Design & Layout by Ian Mannion Glossary Mental Health Reading Services & Recovery UnderstandingAccessing Websites Supports Services Accommodation &Housing Emergency Numbers 24/7 Services & Supports & Services 40 Tips for MentalHealth& Wellbeing Mindfulness Relapse Prevention Recovery Dementia Severe EmotionalDysregulation Disorder Eating Disorders Bipolar Affective Disorder Obsessive Compulsive Disorder (OCD) Schizophrenia Post Traumatic Stress Disorder (PTSD) Anxiety Disorders Depression A BetterUnderstanding Admission toInpatientCare Accessing MentalHealthServices Introduction Foreword

Contents

4 44 44 30 15 4 37 35 32 27 25 23 2 20 18 17 16 15 12 6 4 5 4 Addiction Services (Alcohol,Addiction Services Drugs&Gambling) Bibliotherapy: Transport for Services Travellers Care/General Practitioners/CaredocPrimary &Supports Mental HealthServices Older Peoples Services LGBTI New Communities Information Services Finance &BudgetingServices &Children’sFamily Support Services 4 Young People Employment, Education, Domestic &Supports Violence Services Disability &Rehabilitative Services Carers Support Counselling Services Bereavement &SuicideSupport Advocacy &LegalServices Glossary National &International Mental HealthWebsites through HealthyReading Contents Promoting Wellbeing Training & Volunteering 103 4 49 102 93 92 92 89 84 81 80 79 76 73 70 68 6 60 59 5 5 78 6

4 2

Glossary Mental Health Reading Services & Recovery UnderstandingAccessing Websites Supports Services Foreword

I am delighted to introduce the second edition of the Directory of Services for South Tipperary and would like to congratulate all those involved for their work and dedication in updating the directory. In this age of information overload via the internet, accurate, reliable information on mental health issues and mental health and support services is essential. I hope this directory will prove useful to service users and service providers alike.

I would like to thank STAN (South Tipperary Action Network Mental Health), HSE Connecting for Life, Tipperary County Council and the South Tipperary Mental Health Association for their support and assistance in producing the Directory. The front cover is adapted from artwork from the Western Studio, Clonmel.

Dr. Michele Brannigan Consultant Psychiatrist, Clinical Director South Tipperary Mental Health Services

4 Introduction

It is estimated that one in four of us will experience mental health problems during our lifetime. This directory was first produced in 2009 and has been revised in the hope that it will be of help to anyone who wants to know more about mental health problems and how to access local services. The aims of the directory are: • To provide a brief outline of the main mental health conditions • To inform service users, their families and friends of services and supports available to them • To be a resource for health and social care professionals and other service providers. • To promote recovery and well-being This edition of the directory has been collated by the South Tipperary Action Network – STAN Mental Health. The aim of STAN is to bring service providers together with a view to improving the quality of life and mental health of all citizens and in particular the de-stigmatising of mental health. Sincere thanks to all who contributed to the process of updating the directory. Thanks to the artists at the Western Studio in Clonmel, whose art work was the inspiration for the front cover. We would also like to thank the Psychological Society of Ireland for giving permission to include their Tips for Wellbeing. This edition of the directory has been funded by the Health Service Executive under Connecting for Life South Tipperary, The National Lottery, Tipperary County Council and South Tipperary Mental Health Association. The directory can be accessed on the South Tipperary Action Network Web www.stanmentalhealth.ie, www.connectingforlifesouthtipperary.ie and www.yourmentalhealth.ie. Feedback, suggestions and updates are most welcome. Please email: [email protected] Naomi Burke, Chairperson, South Tipperary Action Network (STAN Mental Health) April 2017.

5 5 Accessing Services Addiction Counsellor. Depending on available staff resources, Staff, Psychologist, Social Worker, Occupational Therapist and staff members: a Consultant Psychiatrist, Mental Health Nursing for adults aged 18-65 years. The CMHT comprises the following support and treatment assessment, multidisciplinary provide The role of the Community Mental Health Team is to (CMHT) Community Mental Health Teams(CMHT): may: Following assessment, and depending on your needs, your GP It is advisable to see a GP or family doctor if: GP Service individual’s GP is informed that a referral has been made. Mental Health Liaison Staff or other Medics. In each case the Hospital Emergency Department, TipperarySouth General Hospital Caredoc, e.g. accepted also are sources other from Referrals is the preferred referral pathway. Adult Mental Health Services for assessment and intervention. This In most cases, it is the GP who initially refers the Individual to the First Point ofContact with Adult Mental Health Services Team Co-ordinator. in SouthTipperary havedirect telephone accessto the (GPs) Practitioners General All Co-ordinator. Team Health 24 /7service. Allreferralsgothrough the Adult Mental South TipperaryAdult Mental HealthServiceprovidesa • • • • • • Accessing MentalHealthServices Refer you to the Community Mental Health Team Local Counselling Services) Refer you to other services in the Community (e.g. Provide the relevant mental health care you need plans to harm yourself. You are experiencing suicidal thoughts, and / or have changes, sleep difficulties etc) You are experiencing distressing symptoms (e.g. mood (e.g. family member’s) mental health You are concerned about your own or another person’s 6 following criteria: presenting with mental health difficulties who meet one of the This service caters for Older Adults (aged 65 years and over) Psychiatry ofLater Life (POLL) Suir, Cahir and Clogheen. Clonmel, and caters for individuals living in Clonmel, Carrick-on- CAMHS Team2 is located in Coleville House, Coleville Rd., Town. Ardagh (Killenaule, Fethard, Mullinahone) Cashel and Tipperary Glenconnor Rd, Clonmel, and its catchment area includes Slieve CAMHS Team1is located in TipperarySouth Therapy Service, Psychiatrist. in Tipperary;South each team has its own Consultant Paediatric directly to the relevant CAMHS Team. There are 2 CAMHS teams sent be should referrals All CAMHS. by treated or assessed be guardian consent is required before any child / adolescent can children and adolescents up to 18 years of age. Parental / The CAMHS service is a specialist mental health service for Child &Adolescent Mental Health Services(CAMHS) Town. also provides servicea satellite in St. Vincent’s Hospital, Tipperary but Cashel, Ór Carraig in located is CMHT Tipperary / Cashel The Community Mental Health Centre, Glenconnor Road, Clonmel. the Clonmel Both East and Clonmel West CMHT’s are based in the Cashel/Tipperary). a particular geographic area (Clonmel East, Clonmel West and team caters for the mental health needs for people living within part of a CMHT. There are 3 CMHT’s in TipperarySouth and each other professionals (e.g. Family Therapists, Dietician) may also be • • years. TipperarySouth Adult Mental Health Services in the past 10 They are aged 65 years and over and have not attended contact Tipperarywith South Adult Mental Health Services. They are aged 65 years and over and had no previous Accessing MentalHealthServices 7

Accessing Services 7 Accessing Services care-plan. happen if a person is acutely mentally unwell, or as part of your be offered following an initial mental health assessment. This can located in St. Luke’s General Hospital, Kilkenny. Admission may beds, 44 comprising unit health mental acute an is DOP The Department of Psychiatry (DOP) your identified needs. of your initial assessment and / or ongoing care plan, depending on Your CMHT may recommend admission to Glenville House as part Psychiatry. of Team Health Department the Mental or assessing the Glenville house are through the Community Mental Health Teams, Glenville House is used for brief crisis intervention. Referrals to Glenville House(CrisisHouse) team by the Adult Community Mental Health Teams. Clonmel. Referrals are made to the Rehabilitation and Recovery Street, Morton House, Morton in based is team The difficulties. services for adults with severe and enduring mental health The Rehabilitation & Recovery Team provides mental health Rehabilitation &Recovery Team Hospital. Caredoc, or the Emergency Department, TipperarySouth General In emergency or crisis situations, older adults can attend their GP, existing Community Mental Health Team. their mental health needs will continue to be treated by their a Community Mental Health Team within the past 10 years, then If an individual turns 65 years, and is currently or has attended Psychiatry of Later Life, Rosehill, Western Rd, Clonmel. Referrals are sent to the Mental Health Team Co-ordinator, Accessing MentalHealthServices 8 health health needs. Health Team will provide follow-up support based on your mental General Hospital, Emergency Department. The Community Mental alcohol or substance misuse, you will be referred to South Tipperary Should you require immediate medical treatment for self-harm, Mental Health Diagnosis Self-Harm &Alcohol/DrugDetox for Individualswitha Other LocalSpecialist Services Hospital Emergency Department (STGH ED). hours through Caredoc or by presenting to South Tipperary General TipperarySouth Mental Health Service can be accessed out of Out ofHours St Luke’s Hospital Kilkenny (Dept of Psychiatry) Caredoc GP service Hospital Emergency Department, TipperarySouth General CAMHS Team 2 CAMHS Team 1 Child & Adolescent Mental Health Services Psychiatry of Later Life, Rosehill Carraig Community Mental Health Centre, Clonmel Health Service Ór Cashel & St. Vincent’s Tipperary Town Accessing MentalHealthServices 9 (office hours) 052 6177491 062 70460 052 6183495 052 6183470/ 056 7785000 (6pm – 8am) 1850 334 999 (open 24/7) 052 6177000 (office hours) 052 6189204 (office hours) 052 6177436 Contact

Accessing Services 9 Accessing Services information, history of psychiatric and medical difficulties, the questions about your presenting difficulties, relevant personal with each person to identify their specific needs: you willbe asked A comprehensive assessment and risk assessment is carried out your with difficulties, your consent. you; they may be asked to provide additional information about sent by post. If you wish, a relative or close friend can accompany appointment for assessment. Routine appointments are usually Community Mental Health Team will contact you to offer you an In the event of a crisis or urgent referral, a member of the Your First Appointment services previously. an anxious time, particularly if you have not attended these referredBeing to your Community Mental Health Service is often New ServiceUsers Attending TheMental Health Service–WhatToExpect For more information see listings in Mental are Health Services accepted. from referrals or referrals GP thoughts. suicidal experiencing are individuals aged 16 years and over who have self-harmed and/or professional counselling service offering short-term counselling to Wexford and Waterford. This is a free and confidential HSE The SHIP service is available in Carlow, Kilkenny, Tipperary,South Self-Harm Intervention Programme(SHIP) accepts GP referrals and self-referrals. such as alcohol and/or drugs misuse, gambling etc. The service This service provides support to individuals with addiction issues South TipperarySubstanceMisuseService(HSE) Service or the Self-Harm Intervention Programme (SHIP) service. specialist services such as TipperarySouth Substance Misuse may be provided by your GP and/or you may be referred to other If you do not need follow-up support from the CMHT, support Accessing MentalHealthServices 10 Services &Supports section. and prevent relapse. addressed as part of the individual’s care-plan to support recovery have unresolved distressing past issues. All of these issues will be with depression might live in unsuitable accommodation and person’s mental health needs. For example, a person diagnosed biological, social and psychological issues that impact on the model of Mental Health Care. This means looking at the relevant TipperarySouth Mental Health Services adopts the Bio-Psychosocial Bio-Psychosocial Model ofCare to you should be discussed with a member of the CMHT. Any concerns you have about your care plan or interventions offered Behaviour Therapy, Medication etc. Work, Occupational Therapy, Dietetic Input, Psychology, Dialectical include Counselling, Addiction Counselling, Family Therapy, Social Interventions available from the Community Mental Health Team may interventions are appropriate to your recovery. Your assessment and care plan will identify what supports / Interventions future date, if your mental health needs change. a at occur can Service Health Mental Community the to re-referral GP, or referred / signposted onwards to that service. However a counselling services). You will be referred back to the care of your would be best met by other services in the community (e.g. local the criteria for a Mental Health Diagnosis, and that your needs meet not do you indicate may assessment initial the cases, some In can be amended, if your needs change. be addressed by the Community Mental Health Team. Your care plan plan outlines what your specific needs are, and how these needs will Following assessment, a care plan will be developed with you. This Care Plan PsychiatristConsultant or Junior Doctor. friends). peopleSome may require a medical assessment with the stressors in your life, and your support network (e.g. family / Accessing MentalHealthServices 11

Accessing Services 11 Accessing Services the Carers Support section for more information. and supports in TipperarySouth that are available to assist. Please see lonely time for family members & carers. There are a number of groups person’s mental health recovery. This can be a confusing, stressful and Family Members & Carers play an important role in supporting the Family Members&Carers services if they: Service users are most likely to benefit from attending mental health Service UsersInvolvement with the Mental Health Services confidentiality. All staff members are required to abide by a code of conduct on Confidentiality the DOP for treatment. admission is used when service users provide consent to be admitted to of Psychiatry (DOP) in St. Luke’s Hospital Kilkenny. The term require inpatient care, and may need to be admitted to the Department they that unwell mentally so However,become may individuals some Health Team (CMHT). the mental health care they require from their local Community Mental For the most part, people with mental health difficulties will receive Service Service as appropriate. health needs change they can be re-referred to the Mental Health Health Service. However, should their circumstances and/or mental When a person is mentally well, they are discharged from the Mental • • • specific needs, as outlined in their care-plan. Work with their Community Mental Health Team to address their unable to attend. Attend scheduled appointments and cancel appointments if and being actively involved in any decision making about their life. lifestyle changes to improve their mental and physical wellbeing, informed about their mental health condition, making relevant Are fully involved in their mental health recovery: by being (Voluntary Admission) &Involuntary Accessing MentalHealthServices Admission toInpatientCare 12 voluntary the Consultant Psychiatrist will only sign an assessment, this Following hours. 24 within Psychiatrist Consultant a by assessed be must individual the admission, involuntary Following law permits involuntary admission to hospital if: ever used as a last resort. Under the Mental Health Act 2001, Irish voluntary admission is encouraged, and involuntary admission is only are admitted to the DOP without their consent. Where possible, The term mentally unwell, but decline to be admitted to the acute unit. very as present can individual an cases, of minority small a In they can appeal this decision by applying to the Circuit Court. If an individual disagrees with the Mental Health Tribunal’s decision, Appealing the Decision ofthe Mental Health Tribunal individual can immediately leave the unit. law, the tribunal will psychiatric treatment and the procedures did not comply with the If the tribunal finds that the individual does not require inpatient necessary treatment. order. correctly followed, then the tribunal will inpatient care and the procedures for involuntary admission were If the mental health tribunal establishes that the individual needs inpatient admission to ensure the law was correctly followed. individual’s care) and a lay person who will examine the individual’s or solicitor, a consultant psychiatrist (who is not involved in the independent panel of people comprising a practising barrister be held during the 21 days. The mental health tribunal is an Under the Mental health Act 2001, a mental health tribunal must order lasts up to 21 days. inpatient care and intervention, and declines to stay. An admission the individual is found to have a mental health difficulty, requires • • treatment. health would deteriorate further if they did not receive inpatient The individual’s mental health is so impaired their mental harm to himself/herself, or to others. The individual has a mental illness which poses a serious risk of This means the individual will remain in hospital to receive the involuntary admission is used when service users Accessing MentalHealthServices revoke the admissionorder. This means the 13 affirm the admission Admission order if if

Accessing Services 13 Accessing Services • For further information see • • • • admitted to inpatient units have certain rights, including: involuntary are who individuals 2001, Act Health Mental the Under Rights ofServiceUsers(InvoluntaryAdmission) include treatment from the Community Mental Health Team. determine what follow up intervention is required: this is likely to assessed as being mentally stable. The individual’s care plan will medically are they when discharged, are Individuals time. any at capacity voluntary a in care inpatient receive to opt can capacity Service users who are admitted to inpatient units in an involuntary signed off on. reviewed by a Mental Health Tribunal each time a renewal order is and thereafter, up to 12 months. The individual’s case will be fully months, 6 to up for valid are which off signed be can orders renewal subsequent Act, Health Mental the under admission involuntary for remains mentally unwell, and continues to meet the legal criteria seven days before the renewal order expires. If the individual The Consultant Psychiatrist will medically assess the individual or revoked. individual’s case, following which the renewal order will be affirmed Act 2001. A Mental Health Tribunal will be held to review the eligibility criteria for involuntary admission under the Mental Health for voluntary admission and the individual continues to meet the to 3 months will only be signed, if the individual refuses consent the admission order expires. A renewal order which is valid for up medically assessed by a Consultant Psychiatrist seven days before Admission orders are only valid for 21 days. The individual must be Renewal Orders Tribunal’s decision. The appeal must be taken within 14 days of the Mental Health The right to be represented by a Lawyer Psychiatrist or a Mental Health Commissioner Consultant a by reviewed care their have to right The The right to information about Admission Orders The right to information about their treatment The right to information about their detention Accessing MentalHealthServices www.mentalhealthcommission.i 14 e country. groups and courses are run at various locations throughout the others have coped and recovered from their depression. Mindfulness meet others with similar difficulties. It is often helpful to hear how Many people find benefit in attending support groups where they can These medications can take 2-4 weeks to work properly. etc. concentration poor sleep, poor mood, low as such symptoms Antidepressant medications are often helpful in alleviating depressive recurrent depression. depressive episodes for individuals who present with a history of illness: available research indicates it halves the likelihood of further mindfulness as an effective treatment for recurrent depressive National Institute for Health & Clinical Excellence (NICE) recommends whether or not a person is using antidepressant medications. The on an individual or group basis, and can be used irrespective of interventions for depression. These approaches can be delivered behavioural therapy (CBT) and Mindfulness are recognised as effective their problems with a psychologist or a therapist. Cognitive People who experience depression may findit beneficial to discuss Interventions obvious reasons for why someone becomes depressed. psychological factors may also be involved. Sometimes there are no such as relationship difficulties, bereavement etc. Genetic factors and attempt suicide. Depression can be triggered by stressful life events “emptiness”. individuals Some may experience suicidal thoughts, or feeling fatigued, and persistent feelings of sadness, anxiety or difficulties when concentrating or making decisions, loss of energy, and sleeping patterns, weight gain or weight loss, experiencing of interest in previously enjoyable activities, changes in eating from others. Other symptoms of depression can include: loss socially withdraw may they and worthlessness, and guilt of feelings pre-occupied with negative thoughts, they experience inappropriate People who experience depression frequently report they are functioning. normal and life daily their with interferes and time over who present with depressive disorders report their low mood persists these feelings pass usually relatively quickly. In contrast, individuals lifetime. Most people experience low mood from time to time, but in 20 people sufferwill from depression at some point during their Depression is a common but serious illness. It is estimated that 1 A BetterUnderstanding: Depression 15

Understanding Understanding affected individuals tend to avoid social situations. social situations. This fear can be so intense and debilitating that others, or being embarrassed or humiliated by their own actions in and chronic fear of being watched and judged negatively by situations. People with social phobia have a persistent, intense anxiety and excessive self-consciousness in everyday social or object, place or situation (eg dogs, flying etc). Phobias: A phobia is an excessive or unreasonable fear of an feared situations if accompanied by a trusted companion. ordifficult embarrassing.Some individuals willonly confront their anxiety about being in a situation from which escape might be to experience significant anxiety about having a panic attack, or these feared situations with great difficulty and they are likely avoiding such situations where possible. individualsSome endure situations (e.g. whilst shopping), and they respond by deliberately individualsSome may find their panic attacks only occur in specific threatening. frightening and distressing, panic attacks are not dangerous or life Others report fearing they are losing control. Although intensely report fearing they are having a heart attack and are going to die. warning. In the midst of a panic attack, affected individuals often distress. These symptoms can occur suddenly and without or lightheaded, and feeling nauseous or experiencing abdominal and elevated anxiety levels typically return to normal levels when normal, is anxiety Such situations. and events stressful anticipating of the population. Anxiety typically arises in response to or when Anxiety Disorders are common, affecting approximately 5% shortness of breath, trembling or shaking, sweating, feeling dizzy dizzy feeling sweating, shaking, or trembling breath, of shortness that may include chest pain or discomfort, heart palpitations, episodes of intense fear accompanied by physical symptoms Panic Disorder prolonged. The most common Anxiety Disorders include: may be given if an individual’s anxiety levels are excessive and the stressful situation has passed. An anxiety disorder diagnosis Social Anxiety Disorder is characterised by overwhelming A BetterUnderstanding: AnxietyDisorders is characterised by unexpected and repeated 16 Social Phobia

and effective psychological treatment used to treat PTSD. Desensitization and Reprocessing Therapy (EMDR) is a specialised Medication is also beneficial for many people. Eye Movement Management, Cognitive Behaviour Therapy, and Mindfulness. Effective Interventions for Anxiety Disorders include Anxiety Interventions significantly interfere withdaily living. seek professional help if these symptoms persist over time and generally disappear after a few weeks. Individuals should only frequently experienced. For most people, these symptoms avoiding things associated with the traumatic event are flashbacks, concentration difficulties, sleep disturbance and Following a traumatic event, symptoms such as nightmares, violent personal assaults, road traffic accidents etc. threatened. Traumatic events that can trigger PTSD include event or ordeal in which grave physical harm occurred or was that can develop after experiencing or witnessing a terrifying Post Traumatic Stress Disorder(PTSD) is an anxiety disorder Post Traumatic Stress Disorder A BetterUnderstanding: 17

Understanding Understanding making it difficult for them to distinguish reality from what isbeing episode of schizophrenia, the person’s thinking becomes distorted approximately 1 in every 100 people during their lifetime. During an Schizophrenia is a relatively common mental disorder that affects • • • include: others are plotting to harm them. The symptoms of schizophrenia can minds, or are controlling their thoughts. They may also believe that hear; they may falselydon’t believe that others are reading their imagined. Many individuals with schizophrenia hear voices that others Hallucinations have no obvious meaning to others (ie. neologisms). understand what they are saying. They may also use words which may appear garbled or jumbled, so that it is todifficult follow or difficulty organising their thoughts in a coherent way. Their speech schizophrenia may have unusual thought processes and may have DisorganisedThinking (Speech) are called “delusions of persecution”. plotting against them or the people they care about – these beliefs them in some way, such as by harassing, poisoning, spying on, or special messages. They may believe that others are trying to harm television are communicating directly with them and giving them are a famous or important person, or may believe that people on they that believe falsely may schizophrenia with people example, something that is very unlikely, bizarre or obviously untrue. For Delusions them to interfere with their day to day lives. allow not and voices their accept can they report people affected hallucinations are often experienced as very distressing; some as being distinct from the individual’s own thoughts. Whilst auditory perceived as being familiar or unfamiliar, they are usually perceived voices may talk to each other. Even though the voices are often individual to do things, or warn them of danger. Sometimes the the affected individual about their behaviour, they may order the reported hallucinations in schizophrenia. The voices may talk to commonly most the are voices) Hearing (ie Hallucinations Auditory is, hearing, smelling, feelingthere. or seeing something that isn’t in reality. Hallucinations can occur in any of the 5 senses – that A BetterUnderstanding: Schizophrenia – A delusion is having an unshakeable belief in – that is, perceiving something that does not exist 18 – When unwell, people with Mental Health Support Group for Families & Carers. Tipperary SHINE, Group, Phrenz including: supports local for Directory schizophrenia, whilst continuing to live fulfilling and productive lives.See illness. For others, recovery involves learning to effectively manage their has frequent relapses. individualsSome make a full recovery from this considerable familial distress or in situations where the affected person Family Behavioural Therapy is beneficial in cases where there is relapse. Cognitive Behavioural Therapy is effective in treating Psychosis. factors (eg: stress, not taking medications etc) which may lead to come to terms with their diagnosis, and assists them in identifying counselling and antipsychotic medications. Counselling helps individuals Interventions for schizophrenia usually involves a combination of Similarly, it is rare to develop schizophrenia after 45 years of age. occur, to known is rare. is but childhood during schizophrenia of onset to schizophrenia, and this can make accurate diagnosis Thedifficult. note that those who misuse drugs often present with symptoms similar illness is often referred to as the “prodromal” period. It is important to however, these problems are not unusual in teenagers. This stage of the deterioration in academic performance, sleep problems and irritability – teenage years as early warning signs may include a change of friends, 30 years. It can be todifficult diagnose schizophrenia during the hallucinations and delusions usually start between the ages of 16- of schizophrenia can be abrupt or gradual. Symptoms such as more likely to develop the condition at a younger age. The onset Schizophrenia affects men and women equally, although men are • mistaken for depressive symptoms or other conditions. symptoms are sometimes hard to recognise, and can often be extent of these symptoms varies from person to person. Negative participating in positive social interactions or activities. The they may have decreased ability to experience pleasure when in social interactions, they may talk less than previously, and interest lack they if as appear may It activities. work or social in sit for long periods of time, and show little interest in participating difficulties initiating activities are present, the affected person may have reduced ability to express feeling. If motivational difficulties or diminished emotional expression is present, the individual is likely to concentration and motivational difficulties may be present. When Negative Symptoms A BetterUnderstanding: Schizophrenia such as diminished emotional expression, expression, emotional diminished as such 19

Understanding Understanding Common obsessionsinclude: them. stop to unable feel they yet sense, obsessions and compulsions are irrational and do not make control. Individuals with OCD generally recognise that their or “compulsions” that are distressing and todifficult thoughts known as “obsessions” and ritualistic behaviours living. OCD is characterised by recurrent and intrusive can be quite distressing and greatly interfere with daily condition quite well, whilst at other times, the symptoms so that at times the affected individual can manage their symptoms and severity of OCD tends to fluctuate over time: occur during the childhood or adolescence years. The every 30 people. For many people, the onset of OCD can Obsessive CompulsiveDisorder(OCD) affects 1 in • • • • • • Obsessive Compulsive Disorder (OCD) more so than the average person. excessivelyBeing clean and tidy – significantly “just right”. Having things in a particular order so it is blasphemous thoughts preoccupiedBeing with religious and been unfaithful to their partner). they have abused sexually someone or have sexual thoughts or urges (eg falsely imagining Having repeated intrusive and unwanted of violence towards others images of having harmed or committed acts Having repeated aggressive thoughts or fear of germs / dirt etc). a (eg images or thoughts repeated Having A BetterUnderstanding: 20 Common compulsionsincludethe following: OCD are also available. treat to Medications addressed. also is OCD with associated individual’s anxiety level subsides. Dysfunctional thinking the exposure period needs to be sufficiently long until the prevention). In order for the treatment to be successful, refraining from carrying out their compulsions (response obsessive thoughts (a process called exposure) and then person repeatedly confronting situations which trigger their intervention for OCD. The intervention involves the affected and Response Prevention (ERP) is an evidence based Cognitive BehaviouralTherapy using Exposure Interventions depressed. is person the if worse get or emerge can obsessions whereby linked invariably are individualsSome find that OCD and Depressive symptoms and is so time consuming it interferes with daily living. certain behaviours, the behaviour causes significant distress, only given if there is a compulsion to repetitively engage in the general population. However, a diagnosis of OCD is amongst observed frequently are behaviours type OCD Many Obsessive Compulsive Disorder (OCD) • • • • • Repeating the same steps over and over manner specific a in things touching or Counting repeatedly paperwork other or letters Checking electrical appliances etc switches, light windows, doors, Checking re-commence their routine from the beginning. showering. If interrupted, the individual will and precise routine to follow when bathing or Frequent hand washing or having a particular A BetterUnderstanding: 21

Understanding Understanding episodes. DirectorySee for local and national supports. medications are available which reduce the likelihood of further triggers which lead to elated or depressed mood. Mood stabilising effectively. Mood Diaries can assist in identifying and recognising to terms with their diagnosis, and to manage their moreillness Counselling can assist individuals Disorder with Bi-polar to come Interventions between. in stability of other, periods be may there or Episodes of elation and depression may occur directly after each psychotic symptoms. of the time. individualsSome may experience suicidal thoughts, or previously enjoyed activities, sleep problems and feeling tired all unworthiness. Other symptoms may include loss of interest in to experience low mood, and feelings of despair, guilt and likely are individuals affected phase, depressed the During irritable or over talkative, and they may have difficulty sleeping. spending large amounts of money etc. They can present as in behaviour that is typically out of character for them such as They may feel over confident, have lots of energy and engage (extreme happiness or feeling “high”), or irritability, or both. “manic” phase, people typically experience feelings of elation mood and periods of depressed mood. During the elated or Affected individuals experience periods (or episodes) of elated disorderBi-polar is characterised by extreme variations in mood. episode disorderof Bi-polar never experience another one. early adulthood. Approximately 15% of people who have a first Many people first develop the disorder during adolescence and the population, and is prevalentequally among men and women. Depression) is a mood disorder that affects approximately 1% of Manic as known (previously Bi-Polar Affective Disorder Bipolar Affective Disorder Affective Bipolar A BetterUnderstanding: 22 eating, or not being in control of the amount of food eaten. generally accompanied by a sense of not being in control of one’s short period eating of occurstime.usually Binge in secret, and is eating where they eat an abnormally large amount of food in a Affected individuals tend to have repeated episodes of binge onset Nervosa.of Bulimia Experiencing multiple stressful life events can also precipitate the both during and/or following a period of dieting to lose weight. Onset before puberty or after age 40 is uncommon. It often begins NervosaBulimia often begins in adolescence or young adulthood. Bulimia Nervosa underweight. severely becomes person a if threatening are significantly underweight. Anorexia Nervosa is potentiallylife they if even overweight and fat as themselves perceive and image (purging) following food consumption. They have a distorted body diuretics, diet pills and laxatives, or engage in self-induced vomiting They are likely to restrict food intake, exercise excessively, use weight. lose to need the and food of thoughts with preoccupied Individuals who present with anorexia nervosa tend to be (eg leaving home for college). of Anorexia Nervosa is often associated with a stressful life event cases of both early and late onset have been described. The onset adulthood. It rarely begins before puberty or after age 40, but Anorexia Nervosa often begins during adolescence or early Anorexia Nervosa these classifications. patterns of disordered eating which do not easily fit into any of Nervosa Eatingand Disorder.Binge Many people have other 3 officially classified eating disorders: Anorexia Nervosa, Bulimia underlying issues or unmanageable feelings. Psychiatrists recognise weight and body shape. In reality, they are ways of coping with On the surface, eating disorders appear to be about food, body conditions with serious physical and psychological complications. Eating disorders are complex and potentially life threatening disorders. eating by affected are Ireland in people 200,000 About A BetterUnderstanding: 23 Eating Disorders

Understanding Understanding information. their families and friends. www.bodywhys.ieSee for further provides support for people with eating disorders, and Eating BODYWHYSDisorders (The Association of Ireland) and continuation of the eating disorder over time. address the underlying issues which led to the development advisors. Psychological treatment is essential to identify and incorporating medical, psychological and nutritional Treatment should comprise a multidisciplinary approach, underweight. particularly if the affected individual is severely eating disorders. Inpatient care is sometimes necessary, other private organisations that specialise in treating Community Mental Health Services, or Based from Effective outpatient interventions are available from Disorders. Eating from recover do and can Individuals Interventions resulting in feelings of shame and guilt. themselves locked into a lonely cycle of dieting and bingeing case. People experiencing binge eating disorder may find in significant weight gain, althoughthis is not always the without purging. Over time, compulsive eating can result This disorder involves repeated episodes of binge eating Binge Eating Disorder(CompulsiveOvereating) normal body weight for their age, sex and height. a maintain to able be may individuals affected because this disorder can go undetected and unnoticed for longer, Nervosa, Anorexia Unlike exercise. excessive or fasting, of vomiting, excessive use of laxatives or diuretics, periods may engage in one or more of the following – self induced compensatory behaviours to prevent weight gain. They even painfully full. Following a binge, the individual uses typically eat to the point where they feel uncomfortably, or During an episode of binge eating, the individual will A BetterUnderstanding: 24 Eating Disorders teenage experiences, genetic factors and your personality style. from a combination of factors, such as a childhooddifficult and Severe emotional dysregulation disorder is believed to result Causes management difficulties are often present. about another person). Fears of being abandoned and anger to devaluing others (ie experiencing intense negative emotions experiencing intense positive emotions about another person) towards others can alternate from idealising others (ie severe emotional dysregulation disorder find their feelings Relationship difficulties are not uncommon, as individuals with reported. often are emptiness of a strong sense of who you are as a person) and chronic feelings dissociation, or feeling numb. Identity disturbance (ie not having report experiencing transient stress related paranoid ideation or period, many individuals engage in self-harm behaviours. Others their mood returns to its normal baseline level. During this which can last from a few hours up to a few days, after which shifts are often accompanied by suicidal thoughts or irritability morning to feeling low and sad in the afternoon). These mood changes quickly (eg feeling very happy and confident in the being very intense and overwhelming. They report their mood Affected individuals typically experience their emotions as are likely to have negative outcomes for them. much money, or impulsively engaging in other activities which patterns, impulsive engagement in risky behaviour, spending too misusing alcohol and/or drugs, uncontrollable or restricted eating potentially harmful behaviours may also be present, including emotionsdifficult and coping withlife’s difficulties. Other or recurrent suicide attempts, often as a means of managing self-harm (eg cutting themselves etc), threats of suicide and/ frequently present to medical services with histories of deliberate Individuals with Severe EmotionalDysregulation Disorder A BetterUnderstanding: Severe Emotional Dysregulation Disorder 25

Understanding Understanding • • • harmful ways. There are 4modules,namely: effectively andtomanagetheiremotionsinappropriate andnon- dysregulatedhelps emotionally individualstocopewith life more DBT SkillsGrouptraining involves which learningspecificskills and toreduce emotionalsuffering. The aimofDBT istohelptheindividualbuild alife worthliving intense andcomprisesgroup training, skills andindividualtherapy. recurrent suicidalbehaviour, andpatterns harm.DBT ofself is individuals whopresent severe with emotiondysregulation, and evidence-basedintervention, designedtotreat specifically Dialectical BehaviourTreatment(DBT) Interventions daily lives. the DBT theyhave skills acquired inGroup Training Skills intotheir The aimofIndividual Therapy istosupportindividualsintegrate DBT IndividualTherapy • DistressTolerance them managepainful andintenseemotionalstates. understand emotions.Theylearnvarious techniques tohelp EmotionRegulation mind. Mindfulness isacentral component ofDBT. focused inthepresent moment,andtotake holdoftheirown Mindfulness their relationships withothers. strategies whichindividualscanuseto improve thequality of InterpersonalEffectiveness harmful ways. distressing andintolerable feelings inappropriate andnon- whichindividuals canusetomanageandcopewithskills Severe EmotionalDysregulation Disorder A BetterUnderstanding: –Thismoduleteachesindividualshowtostay –Thismoduleteachescrisissurvival –Individuals learntoidentify and 26 –Thismoduleteaches is aneffective Symptoms ofDementia can vary greatly. They can include: experience of having dementia will differ for affected individuals. the dementia progresses will vary from one person to the next. The quickly How worse. get gradually and slowly out start symptoms disease, Stroke etc.). Dementia is a progressive disease, meaning brain is affected by specific diseases and conditions (e.g. Alzheimer’s ability to perform everyday activities. Dementia can occur when the memory or other thinking skills severe enough to reduce a person’s describe a wide range of symptoms associated with a decline in Dementia is a disease of the brain. It is a general term used to Ireland with dementia. It is estimated that by 2046 there will be 152,000 people living in population is living for longer, dementia is becoming more common. rises with increasing age to 20% of people over the age of 80. As our approximately 5% of people over 65 have dementia. This number not a natural consequence of ageing. Research indicates that Dementia is generally associated with old age however it is live well with dementia. have concerns. There are many services that can support people to dementia and their family/carers. You should contact your GP if you can prevent crises and improve the quality of life of the person with Accurate and early diagnosis of the condition is very important as it wallet). bills, planning and preparing meals or keeping track of their purse or their short-term memory (e.g., remembering appointments, paying Individuals with early stage dementia may notice problems with A BetterUnderstanding: Dementia • • • • • Visual perception Reasoning and judgment The ability to focus and pay attention Communication and language problems Memory loss 27

