All posts by actionmentalhealth

International Women’s Day

Celebrating the brave women transformed by Action Mental Health

Today we celebrate International Women’s Day. All over the world, young girls, women, mothers, sisters, friends and matriarchs of all creeds and colour are being placed in the spotlight to mark the contribution they make to humankind.

In an era of a global pandemic, much of the focus will be on the tireless efforts of the women doctors, nurses, health professionals and key workers who have helped steer the rest of us – men and woman alike – through these frightening times.

Closer to home, Action Mental Health today salutes the brave women who have come through the doors of its AMH New Horizons recovery centres, seeking a better life after experiencing periods of mental ill health. Whether it’s a longing to return to employment they’re after, or a second bite at education and training or simply to gain the support of those in a similar position, the woman of AMH New Horizons has contributed much and gained much in return.


Client Tammy-Lee Feenan is one such woman who has faced many obstacles in her young life. And still emerging from the difficulties of her past, she is already a more confident woman with greater life chances – all thanks to AMH New Horizons Downpatrick.

Tammy-Lee, 24, was a spa therapist when repeated seizures led to her having to give up a job she enjoyed. Investigations by doctors found that the seizures were likely caused by post-traumatic stress disorder, following the traumatic discovery of a family friend who had died by suicide. She was only 17 at the time.

When, at the end of 2018, the enforced separation from her job led to Tammy-Lee becoming depressed, she was referred to AMH New Horizons Downpatrick in the new year of 2019. Within a very short time she felt better.

“I was nervous at the start and though I’m not shy, I kinda stood back when people were all chatting, and I might have gone outside while they got into a group chat, but my key worker was so good at encouraging me to join in.”

Being offered a variety of courses, one of her favourites is the horticulture classes, following a life-long love of gardening she first enjoyed with her grandmother. The classes have helped fire a renewed interest in gardening and her partner has now built her a flower bed in her garden, to allow her to indulge the hobby at home, as well as at New Horizons.

She’s completed a raft of other courses also, including employability training and nationally recognised vocational courses. She’s undertaking a number of NVQs and she is even preparing to return to college in the autumn to train for a beauty training diploma to allow her to teach the subject.

And having gleaned so much from her many tutors at AMH New Horizons, including her Employment Officer, she hopes to give something back to the charity when it’s her time to move on.

“I want to give something back. I’d like to teach something here in AMH New Horizons like beauty or something to other clients and to give back something because they were so good to me.”


Jackie Booth, 61, was once a high-flying career woman in Switzerland but in later life experienced issues like OCD (Obsessive Compulsive Disorder) which led her to feeling like ending it all.

But after rediscovering her better self, following a number of years with Action Mental Health, she is calling on women to seek out and ask for help if they need it – when they need it.

“As women we are mothers, wives, workers, carers, cooks – everything. For the majority of men, they go out to work and come home and sit down to dinner and get to relax the rest of the evening. For women, we never stop, and we can never be seen to show any fragility, we just have to keep on going, multi-tasking at whatever is going on and it leads to fragility.

“At work, many woman are put down in many aspects while more men can progress unhindered. Women have to work so much harder just to get to the same level,” she says.  

Since attending AMH New Horizons Downpatrick, Jackie has unearthed latent talents at art, which has been her ‘saviour’, as well as poetry. And now, the grandmother, who is originally from Bangor and now living in Killyleagh, is flourishing.

But she is keen to encourage other women who are struggling with their mental health to speak up and get help.

“There’s so much shame and embarrassment attached to mental health and I didn’t seek help early enough, and I was a wreck when I arrived at AMH New Horizons. But women, everyone, must seek help. Help is out there. There are so many fantastic resources out there to help people and going to AMH New Horizons is a great first step in accessing help in the community.”


Kathryn Charlton, 27, said she was an “anxious mess” when she first arrived at AMH New Horizons Downpatrick a few years ago. But like so many who go through the doors of the charity’s nine New Horizons across Northern Ireland, her life has been turned around.

“In fact I was in near hysteria,” she admits. “But the staff where all very calming and patient with me as they went through everything I would need to know.”

Kathryn, from Saintfield, found that regardless of her anxiety and uncertainty, with the right encouragement and reassurance, she found a way of tapping talents that were otherwise hidden – she even caught the acting bug.

“The tutors were always asking me how I was, and took the time to listen to what I had to say and gave what advice they thought could help. Their caring, advising attitude helped me to open up more in classes and be more involved. This eventually led to me Joining a drama class where I performed a play at the end of the year to show all I had learned,” she revealed.

