Dealing with anxiety is a common challenge faced by many people in today's fast-paced society. It's essential to understand what anxiety is, how it impacts our lives, and how to best manage it. In this article, we'll explore the various ways anxiety affects our mental and emotional wellbeing, as well as our daily routines. Our aim is to provide you with the knowledge and tools you need to better identify anxiety and take action for a more balanced lifestyle.
Key Takeaways
Anxiety is a natural human emotion which, when prolonged or excessive, can lead to various challenges.
Understanding the different types and symptoms of anxiety can help individuals seek appropriate support and care.
Addressing anxiety early can prevent long-term negative impacts on one's work and personal relationships.
Implementing self-help strategies and making lifestyle changes can help individuals manage anxiety effectively.
Professional counselling and therapy services, like those offered by Ifow Psychology, can assist individuals in overcoming anxiety-related challenges and achieving a balanced life.
Defining Anxiety in the Modern World
As we navigate the complexities of modern life, it's crucial to understand what anxiety entails, how it manifests, and how to distinguish between its various forms. In this section, we'll delve into the psychological underpinnings of anxiety, provide clarity on different anxiety disorders, and dispel some common misconceptions to foster a more comprehensive understanding of this mental health challenge.
The Psychological Landscape of Anxiety
Anxiety, by definition, is a natural response to stress or perceived threats, often characterised by feelings of apprehension, fear, or worry. While a certain degree of anxiety is normal and even helpful in some situations, modern anxiety has evolved into a more complex issue, sometimes developing into debilitating disorders that adversely affect one's daily life.
Gaining a psychological understanding of anxiety enables us to identify the factors contributing to its emergence and manage it more effectively.
Types of Anxiety Disorders
There are several types of anxiety disorders, each with its distinct characteristics. Some of the most common include:
Generalised Anxiety Disorder (GAD) - characterised by chronic, excessive and uncontrolled worry about everyday issues.
Panic Disorder - involves sudden, intense feelings of terror, often accompanied by physical symptoms like a racing heart, shortness of breath, and dizziness.
Social Anxiety Disorder - an overwhelming fear of social situations, leading to extreme self-consciousness and avoidance of social interactions.
Phobias - irrational fears of specific objects, situations, or activities that pose little to no actual danger.
Post-Traumatic Stress Disorder (PTSD) - a response to a traumatic event, often resulting in recurring memories, flashbacks, and unpredictable emotional reactions.
Common Myths About Anxiety
Dispelling prevalent anxiety myths can help build a more accurate and well-informed perspective, ultimately aiding in more effective support and treatment. Some common misconceptions include:
Myth: Anxiety is a sign of personal weakness.
Fact: Anxiety disorders are genuine mental health conditions, often resulting from various biological and environmental factors, and are not indicative of one's character or resilience.
Myth: Anxiety is a temporary issue that will eventually go away on its own.
Fact: While occasional anxiety is natural, anxiety disorders can persist and worsen if left unaddressed, potentially leading to long-term negative consequences on one's wellbeing.
Myth: People with anxiety disorders can simply "snap out of it" if they try hard enough.
Fact: Overcoming anxiety disorders often requires targeted intervention, including psychological counselling, lifestyle changes, and sometimes medication, as opposed to sheer willpower alone.
By better understanding the nuances of anxiety and debunking common myths, we can foster a more empathetic and informed approach towards mental health, ultimately helping those affected find the support they need.
Recognising Anxiety Symptoms
In this section, we will discuss how to recognise the various symptoms of anxiety, ranging from the physical to the emotional and behavioral signs. Identifying the spectrum of anxiety severity can help individuals realise when professional help, such as counselling for anxiety, may be beneficial.
Physical Signs of Anxiety
Physical anxiety signs are often the first indicators that something is amiss. Some common physical symptoms of anxiety include:
Increased heart rate
Shortness of breath or rapid breathing
Muscle tension
Sweating
Headaches
Stomachaches or digestive issues
Insomnia or trouble staying asleep
Trembling or shaking
Feeling lightheaded or dizzy
Emotional and Behavioral Indicators
In addition to physical symptoms, recognising anxiety also involves understanding the emotional and behavioral indicators. These can manifest in various ways, such as:
Constant worry or nervousness
Irritability or feeling on edge
Difficulty concentrating or focusing
Fear of impending disaster or worst-case scenarios
Restlessness or constant fidgeting
Difficulty controlling irrational thoughts and fears
Apprehension in social situations
Avoidance of triggers or situations that induce anxiety
The Spectrum of Anxiety Severity
Anxiety can range from mild to severe, often fluctuating over time or depending on life circumstances. Being able to recognize the severity of anxiety can help guide individuals towards the appropriate level of support. The following table provides an overview of the different levels of anxiety severity.
