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Are you One of the Billion Migraine Sufferers?

woman-migraine

There are one billion people in the world like me (and most likely like you too, since you are reading this blog): people who suffer from migraine. Although you already knew it was so common, you still probably feel (as I do!) that you are the only person in the world who suffers this much, and in a way no-one else can understand.

This is called the paradox of living with chronic pain disease. It is so much easier with flu: during the flu season most people around you are also sneezing, coughing and moaning, at workplaces or at home in bed. It helps to know that you are not alone. It makes suffering tolerable. When ill, you may enjoy being pampered by healthy family members. You may even update your Instagram with a photo of you on a couch in front of the TV with a blanket and a bowl of chicken soup. Post #sickasapuppy and empathetic faces, thumbs and hearts will fill the screen.

During migraine attack, there is no-one but you and the pain inside your head. The excruciating pain grabs all your attention, unplugs your power cords, shoots you with a taser, holds you to ransom. It allows no people in sight. Pillow adjustments by the loving spouse make no difference. Selfies do not even cross your mind. The only thing you care about is to get rid of the pain. You count the minutes.

Migraine is one of the most severe and disabling neuropathic pains one can experience. That is a solid fact. When, where and how migraine affects people varies considerably between people, and also within each individual. A billion people means several billion variations of migraine attacks. Not every attack is identical, nor are the triggers always the same. The pain-free periods between the attacks also differ. For the lucky ones, it is 24 months; for the unlucky ones, it is 24 hours.

A billion people is a massive peer group. That said, it is still only you who knows your migraine and only you can find the best ways to live a good and meaningful life with this disease. Despite this disease.

You don’t have to figure out everything by yourself, though. So much scientific evidence, and understanding of good practices, has emerged during recent years on effective ways to treat migraine attacks – as well as prolong pain-free periods – that all the tools you need for your own toolbox are already out there. You just need some easily digestible information, some perseverance, some help from skillful healthcare professionals…  and some support from the billion peers, of course.

Written by Dr. Helena Miranda, pain physician, chronic pain sufferer (including migraine), and author of the new book Rethinking Pain – How to live well with chronic pain.

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Irritable Bowel Syndrome & Giardia – A Q&A with Susan Koten

What was the inspiration behind your book?

Experiencing the trauma and desperation of my life being turned upside down with the sudden onset of IBS symptoms fifteen years ago, and the lack of help available. This experience stayed with me and when I started to see and treat patients in my clinical practice who were going through the same experience, I knew I would one day write a book about it and Irritable Bowel Syndrome & Giardia is the end result of all that experience.

What was the most challenging part of writing the book?

This is my first book and when I started the project 10 years ago, I had no idea the amount of work that lay ahead to finally get it published.  This book has the potential to change people’s lives for the better so it was important extreme care and research went into writing it. With a busy practice to run, I would often start writing at 10pm and finish at 2am – this has always been my quiet time and I could concentrate with no interruption.

What has been the most satisfying part of the writing process?

My aim is to pass my knowledge on to those who need it and as I delved deeper into the subject matter, to understand how and why the clinical observations and patterns of my patients were presenting themselves, I have found writing it down and putting all this information together in a manuscript, has allowed me to achieve this.

Did anything surprise you while writing IBS & Giardia?

About seven years ago I changed my treatment strategy to a more gentle approach and the results surprised and amazed me which is reflected in the book.

What sort of people would benefit most by reading your book?

This book is for anyone who is struggling with the health of their digestive system and other related disorders. It is also aimed at health professionals, both allopathic and alternative, who are treating these patients.  It is my hope that the information contained in this book, and the personal testimonies of my patients who were suffering with what is currently a chronic and untreatable diagnosis, (IBS), will bring hope and healing to those who are unwitting hosts to the Giardia parasite. Of course I appreciate this parasite is not responsible for all digestive issues but in my experience a Giardia infestation is very often overlooked as the cause of digestive problems and this then leads to misdiagnosis and a life of misery for those affected.

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Happy International Falafel Day

Falafel recipe

Today – 12 June – marks International Falafel Day! Deep-fried and composed of chickpeas or fava beans, this Middle Eastern food is often found wrapped up in a pita bread, or served with salad and sauces.  A favorite among meat-eaters and vegetarians alike, the latter of whom will often find it presented as an alternative to meat, falafel is one food that certainly deserves its own day of recognition.

