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WHO estimates $1 trillion in costs from mental health issues, from depression and anxiety disorders each year in the lost productivity for the global economy. The cost of mental health productivity loss is huge. Here a knowledgeable researcher and expert tells us that psychological avoidance makes things worse. If we are trying to squash discomfort hastily we are avoiding. It becomes a crutch says Luanna Marques, author of several books and a physician at Massachusetts General Hospital, a crutch that rather than alleviate anxiety exacerbates it. Understanding the patterns of avoidance its process is the first step. Science induced ways can help us sort this out. Reacting only makes things worse, it fuels the fire leading to even more problems like operating a pressure cooker without a valve. Replying hastily to an email that upsets us or raise our voices without considering the consequences. Retreating is an act of moving away or pulling back from anxiety inducing situations. This only tends to increase anxiety as the underlying situation is still there. Then there is Remaining which is sticking to the status quo to avoid the discomfort of change, such as clinging to a job or a relationship even when we know it is not good for us. Marques suggests three science based methods to fight all this, and fight psychological avoidance the powerful enemy. First Shifting by checking in with our thoughts, particularly when anxiety comes knocking. In these moments we often have black and white distorted thoughts when we are telling ourselves something is such and such. Shifting is taking off the dark, monochrome glasses and seeing the world in color again, says Marques. She asks one to challenge your thoughts, clean out your lenses. One says- I have a lot to bring to relationships, I have had successful relationships in the past. One can now sleep better at night and set you on a journey to follow what matters most to us. The opposite of avoiding she says is Approaching, which is not charging at your fears head-on, but taking a step that feels manageable. One asks oneself what is one small step I can take towards my fears and anxiety to overcome avoidance. Even the smallest step can rewire our brain. Aligning is living a values driven life, says Marques. The daily actions now align with what matters most to us- our values in life. In intense anxiety emotions not values dictate our actions. To lead a values driven life we need to first identify with our values, for health, family, work, or anything else. Then we dedicate time and effort to our values. In conclusion it is not about being fearless , but about not letting fear dictate our lives, says Marques in this excellent approach she has given. ...

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First disrupt the young people's attention and create effects on mental health of long hours spent on social media such as Tik Tok. This results in a loss of literacy on basic knowledge of civics and American history to lower and lower levels. Then let these young people decide who should run the country and its government for the next 4-8 years. The founders never intended this and never anticipated this threat. Congressmen Republican Gallagher of Wisconsin and Democrat Krisnamoorthi of Illinois introduced a bipartisan bill to ban TikTok in the US considering that it was foreign adversary application when its literacy effects are even more a concern. Byte Dance has appealed the law that goes into effect Jan 19, 2025. The appeal is now before a 3 person panel of the Columbia Circuit Court of Appeals of Sri Srinivasan, Neomi Rao, and Douglas Ginsburg. Does Byte Dance have recourse to the First Amendment rights in the US Constitution when the US sees Byte Dance as a foreign adversary controlled internet social media service, is the question before the Appeals Court and next before the US Supreme Court. The US government has shown the judges confidential classified data that shows why it thinks there is foreign adversary influence of some sort.  It is interesting to note that national literacy standards and the ability of average American young people to know enough about American history and civics that is in a dire state today and a key vulnerability for US democracy. This is gravely harmed by social media influence. Only negative effects on mental health of children and young girls has been put forward. Too many hours spent on social media is a negative influence which is why China and now Australia and UK have put restrictions on is use. US has none. India has banned Tik Tok for security reasons. In all situations there are negatives here yet it is an appalling thing that literacy is not the biggest one put forward when it should be for this Nation. ...

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Spark some joy in your life and other tips for Mental Health. Tips include make new friends, get adequate rest, cope with anxiety and depressing moods, be able to quit some goals if not sustainable, let go of grudges, quit in a smarter way, and be kind to yourself.