Understanding Understanding These include: There are several diseases and conditions that cause dementia. Causes ofDementia • series of small strokes. either suddenly following a stroke, or over time following a symptoms of vascular dementia. These symptoms can occur resulting in the death of brain cells. This can give rise to the blood vessels carrying oxygen to the brain are damaged, the second most common dementia type. Following a stroke, • altered, leading to the death of brain cells. of the disease, the chemistry and structure of the brain is and is the most common dementia type. During the course • risk of developing dementia. Disease, Parkinson’s and Huntington’s disease are at increased Individuals diagnosed with Multiple Sclerosis, Motor Neurone Syndrome, Creutzfeldt-Jakob Disease (CJD), HIV and AIDS. These include Progressive Supranuclear Palsy, Korsakoff’s • characteristics with Parkinson’s disease. and Memory are affected. This form of dementia shares some degeneration of brain tissue. Language Skills, Concentration inside nerve cells in the brain. Their presence leads to the when tiny spherical structures develop (called Lewy Bodies) • the early stages of dementia. more noticeable than memory difficulties particularly during Consequently, changes in personality and behaviour may be The front part of the brain appears to be most affected. Frontal-temporal dementia (including Pick’s Disease) VascularDementia – This occurs after a stroke, and is Alzheimer’s disease – This accounts for 60-80% of cases Other – Other rarer diseases are known to cause dementia. Dementia with LewyBodies - This dementia occurs A BetterUnderstanding: Dementia 28

mentally mentally and physically active as we age. having a healthy lifestyle and diet, by not smoking, and by keeping evidence suggests we can reduce the risk of getting dementia by fully understand the causes of dementia, the available research Research yet into Dementiaknow oris ongoing. Whilst we don’t alleviate symptoms. treatments and other interventions are available which will help At the present time, there is no cure for Dementia. However, drug changes in behaviour and mood. changes in thinking, changes in day to day functioning, and difficulties, memory about enquire will doctor The examination. diagnosis is based on a comprehensive medical history and physical definitive test to determineif a person has dementia. Currently, you or a loved one has dementia. At the present time, there is no It is useful to discuss your concerns with a GP if you suspect either Diagnosis &Intervention A BetterUnderstanding: Dementia 29

Understanding Recovery very positive effect on how we feel about ourselves. a have can which power. giving involves higher a also Connecting with self and have quiet moments; connect with nature, pets, or connect to time Allow them. developing in time invest so important future stresses and possible relapse. Making connections are very your life to achieve this. Doing this helps increase your resilience to journey, and taking responsibility to make the necessary changes in Personal Responsibility – Taking responsibility for your recovery struggling. or unwell mentally are you when even times, Hope – Maintaining belief and hope that recovery is possible at all These are: Research shows there are 5 key steps in the recovery journey. What Supports Recovery? life with or without symptoms. learning ways to live well and building a meaningful and satisfying in living. It is about managing symptoms and difficulties. It is about wellbeing. Recovery is not always about cure but having a quality work foryou you learn what works and doesn’t in restoring mental supports are available to help you regain control of your life, and as discovery and personal growth: as you realise what skills, tools and step backwards in terms of your recovery. It can be a time of self- fashion, you may feel you are moving two steps forwards and one that happens overnight. Instead of moving forward in a linear experienced as a gradual progression rather than as something The process of recovery differs from person to person. It is often difficulties. productive and meaningful life despite experiencing mental health can refer to being in control of your life, and living a fulfilling, of complete recovery from a mental health problem; instead it the concept of recovery does not always refer to the process and do recover from mental illness. In the mental health field, it to restore physical wellbeing. Research shows that people can When we have a physical illness, we expect to fully recover from and the best that I can be with confidence” confidence” with be can I that best the and “Recovery is moving on achieving and learning, being the best best the being learning, and achieving on moving is “Recovery (Mental DiscussionHealth Group, Clonmel 2013) Recovery 30 context of organised support groups. at different times. Supportive relationships can also occur in the lots of different needs, and different supporters will be able to help better to have more than one source of support as you will have and believe in you, and who want the best for you. Ideally, it is relapse. It is important to have support from others who understand supportive relationships can increase resilience and help prevent support you to be involved in decisions affecting your life. help in doing this, there are advocacy services available that will aware of your strengths and talents. If you think you might need you want or need, developing a positive sense of yourself and being what for asking – yourself for up speaking and rights your knowing Self-Advocacy–advocacySelf is about believing in yourself, things will bring confidence as wellas being fun. available in your local community is also helpful. Learning new what mental health services and other relevant supports are about your mental health difficulty, and howit affects you. Knowing Education –It is important to research and be knowledgeable group activity. If staying motivated is a problem, ask a friend to join you or join a dislike. you something doing than rather enjoy you activity an in walking to more vigorous aerobic activities. It is better to participate variety of exercises you can choose to engage in ranging from gentle a daily basis. Irrespective of your level of fitness, there is a wide are recommended to have a minimum of 30 minutes exercise on released in the body which stimulate positive mental health. Adults Exercise is important; when we exercise natural endorphins are health. you are getting essential vitamins and minerals, necessary for good mental health. Eating balanced and nutritious meals ensurewill Good lifestyle habits are an essential part of maintaining positive Balanced Healthy Lifestyles health condition. Certain steps can be taken to help prevent relapse of your mental MentalHealth Managing Supportive Relationships – research shows that having Recovery 31

Recovery Recovery bath. crosswords, walking the dog, while others enjoy having a warm from one person to the next. peopleSome enjoy reading, doing Taking time out to relax is important. How people relax varies Time Out your medications into blister packs. friend to help you. Another option is to get your pharmacy to put remembering to take your medications, get a family member or difficulty have you If dangerous. potentially be could so doing as knowledge, physician’s your without medications, extra take or medication, as prescribed by your physician. Do not discontinue Medication management includes taking the right dose of Medication Management associated with relapse. health condition, how it affects you, and the signs and symptoms It is important to research and be knowledgeable about your mental Education interfere with mental processes or sleep routines. other stimulant drinks should be taken in moderation, as they can Avoid drinking too much alcohol, and avoid drugs. illicit Coffee and warm and quiet to facilitate restful sleep. the same time each night. Make sure your bedroom is sufficiently have a consistent bedtime routine, going to bed at approximately computer or interacting with social media in your bedroom. Try and Avoid engaging in activities such as watching TV, using your negative impact on your mental health and well-being over time. good health. Having insufficient or too much sleep can have a Getting adequate sleep, preferably 8 hours daily is necessary for that a relapse may be imminent. feelings. These changes are warning signs, and they are indications their symptoms or in some aspect of their behaviour, thoughts or during the recovery process. They may experience changes in again following a period of wellness. Slips and relapses can occur People with mental health difficulties may become mentally unwell Relapse Prevention Recovery 32 also helps to remind you that you are not alone. out Reaching relapse. or slip a prevent help can and having be may to a trusted person can help to relieve some of the anxiety that you feeling scared, alone or out of control. Talking about your feelings It is important to reach out during times of crisis when you are the likelihood of relapse. and reduce the stressors in your life. By doing this, you may prevent mean you are becoming unwell. If this is the case, quickly address that you are affected by something stressful. They do not always Sometimes the presence of early warning signs may be an indication Some commonearlysignsofrelapseare: members can recognise. family or they that signature) (relapse signs warning early individual referred to as a relapse signature. Many people have their own a relapse that is unique to them. This series of changes is often specific changes in their behaviour, thoughts and mood before patterns or having paranoid thoughts. peopleSome may experience warningSome signs are common and include changes in sleep • • • • • • • • • • • • • • • Concentration or motivational difficulties Relationship issues Increased alcohol consumption or drug use Changes in eating or sleeping patterns Experiencing racing thoughts or disordered thinking Hearing voices about you Feeling paranoid – thinking that others are talking Feeling irritated, quick tempered or aggressive Feeling tense or restless Withdrawing from others Dwelling on past events Feeling suicidal ashamed Feeling depressed, unhappy, lonely, guilty or Feeling stressed from having lots of demands Feeling anxious or worried Recovery 33

Recovery Recovery • • • • the event of relapse occurring. As part of this plan you should: A relapse prevention plan specifies how a person will respond in Relapse Prevention Plan or reduce its severity. detected, the greater the likelihood that you can prevent a relapse, treated effectively. Remember the earlier your warning signs are local mental health service so your condition can be managed and If however, relapse is imminent, please link in with your GP or information. down so that you or others helping you can easily find the is a good idea to have their names and contact details written include family members, friends and/or health professionals. It may This help. and support for to turn can you who Identify presence of early warning signs. Identify actions you can take that will help you recognise the behaviour. which may include subtle changes in your thoughts, feelings or awareBe of your early warning signs (relapse signature) – this. health professionals involved in your care can help you with Identify the factors which lead to relapse. Family members and Recovery 34 Cancer and Physical Pain. Anxiety Disorder, Addictive Behaviours, Stress, Chronic Pain, Insomnia, has a positive impact on and can help alleviate Recurrent Depression, CognitiveBased Therapy Research (MBCT). shows that mindfulness including Mindfulness Stress Based Reduction (MBSR) and Mindfulness treatments, specific of development the to led This conditions. adapted and used to help patients presenting with diverse medical Arthritis, Anxiety and Chronic Pain. Following this, mindfulness was psychological symptoms in patients presenting with Heart Disease, that the daily practice of mindfulness led to a reduction in physical and In the 1970’s Jon Kabat Zinn’s research on Mindfulness demonstrated or indeed Buddhist, have any religious beliefs to practice Mindfulness. spiritual practices.Buddhist However, you do not have to be a mindfulness into their daily lives. Mindfulness has its origins in mindfulness, and more and more people are attempting to integrate settings. Celebrities are openly talking about the benefits of increasingly used in health care, social care, education and business weeks of daily mindfulness practise. Surprisingly, these changes can occur quite quickly: often after only 8 ability to deal with situations in a more positive and balanced way. – these changes positively affect our wellbeing by increasing our the hippocampus and an increase in amygdala size has been noted mindfulness leads to changes in our brain – increased thickening of available research on mindfulness shows that the daily practise of this change is directly connected to how we use our brain. The activity (neuroplasticity) of the human brain can change, and Neuroscience research has demonstrated that the structure and How doesitwork? Mindfulness details of our experiences, just as they are in this moment and and moment this in are they as just experiences, our of details without judging or trying to change them in the first instance” instance” first the in them change to trying or judging without “When we are being mindful, we are choosing to notice the the notice to choosing are we mindful, being are we “When has become very popular in recent years, and is Recovery: Mindfulness 35 Silverton, 2012 Silverton,

Recovery Recovery mindfulness are now widely available. available Mindfulness classes / groups in your community. on Books Check out your local library or newspapers to find out about Mindfulness Classes&Further Reading this over time. people. Try to start with 5-10 minutes a day, and gradually increase many for goal unrealistic an be might This week. a days 6 least to settle. Jon Kabit-Zinn recommends 45 minutes of meditation at many people findit typically takes at least 20 minutes for their brain daily. practised be meditation, In should meditation and mindfulness moment. For the best results, by focusing on the present hand, is a way of living life day. Mindfulness, on the other with 10 to 20 minutes per be practised daily, starting mindful practice and should an important and effective this practice. Meditation is of time is set aside daily for mindfulness – where a period Meditation is a form of improve. to control your focus will brief. With time, your ability mindfulness practice might be constantly intruding your mind and the serenity associated with the benefits. In the beginning,it might seem asif unwanted thoughts are - we need to spend time‘autopilot’ doing it – before we see the present moment whenever you notice that you have returned to throughout the day by bringing your attention/focus back to the Mindfulness is a skill that needs to cultivated and practiced and are“automatic often pilot” oblivious to our inner experience. However, due to demanding and busy lives, most of us operate on this moment. We all have the capacity into “be our present” lives. This involves being fully present to what you are experiencing at the present moment and accepting it in a non-judgemental way. Mindfulness is the practice of purposely focusing your attention on Recovery: WhatisMindfulness? 36 breathing inany way. straight butrelaxed. breath. Pay attention to thesensations breath goandreturn your attention to your comes to mindasadistraction. Let them of theinhalationandexhalation. 4. Start againonthenext breath. 2.

distraction. Mindfulness Exercise Sitcomfortably withyour back No needto judgeorchangeyour . 3. 1. 5. Find a quiet place free of free place quiet a Find Focus your awareness on your Notice anything elsethat diet. need and maintain a nutritious make sure to get the sleep you many problems seem worse, so tiredness and hunger can make full energy levels. Feelings of life, isit vital that we start with complex demands of day-to-day Before trying to tackle any of the first: Eat&Sleep 1. Lookafteryourbasicneeds related to their financial wealth. A person’s happiness is not money 3. Happinesshappens without caught in a cycle of stress. immediate tip to stop getting This can be the most useful on letting go of all your worries. few deep breaths and concentrate feeling stressed or anxious, take a before they build up. If you are signals. Try to alleviate them ignore these Headache? Don’t stress building up? Sore back? stressed. Can you feel tension or when your body and mind are it is telling you. Try to recognise attention to your body and what Take time each day to pay your Breathing 2. Listentoyourbodyanduse THE BASICS being effective. The tips outlined below are practical, and supported by research as (PSI). Ireland of Society Psychological the by compiled was list This Recovery: 40Tips forMentalHealth&Wellbeing 37 you have shared. laugh and remember the laughs positively. be afraid don’t So to evaluate our relationships more we laughed together makes us skills. Remembering the times beneficial effect on our coping has also been shown to have a about a positive mood. Laughter laboratory setting can bring Even forced laughter in a laughs 4. Laughandrememberthe you and your level of ability) is While physical activity (that suits 6. GetActive and/or beautiful during your day. anger. Look for what is positive as ignoring problems or denying though, this is not the same thing improves your mood. Remember to say thanks to other people Taking time to be thankful and grateful for 5. Trytofindsomethingbe achieve happiness without it too! money, remember that you can would be happy to get some in order to be happy. Even if you people believe money is important Yet research has shown that

Recovery Recovery – things like gardening, drawing, whether or not you get paid for it make you feel productive, challenge your creativity and creative work. Do things that Get involved in meaningful, Creative Activities 8. EngageinMeaningful, big night out. save it fordon’t one session or your drinking over the week and out spread drink, a enjoy do you various other health risks. ifSo mental health problems and poorer outcomes for people with drinking is associated with much advised weekly limits for low risk women. Drinking above the week is considered low risk for and up to 14 standard drinks a is considered low risk for men, up to 21 standard drinks a week of Health & Children advises that consequences. The Department habits that lead to adverse and many have risky drinking western European countries more compared to those in other Alcohol drinkers in Ireland drink and inModeration 7. DrinkAlcoholResponsibly be great fun!. Once you get into it, it can also stress, anxiety and depression. improves mood, and relieves exercise gives you energy, good for your mind too. Regular good for your body, exercise is Recovery 38 health health necessity. Play is an emotional and mental a good book, or talk to a friend. the beach, listen to music, read to a funny movie, take a walk on that it feels good to do them. Go things for no other reason than Make leisure time a priority. Do an indulgence 10. Seefunasaprioritynot something that you like. like to do with your life, choose to choosing what you would very good at it. When it comes to work hard at it to become something you are more likely that makes perfect. If you like made, not born. It’s practice tennis players are nearly always players, neurosurgeons and such as soccer players, piano young age. Expert performers a at “gifted” necessarily aren’t people who become excellent often come easy and doesn’t Getting good at something 9. Dowhatyoulove playing a musical instrument. repetitive prayer, meditation, or knitting, be could This calm. of doing it and gives you a sense you feel fuller as a person after lose sense of time, that makes Learn an activity that makes you 11. LoseYourself building something. writing, playing an instrument, or about that situation. only results in increased anxiety or situations that are fear inducing less frightening. Avoiding activities anxious about helps them become Doing the things that we are a little nerves. of because them for good that they want to do or that are people can avoid doing things that should be avoided, often fear-inducing situations or activities While there are obviously certain stand inyourway 12. Don’tletalittleAnxiety stress, and improve mood. levels of antioxidants, reduce reduce blood pressure, improve minutes it has been shown to If practiced daily for at least 20 they will be seen as “stuck-up” or easy to avoid this topic for fear dissatisfaction. it’s But not that thin, result in increased body appearance and pressure to be Conversations about weight, Weight &Appearance 14. AvoidConversations about some of it was! Rome built in a day wasn’t but that can motivate you to continue. a gradual sense of accomplishment smaller tasks too. This providewill easier to see your progress with much easier to complete. And it’s steps or tasks. Smaller tasks are Break the big goals into smaller 13. SetYourselfRealisticGoals Recovery 39 break. It can help to improve your a Tryyourself give and relax to these everyday lapses seem worse. mother”. Anxiety can often make pick up the phone and call my and sit down on the couch, I will you might think, “when I get home you’re going to do it. For example, thinking about where and when of remembering what to do by You can increase your chances a “post-it” is not always practical. do and setting an alarm or leaving something that they had meant to that they have forgotten to do People often realise too late 16. Remembertoremember decline in older age. brain fit and can prevent cognitive mental stimulation keeps the connections in the brain. Such new brain cells and new neural your brain working, generating and a continuous curiosity keeps to function. Learning new things uses 20% of the body’s energy neurons, weighs only 3lbs and organ. It contains 100 billion The human brain is a wonderful 15. ExerciseYourBrain Work) DAILY ROUTINE(Home,School, poorly about their bodies. us believing that all women feel topics, create a norm that can keep continuing to talk about these conceited by other women. But

