This section looks at what it means to recover from a mental illness. Recovery means different things to different people. We focus on personal recovery and suggest different ways that you can help your own recovery. Also, we know that often people need support to recover. We hope that this information will help you to work out what recovery means to you, and help you find ways in which you can focus on your recovery. If your loved one has a mental illness, you may find this section helpful too. Show
If you would like more advice or information you can contact our Advice and Information Service by clicking here.
Overview
Need more advice?If you need more advice or information you can contact our Advice and Information Service. What is recovery?What is recovery?There is no widely accepted definition of recovery. Recovery means different things to different people. For some people recovery means aiming to be symptom free. For others it might mean managing your mental illness well to be able to live a meaningful life. Recovery can be a short-term or long-term thing. In recovery, there are usually things that people can do to help themselves. People need help from others too, such as mental health and social care professionals or loved ones. Recovery within the NHS mental health system is often referred to as the “recovery model”. This model highlights the importance of building the resilience of people with mental health problems. As well as the importance of family and professionals supporting people’s identity and self-esteem. People often see recovery in terms of:
There is often an overlap between them. What does clinical recovery mean?Your doctor might have talked to you about ‘recovery’. Some doctors and health professionals think of recovery as no longer having mental health symptoms. Or a reduction of symptoms, which means you’re able to live a meaningful life. Sometimes this is called ‘clinical recovery’. You may be under the care of a mental health team or have people such as doctors, key workers, social workers or other professionals involved in your care. They should support you in achieving your recovery goals, and what you think is important for your wellbeing. Dealing with symptoms is important to a lot of people. But we think recovery is wider than this, we call it ‘personal recovery.’ What can personal recovery mean?Personal recovery can mean that you are able to live a meaningful life. The meaning of personal recovery and how you start on the road to it is individual to you. You can think about what is important to you and what it means to you to live a ‘meaningful’ life. Remember, personal recovery is can mean different things to people. What is important for your recovery is individual to you. Think about what you would like to do and work towards that goal. Below are some ways you can think about recovery.
Recovery is an ongoing process. It’s normal to have difficulties or setbacks along the way. You could describe yourself as ‘recovered’ at any stage in your recovery if you feel comfortable in doing so. You don’t need to wait for the ‘end’ or when you reach a certain goal. What other things do I need to consider in my personal recovery journey? We also need to think about all the other factors that shape our mental health: our housing, our jobs, our financial situation, trauma, economic inequality, poverty and our support networks. We understand that lack of support can make mental health problems worse. This can leave people not knowing where to turn. We think it’s time that communities come together to play their part in helping people who live with mental illness. You can have a read more about this in our ‘Communities that care’ report by clicking the following link: www.rethink.org/get-involved/campaign-with-us/influencing-the-nhs/communities-that-care/ It is important to remember, that recovery is possible when you have the correct tools. This includes receiving support from others. And without support from others it can be difficult. If you have support from others, it may be helpful to utilise these tools. Whether that’s your friends or family or your care team or keyworker. Remember, it’s not always possible to do everything on your own. It’s important to accept help from others and if you haven’t got support, to reach out to get it. It’s important to remember that help is available to you.
What can help me recover?What can help me recover?There are different things that may help you recover. You should recover in a way that works for you. There is no right or wrong way to do so, it is a personal journey. Some people call this process a ‘recovery journey’. The following areas may be helpful for you to explore as part of your recovery journey.
There is more information about each of the above on this page. What support do the NHS provide?There are different types of support that you can get from the NHS. What treatment should I be offered? Often there are different treatments that are used to treat the same symptoms. You may start your recovery journey by finding a treatment that helps your symptoms and has the least amount of side effects for you. Medication is helpful for a lot of people but not everyone needs it to recover. It’s important to remember that medication may not work straight away. Other treatment options may be important to you such as:
Complementary therapies aren’t generally available on the NHS. What is social prescribing? You can talk to your GP about a link worker. Link workers aren’t yet available in all areas of the country. The NHS have committed to having 1,000 link workers in place by April 2021. There will be more link workers in place by 2024. A link worker will work with you to find out what is important to you. They can connect you with local support such as:
What are recovery colleges? Recovery colleges are available in most areas. To see if there is a recovery college in your area you can use a search on the internet or call NHS 111. You can find more information about:
What if I’m not happy with my treatment?
