Author: Yasmin

  • Escapist, Self-Expressive and Therapeutic: The Different Faces of Art

    Escapist, Self-Expressive and Therapeutic: The Different Faces of Art

    “Drawing helps me create my own world, where I can live in my own imagination and feel safer and happier; I often draw for escapism,” said Josh during our interview. He is a 20-year-old who has struggled with anxiety since secondary school. The one thing that has helped him through this was his passion: drawing. Secondary was when his anxiety was at its peak though; dealing with anything outside of his comfort zone was a source of panic for him, even with things as simple as asking for the bill or going up to a cashier on his own. 

    He always thought to himself, “will they laugh at me? Am I going to embarrass myself? Will I say something wrong or say it in the wrong way? Will I stutter? Will any words even come out of me?” These thoughts accompanied him in every unfamiliar situation, shattering his confidence. But at the end of each day, he got all the comfort and confidence he needed when doing his favourite thing. Josh highlighted, “drawing always made me feel confident. I’ve found it to be therapeutic – just splashing my ideas, thoughts and feelings onto a blank canvas. I draw whenever I get an idea in my head or I see a piece of inspiration somewhere, but when I’m anxious, sad or angry, it’s also a very helpful escape that always calms me down.” 

    ***

    Art has always been an underrated form of therapy, often not taken seriously by many people. Dr Amy Hill, a Creative Arts Therapist and her expertise is at treating children and young people, described such thinking as “dismissive” and highlighted that, “there’s a lot more neuroscience that’s been discovered nowadays that has more evidence about how art therapy works in terms of the brain… we can actually create new pathways and new ways to be or see things. So, it’s incredibly healing.” 

    For example, a recent 2024 study led by Frontier Economics and UCL’s World Health Organisation Collaborating Centre for Arts and Health reveals that engaging with art has the power to reduce symptoms of mental health conditions, like anxiety and depression, alongside its other health benefits that improve overall well-being. Additionally, an article published by Crown Counseling states that, “studies show that art therapy helps in reducing symptoms of anxiety, depression and stress by 73% – especially amongst children diagnosed with autism spectrum disorder (ASD).”

    Dr Kelly Jayne, a consultant art psychotherapist with a speciality in treating complex trauma and dissociation, whom I also interviewed to get her perspective about the matter explains, “art therapy can really help people to communicate if they find speaking really difficult and therefore it can be really helpful for people who have learning difficulties, low self-esteem or social anxiety, or people that don’t feel able to use their voice because of whatever reason where they’ve been encouraged to not speak up. So, the image can then be the voice for people, and that’s really empowering as well.”

    ***

    Creating a painting can also bring back old memories you’ve forgotten, memories that are still connected with current struggles that you are trying to overcome. How does that help with mental health conditions though? 

    Dr Jayne highlights, “the image helps us to find meaning, understanding and urgency in what we might otherwise try to avoid in ourselves, because it’s too painful, because of the trauma or emotional content of that particular memory.” In other words, drawing helps us process these buried memories that our brain chose not to deal with because of the pain they carry. So, by processing these memories in a safe and creative environment, this can treat, or at least reduce, symptoms of certain mental health conditions, like anxiety and trauma. 

    We’ve seen this in the case of Claire, a 22-year-old who has struggled with adolescent trauma and emotional dysregulation. She shared her experience in an interview five years ago, while she was receiving art therapy, which was published on the British Association of Art Therapists’ (BAAT) website. At the time of the interview, Claire had been receiving art therapy for nine months after trying six other forms of therapy, mainly talking therapies, but it was art therapy that worked best for her. She said, “art gives me a way to visualise what’s going on and makes sense of it, because I find [it] quite hard to make sense of my head, so it helped me visualise what was going on.” One of her drawings was a representation of how she feels about her mind, which she always referred to as “very messy.” This messiness, she explained, blocks her from accessing anything in it, especially the things her illness doesn’t want her to think about. 

    In Claire’s case, art therapy was the reason she completely changed her worldview. As she said, “I spent a long time thinking that I wanted to die, and it was the only way. But now I realise that I owe it to myself to live, and it’s actually just my illness telling me that.”

    ***

    It’s a Sunday evening, you’re 6 years old and you’ve just got back to finish colouring the drawing you started in the morning. Your biggest worry in this moment is your mom forcing you to go to bed because it’s already past your bedtime. Art therapy helps us revisit this simpler time in life by doing the same thing we did then.

