Thank you for this touching article. I fear there is a long way to go before people experiencing extreme states and psychological distress will be treated with such kindness. Does ‘extreme state’ refer only to people who are experiencing psychosis or can it also include people who are suffering immense sadness or overwhelming anxiety? I sometimes feel lost when I experience feelings like these because I do not want to turn to medicine (I do not believe in the biological model) and I do not particularly want to talk to strangers with titles such as ‘therapist’ or counsellor. This feeling of being lost only serves to fuel my negative feelings. Another question regarding trauma. What constitutes trauma? Is any form of prolonged negative childhood experience considered a trauma with the potential to bring about unpleasant mental states?