To celebrate your favourite chickpea treat, we are sharing a special, new recipe from Iida van der Byl-Knoefel, author of A Kitchen Fairytale. This falafel recipe, complete with Tahini miso dressing, is brand new, made especially for International Falafel Day. Enjoy!

Falafel recipe

Falafel
2 portions
Ingredients:
  • 1 heaping cup of cooked, drained and patted dry chickpeas
  • 0.3 cup of mixed coriander and parsley leaves
  • 2 cloves of garlic, minced
  • 0.5 tsp cumin powder
  • 1 teeny tiny onion, chopped (approximately 2 tbsp)
  • 0.5 tsp bicarbonate of soda
  • 3 tbsp oat flour (blend oats on their own for a few seconds to get oat flour)
  • Black pepper
  • 0.5 tsp Himalayan pink salt

Method:

  1. Turn the oven to 200C (400F).
  2. Set aside 2 tbsp of chickpeas.
  3. Place the rest of the ingredients in a food processed and blend until you have a nice, crumbly consistency, about 1 minute.  When done, add the remaining 2 tbsp of chickpeas and blend for another few seconds as it is nice to have some varying textures in there.
  4. Put the mixture in the fridge for an hour to allow it to set.
  5. After an hour, using your hands, make small round balls with the dough, about 2 tbsp each, and pat down on a non-stick ovenproof sheet – or baking paper – in an ovenproof dish.  You will get eight of them.
  6. Bake in the oven for 15 minutes.
  7. Serve in pita bread/your choice of gluten free bread with generous amounts of shredded lettuce, sliced onion, tomato and cucumber and this heavenly dressing drizzled on top:
Tahini/miso dressing 
Ingredients:
  • 2 tbsp Tahini
  • 1-2 tsp brown rice miso paste
  • 2 tsp maple syrup
  • 4-5 tbsp of near-boiling water

Method:

  1. Add the tahini, 1 tsp of miso paste and the maple syrup to a mug.
  2. Start stirring in the water, one tablespoon at the time.  Note that the water mustn’t boil completely, in order to retain the wonderful enzymes in the miso paste.
  3. Keep adding water until you have a smooth dressing consistency.  You can add more miso for stronger flavour.
  4. Drizzle the dressing over your falafel creations and enjoy!  This makes a big batch of dressing so you will have plenty for many more days to come.
Falafel recipe
Yum!
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The Emotional Journey of My Decision to Undergo Risk-Reducing Surgery

Understanding BRCA

Clarissa Foster is the author of Understanding BRCA – Living with the Breast Cancer Gene. Her book was highly commended by the BMA in the Medical Book Awards, and recently, she was awarded the Beryl Bainbridge First Time Author Award at the 2019 People’s Book Prize. She was also a finalist for Best Author in the nonfiction category. The following post originally appeared in the BMJ blog for BMJ Sexual & Reproductive Health.

By Clarissa Foster, Author of ‘Understanding BRCA’

After learning that I carried a harmful BRCA2 gene mutation, I needed to make the decision on how I would manage my increased risk of breast and ovarian cancer. For a very brief moment, I considered the possibility of doing nothing at all – after all, I might never go on to develop cancer; I might be one of the lucky ones. But, the odds were very heavily stacked against me. If I knew that my flight had up to an 85% probability of crashing, I wouldn’t get on that plane! Likewise, if I knew that I had up to an 85% risk of breast cancer, I wouldn’t choose to do nothing about it.

I had three options available to me; enhanced screening, chemoprevention and risk-reducing surgery. Personally, I did not feel comfortable with breast screening throughout the course of my life for the simple reason that my risk of developing breast cancer was exceptionally high. Even if I was lucky enough for it to be caught early, I considered the fact that there were women whose cancers had been detected at an early stage who had still succumbed to their disease. Furthermore, with this option, I knew that I would always be living in fear of developing breast cancer. With regards to ovarian screening, I was advised by my genetic counsellor that there would be no screening available to me under the NHS as it was considered to be ineffective.

