Beyond the Blue Light Podcast

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Podcast by Frank Simonds & Tori Harper

Beyond the Blue Light Podcast

Do you work for the emergency services or front-line NHS? It’s not easy, is it? Every day we can be the focus of people’s attacks – verbal or otherwise. How many times have you heard ‘I pay your wages’. The culture of your organisation can also be a challenge – red tape, bullying, or traumatic incidents, the list goes on. I’m Frank. I was a police officer for 16 years service. I now work on a variety of projects for my local community that includes running a bereavement peer support group. And I’m Tori, I was a police officer for 23 years. I am now a qualified counsellor and outdoor therapist in private practice. The Beyond the Blue Light Podcast is a show aimed at helping people like us who’ve experienced working on the front line. Every two weeks we’ll be sharing real-life stories, and practical advice to support your mental welbeing. Make sure to subscribe to Beyond the Blue Light podcast and tell your friends. You can also join our Facebook group Beyond the Blue Light podcast, take a look at the link in the shownotes and come and share your story.

Latest episodes

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20 November 2025

Epsiode 8 - Guest Spot: Steve Barnard from Talk Club

To find out everything you need about Talk Club, visit www.talkclub.org

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05 August 2025

Episode 7 - Coping Mechanisms for Stress

Show Notes: Ep 7 Coping Mechanisms

Coping Mechanisms - When dealing with chronic stress it's not uncommon to use improvised help tactics such as self-medication, food binging, social self isolation, or gallows humour etc. This may assist in the short term, but can likely cause other issues such as addiction, or can damage our career.

If you are feeling stressed the best thing you can do is attempt to identify the cause/s. This will then allow you to address them.

Whether we realise it or not, it is likely that we will all employ some form of coping mechanism to help us beat stress. However, these can range from helpful to harmful.

https://www.nhs.uk/mental-health/self-help/guides-tools-and-activities/tips-to-reduce-stress/

https://www.nhs.uk/every-mind-matters/mental-health-issues/stress/#top-tips

Gallows Humour - This can help to relieve tension connected with traumatic incidents, lower blood pressure and anxiety, and increase the immune system.

However, humour is subjective and so what is funny to one person may be upsetting or offensive to someone else. Also inappropriate humour is an increasing reason for disciplinary action. Really important that the public are not exposed to such humour.

https://www.psychologytoday.com/gb/blog/crisis-control/202006/in-praise-gallows-humor

Escapism - This is good in moderation, but may become an issue if it becomes a person’s primary coping mechanism as it may exacerbate self neglect, obsession, addiction, or even depression.

https://www.mentalhealth.com/library/forms-of-escapism

Substance Useage / Self medication - May include smoking / vaping; alcohol; use of illegal / prescription / over the counter drugs; inappropriate food consumption (stress eating). Repeated use will only temporaily mask stress, not reduce it. You will never know that you are addicted until you are.

Activity - Aerobic exercise is generally considered the most effective for stress reduction. For adults of working age, the NHS and the UK Chief Medical Officer recommend at least 150 mins of moderate intensity exercise, or 75 mins of high intensity exercise per week.

https://www.nhs.uk/live-well/exercise/exercise-health-benefits/

https://www.nhs.uk/live-well/exercise/physical-activity-guidelines-for-adults-aged-19-to-64/

https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/exercise-and-stress/art-20044469

Take Control - A feeling of being out of control of your circumstances can be a primary cause of stress and more serious mental health issues. Identifiying where you feel out of control, and taking action to regain that control. There is nothing wrong with getting help to do this.

Connect with People - Talking to colleagues (who get what you’re going through), or if appropriate, friends and relatives can be a great stress reliever. However, if things get really bad, there’s no substitute for a professional counsellor (whose registered with a professional body), or psychiatric professional.

“Me” Time - As much as it’s about the activity you choose, It’s also about giving yourself permission to enjoy yourself. You’re not being selfish, you’re prioritising yourself so that you can give your best to others.

