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‘Friendship benches' to offer free mental health support in Sussex

‘Friendship benches' to offer free mental health support in Sussex

The Guardian08-04-2025

People in Sussex who are depressed, lonely or anxious are to be offered free, easily accessible support through the Friendship Bench, a pioneering pilot spreading around the world.
The Friendship Bench scheme, which involves a wooden park bench being placed in a public space, offers a listening ear, in the shape of so-called 'grandmothers' and 'grandfathers' to anyone passing.
These lay counsellors receive just two weeks of training. But analysis published in the Journal of the American Medical Association found that the model resulted in an 80% reduction in depression and suicidal ideation, and a 60% increase in clients' quality of life.
After six months, 80% of clients who had sat down to chat with a lay counsellor were still symptom-free.
Founded in Zimbabwe by Prof Dixon Chibanda in 2006, the model has spread to other cities and countries around the world, including New York, Washington, Qatar and Jordan.
In the past three years alone, with the support of the World Health Organization, more than half a million people have benefited.
Now Dr Nina Lockwood, a research fellow at Brighton and Sussex medical school and the National Institute for Health and Care Research, is introducing the scheme to Sussex.
'There is an unintended novelty to the west taking a model founded in Africa, but just like in Zimbabwe, the UK has a massive shortfall in mental health resources compared to the demand of our population's mental health problems,' said Lockwood. 'We urgently need to adopt agile, alternative ways of working.'
In deference to the British weather, the Sussex benches will be placed not outside, as in Zimbabwe, but in indoor areas such as libraries, church halls and community spaces.
Like the Zimbabwe model, however, local people can either make appointments or just turn up to talk through their problems and explore possible solutions. They then go away, try the solution and report back.
The Sussex pilot will involve 10 lay mental-health workers who will hold weekly sessions for six to eight weeks.
Mebrak Ghebreweldi, a co-founder of the Sussex-based Diversity Resource International, which supports ethnically diverse and migrant communities, has been trained as one of the first Sussex 'grandmothers'.
'If someone comes to us with stress, we have the time to talk to them until they tell us they're living in one room with their four children – so the problem is actually housing, and we help with that,' she said. 'Or young people might come and say they're depressed, but after we've gone deeper, it turns out they're unemployed – so the problem is they haven't found work, and we can help with that.
'GPs don't have time for those long conversations,' she said. 'They'll just prescribe something for the headache and the depression. By unnecessarily medicalising them, the client is disempowered and that can actually make things worse.'
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Chibanda said he had developed the model after realising that 'the answers to the global mental health crisis do not lie in more diagnoses of disorders or prescriptions for medications'.
'Most of us are aware that we are in the midst of an excruciating global mental health epidemic that has taken a harsh toll with respect to the sheer numbers of people living with depression, loneliness, anxiety, post-traumatic stress disorder, addiction, and suicidal ideation,' he said.
'I came to realise that while not everyone can see a mental health professional, most people have access to a vital untapped resource: the care, compassion, empathy, and wisdom of grandmothers – the unsung heroines of the world.'
About one in six adults across the UK experienced moderate to severe depressive symptoms in 2022, and up to 10% of people in England will experience depression at some point in their life, according to the Mental Health Foundation.
Research suggests the total cost of mental ill health in England in 2022 was £300bn, with people who have depression at higher risk of developing certain chronic diseases, including heart disease, diabetes, stroke, pain, osteoporosis and Alzheimer's disease.
Stigma and denial can mean it takes years for people with mental health problems to ask for help. But even once they do, waiting times on the NHS can be 18 weeks, with some waiting even longer.

