk to people we trust about what’s going on. As I wrote last week, mental health is health, and we need to talk more about how we are feeling. I write in my book (available here) about how we need a tribe, a circle of friends – or even just one or two people – who we can turn to and who will listen.

As the saying goes, a problem shared is a problem halved. Talking to someone you trust really can make a huge difference. If there isn’t anyone you can talk to, then you can contact your GP, you can self refer to talking therapy services through the NHS, and you can talk to the Samaritans, the NHS Crisis line, and other organisations. The list below is listed directly from the MIND website – link here – but remember anxiety can affect any of us, and you don’t need to be alone.

• Samaritans. To talk about anything that is upsetting you, you can contact Samaritans 24 hours a day, 365 days a year. You can call 116 123 (free from any phone), email jo@samaritans.org or visit some branches in person. You can also call the Samaritans Welsh Language Line on 0808 164 0123 (7pm–11pm every day).
• SANEline. If you’re experiencing a mental health problem or supporting someone else, you can call SANEline on 0300 304 7000 (4.30pm–10.30pm every day).
• National Suicide Prevention Helpline UK. Offers a supportive listening service to anyone with thoughts of suicide. You can call the National Suicide Prevention Helpline UK on 0800 689 5652 (6pm to midnight every day).
• Campaign Against Living Miserably (CALM). You can call the CALM on 0800 58 58 58 (5pm–midnight every day) if you are struggling and need to talk. Or if you prefer not to speak on the phone, you could try the CALM webchat service.
• Shout. If you would prefer not to talk but want some mental health support, you could text SHOUT to 85258. Shout offers a confidential 24/7 text service providing support if you are in crisis and need immediate help.
• The Mix. If you’re under 25, you can call The Mix on 0808 808 4994 (3pm–midnight every day), request support by email using this form on The Mix website or use their crisis text messenger service.
• Papyrus HOPELINEUK. If you’re under 35 and struggling with suicidal feelings, or concerned about a young person who might be struggling, you can call Papyrus HOPELINEUK on 0800 068 4141 (24 hours, 7 days a week), email pat@papyrus-uk.org or text 07786 209 697.
• Nightline. If you’re a student, you can look on the Nightline website to see if your university or college offers a night-time listening service. Nightline phone operators are all students too.
• Switchboard. If you identify as gay, lesbian, bisexual or transgender, you can call Switchboard on 0300 330 0630 (10am–10pm every day), email chris@switchboard.lgbt or use their webchat service. Phone operators all identify as LGBT+.
• C.A.L.L. If you live in Wales, you can call the Community Advice and Listening Line (C.A.L.L.) on 0800 132 737 (open 24/7) or you can text ‘help’ followed by a question to 81066.
• Helplines Partnership. For more options, visit the Helplines Partnership website for a directory of UK helplines. Mind’s Infoline can also help you find services that can support you. If you’re outside the UK, the Befrienders Worldwide website has a tool to search by country for emotional support helplines around the world.

Urgent mental health helpline

England

If you live in England, you can call a local NHS urgent mental health helpline for support during a mental health crisis. Anyone can call these helplines, at any time.

These helplines offer similar support to a crisis team. The NHS website has more information on urgent mental health helplines, including how to find your local helpline.

Wales

In Wales, you can contact NHS 111 and select option 2. This will put you through to an NHS helpline offering 24/7 urgent mental health support. Visit the NHS 111 Wales website to find out more about this service.