The Dr Louise Newson Podcast - 11 - Hormones and mental health: Ben West discusses how having hard conversations can save lives

Episode Date: June 10, 2025

Content advisory: this podcast contains themes of mental health and suicide‘You're not just losing a person. You're losing all of those memories’In this week’s episode, Dr Louise Newson is joine...d by mental health campaigner and author, Ben West. At 17, Ben’s world was turned upside down when he lost his younger brother, Sam, to suicide at just 15 years old. What followed was a life-altering journey through grief, resilience, and purpose.Ben transformed personal tragedy into powerful advocacy – raising awareness around mental health, challenging stigma, and driving real change in how we support mental wellbeing, especially within the education system.Together they explore how hormones, medication, stress and lifestyle can all impact mental health, and why understanding these factors could change how we approach conversations around suicide and depression.Ben also completed an ultra-marathon to raise funds for Shout, a 24/7 text messaging service providing support for mental health and suicide prevention. To find out how you can volunteer or donate, visit their website here.Contact the Samaritans for 24-hour, confidential support by calling 116 123 or email jo@samaritans.orgTo learn more about Ben West, visit his Instagram here and check out This Book Could Save Your Life, available here. If you would like to make a change to the way schools train their teachers on mental health issues, sign the petition here.Available to watch on YouTube We hope you're loving the new series! Share your thoughts with us on the feedback form here and if you enjoyed today's episode, don't forget to leave a 5-star rating on your podcast platform.Email dlnpodcast@borkowski.co.uk with suggestions for new guests! DisclaimerThe information provided in this podcast is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. The views expressed by guests are their own and do not necessarily reflect the views of Dr Louise Newson or the Newson Health Group.    LET'S CONNECT Website: Dr Louise NewsonInstagram: The Dr Louise Newson Podcast (@drlouisenewsonpodcast) • Instagram photos and videosLinkedIn: Louise Newson | LinkedInSpotify: The Dr Louise Newson Podcast | Podcast on SpotifyYouTube: Dr Louise Newson - YouTube CONNECT WITH BEN WESTWebsite: Ben WestInstagram: Ben West (@iambenwest) • Instagram photos and videosLinkedIn: Ben West | LinkedIn 

Transcript
Discussion (0)
Starting point is 00:00:02 Today on my podcast I've had Ben West, who's a mental health campaigner and author. He's got an amazing story, very sad. He lost his brother by suicide when he was only a teenager. And we talk a lot about mental health, of course mental health and hormones, but in general how we can help improve how people are feeling and open up the conversation more to hopefully reduce more deaths by suicide. So it's a great listen. So Ben, thanks ever so much for coming.
Starting point is 00:00:32 coming to my lovely studio that you've already complimented me on, which is great. It's lovely in her. So calming. I know. Well, you know, life's really hectic and I just wanted somewhere calm and comfortable. But I'm really excited that you're here. You've got a story which is sad for lots of reasons. We'll obviously talk about it.
Starting point is 00:00:53 And most people, thankfully, haven't had your experience, but most of us have had bereavements that have affected us in different ways. you probably know bits about my work and hormones have a massive role in our brains and mental health and hormones mental health is something that I am so passionate about obviously the brain is the most important organ of our body I don't need to tell you that
Starting point is 00:01:17 but mental health means different things to different people lots of people have a bad day and say they're really depressed most people who are really depressed actually don't talk about it and those that do don't know where to get help. So tell me a bit about just your story first, if that's okay. Yeah, absolutely. So firstly, the fact that I am sitting in a podcast studio talking about mental health is not something I ever imagined my life turning into.
Starting point is 00:01:44 When I was growing up, my plan was to join the armed forces and go into the Army Air Corps. And I was 100% set on that path. I grew up in Kent. We were a quite a rural community in Kent. I grew up with two brothers, a dog, both parents that were together in a lovely, lovely part of the world, and had just the most amazing childhood. And I had my vision, I had that path that was sort of forming in front of me.