Mild Anxiety | Moderate Anxiety | Severe Anxiety |
Occasional worry or nervousness | Frequent worry or anxiety that disrupts daily routine | Constant, overwhelming anxiety or panic attacks |
Physical symptoms are minor or infrequent | Noticeable physical symptoms, such as increased heart rate and muscle tension | Debilitating physical symptoms that interfere with daily activities |
Situational anxiety that can be managed | Persistent feelings of anxiety without a specific cause | Intense, irrational fear or avoidance of situations or objects |
It is essential to recognise the level of anxiety one is experiencing and seek professional help when necessary. Counselling for anxiety can be a valuable support option in managing symptoms, with potential to improve overall wellbeing and daily functioning.
What Anxiety Is and Its Impact on Daily Life
In this section, we will deeply analyse the impact of anxiety and how it can infiltrate various aspects of our daily lives. Anxiety can affect both our work performance and personal relationships, creating a multitude of daily life challenges.
Left unchecked, anxiety can become increasingly pervasive, negatively affecting an individual's overall wellbeing. Early detection and addressing the underlying causes of anxiety are crucial in mitigating its long-term anxiety effects on daily life.
Some common areas of daily life affected by anxiety include:
Work performance and productivity
Social interactions and relationships
Physical health and sleep patterns
Mental and emotional wellbeing
Frequent or excessive feelings of worry, stress, or fear can hinder an individual's ability to concentrate and perform tasks effectively, leading to a decline in productivity and overall job satisfaction. Anxiety can also make social interactions more difficult, straining personal relationships and potentially contributing to feelings of isolation and loneliness. Additionally, anxiety can cause or exacerbate physical health issues such as headaches, digestive problems, and sleep disturbances, further disrupting daily living.
"Anxiety does not empty tomorrow of its sorrows, but only empties today of its strength." – Charles Spurgeon
Ultimately, the impact of anxiety on daily life underscores the importance of addressing and coping with this mental health challenge as early as possible. By seeking the necessary support and implementing effective coping strategies, individuals can work towards living a healthier, more balanced life free from the debilitating effects of anxiety.
Anxiety in the Australian Context
In Australia, anxiety is a significant mental health issue that affects people of all backgrounds and ages. By examining Australian anxiety statistics and cultural perspectives on mental health, we can gain an understanding of the impact and the challenges surrounding anxiety in the Australian context.
Statistical Overview of Anxiety in Australia
According to the Australian Bureau of Statistics National Survey of Mental Health and Wellbeing, anxiety disorders affect around 14% of the adult population, making it the most common mental health issue in the country.
The two most prevalent types of anxiety disorders are generalised anxiety disorder (6.2%) and social phobia (4.7%). Women are found to be more likely to experience anxiety disorders than men, and the age group most affected by anxiety are those aged 25 to 34 years old.
Cultural Attitudes Towards Mental Health
Australia has made significant progress in recent years to break down stigmas around mental health, including anxiety disorders. Increased public awareness and understanding of mental health issues have led to improvements in access to services and support networks. The Australian government has also invested in mental health initiatives that raise awareness and promote help-seeking behaviors.
However, cultural factors still play a role in shaping the way people seek help for mental health issues such as anxiety. For some, traditional beliefs or family expectations can hinder open discussions about mental health issues and access to appropriate support. Greater emphasis on cultural sensitivity and inclusivity within mental health care services is needed to ensure that all Australians feel comfortable seeking help when needed.
In conclusion, understanding the Australian anxiety statistics and cultural perspectives towards mental health is vital in identifying the challenges faced by those with anxiety disorders. By addressing these challenges, we can continue to work towards better support and solutions for all Australians affected by anxiety.
