In psychosis risk the problem may not be that the world stops offering rewards, but that the brain stops paying itself for its own effort.

Depression here reads less as a storm of negative predictions than as a quiet letting-go of the wheel – the brain stops simulating consequences and lets choice wander from one option to the next.

For a depressive episode, the ranking preliminarily favors bilateral prefrontal stimulation, and the older left-sided high-frequency default is no longer the automatic choice.

Same lamp, same lux, same thirty minutes – given in the morning, the effect on anhedonia stands out; the circadian clock, not the mood score, seems to be the target.

The moment attention slips off the breath is not noise to be averaged away; it is a network-level event, and returning from it is the skill the practice actually builds.

When the heart slows, the felt clock slows with it, and much of that happens beneath anything the patient can report.

For suicide risk, the meaningful interoceptive variable is not how precisely the body is detected but whether it is trusted and can be used to steady distress.

The heartbeat evoked potential is the field's favourite objective marker of interoception, and it cannot yet tell clinical brains from healthy ones.

It is not the metaphor's subject that heals or harms, but the emotional tone it carries – the same illness framed as a fight or as a game asks two very different things of the patient.

A reframe the client logically accepts but cannot feel rarely survives the next bad week; a metaphor that lands recruits memory and semantic systems that help it hold.

The brain signature of emotion dysregulation in adult ADHD appeared not in the most impaired patients but in the moderate middle, hinting that it is a circuit configuration rather than a simple severity dial.

Memory difficulty in an autistic adult may not be a fixed trait but the visible end of a fluid-clearance cascade that begins in the brain's plumbing.

A cortex still emitting a vigorous prediction error has more plastic reserve for iTBS to mobilise, and its mismatch negativity shows it before the first pulse.

A total of 26 or more is a reason to assess, never a diagnosis to hand out.

In this data, self-reported attention to the body and self-reported accuracy pull apart: attention without accuracy tracked more distress, not less.

When the patient cannot carry the whole therapy, give them one metaphor to carry instead, and build everything else onto it.

A model can be mathematically elegant and mechanistically plausible and still be clinically useless if the same patient scores differently next week.

Before prediction error can serve as a biomarker, someone has to prove the signal means the same thing twice, and this study shows how easily it does not.

The largest public payer for America's oldest patients has decided that validated software is a billable clinical tool, not wellness content.

Burnout is not only a clinician's private burden – in these records it showed up as more correctors, more polypharmacy, and longer stays for the patients in that clinician's care.

The wearable is reading heart rate variability; the claim that it reads your interoception is a marketing step the science has taken only twice in five years.

The clinical question is not whether a patient uses a chatbot, but what role it has come to play in their symptoms.

The meaning a clinician catches in a half-finished gesture is exactly the kind that does not survive being turned into tokens.

For a clinician who has read Hohwy or Clark and wants to move from metaphor to method, the CPC is the rare course that hands you the equations and the code rather than only the story.

ISTSS is the field's flagship global trauma-science congress, and its income-tiered registration means four days of calibrating against the primary literature are not reserved for well-funded Western institutions.

A metaphor is not a flourish – it is a relational frame that carries the function of one experience into another, which is exactly why it can move a patient when an argument cannot.