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This excellent article in The Guardian highlights the rising sense of eco-anxiety being felt around the world, especially among the young. There is a paradoxical need to highlight all the environmental, social and economic problems the world is facing so that solutions can be sought and implemented which will at the same time focus our minds on the existential crisis we may be facing. Similarly, we have made great progress in recognizing and understanding mental health issues but face exacerbating poor mental health outcomes with all our reporting and awareness. But we have to face up to the fact that this is the only option for survival and take optimism from that. If we can see efforts being made to solve the problems we face then we can join in those efforts and be positive about the future.