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If you’ve ever attended a choir rehearsal and felt your whole body relax before you’ve even sung a note, you’re not imagining it. Group singing is one of the most neurologically-rich, physiologically-powerful, and socially-bonding activities that humans can do - and we’ve been doing it for thousands of years for precisely those reasons. But what’s actually going on in the brain and body? Why does singing in a group feel so grounding, uplifting, and connecting? And why does it seem to reach places that playing an instrument, talking, thinking, or singing in the shower simply can’t? Let’s take a walk through the science - in plain English - and explore what’s happening in the brain and body when we sing together.
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If it feels like the terms "mental health" and "neurodivergence" are suddenly everywhere, then you're probably wondering things like: Why now? Why in choir? Why are there so many more people with mental health and inclusion needs today?
It's true: over the past few years, there’s been a noticeable shift in who’s turning up to community choirs across the UK. Leaders are reporting more singers identifying as neurodivergent, more people navigating anxiety or emotional overwhelm, and more conversations about the mental-health impact of rehearsals. For some conductors, this has felt surprising. For others, it’s been a relief to realise: it’s not just my choir - I don't have to explore this alone. But the real story isn’t that choirs are suddenly filling with “more complex needs”. In fact, it’s far more hopeful than that. What we’re seeing is the natural result of increased awareness, cultural change, and a rising need for safe, emotionally-supportive creative spaces. And if we lean into it, this shift could become one of the most-positive developments in modern choral culture. Here’s what’s driving it - and why it matters, for all of us. Choirs are powerful. They bring people together, create community, and offer a space for shared expression. But beneath the harmonies, there are often hidden dynamics - unspoken anxieties, unaddressed needs, and cultural assumptions that can limit who truly feels safe and seen.
That’s where a mental health and inclusion audit can make all the difference. In my work as a Specialist Consultant in Choir Inclusion and Mental Health, I have developed the Harmonised Choir Audit, a way to shine a gentle spotlight on a choir’s structures, practices, and culture. Based on my experience with a wide range of choirs - 25 years as a professional conductor and, most recently, a deep dive into the working practices of a network of 18 UK choirs - I’ve seen just how transformative an audit can be. Here’s why I believe every choir stands to gain from this kind of review. On Thursday 2nd October in Hereford, I had the immense honour of carrying the Baton of Hope – a national symbol of suicide prevention and the world’s first physical icon of mental health. I wasn’t alone: my incredible mental health choir, Sing out Strong, was by my side, voices filling the air with music and love.
One of the hardest parts of being a choir leader isn’t the repertoire, the admin, or even the fundraising. It’s those delicate, heart-in-your-mouth conversations where you know you need to address a musical issue with a singer, but you’re worried about how it might land.
Perhaps someone is consistently too loud, throwing off the balance. Or maybe their pitching is unstable, and it’s starting to affect the section. You notice it, the choir notices it, and yet, the singer is clearly having a wonderful time. To complicate matters further, they may be neurodivergent, or they might be struggling with their mental health. You believe your “regular” way of offering feedback could easily cause shame, shutdown, or rupture. So, what do you do? Ignore it, and risk the choir’s sound (and the frustration of other members)? Or speak up, and risk causing upset or harm? The truth is: we need a third option. One where you, as choir leader, can have musically-honest conversations, and give constructive feedback, in a way that is clear, kind, boundaried, trauma-aware, and inclusive. Conversations that preserve group safety, while still honouring - and respecting - individual needs. Here's how. If you’re leading a choir where “mental health” still feels like a dirty word, or worse, where it’s openly mocked or dismissed, you’re not alone.