Starting point is 00:02:16 And then in September 2017, my younger brother, Sam, was diagnosed with clinical depression. And I had, I'd never heard of what that was. How old were you then? I was 17. And I remember this so clearly. We were having dinner, um, in September and we finished dinner. My mom was just like, oh, Ben, can I chat to you for a second? And she said, Sam's been diagnosed with clinical depression.
Starting point is 00:02:42 And I just sort of sat there and went. And all right. Could I go? Can I go now? I didn't know what that was. And I, I, I just thought, what does that be? How can you be diagnosed with feeling sad? That doesn't make sense.
Starting point is 00:02:56 So I just sort of left and never never thought about it again, really. And then in January 2018, it was a Sunday evening. I was packing my bag ready for school the next day. And my mum found Sam had taken his own life. And all I heard was just the most horrific screaming. And then went to see what was going on and came across like the most catastrophic event you could possibly imagine. And my whole world very quickly unraveled in front of me at just 17 years old. And here I am now.
Starting point is 00:03:42 It's been seven years. I am not in the armed forces. I have changed what I am doing in life. I feel a very, very strong sense of purpose. and I have done every day for the last seven years that I don't want any other person to ever feel the same way that Sam did and not have somewhere to go
Starting point is 00:04:01 and someone to show them that there are other options because Sam had other options and unfortunately his disease stopped him from seeing that and I'm very, very passionate now at trying to create that change in society and in individuals so that more people get those options that Sam didn't see
Starting point is 00:04:20 So this is my full-time job now and I absolutely love it and it brings me such an enormous sense of purpose and it is really, really an honour to do things like this and have the conversations with people like you that are also doing fantastic work and being part of something really positive out of something that was just so catastrophically negative it feels good, really good.
Starting point is 00:04:45 It's so important, you know, when something negative happens, I think you really have two choices. is you can crumble, you can be identified by that, and it can ruin your life. Of course it's going to affect your life and change your journey like it has for you, but you can then turn it into something in your belly that really wants to make a difference. But it's hard for many reasons, and we'll talk about a few of them, but one of them is being young. I think being young and having a mental health illness absolutely really hard,
Starting point is 00:05:19 but being young and having a bereavement is a whole new level. Yeah. I don't know how much support you had, but, you know, I'm sure a lot of focus on your mum and your parents, but for you and your brother, like, that's so important. Yeah, it was, I mean, I guess I was very lucky in a way, in a sense that I was still at school when Sam died. So immediately, you know, it wasn't a sense that I could isolate myself. I had to go to school. The school had a safeguarding responsibility on me.
Starting point is 00:05:52 So I was sort of forced into a quite in-depth network of support. And it wasn't an option for me to sort of be isolated in that. My family were obviously great and really came together and sort of found a way of supporting each other. The school tried their best in a difficult situation and did put on quite a lot of support for me. But you're right. I mean, bad things happening to young people is really.
Starting point is 00:06:16 really is really sad. I mean, as 17 years old, I didn't expect to have to deal with death. Certainly not, you know, with Sam, who was 15. I'd lost a dog before. That was my sort of and that's incredibly sad, but it's a whole new level, isn't it?
Starting point is 00:06:34 But a whole new level because it's so unexpected. You know, these people are people you expect to have the rest of your life with. Yeah, for sure. You know, Sam, like, best man, weddings, um, drinks, like starting a new job. him going to university, all these things. So you're not just losing a person, you're losing all of those memories that you'd played out in your head about the things that you were going to do
Starting point is 00:06:56 in life. Suddenly, that's never going to happen. And that is absolutely devastating. And at 17, your brain is rewiring. You've got a lot of stuff going on just biologically anyway. And then to throw in trauma and grief, it really is a difficult experience. And probably not one that I gave myself enough time in the moment to realize. I think I was very, I'm a very practical person. And so I sort of went, bad thing, what's the solution? I'm going to do this. Practical, solve it.
Starting point is 00:07:27 And what I've learned through therapy and talking to professionals is actually, you know, when it comes to grief and trauma, it's the lack of, it's stepping back from trying to find a solution and sort of allowing yourself to just go, that was really bad. And that's how you sort of heal from those moments. It took me a long time to be able to do that and also be able to be comfortable, sort of letting go of some of the guilt from suicide, which is obviously, you know, guilt with people that, you know, grief brings up feelings of guilt for almost everyone that goes through it. But particularly around suicide, there can be a huge burden of what did I do wrong. What could I have done differently? And in my case, that night, we had had an argument.
