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"I was so scared": Chezzi Denyer's shocking mental health revelation

<p>Chezzi Denyer has opened up about the moment she decided to seek professional help for a debilitating mental health condition. </p> <p>Grant Denyer's wife shared an emotional post on Instagram, marking the 10 year anniversary of the day she made a major change after struggling with post-natal depression and PTSD. </p> <p>In a lengthy caption, she wrote, “Ten years ago, today, I made a very scary step and began professional treatment for Post Traumatic Stress Disorder, and Postnatal Anxiety."</p> <p>“At the time I was unable to articulate what I was feeling, or understand why. For some time I had exhausted myself trying to conceal it.”</p> <p>She said that she felt "scared" to admit she was struggling, out of fear she would be called "crazy". </p> <p>“Scared to sleep most nights because of the night terrors,” she wrote.</p> <p>“The repeated visions of the very things that had scarred me, waking me shaking. I would die graphically in my dreams. Scared to care for my young daughter Sailor at times."</p> <p>“I had never experienced anxiety up to this point so I didn’t know what it was ... but my fear over her becoming unwell or injured left me paralysed at times.”</p> <p>Denyer said that as a seasoned “mask wearer”, she had laughed it off and became used to concealing her mental health battle.</p> <p>“Most people who knew me well had no idea of my personal battle,” she wrote.</p> <p>“While seeking help took me a number of attempts, as many dismissed me at first - my mask was strong - It has become the single most profound thing I have ever done in my life.</p> <p>“My entire world began to change on that day, ten years ago.”</p> <p>After seeking professional help, Chezzi learned the details of her own psychology, and began to forgive herself. </p> <p>“I learnt that I was not the sum of my affliction/ condition, and that there was a path out and to a much better place should I want that, and I did so very very much."</p> <p>“I worked through the pain, and the fear and while sometimes it felt too hard ... I continued to face it."</p> <p>“And today while I quietly smile about how far I’ve come, I wanted to share this quite personal post with you because I know that it will resonate with many people still trying to conceal and wear their masks.”</p> <p>Chezzi’s followers were stunned by the raw honesty of the post, with many thanking her for helping them to feel less alone.</p> <p>“Thank you for sharing so vulnerably,” one follower wrote.</p> <p>“I just know being open about your experience will help others feel less alone and will hopefully help someone to take that first step to ask for help. Thank you. Just thank you.”</p> <p><em>Image credits: Instagram</em></p>

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Do psychedelics really work to treat depression and PTSD? Here’s what the evidence says

<p><em><a href="https://theconversation.com/profiles/sam-moreton-194043">Sam Moreton</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p>As of July 1, authorised psychiatrists have been allowed to prescribe MDMA (the chemical found in “ecstasy”) to treat post-traumatic stress disorder (PTSD), and psilocybin (found in “magic mushrooms”) to treat depression that hasn’t responded to other treatment.</p> <p>Psychedelic therapies have researchers excited because evidence suggests they might have lasting beneficial effects on factors that cause psychological distress beyond the treatment period. These include <a href="https://link.springer.com/article/10.1007/s00213-017-4701-y">feeling disconnected from other people</a>, <a href="https://link.springer.com/article/10.1007/s00213-019-05391-0">fear of death</a>, and <a href="https://www.sciencedirect.com/science/article/pii/S2212144719301140?casa_token=OP6tKGxjPHAAAAAA:NTQ4khgsOY5wmsQ5HzCMcZ4eZ43wQV-sdhUbf5LXFiIeKWNwdonhfCxo77k7QbNk4G69EfX-">rigid ways of thinking</a>.</p> <p>This stands in contrast to most medications for psychological issues, which only directly help while people keep taking them regularly.</p> <p>But how strong is the evidence for psychedelic therapy?</p> <h2>Early promise</h2> <p>Early results from studies around the world have found psychedelic therapy <a href="https://www.ranzcp.org/getmedia/0cf57ea2-0bd7-4883-9155-d2ba1958df86/cm-therapeutic-use-of-mdma-for-ptsd-and-psilocybin-for-treatment-resistant-depression.pdf">might be effective</a> for treating a range of psychological issues.