According to a latest BBC report, GPs think that many people in England are being over diagnosed with mental health problems. Being stressed does not mean an illness. As per the commonly held view by family doctors, the society tends to over medicalize normal life stresses. However, the doctors are also concerned about the difficulty for the patients who actually have a mental health condition.

Earlier this week, the Health Secretary launched an independent review to understand why more people in England are seeking mental health, ADHD and autism services, and to identify where support is currently falling short.

BBC News sent a questionnaire to more than 5,000 GPs in England to understand their experiences supporting patients with mental health concerns. The 752 responses that came back show just how complicated and emotionally heavy this workload has become for many family doctors.

Of those who took part, 442 GPs said they believed over-diagnosis was a problem. Most felt mental health issues were being slightly over-diagnosed rather than significantly. At the same time, 81 GPs felt the opposite and said under-diagnosis was still a real concern.

Concerns about Limited Support

Over-diagnosis was far from the only issue. Many GPs reported they were deeply worried about the lack of meaningful support available for patients who come to them in distress. The questionnaire included both multiple-choice questions and an open invitation to leave anonymous comments, which many used to explain their frustrations.

One of the most common sentiments was summed up by a GP who said, “Life being stressful is not an illness.” Another reflected on how much expectations have changed, noting that society seems to have forgotten that heartbreak and grief are painful but still part of normal life. Another GP argued that labels like anxiety or depression risk medicalizing everyday emotional struggles, and this could pull resources away from people facing severe and complex needs.

A small number were openly critical of certain patients, with one describing them as “dishonest and narcissistic” and taking advantage of a system that is free at the point of use.

Rising Need Across Age Groups

According to NHS England, one in five adults lives with a common mental health condition. The rate is even higher among young people, where it rises to one in four for those aged 16 to 24.

GPs who responded to the questionnaire identified young adults between 19 and 34 as the age group most in need of mental health support. Some felt young people have become less resilient since the pandemic, with a stronger focus on seeking a diagnosis instead of learning coping strategies. Others disagreed and said the real problem was that services have become increasingly hesitant to assess and diagnose people when needed.

A Growing Workload for GPs

There are nearly 40,000 fully qualified GPs in England. While the responses cannot represent every doctor across the country, they do reveal clear patterns. Almost all GPs with more than five years of experience said the amount of time they now spend on mental health has risen sharply.

They pointed to three main reasons for this increase:

• Supporting patients who are unable to access good quality mental health services elsewhere

• Helping people whose mental health is affected by practical issues like housing, employment or financial pressure

• Seeing patients who believe they have a mental health condition when they may be dealing with normal life challenges

Earlier this year, the Health Secretary said mental health conditions were being over-diagnosed and too many people were being written off. He has since acknowledged that his comments were divisive and did not reflect the full complexity of the situation.

Demand That Services Cannot Meet

It is estimated that 2.5 million people in England have ADHD, including many without a formal diagnosis. Some NHS ADHD services have already stopped accepting new patients because they cannot cope with the demand. Many individuals have told the BBC just how difficult it has become to find proper assessment and care.

Overall, most GPs agreed that the system is not keeping up. Of the 752 respondents, 508 said there was rarely or never enough good quality mental health support for adults in their area. An even larger number, 640, said they were worried about getting young patients the help they need.

One GP called the state of mental health support “a national tragedy”. Another described the situation for children starkly: “A child literally needs to be holding a knife to be taken seriously and the second that knife is put down, services disengage.”

The Pressure to Prescribe

GPs were also asked whether they prescribe medication because they worry patients will not get other types of support, like talking therapies, quickly enough. The most common answer was yes, and that they do this routinely. One GP admitted they often reach for antidepressants even though they know it may only offer short-term relief and does little to prevent future episodes.

Professor Victoria Tzortziou Brown, chair of the Royal College of GPs, said family doctors face a difficult balance. Patients increasingly expect a diagnosis, yet not every emotional difficulty meets the criteria for one. She added that society needs to be careful not to medicalize the full range of normal feelings but also must avoid dismissing genuine concerns.

All India Institute of Medical Sciences (AIIMS) and the Indian Space Research Organisation (ISRO) signed a Memorandum of Understanding (MoU) on Monday to collaborate on advancing research in space medicine.

The MoU was signed between M Srinivas, Director (AIIMS), New Delhi and Dinesh Kumar Singh, Director, Human Space Flight Centre (HSFC), ISRO. The event brought together senior leadership from AIIMS and ISRO, including ISRO Chairman V Narayanan and Secretary, Department of Space, as well as Deans, Heads of Departments, faculty members, and studies from AIIMS New Delhi.