    Dr Jayne describes this as, “reclaiming the primitive child within ourselves.” This is her different perspective on art therapy, which she believes is one of the reasons it’s so therapeutic. She explains, “a child will sit there with crayons, exploring art materials and they’re using that to express themselves before they get to the verbal language. So, it’s something that we’re automatically as humans, already dispositioned and programmed to do. So, when people engage in art psychotherapy, it’s like reclaiming the self before the world got to them and getting back to that place … it’s a really amazing moment when that happens.”

    ***

    The true beauty of art therapy, and what really makes it stand out, is being able to express everything you’re feeling to someone without saying a single word. So, you get the benefit of getting all the heaviness off your chest without needing to share private details that you may not be comfortable talking about. Can art completely compensate verbal expression though? Dr Jayne describes art as our primitive language, which is universal, while verbal language, she says, is secondary. But she highlights that “they both have different functions and there’s a choice of how to communicate, so they’re both useful in their own places.” She explains that verbal language can be helpful in art therapy when someone wants to interpret their pieces, and in some cases, the drawing itself can bring out the words that they hadn’t been able express before. 

    If you’re sitting there thinking, “art therapy is not really an option for me, I can’t even draw a stickman properly,” both Dr Jayne and Dr Hill have highlighted that this is definitely not a problem and art therapy is for everyone. Dr Hill explains, “when it comes from a place of wanting to just express yourself; it doesn’t matter. It’s totally about the process and how it makes you feel and what it speaks to you, not about the finished product. Art therapy covers, a lot of different creative mediums besides drawing, like, sand tray, puppetry and poetry.” 

    Art, in all its shapes and forms, is an essential part of life. It can be your voice when you don’t have one, and it can help you process memories and feelings you only begin to understand after seeing or creating an artwork that reflects the mess inside you. Whether it’s your hobby like Josh or your chosen mode of therapy, art is always there for you to turn to when you need support. 

  • Why the misdiagnosis of ADHD and GAD is common and what this means for you? 

    Why the misdiagnosis of ADHD and GAD is common and what this means for you? 

    Confusing attention deficit hyperactivity disorder (ADHD), with generalised anxiety disorder (GAD), has been a common mistake amongst therapists and psychologists over recent decades. A 2024 study published in the Journal of Attention Disorders showed that 17%-26% of patients with inattentive ADHD received a previous wrong diagnosis of anxiety.  

    Dr Laura E. Knouse, who is a clinical psychologist with expertise in studying and treating ADHD in adults, explains to us the reasons of this while giving us tips on how to spot the differences between them.  

    How common is it to misdiagnose ADHD with GAD (and vice versa)?   

    “The real answer to this question is we, unfortunately, don’t know a lot about how often these things get diagnosed or misdiagnosed, I don’t think there’s good, solid data on it. 

    Anecdotally, it’s definitely a thing that we see in the field. This is some years ago, but when I was training in an adult ADHD clinic, I had, for example, a patient who GAD was a better explanation for what was going on with her, and one evidence for that was that the only time she was experiencing ADHD like symptoms was when she was also in an anxious state. 

    I would say, as a clinician, it probably is not uncommon, but maybe we need more research about that.” 

    Why and how does that happen? 

    “On the one hand, you have a lot of symptoms overlap between these two conditions, especially things like restlessness. Some of the hyperactivity kinds of symptoms can be common to both conditions.  

    Most psychiatric disorders have some kind of concentration or inattention, flavour to them, right? Certainly, if we were very anxious, that’s going to interfere with your ability to concentrate on things. So, symptom overlap is the number one thing that’s important to recognise. 

    But then the second thing on top of that is that there truly are high rates of true comorbidity or cooccurrence between these disorders. So, you’re trying to distinguish, if they’re exhibiting symptoms of both, then it could be true comorbidity, or it could be symptom overlap, and one of them is the better explanation than the other.  

    The third thing is that it’s on a continuum, or on a scale, not like, “yes”, “no,” which makes it really difficult to diagnose.” 

    Is gender bias involved? 

    “We’re all humans, and we’re all prone to whatever biases there are, right? And so, I do think it’s changing, but I also think some clinicians still operate under that whole, ‘ADHD is like a hyperactive little boy.’ Also, the idea that men might express their anxiety differently, so I think you’re really on to something there.” 