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Family of man who fell seriously ill during Cyprus holiday face £41k bill to get him home
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Family of man who fell seriously ill during Cyprus holiday face £41k bill to get him home

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We tested 50+ foundations — these are the very best for acne-prone skin
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We tested 50+ foundations — these are the very best for acne-prone skin

At NBC Select, we're pro flaunting your natural skin. But sometimes, you want a little coverage, especially when you have acne. Plenty of our acne-prone editors — myself included — reach for foundation to cover up breakouts, redness and dark spots, but finding one that won't aggravate acne can be as hard as treating breakouts themselves. It can feel like a never-ending cycle: You apply foundation to make new and existing breakouts less visible, but that same product may be what's preventing you from being pimple-free. So, how exactly do you cover up your acne without causing even more breakouts? Our acne-prone editors put more than 50 foundations to the test to see which ones were the most gentle and safe for acne. I also spoke to dermatologists, makeup artists and cosmetic chemists about how to shop for acne-safe foundation that'll even out your skin without causing or worsening breakouts. 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Formulation: Consider lightweight and buildable light to medium coverage foundations (typically liquid or gel consistencies) because they won't settle into your pores and emphasize texture. Thicker foundations are more likely to trap oil and trigger acne, says Gmyrek (though if you have severe acne and need a more full coverage foundation, make sure it's noncomedogenic and oil-free). Powder foundations are great for those with oily skin because they usually have a higher concentration of oil-absorbing ingredients, like silica, kaolin, and magnesium carbonate, says cosmetic chemist Kelly Dobos. Finish: Consider a foundation with a matte or natural finish because they'll usually control shine and reduce the appearance of texture or bumps, says Los Angeles-based professional makeup artist Gilbert Soliz. Coverage: Though coverage is important to reduce the appearance of acne, the key is buildability. Look for a lightweight foundation that you can gradually layer to build coverage without it getting cakey or clinging to dry/textured patches on your skin, experts say. How we tested the best foundations for acne-prone skin Eight NBC Select editors, many of whom have sensitive, acne-prone skin or deal with occasional breakouts, tested 50+ foundations over a month to find the best ones that cover up and won't cause breakouts, inflammation or redness. Here's what our editors kept in mind as they tested each foundation: Coverage: We considered how well each foundation covered existing acne and inflammation day and night. Most editors reached for lighter, more breathable coverage during the day, and a medium to full coverage foundation at night. We weighed the degree of coverage against the comfort and feel of the foundation throughout the day. Formulation and finish: We considered various formulations, including powders, liquids, creams and sticks. We also kept in mind the 'finish' of each foundation, which has to do with how it sits on your skin. There are three main finishes: matte (for a shine-free look and best for oily or combination skin types), dewy (for a hydrated look and best for dry skin) and natural (for a more 'skin-like' look). Comfort and feel: We kept in mind how the foundation generally felt on our skin after at least a few hours, and whether it was lightweight and worked for all-day wear based on expert guidance. Longevity: Most editors applied each foundation at the start of the day (typically before work), and kept in mind how long coverage lasted on their skin throughout the day. Since the experts I spoke to say a good foundation should last for eight to 12 hours before it starts flaking off or looking cakey, we made note of how many hours we were able to wear each foundation. We also kept in mind factors that could affect longevity, including sun exposure and sweat. Activity: Editors put these foundations through a range of activities and environments to test coverage and longevity, including 8+ hours at work, while walking 10K+ steps in New York City, strolling in states with 90+ degree heat, out dancing at nightclubs and while working out. Shade ranges: We tested foundations on multiple skin tones, which means we paid extra attention to the brand's shade offerings. We noted if shade ranges were limited, or if they didn't quite match up to our individual skin tones. Packaging: We considered how comfortable the foundation is to apply: Most used either a brush or makeup sponge to apply each foundation, while a select few used their hands. We also made note of the overall appearance of the foundation and whether we would proudly display it on our bathroom