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Israel's Mental Health Crisis: Trauma and Societal TransformationAfter more than two years of relentless bombardment and war – from Israel's operations in Gaza and the Hamas-led assault on southern villages in October 2023 that preceded it, to the country's successive wars and strikes on Iran, Lebanon, Syria and other neighbouring states – analysts, observers, and numerous studies from within Israel have concluded that the country has become moulded by trauma.A recent survey by Maccabi Healthcare Services found that about one-third of Israelis believe they need professional mental health support. Among those who have served in the army, as either conscripts or reservists, the picture is even starker.Rising PTSD Cases and Mental Health EmergenciesIn January, Israel's Defence Ministry reported a near-40 percent rise in the number of post-traumatic stress disorder (PTSD) cases among its soldiers since September 2023, with a 180 percent increase expected by 2028. The government has not published the number of soldiers discharged due to mental health over the same period, despite a legal obligation to do so, Israeli media has reported.Earlier this month, Magen David Adom, Israel's paramedic service, launched a dedicated mental health emergency service after registering a 45 percent spike in the number of calls it was receiving. The majority, it said, were linked to the continued strain of the country's multiple wars.The Statistical Surge in Mental Health IndicatorsThe number of suicides, a key indicator of mental health, has sharply increased across society as a whole, but particularly among the military, with 78 percent of military suicides in 2024 linked to combat operations in Gaza, the occupied West Bank and Lebanon, The Jerusalem Post reported in February.Incidents of domestic violence, as well as mental health conditions such as depression and stress, have all spiked since what many in the country regard as its endless series of wars began in October 2023, as well.Societal Brutalization and Political ShiftsIsrael's President, Isaac Herzog, appeared to acknowledge the trend in late May, referring to the increase in violence across Israeli society itself, including that perpetrated by rampaging Israelis from illegal settlements against Palestinians in the occupied West Bank, and the spike in violence targeting Christians.Speaking at an awards ceremony, he said, "I wish I could speak today only about unity. But to my great sorrow, we are living through days in which violence is not the only thing rearing its head. Alongside it, at the margins of our magnificent Israeli society, a terrible process is creeping in – a terrible process of brutalisation. It is a slow and disturbing process, one that threatens to enter the mainstream of Israeli society, and we will not allow it.""October 7 was like a switch, and the trauma it caused is widespread and ongoing," Tuly Flint, an Israeli mental health practitioner and combat veteran, told Al Jazeera. "People's sense of security was shattered," he said, arguing that the gap between past conflicts and the present ones had created a false sense of safety, alongside misplaced confidence in Israel's military and technological superiority."People have lost confidence in their society, government and institutions," Flint said, describing the sense of institutional betrayal among those who relied on the state for protection, or the moral injury experienced by those who lived through the consequences of its failure to do so. "In some cases, this has led people to embrace right-wing politics, adopt a more forceful response to perceived threats, and lose trust in government," he added.Trauma's Long-Term Implications for Israel's FutureHowever, the degree to which these trends began on October 7, 2023, is unclear, analysts and observers say. Violence has been intrinsic to Israel since its founding in 1948, analysts, such as the noted Israeli sociologist Yehouda Shenhav-Shahrabani, told Al Jazeera, with the events following October 7 merely giving new impetus to existing currents."October 7 was like a new beginning," Shenhav-Shahrabani said. "People create beginnings to erase the trauma of the past. Giving trauma a start date helps explain it."Recounting a conversation he had with his friend, the late Lebanese novelist, Elias Khoury, who had described to him his idea that Israelis need to experience defeat to become "more human" and less hubristic, Shenhav-Shahrabani said, "I'm not sure that's happened. October 7 was a defeat, and since then, Israelis have become even more fascist."There was always a fascist element to zionism, but more liberal strands, such as kibbutzim, obscured it. However, since October 7, it's become more apparent. You can see it everywhere," Shenhav-Shahrabani, who has given up teaching in response to endless criticism from a growing number of right-wing students, said.How its current trauma will shape Israel going forward is unclear, Zahava Solomon, a professor at Tel Aviv University who has researched the phenomenon for the past 40 years, said.Trauma can motivate a society to be strong and aggressive, or to always seek negotiation, she said. For Israel, the past trauma of the Holocaust has, she said, instilled in society an absolute sense of victimhood, one imprinted upon its citizens from the cradle and for whom the mantra of "never again" has become second nature.As for the Palestinians, who have experienced their own victimhood, this carries "dire consequences" for the future.For Flint, however, still on the front line of managing the fallout from the wars' collective trauma, "There's no cure"."There's just recovery. Once people have crossed that threshold, that's it."

