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It was three years before Kelly Boone saw her daughter’s face free from a thick layer of make-up.

Avella was 11 years old when she first began exhibiting symptoms of severe body dysmorphic disorder (BDD) – even going as far as to consult a cosmetic surgeon and begging for rhinoplasty.

At the most severe, it left her housebound and she would cover her head with a towel just to go to the toilet, refusing to let her family see her without the thick layers of foundation.

On one “devastating” occasion, her father Patrick opened a package that had arrived for Avella – it contained injections and filler bought off a dodgy website.

It was not the first time Avella had tried “self-surgery”.

“She didn’t actually use any of the things she bought – by luck,” Kelly, from south Devon, said.

“It was crippling. She was a recluse, just living in her room.

“I was sliding trays of food across her bedroom floor with her in a darkened room at one point.”

As Avella, now 17, makes steps towards recovery, Kelly fears the cost of living crisis will make things harder.

Two showers a day

Although Avella no longer wears layers of make-up she has a strict hygiene routine – including two showers a day – to help her cope with her body dysmorphia.

Amid the soaring cost of energy, bills and inflation, there are concerns it could become harder for the family.

The family’s monthly gas bill has risen from £400 to more than £500. But for Kelly, the price is non-negotiable.

“She’s starting to recover and the gains we’ve made, we can’t negotiate on that,” Kelly told Sky News.

“It’s quite ritualistic and quite necessary to her, and we can’t make any concessions on those, whilst they might be a luxury to some people.

“So we cannot cut down our water bill, the cost of gas – these things are non-negotiable, so our bills are extortionate.”

Avella also cannot get public transport. “She cannot sit face to face with someone,” her mother said – so instead they have to drive her to therapy appointments, and previously to college.

“I can’t believe how quickly my tank gets down to zero,” said Kelly. “It’s very expensive.”

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Avella, age 11, before she began showing symptoms of body dysmorphia
Image:
Avella, aged 11, before she began showing symptoms of body dysmorphia

‘Her recovery has to be at her pace – not at my energy bill convenience’

Kelly said seeing Avella suffer is “excruciating”.

“I would do anything to swap places with her,” she said.

“It’s been really difficult and gut-wrenching, but we’ve also had some really high moments.

“Like the day she decided to wipe her make-up off and come down and show us.

“It was the first time in three years we had seen her without any make-up on.”

As the family takes each day “hour by hour”, none of them want to see Avella slide back to where she was before.

The mother of three said: “Any requested change to her routine, other than what she does for herself of her own choosing would cause immediate anxiety and distress.

“This can snowball to affect other aspects of how she perceives herself. Her recovery has to be at her own pace not at my convenience due to rising energy bill concerns.”

One in three fear for their children

Kelly is not alone, as new research shows a third of parents think the cost of living crisis will significantly affect their children’s mental health.

These children, who have spent their formative teenage years living through the COVID pandemic, face coming of age in a cost of living crisis.

A poll of 2,150 UK parents – by Savanta ComRes and commissioned by the King’s Maudsley Partnership – found a third of parents (33%) feel their child is currently experiencing mental health difficulties.

This rises to 43% of parents with children ages between 16 and 17.

The most common symptom, or behaviour, noticed by parents is anxiety (68%), which is cited by nearly twice as many parents as the next most common response – which is depression or low mood episodes in their children (37%).

Read more: The real cost of being born premature

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‘Grossly underfunded’

Kelly, like many parents, experienced delay after delay in getting treatment for Avella.

Bruce Clark, a consultant child and adolescent psychiatrist and specialist in OCD, BDD and related disorders, said he had seen a “huge rise in mental health presentations to services, both in referrals to generic services” as well as emergency crisis referrals since the pandemic.

The clinical director of Child and Adolescent Mental Health Service, who works at the South London and Maudsley Mental Health Trust said while there are charities that help fill some of the gaps, the sector – particularly around research – is “grossly underfunded”.

The London trust is on the brink of opening a new pioneering mental health centre for children and young people, the Pears Maudsley Centre. Part of the new centre will involve a clinical hub, with research vital to improving support for young people.

“There was always an aspiration to deliver for 35% of the mental health needs in the community,” Dr Clark said.