Self care has been identified as important to health by the World Health Organisation.

Tactics like a ‘no meetings hour’ can help you implement self care during the work day if you are non-frontline.

https://defradigital.blog.gov.uk/2023/07/24/why-its-important-for-me-to-make-time-for-self-care/

Challenge Yourself - Setting goals or starting projects (either in or out of work) can be a great way to deal with stress. This may include sports, learning a new skill such as a language, or taking up a hobby.

Mental Gymnastics - Puzzles; Word games; Soduku; even the newspaper crossword can be good for your mental health and stress reduction. Puzzles act as a form of mindfulness by setting the mind in the present.

https://wavespuzzle.com/blogs/news/yoga-for-the-mind-7-self-care-benefits-of-puzzling?srsltid=AfmBOoqVJPtsmebucZWKZfNQ9YV1znfIg3bM3EmMeUdbvUoMeiNcCgPt

https://pmc.ncbi.nlm.nih.gov/articles/PMC9985795/

Help other People - We help others as our jobs, but volunteering provides the opportunity to do so in a new setting and develop new skills. You can be in the driving seat by choosing a role with low pressure, and if you want employing a new or different skill set.

Medication - The benefits of appropriately prescribed psychoactive medication are well documented. Sadly, some still view psychiatric medicine with suspicion.

Work Smarter, not Harder - By taking a bit of time to plan what work you prioritise, you can save time and effort. However, it can be dofficult for those in front line roles or if you have an overly domineering supervisor.

Dear Me: Daily Routine Tracker - https://play.google.com/store/apps/details?id=com.kompanion.habit.android&hl=en&pli=1

TODOS - https://play.google.com/store/apps/details?id=com.ajinkyacodes.todos&hl=en_IN

Try to be positive - Focussing on the positives can be difficult when you are stressed or depressed. Negative self-talk; catatrophsing; blaming; polarising; perfectionism and a host ways of negative thinking can be a contributor to our stress. However, it is possible to ‘retrain’ the neural pathways in your brain to think more positively that will be better for your mental health.

https://www.nhs.uk/mental-health/self-help/guides-tools-and-activities/tips-to-reduce-stress/

https://www.nhs.uk/mental-health/self-help/guides-tools-and-activities/tips-to-reduce-stress/

Accept the Things you can’t Change - You are not in control of everything. Focus on what you can change for the better in your life.

Faith - There is a considerable body of research about religious or spiritual coping (defined as: use of cognitive and behavioral strategies based on individuals’ beliefs and values to deal with stress). Results are mixed and likely dependant on a variety of factors including age; gender; and faith group.

https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-023-05091-2

Sleep Hygiene - We all know that the quality of sleep is as important as the amount. Sleep quality can be improved with better sleep hygiene.

https://www.nhs.uk/every-mind-matters/mental-wellbeing-tips/how-to-fall-asleep-faster-and-sleep-better/

Animal Magic - Having pet companions can positively affect your mood. Mammal pets (dogs in particular), maybe particularly effective. If you are prone to depressive episodes, make sure there is someone who can care for the pet if you’re not feeling up to it, so the animal isn’t neglected.

https://health.ucdavis.edu/blog/cultivating-health/health-benefits-of-pets-how-your-furry-friend-improves-your-mental-and-physical-health/2024/04

The Food of (self) Love - Certain foods contain nutrients that can reduce stress. Just be mindful of the amount you consume in one sitting, the time of day you eat, and any pre-existing food restrictions you have.

Also, comfort dishes can be very helpful to reduce stress. These will very between individuals, and may need to be eaten occasionally, in moderation, depending on what they are. Some British comfort foods include: Fish and chips, Cornish pasties, Yorkshire Pudding, Bangers and Mash. Beans on toast. Pot noodles. Sausage rolls. Cheese and pickle sandwiches. Hotpot. Sausage and chips. Toad in the hole. Jammy dodgers. Custard creams. Full English breakfast. Haggis.

https://source.washu.edu/2013/12/breaking-down-stress-10-foods-that-help-bust-stress/

Create your own ‘Stress Toolbox’ that is personally unique, and works for you.

