Topical Talkology

PTSD first defined in soldiers returning from the Vietnam War and officially recognised since 1980. The distilled essence which you won't find anywhere else is as follows: Similar to phobias there is a processing block causing an emotion logic gap: I know I should not feel like this but I can't help it. This is because we are hard wired to avoid or reduce anxiety so the brain actively suppresses anything causing anxiety so you can't think about it long enough to bring the emotion down to the logic. No amount of sense or education helps here which is in contrast to a real danger where you need tools and education without which just thinking about it will not help at all. There can be minor and major processing blocks. There can also be a processing block from a misperception of an event so here the processing needs to overcome the discomfort of having got it wrong and the consequences of that. It's easy to see how we all have various degrees of emotion logic gap. For instance have you found that no matter how well you explain something to someone they won't change their minds? Even if you know they have understood the logic? It is because it is too painful to do so and they have no reason to go through that pain. Or how many times have you done something knowing it is wrong just because you want to for various reasons? Here again there is a type of processing I teach bit it needs self awareness and motivation. Yet the harm from chronically raised cortisol from even mild processing gaps can be measured by improvement in all aspects of mental and physical health when it is dealt with. It is why I say you only have clarity of mind at two points in your life: 1 when you are borne, 2 after you have had good therapy by a true expert which you pay for. (The payment indicates your motivation versus just turning up). Life time prevalence of PTSD 8% of the population, about 90% are exposed to trauma including unexpected death of a loved one, equating to a lifetime occurrence of 5 separate traumas in men and 4 in females. Women are less likely to be exposed to traumas than men but the traumas they are exposed to are more likely to cause PTSD such as rape and sexual molestation where as males are more likely to be exposed to combat and witnessing trauma to others. About 30% of women view their child birth as traumatic with 30% of those developing PTSD hence about 10% of all mothers have PTSD. About 25% of acute medical problems including ITU have PTSD. Psycholgical sequalae of PTSD: Clinical depression , alchol and drug abuse. Predisoping factor: Clinical depression. Self report questionnaire: PCL-5 Post traumatic stress disorder Check List for DSM 5 20 questions scored 0-4 relating to the previous month. DSM 5:  SIACAD Stressor Intrusion Avoidance Cognition Arousal Distress More than 1 month Can specify whether dissociation or delayed onset. Routine debriefing re living trauma may make it worse CBT 4-5 sessions, EMDR, Reprocessing Live Exposure SSRI SNRI Psychedelics FDA approval pending Transcranial Magnetic Stimulation Atypical Antipsychotic , ECT Important nuances: Chronic loss of control eg bullying or lock-down = Prolonged Duress Stress Disorder Minor trauma still causes processing blocks or impaired processing which needs to be properly processed either with self journaling or with reprocessing therapy. In fact Professor Pennebaker showed that in Yale University students self journaling difficult events reduced cortisol and improved mental and physical health and exam results. Naomi Breslau The Epidemiology of Postraumatic Stress Disorder Jounral of clinical psychology 2001

Stutz Dr Theo I would be fine if I knew what direction to go in I would fly instead I become lazy . We also discussed the first step in therapy which is connecting with your internal energy You do that in 3 steps: 1: Diet exercise and sleep  2: Connecting with others as we are tribal 3: Connecting with yourself your underlying feelings which is self awareness most effectively done by self journaling. The Part X is  that part of you stopping forward progress which could include the Shadow self or the Maze or the Snap Shot or simply the judgmental antisocial part of you. Eg you'll never be good at that, or who wants to do that , or you are wasting your time trying this. Radical acceptance is a tool to help you get over something bad. Grateful Flow helps deal with negative thoughts and Loss processing deals with loss The key is to understand that for forward progress  and overcome Part X you need to go through a life time of: Uncertainty pain and constant work. It is this process you need to enjoy ie the journey rather than the destination.It is overcoming Part X that leads to growth. Failure pain embarrassment connects you to the universe you are saying I need your help I cannot do this without you. Stutz says confidence is an appetite for uncertainty . I say this is not true because confidence is knowing how to do something which by definition is being certain. Rather self esteem is an appetite for uncertainty because  self esteem is the degree of positivity with which you view yourself and therefore an expectation of positive outcome . If things do not go well self esteem protects you from the negative effects and instead helps you learn and move on and  apply those lessons in your next steps. I am the one who gets to decide and take the next step. It will almost certainly be imperfect but progress is made by taking the steps  aka string of pearls each with a turd in them Indeed research shows that dopamine hits come from achievement and reward in general but it is much greater if the reward is unexpected. Hence watching sport has an element of unpredictability which is why so many people enjoy it.  . Indeed when Formula 1 became too predictable the audience ratings fell so they changed the rules to make it more unpredictable. It is a positive expectation of an outcome that raises dopamine rather than the known outcome itself. The positive outcome will raise dopamine only if is unexpected. This explains how you can enjoy the journey of uncertainty pain and constant work. Your self esteem gives you an expectation of a positive outcome. It is the positive anticipation raising dopamine that makes this process enjoyable. This is especially important because it helps with sense of achievement and growth. The greater the effort the more meaningful the achievement. This then enables the parallel step of balance : Effort and reward must be balanced. Since more of life is effort rather than the result then the mechanism of being able to tolerate the effort is a  positive expectation of success. Once you put in the effort the sense of achievement is fulfilling and makes you grow. Positive self esteem also helps us use failure as a growing opportunity and simply includes  lessons learnt as part of the effort to  the next step all under the umbrella of positive expectation of overall outcome. Snap Shot relates to setting of a goal  eg the perfect wife, the perfect success , the perfect amount of money in the bank which is static concept and has  no depth and does not allow for ongoing progress with pain uncertainty and constant work. There is no perfect nirvana. Goals are illusionary needs and living life like this is one of the worst inventions of the Western World.  When the snap shot does not give you nirvana and cure your inner unhappiness you get much more depressed. The Shadow is the part of yourself you are ashamed of.: This is how I see myself and I felt so much shame that I was denying myself and  and others would no longer see this if i got more successful Visualist a time in your life you felt inferior embarrassed ,rejected, despondent ashamed its a part of yourself that you that you wish you were not and you cannot get rid of How does he feel about you, how you have dealt with him how you have treated him and see what he says Denying and being ashamed of it THe shadow feels hurt angry and upset The shadow wants attention not from the world -does not need an academy award-  but from you The shadow wants to be acknowledged and included and celebrated as a beautiful part of you So in high pressure high stakes situations the goal is not create a faultless performance but to include the shadow self and tolerate whatever happens. Because if I cam content with my true self then other peoples opinions affect him less Ignore the shadow self and he will make you do destructive things. Connecting with your shadow self and having a sense of wholeness means you are happy the way you are, you don't need to anything else to make you feel better.itis very freeing Maze refers to when someone does an injustice to you and you remain angry seeking or hoping for restitution which usually never comes. Stutz says instead take the love you wanted from the world around you  Active Love - you are unlikely to be paid back by the person so you may as well take it from the universe around you.  by closing your eyes and imagining this is happening then concentrating it in your heart and then sending it and physically feeling it go into the other person so that you become one with love. This is not for their good it is for your own good to free you from the maze. In terms of my coaching this reflects forgiveness but is not as powerful as understanding. For instance you can understand why something happens because it is in someone's nature. That does not need forgiveness.  It requires understanding of reality and what is possible and what you can then do about it. You understand their nature and have expectations according to their nature and act accordingly. For instance you dont put your hand in the mouth of a tiger. You now it will probably bite and you certainly dont get angry. Ask yourself do you want to be right or do you want to create something. Radical acceptance: when something bad happens you don't just think that you will sooner or later recover from it, or stay stuck in a cycle of self pity ,you have to squeeze the juice out of it. Learn your lessons in whatever happens First: dont tell yourself anything negative Second: find something that is positive about it So squeezing the juice out of it suggests that not only do you have the will but also the faith that there is something valuable there If you see all events as having value you are in the zone of tremendous opportunity The Grateful Flow wants to choose the positives. Every thought will affect your mood whether positive or negative.  Part X wants you to have the negative thoughts to just see clouds even though sun is behind the clouds and coming. The grateful flow is not the grateful thoughts but the process. You name 4 things that you are grateful for, the smaller the better as you can connect better then continue in your head. After a while you feel you will create another grateful thought but you dont you block it  so all you feel is the force that would create a grateful thought and as it gets stronger and stronger you  feel taken over by it. You don't just repeat the same grateful thoughts you look for new ones and that process of creating grateful thoughts will change your mood. Gratefulness is a state you want to be in as much as possible. It helps you break through the cloud, What you don't do is argue with negative thoughts. You cant reason with emotion. Loss Processing: The potency of Non attachment . You want to pursue it  and pursue it hard but you are willing not to have it, you are willing to lose Think of something you don't want to lose and imagine grasping it like you are hanging onto the branch of a tree. Then visualise letting go but its not a bad sensation.Its slow and gentle to your surprise. Then you say silently I am willing to lose everything but really feel the intent behind that. Then you imagine you fall into the sun and burn up losing your body (so you lose everything) and instead become part of the suns rays radiating out a very loving giving outflowing sensation and that sun is surrounded by other sons doing the same thing as part of the sun world all saying we are everywhere. All you can do is give you cant take. You cant grasp onto anything. If you have difficulty with that then think of yourself as moving towards non attached. In fact as a human it would not be good if you were totally non attached. If you are moving towards non attachment then no one thing or person leaving you can take away your sense of wholeness. Happiness depends on how you accept that  you cannot completely figure things out and what you do about it.  RAGL The Active Love, Grateful Flow , Loss Acceptance,Radical Acceptance

"Where are you from" is considered a micro aggression. Of course in a harmonious society this is a reasonable question indicative of genuine interest. Indeed in a harmonious society to suggest any other motive would be nonsense. However it has become a problem for two reasons in this age of societal collapse where political correctness has been the latest disintegration stage.The first is people are easily offended because they are unhappy and are insecure about their own identity and feel they have no control apart from the politically correct right to offence for which there is no cost and no responsibility. Of course people should be proud of who they are and pride inspires respect and interest and education. Indeed who you are is simply reality and that is the healthiest thing to deal with. Not edging anxiously round political correctness.The second is that the indigenous population is also feeling unhappy and insecure about their identity as they see it collapsing around them manifested by discussions over whether Christmas should be cancelled or summer school exams moved due to Ramadan.As usual we are all too blinded by the symptom to really address the real problem which is something far more sinister.The real fault lies with our leaders. It is their responsibility to provide leadership including national identity. If someone wants to move to any country it should be clear to them that they will be respected for who they are and where they come from but the priority is to integrate and take on the identity of that country and it's customs. In evolutionary terms if something is familiar it's probably good as it has not already eaten you. If it's not familiar it could be a danger. Hence we dont like people who are different. Studies back this up by showing certain of our brain cells which respond to social queues -mirror neurones- either don't respond or respond less when observing someone of a different skin colour. It can be remedied by education. Hence the phenomenon of racism is a natural phenomenon but the fact it happens is a sign of a badly run society. People don't feel integrated and instead stay close to those they identify with which is why cities become mosaics of different cultures and religions with limited mixing. For instance we all know which cultural groups live in China town, Finchley, Hownslow, Walthamstow, Lambeth -or even large swathes of Birmingham.... Once you have coalescing of cultures each rubbing shoulders with each other then you have friction and strife. Add into that increased immigration recently with no effort or requirement of integration then you have a dry tinder box where small incidents can act as kindling for the underlying problem. For instance the UK is a Christian country. The King of England is the head of the Church of England. At citizenship ceremonies you have to swear allegiance to the King of England. Saudi Arabia is much clearer. It has strict requirements for cohesion to its own culture and religion and forbids public display of other religions. Do you think they would consider moving Ramadan to allow foreign students to study for exams? Who is the stronger more harmonious society? The problem with our leaders is that being a democracy they have to get elected hence they have to please the vast majority of the population who make decisions emotionally on top of which they are misinformed by the media. Therefore logical well infirmed voting is not only a pipe dream but those seeking election just make promises that sound good emotively for quick votes. This is nothing to do with firm fair leadership which will displease the politically correct mass media. Try enforcing British culture, identity, values let alone the Church of England. This general collapse is seeping into every fibre of our society including health, social services police. Everyone avoids responsibility behaves obstructively and destructively rather than constructively and takes offence. It is Marxism with the eradication of the middle and upper class -often and preferably unceremoniously- leaving only the elite and the vast mass of everyone else and this always ends in disaster and revolution.

