Health
Reproductive Health in Multiple Sclerosis
Best practices for management of women with MS call for regular, consistent communication with premenopausal patients about their fertility goals. Clinicians should keep up with evolving knowledge regarding the use of disease-modifying treatments (DMTs) before, during, and after pregnancy, and physicians who care for patients with MS may also want to develop a referral relationship […]


Part 7: The Challenge of Cognitive Changes in Multiple Sclerosis
Read previous installments in this series:
Clinicians should consult the NIH’s LactMed database for detailed information about drugs and breastfeeding. The database includes information on the levels of drugs in breast milk and infant blood, and the possible adverse effects in nursing infants.
Many people living with the degenerative neurological disease multiple sclerosis (MS) are premenopausal women. This means clinicians will likely care for many patients with MS who are planning to be pregnant someday or are currently pregnant.
“Whether pregnancy has a true protective effect on the MS course due to transient immunosuppression, or whether it represents a bias derived from female patients with milder MS being more inclined towards childbearing and causing those with more aggressive MS to avoid pregnancy, warrants further investigation,” he wrote.
MS itself is not an indication that a pregnancy is high risk, but referral to or co-managing with a maternal-fetal medicine specialist can be important, especially since patients with MS may be on multiple medications for symptom management.
“When disease is highly active before initiation of B-cell–depleting therapy and it is necessary to minimize time off DMT, the patient may receive a B-cell–depleting therapy and then attempt pregnancy after 1 to 3 months,” the authors wrote. “The rationale is that based on half-life, these therapies are eliminated 3.5 to 4.5 months after an infusion. Placental transfer of immunoglobulin G is minimal in the first trimester, so the risk of fetal exposure in the second trimester is low if conception occurs 3 to 6 months after the last dose of B-cell–depleting therapy.”
The Possibility of Postpartum Relapse
In conjunction with the widespread move from escalation therapy to early aggressive treatment, women who take a higher-efficacy treatment (HET) before conceiving may have less long-term disability: “Preconception use of DMTs whose pharmacodynamic effects outlast their pharmacokinetic effects (i.e., induction therapies and B-cell–depleting therapies) may reduce the incidence of relapses in the pre-pregnancy period while offering some protection from peripartum/postpartum relapses,” Graham and co-authors said.
However, the short-term implications of pregnancy in MS are more complicated. Various studies have shown that about one-third of patients relapse in the first 3 months after delivery and about half do so in the first 6 months after delivery, although more recent studies have suggested a lower actual postpartum relapse risk.
A 2019 review in JAMA Neurology found a reduced rate of postpartum MS relapses among women who were breastfeeding compared with those who were not breastfeeding, and the benefit was stronger when women breastfed exclusively. The researchers concluded that breastfeeding was associated with a 43% lower rate of postpartum relapse, although they could not exclude the possibility of confounding factors.
Pregnancy does not appear to have long-term negative effects on the disease course of MS or its progression of disability, Villaverde-González said. “There is some evidence that pregnancy after MS onset could have a favorable long-term effect on the course of MS, as women who deliver one or more children after MS onset appear to have a slower disability progression than nulliparous women with MS.”
A 2024 review emphasized the importance of shared decision-making between clinician and patient. “Conversations about intent for family planning should happen at every visit and in the active decision-making phase should involve the patient’s multidisciplinary team, including their neurologist, obstetric team, and primary physician,” wrote Edith L. Graham, MD, of Northwestern University Feinberg School of Medicine in Chicago, and colleagues.
- Monoclonal antibodies: alemtuzumab (Lemtrada), 4 months; ocrelizumab (Ocrevus), 6 months; ofatumumab (Kesimpta), 6 months; ublituximab (Briumvi), 6 months; and rituximab (MabThera; off label for MS), 12 months
- Sphingosine-1-phosphate (S1P) receptor modulators: ponesimod (Ponvory), 1 week; siponimod (Mayzent), 10 days; fingolimod (Gilenya), 2 months; ozanimod (Zeposia), 3 months
- Small molecules: oral cladribine (Mavenclad), 6 months; teriflunomide (Aubagio), until blood plasma concentration is <0.02 mg/L
- Large molecules: glatiramer acetate (Copaxone), none; and interferon beta, none
According to a 2023 review, intravenous B-cell–depleting therapies may give prolonged protection against MS relapse for 6-9 months after administration of the last dose.
