How psychologists can spot red flags in mental health apps - American Psychological Association (APA)

Mental health in Spain has never been talked about so much. Anxiety, depression, stress, eating disorders and emotional wellbeing have moved from often remaining hidden in the private sphere to becoming topics in family conversations, institutional campaigns, the media and social networks. The silence has been broken. The question now is what happens next, when someone decides to ask for help. Spain has around six clinical psychologists for every 100,000 inhabitants, a figure still far from the European average of about 18 professionals. This shortage has direct consequences for care: waiting lists, appointments spaced weeks or months apart, and difficulties providing the continuity needed for effective psychological treatment. This risks entrenching a two-tier mental healthcare system. Those with the means can turn to a private psychologist and be seen every week or fortnight. By contrast, people who rely solely on the public system may face much longer waits. The question is hard to avoid: is psychological care becoming a luxury reserved for those who can afford it?

Granulomatosis with polyangiitis (GPA) is a systemic necrotizing granulomatous vasculitis classically involving the upper and lower respiratory tracts and kidneys. Timely diagnosis requires a high index of suspicion for the presenting symptoms. Otolaryngologic manifestations are commonly reported but most often involve the nasal and paranasal sinuses. Sensorineural hearing loss (SNHL) as the sole initial manifestation of GPA is uncommon and may contribute to diagnostic delay. We report a case of a 67-year-old male who presented with rapidly progressive bilateral SNHL that preceded pulmonary and renal manifestations by several months, during which the patient was treated for otitis externa and Eustachian tube dysfunction without improvement. Development of pulmonary symptoms prompted additional workup, which demonstrated markedly elevated cytoplasmic anti-neutrophil cytoplasmic antibody (c-ANCA) and proteinase 3-anti-neutrophil cytoplasmic antibody (PR3-ANCA), raising concern for GPA. Histopathology then confirmed the diagnosis. The patient was treated with high-dose corticosteroids and rituximab with serologic remission; however, his hearing loss was largely irreversible. This case

What if the human brain works in ways that Sigmund Freud began describing more than 130 years ago? A new scientific analysis suggests that some of his ideas about the mind share surprising similarities with one of the most influential theories in modern neuroscience. Published in the scientific journal Entropy, the paper explores connections between Freud's original theories, later developments in psychoanalysis, and a modern approach to brain research known as the prediction paradigm.