Recovery Recovery student retention in college. campus life plays a huge role in adjustment and integration into students have shown that personal potential friends. Studies of college people you like being with who are people with common interests – wonderful opportunities for finding activities. These groups offer get involved in extracurricular Join a special interest group or Group andGetInvolved 19. ChooseanActivity,Joina and you will reap the benefits. Find other people to work with you and learning that works for us. find a system for thinking, teaching change our usual techniques and learning. This can encourage us to provides adaptive opportunities for Working collaboratively with peers 18. StudyTogether and academic outcomes. best motivation, learning strategies outperforming others, show the rather than working towards performance, own their improving that students who work towards ourselves. Research has shown rather than simply trying to better better than the people around us, we can often feel pressured to do It can be a competitive world and better yourself,notothers. 17. SetAcademicgoalsto memory. Recovery 40 their survival. all sorts depend on volunteers for and charitable organisations of not-for-profit Churches, Schools, opportunities you can explore. individual and group volunteer solidarity. There is no limit to the a sense of community spirit and feelings of personal achievement, Volunteering can bring about on how you feel about yourself. others has a beneficial effect Doing something that helps 22. Volunteer job satisfaction. stress and increases your life and work has been shown to reduce Engaging with a social group in Mates 21. GettoknowyourWork you and your employer. approach to work is a win-win for the task at hand. a So balanced and they feel more dedicated to engaged when they are at work to recover their energies and be outside of their job are more likely enjoy down time or relaxation balance right. Employees who important to get the work life role in many people’s lives, it’s While work plays an important everything 20. Rememberworkisn’t 23. Listen towhat thechildren CHILDREN them with psychological benefits. young people in this way provides research shows that empowering greatly important to children and opportunity to ask questions is being heard and being given the to, listened Being them. involve are included in the decisions that but it is important that children know what’s best for children Adults are inclined to think they have tosay leisure activity. While some they spend doing any other more time with the media than Children and adolescents spend wise skills 26. Learnandteachmedia- it. others and to have fun while doing best they can be regardless of Encourage your child to be the and show greater persistence. less anxious, less likely to cheat performing better than others are self-improvement as opposed to Children who are motivated by Children inSport enjoyment overwinningfor 25. Emphasiselearningand well-being. enhance their self-esteem and your child’s unique strengths can Recognising and encouraging Every child is different. Inner Strengths 24. FocusonyourChild’s Recovery 41 through tough times. things will change can get us forever, and remembering that the way we want. Nothing lasts even when things are not going towards them. Hope sustains us work successfully to ability the for the future and that you have that you can set (realistic) goals hopefulBeing means believing 27. BeHopeful TOUGH TIMES and formulate your situation and things down to help you organise to cope with problems. Write down a thought can greatly help Keeping a diary or simply writing 29. Writethingsdown meditate, exercise! things are happier. Talk to a friend, different ways to cope with difficult People who actively develop different waystocope 28. Workondeveloping children to be media-wise. arise. This way you can teach your commercials and the issues that talking about the programmes, You can use it for education and TV watching with your children. of TV viewing by engaging in the can regulate many negative effects demonstrated the opposite. You development, other research has has negative effects on a child’s research shows that TV watching

Recovery Recovery traditionally have difficulty against depression. Men, who be a major protective factor you can be yourself with can Simply having someone who can besupportive 32. Simplygettingtogether difficulties. stressors and mental health being and helps buffer against strong link to health and well intimate relationships have a intimacy that comes with experiences, and the physical positive emotions, shared experiences. However, the will involve some negative Almost every close relationship 31. GetIntimate seeking help from a psychologist. goals on your own, consider or have difficulty meeting your to cope. If you feel overwhelmed ability your strengthens friends accepting help from family and or professional. Asking for and from a family member, friend be afraidDon’t to ask for help the worse it may become. The longer you leave a problem, 30. AskforSupport away when you’re finished. back to it later or simply throw it outsider. You can rewrite it, come to look at the situation as an your thoughts. It also allows you Recovery 42 and persistence at the task. foster positive feelings of hope person is going about it. This can of effort put in or the way the controllable, eg the amount things that are unstable and on what can be changed, the hopelessness. Instead, focus as this can lead to feelings of gender, a permanent disability) past, (the things uncontrollable avoid focusing on the stable at a particular behaviour, as well as they would like When a person is not doing control 35. Focusonthingsyoucan and physical health. both psychological adjustment significant factor in predicting or friend. Social support is a a supportiveBe family member 34. BeaSupport for online users. thereby leading to offline benefits rather than replacing them, and off-line or “real-life” friendships internet friendships enhancing self sustaining networks, with Online groups can develop into 33. FindSupportOnline on a regular basis. they are simply brought together begin supporting each other if seeking support, naturallywill feeling down is to DO something! it”. The best thing when you are do not wait until you “feel like feelings to dictate your activities; Do not rely on your mood or DO. to aim blue, or down feeling Mood and activity. If you’re 37. DoSomething mood and the intensity of it. events can really influence your How you think and talk about inconvenience and annoying? nuisance, a it is Or disaster? a Is a puncture in your tyre really events 36. Thinkabouthowyoulabel try “it would be helpful if I ……” Insteador “I should”, of “I must” substituting a different word. even anxiety or depression. Try can lead to increased stress and up living by very fixed rules. This language can mean that you end Using such rigid and “can’t”? like “should”, “ought”, “must” Do you find yourself using words white” and absolutist thinking. Avoid “ or all nothing”, “black or thinking 38. Beflexibleinyour Permission granted from PSI to include this document © The Psychological Society of Ireland 2011 Recovery 43 you know is having a hard time. recognise when you or someone mental illness but help will you reduce misperceptions about about mental not health will only first willhelp. Educating yourself labels and seeing the person looking beyond stereotypes or illnesses bring. Challenging and add to the problems that these These misperceptions can often about mental health problems. There are many misperceptions and seethepersonfirst 40. ThinkaboutMentalHealth world. and white way of looking at the mood and help you avoid a black really yourself, this will lift your for moments where you were you review your week and search a likely event might become. If performed or how catastrophic for evidence of how poorly they or nothing” thinking and search stressed they tend to go into “all of yourself. When people get week where you were proud Focus on moments in the last 39. Rememberyourtriumphs

Recovery Services & Supports Council County Tipperary Carrick onSuirGarda Cashel Garda Station Tipperary Garda Station Cahir Garda Station Clonmel Garda Station Garda ConfidentialNumber Cuan Saor-Womens Refuge 24helpline Samaritans St. Luke’s Kilkenny Hospital, TipperarySouth General Hospital CAREDOC Ambulance /Fire /Gardai Name Name (after hours GP Services – South Tipperary) –South (after hoursGPServices for Older People Scheme. and Scheme the Housing Aid Mobility Aids Housing Grant Disability, a with People for Adaptation Grant Scheme grant schemes: the Housing various housing adaptation The County Council administers accommodation query. housing officeif you have an Contact the County Council or have a housing need. to those who are homeless housing supports and advice County Council provides The housing section of the Service details Accommodation and Housing Accommodation and Emergency Numbers 24/7 Station 44 tipperarycoco.ie customerservices@ Email: www.tipperarycoco.ie Web: Tel: 076 1065000 Clonmel. Offices, Civic Council County Tipperary Contact Contact 056 7785000 052 6177000 1850 334999 999/112 Contact 051 642040 062 75840 062 80670 052 7445630 052 6177640 1800 666111 1800 576757 116 123 Charity Housing National The Threshold Service Information Citizens Name Accommodation and Housing Accommodation and Service details St. Michael’s St. Centre, Services Community Tipperary CIC – Clonmel CIC – Market Place Thurles CIC : 34/35 Croke St Centres: Local Citizens Information Friday, 9 am - 8pm Helpline is available Monday- The Citizen’s Information independent. and confidential free, is service The services. range of public and social and advocacy on a broad Provides information, advice tenants. and advocates on behalf of housing and tenancy issues Threshold provides advice on 45 Contact Contact Email: Tel: 1890 334 334 Batter,7. Dublin Stoney 21 Office: Head www.threshold.i Web: Cahir. Carrick on Suir and Cashel, in available Outreach services [email protected] Email: Tel: 076 1076540 [email protected] Email: Tel: 076 1076460 [email protected] Email: Tel: 076 1076510 citizensinformation.i www. No: National Helpline [email protected] Email: Tel: 021 427 8848 Mall, South Cork. Cork Advice Centre, 22 [email protected] Web:

076 1074000 e e e e

Services & Supports Services & Supports Addiction Services(Alcohol,Drugs &Gambling) Helpline Drugs/HIV HSE Service Misuse Substance Tipperary South - HSE Name Store Paul Furniture St Vincent de Service Repair Home – Company Development Tipperary South Service Resolution Arrears Mortgages Abhaile - MABS Name

Accommodation and Housing Accommodation and Nationwide Helpline Service relapse prevention. alternative therapies, and education, drug counselling, Services include addiction consent and over 16 years. 16 years with parental for individuals under Substance misuse service details Service Service details 10am – 1pm Friday second every Open Store. Furniture Hand 2nd Allowance Payment. of Social Protection Fuel Dept a of receipt in are owners or tenants who property to service affordable home repair This service offers an mortgage arrears. homeowners with home This is a service for 46

Freephone 1800 459 459 Tel: 052 6177900 Clonmel, Co. Tipperary. Rd. Western General Hospital, Tipperary South Grounds of Contact details [email protected] Email: Tel: 076 102 2000 Tel: 052 6123878 Clonmel Anglesea St. Mulcahy House, [email protected] Email: www.stdc.i Web: Tel: 052 7442652 Contact Contact e e e

Addiction Services(Alcohol,Drugs &Gambling) Initiative Drug Based Community Clonmel Name Centre Treatment Aiseiri Initiative Drug Based Community Valley Suir Project Outreach Alcohol and Drug Tipperary South Initiative Drug Tipperary Mid-West and outpatient basis. inpatient an on provided gambling. Treatment is use, drug use or difficulties withalcohol for persons experiencing A treatment programme misuse. substance by affected indirectly of anyone directly or and family members programmes to individuals education and awareness support, offering initiative A community based drug exclusion. and experiencing social high risk substance misuse years who are involved in for persons aged over 13 services and response Provides confidential Town. Tipperary Cashel, Cappawhite and Mullinahone, Fethard, Killenaule, in available and This programme is free years. 7-14 aged children programme for parents of drug education Provides a preventative years. of children from 10 to 12 programme for parents drug education Provides a preventative details Service 47 Email: Tel: 051 645775 56 New St., Carrick on Suir @wstycs.i tipperaryoutreach Email: Tel: 086 8561683 Irishtown, Clonmel. YouthCentre, Resource www.youthworktipperary.i Web: [email protected] Email: Tel: 062 52604 Place, Tipperary17 Bank Service, Tipperary Regional Youth [email protected] Email: Tel: 052 6170876 Wilderness Grove, Clonmel Centre, Community & The Wilderness Youth Web: Tel: 052 7441166 Townpark, Cahir [email protected] Contact details www.aiseiri.i e

e e e

Services & Supports Services & Supports Anonymous Anonymous Alcoholics Alateen / Al-Anon Name Anonymous Anonymous Narcotics Anonymous Gamblers Addiction Services(Alcohol,Drugs &Gambling) on meetings in your area. area. your in meetings on directly for information alcohol addiction. Self-help for overcoming on meetings in your area. directly for information Contact alcohol. with involvement person’s are affected by another relatives and friends who people, young Supports details Service meetings in your area. support for directly drug addiction. Contact Self-help for overcoming in your area. information on meetings Contact directly for addiction. gambling Self-help for overcoming Contact Contact 48 anonymous.ie alcoholicsanonymous.i Email: Tel: 085 7831045 Tipperary Contact: Tel: 01 872 1133 1. Dublin St. Gardiner Lower 36 Teach c/o Mhuire, Web: Info line: Swords Rd. Dublin 9. Park. Business Santry C, Block 2, Unit Web: from Helpline: 01 873 2699 5 Capel St. Dublin 1 Room 5, Tel: 087 1386120 Munster contact: www.na-ireland. Web: Email: Tel: 01 672 8000 St, Dublin29 Bride 8 www.gamblersanonymous.i Web: [email protected] Email: Tel: 087 2894567 Tipperary Contact: Email: week. per days 7 Contact details

10am - 10pm, 10pm, - 10am www.alanon.i www. [email protected] [email protected] gso@alcoholics

01 842 0700 org e e e g e e Addiction Services(Alcohol,Drugs &Gambling) Centre Advice Legal Free FLAC - Name Network Support Family The SER Name Advocacy and Legal Services Advocacy Legal and support groups. family peer to referral and misuse. It offers brief intervention families affected by substance This organisation supports Service details Service details 3 Clonmel. Place, Market Centre, Information Citizens Clonmel provided in: is Tipperary South Free Legal Advice in advocacy. and information advice, legal offers that organisation voluntary independent an FLACis 7.30pm – 8.30pm every month from 2 St Michael’s St., Centre, Services Centre, Community Citizens Information Town Tipperary 7.30pm -9pm from month rd nd Thursday of every every of Thursday Wednesday of Web: 49 www.serfamilysupportnetwork.or Contact details Email: Email: (CIC Tipperary) Email: (CIC Clonmel) [email protected] Tel: [email protected] Tel: Web: 01 8745690 or 350250 1890 Lo-Call: line: information Legal Dublin 1. St. Dorset Lower 13 076 107 6540 1076460 076

www.flac.i [email protected] Email: / 086 6045805 Tel: 051 312010 Contact details e e g g

Services & Supports Services & Supports in Care People Empowering EPIC – International Amnesty Service) Board Aid Legal (A Service Mediation Family Centre Law Nenagh Board - Aid Legal Name Advocacy and Legal Services Advocacy Legal and Service details and in aftercare. care leave to preparing with young people works also EPIC care. in living currently are or people who have been young and children for service independent An asylum and mental health. prisons, like areas on keeps a ‘watching’ brief also Amnesty people. of campaigns for the rights organisation that rights human A involved. all of interests and needs the account into taking their own agreement, negotiate to separated, already have who or separating or divorcing, are who couples to Provides a free criminal matters. not provide legal aid in Legal Aid Board does their own resources. The from services such fund law to persons unable to civil of matters on advice and aid legal Provides Web: Email: service service 50 www.legalaidboard.i [email protected] Contact details Email: Email: Tel: 01 863 8300 2. Dublin St. Fleet 48 House, McBride Sean www.legalaidboard.i see please offices other on Forinformation [email protected] Email: Tel: 460 860 051 X91 YD79 Waterford, St. Canada Gate, Maritana House, Wallace 13B Waterford Office: Tel: 067 34181 Nenagh St. Friarscourt www.epiconline.i Web: [email protected] Email: Tel: 01 872 7661 Smithfield, Dublin 7 Lane, RedCow 7 www.amnesty.ie Web: [email protected]

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e e e e Commission Health Mental Association Patients Irish Network Advocacy Irish Name People Older for Service Advocacy & Support SAGE - (NAS) Disabilities with People for Service Advocacy National Service details older people. for services advocacy Provides independent people with disabilities. for services advocacy Provides independent admitted. involuntarily are who patients of interests the protects and services health mental of delivery the in practices good and standards Promotes high health providers. with partnership in working while patients of needs the for advocates Association The Irish Patients health. with their mental experiencing difficulties those for information advocacy,and support Provides peer Advocacy and Legal Services Advocacy Legal and Web: Email: 51

www.irishadvocacynetwork.com [email protected] Email: 1850 LoCall 71 94 00 Tel: 01 536 7330 Quay, Ormond 7 Dublin Contact details Web: Email: Tel: 01 6362400 4. Dublin Waterloo Rd, House, Martin’s St. – MHC Web: Email: Tel: 087 6594183 Tel: 01 872 8684 7. Dublin St. Church New The Distillers Building, 1.9, Suite Centre, Head BusinessOffice: Smithfield www.thirdageireland.ie/sage Web: [email protected] 24-26 Office, Head Sage www.citizensinformationboard.i Web: Email: Tel: 076 1073000 Townsend2. Dublin St. 43 House, Quay George’s Board, Information Citizens c/o www.mhcirl.ie www.irishpatients.i [email protected] [email protected] [email protected] e

Upper Upper e e e e

Services & Supports Services & Supports Office Resource Suicide Regional East HSE South Caredoc Name Office Ombudsmans The Name or through CAREDOC (out of hours: 6pm-8am). open Hospital, General Tipperary South (eg Department Emergency of immediate help, you can access help at your local Hospital need in and suicidal feeling is know you someone or you If 24 hours a day, 365 days a year), through your local GP GP local your day,through a year), a hours 24 days 365 Bereavement SuicideSupport and Advocacy and Legal Services Advocacy Legal and Service details self harm. safe TALK and Understanding Training: ASIST Training, professional. health a by are service the Referralto deaths. suicide or sudden traumatic by affected been have who years 16 over those for Traumatic for Service Deaths Counselling Bereavement Offers the following services: TipperarySouth 6pm-8am – Services GP hours After Service details level education bodies. third funded publicly and HSE the authorities, local departments, government e.g. bodies public by treated unfairly been have people who feel they from complaints Examines Web: Email: 52 www.ombudsman.gov.i [email protected]

Contact details [email protected] Email: Tel: 051 874 013 Waterford. John’sHill, St Patrick’s Hospital, Block, Front South, HSE Office, Resource Suicide Regional Tel: 1850 334999 Tel: 1890 223030 Tel: 01 6785222 Dublin 2. 18 Lower Leeson St. Contact details e e e