The drama class then went along to see a play at Belfast’s Lyric Theatre, which she describes as “a great experience as I loved spending time with everyone in that class”.

“They have many classes to help with self-development, all of which I have taken; some of these are confidence-building, stress-busting and assertiveness building. All of these I have found useful and have found myself using bits and pieces from their teachings in my daily life,” Kathryn adds.

The cathartic experience of the creative writing courses at AMH New Horizons Downpatrick, has also helped to build self-esteem.

“I was so inspired by the nurturing work of the tutors that I decided to join the clients’ peer support group, which I later on became a leading member of.    

“AMH New Horizons has done a lot for me. It has continued to build me up from the ground whenever I feel like crumbling. The staff feel like friends whom I can go to whenever I have a problem and they have always celebrated all the trials I have overcome mentally,” she adds.

“They have never, in anyway, let the fact that I am female prevent me from doing what I want to do,” she says, adding that by following the example of other inspiration women, she is confident she can achieve what she sets out to do in future.”

“AMH New Horizons has made me more confident, resilient, assertive and less anxious in myself due in part to the classes I’ve taken and the care they’ve taken with me. The biggest improvement overall is to my self-esteem as a woman, which has never been better.”


Thanks to Tammy-Lee, Jackie and Kathryn for talking to us to celebrate International Women’s Day.

Clients at AMH New Horizons Downpatrick take part in the ESF ‘Working It Out’ project which is part-funded by the Northern Ireland European Social Fund Programme 2014-2020, Department of Economy and Northern Health & Social Care Trust.  

The facts and figures show the scale of Binge Eating Disorder

Action Mental Health today concludes our special focus on Eating Disorders Awareness Week, highlighting the statistics that convey the impact of Eating Disorders on society.

It’s a tragic fact that one in three people who experience Binge Eating Disorder actually consider taking their own lives, while of those with this particular disorder, 40% are male. This particular eating disorder – which affects one in 50 people – affects three times more people than those diagnosed with Anorexia Nervosa and Bulimia Nervosa, combined. It’s is also a sad fact that only one in four people with Binge Eating Disorder seek treatment.

Whatever eating disorder you or a loved one may be affected by, help is out there. Whether you talk to a friend, or write your feelings down in a journal, you can find ways of coping. So reach out, seek help and help smash the stigma of eating disorders.


If you live in the Southern Health Trust Area you can contact the AMH everyBODY Team – T: 028 3839 2314 or E: [email protected]

Does one eating disorder trump another one?

Do some eating disorders trump others? That’s among the common misconceptions surrounding eating disorders – namely that Anorexia Nervosa is the most serious eating disorder. In fact, all eating disorders are serious mental illnesses. In today’s spotlight on Eating Disorder Awareness Week we bring you the common misconceptions surrounding these issues through a short film, and a tragically common case study of self-loathing – a familiar trait of those experiencing eating disorders.

I usually eat a lot on a Saturday night, Do I classify as having binge eating disorder?

Binge Eating Disorder isn’t just eating a lot of food, most of us will do that at some point. What makes BED distinct is the negative emotions and distress associated with it. A binge is classified as eating, in a short period of time a larger amount of food than would normally be consumed, associated with feelings of being out of control. There is often a build up of tension and anxiety before a binge. Binges are distressing, they bring negative emotions such as guilt, shame and sadness. Binges will usually happen alone in isolation, in secret. These binge episodes will occur at least once a week for 3 months. Overeating at times is completely normal, when a person overeats they can usually stop at any time.  In contrast a person with BED  will feel like they have lost complete control, the behaviour will feel frantic and people who are in a binge will usually eat at an incredibly fast rate. People with BED may also restrict their diet or have certain dietary rules around food. This can result in binge eating due to hunger and deprivation.

Case Study of self-loathing

For the last 30 years I have tortured myself. Sucked in by diet culture and rules. I thought that was the only way to control my weight, my body shape, my addiction to food and my compulsion to eat

excessively. Over the years it was a vicious circle of achievement and failure, and with more failure came more self-loathing, low self-esteem, and self-hatred for not being able to follow the rules.

Sound familiar?

Until this year. When I was pointed in the right direction and found myself contacting AMH EveryBody.  I was not aware Binge Eating is now considered an eating disorder and that there is help and support out there for us. I very quickly learned that it’s not really about the food but more about the feelings and emotions. I am moving away from ‘success’ and ‘failure’, and ‘good’ and ‘bad’, but more importantly from ‘shame’ and ‘guilt’. I am still learning and working my way through with the guidance and support of AMH EveryBody. I cannot recommend the process enough. Do not be afraid to reach out for help and support. You won’t regret it.


