Welcome to Trent PTS

Working in partnership with the

You Are Not Lazy, I Promise

How anxiety can cause fatigue

     The sleepiness. The constant yawning. The heavy feeling in your limbs and eyes. “Why can’t I get up?” “Why am I so lazy all the time?” “I don’t have any reason to be tired, so why am I?” These thoughts and feelings can plague people with depression. It’s hard enough to have the feelings of hopelessness and loneliness, but to be tired all the time as well? That can only make it worse.

           The secret is that anxiety and depression are exhausting things to have to deal with. Studies have shown that anxiety and depression increase physical fatigue. But why is this?

           When a person experiences anxiety (long-term stress about future or hypothetical events that is not easily prevented or stopped), certain physiological symptoms occur. Because anxiety is “stress” that is in response to something that hasn’t happened yet, it creates similar responses in the body to that of a “fight or flight” response. People experience shaking, sweating, pounding heart beats, quicker breathing, nausea or more. These symptoms, when the stressor is removed (or when anxiety is soothed), subside; this leaves way for the less popularly known “rest and digest response”. 

           Essentially, the “rest and digest” response is the opposite to the “fight or flight”. Heart beat slows, breathing slows, adrenaline is removed from the bloodstream and blood returns to the digestion tract to increase blood sugar. The problem is that when people experience long-term anxiety, seemingly constant anxiety, or many bursts of anxiety, it tires the body out. Not to mention the mental energy it takes to experience that anxiety or try to reduce anxiety. Experiencing lots of anxiety and stressors in your day to day life is similar to encountering multiple tigers every day and having to either fight or run for your life.

           Putting what people with anxiety go through into perspective (especially the perspective of understanding the biological symptoms of experiencing anxiety and the recovery) helps people understand why they are so tired, despite not having to actually fight a tiger. 

           These issues also relate to people struggling with depression, because anxiety and depression often go hand-in-hand. Not to mention along with experiencing anxiety, people with depression also deal with negative thoughts, hopelessness, and poor self-image. These low moods and negative thoughts are equally as exhausting on a day to day basis. No wonder you’re tired.

           One struggle that people with anxiety and depression often have is falling asleep. And then once they do, it's impossible to wake up or stay awake. Then on top of that, day-time napping can exacerbate the issue. After a while it can seem like having a restful sleep and waking refreshed is unachievable.

           Oftentimes, part of reducing anxiety or improving mood is tied to improving sleep. Things like coming up with a routine for before bed, reducing screen time before sleep, taking a warm bath or shower, or having a cup of (decaf!) tea can be very helpful for helping individuals fall asleep. It can also be helpful to try and implement a kind of schedule: set a time to start your before bed routine, set a time to try and go to sleep, set a time to wake up and have a routine to help activate your mind and body. These things help relax the body and introduce your mind to a predictable schedule which may be helpful. 

           The big challenge can be avoiding sleeping during the day. Everyone loves a quick cat nap in the afternoon, but sleeping for longer than a half hour can be very disruptive to the body’s sleep rhythm. Therefore, it is important to find ways to not only keep you awake during the day but to also fight off sleepiness. Try going for a walk, cooking some food, calling or chatting with a family member to activate your mind and drive away the sleepiness. 

           What’s most important to take out of this information is that you’re not lazy, I promise. No matter what anyone tells you, you aren’t tired for nothing, you’re not lazy. You’re doing the equivalent of fighting tigers in your mind every day, it’s hard work. The lovely thing is that help is always available to turn those tigers into kittens.

 

Useful Links:

The Mental Health Foundation

https://www.mentalhealth.org.uk/tags/anxiety

Sleep Foundation

https://www.sleepfoundation.org/mental-health/anxiety-and-sleep

Links for getting help or treatment

Trent PTS for self-referral:

https://www.trentpts.co.uk/self-referral

Mental Health Foundation for support and information:

https://www.mentalhealth.org.uk/

Mental Health Forum for a place to discuss issues and talk to others:

https://www.mentalhealthforum.net/forum/

Get Self Help for worksheets and information about disorders and CBT treatment

The Samaritans Nottingham to have someone to listen and talk to

https://www.samaritans.org/how-we-can-help/contact-samaritan/

TrentChat (for students) to have someone to listen and talk to

https://trentchat.co.uk/


07 Feb, 2023
by David Borril Psychotherapist 16 Jun, 2022
Is it time to reach out ?
lonely person
by david borril 10 May, 2022
With the right help there are activities that will support you with the impact of loneliness
winter scene
by Charlotte W 15 Feb, 2022
a post about mental health and seasonal affective disorder
0ne in four people have mental health problems
by Jamie Sian 18 Jan, 2022
The role of the employment advisor alongside your Therapy
A man and woman are stretching their arms over their heads, smiling
by Charlotte Ward 29 Nov, 2021
Being active doesn’t necessarily mean having to go to the gym, or playing a sport; there are so many ways of doing physical activity, so find the one that works for you! But first, let’s break it all down. What is physical activity? How does it help and how much should you be doing?
by Charlotte Ward 05 Oct, 2021
Alzheimer’s is a neurodegenerative condition that can be extremely taxing, on both the person diagnosed with it, as well as their loved ones caring for them. It is a global challenge, with nearly 50 million people living with dementia all over the world. September was World Alzheimer’s Month, but we should consider Alzheimer's all year round. This post wants to help carers know the signs and symptoms of Alzheimer’s and Dementia, as well as how to support yourself as a carer. Knowing the signs and symptoms Dementia can affect people differently, sometimes exhibiting the main symptoms, but sometimes not – which is especially seen in the early stages prior to diagnosis. Someone with dementia will most likely have cognitive symptoms which affect thinking and memory. They’ll usually have some problems with day-to-day memory, or concentrating, planning, or organising. For instance, they may have difficulties making decisions, or carrying out a sequence of tasks such as following directions. Some people also find following a conversation difficult, or they can’t find the right word to say. It’s also quite common for people to have trouble remembering the day or date, or they sometimes are confused about where they are. These sorts of issues are commonplace in people with dementia, and being supportive and providing a safe space to talk can help those struggling come to terms with their diagnosis. Try to avoid to keep testing someone on previous memories or people, nor should you remind them of when they remember memories incorrectly – this may cause greater distress. Different types of activities Of course, different people will enjoy different past-times but below are some suggestions for various activities to do with the one you care for. Ensuring that the activity is meaningful and enjoyable is important, as well as remembering that you don’t have to finish every activity – it’s alright to stop and pick up where you left off another day. Encouraging them as you both complete the activity together is also important to help with confidence and to stay active with their interests. Outdoor activities If the person you’re caring for enjoys being outdoors and in fresh air, doing activities outside can give them that contact with nature, plants and animals whatever the weather. Gardening is a good low intensity activity to do outside, but even just taking indoor-projects such as painting, drawing, or reading outside can make a difference. Walks around the neighbourhood or a local park can also be enjoyable activities to do outside, or going to get a coffee and a leg stretch. Walks in a memorable area can provide a sense of familiarity while getting a leg stretch, and there are also dementia-friendly organised walks. The link to the walks in Derbyshire: https://www.derbyshiredales.gov.uk/things-to-do/sports-health-activities/walking-for-health/dementia-friendly-walks. Guided walks in Nottingham: https://www.ageuk.org.uk/notts/our-services/exercise-and-physical-activity/best-foot-forward/ Musical activities Many people with dementia remember music lyrics and tunes even when their condition has progressed and it can trigger powerful memories and emotions. Playing tunes of musicals or composers can help those who have Alzheimer’s have a sense of familiarity and comfort, and be fun, engaging and relaxing. Games and activities Online games and activities can also be a good way to do projects that require fine motor skills without the frustration of not being able to fully do it. For instance, some people who enjoy arts and crafts may not be able to use scissors properly, or be able to glue without help from a carer; using apps on computers and tablets can be a way to work around the frustration and create digital masterpieces. Technology doesn’t always have to be used, card games and board games can also be a good way to have fun together. Some other activities to do together could include reminiscent projects, such as putting together photo albums or memory boxes with familiar items that have purpose and meaning. How to support yourself while being a carer 1. Make time for yourself Taking regular breaks and having time apart can be healthy for both you and the person you care for, and giving you that space to breathe and think. Remember to also be kind for yourself, support is available at Alzheimers.org’s Dementia Connect support line, which is specifically for carers. 2. Keep a daily routine Ensuring the wellbeing of your loved one is important, but so is the care of your own wellbeing! Including activities in your week that make you both happy such as light exercise, or listening to music can help the time pass by, and cope with difficult feelings such as anxiousness. It can also help to create some structure in your day by using a calendar or a memory board to plan activities such as outings or events and have an idea of how the day is going to run. 3. Keep Connected Staying connected, and using the support of friends and family can be extremely beneficial for mental wellbeing, and with the ongoing pandemic, it can be very easy to feel alone. Keeping in touch either by video chat, phone calls or emails can provide you with the space to talk about your emotions. Meeting face-to-face can also be a good way as we ease out of the pandemic and slowly get out more and see more people. 4. Stay healthy and active Eating a balanced diet is a key part of staying healthy; it can be fun if you try out new recipes with your loved one if possible and make them part of the experience. Staying active with exercise is also incredibly important for mental wellbeing. Dancing, gardening, yoga and walking are some good ways to implement daily exercise activities into your day and keep moving. If the person you care for enjoys spending time outdoors, you can both go for a walk in a local park for some fresh air and contact with nature as well as stretching your legs. What can I do? We encourage you, if you don’t already, to learn and educate yourself about dementia. Spreading awareness about the condition is a good way to reduce the stigma, provide people with accessible resources and educate those who have to care for a loved one with Alzheimer’s. Alzheimers.org has some fantastic resources such as print publications, accessible resources and practical tools. The link to see these resources is here: https://www.alzheimers.org.uk/get-involved/world-alzheimers-month . There’s also a Dementia Connect support line which is manned by dementia advisers if you’re ever in need.
Image showing people in graduation gowns and caps, wearing masks
by Charlotte Ward 13 Sept, 2021
Blog about student mental health in relation to the pandemic and lockdown. Refers to seeking help, therapy services, wellbeing, and access to resources. Feelings of powerlessness, disconnected, and panic mentioned.
Two women sat outside, one is facing away from the camera and the other is smiling at her
by Charlotte Ward 24 Aug, 2021
Blog about opening up about mental health to family and friends, some barriers and advice that may be involved in that
a woman sat on the floor looking worried, holding a hand up to her neck in self comfort
by Reanne Checora 16 Aug, 2021
A blog about ADHD, anxiety, and depression. Talks about leaning into aspects of ADHD, embracing the natural tendencies, and not feeling shame around symptoms and behaviour. Also mentions of accommodation, treatment, medication, and different types of functioning.
More posts
Share by: