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Anxiety towards the end of life: Information for patients and carers

This information is sourced from Dr Heather Wells, Clinical Psychologist

Anxiety is a natural response to stresses in our lives and is common in people living with a serious illness.

What is anxiety?

Anxiety is a feeling of worry or fear. It can be helpful in the short term by keeping us alert and ready to act in response to danger. However, if these feelings continue for a long time or are difficult to cope with, they can affect quality of life.

Common symptoms of anxiety
  • restlessness and irritability
  • feeling tired
  • breathlessness
  • not being able to concentrate
  • muscle tension
  • disturbed sleep
  • a constant feeling of dread
  • panic attacks (sudden, intense or overwhelming fear often accompanied by chest pain, dizziness, pounding heart, sweating or shaking)
What can make anxiety worse?

Worrying about the future when you are seriously ill is normal. Issues that can make anxiety worse include:

  • Pain and other overwhelming symptoms
  • End of active treatment for an illness, people may struggle to adjust when their treatment e.g. chemotherapy stops 
  • Being isolated from friends and family
  • Family worries for example, worrying about being a burden or future care of partners or children
  • Financial worries/ Employment/ immigration status/ housing conditions
  • Spiritual distress
Managing anxiety

Here are some approaches that people may find helpful:

This 2 minute video from Every Mind Matters demonstrates a mindful breathing exercise

Recommended Resources

Marie Curie - Symptom Control - Anxiety

Published 20th January 2025

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Wellbeing services

Age UK
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Age UK

T. 0800 678 1602

W. https://www.ageuk.org.uk/

Age UK provide information and support on financial, legal, health and wellbeing for older people. They support via their advice line, befriending service and day centres.

Marie Curie
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Marie Curie

T. 0800 090 2309

W. https://www.mariecurie.org.uk/

Marie Curie provide support for patients and carers through terminal illness.

Find information and support through the telephone helpline and online chat via their website.

Other services include Marie Curie nurses, Hospice care, helper and companion services.

Counselling services

British Association for Counselling and Psychotherapy (BACP)
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British Association for Counselling and Psychotherapy (BACP)

T. 0145 588 3300

W. https://www.bacp.co.uk/

British Association for Counselling and Psychotherapy signposts people to appropriate counselling services across the UK. Please search for a qualified counsellor on the ‘How to find a therapist’ page. 

Samaritans
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Samaritans

T. 116 123

W. https://www.samaritans.org/

Samaritans provides a 24 hour, 7 days a week advice line.

Talking therapies

British Association for Counselling and Psychotherapy (BACP)
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British Association for Counselling and Psychotherapy (BACP)

T. 0145 588 3300

W. https://www.bacp.co.uk/

British Association for Counselling and Psychotherapy signposts people to appropriate counselling services across the UK. Please search for a qualified counsellor on the ‘How to find a therapist’ page. 

Mind
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Mind

T. 0300 102 1234

W. https://www.mind.org.uk/

Provides information, advice and support to anyone with a mental health problem through its helpline and website. 

Friendship and support

Compassionate Neighbours
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Compassionate Neighbours can support by:

  • Visiting weekly for a cup of tea and a chat, offering friendship and a listening ear
  • Helping you do the things you like doing
  • Helping you stay connected to your friends and the community

Community palliative care teams

Palliative Specialist Community Care
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The Community Specialist Palliative Care team provides specialist palliative and end-of-life care in the community to patients with life-limiting illness for residents in South Camden, North East Westminster and Islington.

Please contact the team between Monday to Sunday 9.00am to 5.00pm and Monday to Sunday 5.00pm to 8.00pm call the switchboard on 020 3456 7890 and ask for air-call palliative care team.

Palliative Specialist Community Care - North Camden
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Palliative Specialist Community Care - North Camden

T. 020 7830 2905

W. https://www.royalfree.nhs.uk/services/palliative-care?q=%2Fservices%2Fservices-a-z%2Fpalliative-care%2F

The Community Specialist Palliative Care team in north Camden provides specialist palliative and end-of-life care in the community to patients with life-limiting illness, as well as offering support to families and carers.

Please contact the team between Monday to Friday 9.00am to 5.00pm. On weekends and bank holidays, call the switchboard on 020 7794 0500 and ask for air-call palliative care team.

St John's Hospice Inpatient unit
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St John's Hospice Inpatient unit

T. 020 7806 4040 / 07725 258767

W. https://www.stjohnshospice.org.uk/our-care/inpatient-care

St. John's Hospice provides inpatient palliative care services to the residents of Brent, Central London and West London.

This is an inpatient unit with 18 beds

Please contact for admissions for advice and Community Specialist Palliative Care.

The office hours are Monday to Friday 8.30am to 4.30pm. Referrals received in the morning are triaged the same afternoon, and those received in the afternoon are triaged the following working day.

If urgent, please follow up the referral by calling us on 020 7806 4040. Out of hours, urgent referrals will be discussed with the consultant on call.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)

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