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.”
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%).
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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Sir Keir Starmer has condemned plans for pro-Palestine protests two years to the day since the October 7 attacks on Israel, labelling them “un-British”.
Writing in The Times, the prime minister said demonstrations set to take place at several universities today showed a lack of respect for others, claiming previous rallies had been used by some as a “despicable excuse to attack British Jews”.
Adrian Daulby, 53, and Melvin Cravitz, 66, died in the attack at Heaton Park synagogue in Crumpsall on Thursday.
Image: Adrian Daulby (left) and Melvin Cravitz. Pics: Family handout/Facebook
‘A stain on who we are’
Mr Daulby, a member of the congregation, was shot accidentally when police fired on attacker Jihad al Shamie.
The synagogue’s rabbi told Sky News it happened as Mr Daulby “was holding the doors to make sure everyone inside stayed safe”.
The family of Mr Cravitz – a worshipper at the synagogue who police originally stated was a security guard – said he would “do anything to help anyone”.
Sir Keir described the attack as “horrifying”, adding: “This is a stain on who we are, and this country will always stand tall and united against those who wish harm and hatred upon Jewish communities.”
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Synagogue security guard describes moment attack unfolded
Ministers had urged protesters to rethink attending a rally in support of the banned group Palestine Action over the weekend, given its proximity to the synagogue attack.
Image: Pro-Palestine demonstrations in central London have attracted thousands of people. Pic: PA
‘A living nightmare’
Of October 7, the prime minister said it was “the worst attack on the Jewish people since the Holocaust”.
“The brutal, cold-blooded torture and murder of Jews in their own homes.
“And the taking of hostages, including British citizens, some of whom remain in Gaza today.
“Since that awful day, so many have endured a living nightmare. When I spoke with some of the families of the British hostages, I promised them in person that we will not cease in our efforts to bring their loved ones home.”
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PM: ‘We must defeat antisemitism’
PM welcomes Trump’s peace efforts
In his statement, Sir Keir also spoke about the government’s priorities in the Middle East, which he said included releasing the hostages, getting more aid into Gaza, and a ceasefire “that can lead to a lasting and just peace as a step towards a two-state solution”.
Mr Trump’s 20-point peace plan includes the disarmament of Hamas, which would have no role in Gaza’s future governance. The US president would lead an interim administration with the help of Sir Tony Blair, among others.
He has demanded Israel stop bombing Gaza, though airstrikes have continued.
Israel’s war on Hamas has now killed more than 67,000 people in Gaza, most of them civilians, according to the Hamas-run health ministry, which does not differentiate between civilians or combatants.
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‘We’re going to have a Gaza deal’
Antisemitism ‘a terrible scourge’
Conservative leader Kemi Badenoch also criticised pro-Palestine protests in a statement marking the October 7 anniversary, claiming some “turn into hate marches on our streets”.
She said the government’s decision to recognise a Palestinian state “has rewarded the terrorists that perpetrated the October 7 atrocities”.
“Appeasement does not work,” she said, adding: “There are still 48 hostages held captive in Gaza. They must come home now.”
Liberal Democrat leader Sir Ed Davey described antisemitism as a “terrible scourge” and said: “We stand in solidarity with British Jews, the people of Israel and Jewish communities around the world against terrorism, and against antisemitism in all its forms.”
Of the peace talks, he added: “We desperately hope that they will finally see the hostages returned home to their families, a lasting bilateral ceasefire, Hamas out of power in Gaza for good – and set us on the path to a two-state solution that offers both Israelis and Palestinians the peace and security they deserve.”
The Metropolitan Police have arrested 46 people after disrupting a criminal network suspected of smuggling up to 40,000 stolen phones from the UK to China.
A months-long investigation began last December when a box on its way to Hong Kong was found at a warehouse near Heathrow Airport containing around 1,000 iPhones.
Officers discovered almost all of the phones had been stolen, the force said. It then launched Operation Echosteep, bringing in specialist detectives to track down the suspects.
They intercepted further shipments and used forensics to identify two men in their 30s, who were arrested on suspicion of handling stolen goods on 23 September. They have since been charged and remanded in custody.
Image: The discovery of the phones at a warehouse near Heathrow Airport. Pic: Metropolitan Police
A number of phones were found in the men’s car and around 2,000 more devices were found at properties linked to them, the Met Police said.
Detective Inspector Mark Gavin, the senior investigating officer for Operation Echosteep, said: “This group specifically targeted Apple products because of their profitability overseas.
“We discovered street thieves were being paid up to £300 per handset and uncovered evidence of devices being sold for up to $5,000 (£3,700) in China.”
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Image: Phones piled on the backseat of the suspects’ car. Pic: Metropolitan Police
Police call on phone manufacturers to do more
Commander Andrew Featherstone, the Met’s lead for tackling phone theft, has described the operation as “the largest crackdown on mobile phone theft and robbery in the UK”.
He continued: “We’ve shown how serious we are about tackling this issue, but we need more help from the industry.
“We’re calling on phone manufacturers such as Apple and Samsung to do more to support us and protect their customers – especially around phone security and re-use.”
A total of 46 people have been arrested during two weeks of what the force has described as “targeted and precise activity”.
These include the arrests of 11 people during an operation targeting gangs robbing courier vans delivering the new iPhone 17 and the arrest of two men in their 30s – on suspicion of money laundering and handling stolen goods – after officers recovered almost £40,000 in cash at a phone shop in north London.