Graham and colleagues said the main risk factors for postpartum relapse of MS include younger maternal age, higher number of relapses before and during pregnancy, higher preconception disability based on Expanded Disability Status Scale score, lack of preconception DMT use, and discontinuation of DMTs known to induce rebound disease activity.
Part 5: Early Aggressive Treatment May Work Best in Newly Diagnosed Multiple Sclerosis
Part 4: Case Study: Sudden Blurred Vision in a Young Woman
“Women with MS may be able to breastfeed while on monoclonal antibody treatments, including ocrelizumab, natalizumab, and ofatumumab, with low risk to the infant. Monoclonal antibodies are detected at trace levels in milk and further are likely to be partially destroyed in the infant’s gastrointestinal tract,” the team wrote. “New data continue to support the use of anti-CD20 monoclonal antibodies during breastfeeding, with infants exposed to ocrelizumab and rituximab throughout breastfeeding showing normal growth and development with no unexpected severe or frequent infections.”
Next Article
B-cell–depleting monoclonal antibodies can also be used as bridge therapies to stabilize disease activity prepartum, peripartum, or postpartum for patients discontinuing fingolimod or natalizumab, the team added. “This underscores the importance of pregnancy planning discussions with patients throughout the MS management process.”
Current FDA washout guidelines include the following:
Key Points
Part 1: Early Diagnosis Can Mean Better Outcomes in Multiple Sclerosis
Historically, physicians discouraged women with MS from getting pregnant, but that changed with the publication of a landmark study in 1998, which established that pregnancy does not worsen MS in the long term. Although many people with MS who are pregnant have a decrease in disease activity during pregnancy, they have an increased risk of relapse during the first 3 months postpartum.
Exactly how long the washout period should be is still the subject of research. “HET seems to represent a particularly effective way of managing inflammatory activity before and after pregnancy,” the team wrote. “It can therefore be expected that women with MS of childbearing potential will increasingly receive HETs as first-line therapy, and it is critical to educate clinicians about the safety of these medications during gestation and lactation.”
Folic acid and prenatal vitamins should be used as in all pregnancies, and vitamin D supplementation should be used in agreement with the patient’s obstetrician. MRI during pregnancy after the first trimester is considered safe, but gadolinium enhancement should be avoided since it does cross the placenta.
Part 9: Improving Multiple Sclerosis Care for Black Patients
People with MS are not limited to a specific type of obstetric anesthesia and no type is contraindicated due to the MS. Patients and obstetric providers should choose pain relief based on obstetric criteria.
DMTs and Washout Periods
“Medical Journeys” is a set of clinical resources reviewed by doctors, meant for physicians and other healthcare professionals as well as the patients they serve. Each episode of this journey through a disease state contains both a physician guide and a downloadable/printable patient resource. “Medical Journeys” chart a path each step of the way for physicians and patients and provide continual resources and support, as the caregiver team navigates the course of a disease.
Establish Communication Early
Part 6: How Progressive Multiple Sclerosis Differs From Relapsing-Remitting MS
Part 3: The Deep and Multidimensional Connection Between Multiple Sclerosis and Depression
Part 2: How Does Multiple Sclerosis Start?
Part 8: Case Study: What Is the Cause of This Right-Sided Numbness, Headache, and Blurred Vision?
Managing MS During Pregnancy
In a 2022 review, Ramón Villaverde-González, MD, of Hospital General Universitario José María Morales Meseguer in Murcia, Spain, noted that MS does not alter fertility and has no impact on fetal development, the course of pregnancy, or childbirth.
Many neurologists recommend that newly diagnosed patients receive a DMT immediately after diagnosis and that they should be stable on the drug for at least a year before attempting to conceive, based on evidence from the PRIMS study indicating that the level of disease activity in the year prior to pregnancy predicts the risk of postpartum relapse.