“Well, we want to do more than 35%. I’d like to find ourselves in a situation with the right clinical research background to deliver as close to 100%.

“You’d never find that acceptable to say we’ll treat 35% of the cancer morbidity in our society, so it would be brilliant if we could not have that limited aspiration for children’s mental health.”

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Parents of boy whose outbursts left them fearing for their lives say Adolescence ‘touched a nerve’

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Parents of boy whose outbursts left them fearing for their lives say Adolescence 'touched a nerve'

A teenager suddenly becomes violent, his anger towards women fuelled by online influencers, while his parents struggle to process what their son is capable of.

Does this sound familiar?

It’s the story of the hit drama Adolescence – but for Jess and Rob, it’s their life.

Their 14-year-old son Harry’s violence has escalated so rapidly he’s had to be taken into care. We’ve changed all their names to protect their identities.

Until the age of 12, Harry’s parents say he was a “wonderful” son. But they saw a change in his personality, which they believe was sparked by an incident when he was hit by a girl. Soon, he developed an online interest in masculine power and control.

Becky Johnson Adolescence  feature
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Harry’s personality changed after he was assaulted (this image shows an actor in a Sky News reconstruction)

“Harry became obsessed with being strong, and I think he developed a difficulty around certain female people because of the assault,” Jess says.

“He had to be in charge… in every setting,” Rob adds.

Then one night, he punched his mother, Jess. His parents called the police in the hope it would shock him out of doing it again. But, as time went on, the violence escalated.

“We probably must have called the police over 100 times,” Rob says.

One attack was so serious, Jess ended up in hospital. The violence spilled outside the home too as Harry assaulted neighbours and friends.

Then he threatened to stab a teacher.

“Every time we think it can’t get any worse, something else happens and it does get worse,” Rob says. “Unfortunately, him getting hold of a knife is quite likely to happen.”

They say Adolescence, which stars Stephen Graham, Ashley Walters and Owen Cooper, touched a nerve.

Becky Johnson Adolescence  feature
Image:
Jess and Rob say they called the police 100 times (this image shows actors in a Sky News reconstruction)

“My worst fear is that he’s going to end up killing one of us,” says Jess. “If not us, then somebody else…”

It’s a shocking thought for any parent to have. As well as contacting police, the family have tried many times to get help from social services and the NHS for Harry’s deteriorating mental health.

“We’ve been told that we’re using too many resources and accessing too many services,” Rob says. “We tried for 18 months to get him more intensive therapeutic help. At every turn it was ‘no, no, no’.”

Read more:
Starmer backs campaign to show Adolescence in schools
Inside the online gangs where boys compete to be cruel

They have found help with an organisation called PEGS that supports parents who are victims of their own children’s violence.

Becky Johnson Adolescence  feature
Image:
PEGS founder Michelle John says many families struggle to have their concerns taken seriously

Last year it was contacted by over 3,500 families, a 70% increase on 2023. Founder Michelle John says many families struggle to have their concerns taken seriously.

“What we’re hearing time and time again is that referrals are not being picked up because thresholds aren’t being met and perhaps the parent or caregiver isn’t a risk to the child,” she says. “Families are falling through gaps.”

In some parts of the country, local organisations are attempting to fill those gaps. Bright Star Boxing Academy in Shropshire has children referred by schools, social workers and even the police.

Joe Lockley, who runs the academy, says the problem is services that deal with youth violence are “inundated”.

“The biggest cause of the violent behaviour is mental health,” he says. “They lack that sense of belonging and control, and it’s quite easy to gain that from the wrong crowd and getting involved in violence.

“Social media is having a huge impact, especially around that young person’s identity.”

Becky Johnson Adolescence  feature
Image:
Ethan at the Bright Star Boxing Academy

Ethan, 18, agrees. He joined the academy aged 14. By then he had already been arrested several times for getting into fights.

He believes bullying sparked anxiety and depression. “Someone could look at me, I’d be angry,” he says.

“Social media – that’s definitely a massive part. You’ve got so many people that are living this material life. They’ve got loads of money.

“My main thing was seeing people with amazing bodies – I felt I couldn’t reach that point and it made me self-conscious, which would add on to the anger which then turned to hatred towards other people.”

