Mental health patients harmed by being sent to units far from home, report finds

Distant placements found to have led to anxiety, PTSD and suicide in some cases, as use of them increases in England

Mental health patients in England are being harmed by the increase in placements in psychiatric units far from their homes and families, a new report indicates.

Patients have had anxiety and post-traumatic stress disorder (PTSD), while some have died by suicide as a result of their distant placements, according to a Health Services Safety Investigations Body (HSSIB) report, which drew on interviews with patients and their loved ones. The participants spoke of how their experiences had resulted in feelings of anger, frustration and a loss of trust in the mental health system.

In the UK and Ireland, Samaritans can be contacted on freephone 116 123, or email jo@samaritans.org or jo@samaritans.ie. In the US, you can call or text the National Suicide Prevention Lifeline on 988, chat on 988lifeline.org, or text HOME to 741741 to connect with a crisis counselor. In Australia, the crisis support service Lifeline is 13 11 14. Other international helplines can be found at befrienders.org

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When therapy goes wrong: the problem of underqualified practitioners

In the age of influencer therapists and mental health apps, experts say the public need to be better informed

From influencer therapists on social media to psychotherapy platforms advertising on TV and radio, going to see a therapist is increasingly mainstream – yet many people know little about who they are seeing and what they are getting.

Experts said more information and awareness among the public of how therapy works was desperately needed, to minimise the risks of making their mental health worse.

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‘Feels quite cruel’: Australians with ADHD scrambling to find medication amid shortage

Patient says pharmacists she went to were suspicious because Vyvanse is a stimulant, causing her the ‘most dehumanising medical experience’ of her life

Emma* says she was made to feel “like a drug addict” for simply trying to access medication for her ADHD.

When she was prescribed Vyvanse in June, she was relieved to realise she had found a treatment that would make it easier to live with the developmental disorder that affects the brain’s executive functioning.

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Australian approval of MDMA and psilocybin a ‘baby step in the right direction’, medical experts say

Psychiatrists cautiously welcome decision as Australia becomes the first country to officially recognise psychedelics as medicines

Psychiatrists have cautiously welcomed the ability to prescribe MDMA and psilocybin, saying it’s a “baby step in the right direction”.

The Therapeutic Goods Administration announced on Friday that, from July, approved psychiatrists would be able to prescribe MDMA (ecstasy) for post-traumatic stress disorder and psilocybin (found in magic mushrooms) for treatment-resistant depression.

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Australia to allow prescription of MDMA and psilocybin for treatment-resistant mental illnesses

From July, authorised psychiatrists will be able to prescribe the drugs for post-traumatic stress disorder and severe depression

After decades of “demonisation”, psychiatrists will be able to prescribe MDMA and psilocybin in Australia from July this year.

The Therapeutic Goods Administration made the surprise announcement on Friday afternoon.

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Hundreds of mentally ill prisoners denied urgent treatment in England

Most seriously ill inmates left to wait in cells often due to bed shortages at secure hospitals, data shows

Hundreds of severely mentally ill prisoners in urgent need of hospital treatment are being left in prison cells due to bed shortages in secure NHS psychiatric units, an investigation has discovered.

Freedom of information (FoI) responses from 22 NHS trusts reveal for the first time that just over half of the 5,403 prisoners in England assessed by prison-based psychiatrists to require hospitalisation were not transferred between 2016 and 2021 – an 81% increase on the number of prisoners denied a transfer in the previous five years.

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Job ad for US bureau of prisons highlights patients’ mental illness as recruiting tool

Some readers offended by its reference to high rates of mental illness among incarcerated people to attract psychologists

Psychologists who work for the bureau that runs federal prisons in the US can treat incarcerated people with every mental illness imaginable, according to an employment ad that stirred controversy on social media.

The ad, bought by the US Bureau of Prisons (BOP) on Facebook as part of a broader campaign, asks readers to flip to any page in the Diagnostic and Statistical Manual of Mental Disorders, a standard US text.

