For years, she wanted a child. After a decade of waiting, hope and uncertainty, pregnancy finally arrived carrying both joy and fear in equal measure. What followed, however, was not the soft, instinctive transition into motherhood that culture often promises, but a physically traumatic birth, emotional numbness and a long struggle to recognise herself in her new life.

During pregnancy, she found herself largely alone. Her husband, though supportive and loving, was frequently absent, consumed by the demands of a startup consultancy he had recently founded with two academic partners.

Medical appointments, including an amniocentesis prompted by concerns over possible chromosomal abnormalities, were often faced without him because he was abroad for work.

She attended prenatal classes, but support systems felt limited. Only one person in her close circle had children, and her relationship with her own mother, who lived in Italy, was strained. The isolation deepened her anxiety, particularly because childbirth itself frightened her.

When she raised those fears with her general practitioner, she recalls receiving a familiar reassurance that did little to ease them.“Don’t worry, birth isn’t an illness,” her male GP told her. “It’s all perfectly natural.”She felt the dismissal ignored her lived reality. She was asthmatic and suffering from undiagnosed endometriosis that caused severe pain every few weeks.

Pregnancy did not feel simple or natural. It felt uncertain and medically significant.Still, she felt deeply connected to the child growing inside her. She recognised her daughter through movement alone—the shape of limbs pressing against skin, strong kicks in response to passing sirens, a physical presence both strange and intimate.

She imagined a temperament already forming: long legs like her father, a temper like her own.She expected love to be immediate. After waiting so long, how could it not be?Her due date passed. Then another week.

Then another. At more than 44 weeks pregnant, she says she had to insist repeatedly before her GP agreed to induction. Only when hospital monitoring showed signs of fetal distress did medical staff finally intervene and break her waters.

Labour lasted 20 hours.

She describes induced labour not as a gradual progression but as a sudden collapse into nausea, pain and exhaustion. Hours passed with no progress. She was unable to receive an epidural at first because she was not dilating. The pain became all-consuming.

At one point, fearing the worst, she asked her husband to make a promise: if doctors had to choose between saving her life and their child’s, he should choose the baby.“I am not going to lose either of you,” he replied.

She remembers University College Hospital at the time as a place that inspired little confidence—a crumbling Victorian building with filthy bathrooms, blood on the floors and junior doctors exhausted by punishing shifts. Around her, the maternity ward echoed with the sounds of women in labour: groans, cries, gasps and fear.Eventually she received an epidural, but the baby remained stuck.

Just before midnight, an emergency forceps delivery and episiotomy were performed. Her husband later told her there were 13 people in the room.Then their daughter arrived.She weighed just under 4.5 kilograms—almost 10 pounds.

The mother had lost so much blood that the experience felt, in her words, like surviving a car crash. Her husband, standing in blood-soaked jeans, was overwhelmed with joy.“Isn’t she wonderful?” he said.She felt nothing.

She describes the absence of emotion not as rejection, but as total numbness, as though the epidural that had numbed her body had also severed access to feeling. She spent the night awake in the recovery ward waiting for the expected rush of maternal love that never came, listening to other women crying as anaesthesia wore off.

Instead, she felt transported back to boarding school dormitories, where she had learned early to suppress everything except anger.“Rage has served me quite often as a stimulant against exhaustion,” she writes. “Every woman who goes through childbirth has, I believe, been through the equivalent of war.

”She compares childbirth to trauma rather than celebration, arguing that many women leave the experience carrying symptoms closer to post-traumatic stress than to joy.

She believes poor maternity care intensified that reality.Her experience took place during years of severe strain on Britain’s National Health Service, when long-term underfunding and overstretched staff affected standards of care.

But she also sees a broader cultural issue: motherhood itself, she argues, is often insufficiently respected.At the time, general practice and obstetrics were still dominated by men.

She does not argue that male doctors cannot provide excellent care, but believes many failed to understand how dangerous childbirth could still be, or how often women’s pain was normalised rather than addressed.She was discharged the next day after a blood transfusion and severe physical trauma. She could barely walk.

Her husband worried about her physical recovery, but neither of them recognised the mental damage taking shape beneath it.When the baby began crying—night after night, almost without pause motherhood became a contest between exhaustion and fury.

“Once our baby began to cry relentlessly every night, all night, it felt like a battle between my rage and hers,” she recalls.Then one day, something changed.Her daughter, whose eyes had until then seemed distant and unfocused, suddenly looked directly at her. Then came a smile—clear, unmistakable and full.It was not simply recognition. It felt like acceptance.

“She seemed not only to recognise me, but to greet me with unconditional love and delight,” she writes.She understood intellectually that infant smiles are biological survival mechanisms, but the emotional impact was overwhelming.

The joy felt so sharp it was almost painful.“Oh!” she remembers saying. “It’s you. It’s you.”That first smile altered everything.The sleepless nights did not disappear. The crying continued. But something fundamental shifted in her understanding of motherhood, of love and even of her own mother.

Her relationship with her mother, long marked by pain and distance, softened. She began to understand her mother’s own unresolved grief and emotional absences not simply as cruelty, but as the result of childhood bereavement and wounds never healed.Motherhood brought not only responsibility, but perspective.

As a writer, she found that literature had offered little preparation for the reality of childbirth. Victorian novels she loved moved quickly past pregnancy and motherhood, treating them as narrative transitions rather than lived experiences.

