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Tag: Mental Health

  • Trump administration said to reverse slashes in grants for mental health and addiction treatment programs

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    The Trump administration is said to to have suddenly reversed slashes in grants for mental health and addiction treatment programs that a source told CBS News were were valued at around $1.9 billion.

    Thousands of federal grants supporting the programs were suddenly terminated late Tuesday, sources told CBS News.

    The abrupt cancellations at the U.S. Substance Abuse and Mental Health Services Administration impacted 2,706 of the agency’s discretionary grants, a source familiar with the matter told CBS News. 

    President Trump’s political appointees moved to terminate the funding, not career officials working for SAMHSA, according to the source.

    But by Wednesday evening, those cuts were being reversed, according to reports in The New York Times, NPR, The Washington Post and others. Those three outlets say the restoration followed intense bipartisan backlash.

    CBS News has reached out to SAMHSA for comment.

    The top Democrat on the House Appropriations Committee, Rep. Rosa DeLauro, of Connecticut, said in a statement to the Times that the cuts should not have been made to begin with.

    The reason for the initial cuts wasn’t immediately clear.

    When the cuts were still being instituted, CBS News obtained a termination notice sent by a top SAMHSA official saying the agency was “terminating some of its awards in order to better prioritize agency resources” toward priorities “that address the rising rates of mental illness and substance abuse conditions, overdose, and suicide.”

    “This was not SAMSHA’s idea,” the CBS News source said, noting that many of the canceled grants addressed those priorities. “This was money going to people on the ground who are providing mental health treatment, substance use treatment, recovery support, and prevention resources, which this administration says is a priority.”

    SAMHSA, a branch of the Department of Health and Human Services, is at the forefront of efforts to improve mental health and address substance abuse across the country. At the national level, the agency leads public health initiatives geared toward reducing the burden of substance abuse and mental illness on communities, while also distributing funds to states and local entities for mental health and addiction services, according to its website

    A source said that among the grants that were being eliminated was one that provided $15 million per year to the Opioid Response Network, a program that offers evidence-based education and training to local authorities managing various types of substance use intervention, including prevention, treatment and recovery services. Another $6 million grant to a program called Building Communities of Recovery, which funds community-based resources to increase the availability and quality of long-term recovery support for people with substance use disorder, was being canceled as well.

    CBS News reached out to the Opioid Response Network and a representative for the Building Communities of Recovery program at SAMHSA.

    This latest funding loss was to follow the Trump administration’s sweeping Medicaid cuts that impacted a broad array of public health services including some focused on mental health and addiction. Those cuts were set to take effect in full later this year.

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  • Renovate Your Day With a Peaceful Morning Routine Outside – Garden Therapy

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    It’s time to put the phone down. I want to introduce you to a morning routine that eliminates screens and aims to reconnect you with the real world. The best morning routine is one that isn’t difficult or overly complicated. Let’s make a peaceful morning routine that works for YOU.

    Your morning sets the tone for your entire day. Woke up from a bad dream? You start the day grumpy. Had a deep, restful sleep? You’ll hit the ground running in your slippers. Start off with 30 minutes of comparing your garden to others on social media? Not the best mindset to kick things off.

    I’ve been doing a morning routine of going for a garden walk first thing in the morning, and it has completely revamped my day.

    I’m talking no screens in the morning, whatsoever. Just a few minutes of uninterrupted time outside to soak in the benefits of fresh air and greenery.

    Here’s how you can create your own peaceful morning routine in a realistic and achievable way. We’re looking for consistency, not perfection here!

    four leaf clover found during garden routinefour leaf clover found during garden routine
    The key is to observe, not get outside and be active.

    5 Steps to Create the Best Morning Routine for YOU

    The only way a morning routine and habit work is if it’s actually feasible for you personally. This framework will help you create a new morning routine that caters to your lifestyle.

    Step 1: Move Your Phone

    Most people start their day with their phone’s alarm going off. It’s probably plugged in to an outlet and resting on the bedside table. It’s been there since last night, as the last thing they did before bed was scroll on their phone.

    A lot of people start their day by reaching for that phone, turning off the alarm, and scrolling for a few minutes before getting up. I’ve certainly been guilty of this!

    There are many reasons why this isn’t a good idea, but the first is that we’re getting a mental overload before the day even starts. From news stress to social media comparison to small dopamine spikes, scrolling on your phone means you’re reacting to your morning vs choosing how it begins.

    A recent Canadian study by MHRC analyzed Canadian youth (aged 16-24) and the effects of screen time. Those who reported more than 7 hours of screen time were nearly twice as likely to experience severe anxiety, depression, and psychological distress. On the other hand, those with less than 2 hours of personal screen time showed higher levels of resilience and positive relationships.

    It’s also astonishing how quickly time passes when you’re scrolling. A few minutes can turn into a half hour of lost time.

    Ask yourself, “How can I start my day in a different way?”

    Our first step is to move that phone away from you. Keep your phone out of arm’s reach. Ideally, it shouldn’t even be in the bedroom with you. Use a real alarm clock if needed! Better yet, replace the spot on the nightstand with a plant.

    the best morning routine with no screenthe best morning routine with no screen
    My bedroom setup, free of phone and plant in place!

    Step 2: Initiate the Routine

    So if not the phone, what will be the new trigger to start your day? Triggers are essential for creating habits. Ideally, you do this so often that your body goes on autopilot.

    I have two big triggers. The first is that I start my day with coffee. I really love hot drinks in the morning. Even if you don’t like coffee or tea, hot water with a lemon wedge is a great way to kick off your morning routine.

    My other trigger is that I have a dog who inevitably needs to go outside and pee, so his morning enthusiasm gets me out of bed. Pets and small kids make you get up, even when your bed feels like the coziest, warmest place you’ve ever been.

    Everyone could have their own triggers, big or small. It could be a splash of cold water on the face. Putting on your coziest robe. Reading your morning manifestations in front of the mirror. Grabbing your journal and favourite pen.

    Mug of matcha green teaMug of matcha green tea
    Sometimes I like to start my morning with a matcha instead.

    Step 3: Go Outside

    This is where my version of the morning routine differs from many others, and I encourage you to take up the practice of getting outside.

    Getting outside has many proven mental health benefits, and it’s one of the best ways to start off the day. Fresh air will trigger a nervous system reset, while the natural light will help you feel more alert.

    I like to start my day off with a gardening walk. I’ll grab my raincoat and boots and toss them over my pyjamas. I take a loop around my garden to see what’s happening, leaning in to observe a new bud or touch a soft leaf.

    It takes some discipline not to pull weeds or move things around or begin harvesting. You’re outside simply as an observer.

    Everyone is going to have a different version of getting outside. It could look like:

    The idea here is to keep it simple. You only need to be outside for five to ten minutes (or more, I won’t stop you). It should be something you actually enjoy doing to make the habit easily attainable.

    outdoor morning routine is a walk on a stone pathway through the gardenoutdoor morning routine is a walk on a stone pathway through the garden
    You might even have a small walking path to lead you through your garden.

    Step 4: What’s Your Backup?

    I don’t want to set you up for failure. You shouldn’t feel guilty if you have a day where you don’t want to go outside. Maybe it’s raining cats or dogs, or perhaps your body is sore from a strenuous day before.

    Have a backup for how to begin your morning when you don’t want to go outside. The key is that the backup should still involve some level of greenery, and it should NOT involve any screens.

    For me, this usually means sitting where I can either look outside or be amongst my houseplants. Sometimes, sipping coffee is all I need to do while I enjoy the view; other times, I want more active engagement, so I might write or read.

    Beyond your backup, you might want to adjust your routine based on the different seasons or schedules. Your weekend routine might look different than a weekday when you have to go to work. A wintery morning may look different than a summer one.

    Remember, it’s about consistency, not perfection.

    Step 5: Extend Your Habits Beyond the Morning

    Once you have this routine well in place, it can be of use throughout the day as well. Any time you need a reset or feel a wave of stress coming on, step outside for a moment. Incorporate it into your lunch or after-work routine. Think of it as your daily outdoor checkpoints!

    It can also be immensely helpful at nighttime. Having a no-screen rule before bed will help you fall asleep faster and better support your circadian rhythm.  

    Start small, or it quickly won’t become realistic. One habit at a time rather than a full overload.

    Stephanie with harvested sweet peasStephanie with harvested sweet peas
    A five-minute break to harvest vegetables or flowers is always a great pick-me-up.

    Your morning doesn’t need to be productive to be powerful. Try incorporating just one screen-free outdoor morning this week and see how it makes you feel. Let me know in the comments if you end up giving this a try!

     More Tips for Gardening and Well-Being

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    Stephanie Rose

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  • NC lawmakers to meet on mental health amid questions about suspect in Raleigh homicide case

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    A legislative committee on mental health plans to meet Wednesday for the first time since lawmakers demanded more information about the death of a Raleigh teacher and asked why her alleged killer was on the streets.

    Legislators last week asked the House Select Committee on Involuntary Commitment and Public Safety to look into how judicial officials handled Ryan Camacho, who is charged with murder in the Jan. 3 death of Ravenscroft teacher Zoe Welsh at her Raleigh home. 

    Camacho has a documented history of mental illness. When he faced breaking-and-entering charges in a separate incident last year, prosecutors asked during that hearing to have Camacho committed to a mental hospital — a request that was denied by Wake County Judge Louis Meyer. 

    “How could a person who was found to not be competent to proceed to trial … be released not involuntarily committed, even at the request of the district attorney?” Republican state Reps. Erin Paré and Mike Schietzelt of Wake County wrote in a letter to committee members. 

    Meyer hasn’t responded to a WRAL’s requests for comment. A lawyer for Camacho didn’t respond to a request for comment on Tuesday. She has previously declined to comment. 

    The committee plans to track down the requested information, said state Rep. Tim Reeder, a Pitt County Republican and physician who co-chairs the committee. Reeder previously told WRAL that he’s not sure if the findings of the Camacho case will be shared during a committee meeting.

    The committee is scheduled to hear presentations on outpatient commitments, wherein mental health patients can receive treatment in the community instead of being committed involuntarily to a hospital. Committee members are interested in methods for treating people with mental illness in ways that don’t involve stays in psychiatric facilities, Reeder said. 

    A Duke University professor is scheduled to discuss the effectiveness of outpatient commitments and the chief psychiatrist for the state’s Department of Health and Human Services is expected to discuss the department’s recommendations for potentially expanding the practice. 

    Reeder said committee members want to know more about outpatient commitments: “Is that another tool we may have available?” he said.

    North Carolina legislators turned their attention to the state’s procedures for handling people with mental illness following the August death of Iryna Zarutska, a 23-year-old Ukrainian who moved to Charlotte in 2022 and was fatally stabbed on a city train. The General Assembly passed the new mental health procedures as part of a larger judicial reform package titled, “Iryna’s Law.”

    Zarutska’s accused killer, DeCarlos Brown Jr., had been diagnosed with schizophrenia and suffered hallucinations and paranoia that his family hoped to find treatment for, his sister told CNN. Some of the changes Iryna’s Law made to the rules around involuntary commitment, however, have been put on hold while legislators consider tweaks to the law.

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  • Autopsy: Missing CPS teacher drowned in apparent suicide

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    An autopsy performed Tuesday determined that Linda Brown, the Chicago Public Schools teacher whose body was pulled from Lake Michigan after going missing earlier this month, drowned in a suicide.

    “I wish she knew how much of an impact she had,” Brown’s niece, Jen Rivera, told the Tribune in a call Tuesday afternoon, “and how much she was loved.”

    Brown, a special education teacher at Robert Healy Elementary School in the Bridgeport neighborhood, was reported missing on Jan. 3. But after days spent searching for her, Brown’s family, in a written statement Monday night, said her body had been found in the 31st Street Harbor.

    Body of missing CPS teacher recovered from Lake Michigan: ‘She was an amazing person’

    “This is not the outcome we were hoping or praying for,” the statement read, “but we are grateful that she has been found and can now be brought home to our family.”

    Since her disappearance, family and friends had been putting out public pleas for her safe return and had launched their own search.

    Police, in their initial missing-persons report for Brown, said she was last seen around the 4500 block of South King Drive in the Bronzeville neighborhood. Days later, police updated the alert saying Brown was seen in the 3500 block of South Lake Park Avenue — about half a mile from where her body was recovered Monday.