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As per the news agency Asian News International (ANI), a press release of the collaboration noted for a cooperative framework for ground-based and space-based research in Space Medicine. The press release also noted that the research will cover areas like human physiology, cardiovascular and autonomic regulation, musculoskeletal health in microgravity, microbiome and immunology, genomics and biomarkers and behavioral health.

“This MoU will give us the escape velocity to venture together into the field of space medicine. Collaborative research between AIIMS and ISRO will benefit patients, the nation, and ultimately humankind. As India moves toward Viksit Bharat by 2047, we hope to emerge as a Vishwaguru in space medicine as well,” said Prof M Srinivas, Director, AIIMS, New Delhi.

Chairman of ISRO Dr V Narayanan and Secretary, Department of Space also highlighted India’s remarkable journey in space programme. He noted how India evolved from the time when rockets and equipment were transported on bicycles and bullock carts to today, where it is going to be leading medical and research institutions like AIIMS to strengthen India’s human spaceflight capabilities.

The programme also featured a presentation on AIIMS New Delhi’s ongoing work in space medicine research, delivered by Prof. KK Deepak, former Head of the Department of Physiology. The event was attended by Heads of Departments and faculty members from across AIIMS New Delhi, along with representatives from the Resident Doctors Association (RDA), the AIIMS Student Association (ASA), and the Society of Young Scientists (SYS).

The collaboration represents an important step toward enhancing India’s capabilities in human spaceflight and biomedical research. It also aligns with the country’s broader scientific ambitions as India moves toward its centenary in 2047 and the vision of Viksit Bharat.

Read: Sunita Williams Retires After 27 Years: Health Challenges She Faced After Spending 600+ Days in Space

What Do We Already Know About Space Medicine?

As per a 2017 study in the British Journal of Anaesthesia, space medicine is fundamental to the human exploration of space. It supports survival, function and performance in this challenging as potentially lethal environment. It is international, intercultural and interdisciplinary, operating at the boundaries of exploration, science, technology and medicine.

Space medicine specialists play a crucial role in safeguarding astronauts and other spaceflight participants. Known as “flight surgeons,” they help develop strategies to protect the health, safety, and performance of space travellers in the extreme conditions of space. Their responsibilities span every stage of a mission — from selection and training to in-flight care, post-mission rehabilitation, and monitoring long-term health effects.

With inputs from ANI

Sick days are again piling up with a respiratory disease, not COVID-19 or the flu. This disease is most likely the one Americans have not heard of. This is HMPV or human metapneumovirus. Doctors have asked people to stay vigilant as seasonal flu virus could lead to pneumonia and bronchitis, and it is spreading in California wastewater and around the country. However, as per public health officials, there is nothing to get worried at this point.

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As per the public database WasterwaterScan Dashboard, high levels of HMPV were detected across Northern California cities. The highest levels were reported in Redwood City, whereas elevated levels were found in San Francisco Bay Area and Napa's Wine Country. What's more dangerous is that this virus is without a vaccine.

The good news is that in other parts of country HMPV remains lower. However, the Centers for Disease Control and Prevention (CDC) noted that data from October 2025 shows the cases are trending up, especially during winter and spring.

Dr. Matthew Binnicker, director of the Clinical Virology Laboratory at Mayo Clinic, as reported by The Independent said, "In the late winter, early spring, it can account for five percent to 10 percent of all the respiratory infections that we diagnose in the United States. So it's definitely out there." Experts explain that other viruses like HMPV or influenza get a chance when COVID is quieter.

Read: HMPV Virus Cases Surging In California, New Jersey: Is It Dangerous?

Virus Without A Vaccine: What Is HMPV?

HMPV was first discovered in 2001 and is part of the Pneumoviridae family along with the Respiratory syncytial virus (RSV).

HMPV most likely spreads from an infected person to others through:

• the air by coughing and sneezing
• close personal contact, such as touching or shaking hands
• touching objects or surfaces that have the viruses on them, then touching the mouth, nose, or eyes

In the US, HMPV circulates in predictable patterns each year, typically beginning in winter and lasting through spring.

The usually self-limiting and mild symptoms typically last 4 to 5 days. These include:

• cough
• fever
• nasal congestion
• shortness of breath

People at risk include:

• elderly people
• children
• people with comorbidities

"The HMPV is not deadly, and there is no evidence of mortality or a severe transmission rate," former Indian Council of Medical Research (ICMR) scientist, Dr. Raman Gangakhedkar, told IANS, during the virus's outbreak in India in 2025.