Gut Immune Body Brain Axis.Dr Gundry:Leaky Gut, gut microbiome and dietRenowned Cardiovascular Surgeon who realised that all he was doing was treating thesymptoms so he studied the underlying causes.The lining of the gut is one cell thickAs bacteria break down the gut that is when ageing startsIbuprofen or roundup disastrous the bacteria populationSkin is a mirror of the lining of the gutJoints do not naturally wear out.Animal model C Elegans as bacteria begin to break down the wall of the gut that is whenageing starts105 year old people have a diverse set of bugs identical to a healthy 30 year old. It is notattacking the wall of the gut.Ecermansia musinophilia. Lives in the mucous layer whose job is to trap lectins plantproteins looking for sugar molecules and to protect the wall of the gut from harmful bacteria.Ecermansia musinophilia eats mucus which in turn makes more mucus.Metformin works by increasing mucous and this change in bacteria makes some peoplehave mild diarrhoea as the bacteria change.If we damage this lining eg ibuprofen or food with roundup destroys the bacteria populationand gut lining.Glyocosade an antibacterial damages Ecermansia Musinophilia even though it does notdirectly affect human cells.Antibiotics in food or direct prescription eg ladies who take low dose for UTI have a higherincidence of heart disease.Heart disease is an autoimmune disease starting in the gut.Cholesterol is an innocent bystander which gets sucked into the inflamed wall of a bloodvessel.Infants with heart transplants have coronary artery disease with pathology identical withtypical coronary artery disease.Lectins which are a foreign protein which can stick to sugar molecules on the surface ofblood vessels are the cause of atherosclerosis and removing lectins reduces those markers.Lectins are one of the plant defence systems. Sticky proteins that look for specific sugarmolecules to stick to which insights an inflammtory response.Joints do not normally wear out. Usually you can find bacterial particles in the joint fluid ofarthritisBecauseLectins broke down the wall of the gut. 65% of the immune system is behind the wall of thegut because the gut is where the outside word gets through. A reason why we store fat inthe gut is to provide energy to the immune system. Similarly fat on the outside ofatherosclerotcic blood vessles correlates with the severity of inflammation.Fat is not the cause . It is there because of the inflammation and the inflammation is theredue to the leaky gut.The immune system responds to antigens on bacteria of viruses. Lectins have antigens withcross reactivity with other proteins in the body. Eg thyroid.Nightshade vegetables or peanutsLectins disrupt the microbiome and break up the lining of the gut allowing entry by lectinsand by bacteria or bacterial particles.Hence if you inject a bacterial lipopolysaccharide into a person you can induce septic shock.Alzheimers Parkinsons is neuroinflammation.Most amyloid is produced by bacteria in the gut. Therefore 40 billion dollars invested inantiamyloid drugs has been a waste because amyloid is produced by the amyloid producingbacteria inthe gut fet by western diet. Then the amyloid has to get through the wall of the gut.Once they get through the gut wall and goto the brain it will produce more amyloid.Cholesterol and amyloid coexist in dementia in those with the apoE gene.The apo E gene codes for a carrier molecule because it is less efficient at transportingcholesterol. It cannot get out of the cell after it has been attracted by inflammation.Faecal microbial transplant:1970s broad spectrum antibiotics came out which made it much quicker to treat infectionsbut it also wiped out the gut bacteria. Normally 10000 species of bacteria.Pseudomembranous colitis was caused by Clostridium Difficile over growing. Initial studydone from the faeces of medical students.Faecal enemas treated the pseudomembranous colitis.Meat with animals treated by antibiotics can also cause problems.60% of faeces is bacteriaOral microbiome and cloud of bacteria around us –Holobiome . This defines our personalspace.Kissing is a human and ape characteristic. Exchanging oral microbiome. Bacteria decidewhether the other person's bacteria are compatible with them.Women have a gut feeling because they are more capable of listening to their microbiome. We inherit our microbiome from our mother. All of the mitochondria are involved with bacteriainherited from our mother. Bacteria communicate to their ‘sisters 'ie the body's mitochondria.Autism: kids have a different microbiome than ‘normal'The placental microbiome is important in educating the foetal immune system.Oral faecal transplants for 6 weeks in autistic kids. Almost immediately 50% autismsymptoms reduced.Ecermansia like tubers, mushrooms, -study in Asia find 90% reduction in Alzheimers withtwo cups of mushrooms a week.Inulin containing compounds eg chicory, radicchio, jerusalem artichoke.Exercise women who exercise routinely from midlife have a 90% reduction in Alzheimers. Inthose who get AD it happens 11 years later. Housework can be important part of exercise.Meditation and yoga also changes the gut microbiome.Lymph system in the brain in deep sleep -early in the sleep cycle-shrinks by 20% and thesebad proteins are squeezed out. You need a 3-4 hour window between sleep and dinnerbecause blood flow diverts to the gut.Olive oil /walnuts / mediterranean low fat diet: first two groups improved memory after 5years. 3rd group lost memoryThose with CVD had a 30% reduction in events, the low fat group continued CVS events.Polyphenos in olive oil grow proteinsTMAO is made by gut bacteria primarily from animal protein especially choline eg egg yolkand carnitine . TMAO damages blood vessels. Polyphenols in certain olive oil and red winebalsamic vinegar that paralyse enzyme systems in the bacteria so they do not make TMAO.However the logical error here is that eggs which are high in choline are not associated withincreased morbidity.Vitamin D at least 5000 units a day . Almost all cancer patietns and autoimmune pateitnshave low vitamin D. HIgher your VItamin D the longer your telomere. Stem cells in the gutare simulated by vitamin D.VItamin CLectins are present in most plant foods but especially high in:legumes, such as beans, lentils, peas, soybeans, and peanutsnightshade vegetables, such as tomatoes and eggplantdairy products, including milkgrains, such as barley, quinoa, and riceThe Roll of Inflammation in Depression and FatigueFrontiers In Immunology:CH Lee 2019:Immune system link to depression first noticed with immunotherapy eg INFa (which activates an inflammatory antiviral response) for Hepatitis C : associated with raised proinflammatory cytokines and depression and fatigue.20% of patients treated with INFa developed depression which resolved on discontinuationbut also increased the risk of depression in future.Also people with higher IL6 aged 9 were more likely to have depression aged 18 in a dosedependent manner.Innate immune system seems to be lower in depression eg NK cells and also less antiinflammatory regulatory T cells whereas inflammatory monocytes are activated.There is commonality in immune activation from autoimmune disorder such as multiplesclerosis or immune reactions in sepsis.Antidepressants reduce inflammation while a higher baseline level of inflammation predicts apoorer treatment response.People with depression have been shown to have higher inflammatory markers which canbe used to predict treatment efficacy and future recurrences of depression.Elevated inflammatory markets eg TNFa after an MI disrupt the blood brain barrier causingdepression.Inflammatory changes in the brain with raised TNFa in the hippocampus and striatumprecede development of depressive symptoms.Neurogenesis is inhibited by the kynurenine pathway which is rescued by both inhibitors ofthis pathway and traditional antidepressants.TNFa also increases glutamate release causing exocytotic damage to surroundingsneurones.Conditions associated with chronic immune activation such as asthma, atopy, diabetes mMS, RhA, SLE are all associated with raised levels of depression eg 36% of asthma havedepression who also had higher TNFa than those who were not depressed. 75% in RhAMS up to 50% risk of depression.Acute inflammation with sepsis also causes depression and raises the risk of depression infuture which in animal models can be reduced by using steroid during the acute sepsis.Antidepressants reduce inflammatory markers perhaps SNRI more effective than SSRI andalso ECT adds in return to normal of NK activity.Directly reducing the immune response eg anti TNF a or Caspase Inhibitors have beenshown to reduce depression. Rituximab which is an antibody that targets and depletes Bcells in the treatment of RhA also reduces depression.Aspirin can reduce depression but can also reduce the effect of an SSRI.

Eliot Jacks 1965 Mid-Life CrisisParadox of prime of life fulfillment in life but seeing it as dated as death is just over the hillNational Geographic 2012Apes Have Midlife Crises, Too—And It May Help ThemMiddle age ruts may act as natural motivators, scientist says.BYAMANDA FIEGLNATIONAL GEOGRAPHIC NEWSPUBLISHED NOVEMBER 20, 2012A national survey of Midlife in the United States conducted a poll to determine how many people experience midlife crises. Approximately 26% of the participants reported having a midlife crisis.Most survey participants reported that their midlife crisis occurred before age 40 or after 50, however.That raises the question about whether these crises were truly related to midlife since midlife is typically considered age 45.Out of the one in four people who say they had a midlife crisis, the vast majority say it was brought on by a major event, rather than age. Factors that triggered the crisis included life changes such as divorce, job loss, loss of a loved one, or relocation.Happiness SlumpMany studies indicate that happiness is U-shaped. A gradual decline in happiness begins during the late teen years and continues until an individual is in their 40s. Happiness begins increasing again in an individual's 50s.Data on half a million Americans and Europeans found this trend to be true. Individuals in their 60s reported they'd never been happier, but people in their 40s felt like they were at an all-time low.This U-shaped curve doesn't appear to be universal, however. It's more prevalent in high-income nations. A gradual decline in happiness may explain why some people seem to hit a midlife crisis—they're in a happiness slump.Even though data suggests people become happier again later in life, there's a pervasive belief that happiness continues to decline as we age. So, some people in their mid-40s may think life is only going to get worse, which may spark a midlife crisis.Some people may experience depression during midlife and refer to their depressive state as their midlife crisis. Women between the ages of 40 and 59 in the United States have the highest rates of depression (12.3%) of any group based on age and gender, according to the Centers for Disease Control and Prevention.Suicide rates are highest during middle age—among white men in particular. People between the ages of 45 and 54 are more likely to kill themselves than any other age group. A 2016 study published in the International Journal of Behavioral Development found an upside to the midlife crisis—curiosity. Researchers found that people who were experiencing a crisis—whether it was a quarter-life or a midlife crisis—experienced enhanced curiosity about themselves and the wider world around them.1 The distress and uncertainty participants experienced brought about openness to new ideas, which could bring insight and creative solutions. That curiosity could lead to new breakthroughs or new opportunities, which might be the silver lining in the midst of a crisis. Professor Mark Jackson Royal Society  Psychological: Identity CrisisBiology: Awareness of ageing and deteriorating vigour. Includes women with menopause and empty nest.Middle of 20th Century standardised life course. Ie not just biological but socially prescribed. Time to marry, have children and retire.By the 1950s life expectancy had significantly increased and women had started marrying earlier. Women 20-24. Fewer children clustering them earlier in the marriage. So a longer period of life after childbearing.Men's life was determined by occupation . Decades in the same job until retirement. Hence everyone was going through the same changes at the same ages.Ageism started growing with a greater sense of where we should be at certain times of life. Failure to meet expectations. Keeping up with the Jonses started in 1913 in a comic strip.Middle age was sandwiched between adolescent crisis of children and old age of parents.Inheritance happened decades later increasing pressures on couples bringing up children.The extended life course also led to the question ‘is this all there is, do I want to live with the person for the next 30 years'The realistic prospect of a life long marriage was questioned and the concept of serial marriages was introduced.1969 the divorce act changed removing the concept of marital offence making it easier to divorce. Pull to a better life eg Life begins at 40. First used in 1914 by the widow of an army officer  Theodora Parsons, who had trained ladies in physical fitness to keep the mind fit.We do not begin to live until we begin to die. She was addressing middle aged women who were overweight and let themselves go therefore she wanted these ladies to get fitter to aid the war effort. However that phrase became key in self help literature from the 1930s onwards. Indeed it encouraged older people to enjoy life and work less in order to allow younger people into work during the recession of the 1930s.The American Dream was also sketched out:  the dream of a social order in which each man and woman is able to attain their maximum potential. We could look forward with some hope.After WW2 the collapse of the American Dream was replaced by  the dream of motorcars and high wages as well as human consumption.  Happiness in a hurry. The idea of life begins at 40 ie life getting better not worse was a sense of narcissistic belief thinking they are due happiness love approval  sex excitement all this is denied me in this stale marriage let me get rid of her.We are aged by our minds our bodies and by history and culture. Midlife crisis is much more marked in Western than in Eastern cultures.  Barbara Waxman Tedx 2021:People believe their best years are behind them   

Not medical licensed advice . Always consult with your doctor:New Treatments For ObesityBMI: 25-30 : overweight  >30 ObeseWHO 2016 40% are over weight and 13% obese slightly higher in females . This is triple that in 1975UK 2019 House of Commons Library  40% are overweight and 30% obese higher in middle aged and elderly menNHS 2021: Children Obesity has gone up in 12 years from 19% to 25% The Surprising Link Between Chronic Inflammation & Obesity—Plus What You Can Do About ItMay 5th 2021Leptins are hormones produced by adipocytes that communicate with the hypothalamus to reduce eating. If you have too much leptin you become leptin resistant and do not stop eating. High leptin levels are also associated with  chronic inflammation.Conversely losing weight reduces systemic inflammation. REVIEW articleFront. Physiol., 29 January 2020Sec. Clinical and Translational PhysiologyChronic Adipose Tissue Inflammation Linking Obesity to Insulin Resistance and Type 2 DiabetesFrederika ZatteralThe key mediator of inflammation in obesity is the innate immune system cell the macrophage that can account for up to 40% of adipose tissue and it differentiates into a pro-inflammatory M1 macrophage setting up chronic inflammation.Obesity and Inflammation: A Vicious CycleDoes obesity cause inflammation or does inflammation lead to obesity?Jun 25, 2020Jennifer LutzObesity causes chronic inflammation via a chronic immune reaction initiated in the adipose tissue but inflammatory cells can go round the body. In addition gut inflammation may be a result also of the poor diet that led to the obesity.We know that obesity has tripled in the last 50 years such that 40% of the western world are obese. In fact 75% are prediabetic.Cardiovascular disease leading to cardiac disease and strokes, diabetes, cancer, depression, osteoarthritis all feed back and make it more likely you will continue to be obese.Higher adiposity and mental health: causal inference using Mendelian randomization Francesco Casanova,Jessica O'Loughlin,Susan Martin,Robin N Beaumont,Andrew R Wood,Edward R Watkins,Rachel M Freathy,Saskia P Hagenaars,Timothy M Frayling,Hanieh Yaghootkar... Show moreAuthor NotesHuman Molecular Genetics, Volume 30, Issue 24, 15 December 2021, Pages 2371–2382, There is a bidirectional relationship between depression and obesity.Genetic sorting showed that it is obesity per se and not the metabolic unhealthiness due to the obesity such as diabetes that leads to depression.That said diabetes from obesity causes depression although obesity itself causes systemic inflammation which is an independent risk factor for depression and cancer.There are also huge psychosocial effects of obesity on mood.Once-Weekly Semaglutide in Adults with Overweight or ObesityNew England Journal Of Medicine March 2021John P.H. Wilding,Once a week subcutaneous Semaglutide reduced weight by up to 20%Semaglutide is a GLP-1 agonist so suppresses Glucagon and increases insulin hence controlling blood sugar. It also slows gastric emptying  increasing satiety and acts on Receptors in the Arcuate Nucleus in the brain to increase satiety.It is already licensed to treat Type 2 diabetes.It also reduces the risk of cardiovascular complication in Type 2 diabetes and at a cellular level reverses atherogenesis. There is a question on worsening the risk of retinopathy.Other GLP-1 agonists : Liraglutide Setmelanotide.CpdFDA Approved Medication for treating ObesityPhentermine, diethylpropion,benzphetamine, phendimetrazine , Orlistat, Phentermine/topiramate Qsymia, Bupropion/naltrexone, Semaglitide, Liraglutide, setmelanotideCpd Phentermine-topiramate: First combination drug for obesityInt J Applied Med Res 2015Singh et alPhentermine is a centrally acting sympathomimetic that reduces appetite and topiramate enhances GABA ergic transmission reducing Dopamine Response to food.This combination causes up to 10% weight loss maintained in 50% for 2 years.The relationship between early weight loss and weight loss maintenance with naltrexone bupropion therapy.THe Lancet Discovery Science 2022Le Roux et alNaltrexone blocks opiate receptors and bupropion (wellbutrin/zyban) blocks reuptake of dopamine  -reward pathways- .and noradrenaline . Weight loss is maintained at 1 yearBoth medications enhance each other on feeding and satiety

