Banning nuts from the skies would not keep people with allergies safe | Letters

Number of people killed in the Democratic Republic of Congo from disease exceeds 3,000 amid response funding gap.

Helen Macdonald responds to a report by the parliamentary and health service ombudsman The parliamentary and health service ombudsman’s findings are stark and sadly familiar (Autism and ADHD care complaints more than triple in five years in England, 26 August). A more than 200% rise in complaints, years-long waits, patients paying thousands of pounds for private care when the NHS fails them, and a system so complex that people are routinely denied rights they are legally entitled to – these are exactly the issues that the British Association for Behavioural and Cognitive Psychotherapies (BABCP) has been documenting and raising for years. What the ombudsman’s report does not fully address is what happens once people are assessed and diagnosed. Too many people with ADHD and autism receive a diagnosis only to find that there is no evidence-based treatment pathway attached to it. Cognitive behavioural therapy is recommended by the National Institute for Health and Care Excellence for the anxiety and depression that commonly accompany neurodevelopmental conditions, and in specific contexts for adults with ADHD itself. Yet workforce shortages mean that even where the clinical will exists, the capacity often does not. A diagnosis without access to appropriate treatment is a hollow outcome...

For a decade I lived with a fear so bad that I once tried to climb out of a tube carriage while it was in motion. Then a hypnotherapist told me to ask my parents one very important question In 2000, I had been living in London for just over a decade and working at EMI Records for five years. I had moved to Brixton from Surrey – where space and peace were generally abundant – in the late 80s, and I’d noticed I was becoming increasingly anxious and claustrophobic, particularly on public transport. As things got progressively worse, I had a string of distressing panic attacks. Every time, it felt like the world around me was closing in. Then, in July 2003, during my daily commute between Brixton and the South Bank, I had a panic attack so intense I tried to climb out of the tube carriage doors. Thankfully, other passengers held me back until we arrived at the next platform – but I knew the problem was no longer something I could ignore...