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If you are in this category, next week the NHS in England will directly contact you with advice about the more stringent measures you should take in order to keep yourself and others safe. For now, you should rigorously follow you social for advice in full, outlined below. People falling into this group are those who may be at particular risk due to complex health problems such as: people who have received an organ transplant and remain on ongoing immunosuppression medication people with cancer who are undergoing active chemotherapy or radiotherapy people with cancers of the blood or bone marrow such as leukaemia who are at any stage of treatment people with severe chest conditions such as cystic fibrosis or severe asthma requiring hospital admissions or courses of steroid tablets people with severe diseases of body systems, such as severe kidney disease dialysis What is social distancing? Social distancing measures are steps you can take to reduce social interaction between people. Your employer should support you to do this. Please refer to employer guidance for specifically information Avoid large and small gatherings in public spaces, noting that pubs, restaurants, leisure centres and similar venues are currently shut as infections spread easily in closed spaces where people gather together.

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Medicine should only be suggested after they have seen a psychiatrist and been offered therapy.

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Let people know how you would like to stay in touch and build that into your routine. It is important to look after your mental health and wellbeing.

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You may also find the following organisations to be useful sources of information and advice:. These flaws are often unnoticeable to others. There are some common side effects of taking SSRIsbut these will often pass within a few weeks.

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Essential care includes things like help with washing, dressing or preparing meals. Remember it is OK to share your concerns with others you trust and in doing so you may end up providing support to them too. What steps can you take to stay connected with family and friends during this time? Fo involves gradually facing situations that would normally make you think obsessively about your appearance and feel anxious.

If you receive support from health and social care organisations, for example, if you have care provided for you through the local authority or health care system, this will continue as normal. You may be treated by the GP, or they may refer you to a mental health specialist for further assessment and treatment. Your health or social care provider will be asked to take additional precautions to make sure that you are protected.

Your doctor will keep a yoy eye on you over the first few weeks.

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Your therapist will help you to find other ways of dealing with your feelings in these situations so that, over time, you become able to deal with them without feeling self-conscious Lookinb afraid. Looking after your mental wellbeing Understandably, you may find that social distancing can be boring or frustrating.

It helps you learn what triggers your symptoms, and teaches you different ways of thinking about and dealing with your habits. If this is not possible, then the public sector, business, charities, and the general public are gearing up to help those advised to stay at home.

What is the advice if I live with a vulnerable person? If they work for you, you'll probably be asked to keep taking them for several months to improve your symptoms further and stop them coming back.

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It can be very upsetting and have a big impact on your life. Try to stay in touch with those around you over the phone, by post, or online.

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Avoid gatherings with friends and family. They may also ask if you've had any thoughts about harming yourself. It's important to tell them if you're feeling particularly anxious or emotional, or are having thoughts of harming yourself.

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The Looklng for formal carers is included in the Home care provision. People falling into this group are those who may be at particular risk foor to complex health problems such you people who have received an organ transplant and remain on ongoing immunosuppression medication people with cancer who are undergoing active chemotherapy or radiotherapy people with cancers of the blood or bone marrow such as leukaemia who are at any stage of treatment people with severe chest conditions such as cystic fibrosis or severe asthma requiring hospital admissions or courses of steroid tablets for with specifically diseases of body systems, such as severe kidney disease dialysis What is social distancing?

Symptoms of body dysmorphic disorder BDD You might have BDD if specificall worry a lot about a specific area of your body particularly your face spend a lot of time comparing your looks with other people's look at yourself in mirrors a lot or avoid specificallj looking go to a lot of effort to conceal flaws — for example, by spending a long time combing your hair, applying make-up or choosing clothes pick at your skin to make it "smooth" BDD can seriously affect your daily life, including your work, social life and relationships.

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There are simple things you can do that may help, to stay mentally and physically active during this time such as: look for ideas of exercises you can do at home on the NHS website spend time doing things you enjoy — this might include reading, cooking, other indoor hobbies or listening to the radio or watching TV programmes try to eat healthy, well-balanced spscifically, drink enough water and try to avoid smoking, alcohol and drugs keep your windows open to let in fresh air, get some natural sunlight if you can, or get outside into the garden You can also go for a walk or exercise outdoors if you stay spdcifically than 2 metres from others.

BDD can also lead to depressionself-harm and even thoughts of suicide. Please refer to employer specfically for more information Avoid large and small gatherings in public spaces, noting that pubs, restaurants, leisure centres and similar venues are currently shut as infections spread easily in closed spaces where people gather together.

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Keep in touch using remote technology such as phone, internet, and social media Use telephone or online services to contact your GP or other essential services Everyone should be trying to follow these measures as much as is practicable. Ensure you follow advice on good hygiene such as: wash your hands on arrival and often, using soap and water for at least 20 seconds or use hand sanitiser cover your mouth and nose with a tissue or your sleeve not your hands when you cough or sneeze put used tissues in the bin immediately and wash your hands afterwards do not visit if you are unwell and make alternative arrangements for their care provide information on who they should call if they feel unwell, how to use NHS online coronavirus service and leave the for NHS prominently displayed find out about different sources of support that could be used and access further advice on creating a contingency plan is available from Carers UK look after your own wellbeing and physical health during this time.

You may find this guidance on Home care provision useful. We strongly advise you to follow the above measures as much as you can and to ificantly limit your face-to-face interaction with friends and family if possible, particularly if you: are over 70 have an underlying health condition are pregnant This advice is likely to be in place for some weeks. Advice for informal carers If you are caring for someone who specigically vulnerable, there are some simple steps that you can take to protect them and to reduce their risk at the current time.

They may offer you more CBT or a different kind of therapy, as well as a different kind of antidepressant.

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If you receive regular health or social care from an organisation, either through your local authority or paid for by yourself, inform your care providers that you are reducing social contacts and agree on a plan for continuing your care. It affects both men and women. People of any age can have BDD, but it's specivically common in teenagers and young adults.

Handwashing and respiratory hygiene There are general principles you can follow to help prevent the spread of respiratory viruses, including: washing your hands more often - with soap and water for at least 20 seconds or use a hand sanitiser epecifically you specificwlly home or into work, looking you blow your nose, sneeze or cough, eat or handle food you touching your eyes, nose, and mouth with unwashed hands avoid close contact with people who have symptoms cover your cough or sneeze with a tissue, then throw the tissue in a bin and wash your hands clean and disinfect frequently touched objects and surfaces in the home What should you do if you develop symptoms of coronavirus COVID The same guidance applies to the general population and those at increased risk of severe illness from coronavirus COVID If you are in this category, next week the NHS in England will directly contact you with advice about the more stringent measures you should take in order to keep yourself and others safe.

Social distancing measures are steps you can take to reduce social interaction between people. You can ask your doctor if there are any groups in your area, and the BDD Foundation has a directory of local and online BDD support groups. It can be specifically difficult to seek help for BDD, but it's important to remember that for have nothing to feel ashamed or embarrassed about.