Depression:The most important thing anyone reading this needs to know is that everyone with depression will get better. The sooner you treat it the quicker and better the results.LIfe time prevalence 4%, in fact in the USA up to 10% struggle with depression.280 million people world-wide suffer from depression.20% risk of suicide in untreated depression.Used to be the 5th commonest cause of illness and death, now it is the commonest.It is not because we have all become genetically susceptible to clinical depression, rather we have become more and more unhappy and stressed with modern life. What has risen is social media with the pressure to be perfect compare and online bullying and economic uncertainty as well as recent lockdown and health hysteria and vaccine mandates and most recently Ukraine War and spiralling energy prices. Mental health referrals are at all time highs.Neuroscience New and Research July 2022 Ruairi J Mackenzie: Serotonin theory has been seen for years as an oversimplification. SSRI medications do often work in depression but depression is multifactorial and likely more than one illness.  The Biopsychosocial model of depression is preferred.Even Epicurus 2,500 years ago and before him Buddha both said that seeking of pleasure would cause unhappiness as pleasure is transient and leads to more seeking of it hence is not only meaningless but destructive. Yet as a society that is exactly what we have become: cyclical reflex dopamine seekers especially with social media.Furthermore the teaching of socialisation has been reversed with smart phone hunched pleasure seekers. We are all becoming depressed children with no effective parental supervision apart from the social media CEOs temping us ever further down the rabbit hole of instant gratification..One of the definitions of the most dysfunctional members of our society namely personality disorders is self obsession as this is not tribe compatible yet the rest of us are rapidly heading that way pulling apart the integrity of our society and even civilisation itself if it continues. Close on the heals of self obsession is loss of boundaries and rules aka political correctness which is a Marxist view of demanding the same outcome for everyone despite the fact that everyone is different.Without boundaries we are lost  because we have evolved to function in tribes with structure hierarchy and leadership. Now we are led by self serving politicians who will say anything that gets them elected which is what they think the voters want but voters are influenced by mass and social media. Add into that that 98% of what we do and think is emotional and not logical which means that currently we are being led by media driven hysteria which the politicians respond to. Even more dangerous is that media controls the masses on a global scale now almost instantly.Diagnosis of clinical depression:Diagnostic and Statistical Manual 5th Edition Americal Psychiatric Association  and International Classification of Diseases 11th Edition 296. And F32 codes respectively:Require are certain number of symptoms for a certain period of time typically 5 symptoms for at least 2 weeks although this can be altered according to severity.Symptoms making up depression include:Low mood typically worse in the morning improving as the day goes on (diurnal mood variation)-  said to be due to raised levels of cortisol in depression with the coritsol peak being in the morning and lowest in the middle of the night-  I have seen severely depressed people walking around the ward at 2am feeling fine. This is one the reasons metyrapone is used with is a cortisol synthesis inhibitor in a resistant depressionL Ted Dinan et al.Disturbed sleep typically waking early in the morning unable to get back to sleepReduced appetite and weight loss (although people can comfort eat) reduced energy concentration enjoyment motivation confidence libido and suicidal thoughts.Treatment of depression:Firstly there needs to be a risk assessment of suicide . in 2005 1.5% of all deaths were suicide and the commonst cause was depression and it is going up.Investigation:Biological:Thyroid , metabolic, autoimmune, dietary, epileptic , raised indices of inflammation. Females my have hormonal issues including sensitivity to progesterone in oral contraceptives.Psychological:Aristotle argued that virtue is functioning according to you values and beliefs . A blunt knife is not a vrituous knife as knives are designed to cut. A virtuous human being is a human able to function according to their values and beliefs which is socialisation and reproduction. However in todays goal oriented society the pressure is one of endless goal seeking and perfectionism. That alone severely raises stress and cortisol levels but also makes you more unhappy as you not functioning according to your values and beliefs. It also means that if you achieve something at the cost of your values and beliefs you value it less in any case. Hence it is impossible to ever be happy with he result that more and more of us are depressed.Note that chronic sleep deprivation causes clinical depression.Treatment of depression:Classically it is a combination of medication and psychological treatment eg cognitive behaviour therapy.However one third of patients have raised indices of inflammation and those are likely to be resistant to antidepressants and can respond to aspirin.Furthermore for moderate depression regular exercise is as effective as antidepressant.Antidepressants: Currently they all work on a combination of serotonin noradrenaline and dopamine and a couple work additionally on melatonin receptors. None are better than the other although the newer ones have less side effects.The new generation coming through are going to be based on psychedelics and glutamate receptor antagonists . In fact the latter has a drug licensed in the UK for 3rd line treatment of depression s ketamine nasal spray.Treatment resistant depression:Requires a review of diagnosis and physical investigations then switching to a different antidepressant and raising the dose according to plasma levels , combining antidepressants and adding in thyroid hormone, lithium or antipsychotic such as risperidone.-Electro Convulsive Therapy-rTMS daily for 4 weeks.-Neurofeedback can be an alternative to antidepressants.Sleep Deprivation and Depression: National Library of Medicine Jan 2021Why is ECT becoming a preferred treatment for depression March 2022 Maclean Hospital Harvard Medical School AffiliateUsing neurofeedback as a means of reducing self blame in depression: Dr Zahn  Kings College News Centre  Sept 2021Review of social participation interventions for those with mental health problems Social Psychiatry Psychiatric Epidemiology March 2017 Martin WebberExercise is an all natural treatment to fight depression: Harvard Health Publishing Dr Miller February 2021The relationship between excessive internet use and Depression:Morrison Gore Psychopathology 2010 43: 121-126Treatment Resistant Depression: Web Med:  Dr Bruce  May 2022Esketamine For Treatment Resistant Depression: BMJ Sept 2019 JauharAn evidence based approach for augmentation and combination strategies for treatment resistant depression Psychiatry July 2006 BarowskiKey differences between Venlafaxine XR and Desvenlafaxine: An analysis of pharmacokinetic and clinical data Michelle D. Colvard, PharmDMental Health Clinician (2014) 4 (1): 35–39. A Popular Theory About Depression Wasn't "Debunked" by a New ReviewPublished: July 22, 2022 | Ruairi J MackenzieA Popular Theory About Depression Wasn't "Debunked" by a New ReviewPublished: July 22, 2022 | Ruairi J MackenzieA Popular Theory About Depression Wasn't "Debunked" by a New ReviewPublished: July 22, 2022 | Ruairi J Mackenzie

Coaching: Anxiety Disorder:We all have anxiety, not only is it normal it is essential for survival, in fact as a caveman themore anxiety you had the more likely you were to escape predators and achieve survivalneeds. The irony is that in todays society it these people that suffer the most as just like therest of us they are hard wired to continue escaping illusionary predators and acquireillusionary survival needs that marketing and social media imprison us with.We discussed stress last week which is mostly a normal response for an individual to asituation where they do not feel in controlHowever if severity of anxiety or duration exceeds what is reasonable then it may become aclinical disorder.Anxiety Disorder:33% life time prevalence of anxiety disorder often co morbid with depression or otheranxiety disorders, and 4% life time prevalence of GAD higher and more impairing in highincome countries. Females twice as likely as males.Generalised Anxiety Disorder: DSM V 300.02Generalised Anxiety Disorder: 8 studies of biological interventions:Current Psychiatry July 2022 Saeed MajarwitzGeneralised Anxiety Disorder usually starts in early adulthood and persists throughout life.Anxiety about a variety of events is excessive and unreasonable and causes distress andimpairs functioning.There is a big variability in the effectiveness of physical intervention for Generalised AnxietyDisorder.SSRI, SNRI, agomelatine (melatonin 1 and 2 R agonist and 5HT 2c R antagonist –antagonism increases noradrenaline and dopamine)- as effective as SSRI maybe with fewerside effects eg nausea and sexual side effects.Less used: Buspirone - 5HT 1a R agonist.Acute anxiety: Benzodiazepine.rTMS (FDA approval for Clinical depression 2008) right parietal cortex or right dorsolateralprefrontal cortex with reduced relapse after completion of treatment.CBT alone and improves response to medication.Plus:Diet exercise reduce alcohol and cigarettes, structure , self awareness , sleep with positivestudies for magnesium, chamomile extract and antioxidants.Cross-sectional Comparison of the Epidemiology of DSM-5 Generalized Anxiety DisorderAcross the GlobeAyelet Meron Ruscio, PhD1; Lauren S. Hallion, PhD2; Carmen C. W. Lim, MSc3; et alDialogues Clin Neurosci. 2015 Sep; 17(3): 327–335.Epidemiology of anxiety disorders in the 21st centuryBorwin Bandelow, MD, PhD*Ann Behav Med. Author manuscript; available in PMC 2016 Aug 1.Generalised Anxiety Disorder: 8 studies of biological interventions:Current Psychiatry July 2022 Saeed MajarwitzPublished in final edited form as:Ann Behav Med. 2015 Aug; 49(4): 542–556Exercise as Treatment for Anxiety: Systematic Review and Analysis

Coaching: Stress:The key to stress is : control. If you have control you are not stressed, if you don't have control you are stressed.Mental Health Foundation 2018 study:In the past year 75% had at some point felt overwhelmed with stress. Elderly less stressed than younger.Of those who were stressed 50% felt depressed and 60% felt anxious, 50% overate or ate unhealthily,30% increased alcohol and 15% started or increased smoking.Of those who felt stressed at some point in their life 30% had suicidal thoughts and 15% had self harmed.30% felt lonely.40% of stress was due to worries about health of self or others and 20% was due to debt.18-24 year old had more stress with social media egPressure to respond immediately to messagesComparing yourself to your peers -50% and pressure to succeed: 60% Females more stressed about body image than men: 40% versus 20% The American Institute of Stress:●      About 33 percent of people report feeling extreme stress●      77 percent of people experience stress that affects their physical health●      73 percent of people have stress that impacts their mental health●      48 percent of people have trouble sleeping because of stress80% of work place accidents are due to stressYearly cost to business of stress in the USA: $300 billionPsychological and physical Symptoms:Depression anxiety anger fatigue tension diabetes cardiovascular disease high blood pressure cancer substance abuseStress is increasing. American Psychiatric Association: APA 2011 : 5% increase to 49% of Americans had felt stressed. 33% of children.APA 2021: Covid has caused significant stress in 80% worse in young adults associated with a sense of uncertainty about the future of their country and their own future.Up until the pandemic stress had been rising more in the middle aged who were less able to cope with technological advance , work pressure and  job losses.APA 2022: 90% of Americans feel stressed and 70% think Ukraine is the beginning of WW 3Hormones of stress response:Adrenaline then the Hypothalamus Pituitary Adenal Axis producing CRF ACTH and Cortisol Cortisol is catabolic breaking everything down increasing energy supply.  It is anti inflammatory and suppresses the immune system. However chronically raised cortisol causes cortisol hypofunction leading to chronic systemic inflammation.Raising stress levels in the last 30 years is almost certainly the reason for the drop in vitamin D3 levels in the West which was already very low.  This is because the stress hormone cortisol blocks the receptors which absorb Vitamin D3. This in turn drops our immunity and makes us susceptible to infection and cancer.We are naturally tribal and designed to function in relatively small groups of about 150 (Dunbar's number).We require structure , hierarchy and leadership with common identity and goals.This is why religion works well. It is a transcontinental tribe with clear identity and rules. Destruction of this with globalism , political correctness, mass media with constant hysteria generation and social media designed to take control away from you as well as making you feel compelled to answer messages immediately and to negatively compare yourself to others are a modern catastrophe to our mental and physical health. Attempts to medicalise it are misguided and happen more out of a sense of duty and despair by the medical professionals. It is a leadership and political issue and a sign of a catastrophically badly run society. Freedom of speech? Freedom of Movement with hoards of people happy to work on minimum wage? Debates on whether to cancel Christmas and whether women can have penises?These remove certainty and any sense of structure and clarity of direction.What we can do:Firstly:   Is self awareness. Ie stop worrying about our anxiety but accept it. This drops activity in the fight flight centre of the brain and gives you a chance of logical reflection. Secondly: Don't worry or even think about larger issues beyond our control. Hence the key here is ‘thinking' it is usually a matter of perception. Eg I can't stop it raining but perhaps rain is good thing for many reasons. Instead I will use an umbrella or stay in or simply go out and enjoy the rain. Or there is lock down so I can t go to the gym. Let me review what other types of activity I can do, I may find something even more beneficial such as exercising outside. In short there is always a solution of some kind. It may not be what you originally wanted but as soon as you have a level of control your stress will drop by definition.Thirdly:  Focus on family, close community, keep active, eat healthily and sleep well. If this is not working seek professional help as there is always a solution.

PTSD first defined in soldiers returning from the Vietnam War and officially recognised since 1980.The distilled essence which you won't find anywhere else is as follows:Similar to phobias there is a processing block causing an emotion logic gap: I know I should not feel like this but I can't help it. This is because we are hard wired to avoid or reduce anxiety so the brain actively supresses anything causing anxiety so you can't think about it long enough to bring the emotion down to the logic. No amount of sense or education helps here which is in contrast to a real danger where you need tools and education without which just thinking about it will not help at all.There can be minor and major processing blocks. There can also be a processing block from a misperception of an event so here the processing needs to overcome the discomfort of having got it wrong and the consequences of that. It's easy to see how we all have various degrees of emotion logic gap. For instance have you found that no matter how well you explain something to someone they won't change their minds? Even if you know they have understood the logic? It is because it is too painful to do so and they have no reason to go through that pain. Or how many times have you done something knowing it is wrong just because you want to for various reasons? Here again there is a type of processing I teach bit it needs self awareness and motivation.Yet the harm from chronically raised cortisol from even mild processing gaps can be measured by improvement in all aspects of mental and physical health when it is dealt with.It is why I say you only have clarity of mind at two points in your life: 1 when you are borne, 2 after you have had good therapy by a true expert which you pay for. (The payment indicates your motivation versus just turning up).Life time prevalence of PTSD 8% of the population, about 90% are exposed to trauma including unexpected death of a loved one, equating to a lifetime occurrence of 5 separate traumas in men and 4 in females.Women are less likely to be exposed to traumas than men but the traumas they are exposed to are more likely to cause PTSD such as rape and sexual molestation where as males are more likely to be exposed to combat and witnessing trauma to others.About 30% of women view their child birth as traumatic with 30% of those developing PTSD hence about 10% of all mothers have PTSD.About 25% of acute medical problems including ITU have PTSD.Psycholgical sequalae of PTSD: Clinical depression , alchol and drug abuse.Predisoping factor: Clinical depression.Self report questionnaire: PCL-5 Post traumatic stress disorder Check List for DSM 5 20 questions scored 0-4 relating to the previous month.DSM 5:  SIACADStressorIntrusionAvoidanceCognitionArousalDistressMore than 1 monthCan specify whether dissociation or delayed onset.Routine debriefing re living trauma may make it worseCBT 4-5 sessions, EMDR, ReprocessingLive ExposureSSRI SNRIPsychedelics FDA approval pendingTranscranial Magnetic StimulationAtypical Antipsychotic , ECTImportant nuances:Chronic loss of control eg bullying or lock-down = Prolonged Duress Stress DisorderMinor trauma still causes processing blocks or impaired processing which needs to be properly processed either with self journaling or with reprocessing therapy. In fact Professor Pennebaker showed that in Yale University students self journaling difficult events reduced cortisol and improved mental and physical health and exam results.Naomi BreslauThe Epidemiology of Postraumatic Stress DisorderJounral of clinical psychology 2001