As far as chemoprevention was concerned, I disliked the idea of taking medications, such as tamoxifen, to lower my risk of developing breast cancer. This was partly because the side-effects experienced by people taking this drug can be extremely difficult to tolerate, causing many to stop taking it long before the five year period is up, and also partly because of the associated increased risk of uterine cancer. In addition, I felt that taking a low-dose oral contraceptive, which might lower my likelihood of ovarian cancer, was not the right choice either, because of the slightly increased risk of associated breast cancer. For these reasons, chemoprevention was not an option with which I was comfortable.

This left me with the possibility of risk-reducing surgery. Whilst this was the most drastic, and in no way an appealing option, it was the one which would give me the greatest reduction in risk of developing both breast and ovarian cancer. These at-risk tissues could be removed from my body, thereby lowering my risk of ovarian cancer down to approximately 1% and my risk of breast cancer down to approximately 3-5% to age 70. Being able to reduce my risks down to as low as this was phenomenal and, for me personally, it felt like the most logical step to take. Personally, I wanted to lower my risk of developing breast cancer and ovarian cancer by as much as possible and, for this reason, I soon knew that undergoing removal of my ovaries and tubes, known as a bilateral salpingo-oophorectomy (BSO), and a bilateral mastectomy was the right decision for me.

However, an emotion which lingered for many months was this feeling of having a choice, but not really having a choice. I didn’t want to have to have my ovaries or my breasts removed, but I knew that doing so would give me the very best protection against cancer. Very reluctantly, I began to prepare myself, mentally and emotionally, for major and life-changing surgery.

Having seen my mum suffer ovarian cancer, the decision to remove my ovaries and fallopian tubes was certainly the easier of the two decisions to make. I would do whatever it took to avoid ovarian cancer, but what was difficult was the fear of the unknown and the fear of what it might do to my health in other ways. I was terrified by the idea of going through the menopause and, particularly, a surgically induced menopause, as I was aware that this could be more severe than a natural one. Until now, the menopause was something a long way off in my future and not something I had ever really given any thought to at the relatively young age of 35.

Coming to terms with the decision to remove my breasts was an extremely difficult and emotional process. They were a very important part of my womanhood. I had only recently finished breastfeeding my youngest, which had been one of the most beautiful experiences in my life, and now to have to face removing them felt as if I was betraying them in some way, and worse still was the fear that I would feel mutilated or even violated by these surgeries. In addition, my breasts played a very important part in my love life and I wondered what effect losing them, and the erotic sensation that I would lose along with them, would have on my overall enjoyment of making love. Trying to look at the positives, however, if there was ever a right time to have to lose them, it would be after they had fulfilled their role breastfeeding my children and prior to them becoming a threat to my life. Only naturally, I questioned whether I would feel less of a woman without my breasts and ovaries – after all, it was these parts of my body which made me female. Fearing this as a possibility was just awful, but while this mutation could take my ovaries and breasts, it couldn’t remove my XX chromosome. I figured, I am genetically female and always will be – nothing can change that. Furthermore, my husband reassured me that, in his eyes, I would be more of a woman for finding the bravery and strength to face my fate head on and to do whatever was necessary to protect our family from the trauma of cancer.

My full personal journey, and an in-depth analysis of the science and medical literature relating to BRCA gene mutations, can be found in my book, ‘Understanding BRCA’, available via Amazon and all good book retailers. I am delighted to say that my book has been ‘highly commended’ by The British Medical Association (BMA) and is, also, a Finalist of The People’s Book Prize competition.

If you have been found to carry a harmful BRCA gene mutation, or if you fear that you may be at high risk of breast and/or ovarian cancer, please get in touch and I will do all that I can to provide as much support as possible. I can be reached via my webpage and associated Facebook support group – Understanding BRCA.

You can also read the first chapter of Clarissa’s book for free here.

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Celebrating the Healing Power of Garlic

The healing power of garlic

19th April marks National Garlic Day. To celebrate, we thought we would take some time to acknowledge the healing power of this versatile plant. Below is an excerpt from Nature Cures, a book by NH Hawes.

Garlic (Allium Sativa)

Native to central Asia, garlic is one of the oldest cultivated plants in the world and has been grown for over 5000 years. Ancient Egyptians appear to have been the first to cultivate this plant and it had an important role in their culture. It was revered and placed in the tombs of Pharoahs and also given to the slaves that built the Pyramids too enhance their endurance and strength.