“The virus may cause pneumonitis-like illness, but the mortality rates are almost unknown so far. HMPV has a global prevalence of about 4 per cent,” he added.

While no vaccine or treatment can prevent HMPV infection, to avoid the infection, individuals must:

Practice good hygiene and cover your mouth and nose with a tissue when coughing or sneezing, or use your elbow, not your hands, for it. And wash your hands properly, especially in healthcare settings.

Why Are People Hearing About The Virus Without Vaccine Now?

The reason people have not heard about it before is because its symptoms are nearly indistinguishable from other respiratory infections, so often it could go undiagnosed. Furthermore, earlier the COVID cases and influenza cases sparked up, which deviated the attention from HMPV. Now, with the season gone, and increased awareness around respiratory illnesses, greater attention to viruses like HMPV is also paid.

One in seven Indians, or over 14 percent of the population, suffers from some form of mental health disorder. Amid an increasing treatment gap -- up to 90 percent -- seen in several states, especially in North India, the government today reiterated the plan of launching a second National Institute of Mental Health and Neurosciences (NIMHANS) in the northern states.

NIMHANS-2 was first announced by Finance Minister Nirmala Sitharaman during the Union Budget 2026-27, to deliver specialized care for mental health and neurological disorders in north India.

Health experts and policymakers, as part of the government-led Post-Budget Webinar series, highlighted the growing burden of mental and neurological disorders in India and also stressed the urgent need to strengthen institutional capacity to meet emerging healthcare demands.

"One in seven Indians is affected by mental health disorders, while several states continue to face a treatment gap ranging from 70 to 90 percent," the experts said.

Noting that Non-Communicable Diseases (NCDs) account for over 60 percent of deaths in the country, they added that "neurological and mental health conditions are among the leading contributors to disability-adjusted life years (DALYs)," among the citizens.

Need For Tertiary Neuro-psychiatric Care

To address these, the experts called for ramping up tertiary mental health institutions and expanding specialized services.

The session, moderated by Vijay Nehra, Joint Secretary, Ministry of Health and Family Welfare, highlighted that North India currently lacks adequate tertiary neuro-psychiatric care facilities. These include areas such as:

• advanced neuroimaging,
• neurocritical care,
• specialized neurological services

Further, making a virtual address at the Post-Budget Webinar, Union Health Minister JP Nadda also highlighted the government’s focus on strengthening mental healthcare services in the country.

"NIMHANS-2 will be established in North India to expand advanced clinical care, training, and research," Nadda said.

"In addition, the Central Institute of Psychiatry, Ranchi, and the Lokopriya Gopinath Bordoloi Regional Institute of Mental Health, Tezpur, will be upgraded as regional apex institutions to strengthen mental healthcare services in the eastern and north-eastern regions," he added.

Meanwhile, the experts also stressed the need to improve services in underserved and geographically remote regions, including the northeastern states, through better infrastructure, capacity building, and targeted deployment of trained mental health professionals.

They also discussed strategies for expanding advanced neuro-psychiatric care and reinforcing India’s overall mental healthcare ecosystem. They proposed:

• Adopting a hub-and-spoke model supported by digital health platforms

This would allow tertiary institutions and centers of excellence to provide technical guidance, specialist consultations, and clinical support to district hospitals and community-level health facilities.

"Such a model would strengthen referral pathways and ensure that specialized mental health services are accessible to people even in remote and rural areas," the experts said.

• Integrating services under Tele-MANAS

Both existing and upcoming campuses of NIMHANS must be integrated , as this will enable a robust nationwide tele-mental health network that ensures

• timely counselling,
• psychological support,
• specialist consultations

• Digital follow-up systems

The experts called for the seamless integration of healthcare facilities, aligned with the vision of the Ayushman Bharat Digital Mission and the ABHA ID ecosystem. This, they said, will

• enable continuity of care,
• Improve monitoring of patients,
• Lead to better clinical outcomes

• A national Brain-Mind Cloud Network

The Network proposed under the National Health Mission would connect premier institutions such as All India Institute of Medical Sciences (AIIMS), state medical colleges, and primary healthcare centers through a digitally integrated platform.

It could also facilitate

• unified mental health records,
• AI-based screening tools,
• data-driven clinical decision support systems,
• tele-neuro-psychiatric hubs at regional centers.