FIrstly about 1 in 10 children have ADHD and about half will grow out of it leaving 1 in 20 adults with ADHD. The long term studies in adults have not been done but the oldest patient I have diagnosed and treated with ADHD was 68.There is a strong genetic component and it is almost certain that other members of the family will have symptoms of ADHD. There is also a greater than average association of ADHD with bipolar disorder and dyslexia.People with ADHD often present with an inexplicable failure to succeed in life. In other words they are intelligent and affable and try to apply themselves but they fail.ADHD can make is so difficult to function that there is a high incidence of depression and anxiety alcohol and substance use.It is also not an uncommon cause of relationship problems amongst couples as the ADHD person will be impatient and irritable and impulsive and difficult to communicate with.often appearing not to listen.Notably of patients diagnosed with clinical depression then 25% will have ADHD and unless it is treated the depression will not resolve.As a child ADHD can have severe direct and indirect consequences on self esteem, socialisation and general ability to function and be consistent which are all hugely involved in success in life.One can imagine a child with ADHD being relentlessly hyperactive impulsive and inattentive will be hard to manage for the parents who typically chastise verbally and physically. This negativity erodes the green shoots of self esteem . The child gets used to criticism, and also gets used to failure and comes to expect both.  One patient was so out of control that his father used to take him out into the garden and hose him down with cold water. They will have difficulty with socialisation and will tend misbehave as a consequence of the ADHD at school and be punished.There are two issues as far as schools are concerned. ADHD -unless it is very mild- is a disability and is covered under the Disablity discrimination act 2010. Additionally even if the child is treated with medication the disability criterion applies as if the child is not on medication. Therefore if the school is sanctioning a child for behaviour as a result of disability or if they are insisting on behavioural targets such as a behavioural contract then they are setting up the child to fail.Not making reasonable adjustments is part of disability discrimination and is illegal.The second is abuse by neglect. If either parent or school knowingly do not take steps to help their child once they know they have ADHD then that is abuse by neglect.Parents should be wary of the paradoxical reinforcement of shouting or physical punishment. Either may arouse the child so much that their dopamine goes up producing a compliant calm child. The parent in desperation learns this is an effective way of curbing unruly ADHD behaviour and the child gets used to being scolded criticised and punished and absorbs that into their self esteem and personality. One of my patients as a child was so hyperactive the only way his father could get him to calm down was to take him out and turn the high pressure water hose on him. That raised his dopamine.This is also the rational when an occupational therapist recommends ‘Play breaks' at school if an ADHD is getting unrully or for quiter play ‘hard putty'. All these provide physical stimulation hence raising dopamine.Far preferable of course to take a simple tablet rather than treating the child differently to the others.Medication for ADHD:Stimulants: Methylphenidate and different types of preparation of this. They come is standard release or sustained release (modified release)In the USA there is also Dexedrine (adderall) which is a mixture of standard and slow release salts.All these are Class B drugs and have to be prescribed with a CD Pad (controlled drug pad)National Institute of Clinical Excellence Guidlines state that one a consultant psychiatrist has made the diagnosis and continues supervision of the patient then the GP can prescribe it. Many GPs however do not. Either because they dont understand it, or they are anxious about a class B drug or they don't believe in ADHD.Unlicensed stimulant : Modafanil (Provigil) is a histaminergic agent which at high dose has been shown to treat ADHD. note that antihistamines sedtate so histaminergic agents will stimulate.Non stimulant medications:Atomoxetine (Strattera) : this raises dopamine and noradrenaline but it is a cumulative effect similar to an antidepressant and needs to be taken constantly . Stimulant medication can be taken according to the requirements and then not taken if not required.Guanfacine: a central alpha 2 receptor agonist which raises dopamine in the Pre Fronatl Cortex.Psychological:This is required often due to the direct negative effects of ADHD and the indirect  effects eg therapy will teach good habits such as reflection, communication, impulse control. We also have to fix fractured self esteem. All this is almost completely useless -although it depends on the precise degree of ADHD-  if the patient is not on medication as they cannot concentrate enough to cooperate.Family Therapy is important as the parents need to be educated on how to best help their child and also be reassured they are not bad parents.I help them try and be mindful using a visualisation based on the film the Mask with Jim Carrey who played a gentle hopeless romantic with no confidence. Putting on the Mask exponentially magnified these qualities restoring his confidence and turning him into a mischievous charming hyper energetic caricature of himself. I say they are are getting angry with the Mask of ADHD not their child but their child absorbs all negative input and chastisement into their personalities.Parents also benefit from education about the law as it applies to their child's eduction:All publicly funded nurseries, per-schools, state schools and local authorities must try and identity and assess children with Special Education Needs(SEND).There must usually then be an Educatinoal Health Care Plan (EHCP) which must be reviewed annually and from Year 9 there must be a full review preparing the child for adulthood.From the age of 5 onwards it is the law that every child has a right to full time education.Schools will need to take appropriate steps such as expert assessment by educational psychologists, occupational therapists, speech therapists and referral to local child and adolescent mental health services. If necessary the EHCP will be submitted to the local health authority for extra funding if one to one is required although most schools do have some extra budget themselves for this but of course they dont like using it and usually need ‘encouragement' by an ‘informed' parent. The trouble is not all parents are informed. I remember seeing a Polish mother picking up her 7 year old son at lunchtime as the school had enforced half day attendance. This is illegal and refers back to one my basic rules of human behaviour: people do what you let them.Private schools are bound by OFSTEAD and usually align themselves on their website to rights of equal access to full time education for all. I recently had to write a report for a 15 year old with ADHD -and the school knew he had ADHD- who had been put by the school on a behavioural contract which he broke as he could not stick to it and was sanctioned for it. This is not only failure to make reasonable adjustments but direct harm to the child. It is disability discrimation and therefore illegal. As far as physical treatment goes the American Text Book of Psychiatry states that after assessing for diagnostic criteria in DSM V then a definitive diagnosis is obtained by a positive trial of treatment with a stimulant, the point being that only someone with ADHD would become calm and focused on a stimulant and everyone else without ADHD would experience the stimulant effect.Indeed many people with ADHD will self medicate with some kind of stimulant ie sippling coffee or coca cola throughout the day. Many will resort to Cannabis that does not so much focus the mind as give a blanket of relaxation that some equate with better functioning but it is not a direct cognitive effect and in some results in an amotivational syndrome.Highly suggestive of ADHD is someone who has no difficulty getting to sleep after an espresso. Some people with ADHD also report paradoxical responses to cocaine so that while everyone was partying the night away after a line of coke they sat quietly on the sofa. (this will depend on the dose of cocaine as I will explain later).Indeed Donald Trump drinks 6 diet cola day and will well known to not be able to sit through meetings and tends to be impulsive and disinhibited. Look at Boris Johsnon, impulsive and disinhibited and who apparently is not interested in the roll of prime minister, just the position of power. Since the work of the prime minister is not interesting to him he actually genuinely cannot do it. However he is a classic scholar and self professed lover of ancient Greece the writings of which have been the basis of study of oratory and because he likes the classics he has no difficulty writing a book on Ancient Greek.The neurotransmitter deficit is dopamine. People with ADHD do not have enough dopamine and treatment seeks to bring dopamine levels back into the normal range. Taking too much stimulant may push dopamine above normal levels whereupon overstimulation would occur.Precisely because the idea is to bring dopamine back to normal levels there should be few if any side effects.Since dopamine is the pleasure neurotransmitter then this is why people with ADHD can focus if they like something  their dopamine goes up into the normal range so performance at school can be starkly binary being either great or awful at something. Indeed if they like something they can hyperfocus.

The reason why Depp and Heard are the tip of the ice-berg Personality DIsorder Part 2Personality disorders ie those whoes behavior is by nature consistently anti-tribal are this way due to a combination of nature  (genetics) and nuture. They can be born this way or they can be affected by trauma of different types. For borderlines and psychopaths sexual trauma is especially important. Anything that fractures or does not affirm self esteem either acutely or chronically risks going onto also affect socialisation and both together will then create an individual who's behavior purely due to who they are is tribe incompatible aka personality disorder. The specific way in which anti tribal behavior reduces internal anxiety defines the type of personality disorder.Interestingly the American Psychiatric Association talks about oversly sensitive overly reactive children  being a risk factor for developing personality disorder and I think this may refer in some cases to genetically overanxious children but more importantly , becausethis is somethign easily addressed it is referring to is ADHD. Parents often cannot cope and often dread dealing with their own children when they have ADHD and this not helped by an increasingly avoidant educational system who need to be strong armed by assertive parents who have read all the rules and guildelines into providing any useful support. The problem is that kids with ADHD are constantly chastised and scolded and have difficulty learning normal socialisation (without making serious compromises such as taking on the role of the charming misichieve maker who people are entertained by) and also get used to failure as schools often reject them or do not give them adequate learning support. Its important for parents to undersatnd they are getting angry with the ADHD not their kid . However it is the child's self esteem and self pereception that is being damaged . This is the most persuasive argument for discussing medication with parents who understandably do not want their children on tablets but equally do not want to harm the fundamental rewquirments for success in life ie self esteem and socialisation ie tribal living and how well you can do within the tribe.Recently I had to write a report for a 15 year old who had been put by one of the UK's great public schools in the North on a behavioral contract. But he had ADHD. He could not stick to it and was expelled. The school have now lost aginst the parents during formal proceedings and rightly so. The damage to self esteem was incalculable. This directly through discrimination and inderectly through neglect of duty abuse of the child. This is the case if parents and professionals do not properly manage ADHD.The commonest personaltiy disorder is Obsessive Compulsive characterised by individuals being socially awkward and often withdrawn, liable to routine and ritual and perfectionism and hard work. This is likely to be a misclassifaction or at least a duplicate classifcation for more functional Aspergers Spectrum disorder. Even more simply we are all on the emotion/autistic spectrum with females generally shifted left of centre to the more emotional end and males generally shifted right of centre towards the autistic end. The main mediator is the level of exposure to intrauterine testosterone. It means that a female with Aspergers tendencies is even more of an outlier than a male with Aspergers tendencies as the general female poplulation lies more the left than males. Indeed a right shifted narcissit female is especially toxic to the tribe often exactly because they can fly under the radar but they have most access to and responsiblity for raising chiildren and someone who is self serving and likely to be critical and controlling and unable to teach proper attachement and socilaistion to the kids is going to be very damaging to those kids. Furthermore females tend to be the social centres of tribes so a right shifting narcissist will be especially toxic to the tribe.The reason personality disorder exists at all without being selected out by natural selection is that it confers a survival advantage. In times of strife famine or war etc the tribe needs an assertive leader able to make cold calculated decisions. Such as Churchill versus Hitler or Trump versus Putin. (Biden is of course a joke and a plant by the higher powers to be manipulated in an attempted Great Reset). Current society and emphasis on careers values hard work and persistence which is a key trait in obsessive compulsive/right shirters. Also right shifters are more resistant to trauma as they lack the normal emotioanl responses. They are able to pragmatically accept what has happened but their main distress is with the consequences and change in routine caused by the trauma . Hence my suggestion is that you will find a high proprotion of right shifters among refugees as the right shifters were able to remain functional enough to leave their coutnry whereas those closer to the population mean were overcome by stress and so less functional and less albe to leave and seek safety.Society is changing infront of our eyes. Unregulated capitalism  and materialism and the destruction of religion morals and ethics and national identities combined with globalisation leading to different cultures being forced into close juxtaposition to one another is leading to increases stress and unhappiness especially in the West which is leading the way in this. Unfortunatley the digital age which selects for binary thinking right shifters who are especially suited to softtware programming  has resulted in narcisistic binary thinkers becoming the richest men in the World. The consequence of having intelligent binary thinking narcissists in charge is that they will in the blink of an eye (ie reflexly -hence the personality disorder nature) justify subjugation of the unhappy strife riven population with biometric passports and ultimately computer chipping in a bastardised biblical simile of God creating Man in his image. You will own nothing and be happy is the mantra of the Great Reset.Since peronalit disorder causes suffering to the indvidual and those around them through being antirbal then the defining criteria are relative to the tribe. If we are all turned into subjugated robotic compliers then those seeking collaborative warm human contact would be considered the anti tribal personality disorders as they would be damaging to the binary thinking tribe. You think this is unlikely? Think again. How about those speaking the truth about COVID and vaccines being cancelled and revilled and subjgated by the media as well as the law? Now we know it was mostly lies and vested interest of large pharma and govenerments defining policy by public opinion which was manipualted by mass media and those controoling them. For instance BIll Gates controls the WHO and has interests in Pfizer and the same entity controlling Pfizer also controlls Thomson Reuters the golbal fact checker which was used by Twitter. The end of society as we know it is happening infront of our eyes.How are personality disorders treated? Since they are not ill there is no treatment. However some may have the insgiht that if they want to benefit from what society has to offer then they have try and act agaisnt their nature and integrate more functionally. There exist therapeutic communities who mainly follow the method of putting these people on behavioral contracts exactly because they are responblle for themselves. So if they break the rules such as being voilent or self harming or generally being antitribal they are punished by being excluded from the community for a time or discharged alltogether. Some have come to me stressed by the pressure of society for them to be nicer ie less psychopathic or less narcissistic. Basically they are stressed as no one likes them so they are lonely and running out of victims or work is suffering and they want things to go better. My answer is dont try and act against your nature. It causes stress. Be yourself. Be a psychopath openly .It means that people can engage with you on fair terms. They then know what they are dealing with and are less likely to be damaged. Look at Boris Johsnons multiple relationships and multiple children. Look at his superficial charm yet talk to his ex wife and she is excoriating of him. Close prolonged contact with personality disorder can be devasting as they are entirely self serving and therefore destructive .Indeed the Oxford English dictionary defines ''Evil'' as something wicked and amoral. If you look at amoral it means not moral. If you look up moral it means knowing the difference between good and bad and doing good. If you look up wicked it says something unpleasnat eg an unpleasant wind or something harmful. Therefore by definition in the two golbal classificaiton systems which state personaltiy disroder causes suffering to the individual and those around them lifelong then by their nature they are evil.How does one respond to a personality disorder? Three ways. The first two require knowledge of the spefic antitribal mechanism they are using ie are they a psychopath, are they a narcisist , or a binary thinking micro controller? Are they an insecure attachment seeking borderline ? Ie you have to know the currency of their internal peace. Then you apply fear of losing that currency or reward with that currency.  The problem is that in order to that consistently and not be stressed in so doing it has to be in your nature it is not for most of us and generally not in the nature of victims seeking advice on how to deal with a personality disroder then fhe first two options are not practical which leaves the 3rd option of geographical separation.Returning to Depp and Heard. How many witnesses did Depp have give evidence for him? Many. How man did Heard have ? None apart from her sister who clearly was a genetic close match to Heard .