</p> <p>For instance, most studies (<a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2032994">but not all</a>) have found patients tend to report <a href="https://pubmed.ncbi.nlm.nih.gov/37357767/">fewer depression symptoms</a> for periods ranging from several weeks to several months after psilocybin therapy.</p> <p>Similarly, studies have found <a href="https://journals.sagepub.com/doi/10.1177/0269881120965915">reductions in PTSD symptoms</a> three weeks after MDMA therapy.</p> <h2>Not so fast</h2> <p>However, as psychedelic research has grown, <a href="https://pubmed.ncbi.nlm.nih.gov/35243919/">limitations</a> of the research have been identified by researchers both <a href="https://psyarxiv.com/ak6gx/">within</a> and <a href="https://www.sciencefictions.org/p/psychedelics">outside</a> the psychedelic field.</p> <p>One issue is that we aren’t sure whether findings might be due to a <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/placebo-effect">placebo effect</a>, which occurs when a treatment works because people expect it to work.</p> <p>In clinical trials, participants are often given either a medication or a placebo (inactive) drug – and it’s important they don’t know which they have been given. However, due to the strong effects, it is difficult to prevent participants from knowing whether they have been given a psychedelic drug.</p> <p>Researchers have tried to use a range of different drugs (such as Ritalin) as a placebo in order to “trick” those participants not given a psychedelic into thinking they have received one. But this can be difficult to achieve.</p> <p>In 2021, researchers <a href="https://www.tandfonline.com/doi/full/10.1080/17512433.2021.1933434?casa_token=Dovn7x_rkdUAAAAA%3AsPzBTYNTPnNwqj9NvwN0m9ptrP4x4-c83gp3tGcshs30dWHNnmB_Vx-X5H5Y3pZJdG02IWW6X2E">reviewed</a> clinical trials involving psychedelics such as LSD, psilocybin, and dimethyltryptamine (found in animals and plants) for mood and anxiety disorders. They found trials either had not assessed whether participants guessed correctly which drug they had been given, or that this had been tested and participants tended to guess correctly.</p> <p>More recent trials <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2032994">either don’t measure this</a> or find participants have a <a href="https://journals.sagepub.com/doi/full/10.1177/02698811231154852?casa_token=VsPt344fVGwAAAAA%3AA-i1VPBE1EWyFITWNncZEt876lWMiC7rtTOLJBQnb2pHI2775imUJhrzeSZW6r9doaBeDaj61D0">pretty good idea</a> of whether they’ve had a placebo or a psychedelic drug.</p> <p>Given the publicity and excitement around psychedelic research in recent years, it is likely most participants have <a href="https://culanth.org/fieldsights/the-pollan-effect-psychedelic-research-between-world-and-word">strong beliefs</a> such therapies work. This could lead to a significant placebo effect for participants given a psychedelic dose. Additionally, participants who realise they have received a placebo could experience <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10184717/">disappointment and frustration</a>, resulting in worse symptoms. The benefits of a psychedelic may seem even greater when they are compared to the experiences of disappointed participants.</p> <h2>Translating trials to practice</h2> <p>Anecdotally, patients might be motivated to report they have gotten better, even when they haven’t.</p> <p>On a 2021 podcast, one clinical trial participant <a href="https://www.psymposia.com/powertrip/">described</a> how, in hindsight, the information they provided to the trial did not accurately capture the worsening of their symptoms. Trial participants are likely aware their results might affect whether treatments are legalised. They may not want to “ruin” the research by admitting the treatment didn’t work for them.</p> <p>There is also uncertainty about whether the findings from clinical trials mean treatments will work in private practice. There may be a lack of clarity around <a href="https://psyarxiv.com/ak6gx/">how trial participants</a> are recruited and selected. Therefore participants may not represent the typical person with PTSD or treatment-resistant depression.</p> <p>And while <a href="https://journals.sagepub.com/doi/full/10.1177/02698811211069100">the safety of psychedelics</a> within controlled contexts is often emphasised by advocates, less is known about safety of psychedelic therapy <a href="https://www.frontiersin.org/articles/10.3389/fpsyt.2021.737738/full">outside</a> clinical trials.