    Police stated that Brown may have required immediate medical attention.

    Brown had grappled with her mental health throughout her life, Rivera said. But her struggles, Rivera continued, had been mounting leading up to her disappearance, giving way to near-daily panic attacks. Still, Brown had sought help and was receiving treatment, Rivera said.

    Rivera recalled the last time she saw her aunt. It was Christmas Day and the two had a “heart to heart” about how Brown was doing, Rivera said, remembering that Brown shared she was “really struggling.” Rivera said she and her family were trying to be there for her.

    Rivera said her aunt was “a light that burned out too soon.”

    “She was an amazing person,” she said. “She had such an incredible personality … and the most fun laugh you probably would ever hear.”

    Police recovered the body of a woman from the water in the 3100 block of South Lake Shore Drive on the city’s South Side just before noon Monday. She was pronounced dead on the scene and identified by the Cook County medical examiner’s office as 53-year-old Brown. The medical examiner’s office, after performing an autopsy, ruled her death a suicide.

    In the wake of Brown’s death, Rivera said she and her family will be spreading awareness about the importance of mental health.

    “Letting loved ones know if they are struggling, they have someone safe to talk to,” she said. “They don’t have to feel embarrassed or ashamed. … Even if they are receiving help and it’s not enough.”

    tkenny@chicagotribune.com

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    Tess Kenny

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  • Winter Houseplant Care: How Nurturing Plants Takes Care of YOU – Garden Therapy

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    The houseplant surge continues to climb, and I couldn’t be happier to see it. Houseplants are a wonderful way for people to get a little bit of gardening therapy no matter where they live and what time of year it is. They’re an incredible tool to foster your well-being, so let’s keep your houseplants alive this winter, shall we? Read on for all my winter houseplant care hacks you need to know.

    I don’t know about you, but I’m really starting to feel the toll of the shorter days and the colder weather. Because of my back issues, I’ve been feeling it pretty severely this year. I haven’t been out walking outside every day, and I’m missing my daily dose of nature.

    Instead, I’ve been focusing on my houseplants. I went through and changed up all their soil and bought a bunch of new plants to replace the ones that weren’t growing. Any excuse to go to the garden centre, right??

    I know many people love getting specialized plants and ones that require a lot of care. Right now, I want some easier plants that won’t require too much attention from me. And ones that can handle the lack of watering and sunlight that comes from the winter months.

    Luckily, my houseplants are willing to provide me plenty of company in the house, all while being beautiful décor.

    Let’s talk a little bit about how nurturing houseplants can actually help you and provide you with plenty of winter houseplant care tips so you can enjoy their company all winter long…and then some!

    This post will cover…

    The Emotional Benefits of Houseplants

    I’m a firm believer that everyone should have at least one indoor plant in their home. Having a little piece of greenery around connects us to nature. And nature is a powerful tool for maintaining our overall well-being.

    In the winter, finding the green connection we need can be more challenging, which can lead to nature deficit disorder. I find a home without greenery a little lifeless, and I think people notice the difference immediately once they add a plant.

    The design of my new house includes plants in every corner. And not just plants but little plant projects. You might see the herbs I’m drying or the orange slice garland I still have up from Christmas. Over the holidays, I had Chinese chestnuts that I collected from my tree on display.

    You’ll find artwork on the walls featuring flowers, plants, and nature. Being surrounded by this kind of greenery and interacting with plants can make us feel more comfortable and soothed. It lowers your stress levels, which, in turn, actually helps your physical and mental health.

    Plants and greenery are also proven to help with anxiety, depression, and other mental health conditions. Just having houseplants around you in the winter can act as horticultural therapy.

    So, when we feel the seasonal depression creeping in, houseplants can be a useful tool to help you foster some emotional resilience during the winter.

    Choose Your Plants

    When it comes to my indoor plants, I’m going for simple. I have a dog, a cat, a garden, a house, and a kid to take care of, and I’ve already got enough tasks on my plate to deal with some finicky plants.

    But I know how much these plants give us a sense of calm, so for me, the best thing to hold onto that calm is to ensure the plants are simple and easy to care for.

    There are many people out there who like that sort of commitment. People who may not have things that require a lot of nurturing will enjoy their routine and connection to some very special plants. Helping take care of them can help us take care of ourselves.

    Here are a few easy-to-care-for houseplants that you can grow during the winter:

    jade succulent in housejade succulent in house
    This jade has traveled with me from home to home.

    Plants that do well in low light translate as plants that tolerate neglect. They’re very high reward, as they keep growing and look amazing without you having to do much besides placing it in the right spot and water it.

    My personal favourites? I currently love my two monsteras because they’re so big and beefy. They make a very large impact in any room they’re in (just remember that they like it humid!).

    I also love anything with interesting colour. Many pothos and philodendrons come with nice variegation and are quite easy to care for. Some plants also have dark leaves or even fuzzy ones, like the African violet.

    Anything that trails also is fun to include. I put them high on cabinets or along a mantle and let them trail down.

    pothos hanging plant on window sillpothos hanging plant on window sill
    This lime green pothos adds so much colour, while also trailing down.

    Get Some Gorgeous Pots

    While you’re at it, why not get some really gorgeous pots for your houseplants? I treat my houseplants as décor as well as friends, and dressing them up is a fun way to incorporate your style into your home.

    Most recently, I got these beautiful concrete pots with lavender sprigs on them. They’re adding to my already plentiful collection of pots, but a few more won’t hurt.

    Potting up your houseplants is a small project, but it’s an easy way to get some garden therapy, even in the winter.

    Fidde-leaf figs in pots at GardenWorks garden centreFidde-leaf figs in pots at GardenWorks garden centre
    Large pots are also welcome indoors.

    Need to Know Winter Houseplant Care

    Your routine should switch up a bit for the winter. Don’t worry; your plants will actually require less TLC in the winter!

    Sunlight Needs for Houseplants in Winter

    The days are much shorter in winter than they are in summer. Plants that are already struggling to get enough sunlight inside the house will have a really hard time in the winter. I mean, 4 PM feels like midnight here in Vancouver!

    Your houseplants may need to be moved somewhere where they can get more light. Ideally, you’ll want a south or west-facing window since they get the most light throughout the day.

    That being said, you want to keep your plants away from frosty windows, as the cold temperatures can affect your plants. So, be mindful of your window placement depending on where you live.

    You may also need to add some supplemental light. You can set up some grow lights and put them on a timer so they give your plants plenty of light. Just keep in mind that one hour of grow light time isn’t as good as one hour of sunlight, so plants will need longer under the grow light to get their fill.

    Finally, dust can affect your plant’s ability to absorb sunlight. While it won’t make a huge difference, it’s still a good idea to wipe down the leaves and clean them off occasionally.

    Winter Houseplant Care: How Nurturing Plants Takes Care of YOUWinter Houseplant Care: How Nurturing Plants Takes Care of YOU
    If you’re lucky, you’ll have wide windowsills to place pots while keeping the leaves off the glass.

    Watering and Humidity in Winter

    In the winter, our houseplants enter a period of dormancy—much like the plants outside. While they may not be losing their leaves like the trees, they are slowing down their growth this time of year. This means they require fewer resources than they normally do, water included.

    Watering the plants will stimulate them to need more. When we alter the watering routine and water the plants less, it slows down the plants, and in turn, it helps to slow us down, too.

    snake plant sitting on book stack next to a brass watering can on a window ledgesnake plant sitting on book stack next to a brass watering can on a window ledge
    Water less often in the winter.

    Humidity is something you want to keep an eye on in the winter. Indoor furnaces pump out really dry air, and it affects us all. Our skin dries up, and we need to hydrate more. Plants also dry out.

    Here are a few ways you can increase the humidity in your home:

    • Add a humidifier near your plants. Already have one running? Consider moving your plants closer to it.
    • Add a humidity tray. These are a low-cost and simple way to add extra water to your plant but also keep the roots from sitting in water.
    • Move your plants to an area of the house with more natural humidity. Bathrooms and kitchens have more moisture and can be a great place for plants if they have enough light.
    • Keep your plants away from drafts and heat sources.
    • Spritz your plants more regularly with a plant mister.

    I have always found that my terrariums do well this time of year, as they get that trapped humidity while other plants look a little dry. Some people even mimic these conditions by grouping their plans in a glass cabinet to hold onto the humidity inside.

    Soil and Fertilizing

    As I mentioned above, houseplants in winter are in a state of dormancy, so we don’t have to worry much about their soil or fertilizing. I wait to refresh my soil and do any repotting in the spring. If you notice the soil is getting dry and crusty, you can revive it in the spring. Your plant should be fine until then!

    Once spring begins, the temperature and amount of sunlight naturally begin to rise. Your plant will notice and slowly begin to push out more growth again. Follow its lead and start fertilizing when it does.

    refreshing soil for a snake plant sitting in a wooden potrefreshing soil for a snake plant sitting in a wooden pot
    Wait until the spring to refresh soil and start fertilizing.

    Do you have any more questions about winter houseplant care? Let me know in the comments below, and I’ll get back to you as soon as I’m able. Happy growing!

    More Tips for Taking Care of Your Houseplants

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    Stephanie Rose

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  • The Hidden Costs of Bariatric Surgery | NutritionFacts.org

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    Weight regain after bariatric surgery can have devastating psychological effects.

    How Sustainable Is the Weight Loss After Bariatric Surgery? I explore that issue in my video of the same name. Most gastric bypass patients end up regaining some of the fat they lose by the third year after surgery, but after seven years, 75% of patients followed at 10 U.S. hospitals maintained at least a 20% weight loss.

    The typical trajectory for someone who starts out obese at 285 pounds, for example, would be to drop to an overweight 178 pounds two years after bariatric surgery, but then regain weight up to an obese 207 pounds. This has been chalked up to “grazing” behavior, where compulsive eaters may shift from bingeing (which becomes more difficult post-surgery) to eating smaller amounts constantly throughout the day. In a group of women followed for eight years after gastric bypass surgery, about half continued to describe episodes of disordered eating. As one pediatric obesity specialist described, “I have seen many patients who put chocolate bars into a blender with some cream, just to pass technically installed obstacles [e.g., a gastric band].”

    Bariatric surgery advertising is filled with “happily-ever-after” fairytale narratives of cherry-picked outcomes offering, as one ad analysis put it, “the full Cinderella-romance happy ending.” This may contribute to the finding that patients often overestimate the amount of weight they’ll lose with the procedure and underestimate the difficulty of the recovery process. Surgery forces profound changes in eating habits, requiring slow, small bites that have been thoroughly chewed. Your stomach goes from the volume of two softballs down to the size of half a tennis ball in stomach stapling and half a ping-pong ball in the case of gastric bypass or banding.

    As you can imagine, “weight regain after bariatric surgery can have a devastating effect psychologically as patients feel that they have failed their last option”—their last resort. This may explain why bariatric surgery patients face a high risk of depression. They also have an increased risk of suicide.

    Severe obesity alone may increase the risk of suicidal depression, but even at the same weight, those going through surgery appear to be at a higher risk. At the same BMI (body mass index), age, and gender, bariatric surgery patients have nearly four times the odds of self-harm or attempted suicide compared with those who did not undergo the procedure. Most convincingly, so-called “mirror-image analysis” comparing patients’ pre- and post-surgery events showed the odds of serious self-harm increased after surgery.

    About 1 in 50 bariatric surgery patients end up killing themselves or being hospitalized for self-harm or attempted suicide. And this only includes confirmed suicides, excluding masked attempts such as overdoses classified as having “undetermined intention.” Bariatric surgery patients may also have an elevated risk of accidental death, though some of this could be due to changes in alcohol metabolism. When individuals who have had a gastric bypass were given two shots of vodka, their blood alcohol level surpassed the legal driving limit within minutes due to their altered anatomy. It’s unclear whether this plays a role in the 25% increase in prevalence of alcohol problems noted during the second postoperative year.

    Even those who successfully lose their excess weight and keep it off appear to have a hard time coping. Ten years out, though physical health-related quality of life may improve, general mental health can significantly deteriorate compared to pre-surgical levels, even among those who lost the most weight. Ironically, there’s a common notion that bariatric surgery is for “cheaters” who take the easy way out by choosing the “low-effort” method of weight loss.

