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Understanding Mental Health

Mental health is an essential part of overall wellbeing, affecting how we think, feel, relate to others, and manage daily life. Everyone experiences periods of emotional difficulty—but when challenges persist, become overwhelming, or interfere with day-to-day functioning, seeking support can make a meaningful difference.

At The Cognitive Collective, we support individuals across a wide range of mental health presentations. While we specialise in neurodiversity, our team also provides personalised, one-to-one mental health support for people from all backgrounds—whether or not neurodivergence is part of the picture.

Common Mental Health Conditions

Mental health conditions vary in severity and complexity. Some of the most frequently experienced difficulties include:

  • Anxiety Disorders – including generalised anxiety, social anxiety, panic attacks, and phobias

  • Depression and Low Mood

  • Obsessive-Compulsive Disorder (OCD)

  • Post-Traumatic Stress Disorder (PTSD) and Complex PTSD

  • Emotional Dysregulation and Mood Instability

  • Self-Harm or Suicidal Thinking

  • Stress, Burnout, and Overwhelm

  • Grief and Loss

  • Low Self-Esteem and Identity Issues

  • Relationship and Attachment Difficulties

Common Signs and Symptoms in Everyday Life

 

 

Mental health challenges can have wide-reaching effects, including:

  • Sleep difficulties or changes in appetite

  • Trouble concentrating or making decisions

  • Withdrawal from relationships or social activities

  • Difficulty managing emotions or mood swings

  • Fatigue, burnout, or feeling “on edge”

  • Reduced performance at work or school

  • Feelings of hopelessness or overwhelm
     

These experiences are valid—and treatable. Reaching out for support is a sign of strength, not weakness.

Getting A Diagnosis

Mental Health conditions are usually diagnosed by your GP, often with the help or input from a qualified mental health professional.

In some cases, a referral to a psychiatrist may be helpful.

This might include:
 

  • Diagnosis and management of more complex conditions, such as Bipolar Disorder, severe OCD, or psychosis

  • Medication review or prescription when symptoms are affecting quality of life

  • Second opinions or formal assessments for neurodevelopmental or mood disorders

  • A more personalised approach to your care
     

We can refer you to our trusted partner psychiatrists for private consultations:​

Dr. Hayley Van Zwanenberg

For Children

Dr. Hayley Van Zwanenberg is a Consultant Child and Adolescent (Under 18s) Psychiatrist.

 

She is also a well-known expert in her field, providing opinions to national and international press, specialising in neurodiversity in children and young people.

Dr. Van Zwanenberg runs her own private clinic, specializing in mental health assessment and treatment for young people under 18. Her current clinic is based at the Priory Wellbeing Centre in Oxford.

Cost of initial assessment: £560

Cost of  follow up: £185

(Other costs may apply such as an initial assessment or follow up appointments for medication).

If you would like us to refer you to Dr. Van Zwanenberg for an ADHD referral, please fill out our contact us form and they will be in touch soon!

For Adults

Dr. Bruno is a Medical Doctor specialising in Psychiatry.

 

He works as a Consultant Psychiatrist in Eating Disorders at the NHS and also as a private practitioner in London and Oxford.

 

Other areas of expertise are ADHD, depression, anxiety, PTSD, personality disorders, psychosis and bipolar affective disorders.

 

He strongly believes in an integrative biopsychosocial approach for psychiatric disorders and in the care delivered by multidisciplinary teams.

 

Cost of initial assessment: £400

Cost of follow up: £230

(Other costs may apply such as an initial assessment or follow up appointments for medication).

If you would like us to refer you to Dr .Bruno for an ADHD referral, please fill out our contact us form and they will be in touch soon!

Dr. Alessandro Bruno

How We Can Help at The Cognitive Collective

Whether you're navigating anxiety, low mood, burnout, or simply feeling overwhelmed, we’re here to support you with:

  • 1:1 counselling and therapy for adults and young people

  • Neurodiversity-informed support

  • Guidance and referrals to psychiatrists or NHS services where needed

  • Support with accessing appropriate tools and resources

  • A safe, non-judgmental space to explore your experiences.

    You don’t need a formal diagnosis to seek help. We welcome you exactly as you are.

Treatment Options

At The Cognitive Collective, we believe that understanding your treatment options is an empowering first step toward recovery and improved wellbeing. Mental health conditions are diverse, and so too are the ways we can treat them. Effective treatment is often tailored to the individual, taking into account the type and severity of the condition, as well as personal preferences and circumstances.

NICE Guidelines: Evidence-Based Approaches

In the UK, treatment recommendations for mental health conditions are informed by the National Institute for Health and Care Excellence (NICE). These guidelines are based on robust clinical evidence and aim to ensure high standards of care. NICE typically recommends a stepped-care model, where the least intensive, yet still effective, interventions are offered first.

For common conditions, NICE guidelines often suggest:

  • Cognitive Behavioural Therapy (CBT) – Recommended for depression, anxiety, OCD, PTSD, and health anxiety

  • Trauma-Focused CBT or EMDR – For PTSD and complex trauma

  • Interpersonal Therapy (IPT) – For depression and relationship-focused issues

  • Dialectical Behaviour Therapy (DBT-informed approaches) – For BPD/EUPD, emotional dysregulation and self-harm and crisis.