</p> <h2>Resolving issues</h2> <p>These issues do not mean the promising psychedelic research conducted over the past several decades is worthless. Nevertheless, a <a href="https://pubmed.ncbi.nlm.nih.gov/35285280/#full-view-affiliation-1">recent review</a> of the effects of MDMA and psilocybin on mental, behavioural or developmental disorders by Australian researchers concluded the “overall certainty of evidence was low or very low”.</p> <p>Dutch researchers recently drafted a <a href="https://psyarxiv.com/ak6gx/">roadmap for psychedelic science</a> with a checklist for future research to help avoid these pitfalls. When more research is done, it might turn out psychedelic treatments help patients and don’t come with unacceptable harms – we simply don’t know that yet.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/208857/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/sam-moreton-194043">Sa<em>m Moreton</em></a><em>, Associate Lecturer, School of Psychology, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/do-psychedelics-really-work-to-treat-depression-and-ptsd-heres-what-the-evidence-says-208857">original article</a>.</em></p>

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‘Psychological debriefing’ right after an accident or trauma can do more harm than good – here’s why

<p><em><a href="https://theconversation.com/profiles/richard-bryant-161">Richard Bryant</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em></p> <p>The recent <a href="https://www.abc.net.au/news/2023-06-18/hunter-valley-wedding-bus-crash-survivors-remain-in-hospital/102487630">tragic bus accident</a> in the New South Wales Hunter Valley has again raised the issue of how we address the potential psychological effects of traumatic events.</p> <p>It is interesting we revisit the same debate after each disaster, and few lessons have apparently been learned after decades of research. After the Hunter Valley accident, immediate psychological counselling was <a href="https://www.theguardian.com/australia-news/2023/jun/15/hunter-valley-bus-crash-company-issued-with-defect-notices-after-police-raid">offered to those affected</a>.</p> <p>While we can’t say what form of counselling was offered, the traditional approach is known as “<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1118833/">psychological debriefing</a>”. This typically involves counsellors providing trauma survivors with a single counselling intervention within days of the event.</p> <p>Although the content of the intervention can vary, it usually involves education about stress reactions, encouragement to disclose their memories of the experience, some basic stress-coping strategies and possibly referral information.</p> <p>But the evidence shows this approach, however well-meaning, may not help – or worse, do harm.</p> <h2>The belief that feelings must be shared</h2> <p>The encouragement of people to discuss their emotional reactions to a trauma is the result of a long-held notion in psychology (dating back to the classic writings of Sigmund Freud) that disclosure of one’s emotions is invariably beneficial for one’s mental health.</p> <p>Emanating from this perspective, the impetus for psychological debriefing has traditionally been rooted in the notion trauma survivors are vulnerable to psychological disorders, such as post-traumatic stress disorder (PTSD), if they do not “talk through their trauma” by receiving this very <a href="https://journals.sagepub.com/doi/full/10.1177/1529100610387086">early intervention</a>.</p> <p>The scenario of trauma counsellors appearing in the acute aftermath of traumatic events has been commonplace for decades in Australia and elsewhere.</p> <p>Following the 9/11 terrorist attacks in New York City in 2001, up to 9,000 counsellors were mobilised and more than <a href="https://www.nytimes.com/2002/07/22/nyregion/finding-cure-for-hearts-broken-sept-11-is-as-difficult-as-explaining-the-cost.html">US$200 million</a> was projected to meet a surge in mental health needs. But fewer people than expected sought help under this program and $90 million remained <a href="https://theconversation.com/9-11-anniversary-a-watershed-for-psychological-response-to-disasters-2975">unspent</a>.</p> <h2>What do we know about psychological reactions to disasters?