One thing to emphasize with patients with MS considering pregnancy is that most of today’s DMTs are contraindicated during pregnancy and require a washout period due to their known and suspected teratogenic effects. It is important to educate patients on whether or not the specific DMT they are on is safe for use during pregnancy as some are not.
Some clinicians administer IV corticosteroids or IV immunoglobulin to prevent postpartum disease relapses, although the clinical benefit remains unclear. Clinicians may want to consider postpartum physical therapy for pelvic floor rehabilitation in patients with MS and should closely monitor patients for postpartum depression, given that people with MS are more likely to experience depression than the general population.
The same vaccination schedule used for the general pregnant population applies here, said Villaverde-González. These vaccinations include inactivated influenza, inactivated diphtheria, tetanus, and acellular pertussis (Tdap), and mRNA COVID-19 vaccines.
Health
Judge stays execution to evaluate if Alabama inmate is competent
A state judge has stayed an upcoming execution in Alabama to evaluate whether the man is too mentally ill to be put to death. The judge temporarily stayed the Aug. 21 execution of David Lee Roberts until it can be established whether he has a “rational understanding” of what is to happen to him. “Or […]


A state judge has stayed an upcoming execution in Alabama to evaluate whether the man is too mentally ill to be put to death.
The judge temporarily stayed the Aug. 21 execution of David Lee Roberts until it can be established whether he has a “rational understanding” of what is to happen to him.
“Or similarly put, the issue is whether the petitioner’s concept of reality is so impaired that he cannot grasp the execution’s meaning and the purpose or the link between his crime and its punishment,” Marion County Circuit Judge Talmage Lee Carter wrote in the July 10 order.
Carter said the execution will be on hold until a report from the Alabama Department of Mental Health is finished. It is not immediately clear how long that will take.
Roberts was convicted of killing Annetra Jones in 1992 by shooting her in the head. His execution was scheduled to be carried out by nitrogen gas, a method Alabama began using last year.
Attorneys representing Roberts argue that his death sentence should be suspended due to severe illness. Roberts has been diagnosed with paranoid schizophrenia diagnosis, hears voices and is delusional, they said in a court filing. He also recently attempted to burn tattoos off his arm and leg because he believed they “are trying to control his thoughts,” his lawyers said.
“This evidence demonstrates Mr. Roberts is incompetent to be executed because his delusions prevent him from having a factual or rational understanding of the reason,” they said.
The Alabama attorney general’s office is not appealing the stay. The state asked that the competency evaluation by expedited.
The U.S. Supreme Court ruled that states cannot execute prisoners who are insane and do not understand their impending execution and the reasons for it. However state law does not provide a clear standard on what courts must find in determining someone’s competency to be executed.
In 1992, Roberts, now 59, was a houseguest at Jones’ boyfriend’s home in Marion County. Prosecutors said that on the afternoon of April 22, he came to the home, packed his belongings, stole money and shot Jones three times in the head with a .22 caliber rifle while she slept on the couch. He then set the house on fire after dousing Jones’ body and the floor with a flammable liquid, prosecutors said.
Jurors convicted Roberts of capital murder and voted 7-5 to recommend that he receive life in prison without parole. A judge overrode that and sentenced him to death. Alabama no longer allows judges to override jury sentences in capital cases.
Health
Why record
By Issy Ronald, CNN (CNN) — For all Abdelrahman Elaraby’s success as an athlete, swimming is a passion simultaneously pursued intensely and held at arm’s length. “You’ll never find me talking about swimming outside the pool,” the 25-year-old Egyptian told CNN Sports. Few people even knew that he had broken the African record in the […]


By Issy Ronald, CNN
(CNN) — For all Abdelrahman Elaraby’s success as an athlete, swimming is a passion simultaneously pursued intensely and held at arm’s length.
“You’ll never find me talking about swimming outside the pool,” the 25-year-old Egyptian told CNN Sports.
Few people even knew that he had broken the African record in the men’s 50m butterfly in Monaco in May until the news was shared publicly. When one of his friends checked to make sure he was OK after not hearing from him for a few days, Elaraby simply responded, “‘Yeah man, I just … became the fastest African in history so I feel great.’