Samaritans (HSE) Programme Intervention harm Self SHIP – Service. Bereavement Children’s Barnardos Name Tipperary Workers Awareness Suicide Community C-SAW: Bereavement SuicideSupport and Talk Counselling services Take and to Counselling time Bereavement Monthly Wednesday Weekly Coffee morning every and Services include: Supports Clonmel. in based A voluntary organisation suicidal. feeling are who those including despair or distress experiencing feelings of people for service support 24 hour telephone confidential a Provides Mental Health Services. self harm. Referrals via GP or to impulse the or ideation suicidal experiencing are who over and years 16 aged individuals to counselling term short Provides support. offering information and Nationwide helpline service Service details

11am – 1pm 1pm – 11am 53 Web: @barnardos.i bereavement Email: 01 473 2110 Helpline Tel: [email protected] Email: Tel: 052 617 2477 Clonmel. 24 William St., www.Samaritans.or Web: Tel: 116 123 Tel: 086 0222251 Waterford. 223 Lismore Park, Primary Care Centre, www.barnardos.i Contact details e e g

Services & Supports Bereavement and Suicide Support

Name Service details Contact details

Rainbows Provides supports for Web: children and young people www.rainbowsireland.ie affected by loss because of bereavement, separation or divorce. Local groups: Clonmel Community Tel: 052 6129143 Resource Centre, Kickham Email: St. Clonmel. [email protected] Tel: 062 52688 Knockanrawley Resource Email: helenbuckleykrc@ Centre Tipperary eircom.net

Spafield Family Resource Tel: 062 63622 Centre, Old Road, Cashel Email: [email protected]

Pieta House Pieta House Centre for the Pieta House (Roscrea & Prevention of Self Harm/ Waterford) Suicide. Contact for more Tel: 1800 247247

Supports information on services Email: Services & Services [email protected] available. Web: www.pieta.ie

Knockanrawley Provides bereavement Knockanrawley, Resource support Tipperary Town. Centre Tel: 062 52688 Email: [email protected] Web: www.knockanrawley.ie

St. Oliver’s Provides bereavement C/o Parish Office, Bereavement support. Cooleens, Glenconnor, Support Clonmel. Service Tel: 052 6125679 Email: [email protected] Web: [email protected]

54

Service Support Bereavement and Paul’s St. Peter Name & Neglect) of Child Abuse (Adult Victims CONNECT East Service – South Counselling HSE National Name (HSE) Programme Intervention Harm Self SHIP- basis. Always isappropriately checkthatthe counsellor qualified. offer counsellors Some servicesonareduced counselling fee Family Resource Centre, voluntary group oronaprivate basis. servicescanbeaccessedCounselling through your GP, HSE,local Bereavement SuicideSupport and Service details support. Provides bereavement or neglect. abuse trauma, childhood who have experienced adults for services Provides counselling Health Health Services. Referrals via harm. self to impulse suicidal ideation or the who are experiencing over and years 16 aged individuals to counselling term short Provides service counselling and support Nationwide Freephone Service details Counselling Services Email: [email protected] 55 Email: Web: GP or Mental Mental or GP www.connectcounselling.ie [email protected] Contact details 052 6129404 052 6122138 / Tel: Gladstone St., Clonmel Freephone Tel: 1800 234 118 Tel: 0222251 086 Waterford. 223 Lismore Park, Primary Care Centre, Freephone Tel: 477477 1800 Contact details

Services & Supports Services & Supports Refuge Womens – Saor Cuan Centre Counselling and Crisis Rape Tipperary Care (HSE) Primary in Counselling CIPC – Name Counselling Marriage & Relationship – ACCORD www.tipperaryrapecrisisandcounsellingcentre.com Service details their relationships. experiencing difficulties in individuals / couples for relationship counselling and courses preparation Provides marriage violence. domestic who are experiencing children and women to services of range a and Provides counselling and sexual violence. rape, child sexual abuse by affected families their and adults to service counselling confidential and free a Provides services. Referrals through GP have a medical card. who over and years 18 aged those to counselling term short Provides Services and Supports Services and Counselling Services Email: 56 Email: Web: [email protected] www.accord.i [email protected] Contact details www.cuansaor.or [email protected] 052 6124144 Tipperary. Co. Clonmel, Irishtown, Centre, Pastoral Mary’s St Tel: 062 33330 Tipperary St. Michael’s St. Centre, Services Community Web: hours/365 days) (24 757 576 1800 Helpline: Freephone Tel: Parnell St. Clonmel. Place, Jervis 3 Email: 1800 340340 Freephone: 6127677 Tel:/ 6127676 052 20 Mary St., Clonmel Tel: 051 359 088 Lismore Park, Waterford. Primary Care Centre, 223

052 6127557 e g Services and Supports

Counselling Services

Name Service details Contact details

Clonmel Provides a range of Kickham St. Clonmel, Community services including free Co. Tipperary Resource Teen Counselling 13- Tel: 052 612 9143 Centre 18 years and access to Email: [email protected] counselling services. Web: www.clonmelcrc.ie

Knockanrawley Provides a range of Knockanrawley, Resource services including Tipperary Town. Centre, counselling services Tel: 062 52688 Tipperary for individuals, couples Email: Town. and families. [email protected] Web: www.knockanrawley.ie

Millennium Provides a range of Glengoole, Thurles, Family services including low Co. Tipperary. Resource cost counselling. Tel: 052 9157992 Centre Email: [email protected] Web: www.mfrc.ie

Nano Nagle Provides a range of Greenside, Carrick on Suir, services including Co. Tipperary.

Community Supports Resource low cost counselling. Tel: 051 642418 & Services Centre Email: [email protected] Web: www. carrickcommunityrc.com

Spafield Provides a range of Old Road, Cashel. Resource services including Tel: 062 63622 Centre counselling services Email: for individuals and [email protected] families. Web: www.spafieldfrc.ie

C.A.R.E Provides support, 14 Wellington St. Clonmel. Cancer Care information and Tel:052 6182667 Support Centre counselling services Web: Clonmel to those affected www.cancercare.ie by cancer in South Tipperary.

57 Services & Supports CURA One In Four Tipperary Town. Centre, Support Friends Cancer Circle of Name Irish Council for (PRI) Ireland Society of Psychological Psychotherapy

Counselling Services online. listed are work private Therapists Ireland. in psychotherapists for body professional a is ICPT listed online. for private work are available Psychologists Republic of Ireland. Psychologists in the for body professional The PSI is the during the pregnancy. time any at pregnancy presenting with a crisis women for counselling and non directive Provides confidential affected by cancer. those for counselling including services of range a Provides their families. and violence sexual and/or abuse sexual those affected by Provides support for Service details Services and Supports Services and Web: Accredited Accredited www.circleoffriendscancersupport.com Email: Web: available for 58 www.psychotherapy-ireland.i [email protected] Tel: 01 9058698 Dublin D02 K003. St., Mount Upper 29 Web: Tel: 01 4720105 8. Dublin Grantham St., House, Grantham Floor 2, Email: Lo-Call: 1850 622626 Tipperary. Co. Thurles, Square, Liberty 20A Tel: 087 3412600 Tipperary Town. Station Road, House, Station Email: Email: Tel: 01 6624070 Contact details Web: [email protected] www.oneinfour.i Web: eircom.net www.psihq.i www.cura.i curathurles@ e e e e e (IACP) Psychotherapy andCounselling Association for Irish Name Ireland (FTAI) Association of Family Therapy Group Clonmel Health Support Tipperary Mental Association) as theCarers (formerly known Ireland Family Carers Name Services and Supports Services and Service details the Web therapists are listed on Accredited family Ireland. in therapists represents family which organisation FTAI is the professional the Web on listed are counselling available to provide Psycho-therapists and Counsellors Accredited Counselling Services Service details Supported by SHINE. difficulties. health mental carers of someone with for family members and Clonmel 2.30pm – 4.30pm) Rd. Haywood Centre, month in St. Oliver’s services. advocacy personal and advice, counselling entitlements, free legal on carers’ rights and care services, information training for carers, home family carers including supports and services to Provides a variety of (2 A monthly support group nd Carers Support Tuesday every of . 59 Parish Contact details Web: Tel: 01 2722105 Dublin. Co. Shankill, FTAI, 73 Quinn’s Rd, Email: Tel: 2303536 01 Dun Laoighaire, Dublin. 11-13 Clarence St. IACP, House, Marina Web: familytherapyireland.com familycarers.i Web: Tel: 086 8525562 SHINE contact information For more Contact details familycarers.i 8 Sarsfield Local Office: Email: 1800 240724 National Freephone: Tel: 052 6170454 Clonmel. www.iacp.i

www. [email protected] www. rmolloy@ St., e e e e

Services & Supports Services and Supports

Carers Support

Name Service details Contact details

Alzheimer Provides support for those Tel: 052 6176775 Society of affected by Alzheimers /086 049 0548 Ireland and Dementia. Holds a Email: monthly support group for asilecairde Carers on the 3rd Thursday @alzheimer.ie of every month at 7pm in Le Cairde Day Care Centre, National Helpline : Glenconner Road, Clonmel. 1800 341 341 Web: www.alzheimer.ie

Living Well Provides support to Memory Technology with those caring for someone Library, Dementia with dementia in South Grounds of South in South Tipperary. Tipperary General Tipperary. Hospital, Western Rd. Clonmel. Tel: 087 0550050

Web: www.southtipperarydementia.ie The SER This organisation supports Tel: 051 312010 Supports

Services & Services Family families affected by /086 6045805 Support substance misuse. It Email: Network offers brief intervention [email protected] and referral to peer family support groups.

Web: www.serfamilysupportnetwork.org

Disability & Rehabilitative Services

Name Service details Contact

Brothers Provides a range of services Brothers of Charity of Charity for adults and children with an SE, Belmont Park, Services intellectual disability & their Waterford. South East families. Tel: 051 833 400 Web: www.brothersofcharity.ie

60 Tipperary Tipperary Service South Ability Employ Centre Entreprise Training& Cluain Services HSE Disability Name Association Wheelchair Irish Living Independent Centre for Tipperary Network Learning National Disability &Rehabilitative Services Disability Service details disabilities. with people for support and training Provides employment. finding with disabilities with people to support Provides Tipperary.South in injury brain acquired or / and difficulties health mental with people for support and training Provides services. training services, residential support, day or rehabilitative home and respite services, therapeutic and assessment specialist include may disability. Services sensory or physical intellectual, an children and adults with for services Provides with with mobility difficulties. Provides services for people to people with disabilities. service transport and Service Assistant Personal a Provides Services and Supports Services and 61 Contact details Web: Tel: 052 6177000 Email: Tel: 062 52744 Tipperary town. Rd, Cashel Brodeen, Web: Tel: 052 6128667 Clonmel. 40 Irishtown, Web: Email: Tel: 052 6181555 Clonmel Rd. Western Roseville, www.employability.i Web: Tel: 052 6129465 Gladstone St. Clonmel U, 4 Place www.cluaintraining.i Web: [email protected] Email: Tel: 052 6125328 Clonmel, Co. Tipperary St, Nelson 17-19

www.tippcil.com www.nln.i www.iwa.i [email protected] [email protected] e e e e e e

Services & Supports Services & Supports Communities Camphill (TSP) Partnership Sports Tipperary Service) K.I.T.E. (The Education Training& Initiative for Kilkenny K.I.T.E. - Group Support Autism Tipperary South (NAS) Disabilities People with Service for Advocacy National Name Disability &Rehabilitative Services Disability Grangemockler. and Suir on Carrick in are Tipperary South in Camphill Communities disabilities. intellectual for individuals with services day and Provides residential Tipperary. in sport recreational develop and promote co-ordinate, to Council and Tipperary County Irish Sports Council by up set partnership sports local A Disorder. Spectrum Autism of diagnosis a with adults for service support and guidance a and programmes training Offers month. first every of Tuesday carers. Meetings the and parents for group A monthly support people with disabilities. for services advocacy Provides independent Service details Services and Supports Services and Web: 62

www.citizensinformationboard.i Email: Tel 6187080 052 Co. Tipperary Ballingarrane, House, Ballingarrane Partnership, Sports Tipperary [email protected] Web: Email: 056 7712883 Tel: 056 7712913 / www.southtippautism.i Web: [email protected] Email: Tel: 052 6129529 Clonmel. Centre, Resource Community Clonmel Email: Tel: 076 1073000 2. Dublin Townsend 43 House, St. Quay George’s Board, c/o Citizens Information Contact details www.camphill.or Web: [email protected] Email: Tel: 051 645 080 Suir on Carrick www.tipperarysports.i Web: [email protected] [email protected]

[email protected] e g e e e e e e (N.C.B.I) the Blind Council for National Ireland Society of Sclerosis The Multiple MS Ireland Support) Brain Injury (Acquired Headway Ireland Epilepsy Moorehaven Deafhear Name Disability &Rehabilitative Services Disability with with sight loss. those to services Provides by affected those to services support and advocacy information, Provides by acquired brain injury. affected those for support Provides information and affected by epilepsy. those to services Provides intellectual disability. to moderate range of mild the in adults for and residential services centre day Provides loss. hearing experience who those to services Provides Service details Services and Supports Services and

MS. 63 Web: Email: www.ms-society.i [email protected] Email: Email: Tel: 062-52437 Tipperary Town St. O’Brien Web: Email: Tel: 01 817 5700 Contact details Web: Helpline: 1850 33 43 53 Tel: 056 7763530 Kilkenny. Road, Ormonde 7 Office, Regional East South 233 233 1850 Helpline Tel: Tel: 056 7777771 Office: Walkin St. Kilkenny. Regional East South Web: [email protected] Email: 1890 200 278 Helpline: Tel: 01 6040800 7. Dublin Off Place, Blackhall Green, Blackhall Web: Email: Tel: 01 4557500 Dublin 12 Road, Crumlin 249, www.moorehaven.i Web: [email protected]

www.deafhear.i www.ncbi.i www.headway.i www.epilepsy.i [email protected] [email protected] e e

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Services & Supports Services & Supports physical and psychological welfare. an order is granted. Under the legislation, welfare includes both or welfare or the safety or welfare of a dependent, requires that safety your that believes it where order an grant will court The expired. has one previous the before order further a for applying by renewed be can order barring the or order safety The home. family the leave to person violent the order. order, barring immediate an interim is an This requiring grant can court the order. safety circumstances exceptional In a as effect same the order. has order protection protection The a called order immediate an you give can court the application, your hear to court the for waiting are you While hearing. Court District a attend must you order safety a or To order barring a get years. 3 to up last can order barring A home. your near being or watching the person from further violence or threats of violence, and from violent person to leave the family home. The order also prohibits the requires which order an is order barring A Barringorder: or being near your home. A safety order can last up to 5 years. watching from them prohibits it you with living not is person the If violence. It does not oblige the person to leave the family home. of threats or violence further from person violent the prohibits which court the of order an is order safety A safety order:A order and a barring order. safety a available, protection of kinds main two are there law the power to arrest and prosecute a violent family member. Under Under the Domestic Violence Act 1996, the Gardai have the telephone. access to money, personal items, food, transportation and the threats to others including children, stalking, and control over from friends, family and other potential sources of support, involve emotional abuse, the destruction of property, isolation close adult relationships. As well as physical violence it can also force or threat of physical force, including sexual violence, in Domestic Violence refers to the use of physical or emotional Services and Supports Services and Domestic Violence 64 court office, a family law solictor, CuanSaor or the Law Centre. the contact information Formore hearings. full for representation legal have you recommend highly Courts the but application, initial an make to solicitor a need not Office. do You Court District local your to go must you order safety a or Toorder barring a for apply Refuge Women’s Cuan Saor Court office Clonmel Name the region refuges in Other Refuge, Waterford Women’s House Oasis Kilkenny Women’s Amber Refuge, programmes. Education/Training and groupwork counselling, childcare, accompaniment, court support, outreach support and information, violence, including refuge, experienced domestic children who are or have supports to women and of range a Provides Court Services Service details Services and Supports Services and Web: Email: 65 www.courts. [email protected]

www.cuansaor.or Web: 1800 57 67 57 Freephone: Tel: 6127557 052 Clonmel. 3 Jervis Place, Parnell St. Tel: 052 6129183 Clonmel. St. Nelson House, Court [email protected] Email: Helpline: 1890 264 364 Tel: 367 370 051 Waterford. 72 Morrissons Rd kilkennywomensrefuge.i Web: Helpline: 1850 42 42 44 Tel: 056 777 1404 Kilkenny. Rd. Dublin Lacken, Contact ie g e e

Services & Supports Services & Supports Women’s Aid Counselling Crisis and Rape Tipperary Name Team Protection and Safeguarding HSE Abuse Domestic of Male Victims AMEN – Violence) Domestic Ending (Men MEND Web: and Protection Team. Safeguarding HSE the to reported be can disability a with person a or person older an of neglect or Concerns about abuse and their family members. abuse domestic of victims male for services support Provides information and partners. their towards violent/abusive being stop men help to programmes co-ordinates Programme Intervention Violence Domestic East South The violence. affected by domestic information to women Provides support and by sexual violence. families or anyone affected their abuse, sexual child adult survivors of rape and service to male and female confidential and free A Service details www.tipperaryrapecrisisandcounsellingcentre.com Services and Supports Services and Domestic Violence 66

Web: Tel: 087 915 6632 MEND contact: Tipperary South Tel: 051 878 866 Waterford. 49 O Connell St., Network, Men’s Development c/o Tipperary South Web: [email protected] Email: 1800 341 900 Helpline: Freephone National [email protected] Email: 340 340 1800 Freephone: 052 Tel:/ 7676 612 052 20 Mary St., Clonmel. safeguardingcommittee.ie Web: hse.i Safeguarding.cho5@ Email: Tel: 056 778 4325 Lacken, Kilkenny. HSE offices, Dublin Road, Web: Email: Tel: 046 902 3718 Navan, Co. Meath Centre, Railway St., Resource Anne’s St. Contact 612 7677 e www. www.amen.i www.mend.i www.womensaid.i [email protected] e e e e e