The Lead: Streeting’s Tobacco Analogy Sparks a New Debate on Youth Online SafetyLabour front‑bencher Wes Streeting has called for social‑media platforms to be regulated like the tobacco industry, arguing that a ban for users under 16 is essential to protect children’s health. The government is set to close its 12‑week consultation on age limits within days, putting the issue at the forefront of UK politics.The Call to Treat Social Media Like TobaccoSpeaking publicly for the first time since leaving the cabinet, Streeting said: “Social media should be treated like tobacco – it’s extremely addictive, bad for our health, and big tech is borrowing the big tobacco playbook to avoid regulation.” He framed the proposal as “the start, not the end” of a broader effort to reclaim control from tech giants.Numbers Behind the Health Concerns454 doctors surveyed by the Academy of Medical Royal Colleges; half reported treating a child at least weekly whose distress was linked to online content.A separate survey of 60 paediatricians found:49% flagged self‑harm and suicidal tendencies as the top worry.45% highlighted bullying and peer conflict.39% cited anxiety, depression and other mental‑health issues.Doctors described a “wave of radicalised children” and incidents of suicide pacts and pet killings after exposure to harmful content.Political Stakes of a Youth Social Media BanThe proposal arrives as Streeting is seen as a potential successor to Prime Minister Keir Starmer in any future Labour leadership contest. His stance is drawing both support and resistance within the party, with some colleagues warning that a ban could push children toward the dark web or leave them ill‑prepared for digital life at 16.What a Partial Ban Could Mean for the UKAge‑based restrictions on high‑risk features such as livestreaming, location sharing and infinite scrolling.Limits on personalised algorithmic feeds for under‑16s.Potential curfews on screen time and mandatory time‑limit tools.Extended regulations to cover AI chatbots and certain gaming services for users under 13.Calls from groups like the NSPCC, Girlguiding and the Royal College of Paediatrics and Child Health for broader bans on advertising, profiling and manipulative design.Forecasting the Next Steps in Digital RegulationThe consultation closes on Tuesday, with ministers promising a response this summer. If a ban is adopted, the UK could become the first major Western nation to enforce a hard age limit, prompting other governments to revisit Australia’s model. Industry players are likely to lobby for lighter measures, while child‑welfare organisations will push for stricter controls, setting the stage for a prolonged policy battle over the digital age of consent.

