Sometimes the words we use can be a bit confusing. We thought it would help to explain these words a bit more clearly. Here are some of the things you might hear us say and what they mean:

ADD or ADHD - ADD stands for Attention Deficit Disorder and ADHD stands for Attention Deficit Hyperactivity Disorder. Both are similar and mean you can have some problems with poor attention or seeming ‘always on the go’. You may also have some problems doing things without thinking.

Anxiety - when you feel really nervous, panicky and confused, sometimes you can get so worried it makes you feel ill.  Anxiety is the body’s natural reaction to a situation or something that is scary or difficult.

Autism – people with autism have difficulties understanding and relating to other people. This can cause problems with every day family life and socialising. Autism is often described as a 'spectrum disorder' because the condition affects people in many different ways and to varying degrees.

Art therapy - Using art to help you express and understand your feelings.

CAMHS – Child and Adolescent Mental Health Service (our name in Herefordshire).

Care plan - Together we will discuss your care plan. This tells you what we are going to work on together and what to expect while you are being supported by us.

Care Coordinator - The person who is responsible for making sure that your care is properly planned and you get the help you need.

Cognitive Behavioural Therapy (CBT) - A talking therapy that can help you manage your problems by helping you to change the way you think and act.

CHOICE Appointment - Your first appointment with us. We will talk about what you have been finding difficult and come up with a plan together about what will happen next.

Confidentiality - This means not telling other people about what you tell them in private. Sometimes when we are worried about your safety, we may have to break confidentiality and tell certain people certain things about you. This is part of our job to keep you safe.

Consent - This means saying yes to something that affects you. Informed consent means that you fully understand what you are agreeing to.

CYPS - Children and Young People Service (our name in Gloucestershire).

Depression - When your low mood won't go away.

Discharge - When you no longer need our support anymore and you can move on.

Eating Disorders - When you don’t eat enough or you eat too much and make yourself ill. Our Trust has an eating disorders service to support young people with these difficulties, you can read more about it at

Family Therapy - Working with the whole family to help you understand each other better and to generate shared solutions.

Intervention - Another word for treatment. It means that you and our staff are working together to help manage your difficulties.

Nursing - Helping you find positive ways of managing your feelings.

Occupational Therapy - Helping you deal with things you do every day.

Participation - Involving young people and children in making decisions about the care they receive, and how we manage our services.

Practitioner/clinician - One of our staff who is trained to help you.  A psychologist, nurse or another healthcare professional.

Psychiatry – Diagnosing and treating mental health conditions.

Psychology - Helping you to understand the links between what you’re thinking, what you feel and what you do.

Psychosis - You might believe, hear or see things that are not real. You might think someone is telling you what to do all of the time and that these things make you feel scared. Our Trust has a special service to help with this. Visit

Psychotherapy - Helping you understand how important relationships and experiences have influenced your life.

Referral - This describes the process of someone you know contacting us as they are worried about you, and setting up an appointment.

Routine Outcome Measures (ROMs) - Questionnaires that are used to tell us more about you and track change over time. Children and Young People’s Mental Health Services across the country are being encouraged to use them to achieve the best treatment for children and young people.

Self-Harm - Hurting yourself on purpose. Self-harm is a way of dealing with very difficult feelings when they build up inside.

Transition Plan – The plan you create with your care coordinator if you are 18 and transitioning to adult services. It should include details such as what the plan is, what you should do in a crisis and who will be working alongside in our adult team.