</h2> <p>The overwhelming evidence indicates the majority of people will <a href="http://www.psychologicalscience.org/publications/journals/pspi/weighing-the-costs-of-disaster.html">adapt</a> to traumatic events without any psychological intervention.</p> <p>Long-term studies indicate approximately 75% of trauma survivors will not experience any long-term distress. Others will experience short-term distress and subsequently adapt. A minority (usually about 10%) will <a href="https://journals.sagepub.com/doi/10.1177/1529100610387086">experience chronic psychological problems</a>.</p> <p>This last group are the ones who require care and attention to reduce their mental health problems. Experts now agree other trauma survivors can rely on their own <a href="https://www.rcpsych.ac.uk/mental-health/problems-disorders/coping-after-a-traumatic-event">coping resources and social networks</a> to adapt to their traumatic experience.</p> <p>The finding across many studies that most people adapt to traumatic experiences <a href="https://journals.sagepub.com/doi/10.1177/1529100610387086">without formal mental health interventions</a> has been a major impetus for questioning the value of psychological debriefing in the immediate aftermath of disasters.</p> <p>In short, the evidence tells us universal interventions – such as psychological debriefing for everyone involved in a disaster – that attempt to prevent PTSD and other psychological disorders in trauma survivors are not indicated. These attempts <a href="https://journals.sagepub.com/doi/10.1177/1529100610387086#bibr448-1529100610387086">do not prevent</a> the disorder they are targeting.</p> <h2>Not a new conclusion</h2> <p>In the aftermath of the 2004 Indian Ocean earthquake and tsunami, the World Health Organization listed a warning (which <a href="https://www.who.int/teams/mental-health-and-substance-use/treatment-care/mental-health-gap-action-programme/evidence-centre/other-significant-emotional-and-medical-unexplained-somatic-complaints/psychological-debriefing-in-people-exposed-to-a-recent-traumatic-event">still stands</a>) that people should not be given single-session psychological debriefing because it is <a href="https://journals.sagepub.com/doi/10.1177/1529100610387086#bibr448-1529100610387086">not supported</a> by evidence.</p> <p>Worse than merely being ineffective, debriefing can be <a href="https://www.jenonline.org/article/S0099-1767(19)30453-2/fulltext#:%7E:text=It%20is%20for%20these%20reasons,%2C%20anxiety%20or%20depressive%20symptoms.%E2%80%9D">harmful for some people</a> and may increase the risk of PTSD.</p> <p>The group of trauma survivors that are most vulnerable to the toxic effects of debriefing are those who are more distressed in the acute phase right after the trauma. This group of people have worse mental health outcomes if they are provided with early debriefing.</p> <p>This may be because their trauma memories are over-consolidated as a result of the emotional disclosure so shortly after the event, when <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181836/#:%7E:text=Brain%20areas%20implicated%20in%20the,norepinephrine%20responses%20to%20subsequent%20stressors.">stress hormones</a> are still highly active.</p> <p>In normal clinical practice a person would be assessed in terms of their suitability for any psychological intervention. But in the case of universal psychological debriefing there is no prior assessment. Therefore, there’s no assessment of the risks the intervention may pose for the person.</p> <h2>Replacing debriefing</h2> <p>Most international bodies have shifted away from psychological debriefing. Early intervention might now be offered as “<a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/psychological-first-aid">psychological first aid</a>”.</p> <p>This newer approach is meant to provide <a href="https://www.who.int/publications/i/item/9789241548205">fundamental support and coping strategies</a> to help the person manage the immediate aftermath of adversity. One of the most important differences between psychological first aid and psychological debriefing is that it does not encourage people to disclose their emotional responses to the trauma.</p> <p>But despite the increasing popularity of psychological first aid, it is difficult to assess its effectiveness as it does not explicitly aim to prevent a disorder, such as PTSD.</p> <h2>Wanting to help</h2> <p>So if there is so much evidence, why do we keep having this debate about the optimal way to assist psychological adaptation after disasters? Perhaps it’s because it’s human nature to want to help.