There is more information about these options below. How can I talk to my doctor about my treatment? Tell your doctor if there is a type of treatment that you would like to try. Doctors should listen to your preference. If you aren’t given this treatment, ask your doctor to explain why it isn’t suitable for you. What is a second opinion? You don’t have a right to a second opinion. But your doctor should listen to your reason for wanting a second opinion and may offer you one. What is advocacy? There are different types of advocates available. Community advocates can support you to get a health professional to listen to your concerns. And help you to get the treatment that you would like. They aren’t available in all areas. You can ask an advocate to help you make a complaint. Advocates that do this are called NHS complaints advocates. They are free to use and don’t work for the NHS. They’re available in all areas. You can search online to search for a local advocacy service. If you can’t find a service you can call our advice service 0808 801 0525 (Monday to Friday, 9.30am-4pm, excluding bank holidays). You can email us too at . We will look for you. How can I complain? You can ask a member of your health team to explain how to make a complaint and for their complaints policy. You can find out more about:
What is social care support?You may be entitled to get help from social services. Social care support can include support to help you to do things like:
Your entitled to a social care assessment, to see if you qualify for social care support and what your needs are. With more support you may feel more able to take control of your recovery. You can find more information about:
How is hope important to recovery?Hope is an important part of recovery. You might find it helpful to read stories from people about their recovery. You can take a look at the following websites as a first step.
You could join a support group. A support group is where people come together to share information, experiences and give each other support. See support groups further down this page for more information about how to find a group. You could also contact an emotional support line for support. Sometimes speaking to someone else can help you feel more hopeful when you’re not feeling your best. You can find a list of emotional support lines at the bottom of this page. How can acceptance help?We understand that for some people it can be difficult to be diagnosed with a mental illness. Some people have found that their recovery journey may be easier after they learn to accept their illness and the difficulties it causes. Others prefer to concentrate on their symptoms and how they can be helped. It can sometimes be useful to recognise that your illness might make some things difficult or impossible for you to do. You can think about how this affects your life, what you can do to overcome challenges and what help you need. It may be helpful for you to also focus on what you can do. You are more likely to reach your goal if it is something you can achieve. Acceptance may help you to make positive changes and help you to reach new goals. It might help you to:
See support groups further down this page for more information about how to find a group. Spiritual or religious beliefs and practices may also help you to make sense of your experiences and find meaning. You can find more about ‘Spirituality, religion and mental illness’ by clicking here. Why is control important?Whilst it’s difficult to take control of everything, you may find it is helpful to focus on the things you can control It may be helpful to think about these questions.
Control may mean that you are more involved with your medication and treatment options. Speak to your family, doctor or other health professionals if you want more support. You can find more information about:
What is a mood diary? You could write down when you feel mentally unwell or stressed. You can include things like:
The mood diary could also help you to identify things which can make you unwell. These things are known as ‘triggers.’ Identifying your triggers can help you to have more control over your stress levels. There is a template for a mental health diary at the end of the attached factsheet; available to download using the link at the top of this page. What can I do to achieve goals?Setting achievable goals can help you to recover. To help you to set yourself a goal, think about what is important to you. For example, a goal you might have is to give yourself a routine and stick to it. Or having a goal to make new friends or change your job. Some goals will need more work than other goals and will take longer to achieve. Make sure that you are realistic with your goals. You don’t want to give yourself a goal which you are unlikely to be able to achieve. This is likely to have a negative impact on your mental wellbeing. You can think about making SMART goals. SMART stands for:
Below is an example of a SMART plan. Peter's PlanWhat is your specific goal?
Why is this goal meaningful to you?
Is this goal achievable?
How are you going to prepare for this activity?
What is your deadline?
How will you do this activity?
What will you do when you have finished your task?
What will you do if you haven’t stuck to your deadline?
What advice can I get about money and housing issues?Money and housing worries can cause a lot of stress and make mental health problems worse. Secure finances and a suitable place to live are an important part of recovery. Get help early if you start to have money or housing problems. If you ignore issues, they are unlikely to go away and may get worse. If you find it difficult to manage
your money due to your mental health take a look at the following website: You can find more information about:
You can find more information about ‘Debt and Money Management’ and ‘Debt – Options when you are in debt’ at www.rethink.org/advice-and-information/living-with-mental-illness/money-benefits-and-mental-health/ These factsheets include organisations you can contact for free housing and money advice. How can I stay in contact with people?Stay in contact with people who can help you stay well. You can stay in contact with people by the following.