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02 June 2025

Episode 6 - Bereavement

Show notes Ep 6 - Bereavement

Scarlett’s Story

Never had a hitch in work until March 2023 when my step-dad (who I call my dad) passed away suddenly.

This came as a massive shock to the whole family. And I had seen him just the day before as he was putting shelves up in my flat.

This came as a massive blow to me as he came into our lives at a time when we really needed him and he stepped him and became the greatest father I could ever ask for.

Immediately the day after I was due to be in work and begin a set of 6.

The day he died police attended along with ambulance and my mum naturally panicked not knowing weather I was on shift and was going to find out the news via someone other than family- the officers there reassured here that wouldn’t happened and said they’d inform my Sargeant.

However this did not happen, but I completely understand that with a million things on their plate - things slip and unfortunately my Sargeant was not informed and I had to text and explain why I wasn’t in the next day.

However she was fantastic along with my supervisor.

I took the set off. And I felt really in two minds about what to do next. This was a massive loss for me and I really felt the grief weigh heavy and I knew I needed time to sit with it and be with my mum who needed family more than ever.

However I also felt a huge amount of guilt when thinking about being off work - and I feel now that’s because of the nature of the job. Yes, my role is replaceable and the work can be disturbed among others but I felt like I had to be at work otherwise people would have thought I was taking the mick - which I know wouldn’t have been the case at all. I almost felt an obligation to be at work.

And for that reason I returned the set after. I remember going in plain clothes and sitting at the desk just staring and trying not to cry when people spoke to me. In no way was my mental health in any place to return to work. I just felt like I had to. Even though there was no pressure from anyone for me to do so.

My Sargeant and my supervisor asked me if I was sure I wanted to return and provided me with lots of support.

Other colleagues asked me what I was even doing back, and I remember a close colleague of mine saying “it’s just a job”.

Which yes it is - I just didn’t feel that way at the time. I felt intense guilt about not showing up. So I prioritised that over my mental health.

I ended up having days off sporadically but I just felt destroyed underneath but managed to brave face it into work.

I ended up being in a lot of denial because I didn’t have time to grieve and got prescribed anti-depressants which made me feel like a robot.

It was only months and months after his death that I came off anti-depressants that I realised how much I should have taken the break and not returned to work so early.

My biggest lesson was to take the time off work! I regret not taking that time off to go away and grieve and my advice to anyone else in that position would be for god sake take the time off that’s offered to you. Don’t try and force your way through.

My team and supervisors were so supportive so I take my hats off to them - there were days when I was told to go home - with much resistance on my part but did me the world of good.

Three aspects of bereavement - Emotional (will affect everyone); Some may also have to deal with the Organisational (funeral / celebration of life); and Administrative (informing companies and dealing with estate).

Emotional

In 1969, Dr. Elisabeth Kübler-Ross introduced the “5 Stages of Death,” also known as the “5 Stages of Grief®,” the “5 Stages of Loss®,” or simply “The 5 Stages.” These stages—Denial, Anger, Bargaining, Depression, and Acceptance—reflect common emotional responses to change, loss, or shock. While they are often depicted in a linear sequence for clarity, Kübler-Ross emphasized in her 1974 book, “Questions and Answers on Death & Dying,” that these stages are not necessarily experienced in a fixed order. She also noted that these stages are applicable to various forms of grief, change, and loss. Additionally, her work explored other emotional responses, including partial denial, anticipatory grief, shock, hope, guilt, and anxiety. Since the publication of “On Death & Dying,” these stages have been further developed into the “Kübler-Ross Change Curve®,” with several illustrations available on our web page. Since the 1980s, the Kübler-Ross Change Curve has become a cornerstone of change management.

