Health
Ketamine’s complex role in treating mental health conditions
Experts note that ket is being consumed in hazardous quantities by youths due to its affordability, accessibility, and perceived ability to induce a sense of detachment.
At the age of 16, Abbie began using ketamine, which initially gave her a sense of control she had never experienced before.

The persistent negative thoughts that had plagued her since childhood started to subside, bringing her a temporary reprieve.
Twelve years later, after completing a rehabilitation program, Abbie is still grappling with the addiction that nearly claimed her life.
She wants to raise awareness about the growing popularity of ketamine, particularly among young people struggling with mental health issues, and highlight the long-term damage it can cause.
Abbie's warning coincides with the launch of the UK's first NHS clinic dedicated to helping children as young as 12 who are struggling with ketamine use, located on Merseyside.
Unlike many other street drugs, ketamine has a unique interaction with the brain, producing distinct effects.
While small amounts of the Class B drug can induce feelings of euphoria and excitement, larger quantities can lead to a state known as the "K-hole," characterized by a sense of detachment from reality.
Over the past two years, the number of under-16s reporting ketamine-related problems has nearly doubled, surpassing cocaine in popularity among children and young people.
In 2023-24, nearly half of those who began treatment for drug misuse reported having a mental health issue, with more than a quarter not receiving any treatment for their mental health concerns.
Resources and support for addressing addiction are available in the UK through the BBC Action Line.
Experts warn that some young people are taking dangerous amounts of ketamine due to its affordability, ease of access, and the dissociative feelings it produces.
According to David Gill, founder of Risk and Resilience, which trains front-line workers on emerging drug trends, "we are seeing a perfect storm" of factors contributing to ketamine's popularity.
Gill explains that the combination of more young people struggling with depression, trauma, and anxiety, along with a lack of services and the availability of a cheap street drug, creates a perfect storm.
Abbie's initial experience with ketamine had a profound effect, making her feel like she was in a "powerful place" where her thoughts no longer had a negative impact.
She describes the sensation as being disconnected from her life, where she could observe events without having to engage with them.
Abbie's childhood was marked by difficulties, including undiagnosed ADHD and mental health issues, which led her to leave school at 14 and become involved in a cycle of substance abuse and unhealthy relationships.
Despite struggling with addiction throughout her 20s, Abbie managed to secure a place at university, where she remained sober and earned a healthcare degree.

However, after experiencing two abusive relationships, Abbie turned to ketamine as a means of coping with the trauma, despite being intelligent and motivated to succeed.
When she sought help from her GP, she was prescribed sleeping tablets and advised to stop using ketamine, but the withdrawal symptoms were severe, leaving her shaking and vomiting.
Abbie found it impossible to simply stop using ketamine, as the withdrawal symptoms were overwhelming.
As her addiction deepened, Abbie's behavior changed, and she began to hide her drug use from her friends.
She reflects on how she had once prided herself on maintaining her morals and values, but the grip of addiction led her to lie to those around her.
Abbie's ketamine use escalated to the point where she was taking the drug daily, and her only concern was meeting her dealer to obtain more.
The physical consequences of her addiction began to manifest, including severe abdominal pains, known as K-cramps, which left her in agony, and she would use boiling water bottles to try to alleviate the pain, often burning her skin.
Public health consultant Professor Rachel Isba is seeing similar cases of ketamine-related physical damage in her new clinic for under-16s.

Chronic ketamine use can lead to a condition known as ketamine-induced uropathy, which affects the bladder, kidneys, and liver, and can result in permanent damage requiring the removal of the bladder.
According to Prof Isba, the initial symptoms of ketamine bladder include severe abdominal pains, urinating blood, and jelly from the damaged bladder lining.
The clinic provides a holistic approach to treatment, addressing both the physical effects of the drug and the underlying reasons for its use, with referrals to community services as needed.
Sarah Norman, from St Helens, describes feeling like a "silent watcher" as her daughter, Maisie, became increasingly addicted to ketamine.

Last September, Sarah discovered that Maisie, 25, had developed potentially irreversible kidney damage due to her ketamine use.
The family had considered themselves average, and Sarah never thought Maisie would become addicted to drugs, as she didn't even drink alcohol.
Maisie had kept her ketamine use hidden, ashamed of the stigma associated with it, but what started as occasional use at festivals had become a substance she couldn't function without.
Eventually, Maisie's partner left her, taking their three-year-old son with him.
Maisie reached a point where she felt she had nothing left to live for, and her ketamine use became more frequent, with her taking small amounts throughout the day.
The cycle of taking ketamine to disconnect from reality, only to take more when the effect wore off, continued until Maisie's family intervened.
Maisie's mother and sister carried her to the hospital, where she weighed just five stone (32kg), and doctors warned that her body was failing.