</p> <p>The evidence suggests we should monitor the most vulnerable people and target resources towards them when they need it – usually some weeks or months later when the dust of the trauma has settled. Counsellors might want to promote their activities in the acute phase after disasters, but it may not be in the best interest of the trauma survivors.</p> <p>In short, we need to develop better strategies to ensure we are meeting the needs of the survivors, rather than the counsellors.</p> <hr /> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/208139/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></em></p> <p><em><a href="https://theconversation.com/profiles/richard-bryant-161">Richard Bryant</a>, Professor &amp; Director of Traumatic Stress Clinic, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/psychological-debriefing-right-after-an-accident-or-trauma-can-do-more-harm-than-good-heres-why-208139">original article</a>.</em></p>

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"Get my voice back": Kathy Griffin's intense pre-op drama

<p>Kathy Griffin has shared footage of her pre-operation appointment before she undergoes vocal cord surgery in an effort to save her voice.</p> <p>The American comedian took to TikTok to show fans the process of her surgeon sticking a camera scope up her nose and through to her vocal cord to get a clearer view of the damage.</p> <p>"First step is the numbing spray. Then the scope goes up the nose, down into the vocal cords!" she explained with captions.</p> <p>"As you can see, the left chord is paralyzed.”</p> <p>After she was instructed to make noises to test the cords, Griffin is seen following the doctor’s orders and watching her vocal cord movement on the screen.</p> <p>Griffin reflected post-operation in the same clip, with the 62-year-old lying in a recovery bed following the surgery.</p> <div><iframe title="tiktok embed" src="https://cdn.embedly.com/widgets/media.html?src=https%3A%2F%2Fwww.tiktok.com%2Fembed%2Fv2%2F7242029180651687214&display_name=tiktok&url=https%3A%2F%2Fwww.tiktok.com%2F%40kathygriffin%2Fvideo%2F7242029180651687214&image=https%3A%2F%2Fp19-sign.tiktokcdn-us.com%2Fobj%2Ftos-useast5-p-0068-tx%2F202ea4a9813e435c92a1c6996f018c11_1686166329%3Fx-expires%3D1686236400%26x-signature%3D%252Bk5fTTtG0O6jMWR7Pnky9ekvIlw%253D&key=5b465a7e134d4f09b4e6901220de11f0&type=text%2Fhtml&schema=tiktok" width="340" height="700" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe></div> <p>"I just had my latest surgery on my left vocal cord, because I want to be in good shape for my big Vegas show," she said.</p> <p>"This is just part of my recovery post-lung cancer surgery," she added. "I'm cancer-free, so anyway a little scratchy today, but I'll be in good shape.”</p> <p>"I so appreciate you guys following along on my journey to get my voice back after lung cancer,” Griffin captioned the video, also sharing it to her Instagram.</p> <p>Griffin had part of her lung removed in 2021 after being diagnosed with lung cancer and was in remission four months later.</p> <p>Her latest hospital visit comes after she revealed her diagnosis of “complex PTSD” in early 2023.</p> <p>Griffin shared her diagnosis in a TikTok in April, asking her followers for recommendations on how to cope with anxiety and depression.</p> <p>"Let's talk about PTSD. Never talked about it publicly," she said. "You can laugh or whatever, but I've been diagnosed with complex PTSD, and it's called an extreme case."</p> <p><em>Image credit: TikTok</em></p>

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New psychedelic treatment for PTSD discovered

<p><span style="font-weight: 400;"> A new study has found that the key ingredient in the illicit drug known as Ecstasy or Molly could ease the symptoms of post-traumatic stress disorder.</span></p> <p><span style="font-weight: 400;">When combined with intense talk therapy, the study reports that MDMA significantly eased symptoms in those struggling with severe PTSD.</span></p> <p><span style="font-weight: 400;">“This is a big deal,” Steven Gold, a clinical psychologist in Fort Lauderdale and professor emeritus at Nova Southeastern University in Florida told </span><a href="https://www.sciencenews.org/article/mdma-ecstasy-ptsd-symptoms-psychedelic-psychology?utm_source=email&amp;utm_medium=email&amp;utm_campaign=latest-newsletter-v2&amp;utm_source=Latest_Headlines&amp;utm_medium=email&amp;utm_campaign=Latest_Headlines"><span style="font-weight: 400;">ScienceNews</span></a><span style="font-weight: 400;">. “All other things being equal, the use of psychedelic medication can significantly improve the outcome.”</span></p> <p><span style="font-weight: 400;">Though </span><a href="https://www.nature.com/articles/s41591-021-01336-3#citeas"><span style="font-weight: 400;">the findings</span></a><span style="font-weight: 400;">, published in </span><span style="font-weight: 400;">Nature Medicine</span><span style="font-weight: 400;">, are preliminary, they offer hope to the millions of people with PTSD who are in desperate need of new treatments. Antidepressants such as Zoloft and Paxil are often prescribed to these patients, but don’t work for an estimated 40 to 60 percent of people with PTSD.</span></p> <p><strong>How did they test it?</strong></p> <p><span style="font-weight: 400;">The study involved 90 people across 15 sites in the United States, Canada, and Israel. All participants received 15 therapy sessions with therapists who were trained to guide people experiencing the drug.</span></p> <p><span style="font-weight: 400;">Of the 90 participants, half received MDMA in three eight-hour therapy sessions while the other half received placebos.</span></p> <p><span style="font-weight: 400;">MDMA, true to its nickname Ecstasy, evokes feelings of bliss and social connectedness. Those who took either the drug or the placebo wore eye covers, listened to music, and occasionally talked to their therapist about their experience during the sessions.</span></p> <p><span style="font-weight: 400;">By the end of the 18-week trial, most participants showed fewer PTSD symptoms such as unwanted, intrusive memories.</span></p> <p><span style="font-weight: 400;">But, those who took MDMA experienced the best benefits.</span></p> <p><span style="font-weight: 400;">By the trial’s end, 67 percent of the participants taking MDMA had improved so much they no longer qualified for a PTSD diagnosis.</span></p> <p><span style="font-weight: 400;">In comparison, 32 percent of those taking the placebo no longer met the criteria for a PTSD diagnosis by the end of the study.</span></p> <p><span style="font-weight: 400;">Many participants had been living with severe PTSD for years.</span></p> <p><span style="font-weight: 400;">“Typically, we see PTSD as a disorder for life. Now, we may begin to let that go,” said Eric Vermetten, a psychiatrist at the Leiden University Medical Centre in the Netherlands who works with veterans and military members with PTSD and was not involved in the study.</span></p> <p><span style="font-weight: 400;">Though it isn’t exactly clear how the drug changes the brain, some imaging studies suggest MDMA dampens activity in the amygdala, a structure in the brain involved in fear. Other results from studies in mice suggest the drug may heighten social learning, which may strengthen the relationship between a patient and their therapist.</span></p> <p><span style="font-weight: 400;">The study did require a significant amount of emotional work before, during and after the MDMA sessions too.</span></p> <p><span style="font-weight: 400;">“[MDMA] is not a magic pill,” co-author Amy Emerson said.</span></p> <p><span style="font-weight: 400;">Since more than 75 percent of the cohort were white, Gold said it is unclear whether the effects would be similar with a more diverse group of people. Nor is it clear how long the effects might last.</span></p> <p><span style="font-weight: 400;">Another clinical trial is in the works, but restrictions on MDMA in the United States have complicated future research.</span></p> <p><span style="font-weight: 400;">“There are a lot of barriers to break down related to this treatment,” Emerson said. “And there is a lot of hope.”</span></p>

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Queen Elizabeth and her corgis help PTSD sufferer