Biological Underpinnings of Anxiety
As we explore the complex nature of anxiety, it is crucial to understand the biological factors contributing to the development and manifestation of this mental health issue. In this section, we delve into the role of genetics in determining an individual's predisposition to anxiety, as well as the influence of neurochemistry on mood and emotional regulation.
The Role of Genetics in Anxiety
Research has shown that the genetics of anxiety play a significant part in vulnerability to developing the condition. Twin and family studies suggest that anxiety disorders have a heritability ranging between 30% to 50%, indicating that genetics can account for nearly half of the variability in anxiety susceptibility. This means that an individual with family members who have experienced anxiety may be at a higher risk of developing the disorder themselves.
However, it is essential to note that the relationship between genetics and anxiety is complex and multifaceted. No single gene has been identified as the primary cause of anxiety; instead, multiple genes interact with environmental factors, such as exposure to stressful life events, to influence the likelihood of developing an anxiety disorder.
Neurochemistry and Its Effects on Mood
The neurochemistry of the brain, which refers to the chemical messaging that occurs between nerve cells, also has a significant impact on our emotions and psychological well-being. Imbalances in specific neurotransmitters – the chemical messengers that transmit information between nerve cells – are believed to contribute to the development and severity of anxiety symptoms. Some key neurotransmitters involved in anxiety include serotonin, dopamine, and gamma-aminobutyric acid (GABA).
Serotonin is a neurotransmitter that plays a crucial role in the regulation of mood. Low levels of serotonin have been associated with increased anxiety and depression. Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), work by increasing the availability of serotonin in the brain, alleviating symptoms of anxiety.
Dopamine is another neurotransmitter with a significant influence on mood and reward-related behaviours. Dysregulation of dopamine can lead to an increased susceptibility to anxiety and emotional dysregulation.
GABA is the primary inhibitory neurotransmitter in the brain and plays a critical role in emotional regulation by decreasing neuronal excitability. Reduced levels of GABA have been implicated in anxiety symptoms, paving the way for the development and use of anti-anxiety medications (i.e. benzodiazepines) that target GABA receptors and promote relaxation.
In summary, understanding the biological underpinnings of anxiety, including the genetics of anxiety and the complex mood effects of neurochemistry, is vital for the development of more effective therapeutic treatments.
This knowledge enables healthcare professionals to provide tailored support to individuals struggling with anxiety, fostering a personalised approach to mental health care.
Anxiety and Its Relationship with Other Mental Health Issues
In this section, we explore the intricate connections between anxiety and other mental health issues, such as depression and substance use. Understanding these relationships is crucial in designing comprehensive mental health care services tailored to address the overall well-being of an individual.
Comorbidity with Depression
Anxiety and depression often coexist, leading to the concept of comorbidity. People experiencing anxiety may be more susceptible to develop depression, and vice versa. The overlap of symptoms and risk factors between these two mental health issues can create challenges in accurate diagnosis and treatment.
It is essential for mental health professionals to consider the possibility of comorbidity when designing treatment plans for clients who present with symptoms of both anxiety and depression.
"Comorbidity between anxiety and depression is a common phenomenon that can complicate the diagnosis and treatment process."
Substance Use and Anxiety
Substance use is another mental health issue that has a complex relationship with anxiety.
Individuals may resort to substances such as alcohol, drugs, or tobacco to cope with or escape from feelings of anxiety. However, this can lead to a vicious cycle, as substance use may eventually exacerbate anxiety symptoms and create additional health issues.
Substance Type | Potential Effects on Anxiety |
Alcohol | Temporary relief but can lead to dependence and worsened anxiety during withdrawal |
Drugs (e.g., cannabis, opioids) | Can cause or aggravate anxiety disorders, depending on the drug and usage pattern |
Tobacco | Nicotine may offer short-term relief, but withdrawal symptoms can heighten anxiety |
When treating anxiety, mental health professionals should be mindful of any potential substance use issues and address them to ensure a holistic approach to care. By comprehending the interplay between anxiety, depression, and substance use, we can better tailor intervention strategies and offer appropriate support to those affected by these mental health concerns.
Methods to Cope with Anxiety
In this section, we explore various coping strategies and lifestyle changes that can assist individuals in managing their anxiety symptoms. Implementing these practical tips can bring relief and improvement in one's quality of life.
