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    Quiz: What’s Your Friendship Style?

    Welcome to Well’s 5-day Friendship Challenge! Step one is to discover your friendship style. Do you like to plumb the depths of a new acquaintance’s soul? Or are you surprisingly skilled at small talk? We all need social connection, but we thrive in different ways. So we partnered with Kasley Killam, a social scientist and […] More

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    FDA Panel Weights MDMA Therapy for PTSD

    An independent group of experts is meeting Tuesday to consider whether to allow use of this illegal drug, also known as Ecstasy, to treat PTSD. The Food and Drug Administration is weighing whether to approve the use of MDMA, also known as Ecstasy, for treatment of post-traumatic stress disorder. An independent advisory panel of experts will review studies on Tuesday and is expected to vote on whether the treatment would be effective and whether its benefits outweigh the risks.The panel will hear from Lykos Therapeutics, which has submitted evidence from clinical trials in an effort to obtain agency approval to sell the drug legally to treat people with a combination of MDMA and talk therapy.Millions of Americans suffer from PTSD, including military veterans who are at high risk of suicide. No new treatment for PTSD has been approved in more than 20 years.What is MDMA?Methylenedioxymethamphetamine (MDMA) is a synthetic psychoactive drug first developed by Merck in 1912. After being resynthesized in the mid-1970s by Alexander Shulgin, a psychedelic chemist in the Bay Area, MDMA gained popularity among therapists. Early research suggested significant therapeutic potential for a number of mental health conditions.MDMA is an entactogen, or empathogen, that fosters self-awareness, feelings of empathy and social connectedness. It is not a classic psychedelic like LSD or psilocybin, drugs that can cause altered realities and hallucinations. Among recreational users, MDMA is commonly known as molly or Ecstasy.In 1985, as the drug became a staple at dance clubs and raves, the Drug Enforcement Administration classified MDMA as a Schedule I substance, a drug defined as having no accepted medical use and a high potential for abuse.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    How to Handle Caffeine-Related Anxiety

    And what to do about it.Brian Byrne, a tour manager in Los Angeles, was sipping a cold brew a few years ago when he started feeling clammy. Soon, his symptoms worsened: shallow breathing, a hollow feeling in his chest and a rapid, thumping heartbeat. He went outside to get air. “At that point, I was having racing thoughts, feeling like I was having a heart attack,” he said.This wasn’t the first time Mr. Byrne experienced a caffeine-fueled panic attack, but it was the most intense. “Drinking that coffee felt like I poured gasoline on a fire that was already smoldering,” he said. For a year after, he didn’t touch the stuff and didn’t have another serious episode.Many people can relate to Mr. Byrne’s caffeine-related anxiety. While researchers can’t definitively say that caffeine makes you anxious, it’s linked to increased risk of anxiety among people with and without psychiatric diagnoses.Why caffeine might make you anxiousCaffeine is a stimulant that affects the sympathetic nervous system — the part of the body responsible for your fight-or-flight response. When it’s activated, your heart rate rises and blood pressure goes up, your muscles tense, and you may start sweating.But caffeine isn’t the only thing that arouses the nervous system. Any adrenaline-pumping activity — like exercising or riding a roller coaster — can stimulate a response.When you’re working out or on a ride, those sensations aren’t a surprise. But the incongruity of sitting quietly at your desk while your heart is pounding, the way it might if you’ve just had some caffeine, can make some people experience that arousal as anxiety, said Joseph Trunzo, a deputy director of the School of Health and Behavioral Sciences at Bryant University. On top of that, if you subconsciously label these symptoms as anxiety, you might reinforce the effect.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    PTSD Has Surged Among College Students