The garlic bulb is a natural antibiotic, antimicrobial, antifungal, cleanser and antioxidant and aids the body’s natural ability to resist disease. Garlic has been used for expelling intestinal worms and parasites from ancient times by the Chinese, Greeks, Romans, Hindus and Babylonians. It is a natural anthelmintic and is especially useful against giardia, leishmania, plasmodium roundworms and trypanosomes.

Tips on Using Garlic

  • Always add crushed or chopped garlic at the end of cooking a meal to retain the powerful properties that prolonged heat can destroy
  • Never store garlic in oil at room temperature as this provides the perfect conditions for producing botulism, regardless of whether the garlic is fresh or has been roasted.
  • Garlic should be avoided by persons diagnosed with lupus (systemic lupus erythematosus)

Ailments Garlic Can Help to Treat and Protect Against

  • Anaemia
  • Arthritis
  • Asthma
  • Bacterial infections
  • Bronchitis
  • Cancer
  • Colds
  • Colitis
  • Colon Cancer
  • Diarrhea
  • Digestive disorders
  • Fever
  • Food poisoning
  • Herpes
  • High Blood Pressure
  • Influenza
  • Liver disorders
  • Nasal and sinus congestion
  • Parasites and worms
  • Poor circulation
  • Prostate disorders
  • Renal cancer
  • Toothache
  • Tumours
  • Whooping cough
  • And many more…

To learn more about garlic and other natural food remedies, check out Nature Cures by NH Hawes.

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Vote in The People’s Book Prize

People's book prize

Recently, the People’s Book Prize announced 36 finalists in three categories: fiction, non-fiction and children’s books. The annual awards, now in its 10th year, celebrates the best in each category as voted on by readers. This year, we are extremely pleased to have three of our authors nominated in the non-fiction category:

The winners in each category are determined by votes. The People’s Book Prize is a great opportunity for us and our authors to seek the support of our many readers and to be judged by the actual readers of our books.

In the last awards, Hammersmith Health Books received the Best Publisher Award, which was a huge boost for a small independent like us. The glass trophy stands proudly in the office and encourages us to keep challenging received wisdom in relation to health and wellbeing.

The awards rely on your votes. If you already voted in the first round, you can vote again so please head over to the People’s Book Prize website and pick your favourites in each category. Here’s how to vote:

Voting is open now until the end of the month and the winners will be announced at a special, black-tie event in early May. The evening will also see the presentation of the Beryl Bainbridge Award for First time Author, the People’s Book Prize for Best Publisher, and the People’s Book Prize for Best Achievement.

We wish Lynn Crilly, Clarissa Foster, Dr Sarah Myhill and Craig Robinson the best of luck in this year’s awards.

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Five Questions with Lynn Crilly, author of Hope with Eating Disorders

Lynn Crilly with books

Lynn Crilly is an award-winning counsellor, author and mother of twin girls. After finding one of her twin daughters, Samantha, was struggling with anorexia nervosa and OCD, and having followed the conventional routes to no avail, Lynn took the decision to follow her gut instincts and rehabilitate Samantha herself. She subsequently developed her unique form of counselling to support sufferers and their families going through similar experiences. Lynn continues to work with families battling mental health issues every day at her clinic in Surrey. She recently released a second edition of her book, Hope with Eating Disorders. We sat down with Lynn to ask her five questions about the book…

What was the inspiration behind your book?

After the recovery of my own daughter, I was asked by many other families to write down my own experience and how I managed to support my daughter into recovery from Anorexia Nervosa. One friend suggested I write a book, and that is how the first Edition of Hope with Eating Disorders came around. It has been over 7 years since the release of the first edition and so much has changed with the knowledge and understanding of mental illness and especially eating disorders. It was time re-write the book with the new knowledge I had learnt both professionally and personally.

What was the most challenging part of writing the book?

When I started writing the second edition, I thought it would be a case of adding and taking away little bits here and there. When it actually got down to it, I hadn’t actually realised just HOW much everything has changed. The hardest part was actually that I had to pretty much re-write most of the book!

What has been the most satisfying part of the writing process?

Being able to share my new knowledge and message of Hope with the readers of my book.

Did anything surprise you while writing Hope with Eating Disorders?

The amount of support we received from professional in the field, contributors who have suffered with an eating disorder, families who have struggles, and many others. Everyone has always been so supportive, and without them, the book would not be as relatable and full of hope.