This is the best overview of personality disorder currently available as understanding the distilled rules of human behaviour allows us to analyse the patterns in the world around us with a clarity some may find challenging but most find liberating. We look at the current diagnostic systems and what they try and do and their shortfalls.Simply put most living organisms with self awareness are tribal because nature worked out millions of years ago that living in a tribe conferred a survival advantage to wondering the planes as a nomad.The most fundamental behaviour we all exhibit is that we are hard wired to reduce our internal anxiety -our baseline arousal. This is our primitive survival mechanism. If we see a tiger we instantly run. There is no conscious thought . The quickest way of survival is to bypass the cortex -the amygdala hijack- so we are hard wired for reflex anxiety reduction.Since we are tribal and the coexistence of any number of reflex anxiety reducers will instantly lead to chaos then were have a secondary hard wiring to reduce our anxiety by relating to and taking on the opinion of the majority around us -the mass narrative- to respond to authority, structure hierarchy, leadership.This tribal consistent reflex anxiety reduction exists on a spectra with the majority of us lying around the mean so we are pretty good at it. However everything in nature exhibits variability and this is no exception. There are individuals who lie further from the mean of tribal consistent reflex anxiety reduction until you get to the extreme outliers where their tribal consistent reflex anxiety reduction has in fact inverted 180 degrees to be entirely self serving. The mechanism by which they reflexly reduce their anxiety by self serving defines the type of personality disorder.It is globally accepted that personality disorder has to be present from birth or at least start in childhood following which it persists life long. As it is anti-tribe it leads to erratic destructive behaviour for the individual concerned and or more frequently for those around them which is why they are usually sooner or later rejected by the tribe.Forensic psychiatry has been caricatured as using one of two diagnoses: Mad or bad but unfortunately this is not nuanced enough and can lead to miscategorising of individuals in either group.The first things to say is that these people are therefore hazardous by their nature and not due to mental illness.Unfortunately political correctness that gives centre stage to the outliers of society by insisting on equal outcome for everyone without considering whether this is appropriate or even healthy gives these individuals the power of the full force of the law -indeed positively discriminated for by political correctness. A basic understanding of their psychology shows how disastrous this can be.A common mistake made by the police is how can this lady make these claims if they are not true?The answer is that there is no logic involved. In order to reflexively achieve even a small degree of internal peace the personality disorder won't think what they do to achieve this or the consequences there of. If the law allows them to utter a few simple words which lifts them out of the drudgery of normal existence into one of cossetted abrogation of responsibility then this will be their reflex action.Similarly for mass murderers or serial killers. SInce everything for personality disorders is self referential rather than for the good of society then when they are inevitably rejected they will view themselves as hard done by victims and depending on other parts of their nature they will respond vindictively of which the outliers are the extreme actions, but plenty of personality disordered spurned spouses show remarkable and consistent degrees if vindictiveness.Indeed the basic tenet of forensic psychology is that the main predictor of crime is opportunity. In other words if you let something happen it will. Almost anyone is capable of almost any atrocity given the wrong environment. We are products of our environment and our behaviour is bounded by structure hierarchy and leadership and within this ethics , morals, cultural norms, religion , law.  GIven the presence of this then break through velocity comes with different degrees of personality disorder which is why 50% of the prison population has personality disorder . Unfortunately our modern materialist society has also resulted in psychopaths being 20x more common amongst CEOs than in the general population. In other words modern society is being led off a cliff by self-serving outliers of the population who are predators and yet are worshipped as role models.We look at some ways to deal with personality disorders in the likely event that one will cross your path.

We take a historical and macroeconomic look at patterns over the centuries that keep on repeating with the different players of various societies. Typically the life span of a society is marked by a slow start a rapid acceleration phase a plateau and a rapid drop off the edge. It's the same for bacteria in a Petri dish in fact. It's a matter of the build up of scale and then the sheer power of mass making competition useless with the big kid on the block until the resources have been used up at which point it is no longer viable or weak enough to be challenged and overthrown.Typically the more extreme the distance between polar views of the society the higher the likelihood of collapse. This is also the point of maximally inequitable distribution of resources amongst the population. Western society is at such a point. It is almost always about the inability to service government debt usually due to exponential expansion or simply debt to gain or remain in power. Once the currency starts being devalued by printing money or as the Romans did putting less gold in the coins then confidence in the government drops. It is always the case. Roosevelt did it and Nixon did it. Currently 70-80% of government debt repayment goes to interest. Germany infact orchestrated the euro so it could have tarrif free trade as it is the major manufacturing nation in Europe. When countries ran out of money then Germany just leant more money to it's customers so they could continue buying their goods. Even though Greece was broke it lent so much money to the Athenians they had the largest number of Porsche SUVs in Europe. The European Central Bank is now broke . It cannot service bonds issued since 2014. Interest rates are stuck at zero or negative but instead of spending money citizens have simply taken money out of the banks and horded it. Pension funds which require an 8% annual return to break even are now also going bust. Western governments cannot and never intend to pay off their debt. Claus Schwabe of the World Economic Forum has been training and nudging heads of state for years with the idea of a Great Reset. 'build back better " is the phrase coming out of all heads of state lips from the global marketing firm Edleman. The idea is cancellation of government debt. Governments will default on debt. Bonds will not be honoured and pension funds will collapse. In order to stop riots all public debt will be cancelled so no mortgages or credit card debt. We will then all be put on a universal wage in this ultra Marxist regimen. However central control always fails as no one has the skills experience or vested interest in each enterprise and it's why Stalin after the crops failed in Russia stole the Ukrainian grain causing millions of deaths. Therefore covid which is easily proven to be a scam and the war in Ukraine which is clearly staged as the Americans via Kamala Harris purposefully broke the Bucharest agreement hence "triggering Putin" have been attempts to cause increasing global instability and hardship putting ever more people into debt so that people will be too weak and tired to resist a regimen change and only too ready to accept a solution. The Reason For Now.

Depression used to be the 5 th commonest cause of illness and death 25 years ago go and now it is the commonest we have not suddenly become genetically susceptible to clinical depression people are stressed and unhappy and are not designed for modern life The key element of stress is whether or not you have control if you have control you are not stressed if you're not in control you're stressed Stress via the hormone cortisol is the grim reaper and destroys mind and body. Although all of us experience stress it can become a longer term problem as in post-traumatic stress or prolonged duress stress disorder. However throughout life there are often many psychological blocks which are signs that you haven't been able to process your experiences fully and safely and can be associated with mild raises in cortisol. Notably two major studies one in 2020 and one in 2022 showed a very strong association between vitamin D3 deficiency and severity of covid illness. It's also notable that the levels of vitamin D3 in the west have fallen stratospherically over the last 20-30 years just as as depression has been rising and of course it's not depression it's stress and cortisol prevents absorption of vitamin D3. You can imagine the the extreme stress caused by lock down and mask wearing and all the unnecessary restrictive measures associated with coronavirus. Never in the history of the world has global lockdown ever been recommended and the office of National Statistics freedom information shows that there were only 6,120 deaths exclusively with covid on the death certificate. Therefore there is no pandemic and all emergency measures are illegal. Not only has stress over the last 25 years worsened vitamin D3 deficiency but the increased stress over the last 2 years will have been catastrophic for D3 levels as well as causing excessive inflammation and pathology within the body which will have made people even more vulnerable to viruses as well as increasing death from other causes. We discuss specific therapy and we also discuss what can be done to maintain a sense of control.

It is a great privilege to discuss with my mentee Alexi the lessons he has learnt over the last 20 years with me. Firstly we all need therapy because it gives us self awareness. The purest our minds will ever be is the moment we are borne and after therapy. We are sensitive recording instruments of everything we experience from the first breath we take and how we express that going forwards is largely determined by the chassis we layer these experiences onto -- our personality. Self awareness usually lies deep within the strata of psychological blocks and damage that we pick up from the moment we are born. The journey to self awareness depends on many things including internal motivation , external events and personality. No man is an island and such is the emotional unpredictable nature of humans that we need to be constantly guided with structure and rules and values. Alexi surmises what he has learnt and what is really important in life.

The 3 contributors discuss 2021 and whether our predictions came true , the why and the how. Lessons to learn, wisdom for the future or just croissants and coffee amongst friends

Freedom is one of those words that is used daily and the reason for many wars but as far as we can see there is no satisfactory definition of it. The dictionary definition of being free to do what you want (as long as you do no harm) is as Jordan Peterson puts it the 2 year old definition and precisely why 2 year olds need parental supervision. Yet modern society and materialism accelerated by social media has turned most of us into 2 year olds as our self obsession erodes other values of religion culture ethics etc. We are then controlled subconsciously and to the exclusion of all else by this. Modern freedom for you. Indeed the American War of Independence and the French Revolution some scholars say led to less freedom as well established minimally intrusive structures with long tradition were replaced by democracy and mob rule descending into political correctness and wokeness where everything you utter risks causing offence and being sanctioned. That is indeed a less free society. Ofcourse you can't be free in the first place if you don't know who you are. The hardest question and the most enlightening I ask my patients is to tell me who they are. Their identity. Excluding occupation. This rarely makes it into people's grave stones. Once you know your identity that is the start of power, and freedom is being able to function according to your identity in a functioning close family and community. Ofcourse modern society does its best to erode the latter but every single person when coached properly and who discovers their identity discover power and freedom. Thanks to Tahra who explained how wearing the Hijab gave her freedom by removing the expectations to live up to certain norms valued by modern society accelerated by social media and allowed her to focus on her core identity of being a loving mother wife carer housewife and designer.

Christina Costa gives a wonderful Ted Talk on the power of gratitude and how practice makes perfect. However indiscriminate positivity is neither self awareness or practical as plenty of research has shown. Furthermore gratitude in isolation implies passivity which as long as you are happy is not bad. But it also implies little control, just an acceptance and a hope that positive energy will help your lot. Of course most of what psychologists say are out of context nuggets taken from religion. We are hard wired to want to have faith as this calms the mind. The problem is we don't know what is suitable to have faith in. So gratitude and believing things will go well at least fits with human psychology. But faith in religion and gratitude in that faith is even more powerful because there is a whole network of belonging and rules and expectation and guidance versus isolated gratitude. Grateful faith in religion is indeed what we see as religious euphoria. Secondly fighting is good as long as you use the correct driver of which there are only 2. Fear of failure and motivation. So an imposed goal , a distant impossible to reach summit will fill you with fear and stress and even avoidance. A positive challenge especially where giving and collaboration with others is involved is not only infinitely more positive but it's good for you. It also allows you to enjoy the journey as much as is practical. Finally we discuss the power of pattern recognition and how this is showing increasingly clear patterns for the direction humanity is taking. Hello down there!

Humans are still evolutionary cavemen where reflex anxiety reduction was necessary for survival. In our concrete jungle there no predators for us to escape from and no basic survival needs to occupy us. We are prisoners of our need to reduce our innate anxiety most of which traps us with cycles of instant gratification and goal seeking.This reflex is reflected on a daily basis by scapegoating. Literally a safety valve for our psychological discomfort. Simply transferring our discomfort to an external object or person or group. At least it would be a safety valve if the consequences of that transference were not destructive. It took milenia to come up with religion and the concept of a scarifical lamb in the Old Testament and laterally Jesus Christ was a masterstroke. He would shoulder all your sins and imperfections and all you needed was faith which we have evolved to have. Of course religion can use scapegoating harmfully such as the Spanish Inquisition but the increasing erosion of religion has led to the human need to scapegoat becoming either unregulated or used as a tool of mass manipulation. This is one of the commonest reasons for wars starting, to divert the psychological distress of the population for economic woes onto the evil enemy. Now of course we are seeing this exemplified as covid idiots and covid heroes and non vacc and vaccinated and vaccine passports etc. Governments have rapidly worked out that with minimal effort of virtue signalling they can achieve mass compliance with hardly any scintilla of truth of virtue or integrity.

The human mind does anything to avoid or reduce anxiety. We have the ability to think of difficult questions but lack the intelligence to solve them. In order to achieve peace of mind we deal with this cognitive dissonance by making a best guess and as time passes we become ever more attached to our chosen view point and can even justify it. Thus the cognitive discomfort and anxiety associated with it is allayed as the mind equilibrates back into calmness , also known as peace of mind. Of course materialism and instant gratification which has exponentially risen over the last 50 years is the mortal enemy of peace of mind . For millennia the agony and responsibility and consequences of choosing and justifying a decision was unnecessary as our most important tool was Faith. Indeed philosophers will expound that we evolved with a God centre in our brains as there is an evolutionary advantage to a tribe having a common focus and source of reference , authority protection and solace. God (s). The problem is in man's false confidence and arrogance of science we have assumed we no longer need faith with the result that the world has descended ever more into chaos the first casualty being the power of identity. Bring this full circle back to modern society where humans floundering in a directionless turbulent sea of information and problems to solve desperately deal with the cognitive dissonance and plump for one side or the other. There is no logic in emotional anxiety reduction and therefore no sure truth. What there for sure is conflict between different groups as we have evolved to dislike and fear those different to us. Our modern society reflects this in ever more destructive and it has to be said inventive and nonsensical ways.

Diplomacy is a skill that often takes years to teach. It is carefully crafted communication respecting the rules of the recipient. Diplomats get sent in to smooth feathers ruffled by politicians most of whom especially in the current UK government seem to care little for truth or integrity or harmony. Diplomacy is the art of making the other people feel understood and empathised with and collaborated with sprinkled with appropriate humour which is a trait unique to humans as opposed to our ape cousins. Leaders need to have diplomatic skills in addition to their specialist team behind them. It is a reflection of the disintegration of society that most modern leaders being entirely self serving care nothing about diplomacy. An example being #boris Johnson and #dominic Cummings. If you are not liked your days are numbered. Interestingly Boris Johnson got elected as he was liked and used humour. Unfortunately his true colours camouflaged by pandemic hysteria are slowly emerging.Thanks to Alexis Ferraris who recorded Read Between the Lines with The Reason For Nowhttps://open.spotify.com/episode/2ErMKVoHC7uFnTrpJftCNz?si=hr6bSW5MRQuRZnhUcKDXNQ&dl_branch=1

Every society has had some for religion at its core and Monarchy or dictatorship. Democracy has destroyed every society it has taken root in. God is "the word". Truth. There is nothing more powerful than truth. Logic. Hell is unregulated human emotion. Greed. Ecstasy. But the more pleasure you seek the more depressed you get because pleasure dopamine reduces peace of mind serotonin. Heaven is high serotonin and peace of mind while ecstasy in the form of ultimate pleasure is segregated to the next life. Ladies and gentlemen, make your choice. Or rather don't. Because he can't be relied upon to make the right choice. We need leadership and we already know what works.

Be inspired by Tahra who bravely and kindly narrates her story for us as part of her own therapy. We identify trauma and self esteem factors, different types of coping styles, self blame and ADHD symptoms but most importantly a happy ending. She continues to be the writer of her own story.

Mental Health in lock-down is actually an acceleration of the decline over the last 20-30 years. The Royal College of Psychiatry raised a sentinel flag that something was up with their defeat depression campaign in the 1990s. Since then even up to 2 years ago there are papers published in the Lancet saying that depression continues to be a major epidemic and that doctors should be prescribing more antidepressants. They have missed the point. It is not depression it is the fact we are all becoming more unhappy stressed and anxious. The reason is that we are unsuited to modern life and because of the destabilising and toxic effect of social media. Make no mistake . Herd behaviour is almost always bad. At its simplest level it is seen in riots or mob lynchings. You hardly ever see a crowd driven act of charity or of goodness because that does not rally emotion. Emotion is most effectively triggered by fear. Gossip focused on shock value not on praise. We are therefore a product of our times in every way. For instance we blame the media for mis-informing us but they are simply self serving. If reporting fairly and accurately on events was what the masses wanted that is what they would do. The masses want entertainment. Look at the Roman Colosseums with gladiators and wild animals or Spanish bull fighting. The media just feed the mass public emotional appetite. Unfortunately technology exponentially accelerates that making something globally viral in seconds. So we get a toxic monster feeding on itself and growing with no stop button of which the latest manifestation is corona hysteria which subjugates democratically elected governments who appease the beast Modern democracy is nothing but avoidance of responsibility and seeking of credit. Thus 18 months ago the British government responded to Corona virus using 40 years of WHO planning and protocol and dropped it quicker than you can bat an eyelid in the face of the growing monster of social media driven toxic public narrative which then feeds on itself approving that which fits in with it and rejecting anything which does not. At its most simple it is how cavemen survived but this is exactly why humans need clear leadership and identity to maintain order and harmony and stop emotion driven chaos from running amok. How do we reach a stage where at one point it was legal to play tennis with your wife but not to have sex with your wife according to official guidelines or to be told go on holiday as long as you have been double jabbed but there is the possibility that while you have perfectly complied and are away that everything can be reversed and you cannot enter your own country without paying £1600 to stay is a substandard quarantine hotel . In more sensible days this would be called prison. We also give notice that vaccines according to the WHO definition of a pandemic are now illegal as they are experimental and since the WHO has recommended PCR amplification cycles be dropped from 34 to 25 then there has never been a pandemic because you would never have found the cases with the testing. This means that every single vaccine death is negligent homicide let alone the young people suffering from long term side effects. We need identity and leadership and that is not by democracy any longer. In the absence of that we are heading to chaos and riots and long term recession. A conspiracy with ostensibly some kind of plan would be preferable.

