Mental Health and Anxiety

Please find detailed below potential services that are available locally, nationally or online.

NHS Website – offers practical advice, interactive tools, videos and audio guides to help you feel mentally and emotionally better

Urgent Mental Health Support – Anyone in North Cumbria can self-refer for urgent mental health support provided by Cumbria, Northumberland Tyne and Wear NHS Trust (CNTW) direct to the Access Liaison Integrated Service.  Find more information here or ring 0300 123 9015 or 0800 652 2865If you need urgent help with your mental health right now, you can get in touch with us 24 hours a day.  In an emergency, always call 999

CNTW self help guides

First Contact Mental Health Practitioner

Mental health practitioners provide GPs and other primary care staff with timely support on the best ways to help people with complex mental health needs.

These roles, one of many new roles in primary care, represent an exciting opportunity to provide a brand new kind of support that works across traditional boundaries between services. We are fortunate that a Mental Health Practitioner works alongside the team at Appleby Medical Practice. Please speak to a member of staff for further information or see this video for further information.

Living Well Coaches – The Wellbeing Service is an integral part of the primary care teams within Eden, based at the GP practices and working closely with the wider ICC teams to support the “non-medical” and psychological needs of individuals with Long Term Health Conditions (LTCs), including Frailty, and associated psycho-social difficulties.

The aims are:

  • promoting self-management of long-term conditions (including frailty)
  • help people feel more confident in the management of their health (become more activated to self-manage)
  • engaging people to set personalised goals to improve their quality of life
  • to take a Social Prescribing approach (where appropriate) to promote the engagement of people with third sector organisations.
  • Referrals to the Living Well Coaches are via the GP.

Government Guidance and support during COVID-19– The coronavirus outbreak is having an impact on everyone’s daily lives. If you already have a mental health problem, then you may be finding the coronavirus (COVID-19) outbreak particularly challenging. GOV UK have published guidance which includes;

  • Where to get support
  • Advice for specific mental health problems
  • People with a learning disability or autism
  • Older People and those with dementia
  • What to do in a mental health crisis

Guidance for supporting children and young peoples mental health and wellbeing is also available.

Every Life Matters – Copies of a guide by Every Life Matters relating to looking after your mental health and well-being were delivered to households across Cumbria during the lockdown.  If you have not received one you can download a copy here where you will find practical information about things you can do now to look after your mental health and well-being, and also how you can support others.

Op COURAGE: The Veterans Mental Health and Wellbeing Service – If you or someone you know is struggling with their mental health or wellbeing, expert help is available from Op COURAGE: The Veterans Mental Health and Wellbeing Service.

It does not matter if you’re due to leave the armed forces, just left the armed forces or left many years ago. Op COURAGE are here to help and understand the courage it takes to speak to someone.

When you contact Op COURAGE, you’ll speak to people who:

  • understand the armed forces and military life
  • are either from the armed forces community or highly experienced in working with serving personnel, reservists, veterans, and their families
  • will work with you to make sure you get the right type of specialist care, support, and treatment.

How to contact Op COURAGE: The Veterans Mental Health and Wellbeing ServiceNorth of England – Call 0800 652 2867 or email [email protected] The Op COURAGE urgent care and support service is accessible by healthcare referral only.

Link to the NHS page for further information and details.

Talking Therapies – NHS North Cumbria Talking Therapies is the new name for First Step and has been changed as part of a national rebrand. It offers the same effective psychological therapies for mild to moderate depression and anxiety disorders (e.g. Phobias, Post Traumatic Stress Disorder, Panic Disorder, Social Anxiety, Generalised Anxiety Disorder, Health Anxiety, Body Dysmorphic Disorder and Obsessive Compulsive Disorders).

North Cumbria Talking Therapies is part of Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust and provides free, talking therapies to adults (18+) in North Cumbria (for individuals living in South Cumbria please visit NHS Lancashire and South Cumbria Talking Therapies). North Cumbria Talking Therapies can help with a range of common mental health problems including mild to moderate depression, anxiety disorders (such as chronic worry, panic attacks, health anxiety and obsessions), mild bulimia, anger or sleep problems).

You can contact them on the following number:   Cumbria – 0300 123 9122

NHS North Cumbria Talking Therapies – Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust (

Togetherall – A new service offering free online support to anyone aged 16 and over facing increased anxiety and other mental health challenges is available to people in north Cumbria, funded by Cumbria NHS (CCG). Togetherall provides online peer-peer support, access to an anonymous community and lots of information, as well as courses and resources covering a range of mental health and wellbeing topics.. The service is clinically managed and professionally moderated 24 hours a day. The service can be accessed by registering with your postcode, and logging in at:

Every Mind Matters – The NHS Every Mind Matters campaign provides information on how you can help improve your mental health and wellbeing if you are worried or anxious about the coronavirus outbreak. For specific tips and advice while staying at home, read our advice on maintaining your mental health wellbeing whilst staying at home  To find out more and access your personal NHS Mind Plan designed to help you deal with stress, boost your mood and help you feel on top of things visit the

MindLine Cumbria – If you find yourself struggling, in need of some support or just need a listening ear, MindLine Cumbria is a local mental health support line which will continue to run throughout the current situation. MindLine Cumbria is open 12noon – 11pm Monday to Friday, and 5pm – 11pm on weekends and Bank Holidays. You can access MindLine by phone, text, email or web chat: Call: 0300 561 0000 / Text: ‘Mind’ to 81066 followed by your message / Email: [email protected] / Web chat and further information available at:

Kooth – commissioned by Cumbria County Council gives every child and young person aged 10-18 access to free online counselling and emotional wellbeing support every day.  Kooth is anonymous and free at the point of use. Online counselling is available to users through instant chat messaging from mid-day until 10pm on weekdays and from 6pm until 10pm at weekends. Self-help materials, messaging, mood tracking and other support features are available anytime. Kooth’s team of qualified counsellors and support workers provide guided and outcome-focused support for each individual.