counter (or keep it stowed away). Want more from NBC Select? Sign up for our newsletter, The Selection, and shop smarter. The best foundations for acne-prone skin I rounded up the best foundations for acne-prone skin, all of which were tested and reviewed by NBC Select editors. Best overall: Armani Beauty Luminous Silk Natural Glow Foundation What we like: Buildable coverage; Lightweight; Oil-free Something to note: Expensive The Armani Luminous Silk foundation has one of the best consistencies I've ever felt in a foundation. It feels almost like a lightweight serum rather than a traditional foundation, but it doesn't compromise on coverage: It manages to cover my redness and pimples without even looking like I'm wearing foundation. In fact, I used this foundation in college when I was struggling with moderate to severe acne, and it was the only one that didn't look cakey or emphasize texture. It does provide lighter coverage than most other high-end foundations, but it manages to almost entirely cover up mild to moderate acne, according to NBC Select editors. Our reviewers agreed one of the best parts about this foundation is its finish — it creates a super smooth, even base and leaves skin with a natural glow. This foundation has been a go-to for NBC Select editorial operations associate Jem Alabi. 'It genuinely becomes part of my skin when I wear it. It's light, smooth and blends easily,' she says. However, Alabi says most of the shades tend to have a red/orange undertone, so it may be hard to match if you have olive/yellow undertones. UGC CAPTION: The Armani Luminous Silk foundation is pricey, but well worth the splurge due to its lightweight, serum-like consistency and natural finish. ALT TEXT: Side by side of woman with no makeup and same woman with the Armani Beauty foundation Courtesy Mili Godio What we like: Acne-fighting ingredients; Medium coverage Something to note: Can be drying Clinique's Acne Solutions line comes recommended by both Gmyrek and Dobos because it's oil-free and has salicylic acid to help unclog pores. 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CAPTION: This foundation has fairly minimal coverage, but the skin care benefits can give those with acne-prone skin some peace of mind. ALT TEXT: Before and after of woman wearing no makeup and same woman wearing Clinique foundation Courtesy Ashley Morris Since it has salicylic acid, those with acne-prone skin have some peace of mind that it's not less likely to break them out, but will also play a role in getting rid of pimples. However, keep in mind that salicylic acid can be drying, so you might notice some flakiness and dry patches when wearing this foundation if you have dry skin, or if you're using other acne-fighting active ingredients that already dry out the skin (like benzoyl peroxide or retinoids). UGC CAPTION: This Clinique foundation is great for those looking for medium coverage and an acne treatment all in one. ALT TEXT: Side by side of woman with no makeup and same woman with the Clinique foundation Courtesy Zoe Malin Best lightweight: Glossier Stretch Fluid Foundation What we like: Sweat-resistant; Serum-like consistency; Diverse shade range Something to note: Slight transfer; Lighter coverage Glossier is an NBC Select-favorite brand for lightweight, everyday formulas and minimal coverage. When I first tested this foundation, I was pleasantly surprised by just how much coverage I got — it hid my dark spots, redness and smaller blemishes. It's labeled as sweat-resistant and transfer-resistant, which means it won't stain your (or other people's) clothes. It didn't slide off my face or melt off as temperatures got hotter, but I did notice some slight transfer on my husband's clothes throughout the day. UGC CAPTION: This foundation has lighter coverage, but it manages to hide spots and redness without needing to overdo how many layers you apply, according to our testers. ALT TEXT: Side by side of woman with no makeup and same woman with the Glossier foundation Courtesy Jem Alabi The finish is very natural and it dries down matte, yet it doesn't look cakey or heavy on my dry skin. This foundation is Alabi's favorite of all the 20+ options she tested. 'First off, the shade match is perfect, like it was made for me. It's so light, smooth and creamy, it didn't feel like I had anything on,' she says. 