    Shedding the weight may not shed the stigma of prior obesity. Studies suggest that “in the eyes of others, knowing that an individual was at one time fat will lead him/her to always be treated like a fat person.” And there can be a strong anti-surgery bias on top of that—those who chose the scalpel to lose weight over diet or exercise were rated more negatively (for example, being considered less physically attractive). One can imagine how remaining a target of prejudice even after joining the “in-group” could potentially undercut psychological well-being.

    There can also be unexpected physical consequences of massive weight loss, like large hanging flaps of excess skin. Beyond being heavy and uncomfortable and interfering with movement, the skin flaps can result in itching, irritation, dermatitis, and skin infections. Getting a panniculectomy (removing the abdominal “apron” of hanging skin) can be expensive, and its complication rate can exceed 50%, with dehiscence (rupturing of the surgical wound) one of the most common complications.

    “Even if surgery proves sustainably effective,” wrote the founding director of Yale University’s Prevention Research Center, “the need to rely on the rearrangement of natural gastrointestinal anatomy as an alternative to better use of feet and forks [exercise and diet] seems a societal travesty.”

    In the Middle Ages, starving peasants dreamed of gastronomic utopias where food just rained down from the sky. The English called it the Kingdom of Cockaigne. Little could medieval fabulists predict that many of their descendants would not only take permanent residence there but also cut out parts of their stomachs and intestines to combat the abundance. Critics have pointed out the irony of surgically altering healthy organs to make them dysfunctional—malabsorptive—on purpose, especially when it comes to operating on children. Bariatric surgery for kids and teens has become widespread and is being performed on children as young as five years old. Surgeons defend the practice by arguing that growing up fat can leave “‘emotional scars’ and lifelong social retardation.”

    Promoters of preventive medicine may argue that bariatric surgery is the proverbial “ambulance at the bottom of the cliff.” In response, proponents of pediatric bariatric surgery have written: “It is often pointed out that we should focus on prevention. Of course, I agree. However, if someone is drowning, I don’t tell them, ‘You should learn how to swim’; no, I rescue them.”

    A strong case can be made that the benefits of bariatric surgery far outweigh the risks if the alternative is remaining morbidly obese, which is estimated to shave up to a dozen or more years off one’s life. Although there haven’t been any data from randomized trials yet to back it up, compared to non-operated obese individuals, those getting bariatric surgery would be expected to live significantly longer on average. No wonder surgeons have consistently framed the elective surgery as a life-or-death necessity. This is a false dichotomy, though. The benefits only outweigh the risks if there are no other alternatives. Might there be a way to lose weight healthfully without resorting to the operating table? That’s what my book How Not to Diet is all about.

    Doctor’s Note

    My book How Not to Diet is focused exclusively on sustainable weight loss. Check it out from your library or pick it up from wherever you get your books. (All proceeds from my books are donated to charity.)

    This is the final segment in a four-part series on bariatric surgery, which includes:

    This blog contains information regarding suicide. If you or anyone you know is exhibiting suicide warning signs, please get help. Go to https://988lifeline.org for more information.

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    Michael Greger M.D. FACLM

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  • How Olympians think about success and failure, and what we can learn from them

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    If winning gold medals were the only standard, almost all Olympic athletes would be considered failures.Video above: Amber Glenn opens up about mental health, coming out and her figure skating journeyA clinical psychologist with the United States Olympic and Paralympic Committee, Emily Clark’s job when the Winter Games open in Italy on Feb. 6 is to help athletes interpret what it means to be successful. Should gold medals be the only measure?Part of a 15-member staff providing psychological services, Clark nurtures athletes accustomed to triumph but who invariably risk failure.The staff deals with matters termed “mental health and mental performance.” They include topics such as motivation, anger management, anxiety, eating disorders, family issues, trauma, depression, sleep, handling pressure, travel and so forth.Clark’s area includes stress management, the importance of sleep and getting high achievers to perform at their best and avoid the temptation of looking only at results.”A lot of athletes these days are aware of the mental health component of, not just sport, but of life,” Clark said in an interview with The Associated Press. “This is an area where athletes can develop skills that can extend a career, or make it more enjoyable.” The United States is expected to take about 235 athletes to the Winter Olympics, and about 70 more to the Paralympics. But here’s the truth.”Most of the athletes who come through Team USA will not win a gold medal,” Clark said. “That’s the reality of elite sport.”Here are the numbers. The United States won gold medals in nine events in the last Winter Games in Beijing in 2022. According to Dr. Bill Mallon, an esteemed shoulder surgeon and Olympic historian, 70.8% of Winter and Summer Olympic athletes go to only one Olympics.Few are famous and successful like swimmer Michael Phelps, or skiers Mikaela Shiffrin or Lindsey Vonn.Clark said she often delivers the following message to Olympians and Paralympians: This is a once-in-a-lifetime chance. Focus on the process. Savor the moment.”Your job is not to win a gold medal, your job is to do the thing, and the gold medal is what happens when you do your job,” she said.”Some of this might be realigning what success looks like,” she added. “And some of this is developing resilience in the face of setbacks and failure.”Clark preaches staying on task under pressure and improving through defeat.”We get stronger by pushing ourselves to a limit where we’re at our maximum capacity — and then recovering,” she said. “When we get stressed, it impacts our attention. Staying on task or staying in line with what’s important is what we try to train for.” Kendall Gretsch has won four gold medals at the Summer and Winter Paralympics. She credits some of her success to the USOPC’s mental health services, and she described the value this way.”We have a sports psychologist who travels with us for most our season,” she said. “Just being able to touch base with them … and getting that reminder of why are you here? What is that experience you’re looking for?”American figure skater Alysa Liu is the 2025 world champion and was sixth in the 2022 Olympics. She’s a big believer in sports psychology and should be among the favorites in Italy.”I work with a sport psychologist,” she said without giving a name. “She’s incredible — like the MVP.”Of course, MVP stands — not for Most Valuable Person or Most Valuable Player — for “Most Valuable Psychologist.””I mean, she’s very helpful,” Liu added. American downhill skier Vonn will race in Italy in her sixth Olympics. At 41, she’s coming off nearly six years in retirement and will be racing on a knee made of titanium.Two-time Olympic champion Michaela Dorfmeister has suggested in jest that Vonn “should see a psychologist” for attempting such a thing in a very dangerous sport where downhill skiers reach speeds of 80 mph.Vonn shrugged off the comments and joked a few months ago that she didn’t grow up using a sport psychologist. She said her counseling came from taping messages on the tips of her skis that read: “stay forward or hands up.””I just did it myself,” she said. “I do a lot of self-talk in the starting gate.” “Sleep is an area where athletes tend to struggle for a number of reasons,” Clark said, listing issues such as travel schedules, late practices, injuries and life-related stress.”We have a lot of athletes who are parents, and lot of sleep is going to be disrupted in the early stages of parenting,” she said. “We approach sleep as a real part of performance. But it can be something that gets de-prioritized when days get busy.”Clark suggests the following for her athletes — and the rest of us: no caffeine after 3 p.m., mitigate stress before bedtime, schedule sleep at about the same time daily, sleep in a dark room and get 7-9 hours.Dani Aravich is a two-time Paralympian — she’s been in both the Summer and Winter Games — and will be skiing in the upcoming Paralympics. She said in a recent interview that she avails herself of many psychological services provided by the USOPC.”I’ve started tracking my sleep,” she said, naming Clark as a counselor. “Especially being an athlete who has multiple jobs, sleep is going to be your No. 1 savior at all times. It’s the thing that, you know, helps mental clarity.” Clark agreed.”Sleep is the cornerstone of healthy performance,” she added.

    If winning gold medals were the only standard, almost all Olympic athletes would be considered failures.

    Video above: Amber Glenn opens up about mental health, coming out and her figure skating journey

    A clinical psychologist with the United States Olympic and Paralympic Committee, Emily Clark’s job when the Winter Games open in Italy on Feb. 6 is to help athletes interpret what it means to be successful.

    Should gold medals be the only measure?

    Part of a 15-member staff providing psychological services, Clark nurtures athletes accustomed to triumph but who invariably risk failure.

    The staff deals with matters termed “mental health and mental performance.” They include topics such as motivation, anger management, anxiety, eating disorders, family issues, trauma, depression, sleep, handling pressure, travel and so forth.

    Clark’s area includes stress management, the importance of sleep and getting high achievers to perform at their best and avoid the temptation of looking only at results.

    “A lot of athletes these days are aware of the mental health component of, not just sport, but of life,” Clark said in an interview with The Associated Press. “This is an area where athletes can develop skills that can extend a career, or make it more enjoyable.”

    The United States is expected to take about 235 athletes to the Winter Olympics, and about 70 more to the Paralympics. But here’s the truth.

    “Most of the athletes who come through Team USA will not win a gold medal,” Clark said. “That’s the reality of elite sport.”

    Here are the numbers. The United States won gold medals in nine events in the last Winter Games in Beijing in 2022. According to Dr. Bill Mallon, an esteemed shoulder surgeon and Olympic historian, 70.8% of Winter and Summer Olympic athletes go to only one Olympics.

    Few are famous and successful like swimmer Michael Phelps, or skiers Mikaela Shiffrin or Lindsey Vonn.

    Clark said she often delivers the following message to Olympians and Paralympians: This is a once-in-a-lifetime chance. Focus on the process. Savor the moment.

    “Your job is not to win a gold medal, your job is to do the thing, and the gold medal is what happens when you do your job,” she said.

    “Some of this might be realigning what success looks like,” she added. “And some of this is developing resilience in the face of setbacks and failure.”

    Clark preaches staying on task under pressure and improving through defeat.

    “We get stronger by pushing ourselves to a limit where we’re at our maximum capacity — and then recovering,” she said. “When we get stressed, it impacts our attention. Staying on task or staying in line with what’s important is what we try to train for.”

    Kendall Gretsch has won four gold medals at the Summer and Winter Paralympics. She credits some of her success to the USOPC’s mental health services, and she described the value this way.

    “We have a sports psychologist who travels with us for most our season,” she said. “Just being able to touch base with them … and getting that reminder of why are you here? What is that experience you’re looking for?”

    American figure skater Alysa Liu is the 2025 world champion and was sixth in the 2022 Olympics. She’s a big believer in sports psychology and should be among the favorites in Italy.

    “I work with a sport psychologist,” she said without giving a name. “She’s incredible — like the MVP.”

    Of course, MVP stands — not for Most Valuable Person or Most Valuable Player — for “Most Valuable Psychologist.”

    “I mean, she’s very helpful,” Liu added.

    American downhill skier Vonn will race in Italy in her sixth Olympics. At 41, she’s coming off nearly six years in retirement and will be racing on a knee made of titanium.

    Two-time Olympic champion Michaela Dorfmeister has suggested in jest that Vonn “should see a psychologist” for attempting such a thing in a very dangerous sport where downhill skiers reach speeds of 80 mph.

    Vonn shrugged off the comments and joked a few months ago that she didn’t grow up using a sport psychologist. She said her counseling came from taping messages on the tips of her skis that read: “stay forward or hands up.”

    “I just did it myself,” she said. “I do a lot of self-talk in the starting gate.”

    “Sleep is an area where athletes tend to struggle for a number of reasons,” Clark said, listing issues such as travel schedules, late practices, injuries and life-related stress.

    “We have a lot of athletes who are parents, and lot of sleep is going to be disrupted in the early stages of parenting,” she said. “We approach sleep as a real part of performance. But it can be something that gets de-prioritized when days get busy.”

    Clark suggests the following for her athletes — and the rest of us: no caffeine after 3 p.m., mitigate stress before bedtime, schedule sleep at about the same time daily, sleep in a dark room and get 7-9 hours.

    Dani Aravich is a two-time Paralympian — she’s been in both the Summer and Winter Games — and will be skiing in the upcoming Paralympics. She said in a recent interview that she avails herself of many psychological services provided by the USOPC.

    “I’ve started tracking my sleep,” she said, naming Clark as a counselor. “Especially being an athlete who has multiple jobs, sleep is going to be your No. 1 savior at all times. It’s the thing that, you know, helps mental clarity.”