    The prevalence of post-traumatic stress disorder among college students rose to 7.5 percent in 2022, more than double the rate five years earlier, researchers found.Post-traumatic stress disorder diagnoses among college students more than doubled between 2017 and 2022, climbing most sharply as the coronavirus pandemic shut down campuses and upended young adults’ lives, according to new research published on Thursday.The prevalence of PTSD rose to 7.5 percent from 3.4 percent during that period, according to the findings. Researchers analyzed responses from more than 390,000 participants in the Healthy Minds Study, an annual web-based survey.“The magnitude of this rise is indeed shocking,” said Yusen Zhai, the paper’s lead author, who heads the community counseling clinic at the University of Alabama at Birmingham. His clinic had seen more young people struggling in the aftermath of traumatic events. So he expected an increase, but not such a large one.Dr. Zhai, an assistant professor in the Department of Human Studies, attributed the rise to “broader societal stressors” on college students, such as campus shootings, social unrest and the sudden loss of loved ones from the coronavirus.PTSD is a mental health disorder characterized by intrusive thoughts, flashbacks and heightened sensitivity to reminders of an event, continuing more than a month after it occurs.It is a relatively common disorder, with an estimated 5 percent of adults in the United States experiencing it in any given year, according to the most recent epidemiological survey conducted by the Department of Health and Human Services. Lifetime prevalence is 8 percent in women and 4 percent in men, the survey found.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Grayson Murray, Two-Time PGA Tour Titles Winner, Dies at 30

    Mr. Murray, who was outspoken about his depression and alcohol abuse, had begun a comeback after several volatile years, winning this year’s Sony Open in Hawaii.Grayson Murray, the professional golfer who won two PGA Tour titles and was outspoken about his battles with depression and alcohol, died on Saturday. He was 30.His death was confirmed in a statement by the PGA Tour, which did not give a cause.“The PGA Tour is a family, and when you lose a member of your family, you are never the same,” the tour commissioner, Jay Monahan, said in the statement.After a successful 40-foot putt to win the Sony Open in Hawaii in January, Mr. Murray rose to 46th in the Official World Golf Ranking, a career high. The event marked the height of a comeback run after several volatile years as Mr. Murray struggled with his mental health.In a news conference after winning the Sony Open, Mr. Murray said that for a time he would drink during tournament weeks.“Best thing and worst thing that ever happened to me was winning my rookie year, but also feeling like I was invincible,” he said. “I’m a different man now, and I would not be in this position right now, today, if I didn’t put that drink down eight months ago.”He added that he had attended rehabilitation for a month, and said, “I hope I can inspire a lot of people going forward that have their own issues.”Mr. Murray had failed to gain P.G.A. status for several months last year after a series of off-course events mirrored a decline in his play.A 2021 alcohol-related incident at a hotel bar in Hawaii led to his suspension from the P.G.A. Afterward, he posted to social media.“Why was I drunk?” he wrote, adding that he was as an “alcoholic that hates everything to do with the PGA Tour life and that’s my scapegoat.”The golfer Phil Mickelson, who has struggled with a gambling addiction, responded at the time on social media, saying “If I can help in any way I’d be happy to.”This year, Mr. Murray played well enough to qualify for the Masters Tournament and PGA Championship. On Friday, he withdrew from the second round of the Charles Schwab Challenge in Fort Worth, Texas, citing an illness.Grayson Murray was born on Oct. 1, 1993, in Raleigh, N.C., according to an ESPN biography. A list of survivors was not immediately available.He attended Wake Forest, East Carolina and Arizona State Universities, and at 16 became the second-youngest player to enter the Korn Ferry Tour, according to the P.G.A.He continued to gain prominence, playing in the U.S. Open at the age of 19 and clinching a win at the 2017 Barbasol Championship, sinking a 5-foot putt for a one-stroke victory.After losing his PGA Tour card for the 2023 season, and following an angry outburst directed at Mr. Monahan, he seemed to have found his swing again. He won two Korn Ferry Tour tournaments last year, regaining his P.G.A. eligibility, and finished in the top 10 at two events. More

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    Medicaid Funding Would Expand Psychiatric Beds Under New Bill

    A Democrat and a Republican from New York will introduce the “Michelle Go Act,” named after a woman who was killed when a mentally ill homeless man pushed her in front of a subway train.As the nation faces a growing mental health crisis among people who are homeless, a bipartisan bill being introduced in Congress on Thursday may substantially increase the number of psychiatric beds covered by Medicaid.Proponents of the bill say that it will help address a severe shortage of psychiatric hospital beds and spur the construction of new beds and new facilities.The bill is sponsored by the unlikely-seeming New York City congressional duo of Dan Goldman, a liberal Democrat, and Nicole Malliotakis, a Republican Trump loyalist, along with Representatives Tony Cárdenas, Democrat of California, and Gus Bilirakis, a Florida Republican. Mr. Goldman is the lead author of the bill, the Michelle Go Act, named after the woman who was fatally pushed in front of a subway train in New York in 2022 by a man with schizophrenia, who had spent decades rotating from hospital to jail to street.Under current law, for people age 21 to 64, Medicaid covers stays in dedicated psychiatric hospitals only if they have 16 or fewer beds. The Michelle Go Act would raise the threshold to 36 beds.Mr. Goldman said in an interview that the legislation would “not only provide for significantly more beds for long-term mental health care but has the potential to increase the ability for those who cannot afford mental health care to get the treatment they need.”Mr. Goldman has said that he would have liked to remove the cap on hospital size altogether — one estimate put the cost at $33 billion over 10 years. But he said that the more modest measure was necessary to win support on both sides of the aisle.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    TikTok Attempts to Rein In Diet and Weight Loss Content

