I Bet This Is a Big Problem

Is sports wagering a public health crisis?

“Folks might be familiar with this group at Northeastern, the Public Health Advocacy Institute. It is treating gambling as a public health issue and has deemed it a crisis…

“First of all, lots of people, predominantly young men, are losing more money than they can afford gambling on sports, or are developing either full-blown or sort of borderline gambling addictions. To me, that makes it a public health issue.”

Jonathan D. Cohen on how sports gambling became a public health crisishttps://awfulannouncing.com/gambling/author-jonathan-d-cohen-perils-sports-betting.html

The next major health epidemic in the U.S. will not come from a pathogen. This plague has a potential patient population in the tens of millions, limited effective treatments, and is not widely studied in the medical community. I’m referring to sports gambling, an activity that deeply alarms me as a physician who specializes in addiction. Problem gambling can increase the incidence of depression and anxiety and can lead to bankruptcy, homelessness, or suicide. Why gambling addiction is America’s next health crisishttps://kevinmd.com/2025/06/why-gambling-addiction-is-americas-next-health-crisis.html

Yikes.

I’m Taking Your Phone Away (and you didn’t do anything wrong)

The study found that those who had high and increasing addiction to mobile phones and social media platforms were at a higher risk of suicidal behaviors and thoughts. At year four, almost 18% of kids reported having suicidal thoughts, and 5% said they had suicidal behaviors. Teens with ‘addictive’ phone use more likely to be suicidal: Studyhttps://thehill.com/policy/healthcare/5360042-teens-addiction-social-media-phones-suicidal-thoughts/

Here’s the link to the JAMA article https://jamanetwork.com/journals/jama/article-abstract/2835481/

Yikes!

Think Again About Outsourcing Your Thinking

Artificial intelligence can be an oxymoron. And dangerous for some humans.

What Is ChatGPT? Everything You Need to Know About OpenAI’s Popular Chatbot – https://www.pcmag.com/explainers/what-is-chatgpt-everything-you-need-to-know-about-openais-popular-chatbot

ChatGPT has been found to encourage dangerous and untrue beliefs about The Matrix, fake AI persons, and other conspiracies, which have led to substance abuse and suicide in some cases. A report from The New York Times found that the GPT -4 large language model, itself a highly trained autofill text prediction machine, tends to enable conspiratorial and self-aggrandizing user prompts as truth, escalating situations into “possible psychosis.” ChatGPT touts conspiracies, pretends to communicate with metaphysical entities — attempts to convince one user that they’re Neohttps://www.tomshardware.com/tech-industry/artificial-intelligence/chatgpt-touts-conspiracies-pretends-to-communicate-with-metaphysical-entities-attempts-to-convince-one-user-that-theyre-neo

ChatGPT Is Telling People With Psychiatric Problems to Go Off Their Medshttps://futurism.com/chatgpt-mental-illness-medications

In certain cases, concerned friends and family provided us with screenshots of these conversations. The exchanges were disturbing, showing the AI responding to users clearly in the throes of acute mental health crises — not by connecting them with outside help or pushing back against the disordered thinking, but by coaxing them deeper into a frightening break with reality…Online, it’s clear that the phenomenon is extremely widespread. As Rolling Stone reported last month, parts of social media are being overrun with what’s being referred to as “ChatGPT-induced psychosis,” or by the impolitic term “AI schizoposting“: delusional, meandering screeds about godlike entities unlocked from ChatGPT, fantastical hidden spiritual realms, or nonsensical new theories about math, physics and reality. An entire AI subreddit recently banned the practice, calling chatbots “ego-reinforcing glazing machines that reinforce unstable and narcissistic personalities.”  People Are Becoming Obsessed with ChatGPT and Spiraling Into Severe Delusionshttps://futurism.com/chatgpt-mental-health-crises

Yikes.