    Clark agreed.

    “Sleep is the cornerstone of healthy performance,” she added.

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  • Mental health evaluation ordered for woman accused of stabbing tourist in NYC Macy’s

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    NEW YORK — A New York City judge on Wednesday ordered a mental health evaluation for a Massachusetts woman charged in the unprovoked stabbing of a tourist changing her baby’s diaper in a bathroom of Macy’s flagship store in midtown Manhattan around the holidays.

    Kerri Aherne, 43, of Tewksbury, will be examined by mental health professionals to determine whether she’s fit to stand trial, according to Manhattan District Attorney Alvin Bragg’s office.

    She pleaded not guilty to attempted murder, assault, endangering the welfare of a child and other charges during her arraignment Wednesday in Manhattan court.

    Aherne’s lawyer Kevin Sylvan didn’t immediately respond to an email seeking comment but told the Daily News that his client’s mental state is “the only relevant issue right now.”

    The newspaper reports that Aherne had been released from a New York psychiatric hospital the morning of the attack and had previously been a patient at a mental health facility in Massachusetts.

    Prosecutors say that on Dec. 11, Aherne purchased a knife at the Macy’s store in Herald Square, went up to a seventh-floor bathroom and began stabbing a woman who was changing her child’s diaper.

    The victim, a California resident, eventually managed to grab the knife and toss it away. Aherne was restrained by the victim’s partner and store security until police arrived.

    The victim was stabbed in the back, arm and hand. Her 10-month-old baby, who fell from the changing table onto the floor during the attack, was not injured.

    Macy’s issued a statement at the time saying it was “deeply saddened” by the attack.

    “The thousands of families that visit Manhattan during the holiday season deserve to be safe while shopping and celebrating with their loved ones,” Bragg added in a statement Wednesday.

    Ahern remains in custody. Her next court date is Feb. 11.

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  • Earlier 911 calls to Rob Reiner’s home could loom large in legal battle over son’s mental condition

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    In the years before Rob and Michele Reiner were killed, Los Angeles police made at least two visits to their home in Brentwood.

    On Feb. 25, 2019, officers conducted a welfare check after someone called 911 at 9:51 p.m. According to LAPD records reviewed by The Times, officers arrived at the address at 10:12 p.m., completed the call and reported the incident to an unidentified supervisor.

    Then on Sept. 27, 2019, police responded at 4:24 p.m. to a mental health–related call for service involving an unidentified man. Officers later informed a supervisor that they found “no indication of mental illness,” according to department records.

    The calls were fairly innocuous and typically would not raise eyebrows.

    But authorities now allege the couple’s son, who lived in the guesthouse on their property, fatally stabbed them in their master bedroom last month.

    The mental state of Nick Reiner, who struggled for years with substance abuse and had been prescribed a schizophrenia drug, has now taken center stage in his legal battle.

    Prosecutors have not detailed their case, and Reiner’s legal team has not provided his own story. It is still possible his defense could present compelling evidence that Nick Reiner did not commit the killings. But if the case is strong, the trial could revolve around Reiner’s mental state and the length of sentence.

    Prosecutors charged Nick Reiner, 32, with two counts of first-degree murder with special circumstances for the killings in the early hours of Dec. 14. Authorities have not offered a possible motive in the case.

    Reiner is back in court Wednesday and is no longer considered to be a suicide risk. He has not yet entered a plea.

    Legal experts say Reiner’s attorney, Alan Jackson, is likely now working to evaluate his client’s history of mental health and state of mind at the time of the crime. Those findings could be the basis for discussions of a plea deal or the beginning of an insanity defense, attorneys say.

    There are also other defenses that Jackson could pursue based on his mental history and possible changes in his medication and other factors that might not have been made public yet, including what might have triggered the killings, said Laurie Levenson, professor of law at Loyola Law School and a former federal prosecutor.

    “There’s a lot still to be done to work this case up,” Levenson said. “He can either try to go for a not guilty by reason of insanity, or he might have testimony that he wasn’t able to form the mental state for the crime because of his medication and his prior mental background.”

    If his defense can prove that Reiner couldn’t form the “intent to kill because of what’s happening with his medication or with his disease” then it could be a way to get a lesser charge such as second-degree murder, Levenson said. With first-degree murder charges, prosecutors must show that the accused acted with premeditation or malice.

    “It is just way too early to say that this is an all or nothing case — that he’s going to be found guilty of murder one or found not guilty. There are likely to be other options,” Levenson said.

    If convicted of first-degree murder, Reiner is facing possible life in prison without the possibility of parole or the death penalty. Prosecutors have not made a decision about whether they will seek capital punishment in the case.

    If Reiner is found not guilty by reason of insanity then he would likely be committed to a mental health facility. And he might at some point be able to show that his condition has improved and have outpatient status or be released, Levenson said.

    Saul Faerstein, a clinical and forensic psychiatrist and professor of psychiatry at UCLA, said doctors will likely try to piece together the days leading up to the killings to determine what kind of mental state Reiner was in at the time.

    “We’d want to know what was happening on Friday or Saturday. Was he beginning to decompensate? Was he acting out of character? Was he doing and saying things that surprised people or frightened people? Was he saying things that made no sense?” Faerstein said.

    Reiner’s ability to check into a hotel and travel across Los Angeles where he was seen at a gas station and ultimately arrested isn’t necessarily a sign that he was of sound mind, Faerstein said.

    “Those things don’t require a lot of cognitive function, and they can be done even in a delusional state,” he said.

    There have been a few examples of cases in California in which charges have been reduced because of mental health factors.

    In 2023, Bryn Spejcher was convicted of involuntary manslaughter for killing Chad O’Melia, a man she’d been dating, with kitchen knives inside his home in Thousand Oaks. They had been smoking marijuana out of O’Melia’s bong, which caused Spejcher to suffer from cannabis-induced psychosis.

    The Ventura County District Attorney’s Office had originally filed a murder charge against her, but reduced the charge to involuntary manslaughter after the prosecution’s experts agreed that she was in a psychotic state brought on by the marijuana intoxication. Prosecutors could not prove malice in the case.

    Spejcher was sentenced to probation and community service. She’s in the process of appealing her conviction, court records show.

    Michael Goldstein, a Los Angeles defense attorney who represented Spejcher, said that if Reiner attorneys can document a history of mental health issues, it could help his chances.

    “Based on facts that have been revealed publicly, [not guilty by reason of insanity] appears to be a viable defense,” Goldstein said. “If successful, that would result in long-term hospitalization. It is still early in the process and Mr. Jackson made it clear there are significant issues being explored. Time will tell.”

    In a case in 2010, Jennifer Lynn Bigham was found not guilty of murder and child abuse by reason of insanity after authorities said she drowned her 3-year-old daughter in a bathtub at a relative’s home in the Central Valley.

    Doctors had determined Bigham was suffering from severe mental illness at the time of her daughter’s death. After roughly three years of treatment in 2013, a judge ordered her to be released from custody because doctors said she was no longer insane.

    It’s possible, Levenson said, that the defense will be able to present compelling evidence of mental disorder to prosecutors to resolve the case before trial. It’s also possible the case will go to trial and he could be found not guilty by reason of insanity and committed as opposed to serving jail time.

    Even if he’s committed, one day any disorders he’s diagnosed with could be treated and he could be released, Levenson said.

    Though insanity defenses in many cases are not successful, based on the facts known at the time, this case could be an exception, experts say.

    “It’s a pretty classic of a situation where you have what looks like a really horrific, maybe premeditated murder, and then you start learning more about his background, that it doesn’t look like he’s making this up, that there seems to be some medical history of this, the change in medication, and all of a sudden you say, ‘Wow, this might be that rare case where mental defense, or an insanity defense, will succeed,” Levenson said.

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  • He wanted to die on the streets. He’s found new life at Colorado’s newest recovery center

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    A few years back, Phillip West lived on the streets of San Antonio, waiting to die.

    He had once held down a sales job at a nonprofit. He paid taxes. He took college courses. He was a part of society — fully human, he said. Back then, he frowned on people suffering from addiction, living and dying outside.

    “I didn’t know it could be that bad,” he said. “I didn’t understand how a person could be that lost. And so I had no sympathy for them.”

    Even as he started selling drugs for extra cash, he couldn’t imagine falling that low. He felt on top of the world. 

    But then he was arrested. He served time in prison. And after his release, he couldn’t stay sober. 

    “It’s horrible,” he said. “It’s a struggle. It’s dark. And you don’t feel anybody understands you. Being homeless and on the street, you almost don’t care what people think. You don’t care what people think. You know they don’t like you, because most of them are hard on you. You know they are judgmental.”

    But now Wells is finding his way out of homelessness and addiction, returning to school and dedicating his life to helping others. 

    Wells told Denverite his story of addiction and recovery at the Sage Ridge Supportive Residential Community, Colorado’s new supportive housing and treatment campus on 560 acres near Watkins, east of the Denver metro.

    The Sage Ridge Supportive Residential Community in Watkins, operated by the Colorado Coalition for the Homeless. Dec. 31, 2025.
    Kevin J. Beaty/Denverite

    He was one of the first five residents at a new facility that the Colorado Coalition for the Homeless sees as a potential “national model” for addressing the intersection of homelessness and addiction.

    Sage Ridge, run by the Colorado Coalition for the Homeless, opened in September. It is the rare kind of place people of all political stripes have been asking for. The nearly 200-bed facility offers housing and treatment, job training, case management and hope for a better future for people who’ve lost nearly everything. 

    But the path to Sage Ridge has been a hard one.

    From a death wish to treatment

    West’s friends on the streets of San Antonio were dying around him — including the ones he thought could help him get back on his feet. Every time West saw his mom and son, he was either high or withdrawing. Too ashamed and hoping to protect them, he cut ties, hoping his life would end. 

    “My son’s with my mom,” he thought. “It’s OK for me to die. I think he’ll be OK in her hands.” 

    So he was alone. 

    One day, drug dealers tried to kill his friend, another homeless man, he said; when West tried to defend him, he became their target. 

    “I tried to help somebody else out,” he recalled. “And they tried to kill me for it.”

    Phillip West walks through the Sage Ridge Supportive Residential Community in Watkins, operated by the Colorado Coalition for the Homeless, where he’s lived for the last few months. Dec. 31, 2025.
    Kevin J. Beaty/Denverite

    Surviving the attack, he went to his mom’s home, where his son was living. West was battered, wearing only one shoe. 

    “I never wanted my mom to see me like that, and my child also,” he said. 

    The next day, his mom drove him to Great Oaks, a rehab in Texas where he began his recovery journey. 

    “It was almost like a resort,” he said. “They had a hot tub and everything, and they had great doctors. The doctors and therapists there were great. And so they helped me see that there’s a different way.”

    He met other people who came from the streets, who had recovered from addiction and who were helping other people. 

    “That gave me hope,” he said. “That’s where my life changed.”

    A journey to Colorado — and a devastating crash

    When it came time to leave rehab, West feared returning to San Antonio. It didn’t feel safe. So he started looking for other options and found Denver CARES Transitional Residential Treatment — a locked treatment center in the city that allows residents to leave the community for fresh air breaks and eventually to look for housing and work. 

    He didn’t plan to stay in Denver, but he fell in love with Colorado. So he got a job at the National Western Stock Show complex and started looking for an apartment.  

    Then, while riding a Lime scooter to work early one morning, he crashed and shattered his leg.

    “I was mad at God,” he said. 

    He wound up at the Stout Street Clinic, a homeless rehab facility, where he healed for a few months. Somehow, he stayed sober through it all — a challenging feat.  

    Stout Street doctors referred him to CCH’s Fort Lyon Supportive Residential Community, a few hours outside of Denver. He stayed there for a stint, and when he learned Sage Ridge was opening, he moved there three months ago — one of the very first guests at the new facility.

    Sage Ridge is a 26-mile drive southeast of the Colorado Capitol. 

    The campus is sandwiched between sprawling Eastern Plains and a towering but oddly scenic landfill that looks more foothill than trash heap.