Even contemporary women writers often avoided describing the devastation of birth itself.When she included the physical brutality of childbirth in her 1996 novel A Vicious Circle, critics attacked what one reviewer called “revolting details.”

Yet she says she had still softened the truth, giving her fictional heroine an instant maternal bond she herself had not felt.Years later, much changed. Hospitals improved. Her GP practice became staffed by younger, mostly women doctors. She had a second child, a son, whose birth was entirely different and with whom she bonded immediately.

Her daughter, Leon, grew into a novelist herself—healthy, loving and brilliant.Looking back, she says motherhood brought both unimaginable suffering and extraordinary love.

Public conversation often reduces it to either sentimental joy or unbearable hardship. The truth, she argues, is both.And if the early days felt like darkness, what remained was not the trauma alone, but the light that followed.

The UNICEF Executive Board concluded its first regular session of 2026 with a warning that decades of progress in child survival could be reversed as funding constraints, conflict and systemic pressures weaken global health systems, according to statements delivered during the meeting.

The two-and-a-half day session reviewed a range of institutional priorities, including implementation of the United Nations’ UN80 reform initiative, UNICEF’s global evaluation plan for 2026–2029, and updates on the work of national committees engaged in fundraising and youth outreach. Financial oversight, programme delivery and governance issues were also examined as part of the Board’s agenda.

A central focus of the session was child health, highlighted during discussions on eight newly approved country programme documents covering Argentina, Cuba, Georgia, Malaysia, Mexico, Somalia, South Africa and Sudan. Board members and senior officials framed investment in primary healthcare as critical not only to survival outcomes but to broader human development and social stability.

Opening the session, Rein Tammsaar, President of the Board and Estonia’s Permanent Representative to the United Nations, emphasized inclusive governance as a priority for 2026. He also pointed to the potential role of artificial intelligence in expanding access to and improving the quality of education.

Tammsaar acknowledged UNICEF personnel working in high-risk environments, stating that their operational commitment underpins the organization’s credibility.In her introductory remarks, Catherine Russell cautioned that progress in reducing child mortality could stall for the first time in three decades.

She identified child and maternal health as core priorities and cited the establishment of a global Centre of Excellence in Nairobi aimed at strengthening technical capacity in health, nutrition and water, sanitation and hygiene services.Senior officials presented evidence of significant global gains, including a reduction in annual under-five deaths to below 5 million and an estimated 4.2 million child deaths prevented annually through immunization.

Maternal mortality has declined by roughly one third since 2000. However, speakers stressed that these achievements remain fragile.Douglas Noble, Associate Director of Health, said abrupt reductions in development funding are disrupting essential services and exposing structural weaknesses in health systems. He added that misinformation is undermining vaccine confidence, while conflict, climate-related shocks and economic instability are increasing displacement and limiting access to care.

Noble stated that survival alone is no longer an adequate benchmark for child development, arguing for integrated approaches that include mental health, psychosocial support and adolescent well-being alongside physical health services. He urged governments to prioritize primary healthcare in national budgets, protect health spending during fiscal pressures and invest in community-level health workers.

Panel discussions reflected concerns that setbacks are not confined to low-income countries. Participants noted declining vaccination rates in Argentina and signs of reversal in child survival indicators in South Africa. Rising mental health challenges among adolescents, including increased suicidal behaviour in Malaysia, were also highlighted.

Speakers from governments, international organizations, academia and civil society reiterated that access to healthcare should not be treated as a privilege. They stressed the need for age-appropriate services that address both communicable and noncommunicable conditions, supported by integrated systems spanning health, education and social protection.

Testimony from field representatives underscored the impact of conflict on health infrastructure. Ayoub Ibrahim Arabi Mohammed described conditions in Sudan, where ongoing violence has displaced populations and disrupted medical services. He reported shortages of fuel, medicine and basic supplies in hospitals, while some clinics have ceased operations entirely, leaving families without access to care.

He emphasized the role of frontline health workers as critical to sustaining services in conflict settings and called for their protection. He also warned that children are dying due to the inability of healthcare systems to function effectively under prolonged instability.Across discussions, a consistent theme emerged that sustaining progress in child survival requires resilient primary healthcare systems capable of withstanding external shocks.

UNICEF outlined key policy areas for governments, including strengthening primary care, restoring trust in immunization programmes, addressing underlying determinants such as malnutrition and sanitation, and integrating mental health and noncommunicable disease responses into health strategies.

Mental health featured prominently in the session, with officials noting that one in seven adolescents aged 10 to 19 is living with a mental health condition. Data presented indicated that one in four children has a caregiver experiencing mental health challenges, highlighting broader social implications.

Officials also cited global estimates suggesting that a young person dies by suicide every 11 minutes, underscoring the scale of the issue.Meylan Alejandra Ramos Espejel, speaking on behalf of young people, linked mental health challenges to wider global pressures including migration, conflict and climate-related disruptions.

She called for greater inclusion of youth perspectives in policymaking and emphasized the need for tangible support mechanisms.Noncommunicable diseases were identified as another growing concern, affecting more than 2 billion individuals under the age of 20 through direct conditions or exposure to risk factors.

Officials noted that these diseases disproportionately affect children in lower-income settings, challenging the perception that they are confined to wealthier populations.The Board also reviewed progress on international policy commitments.