We are a failing civilisation, we are on the plateau of the sine wave that defines the progress of most entities which develop grow and fail. So far we have followed it to the letter. Slow start, then sudden exponential growth followed by a plateau which is where we are now followed by precipitous fall. The driving force and inspiration for the ascent of man is indeed God and it is the lack of God which has started our down-fall. Humans are tribal and religion is a transcontinental tribe joining the masses in relative peace and collaboration as well as compliance which means its power can be used for good or bad . Either way never has a Western society beaten a religious society in combat. You cannot beat dogma with bombs. The irony is that what does beat religion is its own success. The industrial revolution and unregulated capitalism. As people become more self obsessed and inward looking they are distracted from their own values from culture morals ethics religion. Materialism atomises structure and with that identity. Hence the rise of the rights of the individual. The paradigm of virtue at first glance. Not at the cost of the integrity of society. Democracy is a relatively recent example of this. Simply put: rule of the rabble. It has destroyed every society that it has been allowed to take root in starting in ancient Athens which was finished off in short order. The exponentially developing catastrophe now is a rise of public opinion bastardised by social media. Democratically elected governments are simply PR election machines. Nothing more or less. Governments have therefore been withdrawing further and further away from the electorate via decentralisation and becoming increasingly policy driven in order to avoid responsibility while at the same time taking any credit. One of the many problems of social media is that fake news travels 6 times faster than true news which by repetition becomes public opinion. So false toxic narrative becomes the official public narrative which the government then respond to. Right now of course that includes unelected public health officials most of whom as mediocre because which doctor who is any good at all would become an administrator and therefore by definition this is their ticket to significance. The two drivers to government policy are therefore mediocre people justifying their significance and toxic fake public opinion. Political correctness and wokeness is exceptionally easy to apply. It is something virtuous which costs you nothing to stand behind but that is not virtue -by defintion- it is virtue signalling which is a badge of hierarchy especially if you are comfortable doing it. Those therefore deciding and implementing public policy are the elite sitting in their comfortable offices and homes driven by self servingly mediocre advisors and toxic public opinion as the rest of the country are plunged down a rabbit hole of chaos and destruction of society and careers and families and the health of children. Vaccinate a child anyone? The government will unless we stop them.

Imperial College with the best minds in the world came up with two models about lock-down , applied one to UK data and the other to US data. The UK model shows lock-down saved 3 million lives -and published it in Nature and the US model shows it has no effect. If you apply the model sent to the US to the UK data you also are left with the result that lock-down does not work. But it is the the original UK model which was published in Nature. Of course if Nature knew this then they are complicit with Imperial college in fraud or at least failure to disclose all the results.We touch on the fact that although you are 10 times more likely to go to A+E with covid if you are not double vaccinated , once you get there you are 5 times more likely to die if you have have been double vaccinated. There is also data that shows that in the UK and US the average life span has dropped by 2-3 years in the last year. However since the average age of a covid death is more than the average life span then the drop in life span has not been due to COVID. ie lockdown and vaccines have been killing us possibly. The causative agent in the Astra Zeneca clots has been found to the chimpanzee adenovirus vector. One company is fixing this at the moment. So what about all the embolus deaths? Greater good the government cries. We say : Who are you to decide you lives and who dies? We suggest it is not your place to play God and that you have murdered through negligence and self interest those people. Furthermore with an Absolute Risk Reduction of 1% the vaccines do not work in any case. We conclude that the Crononavirus nonsense over the last year is a severe symptom of political correctness which is a champion for the mediocre , a clarion cry for the mediocre to rise and cause division and discontent and suppress those more capable from doing better. Meanwhile Mat Hancock the ex Health Minister has been allowed to resign for having an affair with a married woman whom he chose to work for him at the tax payers expense while he is also married with two children who have had to watch the video of him pawing the lady's glutes on television while ordering everyone else to socially distance and not hug. Yet in the same breath members of the public are fined £10000 for having coffee together or threatened with 10 year jail terms for breaking quarantine. Not only does the mind boggle but we ourselves are being used as an excuse. In case corona by some long shot actually gets out of hand the government can absolve themselves and say that they did everything they could to protect us but we weren't having it.Of course this is the result of democracy which at its best is rule of the rabble but in reality also has media and social media misinforming everyone. How can anyone with a vested interest to win an election and who has to make themselves likeable enough to be voted for be qualified to actually lead? Most true leaders are groomed and tutored from an early age. Otherwise we get the nonsense of 3 years of Brexit chaos and now covid.We finally sooth the fevered brow of our audience with the two of the most powerful questions you can ask yourself to improve your life:What is the reality now ? (not what do I want it to be or what do I worry it could be )Is what I am doing now or about to do now making me weaker ?From the murky swirling rainbow colour waters of our illusionary goals and social media lives will emerge crystal clear self awareness and the opportunity for control and responsibility. Is it a crazy idea to expect less?

We humbly ask you our audience to decide for yourselves whether practice is finally living up to the the old maim or at least heading that way with our latest podcast. As far as corona virus and vaccines are concerned we speak pure science and statistics although we do indulge in carefully weighted opinion of those who should be leading us and protecting our interests. Why is it then that the action of merely typing this last sentence suffused me with a disconcerting sense of cognitive dissonance? We discuss the health or rather illness and disease fallouts of lockdown and not only shutting down the health service as we know it but also the gatekeepers to the health service i.e. GPs. Even now the British Medical Association is resisting a return by GPs to their own practices. By really telling the truth of the complete chaos and error in clinical judgment which characterises most of the global response to corona virus enabled by the desperate avoidance of responsibility by elected politicians we can remove all hope of a speedy resolution which at least will stop this abusive grooming of the population and hand back a sense of control. We suggest this may instead be an opportunity to deal with reality rather than our normal lives of illusionary fantasy and unrealistic aspirations . Let us switch off from media especially social media and interact and focus purely on our families and close friends. All studies on longevity and happiness have daily human contact especially with family and close friends as the number one criterion.

Week 60 of flattening the curve... vaccines? Have 2 but still wear masks and restrict travel and pay £500 for PCR tests. Would you have believed this a year ago? Now a pharmaceutical company have come up with a fix for the clots caused by Astra Zeneca vaccine which has killed more young people than corona virus. Of course if the vaccines had been developed properly in the first place this would not have occurred. Negligent homicide? You decide. more ugly truths are bubbling to the surface about the vaccines despite the best efforts of social media blockade. Quote: We thought the Spike protein was a good candidate to focus on with the vaccine as it is the mechanism by which it enters the cells but now we realise it is highly toxic as well including HIV sequences which may let it through the blood brain barrier and Prion sequences i.e. Mad Cow Disease aka spongiform encephalopathy. This ladies and gentlemen is what you are being injected with and now the government wants to start giving it to our children. Decades of research have shown that viruses as seasonal albeit with poorly understood triggers so the idea of a summer wave is just not true. What is true is that this is the thin end of the wedge and what was luxury 50 years ago and came to be taken for granted such as freedom of movement and cheap travel is no longer the case. What is frightening is the ineptitude and false narrative at every turn with the monster of generated public opinion ready to whip power hungry self serving politicians for either being too restrictive or not restrictive enough. And since false news is far more profitable than the truth the pendulum will always come heavily down on requiring ever worsening and complicated restrictions. We are now in an endless media generated corona soap where every episode snuffs out any glimmer of hope with another impending catastrophe. The idea of a global reset is beginning to make more sense not by politicians but by the global financial elite with mounting evidence that certain measures were being put in place before corona became in issue. The trouble with that is that global financial elite are often either narcissist Aspergers or psychopaths who by definition have little understanding of the human condition apart form how to exploit it for their own benefit and that within a narrow sphere. We will only mention Dominic Cummins en passant who is exactly a narcissist Aspergers and as such may be brutally effective in certain urgent situations but who has no self awareness or understanding of how to play the long game. At least the charming psychopath Boris Johnson has worked out how to be liked which is one of the two requirements to stay in power. How for instance can DC utter the phrase to the parliamentary select committee : what system is it that gives a choice between Boris Johnson and Jeremy Corbyn? He was the former's chief advisor. Instantly branding himself an unprincipled hypcrite. Furthermore what was the point of him who has worked in politics telling a group of politicians that the politicians he worked for are self serving disorganised liars when everyone knows that all politicians are like that. Is there no truth out there? Perhaps Green Initiatives and electric cars? Think again. All current green initiatives are either too inefficient or more toxic for the environment than petrol or nuclear power. The end of V8 petrol cars? Jeremy Clarkson would turn in the Top Gear grave.

The secret of power in a democracy but is it good for us? What does this mean? Surely power to the people is a good thing? Really? In reality the more power to the people the more Marxist we become , the more politically correct and woke and the more homogeneous all groups have to become with any expression of difference especially one of advantage attacked with savage sanctimoniousnous usually by people who without the artificial mantle of authority would not even reach the lowest rung of the Richter scale of significance. And there is the problem. Power to the people is power to the rabble which is chaos and the rise by definition of those who wield the tools of authority with the most violence as people respond mostly to fear and it is either the most ambitious or the most resentful who will do this. The really thoughtful and considered people will not find natural inspiration in this and will revert to a position of defence rather than offence unless of extreme means and backed into a corner. Instead they will focus on their family leaving society to whirl further down the rabbit whole of self destruction.Case in point is the labour party. Sir Kier Starmer is a QC and a sad example of a significant majority of judges. ie no personality or common sense or ability to understand the human element and at best applying the rules in a dry binary fashion. Of course there are occasions when this can be necessary and helpful but often it just leads to miscarriages of justice as they are swayed by the oratory skills of the competing barristers who seek to persuade the judge or jury in their favour. No wonder the average solicitor shudders at the thought of personally going to any court room.As a politician he has no significant experience of being elected and has no idea how to appeal to the electorate. On the other hand Boris Johnson has personality , is likeable in a relatable mischievous fashion (even though he is self serving psychopath) which especially in difficult times people are warmed by, will unhesitatingly do whatever he thinks the electorate will like such as lockdowns, vaccines, travel curbs, PCR tests with all sorts of impressive names such as surge testing, sign up the UK to outlandishly restrictive green energy goals despite the fact that any contribution the UK makes is swamped a thousand fold by the damage from India China and soon Africa. He has managed to create a party to please everyone which of course in terms of anything useful and constructive is quite the opposite as the average person has no idea what is good for them and why the Nobel Prize winning psychologist Professor Malcom Thaler concluded that humans need to be ruled by libertarian paternalism. We also conclude that conspiracy theory or not ,and it is increasingly looking like the former ,that humanity will never return to normal and that this is as we have said for months the thin end of the wedge. What we now take for granted and was a luxury 50 years ago such as travel and multiple car ownership will return to the upper shelf of luxury as way of preserving the planets dwindling resources. Is this necessarily a bad thing? Families will no longer be split up by joyful travelling abroad to university, people will focus on their communities and get to know their own country and National Identity and pride will increase. Hopefully Harry and Meghan will be relegated to faint memories as casualties of excess wokeness and abandonment of duty for self service Duty is not universal it is specific.

We are all brain-washed from an early age into thinking that sacrifice now allows you to scale the peaks of enlightened contentment at some point in the distant future. And it is this sense of virtuosity that keeps on driving us through stress and loneliness robbing us of any sense of self awareness with the result that our idealised destination always stays a tantalising figment of one's imagination as we slowly become more bitter and twisted and consumed by anger and self pity.The immediate response of the masses is instant gratification without any thought about the future which is equally if not more destructive as it usually means future generations will pay the price of those short lived pleasures. The key is to stay in control of one's vices so one can enjoy them without being controlled by them. Nothing we do should make us miserable and if uncompromising effort is ever required then it needs to come out of choice within a clear plan towards enjoyment within the foreseeable future. This explains the finding that people who live a life of vice have less regrets at the end of their lives than those who live a life of virtue. Take note therefore during this illusionary pandemic where the goals posts have been moved constantly further away. Where there is no clear logic there is no clear endpoint. We are being groomed for misery.Recent documentaries about Green Energy and the scandal of world over-fishing are stark warnings that we are already over capacity and about the finish reserves of food and water we cannot replace but coercing us through fear and lies into misery is not the answer.

For the first time in history a single idea can spin round the globe in seconds and form part of a global narrative. Unfortunately the fertility of the ground for each seed of an idea is inversely related to its veracity such that lies travel 6 times faster than the truth mainly because lies are more shocking than truth. This explains why the British accept catastrophic changes to their liberties in the name of an cold virus yet rise up en mass about the European Super League.Vested interest causes is a slave of global narrative in democracies let alone the lesser yet still significant vested interest of maintaining a quiet home life with respect to our leaders appeasing their partners should they have a pressing opinion on an issue. What is concerning also is that the government has demonstrated that what is needed for leadership is a dictatorial style of leadership unfortunately what matters is who is wielding the power and how. Right now we are all in peril.

We discuss the evidence for lock-downs causing 3rd waves and more virulent and transmissible variants which will cause an endless feedback loop of need for vaccines. We also mention that fact that all corona vaccines have been released with a temporary 1 year license pending submissions of more data. We are all part of a global experiment. There are now an army of 10000 people who's sole purpose it is to check up on whether normal adults are sticking to quarantine. Why not more police officers on the street to catch real criminals? Or training more ITU nurses to do something useful? Now consider the cost of all of this which the government are magnanimously rushing to cover. By printing money. Which will devalue the money on your pocket. We are all paying for this nonsense sooner than you think. We also touch on how lock-down and mask wearing is worsening the mental and physical health of the nation specifically in the way that is favoured by corona virus. In other words lock-down is producing more vulnerable people resulting in another never ending feedback cycle for viral panic. Why have some countries remained untouched in terms of excess mortality such as Norway and Cyprus? Why have other countries with no lock-down fared no worse than countries with strict lock-down eg Sweden, Florida , South Dakota (states). Clearly not because of the presence or absence of lock-down. Indeed parents and their children in packed playgrounds may as well never have heard of corona virus in the total absence of the the grim reaper scything his way through the roundabouts and swings.Why do Nobel Prize winning Professors take a diametrically opposite view to government scientists clearly driven by global narrative?This is a matter for decades of legal wrangling. Suffice to say we have been broadly correct with the simple application of medical and psychological knowledge and commons sense from the start. If we can do it why can't people payed to.... or maybe thats the point.