You don’t have to talk about your mental illness unless you want to. Below are some things you can do if you want to make more contact with
How can friends and family support me? You could tell them about any care plans that you have and tell them about any goals you have. They may be able to offer you better support if they understand your illness. You could suggest that they read information about your illness. We have information on different mental health conditions at www.rethink.org. You and your family may also find family intervention useful. What is family intervention? This should be offered to people who you live with or who you are in close contact with. The support that you and your family are given will depend on what problems there are and what preferences you all have. This could be group family sessions or individual sessions. Your family should get support for 3 months to 1 year and should have at least 10 planned sessions. How can I think about how relationships affect me? Keeping a mood diary may help you to identify people who are making you feel unwell or stressed. See the mood diary section of this page for more information. The following links contain some helpful advice about relationships. You may find them helpful: Guide to investing in
relationships: Tips for building a healthy
relationship: What are support groups?Joining a support group can be a good way to help yourself. Support groups may give you hope for the future or help you to take control of your life. They are a place where you can share experiences with others and get mutual support. You can search for local support groups below:
There are also online support services:
What are emotional support lines?You can contact an emotional support lines for support. Emotional support lines are also known as listening services. They are a place that you can off load how you are feeling to someone who is trained to listen. Emotional support lines aren’t the same as counselling. Counselling is a type of talking treatment. You can find a list of emotional support lines at the end of this page. How can lifestyle changes help?Making small lifestyle changes can improve your wellbeing and can help your recovery. Routine This could be a simple routine. Such as eating and going to bed at the same time each day. John's StoryLearn something new You can also include time for your new activity into your daily or weekly routine. To learn new skills, you could try the following.
Sleep Not getting enough sleep can cause problems such as poor concentration and low mood. Long term sleep issues can lead to mental health problems such as anxiety and depression. If you struggle with sleep, you can try to:
Sleep hygiene means things like:
You can find out more about how to improve your sleep
at: Eat well
You can find out more about eating well here: www.nhs.uk/live-well/eat-well Exercise
Exercise can help improve mild depression, just as good as antidepressants or talking treatments. GP’s can prescribe exercise in some areas in the UK. They do this by helping you get a free or reduced rate gym membership. This is part of social prescribing. See social prescribing in this factsheet for more information. If you need some support to start exercising you could look at the information on the ‘We are undefeatable’ website. We are undefeatable is an exercise campaign that Rethink Mental Illness are involved with. Click the following link for
more information: You can read more about physical health and lifestyle changes below Reward yourselfMake sure you reward yourself for any positive changes you make. It is all too easy to be hard on yourself. Often, we are our own worst critic. Remember to congratulate yourself for any achievement. And be kind to yourself when you haven’t achieved a goal. Further readingWellness Recovery Action Plan (WRAP) Plus. Formerly living without Depression and Manic Depression - Mary Ellen Copeland, PhD. The Wellness Recovery Action Plan® or WRAP® is a self-designed wellness process. You can use a WRAP to get well, stay well and make your life your own. It was developed in 1997 by a group of people who were searching for ways to overcome their own mental health issues and move on to fulfilling their life dreams and goals. Website: www.mentalhealthrecovery.com Staying Well with bi-polar Guide. Rethink Mental Illness. Staying well with bipolar is a guide based on the research conducted by Rethink Mental Illness. It is based on the personal experiences and learning of 32 people Website: www.rethink.org/advice-and-information/living-with-mental-illness/treatment-and-support/staying-well-with-bipolar/ Live your best working life. Mental Health UK Mental Health UK is made up of 4 mental health charities working across the UK, including Rethink Mental Illness. They provide videos and information on issues relating to mental health. This page has tips and ideas to help you manage your mental health and wellbeing, so you can be your best at work. Website: www.mentalhealth.org.uk/a-to-z/w/work-life-balance Recovery Star Developed by the Mental Health Providers Forum, the recovery star measures outcomes to allow people to measure their recovery progress. Website: www.mentalhealthpartnerships.com/resource/recovery-star Useful contactsEmotional Support lines Samaritans Telephone: 116 123 Sane Line Telephone: 0300 304 7000 (4:30pm – 10:30pm every evening) Support Line Telephone: 01708 765200 Papyrus UK Telephone: 0800 068 41 41 C.A.L.M. (Campaign Against Living Miserably) Telephone (outside London): 0800 58 58 58 Silverline Telephone: 0800 4 70 80 90 The Mix Telephone: 0808 808
4994 Mood Swings Telephone: 0161 832 37 36 If you are in crisis you can contact the following text support service for help and support: Shout Text: Text Shout to 85258 Need more advice?If you need more advice or information you can contact our Advice and Information Service. What is the recovery process in mental health?There are five key recovery concepts that provide the foundation for effective mental health recovery: hope, personal responsibility, self-advocacy, education, and support.
What is the recovery model of care?The principles of a recovery oriented approach include understanding that each person is different and should be supported to make their own choices, listened to and treated with dignity and respect.
What is the intended outcome in the psychological recovery model?The recovery model aims to help people with mental illnesses and distress to look beyond mere survival and existence. [4,5,6] It encourages them to move forward and set new goals. It supports the view that they should get on with their lives, do things and develop relationships that give their lives meaning.
Which of the following is the single most important goal for the person with a mental disorder?One of the most important things to remember about mental illness is people can and do recover. Recovery is cited as the “single most important goal” for the mental health service delivery system.
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Which component of recovery occurs when the client creates a path to meet a specific goal
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