A political declaration adopted by heads of state in September 2025 on noncommunicable diseases and mental health was cited as a milestone, with references to children and youth included multiple times, reflecting increased global attention to these issues.Despite broad agreement on key priorities, the Board did not reach consensus on all agenda items, with some decisions requiring formal votes.

By the end of the session, seven decisions were adopted, covering areas including governance, financial oversight, evaluation frameworks and fundraising strategies.The Board approved eight country programmes and extended a subregional programme for the Gulf Area.

These programmes are intended to guide interventions across sectors including health, education, nutrition and child protection, reflecting an integrated approach to humanitarian and development challenges.In closing remarks, Russell said the approved programmes provide operational frameworks for delivering measurable outcomes, while acknowledging the absence of consensus on certain items.

Tammsaar expressed concern over divisions within the Board, stating that consensus-based decisions strengthen institutional unity and effectiveness.The next annual session of the Executive Board is scheduled to take place from June 16 to 19, 2026.

The recent escalation of violence across parts of the Middle East and North Africa is intensifying risks for children, with mounting evidence of casualties, displacement, and psychological distress, according to accounts compiled by humanitarian agencies and local testimonies.

The developments reflect a broader pattern in which children are increasingly exposed to recurrent episodes of armed conflict, disrupting essential services and undermining long-term well-being.In Tehran, a mother identified as Maryam described the sequence of events that unfolded during a recent episode of strikes. While attempting to pick up her younger son from school, she received a message from her older son indicating that an attack had occurred. Communication networks were partially disrupted, delaying contact.

When she eventually reached him, he was sheltering in a school basement alongside other students. According to her account, several children were visibly distressed, while others attempted to remain composed. During the exchange, her son asked whether the situation constituted a war, reflecting uncertainty among civilians amid rapidly changing conditions.Maryam reported that urban mobility was severely affected during the incident, with traffic congestion extending travel times significantly.

Upon reaching her younger child, she described an immediate but temporary sense of relief. In the days that followed, she noted that aerial activity and bombardments became more frequent, contributing to a sustained atmosphere of insecurity.Humanitarian reporting indicates that similar patterns are emerging across multiple locations in the region.

Recent weeks have seen a rise in reported child casualties, alongside large-scale displacement affecting hundreds of thousands. Many families have been forced to relocate to temporary shelters, often under urgent and unstable conditions. The disruption has extended to critical infrastructure, including schools and healthcare facilities, which are increasingly affected by ongoing hostilities.

In Lebanon, accounts from displaced families illustrate the immediate effects of these developments. Rahaf, aged five, described leaving her home due to safety concerns following nearby bombardments. She expressed a preference to return to familiar surroundings, highlighting the disruption of daily routines such as play and sleep. Another child, Adam, aged ten, recounted a nighttime evacuation marked by repeated airstrikes during transit.

He described the experience as disorienting, with persistent noise and physical tremors contributing to fear during the journey.Testimonies from Iran indicate comparable experiences. Maseeh, aged fourteen, stated that prior exposure to conflict had influenced his reaction, noting a degree of familiarity with such events. However, he acknowledged ongoing stress linked to uncertainty about potential future strikes.

Another teenager, Sina, aged sixteen, pointed to the combined impact of military activity and communication disruptions, including internet blackouts, as contributing to sustained psychological pressure.Field observations suggest that the effects of conflict on children extend beyond immediate physical risks. Behavioral responses, as described by caregivers, include coping mechanisms such as increasing exposure to music to mask the sound of explosions, as well as frequent communication among peers to confirm safety.

Questions about the continuity of education and the duration of hostilities appear to be common among affected children, according to parental accounts.Maryam noted that her children’s reactions often manifest in subtle ways, including heightened vigilance and repeated inquiries about safety and future developments. She indicated that this is not their first exposure to conflict, underscoring the cumulative nature of such experiences in certain regions.

The recurrence of these events raises concerns about long-term psychological impacts, particularly in contexts where access to consistent mental health support may be limited.Humanitarian organizations report that interventions are underway to address both immediate and longer-term needs. These include the provision of emergency supplies such as bedding, hygiene kits, and water, as well as efforts to deliver mental health and psychosocial support services.

Such programs aim to mitigate the effects of trauma and provide structured support for children and families navigating displacement and uncertainty.Despite these efforts, operational challenges persist due to the scale and frequency of the incidents. Displacement sites, including repurposed public buildings such as schools, are accommodating large numbers of families, often under constrained conditions.

The conversion of educational facilities into shelters further disrupts access to schooling, compounding the broader impact on children’s development.International humanitarian law stipulates the protection of civilians, including children, and the safeguarding of civilian infrastructure during armed conflict. However, reports from multiple locations indicate that these provisions are not consistently upheld.

The targeting or incidental damage of schools and healthcare facilities has been documented, raising concerns among international observers and aid agencies regarding compliance with established norms.Maryam also described the psychological burden experienced by caregivers, noting difficulties in maintaining a sense of security for children amid ongoing uncertainty.

She reported sleep disruption driven by concerns about responding to emergencies in a timely manner. Her account reflects a broader trend in which parents are managing both their own stress and the emotional needs of their children under prolonged conditions of instability.In addition to immediate safety concerns, there is evidence of longer-term social and developmental implications.

