Therapy and counselling, led by psychiatrists

1. 1A one-to-one assessment with a psychiatrist, including what is driving it: stress, anxiety, past events, sleep, alcohol or a medical cause
2. 2What stress does in the body, and why the alarm is not dangerous
3. 3Slow, paced breathing and muscle relaxation, practised every day between sessions
4. 4Sleep, and the habits that keep the body switched on at night
5. 5The thought patterns that keep the alarm going
6. 6A plan for the hard days, and a review two weeks after the last session

Stress and anxiety questionnaires at the start and the end.

Read first: Anxiety and Panic Attacks · Insomnia and Sleep Problems

1. 1An assessment together, then a short session with each of you alone, so both of you are heard
2. 2Mapping the cycle you both get caught in, rather than who is to blame
3. 3Accepting what will not change and changing what can, with practice between sessions
4. 4Extended family, money and the decisions you make together
5. 5A plan for keeping what you have built, and a check-in three months later

A relationship questionnaire and a mood questionnaire for each of you, at the start and the end.

1. 1Talking and listening so the other person feels heard
2. 2Disagreeing without it turning into a fight
3. 3Money, extended family and expectations of each other
4. 4Mental health, fertility and the conversations most couples put off

A relationship questionnaire at the start and the end.

1. 1An assessment with a psychiatrist, and a clear view on whether medicine would help
2. 2Understanding panic and worry, and what keeps them going
3. 3Facing the feelings and situations you have been avoiding, step by step
4. 4Working on the worry itself
5. 5A relapse plan, so you know the early signs and what to do

The GAD-7 anxiety questionnaire at the start, every fourth session and the end.

Read first: Anxiety and Panic Attacks · Mental Health: When to See a Psychiatrist

1. 1A one-to-one check with a psychiatrist, separating burnout from depression or anxiety
2. 2What chronic stress does to the body, and how to recover from it
3. 3Sleep and rest that actually restore you
4. 4Workload and boundaries at work and at home that you can keep
5. 5A return-to-energy plan, and a check that it is working

Stress, burnout and mood questionnaires at the start and the end.

Read first: Burnout and Work Stress · Depression