Mental Health

What is it– It is a feeling of worry, nervousness or fear of something that is hard to control.  Worrying is normal becomes a problem when worries arise too frequently and getting stuck inside your head and stop us doing normal activities

Types of anxiety- These include the following and click the link for a brief description of each-Generalised anxiety disorder,
This is an anxiety disorder marked by the regular symptoms of anxiety which might be free floating or about multiple life issues or events and usually accompanied by multiple physical symptoms.

Health anxiety A persistent preoccupationor fear about having a serious progressive or life threatening condition., Obsessive compulsory disorderThis is when recurrent panic attacks come out of the blue without any specific warning or trigger and the persistent fear of another attack starts to lead to avoiding behaviours. , Panic disorderThis is when recurrent panic attacks come out of the blue without any specific warning or trigger and the persistent fear of another attack starts to lead to avoiding behaviours. , Social anxiety andThis is an anxiety condition that is characterised b y the persistent fear about one or more social or performance situations due to the risk of being publicly embarrassed or negatively evaluated by others. , Phobia’sThere are many types of phobias e.g agrophobia. They are very common and easzily treatable. The are a group of anxiety disorders that are marked by excessive fear or anxiety when exposed to one or morespcific objects or situations and the anxiety shown is out of proportion to the danger of the actual situation.

Causes- There are many reasons why you become anxious, which means that the cause of anxiety is a result of a mixture of causes ranging from environmental to genetic through to chronic illness and substance misuse.

For example anxiety might stem from poor finances, childhood experiences, unemployment, health concerns, chronic illness such as cancer through to conditions like arthritis

Symptoms– This all depends on the type of anxiety you experience.  Fearful, feeling of impending doom, sensitivity to noise, restlessness, worrying thoughts, insomnia, poor concentration, depression, obsessions, dry mouth, palpitations, stomach upset, breathing issues, chest tightness, period problems, erectile dysfunction.  In addition to this specific objects and situations result in different anxiety symptoms which are known as phobias.

Treatment- Simple methods such as avoid caffeine and identifying the causes for your anxiety followed by the use of talking therapies like CBT better known as cognitive behavioural therapy.  However sometimes talking therapies are not sufficient alone and may require medication.

Our doctors at MyDoc are experienced to understand how difficult living with anxiety is.   They listen to your symptoms and will understand how you feel so they will be able to get the most effective treatment for you as soon as possible.  During your online consultation, our GPs will ask you questions about how you’re feeling, the impact it is having on your life, family and or work and how long you’ve been experiencing these types of symptoms.  We ask questions based on the GAD 7 questionnaire (  GAD7 Anxiety Test Questionnaire | Patient).

The GP will then use this information and will be able to work out which anxiety disorder you may be going through, how serious your anxiety disorder is, and be able to offer you the most appropriate treatment.

*** Please note Mydoc will not prescribe medications such as diazepam or sleeping pills but we are able to refer you promptly to a specialist for further management of your symptoms*****.

Below are useful resources for further information.

Anxiety | Symptoms, Causes and Treatments | Patient

Meditation and Sleep Made Simple – Headspace

Anxiety and panic attacks – NHS (www.nhs.uk)

What is it-  We all feel low and down in our mood time to time but depression is so much more than this and can have a serious negative impact on our lives and family.  Depression is very common.

Lifetime risk is 1 in 4 women and 1 in 10 men. The average episode of depression is 6-8 months with a high risk of recurrence especially if aged under 20 yrs and the elderly.

Those at risk– Anyone going through stressful event (moving house, bereavement,), psychosocial issues such as unemployment, poverty, being a carer, domestic violence), isolation resulting in a lack of support and confiding relationships.  Other causes can be chronic illnesses as well as a family history of depression, another mental health illness and medication (steroids, oral contraceptives, beta blockers, and some parkinson medications) 

Symptoms– Loss of interest, low mood (both are key features and 1 of the 2 must be present), significant weight gain or loss, sleeping problems, agitation, slowing down, fatigue, feeling worthless or guilty, reduced concentration, and indecisiveness, recurrent thoughts of death and even suicidal thoughts. Other symptoms include low self-esteem, little or no sex drive, anxiety, aches and pains or constipation.

IF YOU ARE EXPERIENCING SYMPTOMS OF WANTING TO HARM YOURSELF OR OTHERS PLEASE DIAL 111 or ATTEND YOUR NEAREST AE DEPARTMENT

Treatment Our GPs have years of experience in recognising the symptoms of depression.  They are here to listen to you, assess your symptoms and suggest practical next steps that will help you lead a happier more fulfilled life. They will ask questions taken from the PHQ 9 ( PHQ-9 Depression Test Questionnaire | Patient) to determine the impact this is having on your life.  

Once our GPs have listened then they will be able to advise on the next stage of management.  Treatment usually begins with simple changes such as joining self help groups, top smoking and alcohol intake, increasing exercise but sometimes talking therapies and / or medication will be needed.  Depending on the severity of your symptoms will depend on the type of management our GPs will do.  

If you decide to commence medication, then MyDoc offers you a free consultation 2-4 weeks after starting your treatment so that our GPs can see if the treatment is helping, or if any side effects.  Once starting treatment then it is recommended by NICE that you continue for at least 6 months and then if appropriate to come off slowly over a course of 4 weeks.

Below are a few links that offer you further resources and information

Depression – NHS (www.nhs.uk)

Depression | Symptoms, Causes and Treatment | Patient

Meditation and Sleep Made Simple – Headspace

What is it- Grief is a unique experience for each person. It results from losing someone or something to close to you.

Who is affected- Anyone who has lost something or someone close to them such as the death of a family member or friend but also can result from the loss of a relationship, a job or something entirely unique to the person. 

Symptoms- Grief can be acute (new) and is characterised by feelings of disbelief, difficulty in comprehending the reality of the loss, anger, bitterness, guilt, blame, crying, numb, tiredness, exhaustion, impaired ability to function with everyday activities (socially, going to work, school run etc), emotional and physical pain, loss of sense of self or purpose, feelings of being disconnected from people, difficulty in making future plans, not eating properly, lack of sleep or poor sleep quality, not coping, not looking after family properly or feelings of guilty. 

If you are experiencing any of these symptoms Mydoc can help. Go online and book an appointment same day in the comfort of your own home.

However, grief becomes abnormal if it is prolonged after the acute loss and continues > 6 months (prolonged grief). It is usually diagnosed when there is marked distress and disability cause by the initial grief reaction and is persistent beyond 6 months.

Grief can be linked to mental illness as depression, anxiety, Post traumatic stress disorder (PTSD) and alcohol abuse can all occur after a bereavement.

Treatment- Most importantly is give yourself time and space to come to terms with the loss and that everyone is different and take different times to get better. Although it is normal to feel grief if you feel that you are struggling then do make an appointment from the comfort of your home and speak to one of our GP’s. 

The main stay of treatment is to keep routine, stay healthy with a healthy diet, talk to family and friends and avoid medication. 

MyDoc can offer you support through advice on services available and can even do a same day referral to a psychologist or psychiatrist.  If you feel you do not want to talk to one of the team then go to the MyConsult link and one of our GPs will read through and be able to send you a referral letter the same day.

Below are few useful links 

Home – Cruse Bereavement Support

Get urgent help for mental health – NHS (www.nhs.uk)

Get help with grief after bereavement or loss – NHS (www.nhs.uk)

Symptoms – Clinical depression – NHS (www.nhs.uk)

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How can we help?

Mydoc offers virtual consultations online and via a smartphone and this can be same day or at a day and time that is convenient to our client.

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