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This WSJ report looks at the work of Sandberg in building up the advertising revenue part of Facebook. Ms Sandberg took many risks which were highlighted in WSJ investigations of Facebook. This showed the toxic effects on young girls mental health, on democratic processes, on an angrier discourse with algorithm changes to reverse falling user engagement. 

This period of social media growth, and tech growth at other companies such as Google and Apple, which turned into monopolistic behaviour has damaged America's social fabric. This period is now coming now coming to an end as America looks to the future to rebuild after decades in which its manufacturing was ceded to other countries with the loss of  manufacturing communities in America through actions of tech companies. And the growth of social media has disrupted the normal discourse and discussion in America.

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Laura Marshall-Andrews is a GP, a General Practitioner doctor, in Brighton, England, with a different approach to patients and health care. She takes into account the whole patient, the patient's mental condition, putting back some of the things that reduce isolation, increasing feelings of self-worth, bringing more community and nature interactions of a positive nature that can affect the patient's health. In some situations having a doctor who listens and is willing to take the time to talk to and know the patient, and being aware of the patient's whole condition as opposed to fragmented areas based on fields of medicine can make a huge difference. Don't look for a diagnosis, treat the whole person,  says Laura Marshall Andrews in her new book- What Seems To Be The Problem? She believes social prescribing takes a whole load off the National Health Service in Britain. This includes art, photography classes, dance classes, singing classes. A study by the University of Westminster shows the GP visits go down by 30% and emergency A&E visits by 25% with social activity prescribing. Yoga, meditation, gardening, nature walks, are also part of the same activities that can help people improve how they feel and think and bring the sense of peace in their lives that brings better health with it. In the loneliness and isolation, community dislocations and pressures of life in today's cities, all these activities are immensely important to the idea of whole health of the whole person. Dr Andrews says that if you keep a community happy and creative, then you are not going to need a lot of expensive hospital treatments." "Cum Scientia Caritas" the motto of the Royal College of General Practitioners means Science with Caring. ...

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The VW emissions scandal lingers on five years after the rigging of of millions of diesel vehicles to cheat emissions tests. Now former CEO Martin Winterkorn is ordered to face trial on charges of defrauding customers. It is interesting to note how it all started was a grandiose ambition set by Winterkorn according to this report in the WSJ, to make VW the largest auto company in the world ahead of Toyota and General Motors and push sales of diesel vehicles in the U.S. with "clean diesel vehicles." At this time of pandemic it is appropriate to note that the world has changed since 1946 when the wages of top managers were 2 times that of a Caterpillar company worker, and reached level of 400 times a worker for some executives of companies before the pandemic.  Even in supposedly egalitarian countries where worker representatives are on boards such as Germany, the wages had pushed way upwards to about 170 times the salary of the average worker at VW in 2015 when the emissions crisis erupted. This VW episode shows that the grandiose ambitions of executives were another part of the problem before the pandemic. Today the VW disaster has led to a completely opposite result. Diesel is not taking over the U.S. it is now the now the no go in Germany, as diesel vehicles are being phased out. Instead Germany's auto industry is now making large investments in the electric car industry. Significantly chancellor Merkel and the CDU no longer see the automobile industry in Germany as having some kind of special status and the shift to electric is being made with the planned loss of jobs and a restructuring to replace lost jobs with other jobs over 10 years. And the SPD has called for a legal ratio of the average ratio of a company's top managers  in relation to a workers wage at the same company. The pandemic has put things in perspective on a number of fronts, from wage relationships, health, healthcare and wellbeing, healthy lifestyles, mental health, making clear that health and a commonsense idea of fairness, good infrastructure, and sensible wage relations all go together in this world that the creator made. ...