If you live in the Southern Health Trust Area you can contact the AMH everyBODY Team – T: 028 3839 2314 or E: [email protected]

Today’s focus for Eating Disorders Awareness Week -Body Positivity and Health

As Eating Disorder Awareness Week continues, today we examine the issue of positive body image and offer advice on helping you to deal with those days when you most suffer from negative body image.

It’s worth looking at some recent clinical research on the very important issue, states AMH everyBODY Project Worker Deborah McCready.

“People who accept themselves are more likely to engage in health promoting behaviours. Research (Cohen et al 2019) showed that viewing body positive content was associated with improved mood, body satisfaction, body appreciation and self-care.  In contrast, it is evidenced that weight stigma (WHO – “negative attitudes, and beliefs about others because of their weight”) poses a health risk.

“Shame and stigma cause people to avoid medical treatment, gyms, social interactions, whilst also contributing to levels of chronic stress, shown to contribute to inflammation and poor health outcomes. At its core, body positivity and its principles are about acceptance, inclusivity and respect. It is stating that all body types have intrinsic value,” she says.

The road to recovery is about showing that health is not a one size fits all scenario. “By showing more body diversity and representation we can reduce some of the body dissatisfaction that is caused by shaming and alienating certain body types. When we show respect and encouragement to all body types we can help to put an end to some of the harm weight stigma causes.”

Dealing with Bad Body Image Days

Breathe. Mindfulness is a great way to connect with your body and develop a greater appreciation of it. There are lots of free apps such as Headspace and Oak that can help with this.

Practice body gratitude. What are you grateful for your body for? Think of all the things it does for you.

Write it down. Journaling can be a really healthy outlet for your emotions.

Challenge your inner critic. Practice reframing those negative thoughts. For example, if you think ‘my tummy is too big’, try coming up with a positive thought replacement such as, ‘my tummy contains life sustaining organs that need space to function’

Dress comfortably. If you are conscious about a particular aspect of your body, wear clothes that don’t emphasise your insecurities.

Talk to yourself like you would a friend. What advice would you give them if they told you they were struggling with the way they look?

Be kind to yourself. Create a comfort list of simple things you can do to offer yourself a moment of kindness (music/affirmations/activities).  If you find kindness too difficult using neutral comments can also be helpful. “I have a body but it does not define my worth.” “I am more than my appearance.”

Be mindful of social media. Social media can encourage unhealthy comparison between ourselves and seeming ‘perfect’ others. Be aware that not everything we see online reflects reality. Maybe you need some time to disconnect?

Body image fluctuates. Remember, how you feel is not permanent.


If you live in the Southern Health Trust Area you can contact the AMH everyBODY Team – T: 028 3839 2314 or E: [email protected]

Voices of Binge Eating Disorder

Today, on Day 4 of Eating Disorder Awareness Week, Action Mental Health’s specialist eating disorder service, AMH everyBODY brings you more insight into the hurdles faced by people living with eating disorders. We bring you testimony from someone who knows personally, every bump in the journey to overcome their disorder.


All my life I had wanted to be smaller, it was through support I learnt that there are so many more valuable things to invest my time and energy into. Like my strengths of character, my interests, the things in life that bring me joy.  The support helped me to realise that having an Eating Disorder does not make you a failure, that it wasn’t a choice. It was a way of coping and I learnt new ways of coping and dealing with emotions and thoughts.

I think most people will recognise signs of Anorexia or Bulimia but it can be particularly difficult with someone who does fall within a normal or higher weight. This is because generally a lot of people tend to look for physical symptoms of Eating Disorders and not realise that it is a Mental Illness and much more about how that person is feeling and what they are dealing with underneath the surface.  You cannot tell someone has an Eating Disorder just by looking at them.

  • On the one hand I was obsessed with everything I was eating/tracking calories and very strict with exercise, but on the other hand I felt completely out of control around food and would the restriction would lead to bingeing.
  • It really hit home that I needed support when I had planned to take a trip away and it felt impossible to go because of my overwhelming thoughts around food, weight and exercise. I felt I couldn’t focus to find enjoyment in the things I wanted to.
  • My thoughts were completely consumed by food and self-critical thoughts. It became a vicious cycle of bingeing when I was feeling depressed, then feeling more guilt, then compensating with punishing behaviours and thoughts and I just couldn’t stop.
  • How it impacted me emotionally was huge, I felt depressed and had very low self-esteem. I felt constantly annoyed at myself, disappointed in myself and just generally hard on myself.  It also took a toll on my relationship.

