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
  • bowel discomfort
  • breathlessness
  • excessive worry
  • not being able to concentrate
  • muscle tension
  • disturbed sleep
  • a constant feeling of dread

Some people may have panic attacks, where they feel sudden, intense or overwhelming fear and discomfort, lasting up to 30 minutes. Panic attacks may cause strong physical symptoms such as: chest pain, dizziness, pounding heart, sweating or shaking.

What can make anxiety worse?

Worrying about the future when you are seriously ill is completely understandable. Other things that can add to these feelings 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 worry about dependants
  • Financial worries/ Employment/ immigration status/ housing conditions
  • Spiritual distress
Managing anxiety

Talking to someone you trust. Many worries can be addressed with the right support. 

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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British Association for Counselling and Psychotherapy (BACP)

T. 0145 588 3300

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

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IAPT stands for improving access to psychological therapies. IAPT offers talking therapies for people over 18 who have a GP in the London Borough of Ealing.
 
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