These benefits are especially important for people dealing with a health condition that may make them feel isolated. These lived experiences can offer meaningful insight, showing that recovery is possible even when it feels far away. Support groups are guided by experienced clinicians and often include people who have been through similar challenges. This kind of open environment helps reduce feelings of shame and encourages honest conversations. They offer a space where people can talk about what they’re going through without fear of judgement.
This result suggests that the high expression of miR-71 during L1 diapause is induced or maintained by other signaling pathways. We asked whether the expression of miR-71 was regulated by DAF-16, which is required during L1 diapause for long-term survival (2). It is possible that other miRNAs, including those in the let-7 family, control developmental timing in other tissues during the recovery phase after L1 starvation. We speculate that the expression of heterochronic genes controlling the L2/L3 programs, including that of hbl-1 and lin-42, are increased during L1 diapause to arrest the developmental progression, and miR-71 is probably required to suppress these “excess” signals during the recovery phase (Fig. S5). As pointed out above, multiple miRNAs in addition to miR-71 and the let-7 family miRNAs have roles in L1 diapause, and they may regulate the expression of many diverse targets that may include, but are not limited to, factors involved in UNC-31–InsR-signaling activities. Although the complete removal of miRNA functions causes embryonic lethality or infertility in worms, a partial disruption of overall miRNA functions by mutating either ain-1 or ain-2 provides an effective way to investigate miRNA functions (16, 17).
Upon entering L1 diapause, RNA polymerase II quickly accumulates and pauses at promoter regions, and this accumulation was speculated to stop transcription and facilitate the immediate reinitiation of gene expression when food becomes available (2). Previous studies showed that the release of postdocking calcium-regulated dense-core vesicles, the insulin receptor (InsR) pathway, the AMPK pathway, and protein chaperones are required for the long-term survival of starved L1 worms (2–4). However, when newly hatched L1 worms encounter an environment with no food, developmental programs arrest and the worm enters L1 diapause. The presented results indicate that interactions between multiple miRNAs and likely a large number of their mRNA targets in multiple pathways regulate the response to starvation-induced L1 diapause. And we need to take seriously that, just as people’s literary diet matters, so does their ludic diet. In fact I still have a ton to say, about play anxiety and devaluation of play, which I’ll have to put into separate posts over the next few days.
(D) A representative chart of the L1 starvation survival rates of different miRNA mutants. However, it remains unclear how, and to what extent, miRNAs coordinate animal survival and development in response to stresses. Unlike dauer diapause, L1 diapause is not accompanied by life cycle changes and has not been shown to require certain signaling pathways that control the formation of dauer diapause such as TGF-β signaling (daf-1, daf-7) and nuclear hormone receptor (daf-12) (2, 3). When late, first larval stage (L1) worms sense unfavorable conditions, they enter an alternative and long-lived larval stage called dauer larvae (or dauer diapause). The nematode Caenorhabditis elegans responds to starvation by entering developmental arrest at multiple stages of its life cycle (1).
These models are used not just in clinical care but in recovery college programmes, self help groups, and community-based services across the UK. Peer support interventions are now recognised as valuable components of mental health recovery. This mix of professional oversight and personal connection helps create a balanced group dynamic where people feel supported emotionally and practically. This is when people who have faced similar mental health challenges share their stories and offer mutual encouragement. Over time, participants often find that being part of a group helps them build confidence, improve communication, and better understand their own needs in recovery.

Play, Happiness, Imagination, Learning

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How Support Groups Improve Mental Health Recovery Outcomes

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The role of GLAM

(C) The reduced L1 starvation survival rate of ain-1(lf) mutants was significantly suppressed by a null allele of unc-31. Compromising overall miRNA function dramatically reduces the survival rate of L1 worms in starvation-induced diapause, and the effect can be significantly suppressed by an age-1/PI3K mutation. Our genetic analysis indicated that for both L1 diapause survival and developmental recovery functions, miR-71 regulates expressions of genes in both the insulin receptor-dependent and -independent pathways. (F) Fluorescence and DIC images showing that an hbl-1 3′UTR reporter was repressed in mir-71(+) worms and slightly derepressed in mir-71(lf) mutants. (E) DIC images showing that hbl-1(RNAi) caused precocious VPC divisions in late L2/early L3 in both wild-type and mir-71(lf) worms recovered from 4 d of L1 starvation. (C) Bar graph showing that the delayed VPC timing defects of mir-71(lf) worms was suppressed by an unc-31(lf) mutation and partially suppressed by an age-1(rf) mutation.
Check-in with someone in #recovery and ask them to share which activities give their life meaning. The image falls apart in the shadows because of the noise, and I didn’t really spend much time trying to clean that up. If it does, we remove the content and take appropriate action against the player who shared it. If you’re the family manager, parent or guardian, you can set privacy settings for your child. If you’re a child member of a family, your family manager may manage which privacy settings you can change. Control your privacy by customising your privacy settings, like choosing who can send you a friend request or see what games you’re playing.
Writing it out, playing both tapes forward, as plain as day on paper, did wonderful things. One who loves spending time with their family during the holidays and cooking delicious meals, despite the stress it sometimes brings on. The space for me to, for the first time in my adult life, truly decide how I want to live.