Repeated displacement, interruptions in education, and sustained exposure to violence are factors associated with adverse outcomes in child development, according to existing research cited by humanitarian agencies. The normalization of conflict within childhood environments represents a significant shift with potential generational effects.

Maryam indicated that she attempts to shield her children from the most distressing aspects of the situation, drawing on her own experiences of growing up in a conflict-affected environment. At the same time, she acknowledged limitations in her ability to fully mitigate the impact. She also referred to a broader awareness of families who have experienced greater losses, including those unable to provide similar levels of protection.

The current trajectory of events suggests that children in affected areas are likely to remain exposed to a combination of direct and indirect risks associated with armed conflict.

The persistence of hostilities, coupled with infrastructural disruptions and displacement, continues to shape the daily experiences of families across the region.

One year after a 7.7-magnitude earthquake struck central Myanmar on 28 March 2025, humanitarian agencies report a continued focus on addressing the psychological impact on children affected by both natural disaster and pre-existing conflict-driven displacement.

The earthquake caused widespread disruption across multiple regions, including parts of Shan State, where communities around Inle Lake in Nyaungshwe Township experienced structural damage to homes and shelters. Many families who had already been displaced due to ongoing conflict were forced to endure additional instability following the tremors and subsequent aftershocks.

Tun Myar, a 16-year-old displaced from Loikaw, was living with relatives under a monastery structure at the time of the earthquake. She reported that the building began to sway during the tremors, prompting her to flee outside before losing consciousness. Following the incident, she described experiencing persistent fear and emotional distress, consistent with patterns observed among other children in the affected communities.

According to field accounts, many families avoided returning indoors in the immediate aftermath due to concerns about structural collapse during aftershocks. Temporary arrangements, including makeshift tarpaulin shelters, became common. Nighttime conditions were reported to be particularly difficult, as minor environmental sounds often triggered panic responses among children who associated them with renewed seismic activity.

Local observations indicate that the earthquake compounded pre-existing vulnerabilities among displaced populations. Tun Myar, who had previously experienced family separation and loss, reported that the disaster intensified existing psychological strain. She described withdrawing socially, experiencing sleep disruption, and showing signs of prolonged anxiety.

Similar behavioral patterns have been noted among other children in the area, particularly those with prior exposure to conflict and displacement.Caregivers in affected communities have attempted to support children through informal coping mechanisms, including communal gatherings and recreational activities.

However, humanitarian agencies report that many parents lack the resources or guidance to address sustained psychological distress, highlighting the need for structured intervention.In response, UNICEF and its local partners have implemented child protection programmes across southern Shan State, focusing on psychosocial support and the establishment of child-friendly spaces.

These interventions are designed to provide structured environments where children can engage in supervised activities, interact with peers, and gradually re-establish a sense of routine.At designated safe spaces in Nyaungshwe Township, children participate in organized activities such as drawing, games, and group exercises facilitated by trained staff and youth volunteers.

Field reports indicate that these sessions aim to reduce anxiety and promote social reintegration, particularly for children who have become withdrawn following the earthquake.Tun Myar reported that participation in these activities contributed to a measurable change in her behavior. She stated that she gradually regained confidence and now takes on a leadership role in group sessions, assisting facilitators and encouraging younger participants.

Her experience reflects a broader trend identified by programme coordinators, who note that peer engagement and structured interaction can support recovery in post-disaster contexts.Another case documented in the same community involves Pan Lay Pyay, aged 13, who resides with her mother in temporary shelter conditions beneath a monastery structure.

The earthquake further weakened their already fragile living environment, increasing economic and social pressures on the household. Her mother, Daw Hla Hla Aye, reported difficulties in securing daily-wage employment and meeting education-related expenses.Despite these constraints, she observed that participation in child-focused programmes had a positive effect on her daughter’s well-being. She indicated that visible improvements in her child’s mood and engagement provided reassurance regarding her ability to continue education under challenging circumstances.

According to programme data, the interventions extend beyond recreational activities to include case management services, parenting sessions, and awareness initiatives addressing child protection risks. Mental health and psychosocial support components are integrated into these services, reflecting a broader shift toward comprehensive recovery strategies in humanitarian response.

One year after the earthquake, aid agencies report that the combined effects of natural disasters and ongoing conflict continue to shape living conditions in affected areas. In southern Shan State, recovery efforts are further complicated by additional environmental events, including flooding, which have prolonged displacement for many families.Officials involved in the response indicate that child-friendly spaces remain a central component of ongoing support efforts.

These facilities are intended not only to address immediate psychological needs but also to contribute to longer-term resilience by fostering social cohesion and restoring a degree of normalcy in disrupted environments.Humanitarian partners attribute the continuation of these programmes to financial and logistical support from international donors, although specific funding levels were not detailed.

The emphasis on sustained engagement reflects recognition that recovery from trauma, particularly among children, requires extended intervention beyond the initial emergency phase.Field observations suggest that participation in structured activities has enabled some children to re-engage with peers and rebuild confidence following the earthquake.

Programme facilitators report that consistent attendance and active involvement are indicators of gradual improvement, although outcomes vary depending on individual circumstances and prior exposure to stress.Tun Myar’s transition from a withdrawn participant to a group leader illustrates the potential impact of targeted interventions when sustained over time.