The Grim Reality of a Heatwave-Prone Britain If you think the temperature is uncomfortable today, let me take you to the last day of July 2052, where the rays of the climbing sun reveal a city still sweltering in the residual heat of the day before. From the air, London resembles a colossal refugee camp. Streets, gardens and parks are teeming with tents and cobbled-together shelters, within which the city’s residents have spent another uncomfortable night away from the heat traps that their houses and flats have become. After six days when the temperature peaked at about 40C, another scorcher is on the way. The Consequences of Inaction Half-hearted attempts to upgrade insulation across the country’s housing stock ran out of steam and cash decades earlier, and most homes still have few barriers to the infiltrating heat. Almost all the country’s electricity is now from renewables, which has brought the cost down, but the relentless onslaught of extreme weather has driven an ever-deepening economic depression across the world. Many now have air conditioning, but can’t afford to run it. The Data Analysis: A Future of Water Rationing and Food Shortages Water rationing across the south-east of England due to a succession of dry winters and a spring drought. Failed harvests at home in the previous two years, and massively reduced food imports, leading to the rationing of bread and other staples. Every hospital is overwhelmed as the incessant heat and humidity take their toll on vulnerable people, the old and the very young. The Impact Analysis: A Nation Unprepared The UK Climate Change Committee flagged last week in its latest report to the government that our country is not built to handle such heat and its all-pervasive ramifications. More than nine in 10 homes are not well insulated enough to keep out the heat, while by 2050 there is forecast to be a daily shortfall in water supply of 5bn litres. The Prediction: A Future of Increased Hardship Bearing in mind that we continue to pump out CO2 equivalent to the weight of 800,000 Titanics every year, and fossil fuel corporations are actively planning to expand operations, it is practically impossible for emissions reductions to happen fast enough to reduce the rate at which our world is heating. Consequently, 40C-plus mid-century heat in the UK is now baked in. We need, then, to face the fact that life in the 2050s is going to be very different from today, and act now.

The Unseen Toll of War The conflict in Mali has had a profound impact on the mental health of its citizens. Beyond the physical destruction and loss of life, the war has left a lasting legacy of psychological trauma. Living with Trauma Survivors of the war often struggle with anxiety, depression, and post-traumatic stress disorder (PTSD). These conditions can make everyday tasks challenging and affect relationships with family and friends. The Need for Support Addressing the mental health needs of Malians affected by the war is essential for the country's recovery. This includes providing access to mental health services and supporting community-based initiatives. A Path Forward By acknowledging the mental trauma caused by the war, Mali can begin to heal and rebuild. It is crucial for the international community to provide support and resources to help the country address this critical issue.

The WHO World Health Assembly Spotlights a Growing Mental‑Health CrisisThe World Health Organization (WHO) convened in Geneva for its 79th World Health Assembly, placing mental health among over 75 agenda items. With >1 billion people—roughly one in eight worldwide—living with a mental condition, the assembly serves as a pivotal forum for scaling up services and funding.Key Prevalence Figures and Disorder ClassificationsWHO and DSM‑5 categorize mental disorders into mood, anxiety, psychotic, trauma‑related, and other groups. The most common disorders globally are:Depressive disorders: 694.6 per 100,000Anxiety disorders: 686.5 per 100,000Schizophrenia: 210.2 per 100,000Bipolar disorder: 94.6 per 100,000Eating disorders: 47.5 per 100,000Financial Landscape: Spending Gaps Across Income LevelsMedian government spending on mental health is only 2 % of total health budgets. Per‑capita spending varies dramatically:Low‑income countries: $0.04Lower‑middle‑income countries: $0.34High‑income countries: $65.89Regional Prevalence and the Suicide Epidemic2019 WHO data show the following regional prevalence rates:Americas: 15.6 %Eastern Mediterranean: 14.7 %Europe: 14.2 %Southeast Asia: 13.2 %Western Pacific: 11.7 %Africa: 10.9 %Suicide accounts for 740,000 deaths annually—one every 43 seconds. It ranks 17th among all causes of death, but is the 3rd leading cause for ages 15‑29 and 2nd for women 15‑29. Male suicide rates (12.8/100,000) are four times higher than female rates (5.4/100,000).Why the Numbers Matter: Policy, Equity, and Public Health ImplicationsThe data reveal three urgent challenges:Under‑funding: With only 2 % of health budgets allocated, many low‑ and middle‑income countries lack basic treatment infrastructure.Gender and age disparities: Women face higher anxiety and depression rates; young people bear a disproportionate suicide burden.Vulnerable populations: Refugees, Indigenous peoples, and LGBTQ+ communities experience elevated suicide risk.Addressing these gaps requires coordinated investment, culturally competent services, and targeted prevention programs.Looking Ahead: Scaling Up Treatment and Closing the Funding GapIf current trends continue, prevalence will keep rising, especially for anxiety disorders, which have grown >50 % since 1990. Experts predict that doubling global mental‑health spending to at least 4 % of health budgets could halve the treatment gap within a decade, reduce suicide rates, and improve overall productivity. The upcoming WHO resolutions aim to set measurable targets for service expansion, data collection, and cross‑sector collaboration.

