Anxiety and depression
Anxiety and depression are terms many people use to describe how they’ve been feeling. They are also commonly diagnosed, and can show up in a wide range of ways, from experiences that feel manageable at times, through to symptoms that have a significant impact on day‑to‑day life.
For some people, anxiety involves persistent worry, tension, or a sense of being on edge. For others, it may show up as restlessness, irritability, difficulty sleeping, or feeling constantly overwhelmed. Depression can involve low mood, exhaustion, loss of interest or motivation, or a sense of heaviness that makes things feel harder to engage with. At times, it can feel more like numbness, or going through the motions without much connection to things that once mattered.

Everyone's experience of anxiety and depression is different
Everyone’s experience of anxiety and depression is different, and symptoms can change over time. They are also rarely caused by a single factor. Stress, loss, health issues, work pressure, relationship difficulties, earlier experiences, and broader life circumstances can all interact in ways that influence how anxiety or depression show up.
As part of my work, I sometimes use screening tools to help understand the level and nature of someone’s distress. These tools can be useful starting points, but they don’t explain the full picture or determine what support will be most helpful. Understanding anxiety and depression involves looking more broadly at what has been happening in someone’s life, and how different influences may be interacting.
Supporting greater emotional expression
The severity and impact of symptoms matter, and different situations call for different responses. For some people, therapy on its own may be sufficient. For others, additional support may be helpful, particularly when symptoms are intense, long‑lasting, or significantly affecting daily functioning. This can include working alongside other professionals such as GPs, psychiatrists, or other health providers, to ensure care is coordinated and responsive to what’s needed.
The aim of this work is to reduce distress and support greater emotional expression and understanding, so symptoms become less intense and more manageable over time.