    The company said it will work to remove content about drugs like Ozempic, extended fasting and more from the “For You” feed.Emma Lembke did not know what an algorithm was when she started using social media.The then-12-year-old was thrilled when her parents gave her permission to join Instagram. She quickly followed all kinds of accounts — from Kim Kardashian to Olive Garden, she said — and was soon spending five to six hours a day on the app. Then one day she searched for “ab workouts,” and her feed shifted. She started seeing 200-calorie recipes, pro-anorexia posts and exercise routines that “no 12-year-old should be doing in their bedroom,” she said.Ms. Lembke, now 21, testified before the Senate Judiciary Committee in February 2023 about how social media led her to disordered eating, and what she and other advocates see as a dire need for stronger regulation to protect social media’s youngest users.Social media platforms have promised to take more action. On Friday, TikTok enacted what some experts called one of the most well-defined policies by a social media company yet on weight and dieting posts. The company’s updated guidelines, which come as TikTok faces a potential ban in the United States, include new guardrails on posts that show “potentially harmful weight management behaviors” and excessive exercise.TikTok said it will work to ensure the “For You” page, which serves as the main content feed on TikTok and is driven by an algorithm that caters to a user’s interests, no longer shows videos that promote “extended intermittent fasting,” exercises designed for “rapid and significant weight loss” or medications or supplements that promote muscle gain. The new regulations also aim to crack down on posts from influencers and other users promoting products used for weight loss or to suppress appetite, such as drugs like Ozempic. They also aim to curb content promoting anabolic steroid use.Under the new policy, machine learning models will attempt to flag and remove content that is considered potentially dangerous; a human moderation team will then review those posts to see if they need to remain off the For You feed, should be removed from age-restricted feeds or should be removed from the platform altogether, said Tara Wadhwa, TikTok’s director of policy in the United States.The elimination of problematic TikToks from the main feed is meant in part to “interrupt repetitive content patterns,” the new guidelines said. Ms. Wadhwa said the company wants to ensure users aren’t exposed to diet and weight loss content “in sequential order, or repeatedly over and over again.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Hilary Cass Says U.S. Doctors Are ‘Out of Date’ on Youth Gender Medicine

    Dr. Hilary Cass published a landmark report that led to restrictions on youth gender care in Britain. U.S. health groups said it did not change their support of the care.After 30 years as one of England’s top pediatricians, Dr. Hilary Cass was hoping to begin her retirement by learning to play the saxophone.Instead, she took on a project that would throw her into an international fire: reviewing England’s treatment guidelines for the rapidly rising number of children with gender distress, known as dysphoria.At the time, in 2020, England’s sole youth gender clinic was in disarray. The waiting list had swelled, leaving many young patients waiting years for an appointment. Staff members who said they felt pressure to approve children for puberty-blocking drugs had filed whistle-blower complaints that had spilled into public view. And a former patient had sued the clinic, claiming that she had transitioned as a teenager “after a series of superficial conversations with social workers.”The National Health Service asked Dr. Cass, who had never treated children with gender dysphoria but had served as the president of the Royal College of Pediatrics and Child Health, to independently evaluate how the agency should proceed.Over the next four years, Dr. Cass commissioned systematic reviews of scientific studies on youth gender treatments and international guidelines of care. She also met with young patients and their families, transgender adults, people who had detransitioned, advocacy groups and clinicians.Her final report, published last month, concluded that the evidence supporting the use of puberty-blocking drugs and other hormonal medications in adolescents was “remarkably weak.” On her recommendation, the N.H.S. will no longer prescribe puberty blockers outside of clinical trials. Dr. Cass also recommended that testosterone and estrogen, which allow young people to develop the physical characteristics of the opposite sex, be prescribed with “extreme caution.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More