Therapy Works

Lottie Clark on the Difficult Decision of Assisted Dying


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In this deeply moving episode of Therapy Works, Lottie Clark shares the story of her husband James’s battle with motor neurone disease. She opens up about the emotional and physical toll of his diagnosis, the challenges of caring for a loved one with a terminal illness, and the difficult decisions their family faced—including James’s choice to pursue assisted dying at Dignitas. Lottie speaks candidly about the impact on their children, the process of saying goodbye, and the long road of grief that follows loss.


This conversation offers an intimate look at navigating life when faced with unimaginable circumstances. Lottie’s story is one of heartbreak but also of deep strength and unwavering love. She reflects on the power of open conversations, the importance of honouring personal choices in end-of-life care, and her ongoing campaign for assisted dying legislation. This is an episode about grief, but also about the extraordinary courage it takes to walk alongside someone through their final chapter.


00:55 Facing a Terminal Diagnosis

04:41 The Emotional Impact and Initial Reactions

06:36 Planning for the Future

13:01 Communicating with the Children

15:11 The Decision for Assisted Dying

26:55 Reflecting on the Impact of Loss

27:26 Honest Conversations with Children

29:32 A Final Family Trip

31:44 Saying Goodbye

33:12 Campaigning for Assisted Dying

36:29 The Journey of Repatriation

39:20 Finding Strength in Love

50:22 The Complexity of Assisted Dying

57:34 The Long Road of Grief


If you are looking to campaign, please find out more here: https://www.dignityindying.org.uk/


This episode is sponsored by BetterHelp. Give online therapy a try at

betterhelp.com/therapyworks and get on your way to being your best self.


Please subscribe and leave a review—it truly makes all the difference! Follow Julia at @juliasamuelmbe for more insights, tips, and conversations on life's challenges and how to improve your mental well-being.


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Therapy WorksBy Julia Samuel

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