The stages of the Kübler-Ross Change Curve are not experienced in a strict sequence, nor do they always progress in a linear fashion. The emotional journey can be cyclical, with stages overlapping or repeating in response to evolving aspects of the change. This non-linear progression reflects the complexity of emotional responses, highlighting that the path to acceptance and adaptation is often a dynamic and iterative process.

Individuals may find themselves revisiting stages multiple times as they navigate through change. For example, many experience shock, characterized by disbelief and numbness as they confront change. It is not unusual to utter comments like “This can’t be happening, what now?” This experience can be disorienting, leaving them feeling paralyzed or struggling to fully understand the implications of the shift.

  • Denial occurs when people resist acknowledging the change or its significance. It takes time for our brains to register a new reality. At various times, we may need to be reminded of what actually happened. Denial acts as a protective mechanism to shield them from the full emotional impact of the situation. They might act as if nothing has altered or cling to the hope that circumstances will revert to their previous state. This can reoccur as changes continue.
  • Frustration surfaces throughout the process of change. This stage involves a growing awareness of the disruption and its challenges, sometimes leading to irritation or anger. The opportunity frustration offers is the questions that arise about the reasons for the change and how to cope. This clarifies what is most valuable and can help someone navigate through and direct their choices throughout any transition.
  • Depression can appear multiple times throughout the process. Rather than fading away, feelings of sadness, hopelessness, or loss may resurface, especially as new secondary losses or adjustments arise. The impact of the change may become more apparent over time, causing repeated episodes of emotional struggle and a fluctuating sense of self-worth or purpose.
  • During periods of experimentation, individuals start exploring and trying new ways to handle the change. This is characterized by a proactive approach, where people test different strategies, behaviors, or attitudes to adapt to the new situation. Experimentation often follows and can overlap with previous stages, as individuals refine their coping mechanisms.
  • Coping with change requires adaptability and conscious decision-making. Viable strategies are identified, and concrete choices are made about how to proceed, committing to new ways of operating or thinking. Integration involves incorporating these decisions into daily life, but it’s valuable for people to revisit, reassess, reinvent, and recreate themselves as they implement and adjust their choices.
  • Integration is the foundation of the change curve process. It represents the goal where the change becomes part of the individual’s new reality. The new circumstances are accepted and embraced, and stability is sought. However, change is an emotional journey. People may continue to experience echoes of all of these stages as they reconcile the past with the present and find a renewed sense of control or satisfaction.

Overall, the Kubler-Ross Change Curve provides a framework for understanding the emotional progression through change. It highlights that while the process can be complex and cyclical, each stage is part of the ongoing journey toward acceptance and adaptation.

https://www.ekrfoundation.org/5-stages-of-grief/change-curve/#:~:text=Elisabeth%20K%C3%BCbler%2DRoss%20introduced%20the,change%2C%20loss%2C%20or%20shock.

Pre-Death

If you have a loved one with a terminal medical condition, the grieving process may start before they die. Many organisations (such as hospices) offer pre-death counselling to help you emotionally deal with your expected bereavement.

Help

Cruse Helpline: 0808 808 1677.

Leave from work:

Police -

Parental Bereavement Leave: https://www.polfed.org/media/17720/annex-t-and-ta-guide.pdf

If not, you may be allowed to use annual leave.

Organisational

Benefits:

Bereavement Payment Support - https://www.gov.uk/bereavement-support-payment

Funeral Expenses Payment - https://www.gov.uk/funeral-payments

TOP TIPS:

Get multiple copies of the death certificate (at least 5 recommended) to aid informing companies.

Have a trusted friend / family member accompany you to appiontments like registering the death; visiting the funeral director; meeting with the celebrant. Ask them to take notes as with all the emotion, you may forget what is said.

After the important meetings, decompress by going out for coffee and cake, or lunch. Treat yourself.