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Isaacson tells the story of Musk and paying $44 billion for Twitter, how all these birds have to go. Of Musk seeing the words "psychological safety" at Twitter and being take aback. Mental wellbeing, worklife balance were not his thing, says Isaacson. A failed acquisition, conversion and renaming of Paypal, led Musk to Twitter as a way to create a site that does all things including payments and social media. Contrast Musk with Carlos Tavares, CEO of European EV automaker Stellantis who makes worklife balance part of his way of running the company, and one sees a shocking contrast in a war of ideas of what is the most productive and what makes productive employees.

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There are fines in the UK for missing school. A fine of 160 ponds for 5 days unauthorized school absence and court action with fine of 2500 pounds, visits by police. For mental health and other reasons some children miss school and have to be home schooled. After the pandemic this went up 60% to 126,000 children in the UK.

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WSJ looks at the changes in the way medicine should be practiced in the light of what we have learned from the pandemic.  Medicine practiced before the pandemic and still today relies mainly on a visit to the doctor or specialist who is short of time. There is a shortage of doctors. Patients have many illnesses as a result of decades of neglect of proper nutrition, and exercize habits. Obesity is at about 40% in the U.S. about 30% in the UK and 17% in France, and high also in other parts of the world. These high rates were unknown throughout history and result in many illnesses and increase by four times the vulnerability to the coronavirus. One authority in medicine calls obesity pouring gasoline on a fire for effects of the virus.  A doctor's appointment with doctors short of time with no coordination around a whole range of factors related to obesity, illnesses, health checkups, mental health, is now seen as a heavily handicapped way to practice medicine or for patient healthcare and wellbeing. The alternative is discussed here as the way forward. A  team will be responsible for a patient's care not just an individual doctor. The team would care for general health after a patient's checkup, cover individual illnesses, weight issues, mental health, exercize nutritional needs and other good healthcare habits. Instead of relying on doctors at a time of shortages of doctors the team would be led by nurse practitioners.  A nurse practitioner is someone with a bachelors degree and a masters degree or doctoral degree in nursing with 1000 hours of clinical training. Studies have shown that they are effective and even more effective than individual doctors. Today particularly with the problem of doctors with limited time compounded by the built up problems of decades of bad habits in nutrition and exercize and poor "cultural" habits getting entrenched, there has never been a greater need for a better way to practice real healthcare for a person's wellbeing. Particularly in rural areas with an even larger shortage of doctors the health practitioner led team will play a big role. Patients will under this setting receive more care virtually and get more followup care by phone and video messaging. The numbers tell the story- there are shortages of doctors in USA, Europe, Africa, Latin America and Asia. In the U.S. shortage of doctors is 55,000 projected to 2033 by Association of American Medical Colleges. There are 290,000 nurse practitioners licensed in the U.S. and 131,0000 physician assistants. The goal will be to get an adequate number of nurse practitioners licensed in this decade to take care of these teams. The pandemic has made virtual visits to doctors and nurse practitioners popular. Medicine reimbursement should and would be practiced on the basis of how well a patient is doing not on a fee for each micro service that is delivered. For this to happen the teams led by the nurse practitioner have to commit to patient education of the benefits from good practices and good habits for nutrition, exercize, caring for oneself. A doctor short of time is hardly the person to carry on this patient education which is where the major opportunities for a new system arise. The virtual care also provides a new medium for patient education and awareness of the risks of getting illnesses, preventive actions to be taken in advance. One approach being tested in California and Texas is for a monthly fee for patients more payments by health plans to doctors or healthcare teams if the patient is healthier. Additional health professionals are added to the team including health coaches, dietitians and medical assistants to increase its effectiveness in counseling and education and monitoring.  The nurse practitioner team approach is already being practiced in parts of the U.S. including the example of New Hampshire shown here, and is predicted to be the approach for primary care in the next decade. ...

