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People who have Long Term Conditions (LTC’s) are more likely to experience anxiety and low mood, and these emotional difficulties can make the physical symptoms of their LTC worse. Physical symptoms caused by a LTC can be distressing and difficult to control, and this often leads to worry, overthinking, avoidance, and withdrawal.

Experiencing these symptoms can understandably reduce a person’s quality of life. Please know that you are not alone, and we want to support you in taking the steps to manage your emotional wellbeing and physical health condition.

If you would like support then please make a self-referral here by selecting your NHS service.

Once we receive your referral, we can book you in for an initial telephone conversation to discuss what support may be best for your difficulties.


Our Long Term condition pathways

Cardiovascular Disease

Living with Cardiovascular Disease, such as arrhythmias, heart failure or coronary heart disease, increases the risk of mental health difficulties

Chronic fatigue and Fibromylgia

Symptoms of depression and anxiety are common in those who have Chronic Fatigue and Fibromyalgia


Depression and anxiety symptoms are common in people with Type 1 or Type 2 Diabetes.

Irritable bowel syndrome

IBS patients show an increased risk for a variety of conditions, primarily anxiety disorders and depression.

Long covid

Lot of people’s lives have been changed due to Covid-19. For some the symptoms have remained persistent for years and months

Lung conditions

Symptoms of depression and anxiety are common in those who have lung conditions

Musculoskeletal Pain

Chronic pain can feel unbearable at times, which is understandable why it can have such a significant impact on our mental wellbeing

Other Long Term conditions

If you have a different long-term health condition that you would like support for, please click here

Find out more

Living Well with a Long-term Health Condition

Tammy Stone, Long Term physical health conditions lead at Vita Health Group explains outines the mental health support available for those struggling.

  • How can Talking Therapies help?

    Our NHS Talking Therapies services can help to:

    • Explore strategies and skills to manage your symptoms of anxiety and low mood which in turn will help you to manage your LTC.
    • Improve your quality of life.
    • Look at the links between your thoughts, behaviours, physical symptoms and emotions, and then practice key tools to make some helpful adaptations, with an aim to help you live well with a LTC.
  • How CBT can help with self-managing your long term condition

    CBT techniques focus on improving symptoms of anxiety and low mood, which can help reduce symptoms related to your long-term health conditon. CBT uses strategies to help people improve their quality of life and self-manage their condition. Some of the key areas you might address in therapy, may include:

    • How CBT can help with the self-management.
    • How mental health and physical health symptoms link together.
    • How to manage triggers and warning signs.
    • The fight or flight response.
    • How to manage anxiety provoking thoughts.
    • How to manage safety behaviours and learning to pace yourself.
    • Relaxation techniques.
    • How to recognise and manage worry and overthinking.
    • The role of safety, avoidance and withdrawal behaviours, and how to include rewarding activities in your week and overcome barriers.
    • Developing self-compassion.
    • How to stay well and how to maintain the strategies learned.


    Improvements can include:

    • Reduced low mood and anxiety
    • Improved quality of life
    • Improved relationships
    • Improved self-management

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Further Information and Guidance


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