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

Share

Related Services

Cancer services

24 hour Helpline Pall24 for North Brent and Harrow
Close

24 hour Helpline Pall24 for North Brent and Harrow

T. 03000 200 224

This service was formerly known as Single Point of Access (SPA)

This is a 24 hour 7 days a week helpline providing advice for patients, families and professionals, hosted by St Luke's Hospice for residents of Harrow and North Brent.

Urgent rapid response visits can be made to patients registered with a Harrow GP

 

Marie Curie
Close

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.

St John's Hospice Lymphoedema Care
Close

This clinic is for patients suffering from lymphoedema in any part of their body as a result of cancer treatment or chronic conditions.

The lymphoedema care provided is free to NHS patients registered with a GP within our catchment area. The NHS service is provided within St John and St Elizabeth Hospital under the hospice or at Charing Cross Hospital.

Young lives vs Cancer
Close

Young lives vs Cancer

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

Young lives vs Cancer support young people under 25 with cancer, and their families, to get the help they need during their cancer treatment and beyond, including bereaved families living with emotional distress. 

Palliative care teams

24 hour Helpline Pall24 for North Brent and Harrow
Close

24 hour Helpline Pall24 for North Brent and Harrow

T. 03000 200 224

This service was formerly known as Single Point of Access (SPA)

This is a 24 hour 7 days a week helpline providing advice for patients, families and professionals, hosted by St Luke's Hospice for residents of Harrow and North Brent.

Urgent rapid response visits can be made to patients registered with a Harrow GP

 

Harrow Community Palliative Care
Close

Harrow Community Palliative Care

T. 020 8102 6163

Harrow Community Specialist Palliative Care Team (LNWHT) provides advice and visiting to palliative care patients in Harrow.

They can be contacted Monday to Friday 8.30am to 4.30pm.

They are based at Honeypot Lane Health Centre, 839 Honeypot Lane, HA7 1AT.

Out of Hours the Pall24 Helpline can be used 3000 200 224

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
St Luke's Hospice at Home
Close

St Luke's Hospice at Home

T. 0208 382 8020 / 8050

St. Lukes Hospice@Home provides palliative care services to the residents of North Brent and Harrow. Respite and bridging packages of care are available for end of life patients.

Please contact the team between Monday to Saturday 9.00am to 5.00pm.

The email can be used for fast track referrals.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
St Luke's Hospice Inpatient Unit
Close

St Luke's Hospice provides inpatient palliative care services to the residents of Brent.

This is an inpatient unit with 12 beds. Please contact for admissions and advice.

Referrals can be made Monday to Sunday 9.00am to 4.00pm. 

Referral form for clinician use only.

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

Pharmacies

Care Chemists
Close

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 5 Buckingham Parade The Broadway Stanmore HA7 4EB

Opening hours: Monday to Friday 9.00am to 6.00pm. Saturday 9.00am to 5.30pm

Carters Chemist
Close

Carters Chemist

T. 0208 8660053

W. https://carterschemist.co.uk/

A community pharmacy which stocks common palliative medicines to support people being cared for at home

Address: 24 Bridge Street, Pinner, Middlesex, HA5 3JF

Opening hours: Monday to Friday 9.00am to 6.00pm. Saturday 9.00am to 5.00pm

Wellbeing services

Marie Curie
Close

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.

Related Articles

22nd May 2025

Books to better understand dying, death and palliative care

9th March 2025

Financial help when you are living with a terminal illness

8th January 2026

Loneliness

Feedback