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Claire Cain Miller is a Pulitzer Prize winner for public service. Here she writes about the results of the Pew Survey on Parenting. It shows that many of today's parents feel they had emotional needs which were not met and are trying harder to do this for their children, to show love and build relationships with their children. In open ended responses they say want to check in on the emotions of their children to see how they are.  About one third of mothers say parenting is a lot harder than expected. parents today worry about the mental health of their children, about anxiety and depression. Mothers also found competing pull from work and careers which made it a lot harder. During Covid many mothers simply focused on the children and gave up work to do this. Economic anxieties are also present for today's parents who see the financial independence of their children and finding careers they enjoy as more important than starting families of their own. ...

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Michelson, Mohawk artist from America's indigenous peoples projects Mohawk art on three tons of oyster shells. These oyster shells were present when Dutch settlers settled and unsettled in Michelson's words this part of New York's shoreline and New York Harbour. The shells are on loan from the Billion Oyster Project that aims to restore one billion live oysters to New York Harbour by 2035.  Michelson is preoccupied by the destruction of the indigenous environment by colonialism.

Shifts in perspective are taken in one gulp like in a painting and the motion in Native Storytelling, says Michelson.

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Both the Remain and Leave campaigns for the EU referendum are suspended in Britain following the killing of Labor MP Jo Cox.  The killing was described by police as done by a man with links to right wing extremism and mental health services.  David Cameron and Jeremy Corbyn, leaders of the Conservative and Labor parties, say this is an "attack on democracy."

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Lane Florsheim's interview with Melinda Gates.  Melinda Gates is reinventing herself at age 60 years. Born in the 1960's  and as part of the Gates foundation she now faces both the opportunity and the challenges ahead of her new effort with The Pivotal foundation, which replaces the effort she made at Gates, the launch of a new book to share her experiences with panic attacks and coming to terms with her own inner voice that said start over.  Here she describes her life in Seattle that starts with a cup of coffee at 6.30, and a chance for reflection in the early mornig hours. She goes out for a walk by 7.00 with three trusted friends she has gone out for walks for 20 years. Melinda describes her new life with her love of kayaking and her chance to do this without being recognized in Seattle. Her three children and her grandchildren live in the East coast. She likes poetry and instead of the frequent travel abroad in her first life, in this second life she can devote time to her passion for making life easier and better for women. She describes meeting women in Louisiana and other states and seeking solutions for better women's health and mental health. She has an objective view of the times, and faith in American democracy, and her new role in the discussions as her own self as a woman. ...

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Concern about the spread of the pandemic in the U.S. with the upcoming Thanksgiving holiday and travel to visit family and friends. Seen from Australia and other countries American fatigue with staying at home is cause for concern. Yet this is not entirely American as governments in France plan to have a phased reopening by Christmas, with phase 2 partial lifting of restrictions of the lockdown on December 15. Austria has turned down German requests to close Austrian ski resorts that have cause spread in Europe. The Swiss have also kept ski resorts open. During the summer Croatia and parts of Spain kept open tourist spots to help the economy recover creating the conditions for spread as tourists went back home. 

Beyond this there a complex web of choices. From mental health to hospitals filling up, from jobs and income for service workers to people in nursing homes, all calling for different responses. 

 

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On October 2, birthday of Mohandas Gandhi and Lal Bahadur Shastri, looking back and looking forward- the connection Gandhi placed to cleanliness at Sabarmati Ashram in Ahmedabad.  Gandhi made the clear connection of cleanliness to Independence. Cleanliness as indispensable and first condition for the path to Independence. In the same way Cleanliness has an indispensable connection to New India, the first step to New India.  For years the Sabarmati remained dry for 8 months in the year. Through improvements the entire river is regenerated and connection to the Narmada river ensures a flowing river all year long just as it once was in the 1950's, a river that we have seen, one that brought serenity to the mind walking on the old span Ellis Bridge.  Clean rIvers, and an environment that is clean so that we can maintain health and wellbeing. A river in Thiruvannamalai and Vellore districts in Tamilnadu, the Naagnadi river, is revived through the action of women villagers digging up canals, restoring not just the river but mental health that comes with seeing rivers flow. Every generation doing its work for cleanliness, for Clean India, for Clean India in all ways. This idea is taken forward with Economic Cleanliness as an indispensable condition for economic freedom, for development and modernization. Hundreds of millions of bank accounts for rural farmers and villagers and urban residents is part of this effort. So is the digital transformation of India with 3.5 billion transactions made over digital system UPI in August 2021. ...