There’s a lot to organise and not much time to do it. Days will be long, so if you have takeaways or eat out for a few days in a row, this is fine and understandable.

Friends and Family:

People will say “If there’s anything I can do….” take advantage of this and if you feel able, distribute jobs to them. This will take some pressure off of you, and make them feel like they’re doing something helpful.

Possible jobs could include:

- Company at appointments (Registrar; Funeral Director).

- Supply meals or shopping immediately after.

- Child / Pet care.

- A chat.

- Spreading the word (calling friends and relatives on your behalf; social media).

- Help planning or organising the funeral.

Or ask them what they can do to help (utilise their skills and abilities).

Administrative

Helping others by helping yourself:

Making a Will: Nowadays all estates no matter how small go through probate. A Will makes the process much simpler for your loved ones who will be left to deal.

If you have a simple estate, some charities provide FREE Will writing services that may be appropriate. For larger or more complex estates, it maybe more appropriate to employ a solicitor to help. This will cost but is money well spent.

Planning your Funeral / Celebration of Life: Write down your wishes. Burial or Cremation? Church or just Cremitorium? What music do you want played? Do you want everyone to wear black, or colours? Who leads the ceremony? Who do you want to speak / give the eulogy? Where do you want the wake to be held?

The more detail you can provide your loved ones, the more burden you will relieve them of.

Creating an admin file:

Who to inform?

Organisations may include: Bank / Building Society; Utility Providers; Mobile Provider; Mortgage Provider; Life / Buildings / Contents / Vehicle Insurance; Council Tax; Vehicle Finance / Credit Cards / Catalogues / Store Cards; Stocks and Shares.

Most large companies have a bereavement team of specially trained advisors who will guide you through the process and will be sympathic to your situation. They will need an original copy of the death certificate and you may need to send it by post.

It’s worth informing all companies as some services (such as insurances) can be invalidated if you don’t, and it will prevent post arriving in the future with your loved ones name on. You also may be eligible for a reduction or rebate in your bills.

If your loved one had debt. Don’t panic. Providers may write off remaining debt once proof of death is confirmed. If not, contact your local Citizens Advice Bureau.

Useful Websites

A step by step guide to the admin required to register a death and beyond: https://www.gov.uk/when-someone-dies

Winston’s Wish - Advice and resources for supporting children through bereavement: https://winstonswish.org/

National Bereavement Service - Advice, and signposting to resources connected with the emotional and practical aspects of bereavement: https://thenbs.org/

Cruse Bereavement Support - The UK’s largest bereavement support organisation: https://www.cruse.org.uk/

Citizens Advice Bureau - https://www.citizensadvice.org.uk/

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14 May 2025

Episode 5 - Getting Good Work / Life Balance

Pre-Show Notes ep. 5

Maintaining a healthy work / life balance - It’s tempting to stay on at work to please your supervisor, and the extra pay from overtime is always welcome, but how does the extra time at work affect our home life, and overall well being?

The Work Life Balance Report 2024 ranked the UK 34 out of 40 countries for best work life balance with the highest rated being Spain.

https://www.theaccessgroup.com/en-gb/blog/hcm-work-life-balance-report-2024/

The European Working Time Directive (EWTD) controls the amount of time people spend at work (48 hours per week), and the amount of time spent between work (11 hours minimum).

Anyone can opt out of the EWTD and this is often considered necessary for those in blue light and clinical NHS.

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03 April 2025

Episode 4 - Working with chronic illness

Show notes Ep 4

Managing chronic illness at work - You want to contribute to your organisation, but you develop a chronic health condition that negatively affects your attendance. We discuss HR, problems with the Bradford Score, and other issues connected with working when ill.

Bradford Score -

* Originally designed for use as part of the overall investigation and management of absenteeism. In contrast, if used as part of a very limited approach to address absence or by setting unrealistically low trigger scores it was considered short-sighted, unlikely to be successful and could lead to staff disaffection and grievances.