She expressed an intention to complete her education and pursue a career in medicine, indicating a shift toward future-oriented thinking following her involvement in the programme.While immediate physical risks associated with the earthquake have subsided, humanitarian assessments emphasize that psychological recovery remains ongoing.

The persistence of displacement, combined with economic uncertainty and prior conflict exposure, continues to influence the pace and extent of recovery among affected populations.

What began as a casual attempt to pass time has evolved into a sustained coping mechanism for managing stress, reflecting a broader shift toward analogue activities in an increasingly screen-dominated environment.

A personal account of taking up jigsaw puzzles highlights how a traditionally overlooked hobby can serve as an effective tool for mental focus and emotional regulation.

The experience began with the rediscovery of a 1,000-piece puzzle depicting Agatha Christie, found during a period of domestic inactivity. Initially approached as a minor diversion, the activity quickly became habitual.

Completion of the puzzle extended over several weeks, with sessions varying from a few minutes to multiple hours, suggesting a flexible engagement pattern compatible with fluctuating schedules.The appeal of puzzling was attributed to its incremental reward structure.

Each correctly placed piece produced a measurable sense of progress, reinforcing continued engagement. This process-driven satisfaction contrasts with more outcome-oriented activities, shifting focus toward sustained attention rather than completion speed.

The adoption of the activity coincided with a period of significant personal transition, including a change in employment status, relocation and marriage within a short timeframe. These events contributed to heightened anxiety and a perceived loss of control.

Within this context, the structured and predictable nature of a jigsaw puzzle provided a stabilising counterpoint. The finite scope of the task and the clarity of its objective appeared to mitigate uncertainty, offering a contained environment in which progress could be easily tracked.

Previous attempts to manage stress through conventional methods had yielded limited success. Activities such as walking and reading were associated with distraction or rumination, while screen-based entertainment often led to divided attention.

Practices such as meditation and yoga proved difficult to sustain due to restlessness. In contrast, puzzling required continuous visual and tactile engagement, reducing the likelihood of multitasking and limiting exposure to digital interruptions.

The physical aspect of handling puzzle pieces, combined with the need for visual concentration, contributed to a form of enforced mindfulness. Unlike structured mindfulness exercises, which often require deliberate practice, puzzling achieved similar effects indirectly by demanding focus on a single, repetitive task.

The absence of screens was identified as a key factor, particularly in a daily routine otherwise dominated by digital interfaces.Following the initial experience, additional puzzles were acquired, though repetition of completed puzzles remained part of the routine.

This suggests that familiarity does not diminish the activity’s effectiveness, and may in fact reinforce its calming properties. Consideration was also given to practical adaptations, such as the use of storage mats, to accommodate the spatial demands of ongoing puzzles.

The activity’s broader relevance emerged through social interaction, when peers in a similar age group expressed comparable interest in puzzling. This indicates that the perception of jigsaw puzzles as a children’s activity may no longer reflect actual usage patterns.

Instead, the hobby appears to be gaining acceptance among adults as a low-cost, accessible form of stress relief.The account underscores a wider behavioural trend in which individuals seek offline alternatives to manage cognitive overload.

As work, communication and entertainment increasingly rely on digital platforms, activities that provide sustained focus without technological mediation are gaining renewed significance.

Jigsaw puzzles, by combining simplicity with engagement, illustrate how traditional pastimes can adapt to contemporary needs without modification.

The “Heroes of Tomorrow: UN SDG Action Awards” is a global initiative recognizing efforts aligned with the UN SDG Action Campaign and the broader Sustainable Development Goals agenda.

The awards, launched as part of the SDG Global Festival of Action, highlight work across areas including climate action, gender equality, education and peacebuilding.

Marina Ponti, global director of the campaign, said the program aims to amplify voices from underserved communities leading transformative change. She described awardees as individuals who act decisively despite constraints and demonstrate commitment to building a more equitable and sustainable world.

Ponti said the 2026 edition will feature three categories: Changemaker, recognizing leadership in justice and peace; Creativity, focusing on initiatives using art and innovation; and Resilience, highlighting efforts addressing conflict, inequality and climate pressures.

Past awardees include Syrian refugee Jin Dawod, whose mental health platform supports displaced communities across 26 countries, and Julienne Lusenge, known for her work supporting survivors of gender-based violence and advancing peacebuilding in the Democratic Republic of Congo.

According to Ponti, the program has received around 5,500 applications from 190 countries in recent years, with entries assessed on impact, scalability and innovation, alongside what she described as a distinguishing “wow factor.”

She noted disparities in application volumes due to barriers such as language and access, with a higher share of submissions coming from English-speaking countries. The campaign is exploring measures to improve inclusivity through expanded outreach, language support and partnerships.

Ponti added that governments can strengthen participation by investing in local initiatives through funding, training and capacity-building programs to help scale grassroots solutions.

Finalists will be invited to an awards ceremony scheduled for later in the year.

Singer-songwriter Angelo De Augustine has described a prolonged and debilitating illness that disrupted his career at a critical moment of rising recognition, forcing him into years of recovery and prompting a reassessment of both his creative process and personal priorities.

De Augustine said the episode began on Halloween in 2022 at his home in Los Angeles, when he experienced acute neurological symptoms before collapsing. Family members transported him to hospital, where he underwent several days of testing.