'It basically became my skin, but not in a 'I have a full face of makeup on' way, more of a, 'maybe she's born with it' kind of way. I was dewy but not oily, bright but not orange… a perfect blend.' UGC CAPTION: This foundation was a top choice for staff testers, especially those who do not wear heavy foundation on a normal basis. ALT TEXT: Side by side of woman with no makeup and same woman with the Glossier foundation Courtesy Zoe Malin This foundation has one of the lightest textures I tested, and considering it's under $15, it's one of the best values on this list. The serum-like consistency blends easily into my skin, and the medium coverage is super buildable, so I can easily cover up most of my redness and blemishes after applying two to three layers. It has SPF 20 to protect against sun exposure, and titanium dioxide, which is an expert-recommended mineral sunscreen ingredient that helps reduce inflammation. Neutrogena is also one of Dobos' favorite brands because it has a long history of researching and formulating foundations for acne-prone skin, she says. However, there are a few issues with this foundation to consider. First off, it has a very limited shade range, especially when it comes to darker skin tones. It also doesn't have a dropper or pump, so you have to pour out the foundation onto your hand from the bottle. But for the price, you might find it worth a little mess. UGC CAPTION: Though this foundation has very limited shades, it's easy to blend, super lightweight and great for everyday wear if you need a little more coverage. ALT TEXT: Before and after of woman wearing no makeup and same woman wearing Neutrogena foundation Courtesy Mili Godio What we like: Diverse shade range; Long-lasting; Has SPF 25 Something to note: Slightly chemical scent This L'Oreal foundation is one of my favorites for rosacea-prone skin because of how well it covers up redness and bumps. In fact, NBC Select reporter Zoe Malin wears this foundation on-air, where redness is a major concern. 'This foundation is impressive considering it's $17 and something you can get at the drugstore,' says Malin. 'It evens out my skin tone and mattifies my face, which is very important when I'm doing broadcast segments — the lights can easily make me look shiny, but when I wear this foundation on air, my skin looks smooth and matte.' The foundation is super buildable, so you can apply one to two more layers to get fuller coverage without cakiness. When I tested it out, I loved how lightweight the liquid consistency felt; it blended easier into my skin than others I've tried and despite its matte finish, it didn't cling to my dry patches (which is a concern I have with most matte foundations). Its blendable formula is a favorite among other editors: 'This has a somewhat shiny and fluid application, but it blends in very quickly with very little work from a brush or Beautyblender,' says NBC Select commerce editor Cory Fernandez. 'I prefer to warm it up in my hand, especially since it comes in a pump rather than an applicator.' After wearing this foundation for over 10 hours, it stayed surprisingly even and I didn't notice any transfer, streaks or flaking around my face (though there were a few flaky spots around my nose and cheeks on that 10-hour mark, which often happens due to heat and sweat). A major bonus: It has the most diverse shade ranges of any drugstore foundation we tested. UGC ALT TEXT: Side by side of woman not wearing makeup and same woman wearing the L'Oreal Paris Infallible foundation Courtesy Zoe Malin Best long-lasting: Lancôme Teint Idole Ultra 24H Long Wear Matte Foundation What we like: Full coverage; Diverse shade ranges; Sweat-resistant Something to note: Expensive This Lancome foundation is one of the longest lasting foundations I've ever tried; I wore this for 10+ hours during my little sister's graduation in 90+ degree Florida heat, and it lasted all day without budging. Even while sweating, the foundation didn't slide off or transfer. The finish is also phenomenal — despite it applying matte, it looks extremely natural (more than any other full coverage foundation I've used), which helps cover up acne and redness without looking like a mask. Plus, it hides my imperfections without me having to worry about cakiness and heaviness, which are major caveats of a typical full coverage foundation. UGC BEFORE & AFTER CAPTION: Testers say this foundation was one of the longest lasting options she tried, which is what she wants from a full coverage foundation. ALT TEXT: Side by side image of woman not wearing makeup and same woman wearing Lancome foundation. Courtesy Jem Alabi Both Alabi and Malin say this foundation lasted all day on their skin, too. 'I wore this foundation for over 12 hours, including to the office, out to dinner and while walking around Manhattan — by the time I took it off, my skin still looked pretty flawless,' says Malin. 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ALT TEXT: Before and after of woman wearing no makeup and same woman wearing LYS foundation Courtesy Ashley Morris The foundation has hyaluronic acid, a dermatologist-recommended ingredient for those with acne-prone skin, and turmeric to brighten, even and soothe skin, according to the brand. It's also very lightweight and easy to blend, though our editors note that it doesn't provide as much coverage as other foundations on this list, so it's best for those with more mild acne. A big plus is the packaging, too: The bottle has a very unique, sleek look that's great to display, says Fernandez. UGC CAPTION: Our editors with darker skin tones say this foundation was easier to color match than many others they've tried. ALT TEXT: Man with swatch of foundation on the back of hand Courtesy Cory Fernandez Best buildable coverage: Huda Beauty Easy Blur Natural Airbrush Foundation What we like: Lightweight; Acne-safe ingredients; Easy to blend Something to note: Slightly water This foundation comes recommended by Gmyrek because it has acne-safe ingredients like niacinamide, aloe vera, zinc oxide and silica to control oil and soothe skin, she says. It's a favorite among our oily, acne-prone skin staffers, who say it covers up blemishes, redness and dark spots while leaving skin with a natural, airbrushed finish. 