What sort of people would benefit most by reading your book?

Anyone who is affected by an eating disorder, the book is mainly aimed at carers, however, I pride my books on the fact they do not contain anything triggering, so anyone can read them. They are also useful for teachers and professionals as they can help in spotting signs and how to start a conversation.

To read more about Lynn’s work, go to her website here. You can purchase a copy of her book (either eBook or paperback), from our website  here

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Five Questions with Richard Shaw, author of Conquer Type 2 Diabetes

CRAB & RADISH STACK (VARIATION) PAGE 83

Type-2 diabetes doesn’t have to be a lifelong condition; for many people, especially those who have been recently diagnosed, it’s possible to reverse the symptoms of this malignant disease.  But how can that be done? Inspired by results obtained from research done at Newcastle University, Richard Shaw decided to try and kick the disease by following a carefully structured, low-carb, whole-food diet and starting a modest exercise regime. Conquer Type 2 Diabetes describes what he did to lose 31 kilos and all his diabetes signs (high blood sugar, high cholesterol, high blood pressure) and symptoms. We caught up with Richard to ask him a few questions about his new book and his amazing recovery. 

What was the inspiration behind your book?

When I started this I really wanted to talk to someone who’d managed to put their own T2D into remission: not a doctor, not a dietician, not a medical professional but someone who had had first-hand experience of doing it for themselves.  I couldn’t find anything that really told me what it was like from the patient’s point-of-view, so I thought it might be worth writing my own. Plus, because I like food so much, I really wanted to write some decent recipes to make the point that it’s not all about bland salads, tasteless soups and intermittent fasting.

CRAB & RADISH STACK (VARIATION) PAGE 83
Richard’s book is full of amazing recipes, like this crab and radish stack.

What was the most challenging part of writing the book?

It can be tough to write a book and hold down a full-time job.  I did it by getting up every morning at 4am, writing for 2 hours and going back to bed for a while before heading into work. I wrote it as I went through the process and there was a part of me that worried that if it didn’t work it might all be a bit of a wasted effort.  In hindsight, I think writing the book probably gave me motivation to keep going and made me even more determined to see it through.

What has been the most satisfying part of the writing process?

I’ve collaborated with other writers on books about food and cooking in the past so, to be honest, it was amazing to finally produce something that had my name on the cover. And even a slim book like this goes through so many versions, eventually having your editor tell you one day that it’s finally done is an enormous relief. I also took huge satisfaction from my GP agreeing to write the foreword, she was incredibly generous with her comments.

FRENCH OMELETTE WITH GRUYERE
French omelette

Did anything surprise you while writing Conquer Type 2 Diabetes? 

I spoke to dozens of other people as I was writing it and I was surprised to find so many people attempting to come off the meds and resume a normal life.  Putting T2D into remission is a very active and passionate grass-roots movement but it hasn’t really translated into mainstream medicine yet.  By and large much of the medical profession is treating this disease in exactly the same way, as it was 30 or 40 years ago, with lame public health advice, generic exhortations to adopt a healthier lifestyle and by prescribing a raft of meds that treat the symptoms rather than the underlying cause.  So finding other people doing exactly the same thing all over the world provided enormous encouragement to keep going.

What sort of people would benefit most by reading your book?

Professor Roy Taylor’s work from the DiRECT trials tells us that the earlier we attempt put T2D into remission after diagnosis the greater the chances of success. And for many people this doesn’t have to be a ‘forever’ diagnosis, – something I took at face value for several years. It’s a story for people who want to take a shot at reversing their condition and testimony that (if addressed soon enough) it may not have to be a lifelong, meds-dependant, progressive illness. And if someone who’s as hopeless at exercise as me, who likes food as much as I do and who’s as much of a slacker as I am can do it, then so can many others.

For more information about Richard’s new book,  go to  his website here,  or join the conversation on Facebook.

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Q&A with Alex Wu, author of A User’s Manual for the Human Body

Alex Wu’s new book, A User’s Manual for the Human Body is a transformative guide to the principles of Traditional Chinese Medicine (TCM). The book shows how Traditional Chinese Medicines differ from Western medicine and what that means in practice. It also illustrates how we can help our bodies to heal themselves and thereby achieve a longer, healthier life. Here, Alex answers a few questions about his lifestyle, which is the basis for his book.