Despite extensive evaluation, doctors were unable to establish a definitive diagnosis and discharged him with instructions to return if symptoms worsened significantly.“I was conscious most of the time,” he said, noting that he experienced impaired hearing, limited vision and loss of motor control. He added that he retained only partial memory of the episode.

Following his discharge, De Augustine remained physically incapacitated and uncertain about his prognosis. During this period, he focused on completing Toil and Trouble, an album he had been working on for approximately a year prior to the incident.

He said the decision was driven by both professional commitment and concern about his health outlook. “I didn’t think I would survive the illness,” he said, adding that he was unable to perform routine physical tasks while finishing the project.The album was released in 2023, adding to a catalogue that had been gaining attention in recent years.

After his debut Spirals of Silence in 2014, De Augustine signed to Asthmatic Kitty for his 2017 album Swim Inside the Moon. He later collaborated with Sufjan Stevens on the 2021 album A Beginner’s Mind. His 2019 track Time, from the album Tomb, gained wider exposure after being featured in the 2023 film A Good Person, becoming his most streamed song.

However, De Augustine said he was unable to engage with the increased attention due to his health condition.In the years following the illness, he underwent a gradual rehabilitation process that included relearning basic functions such as walking, speaking, hearing and performing music.

He described recovery as uneven, characterised by incremental improvement interspersed with setbacks. He temporarily returned to live with his mother due to his inability to manage daily activities independently.

De Augustine said emerging scientific discussions around the central nervous system may offer some explanation for his condition, although he emphasised that no formal diagnosis has been confirmed. He referred to the concept of allostatic load, describing it as the cumulative burden of chronic stress on the body’s regulatory systems.

According to his account, prolonged stress may have contributed to a breakdown in normal neurological functioning, leading to widespread physical symptoms. He identified the pressures associated with sustaining a career in the music industry as a potential contributing factor.

During recovery, he introduced structured physical and mental exercises into his routine and reported gradual improvement. He also identified therapeutic benefits from water-based activity, noting that symptoms temporarily subsided while he was in a pool, which he interpreted as an indication of stress-related triggers.

The experience has informed his subsequent album, Angel in Plainclothes, which incorporates themes of physical vulnerability and altered perception. De Augustine said several tracks reflect on the loss and gradual return of sensory and cognitive functions. He described one of the lead songs as capturing a sense of detachment from reality, comparing it to observing life without feeling fully present.

Due to physical limitations, De Augustine departed from his earlier approach of independently recording and producing his music. Instead, he collaborated with other musicians and producers, including Thomas Bartlett, who contributed piano arrangements, and Jonathan Wilson, who provided studio space and instrumentation.

His mother, a professional vocalist, also contributed to the recording process.He said the album’s sound was shaped in part by the use of a range of unconventional and antique instruments, reflecting an ongoing interest in exploring varied tonal textures. Recording sessions were conducted intermittently, depending on his physical condition at the time.

De Augustine resumed live performances in 2025 after a five-year hiatus, describing the experience as a controlled reintroduction to public performance. He said the return involved measured steps rather than a full-scale resumption of touring, citing ongoing health considerations.Reflecting on the period, De Augustine said the illness led him to reconsider his earlier approach to music and work.

He indicated that a singular focus on songwriting may have contributed to prolonged stress, and said his current priority is maintaining a more balanced lifestyle while continuing creative work.

He described his present condition as a combination of partial recovery and adaptation, noting that he does not yet consider himself fully restored to his previous state.

Ambiguous romantic arrangements, often referred to as “situationships”, are increasingly shaping relationship patterns among younger adults, particularly within Generation Z.

These arrangements, which typically lack clear commitment or defined expectations, are being linked by mental health practitioners to rising levels of emotional stress, anxiety and self-doubt among young people.Mental health professionals and counsellors say the defining feature of such relationships is uncertainty.

Unlike traditional partnerships, situationships often operate without mutual agreement on exclusivity, long-term intent or emotional boundaries. While some individuals enter these arrangements voluntarily, practitioners report that many struggle with the psychological consequences over time.

A Delhi-based clinical psychologist said that the lack of clarity can create a persistent state of emotional instability. “Human beings generally seek predictability in close relationships,” the psychologist said. “When that predictability is missing, it can lead to heightened anxiety and rumination.”

A 23-year-old postgraduate student from Chandigarh, who requested anonymity, described her experience in what she later identified as a situationship lasting nearly 18 months. She met her partner through mutual friends during her undergraduate studies. Initially, the connection appeared to follow a conventional trajectory, with frequent communication and emotional intimacy.

Over time, however, she said the relationship became increasingly ambiguous. “We spoke every day, shared everything, but whenever I asked what we were, the answer would change,” she said. “Sometimes it felt like a relationship, sometimes it didn’t exist at all.”The absence of definition led to repeated cycles of reassurance and withdrawal.

According to her account, periods of closeness were often followed by emotional distance, leaving her uncertain about the status of the relationship. “You start questioning yourself,” she said. “Whether you are asking for too much, or whether something is wrong with you.

”She reported that the experience affected multiple aspects of her daily life. Academic performance declined, sleep patterns became irregular, and she experienced persistent stress. “I would check my phone constantly,” she said. “Even small changes in his behaviour would affect my entire day.

”The relationship ended without a formal conversation, which she described as “an absence rather than a breakup”. The lack of closure prolonged the emotional impact. “It’s harder to move on from something that was never clearly defined,” she said.