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Alcoholism and me: ‘I was an addicted doctor, the worst kind of patient’

My drinking and drug use pushed me over the edge into a complete breakdown. Then a stint in rehab made me question how much we really understand about addiction

I’m lying in bed when I hear the commotion. I peer through the doorway of my room, and right outside, the new guy is getting in Ruiz’s face. There’s a phone right outside the door, one of those sturdy metal payphones like one you’d see on a street corner, and Ruiz, a gentle older man with shoulders stooped by the demoralisation of his nth relapse and hospitalisation, is just trying to talk to his family. But the new guy has been manic and pacing since he arrived a few hours ago, and he won’t take no for an answer.

I watch the new guy stalk the other way across the doorway, muttering to himself, menacing even in retreat. Then a warning shout echoes from much too far in the distance, and he appears once again – flying, near horizontal – to tackle Ruiz, dragging him off the phone.

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Escape your comfort zone! How to face your fears – and improve your health, wealth and happiness

Is there something great you have always wanted to do, but fear has held you back? Make 2022 the year you go for it

The “comfort zone” is a reliable place of retreat, especially in times of stress – living through a global pandemic, for instance. But psychologists have long ƒextolled the benefits of stepping outsideit, too. The clinical psychologist Roberta Babb advises regularly reviewing how well it is serving you. The comfort zone can, she says, become a prison or a trap, particularly if you are there because of fear and avoidance.

Babb says people can be “mentally, emotionally, physically, socially, occupationally” stimulated by facing their fears or trying something uncomfortable. “Adaptation and stimulation are important parts of our wellbeing, and a huge part of our capacity to be resilient. We can get stagnant, and it is about growing and finding different ways to be, which then allows us to have a different life experience.”

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The case of the confident dog that developed PTSD | Gill Straker and Jacqui Winship

Helping Darling to relax has been vital – but unlike a human, she isn’t dealing with the ethical and cognitive issues often involved in post-traumatic stress

  • The modern mind is a column where experts discuss mental health issues they are seeing in their work

The word trauma has been so overused that it can sound meaningless.

Yet there are profound effects on the body and mind following exposure to traumatic events. Our capacity to cope becomes overwhelmed and we feel helpless as the limbic system, which is the part of the brain associated with fight flight and freeze, goes into overdrive.

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On my radar: Adjoa Andoh’s cultural highlights

The actor on her hopes for Brixton’s new theatre, an offbeat western and the sophistication of African art

Adjoa Andoh was born in Bristol in 1963 and grew up in Wickwar, Gloucestershire. A veteran stage actor, she starred in His Dark Materials at the National Theatre and in the title role of an all-women of colour production of Richard II at the Globe in 2019. On TV, Andoh plays Lady Danbury in Bridgerton, which returns next year, and she will appear in season two of The Witcher on Netflix from 17 December. She lives in south London with her husband, the novelist Howard Cunnell, and their three children.

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I got help for postnatal depression that saved me. Most women in India do not | Priyali Sur

With up to one in five new mothers suffering depression or psychosis, experts say the need for help is ‘overwhelming’ India

A month after giving birth, Divya tried to suffocate her new daughter with a pillow. “There were moments when I loved my baby; at other times I would try and suffocate her to death,” says the 26-year-old from the southern Indian state of Kerala.

She sought help from women’s organisations and the women’s police station, staffed by female officers, in her town. But Divya was told that the safest place for a child was with her mother.

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Abducted Afghan psychiatrist found dead weeks after disappearance

Family say the body of Dr Nader Alemi, who was taken by armed men in September, showed signs of torture

One of Afghanistan’s most prominent psychiatrists, who was abducted by armed men in September, has been found dead, his family has confirmed.

Dr Nader Alemi’s daughter, Manizheh Abreen, said that her father had been tortured before he died.

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Woman successfully treated for depression with electrical brain implant

‘Stunning’ neuroscientific advance gives hope to those with mental illness not helped with drugs

A woman with severe depression has been successfully treated with an experimental brain implant in a “stunning” advance that offers hope to those with intractable mental illness.

The device works by detecting patterns of brain activity linked to depression and automatically interrupting them using tiny pulses of electrical stimulation delivered deep inside the brain.

