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. 

IAPT Hounslow
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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.
 
IAPT can help you with common problems like stress, anxiety and depression.

Ealing IAPT offers Cognitive Behavioural Therapy (CBT) but also works in partnership with a counselling service. 

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. 

Community palliative care teams

Community Palliative Care Team - based at Meadow House Hospice
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Community Palliative Care Team - based at Meadow House Hospice

T. 020 8967 5179

W. https://www.lnwh.nhs.uk/meadow-house-hospice/#community-palliative-care-team

The Community Specialist Palliative Care Nurse Team provides advice and visiting to palliative care patients in Ealing and Hounslow. The team are based at Meadow House Hospice.

The team will visit patients with progressive life limiting illness in their own homes. They provide specialist advice around pain and symptom control and support for patients, their families, and carers during the last stages of illness. They also support patients wishing to die at home through coordination with GPs and hospital teams.

The team is comprised of medical consultants, specialist nurses, physiotherapists, occupational therapists, social workers, a bereavement support officer and a patient and carer advocacy worker

The team can be contacted for referrals Monday to Friday 9.00am to 5.00pm.

Between Monday to Friday 5.00pm and 8.30am, the Out of Hours Telephone Advice line 020 8102 5000 takes calls. Weekends and Bank Holidays 5.00pm to 9.00am.

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4.2 (DOCX)
District Nurses Night Service Hounslow
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Referrals to the night service can be made Monday to Sunday 5.00pm to 7.00am.

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

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