Self-Help Strategies for Managing Anxiety
There are numerous self-help anxiety management techniques available, which can significantly help in reducing your symptoms. Some methods we recommend trying in times of anxiety include:
Deep breathing exercises: Practicing slow and controlled breathing can help reduce the feelings of panic and stress.
Mindfulness: Regular mindfulness practice can aid in creating a sense of calmness and better control over emotions.
Journaling: Writing down your thoughts and feelings can be a powerful way to process emotions and gain perspective on your anxiety.
Exercise: Engaging in regular physical activities can release endorphins, which help relieve stress and improve mood.
Time management: Organising your daily routines and implementing a consistent schedule can provide a sense of stability in times of anxiety.
Lifestyle Changes that Can Reduce Anxiety
In addition to self-help strategies, incorporating certain lifestyle changes can also contribute to reducing anxiety. We recommend implementing the following adjustments in your daily life to further manage your anxiety symptoms:
Healthy diet: Eating well-balanced meals and staying hydrated can have a positive effect on your overall well-being, which can consequently help with anxiety management.
Sleep: Prioritising sleep and creating a healthy sleep schedule are crucial for maintaining mental balance.
Reducing caffeine intake: Limiting caffeine consumption can help in decreasing feelings of anxiety and restlessness.
Stress-reduction techniques: Incorporating relaxation techniques, such as yoga, into your daily routine can aid in alleviating stress and anxiety.
Building social support: Connecting with friends, family, and support groups can provide valuable emotional backing in times of need.
By adopting these self-help anxiety management techniques and lifestyle changes, individuals struggling with anxiety can experience substantial improvements in their well-being and overall quality of life.
Professional Help: Counselling for Anxiety
While self-help strategies and lifestyle changes can be effective in many cases, it is essential to acknowledge that seeking professional anxiety help might be necessary for some individuals. The benefits of therapy services, such as counselling for anxiety, can provide individuals with personalised guidance, evidence-based techniques, and ongoing support, which can significantly improve their ability to manage and overcome the challenges caused by anxiety.
When searching for professional help, it is crucial to choose a provider who specialises in anxiety and adopts a tailored approach to therapy. A qualified and experienced therapist will utilise evidence-based practices and techniques, while continually monitoring an individual's progress and adjusting the treatment plan as needed.
"Counselling for anxiety provides a safe and supportive space for individuals to explore their thoughts, feelings, and behaviours, allowing for greater self-awareness and the development of effective coping strategies."
Here are some therapy options commonly used by professionals to support individuals struggling with anxiety:
Cognitive Behavioural Therapy (CBT): A widely recognised therapy technique that focuses on identifying and challenging unhelpful thinking patterns, while simultaneously cultivating adaptive behaviours and coping strategies.
Acceptance and Commitment Therapy (ACT): A mindfulness-based approach that encourages individuals to accept their thoughts and feelings, rather than trying to control or eliminate them. This helps to develop greater psychological flexibility and the ability to move towards values-based goals.
Dialectical Behaviour Therapy (DBT): Initially developed to treat individuals with borderline personality disorder, DBT is now acknowledged for its applicability to those struggling with anxiety and other mental health issues. This therapy emphasises skills development, such as emotional regulation and interpersonal effectiveness, to improve an individual's ability to confront and respond to distressing situations.
Choosing the right therapy service and provider holds significant importance in effectively managing anxiety. Below is a table representing some critical factors to consider when seeking professional anxiety help:
Factors to Consider | What to Look For |
Qualifications | Ensure the therapist holds appropriate credentials and registration with a recognised professional body, namely the Australian Health Practitioner Regulation Agency (AHPRA). |
Experience | Seek a therapist who has a demonstrated history of successfully treating individuals with anxiety and related issues. |
Approach | Identify a provider who adopts a tailored approach to therapy, using evidence-based techniques suited to an individual's unique needs and goals. |
Compatibility | Consider the rapport and comfort level with the therapist, as a strong therapeutic relationship can enhance the chances of successful treatment outcomes. |
In conclusion, while self-help strategies and lifestyle changes can be helpful, pursuing professional counselling for anxiety can offer additional support and resources to aid in the effective management of anxiety. Individuals should explore various therapy options and be diligent in selecting a qualified and experienced provider to ensure successful treatment outcomes.