    The Sage Ridge Supportive Residential Community in Watkins, operated by the Colorado Coalition for the Homeless. Dec. 31, 2025.
    Kevin J. Beaty/Denverite

    It’s the site of the former Ridge View Youth Services Center, a school and training program for troubled youth that was shut down by the state of Colorado in 2021 after teens disappeared and fights and drugs tarnished its reputation.

    In 2022, state lawmakers passed a bill to prioritize drug and alcohol recovery for people experiencing homelessness. The Colorado Coalition for the Homeless was tapped to run the 560-acre campus for drug treatment recovery and long-term supportive housing. 

    The state has allocated $45 million in American Rescue Plan Act money to renovate the facility and run it for its first two years. 

    Sage Ridge is the rare recovery center for people experiencing homelessness that’s tranquil, cost-free and led, in part, by residents on a stunning campus that looks more like a community college than an institution. 

    The Sage Ridge Supportive Residential Community in Watkins, operated by the Colorado Coalition for the Homeless. Dec. 31, 2025.
    Kevin J. Beaty/Denverite
    A kitchen and common area at the Sage Ridge Supportive Residential Community in Watkins, operated by the Colorado Coalition for the Homeless. Dec. 31, 2025.
    Kevin J. Beaty/Denverite

    Cathy Alderman, a spokesperson for the Coalition, said Sage Ridge is one of two campuses like it in the country: free to guests and offering permanent supportive housing and medical aid. The other is Fort Lyon Supportive Residential Community, also run by the Coalition.

    While it’s unclear how much it will cost to run Sage Ridge long term, Fort Lyon’s budget is about $8 million a year. 

    Sage Ridge has room for nearly 200 guests. There’s a medical area, a football field, basketball courts, dining areas and plenty of room to spread out. 

    Guests currently have their own rooms, but ultimately they will share dorm-style rooms as the new program reaches capacity. 

    The program’s not for everybody. To go to Sage Ridge, you’ve got to want to work on recovery. You have to be either homeless or on the cusp of losing your housing. You need to be 18 or older and a Colorado resident for the past six months. 

    This isn’t a place a judge can force you to go. You cannot be there as part of your probation or parole. You can’t have violent criminal charges. And sobriety is mandatory. 

    Phillip West happened to be a perfect fit.

    Some of the early participants left because they found Sage Ridge too lonely. But West has appreciated the peacefulness of the place. The longer people stay, the more positive they become, he said. 

    Around 20 people are living at Sage Ridge as it ramps up. Eventually, there will be nearly 200. 

    While there, West has earned his peer recovery certificate. And he’s preparing to take college classes again. He’s launched a sobriety podcast and blog — and he has found purpose in helping others. 

    Chairs are arranged in a circle in a community space at the Sage Ridge Supportive Residential Community in Watkins, operated by the Colorado Coalition for the Homeless. Dec. 31, 2025.
    Kevin J. Beaty/Denverite

    Now, when people come to Sage Ridge, he welcomes them. Some are sure they want to be there. Others still feel hesitant. 

    He doesn’t tell people what to do, how to get sober. But he does share his story and listen to other people’s.

    “This is what I’m supposed to do in my life,” West said. “I’m supposed to help others. This is what it is all about. This is what life is about: giving back, just helping each other.”

    Soon, he hopes, he will be well enough to reunite with his son. 

    Phillip West walks through the Sage Ridge Supportive Residential Community in Watkins, operated by the Colorado Coalition for the Homeless, where he’s lived for the last few months. Dec. 31, 2025.
    Kevin J. Beaty/Denverite

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  • Can AI chatbots trigger psychosis in vulnerable people?

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    NEWYou can now listen to Fox News articles!

    Artificial intelligence chatbots are quickly becoming part of our daily lives. Many of us turn to them for ideas, advice or conversation. For most, that interaction feels harmless. However, mental health experts now warn that for a small group of vulnerable people, long and emotionally charged conversations with AI may worsen delusions or psychotic symptoms.

    Doctors stress this does not mean chatbots cause psychosis. Instead, growing evidence suggests that AI tools can reinforce distorted beliefs among individuals already at risk. That possibility has prompted new research and clinical warnings from psychiatrists. Some of those concerns have already surfaced in lawsuits alleging that chatbot interactions may have contributed to serious harm during emotionally sensitive situations.

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    What psychiatrists are seeing in patients using AI chatbots

    Psychiatrists describe a repeating pattern. A person shares a belief that does not align with reality. The chatbot accepts that belief and responds as if it were true. Over time, repeated validation can strengthen the belief rather than challenge it.

    OPINION: THE FAITH DEFICIT IN ARTIFICIAL INTELLIGENCE SHOULD ALARM EVERY AMERICAN 

    Mental health experts warn that emotionally intense conversations with AI chatbots may reinforce delusions in vulnerable users, even though the technology does not cause psychosis. (Philip Dulian/picture alliance via Getty Images)

    Clinicians say this feedback loop can deepen delusions in susceptible individuals. In several documented cases, the chatbot became integrated into the person’s distorted thinking rather than remaining a neutral tool. Doctors warn that this dynamic raises concern when AI conversations are frequent, emotionally engaging and left unchecked.

    Why AI chatbot conversations feel different from past technology

    Mental health experts note that chatbots differ from earlier technologies linked to delusional thinking. AI tools respond in real time, remember prior conversations and adopt supportive language. That experience can feel personal and validating. 

    For individuals already struggling with reality testing, those qualities may increase fixation rather than encourage grounding. Clinicians caution that risk may rise during periods of sleep deprivation, emotional stress or existing mental health vulnerability.

    How AI chatbots can reinforce false or delusional beliefs

    Doctors say many reported cases center on delusions rather than hallucinations. These beliefs may involve perceived special insight, hidden truths or personal significance. Chatbots are designed to be cooperative and conversational. They often build on what someone types rather than challenge it. While that design improves engagement, clinicians warn it can be problematic when a belief is false and rigid.

    Mental health professionals say the timing of symptom escalation matters. When delusions intensify during prolonged chatbot use, AI interaction may represent a contributing risk factor rather than a coincidence.

    OPENAI TIGHTENS AI RULES FOR TEENS BUT CONCERNS REMAIN

    Computer open to ChatGPT screen.

    Psychiatrists say some patients report chatbot responses that validate false beliefs, creating a feedback loop that can worsen symptoms over time. (Nicolas Maeterlinck/Belga Mag/AFP via Getty Images)

    What research and case reports reveal about AI chatbots

    Peer-reviewed research and clinical case reports have documented people whose mental health declined during periods of intense chatbot engagement. In some instances, individuals with no prior history of psychosis required hospitalization after developing fixed false beliefs connected to AI conversations. International studies reviewing health records have also identified patients whose chatbot activity coincided with negative mental health outcomes. Researchers emphasize that these findings are early and require further investigation.

    A peer-reviewed Special Report published in Psychiatric News titled “AI-Induced Psychosis: A New Frontier in Mental Health” examined emerging concerns around AI-induced psychosis and cautioned that existing evidence is largely based on isolated cases rather than population-level data. The report states: “To date, these are individual cases or media coverage reports; currently, there are no epidemiological studies or systematic population-level analyses of the potentially deleterious mental health effects of conversational AI.” The authors emphasize that while reported cases are serious and warrant further investigation, the current evidence base remains preliminary and heavily dependent on anecdotal and nonsystematic reporting.

    What AI companies say about mental health risks

    OpenAI says it continues working with mental health experts to improve how its systems respond to signs of emotional distress. The company says newer models aim to reduce excessive agreement and encourage real-world support when appropriate. OpenAI has also announced plans to hire a new Head of Preparedness, a role focused on identifying potential harms tied to its AI models and strengthening safeguards around issues ranging from mental health to cybersecurity as those systems grow more capable.

    Other chatbot developers have adjusted policies as well, particularly around access for younger audiences, after acknowledging mental health concerns. Companies emphasize that most interactions do not result in harm and that safeguards continue to evolve.

    What this means for everyday AI chatbot use

    Mental health experts urge caution, not alarm. The vast majority of people who interact with chatbots experience no psychological issues. Still, doctors advise against treating AI as a therapist or emotional authority. Those with a history of psychosis, severe anxiety or prolonged sleep disruption may benefit from limiting emotionally intense AI conversations. Family members and caregivers should also pay attention to behavioral changes tied to heavy chatbot engagement.

    I WAS A CONTESTANT ON ‘THE BACHELOR.’ HERE’S WHY AI CAN’T REPLACE REAL RELATIONSHIPS

    ChatGPT logo on an iPhone.

    Researchers are studying whether prolonged chatbot use may contribute to mental health declines among people already at risk for psychosis. (Photo Illustration by Jaque Silva/NurPhoto via Getty Images)

    Tips for using AI chatbots more safely

    Mental health experts stress that most people can interact with AI chatbots without problems. Still, a few practical habits may help reduce risk during emotionally intense conversations.

    • Avoid treating AI chatbots as a replacement for professional mental health care or trusted human support.
    • Take breaks if conversations begin to feel emotionally overwhelming or all-consuming.
    • Be cautious if an AI response strongly reinforces beliefs that feel unrealistic or extreme.
    • Limit late-night or sleep-deprived interactions, which can worsen emotional instability.
    • Encourage open conversations with family members or caregivers if chatbot use becomes frequent or isolating.

    If emotional distress or unusual thoughts increase, experts say it is important to seek help from a qualified mental health professional.

    Take my quiz: How safe is your online security?

    Think your devices and data are truly protected? Take this quick quiz to see where your digital habits stand. From passwords to Wi-Fi settings, you’ll get a personalized breakdown of what you’re doing right and what needs improvement. Take my Quiz at Cyberguy.com.

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    Kurt’s key takeaways

    AI chatbots are becoming more conversational, more responsive and more emotionally aware. For most people, they remain helpful tools. For a small but important group, they may unintentionally reinforce harmful beliefs. Doctors say clearer safeguards, awareness and continued research are essential as AI becomes more embedded in our daily lives. Understanding where support ends and reinforcement begins could shape the future of both AI design and mental health care.

    As AI becomes more validating and humanlike, should there be clearer limits on how it engages during emotional or mental health distress? Let us know by writing to us at Cyberguy.com.

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    Get my best tech tips, urgent security alerts and exclusive deals delivered straight to your inbox. Plus, you’ll get instant access to my Ultimate Scam Survival Guide – free when you join my CYBERGUY.COM newsletter. 

    Copyright 2025 CyberGuy.com.  All rights reserved.

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  • Stuck inside? What people are doing instead of crowding into trendy, seasonal events

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    NEWYou can now listen to Fox News articles!

    Amid the cold and chill of winter, more people are opting out of traveling to packed seasonal venues and instead turning to cozier, easier and more restorative ways to spend their time.

    They’re turning their backs on busy holiday markets, long lines and jammed events to choose home-based activities — a shift widely reflected in posts shared across social media.

    For some, the shift comes after the intensity of the holidays, which can leave people feeling drained and stressed — and wanting to renew themselves. 

    BUDGET TRAVELERS VALUE HARD-TO-BEAT COSTCO VACATIONS, BUT SERVICE MAY NOT BE FOR EVERYONE

    Jessica Watrous, a licensed psychologist and chief clinical officer at Modern Health in San Francisco, said people often feel burned out after the holidays due to social pressure and expectations — making slower routines and quieter activities more appealing during the winter months.

    “If you’re starting to feel overwhelmed or overstimulated, take time to decompress with quiet, calming activities,” Watrous said.

    Slower routines and quieter, home-based activities can be very appealing during the winter months — especially right after the holidays. (iStock)

    Here are five low-key winter activities people are turning to this season — and why.

    Puzzles and brain games

    Jigsaw puzzles, logic games and crosswords are getting renewed attention as people look for screen-free ways to unwind indoors.

    Many are choosing larger or more detailed puzzles and treating them as ongoing winter projects, rather than something to finish in just one or two sittings.

    HOLIDAY DREAMS FALL SHORT: 5 OF AMERICA’S ‘MOST COMPLAINED-ABOUT’ CHRISTMAS ATTRACTIONS

    Some people say puzzling offers more than simple entertainment. In online forums such as Reddit, users have shared that working on puzzles helps them manage stress, anxiety and low moods during particularly difficult periods.

    “I just started puzzling this year, and I am so happy to find that when I’m working on a puzzle, my mind is no longer spinning out of control and stressing,” one user wrote.