'I'm not usually a foundation person because I don't love a lot of makeup, but this formula didn't feel heavy or uncomfortable to wear at all,' says NBC Select associate social media editor Caitlin Cusack. 'It blends in quickly with a makeup sponge and evens out my skin tone almost instantly. It wasn't quite as light as a moisturizer, but I definitely thought this foundation was lighter than others I've tried.' UGC CAPTION: This Huda Beauty foundation has ingredients like niacinamide and aloe vera that help soothe inflamed, acne-prone skin. ALT TEXT: Before and after of woman not wearing makeup and wearing Huda Beauty foundation Courtesy Caitlin Cusack The foundation dries matte but without looking cakey or unnatural, says Cusack. Plus, it's extremely buildable; though it looks relatively thin and watery when Cusack initially applied it, she could add several layers to cover up imperfections without it feeling thick or heavy on her skin, she says. UGC CAPTION: This formula has a great amount of coverage without drying out skin, according to our editors. ALT TEXT: Man applying foundation on face using a Beautyblender makeup sponge Courtesy Cory Fernandez Best splurge: Chanel Les Beiges Water-Fresh Tint What we like: Lightweight coverage; Hydrating; Easy to blend Something to note: Minimal coverage; Not many shade ranges; Not for moderate/severe acne If you're looking for a super lightweight, 'skin-like' tint for the hotter months, consider this one from Chanel. At $70 a piece, this is definitely a splurge, but it's well worth the price tag if you want a tint that's hydrating, long-lasting and looks like your actual skin. 'This is my hands-down favorite foundation for my historically acne-prone, now post-Accutane skin,' says NBC Select editorial director Lauren Swanson. 'It's very sheer and not full coverage, so if you're looking for that, this isn't it. But it's gloriously hydrating — if you're using super-drying spot treatments or have parched skin after Accutane like me, it'll keep your skin looking glowy throughout the day.' UGC CAPTION: The foundation has a watery texture at first, but blends in beautifully using the included applicator brush. ALT TEXT: Swatch of the Chanel foundation on back of woman's hand Courtesy Mili Godio I wore this one in 90-degree weather, and it didn't budge at all after 10+ hours. The formula is 75% water, according to the brand, which is great for those with very dry skin. I was initially put off by the watery texture, but it ended up turning into a lightweight tint that blended beautifully into my skin using the included applicator brush (however, due to the water-like texture, my usual makeup sponge doesn't blend it well). It didn't cling to any of my dry patches like most foundations do and instead of accentuating my pores and texture, this tint basically blurred it all away. The packaging is also one of my favorite parts; both the container and brush are sleek and luxurious. Keep in mind the shades are extremely limited, and even the darkest shade is extremely light compared to the other options on this list. Also, make note that you'll get very minimal coverage with this foundation, so you'll want to look at other options if you have moderate to severe acne. UGC Before & After CAPTION: This is more of a 'skin-like' tint rather than a foundation, so it's best for those with mild acne or occasional breakouts. ALT TEXT: Before of woman not wearing makeup and after of woman wearing Chanel foundation Courtesy Mili Godio Sephora | Ulta What we like: Good for everyday use; Hydrating; Lightweight Something to note: Not for severe acne; Dewy finish This Milk Makeup skin tint is great for those with the occasional breakout or mild acne. It has hyaluronic acid and niacinamide, which are key acne-safe ingredients that help reduce inflammation, according to the experts I spoke to. Malin doesn't typically wear a lot of makeup on a day-to-day basis, but when she's going out to dinner or knows she'll be filming social videos at work, she wears this skin tint. 'It's very hydrating; I feel like my skin drinks up the hyaluronic acid and niacinamide in it. I love the dewy glow it gives me, and it effectively evens out my skin tone and makes my face super smooth,' says Malin. 