Early‑stage evidence from a University of Bristol randomised controlled trial suggests that the anti‑inflammatory drug tocilizumab may improve symptoms in patients with moderate‑to‑severe depression who have not responded to standard antidepressants.Trial Overview: Testing Tocilizumab for Treatment‑Resistant DepressionThe study examined whether blocking the IL‑6R receptor could alleviate depressive symptoms. Key design elements:Participants: 30 adults with moderate‑to‑severe depression unresponsive to conventional medication.Intervention: Intravenous tocilizumab versus placebo.Duration: four‑week double‑blind period.Outcomes measured: depression severity, fatigue, state anxiety, and quality of life.Key Numbers: Sample Size, Remission Rates, and NNTAlthough the trial was not powered to reach statistical significance, observed trends were notable:Depression remission: 54% in the tocilizumab group vs 31% in the placebo group.Number Needed to Treat (NNT): 5, meaning five patients would need treatment for one additional remission.For comparison, the NNT for first‑line SSRIs is approximately 7.The lack of robust statistical proof reflects the small cohort, underscoring the need for larger studies.Potential Shift in Depression Treatment ParadigmsResearchers describe the trial as an “important milestone” because it is:One of the first randomised trials to test immunotherapy for depression.The inaugural study targeting the IL‑6R pathway in this context.A proof‑of‑concept for selecting patients based on biological markers.Given that up to one‑third of depressed patients do not improve with existing pharmacotherapies, a biologically driven approach could expand therapeutic options and move psychiatry toward more personalised care.What Comes Next: Larger Studies and Clinical ImplicationsThe investigators plan to:Conduct larger, multi‑centre trials to confirm efficacy and safety.Explore longer treatment durations and dosage optimisation.Assess whether IL‑6R blockade can be combined with existing antidepressants.If subsequent trials replicate these findings, immunotherapy could become a viable adjunct or alternative for treatment‑resistant depression, potentially reshaping clinical guidelines and drug development pipelines.

The Core Argument: Tech Monopoly Undermines DemocracyMordecai Kurz contends that today’s tech giants are hoarding cultural and technological influence, creating a “second Gilded Age” that weakens democratic institutions and fuels economic disenfranchisement.Monopoly Power and the New Gilded AgeKurz traces a historical pattern from the late 19th‑century industrialists—Andrew Carnegie and John D. Rockefeller—to modern firms such as Microsoft and OpenAI. He notes that, like the original Gilded Age, contemporary leaders view themselves as “superior beings” destined to shape society, citing Anthropic CEO Dario Amodei’s claim that AI could become a transcendent good while also acknowledging its potential to cause mass unemployment.Economic Indicators of ConcentrationReversal of New Deal‑era reforms in the Reagan era allowed monopoly power to expand.Wages for blue‑collar workers without college degrees have stagnated while the cost of living has risen.Tech startups increasingly design themselves for acquisition rather than competition, signaling entrenched monopoly dynamics.Consequences for Democratic InstitutionsAccording to Kurz, the concentration of wealth enables tech firms to wield outsized lobbying power, influencing policy and protecting their market dominance. Unregulated social‑media algorithms amplify polarization for profit, and unchecked AI threatens to displace not only low‑skill workers but also professionals such as doctors, lawyers, and engineers.Path Forward: Reform ScenariosKurz proposes a reform cycle reminiscent of the post‑Great Depression era:Implement taxes and redistribution mechanisms targeting excess wealth accumulated by monopolistic tech firms.Government‑subsidized retraining programs for workers displaced by AI, with incentives for companies that hire them.Legal liability for misinformation on platforms to curb harmful content.He warns that “Trumpism will not go in a whimper” and that a major recession or depression may be required before a new reform wave can take hold, but remains optimistic that a more humane form of capitalism can eventually restore democratic balance.