“And he was like … ‘How did you not tell anybody?’” Elaraby recalled.
For him, focusing on life outside swimming is just as important as his goals in the sport. There is time for training in the pool and at the gym, “and then outside that we can find some other stuff to do,” he added. “I’m very family-oriented … I read, I journal, I could go crazy if I leave my house without journaling in the morning or praying or reading the Quran.”
Still, even as the fifth fastest man in the world this year over his preferred distance – the 50m butterfly – Elaraby prefers not to think about swimming as a career, wary of the trap he fell into earlier in his life.
From ‘the slowest kid on the team’
It was Elaraby’s mom who first introduced him to swimming as a child in Cairo, searching for any way to tire out her young, chatty, social son who had been diagnosed with ADHD.
“So many people told her: ‘He’s the slowest kid on the team. What are you doing?’” Elaraby said. But she stuck with it and her son improved, drawn to the sport by the friends he found there.
In 2018, he became Egypt’s national champion in the 50m fly and won bronze in the 50m freestyle at the Junior Olympic Games.
Aged 18, he left Egypt on a scholarship for the University of Louisville (Kentucky), competing on the swim team. However, while at Louisville, in March 2022, he attempted to take his own life.
He had lost his passion for swimming and that spiralled into feelings of worthlessness, he said in a 2023 video made by the University of Louisville for Mental Health Awareness Month. He overdosed on medication and was taken to hospital, where he fell into a coma.
When Elaraby recovered, he was transferred to a “mental health hospital,” but even then, his thoughts were on returning to competitive swimming, he said in the video.
In the time since March 2022, Elaraby has spoken of “reclaiming” his life, of finding purpose and fulfillment again. Part of that has involved getting closer to his Muslim faith, he said. Another part has been by reducing the time he spends on his phone, instead using it to try things like learning a musical instrument and “reading more about topics in life,” like the philosophy of Stoicism.
And another is by considering: “Who do I allow in my life?”
“I’m the fastest person to block people now (on social media) … just being part of each other’s life is a great honor,” he told CNN Sports.
Although 2023 was tough and he considered quitting swimming, he threw himself into his training and won the Atlantic Coast Conference (ACC) title in the men’s 50m freestyle.
‘It took away from the love I have for the sport’
In 2023, he left Louisville and swam for the University of Notre Dame, but after graduating, he began working full-time at a non-profit that helps college athletes break into the world of work, giving himself something to focus on beside his training.
“I got so stuck on the idea that I need to win, not because I want to win, I need to win because, if I win, I’m going to make this amount of money; if I win, I’m going to get seen by this amount of investors or sponsors,” he said. “And it took away from the beauty and the love I have for the sport.”
Last year, he was “ready to quit” after failing to qualify for the Egyptian Olympic team. He didn’t have a coach. Notre Dame’s swim team was suspended for a year due to “possible misconduct” and gambling violations and Elaraby says he was not seen as a training priority; he had “every reason” to stop.
Only a passing comment made by an Egyptian entrepreneur while she was interviewing him persuaded Elaraby to continue swimming. “You should go back to swimming, but not because you want to achieve things, it’s because this is what you love,” he recalled her saying.
So he returned to the pool and trained three or four times a week. But without any serious weight training, he went to the World Championships last year in Budapest, Hungary, knowing he was “absolutely out of shape.”
There he finished joint 34th in the 50m butterfly and realized that “being here just for the fun of the sport is not what I wanted. It’s not fulfilling.”
Determined to become a world-class athlete again, Elaraby took it upon himself to buy books about coaching, learned how to coach himself and set up competitions at the end of every month to focus his training blocks.
That approach has paid off, allowing him to break that African 50m fly record and resurrect his goal of qualifying for the Olympics. In a moment of serendipity, Elaraby’s preferred 50m butterfly event, as well as the 50m breaststroke and backstroke, will be included at the 2028 Olympics for the first time in the Games’ history.
This news made Elaraby “so excited,” he said, adding that he believes competing at the Olympics in his preferred event would give him respect that he’s previously been denied.