'I've gotten so many compliments on my skin when I wear this.' UGC BEFORE & AFTER CAPTION: This skin tint provides a great amount of coverage while still having expert-recommended skin care ingredients that benefit acne-prone skin. ALT TEXT: Side by side image of woman not wearing foundation and wearing Milk Makeup skin tint. Courtesy Jem Alabi The gel consistency is lighter than any other foundation on this list, and our reviewers note that they can barely feel this on your skin. Keep in mind this does have a dewy finish, which my experts say can emphasize breakouts. However, because the skin tint is lightweight and has much more subtle coverage than most foundations on this list, it's not likely that it'll cling to dry patches or create more texture. UGC BEFORE & AFTER CAPTION: The gel consistency of this skin tint is extremely light, which makes it feel like a second skin, according to our editors. ALT TEXT: Side by side image of woman not wearing foundation and wearing Milk Makeup skin tint. Courtesy Zoe Malin What we like: Great amount of coverage; Sweat and water-resistant; Natural finish Something to note: Can cling to dry patches This Make Up For Ever foundation labels itself as waterproof, and it definitely meets expectations: This is another one I used for 10+ hours in the Florida heat, and it held up great to my constant sweating (for context, my face sweats more than my body, so it's a huge surprise when any makeup product actually lasts). It has a very natural, matte finish that gives me a 'your skin but better' look, which isn't common with medium to full coverage foundations, in my experience. Cusack felt the same way: 'I'm usually not a fan of matte foundations, but this one is basically a second skin for me,' she says. 'It evens out my skin tone, covers up my redness and makes my very large pores less noticeable — all without looking cakey or unnatural.' Cusack says it takes less than a minute to blend in with her makeup sponge, which is a similar experience I had. Plus, the foundation feels so light on her skin that Cusack says she forgets she's even wearing it. However, the foundation doesn't have as much coverage as others on this list, so you might want to look elsewhere if you have more severe acne. 'The strength of this foundation is its ability to even out skin tone. It does that really well with just a small amount. But does it cover up spots? Not really,' says NBC Select SEO editor Nikki Brown. UGC CAPTION: This foundation has a very lightweight consistency, which means it won't get cakey throughout the day, according to our editors. ALT TEXT: Side by side image of woman not wearing foundation and wearing Make Up For Ever foundation. Courtesy Caitlin Cusack Can foundation cause breakouts? Yes, your foundation can be the culprit of breakouts, experts say. That's especially true if the formula is oil-based or has ingredients that generally clog pores, including coconut oil or cocoa butter (more on pore-clogging ingredients below). Heavy, thick foundations can also trap oil and trigger acne, says Gmyrek. Microbial contamination of products and applicators (like makeup sponges and brushes), as well as the frequent application and removal of makeup with harsh cleansers that disrupt the skin barrier, can all contribute to acne, says Dobos. How to shop for acne-safe foundations When shopping for the best foundation for your acne-prone skin, the ingredients list and on-package labels are key. Here's what experts agree to keep in mind: Ingredients and labels Look for foundations labeled noncomedogenic, which means they're less likely to clog pores and aggravate inflammation, and oil-free, which won't cause excess oil. Some ingredients that won't make pimples worse and may even benefit acne-prone skin include salicylic acid (a beta hydroxy acid that exfoliates and unclogs pores), niacinamide (anti-inflammatory and helps controls oil production), zinc oxide (mineral SPF ingredient that's calming and antimicrobial), and aloe vera (soothes irritation), says Gmyrek. Oils that score low on the comedogenicity scale, like argan and jojoba oils, are also safe for acne-prone skin, says Dr. Hadley King, a board-certified dermatologist in New York City. (You can look into the comedogenicity of skin care ingredients here.) Foundations that help treat acne are considered drugs in the U.S. and have specific labeling that indicates the active ingredient and percentage of that active, says Dobos. 'There are only a handful of permitted actives for acne, and salicylic acid is a popular choice because of its ability to penetrate the pores,' she says. However, avoid putting makeup with acne-fighting ingredients like salicylic acid and benzoyl peroxide near your delicate eye area, which can cause irritation and premature aging, says clinical esthetician Danielle Gronich. If you have oily skin, look for ingredients that help absorb and reduce oil in your T-zone (your forehead, nose and chin). These include silica, kaolin, magnesium carbonate and starches, says Dobos. Avoid foundations with heavy, occlusive or oil-based ingredients, which can clog pores and cause breakouts. These include coconut oil, lanolin, cocoa butter, wheat germ oil, sodium lauryl sulfate and heavy silicones, says Gmyrek. Keep in mind that fragrances can also irritate sensitive, acne-prone skin, so stay away if you can. Formulation and finish Mineral or powder foundations help control excess oil, which helps those who are oily and acne-prone. Light-to-medium coverage liquids with calming ingredients like centella asiatica or aloe vera give a good amount of coverage without suffocating your skin, says Boakye. Avoid heavy cream or stick foundations, which are more likely to clog pores and accentuate acne, says Boakye. Additionally, look for foundations labeled as matte or natural finishes, both of which help control shine and reduce the appearance of texture or bumps, says Soliz. 