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This report in the WSJ points out inflammatory content posted in India by Facebook that creates divisiveness in India between communtiies and ethnic groups, revealed in a WSJ Investigation. This comes at a time when the Indian government is focusing all its efforts and energies on building infrastructure and development projects under "sab ka vikas, sab ke saath, sab ka prayas, sab ka viswas," which means development for all, by all, with everyone's efforts, and with everyone's confidence." Polaraized content has no place in the country and its mission for development for all.  This report says the Indian government has threatened to jail employees of Facebook, its WhatsApp messaging service, and Twitter Inc. if they did'nt comply with data or take down requests, as reported in WSJ in February. The Indian government is determined to take action to prevent such content or content harmful to children being put out. In 2020 India banned TikTok and other social media platforms. Twitter was asked to block hundreds of accounts in India for posting what was seen as inflammatory material by the Indian government, according to this report. ...

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Mental health can play a part in the life of athletes, and in sports competition. Injuries are part of this, death in the family is part of this. Mikaela Shiffrin's hopes were dashed at the Beijing Olympics in Alpine skiing.Her father Jeff Shiffrin had accompanied her through every Olympics in her skiing career and was always at the finishing line. After his death before the Olympics in Beijing, Mikaela Shiffrin was told by a German fan that she subconsciously avoided getting to the finishing line because she would not be seeing her father there.  Dina Asher-Smith is a British sprinter whose hopes at the Tokyo Olympics were dashed because of a hamstring injury. Yet she bounced back and says she had time afterwards to grapple with her emotions- "Before Tokyo I did'nt have time to grapple with my emotions, you can't be crying  your way through rehab," she said. She competes now with a different frame of mind- "you can't run fast with baggage- you gotta throw it out" she says in an interview with The Guardian's Sean Ingle. ...

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A ban on TikTok in 270 days is plausible, with credit going to Republican senators in Congress, as they insisted on it being incuded in the Ukraine aid bill package. Not only because of security and democratic process concerns- then one asks why what other real even larger concerns?  A ban on TikTok by restricting its use that does not affect education is already in place in China, yet such a ban is easier implemented in state power centralized government for the benefit of China's young generation and not in the US system of government. Excessive time spent on social media apps in the US including TikTok as the largest are a serious problem in America today -for young people's educational activity such as reading, studies, and for mental health. Taking a large part of the young generation in a direction that is not beneficial for the US, for democratic process to function with young people taking time to be better informed and for the health of the younger generation.  People assume that TikTok audiences will shift to other social media apps such as Facebook, but a large part of the TikTok population may engage in other activities that promote health as the consciousness for food and its preparation increases, for the value of exercise, engagement in sports and viewing sports or music, engagement in Nature and hobbies, and in time spent on travel, all happening as the Nation shifts its attention and consciousness after these troubled decades from financial crisis of 2009 to the pandemic, a period of dismal failure to deliver public services with funding diverted and misallocation in capital markets collapsing or near collapsing infrastructure around us sapping the Nation's spirit and its energies.  A new spirit is emerging in the Nation and a shift in the attention of the younger generation as it feels the fatigue that is now felt for music idols such as Taylor Swift is entirely plausible so that TikTok would have risen and faded away both in the US, India, and even in China as it shifts its attention in a different world. ...