Starting point is 00:08:12 So there was a huge amount of guilt that I felt that that was what triggered that event that night. Obviously, that's not how it works. I know that now. But it's still, my husband, his best friend from school, was a junior doctor actually. And he was a very high or low person. And one night, Paul, my husband said, I need to go and see Paul, this other Paul. And I said, why, why now? Like, we're in Manchester.
Starting point is 00:08:38 He's in Devon. Why do you? I know something's wrong, something's wrong. And he was really agitated. And this was a long time ago, we had no phones, we had no internet. You couldn't just like snap and see where his location was. Anyway, the next morning we got a phone call to say that he'd been found in a hotel room and had taken his life. And Paul, even now he feels really guilty.
Starting point is 00:09:00 Like, what if I'd gone down? And he could have probably stopped it that day. I'm sure he could have done. But I don't think he would have stopped the event. And it took him many years to, I mean, to stay. stop being quite as guilty. It has such an effect on people. A massive effect on everyone.
Starting point is 00:09:19 I mean, it's devastating. And I'll never fully recover from it, right? I mean, it's a trauma that will just stay with me for the rest of my life. And also, you know, naturally I know, come into contact with a lot of people that are bereaved by suicide and recently bereaved with suicide. And one of the first things I say to people when I do talk to them is, you know, your brain will try.
Starting point is 00:09:42 and rationalize this, but the suicidal brain is working in a completely irrational way. You know, you get cognitive constriction where you're essentially just creating this tunnel in your brain that only sees one final result. And there is no way that a rational brain can understand what that's like. And that's very, very difficult for me. And I guess from my point of view, when I've looked back at those feelings, those feelings of guilt, you start to realize that me blaming myself, was an easy option
Starting point is 00:10:14 because that makes sense oh I did this that resulted in this and that's why he's died it's so much more easy to understand than he had an illness I don't understand
Starting point is 00:10:23 there was something going on his brain that I don't understand and he decided to do this to all of us I don't understand so you start to realize actually you're rationalising that situation
Starting point is 00:10:32 by saying oh it must have just been something I did which is much easier to then direct anger and sadness at than just this was an illness and it's really very, very difficult to understand.
Starting point is 00:10:44 Absolutely. And, you know, I did a lot of psychiatry. I trained in Manchester. The psychiatry training I had actually was really good. But it was around the time just before Prozac. So which is interesting because we did a lot of training about just looking at this individual, the circumstances, looking at psychotherapy, looking at psychology, looking at exercise, looking at nutrition.
Starting point is 00:11:12 And then Prozac came out and it was around the time I was because I did hospital medicine first and went into being a GP and it really was this wonder drug. And people would come in, 10 minute consultations, like, oh, I can give you this tablet, tablet, tablet,
Starting point is 00:11:26 warning people they might get worse before they get better. Like if they're bad, you don't want them to be worse. And not really, because they didn't give them any support because in the NHS there was less support. Even now, there's even less. So we're medicalising something very quickly
Starting point is 00:11:39 And now with the work that I do, I do a lot. I see so many women who have been sectioned, they've been under-psychiatrists, obviously no one's thought about their hormones. But the role of everything else, other than just a medication, is crucially important, isn't it? Oh, you're so, so, so right. And this is one of the frustrations I have
Starting point is 00:12:01 with how we talk and treat about treatmental health now is it seems like we've completely forgotten about the biopsychosocial model. health and illness. Yeah. And so essentially what that means is we have those three categories to health. So we have biological health, psychological health and social health. And actually all of those things determine your mental health.