Finding an Anxiety Therapist or Psychologist
Embarking on the journey towards mental wellbeing starts with connecting with the right anxiety therapist or psychologist. In this section, we delve into the factors to consider when choosing the most suitable professional, and introduce Ifow Psychology's services in Sydney as a commendable option for assistance.
Criteria for Choosing the Right Professional
When seeking an anxiety therapist or psychologist, it's essential to keep a few criteria in mind, such as:
Experience: Ensure the professional has experience in treating individuals with anxiety disorders.
Qualifications: Verify their academic qualifications, certifications, and relevant affiliations such as being a member of the the Australian Psychological Society (APS) or Australian Association of Psychologists Inc (AAPi).
Therapeutic approach: Determine if their therapeutic methods match your needs and preferences (e.g. cognitive behavioural therapy).
Communication style: Don't underestimate the importance of a good rapport; ensure you feel comfortable discussing personal concerns with the therapist.
By considering these factors in your decision-making process, you increase the likelihood of successful treatment and a positive therapeutic experience.
ifow Psychology's Services in Sydney
One reputable anxiety treatment provider is ifow Psychology, which offers a range of psychological services in Sydney. Catering to individuals suffering from anxiety, among other mental health concerns, ifow Psychology's compassionate team of qualified professionals utilises evidence-based therapeutic approaches, such as cognitive behavioural therapy, to help clients gain insights into their condition and develop coping strategies.
Contact Details | Address |
Phone: 02 6061 1144 | 48 Norton Street Leichhardt NSW 2040 |
Website: https://www.iflowpsychology.com.au | Email: admin@iflowpsychology.com.au |
By considering ifow Psychology's services, you can start your healing journey with a team committed to providing top-tier professional support tailored to your individual needs.
Therapeutic Treatment for Anxiety: What to Expect
In this section, we will discuss therapeutic treatments for anxiety, including cognitive behavioral therapy and medication options. These treatments can contribute significantly to managing anxiety and improving an individual's overall wellbeing.
Understanding Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy (CBT) is a highly effective therapeutic treatment for anxiety that aims to modify unhelpful thought patterns and behaviours. It is a short-term, goal-oriented therapy focusing on identifying, understanding, and changing negative thinking and behavioural patterns.
During CBT sessions, individuals work closely with a trained therapist to identify their specific cognitive distortions and develop practical strategies to combat them. Typical elements of CBT include monitoring thoughts, challenging irrational beliefs, and engaging in practical activities to alter maladaptive behaviours.
While the therapeutic process is different for each person, many individuals experience significant improvements in their anxiety symptoms after participating in CBT.
Exploring Medication as a Treatment Option
Medication is unnecessary for many people. Therapy for anxiety is usually as effective as medication and better in the long term. Psychological therapy should generally be undertaken before medication is prescribed.
Where required, however, medication treatment for anxiety can effectively manage symptoms and improve daily functioning, when prescribed by a medical professional. The most common medications prescribed for anxiety include:
Antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs)
Benzodiazepines, which offer short-term relief from acute anxiety symptoms
Beta-blockers, which can help control physical symptoms of anxiety, such as a racing heart or trembling
Buspirone, which works by increasing serotonin levels and can be effective for generalised anxiety disorder (GAD)
It's important to consult with a healthcare professional when considering medication as a treatment option. They will assess your individual needs and recommend the most appropriate medication and dosage for your specific situation.
In conclusion, individuals struggling with anxiety can benefit from various therapeutic treatments, such as CBT and medication. By understanding these available options and seeking professional advice, individuals can better manage their anxiety and work towards improved mental health and wellbeing.
Strategies to Cope with Anxiety and Stress
In this section, we provide a compilation of effective strategies and techniques to deal with anxiety and stress. By emphasising the importance of a good support system, our goal is to offer hope and practical measures to those in need.
Stress Reduction Techniques
Reducing stress is an essential part of coping with anxiety. Here are some stress reduction techniques that can help:
Mindfulness and deep breathing exercises can help in calming the mind and regulating emotions.
Regular exercise, such as yoga or walking, can release tension and boost mood-boosting endorphins.
Setting aside time for hobbies and relaxation, ensuring a balance between work and leisure.
Getting enough sleep, as inadequate rest can exacerbate anxiety symptoms.
Avoiding excessive consumption of alcohol, caffeine, and sugar, as they can aggravate stress and anxiety.
