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Mental health and wellbeing

Isolation and depression

How isolation builds up, how it can turn into depression, and ways to break the cycle.

Facts checked against NHS sources 23 Oct, waiting for Daz (only shown on dev)

Isolation rarely arrives all at once. You miss one meal out, then a party, then you stop being asked. Friends do not understand, so you stop explaining. Before long, staying in feels easier than going out. That is how isolation builds up, and for many people it is the road into depression.

Why it happens

  • So many social plans revolve around food and drink.
  • People around you may not understand what living with artificial nutrition is really like.
  • Explaining your condition again and again is tiring, so it can feel easier to avoid people.
  • Feeds, deliveries, appointments and tiredness leave less time and energy for other things.

Signs it may be turning into depression

  • Feeling low, empty or hopeless most days.
  • Losing interest in things you used to enjoy.
  • Struggling to sleep, or sleeping far more than usual.
  • Pulling away from the people closest to you.

If this sounds like you, please speak to your GP or your nutrition team. Depression is common, it is not a weakness, and it can be treated.

Ways to break the cycle

  • Find your people. Others on artificial nutrition understand without you having to explain.
  • Plan things that are not about food. A walk, a film, a hobby, a day out.
  • Use video calls on days when getting out is too much.
  • Tell one person how you really feel. Just one is a start.
  • Ask about talking therapies. You can ask your GP, and in England you can also refer yourself to NHS Talking Therapies.

You are not on your own. If you are struggling right now, call Samaritans free on 116 123, any time, day or night.

If you are struggling right now

You do not have to wait until it gets worse. Please talk to someone today.

  • SamaritansCall 116 123, free, any time
  • ShoutText SHOUT to 85258
  • NHS 111Call 111 and choose the mental health option
  • Your nutrition teamFor anything about your feed, tube or line
  • EmergencyCall 999