Starting point is 00:12:23 And at the moment, if you're struggling with your mental health, you might go to a primary care professional, you might get diagnosed a depression, and then you might receive an SSRI or an antidepressant and then receive talking therapy. But that's just targeting psychological health. But you've got these two other things. biology, your biological health, your social health, your relationships, your socioeconomic environment, all these other things that feed into your mental health. And it does feel like for a lot of people, we make them feel broken and unwell. But actually, in reality, they've got
Starting point is 00:13:00 all this other stuff that's going on that's not really looked at. And you're right. I think we we can't just treat an individual as this is one area of your health that we're going to target and make better when actually it's very commonly a combination of all three of those things that just aren't looked at. Absolutely is and you know the medicine's really siloed which doesn't help and then you know I was reading recently about the history of asylums and psychiatric hospitals and psychiatric hospitals used to have really big grounds as you know they used to do you know they have swimming pools they do all this exercise and then suddenly they realised they could put loads of consulting rooms in. So they'd cover the swimming pools.
Starting point is 00:13:40 They'd put in loads of consulting rooms. Bang, bang, bang, bang. Here you go. They could get through loads of people. And medicalise, and I'm not saying medicine hasn't got a role. I've managed and treated lots of people with antidepressants, but it's not the only thing. And then now there's so many people that are addicted to antidepressants.
Starting point is 00:13:58 They do have side effects. They can have risks. But it's got to be looking more than, than that. And it's hard. It's really hard for any of us to take responsibility for our health. And it's really difficult when people are feeling low and down because the last thing you want to do is exercise. The last thing you want to do is cooking a really healthy meal. The last thing you want to do is socialise. But this is where awareness is so important. The way you're doing is incredibly important. It's the silent people, the people that are withdrawn. The people
Starting point is 00:14:30 that hide it, I think are the ones that worry me. the most. I don't know if that's what you're sort of experiencing with the work that you're doing. Oh yeah, absolutely. I mean, obviously depression can be experienced in different ways. You've got mild, moderate and severe. And I know that when Sam was at his most severe, it was a case of there was nothing that could have got him out of his room. And, you know, in my work as well, I'm a crisis volunteer, so I do a lot of work with people that are very, at the very severe end of problems and issues. And, you know, sometimes it's a case of, you know,
Starting point is 00:15:07 a big, a very, very big step for them is opening the curtains to let some light into a room. I mean, that's a big step for some people. So the depths that you can go into that illness is just unimaginable for someone that hasn't experienced that. And I think that just goes to show why it's so important that we do treat this differently. You know, it's, there's a lot of sort of catchphrases around mental health at the moment. You know, everyone needs to talk more and there's no health without mental health. And it's all
Starting point is 00:15:40 true, but it's like actually in real terms, what do we need to do differently? And that's what really interests me. I'm, you know, I went to uni and did engineering. So I'm a sort of, I've said before in this podcast, I'm a practical person. I like practical solutions. I'm not into catchphrases. I want to get stuff done. And so what on a policy level in the NHS or in the healthcare level, what can we be doing differently that assesses that need better in an education environment? What can we do doing differently in schools? It's going to improve access to care pathways. And so I'm really interested in actually what are we doing? What can we be doing differently rather than just what can we be saying differently? And you're absolutely right. And I think
Starting point is 00:16:22 that's forgotten because often, especially in psychiatry, the way of the DSM criteria is, If you have this diagnosis, it's this treatment pathway. And it's about treatment, about medication. Like, my father died when I was nine, and it was a long time ago, so I didn't have any support at school. And even at school, and when the other children were being told, I was sent out. And I was like, my job was to give the headmaster a note.
Starting point is 00:16:48 And I thought, oh, that's really important. I've obviously, like, aren't I good? I was only nine. When I go to the headmaster, I'm very sorry about your father. And then my friends tell me afterwards, that was when it was when it was. was announced to school, but no one would talk, you know, in the class about it. And I was really cross, and there are still times that I am still really cross the way it was handled.
Starting point is 00:17:06 But when you really miss someone or when something awfuls happened at work or something, there are times where you just think, you know what, I just can't be doing this anymore. Now, I'm not clinically depressed. I don't need medication. But what I do need is somebody I can really trust. But then do I really want to tell my husband or my children? No, because they're really close and they'd worry about me. So how do I, do you know what I mean?