    People working together on a jigsaw puzzle at a wooden table with cups of tea nearby.

    Puzzles and logic games are gaining popularity as calming, screen-free ways to pass the time, entertain the mind and manage stress. (iStock)

    Watrous noted that even brief, grounding activities can help quiet the nervous system and bring people back to the present.

    WARDING OFF DEMENTIA MEANS MORE READING, PRAYING AND LISTENING TO MUSIC: STUDY

    Other users on Reddit said puzzles are appealing because they can be enjoyed alone or casually with family or friends.

    Knitting and other fiber crafts

    Knitting, crocheting and other fiber crafts are also gaining traction this winter, according to posts shared by social media users.

    CREATIVE HOBBIES KEEP THE BRAIN YOUNG, STUDY FINDS — HERE ARE THE BEST ONES TO PURSUE

    People say the hobby offers calmness and a sense of control.

    Many knitters describe the activity as a way to channel anxious or restless energy into something tangible.

    crocheting up close

    Knitting or crocheting can offer calmness and a sense of control. (iStock)

    One user on Reddit wrote that knitting helped her “channel my nervous and anxious energy into something productive,” whether that was making gifts for others or creating something for herself.

    Others say the repetitive nature of knitting helps quiet the mind and replace habits like scrolling on phones and tablets.

    LEGO building

    LEGO building is also finding a place in quieter winter routines — particularly among adults looking for a creative outlet that doesn’t require prior skill or ongoing commitment.

    CLICK HERE TO SIGN UP FOR OUR LIFESTYLE NEWSLETTER

    Unlike some other hobbies or activities, LEGO sets come with clear instructions and a defined endpoint, which may make the activity feel approachable and low-pressure.

    On TikTok, users say they enjoy the sense of order and structure that comes with assembling a set, especially during a season that can otherwise feel overwhelming or disorganized.

    Richard Paules holds up a lego replica of Marine One that he is custom building for a friend.

    LEGO building among adults is gaining traction in quieter winter routines, especially among those drawn to its structured, low-pressure creativity. (The Washington Post)

    Others say LEGO building taps into nostalgia, allowing them to revisit a childhood pastime in a way that feels relaxing rather than demanding.

    CLICK HERE FOR MORE LIFESTYLE STORIES

    “LEGO sets are perfect for winter days, offering endless screen-free play that benefits children’s development and overall well-being, while bringing families closer together. With options for all ages and interests, LEGO sets nurture creativity and foster connection,” the company told Fox News Digital in response to a request for comment. 

    Cooking and baking

    Cooking and baking, already a big part of many people’s winter routines at home, are getting fresh attention.

    And instead of making complicated dishes, many are choosing straightforward recipes they can make again and again.

    TEST YOURSELF WITH OUR LATEST LIFESTYLE QUIZ

    Social media users say making soup, baking bread or committing to a familiar recipe each week offers a sense of rhythm without pressure.

    An older couple cooking together in a modern kitchen, smiling while adding chopped vegetables to a pan.

    Cooking and baking are increasingly part of people’s winter routines today, with many turning to simple, repeatable recipes for comfort. (iStock)

    Others say cooking at home feels like a practical way to slow down while still doing something useful, especially during a season when motivation can dip and schedules feel less defined.

    Reading

    Popular for generations, reading a physical book has once again become a go-to winter activity for people seeking a calming break from screens, noise and activity. 

    IVANKA TRUMP SHARES BOOKS THAT ‘SHAPED’ HER IN 2025, FROM TOP NOVELS TO ANCIENT WISDOM

    Many social media users say they’re reading in small increments — rather than setting ambitious targets they’ll never meet.

    Some describe reading as a way to mentally step away from stress, even if only for a few pages at a time.

    CLICK HERE TO DOWNLOAD THE FOX NEWS APP

    One Reddit user recommended keeping expectations low. 

    The person wrote, “Have a daily goal. For me, this is just five pages before [going] to sleep.”

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  • Colorado program finds foster care for people’s pets as they recover from addiction, abuse, mental health issues

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    When Ashlee Chaidez’s black Lab mix, Duck, charged toward her and rubbed his face — a little more gray than the last time she had seen him — against her cheek, she knew her struggles over the past several months had been worth it.

    Six months ago, Chaidez, 27, and 6-year-old Duck were living out of her car around the Front Range. Chaidez dropped Duck off at doggy daycare to get him out of the summer heat while she delivered orders for Instacart, narrowly earning the money to board her beloved dog.

    Chaidez barely broke even financially, was off her mental health medication and needed help, she said. But the thought of giving up Duck — her best friend and reason for getting up in the morning — while she sought inpatient psychiatric care was a blow that felt insurmountable.

    After reaching out to animal shelters, Chaidez learned about a program through the Society for the Prevention of Cruelty to Animals that finds foster caregivers for people’s pets while they recover from addiction, abuse or mental health problems.

    Through that program, Duck lived with a foster family while Chaidez got back on her feet.

    “One of the main things preventing me from getting help was that I didn’t want to give him up because he’s my family,” Chaidez said. “This gave me the peace of mind to get the help I needed, and I don’t think I would be where I am now without this program.”

    The program, Pawsitive Recovery, launched in Denver in 2021 and is so popular that the organization is looking to expand it across the country.

    “This program gave me a lot of hope when I didn’t really see any,” Chaidez said.

    Serena Saunders got sober from alcohol about five years ago through an inpatient program. The former veterinary technician told her therapist at the time that she wished she could work with dogs while going through recovery. That was the impetus for Pawsitive Recovery, a nonprofit Saunders started out of her Denver home, where she cared for the cats and dogs of people in recovery.

    Two years ago, Saunders met an employee with SPCA International who became interested in her work. The longstanding animal advocacy organization hired Saunders and folded her nonprofit into their mission.

    “It was probably the best decision of my life,” Saunders said.

    Pawsitive Recovery partners with mental health treatment and sober living facilities across Colorado. People who need inpatient care but have pets they don’t want to leave behind get referred to the SPCA and connected with a foster caregiver.

    The organization and its host of volunteers care for around 30 to 40 animals at a time — mostly cats and dogs, although Saunders has looked after 10 tarantulas in her office and found temporary homes for guinea pigs, too.

    The fosters are typically volunteers from the recovery space — therapists, people in long-term recovery, parents of family members impacted by addiction, Saunders said. (Anyone interested in volunteering or getting connected with the program can find information at spcai.org/our-work/pawsitive-recovery.)

    Sometimes, due to challenges like homelessness, the pets have trauma that can lead to behavioral issues, Saunders said. The program partners with a training facility in Brighton that takes on behaviorally challenged animals, she said.

    Ashlee Chaidez, right, hugs SPCA volunteer Sara Broene after being reunited with her dog, Duck, after six months apart while Chaidez sought psychiatric care, on Saturday, Dec. 13, 2025, at Hounds Town dog daycare and boarding in Denver. (Photo by Timothy Hurst/The Denver Post)

    They also have a standing arrangement with local boarding facility Hounds Town, which can take in pets quickly, Saunders said. A fast placement can be critical if a client is escaping a domestic violence situation and needs to leave right away, she said.

    “We are not limited to dogs that are in perfect shape,” Saunders said. “We can take broken ones, too, which is amazing because the dog and the person get to heal simultaneously.”

    Pawsitive Recovery commits to fostering pets for six months, giving the person in recovery time to figure out their next move, Saunders said. The SPCA charges $100 per month for a boarding fee, which Saunders described as an accountability tool for the person in recovery.

    “It’s part of their responsibility, having a little skin in the game when it comes to the care of their animal,” Saunders said. “If they’re in treatment, a lot of these people are not working, so what we do is set up a fundraiser for them, and as they start rebuilding their life, they can go in and make payments. It’s all situational.”

    For Chaidez, the program was life-changing.

    She got the medical care she needed, secured a job at a Starbucks in Vail and got her own apartment.

    When times in recovery got hard, the thought of reuniting with her furry friend kept her motivated, she said.

    Ashlee Chaidez give a kiss to her dog, Duck, after being reunited after six months apart while Chaidez sought psychiatric care, on Saturday, Dec. 13, 2025, at Hounds Town dog daycare and boarding in Denver. (Photo by Timothy Hurst/The Denver Post)
    Ashlee Chaidez give a kiss to her dog, Duck, after being reunited after six months apart while Chaidez sought psychiatric care, on Saturday, Dec. 13, 2025, at Hounds Town dog daycare and boarding in Denver. (Photo by Timothy Hurst/The Denver Post)

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  • Why some people are turning to artificial intelligence for mental health needs – WTOP News

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    According to a George Mason University flash poll of about 500 people across the country, about 50% reported using AI for support with mental health issues.

    Many people are turning to artificial intelligence for coping, feedback, guidance and to be a sort of confidant.

    According to a George Mason University flash poll of about 500 people across the country, about 50% reported using AI for support with mental health issues. That figure goes up to 80% for those between ages 25 and 34.

    And 15% of respondents said they used AI for mental health issues every day.

    “We’ve discovered that it is a very convenient and easy and intimate and easily accessible tool for responding to mental health concerns,” said Melissa Perry, dean of George Mason’s College of Public Health.

    While people admit to using the tech for mental health support, some do have lingering questions. People participating in their surveys, Perry said, wonder whether the information they get from AI is trustworthy and whether it ensures their privacy.

    “They were concerned about the privacy and the confidentiality of the data that they were providing by interacting with a chat bot, and they’re also wondering whether or not such platforms have been evaluated and optimized by mental health professionals,” Perry said. “But it’s critically important to keep in mind that they aren’t a replacement for human counselors and therapists and trained mental health professionals.”

    Society, Perry said, has become increasingly more comfortable with screens. However, she said, too much dependence on communicating with a machine could lead some to forget that “we are social beings who need to interact and live in a social world.”

    “Using AI is in response to feelings of loneliness, but it can’t be a cure,” Perry said.

    In the coming years, people who responded to the survey said the tech could be helpful for lowering the cost of mental health services and offering real-time support in particularly stressful moments.

    “The loneliness epidemic has become widely recognized,” Perry said. “People are turning to computers and to chat bots and platforms as a way to cope with loneliness, but it’s not going to be a cure.”

    Further research, Perry said, may help determine how the tech can help people in need without creating a sense of false security or errors in the type of advice that chatbots provide.

    More information on researchers’ findings is available online.

    Get breaking news and daily headlines delivered to your email inbox by signing up here.

    © 2025 WTOP. All Rights Reserved. This website is not intended for users located within the European Economic Area.

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    Scott Gelman

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  • ‘No judgment, just help’: Maryland mental health awareness campaign taking student art submissions – WTOP News

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    Maryland students are being invited to create posters that will be used to shed light on mental health issues.

    Maryland students are being invited to create posters that will be used to shed light on mental health issues.

    “The theme for this year is ‘no judgment, just help,’” said Angie McRae, child and family engagement manager at the Mental Health Association of Maryland.

    The thrust of the contest, she said, is to remove the stigma surrounding getting help.

    “We are in a partnership with the Maryland Department of Health and the 988 crisis line,” McRae said, referring to the 988 Suicide and Crisis Lifeline, a service that’s available 24 hours a day, seven days a week.

    Teenagers and younger students might not always take their concerns to an adult, McRae said, but “they’re definitely talking to one another.” Once they feel they have a trusted adult in their corner, McRae said, that’s when they may reach out for help.

    Last year’s poster winner was 6-year-old Kayden. McRae said his work was outstanding.

    “His message included kindness, hope and support, along with love, talk and listen. He drew a beautiful train with a rainbow and added those expressions, and I just — we all thought — it was just really sweet.”

    Last year’s winner of the poster submission contest was 6-year-old Kayden.

    The deadline for submissions is Feb. 6.

    “All art submissions are done digitally online, so they can be uploaded along with the title of their artwork, a little description of their intention behind the artwork, and then the parents’ consent. And it’s as simple as that.”

    The winning submission will appear as part of the Children’s Mental Health Matters public awareness campaign, McRae said. Copies of the posters are created and, “We hand them out for our champions of the campaign, as well as our outreach events,” she added.

    According to the contest rules, one entry per student is permitted, but artists may collaborate on a single piece.