<p>A war surgeon has shared an incredibly touching story of how the Queen and her corgis came to his rescue when he had a sudden episode of PTSD.</p> <p>During a visit to Buckingham Palace in 2014, Dr David Nott, a top vascular surgeon, was speaking to the Queen about his achievements when he was suddenly overcome by an episode of PTSD.</p> <p>Dr Nott has volunteered at Doctors Without Borders and the British Red Cross for over 20 years, in crisis areas such as Sarajevo and Afghanistan. He had just returned from Syria 10 days earlier, where he had operated on gravely injured children.</p> <p><img src="https://pbs.twimg.com/media/CkRKi0eUgAAy9x6.jpg" style="width: 399px; top: 0px; display: block; margin-left: auto; margin-right: auto;"/></p> <p>“She must have detected something significant,” Dr Nott told BBC Radio Four’s Desert Island Discs on Sunday. “I didn’t know what to say to her. It wasn’t that I didn’t want to speak to her – I just couldn’t. She picked all this up and said, ‘Well, shall I help you?’ I thought, ‘How on earth can the Queen help me?’”</p> <p>Dr Nott went on the share how the Queen instantly knew what to do, saying, “All of a sudden the courtiers brought the corgis, and the corgis went underneath the table. And she went to one of the courtiers and said, ‘Can we open up that, please?’ So she opened up this lid and there was a load of biscuits. So she got one of the biscuits and broke it in two and said, ‘Okay, why don’t we feed the dogs?’”</p> <p>“And so for 20 minutes during this lunch, the Queen and I fed the dogs. She did it because she knew that I was so seriously traumatised. You know, the humanity of what she was doing was unbelievable.”</p> <p>The compassion shown by the Queen helped Dr Nott through his episode and he was able to regain his strength.</p> <p>“Stroking animals, touching them and feeding them – we just talked about the dogs and how many she had. She was just so warm and so wonderful. I will never forget it.”</p> <p><strong>Related links: </strong></p> <p><span style="text-decoration: underline;"><strong><a href="/entertainment/art/2016/06/buckingham-palace-recreated-in-jelly-form/"><em>Pimm’s creates jelly Buckingham Palace for Queen’s birthday</em></a></strong></span></p> <p><span style="text-decoration: underline;"><strong><a href="/news/news/2016/06/queens-10-favourite-songs-right-now/"><em>The Queen’s 10 favourite songs right now</em></a></strong></span></p> <p><span style="text-decoration: underline;"><strong><a href="/news/news/2016/06/rare-photos-63rd-anniversary-queen-coronation/"><em>Rare photos of Queen’s coronation released on 63rd anniversary</em></a></strong></span></p>

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From PTSD to entrepreneur

<p>With an award-winning business under her belt, Over60 sat down with mum-of-three and ex-Police officer, Nicole Graham, to talk about how suffering PTSD and mitral valve prolapse led her to start Emergency ID to help others like her.</p><p><strong><strong><img width="162" height="205" src="https://oversixtydev.blob.core.windows.net/media/1221/nicole-police-pic_162x205.jpg" alt="Nicole Police Pic" style="float: left;"></strong> You used to work in the Police force, why did you decide to leave?</strong><br>“I joined the Police force in 1989 at the age of 20. I had a strong sense of social justice and enjoyed the mateship within the force. We literally put our lives in each other’s hands and faced the most harrowing experiences side by side.</p><p>I was a ‘career cop’ and my ultimate aim was to become the first female commissioner. However, that all went pear-shaped when, like so many other Police, I was struck down with post-traumatic stress disorder (PTSD) after 13 years.</p><p>During my time stationed in busy western Sydney and remote rural communities, I experienced many horrific situations – fatalities, sieges, autopsies, stabbings, suicides, accidents and domestic violence – and I specialised in taking statements from sexually and physically abused children.</p><p>It eventually took its toll and I was severely affected by flashbacks, depression and anxiety. Most people don’t realise the huge amount of stress Police deal with and they have an extremely high rate of PTSD, depression, divorce and suicide. We need to look after and appreciate our Police a lot better than we do.”</p><p><strong>You’ve had major heart surgery, can you tell us about this?</strong><br>“I was 34-years-old and the mother of two young children. I was into fitness and competing in biathlons. During a routine GP visit I mentioned that I had been experiencing dizziness, vomiting and tiredness but had been pushing through to maintain my fitness.</p><p>[The doctor] listened to my heart and sent me immediately to a cardiologist. Within a week I was in St Vincent’s Hospital having open heart surgery. I was diagnosed with mitral valve prolapse, which meant oxygenated blood was not pumping around my body as it should, and told I was extremely lucky that I didn’t have a massive heart attack.