One in Four

According to the mental health charity Mind, one in four people in Britain are affected by or living with a mental health problem.  Estimates also suggest around 25% will not visit a GP to discuss their concerns

Worldwide, the number of people who are affected by mental health is rising. In 1990, 416 million people suffered from depression or anxiety, rising to 615 million in 2013 (World Health Organisation, 2016).

People with mental distress may experience problems that affect the way they think, feel and behave. The term ‘mental distress’ is used to describe a range of mental health issues, from the more common problems such as anxiety and depression, to the less common, such as schizophrenia.

Mental distress in Britain

The stigma associated with mental distress is starting to change. While more people living with mental illness are starting to feel able to talk about their experiences, there is still a long way to go. Stereotypes and negativity surrounding poor mental health continue to mean that many still feel that they have nobody to talk to.

A 2016 Time to Change survey of over 7,000 people living with mental health issues found that 64% were feeling isolated, 61% worthless and 60% ashamed of their condition. They explained they felt this way because of the stigma and discrimination they regularly face.

That said, the results suggest progress has been made in raising awareness and reducing discrimination. Time to Change explained that over half of those involved in the survey said it is easier to talk about their mental distress now than ever before. 60% also said they felt relieved and “like a weight had been lifted” once they talked about their condition.

Unfortunately this isn’t always the case and not everybody feels they can speak out. The 2011 NICE guidelines reported that many of those suffering do not seek treatment; therefore many conditions are going undiagnosed.

Types of mental distress

According to the Mental Health Foundation, the most common mental disorder in Britain is mixed anxiety and depression, with up to 10% of people suffering from depression at some point in their lifetime.

Following depression, the most common conditions include:4

  • generalised anxiety disorder (GAD)
  • social anxiety disorder
  • obsessive-compulsive disorder (OCD)
  • panic disorder
  • post-traumatic stress disorder (PTSD)

In the 2013 Wellbeing Survey, almost one in five people in the UK aged 16 or over showed symptoms of anxiety or depression. This result was higher in women (21.5%) than in men (14.8%).

Symptoms of mental distress

Any form of mental distress will be accompanied by a set of symptoms. However, each will differ from person to person and vary in severity. Some of the symptoms commonly associated with mental health problems include:

  • panic attacks
  • self-harm
  • psychotic experiences
  • suicidal thoughts.

Common symptoms of depression include low mood, fatigue and loss of interest or excitement in things previously enjoyed. Often, symptoms of depression will impair emotional and physical well-being, as well as the behaviour of the person.

Prevalence of mental distress

While the number of people affected by mental distress is shocking and appears to have risen over the years, many believe that the increase is a result of more people talking about it and seeking help. We are becoming more aware of the prevalence of mental health across all genders and age groups and slowly, the stigma is starting to change.

In a 2009 report, it was found that women were almost twice as likely as men to suffer an anxiety disorder in England. However, the 2014 figures released by the Office for National Statistics show there were 6,122 suicides recorded in the UK. While 24% of these were female, 76% were male.

How can counselling help?

One way of managing the effects of a mental health problem is talking about it. Whether you are living with a mental health problem, or know somebody else who is, it is important to talk about your experiences and the stigma associated.

Therapy will provide you with the opportunity to explore and be open about your thoughts and feelings without shame, judgement or discrimination. The therapist is someone to listen to you and offer support.

There are a number of treatments available for those living with a mental health problem. Talking therapy can help you understand what may have caused the problem and how you can manage it. Common forms of talking therapy include:

  • cognitive behavioural therapy (CBT)
  • cognitive analytical therapy (CAT)
  • creative therapy
  • counselling and psychotherapy
  • family intervention.

Mental distress can affect each person differently, while some symptoms can be more manageable, others may need specialised treatment.




HSCIC – Mental Health and Learning Disabilities Statistics Monthly Report. 2016, Key facts.

NICE guidelines – Common mental health problems, Introduction, May 2011.

Mental Health Foundation – Fundamental Facts PDF 2015, (page 19).

ONS – Measuring National Well-being: Life in the UK, 2015 (page 17).

  1. Prevalence, incidence, morbidity and treatment patterns in a cohort of patients diagnosed with anxiety in UK primary care. Family Practice, 27(1), (p.9-16).

Ayers, S. and Shakespeare, J. 2015 – Should perinatal mental health be everyone’s business? Primary Health Care Research and Development (page 323-325).

Paulson JF, Bazemore SD. 2010 – Prenatal and postpartum depression in fathers: a meta-analysis. The Journal of the American Medical Association (page 1961).

2015. Mental Health Difficulties in Early Adolescence: A Comparison of Two Cross-Sectional Studies in England From 2009 to 2014. Journal of Adolescent Healt

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