The Breakthrough in Addiction Treatment Results from a new clinical trial published in JAMA Network Open this month show that a single dose of psilocybin could be an effective treatment for cocaine addiction. The study found that 19 participants who received psilocybin were more likely to abstain from cocaine than 17 participants who received a placebo of diphenhydramine, a common antihistamine. Participants in both groups worked with therapists to process their experiences, highlighting the importance of the therapeutic context alongside the medication. The Urgent Need for Cocaine Addiction Treatments Dr. Peter Hendricks, a behavioral health professor at the University of Alabama at Birmingham and lead author of the study, emphasized the critical need for effective treatments. Currently, there are no FDA-approved medications for addiction to cocaine or other stimulants like methamphetamine. Overdoses involving stimulants are killing more Americans, and according to the latest UN global drug report, cocaine deaths are rising globally as cocaine production reaches an all-time high. Understanding the Mechanism Experts believe psilocybin works by increasing neuroplasticity and psychological plasticity – the ability to change thinking and behavior. Addictions inherently involve resistance to changing rigid, impulsive behaviors, which psychedelics may help overcome. Unlike traditional addiction medications that target the same neurochemical systems as the substance itself, psilocybin produces a profound altered state of consciousness within a structured psychotherapy context. It acts more like a catalyst within a therapeutic process rather than a maintenance medication. Addressing Cocaine Withdrawal Symptoms Cocaine withdrawal symptoms are primarily psychological rather than physically painful, including bad dreams, agitation, depression, and cravings. This psychological nature may make psilocybin particularly effective for cocaine addiction, as it can facilitate shifts in perspective and self-compassion that help people change their behavior. The therapeutic framework allows individuals to process their experiences and develop new insights about their addiction patterns, potentially breaking the cycle of craving and use. Diverse Clinical Trial Participation This study is notable as the first psychedelic clinical trial to include a majority of Black participants. While many spiritual rituals involving psychedelics originated in Indigenous societies in Latin America and Africa, US psychedelic culture today is often associated with Silicon Valley and elite, white personalities. Dr. Hendricks specifically recruited participants who were dependent on cocaine and wanted to stop, rather than advertising for psychedelic enthusiasts. This approach likely reduced the "expectation effect" and produced more generalizable results. Future Research Directions A critical commentary published alongside the study noted that the results might not be generally applicable because the study excluded people with comorbid depression and anxiety. However, experts point out that psilocybin shows promise for treating both conditions. The success of this trial is a clear indication that psilocybin for cocaine use disorder is a promising treatment that should proceed to larger-scale clinical trials. As research continues, the medical community may gain more insight into how psychedelics can be integrated into addiction treatment protocols.

The Author's JourneyDoireann Ní Ghríofa, author of A Ghost in the Throat, has written a new book, Said the Dead, which delves into the history of a mental institution in Ireland. In an interview, she discusses her personal journey of recovering from depression and how it influenced her writing.Writing from ExperienceNí Ghríofa grew up in County Clare and moved to Cork for university, where she experienced severe depression and attempted to drown herself in the river on two occasions. She reflects on how her experiences have shaped her writing, particularly in her latest book.Exploring Mental Health HistoryThe book, Said the Dead, is a result of Ní Ghríofa's research into the history of a mental institution in Ireland, where she discovered the records of male and female inpatients. She shares her findings and insights into the lives of these individuals, highlighting the challenges they faced and the care they received.A Personal ConnectionNí Ghríofa's connection to the material is personal, as she reflects on her own experiences with depression and how it relates to the stories of the women she encountered in the records. She emphasizes the importance of empathy and understanding in approaching these stories.The Power of WritingThrough her writing, Ní Ghríofa aims to explore and understand the complexities of mental health and the experiences of those who have lived through it. Her book is a testament to the power of writing as a tool for healing and self-discovery.