Starting point is 00:17:28 And it's really important that people are not labelled and they're really treated in a very individual way. Because that's the worry that I have because people are literally, of course, if I say that, it's going to be on my medical records. I've got a psychiatric illness and I'll never get life insurance and I'll never be able to get a job. Actually, all I just want is someone to talk to you on one day because I'm really, really sad about something. And that's where I think so much, there's a lot of shame and stigma. You know, if I had a rash down my arm, I'd show you, Ben, and you'd go, oh, that looks sorry, you're okay. But if I tell you last night, I was feeling really low, like, how do I tell you? How are you a stranger?
Starting point is 00:18:08 You're not going to, you know, it's, and I think this is, I mean, it's getting harder because we've, all we read is that one in 10 people are on antidepressants, one in 100 have schizophrenia. Like, so what? Like, what are these stats? We're showing we know that mental health is worse. That's because we're labelling it more. But what are we actually doing? How are we changing it? And are we just normalising it?
Starting point is 00:18:31 Are we just medicalising people? But it's the way we talk about is so important. And all these young people that are given hormone or blocking treatments, you know, a lot of the synthetic hormones just block our natural hormones. You know, your brother will have had some hormones flying around in his body. Who sat down then and really spoke to him, you are not going to feel like this forever. You might feel like this for a bit.
Starting point is 00:18:57 You know, it's those, because it's enormous when you've got those feelings, isn't it? It is, oh, that was so perfect. And I wish more than anything that Sam could have sat there and listened to that because it's so, so true and it's so heartbreakingly sad that so many people think of their,
Starting point is 00:19:16 when they're in that low moment, that that is fixed and that's never going to change. And it is so, so, so normal for all of us to experience symptoms of depression at some point. You know, I completely reject this idea that one in four people will experience symptoms of a mental illness in their life. I think it's four and four. Everyone feels sad. Everyone experiences poor mental health. And we've had, all of us have had days where we sit there and we have no motivation to do anything and we feel awful and we feel dreadful. And we know that that passes. And even, even on the extreme end,
Starting point is 00:19:50 suicidal thoughts and suicidal actions, these are so, so common. One in five people will have suicidal thoughts. One in five. It's huge, isn't it? Which is huge. And so what that tells me is that it's not something to be scared of. Or ashamed of. Or ashamed of. I know. And I think there's this real stigma that goes along with thinking about suicide and feeling sad that goes, something must be really wrong. And actually, to a certain extent, we all have those thoughts about, you know, whether we're on the right path or what life has in store and whether it's worth it and it's very very normal and to your point as well what I really like about your work and what you highlight here as well is that a lot of people sit there and receive a diagnosis and go through therapy and feel sad and think that they've
Starting point is 00:20:40 done something wrong or they are inherently weak or broken when actually it can be caused by something that is completely out of your control. It can be a medication you've been put on that's affecting the chemical imbalance. Chemicals in your brain and hormones. It can be your diet. It can be your environment. It can be stress. It can be work.
Starting point is 00:21:01 It can be all these things that have nothing to do with your personality and your yourself. And I think that's what I'd love to go back to Sam and say is like, you are not the problem. You are not the problem. And if we think back to that biopsychosocial model of mental health, you know, just because you're feeling bad does not mean that you have done something wrong or done something to deserve the way you're feeling. And in fact, actually, it's usually the opposite. And there are factors that are influencing how you feel. And if you can identify those and change those, there's no reason why you can't live a very, very happy, healthy life, which is achievable,
Starting point is 00:21:42 I think for almost everyone that goes through these things. I think so. I think it's being strong of mind as well. And like one of the things a while ago when I was really feeling awful, someone said to me, Louise, you're not being kind to yourself. You've got this inner thing that you're almost torturing yourself. And you're suppressed your emotions for so long. And it is actually thinking, no, I've got to put myself first. I've got to like be kind. But kind in a way that you can respect those emotions and understand them and not ignore them. You know, like, yes, I don't want to open the curtain this morning. But do you know what I'm going to? Because the sun might be out there. And they're there. And then and it's sort of, it's, it's that way of thinking because things can be very catastrophic very quickly. But it's also, you know, anyone that's listening to this, thinking about are there other reasons and it's often more than one reason. So, you know, mental health and hormones are very closely associated. But often there's something else, maybe a poor relationship or diet or not exercising, you know, it's not usually one thing. And therefore, there's not just one treatment as well.