    Complete rules are available online. Winning submissions from previous years are also available on the organization’s website.

    Get breaking news and daily headlines delivered to your email inbox by signing up here.

    © 2025 WTOP. All Rights Reserved. This website is not intended for users located within the European Economic Area.

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    Kate Ryan

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  • Legalization of ‘magic’ mushrooms back in the running

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    BOSTON — More than a year after voters rejected a plan to legalize “magic” mushrooms, advocates have renewed the push on Beacon Hill for the use of psychedelic drugs again.

    The Joint Committee on Public Health voted to advance bipartisan legislation that would decriminalize the drug for adults 21 and older for treatment of post-traumatic stress and other ailments for veterans, law enforcement officers or others who are “professionally diagnosed” with a “qualifying” condition.

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    By Christian M. Wade | Statehouse Reporter

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  • Violence, 16-hour days and no support: Why staff say they’re fleeing Colorado’s juvenile detention centers

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    Carissa Wallace started working at the Lookout Mountain Youth Services Center in Golden two years ago because she felt strongly about helping rehabilitate young people convicted of crimes.

    She loved the teens and loved the work.

    But staffing shortages began to take a toll. Management routinely mandated employees pull 16-hour shifts multiple days a week because they were so short-staffed. Fewer workers meant there was nobody to respond to crises or adequately monitor the young people in their care, she said. Safety concerns mounted.

    Wallace said she came home every day and cried. She went to the doctor for medication to help deal with all the anxiety the job brought.

    “After two years, I was mentally broken from that place,” she said in an interview. “When I had to think about my safety every second of the day, I could no longer make a difference. I could no longer help the kids.”

    Colorado’s youth detention centers are facing a staffing crisis, leading to serious safety concerns for employees and youth and low worker morale, current and former staffers told The Denver Post. The Division of Youth Services, which oversees the state’s 12 detention and commitment facilities, employs more than 1,000 employees, according to state data. Nearly 500 additional jobs remain vacant.

    Some facilities, such as the Mount View Youth Services Center in Lakewood, reported a 57% staff vacancy rate, according to June figures compiled by the state. At the Spring Creek Youth Services Center in Colorado Springs, nearly 10% of its staff at one point in November were out due to injuries sustained on the job.

    Current and former staff say leadership deserves a large chunk of the blame. Employees say they don’t feel management supports them or listens to their concerns. Higher-ups aren’t on the floor dealing with riots, they say, or leading programs. When situations do get out of control, staff say the brass simply looks for someone to blame.

    “The administration says they care,” said Kim Espinoza, a former Lookout Mountain staffer, “but their actions say otherwise.”

    Alex Stojsavljevic, the Division of Youth Services’ new director, acknowledged in an interview that working in youth detention is difficult. Retaining staff is a big priority with ample opportunities for improvement, he said. The division plans to be intentional about the people it hires into these roles, making sure that candidates know what they’re signing up for.

    He hopes to sell a vision that one can make youth corrections a long, fulfilling career.

    “Change is afoot in our department,” said Stojsavljevic, who took the mantle in October. “Just because we’ve done something for 20 or 30 years doesn’t mean we have to continue to do it that way.”

    Critical staffing levels

    Staffing shortages at Colorado prisons and youth centers have remained a persistent problem in recent years, though vacancy rates at the DYS facilities far outpace those at the state’s adult prisons.

    A lack of adequate employees means adult inmates can’t access essential services like medical, dental and mental health care, according to a 2024 report from the Colorado Criminal Justice Reform Coalition. Education, employment and treatment programs lag.

    “Simply put, because of the staff shortage, the (Department of Corrections) is not able to fulfill its organizational mission, responsibilities and constitutional mandates,” the report’s authors wrote.

    Studies point to a litany of physical and mental health issues facing corrections workers.

    Custody staff have a post-traumatic stress disorder rate of 34%, 10 times higher than the national average, according to One Voice United, a national organization of corrections officers. The average life expectancy for a corrections worker is 60, compared to 75 for the general population. Divorce and substance abuse rates are higher than in any other public safety profession, the organization noted, while suicide rates are double that of police officers.

    The Colorado Department of Corrections has a 12.6% overall department vacancy rate, according to state figures. Correctional officer vacancies sit at 11%, while clinical and medical staff openings are nearly 20%.

    Meanwhile, nearly one in three DYS positions is vacant.

    The most common open positions are for the lowest level correctional workers, called youth services specialists. The Betty. K. Marler Youth Services Center in Lakewood currently has 23 vacant positions for this classification of employee out of 63 total slots. The facility is also short 10 teachers. Platte Valley Youth Services Center in Greeley has 21 open positions for the lowest-tier youth services specialist role out of 71 total jobs.

    The same candidates who might work at DYS are also being recruited by adult corrections, public safety departments and behavioral health employers, Stojsavljevic said, leading to fierce competition for these applicants.

    Current and former DYS workers say the staffing issues serve as a vicious cycle: The fewer employees there are, the more mandated overtime and extra shifts that the current staff are forced to take on. Those people, then, quickly burn out from the long hours and dangerous working conditions, they say.

    Wallace, the former Lookout Mountain worker, said almost every day for the past year, leadership mandated staff stay late or work double shifts. This routinely meant working 16-hour days.

    “It got to the point where people weren’t answering their phones,” she said. “People were calling out sick because they were overworked and exhausted.”

    Wallace estimated that 80% of the time, the facility operated at critical staffing levels or below. State law requires juvenile detention facilities to have one staff member for every eight teens, but workers say that wasn’t always the case.

    Many days, staffers said, there weren’t enough employees to respond to emergencies. In some cases, that meant the young men themselves assisted staff in breaking up fights with their peers.

    One night, some of the teens set off the fire alarm at Lookout Mountain, which unlocked the doors and allowed the young people to run around campus, climb on buildings and break windows, workers said. Without enough staff to rein in the chaos, employees wanted to call 911.

    But they said they were told they would be fired if they did. Leadership, they learned, didn’t want it covered by the press.

    “Our jobs, our lives were threatened because they didn’t want media coverage,” Espinoza said.

    Stojsavljevic said the department is “acutely aware” of the mandated work problem, though he admitted that in 24-hour facilities, staff will occasionally be told to work certain shifts.

    The division has implemented a volunteer sign-up list, where staff can earn additional incentives for working these extra shifts.

    Since he’s been in the job, the state’s juvenile facilities have never dropped below minimum staffing standards, Stojsavljevic said.

    Routine violence in DYS facilities

    Staff say violence is an almost daily occurrence inside DYS facilities, which contributes to poor staff retention.

    The division, since Jan. 1, recorded 35 fights and 94 assaults at the Lookout Mountain complex, The Post reported in September. Since March 1, police officers have responded 77 times to the Golden campus for a variety of calls, including assaults on youth and staff, sexual assault, riots, criminal mischief and contraband, Golden Police Department records show.

    Twenty of these cases concerned assaults on staff by youth in their care.

    Multiple employees suffered concussions after being punched repeatedly in the head, the reports detailed. Others were spit on, bitten, placed in headlocks and verbally threatened with violence.

    Chaz Chapman, a former Lookout Mountain worker, previously told The Post that he reported three or four assaults to police during his tenure, adding, “I was expecting to get jumped every day.”

    “We were basically never able to handle situations physically, and the kids knew that; they were stronger than 90% of their staff,” Chapman told The Post in September. “The ones who stood in their way would get assaulted, such as myself.”

    Staff said leadership still expected them to show up to work, even while injured.

    Espinoza said she injured her knee during a restraint, requiring crutches. DYS continued to put her on the schedule, she said. So the staffer hobbled around the large Golden campus through the snow and ice.

    One supervisor had his head cracked open at work this year, Espinoza said. He went to the hospital and returned to Lookout. Wallace said she’s been to the doctor 20 times since she started the job due to injuries sustained at work. She said she still has long-lasting shoulder pain.

    “If they’re gonna keep hiring women who can’t restrain teenage boys, people are going to get hurt,” she said. “That was an everyday thing.”

    In November, 28 DYS employees were out of work on injury leave, according to data provided by the state. Spring Creek Youth Services Center in Colorado Springs had nine workers injured out of 91 total staff. The state did not divulge how these people were hurt.

    Stojsavljevic said safety is the division’s No. 1 focus area. If staff are injured on the job, he said, it’s important that they’re supported.

    “Staff have to be both physically healthy and emotionally healthy to do this work,” the director said.

    Division policies allow injured employees to take leave if they need it. Depending on the level of injury, some staff can return to work without having youth contact, Stojsavljevic said.

    ‘That place takes your soul’

    But workers interviewed by The Post overwhelmingly blamed management for the division’s poor staffing levels.

    As staff worked 16-hour days and were mandated to come in on their days off, they said administrators wouldn’t pitch in.

    “A lot of people felt it’s unfair,” Wallace said. “The people making a good amount of money weren’t truly being leaders. They were forcing us to pick up the slack, but they didn’t want to deal with youth. They wanted to sit at a desk, collect their check, and go home for the day.”

    New recruits were thrown into the deep end with barely any training or support, employees said. Those new staffers quickly saw the grueling hours and how tired their coworkers were all the time. Many left within weeks of starting the gig.

    “I could see their souls were literally gone,” Wallace said. “That place takes your soul.”

    After safety, Stojsavljevic said the department is prioritizing quality and innovation. Leadership wants to make sure that programs and policies are actually getting better results.

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  • 5 Research-Backed Tips for Powering Through the Rest of the Year

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    It’s the end of the year and the pressure is on, demands are high, and you’re probably close to the end of your rope as you try to wrap up your remaining projects before the holidays start. If that’s you, you’re not alone. Holiday stress is very common: In a survey by LifeStance Health, 57 percent of respondents said they experience stress over the season.

    But it’s possible to maintain your energy and momentum and not only get things done but stay engaged and finish strong. Fortunately, there are a few pragmatic strategies to maintain your energy and momentum through the end of the year.

    1. Maintain control

    You’re likely to start feeling out of control. This is because of all the work you must accomplish before the end of the year, all the events you must attend, and all the responsibilities to families and friends for the holidays.

    Feeling like your work-life balance is out of control can sap your energy and create a barrier to getting things done. This can turn into a vicious circle. You’re out of control, can’t get things done, and then feel even more out of control, and the cycle continues. On the other hand, when you feel greater levels of choice and control, you’re better able to stay clearheaded, get more accomplished, and feel more satisfied as a result.

    So how can you feel more in control? First, decide what you must do this year and put off the things that don’t need your attention until after the holidays. Be intentional to get things done that will relieve your mind and keep responsibilities from hanging over your head. At the same time, plan for what can be done later on.

    Additional tactics to take control are deceptively simple. Make lists of what you need to accomplish. Keep a calendar handy so you know what’s coming up. When you accomplish things, check them off your list so you feel a sense of completion and progress, or mark the calendar counting the days you’ve tackled.

    With all of these, take the approach that works best for you. For some people, it’s an analog and always-visible to-do list. For others it’s an app or the use of your system’s calendar or planning software. Don’t spend a lot of time deciding which to use, just leverage what you’re accustomed to and dig in to take control and maintain your momentum for the year.

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  • Does science agree it’s better to give than receive? A doctor explains

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    (CNN) — The holidays are here, which means you’re probably thinking about gifts — what to buy, whom to give to and how much to spend. Gift-giving is often framed as a source of stress and obligation, but a growing body of research suggests there may also be something beneficial about giving itself.

    I have wondered if science supports the idea that it’s better to give than receive, and if so, are there measurable health effects? Does it matter how you give, such as money versus time and big gestures versus small ones? And can giving ever backfire?

    I turned to CNN wellness expert Dr. Leana Wen, counting on her for some good advice. Wen is an emergency physician and adjunct associate professor at George Washington University who previously was Baltimore’s health commissioner. She is done with her holiday shopping for her family and friends.

    CNN: Does science really back up the idea that it’s better to give than receive?

    Dr. Leana Wen: Science does support that idea, with some key caveats. Research from psychology, neuroscience and public health shows that prosocial behaviors such as giving time, money or support to others are associated with benefits to well-being.

    That doesn’t mean that giving is always beneficial or that people should give at the expense of their own needs. But taken together, the evidence suggests that generosity can be good for both emotional and physical health.