Alex Wu
Alex Wu, author of A User’s Manual for the Human Body

Can you describe your current lifestyle? How many hours per night do you sleep?

I am 66 years old so my regime might not be the same as people in different age groups. I sleep at 10pm and I wake up normally around 6am. I do the pericardium massage when I wake up in the morning and at night time, I practice the bladder meridian massage (Both the hair combing and back massage). I do the gallbladder massage (leg) after dinner. I try to walk at least an hour a day during the day time and I pay attention to the amount of clothes that I wear to avoid getting a cold.

Describe your diet. What do you eat? Are there any foods that you avoid?

There is no specific food that I eat or avoid but the general rule is I try to eat as little processed food as possible. To avoid cold energy, I do not eat anything raw except for fruits. The fruits that I eat are the ones that are in season.

What exercise do you do?

I exercise mainly through walking and I practice Tai-Chi occasionally.

What was your life like before you started practicing Traditional Chinese Medicine? What aspect of Traditional Chinese Medicine that was most impactful?

Before I was ill, I worked well over 60 hours a week under high pressure. I was an investment banker in China back in the 1990s. I wouldn’t say that my regime was changed because of TCM but rather TCM concepts let me understand what type of harm this regime was causing to my body. I quit my job and it changed everything.

In your book, you talk about the Qi and the TCM concept of blood. How would you explain that to a Western audience?

An analogy I often use when describing qi to those who do not have a deep cultural understanding of the concept is that the body is a battery. Blood is the equivalent of the battery’s capacity and qi is the amount of energy currently stored in the battery. It would logically follow that the amount of qi you can have is limited by the amount of blood you have. This relationship between blood and qi is important if we are to understand how to improve our health. Because the quantity of qi a person can have is determined by the amount of blood the person has, the focus of healthy living should be to increase the amount of blood in the body.

To learn more about A User’s Manual for the Human Body, watch Alex Wu’s explanation video on YouTube here and here.

You can purchase the book from Hammersmith Health Books. The paperback is now on special offer for £9.99 and the ebook is £5.99.

A User's Manual for the Human Body

 

 

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Best Gifts for Expectant Mothers

As a highly experienced community midwife and teacher, Bridget Sheeran knows that pregnancy should be a time for vital physical and mental preparation. The body and mind do much of this automatically, but there are many ways to support this process and to resist the day-to-day stresses that can hinder it. In her book, Preparing for Birth: Colouring Your Pregnancy Journey, Bridget invites pregnant women to allow their natural curiosity to rise up and lead them to discover how they can help themselves through the process of birth. If you’re looking for a great gift for an expectant mother, ditch the helpful advice books and instead, get her something that will be truly appreciated.

Here is a review from an expectant mum who recently received Bridget’s book:

I was on my own in New York City, pregnant, working two jobs and facing winter. It was a pretty daunting time.

People were so quick to recommend all manner of books I should read about pregnancy and birth and childcare that just trying to jot down the names was exhausting. It often felt that if someone recommended a book one day with one approach, the following day someone else would mention a different book with a completely opposite way of doing things. Put babies on their back. Put them on their tummy. Don’t let them cry. Do let them cry. Let them sleep with you. Don’t let them sleep with you. Do various forms of exercise before childbirth. Keep away from precisely those activities. It felt that if I started buying books I could disappear down a rabbit hole of conflicting advice so, in the end, I didn’t buy a single one.

When I was given Bridget’s book as a gift, I dutifully opened the wrapping paper and expressed kindest thanks to the giver for such a thoughtful present, all the while thinking that it was highly unlikely I’d end up reading whatever was inside. So as not to be rude, I opened the book and immediately fell in love with the whole idea. A colouring book. Blooming marvellous. The perfect thing for banishing anxious thoughts and conflicting messages. How was this not the go-to gift for expectant mothers?

As the pregnancy progressed and I stole quiet moments to colour in the charming pages, I found that I had my own instincts on how this would all play out. I just needed to create the space to let those thoughts form and flow and setting aside time for colouring and a cup of tea was the perfect catalyst. The tranquility of mind that comes with something as simple as colouring in cannot be underestimated and I’ll be buying Bridget’s book in future for anyone growing a little human. 

You can purchase Bridget’s book from Hammersmith Health Books for £9.99