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

Palliative care teams

24 hour Advice Line Pembridge Hospice
Close

24 hour Advice Line Pembridge Hospice

T. 0208 102 5000

W. https://www.pembridgehospice.org/

Pembridge Hospice provides palliative care services and advice to the residents of Brent, Central London, West London and Hammermith and Fulham.

This is a 24 hour, 7 days a week telephone advice line.

Referral form for clinician use only.

 

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
Community Palliative Care Team - based at St. John's Hospice
Close

Community Palliative Care Team - based at St. John's Hospice

T. 020 7806 4040

St. John's Hospice provides advice and visiting palliative care patients for some parts of Central London.

Referrals can be made Monday to Sunday 9.00am to 5.00pm.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
Community Palliative Care Team (South) - Royal Trinity
Close

Community Palliative Care Team (South) - Royal Trinity

T. 020 7787 1062

Royal Trinity Hospice (South) provides advice and visiting palliative care patients of Hammersmith and Fulham, Central London and West London.

They can be contacted 8am -8pm  7 days a week.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
Pembridge Community Palliative Care Team (North)
Close

Pembridge Community Palliative Care Team (North)

T. 0208 102 5383 / 0208 102 5000 (out of hours)

Pembridge Community Palliative Nurse Team (North) provides advice and visiting palliative care patients of Hammersmith and Fulham, Central London and West London.

They can be contacted Monday to Friday 8.30am to 5.00pm.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
Royal Trinity Hospice
Close

Royal Trinity Hospice

T. 0207 787 1062

W. https://www.royaltrinityhospice.london/

Royal Trinity Hospice provides palliative care services to the residents of Hammersmith and Fulham, Central London and West London.

There is a 24 hour, 7 days a week clinical advice line and OOH access to the on-call consultant.

Referral form for clinician use only.

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

St John's Hospice at Home

T. 020 7806 4027

St. John's Hospice provides palliative care services to the residents of Brent and Westminster.

Telephone response will be received within 2 hours.

Inclusions are: Terminal care last 2 weeks of life, 24 hour, admission avoidance, facilitated discharge and respite care escorting a patient.

Referral form for clinician use only.

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

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)

Pharmacies

Bayswater Pharmacy
Close

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

Address: 39-41 Porchester Road, Bayswater, W2 5DP

Opening hours: Monday to Friday 9.00am to 7.00pm. Saturday 9.00am to 6.00pm. Sunday 11.00am to 5.00pm

Clinichem
Close

Clinichem

T. 020 78281222

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

Address: 29 Upper Tachbrook Street, SW1V 1SN

Opening hours: Monday to Friday 9.00am to 6.00pm

Cancer 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.

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. 

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