Depression in palliative care: Information for patients and carers

Symptoms of depression include:

  • not being able to find pleasure in the things you usually enjoy
  • feeling sad, guilty, helpless and worthless 
  • feeling constantly tired, irritable and unable to concentrate
  • thinking about ending your life
  • changes to your appetite or weight
  • difficulty sleeping
  • losing your sex drive

Many symptoms of depression are similar to symptoms of serious illness ( e.g. lack of energy, poor appetite, difficulty sleeping).

Depression is different from appropriate sadness and demoralisation (feeling bleak about the future but still able to enjoy the present moment).

There are many helpful treatments for depression including antidepressants. These can help to improve mood but can also help sleep and appetite. So if you are feeling low is really important to discuss this with your doctor or nurse to ensure you receive the right treatment.

Self-help resources:

These approaches to try yourself can be really helpful in mild depression or mood disturbance.

The NHS website contains useful information for recognising low mood and some initial steps you can take and when to seek extra help.

Available to download on the right is a very comprehensive self-help guide which contains some brief thought exercises to work through and signposts to national resources with a very good reading list at the end.

This page on 'behavioural activation' signposts a useful approach to actively manage low mood.

Recommended Resources

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Marie Curie - Depression and anxiety

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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.

Compassionate Hillingdon
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Compassionate Hillingdon is a collaborative project that supports people who might need support in Hillingdon. Their work revolves around a commitment to those living with a life limiting illness, older people and those suffering from isolation. They do this by facilitating reciprocal friendships between like minded people who live close to one another across Hillingdon.

This project is part of the ‘Compassionate Communities’ movement. Compassionate Communities is built on a combined ethos of a Public Health Approach to Community Development, Palliative and End of Life Care.

H4ALL
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H4ALL supports Hillingdon residents to better manage long term conditions and brings residents into greater contact with their local community.

Referral criteria: Adults over the age of 18 who are registered with a Hillingdon GP and who are isolated/ lonely and who have one or more long term condition. 

Services offered: Social prescribing, wellbeing services, counselling and advice.

Wellbeing services referrals email nhsnwl.h4allwellbeing@nhs.net

Counselling services via Hillingdon Mind email h4allcounselling@hillingdonmind.org.uk

Harlington Hospice
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Harlington Hospice

T. 020 8759 0453

W. https://www.harlingtonhospice.org/

Harlington Hospice provides a wide range of palliative care services to the residents of Hillingdon and surrounding areas.

The Hospice hosts a Wellbeing Service (shared with Michael Sobell Hospice), complementary therapies, counselling, lymphoedema service and the CABS team supporting children and adolescents.

The Hospice also hosts Harlington Hospice@Home team, mainly providing night sits, plus inpatient beds based at Michael Sobell Hospice (MSH) in Northwood.

Referral form for clinician use only.

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

Wellbeing Hub
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The Wellbeing Hub is an online tool and resource hub developed to empower Hillingdon residents’ and improve overall feelings of wellbeing. 

It provides modern, hospice wellbeing information alongside other types of wellbeing support. The wellbeing hub empowers people to enhance feelings of wellbeing in a holistic way. The online tool provides support with information to better support each person's own, unique wellbeing journey, by encouraging the setting of personal goals and accomplish tasks that align with individual wellbeing aspirations. Goals such as completing tasks (by creating and sharing a bucket list) and documenting wishes such as an advance care plan can take place.

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. 

H4ALL
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H4ALL supports Hillingdon residents to better manage long term conditions and brings residents into greater contact with their local community.

Referral criteria: Adults over the age of 18 who are registered with a Hillingdon GP and who are isolated/ lonely and who have one or more long term condition. 

Services offered: Social prescribing, wellbeing services, counselling and advice.

Wellbeing services referrals email nhsnwl.h4allwellbeing@nhs.net

Counselling services via Hillingdon Mind email h4allcounselling@hillingdonmind.org.uk

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. 

CNWL Talking Therapies Service
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CNWL Talking Therapies Service

T. 01895 206 800

W. https://talkingtherapies.cnwl.nhs.uk/

CNWL Talking Therapies Service provides psychological therapies. Self-referral accepted via the website for adults who are registered with a Brent, Harrow or Hillingdon GP.

Support is available for a range of difficulties, such as low mood or depression, anxiety, and stress, phobias, physical health anxiety, PTSD and Insomnia.

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 Hillingdon
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Compassionate Hillingdon is a collaborative project that supports people who might need support in Hillingdon. Their work revolves around a commitment to those living with a life limiting illness, older people and those suffering from isolation. They do this by facilitating reciprocal friendships between like minded people who live close to one another across Hillingdon.

This project is part of the ‘Compassionate Communities’ movement. Compassionate Communities is built on a combined ethos of a Public Health Approach to Community Development, Palliative and End of Life Care.

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
Wellbeing Hub
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The Wellbeing Hub is an online tool and resource hub developed to empower Hillingdon residents’ and improve overall feelings of wellbeing. 

It provides modern, hospice wellbeing information alongside other types of wellbeing support. The wellbeing hub empowers people to enhance feelings of wellbeing in a holistic way. The online tool provides support with information to better support each person's own, unique wellbeing journey, by encouraging the setting of personal goals and accomplish tasks that align with individual wellbeing aspirations. Goals such as completing tasks (by creating and sharing a bucket list) and documenting wishes such as an advance care plan can take place.

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