Mental health
For many people, the impact of Long Covid on mental health is profound. Persistent symptoms, uncertainty, isolation, and changes to work, finances, relationships and identity understandably have a major impact on people’s emotional wellbeing. Some people also experience anxiety or low mood as part of the illness itself.
You do not have to face this alone
Many people find it helps to speak to others who understand. Our online peer support community offers a space to share experiences, feel less isolated, and find practical support from others living with Long Covid. We also run in-person peer support groups in some areas, for people who would benefit from face-to-face connection.
What it can feel like
anxiety, panic, feeling “on edge”, or a sense of dread
low mood, hopelessness, tearfulness, irritability
grief and loss (for health, independence, identity, work, plans)
feeling overwhelmed, emotionally “flat”, or unable to cope
loss of confidence and withdrawal from social life
frustration, anger, or feeling dismissed or disbelieved
symptoms worsening during flares, after exertion, or when sleep is poor
It can also be helpful to know that some anxiety-like sensations (such as racing heart, breathlessness, dizziness, shakiness) can overlap with physical symptoms linked to PoTS/dysautonomia, breathing changes, or MCAS.
What can help day to day
There is no single approach that works for everyone.
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If anxiety or low mood is persistent, or if you feel you are struggling to cope, it is appropriate to speak to your GP. Support can include talking therapies, counselling, peer support, and where appropriate medication.
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Connection can be protective, but Long Covid can limit what is possible. Many people find smaller, lower-pressure contact works best, such as brief phone calls, texts, or short visits.
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Emotional wellbeing often worsens when symptoms flare or when PEM is present. It may help to plan for this by reducing demands, prioritising rest, and asking for practical support where possible.
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Work, benefits, caring responsibilities and financial pressure can significantly affect mental wellbeing. Support with workplace adjustments, fit notes, and navigating services can reduce strain. (See our Getting help page.)
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Some people find gentle routines helpful, such as calm audio, breathing exercises, short time outside, or structured rest.
RESOURCES
Finding immediate support and helplines
HelpGuide.org: international directory of mental health helplines, Helplines Partnership: “Find a Helpline” hub (UK directory of helplines).
Long Covid and mental health resources
Olivia Belknap: resources on Covid and mental health impacts, including materials to support conversations with clinicians, Covid Conscious Therapists: directory of therapists who state they understand ongoing Covid-related stress and precautions.
General mental health support (UK)
Samaritans (24/7): 116 123, Mind: mental health information and support, Every Mind Matters: practical tips and activities (NHS), Childline (under 18s): 0800 1111, National Bereavement Alliance: directory of bereavement support organisations, Cruse Bereavement Support: free bereavement helpline 0808 808 1677