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‘What I see in clinic is never a set of labels’: are we in danger of overdiagnosing mental illness?

Our current approach to mental health labelling and diagnosis has brought benefits. But as a practising doctor, I am concerned that it may be doing more harm than good

Someone is shot, and almost dies; the fragility of life is intimately revealed to him. He goes on to have flashbacks of the event, finds that he can no longer relax or enjoy himself. He is agitated and restless. His relationships suffer, then wither; he is progressively disturbed by intrusive memories of the event.

This could be read as a description of many patients I’ve seen in clinic and in the emergency room over the years in my work as a doctor: it’s recognisably someone suffering what has in recent decades been called PTSD, or post-traumatic stress disorder. But it isn’t one of my patients. It’s a description of a character in the 7,000-year-old Indian epic The Ramayana; Indian psychiatrist Hitesh Sheth uses it as an example of the timelessness of certain states of mind. Other ancient epics describe textbook cases of what we now call “generalised anxiety disorder”, which is characterised by excessive fear and rumination, loss of focus, and inability to sleep. Yet others describe what sounds like suicidal depression, or devastating substance addiction.

The great topmost sheet of the mass, that where hardly a light had twinkled or moved, becomes now a sparkling field of rhythmic flashing points with trains of travelling sparks hurrying hither and thither. The brain is waking and with it the mind is returning … Swiftly the head mass becomes an enchanted loom where millions of flashing shuttles weave a dissolving pattern, always a meaningful pattern though never an abiding one.

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© Illustration: Anais Mims/Guardian Design

© Illustration: Anais Mims/Guardian Design

© Illustration: Anais Mims/Guardian Design

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My week of only using cash: could a return to notes and coins change my life?

After a reckless shopping spree, I ditched contactless payments and bank cards to see how far £200 cash in hand would get me – and if I could improve my spending habits

If I’m lucky, I can just about squeeze a £20 note into the back of my phone case, which holds the device I reflexively tap to pay for almost everything. But this week was different. After a reckless coffee-and-clothing spending spree made a mighty dent in my bank account, I decided I needed to take action. Self-control was one option, but another more drastic route was blunt-force restriction. I would ditch contactless payments, along with debit and credit cards. Instead, I would spend a week relying solely on cash.

After subtracting the lavish lattes and Asos deliveries that had massively inflated my average weekly spend, I allowed myself £180 for the basics, including food and travel. For safety, I gave myself an extra £20. The first task was to take out £200 in cash from the ATM. But what the hell was my pin number? Thanks to contactless capabilities, I hadn’t used this all-important combination of digits in more than a year. Googling how to find it, I discovered I’d have to wait three to five working days to get a letter reminding me of it in the post. This wouldn’t do. I decided to head to my local bank to explain my predicament.

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© Photograph: David Levene/The Guardian

© Photograph: David Levene/The Guardian

© Photograph: David Levene/The Guardian

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Six planets line up for rare parade throughout February

Celestial spectacle will be at its most impressive on 28 February, when Mercury, Venus, Jupiter, Saturn, Uranus and Neptune will align across the sky

Space enthusiasts are in for a treat at the end of this month as six planets will appear close together in the night sky.

The phenomenon, known as a planet parade or planetary alignment, occurs when at least four or five planets can be seen altogether, according to Nasa. On 28 February, stargazers will have the chance to spot Mercury, Venus, Jupiter, Saturn, Uranus and Neptune aligned closely across the sky – making this a rare planetary display.

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© Photograph: Anadolu/Getty Images

© Photograph: Anadolu/Getty Images

© Photograph: Anadolu/Getty Images

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South Korean crypto exchange races to recover $40bn of bitcoin sent to customers by mistake

Bithumb has apologised for staff error that sent customers 620,000 bitcoins instead of 620,000 Korean won, equivalent to a few hundred US dollars

South Korea’s second-largest cryptocurrency exchange is scrambling to recover more than $40bn of cryptocurrency after accidentally crediting customers with 620,000 bitcoins during a promotional event last week.

Bithumb said it had corrected most of the mistaken credits, but that about 13bn won ($9m) remained unrecovered after some recipients sold or withdrew the funds before the error was detected.

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© Photograph: Dado Ruvić/Reuters

© Photograph: Dado Ruvić/Reuters

© Photograph: Dado Ruvić/Reuters

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‘A free limo is hard to turn away’: how car diplomacy turbo charges politics in the Pacific

A luxury Chinese sedan gifted to Fiji is the latest in a string of vehicles donated by foreign countries to deepen partnerships and seek influence in the region

At a ceremony in January, a shiny black luxury sedan rolled into the leafy, rain-soaked ground of Fiji’s state house. It was a gift from China to the Pacific nation’s president, Ratu Naiqama Lalabalavu, who thanked Beijing for the “beautiful limousine”.

The vehicle given was a Hongqi or “Red Flag” car, the same brand used by China’s leader, Xi Jinping, during military parades.

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© Photograph: Fiji Government/Facebook

© Photograph: Fiji Government/Facebook

© Photograph: Fiji Government/Facebook

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49ers player shot outside San Francisco nightclub after Super Bowl LX

San Francisco 49ers defensive lineman Keion White was shot outside a nightclub following Super Bowl LX. “Keion White was a victim of a shooting and sustained a bullet wound to his ankle this morning in San Francisco. He is currently undergoing surgery at a local hospital. We will provide further updates when appropriate,” said a...

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