SANE – UK mental health charity improving quality of life for anyone affected by mental illness – including family friends and carers –

OCD Action is the national charity focusing on Obsessive Compulsive Disorder (OCD). We provide support and information to anybody affected by OCD, work to raise awareness of the disorder amongst the public and front-line healthcare workers, and strive to secure a better deal for people with OCD

No Panic – specialises in self-help recovery and our services include. Providing people with the skills they need to manage their condition and work towards recovery, enabling them to lead more fulfilled lives. Call – 0844 967 4848 (10am – 10pm daily) or

Samaritans –  If you are struggling and just need someone to talk to, you can call the Samaritans free helpline on 116 123.  If you need support or need to talk,  you can call the Samaritans 24 hours a day, 7 days a week on 116 123. The Samaritans are not just a service for when we are in crisis, but are there for you at any time, whatever you are going through.

‘The Health & Wellbeing Coach team (HAWC) are available in Eden to consider referrals for any individual over the age of 16 who wants to make positive changes to their current lives. The HAWCs are all trained to offer support and guidance through coaching and motivational interviewing, and offer coaching support to individuals who are committed to engaging in making changes for themselves with the support of a coach, and taking the lead on the changes and goals they would like to achieve. Most of the people we work with have faced a period of crisis or have multiple issues that they need to understand and work through. Our overall purpose it to improve your overall health and wellbeing, and in order to do this, we want get to know you and what works for you, what your aspirations and goals are, understand the barriers to achieving these, and the support you draw upon from your personal resources and resources around you to make long term change. If you know of any individuals who may benefit from some support from a HAWC then please do not hesitate to contact the team to discuss further. There is a duty HAWC available Monday- Thursday 09:00-17:00 and Friday 09:00-16:30, they are contactable via the Adult Social Care SPA (0300 303 3249 for Carlisle & Eden). The Duty HAWC will have a conversation with both the referrer and the individual to determine if HAWC support is appropriate, and from there if deemed appropriate the referral will be allocated to a HAWC who will make contact with the individual and start the coaching support.’

BEAT – Are the UK’s eating disorder charity. Founded in 1989 as the Eating Disorders Association, our mission is to end the pain and suffering caused by eating disorders.

The Lighthouse

The Lighthouse by Carlisle Eden Mind is an evening crisis support service, based in Carlisle. It is a calm, safe and comfortable place for people in Carlisle and Eden, to visit when they are experiencing a mental health crisis, feeling unsafe or finding it hard to cope.

  • We offer a broad range of information, support and guidance to anyone experiencing mental ill-health.
  • We also offer support for anyone who may be concerned or supporting someone else who has mental ill-health.

Offload Cumbria – Offload Cumbria

Help and Advice for Young People

LINK – is the new children and young peoples social prescribing service that will be working alongside GP practice teams in Eden, Keswick and Solway and Longtown and Brampton. PCN’s whilst being hosted by Barnardo’s. The service will be supporting children and young people’s emotional health and well-being whilst establishing what is important to them as individuals.

NSPCC – is the UK’s leading children’s charity, preventing abuse and helping those affected to recover. If you are under 18 call – 0800 1111. If you are worried about a child call – 0808 800 5000. or the website –

PAPYRUS is the UK Charity for the prevention of young suicide. For PAPYRUS call 0800 068 4141 (open 10am-10pm weekdays, 2pm-10pm weekends and bank holidays).

Child line – Get help and advice about a wide range of issues, call us on 0800 1111, talk to a counsellor online, send Childline an email or post on the message boards. –

YOUNG MINDS – If you’re a young person experiencing a mental health crisis, you can text the YoungMinds Crisis Messenger for free 24/7 support across the UK.  If you need urgent help text YM to 85258  All texts are answered by trained volunteers, with support from experienced clinical supervisors  Texts are free from EE, O2, Vodafone, 3, Virgin Mobile, BT Mobile, GiffGaff, Tesco Mobile and Telecom Plus.

PAC Therapy – PAC is a registered charity based in Carlisle, Cumbria that provides free counselling and therapy for children and young people. Sessions can be either talking therapy or non-verbal therapy. We offer psychodynamic therapy in art, drama, dance/movement and equine therapy. We also offer online therapy, and where appropriate, group therapy sessions. The sessions are confidential and held weekly at PAC’s offices in Carlisle city centre and the amount of therapy sessions will vary based on the client’s needs. We accept referrals from parents, carers and professionals or young people can refer themselves. We work with anyone aged 7 to 19 years old. This is extended up to age 25 if the young person is leaving care or has a learning difficulty or disability.

Kooth – further details above. Kooth are also currently offering parental advice on supporting your child through exam results.

IT’S NOT OK – young people’s stories : Cumbria Childrens Safeguarding Partnership

A group of young people in Cumbria have put their creative minds together to make a series of films about child safety. 
The three films, which use the stories of fictional characters to highlight the issues of healthy/unhealthy relationships, exploitation and online safety, have been made by young people across Cumbria as part of the CSCP and NSPCC’s year-long campaign IT’S NOT OK. Link to the videos

The Mix
The Mix provide non judgmental support and information for young people under 25 on a variety of issues including mental wellbeing, sex & relationships, exam stress, money, drugs and self harm.
Webchat available. Phone: 0808 808 4994

Remember you can also;

  • Contact your GP 
  • Out of hours call the NHS on 111
  • Remember in an emergency always dial 999.

Please click on the three lines on the left hand side of ‘Appleby Medical Practice’ for further practice related information.