Maybe you’ve tried to bring in a bit of breathwork at the start of rehearsal and been met with polite silence. Maybe your singers roll their eyes when you mention burnout. Maybe they think that if someone’s overwhelmed, they should just “get on with it.” Maybe you’re the one holding all the pastoral weight, quietly absorbing the emotions in the room, and wondering how on earth to introduce conversations that feel timely and necessary - but unpopular. This is exactly the case with a community choir I work with. A lovely, friendly, long-running daytime choir, mostly made up of singers over the age of 70, many of whom come from what you might call the “stiff-upper-lip” generation. They value tradition. They like their routine. They’ve weathered storms, lost friends, sung through tears - and they don’t need anyone coming in with that emotional nonsense, thank you very much. During one discussion, one member even told me that the term “mental health” is overused and "almost encourages people to have something wrong with them.” Don't get me wrong, I love working with this choir. But the reaction of some members to my usual way of doing and explaining things just doesn't seem to sit the same. And one day, in Mental Health Awareness week, we had a chat about it. But here’s what’s interesting: once we gently reframed what mental health actually is, things started to shift. Here’s what I've learned. Community choirs are often built with the best intentions: warmth, connection, and belonging. But for neurodivergent singers - including those with autism, ADHD, sensory processing differences, and social anxiety - some of the most common "welcoming" behaviours can actually create the opposite effect.
In fact, the things we think are inclusive can feel overwhelming, confusing, or even distressing for neurodivergent participants. The good news? With a few small shifts, your choir can become a genuinely safer, more accessible space for all kinds of minds - without losing its joy and community spirit. Let’s look at five well-meaning habits that could be doing more harm than good, and how you can adapt them with every singer in mind. There’s a quiet revolution happening in the world of choral music. It’s not about genre, technique, or even repertoire - it’s about wellbeing, emotional safety and nervous system regulation. And it’s long overdue.
Because choir has never just been about singing. For many people, choir is the one hour a week they feel truly present. It’s where they reconnect with their breath, where their bodies feel in sync with others, and where, often without realising it, they come to heal. Group singing is one of the most powerful nervous system regulators we have; we breathe together, move together, and express emotion through sound. The body knows this, even when the brain doesn’t - that’s why so many singers leave rehearsal feeling calmer, lighter, and more connected. But with great power comes great responsibility. When people are carrying grief, burnout, anxiety or trauma, those emotions often find their way into the rehearsal room, consciously or not. And when choir becomes their one lifeline, it can create pressure on the space, and on you, the leader, to hold more than just music. Burnout amongst choir leaders is real. They’re navigating emotional overload, absorbing the unspoken needs of their singers, and trying to be everything to everyone - musician, mentor, therapist, administrator, and friend. This isn’t sustainable. And it isn’t what leading a choir should be. That’s why we need to start reimagining what choral leadership looks like in 2025 and beyond, and why mental health should be at the heart of that vision. Ever woken up the day after Christmas, a party or a wedding and felt a bit… flat?
That strange emotional dip, a kind of afterglow lull where everything feels a little grey and quiet? Now imagine that same feeling - but the night before, you weren’t out drinking or dancing or celebrating. You were at choir. Surprisingly, the symptoms the day after choir can be almost identical: pounding head, aching body, emotional fuzziness - like you've been through something big. It’s a phenomenon that many of my singers have come to notice over time, and one that I’m not immune to either, even as the choir leader. So, what’s actually going on? Why do you feel so awful the day after choir? It’s a real thing! Actors have apparently dubbed this feeling “post-performance depression”. I call it “the Choir Hangover”. You can get a choir hangover after a fantastic performance, a trip, a workshop or even a great rehearsal. In fact, any time that the happy hormones have been buzzing, you can expect some sort of comedown the day after. But why do we get it and what can we do to support our singers (and ourselves) with our mental health moving forward? |
AUTHORRecognised as one of the UK’s foremost specialists in choral inclusion and mental health, Emma Rowland-Elsen is a veteran choral conductor, sound–voice therapist and consultant, whose work is shaping best practice across the sector. Drawing on her lived experience of PTSD and more than ten years of expertise in trauma-informed leadership and vocal health, she advises choirs, arts organisations and education providers on developing emotionally intelligent, accessible and mentally healthy singing environments for every voice. Emma also works at the Editor: Mental Health and Inclusion at CHORALLY. CATEGORIES
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