Nothing much needs to be said about President Biden and his sheer lack of activity and any kind of substance. Clearly making way for Camalla Harris to take over. The only elected official to refuse to salute the military. Good luck to you America. Trump is not looking so bad after all and he probably won the election in reality. We also examine the rights of individuals versus that of society and free speech. None of this functions without clear leadership and structure . Social media which for the first time in human history can form a global narrative within seconds has become an unregulated monster fostering fake news and outrage which elected politicians serve in a responsibility avoiding panic. The problem is that holding the rights of the individual as paramount with no leadership and structure as relevant to a functioning society is simply individualism and materialism whereas we are in fact tribal and this is what has brought us political correctness and total loss of national identity and lack of leadership other than toxic fake news social media driven global narrative. Good luck Western World.

Misoginy is becoming a hate crime . However by omission then not including misandry (hate of men) is discriminatory and therefore illegal. In theory.Of course this simply gives women an excuse to be week and for the toxic elements to be offended and make complaints that occupy an already stretched police force. No reasonable person disputes that hate of men or women is bad. A law enabling toxicity will simply drive away good men and further fracture society. Indeed this is part of the vicious cycle of a society disintegrating with the Marxist political correctness which itself is a sign of lack of clear leadership.We discuss how global narrative in a democratic society now marked by vested interest at every level is now the world's most powerful force. Politicians are voted into power and stay in power as servants of global narrative indeed the only leader to stand out from this was Donald Trump who just did not care until Twitter took the responsibility upon themselves of banning the US President. Not seeking to influence world politics at all then. We conclude that everyone needs to start taking responsibility at the most basic level if our leaders are not. This includes neither man nor woman walking down dark alley ways at night or wearing provocative clothing in environments where drugs and alcohol are rife while taking no precautions. Whatever the situation the simple nature of humans is that females are gatekeepers and men and hunters. Both have to play their role responsibly and respectfully. The number one coaching rule is people will do to you what you let them. This is why most women are killed by people they know. Not by strangers. It is why friends are the most likely to let you down instead of strangers. So lets recognise human nature as well as trust it.

This podcast is about two things: authenticity and what you do with it. Put simply not only do you have to be authentic (and we posit that is Meghan Markle's deficiency) but if you are in a position of responsibility then authenticity comes with an understanding of your duty within that role. (Piers Morgans' deficiency) Pure authenticity aka personal agenda within a position of power then becomes abuse of power. A society that encourages that aka rating figures is a confused lost one with lack of leadership.

This is an easy answer. Science is surgically narrow in its focus because it has to be exact. Therefore it is up to the leaders of the country to ask the correct questions for answer by the the correct scientists and indeed to consult different experts on the correct questions to answer. So far we have had a tight group of technocrats with computer models running rough shod over the economy and mental and physical health of the country with self serving politicians anxious to avoid responsibility hiding behind them. Simply asking an obscure professor who is finally being given brief significance whether we can hope to control a sub-type of the common cold virus which science has never found a solution to after decades is going to result in only the obvious answer and the farce is that government policy gets based on that. The question itself shows a lack of grasp of common sense and scientific knowledge and the answer shows a lack of care of the consequences of not pointing out that the question is the wrong to be asking in this specific situation.The problem is democracy is of course the self serving need to win power rather than serving the community while at the same time having little hope of achieving anything. Dictatorships or indeed any organisation such as the military with clear structure hierarchy and leadership are far more efficient and effective but of course are liable to misuse. It is notable that the government is having to be far more dictatorial to push through nonsense measures and the only reason why the vaccine roll out has gone well is because it was tasked to the military. We breath a sigh of relief that Chris Whitty and Patrick Vallance as not army colonels . They have done enough damage already.

We discuss why more people are finding this 3rd lock-down harder to cope with than those that have come before. We also explain that acting out of fear is no excuse for a complete loss of objectivity and professionalism. How would you feel if your elderly father spent the last year of his life in a care home with no contact with his family and died with nobody by his side? Its not difficult to know the decision he would have made. Live for a year in solitary confinement at the most vulnerable stage of your life or see your loving family and risk dying from flu after a few weeks. Go take it up with the government. Legally.

We discuss why people snitch on their neighbours and of course it is all about empowerment and the ability to exert your position in the social hierarchy. The brutality with which you will do that is predicated by your own sense of inferiority and therefore chip on your shoulder once given that power over others. We also discuss social media and how it is culpable for the rising trend in depression and suicide and indeed the false global narrative of corona virus which in reality is a subtype of the common cold with a mortality in the under 70s less than influenza. Lock-down an entire country for that? Destroy lives and livelihoods? Allow people to die of cancer? Not in your right mind. However brainwash with fear over social and commerical media and disappear down the rabbit hole of cognitive dissonance and any nonsense is possible. That is the problem. The common attribute of social media giants and Meghan Markle is ofcourse arrogance is disrespect. That they think they are above the law or above the constitution which they are already part of or joining and that they can follow their own self serving interests in a position where self imposed duty and responsibility are paramount yet flagrantly ignored.

We discuss Euromommo data of excess mortality and how it differs drastically between different European countries and ask the question whether the virus understands the concept of borders and passport control or whether there are other causes for the differences we see.

There is no doubt people have been dying over the last year and that most of these deaths have been labelled as corona with a corresponding drop in other cause mortality. However in many countries excess mortality has not exceeded some previous years. Indeed some European countries have seen flat mortality curves. Additionally we know that corona deaths are not necessarily due to corona but just people dying while at the same time testing positive for corona which would explain the drop in other cause mortality ie it is being mislabelled as corona. We also know the PCR test is not fit for purpose and the WHO has even changed its narrative about the usefulness of the PCR test and advised caution in interpreting positive test results. We know autopsies in the first wave have failed in most cases to identify corona as the main cause of death. We know lock-down can at the very best have a tiny effect of reducing corona mortality and will probably make it worse as it delays herd immunity and encourages more lethal strains by interfering with natural viral propagation and life cycle. We know it is natural for viruses to mutate , in fact corona does it less than influenza and that mutations are less lethal and more infectious so they can continue spreading. Therefore panic about new strains and hand wringing at not achieving 90% effectiveness with shiny new vaccines does not even qualify as a bad joke. It would not even make into a medical student Christmas play yet it gets centre stage in global media and useless government policy. What is certain is that the failure of leadership and to protect the integrity of the national economy and sense of security and control over ones present and future is causing irreparable harm to the nations mental and physical health and creating a mass of learned helplessness. Indeed it is a proven way of subjugating the masses and keeping them that way. Almost every single aspect of mental and physical health is worsened by lock-down and the corresponding uncertainty and changing conflicting government advice. We suspect that already recent mortality figures have been inflated by already rising non corona casualties labelled as corona and or people weakened so severely by mental stress and physical illness that they become susceptible to influenza and or corona. Months of lock-down and takeaways will severely affect vitamin D status and metabolic health for instance. Professor Karol Sikora estimated from the first lock-down that there were going to be 40,000 extra cancer deaths and that by the end of the year that would rise to 60,000. And that was without 2nd and 3rd lock-downs. The idiocy beggars belief. One Canadian Professor initially pro lock-down estimated recently that lock-down would result in 10 x more deaths than it would prevent. The one sure scientific fact is that metabolic status and Vitamin D3 status is critical in preventing influenza and corona deaths and is much worse in people of Asian origin who have typically much lower D3. Interestingly following a string of early deaths amongst healthcare workers from corona who were almost all of Asian origin there have been hardly any more deaths as doctors are mostly taking Vitamin D3 now.Our advice when asked how we would help people improve their mental and physical health is to address the cause and not the symptoms . Lobby against lock-down. Use your brains and fight against toxic narrative and self serving responsibility avoidance of politicians none of whom is on furlough or had a salary reduction yet who like most dictators know that when they lose power the ghost if christmas past and present will be upon them.

The facts are as follows: Corona Virus has never scientifically been proven to cause any disease at all. Koch's postulates globally accepted for decades as being the pre requisite have never been fulfilled. The PCR test has never been shown to formally identify corona virus rather just a protein sequence found on it but which could equally be found elsewhere. A study in October of 1500 positive PCR tests was unable to isolate a single corona virus and instead they were all positive for Influenza A or B. The inference being that since excess mortality is not above the seasonal norm that people are dying as usual of influenza and not corona. The next point is that there is a vastly different mortality rate between neighbouring European countries and assuming viruses are not geographically aware then the only difference is the medical treatments which during the first wave included putting 80 year olds on ventilators and blowing their lungs apart and or putting them on huge doses of hydroxycholoroquine or dexamethasone ie a large proportion of deaths were due to treatment not any virus. We also now know that in the UK the point prevalence of infection right now as defined by testing is between 1 in 30 -50. Assuming a two week infection this means that any form of physical isolation is ludicrous. It's already spread. It also makes a vaccine useless unless one is comorbid. Instead a far more sensible approach is to address population health such as Vitamin D status and diabetic status. For instance Vitamin D is the main predictive factor for whether you get corona or influenza and if so how severely you get it. Also according to the Kraft test 70% of the Western World is pre-diabetic which in turn is the biggest risk factor for cardiovascular disease which is the the single biggest co morbid risk factor for corona. The biggest killers in the western world is stress and depression which will be severely worsened by lock-down and diet causing diabetes.The government's response? Lock-down us all down destroy business and allow take-aways.Boris Johnson is clearly unfit to have any kind of leadership role. He has a concentration and impulsivity problem and cannot focus on anything he is not interested in. His main interests are power, women and the classics. He can therefore write books about ancient Greek but he is known not to be a man of detail when it comes to every day politics. His idea of following the science is meaningless if he does not know which advice to seek ie doctors who specialise in viruses and infectious disease absent in the government advisory group instead run by academics and government funded Professors effectively administrators. The key medical dictum of 'do no harm' has failed miserably when increasing research shows that lock-down is likely to kill 10x more people than it saves. Furthermore when Sage in an effort to avoid responsibility told the parliamentary select committee that their job was to advise about the virus and not the wider effects of lock-down there is an instant break in logic and ethics. You cannot recommend a treatment without explaining the side effects otherwise you do not have informed consent. It is illegal.The other side of the pond is not fairing any better. They have a new President who at one point could not remember his grand-daughter's name and who looks frail. With age comes huge experience and wisdom but it needs the strength clarity of mind and stamina to apply it. Instead we have a frail president with a vice president who was the youngest female district attorney and who focused on viciously dealing with cannabis users despite having admitted to having used it herself. Lawyers by definition are adversarial and disagreeable and she rose to the top. We therefore have a frail president and a power hungry disagreeable VP. Watch this space.

There are multiple reasons why there is global hysteria over a common cold virus which the CDC states has a mortality under the age of 70 less than influenza. One possible one is media hysteria and social media hysteria forming an exploding narrative. This is then the popular belief through repetition by authority figures and anything else that differs even the truth is seen as bad and potentially dangerous and needing to be suppressed. The passage of time across the centuries is littered with martyrs many of whom are now posthumously revered. The research is clear that fake news travels 6 times faster and deeper than the truth across social media as it usually triggers more negative emotion and is therefore considered more exciting and newsworthy. Research also shows that people are not only terrible at making choices that are good for them but they also don't know why they make said choices to the extent that 75% of people in experiments will even go on to justify a choice they never even made. Religion used to be the tool of population control for good or bad. Now it is an imaginary predator spread through global computer networks regulated by algorithms and socially impaired CEOs. In some ways a conspiracy theory would be preferable as that would imply a degree of intent organisation and direction rather than an orgy or chaos and self destruction. The trouble is if it is not a conspiracy , if there is no agenda, there is no 'off ' button until the substrate of the chemical reaction is spent, and that ladies and gentlemen is us.

Everyone be very afraid as your civil liberties are eroded quicker than you could have possibly imagined due to lies and society and the way of life as we know it is destroyed. Forget Brexit deals there will be no economies to worry about. Maybe thats why an extension to the Brexit deadline was never asked for because in reality it was irrelevant.The following are facts that can easily be looked up on peer reviewed journals or official government websites yet hardly any of us do as we believe the media and our trustworthy politicians who never lie. Independent autopsies of people who apparently died of Corona virus in April/May have revealed that less than 10% actually had corona and that the vast majority had other illnesses and were above the average life span. ie above 81.5 years.SAGE did not have a single virologist or infections disease specialist and Nial Ferguson is a theoretical physicist (or the like) who just uses computer models of which every single one has produced over estimations of risks in the past often by several multiples.Key errors in their modelling include that they assumed that corona virus was novel and that there was no community immunity and they took as unchallenged preliminary mortality data from China which has since been found to be off by at least a factor of 10. Based on this they came up with a potential mortality of 500,000. If this had been true then it would have been as virulent as Spanish Flu which killed more people than World War 1. Clearly this is not the case. Then when barely 1/10 of the feared mortality occurred they both credited it to lock-down even though the mortality curve was reducing BEFORE the lock-down and also worried that the rest of the population was still susceptible and therefore at risk of another 460,000 casualties after lockdown was over so they rushed around doing antibody tests and did not find any community antibodies. This was the wrong test to do as Corona immunity is T Cell mediated and therefore many infections do not result in antibody production. We now know there is a 40-50% pre existing community immunity from cross reactivity with other corona viruses and Corona itself had been present since at least October 2019 (from water samples) spreading around unhindered. Therefore it is reasonable to assume that a large amount of the UK population have already been exposed to and infected by Corona. Estimates vary between 5-15% bearing in mind herd immunity requires 60-65% to have immunity. After all that is the purpose of a vaccine. Google mobility data showed that half way through the first lock-down people stopped complying in ever greater numbers yet mortality continued to drop. The operational false positive rate of the PCR test is unknown. Matt Hancock even lied on a radio interview saying it was 1% when in reality he does not know. Even if that were true a false positive rate of 1% over hundreds of thousands of people would account the majority of supposed corona virus infections now. The army even went into schools in Liverpool and tested children without parental consent. Right now there is an apparent spike of corona virus infections but mortality is dropping and all cause mortality is within seasonal norms BUT other cause mortality is dropping. So overall death is normal but corona is up and other cause is down. That is because other causes are being missed and mis-labelled as corona virus. Additionally once someone is labelled corona virus the delay caused in that process makes it too late to test for influenza. Now experts such as Mike Yeadon are being gas-lighted and discredited with this false positive pseudo epidemic as he said the Corona virus epidemic -such as it was- was over. It is.CDC data show that mortality in the under 70s is the same as influenza. Would people accept a lock-down that ruins lives , businesses and communities if they had known the true mortality is the same as the flu? ie 0.1 %? Indeed there were similar of bigger spikes of mortality from respiratory infections in several previous years including 2001 and the late 60s. In the latter Hong Kong Flu killed 80,000 people in the UK yet society carried on as normal. Now we have an new strain of Corona which is being used as an excuse to justify more lock-down. This is irrelevant. Viruses mutate all the time , in fact Corona less than Influenza and this is part of their survival mechanism . Once they kill the vulnerable everyone else is resistant so they cannot spread unless they stop killing people ie become less lethal and more infectious. Indeed the last case of Spanish Flu was recorded in 1957 yet it was decades since anyone worried about it.The break with logic and reality by the government is highly concerning. It may or may not be coincidence but a pandemic operation plan by the Rothschild Foundation in 2012 and a 1956 Totalitarian regime for subjugation of the population are almost step for step what the government have been doing to us. They are even using a psych ops group to try and frighten us. The coined the term 'kill your granny.' Think there is an end in sight? The probability based on increasingly hysterical claims and subjugation by the government suggest otherwise. Is this incompetence combined with the democratically elected politicians quest to avoid any sort of responsibility? Who knows? Why is Bill Gaites who is clever enough to know this is mostly nonsense pushing masks and vaccines?Leadership is about a clear vision and direction and how to get there. What the government are showing us is abusive chaos and destruction of lives and community and business . Will people tolerate this? The fact is that people are more easily fooled than persuaded that they have been fooled as Mark Twain put it and we are hard wired to respond to authority. We always commend to people the Socratic principle in the preface of many legal text books that the law has to be followed even if some laws are silly otherwise there would be chaos. However in this unique instance we are on the precipice of a change in life as we know it and we encourage people to think for themselves , do the research and stand up for their rights to freedom hard won only a century ago. This means active resistance rather than numb compliance. Otherwise the vast majority of man kind will find themselves hurtling backwards in a dream like state to surfdom to the few elite ruling class with our bodily functions controlled and harvested as we will have nothing else to offer.