'Avoid overly dewy formulas, which may emphasize breakouts,' he says. Also, don't reach for foundations with mica (a mineral commonly found in foundations) or shimmer because they can emphasize texture, says Suzy Gerstein, a New York City-based makeup artist. What does noncomedogenic actually mean? Noncomedogenic means a product is formulated not to block pores, which reduces the risk of acne. However, the term is not regulated and is commonly used as a marketing term, so make sure to check the ingredient list for pore blockers, says Gmyrek. 'What most people don't know is that products labeled as noncomedogenic can still contain pore-clogging ingredients because brands often reformulate but don't communicate that to their customers, or they are using the term illegitimately, not having gone through proper testing,' says Gronich. 'For acne-prone skin, I've seen even trace amounts of pore cloggers causing breakouts, which is why it's critical to check ingredient labels to make sure the products you're using do not contain any of these ingredients.' (See above for common pore-clogging ingredients.) Can you use other actives with foundation? Yes, you can combine foundation with active acne-fighting ingredients, but with caution. Apply your acne medication first, allowing it to penetrate your skin for a few minutes, and then apply your foundation. 'If you are using a foundation that already includes acne-fighting ingredients like salicylic acid in its formulation, there's no need to layer,' says Gmyrek. 'Avoid layering with strong topicals like retinoids or benzoyl peroxide unless guided by a professional — this can cause dryness or irritation,' says Boakye. How should you prep your acne-prone skin before foundation? When prepping your skin, 'it's all about balancing hydration, protecting the skin barrier and creating a clean, even canvas,' says Soliz. First, make sure your skin is exfoliated. 'People with acne should regularly exfoliate [two to three times per week] to prevent dead skin cells from clogging pores and causing new breakouts,' says Gronich. 'Makeup can also cling to dead skin cells, so exfoliating them away before applying makeup will help your makeup glow.' (Just make sure to exfoliate only a few times per week to avoid damaging your skin barrier, experts say.) Before applying your foundation, start with a gentle cleanser, then follow with a lightweight, noncomedogenic moisturizer, a mineral sunscreen (if it's daytime) and an oil-free, noncomedogenic primer. If needed, use a targeted acne treatment before applying your foundation. Wait between layers so everything is fully dry, which helps prevent cakiness and flaking, experts say. How can people with acne best apply foundation on their skin? When it comes to applying foundation, here are some makeup artist-approved tips for those with acne-prone skin: Always prioritize skin care. Make sure to use gentle, noncomedogenic skin care beforehand to prevent irritation, says King. Use clean and gentle application tools, such as a damp makeup sponge or synthetic foundation brush. Apply your foundation lightly and in thin layers to avoid caking. 'Applying too many layers of products over your [pimples] can clog pores and worsen acne,' says Gmyrek. Conceal specific areas strategically to avoid layering too many products. 'If you're touching up your makeup, removing your foundation and re-apply as opposed to putting another layer on top of your existing makeup that you have been wearing all day,' says Gmyrek. Thorough removal of makeup at night to prevent overnight breakouts and irritation. Respect the skin you're working with. 'When in doubt, less is more and skin with texture is still beautiful. Foundation should enhance your confidence, not hide who you are,' says Soliz. Meet our experts At NBC Select, we work with experts who have specialized knowledge and authority based on relevant training and/or experience. We also take steps to ensure all expert advice and recommendations are made independently and without undisclosed financial conflicts of interest. Dr. Robyn Gmyrek is a board-certified dermatologist at Unionderm in New York City. Kelly Dobos is a cosmetic chemist with expertise in skin care and personal care product formulation. Gilbert Soliz is a Los Angeles-based celebrity and fashion makeup artist. Dr. Naana Boakye is a board-certified dermatologist based in Hackensack, New Jersey. Dr. Hadley King is a board-certified dermatologist at her own private practice in New York City. Suzy Gerstein is a professional makeup artist based in New York City. Danielle Gronich is a clinical esthetician, acne specialist and CEO of Clearstem Skincare. Why trust NBC Select? I'm an updates editor at NBC Select