Starting point is 00:22:48 But it is, you know, as a doctor, I feel very responsible to try to make the right diagnosis. And asking the right questions is really important. So as an example, I saw someone in my clinic about a year ago. Someone phoned me up and said, like my best friends, brothers, sisters, cousin, whatever, wife is really really struggling. I was like, well, that's fine. Tell me a bit more well, we're really worried that she's going to harm herself.
Starting point is 00:23:13 So I said, okay, I'll see her. So I spoke to her the next day. And the story goes, she's in her mid-40s, fit and well, no problems at all. So I said, do you feel like this every day? She said, no, not every day, but some days I do. I said, well, what stopped you from doing it? Oh, because I can hear my children playing in the garden and think that's really not. So she's got insight, which is great.
Starting point is 00:23:35 So then I said, but anything about you still getting your period? She said, yes. I said, so do you get symptoms on any, is it any correlation with your periods? oh yeah she said just before my periods come that's when I feel so low and then my period comes and I feel fine again apart from my dreading my next period coming because I know it's going to happen so she's made her diagnosis all she needed was some hormones to just balance natural hormones not contraception on those few days and she's become perimenopausal so now she's absolutely fine very simple but very scary but it's also very scary to talk to people with mental illness
Starting point is 00:24:12 because you think, oh, if I mention that, then they might actually do it. They're less likely to do it, actually, if you can talk about it. So I think, you know, ways that we can talk about it, ways that we can be open. And I know you're doing amazing work with Shout as well. And your book here, this book could save your life. Well, not just yours, but anyone's really. So talking about it, acknowledging it, but talking to others, recognizing others is just crucially important. So it's just great that you're talking.
Starting point is 00:24:42 here on a hormone podcast. Who'd a thought? It's brilliant. I know, it's brilliant. So you've done your ultramarathon. Yeah. I feel like, I've done some yoga this morning, but I'm not sure that's anything compared to an ultramarathon. It's amazing.
Starting point is 00:24:56 Thank you. Well, like I think it's, you know, it's something that I feel so passionate about is trying to really, you know, move this forward and get more people talking about it and raise money and do these challenges. And I've just run my first ultramarathon on Sunday. I'm feeling very sore. It's quite nice to sit down on a very comfy chair. And it's, it's, it's lovely to be able to do something like this. And I just think it's so important to have conversations like this. Yeah. Because it's really important that we're not just talking
Starting point is 00:25:27 about mental health, but we're talking about the specifics and treating. And I think we can just talk about mental health and sort of turn the page and go, well, that was a good conversation. But actually talking about what we've been talking about, which is treating the individual. asking questions, not just treating a diagnosis, but treating a person as a holistic, an individual, treating their, you know, talking about relationships, talking about their biology, talking about their psychology. And it's really interesting as well how when you look at some of the research in terms of how men and women deal with certain issues, those individual factors start playing out. And I know there's some research that suggests that women,
Starting point is 00:26:11 can be much more internal with their response to stress. So when something happens, you can sort of internalize those feelings much more and sort of negative opinions and thoughts about yourself and things like that, whereas men can be more likely to externalize those. And we can see that in aggression and things like that. And it's really interesting when you think about things like that that go, actually there are not many issues, not many social issues that you can't tie back to mental health in some way. And so particularly with men and some of the problems we're seeing in
Starting point is 00:26:47 society, you know, I'm really passionate about, I was in a school just a couple weeks ago with a group of boys and an all-boys school. And it's, it's so nice to be able to talk about these things and go, you know, what's really important is feeling angry is one of the most important things you can do because the only time that emotions become a problem is when you stop them from coming out. And the reason that we suddenly feel these really intense moments of rage is because we've bottled up all this anger. And we've got a whole generation of men that have sort of grown up not being able to express emotions. And one of the key ones there is anger amongst a lot of others. And so, you know, being able to be angry in a healthy way is so, so important.