Another man was charged with handling stolen goods after being stopped with 10 suspected stolen phones at Heathrow Airport on 20 September.
Further enquiries revealed the man – who also had two iPads, two laptops and two Rolex watches – had travelled between London and Algeria more than 200 times in two years, the force said.
London mayor Sadiq Khan said it is “simply too easy and profitable” for criminals “making millions by repurposing stolen phones and selling them abroad”.
“I will continue to call on the mobile phone industry to go harder and faster in designing out this crime by making stolen devices unusable,” he said. “We need coordinated global action to shut down this trade and build a safer London for everyone.”
The synagogue killer, Jihad al Shamie, radicalised himself after searching online for videos of the Islamic State terror group, according to a friend.
The man, Qas, said al Shamie “started using [encrypted messaging app] Telegram and searching for ISIS videos.
“Once, he even tried to show me one at the shisha lounge. I told him to go away and asked how he even got access to that content, and he said it was through Telegram. After that, I didn’t see him for a long time until I heard what had happened.”
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Who was the Manchester synagogue attacker?
Another friend, Asim, told Sky News he met al Shamie through their shared interest in computers. He said he noticed a difference in al Shamie a year ago.
Asim said al Shamie “changed a bit, I felt his thoughts were a bit too radical for me. He was a nice guy, very quiet and softly-spoken. I was shocked about what he did.
“He started asking me for money – not small amounts, but thousands,” Asim explained.
“When I refused, he became angry. I’d never seen that side of him before.”
Earlier this year, al Shamie was working as a call handler for the RAC motoring organisation.
He was employed through an agency as a part-time temp from December to the end of March, when he was no longer needed.
Last year, al Shamie had money problems and was subject to a government debt relief order, which meant that his debts would be paid off in a year if he agreed to certain restrictions.
Money appeared to be one of many problems.
A former friend of al Shamie described how he became increasingly withdrawn and “in his own world” after a steroid addiction had led to heavier drug use. They said his behaviour became strange and unpredictable.
“I once noticed on his phone that he had several notifications from dating apps, which confused me because I knew he was married,” the friend said.
“You could be having a normal conversation with him, and suddenly he would flip and start ranting. I eventually blocked him.”
Image: Police and forensics officers near Heaton Park Hebrew synagogue. Pic: PA
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Synagogue security guard on moment attack unfolded
Multiple marriages and ‘obsessed’ with dating app
It’s believed the terrorist married several wives in Islamic wedding ceremonies, one of them even before he split up from the mother of his young child.
He reportedly became obsessed with an Islamic dating app, and sent abusive messages to an ex-girlfriend, hit her and told her to dress more conservatively during their brief on-off relationship.
The woman, who was 18 at the time, told the Manchester Evening News: “He used to say ‘I want you to be dedicated to the cause’, and he used to sit there and make me watch videos, like extreme videos, that I had no interest in.
“I am Muslim and of course I love to learn more, but this stuff were things that I have been raised to not agree with. He used to always say I was taught the wrong way and I wasn’t taught right. He was basically just trying to groom me into what he thought.”
She said he would message girls on his Muzmatch – now Muzz – dating app, using false names such as Valentino and Ahmed.
“He kept getting banned because of his speech and what he was sending,” she said.
“There were times when he would send me videos of him with other girls, and the girls were quite young.”
‘Rape fantasies’
The woman said al Shamie told her he had “rape fantasies”, and that he “used to say weird stuff, it was just insane. I can’t believe I stayed as long as I did”.
His marriage collapsed after he secretly wed an NHS nurse, a widow, who had converted to Islam.
A neighbour, Geoff Halliwell, who cleaned the family’s windows for many years at their home in Prestwich, told Sky News al Shamie had lived there with his wife and young child, but he believed left six months earlier.
Mr Halliwell said: “There was the mother and three lads, but one moved away. We’re talking about the eldest, he had a wife and kid, but she moved out some time ago.
“There was no sign of radicalisation, nothing like that. We never talked politics. Just ‘good morning, how are you? Lovely day, isn’t it?’
“He was fine, the whole thing has come out of the blue. He was a smashing lad to talk to, so were the other two lads.”
Mr Halliwell said the father left the family home about 10 years ago, but sometimes visited.
He thought he had moved to France because sometimes he turned up in a French-registered car.
Faraj al Shamie, a trauma surgeon who has worked for the International Committee of the Red Cross in Africa, condemned his son’s attack on the synagogue.
Image: Faraj al Shamie spoke of the family’s ‘deep shock and sorrow’ at his son’s actions
He said in a statement: “The al Shamie family in the UK and abroad strongly condemns this heinous act, which targeted peaceful, innocent civilians. We fully distance ourselves from this attack and express our deep shock and sorrow over what has happened.”
But, two years ago, on 7 October, he praised the actions of Hamas terrorists for their attack on Israel in which 1,200 were killed and 251 taken back to Gaza as hostages.
Al Shamie wrote on Facebook: “The scenes broadcast by the Al-Aqsa Martyrs Brigades of a group of fighters storming an Israeli army camp using simple means, namely balloons and motorcycles, prove beyond a shadow of a doubt that Israel will not remain.”
Additional reporting by Shakir Ahmed, specialist producer and Rebecca Spencer, crime producer