Sarah describes the experience as "hell on earth," feeling helpless as a parent and wondering what she could have done differently.
Maisie's kidneys were fitted with nephrostomy tubes, which drain urine into external bags, a constant reminder of the damage caused by her addiction.
The ordeal has been devastating for the family, with Sarah reflecting on the feeling of powerlessness that comes with watching a loved one struggle with addiction.
Maisie now carries the bags with her, a visible reminder of the long-term consequences of her ketamine use.
Despite undergoing a significant medical procedure, Maisie's struggle with addiction persisted, but she has now achieved five months of sobriety after securing a spot in a rehabilitation program.
Sarah utilizes the TikTok platform to share her daughter's experiences with substance abuse, and as a result, numerous parents have reached out to her for guidance and support in addressing their own children's struggles.
According to Sarah, the drug has had a devastating impact on many young people, but she expresses pride in Maisie's progress, noting that her daughter attends Narcotics Anonymous meetings nightly.
Sarah acknowledges the immense challenges Maisie has faced and continues to face, stating that she is unsure if she would have been able to exhibit the same level of resilience and strength in her daughter's situation.
Abbie's attempts to access NHS rehabilitation services were met with rejection on two occasions, leading her to a point of desperation where she considered ending her life.

Abbie recounts the overwhelming sense of chaos and feeling of abandonment by the services, which led her to feel that she had no other option but to end her life.
However, after submitting a detailed five-page letter to the eligibility panel, Abbie was finally able to access a detoxification and rehabilitation program.
Abbie recalls being presented with three possible outcomes: rehabilitation, involuntary commitment, or a fatal consequence.
Abbie and Maisie received treatment at the same rehabilitation facility, and although Abbie has made progress and is now sober, she believes that the treatment did not adequately address her underlying trauma.
Abbie reports being capable of managing her daily life and is doing relatively well, but acknowledges that her true recovery work has just begun, and she hopes to receive the necessary mental health support now that she is sober.
A Department of Health and Social Care spokesperson stated that as part of the 10 Year Health Plan to reform the NHS, the government aims to adopt a more proactive approach, shifting the focus from treating illness to prevention.
The spokesperson emphasized the government's commitment to reducing the use of substances like ketamine, ensuring timely access to treatment and support, and creating safer communities.
Health
Study Explores if Brain Stimulation Can Reduce Selfish Behavior
Researchers have found a way to temporarily and marginally decrease self-centered behavior in individuals by activating two specific regions of the brain.
Researchers have made a groundbreaking discovery, finding that temporary reductions in selfish behavior can be achieved by stimulating specific areas of the brain.

A recent study conducted at the University of Zurich involved 44 participants who were tasked with dividing a sum of money between themselves and an anonymous partner, allowing scientists to observe their decision-making processes.
The experiment utilized electrical current to stimulate the frontal and parietal regions of the brain, located at the front and rear of the skull, respectively. When these areas were stimulated simultaneously, participants exhibited a greater willingness to share their funds.
According to Prof Christian Ruff, a lead author of the study, the observed effects were consistent, albeit modest in scale.
Statistical analysis revealed a notable increase in participants' willingness to allocate funds to others, indicating a shift in their behavior.
The findings not only provide insight into the neural mechanisms underlying fundamental human behavior but may also have implications for the treatment of certain brain disorders characterized by impaired social behavior.
Prof Ruff noted that some individuals struggle with profound social difficulties due to an inability to consider others' perspectives, leading to consistently selfish behavior, and suggested that this discovery could potentially be used to address such issues.
However, the effects of the brain stimulation were found to be short-lived, suggesting that repeated application may be necessary to achieve lasting changes.
Prof Ruff likened the potential effects of repeated stimulation to the benefits of regular exercise, stating that consistent application over a prolonged period could lead to significant changes in behavior, much like the physical adaptations that occur with regular gym attendance.
This latest discovery builds upon a previous study in which researchers monitored brain activity while participants engaged in a similar money-sharing game, providing a foundation for the current findings.

The earlier study identified two brain regions that appeared to be synchronized, with neural activity occurring at the same frequency, when participants made more generous decisions.
These brain areas are known to play a crucial role in decision-making and empathy, enabling individuals to distinguish between their own feelings and those of others.
When participants made selfless decisions, the regions responsible for empathy and decision-making were found to be communicating with each other.
The researchers sought to investigate whether electrical stimulation could be used to influence this communication and promote more selfless decision-making.
One participant who underwent the brain stimulation test described the experience as a gentle, soothing sensation, comparable to a warm shower or light rain on the scalp.
The participant reported making decisions while receiving the stimulation without feeling any external influence on their choices.
The discovery of a consistent neural pattern associated with selfless decision-making across multiple individuals suggests that altruism may be an innate, evolutionarily conserved trait that enables humans to care for one another.
Prof Ruff emphasized the clinical significance of this finding, highlighting the potential to modify and influence this neural mechanism.
Dr Jie Hu, a co-author of the study, noted that the research provides evidence of a causal relationship between brain activity and decision-making, demonstrating that targeted stimulation can alter an individual's sharing behavior.
By manipulating communication within a specific brain network using non-invasive stimulation, the researchers observed a shift in participants' decisions, influencing the balance between self-interest and altruism.
Addressing concerns about the potential implications of this research, Prof Ruff assured that the experiment was conducted with strict adherence to medical regulations and ethical guidelines, ensuring the well-being and informed consent of all participants.
The neuroscientist drew a distinction between the controlled, medically regulated nature of the experiment and the often-subliminal influences of social media and advertising, which can affect behavior without explicit consent.
Prof Ruff suggested that, in contrast to the experiment, the impacts of social media and advertising on brain function and behavior are often unforeseen and uncontrolled, highlighting the importance of careful consideration and regulation in such contexts.
Health
NHS Workers to Receive 3.3% Pay Increase
Labor unions have expressed displeasure, yet the government maintains that its actions showcase a dedication to its workforce.
The government has confirmed that NHS staff in England will receive a 3.3% pay increase in the upcoming financial year.

