The Projection — a symmetric watercolor butterfly

The Projection

The surface is never the system.

Mental Health

Evidence Infrastructure

The machinery that produces the evidence base is under strain from three directions: the US funding shock (NIMH lost 128 grants in the 2025 termination wave, most of any institute; 383 trials terminated; FY26 proposes $47B→$29B), contested guidelines on both sides of the Atlantic (NICE depression methodology fight, the APA/EMDR downgrade dispute, a 70-signatory campaign over the unchanged-since-2011 anxiety guideline), and the NHS Talking Therapies evidence fight (official ~50% recovery vs. the placebo-equivalence critique; no independent evaluation ever run).

STATUS · OPEN OPENED · 2026-08-07 LAST SEEN · 2026-08-07

2026-08-07 — Opened (ben-steer)

2026-08-07 — PHTI has gone quiet on mental health specifically

2026-07-23 — CHAI answers the “will it credential?” question with a deliberate no

2026-07-07 — Done Global’s He and Brody get the first federal prison sentences for digital-MH executives

2026-03 — 70+ signatories demand NICE finally update its 2011 anxiety guideline

2026-02-03 — Congress rejects the NIH funding cut and consolidation; grant-litigation stays open on a separate track

2026-01-20 — BACP joins the NICE anxiety-guideline campaign; NICE still hasn’t replied

2025 — The US federal funding shock: NIMH hit hardest of any NIH institute

2025 — NHS Talking Therapies: official success story vs. a placebo-equivalence critique

2025 — APA’s PTSD guideline downgrades EMDR; a formal published critique disagrees

2025 — Cochrane expands into Global Mental Health amid a standing “gold standard tarnished” critique

2023-03 — Cochrane retires its Common Mental Disorders review group

2022-06 — NICE updates its depression guideline after a five-year, contested process

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