Centre Law Nenagh Board - Legal Aid One in Four Children) of Cruelty to Prevention for the Society ISPCC (Irish Name Centre Legal Advice FLAC - Free Market Place, Clonmel. 3 Centre, Information Citizens Clonmel Tipperary is provided in: South in Advice Legal Free information and advocacy. advice, legal offers that organisation voluntary independent an is FLAC criminal matters. not provide legal aid in Legal Aid Board does their own resources. The from services such fund law to persons unable to civil of matters on advice and aid legal Provides families. their and and /or sexual violence, abuse sexual of survivors Provides support for (Childline) for children service support charity. Provides a listening A national child protection Service details 2 Centre, St Michael’s St. Services Community Centre, Information Town Tipperary Citizens 7.30 from 9pm - month every of Thursday month from 7.30 – 8.30pm nd Services and Supports Services and Wednesday of every every of Wednesday 67 rd

Web: Lo-Call 1890 350 250 Tel: 01 874 5690 / line: information Legal Dublin 1. 13 Lower Dorset St., www.legalaidboard.i Web: legalaidboard.ie lawcentrenenagh@ Email: Tel: 067 34181 Friarscourt St., Nenagh. www.oneinfour.i Web: [email protected] Email: Tel: 01 611 4650 Web: 666 666 1800 Childline freephone: [email protected] Email: Tel: 076 107 6540 CIC Tipperary [email protected] Email: Tel: 076 107 6460 CIC Clonmel Contact

www.childline.i www.flac.i e e g e e e

Services & Supports Services & Supports Board Training Education ETB - Protection Social Dept of Name Employment, Education,Training Volunteering and Service details (VTOS) Opportunities Scheme Vocational Training Learning (ALS)Scheme (STAGES),Adult in Education services courses, Adult Guidance Training PLC services, Provides Education and online vacancy service Also provides a jobs DSP information line Tipperary Town Cashel Cahir Carrick on Suir Branch Offices: Social Welfare Intreo Centres: employers nationwide. to jobseekers and support and advice employment Provides Services and Supports Services and 68 Tel: 062 64220 Lady’s Well. Bohermore, Tel: 052 744 5200 Square. The Market Yard, Tel: 051 601190 55 New Street. Tel: 0504 67100 Racecourse Rd. TechnologyPark, Tipperary Thurles IC: Tel: 052 6170220 New Quay, Clonmel. Harbour House, Clonmel IC, Tel: 01 248 1398 Lo-call: 1890 800 024 W www.tipperary.etb.ie Web: [email protected] Email: Tel: 052 6121067 Western Road, Clonmel. Administrative Offices, Tipperary ETB, Web: [email protected] Email: Tel: 1890 662244 Tel: 062 80230 Street. Church 8 Contact eb: www.jobsireland.i www.welfare.i

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e e Employment Supported Tipperary - South Ability Employ Technology Institute of Limerick Network Learning National Centre Enterprise Training and Cluain Agency Literacy Adult National NALA - The Name Web: Employment, Education,Training Volunteering and www.nala.ie/courses/tipperary-etb-adult-learning-scheme-clonmel Service details Tipperary. brain injury in South and/or acquired mental health difficulties support for people with Provides training and numeracy difficulties. with literacy and opportunities to people Provides learning employment. disabilities with finding to people with support Provides Art and Design Production, and Game Digital Animation Multimedia, Creative Marketing, Business, Offers programmes in disabilities. support for people with Provides training and 69 Email: Tel: 0504 28490 Cashel Rd, Clonmel LIT Clonmel, Web: [email protected] Email: Tel: 052 6181555 Clonmel Rd, Western Roseville, www.cluaintraining.i Web: [email protected] Email: Tel: 052 6125328 Clonmel, 17-19 Nelson St. Email: 087 2333752 Tel: 052 6127543 / Co. Tipperary. Clonmel, Street, Dillon Web: Tel: 052 6129465 Gladstone St. Clonmel U, 4 Place Web: [email protected] Contact www.employabilty.ie www.lit.i www.nln.ie [email protected] e e e e

e Services & Supports Services & Supports Programme Diversion Youth Clonmel Tipperary Ireland Youthwork Name (TSP) Partnership Sports Tipperary Feirme Macra na Service Information Youth Clonmel Service details debating. travel,sports, drama and in getting involved in years who are interested people aged An organisation for young people in Tipperary. and programmes toyoung Offers arange of services and assistance with CVs.and with assistance internetaccessservices, including information toyoungservices people Provides arange of in Tipperary. develop recreational sport ordinate, promote and County Counciltoco- Council and Tipperary set upby Irish Sports A localpartnership sports juvenile justice system. who have the contactwith people aged 12 -18 years Provides support toyoung Services and Supports Services and 4 Young People 17 – 35 70 Email: Web: Email: Web: www.tipperarysports.i [email protected] www

[email protected] eircom.net Contact [email protected] www.waterfordinfo.com Web: Tel: 086 255 4928 TipperarySouth www.macra.i Web: [email protected] Email: Tel: 01 426 8900 Dublin 12. Bluebell, Irish Farm Centre, Macra na Feirme, Tel: 0504 23426 Co. Tipperary. Croke St., Thurles, Information Service, Tipperary Youth Email: Tel: 052 612 5518 Clonmel. 12 Upper Irishtown, Tel: 052 618 7080 Co. Tipperary. Ballingarrane, Ballingarrane House, Partnership, Tipperary Sports Email: Tel: 052 618 0713 .youthwork.tipperary.i clonmelyic@ e e e e e e e Centre Volunteer Tipperary East South College Recovery Men’s Shed Connections Making Name Foróige Name Employment, Education,Training Volunteering and Service details South Tipperary.South voluntary activities in who want to undertake individuals and groups service between placement a Provides addiction. & health mental in management skills recovery and self that focus on wellness, courses & workshops Provides educational all men. agreed tasks. Open to mutually undertake men can meet and Provides a space where health issues. and associated mental misuse, homelessness substance or alcohol who have experienced opportunities for people Provides training Service details staff led projects. volunteer led clubs and aged 12-18 years through youngworking with people Youth organisation Email: Services and Supports Services and 4 Young People [email protected] 71

Email: Tel: 062 64775 Co. Tipperary. Cashel, Lane, Chapel 086 174 6330 056 777 1094 / Tel: Abbey St., Kilkenny. Centre, Business Abbey 16, Box PO Email: Web: Tel: 086 265 4577 Clonmel, Co. Tipperary. Dudley’s Mill, Raheen Rd. [email protected] Email: Tel: 086 771 6289 Clonmel. Grove, Wilderness Centre, Community Youth & Wilderness www.volunteertipperary.ie Web: [email protected] Contact Contact [email protected] Email: Tel: 086 231 6302 Road,Military Waterford. Regional Office: Oakvilla, www.menssheds.ie

[email protected] e

Services & Supports Services & Supports Headspace Youth Project Community Clonmel Name Children) of Cruelty to Prevention for the (Irish Society Childline com Reachout. Project Diversion Edge Youth Service details matters. people and mentalhealth parents about young Provides information for Services. inpatients of Mental Health for young people who are Mental Commission Health A criminal. considered antisocial or thatmayin activities be are atrisk, or involved aged 12-18 years that the Carrick onSuir area youngSupports people in disadvantaged or atrisk. particularly those who are people aged 10-21 years, project targeting young A Community based youth 18 years. children up totheage of support servicefor Provides alistening Toolkit developed by the Services and Supports Services and 4 Young People 72 Email: [email protected] headspaceireland.i Contact [email protected] www.reachout.co Web: Web: Tel: Co. Tipperary. Carrick onSuir, 56 NewStreet, Youth Resource Centre, Email: Tel: 052 617 0876 Co. Tipperary. Clonmel, Wilderness Grove, Community Centre, Wilderness Youth & Youth Project, Clonmel Community Web: Or textTalk to50101 1800 666 666 Freephone:

051 645 560 www. www.childline.i

m e e e Agency and Family Tusla – Child Name Spunout Name Office for Childrens Ombudsman Teenline Family Support and Children’s Support and Family Services Services and Supports Services and Service details Ireland. years of age living in young people under 18 welfare of children and promotes therightsand organisations and the actionsof public young people about made by children and Looks into complaints forservice young people. A confidential listening lifehealth, and opinion. education, employment, 25 years. Topics include for young people aged 16– A youth information Web protection services. for childwelfare and responsibilitywith The StatutoryAgency Service details 4 Young People 73 Contact Web: Web: [email protected] Email: 1800 202 040 Complaints freephone Tel: 01 865 6800 Dublin 1. Great Strand St, 1 House, Millennium Email: Text: 50015 1800 833 634 Freephone: Web: Web: Email: Tel: 052 617 7303 Clonmel Office Contact st floor, 52-56 www.spunout.ie www.oco.i www.teenline.ie www.tusla.i [email protected] [email protected] e e e e e

Services & Supports Services & Supports Barnardos Tipperary South Services, Psychology HSE -Child Tipperary South Service, Psychiatry Adolescence HSE -Child & Name Centre Resource Community Clonmel Family Support and Children’s Support and Family Services Programme. Parent-Infant &Toddler services. are made through GP 0-18 years. Referrals forservices children Provides Psychological Adolescents. forServices Children and Provides Mental Health Worker Projects. New Communities Health Support Group, LGBTI & Transgenderservices, Access tocounselling 13-18Counselling yrs, FreeSupports, Teen Integrated Family Provides arange of children. tofamiliesservices and offering arange of A family supportproject Service details 74 Web: [email protected] Email: Tel: 052 617 0665 Elm Park, Clonmel. 140 Mountain View, Tel: 052 617 7911 Clonmel. Western Rd., Therapy Services, TipperarySouth Tel: 052 618 9206 Clonmel. Rd.,Coleville House, Coleville Web: [email protected] Email: Tel: 05 2 612 9143 Co. Tipperary Clonmel, Kickham St., Contact www.clonmelcrc.ie www.barnardos.ie Centre Resource Family Knockanrawley Centre Resource Community Nano Nagle Programme Mother Community Name Centre Resource Family Three Drives Centre Resource Spafield Family Support and Children’s Support and Family Services low costcounselling. pilates, mindfulness and retirement club, yoga, programmes, active education and training includingservices Provides arange of group. and parent and toddler mother and baby group breastfeeding support, include home visits, 0-5 years. Services parents of children information servicefor Provides supportand therapy. services,ArtCounselling training, English classes, training courses,IT include Services community development. and psychotherapy, and classes, counselling classes, childcare, art programmes, computer include adult education providedServices and counselling. childcare, family therapy training and education, community development, includingservices Provides arange of Service details Services and Supports Services and 75 aged eircom.net carrickcommunityrc.co net knockanrawley@eircom. Email: Tel: 062 526 88 Tipperary Town Web: net carrickresource@eircom. Email: Tel: 051 642 418 Suir, Co. Tipperary. Greenside, Carrick on Email: Tel: 052 612 8199 Clonmel. Centre, Kickham St. Community Resource Room 3, Clonmel Email: Tel: 062 808 31 Tipperary Town. 22/23 Greenane Drive, Web: [email protected] Email: Tel: 062 636 22 Old Road, Cashel. www.knockanrawley.i Web: Contact www.spafieldfrc.ie www. [email protected] threedrivesfrc@ e m

Services & Supports Services & Supports Union Credit Service Budgeting & Advice Money MABS – Name Finance and BudgetingServices and Finance Services Credit Union Service. Resolution Mortgage Arrears Abhaile - Also provides judgemental. and non- confidential independent, is free, The service debt. or who are in financial difficulty experiencing people who are to advice MABS provides Service 76 Email: Tel: 076 107 2750 Market St. Clonmel: 5 PrintersLane, MABs Tipperary: in South Web: Web: [email protected] Email: Tel: 076 107 2810 Greenside. Resource Centre, Nano Nagle Carrick onSuir: [email protected] Email: Tel: 076 107 2130 19 Davis Street. Tipperary town : Email: 052 915 3311 Mullinahone Office: 052 613 2261 Fethard Office: 052 612 5292 Tel: 052 612 5207 Co.Tipperary Parnell St.Clonmel, Credit Union House, Email: Helpline: 076 1072000 Contact Contact www.clonmelcu.com www.mabs.i [email protected] [email protected] [email protected] e e e e e de Paul St. Vincent Society of Protection Social Dept of Name Finance and BudgetingServices and Finance Services and Supports Services and line: information DSP Branch Offices: Social Welfare Intreo Centres: services WelfareSocial need. communities in to people and practical services a range of SVP provides Service 77

Tel: 052 612 3878 Anglesea St., Clonmel. Mulcahy House, TipperarySouth details: Web: Web: 1890 662 244 Tel: 062 802 30 8 Church Street. Tipperary Town: Tel: 062 642 20 Lady’s Well. Cashel : Bohermore, Square. Tel: 052 744 5200 Cahir :Market Yard, The Tel: 051 601 190 55 NewStreet. Carrick onSuir: Tel: 0504 67100 Racecourse Rd. Technology Park, TipperaryThurles IC: Tel: 052 6170220 House, NewQuay, HarbourClonmel IC: Email: Tel: 01 838 6990 Lower, Dublin D01WV38 91-92 SeanMcDermotSt. Head OfficeSVPHouse, Contact Contact www.svp.i www.welfare.i [email protected] e e e

Services & Supports Services & Supports Line Information HSE Centres Information Citizens Service Information Citizens Name Line Information National independent. and confidential free, is Service entitlements. and rights their on advice and advocacy information, with citizens Provides 9pm – 8pm Friday – Monday service line phone confidential and free helpline: Information Citizens Service details Services and Supports Services and Information Services 78 Tel: St Michael’s St, Centre, Services Community : Tipperary CIC Email: Tel: 1076460 076 Market Place, : Clonmel CIC Tel: 076 1076510 34/35 Croke St : Thurles CIC www.citizensinformation.i Web: 076 107 4000 [email protected] Tel: 1850 241 850 Cashel andCahir Suir, on Carrick in services outreach offer also CIC [email protected] Email: Contact Contact 076 107 6540 [email protected] e . e Council Irish Refugee Project Health Communities New Name Services Libraries Tipperary Name Tipperary. South in members community new all to services advocacy and support Provides Ireland. in refugees for and with working Agency Sector Voluntary A Service details Service Information and Library Service details Services and Supports Services and Information Services New Communities New 79 Email: Email: Web: Web: [email protected] Tel: Tipperary Town: Tel: Killenaule: Tel: Clonmel: Tel: Carrick onSuir: Tel: Cashel: Tel: Cahir: Branches: Tel: 01 764 5854 37 Dame St., Dublin 2. [email protected] Email: Tel: 085 808 5507 Kickham St., Clonmel. Centre, Resource Community Clonmel www.irishrefugeecouncil.ie Contact Contact Contact Contact [email protected] www.tipperarylibraries.i 062 51761 052 915 7906 052 612 4545 051 640 591 062 639 48 052 744 2075

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Services & Supports Services and Supports

LGBTI

Name Service details Contact

LGBT: Support and information Unit 1.15, Helpline services for lesbian, gay, Smithfield Business bi-sexual, transgender Centre, people, their families and Smithfield Square, friends. Services include Dublin 7. a national helpline, online Tel: 1890 929 539 chat support, a Peer Email: [email protected] Support Service, LGBT Web: www.lgbt.ie awareness training and volunteering.

Transgender Provides support, Unit 2, Equality advocacy, education and 4 Ellis Quay, Network training services. Dublin 7. Tel: 01 873 3575 Ireland Email: [email protected] (TENI) Web: www.teni.ie Supports Services & Services LGBTI Provides support & Clonmel Community Project information for the LGTBI Resource Centre South community in South Kickham St., Tipperary. Also supports Clonmel. Tipperary Transgender & LGB Tel: 052 612 9143 / Support Groups. 085 854 1514 Email: [email protected]

80 Services and Supports

Older Peoples Services

Name Service details Contact

HSE Provides a specialist Rosehill, Services service for people Glenconnor Rd., Psychiatry over the age of 65 Clonmel, of Old Age who develop mental Co. Tipperary. Services health difficulties in Tel: 052 617 7491 later life. Referrals through GP.

