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Psychedelic experiences in clinical settings | Letters

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Psychedelic experiences in clinical settings | Letters

Psychedelic experiences in clinical settings | Letters

If clinicians cannot put the experience into words, then how can patients give informed consent that meets the robust medico-legal standard, asks Dr Caroline Hayes

Although it is refreshing to read a more balanced article on psychedelics (Experts warn of mental health risks after rise in magic mushroom use, 25 December), we must be cautious about accepting the paternalistic notion that the clinical setting is always the most appropriate.

“Set and setting” – one’s mindset and the physical and social environment – are hugely influential on the psychedelic experience, and for some marginalised communities and patient groups, the medical establishment may be associated with difficult or traumatic experiences, and therefore not the ideal setting for taking psychedelics. This is perhaps reflected in the lack of diversity of psychedelic clinical trial participants. Although this is a problem across clinical research as a whole, it is more of a concern for psychedelic trials as the psychedelic experience is very culturally specific.

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By Guardian Staff

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Three local NHS CEOs join NHS England as directors

Three local NHS CEOs join NHS England as directors
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Two integrated care board chief executives and a trust CEO have been appointed as part-time national directors at NHS England.

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NHS restricting access to obesity services across England, BMJ finds

NHS restricting access to obesity services across England, BMJ finds

<p>Budget cuts to local services fell disproportionately on care for obese patients, leading to ‘postcode lottery’</p><p>The NHS is restricting access to obesity services across England, leading to patients in nearly half the country being unable to book appointments with specialist teams for support and treatments such as weight-loss jabs.</p><p>An investigation by the British Medical Journal found budget cuts to local services fell disproportionately on obesity care, with patients living with the condition often deemed less worthy of care than others.</p> <a href="NHS restricting access to obesity services across England, BMJ finds">Continue reading...</a>

Budget cuts to local services fell disproportionately on care for obese patients, leading to ‘postcode lottery’

The NHS is restricting access to obesity services across England, leading to patients in nearly half the country being unable to book appointments with specialist teams for support and treatments such as weight-loss jabs.

An investigation by the British Medical Journal found budget cuts to local services fell disproportionately on obesity care, with patients living with the condition often deemed less worthy of care than others.

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By Ian Sample Science editor

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