But, even with such lofty goals, Elaraby’s life remains multifaceted, concentrated as much outside the pool as inside it.
After his suicide attempt, he shared his story in the hope of encouraging others, particularly men, to seek help when they need it. Opening up publicly initially provoked two types of reactions, he said.
“(Some) people were like, ‘Why are you talking about it? This is a very private matter. You should keep it to yourself’ … And then a lot of people were like ‘We feel seen, thank you, you’re so courageous,’” he said.
Speaking so publicly about his mental health and advocating for others to take better care of theirs comes with a complex responsibility. As time went on, Elaraby became wary of people taking his message and using it “to find an excuse not to do things.”
“I don’t want to drown a whole generation while I’m trying to save some people,” he said. “I don’t want to create a world of mentally weak individuals – I’m just trying to allow people to see mental health the right way, just as physical health. I’m not asking people to curl up and cry. I’m just asking people to get help, just like (when) you break an arm.”
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Health
United Way of Hunterdon County Launches First
Youth Sports Foster Positive Mental Health Advisory Board Tackles Most Pressing Needs of Youth Through Sports We’re not just responding to a crisis—we’re building hope, resilience, and opportunity for every young person in America.” — Jennifer Thompson, CEO FLEMINGTON, NJ, UNITED STATES, July 23, 2025 /EINPresswire.com/ — United Way of Hunterdon County is proud to […]


Youth Sports Foster Positive Mental Health
Advisory Board Tackles Most Pressing Needs of Youth Through Sports
— Jennifer Thompson, CEO
FLEMINGTON, NJ, UNITED STATES, July 23, 2025 /EINPresswire.com/ — United Way of Hunterdon County is proud to announce the formation of the nation’s first Youth Mental Health & Sports Advisory Board, a groundbreaking initiative uniting experts, coaches, and youth voices to transform the future of youth well-being through the power of play.
The United in Play initiative, already recognized for eliminating financial barriers and providing free mental health resources to youth and families, now takes a bold step forward. The new advisory board will guide national best practices for integrating mental health support into sports programs across all levels, ensuring all children—regardless of background—can access the benefits of play, growth, and thriving mental health.
“Every child deserves the chance to play, grow, and thrive—on and off the field or court,” said Jennifer Thompson, social worker and CEO of United Way of Hunterdon County. “We are living in the middle of a youth mental health crisis, and it’s time for bold, collective action. By bringing together leading minds in mental health, youth sports, and lived experience, our advisory board will pioneer a new era where coaches are equipped, families are supported, and no child is left behind. We’re not just responding to a crisis—we’re building hope, resilience, and opportunity for every young person in America.”
Key Facts:
* 1 in 5 youth experience a mental health challenge, yet therapy and support remain out of reach for many.
* United in Play partners with recreational and club programs to provide access to sports and equipment for ALICE (Asset Limited, Income Constrained, Employed) families.
* United Way of Hunterdon County provides trauma-informed training and certification for youth sports coaches. Programs are available in-person and online.
Youth Mental Health & Sports Advisory Board Members include:
* Dr. Marlon Grey, Founder EmpowerU
* George Mercado, HBA Director and Coach
* Cheryl Kuster, Nonprofit Leader & Youth Sports Advocate
* Todd Spidare, Owner Fyzical and Club Pilates
* Eric Eisenhart, Managing Partner, Pro-Activity
* Mathew Walker, Director of Football, DVRR Jr. Terriers, Coach
* Pat Spencer, LCSW, Owner, Getting Your Mind in Gear
* Lacy Phelps, Financial Advisor, Edward Jones
* Kevin Graeves, HBA Coach & Youth Sports Trainer
* Scott Koral, Sports Reporter
* Mitchele Drulis, Owner of Evolution Gym
* Jacque Beason, Parent of Youth Athlete & Retired NFL Cheerleader
* Kelly Denti, Owner, Nex Level Ninja
The new advisory board includes national youth representatives, mental health professionals, sports leaders, and community advocates. Together, they will shape policy, drive awareness, and champion innovative solutions at a national level.