    CNN: What kinds of health benefits have researchers found?

    Wen: A wealth of research links giving and helping behaviors to better mental well-being, including lower rates of depression and anxiety and higher life satisfaction. Surprisingly, the effects also go beyond mental health: Researchers have found associations between prosocial behavior and lower stress hormones, reduced inflammation, better cardiovascular outcomes and longer lifespan.

    Notably, a large 2023 JAMA Network Open review looked at 30 studies involving prosocial interventions, which include acts of kindness, charitable giving, community volunteering and helping behaviors. Researchers found improvements in mental well-being, lower depression scores, physical activity and even blood test results

    Giving time and effort, such as volunteering at a food bank, often produces stronger benefits than giving money alone. Credit: Drazen Zigic/iStockphoto / Getty Images via CNN Newsource

    CNN: How does giving affect the brain and body?

    Wen: Giving activates reward pathways in the brain in areas linked to pleasure, motivation and social bonding. These actions trigger the release of chemicals such as dopamine and endorphins, which are associated with positive feelings.

    Another key hormone is oxytocin, which plays a role in stress regulation. Oxytocin can lower blood pressure, reduce stress responses and promote feelings of social connection. Over time, repeated activation of these pathways may help explain why generosity is linked to better health, especially in conditions influenced by chronic stress, such as depression and heart disease.

    CNN: Is this just correlation, or is there evidence that giving actually causes these benefits?

    Wen: That’s an important distinction. Some early research was observational, which means it’s possible that perhaps healthier or happier people were simply more likely to give. But more recent studies include experimental designs that strengthen the case for causation.

    For instance, randomized trials have asked participants to perform acts of kindness or generosity and compared them with control activities. These studies have shown short-term reductions in stress hormones like cortisol, along with improvements in mood and emotional well-being. While it is harder to prove long-term causation, the consistency across experimental, biological and population-level data makes a strong case that giving itself plays a role.

    CNN: Does it matter how people give, whether it’s money, time, small gifts or expensive ones?

    Wen: Yes, the type and context of giving matter a great deal. Research suggests that voluntary, meaningful giving is more beneficial than giving that feels obligatory or stressful. Giving time and effort, such as volunteering or helping someone directly, often produces stronger benefits than giving money alone.

    Meaning also matters. Giving that aligns with personal values or strengthens social connection is likely to be more beneficial than something that is impersonal or transactional. All this means that small acts such as writing a thoughtful note, helping a neighbor or spending time with someone who is lonely can have meaningful effects.

    CNN: Can giving ever be harmful?

    Wen: Absolutely. Giving is not universally beneficial. When giving leads to financial strain, exhaustion, resentment or neglect of one’s own health, the benefits disappear and can even reverse. Caregiver burnout is a clear example. People who give extensively without adequate support often experience worse physical and mental health.

    The key is balance. In the ideal circumstances, giving should be voluntary. People should not feel pressure to give beyond their means or capacity, especially during the holidays, when expectations can be high.

    CNN: Who benefits most from giving?

    Wen: Benefits have been observed across age groups, but some populations appear to gain particular advantages. Older adults who volunteer often show better physical functioning and lower mortality risk. People who feel socially isolated may also have significant benefit because giving strengthens social ties and provides a sense of purpose.

    There is also growing evidence that adolescents and young adults benefit from prosocial behavior, with improved mental well-being. Researchers are studying whether structured kindness or volunteering programs can support health across the lifespan.

    CNN: How should people think about gift-giving during the holidays?

    Wen: The holidays can be a good time to rethink what giving means. Instead of focusing on cost or quantity, people might consider gifts that foster connection or shared experience. Time, attention and thoughtfulness matter more than price.

    It’s also important to set boundaries. Giving should not come with guilt or pressure. Choosing to give in ways that feel meaningful and opting out of expectations that cause stress is consistent with what the science suggests about healthy generosity.

    CNN: What’s the takeaway this holiday season?

    Wen: Giving can be good for health, but only when it is done thoughtfully and within one’s means. Science supports the idea that generosity can reduce stress, strengthen social bonds and improve both mental and physical well-being. The holidays offer an opportunity to practice generosity in ways that are healthy, sustainable, meaningful and connected to what matters most.

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  • How to talk to your kids about AI chatbots and their safety

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    Editor’s Note: This story contains discussion of suicide. If you or someone you know is struggling with suicidal thoughts, call the National Suicide Prevention Lifeline at 988 (or 800-273-8255) to connect with a trained counselor.

    Artificial intelligence loomed large in 2025. As AI chatbots grew in popularity, news reports documented some parents’ worst nightmares: children dead by suicide following secret conversations with AI chatbots.

    It’s hard for parents to track rapidly evolving technology.

    Last school year, 86% of students reported using artificial intelligence for school or personal use, according to a Center for Democracy & Technology report. A 2025 survey found that 52% of teens said they used AI companions — AI chatbots designed to act as digital friends or characters —  a few times a month or more. 

    How can parents navigate the ever-changing AI chatbot landscape? Research on its effects on kids is in early stages. 

    PolitiFact consulted six experts on adolescent psychiatry and psychology for parental advice. Here are their tips.  

    Want to know if and how your kids use AI chatbots? Ask.

    Parents should think of AI tools in the same vein as smartphones, tablets and the internet. Some use is okay, but users need boundaries, said Şerife Tekin, a philosophy and bioethics professor at SUNY Upstate Medical University.

    The best way to know if your child is using AI chatbots “is simply to ask, directly and without judgment,” said Akanksha Dadlani, a Stanford University child and adolescent psychiatry fellow.

    Parents should be clear about their safety concerns. If they expect to periodically monitor their children’s activities as a condition of access to the technology, they should be up-front about that.

    When families talk regularly and parents ask kids about their AI use, it’s “easier to catch problems early and keep AI use contained,” said Grace Berman, a New York City psychotherapist. But perhaps the most important tool is open conversation.

    Make curiosity, not judgment, the focal point of the conversation.

    Being inquisitive rather than confrontational can help children feel safer sharing their experiences.  

    “Ask how they are using it, what they like about it, what it helps with, and what feels uncomfortable or confusing,” Dadlani said. “Keep the tone non-judgmental and grounded in safety.” 

    Listen with genuine interest in what they have to say. 

    Ask your child what they believe their preferred AI chatbot knows about them. Ask if a chatbot has ever told them something false or made them feel uncomfortable.  

    English teacher Casey Cuny, center, helps a student input a prompt into ChatGPT on a Chromebook during class at Valencia High School in Santa Clarita, Calif., Aug. 27, 2025. (AP)

    Parents can also ask their children to help them understand the technology, letting them guide the conversation, psychologist Don Grant told the Monitor on Psychology, the American Psychological Association’s official magazine.

    “One key message to convey: Feeling understood by a system doesn’t mean it understands you,” Tekin said. “Children are capable of grasping this distinction when it’s explained respectfully.”

    Parents might bring up concerns about AI chatbots’ privacy and confidentiality or the fact that an AI chatbot’s main goal is to affirm them and keep them using the bot. Emphasize that AI is a tool, not a relationship.

    “Explain that chatbots are prediction machines, not real friends or therapists, and they sometimes get things dangerously wrong,” Berman said. “Frame this as a team effort, something you want your child to be able to make healthy and informed decisions about.” 

    Use the technology’s safety settings, but remember they’re imperfect. 

    Parents can restrict children to using technology in their home’s common areas. Apps and parental controls are also available to help parents limit and monitor their children’s AI chatbot use. 

    Berman encourages parents to use apps and parental controls such as Apple Screen Time or Google Family Link to monitor technology use, app downloads and search terms. 

    Parents should use screen and app-specific time limits, automatic lock times, content filters and, when available, teen accounts, Dadlani said. 

    “Monitoring tools can also be appropriate,” Dadlani said.

    With Bark Phones or the Bark or Aura apps, parents can set restrictions for certain apps or websites and monitor and limit online activities. 

    Parents can adjust AI chatbot settings or instruct children to avoid certain bots altogether.

    In some of the AI chatbot cases that resulted in lawsuits, the users were interacting with chatbot versions that had the ability to remember past conversations. Tekin said parents should disable that “memory,” personalization or long-term conversation storage.

    “Avoid platforms that explicitly market themselves as companions or therapists,” she said.

    Bruce Perry, 17, shows his ChatGPT history at a coffee shop in Russellville, Ark., July 15, 2025. (AP)

    Some chatbots have or are creating parental controls, but that approach is also imperfect.

    “Even the ones that do will only provide parental controls if the parent is logged in, the child is logged in, and the accounts have been connected,” said Mitch Prinstein, the American Psychological Association’s chief of psychology. 

    These measures don’t guarantee that kids will use chatbots safely, Berman said. 

    “There is much we don’t yet know about how interacting with chatbots impacts the developing brain — say, on the development of social and romantic relationships — so there is no recommended safe amount of use for children,” Berman said.

    Does that mean it’s best to impose an outright ban? Probably not. 

    Parents can try, but it’s unlikely that parents will succeed in entirely preventing kids — especially older children and teens — from using AI chatbots. And trying might backfire.

    “AI is increasingly embedded in schoolwork, search engines, and everyday tools,” Dadlani said. “Rather than attempting total prevention, parents should focus on supervision, transparency and boundaries.”

    Students gather in a common area as they head to classes in Oregon, May 4, 2017. (AP)

    Model the behavior you want kids to emulate.

    Restrictions aren’t the only way to influence your kids’ interactions with AI chatbots. 

    “Model healthy AI use yourself,” Dadlani said. “Children notice how adults use technology, not just the rules they set.”

    Prinstein said parents should also model their attitudes toward AI by openly discussing AI with kids in critical and thoughtful ways. 

    “Engage in harm reduction conversations,” Berman said. That might look like asking your child questions such as, “How could you tell if you were using AI too much? How can we work together as a team to help you use this responsibly?”

    From there, you can collaboratively set expectations for AI use with your kids. 

    “Work together to co-create a plan on when and how the family will use AI companions and when to turn to real people for help and guidance,” Aguiar said. “Put that plan in writing and do weekly check-ins.”

    If you have concerns specific to your child’s use, don’t be afraid to ask your child to tell you what the chatbot is saying or ask to see the messages. 

    Parents should emphasize they won’t be upset or angry about what they find, Prinstein said. It might be useful to remind your child that you’re coming from a place of concern by saying something like, chatbots are “known to make things up or to misunderstand things, and I just want to help you to get the right information,” he said. 

    Replacing in-person relationships with AI interactions is cause for concern.

    Parents should look for signs that an AI chatbot is affecting a child’s mood or behavior.

    Some red flags that a child is engaged in unhealthy or excessive AI chatbot use: 

    • Withdrawal from social relationships and increased social isolation. 

    • Increased secrecy or time alone with devices.

    • Emotional distress when access to AI is limited.

    • Disinterest in activities your child used to enjoy.

    • Sudden changes in grades.

    • Increased irritability or aggression.

    • Changes in eating or sleeping habits.

    • Treating a chatbot like a therapist or best friend. 

    Parents shouldn’t necessarily assume all irritability or privacy-seeking behavior is a sign of AI chatbot overuse. Sometimes, that’s part of being a teenager. 

    But parents should be on the lookout for patterns that seem in sync with kids’ chatbot engagement, Prinstein said.

    “The concern is not curiosity or experimentation,” Dadlani said. “The concern is the replacement of human connection and skill-building.” 

    Take note if the child is routinely relying on chatbots — particularly choosing bots’ advice over human feedback — while withdrawing from peers, family and outside activities. 

    “That is when I would consider tightening technical limits and, importantly, involving a mental health professional,” Berman said. 

    Parents are used to worrying about who their kids spend time with and whether their friends might encourage them to make bad decisions, Prinstein said. Parents need to remember that many kids are hanging out with a new, powerful “friend” these days. 

    “It’s a friend that they can talk to 24/7 and that seems to be omniscient,” he said. “That friend is the chatbot.” 

    PolitiFact Researcher Caryn Baird and Staff Writer Loreben Tuquero contributed to this report.

    RELATED: Adam Raine called ChatGPT his ‘only friend.’ Now his family blames the technology for his death

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