</p><p>It was a long and slow recovery after a few complications, life support, intensive care and rehabilitation.</p><p>Living through such a traumatic time made me realise what is important in life. In the long run it changed me for the better. They say what doesn’t kill you makes you stronger – and that was certainly the case for me.”</p><p><strong>Was this surgery one of the reasons you started your business?</strong><br>“One of the outcomes of my heart issue was that I was recommended to wear medical jewellery so that if anything happened to me in the future, medical or emergency personnel would have some knowledge of my history.</p><p>That’s when I found there were very limited choices available and it was generally very unattractive – I guess as a 30-something young woman I didn’t fit their target market!</p><p>It got me thinking and I realised that members of my own family would have benefited from medical jewellery too.</p><p>I had an uncle with an intellectual disability who was killed by a drunk driver. He had spent hours in the hospital and then the morgue before we even knew anything had happened because he had no ID on him.&nbsp;</p><p>My father suffered from cancer when he was 26 until his passing at 43. He had great difficulty remembering his lengthy medical history, medications and contact details of specialists. Medical staff really needed to know those details so he could be treated correctly but he didn’t wear or carry anything as there was nothing suitable.</p><p>I also knew from my time in the Police, that it is so difficult to contact people in times of emergencies. Often the only details we had of those seriously injured, or worse, was an address from their licence. We were so often unable to contact loved ones and many heartbreaking moments could have been avoided if people carried emergency information on them.”</p><p><strong>What is Emergency ID all about?</strong><br>“Emergency ID is all about having a huge variety of products and services to relay vital information to first aiders, emergency services and hospital personnel if you are involved in an accident or medical incident. It’s all about providing information that could save your life, rather than leaving those treating you guessing if you have any previous medical conditions, medications or history that can affect your treatment.&nbsp;It’s also about having emergency contacts on or with you at all times so that the correct people can be notified and with you when you need it the most.”</p><p><strong>What are you most proud of in relation to your business?</strong><br>“Nine years ago the business consisted of a laptop on my dining room table and five products. We now have the largest and most diverse range available and we are world leaders in our field. We have also been independently judged and awarded numerous times – we are the most awarded in our field. We’re proudly 100 per cent Australian and AUSBUY accredited.</p><p>I am also very proud that as we grow we are becoming more and more involved in giving to charities and organisations. For example, we have proudly supported the Love Your Sister campaign, we are in a fundraising partnership with The McGrath Foundation, and I recently did the St Vincent’s CEO Sleepout, where I slept out on the street to raise money for the homeless. We also proudly donate Emergency ID to those in dire financial need and who are homeless though the Matthew Talbot Hostel and St Vincent de Paul Health Clinic in Kings Cross, NSW.</p><p>Lastly I am very proud to have just become a volunteer speaker for Beyond Blue, working to reduce the impact of depression and anxiety in the community by raising awareness and understanding, empowering people to seek help, and supporting recovery, management and resilience.”</p><p><strong>What’s next for you?</strong><br>“Doing more community work.&nbsp;I have lots of speaking engagements including one for Beyond Blue and supporting more and more charities and community events.&nbsp;I’d also like to take Emergency ID Australia worldwide, so we can not only assist Australians, but anyone who could benefit from wearing or having Emergency ID in a crisis.&nbsp;Oh, and travelling and being with the loves of my life – my husband and my three children. My 20-year-old skydiving instructor son, my 18-year-old budding lawyer daughter and an overly loved, attention-seeking four-year-old. Yes, there is a huge age gap there.”</p><p>&nbsp;</p><p>&nbsp;</p>

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