Ketamine in the UK

Acute harms of ketamine use relate to vulnerability and injuries. Long term use can seriously harm both physical and mental health, diminishing quality of life, affecting personal relationships, and impairing academic or professional performance.9 Ketamine induced uropathy from ulceration and thickening of the bladder is a common and serious complication. In the UK, 27% of regular ketamine users report at least one urological symptom—dysuria, frequency, incontinence, haematuria, or retention—with severity correlated with dose and frequency of use.10 Treatment requires abstinence.11 If abstinence is not achieved, irreversible bladder and kidney damage can occur, requiring urinary tract reconstruction. Long term ketamine use is also associated with “K cramps”—severe abdominal pain. This may be related to liver disease that is similar to primary sclerosing cholangitis but less inflammatory and progressive.12 Acute harms of ketamine use relate to vulnerability and injuries. Long term use can seriously harm both physical and mental health, diminishing quality of life, affecting personal relationships, and impairing academic or professional performance.9 Ketamine induced uropathy from ulceration and thickening of the bladder is a common and serious complication. In the UK, 27% of regular ketamine users report at least one urological symptom—dysuria, frequency, incontinence, haematuria, or retention—with severity correlated with dose and frequency of use.10 Treatment requires abstinence.11 If abstinence is not achieved, irreversible bladder and kidney damage can occur, requiring urinary tract reconstruction. Long term ketamine use is also associated with “K cramps”—severe abdominal pain. This may be related to liver disease that is similar to primary sclerosing cholangitis but less inflammatory and progressive.12Non-prescribed ketamine use is rising in the UKhttps://doi.org/10.1136/bmj.r1167

Yikes.

Update 07.05.25https://www.bbc.com/news/articles/c70r1xdyy59o

One Toke Over the Line

A wave of recent research points to reasons for concern for older users, with cannabis-related emergency room visits and hospitalizations rising, and a Canadian study finding an association between such acute care and subsequent dementia. Older people are more apt than younger ones to try cannabis for therapeutic reasons: to relieve chronic pain, insomnia, or mental health issues, though evidence of its effectiveness in addressing those conditions remains thin, experts said. As Cannabis Users Age, Health Risks Appear To Grow https://kffhealthnews.org/news/article/cannabis-medical-use-older-adults-health-risks/

Then…

And now…

“Our brains are more sensitive to psychoactive substances as we age.” Dr. Benjamin Han

Don’t you know I’m just waiting for the train that goes home, sweet Mary.

Tsundoku (guess the disease)

“All those books you haven’t read are indeed a sign of your ignorance. But if you know how ignorant you are, you’re way ahead of the vast majority of other people.” Jessica Stillman

Tsundoku is the Japanese word for the stack(s) of books you’ve purchased but haven’t read. Its morphology combines tsunde-oku (letting things pile up) and dokusho (reading books). The Japanese call this practice tsundoku, and it may provide lasting benefits — https://bigthink.com/neuropsych/do-i-own-too-many-books/

Cannabis Dependence and Erectile Dysfunction

The short-term analysis included 29,442 patients with cannabis dependence matched to 29,442 patients without dependence. Cannabis dependence was significantly associated with an approximately 4-fold higher risk for ED and PDE5i prescription at 3 months to 1 year from diagnosis among all men and those aged 40 years and older and an approximately 3-fold higher risk for men aged 18-39 years, Dr Asanad’s team reported in The Journal of Sexual Medicine. The longer-term analysis included 17,211 men with cannabis dependence matched to 17,211 men without dependence. Cannabis dependence was significantly associated with an approximately 1.2-fold increased risk for ED among all adult men and those aged 40 years and older, the investigators reported. Cannabis Dependence Linked With Erectile Dysfunction, Testosterone Deficiencyhttps://www.renalandurologynews.com/news/erectile-dysfunction-testosterone-cannabis-dependence

Yikes.

When People Did Not Have Access to Mobile Internet, they Spent More Time Socializing in Person, Exercising, and Being in Nature.

https://www.harmonyhit.com/phone-screen-time-statistics/

Our results provide evidence that blocking mobile internet from smartphones for 2 weeks can produce significant improvements for SWB (subjective well being), mental health, and the objectively measured ability to sustain attention. Even those who did not fully comply with the intervention experienced significant, though more modest, improvements. These findings suggest that constant connection to the online world comes at a cost, since psychological functioning improves when this connection is reduced. Blocking mobile internet on smartphones improves sustained attention, mental health, and subjective well-being PNAS Nexus, Volume 4, Issue 2, February 2025, pgaf017, https://doi.org/10.1093/pnasnexus/pgaf017

Excuse me please, I have to check my phone.