    Have you ever misdiagnosed someone with ADHD or GAD and how did you discover your mistake if you have?  

    “I will say I have had people come in with an ADHD diagnosis that then, through my work, I’ve been like, I don’t think this is the best explanation. Now, that’s not saying I’m any better than anyone else diagnosing, it’s just that I think, maybe what you’re pointing to is a bigger issue: we don’t really have a good way to follow up with people whether it was right, which maybe is why the research isn’t there.” 

    What are the differences between ADHD and GAD that every person should know when dealing with either or both?

    “The first thing is age of onset. The age of onset for ADHD is younger than the age of onset for anxiety disorders, since you should have showed symptoms before the age of 12 if you have ADHD. 

    One other thing I will say is that ADHD symptoms should be a little bit more like personality, it’s kind of how you always are, and the situation doesn’t really impact you as much.

    Whereas, usually with anxiety disorders, the symptoms can get worse, they can wax and wane. You are really only having concentration problems when you’re in a time of high stress, unlike ADHD.”

    As a specialist, what is the most common mistake someone with ADHD and GAD could do when dealing with their condition and wish for them to avoid if possible? 

    “It’s thinking you can avoid the problem and it’s going to get better, because what’s challenging is that the feeling of anxiety is unpleasant, and whatever causes that anxiety to arise, you’re going to want to avoid it or back away from it, right? And sometimes that’s okay, but other times it keeps you from being able to engage with the people or do the things in your life that would really enhance it or help you meet your goals. 

    I want to be quick to say I’m not blaming the person because it’s what you would naturally do when you feel that anxiety, but I would just want people with both ADHD and GAD, to be aware that there are really great research supported treatments for both conditions, and that includes both medications, but also cognitive behavioural therapies.” 

  • Intrusive thoughts are caused by sleep deprivation, new study shows

    Intrusive thoughts are caused by sleep deprivation, new study shows

    A new study has shown the link between intrusive thoughts and sleep deprivation. 

    The study by scientists from the University of York and the University of East Anglia suggested new treatments for people who suffer with anxiety disorders, depression and PTSD.

    The study, published last December, showed that lack of sleep can prevent the prefrontal area of the brain from supressing intrusive thoughts and negative memories. 

    Dr Scott Cairney from the University of York’s Department of Psychology, said:

    “Memories of unpleasant experiences often intrude into our conscious mind in response to reminders, but tend to be fleeting and can be put out of the mind again, but we have previously shown that the brain’s ability to suppress such intrusive memories is contingent on obtaining restful sleep.

    Suppression is a very clever function of the brain as it weakens all of the connecting traces of the memory, thereby inhibiting us from joining up all the dots to retrieve the full picture of the experience when it is triggered by an external stimulus.”

    The study started by showing the 85 participants scenes, that could be neutral or negative, which were paired with faces. After that, half of them stayed awake all night and the other half slept restfully in the lab. 

    On the following day, they were shown the same faces again and they were either asked to remember the scene associated with the face or supress it. The participants’ brain activity was examined during the assessment using functional magnetic resonance imaging (fMRI) scans. 

    The participants who slept had more activation in the right dorsolateral prefrontal cortex – the part of the brain that controls actions, emotions and thoughts – in comparison to participants who were sleep deprived.

    Dr Cairney said:

    “The participants who were sleep deprived were unable to engage the area of the brain that helps us suppress unwanted memories. 

    Consequently, they could not quash memory related processes in the hippocampus that give rise to intrusive thoughts.”

    The hippocampus is responsible for the remembrance of memories. Rapid eye movement (REM) sleep was also found to influence the brain’s efficiency when supressing memories, since the more REM the participants had, the higher the activity was in their right dorsolateral prefrontal cortex. 

    Dr Cairney highlighted that the study’s findings should be utilised in designing more behavioural therapies and targeted treatments for people with anxiety, depression or PTSD which focus on improving their sleep, since that should also reduce their other symptoms of intrusive thoughts and recalling negative memories. 

    “This is really important to our understanding of mental health issues as it is well documented that those who suffer with anxiety, depression or PTSD, also have difficulty with sleep,” Dr Cairney said. “Now that we have better understanding of the the mechanisms in the brain that can help restrict negative memories and thoughts, we can perhaps work on more targeted treatments and behavioural therapies that help with improving sleep and as a result support the brain in doing what it has so cleverly adapted to doing, allowing us to lead mentally fit lives.”