* The formula does not consider certain disabilities which may result in short term absences, such as epilepsy and asthma, or serious but recoverable illnesses such as cancer.[6]

* Does not account for autoimmune diseases in which the occurrence of bouts of illness can be unpredictable.[2] The use of the Bradford Factor often provokes heated debate.[7]

* Unison argues that the Bradford Factor tends to encourage presenteeism, with workers fearing disciplinary action coming to work with transmissible illnesses and risking spreading disease to others.[8]

https://www.unison.org.uk/content/uploads/2014/09/TowebFact-Sheet-on-the-Bradford-Factor2.pdf

* There are alternative employee absence measurements such as the ‘Lost Time Rate’ and the ‘Frequency Rate’, or a consolidated approach that combines all three measurements.

* All methods can be applied with the assumption that employees are deliberately trying to take sickees or duvet days, or they can be used as a useful tool to indicate when certain employees need extra support. Ultimately, it’s all about context of application.

Managing chronic illness

1. Understand Your Condition

To manage a chronic mental illness, you need to know as much as possible about it. Research the symptoms, causes, risk factors, and treatments so you can communicate clearly with your healthcare team and make informed decisions. Knowledge is power. Understanding your illness is the first step to getting it under your control.

2. Create a Strong Support Network

It’s easy to feel all alone when living with a chronic mental illness, so building a strong support system is essential. A support system can be comprised of family, friends, and support groups, either in person or online. Having people you trust in your corner allows you to do things that might be hard to accomplish on your own. A support network can also provide accountability and encouragement when times get tough.

3. Reduce Stress

Because stress can worsen the symptoms of any chronic disease, it’s necessary to lower your stress levels. Spending time in nature, deep breathing, mindfulness meditation, yoga, or other forms of physical exercise are healthy ways to cope with stress.

4. Do Therapy

Talk therapy and somatic therapy (body-based approaches such as yoga therapy or EMDR) can help you understand your thought patterns and behaviors. Therapy can also help you develop healthy ways of managing your symptoms. Ongoing treatment from a trained mental health provider assists individuals with chronic mental illnesses to feel a greater sense of self-efficacy. It also enhances their overall quality of life.

5. Explore Medication

Medication such as antidepressants or mood stabilizers can play a useful role in managing chronic illnesses. Medication is often used in combination with talk therapy or brain stimulation therapies. Because medication affects people in different ways, it’s important to work with a mental health provider to create a treatment plan that supports your overall health. Additional support in the form of support groups, cognitive behavioral therapy, or social skills training may be necessary.

6. Limit Alcohol and Caffeine

People sometimes use alcohol to cope with anxiety and depression, but excessive drinking typically makes symptoms worse. Drinking caffeine close to bedtime can disturb the sleep/wake cycle, which is also detrimental to well-being. For people with depression or bipolar disorder, a consistent sleep schedule is important to prevent depressive or manic episodes. And limiting alcohol and caffeine intake helps keep mood and energy stable.

7. Focus on the Good Things

The challenges of living with a chronic mental illness can be draining. However, it’s still important to find ways to focus on what’s working in your life. Even shifting your language from the negative (what you “can’t” do) to the affirmative (what you “can” do) can help reframe your perspective on living with a chronic condition. Expressing gratitude, celebrating your accomplishments, and surrounding yourself with optimistic people are other ways to stay positive.

8. Practice Self-Compassion

It’s easy to fall into self-blame when you’re living with a chronic mental illness. Instead of comparing yourself to others and feeling inadequate, try treating yourself with acceptance. You might say, “I’m feeling lethargic today. It’s not reasonable to expect myself to go to the party when I’m this tired, and that’s okay.” The less pressure you put on yourself to be perfect, the easier it is to manage the ups and downs of your condition.

