Dr Rebecca Gray told the hearing at County Hall, Preston, that Ms Bulley had spoken to her about feeling a "low mood and anxiety" since 2018, later speaking of headaches, fatigue and lack of sleep.

But there was "nothing on the notes or records from 2012 where there's been any mention of her feeling suicidal or of self-harm", Dr Gray added.

Ms Bulley was sent to A&E on 11 January due to an injury to her head, Dr Gray said.

The mother-of-two attended a walk-in centre after a fall complaining of increased drowsiness and vomiting and was sent to A&E, where a CT scan came back normal, the inquest heard.

A mental health clinician said Ms Bulley did not appear depressed despite concerns over her increased drinking.

Theresa Lewis Leevy told the inquest she attended Ms Bulley's house on 10 January along with a police officer and paramedic following concerns about her welfare.

Ms Bulley appeared intoxicated on her bed and spoke of having lost weight.

However, when asked if she appeared depressed, Ms Leevy said: "No, no, not that I could ascertain at the time."

Ms Bulley's sister cried as she spoke during the inquest.

"Nikki was my big sister... very much a planner," Louise Cunningham said.

"She started her career again, a busy mum, as most people are, juggling a career and family life. She always had things under her control."

Ms Cunningham said there was a "blip" in her sister's mental state in the month before her death.

"She had a blip over Christmas (2022) but she was back on the HRT medication in January and back to work and back to the normal Nikki."

Ms Cunningham said her sister was drinking more heavily over that period.

But she added: "She's never confided in me about any suicidal thoughts."

Ms Cunningham said she was planning a spa day shortly before Ms Bulley's death.

She cried as she said: "I literally confirmed it was booked but she didn't pick up the message."

Ms Bulley's partner said she was "back to herself" and had been "looking forward to the future" before she disappeared.

Paul Ansell said: "The blip over the Christmas period happened but in January she was back to herself, looking forward to the future and everything was on the up."

He said he believes she went to put a harness on her dog shortly before falling into the River Wyre.

Ms Bulley's mobile phone was still connected to a work Teams call when it was found on a bench overlooking the water.

Mr Ansell said: "She was still listening to that meeting, so I think she must have maybe put the phone on the bench and gone to put the harness back on Willow."

On the day he sent her a text message saying: "Have you got lost?"

Asked if she had any suicidal thoughts, Mr Ansell she had made "a couple of throwaway comments" the month before her death, "but nothing that gave me any concern".

'High risk' missing person

Ms Bulley vanished while walking her dog after she had dropped her two daughters off at school in St Michael's on Wyre, Lancashire, on the morning of 27 January.

The 45-year-old mortgage adviser from Inskip was immediately deemed a "high risk" missing person and her disappearance sparked an intensive search operation before her body was eventually found more than three weeks later in the River Wyre.

No evidence Bulley harmed before she drowned

On Tuesday, the inquest heard there was no evidence Ms Bulley was harmed before she drowned in the River Wyre.

An expert said the temperature of the River Wyre was around 3-5C and it would have taken "one or two breaths" of water to kill Ms Bulley.

"For somebody of Nicola's size, it would have taken one or two breaths in of water to be a lethal dose," Professor Michael Tipton said.

Dr James Adeley, senior coroner for Lancashire, asked the Home Office pathologist: "Is there any evidence of third-party involvement playing any part in her death?"

Dr Armour replied: "No, there was not."

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email This email address is being protected from spambots. You need JavaScript enabled to view it. in the UK.