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Richard Bentall: the man who lost his brother – then revolutionised psychology

In 1988, he was at the start of a promising career as a psychologist when his brother killed himself. He explains how the loss informed his work and led him to question the accepted wisdom regarding mental health

In 1988, Richard Bentall was on his way to becoming one of Britain’s most influential clinical psychologists. He was 32 and had developed an early fascination with psychosis, where patients can become detached from reality, often leading to hallucinations, delusions and suicidal thoughts.

While spending time on psychiatric wards during his training, Bentall felt that psychotic patients were poorly treated. The prevailing view was that psychosis was a genetic brain condition that could only be diagnosed and medicated. Life experience, including childhood trauma and social deprivation, was neglected as a possible cause.

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Fears for Afghan psychiatrist abducted by armed men

Dr Nader Alemi, who opened the country’s first private psychiatric hospital, had received death threats before being taken on his way home from work last week

One of Afghanistan’s most prominent psychiatrists has been abducted on his way home from work by a group of armed men.

Dr Nader Alemi, 66, who opened the country’s first private psychiatric hospital in the northern city of Mazar-i-Sharif, was stopped by seven men in a white car last week, said his family.

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Trauma, trust and triumph: psychiatrist Bessel van der Kolk on how to recover from our deepest pain

His 2014 book, The Body Keeps the Score, has become a huge pandemic hit, topping bestseller lists this summer and becoming a meme on social media. What does it tell us about the world we live in?

When Dr Bessel van der Kolk published The Body Keeps the Score in 2014, it was a huge hit with yoga people. That is not a euphemism for “rich, underoccupied people”, it is just people who do yoga. Certain physical activities do something weird to your brain: ancient memories resurface, often with new feelings or perspectives attached; you start treating yourself with more compassion. It doesn’t make sense until you read Van der Kolk. After that, nothing has ever made more sense.

His thesis centres on trauma: the urgent work of the brain after a traumatic event is to suppress it, through forgetting or self-blame, to avoid being ostracised. But the body does not forget; physiological changes result, a “recalibration of the brain’s alarm system, an increase in stress hormones, an alteration in the system that filters relevant information from irrelevant”, as he says in his book. The stress is stored in the muscles and does not dissipate. This has profound ramifications for talking therapies and their limits: the rational mind cannot do the repair work on its own, since that part of you is pretending it has already been repaired.

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‘Excited delirium’: term linked to police restraint in UK medical guide condemned

Public health bodies and families say term carries racial bias and is used to justify lethal use of force by police

Public health bodies, charities and the families of men who died after being restrained by police have condemned the inclusion of a controversial medical term in one of the UK’s leading medical handbooks.

Acute behavioural disturbance (ABD), more commonly known as “excited delirium”, a contentious expression used in fatal cases of police violence, has recently been added to the Maudsley Prescribing Guidelines (MPG).

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Pregnant women in England denied mental health help because of Covid

In 2020-21, only 31,261 out of 47,000 managed to access perinatal mental health services

Thousands of pregnant women in England were denied vital help for their mental health because of the pandemic, analysis from leading psychiatrists shows.

In 2020-21, 47,000 were expected to access perinatal mental health services to help with conditions such as anxiety and depression during or after giving birth, but only 31,261 managed to get help in the most recent data for the 2020 calendar year only, according to analysis from the Royal College of Psychiatrists.

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Inside the mind of a murderer: the power and limits of forensic psychiatry

When I was called in to assess Seb, I needed to understand why he had committed such a horrendous crime. But first I had to get him to talk

Even before Seb had arrived at the prison, five weeks before my first visit, the staff had received a notification that he ought to be subject to close monitoring. While still in police custody, an out-of-hours forensic psychiatric assessment had been requested.

Seb had been compliant with the arresting officers, but he had given the impression that he was unconcerned by what had happened – it seemed as though he didn’t mind at all that he was being arrested. More bizarrely, there were flickers of apparent self-satisfaction. Seb had been arrested on suspicion of murdering his mother.

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