This pay award applies to approximately 1.4 million health workers, including nurses, midwives, physiotherapists, and porters, but excludes doctors, dentists, and senior management.
Although the Department of Health and Social Care initially proposed a lower figure, it has accepted the recommendation of the independent pay review body to demonstrate its commitment to NHS staff, resulting in a higher pay rise than initially suggested.
However, several health unions have expressed disappointment with the announced pay award.
Prof Nicola Ranger, general secretary of the Royal College of Nursing (RCN), noted that the 3.3% increase falls short of the current consumer price index (CPI) inflation rate of 3.4%, which measures the rise in prices over the past year.
Prof Ranger stated, "A pay award that is lower than the current inflation rate is unacceptable, and unless inflation decreases, the government will be imposing a real pay cut on NHS workers."
She criticized the government's approach, saying, "This strategy of making last-minute decisions is not an appropriate way to treat individuals who are essential to a system in crisis."
Prof Ranger indicated that she would wait to see the pay awards for the rest of the public sector and doctors before deciding on a course of action.
The RCN had previously reacted strongly to the 5.4% pay increase received by resident doctors last year, compared to the 3.6% increase received by nurses, which they described as "grotesque".
Prof Ranger emphasized, "Nursing staff will not accept being treated with disrespect, as has happened in the past when they were given lower pay awards than other groups."
Helga Pile, head of health at Unison, the largest health union, commented, "NHS staff who are already under financial pressure will be outraged by another pay award that fails to keep up with inflation."
"Once again, they are expected to deliver more while their pay effectively decreases, as it falls behind the rising cost of living," she added.
In response, the government argued that the pay award is actually above the forecasted inflation rate for the coming year, which is around 2%.
A spokesperson for the Department of Health and Social Care stated, "This government greatly values the outstanding work of NHS staff and is committed to supporting them."
The pay increase is expected to be implemented by the start of April.
However, the government did not provide a timeline for the announcement on doctors' pay, as the pay review body responsible for making recommendations on their pay has yet to submit its report to ministers.
The government is currently engaged in negotiations with the British Medical Association regarding the pay of resident doctors, previously known as junior doctors.
Members of the BMA recently voted in favor of strike action, granting them a six-month mandate for walkouts, and there have been 14 strikes so far in the ongoing dispute.
Health
NHS Waiting List Hits Three-Year Low
In England, the backlog has fallen below 7.3 million for the first time since 2023, yet worries persist regarding prolonged waiting times in accident and emergency departments.
England's hospital waiting list has reached its lowest point in almost three years, marking a significant milestone in the country's healthcare system.

As of December 2025, the number of patients awaiting treatment, including knee and hip operations, stood at 7.29 million, the lowest figure recorded since February 2023.
However, the latest monthly update from NHS England reveals that long wait times persist in Accident and Emergency departments, with a record number of patients experiencing 12-hour trolley waits.
In January 2026, over 71,500 patients spent more than 12 hours waiting for a hospital bed after being assessed by A&E staff, the highest number tracked since 2010.
This translates to nearly one in five patients admitted after visiting A&E waiting for an extended period.
According to Health Secretary Wes Streeting, while progress has been made, significant challenges still need to be addressed.
Streeting acknowledged that "there is much more to do" and emphasized the need to accelerate progress, but expressed optimism that the NHS is on the path to recovery.
Dr. Vicky Price, representing the Society for Acute Medicine, noted that hospitals are operating beyond safe capacity in terms of emergency care.
Dr. Price highlighted the vulnerability of patients who require admission, often elderly and frail individuals with complex needs, who are at greater risk of harm when care is delivered in corridors and hospitals exceed safe limits.
Duncan Burton, Chief Nursing Officer for England, commended the progress made in reducing wait times, achieved despite the challenges posed by strikes by resident doctors.
Burton attributed this progress to the hard work and dedication of NHS staff, describing it as a "triumph".
Although the waiting list decreased, performance against the 18-week target slightly declined, with 61.5% of patients waiting less than 18 weeks, compared to 61.8% in November, and still short of the 92% target set to be met by 2029.
Rory Deighton of the NHS Confederation, which represents hospitals, welcomed the progress but cautioned that it obscures significant regional variations.
A recent BBC report revealed that nearly a quarter of hospital trusts experienced worsening wait times over the past year.
Deighton emphasized that the NHS is composed of numerous separate organizations, each with unique financial and operational challenges, making it more difficult to address care backlogs in some areas.
According to Deighton, this means that tackling care backlogs will be more challenging in certain parts of the country due to these distinct regional challenges.
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