Furthermore, worms that are long-lived due to dietary restriction or decreased mitochondrial respiratory rates are short-lived during L1 diapause, suggesting that the mechanisms controlling L1 starvation survival are different at least in some aspects from those controlling aging (3). We provide evidence that miRNA miR-71 is not required for the animals’ entry into L1 diapause, but plays a critical role in long-term survival by repressing the expression of insulin receptor/PI3K pathway genes and genes acting downstream or in parallel to the pathway. We need to be promoting better-quality games that do more to help people have fun, and we need to be modelling and making room for healthy play that promotes pro-social behaviour. That means running programs, preferably having staff who can teach the games, having services that help people find others who can teach and/or are interested in playing, and establishing norms for play in the library space in the hopes of (a) offering that safe, and potentially healing, interaction; (b) having those norms spread.
Whatever the focus, the consistent thread is a sense of community and the reminder that recovery is possible. At Khiron Clinics, our group sessions often serve as a bridge between individual therapy and community-based support. These peer-led interactions are often supported by a therapist or group leader who ensures the space stays safe and respectful. It shows participants that their reactions and feelings are valid, and that recovery doesn’t have to be a solitary journey. That shared experience can be a powerful tool in breaking down feelings of isolation and self-blame.

For younger players

(Right panels) The gonad of the same animals in the Left panels to indicate the similar developmental stage. The reporter construct, the control plasmid, and a transformation marker plasmid were coinjected into worms to generate the extrachromosomal arrays for analysis. We further examined the functional relationship between miR-71 and DAF-16, a FOXO transcription factor acting critically and negatively downstream of AGE-1/PI3K in the InsR pathway. Elegans Genetic Center (reference 257) and an N2 strain from the laboratory stock, respectively.

As clients develop insight and coping strategies in the group, they are better equipped to manage mental health challenges and engage with life in a more grounded, resilient way. These goals can include developing self-regulation strategies, improving emotional expression, or building daily routines. While we do not run general support groups or offer online courses, we recognise the value of education and guided support for family members and caregivers. For families, joining a support group or attending family sessions can make it easier to understand what their loved one is going through. While peer connection may naturally occur, the primary goal is not sharing experiences but engaging in practices that support long-term recovery from trauma and emotional dysregulation. These groups are especially helpful for individuals who have felt let down by past treatments or who need more consistent emotional support during recovery.

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For more information on recovering your account, visit the guide below. Group therapy can complement one-to-one work or serve as a transitional phase between intensive support and independent living. Support groups can be a place to feel heard, supported, and gently accompanied as you take steps forward. At Khiron Clinics, we see support groups as one strand in a wider web of care. For many, they are the first place where isolation begins to soften and hope feels possible again. These sessions complement individual therapy and help create a sense of containment, safety, and continuity.
(H and I) Fluorescence images (H) and statistical data (I) showing that the M cell diveded in fed animals but remained undivided in 4-, 7-, or 11-d–starved L1 wild-type and mir-71(lf) worms. (E) Fluorescence and DIC images showing that the unc-31 3′UTR reporter was repressed in mir-71(+)worms (2/2 transgenic lines) but not in mir-71(lf) worms (4/4 transgenic lines). We found that the reduced survival rate of ain-1 was suppressed by either reduction of age-1 function or loss of unc-31 function (Fig. 1 B and C), suggesting that a significant portion of the overall miRNA functions in L1 diapause is upstream of, or in parallel to, the InsR pathway. Previous studies indicate that the InsR pathway plays a dominant role in regulating L1 starvation survival and that reducing the activity of the insulin receptor daf-2, the PI3Kinase age-1, or the upstream regulator unc-31 results in increased L1 starvation survival rate (2, 3). The two ain-1 loss-of-function alleles displayed significant reductions in L1 starvation survival rate. We found that ain-1 but not ain-2 mutants displayed a significant reduction in L1 starvation survival rate compared with that of wild type (Fig. 1 A and D).
In contrast, the mir-71(lf) mutant worms recovering on hbl-1(RNAi) displayed precocious VPC divisions similar to that seen in wild type (Fig. 4E). Consistent with the observation described above, the 4-d–starved mir-71(lf) mutants recovering on the RNAi control plates displayed the highly penetrant retarded defect in VPC division. (D) Bar graph showing that the delayed VPC timing defect of mir-71(lf) worms was enhanced by daf-16(lf) after 1 or 3 d of L1 starvation.