Starting point is 00:27:30 I'm going to tell my husband that. Yeah. So when I do this, you know, like with running, it's a great way of doing that. So sometimes I'll just go for a run. and I will find a hill and I will just sprint as hard as I can up the hill and I will just I'll just be so angry and divert all my anger into that or you know go and kick a football as hard as I can into a goal and probably miss or like shout into a pillow and finding ways to to express that that anger is so important and and that's not that's not you know that's not a difficult thing to do in your day to day but it's the fact that you we're not told that growing up. You know, I was never told that. I've had to work that out for myself and learn that from professionals and read research,
Starting point is 00:28:15 which obviously I wouldn't have done unless I was interested in this sort of thing. So that's what makes me really passionate about actually, you know, how do we change the curriculum in schools? How do we change the environment in schools so that we sort of put a bit more onus on learning about ourselves and our brains? I mean, you mentioned it right at the start of this podcast. The brain is probably the most or certainly the most important. in the body. Why on earth do we not learn more about how it works? So important.
Starting point is 00:28:42 And how to keep it healthy and happy. Yeah. So important. So much we need to talk about. So much we need to change. Really need to change now. Not in 10 years, 20 years time, but now. So before it end, three take home tips. So three things. If people are listening and there will be people listening thinking, do you know what? That's me and I don't know how to get help. I don't know what to do. I've gone to my doctor. I've got antidepressants. I'm still feeling low. Or I think it might be my friend that's feeling like that. What are the three things that they should do or they should do with their friends? It's a good question. If it's you that's struggling, the first thing I would say is, I know it's a really difficult thing for me to say because it feels a bit patronising,
Starting point is 00:29:28 but just have a little bit of sympathy on yourself. I think there's a real pressure to sort things and feel like you have to have everything sorted and that you've done something wrong or you're not strong enough to get through something. And I just think having a little bit of sympathy for what you're going through is really important. Not blaming yourself and sort of creating an environment where you can be supportive and of yourself is really important.
Starting point is 00:29:57 If things aren't working, you know, I think what's really important is to be demanding if you're in a care, if you have a care team, if you're in touch with care, with professionals and doctors and you have a care team, whatever that looks like, or if you don't, you know, just ask for what you need. And I think people have this idea that, you know,
Starting point is 00:30:21 you sort of accept what you're given and be quiet. But actually, you know, whether it's, whether you're at school, at university, and you're getting treatment or you're in the NHS or private, and you're not getting what you need, then don't just, accept what people give you, just challenge that. And, you know, know that you're well within your rights to say,
Starting point is 00:30:40 this isn't working, this is how I feel. And I think this is something I only need or this is what I'd like to focus on and look at now. I know that's a really difficult thing to do, but don't feel like you're putting anyone out by doing that. Have you worried about someone else, the first thing I'd say is it's never going to, you'll never, there's nothing you can say is going to make someone more likely to take their own life. talking about suicide categorically, categorically doesn't make people take their own life or cause more harm. There is reams of research that can show you that. Asking someone about suicide isn't going to put thoughts in the head.
Starting point is 00:31:18 It is not going to make them suddenly go, well, that's a good idea. It just doesn't happen. So asking straight up is really, really important. I've asked that question now so many times in my job. I have to. And I promise you, there is no such thing. as a bad answer to that question. Because if the answer to that question is, no, I'm not, that's great.
Starting point is 00:31:40 If the answer to that question is yes, amazing. We know what we're dealing with and we can sort out a plan together. So asking and sort of talking about these things head on is really, really important. And like you said, finding the environment. So going for a drive where you're not looking at the person, going for, I love going for a walk. I try and avoid environments where you're talking to someone face to face like we're doing now. It's intimidating, right? If you're talking about difficult things.
Starting point is 00:32:06 But asking is really important. And working out what you want to say before, so you're not just making it up on the spot, can be helpful to sort of find the words because it's a difficult conversation to have. But always err on the side of caution and ask those questions. People don't get offended because you've asked. They know that you're doing it because you care
Starting point is 00:32:27 and you're certainly not going to make people more likely to come into harm by asking these questions. So those are what I'd say to those two people. Brilliant. Great advice. Thank you. Really. Thank you for your time and thanks for all the work you're doing. It's really good. Thank you. Thank you so much. Great to be here.
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