Through recovery I have learnt I was far too hard on myself, I learnt I needed to give myself a break!

I started to practice compassion for myself and it is something that I still do. That being happy with who I am, and within myself was far more important that trying to fit other people’s ideals. I learnt to get to know myself again, to make peace with myself.

In the beginning all I could see were the negative thoughts and bad things about myself, I learnt to challenge this mindset and recognise my own strengths.

I’ve certainly learnt to just listen to my body more, to let it rest when it needs to.


If you live in the Southern Health Trust Area you can contact the AMH everyBODY Team – T: 028 3839 2314 or E: [email protected]

Eating Disorders: Facts versus Fiction

Today, on Day 4 of Eating Disorder Awareness Week, Action Mental Health’s specialist eating disorder service, AMH everyBODY brings you more insight into the hurdles faced by people living with eating disorders.


Is anorexia the most serious type of eating disorder?

All eating disorders are harmful and I think there seems to be this misconception that anorexia is in some way superior which absolutely isn’t the case.

All eating disorders are serious emotional and physical illnesses and although they may manifest in different ways, typically in the form of anorexia (where an individual might restrict their intake), bulimia (characterised by episodes of bingeing and purging) or binge eating disorder (eating large quantities of food without feeling in control of doing so), psychological implications are common to each. These include:

  • A preoccupation with food and weight
  • Feelings of guilt and shame
  • An individual using food as a coping mechanism. Quite often someone with an eating disorder will feel they are lacking control over many elements of their life and so controlling food and their body is a means of relieving their distress.

Do you have to be really underweight to have an eating disorder?

So this is a really common misconception, that in order to qualify as having an eating disorder, an individual must have an extremely low body mass index and appear completely emaciated. While this is unfortunately the reality for some people affected by anorexia, a very small percentage of all eating disorder cases conform to this notion.

This is a really harmful and misleading stereotype that not only contributes to the weight stigma so prevalent in society today, it may prevent an individual from recognising themselves that are affected by an eating disorder simply because they do not meet the ‘thin ideal’. Leaving individuals feeling as though they are ‘not sick enough’, this in turn prevents many coming forward to seek support and the danger here is that their eating disorder behaviours could become more entrenched.

What causes Binge Eating Disorder?

As is the case for all eating disorders, no single cause can be identified as leading to the onset of BED. Onset typically results from the complex interaction of a range of biological, psychological and socio-cultural factors.

  • Genetic predisposition might mean some individuals are more vulnerable than others to the onset of BED.
  • Psychological characteristics such a low self-esteem and depression can make an individual vulnerable to developing BED. Quite often, the individual may have difficulty expressing their emotions and feelings. They might therefore use food as a means of dealing with these.
  • Internalisation of societal pressures that equate our worth to our weight is also a risk factor for development of BED. This can leave an individual preoccupied with their shape and weight. Other social factors that might lead to someone developing BED include weight stigma, bullying, and exposure to parental dieting.

What’s most important to remember is that eating disorders do not discriminate. They can affect anyone of any age, gender, ethnicity or background.

Aren’t diets a good thing if someone needs to lose weight?

Research show us that diets are neither effective nor sustainable ways of managing our weight. They are a temporary solution.

A period of dieting is perhaps the single most important precipitating factor in BED. It does not address the root causes of BED.

An individual with BED will typically find themselves stuck in a vicious cycle of dieting and bingeing. Restricting food intake and avoiding certain types of foods can make this cycle much more intense by leading to binge eating, subsequent feelings of guilt and shame, dieting again to compensate…. REPEAT. The only way to break this cycle is to stop dieting.


If you live in the Southern Health Trust Area you can contact the AMH everyBODY Team – T: 028 3839 2314 or E: [email protected]

Enniskillen Gaels smash targets all round as they raise funds for Action Mental Health’s Spring into Wellness campaign

Some of the younger – and older – members of Enniskillen Gaels

Members of a County Fermanagh Gaelic Football club have sprung into action to enlist in Action Mental Health’s Spring Into Wellness fundraising campaign.

The Enniskillen Gaels have made a pledge to help raise funds for Action Mental Health as part of the charity’s drive to keep members active and motivated to help them get through the next weeks of Covid restrictions.

