Many say they are relieved to finally have an explanation after decades of struggle.Over her life, Tanya Murphy had become accustomed to hiding her depression. In the Christian social circles in Georgia where she raised her three children, this was the rule — not the exception, she said.“God forbid you have a mental health issue,” said Ms. Murphy, 56, who now lives in Arlington, Va. “And if you do? Girl, all you got to do is fast and pray.”But by the time she reached her late 40s, she knew she couldn’t mask her problems any longer.Ms. Murphy had developed anxiety and started having thoughts of ending her life. She knew she was smart but she didn’t feel that way. Her difficulty focusing — as a child, her teachers called her a daydreamer — had translated into spending thousands of dollars on entrepreneurial projects that she later lost interest in and abandoned.After researching her symptoms online, Ms. Murphy realized that she might have attention deficit hyperactivity disorder, or A.D.H.D., a neurodevelopmental disorder that typically involves inattention, disorganization, hyperactivity and impulsivity. She was finally diagnosed, at age 53, by a psychiatric nurse practitioner. After she began taking the non-stimulant A.D.H.D. medication Strattera, attending regular therapy sessions and meditating, her ability to focus improved and the anxiety and the depression faded away.“I cried with joy,” she said. “I knew that I wasn’t crazy. I knew that I wasn’t broken. I wasn’t a failure. I wasn’t lazy like I had been told for most of my life. I wasn’t stupid.”Over the last 20 years, clinicians have increasingly recognized that A.D.H.D. symptoms, which begin in childhood, can linger into adulthood, and that some groups — like women and people of color — are more likely to be underdiagnosed early in life. Now, with the rise of telemedicine, increased awareness of A.D.H.D. and changing attitudes about mental health treatment, new A.D.H.D. diagnoses are surging among older Americans.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

The ban on giving puberty blockers to under-18s questioning their gender identify is to be made permanent, Health Secretary Wes Streeting says.

Science Photo LibraryEight women whose smear tests were misread by screeners went on to develop cancer, a major review into cervical screening at the Southern Health Trust has found.

Getty ImagesWomen experiencing painful health conditions, including heavy periods, endometriosis and adenomyosis, are being dismissed when they ask for help, an MPs’ report has warned.

Louisa, Ky., is a small town of about 2,600 on the border of West Virginia with a single pair of railroad tracks running through it. If you follow these tracks south, against the flow of the Big Sandy River, you’ll go between the public library and the Main Street Park and over Lick Creek, one of the manifold creeks that web eastern Kentucky like capillaries. Follow Lick Creek past a baseball diamond and a pawnshop and you’ll arrive behind an ordinary gray mobile home in a small lot of grass where Ingrid Jackson was living in the fall of 2023. The days were still long and the afternoon sun settled gently on nearby mountains, turning leaves a lambent red. Reedy gospel music played from inside the trailer, announcing Jackson’s presence as she opened the door. Her hair, normally figured in light brown curls, was packed into a shower cap. She smiled from the entryway. It was a smile difficult not to smile back at.Listen to this article, read by Eric Jason MartinJackson had never lived in a trailer before, or a small town. She was born in Louisville, the daughter of a man with schizophrenia who, in 1983, decapitated a 76-year-old woman. Jackson was 1 at the time. In 2010, at 27, she was in a car accident and was prescribed pain pills. Not long after that, she began using heroin. Over the next decade she went through nine rounds of addiction rehab. Each ended in relapse. Her most recent one came in 2022 after her son was sentenced to life in prison for murder; he was 21. In Louisville on Christmas Day she called a residential rehab company named Addiction Recovery Care, which has its headquarters in Louisa. So now she was here, in Appalachian coal country, in a trailer along Lick Creek, in a town a tiny fraction the size of her home city, working as a nursing assistant in a nearby nursing home, sharing a trailer with Latasha Kidd, a local woman 12 years her junior with a mountain accent, a fade and blood-orange bangs. “This is culture shock,” Jackson said. “I’m a city girl, and there’s not a lot of us around, and I’m like: Mama!”Louisa, a town of about 2,600 on the border of West Virginia, suffered with the contraction of the coal industry, but ARC, in addition to its treatment centers, has opened a cafe, a bakery, a small gallery, an old theater that the company renovated and other businesses where clients in its recovery programs work.Stacy Kranitz for The New York TimesJackson and Kidd were about as different as you could make them. Jackson was Black, Kidd white; Jackson outgoing, Kidd reserved; Jackson neat, Kidd messy; Jackson devout, Kidd agnostic; Jackson straight, Kidd queer. Still, they became fast friends in rehab and now, five months out, inhabited a somewhat fragile existence together, in the period of addiction recovery that many people in long-term recovery say is the most difficult: the space between leaving rehab and getting back on your feet. More than a million people in the United States are arrested every year on drug-related charges, and for them, finding a steady job, consistent housing and reliable transportation can be even more difficult than the tremors, hallucinations and nausea of detox. Studies have shown that relapse rates for people in recovery may be as high as 85 percent within the first year. Another woman with whom Kidd and Jackson went through recovery, who was supposed to live with them, relapsed and overdosed the day before moving in.Jackson often worried that something similar might happen to Kidd, who had struggled with addiction so long that, until recently, she didn’t know how to pay her bills. At 29, Kidd hadn’t yet held a full-time job. “So I have to push her sometimes,” Jackson said. “ ’Cause when I want to go in my own direction, I don’t want Tasha to be left upside-down.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

Government departments have recommended a pay rise of 2.8% for millions of public sector workers including teachers, NHS staff and senior civil servants next year.

Outstanding debt from Carer’s Allowance overpayments rose to more than £250m last year, according to the government’s spending watchdog.

Luke Orton was playing in a rugby tournament on the Isle of Wight in July 2023 when his life changed forever.

BBCA leading charity that supports people with learning disabilities says it may be forced to stop running at least 60 of its services as a result of increasing National Insurance costs.

Starting at 30, women can collect their own vaginal samples for HPV testing at a doctor’s office.Doctors routinely advise that women undergoing screening for cervical cancer receive Pap smears every three years beginning at age 21. Now, beginning at 30, women have a new option.Instead of undergoing a pelvic exam, these patients may go to a doctor’s office and collect their own vaginal sample to be tested for human papillomavirus, the infection that causes most cases of cervical cancer, according to new guidelines issued on Tuesday by a national health services panel.Self-collection of the sample was approved in May by the Food and Drug Administration. The HPV test should be repeated every five years from age 30 until 65, when most women can stop screening, the U.S. Preventive Services Task Force said.Other screening options for those 30 and older include continuing with Pap tests every three years, or a combined Pap smear and HPV test every five years, the task force said. But an HPV test every five years is the ideal screening method, providing the best balance of risks to benefits.The new recommendations apply to women and anyone who was assigned female at birth and still has a cervix, regardless of whether they have been vaccinated against HPV.The advice was issued amid growing concern about a falloff in cancer screenings, and confusion resulting from changes over time in screening regimens and tests used for early detection and prevention of cervical cancer.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.