Current publicly available Office of National Statistics Data of excess mortality including Corona show where there was a late or no lock-down around the world there were high initial peaks of excess mortality but now there are only seasonally normal rises in respiratory infections and deaths. In areas where there was strict lock-down or there was geographical isolation there was a low or no initial peak and now there are larger peaks relative to the previous group showing that they are in catch up and that once the virus has passed through we are seeing herd immunity. In fact in the US data shows that even now in California which had strict lock-down compared to Florida or New York with no and late lock-downs respectively although it is now having a moderately high peak there were higher peaks in 2017 and 2018 but nobody batted an eyelid. This is repeated in many other countries. Corona virus is larger than influenza and does not mutate as much making a vaccine even less necessary once it has passed through a population and there is a relatively high risk compared to influenza of Antibody Dependent Enhancement of Corona virus infection ie cross reactivity between parts of the virus and parts of the human body which may cause autoimmune disease as discussed in an article in Nature June 2020. We also ask why we are using a PCR test with a known high false positive in the community and a long lead time of up to 72 hr whereas the lateral flow antibody test is immediate and although slightly less sensitive can always be repeated 12 hrs later to confirm a negative test. Surely that is a more efficient way of getting an economy going. We also ask why international travel is being limited when corona is a pandemic ie all countries have it. You could not make this up.Brexit is heading towards an administrative disaster as preparations are in the nascent stages which at least is consistent with 3 years of chaos and squabbling which is the result of modern democracy ie self serving politicians subservient to the media which control the masses by repeat carpet bombing of whatever story line will sell the most. Therefore we have chaos destruction of common-sense and values that have created modern society ie culture, religious , moral, ethical which is business as normal for a modern materialistic democracy of instant gratification and rule of the rabble. It finished off its birth place Ancient Athens in short order and its doing the same now. What is to become of us? Drones of artificial intelligence algorithms weaving us an imaginary world of pleasure but not being human they wont realise it is not pleasure we seek but contentment . Not ecstasy but peace of mind. How to attain that for ourselves? Watch this space. In the meantime don't worry about Corona, respect other people's anxieties abide by the letter of the law and treasure your close family and friends over Christmas . We will back on the 9th January.

Corona update:The rate of acceleration of corona deaths was slowing and flattening BEFORE the first lock down. Google mobility data show that as people stopped adhering to lock down and after it was lifted death rate fell exponentially opposite to the rise in mobility. In fact no human behaviour has affected the incidence of corona virus apart from a small increase when mask wearing became law in June. We now know corona is less lethal than influenza in the under 70s. Also it is not that infectious. Infections within the same household run at 50%. The rise in mortality now is in line with seasonal rise in respiratory infections in fact this exactly mirrors a small dip in other cause mortality such as flu suggesting that at least some corona deaths are mis-attributed. There was a bigger peak in 2001 with 42,000 deaths. Now there are 39,000 deaths not 55,000. Hospital wards are running at or just above seasonal norm with some regional variation inversely proportional to how severely they were hit in the Spring ie whether the virus passed through there or not before. There is a 50% cross reactivity in immunity from other corona virus infections and between 8-15% the population at least have had corona virus. So a herd immunity is almost already achieved. The virus has sunk in to the flora and fauna of our corona virus subtype milieu. Rushing through a vaccine that 40% of medics in the US say they would refuse to take because it is not thoroughly tested both in terms of efficacy and side effects is not the answer especially when the virus is gone and has a relatively low mutation rate so what immunity there is will persist. The Moderna vaccine has a 21% side effect occurrence and there is a suggestion that one vaccine cross reacts with uterine tissue effectively risking the fertility of women. One of the cleaning products in schools in rat studies increases the risk of neural tube defects and reduces fertility. This is what we are exposing our children to. There are numerous conspiracy theories such as the vaccines containing luciferase which is a bioluminescent marker so we can effectively be branded as having a vaccine and that there is a component that has nano bots that can communicate with apps in your smart phone not one but both ways resulting in total state control . We remain skeptical of this although unfortunately cannot rule anything out as the shear scale of the current determined ignorance and malevolent and or negligent damage to liberty economy society family health beggars belief. 1 year ago the fact that democracies would subject their citizens to a pandemic of festering and acidic and self serving incompetence would have been dismissed as the ramblings of a burnt out delusional alcoholic. Even the World Health Organisation 1 year ago recommended against quarantine once a virus is in the general community and lock down was something not even considered and is still not a recommendation. In reality we think the power of media not just the paparazzi which are their own festering self serving school of mediocrity and baseless gossip but also social media that in an instant can turn anything whether fact or fiction viral and send it spinning round the world. This is then what democratically elected politicians with no training or aptitude to lead have to respond to. People are not stupid in themselves but 98% of everything we do or think is not driven by logic but by our emotion. As a group as a society as a nation people are hard wired to comply and cooperate and respond unquestioningly to hierarchy and authority. Experiments such as the Stanford Prison Experiments, the Milgram Experiments, real atrocities such as the Nazi and Stalin regimes demonstrate this repeatedly and beyond question. Even Stockholm Syndrome where the captive may fall in love with the captor and come to value the torture as a sign of caring and security and come to fear the outside world. It is easy to see how the entire global population could be subjugated by an imaginary predator that exists only as a relatively toothless tiger which has been amongst us already for decades suddenly re branded by willful ignorance . It is done by the combination of fear and rigid struct rules and structure and severe consequences for breaking them. People as a group are sheep and will follow. The heart breaking irony is that the same strength in leadership could have been applied in honing national identity and community unity and the sanctity of family life. Instead we are being led off a cliff.

We review Ivor Cummins and Mike Yeadon's data presentations and interpretations which almost conclusively via observational data show that corona virus had its peak and was on the way out BEOFRE the first lockdown and is now part of the flora and fauna with almost certain herd immunity. Young people cannot be causing any kind of a peak now because young would always have been the ones least likely to isolate so would have been over represented in the first wave. Current community testing shows this. There is equal prevalence across all age ranges. Low community antibody titres simply mean there is not enough virus around to stimulate an antibody response rather than short lived immunity which itself is mainly T cell Mediated. It is accepted that about 50% of the population were already immune due to cross reactivity with the other corona virus strains which after all includes the common cold. The PCR test is not suitable for industrial scale testing as it is too delicate and liable to false positives. The recent rise in cases is no more than seasonal rise in respiratory viruses. There have been much bigger spikes in the last 30 years and nobody batted an eyelid. This is because corona virus is a fact of life not a reason to stop life.The WHO have never recommended quarantine once a virus is in the general population and lockdown is something that has never even been considered. Why then are politicians and SAGE getting things so catastrophically wrong and directly and indirectly causing the suffering and deaths of millions of people through the deprivation of liberty and livelihood?The answer is self interest and compliance with media driven hysteria combined with the fact that the general people do not as is commonly claimed have common sense. They are sheep led by fear and fear seeks structure. We introduce the concept of cognitive dissonance i.e. two conflicting ideas in the same individual and how they deal with it by making excuses, avoiding responsibility and confirmation bias. We also discuss how doing what one feels is right is a rare luxury in a society where appearing to fit in and the guarding of ones digital reputation is central to continued functioning in todays society. Yet. Research is clear that economic catastrophe increases the life span of a nation. How can this be when we know millions will die? The answer is that modern life is more toxic than economic catastrophe. Stress is the biggest killer in the world today directly and indirectly. Depression was the 5th comments cause of illness and death 20 years ago and now it is the commonest. The Royal College of Psychiatrists Defeat Depression Campaign although a bulls eye in identifying an urgent need missed the root cause. It is not clinical depression people suffer from today . It is unhappiness. What is to come of us? We will reveal more in our next podcast. Should one cuddle grandparents at Christmas? Do SAGE and politicians understand the real values of family and society? We say ask the grandparents.

The statistics are clear. Excess deaths have remained unchanged since May/June this year. The PCR test applied on an industrial scale is unreliable with an unspecified high false positive rate so the more testing of even a healthy population the more false positives masquerading as cases will be found. The apparent rise in covid mortality has exactly mirrored the reduction in mortality from other causes. Hospital bed occupancy is lower than this time last year. SAGE have had to back pedal and say that their only remit is to advise about Corona yet they stand in front of the National media advising drastic measures without any due consideration for the side effects of those measures. It is potentially medicolegally an assault. One the main effects of lockdown is stress for a number of reasons all centred on loss of individual control over one's life. This will lead to Post Traumatic Stress Disorder as well as innumerable other illnesses. Stress is already the biggest killer in the Western World above poor diet. Bullying also can lead to PTSD and we look at allegations which have found to be true against the Home Secretary yet she has not been sacked. This is in contrast to a junior politician who's promotion was blocked by Boris Johnson because BJ's girl friend gave evidence against him in a harassment case where he was exonerated. It looks like you either have to be guilty to thrive or its just who you know in this life. That said we now all know. The days of the government are numbered although Labour have made an even less cogent argument for deserving any power or influence at all. The only sense (and integrity) has come from a wind-sailing ex civil servant who resigned after he concluded the Home Secretary had broken ministerial code but Boris Johnson said it was ok because she did not realise and a group of conservative MPs who have formed an anti lockdown group.

Why is there so much disagreement amongst the medical community about Corona Virus? The reason is that there is no clear specific risk along the lines that is being presented to us which can bear logical scrutiny. The average age of a corona virus death is 82.4 years old which is higher than the average life span i.e. the average person cannot expect to experience death from corona in their life time . Whereas misery and poverty depression stress cancer heart attacks suicide panic are guaranteed companions of lock down. Further more where is the logic of justifying lockdown because of lack of trained medical staff ? At a fraction of the cost of trillions of pounds borrowed for furlough we could have trained staff and opened medical facilities rather than just held hands up Pontius Pilot style. The risk of dying from corona under 30 and under 50 is less than being struck by lightening and less than being run over by a car respectively. Yet millions are now being thrown on the unemployment scrap heap. What lock down will do is increase civil unrest as it will increase the disparity between the haves and have nots as lockdown is vastly more punitive on the poor versus the rich. The academic models being used are generally accepted to overestimate risk and they are the same types of model that produced vastly overinflated risk figures for foot and mouth and SARS which led to hundreds of thousands of animals being needlessly killed. Academics by their nature have a very obtuse field of view and are usually far less effective at dealing with illness in the real world than clinicians. Yet it is government funded boffins the government are listening to.The logic of. the bigger picture of the cost of lockdown being exponentially higher than the cost of corona is so patently and reasonably obvious to anyone clear thinking without vested interest that enforcing lockdown may even be considered criminal and indeed a threat to the integrity of the state which has its own definition. Treason. The results of modern democracy.

Why is there so much disagreement amongst the medical community about Corona Virus? The reason is that there is no clear specific risk along the lines that is being presented to us which can bear logical scrutiny. The average age of a corona virus death is 82.4 years old which is higher than the average life span i.e. the average person cannot expect to experience death from corona in their life time . Whereas misery and poverty depression stress cancer heart attacks suicide panic are guaranteed companions of lock down. Further more where is the logic of justifying lockdown because of lack of trained medical staff ? At a fraction of the cost of trillions of pounds borrowed for furlough we could have trained staff and opened medical facilities rather than just held hands up Pontius Pilot style. The risk of dying from corona under 30 and under 50 is less than being struck by lightening and less than being run over by a car respectively. Yet millions are now being thrown on the unemployment scrap heap. What lock down will do is increase civil unrest as it will increase the disparity between the haves and have nots as lockdown is vastly more punitive on the poor versus the rich. The academic models being used are generally accepted to overestimate risk and they are the same types of model that produced vastly overinflated risk figures for foot and mouth and SARS which led to hundreds of thousands of animals being needlessly killed. Academics by their nature have a very obtuse field of view and are usually far less effective at dealing with illness in the real world than clinicians. Yet it is government funded boffins the government are listening to.The logic of. the bigger picture of the cost of lockdown being exponentially higher than the cost of corona is so patently and reasonably obvious to anyone clear thinking without vested interest that enforcing lockdown may even be considered criminal and indeed a threat to the integrity of the state which has its own definition. Treason. The results of modern democracy.

Politicians continue to show a singular incompetence to manage any major situation due to media hysteria and a self serving need to stay in power resulting in abrogation of responsibility at every opportunity hiding behind the apron strings of unipolar Aspergian academics largely government funded. We are faced with further nonsensical all consuming debate on whether to apply more lockdown based on rising total infections despite infection rate hardly changing at all. Thus it is an artefact of increased testing using a PCR Polymerase Chain Reaction test with a false positive rate 10 times higher than the current true incidence and a 30-40% false negative rate in the community. In other words this test in the current environment is meaningless yet this is the tool for deciding further destruction to economy and mental and physical health. If any businesses survive this is fertile ground for criminal incompetence class action law suit. Indeed political incompetence has raised a malevolent head of Stasi like penalties such as £10000 fines for breaking a lockdown based on no common sense at all and for the purpose of which neighbors are being encouraged to spy on and snitch on each other. And it's started already. Meanwhile large pharmas have achieved indemnity for unlicensed vaccines on both sides of the Atlantic despite the fact that flu vaccine is only ever 50% effective and despite the fact that influenza is currently killing 10 X more people than Corona. Did we say that vaccines won't even stimulate an antibody response in the obese which is the majority of the population? Not had your fill of nonsense yet? No fear there will be endless more served up by the media and government tomorrow for your delectation.