How can I tell if I have a mental health problem?

Common mental health problems such as depression and anxiety affect one in four people. But it’s still something that lots of people find hard to talk about, which can mean that many people keep their feelings about having a mental health problem a secret, even from close family and friends. You can’t always tell if someone has a mental illness – people might look as though they’re fine and doing well, when actually they’re silently struggling. If someone has bipolar disorder, they may show significant mood swings, or appear more withdrawn if they are dealing with self-harm or negative thoughts, but everything is dependent on the individual and there is no one way to know whether someone is unwell.

Are drugs better or therapy better for mental health conditions?

Different people will find that different treatments help to manage their mental health – whether this is medication, or alternatives such as talking therapies, exercise or a mixture. While antidepressants can be effective for some, they are not the solution for everyone and are not generally recommended as a first-line treatment for mild to moderate depression. Anyone taking antidepressants should be made aware of the possible pros and cons for them, and they should have their treatment reviewed regularly. Talking therapies such as cognitive behavioural therapy (CBT) and counselling are becoming more widely available. Giving people a choice of treatments is key, whether that’s drugs, talking therapies, or alternatives such as arts therapy or exercise.

Are there lifestyle changes I can make to improve my mood?

Research shows that exercise helps to improve mood. It doesn’t have to involve working out at a gym. Regular walks can be enough. Some people also feel better when they’re exposed to sunlight. Try spending more time outdoors. When you’re depressed, you may not feel like being around people, but it helps to keep up social contact. Similarly, it helps to stay active and maintain your daily routine, even if you don’t feel like it.

What advice would you give to men who are reluctant to do therapy?

Try it. Regardless of gender. Nerves are normal. The initial feelings of fear or trepidation will ease quite soon into the process. There is usually very little pressure to speak about issues in too much depth and the pacing of the session will always be adjusted by the therapist to suit an individual need. Take a chance and try it out. If you don’t connect with the therapist in first few sessions, then try a different therapist.