Maintaining a Support System
Support systems are crucial in dealing with anxiety. They provide emotional, practical, and informational assistance. Here's how to maintain and strengthen your support system:
Stay connected with friends and family, sharing your thoughts and feelings with people you trust.
Join local support groups or online forums, providing a space to connect with others who may be experiencing similar challenges.
Seek professional help from therapists or psychologists to discuss and improve coping strategies.
Consider attending workshops or classes to learn new stress management techniques and enhance your overall emotional wellbeing.
By implementing these coping with anxiety strategies and focusing on stress reduction techniques and the maintenance of your support systems, it is possible to achieve a more balanced and fulfilling life. We encourage you to take the first step towards better managing your anxiety and stress by trying out these tools and techniques.
Conclusion
In this article, we have covered a wide range of topics surrounding anxiety, its impacts on daily life, its biological underpinnings, and the various ways individuals can manage and overcome it. By understanding and recognising the symptoms, individuals can take control of their anxiety and begin their journey towards a balanced and healthier lifestyle.
Taking the Next Steps Towards Managing Anxiety
There are many valuable tools and resources available to help manage anxiety, from self-help strategies to professional counselling and therapy.
It's important to keep in mind that seeking professional help is an essential step in the process, and navigating the various therapeutic treatment options can be made easier with the guidance of a knowledgeable professional. Remember that your commitment and effort are pivotal in managing anxiety and improving your quality of life.
Contact ifow Psychology for Support
If you or someone you know is struggling with anxiety, don't hesitate to reach out for support.
ifow Psychology offers comprehensive mental health services, including counselling for anxiety, and can help guide you through the process of recovery. Stay proactive in your journey, and always remember that help is available. Together, we can work towards overcoming anxiety and living happier, more fulfilling lives.
FAQ
What are the different types of anxiety disorders?
There are several types of anxiety disorders, including Generalised Anxiety Disorder (GAD), Social Anxiety Disorder, Panic Disorder, Phobias, Obsessive-Compulsive Disorder (OCD), and Post-Traumatic Stress Disorder (PTSD).
How can I recognise the symptoms of anxiety?
Anxiety symptoms can be physical, emotional, or behavioral. Physical signs of anxiety may include rapid heartbeat, shortness of breath, sweating, and nausea. Emotional and behavioral indicators can comprise restlessness, constant worry, irritability, and difficulty concentrating.
What self-help strategies can help in coping with anxiety?
Self-help strategies for managing anxiety include deep breathing exercises, meditation, progressive muscle relaxation, engaging in regular physical activity, setting aside dedicated relaxation time, and keeping a journal to express and reflect on feelings.
When is it essential to seek professional help for anxiety?
It's crucial to seek professional help, such as counselling for anxiety, when symptoms become overwhelming, have a significant impact on daily life, or when self-help strategies alone do not provide relief from anxiety.
How do I choose the right anxiety therapist or psychologist?
Look for a professional who is experienced in anxiety disorders, has a strong track record of success, and employs evidence-based therapeutic techniques such as Cognitive Behavioural Therapy (CBT).
Ensure the therapist or psychologist exhibits a compassionate and understanding approach that aligns with your personal values and preferences.
What can I expect from therapeutic treatment for anxiety?
Therapeutic treatment for anxiety may involve Cognitive Behavioural Therapy (CBT) to address thought patterns and behaviour, as well as Exposure Therapy for specific phobias and anxiety triggers. In some cases, medication may be recommended by a healthcare professional as part of the treatment plan.
What are some strategies to cope with anxiety and stress?
Effective strategies to cope with anxiety and stress include engaging in regular exercise, practicing mindfulness meditation, establishing a support system of friends and family, and employing stress-reduction techniques such as deep breathing exercises or progressive muscle relaxation.
Find a Psychologist
Professional support is available if you or someone you know is experiencing difficulty or you want to optimise your life. Contact iflow Psychology today. Call 02 6061 1144 to schedule an appointment.
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Disclaimer
The information provided on this website is for informational purposes only. Before making any decisions, we recommend consulting your treating doctor, health professionals, and legal representatives. This is particularly important if you have health concerns, existing mental health or medical conditions, or if you feel you are not coping.
(c) Dean Harrison 2023