Counsellors working with young adults report that such experiences are increasingly common. A therapist based in Mumbai said that many clients describe similar cycles of emotional dependence and ambiguity. “There is often a mismatch in expectations,” the therapist said.

“One person may treat it as a committed relationship, while the other maintains distance.”This dynamic can lead to what psychologists describe as intermittent reinforcement, where inconsistent emotional responses strengthen attachment rather than weaken it. “The unpredictability keeps people engaged,” the therapist said.

“They hold on to the positive moments and hope they will return.”Research in behavioural psychology has long established that inconsistent rewards can create strong behavioural patterns, a concept practitioners say is relevant in understanding why individuals remain in such arrangements despite distress.Social factors also contribute to the prevalence of situationships.

A sociology researcher at a university in Bengaluru said that shifting attitudes toward commitment, combined with increased use of dating applications, have altered relationship norms. “There is greater flexibility, but also greater ambiguity,” the researcher said. “Labels are often avoided to keep options open.”

Medical and mental health professionals emphasise that prolonged emotional stress can have measurable effects on physical health. A general physician in Srinagar said that patients in their late teens and early twenties increasingly present with stress-related symptoms, including headaches, fatigue and gastrointestinal issues.

“While these symptoms are not always directly attributed to relationships, discussions often reveal underlying emotional stress,” the physician said. “Chronic stress can disrupt sleep, weaken immunity and affect overall well-being.

”Psychologists note that unresolved emotional strain can also contribute to anxiety disorders and depressive symptoms. The absence of closure, in particular, is cited as a factor that complicates recovery. “Closure provides a cognitive endpoint,” the Delhi-based psychologist said. “Without it, individuals may continue to revisit the experience repeatedly.”

Technology plays a central role in shaping these relationship dynamics. Messaging platforms and social media enable continuous contact, but also create new forms of uncertainty. Read receipts, delayed responses and online activity indicators can all become sources of anxiety.

The Chandigarh student said that digital communication intensified her experience. “You can see when someone is online, but not replying to you,” she said. “It makes you overthink everything.”Experts say that constant connectivity can blur emotional boundaries, making it difficult for individuals to disengage.

“In earlier generations, physical distance created natural pauses,” the Mumbai-based therapist said. “Now, the connection is always present, even when the relationship is unclear.”

Mental health professionals emphasise the importance of awareness and communication in addressing the impact of situationships. Identifying patterns of uncertainty and emotional imbalance is often the first step in intervention.Therapists report that encouraging individuals to establish personal boundaries and articulate expectations can help reduce distress.

“Clarity, even if it leads to an uncomfortable outcome, is generally healthier than prolonged ambiguity,” the Delhi-based psychologist said.Educational institutions and youth organisations have also begun incorporating discussions on relationship health into counselling services.

A student counsellor at a university in Punjab said that workshops on emotional well-being now include topics such as communication, consent and boundary-setting.

The Chandigarh student said that seeking professional help was a turning point in her recovery. Through counselling, she began to recognise patterns in the relationship and their impact on her mental health. “It helped me understand that it wasn’t just about the other person,” she said.

“It was also about what I was accepting.”She added that the experience has influenced her approach to future relationships. “Now I know that clarity is not something extra,” she said. “It’s something necessary.”

Concerns over the influence of extremist ideologies on young people have grown in recent years, with researchers and practitioners pointing to a mix of social, psychological and digital factors that shape vulnerability.

Interviews with counsellors, educators and former at-risk individuals suggest that exposure often begins in subtle ways, long before any overt signs of radicalisation emerge.A youth counsellor working with vulnerable adolescents in northern India, who requested anonymity due to the sensitivity of the subject, said that feelings of isolation frequently act as an entry point.

“Most of the young people I meet are not looking for conflict,” the counsellor said. “They are looking for identity, purpose and recognition. Extremist narratives often package these in a very appealing way.”According to the counsellor, online platforms play a significant role in this early stage.

Content is often framed in simplified, emotionally charged language that resonates with personal grievances. “It doesn’t present itself as extremism at first,” the counsellor said. “It presents itself as truth, justice, or even empowerment.”

Educators and digital literacy experts say algorithm-driven platforms can amplify exposure by repeatedly surfacing similar content. A media studies researcher at a public university in Delhi noted that recommendation systems tend to reinforce engagement patterns.

“If a young person interacts with polarising or identity-driven content, the system feeds them more of it,” the researcher said. “Over time, this can create an echo chamber effect.”The researcher emphasised that this process is not limited to any one ideology or region. “The mechanism is structural rather than ideological,” they said.

“Different groups may use different narratives, but the underlying method of influence is remarkably similar.”Students interviewed for this article described encountering such content during routine social media use. One university student said that initially neutral discussions gradually shifted toward more rigid viewpoints. “At first it felt like learning something new,” the student said. “But over time, it became more about ‘us versus them’.”

Former participants in intervention programmes described how emotional factors often intersect with exposure to extremist messaging. A 22-year-old participant in a community outreach initiative said that during a period of personal uncertainty, online communities provided a sense of belonging.

“It felt like people understood me,” he said. “They had clear answers when everything else felt confusing.”He added that the shift toward more extreme viewpoints was gradual. “You don’t realise when your thinking starts changing,” he said. “It happens step by step.”Intervention specialists say that early engagement is critical.