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Biden said that after the pandemic which took a million lives and caused grave threats to mental health in the country the country has come out of these depths with record 15 million jobs created, unemployment at record lows of 3%, and inflation down from 9% to 3%. And huge investments in clean energy and in infrastructure under laws he had passed with bipartisan support generated from his decades of experience in Congress. "In fact my policies have attracted $650 Billion of private sector investments in clean energy and advanced manufacturing creating tens of thousands of jobs here in America!  Thanks to our Bipartisan Infrastructure Law, 46,000 new projects have been announced across your communities – modernizing our roads and bridges, ports and airports, and public transit systems.  Removing poisonous lead pipes so every child can drink clean water without risk of getting brain damage.  Providing affordable high speed internet for every American no matter where you live.  Urban, suburban, and rural communities — in red states and blue.  Record investments in tribal communities.  Because of my investments, family farms are better be able to stay in the family and children and grandchildren won’t have to leave home to make a living."  ...

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The OECD countries in Europe including Germany, France, Denmark, Italy, spend on average $14,000 on childcare. The US spends astonishingly only $500 per toddler, about 4% of what advanced countries in Europe spend.The Biden plan is to change that. On the floor of the US Congress Senate minority leader McConnell protests against what he calls extravagant spending by the US in the Biden plan for families and workers.

In our selection of reports in world media we show the effect on women during the pandemic taking on childcare responsibilities with schools closed because of coronavirus. The impact has been a catastrophe for women leading to increase in mental health problems as culture and other reasons lead to women taking on 60-70% of child care and household chores. Women with careers are not able to join the workforce because of childcare shortages, losing income and feeling overburdened.

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A group of neurological expeorts in the UK help us with advice. Includes things like avoid hearing and vision loss that lead to not driving or isolating. Social interaction and learning are key so take up a hobby, find new interests , learn a new language, travel, and link this up with other people, new people you can meet. Get plenty of exercise, core building. Nature walks, hiking in the mountains, swimming, outdoor activity. Good sleep begins in the morning so that by the time it is 9.00- 9.30 pm one is ready to go to bed. It helps not to stay up late. Eating healthy, olive oil and Mediterranean diet instead of butter, and eating fruits and vegetables, nuts.  Mindfulness helps. There are four forms of mindfulness. On the leftside Menu for Lyrarc there is under Lyrarc Insights the section Mental Well-Being which gives a translation from the original Pali text of the Buddha describing the Four Forms of Mindfulness in the Sattipana Sutta. This spiritual training, a reading of the Bhagavad Gita or the Bible, nourishes brain health and gives clarity of mind. ...

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Adirondack National Park with its 2 million acres of wilderness has St Regis Canoe Area, a canoeing part of the wilderness. Here The Guardian shows Megan Bergman taking up the challenge of going up the Seven Carries route in this wilderness finding peace and mental health in the waters  with her backpack in the canoe. Take this trip up the rivers and ponds in the area and through portages which are carrying of the 15 pound light Kevlar canoes on one's shoulders or arms for the sections of land that connect the ponds and rivers. The American Indian and the early French and British explorers made their way through upstate New York and around the Great lakes in Michigan in this way.  Megan says she wanted that sense of calm, of transcendence, and the fierce delight of putting her backpack into the canoe after the portage. She says she felt content out on the water in the wilderness with a friend. I wanted to feel reverent and at peace with this wilderness which felt safe, she says. ...

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A shocking 70% of calories of American children and young people come from industrially manufactured foods and drinks including packaged snacks. A report made by a presidential commission led by Robert Kennedy Jr shows the dire situation for health of American children. The use of ultraprocessed foods and chemical exposure are leading to US children in 2025 being called the "sickest generation." The report assails a faulty medical system which invests too much in research on diseases and does little on understanding and working on prevention of diseases. It assails the "overmedicalization of America's children" and says this has happened because of the pharmaceutical industry's capture of the nation's biomedical apparatus and calls this a stark failure. It says this is a "critical policy failure" where corporate profitability supersedes the health of children. In mental health overdiagnosis and overtreatment are major problems. The report will be discussed at a president Trump event on Thursday, May 22, 2025. ...