Connect with us

முக்கியச் செய்திகள்

Mental health support to be offered to people with diabetes in UK first

Published

on

Warning: This story contains discussion of mental health struggles including self harm and suicidal thoughts

A woman with type 1 diabetes says she was left feeling as though her two young daughters "would be fine if they didn't have me" during her struggle with depression.

Naomi Durnham, from Cardiff, experienced severe post-natal depression after the birth of her second daughter during the Covid pandemic.

Diabetes UK says people with the condition are twice as likely to have depression, with shared symptoms between the two conditions making seeking support more difficult, and Naomi is among those calling for more help.

A leading expert in diabetes psychology is heading up a new UK-first care pathway, offering diabetes patients bespoke mental health support.

Cardiff and Vale health board said it had a perinatal mental health service offering "specialist, safe, effective and compassionate care".

It added it was "sorry to hear" about Naomi's experiences and said, while it was unable to comment on individual cases, it encouraged her to contact its concerns team.

Naomi, 34, said she spent much of lockdown feeling "completely numb".

"My health visitor was amazing, she could see I wasn't myself and she thought I needed some more support so she contacted my GP on my behalf," she said.

But she said the GP prescribed her increasingly higher doses of anti-depressant medication over the phone, until she was on the maximum amount.

She never saw them, and there was "never any suggestion of perinatal mental health support".

"I wasn't really feeling any benefit from it at all," she said.

At its worst, Naomi's mental state led to her not taking the insulin needed to manage her type 1 diabetes.

"I just didn't care about myself… I had complete lack of self worth, I didn't feel like I needed to be here anymore," she said.

After developing diabetic ketoacidosis (DKA), a life-threatening condition that turned her blood acidic due to the lack of insulin, she went through "countless" hospital admissions.

She said she did not feel there was enough support when it came to managing her mental health.

"The diabetes team would say it was mental health, and the mental health team would say it was a diabetes problem," she recalled.

"Those two worlds collide because there's no services set up for that."

Naomi spent two years in and out of hospital, which led to her having to stop her nursing course and, at one stage, there were concerns about whether she could look after her children.

She said it was seeking out peer support networks including online communities and single parent groups – as well as charity services – which helped her recover and be able to resume her studies. But she still worries about the long-term impact that period had on her and her children.

"It took a long time to admit that I needed help," she said.

"I felt guilty that I wasn't there for the girls… I am so conscious of damaging them."

She added she understood GPs did not have a lot of time, but "having to advocate for myself again and again" added to her struggle, and she felt more "holistic assessments" were needed, alongside "appropriate signposting" to help available.

Spoken word poet Duke Al was diagnosed with type 1 diabetes aged 23 in 2018.

The 32-year-old from Sully, Vale of Glamorgan, said the diabetes nurses who showed him how to inject his insulin were "fantastic… really gentle and caring" and, to begin with, he took the diagnosis "on the chin".

But, after a while, he noticed "frustrations start to creep in" and he struggled to shake off the feeling he was "a weaker version of myself".

"That very quickly turned into self-destruct mode, where I would neglect insulin, I deliberately wouldn't inject, which can be very dangerous."

He had already been diagnosed with obsessive compulsive disorder (OCD) and said the diabetes diagnosis "collided with it dramatically", causing him further mental health issues.

For Duke, his OCD takes the form of intrusive thoughts related to numbers and the amount of times he does a particular thing. He feels "responsibility to prevent" these thoughts by "performing compulsions", and uncertainty plays a "viscious role".

"It's like this super-glued grip on your brain is like, if you don't do that compulsion, what if this thing does happen and it's your fault?

"Even though I know it's irrational, that's the nature of the condition."

At its worst, this could lead to him injecting the wrong amount of insulin to avoid dealing with a "bad number".

Duke said he struggled massively for about a year, and "on the odd occasion since".

He explained that diabetes burnout could occur when having to manage his blood glucose levels, insulin injections, diet and exercise became overwhelming.

Duke says he's now "in a good place" – but added there "wasn't a huge amount of support" available for his mental health.

"First and foremost, my coping mechanism is poetry. I use poetry as a self-therapy to express how I feel," he said.

"I didn't want to tell anybody about how I was feeling in fear of stigmatisation and fear of not being understood. My brain told my hand, my hand told the pen, the pen told the page and I was able to figure out what was going on and articulate myself really well.

"It's a way of reaching other people, hopefully raising awareness, and connecting through creativity."

He added he was working "to advocate for more psychological support with people living with type 1 diabetes".

"Even though your numbers or your HbA1c might read fantastic and your blood glucose are in range, that doesn't mean you're always feeling well mentally.

"I think the person needs to be treated as the whole."

Dr Rose Stewart, the diabetes psychology lead for Wales, said the "relentless condition" had a huge impact on people's mental health.

"A lot of people compare it to having to beat your own heart. It's something that you never get to switch off from," she said.

She referenced research published earlier this month, which highlighted a "bi-directional relationship" in which mental health problems that "impair self-care behaviours" could cause diabetes complications, and in turn "further impair mental health".

The experience of people being passed between diabetes and mental health services, with neither knowing how to address concerns raised, was something she said she saw often.

"It's something that we're working really hard in Wales to rectify," she said.

In her role within the NHS Wales performance and improvement unit, she is developing a national pathway for diabetes psychology, which aims to offer people in Wales quick access to specialist support in various formats to suit their needs, including online programmes, individual therapy, and crisis care.

"This is the first to exist in the UK, and possibly in the world, looking at developing an entire model of care for people living with diabetes," she said.

"This won't just be about people having access to psychology and therapy rooms, this will be about upskilling our diabetes staff.

Reform UK said it was "vital" mental health services were "able to cater to the specific challenges raised by diabetes", while the Green Party said it supported "more joined‑up, accessible mental health provision for people living with long term conditions such as diabetes".

The Conservatives and Liberal Democrats both said they recognised the challenges faced by people living with diabetes and supported "better integration" of physical and mental health services.

Plaid Cymru said it would address "the social determinants of mental health.. by ensuring that the public and third sectors work effectively together" if elected to government, and Labour has been asked for comment.

If you've been affected by the issues in this story, help and support is available via BBC Action Line.

📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/c3wlpw3l03qo?at_medium=RSS&at_campaign=rss

முக்கியச் செய்திகள்

Facing a seismic by-election, the people of Makerfield tell us what matters to them

Published

on

In a handful of former mining towns and villages in north-west England, there is a lot of frustration with the state of the UK.

It is common to hear people say "Britain is broken", "we are forgotten", and calls for "change".

This is the Makerfield constituency, where locals are being heard louder than ever before in the most consequential by-election in decades.

A constituency that made up 0.1% of voters at the last general election is not only picking a new MP on 18 June.

Voters here are also potentially choosing the next prime minister.

That is because Labour's candidate, Greater Manchester Mayor Andy Burnham, has said that if elected, he would seek to enter any Labour leadership contest to replace Sir Keir Starmer in Downing Street.

First, Burnham must defeat his main rival in Makerfield, local plumber Robert Kenyon, who is standing for Reform UK, an insurgent party that is also aiming to win power in Westminster.

Britain is "broken", Reform UK claims, while Burnham says the country has been on "the wrong path for 40 years".

But in the dozens of conversations I had with voters, residents, business owners and political campaigners in Makerfield, the mood was more nuanced than the rhetoric suggests.

So what exactly do they want to change – and what are the candidates promising to deliver?

At Rose's Cafe, in Ashton-in-Makerfield, the largest town in the constituency, regulars are munching on their breakfast barms.

In 2023, Yasmin Ratcliffe jumped at the chance to open the cafe here, rather than where she lives, in nearby Leigh.

With the local council spending £6.6m on regenerating the town, Ratcliffe feels it is a good time to expand her business.

"I feel like it's a much better town in Ashton," she tells me. "It's a lot busier than we thought, so the team's growing."

On some indicators Makerfield seems to be doing well, with wages above the national average and high levels of home ownership.

The Greater Manchester region in which Makerfield sits has also been growing, generating a genuine buzz around Manchester as a city. A boom in developments, service industry start-ups and university graduates, among other factors, has driven economic growth.

While Manchester's lure has pulled in many entrepreneurs, Chris Ratcliffe saw potential in Ashton.

In 2019, having worked as an engineer near Manchester for 10 years, he founded Langen, a motorcycle manufacturer, in the town. The company's first line of 100 motorbikes sold out.

"There's an element of me that wants to prove a point that we can do it here," he says.

But Manchester's rising tide has not lifted all boats in Makerfield.

In some ways, the constituency is divided between the better-off neighbourhoods of Ashton, Orrell, and Winstanley in the west, and the more deprived areas of Platt Bridge, Abram and Hindley in the east.

In these latter areas, perceptions of "broken Britain" are easier to find. The problems residents complain about feel more acute and intractable.

Take the notorious illegal dump that has been piling up in the village of Bickershaw since late 2024. Despite several complaints, a fire at the site last summer, and a criminal investigation, the towering mountain of waste remains.

Even at a distance – about a quarter of a mile away – the acrid smell torments my nostrils.

Nicha Rowson, who lives near the tip with her husband and two children, has had to put up with it for almost two years now.

"The rats were a big thing," she says, sitting below what is left of her kitchen ceiling, which was largely removed to deal with the infestation.

It is yet to be fixed – and her neighbours are going through similar ordeals with rats.

She feels the seemingly immovable mess is a symbol of a country that is not working and where "human beings aren't a priority".

I found a similarly damning assessment in Platt Bridge, where residents have suffered severe flooding twice in a decade.

In 2015, Dawn Royds was assured it was a one-off – "an act of God". She believed that until New Year's Day last year, when she woke to blue flashing lights.

"The kids had been playing with some toys the night before and they were just floating about," she says. "That was what got me."

A minister was dispatched to survey the devastation. And since 2024, the government says it has invested £2.65bn in flood defences nationwide – in 2026-27, £329,000 has been allocated to Platt Bridge and nearby areas.

Yet, Dawn is convinced it will happen again. For her, it is one example of why "Britain isn't Great Britain anymore".

More evidence of this attitude can be seen in polls and research. In a report last year, More in Common said "broken" was the most common word Britons used to describe the country.

That has been true of focus groups the think tank organised in Makerfield, too. "They said Britain isn't working," says Luke Tryl, executive director of More in Common. "That the status quo isn't working."

The paradox, Tryl adds, is that people have very high trust in their neighbours and often describe their local area as "good".

Tryl says although it is clear Britain is "creaking at the top", his research on public opinion suggests the foundations of community still appear to be strong.

Even so, Reform UK tells me the "Britain is broken slogan has just cut through across the country".

"It's not something that we need to keep pushing to instil in people's minds," a Reform UK source adds. "Most people just know that Britain is broken."

Instead, the party's candidate, Kenyon, is focusing on hyper-local issues such as opposing new housing developments on green-belt land, pitching himself as a "normal" local lad.

Out on doorsteps, Reform UK is trying to contrast this with what it describes as Burnham using Makerfield as "a stepping stone" to No 10. This is echoed on Ashton High Street by Lewis Ash, who tells me: "I don't want it to be a stepping stone for Andy Burnham."

In the same shopping precinct, Daniel Jones says he is sceptical of every candidate's intentions, saying they have "all [have] got their own agenda… to advance their career".

On the campaign trail, Burnham has been having three simultaneous conversations – one with locals, one with the Labour MPs who could help make him prime minister, and one with the nation as a whole.

The Labour veteran is trying to keep it local in Makerfield, preferring to talk about his ideas to ease the cost of living and linking them to his record as mayor of Greater Manchester – pointing to cheaper bus fares.

Having claimed to have knocked on every door in the constituency several times, as Reform UK has, team Burnham's approach is to send their candidate to speak to undecided voters personally, often about local issues.

His team says he is embracing difficult conversations with voters who are looking for change in a constituency that has elected Labour MPs for 120 years under previous boundaries – but where Reform UK won every ward in May's local elections.

Although I saw mostly Reform UK and Burnham signs and posters adorning the streets I walked, other parties are vying for votes as well.

The Green candidate Sarah Wakefield says she wants to offer more "hope" and "better solutions" to voters in Makerfield.

A former mayor of Wigan, Conservative candidate Michael Winstanley is positioning himself as a community champion, while Jake Austin, who is standing for the Liberal Democrats, claims his party has the best plans for reducing household living costs.

Local campaigners believe the by-election is on a knife edge, not least thanks to Restore Britain, a relatively new party led by former Reform UK MP Rupert Lowe.

In the few constituency opinion polls there have been, which should be treated with caution, Restore sits in third-place and has been buoyed to an extent by support on X from the richest man in the world, Elon Musk.

"People are fed up," says one Restore door-knocker, among a group of six activists wearing matching party-branded caps and T-

📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/ckg4dywykjeo?at_medium=RSS&at_campaign=rss

Continue Reading

முக்கியச் செய்திகள்

Social media on trial: Four important cases to watch

Published

on

When social media started to take over the internet 20 years ago, it was widely hailed as a game-changing technology that would connect people across divides and make information more accessible.

Today, companies like Meta, owner of Facebook and Instagram, Google, owner of Youtube, and Snapchat, along with relatively newer platforms like TikTok, Discord and social gaming platform Roblox, are facing thousands of lawsuits in the US over claims that they have instead harmed users, children in particular.

Taken together, the outcome of the lawsuits, whether they ultimately settle out of court or end up with jury verdicts against companies, could change the way social platforms operate forever.

"It's created a stage that not only legal observers are watching, but regulators and lawmakers are watching closely as well," Eric Talley, a lawyer and professor at Columbia Law School, said.

Talley noted that the way this growing wave of lawsuits against platforms is feeding into broader public perception is likely to influence political elections for the next several years, impacting new and revised laws and regulations.

Many of the cases are going through courts in California, where all of the major social platforms are headquartered. Known as the "California effect", legal and policy changes enacted in the state tend to lead to nationwide changes.

"There's no denying anymore that there is an issue with child safety on the platforms," Alexis Shore Ingber, a communications law expert and a professor at Syracuse University, said. "We are seeing an inflection point. These cases are significant."

Already this year, Meta and YouTube notched an unprecedented loss in a case brought by a young woman who claimed she was addicted as a child to social media, contributing to her mental and emotional health struggles. The companies were ordered by a jury to pay her a combined $6m (£4.5m) in damages. Both firms said they disagreed with the verdict and intended to appeal.

Meta also lost a bigger case in New Mexico, brought by that state's attorney general accusing the company of essentially misleading the public that its platforms were safe for children despite known issues with young people being sexually exploited on them. Meta said it also plans to appeal against this verdict.

During the years these cases were brought and resolved, Meta has released changes to its platforms aimed at making them safer for young users.

But broader change to the platforms, how they are designed and function and even accessed, is likely to take years more, and more court rulings against them.

Between this year and next, Meta and the other major social platforms are poised to fight their way through more trials where juries could consider a host of claims by young users, their parents, school districts, and state attorneys who allege an array of ill effects from the way social media platforms are designed and operate.

Even a billionaire is prepared to take Meta to trial over its hosting of advertisements that scam people out of money.

The BBC looked through scores of cases in the US to find the handful of lawsuits against social media and social gaming companies that are on track for trial in the next year or so and could have a significant impact on the platforms' businesses and operations.

According to Adam J. Schwartz, a lawyer who also founded an online document review tool, the following lawsuits "are the bellwether cases that will set the tone and tenor for shaping the law in the future".

This sprawling multidistrict litigation (MDL) in California includes allegations from more than 1,000 school districts across the US.

Broadly, the schools accuse Instagram, YouTube, Snapchat and TikTok of being intentionally designed to be addictive, which has allegedly harmed children mentally and emotionally through their excessive use of platforms.

The schools claim that dealing with the ill effects of social media has cost them money and resources, and that the platforms should be deemed a "public nuisance" and held liable for impacting children's well-being.

Although a jury trial for certain of the school districts' claims is now set to begin in February, as the platforms recently settled with a school district that was to be the first trial, all of the cases could take a couple more years to resolve completely.

Should court outcomes go against the platforms, everything from the way platforms display user engagement to who they allow on the platforms could change.

A spokesman for YouTube said: "The allegations in these complaints are simply not true."

A spokeswoman for Snapchat said: "We fundamentally disagree with the allegations – we do not target schools."

Meta declined to comment and TikTok did not respond to a request for comment.

Attorneys for California and Colorado led a group of 29 states in filing in 2023 a lawsuit against Meta and Instagram. It is set to go to trial in August.

While it is also before the same judge as the MDL in California, the states are accusing Meta alone of violations of the Children's Online Privacy Protection Act, a federal law known as COPPA. The law was intended to protect children under 13 years old from being targeted by businesses operating online but was enacted in 2000.

Meta has already provided more than 2 million documents in the case, according to court records.

Should the states prevail in their claims, it is demanding that Meta better prevent users under 13 years old from using its platforms and remove data it has previously collected from underage users, along with a host of other changes.

Meta uses such data to do things like ad targeting and train its artificial intelligence (AI) models and tools.

A spokesman for the company declined to comment.

This case against Roblox and Discord was brought by a 13-year-old boy in state court in San Mateo, California. The boy claims he was recently groomed and solicited through both platforms by an adult sexual predator who was subsequently arrested for his crimes against more than two dozen children.

The lawsuit argues both platforms were defectively designed and engaged in false marketing about safety for young users and so should be held liable for the harm young John Doe came to.

Roblox, which is a gaming-focused platform with many social media features, and Discord tried to get the case into arbitration, which is a private legal process outside the court system. The court refused, but the case is currently on hold pending the companies' appeal against that decision.

Should Roblox and Discord lose their appeals, the case could go to trial later this year. A court verdict against the platforms may bring changes to age-gating and the ability of strangers to interact with young users through platform messages and chat spaces.

A spokeswoman for Discord declined to comment. A representative for Roblox did not respond to a request for comment.

Not all of the cases against social media platforms heading towards trial have to do with harms against children.

Dr Andrew Forrest, an Australian billionaire, sued Meta in California in 2022 over the company's alleged failure to combat scam advertisements tricking Australians into fake investments that allegedly proliferated on Facebook using his name and likeness.

With claims including misuse of his image and unjust enrichment, because Meta makes money from ads on its platform no matter their goal or outcome, Forrest's lawsuit could be one of the most significant.

He is asking the court to find that Section 230 of the Communications Decency Act cannot be used as a defence by Meta in the case. Meta is arguing that it is protected from Forrest's claims by Section 230.

Enacted in 1996, Section 230, as it's usually referred, essentially gives legal immunity to platforms for anything that occurs on them.

If the court ultimately sides with Forrest, it could upend decades of defences by online platforms.

A spokesman for Meta declined to comme

📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/c9q39l447l4o?at_medium=RSS&at_campaign=rss

Continue Reading

முக்கியச் செய்திகள்

Knicks fans go wild as New York team makes biggest comeback in NBA Finals history

Published

on

A star-studded crowd saw the New York Knicks record the biggest comeback in NBA Finals history on Wednesday night, beating the San Antonio Spurs by one point in the last 1.2 seconds of the game, after trailing by 29 points.

It was game four of the feverish best-of-seven NBA Finals – the first finals the Knicks have hosted in 27 years.

The final score of 107-106 means the Knicks now enjoy a 3-1 lead and are just one win away from a famous series victory.

Famous and not so famous fans erupted in chants of "O-G! O-G!" for player OG Anunoby, who scored the winning three points. Taylor Swift, Timothee Chalamet and director Spike Lee were all watching in the Madison Square Garden stadium.

New York Mayor Zohran Mamdani posted on X in all caps, "SPEECHLESS", while Swift, who was wearing a T-shirt that said "Stevie Knicks" – a play on the name of the team and the Fleetwood Mac frontwoman – jumped for joy as she left the court, stopping to be twirled by one of the Knicks City Dancers.

Knicks coach Mike Brown OG Anunoby's move "has to be the most iconic shot in the history of New York basketball," Brown said. "It was just unbelievable."

This season has represented a stunning reversal of fortune for the Knicks who haven't been in the finals since 1999, when they lost to the Spurs. New Yorkers have been out in the streets celebrating each win.

"The city is electric," a fan told the BBC earlier in the week. New York has been decorated in a Knicks theme from the top of the Empire State Building to the paws of the marble lions outside the New York Public Library's Fifth Avenue branch.

"I can't say I've ever seen anything like this before because in 1999 I was 4 years old. I'm just trying to soak it all in," Resident Sol, 31, told the BBC earlier this week, saying he couldn't be more excited.

After Wednesday's result, the team need to win just one more game to win the national championship for the first time since 1973. Their first chance will come on Saturday night, when they will play Game five in San Antonio.

But comebacks can work both ways – San Antonio may be the new underdogs, but they could still win, if they take the next three matches.

📰 மூல செய்தி (Source): https://www.bbc.com/news/articles/cr47lyzr4q9o?at_medium=RSS&at_campaign=rss

Continue Reading

Trending

Copyright © 2024 by 7Tamil Media, All rights reserved.