Mental health

Why are psychiatrists scared of sectioning dangerous patients?

The police initially treated last weekend’s stabbings on a train near Huntingdon as a possible terror attack, before confirming it wasn’t. Since then, it has been widely reported that the suspect, Anthony Williams, told one of his victims that ‘the devil’s not going to win’ as she pleaded with him not to stab her. So instead of terrorism, the outlines of another familiar British tragedy have begun to take shape: a violent outburst by a man apparently in the grip of severe mental illness. Why would someone with severe mental illness be able to roam in public? It is partly because of underfunded public services. The number of mental health

The inconvenient truth about cannabis and mental illness

Mash’s older brother was the same age as Anthony Williams when he slaughtered a stranger in a brutal and random attack. He was in the grip of a psychotic disorder caused by cannabis. We do not yet know what drove Williams, a 32-year-old African Caribbean man, to allegedly try to murder ten people during a 14-minute knife rampage on a train. But Mash is in no doubt cannabis often plays a part in attacks like these. ‘In my community smoking weed is normalised,’ he says. ‘We laugh and joke about hearing voices or having a “para” [a paranoid fit].’ He counts on his fingers: ‘Two brothers, two cousins and multiple

Perfection: Hampstead Theatre’s The Assembled Parties reviewed

The Assembled Parties, by Richard Greenberg, is a rich, warm family comedy that received three Tony nominations in 2013 following its New York première. Hampstead has taken a slight risk with this revival. The cryptic title doesn’t suggest an easygoing drama full of excellent jokes. The Yiddish slang may be unfamiliar to English ears, and the social pedigree of the family needs explanation. These are wealthy New York Jews living in a 14-room apartment which they rent but don’t own, so their fortune is insecurely anchored. And the action starts in 1980 and fast-forwards to 2000 so it feels like a period piece aimed at the over-sixties. Those drawbacks aside,

Every line in the new Alan Partridge is perfect

By now, viewers of TV thrillers are no strangers to a baffling prologue – but this week brought a particularly extreme example. Nine Bodies in a Mexican Morgue opened with shots of a desert, a cactus, an animal skull nailed to a cross and a moustachioed man driving a battered pick-up truck with a Virgin Mary on the dashboard. So we were definitely in Mexico. For a while, however, that was about all that was clear, as the words ‘Day Nine’ flashed up and the truck’s unidentified female passenger spied on a dilapidated military base through binoculars. Nor did anything fall into place when the base’s soldiers talked about a

The lunacy of emotional support animals

Naturally, the start of the new school year is often stressful for pupils. Perhaps those anxious children returning to their classrooms this week could follow the example of Milly, a young Lancashire student. When picking up her GCSE results from her school, Tarleton Academy, near Preston, she brought her ‘best friend’ Kevin – a four-year-old ram. Milly says Kevin is her ‘therapy sheep’. He accompanies her ‘pretty much everywhere’. He was her date to the school prom, wearing a halter to match her dress. Milly seems resilient enough: later this year she is going to compete in the Young Shepherd of the Year competition. Perhaps her unwillingness to be parted

The problem with psychiatrists? They’re all depressed

Edinburgh seems underpopulated this year. The whisky bars are half full and the throngs of tourists who usually crowd the roadways haven’t materialised. There’s a sharp chill in the air too. Anoraks and hats are worn all day, and anyone eating outdoors in the evening is dressed for base camp. Perhaps tourists don’t want to travel because they’re too depressed. That’s the specialism of Dr Benji Waterhouse, an NHS shrink, who writes and performs comedy about his patients. Dr Benji is an attractive presence on stage with his crumpled Oxfam clothes and his dreamy, half-shaven look. He could be the guy who tunes up U2’s guitars. His act is very

In defence of benzos

In the latest series of The White Lotus – a moral fable about the narcissism and toxicity of the privileged class – Parker Posey plays Victoria Ratliff, a Southern matriarch routinely spaced out on the tranquilliser lorazepam. Her daughter Piper asks why she needs it. ‘Certain social situations make me anxious,’ she drawls. When her husband Timothy (Jason Isaacs) gets word that his crooked financial empire is about to crumble, he starts necking Victoria’s pills in secret before swiping the bottle. My ears always prick up at the mention of lorazepam because, like Timothy Ratliff, I have taken it illicitly to manage anxiety. However, I was not stealing it from

The science of a happier 2025

As 2025 gets under way, I’m going to guess that one of your hopes for the coming year is ‘to be happy’. I’m also going to take a punt that you’re likely to spend a considerable amount of time, effort and money doing things you hope will make you feel that way. But considering that happiness is the number one goal of most people living in the western world, here lies the unspoken paradox at the heart of this tireless quest. Most of us can reel off a list of things that we believe will make us feel good – a great holiday, a delicious dinner, a promotion at work,

The nightmare of ‘maladaptive daydreaming’

At the beginning of the spring term of my second year at university, a French boy called Xavier looked up from where he was sitting, on the floor of my friend’s flat, and announced that his new year’s resolution was to give up fantasising. Xav was deep in unrequited love with my friend so we assumed at first that he was simply through with pining, but that was not quite what he meant. He wasn’t taking a break from romantic fantasies, Xav said, so much as all the pointless wallowing in imaginary scenarios in which he came out top. Wishful thinking, you might call it. He was spending too much

Why today’s youth is so anxious and judgmental

What’s not to like about a world in which youths are involved in fewer car accidents, drink less and wrestle with fewer unplanned pregnancies? Well, think about it. Those kids might not be wiser; they might simply be afraid of everything. And what has got them so afraid? A little glass rectangle, ‘a portal in their pockets’, that entices them into a world that’s ‘exciting, addictive, unstable and… unsuitable for children’. So far, so paranoid – and there’s a delicious tang of the documentary maker Adam Curtis about the social psychologist Jonathan Haidt’s extraordinarily outspoken and well-evidenced diatribe against the creators of smartphone culture. These men, says Haidt,  were once

‘Childhood has been rewired’: Professor Jonathan Haidt on how smartphones are damaging a generation

Something strange is happening with teenagers’ mental health. In Britain, the US, Australia and beyond, the same trend can be seen: around the middle of the last decade, the number of young people with anxiety, depression and even suicidal tendancies started to rise sharply. Jonathan Haidt, a psychology professor at New York University’s Stern School of Business, noticed a change when students who were brought up with smartphones started to arrive on campus. They were angrier. More fragile. More likely to take offence. Social media, he concluded, was shaping their view that society is in permanent conflict, which in turn led to ideas about microaggressions and competitive victimhood. All this,

TikTok is giving our children Tourette’s

Shortly after the first Covid lockdown ended, doctors began to notice something so strange that at first they struggled to explain it. There appeared to be a sudden rise in the number of children being referred with Tourette’s syndrome. Tourette’s is a rare neurodevelopmental disorder characterised by repetitive, involuntary movements or sounds called ‘tics’. While mild tics are relatively common in children, specialists suddenly started seeing large numbers of children displaying complex and debilitating symptoms. Dr Alasdair Parker, president of the British Paediatric Neurology Association, said in 2021: ‘The most severe tics disorders I have seen over the past 20 years have all presented in the last five months to