Becky Johnson Adolescence  feature
Image:
Ethan says boxing has helped him turn his life around

Without the support of the boxing academy, he believes, he wouldn’t have been able to turn his life around.

“I would either be in prison or I would have done something a lot worse to myself,” he says.

“It’s just this massive mess in your head where you’ve got a million thoughts at once – you don’t know what to think or how to even speak sometimes,” he adds.

“All we need is someone that’s got the time for us… and the understanding that it’s a war in our heads.”

A government spokesperson told Sky News: “We have seen too many preventable tragedies caused by the failings of mental health services, and it’s unacceptable that young people have not been getting the care and treatment they need to keep them, their families and the wider public safe.

“We are working to ensure children and their families get that help. We are investing over £50m to fund specialist support in schools, launching a Young Futures hub in every community, and providing access to a specialist mental health professional in every school in England.”

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK

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Plastic surgeon Peter Brooks found guilty of attempting to murder colleague

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Plastic surgeon Peter Brooks found guilty of attempting to murder colleague

A plastic surgeon has been found guilty of the attempted murder of a fellow doctor who he stabbed after a failed attempt to set his house on fire.

Peter Brooks had cycled to the home of Graeme Perks in Halam, near Southwell, Nottinghamshire, while wearing camouflage gear and armed with a crowbar, petrol, matches and a knife in the early hours of 14 January 2021.

The 61-year-old then doused the ground floor of the property with petrol before stabbing fellow plastic surgeon Mr Perks because he wanted him “out of the way”, his trial at Loughborough Courthouse heard.

The victim’s wife and children were sleeping at the time of the attack, the jury was told.

Mr Perks, a consultant plastic surgeon, had provided evidence in disciplinary proceedings against Brooks, who faced potentially losing his job with Nottingham University Hospitals NHS Trust, the jury was told.

Brooks was “voluntarily absent” from his month-long trial because he was on hunger strike and said he would “rather be dead than incarcerated”, it can now be reported.

He also sacked his lawyers before the trial and was unrepresented in the case.

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Graeme Perks is fighting for his life in hospital. Pic: BAPRAS
Image:
Graeme Perks is fighting for his life in hospital. Pic: BAPRAS

When opening the prosecution’s case, Tracy Ayling KC had told the jury it was “clear that the defendant hated Graeme Perks” and wanted him “out of the way”.

Mr Perks, who was 65 at the time, had retired the month before the attack and suffered “extremely life-threatening” injuries to his liver, intestines and pancreas, and was given a 95% chance of death, the court was told.

He had woken up on the night of the attack when Brooks smashed through his conservatory, the jury heard.

The camouflage suit worn by Peter Brooks during the attack. Pic Nottinghamshire Police
Image:
The camouflage suit worn by Peter Brooks during the attack. Pic Nottinghamshire Police

Mr Perks then went downstairs where his feet “felt a bit damp” from the petrol, which Brooks had also thrown against the wall next to the stairs, before he felt a “blow to his body”, the court was told.

Brooks was later found asleep on a garden bench later that morning when he was taken to hospital for injuries to his hand, and was arrested.

His blood was found on a door at the scene of the attack.

Brooks has been convicted of two counts of attempted murder, attempted arson with intent to endanger life, and possession of a knife in a public place.

Jurors deliberated for more than 12 hours before finding Brooks guilty of all the charges against him.

Retired surgeon Graeme Perks leaving Loughborough Magistrates' Court.
Pic: PA
Image:
Graeme Perks leaves court in Loughborough after giving evidence.
Pic: PA

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Two-phase public inquiry into Southport murders formally launched

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Two-phase public inquiry into Southport murders formally launched

A two-phase statutory public inquiry into the Southport murders has been formally launched.

Home Secretary Yvette Cooper said the first phase would look at the circumstances around Axel Rudakubana’s attack on a Taylor Swift-themed dance class last summer.

It will focus on issues around policing, the criminal justice system and the multiple agencies involved with the attacker who killed three girls – seven-year-old Elsie Stancombe, six-year-old Bebe King and Alice da Silva Aguiar, nine.

It follows the revelation Rudakubana had been referred to the government’s Prevent scheme on three occasions, with the cases being closed each time.

This breaking news story is being updated and more details will be published shortly.

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