James Middleton reveals that his sister Catherine attended therapy with him during mental health struggles

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Speaking to The Telegraph, James admitted that he’d kept his battle with depression to himself for a long time, before realising that he needed professional help.

When the doctor had asked him about suicidal thoughts, James said, “I remember thinking, ‘I might have to answer this one truthfully, because I want them to help me.”

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He added, “So I said, ‘Well, actually, yes, but I don’t think I’ll ever action it.’ In my report it said I had suicidal thoughts but wasn’t a threat to myself.”

James also said that he didn’t have to go through the process alone, as he revealed that his entire family, including the Duchess of Cambridge, attended family therapy sessions with him.


When asked if his entire family came with him, he appeared to confirm that Catherine had also attended, saying, “All of them, not necessarily at the same time, but either individually and [sometimes] together.

“And that was so important because that helped them understand me and how my mind was working.”

Explaining how his family helped, he added, “And I think the way the therapy helped me was that I didn’t need my family to say, ‘What can we do?’ The only thing they could do was just come to some of the therapy sessions to start to understand.”

Explaining he felt ‘completely lost’ before beginning his recovery, James Middleton shared that his journey included a year of cognitive behavioural therapy (CBT).

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He described therapy like, “sitting in a chair with a ball of wool made up of eight different colors, and then a therapist is sitting opposite you with a needle untangling it.


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