  • Compassion-Focused Therapy (CFT) – For shame, trauma, or self-criticism

  • Psychoeducation and Skills-Based Work – Particularly helpful in managing ADHD, autistic burnout, anxiety, and executive function challenges


Medication

In some cases, medication may be appropriate either alongside therapy or on its own, particularly when symptoms are moderate to severe or have not responded to other interventions.
 

Common types include:

  • Antidepressants, such as SSRIs (Selective Serotonin Reuptake Inhibitors), used for depression and anxiety.

  • Anxiolytics or beta-blockers to help manage specific symptoms of anxiety.

  • Mood stabilisers or antipsychotic medications for bipolar disorder or schizophrenia.
     

Medication should always be prescribed and reviewed by a qualified healthcare professional, typically a GP or psychiatrist, and it's important to have regular check-ins to assess effectiveness and manage any side effects.

Other Options and Complementary Approaches

While psychological therapies and medication form the backbone of most treatment plans, other approaches can also support recovery:

  • Lifestyle changes, such as improving sleep, diet, and physical activity.

  • Peer support groups – connecting with others who have lived experience of mental health conditions.

  • Psychoeducation – learning more about the condition and coping strategies.

  • Digital therapies – online platforms and mobile apps offering structured programmes, some of which are NICE-approved.

  • Occupational therapy – particularly for those whose mental health affects their daily functioning or work.

Working Together for Better Outcomes

No two journeys are the same. The most effective treatment plans are collaborative, involving open discussion between the person receiving care and their healthcare provider. At The Cognitive Collective, we’re committed to helping individuals find the right support for their unique needs and circumstances, whether that's through direct therapy, education, or connecting people with trusted professionals.

A Deeper Look

Mental Health Comorbidity

Mental health is rarely one-dimensional. Many individuals experience more than one difficulty at the same time—a concept known as comorbidity. For example: - Anxiety often occurs alongside depression - Trauma may overlap with emotional dysregulation or OCD - Neurodivergent individuals (e.g. autistic or ADHD) may also experience chronic anxiety or low mood, especially if unidentified or unsupported Understanding the full picture—not just isolated symptoms—is essential for effective and compassionate care.

Mental Health with Neurodiversity

Many individuals with mental health concerns also discover they are neurodivergent (e.g., autistic, ADHD, dyslexic), sometimes later in life. In some cases, undiagnosed neurodiversity contributes to longstanding mental health challenges, such as anxiety, burnout, or low self-esteem. Conversely, neurodivergent people often face increased risk of mental health difficulties due to: - Sensory overload - Social misunderstanding or exclusion - Lack of accommodations - Chronic masking or performance pressure At The Cognitive Collective, we are committed to recognising and respecting the full context of each person’s experience.

Resources & Support

 

 

We understand that private therapy or psychiatry may not be financially accessible for everyone, or you might need help right away. There are a number of free that can offer support:

Mind – Mental health information, advocacy, and local support groups

Rethink Mental Illness – Resources for people living with complex mental illness

NHS Talking Therapies (IAPT) – Free, self-referred therapy for common mental health issues

YoungMinds – Support for children, young people, and parents

The Mix – Support for under-25s on mental health, relationships, and more

Books

  • The Mental Health Handbook by Dr. Rachel Andrew

  • Mind Over Mood by Dennis Greenberger and Christine A. Padesky

 

Podcasts

  • The Mental Health Foundation Podcast – Discusses various mental health topics and personal stories.

  • Mental Health Foundation: The Mindful Kind – Explores mindfulness techniques for mental well-being.

If You’re in Crisis or Feeling Suicidal

 

Your life matters. If you're in crisis, feeling overwhelmed, or having thoughts of suicide, please know that you are not alone — help is available right now.

What to Do If You're in Immediate Danger

If you or someone else is in immediate danger, please call 999 or go to your nearest Accident & Emergency (A&E) department. Emergency services are trained to support people in crisis and can get you the help you need.

 

Speak to Someone Now

Talking to someone can make a real difference. These services offer free, confidential support 24/7
 

  • Samaritans – Call 116 123 or visit samaritans.org
    Available 24/7 for anyone struggling to cope or in distress.
     

  • Shout – Text ‘SHOUT’ to 85258
    A free, confidential, 24/7 text support service for anyone in crisis.
    More info: giveusashout.org
     

  • Mind – Call 0300 123 3393 or text 86463

    • For information, support and understanding around mental health problems.

    • Visit: mind.org.uk
       

  • Papyrus HOPELINE247 – Call 0800 068 41 41, text 07860 039967, or email pat@papyrus-uk.org

    • Support for people under 35 experiencing suicidal thoughts.

    • Visit: papyrus-uk.org
       

Other Ways to Get Help

  • Contact your GP – They can offer medical and mental health support, and refer you to crisis services.

  • Local NHS Mental Health Crisis Teams – Most areas have a dedicated team you can call for urgent help. Visit the NHS website to find your local team: www.nhs.uk/service-search

You Are Not Alone

Reaching out can feel incredibly hard, but it is a powerful first step. Whether it's speaking to a loved one, calling a helpline, or walking into A&E — there is always help, and there is always hope.
 

If you are reading this and struggling, please take the next step and reach out. The Cognitive Collective is committed to supporting mental wellbeing, and that begins with knowing you're not alone.

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