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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Neuroscientist Karl Deisseroth: ‘Coronavirus has changed us all’

The neuroscientist and psychiatrist explains Zoom fatigue - and why the conditions of the pandemic can induce an ‘altered state’

The coronavirus pandemic has been a disorienting kind of emergency. It is a generation-defining cataclysm, but for many of us the day-to-day reality has been lonely, even dull. It is a call to action, but the most useful thing most of us can do is stay at home. Covid-19 is a disease that attacks the lungs, but it has also worsened mental health while causing a drastic reduction in patients seeking care for depression, self-harm, eating disorders and anxiety. Whatever path the pandemic takes from here, says Karl Deisseroth, the pioneering American neuroscientist, psychiatrist, bioengineer and now author, “Coronavirus has affected us all and it has changed us all. There’s no doubt about that.”

Deisseroth, 49, is talking in the lush, squirrel-filled garden of his house in Palo Alto, northern California, where he has spent much of the pandemic looking after his four young children. But he has had much else on his mind. He has been finishing his book, Connections: A Story of Human Feeling, an investigation into the nature of human emotions. He has been meeting with psychiatric patients over Zoom as well as putting in night shifts as an emergency hospital psychiatrist. And he has fitted all of this around his day job, which is using tiny fibre-optic cables to fire lasers into the brains of mice that he has infected with cells from light-sensitive algae and then observing what happens, millisecond by millisecond, when he turns individual neurons on or off.

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Mental health patients ‘missed out on care’ during Covid

Survey reveals remote consultations often felt inadequate and may have made symptoms worse

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  • Mental health patients found their conditions deteriorated during the pandemic because the NHS switched from in-person help to support by telephone, video and text messages, new research reveals.

    Many reported a lower quality of care, according to a study by University College London; others had trouble accessing medication, had appointments cancelled or felt the loss of face-to-face help meant they “were missing out on care”.

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    Laura Dockrill on parenting, paranoia and postpartum psychosis: ‘I thought I’d been hijacked by a devil’

    A month after the birth of her son, the writer, poet and illustrator was on suicide watch in a psychiatric ward, experiencing severe delusions. Now her podcast is raising awareness of a condition that affects one in a thousand new mothers

    Laura Dockrill told herself she was the worst case the psychiatric hospital had ever seen, and was untreatable. But that was only one of her delusions. Dockrill thought her father-in-law had hypnotised her. She would stalk the hospital corridors, feeling “like this badass”, as if she were a trained assassin. The reality was painfully different, but in Dockrill’s words it comes coloured with a comic touch.

    “I was frumpy, quiet, wore my sister’s cupcake socks and a pink T-shirt with breast milk blooming over my boobs,” she says, smiling, her neon pink lipstick beaming through my laptop screen. There were times when she was on to her partner’s devious “plan” to take their newborn baby away from her, but would act like some kind of femme fatale, convinced he couldn’t resist her dangerous sexiness. He would play along – Dockrill’s psychiatrist had advised him not to try to reason with her – while gently reminding her that she would get better.

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