Warning signs: when to get help
These are the site's lines from our yoga for depression, stress, eating disorders and other yoga guides, word for word. This is general information, not a diagnosis. A&E means accident and emergency; in the US, call 911 for 999, and use your doctor's urgent line or urgent care for NHS 111.
Get help straight away
The NHS says a mental health emergency should be taken as seriously as a physical one, and that you will not be wasting anyone's time.
- Call 999 or go to A&E if your life is at risk: for example, you have seriously harmed yourself or taken an overdose, or you feel you can't keep yourself safe.
- For urgent help in England, call 111 and select the mental health option, or use 111 online.
- Call Samaritans on 116 123. It is free, any time, day or night.
- In the US, call or text 988, the 988 Suicide and Crisis Lifeline, any time.
Sources 56, 57, 58, 59
Get urgent help today
- In England, call 111 and select the mental health option, use 111 online, or ask for an urgent GP appointment.
- Call Samaritans free on 116 123, any time, day or night (UK and Ireland).
- Text SHOUT to 85258, any time.
- Contact your mental health crisis team if you have one.
- In the US, call or text 988, the 988 Suicide and Crisis Lifeline, any time.
Sources 56, 57, 58, 59
See a GP soon
- You have felt low, or lost interest in things you used to enjoy, for weeks rather than days. The NHS says it's best not to delay.
- Exercise hasn't helped after a fair trial, or you're getting worse.
Sources 60, 48, 54
Low self-esteem that is affecting your life
The NHS says "Talking therapies like counselling or cognitive behavioural therapy (CBT) can help.", "You can refer yourself for talking therapies on the NHS." and "If you prefer, you can talk to a GP first and they can refer you."
Source 1
Worry about weight, shape or eating
The NHS lists signs such as spending a lot of time worrying about your weight and body shape, exercising too much, and having very strict habits or routines around food. If that sounds like you, see a GP as soon as you can. You can also talk in confidence to the eating disorder charity Beat: 0808 801 0677 (England), 0808 801 0432 (Scotland), 0808 801 0433 (Wales) or 0808 801 0434 (Northern Ireland), 3pm to 8pm, Monday to Friday.
Sources 51, 61
Exercise that becomes compulsive
Exercising compulsively, or to control your weight or make up for eating, can be a sign of an eating disorder. Our exercise and eating disorders guide explains the signs and where to get help.
Chest pain or fainting while exercising: call 999
Call 999 if:
- You get sudden pain or discomfort in your chest that doesn't go away; it can feel like squeezing or pressure, burning or indigestion.
- The pain spreads to your left or right arm, or your neck, jaw, stomach or back.
- You have chest pain and feel sweaty, sick, light-headed or short of breath.
- Someone faints while exercising, can't be woken within 1 minute, or has chest pain or a pounding, fluttering or irregular heartbeat.
Sources 62, 63
Unusual breathlessness
Call 999 or go to A&E (accident and emergency) straight away for severe difficulty breathing (gasping, choking or not able to get words out), a chest that feels tight or heavy, pain that spreads to your arms, back, neck and jaw, lips or skin turning very pale, blue or grey, or sudden confusion. If you're more short of breath than usual, or your heart is racing, fluttering or skipping beats, contact NHS 111.
Source 64
Stop and get medical help
If you get chest pain or pressure, feel faint or dizzy, are unusually breathless, or your heart races or beats irregularly during exercise, as our plans advise.
During yoga
A joint pain that is sharp, gets worse during a session, lingers into the next day or changes how you move is a reason to use an easier version, and to see a GP or physiotherapist if it keeps happening (the rule in our plans). Muscle soreness for a day or two after something new is normal. In a hot class, stop if you feel dizzy, sick or unwell; our hot yoga guide lists the signs of heat illness.
You can say no to any hands-on adjustment, and a teacher registered with Yoga Alliance must get your explicit consent each time.
Sources 65, 66
Head-down poses, bones and pregnancy
With glaucoma, or high blood pressure that isn't under control, skip headstands, shoulder stands and long head-down holds. With osteoporosis, swap deep forward folds for a flat-back hinge from the hips, and twist smoothly. In pregnancy, our yoga in pregnancy guide covers the changes. NCCIH advises beginners to avoid headstands, shoulder stands, the lotus position and forceful breathing.
Sources 67, 65
Before you start
The NHS advises getting advice from a healthcare professional first if you have a health problem, an injury or symptoms, or have recently had a heart attack or an operation.
If you have a heart, lung or joint condition, are pregnant or have recently been unwell, start gently and read our guide for your condition. Muscle soreness for a day or two after a new exercise is common and fades as you repeat it.