who has covered beauty and personal care for over five years. For this article, I spoke to board-certified dermatologists, makeup artists, a cosmetic chemist and a clinical esthetician about what to look for in foundations for acne-prone skin. NBC Select editors also tested over 50 foundations for a month to find the best ones to recommend. BareMinerals Original Loose Talc-Free Powder Mineral Foundation $39.00 Amazon $39.00 Sephora $39.00 Ulta What to Consider LYS Beauty Triple Fix Serum Foundation $24.00 Sephora What to Consider Huda Beauty Easy Blur Natural Airbrush $37.00 Sephora What to Consider Milk Makeup Hydro Grip 12-Hour Hydrating Gel Skin Tint $36.00 Sephora $36.00 Ulta What to Consider Make Up For Ever HD Skin Waterproof Natural Matte Foundation $47.00 Sephora What to Consider

Common pill is putting millions at risk of life-threatening breathing problems, doctor warns
Common pill is putting millions at risk of life-threatening breathing problems, doctor warns

Daily Mail​

time9 hours ago

  • Daily Mail​

Common pill is putting millions at risk of life-threatening breathing problems, doctor warns

They are pills prescribed to millions in the UK to treat heart conditions and anxiety. But beta blockers may pose a hidden risk to the 7.2 million people living with asthma, an NHS GP has warned. According to the British Heart Foundation, UK doctors issue more than 50 million prescriptions for beta blockers every year. However, Dr Sooj, a family doctor with over 250,000 TikTok followers, cautioned that the drugs can interfere with the way asthma medications work—potentially putting some patients at risk during an attack. Asthma causes symptoms such as wheezing, coughing and chest tightness. While generally manageable, it can become life-threatening, when severely inflamed airways make it extremely difficult to breathe. Asthma UK reports that around 1,200 people die from asthma attacks each year in the UK, while in the US the figure is over 3,500. In a TikTok, Dr Sooj explained: 'If you have asthma you need to be cautious and we need to make sure you're aware of any of the risks and potential complications of taking a beta blocker.' He continued: 'The medications we use in an acute asthma attack are called beta agonists—these help to dilate the pipes in your lungs.' Dr Sooj explained that these beta agonists, found in many common inhalers, work by relaxing the muscles in the airways, making it easier to breathe. But beta blockers—used to slow the heart rate and lower blood pressure—can blunt this effect. 'By doing that, they can worsen the symptoms of asthma,' he said. And it's not just people with asthma who may be affected. Inhalers are also routinely prescribed to those with chronic obstructive pulmonary disease (COPD), an umbrella term covering long-term lung conditions such as chronic bronchitis and emphysema. These incurable conditions can also cause severe breathing difficulties, and for this group too, beta blockers may pose a risk. The NHS advises patients with asthma or lung disease to inform their doctor before starting beta blockers, to ensure the medication is safe. That said, Dr Sooj added: 'I've seen lots of patients with COPD or asthma who are on beta blockers and they're completely fine with them.' 'But this is a discussion that you should be having with your own doctor.' Dr Sooj added that he still believed beta blockers to be 'excellent medications', and explained developments in the drugs that has improved them. 'We now have cardio selective beta blockers, which... affect the body a bit less.' The new warning follows concerns that a type of beta blocker called propranolol can put patients at risk of 'toxic overdose'—triggering seizures, depression and even cardiac arrest in high doses. Recent research showed the number of prescriptions for propranolol to treat anxiety in the UK doubled between 2003 and 2018. In theory, by keeping blood pressure low, feelings of panic and anxiety are reduced. However some experts have claimed there 'no evidence' that drugs are effective for mental health, and that patients often aren't adequately warned about risk of an overdose. In a recent letter to The Guardian, pharmacist Christopher Sullivan warned that the drug 'is associated with significant adverse outcomes' and urged GPs to exercise 'extreme caution when prescribing these medicines for anxiety'. 'Prescribing these medicines for anxiety is not recommended in national evidence-based guidelines,' he added. It followed comments from GP Dr Amir Khan, who told the newspaper that propananol had been linked to 'higher rates of depression' and warned GPs not to prescribe it to anxious patients who also suffer low mood. 'If you are taking them long term, you can't suddenly stop them,' he added. 'You need to be weaned off them.' The risks are not thought to pertain to those taking the medicine for heart problems and other physical issues like migraine—but experts say patients with mental health troubles are vulnerable to either accidentally or purposefully taking an overdose.

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