Living Provides information, Memory Technology Library, Well with support and services Grounds of South Tipperary Dementia for those with General Hospital, South dementia, their Western Rd., Clonmel. Tipperary families and carers. Tel: 087 055 0050 Web: www. southtipperarydementia.ie

HSE Concerns about abuse HSE offices, Dublin Road, Safeguarding or neglect of an older Lacken, Kilkenny. Supports and person or a person Tel: 056 778 4325 & Services Protection with a disability can Email: Team be reported to the Safeguarding.cho5@ HSE Safeguarding and hse.ie Protection Team. Web: www. safeguardingcommittee.ie

Sage - Provides independent Head Office 24-26, Support & advocacy services for Ormond Quay Upper, Advocacy older people. Dublin 7. Service for Tel: 01 536 7330 Older People LoCall: 1850 719 400 (8am –10pm daily) Email: info@sage. thirdageireland.ie Web: www.sage. thirdageireland.ie

81 Services and Supports

Older Peoples Services

Name Service details Contact Senior A confidential LoCall 1850 440444 Helpline listening service for (10am-10pm daily) older people by older Web: people. www.seniorhelpline.ie

Age Action Tel: 01 4756989 Ireland Web: www.thirdageireland.ie

Day Care Cahir Day Care St Mary’s Road, Cahir. Centres Centre Tel: 052 7445480

Carrick on Suir Day Pill Road, Carrick on Suir. Centre for the Elderly Tel: 051 640085

Cashel Day Centre St. Patrick’s Garden, for the Elderly Deerpark Road, Cashel. Tel: 062 63288 Supports Services & Services Clogheen - Vee The Convent Road, Valley Day Care Clogheen, Cahir, Co. Centre Tipperary. Tel: 052 7465477

Clonmel Day Care Irishtown, Clonmel. Centre for the Elderly Tel: 052 6124882

Tipperary - St St Vincent’s Vincent’s Day Care Health Centre, Centre for the Elderly Tipperary Town. Tel: 062 82105

Fethard & District Fr. Tirry Centre, Day Care Centre Barrack St. Fethard. Tel: 052 6132917

82 Services and Supports

Older Peoples Services

Name Service details Contact Meal Services Clonmel Meals on Wheels Tel: 085 754 4565

Cahir Meals on Wheels, Pearse St. Cahir. Tel: 052 744 1093 Carrick on Suir Carrick-on-Suir Social Services, Community Hall, Greenside, Carrick on Suir. Tel: 051 645151

Fethard Meals on Wheels Fethard & District Day Care Fr. Tirry Centre, Barrack St. Fethard. Tel: 052 743 2917 Supports Tipperary Town Meals on Wheels, & Services Community Centre St. Michael St. Tipperary Town. Tel: 062 51622

Glengoole Millenium Family Resource Centre, Glengoole. Tel: 052 915 7992

83 Mental Health Services and Supports

Name Service details Contact HSE Carraig Ór Mental South Health Centre, Tipperary William St. Cashel. & Mental St. Vincent’s, Station Tel: 062 70460 Health Rd. Tipperary. Services Community Mental Tel: 052 618 3470 / Health Centre, 052 618 3495 Glenconnor Road, Clonmel Psychiatry of Older Tel: 052 617 7491 Age, Rosehill, Clonmel (office hours)

Child and Adolescent Tel: 052 617 7436 Mental Health Service (office hours) CAMHS Team 1 Tel: 052 6189204 CAMHS Team 2 (office hours) St Luke’s Hospital, Tel: 056 778 5000 Freshford Road, Kilkenny (Dept. of Psychiatry) Supports Services & Services Emergency Dept., Tel: 052 617 7000 South Tipperary General (open24/7) Hospital Caredoc GP Service Tel: 1850 334 999 (6pm – 8pm)

South Service Users of the Meetings are held on Tipperary Mental Health Services, the 3rd Wednesday of Consumer Carers, Family Members, every month in the Panel and HSE staff meet Community Mental (Mental monthly to discuss their Health Centre, Clonmel Health) experiences of accessing at 6.15 pm. and using mental health services, and discuss Tel: 085 151 9776 ideas to bring about positive changes in the service.

Email: [email protected]

84 Tipperary Workers Awareness Suicide Community C-SAW: Group Support WRAP Tipperary South Tipperary South Group Phrenz Clonmel Town& Tipperary Voices Group Hearing Group Support Health Mental Tipperary Name Mental Health Services and Supports Mental HealthServicesand Services and Supports Services and Supported by SHINE. difficulties. health someone with mental members and carers of family for 4.30pm – 2.30pm month every SHINE. illnesses. Supported by schizophrenia and related for individuals with meeting in Clonmel A monthly support group at Morton St Day Centre 3.30-4.30pm Wednesday meets every fortnight - The Clonmel group Centre Day Croí Cuan at 2-3pm Wednesday every meets The Tipperary Town group held on 2 A monthly support group Counselling. Take and Talk to time Bereavement Counselling Monthly 1pm, – 11am Wednesday every Weekly Coffee morning services including a provides a range of based in Clonmel. C-Saw A voluntary organisation fortnightly in Clonmel. Action Plan). Meets WRAP (Wellness Recovery those who have trained in A Peer Support Group for Service details nd Tuesday of 85 Tel: 086 852 5562 contact SHINE For more information Clonmel Rd., Haywood Centre, St. Oliver’s [email protected] Email: Tel: 052 617 2477 Clonmel. 24 William St., gmail.com southtipperarywrap@ Email: Tel: 086 852 5562 contact SHINE For more information 052 612 5451 Kay Fripps 052 618 3470 Tel: 052 618 3465 / contact Aoife Nolan For more information Tel: 062 821 23 contact Caroline For more information Contact Contact Parish

Services & Supports Services and Supports

Mental Health Services and Supports

Name Service details Contact GROW A peer support voluntary National Office, organisation that 11 Liberty Street, Cork. provides group support Tel: 021 277 520 for people who have or are experiencing mental National Info line health problems. Tel: 1890 974 974

Weekly meetings in SE Regional contact: Clonmel and Cahir. Tel: 056 776 1624

Web: www.grow.ie

AWARE A national voluntary National Office, (Depression) organisation which 72 Leeson Street. supports people with Dublin 2. depression. Tel: 01 662 721

National Helpline: 1890 303 302 Weekly Aware meetings in Dungarvan SE Regional contact Tel: 053 918 4525 Supports Services & Services Email: [email protected] Web: www.aware.ie

Mental A national voluntary Mensana House, Health organisation which aims 6 Adelaide Street. Ireland to promote positive Dun Laoghaire, mental health and Co. Dublin. supports people with Tel: 01 2841166 mental illness, their families and carers.

MHI have a branch in SE Regional Contact: South Tipperary. 087 835 3925

86 Services and Supports

Mental Health Services and Supports

Name Service details Contact SHINE Provides support, National Office: 38 (formerly counselling and advocacy Blessington Street. Schizophrenia services for people Dublin 1. Ireland) experiencing mental Infoline: health difficulties. 1890 621 631 Email: [email protected] Web: www.shineonline.ie Regional office – Waterford Tel: 086 852 5562

Irish Provides peer advocacy, Head Office: Smithfield Advocacy support and information Business Centre, Network for those experiencing Suite 1.9, difficulties with their The Distillers Building, mental health. New Church St. Dublin 7 Tel: 01 872 8684 Email: [email protected] Web: www.irishadvocacynetwork.com

National Provides independent c/o Citizens Supports Advocacy advocacy services for Information Board, & Services Service for people with disabilities George’s Quay House, people with 43 Townsend St. Disabilities Dublin 2. (NAS) Tel: 076 107 3000 Email: [email protected] Web: www.citizensinformationboard.ie

STAN - South STAN is a network Tel: 087 165 9843 Tipperary of service providers Email: Action established to provide stanmentalhealth@ Network networking and training gmail.com Mental opportunities for people Web: Health and organisations working www. in South Tipperary to stanmentalhealth.ie improve the quality of life and mental health of all citizens.

87 Services & Supports Services. Health Mental Improved Promoting Reform – Health Mental Headspace Disorders) (Eating BODYWHYS Samaritans Commission Health Mental Name Mental Health Services and Supports Mental HealthServicesand are involuntarily admitted. interests of patients who andservices protects the delivery of mentalhealth and good practices in the Promotes high standards mental healthconditions. inclusion of people with servicesandhealth social promote improved mental organisations working to A national of coalition of Mental Health Services. people who are inpatients Commission for young by the Mental Health A Toolkit prepared their families. by eating disorders and support for those affected Provides information and suicidal. feeling distress or who are support for people in Provides confidential Service details Services and Supports Services and 88

mentalhealthreform.i mentalhealthreform.i Email: Tel: 01 874 9468 Dublin 7. Coleraine St., Coleraine House, headspaceireland.i www. Web: www.bodywhys.i Web: [email protected] Email: Tel: 01 283 4963 (Mon - Friday) Tel: 1890 200 444 Lo-Call: Tel: 116 123 Web: Email: Tel: 01 636 2400 Dublin 4. House, Waterloo Rd., MHC – St.Martin’s Web: Contact Contact www.mhcirl.i www. [email protected] info@ e e e e e e e Co. Tipperary. Main St., Cashel, Cashel on Suir,Co. Tipperary. 17 KickhamSt., Co. Tipperary. St. CarrickonSuir Medical Centre, Kickham Suir, CoTipperary. 8 CastleSt. Suir, Co. Tipperary. Pearse Square, Carrickon Centre, Co. Tipperary. Cappawhite Co. Tipperary. Convent Road, Surgery, Co. Tipperary. Cahir Market Yard Co. Tipperary. Centre, Thurles, Ballingarry Co.Ballyporeen, Tipperary. Centre, Church St. Ballyporeen Co. Tipperary. Bansha Practice Primary Care/General Practitioners/Caredoc Caredoc GPservice:Tel:1850334999(6pm-8am) Health Care,Health Health Centre, Health Carrick on Health Health Health Health Health Health Cahir, Carrick , Murphy, Dr. Declan Barratt, Dr. Gerard Huma, Dr. Himayat O’Donovan, Dr. Timothy Grant, Dr. Rosemary Kwong, Dr. Justin Roche-Nagle, Dr. Richard Engela, Dr. Seamus Moloney, Dr. Laura Flanagan, Dr. John Grant, Dr. Rosemary Downey, Dr. Andrew Akinsuli, Dr. Olusegun Nic Eoin,Dr. Maire McCarthy, Dr. JohnM Maher, Dr. Tony Lalor, Dr. Gillian Dr.Dalton, Jill Halley, Dr. Anita Farrell, Dr. John O’Riordan, Dr. Margaret Curtin, Dr. John O’Reilly, Dr. Melaine Bastiaan Van Eynatten, Dr. Doctors 89 Contact 062 64680 051 641059 051 646003 051 640527 051 640542 062 75040 052 7441825 052 7441364 052 9154208 052 7467480 062 54224

Services & Supports Services & Supports Dundrum, Co. Tipperary. Centre,Dundrum Health Co. Tipperary. Clonmel, Old Waterford Rd., The Gables, Suirside MedicalCentre, Clonmel, Co. Tipperary. 7 UpperIrishtown, Riverside MedicalCentre, Co. Tipperary. Clonmel, Western Road, Medical Centre, Western House Co. Tipperary. Clonmel, Mary St.MedicalCentre, Clonmel, Co. Tipperary. 46 GladstoneSt, Gladstone Street Surgery, Co. Tipperary. Convent Road, Clogheen, Clogheen Co. Tipperary. Deerpark Rd, Co. Tipperary. Cahir Rd, Practice Primary Care/General Practitioners/Caredoc Cashel MedicalCentre, Cashel , Services and Supports Services and , O’Dwyer, Dr. Kieran Sharpe, Dr. Damian Nic Eoin,Dr. Maire Lynch, Dr. Patrick Dr.Dowling, Stephanie Breen, Dr. Pat Morrissey, Dr. Brian Kelly, Dr. Maria Kelly, Dr. Kevin Rouse, Dr. Bernie Rouse, Dr. Martin Dr.Cantwell, Liz Foley, Dr. Cathy Sullivan, Dr. Gerry Cheasty, Dr. Judith Walsh, Dr. Colman Dr.Dillon, Tara Quirke, Dr. Michael O’Reilly, Dr. Melaine Ryan, Dr. William Halley, Dr. Brigid Keenan, Dr. Lorcan Doctors 90 062 71270 /6123201 052 6122963 052 6124756 052 6125312 052 6121288 052 6122894 052 7465503 062 61266 Contact 062 61715 Piltown, Co.Piltown, Kilkenny. Centre,Health MainSt., Co. Kilkenny Waterford. Clonea Power, Co. Clonea HealthCentre, Co Waterford Tipperary Town Rosanna Rd. Primary Care Centre, Tipperary Town Medicentre, 23Davis St. Tipperary Town Old Davitt Street, Kylecourt Clinic, Thurles, Co. Tipperary. Centre, KickhamSt., Mullinahone Co. Tipperary. Thurles, Killenaule, Killenaule Co. Tipperary. Rocklow Rd., Northgate MedicalCentre, Co. Tipperary. The Square, Fethard Dr. Owens, Molly Practice Primary Care/General Practitioners/Caredoc Surgery, Fethard Health Health , , Engela, Dr. Seamus Moloney, Dr. Laura Flanagan, Dr. John Grant, Dr. Rosemary Kwong, Dr. Justin Roche-Nagle, Dr. Richard Wallace, Dr. John Sheahan, Dr. Michael Browne, Dr. Joseph O’Connor, Dr. Caroline Purcell, Dr. Tom Dr Bastiaan Van Eynatten, Ryan, Dr. Chris Lonergan, Dr. Breda Hanrahan, Dr. Iver Carroll, Dr. Conor Dr.Gilman, John Gannon, Dr. Lucia Meagher, Dr. Liam Fuller, Dr. Kirsten Condon, Dr. Carmel Oosthuysen, Dr. Jaco Owens, Dr. Molly Doctors 91 Contact 051 643116 646 042 051 646003/ 062 51657 062 52655 51687 062 51470/ 052 9153287 052 9156134 052 6131631 052 6131690

Services & Supports Services & Supports Living Independent Centre for Tipperary South Tipperary South Services- Ringalink Ltd. & Sons JJ Kavanaghs Irish Rail EireannBus (TRTP) Project Travellers Rural Tipperary Workers Health Community Traveller Name Name programmes. Programmes, Afterschool Caremen, PrimaryHealth support servicesfor Traveller Tipperary. include: Services community inSouth project for theTraveller A community development Tipperary.South support toTraveller families in Workers offer information and Community Care Health Traveller community. Traveller Peer servicefor health the Service details Services forTravellers National rail service National busservice to people with disabilities. to peoplewith Provides transport services holders nocharge. fare.adult Travel pass required. Nominalreturn bus service.Pre booking Wheelchair accessible Dublin. Limerick, Kilkenny and between Tipperary, Private coachoperator Service details Services and Supports Services and Transport 92 www.tippcil.com www.ringalink.i [email protected] info @jjkavanagh.ie Email: www.jjkavanagh.i www.irishrail.i www.buseireann.i Tel: 018366222 Tel: 1850836611 Tel: 052612 8667 40 Irishtown, Clonmel Email: 1890424 141 Lo-Call line Booking Tel: 0818333222 Contact Contact Email: Tel: 06231138 Tipperary Town. 1 St. Michael’s Street, Email: Tel: 0526170947 Clonmel. Centre, KickhamSt. Community Resource Room 9,Clonmel [email protected] hotmail.com tipptraveller-book@ Contact Contact e e e e Promoting Wellbeing through Healthy Reading

Mental Health Difficulties are Promoting Wellbeing through HealthyReading prevalent in Ireland with 1 in the books on bibliotherapy lists 6 of our population having a are based on Cognitive Behaviour Bibliotherapy can be used as mental health need at any given Therapy (CBT). a stand-alone psychological time. Even though Psychological CBT is a recognised intervention, or by those who therapies are recognised as intervention for conditions are on waiting lists for therapy. effective interventions for such as Anxiety, Depression, It can also be used as an adjunct a range of mental health Panic Attacks, Eating Disorders to therapy. The books listed here difficulties, access to such etc. The books on this list are can be directly ordered from a

93 therapies is often limited. written by psychologists who are goodwww.tipperarylibraries.i bookstore or boughte )online In recent years, there clinical experts in their field of (eg Amazon), or they can be is growing recognition, that interest. The books present self- accessedA 150 word from summary your Localreview Library on “Bibliotherapy” is an alternative help versions of recommended (each book can be accessed at the way of increasing access treatment interventions; and following web addresses (URLs to psychological therapy. are similar to what an individual shortened for convenience): Bibliotherapy involves using would receive if they were HSE Web: www.hse.ie/powerofwords self-help books for therapeutic attending psychological therapy. Dublin City Libraries Web: purposes: some studies show Bibliotherapy is not suitable for http://tinyirl.com/lo5eqhi that the use of high quality everyone. It can be beneficial for bibliotherapy books can individuals who are motivated to produce therapeutic outcomes work independently to address (*) denotes the core books (42 in total) that have been comparable to those of drug their mental health difficulty therapy or psychotherapy recommended for placement in all using a structured guided libraries in Ireland (National Institute for Health & approach. Good literacy levels Clinical Excellence, UK). Many of Readingare needed to fully benefit from this approach.Want to Read More…. Reading Bibliotherapy Promoting Wellbeing through HealthyReading Adult Issues Book Title Author(s) Year Addiction 7 Tools to Beat Addiction * Stanton Peele 2004 Get your Loved One Sober: Alternatives to Robert Meyers & Brenda Wolfe 2003 Nagging, Pleading & Threatening * An Introduction to Sensible Drinking * Marcantonio Spada 2001 Overcoming Problem Drinking Marcantonio Spada 2006 Overcoming Compulsive Gambling Alex Blaszczynski 2010

Anger Overcoming Irritability & Anger * William Davies 2000 Managing Anger: Simple Steps to Dealing with Gael Lindenfield 2000 94 Frustration & Threat Act on Life Not Anger Georg Eifert et al 2006

Anxiety An Introduction to Coping with Anxiety * Brenda Hogan & Lee Brosnan 2007 Things might go horribly wrong: A guide to life Kelly Wilson & Tony DuFrene 2010 liberated from Anxiety * Overcoming Anxiety Helen Kennerley 2004 Anti Anxiety Workbook Martin Antony & Peter Norton 2008 Compassionate Mind Guide to Overcoming Denis Tirch 2012 Anxiety: Using Compassionate Focused Therapy to calm Worry, Panic and Fear

Anxiety: An Introduction to Coping with Health Anxiety Charles Young & Brenda Hogan 2007 Health Anxiety Promoting Wellbeing through HealthyReading Adult Issues Book Title Author(s) Year Anxiety: Panic An Introduction to Coping with Panic * Charles Young 2007 When Panic Attacks * Aine Tubridy 2003

Anxiety: An Introduction to Coping with Phobias Brenda Hogan 2007 Phobias

Anxiety: Social Overcoming Social Anxiety & Shyness * Gillian Butler 2003

95 Anxiety I Think they are Overcoming Social Phobia (DVD) * Ronald M Rapee 1998 & Shyness Shyness & Social Anxiety Workbook Martin Antony & Richard Swinson 2008