The Gaels set themselves the challenge to do at least 28 active minutes, for each of the 28 days of February 2021. During the month the Gaels got walking, running, rowing, swimming, doing yoga, cycling, lifting weights, shooting basketball hoops and all sorts besides – while adhering to current social distancing guidelines.

Members, and their families, were also encouraged to attempt an activity they had never tried before over the 28-day challenge. The youngest members of the club carried out football drills in their back gardens, while others engaged in online pilates classes and Just Dance – some even painted their walls!  Some of those taking part who already had a high level of fitness used the challenge to push themselves and smashed some amazing long distance runs and hill sprints.

Participants were encouraged along the way by posting in the dedicated facebook page and we had a few prizes to be won from Erne Pharmacy and Susan Rogers Tropic Skincare.

Action Mental Health’s Fundraising and Communications Manager welcomed the Gaels’ efforts for the Spring Into Wellness campaign, stating: “We continue to be amazed at the generosity and enthusiasm of our local community to support the work of Action Mental Health. Our services have continued to support local people right throughout the pandemic and much of this work is only possible thanks to donations and fundraising by organisations such as The Enniskillen Gaels. We are sincerely thankful for their efforts.”

Brendan Rogers, from the club explained: “We set an initial target of £100 as we appreciate that it’s not the easiest of times for people financially right now, and it was more about the fitness and mental health aspect. But we managed to smash the £100 in the first few days so the next target was £500.

“We chose Action Mental Health as the local work they do is fantastic and we wanted to help raise the profile but also because a year into this pandemic we are seeing and hearing about the profound impact it is having on the mental health of so many, it seemed so relevant.”

Brendan added: “We are so appreciative of all who took part, donated money and especially to those who continued to post every day, like comments and post words of encouragement it really helped spur people on.  We had folks join from all over the county and as far as Liverpool and Dunfermline so we are truly grateful.”

And anyone wishing to contribute to their effort can donate at https://www.justgiving.com/fundraising/enniskillengaels28

How to support a person with Binge Eating Disorder

As Action Mental Health continues to mark Eating Disorder Awareness Week, the dedicated team from our specialist eating disorder service AMH everyBODY today offers useful tools on how to help someone you love cope with their disorder.

By offering patience, and reassurance, while listening without judgement, you can help people feel less alone as they journey through the frightening stages of their eating disorder.

Listen to them without judgement

It can be frustrating to see someone you love struggling and not fully understand. Be aware that part of BED is feelings of guilt and shame, so recognise how difficult it may be for your loved one to open up. Create a safe space for them to do so, pick an environment they are comfortable in and perhaps on a 1 to 1 basis. Use “I” statements so that your observations don’t come across as accusatory “I have noticed you’ve withdrawn a bit recently, how have you been feeling?” Show compassion for their experience and validate their feelings.

Be aware of your own language around food and weight and try to remain neutral and non-stigmatising

BED can have a lot of shame and stigma attached to it, so approach it sensitively. Don’t focus on weight or how much they are eating, make sure the focus is on their mental health and how they are feeling. Try not to use negative language around your own body or eating as this could lead to them feeling shame around their own body and eating habits.

Be patient

Eating disorders are complex and it is more than likely an eating disorder didn’t develop overnight and may take some time to recover from. Recovery is not linear, and there will be bumps along the way.  Check in regularly with your loved one you are supporting but also respect their boundaries and understand that they may not always be able to talk.

Avoid Assumptions

What we see about eating disorders in the media are very narrow, it’s important to remember that eating disorders do not have a look. Listen to the person you love, believe them when they talk about their struggles and above all don’t dismiss or belittle their experience if it doesn’t fit a stereotypical image of what you think an eating disorder is. It can be helpful to do research from reputable sources like Beat and BodyWhys on what BED is and how it impacts a person.

Avoid offering solutions

It can be natural to want to help and “fix” things but offering solutions may feel like pressure to your loved one and it’s important to understand that their eating disorder has served as a coping mechanism and will require targeted support to move away from. Keep the onus on their feelings and what they would like in terms of support. Offer to be there along the way and let them know they don’t have to do anything alone.

Encourage and Reassure

Your role is not to recover for your loved one, it is to be there and offer unconditional support through their recovery. Below are some supportive phrases that will be helpful during recovery.



If you live in the Southern Health Trust Area you can contact the AMH everyBODY Team – T: 028 3839 2314 or E: [email protected]