A programme coordinator working with youth groups said that family members, teachers and peers often notice behavioural changes before individuals recognise them themselves. These may include withdrawal from social circles, increased rigidity in opinions, or heightened emotional responses to specific issues.

“The challenge is not to confront aggressively, but to create space for dialogue,” the coordinator said. “Young people respond better when they feel heard rather than judged.”

Experts consistently emphasise the importance of education and open communication in building resilience against extremist influence. Digital literacy programmes, which teach young people to critically evaluate online information, are increasingly seen as essential tools.

A school principal in Srinagar said that structured discussions in classrooms have helped students navigate sensitive topics. “We encourage questions rather than shutting them down,” the principal said. “When students feel safe to express doubts, they are less likely to seek answers in unverified spaces.”Community initiatives also play a role.

Local organisations working with youth have introduced mentorship programmes and extracurricular activities aimed at fostering a sense of inclusion. According to organisers, providing constructive outlets for energy and ambition can reduce susceptibility to harmful narratives.Mental health professionals highlight the need to address underlying emotional factors.

“Extremist messaging often exploits feelings of anger, injustice or alienation,” said a clinical psychologist based in Mumbai. “If those feelings are acknowledged and managed in healthy ways, the appeal of such narratives diminishes.”At the policy level, governments and institutions have focused on balancing security measures with preventive approaches.

Analysts note that enforcement alone is insufficient without parallel investment in education, employment opportunities and community engagement.The accounts gathered in these interviews indicate that while the pathways into extremism are complex, they are not inevitable.

Practitioners underline that timely intervention, supportive environments and access to credible information can significantly alter outcomes for young people navigating identity and belonging in an increasingly digital world.

In Bengaluru, mental health professionals and public health data indicate a growing association between weakened social connections and psychological distress, particularly among working-age adults.

According to estimates from the World Health Organization, depression and anxiety disorders account for a significant share of the global disease burden, with social isolation identified as a contributing risk factor in multiple studies.

Indian health authorities have similarly flagged the role of changing urban lifestyles in shaping mental health outcomes.

A 29-year-old software professional in Bengaluru, whose identity is being withheld due to privacy concerns, sought clinical support in 2025 after experiencing prolonged anxiety and sleep disruption. According to medical records reviewed with consent, the individual reported limited in-person social interaction outside of work and increasing reliance on digital communication.

Treating clinicians noted that the absence of stable social networks was a contributing factor in the patient’s condition, alongside occupational stress.

Urbanisation and migration have altered traditional support systems across India’s major cities. Data from the National Mental Health Survey of India conducted under the National Institute of Mental Health and Neurosciences found that nearly 10.6% of adults in India suffer from mental health disorders, with higher prevalence reported in urban metropolitan regions.

Researchers associated these patterns with factors including social fragmentation, work-related pressures, and reduced community engagement.In Bengaluru, a major technology hub, long working hours and geographically dispersed families have contributed to shifts in social behaviour.

Mental health practitioners report that patients increasingly describe a narrowing of social circles, often limited to workplace interactions or online platforms. While digital connectivity has expanded communication channels, clinicians note that it does not always provide the same level of emotional support as in-person relationships.

Academic research cited by the WHO indicates that social isolation and loneliness are linked to increased risks of depression, anxiety, and other psychological conditions.

These findings are supported by longitudinal studies in multiple countries, which show that individuals with limited social ties are more likely to report poorer mental health outcomes over time.

Mental health professionals in Bengaluru report that the effects of weakened social connections often emerge gradually, making early detection difficult. A psychiatrist at a private hospital, speaking on condition of anonymity, stated that many patients do not initially identify social isolation as a contributing factor.

Instead, they present with symptoms such as fatigue, irritability, or sleep disturbances, which are later contextualised within broader patterns of limited social engagement.Data from the Ministry of Health and Family Welfare indicates that mental health services remain underutilised, with a significant treatment gap across the country.

Estimates suggest that a majority of individuals experiencing mental health conditions do not receive formal care. Experts attribute this to stigma, limited awareness, and uneven distribution of mental health infrastructure.The Bengaluru case reflects these broader trends.

According to clinicians involved in the treatment, the patient delayed seeking help for several months, attributing symptoms to routine stress. It was only after the condition began to affect work performance that medical consultation was pursued.

Treatment included a combination of counselling and structured efforts to rebuild social interaction, including participation in group activities.

India’s policy framework has increasingly recognised mental health as a public health priority. The Mental Healthcare Act established legal rights for individuals with mental illness and mandated access to services.

Government programmes have also focused on expanding community-based care and integrating mental health into primary healthcare systems.At the international level, the WHO has emphasised the importance of social determinants in mental health outcomes.

In its policy guidance, the organisation identifies social inclusion and community participation as protective factors against mental illness. These recommendations have informed national strategies, including initiatives aimed at promoting workplace well-being and community engagement.

Despite these measures, implementation challenges persist. Urban centres such as Bengaluru face increasing demand for mental health services, while supply remains constrained. Experts highlight the need for preventive approaches that address underlying social factors, including isolation and lack of support networks.

The case of the Bengaluru professional underscores the interaction between individual experience and broader structural trends.

While clinical intervention addressed immediate symptoms, practitioners involved in the case indicated that long-term outcomes depend on sustained social engagement and support mechanisms, reflecting patterns observed in public health research.