9. Identify What Gives You Meaning and Purpose

Knowing what gives your life meaning and purpose can be hugely helpful when managing a chronic mental health condition. Some people find a sense of meaning and purpose in their work. Others might find it through volunteering, religion, spirituality, family life, or an intimate relationship. Identify what enriches your life and invest your energy there.

10. Seek Joy

Living with a chronic mental illness can be debilitating at times. That means it’s even more important to find ways to experience joy. Whether you enjoy the beach, dancing, or watching your favorite show, make time to do what makes you happy. Don’t wait until you feel well before treating yourself to pleasure. Doing things you enjoy increases the likelihood of feeling better.

While mental health conditions are a sensitive and personal issue – like any health problem – most people prefer honest and open enquiries over reluctance to address the issue. Shying away from the subject can perpetuate fear of stigma and increase feelings of anxiety. Often employees will not feel confident in speaking up, so a manager making the first move to open up a dialogue can be really helpful. It’s important that managers don’t make any assumptions, though.

Regular catch-ups or supervisions are an opportunity to start the conversation, which should always be in a private, confidential setting where the employee feels equal and at ease. Questions should be simple, open and non-judgemental to give the employee ample opportunity to explain the situation and their feelings in their own words. If there are specific grounds for concern, such as impaired performance, it’s important to sensitively address these at an early stage, but in all cases people should be treated in the same way as someone with a physical health condition – a good starting point is asking how they are.

Questions to ask

  • How are you doing at the moment?
  • You seem to be a bit down/upset/under pressure/frustrated/angry. Is everything okay?
  • I’ve noticed you’ve been arriving late recently and I wondered if you’re okay.
  • I’ve noticed the reports are late when they usually are not. Is everything okay?
  • Is there anything I can do to help?
  • What would you like to happen? How?
  • What support do you think might help?
  • Have you spoken to your GP or looked for help anywhere else?

Questions to avoid

  • You’re clearly struggling. What’s up?
  • Why can’t you just get your act together?
  • What do you expect me to do about it?
  • Your performance is really unacceptable right now – what’s going on?
  • Everyone else is in the same boat and they’re okay. Why aren’t you?
  • Who do you expect to pick up all the work that you can’t manage?

Managers should explore how to address any difficulties which are work-related if an employee shares concerns about their mental health. Encourage the employee to see their doctor as a first step and ensure they’re aware of any support available. This could either be from the organisation, for example a confidential employee assistance helpline, or from credible external sources.

Employers need to communicate clearly through policies on stress management and/or mental health that anyone experiencing challenges with their mental health will be supported. Employers need to signpost what help is available.

https://www.cipd.org/en/knowledge/guides/mental-health-support-guide/#early-intervention-spotting-the-signs-of-stress-and-poor-mental-health

Insight Timer App - https://insighttimer.com/

How anti-depressents alter your perception of reality: https://www.facebook.com/watch/?v=1156023835623308

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12 March 2025

Episode 3 - Spotting the Signs

Show Notes Ep. 3

Spotting the signs... - How do you know if a colleague is struggling, and what do you do if they are? How best to support your colleagues.

Managers who know their staff and regularly hold one-to-ones to discuss work and wellbeing are placed to spot any signs of stress or poor mental health at an early stage. Often the key is a change in typical behaviour. Symptoms will vary, as each person’s experience of poor mental health is different, but there are some potential indicators to look out for.

Table 1 is not exhaustive, but it offers some useful pointers. However, if one or more of these signs is observed, this does not automatically mean the employee has a mental health problem – it could be a sign of another health issue or something else entirely. It’s important not to make assumptions or judgements, and to be led by the employee. Always take care to talk to the person directly.

