Coronavirus has plunged the world into uncertainty and the constant news about the pandemic can feel relentless. All of this is taking its toll on people's mental health, particularly those already living with conditions like anxiety and OCD. So how can we protect our mental health?
Being concerned about the news is understandable, but for many people it can make existing mental health problems worse.
When the World Health Organization released advice on protecting your mental health during the coronavirus outbreak, it was welcomed on social media.
As Anxiety UK's Nicky Lidbetter explains, the fear of being out of control and unable to tolerate uncertainty are common characteristics of many anxiety disorders. So it's understandable that many individuals with pre-existing anxiety are facing challenges at the moment.
"A lot of anxiety is rooted in worrying about the unknown and waiting for something to happen - coronavirus is that on a macro scale," agrees Rosie Weatherley, spokesperson for mental health charity Mind.
So how can we protect our mental health?
Reading lots of news about coronavirus has led to panic attacks for Nick, a father-of-two from Kent, who lives with anxiety.
"When I'm feeling anxious my thoughts can spiral out of control and I start thinking about catastrophic outcomes," he says. Nick is worried about his parents and other older people he knows.
"Usually when I suffer I can walk away from a situation. This is out of my control," he says.
Having long periods away from news websites and social media has helped him to manage his anxiety. He has also found support helplines, run by mental health charities such as AnxietyUK, useful.
Alison, 24, from Manchester, has health anxiety and feels compelled to stay informed and research the subject. But at the same time she knows social media can be a trigger.
"A month ago I was clicking on hashtags and seeing all this unverified conspiracy rubbish and it would make me really anxious and I would feel really hopeless and cry," she says.
Now she is careful about which accounts she tunes into and is avoiding clicking on coronavirus hashtags. She is also trying hard to have time away from social media, watching TV or reading books instead.
OCD Action has seen an increase in support requests from people whose fears have become focused on the coronavirus pandemic.
For people with OCD and some types of anxiety, being constantly told to wash your hands can be especially difficult to hear.
For Lily Bailey, author of Because We Are Bad, a book about living with OCD, fear of contamination was one aspect of her obsessive compulsive disorder. She says the advice about hand washing can be a huge trigger for people who have recovered.
"It's really difficult because I now have to do some of the behaviours that I've been avoiding," says Bailey. "I'm sticking to the advice really rigidly but it's hard, considering that for me, soap and sanitiser used to be something comparable to an addiction."
Charity OCD Action says the issue to look out for is the function - for example, is the washing being carried out for the recommended amount of time to reduce the risk of spreading of the virus - or is it being done ritualistically in a specific order to feel "just right"?
Image copyright Emma Russell
Bailey points out that for a lot of people with OCD, getting better means being able to leave the house - so self-isolating can present another challenge.
"If we're forced to stay at home, we have lots of time on our hands, and boredom can make OCD worse," she says.
Increasing numbers will join those already in self-isolation so now might be a good time to make sure you have the right phone numbers and email addresses of the people you care about.
"Agree regular check-in times and feel connected to the people around you," says Weatherley.
If you're self-isolating, strike a balance between having a routine and making sure each day has some variety.
It might end up actually feeling like quite a productive two weeks. You could work through your to-do list or read a book you'd been meaning to get to.
Image copyright Emma Russell
With weeks and months of the coronavirus pandemic ahead, it is important to have down time. Mind recommends continuing to access nature and sunlight wherever possible. Do exercise, eat well and stay hydrated.
AnxietyUK suggests practising the "Apple" technique to deal with anxiety and worries.