Anxiety: An Introduction to Coping with Stress * Lee Brosnan 2010 Stress The Relaxation & Stress Reduction Workbook Martha Davis et al 2008 & Worry (6th Edit) * A Mindfulness Based Stress Reduction Workbook Bob Stahl, Elisha Goldstein & 2010 (incl CD) * Saki Santorelli Overcoming Worry Mark Freeston & Kevin Meares 2008 Overcoming Anxiety, Stress & Panic: A Five Areas Chris Williams Approach 2009

Anxiety: An Introduction to Coping with Post Traumatic Ann Wetmore 2010 Traumatic Stress * Stress Reading Want to Read More…. Reading Bibliotherapy Promoting Wellbeing through HealthyReading Adult Issues Book Title Author(s) Year Assertiveness Assert Yourself: Simple Steps to Getting What You Gael Lindenfield 2001 Want (2 nd Edit) *

Bereavement An Introduction to Coping with Grief * Sue Morris 2010 The Courage to Grief * Judy Tatelbaum 1980 Living with Loss Liz Mc Neill Taylor 2008 Overcoming Grief Sue Morris 2008

Body Image Overcoming Body Image Problems David Veale 2009 96

Child Sexual An Introduction to Coping with Childhood Trauma * Helen Kennerley 2011 Abuse (Adult Breaking Free: Help for Survivors of Child Sex Caroyln Ainscough & Kay Toon 2000 Survivors) Abuse * Overcoming Childhood Trauma Helen Kennerley 2000 Dementia The Simplicity of Dementia * Huub Buijssen 2005 The 36 Hour Day: A Family Guide to Caring Nancy L Mace & Peter V Rabins 2011 for People with Alzheimers Disease, Related Dementias, and Memory Loss Adult Promoting Wellbeing through HealthyReading Issues Book Title Author(s) Year Depression Coming Through Depression (CD included) * Tony Bates 2011 An Introduction to Coping with Depression * Lee Brosnan & Brenda Hogan 2007 Depression: The Way out of your Prison Dorothy Rowe 2003 Overcoming Depression Paul Gilbert 2009 Overcoming Depression & Low Mood: A 5 Areas Chris Williams 2012 Approach The Mindful Way Through Depression Mark Williams et al, The Mindfulness & Acceptance Workbook for Kirk Strosahl 2007 Depression: Using Acceptance and Commitment 2008 97 Therapy to Move Through Depression and Create a Life Worth Living (CD included) Depression: Overcoming Postnatal Depression: A 5 Areas Chris Williams, Roch Cantwell & 2008 Post Natal Approach * Karen Robertson An Introduction to Coping with Eating Problems * Gillian Todd 2011 Eating Overcoming Bulimia Nervosa & Binge Eating * Peter Cooper Problems 2010 Anorexia Nervosa: A Survival Guide for Families, Janet Treasure 1997 Friends & Sufferers * Overcoming Anorexia Nervosa Christopher Freeman & Peter 2009 Cooper The Mindfulness & Acceptance Workbook for Kelly Wilson et al Bulimia: A Guide to Breaking Free from Bulimia 2011 using Acceptance and Commitment Therapy

Reading Want to Read More…. Reading Bibliotherapy

Adult Promoting Wellbeing through HealthyReading Issues Book Title Author(s) Year Overcoming Mood Swings Jan Scott Mood Swings 2010 An Introduction to Coping with OCD * Lee Brosnan Obsessive 2007 Obsessive Compulsive Disorder Frederick Toates & Olga Compulsive Coschug Toates Problems Overcoming Obsessive Compulsive Disorder David Veale & Rob Willson 2005 2009 Overcoming Chronic Pain Frances Cole et al Pain 2005 Overcoming Perfectionism Roz Shafron & Sarah Egan Perfectionism 2010 98

Change for the Better: Self Help Through Elizabeth Wilde McCormick 2012 Personal Practical Psychotherapy (4th Edit) * Development The Happiness Trap * Russ Harris 2012 Self Compassion: Stop Beating Yourself Up & Kristen Neff 2011 Leave Insecurity Behind The Gifts of Imperfection: Let go of who you Brené Brown think you are supposed to be and embrace who 2010 you are (CD) Hold me Tight: Seven Conversations for a Sue Johnson 2011 Relationships Lifetime of Love * Women who Love Too Much Robin Norwood 2008 Act with Love: Stop Struggling, Reconcile Russ Harris 2009 Differences, & Strengthen your Relationship with Acceptance Commitment Therapy Adult Promoting Wellbeing through HealthyReading Issues Book Title Author(s) Year Surviving Schizophrenia: A Manual for Families, E. Fuller Torrey 2001 Schizophrenia Consumers & Providers

Self Esteem An Introduction to Improving Your Self Esteem * Melanie Fennell with Lee 2011 Brosnan The Confidence Gap * Russ Harris 2011 10 Days to Great Self Esteem David Burns 2000 The Feeling Good Handbook David Burns 1999

99 Self Harm Dialectical Behaviour Therapy Skills Workbook: Matthew Mc Kay 2007 Practical Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotional Regulation & Distress Tolerance

Sexual Overcoming Sexual Problems Vicki Ford 2010 Problems

Sleep An Introduction to Coping with Sleep Problems Colm Espie 2011

Weight Overcoming Weight Problems Jeremy Gauntlett-Gilbert & 2005 Problems Claire Grace

Reading Want to Read More…. Reading Bibliotherapy: Child & Family Promoting Wellbeing through HealthyReading Child & Book Title Author(s) Year Family

Anxiety What to do when you worry too much: A kid’s guide to Dawn Huebner 2012 Anxiety (6+) * A Hugh Bag of Worries (3+) Virginia Ironside 2004 When my worries get too big: A relaxation book for Kari Dunn Buran 2004 children who live with Anxiety

Autism I am Special: Introducing Children and Young People to Peter Verneulen 2008 their Autism Spectrum Disorder (age 10+) When my Worries get too big: A relaxation book for Kari Dunn Buran 2004 100 Children who live with Anxiety (ages 5-9) – (eg dealing with anxiety around transitions)

Bedtime What to do when you dread Bed (6+) Dawn Huebner 2008

Bereavement Finding a way through when someone close has died * Pat Mood & Lesley 2001 Whittaker Helping Children Cope with the Loss of a Loved One * William C. Kroen 1996 Beyond the Rough Rock: Supporting a child who has been Diana Crossley & Julie 2008 bereaved by Suicide Stokes

Bullying How to Handle Bullies, Teasers and other Meanies (Age Kate Cohen-Posie 2008 8-12) * Bullying : A Parent’s Guide * Jennifer Thompson 2005 Promoting Wellbeing through HealthyReading Child & Book Title Author(s) Year Family Communication How to Talk so Kids Will Listen & Listen so Kids Will Talk Adele Faber & Elaine 1999 Mazlish Depression Coping with Depression in Young People: Carol Fitzpatrick & John 2004 A Guide for Parents Sharry Eating How to Get Your Kids To Eat….But Not Too Much Ellyn Smith 1987

Parenting The Incredible Years- A Trouble Shooting Guide for Parents Carolyn Webster-Stratton 2006 101 of Children (2-8yrs) Parent Power –Bringing up Responsible Children & Teenagers * John Sharry 2002 Parenting is Child’s Play David Coleman 2007 Parenting is Child’s Play: The Teenage Years * David Coleman 2010 Positive Parenting John Sharry 2008 Parenting Infants: What Every Parent Needs to Know Margot Sunderland 2007 STEP: Parenting Young Children (0-5 years) D. Dinkmeyer,GD Mc Kay 1997 STEP: Parent Handbook (6-12 years) et al 1997 STEP: Parenting Teenagers 1998

Separation When Parents Separate: Helping your Children Cope * John Sharry et al 2001

Sibling Rivalry How To Get Your Children To Live Together So You Can Too Adele Faber & Elaine 2004 Mazlish

Reading Want to Read More…. Mental Health Websites Mental Health Commission Irish College of Psychiatrists Network Advocacy Irish Grow (CVNI) Critical Voices Network Ireland Connecting for Life Aware Health Health HSE Info &SupportonMental STAN Mental Health Shine Seechange Reform Health Mental Ireland Health Mental Community for Hearing Voices Hearing for Community International The – Intervoice The Hearing Voices Network Foundation Health Mental (WRAP) Wellness Recovery Action Plan Schizophrenia.com Schizophrenia.com SANE Psychiatrists of Royal College The Illness Mental Rethink Mental Health America (USA) (USA) Health Mental on Alliance National Mind National International Mental HealthWebsites 102 www.connectingforlifesouthtipperary.ie www.mentalhealthrecovery.com www.irishadvocacynetwork.i www.mentalhealthireland.i www.mentalhealthreform.ie www.mentalhealth.org.uk www.yourmentalhealth.ie www.stanmentalhealth.ie www.intervoiceonline.or www.schizophrenia.com www.hearing-voices.or www.irishpsychiatry.i www.greenribbon.ie www.shineonline.i www.repsych.ac.uk www.mind.org.uk www.sane.org.uk www.rethink.or www.nmha.or www.nami.or www.mhcirl.ie www.aware.i www.grow.i www.cvni. ie e e e e e e g g g g g on an informal voluntary basis. is ill, has a disability or is elderly looks after a person or child who Carer: A friend or relative, who Mental Health Services. CAMHS: Child and Adolescent Mental Health Team. CAMHT: Child and Adolescent Treatment involving medication. Biomedical Treatment independently. make choices and decisions Autonomy: Freedom to Intervention Skills Training. ASIST: Applied Suicide in the Health Services. incorporated into routine practice recovery principles can best be aims to identify ways in which Ireland – an initiative which A.R.I: Advancing Recovery in Therapist) and Speech and Language Therapist, Psychologist, Dietician (e.g. Social Worker, Occupational A.H.P: Allied Health Professional accessing services. service users or carers with available to help and support Advocate: A person who is condition. Hyperactivity Disorder, a medical ADHD: Attention Deficit Nursing. ADON : Assistant Director of : Glossary 103 Suicide 2015-2020. National Strategy to Reduce CfL: Connecting for life, Ireland’s and/or their thinking patterns. to change the client’s behaviour, and client work collaboratively During therapy, the therapist behaviour are interconnected. our thoughts, feelings and is based on the premise that on issues from the past. CBT difficulties, rather than focusing deals with current problems and that therapy talking A – Therapy CBT: Cognitive Behavioural of specialist practice. training relevant to his/her area undertaken further education or – a qualified nurse who has CNS: Clinical Nurse Specialist Addiction Counsellor. Occupational Therapist and Staff, Social Worker, Psychologist, a Consultant Psychiatrist, Nursing difficulties. The team comprises users experiencing mental health and treatment to support service assessment specialist provide to professionals who work together Health Team – a team of health CMHT: Community Mental Health Nurse. CMHN needs. plan detailing treatment and care Care Plan: An individualised : Community Mental

Glossary Glossary Consultant Psychiatrist teaching. psychotherapy, research and assessment and intervention, role includes psychological and emotional illness. This treatment of mental, behavioural the diagnosis and psychological who has specialist training in Health): A health professional, Clinical Psychologist (Mental development. rehabilitation and personal support. Services may include voluntarily for continuing social setting where people attend Day Centre: A community values, beliefs and behaviour. Culture: A shared system of wellbeing. are adversely affecting their lives or to address issues that personal difficulties in their individuals or couples to address professional who helps Counsellor: A trained the individual’s specific needs. the individual is determined by and range of services offered to individual over time. The nature refers to the care offered to an Continuity ofCare: This mental ill health. assessment and treatment of has a specialist training in the trained medical doctor who : A

Glossary 104 with with mental health problems. substance misuse issues combined a person at the same time e.g. more problems/disorders affect Dual Diagnosis: when two or health diagnoses. the DSM-5 to confirm mental mental health professionals use for diagnosis. Physicians and and the standard criteria required recognised psychiatric disorders, information on officially Association, which provides by the American Psychiatric Edition. A manual published Manual of Mental Disorders - 5 DSM-5: Diagnostic & Statistical DOP: Department of Psychiatry. DON and Personal Effectiveness. Regulation, Distress Tolerance, in Mindfulness, Emotional and group skills training comprises individual therapy, dysregulation. Treatment presenting with severe emotional approach for individuals Therapy is a specific treatment DBT: Dialectical Behaviour conditions. and help manage existing promote health, prevent disease nutrition and diet in order to based advise on all aspects of status and provides evidence- who assesses diet and nutritional Dietician: Health professional : Director of Nursing. th

specialist services if needed. the community and refers onto health services to people in (doctor) provides general GP: A General Practitioner and other relevant issues. individuals around relationships therapy for families, couples and psychotherapist who provides Family Therapist Department). (Accident and Emergency situations, also known as A&E immediately or in crisis can access medical treatment where members of the public is a walk in centre in hospitals E.D: Emergency Department and using muscle relaxants. given under general anaesthetic medication. The treatment is that has not benefitted from to relieve severe depression a seizure/fit; in an attempt through the brain to trigger sending an electric current is a treatment that involves ECT: Electro-convulsive therapy ECD: Executive Clinical Director. psychosis, eating disorders). mental health experience (e.g. the early signs / symptoms of a individuals who are displaying Interventions targeted at Early Intervention: : A Glossary 105 and bring about organisational partnership to develop systems (including mental health) work in users and service providers – a new approach where service through Organisational Change ImROC: Implementing Recovery ID: Intellectual Disability Ireland. care services to those living in provides public health and social HSE: Health Service Executive – social care systems. and quality of the healthcare and Ireland which monitors the safety government funded agency in statutory a is Authority Quality HIQA: Health Information & inpatient care. of time, as an alternative to patients for a limited period and treatment to acutely ill professionals who provide care Team: a team of mental health TreatmentHBTT: Home Based change individual behaviour. awareness and to modify or distress, to increase individual of the group members to reduce uses the emotional interactions facilitates the therapy group, and similar difficulties. The therapist individuals who present with involving groups of 4-12 Group Therapy: Therapy

Glossary Glossary advice and supportive practical as possible. The OT provides independently as live to ability is to increase the individual’s in community mental health purpose of occupational therapy of day to day life skills. The person’s functioning in terms special in skills assessing the a health professional who has OT: Occupational Therapist – Prevention NOSP: National Office of Suicide Authority NDA: National Disability professionals team of health and social care A Multidisciplinary Team: voluntary and statutory agencies. management and liaising with supportive counselling, case role can include advocacy work, family’s mental wellbeing. The impacting on the individual’s / social needs which may be families to assess and address who works with individuals and Workers: A health professional Mental Health Social MHC: Mental Health Commission these services. and wellbeing for those attending change that supports recovery Glossary 106 with with information about their with mental health difficulties includes supporting the person area of mental health. The role has specialist training in the Health Nurse: A nurse who Psychiatric Nurse/ specialist services. needs are likely to be referred to who present with more complex Social Work Services. Individuals Counselling, Psychology and Physiotherapy, OT services, help. Can include GP services, of contact for individuals seeking Services: Provides the first point Primary CareHealth activity. governs mental health service Policy: A plan of action that specific mental healthneeds. determined by the service user’s attendance at outpatient clinics is their care plan. The frequency of and ongoing management of the assessment, follow up care with the service user to discuss the multidisciplinary team meet Psychiatrist and/or members of (Psychiatry): Clinics where the Out Patient Clinics skills. management and social/living development, self care, stress training programmes, personal strategies in relation to further Mental is currently availing of health to describe any individual who Service User : A word used Mental Health Nurse. RPN support. can access brief time- limited service where service users Respite Care: A residential Occupational Therapy support. Psychology, Social Work and /or but may include Nursing, the individual’s specific needs, provided will be dependent on independently. The services individuals to return to living disability. The aim is to help independence and reduce of therapy designed to restore Rehabilitation: A programme for treatment. but without overall responsibility qualification in mental health, specialist a with doctor medical Registrar inMental Health: A required. family members and/or carers if MHN can also provide support to its effects and side effects. The in relation to medication and also provide psycho-education The Mental Health Nurse can illness and treatments available.

: Registered Psychiatric or Glossary 107 Organisation W.H.O: World Health Action Plan. WRAP: Wellness Recovery Health Services should be run. policy framework about how the provides a comprehensive by the Government which (2006): A report published AVFC: A Vision for Change Consumer Panel S.T.C.P: TipperarySouth Action Network - Mental Health. S.T.A.N: TipperarySouth issue for them. difficulties identify stigma as an individuals mentalwith health lack of understanding. Many people, often caused by a attitude or prejudice at some Stigma: Society’s negative available to other people. and services that are generally to access activities, benefits disadvantaged groups are able Ensuring that vulnerable or Social Inclusion: the terms patient or client. is often interchangeable with services. The term service user

Glossary Disclaimer

Use of this directory means that you have understood and accepted the disclaimer terms and conditions set out below:

This directory was compiled by South Tipperary Action Network (STAN mental health), and is intended to be an information resource for both individuals who avail of Adult Mental Health Services in South Tipperary, their families and friends, and for health and social care professionals and other service providers involved in delivering such services.

The material contained in this directory is provided for general information purposes only and does not constitute care, treatment or other professional advice. Individuals are welcome to use the material contained in the directory but decisions with respect to specific care models are a matter for individual choice. Due to the general nature of the information in this directory, should you require specific help, you should seek the assistance of an appropriately trained professional.

In no event shall liability exist to any user (or any third party who obtains access to the information) under any law for any loss or damage (including but not limited to direct, indirect, economic and consequential damage) in respect of any matter whatsoever related to any information in the directory nor for the use of the information nor for actions taken or not taken as a result of information contained in the directory (including, without limitation, loss or damage caused by negligence).

Whilst all reasonable care has been taken in the preparation of the information, due to the nature of the publication, the information may not be complete, correct or up to date.