Table 1: Indicators of poor mental health

Physical Psychological Behavioural
Fatigue Anxiety or distress Increased smoking and drinking
Indigestion or upset stomach Tearfulness Using recreational drugs
Headaches Feeling low Withdrawal
Appetite and weight changes Mood changes Resigned attitude
Joint and back pain Indecision Irritability, anger or aggression
Changes in sleep patterns Loss of motivation Over-excitement or euphoria
Visible tension or trembling Loss of humour Restlessness
Nervous, trembling speech Increased sensitivity Lateness, leaving early or extended lunches
Chest or throat pain Distraction or confusion Working for longer hours
Sweating Difficulty relaxing Intense or obsessive activity
Constantly feeling cold Lapses in memory Repetitive speech or activity
Illogical or irrational thought processes Impaired or inconsistent performance
Difficulty taking information in Uncharacteristic errors
Responding to experiences, sensations or people not observable by others Increased sickness absence
Increased suicidal thoughts Uncharacteristic problems with colleagues
Apparent over-reaction to problems
Risk-taking
Disruptive or anti-social behaviour

Samaritans - 116 123 FREE

Mind - 0300 102 1234

NHS - 111 or 999

The 8 Minute Catch-up

An idea popularised by Simon Simek based on work by psychologist Dr Robert Waldinger.

Agree an 8 minute time limit at the beginning of the phonecall, or text beforehand (“Have you got 8 minutes?”). The time limit forces both parties to get down to business and be striaght with each other.

https://simonsinek.com/stories/the-incredible-power-of-an-eight-minute-catch-up-with-a-friend/

Kahlon, M.K; Aksan, N; Aubrey, R; et al (2021) - Effect of Layperson-Delivered, Empathy-Focused Program of Telephone Calls on Loneliness, Depression, and Anxiety Among Adults During the COVID-19 Pandemic (A Randomized Clinical Trial).

https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2776786?guestAccessKey=3855e7d5-6f21-4d60-bd6f-d8c524d7ad5e&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=022321

Empathy focussed calls aid Diabetes management

https://www.emjreviews.com/diabetes/news/empathy-focused-phone-calls-found-to-aid-diabetes-management/

Using empathy in Communication

https://www.physio-pedia.com/Using_Empathy_in_Communication

Mental health conditions don’t necessarily stay the same. They can fluctuate over time. If you experience changes in mood, physical health, or behavior, you may need additional support.

Examples of these types of changes are:

  • Suicidal thoughts or behaviours
  • Sudden sweating, increased heart rate, trouble breathing, or nausea
  • Noticeable changes in appetite and eating
  • Hallucinations
  • Withdrawal from family, friends, or activities you enjoy
  • Large gaps in memory
  • Disturbed sleep patterns; feeling fatigued no matter how much you sleep
  • Outbursts of anger, hostility, or violence

These symptoms may indicate the need for a higher level of care, such as residential or outpatient treatment.

https://www.cipd.org/en/knowledge/guides/mental-health-support-guide/#early-intervention-spotting-the-signs-of-stress-and-poor-mental-health

A key part of spotting the signs is managers being alert to the potential workplace triggers, such as:

  • people working long hours and not taking breaks
  • unrealistic expectations or deadlines
  • high-pressure environments
  • unmanageable workloads or lack of control over work
  • negative relationships or poor communication
  • an unsupportive workplace culture or lack of management support
  • job insecurity or poor change management
  • high-risk roles
  • lone working.

External triggers may also affect an employee’s mental health and wellbeing, such as:

  • childhood abuse, trauma or neglect
  • social isolation or loneliness
  • experiencing discrimination and/or stigma
  • social disadvantage, poverty or debt
  • bereavement
  • severe or long-term stress
  • having a long-term physical health condition
  • unemployment or losing your job
  • homelessness or poor housing
  • being a long-term carer for someone
  • drug and alcohol misuse
  • domestic violence, bullying or other abuse as an adult
  • significant trauma as an adult, such as military combat, being involved in a serious incident in which someone fears for their life, or being the victim of a violent crime
  • physical causes – for example, a head injury or a neurological condition such as epilepsy can have an impact on behaviour and mood. It’s important to rule out potential physical causes before seeking further treatment for a mental health problem.

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