About United Way of Hunterdon County:
United Way of Hunterdon County is dedicated to building thriving communities by advancing financial security, youth opportunities, and health for all. Through United in Play and other programs, the organization leads the way in addressing the urgent needs of today’s families and youth.
For more information, to sign your team or league up for training, partnership opportunities, or to join the movement, visit: https://www.uwhunterdon.org/unitedinplay
Jennifer Thompson
United way
+1 917-969-9765
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Health
Man Catches Plague From His Cat
MedPageToday Case occurred outside the typical season, suggesting the influence of a changing climate. In a rare, off-season occurrence, a man in Oregon contracted plague from his infected cat, researchers reported. The case occurred in January 2024, earlier in the year than all of the other 18 cases of plague reported in Oregon in the […]


MedPageToday Case occurred outside the typical season, suggesting the influence of a changing climate. In a rare, off-season occurrence, a man in Oregon contracted plague from his infected cat, researchers reported.
The case occurred in January 2024, earlier in the year than all of the other 18 cases of plague reported in Oregon in the past 90 years, Emilio DeBess, DVM, of the Oregon Health Authority, and colleagues reported in Morbidity and Mortality Weekly Report
Cases typically occur from May to August, DeBess and colleagues noted, suggesting that changes in climate may alter patterns of Yersinia pestis infections. These changes “could potentially cause not only more cases of plague, but an extended season,” DeBess told MedPage Today.
Health
ICBHS
EL CENTRO — The Imperial County Behavioral Health Services (ICBHS) Youth and Young Adult Program is stepping up its outreach efforts for young people between the ages of 14 and 25, with a presence in high schools, middle schools, libraries, and local community events. The initiative offers support for anxiety, depression, and stress, while also […]


EL CENTRO — The Imperial County Behavioral Health Services (ICBHS) Youth and Young Adult Program is stepping up its outreach efforts for young people between the ages of 14 and 25, with a presence in high schools, middle schools, libraries, and local community events. The initiative offers support for anxiety, depression, and stress, while also educating students on social media pressures and mental health resources.
Lucia Mejia, Community Service Worker for the program, spoke with Imperial Valley Press about the team’s mission to support local youth.
“A lot of anxiety, depression, and stress—that’s mainly what I see from our youth,” Mejia said. “We’re in a lot of high schools and we get to interact with the kids. I do tell them all the time, just because you see it on Instagram or Facebook doesn’t mean it’s real. Remember, you guys, there are filters over there, that whenever you come in person, there’s no filter.”
Adding to the mental health challenges, Mejia said social media distorts kids’ self-image.
“I think a lot of our youth and young adults are going off of what they see on social media, but in reality, we all have imperfections,” Mejia continued. “I think they’re trying to keep up with something that has been fixed or altered to look nice.”
She highlighted a personal example: “So even for us adults as well, it can have its pros and cons. So I can give an example. I have a 14-year-old and he’s like, ‘oh, mom, look at this yacht,’ or ‘this TikToker has this many cars and all this.’ And I’m like, hey, ‘they’re showing you that they have it, but in reality, maybe they owe it. Maybe they just rented it for that video. Maybe it’s not even theirs.’”
Several lawsuits have been filed in California recently in an effort to protect minors from the negative effects of social media. CA AB 2273, also known as the California Age-Appropriate Design Code Act, is a law designed to enhance online protections for children. It requires businesses providing online services, products, or features likely to be accessed by children to prioritize their safety and well-being over commercial interests.
In January 2025, San Diego county officials filed a lawsuit against social media platforms, including Meta and Tiktok, claiming the apps cause digital addiction among youth
Beyond image distortion, Mejia and the Youth Program staff are warning students and parents about hidden risks in social media and online games, particularly those with chat functions that can expose minors to predators.
Reducing stigma around mental health
Despite the risks, social media has opened the door to more open conversations around mental health.
“Before, when we were younger, it was rarely talked about having anxiety and depression. And I think now our youth and our young adults are being more open,” Mejia said.
The Program’s Community Service Worker encourages parents to stay engaged in their kids’ lives through activities and communication.
“Keep them in sports, any sports, any activities,” she said. “Keep them busy with the gym, playing any sports, anything with music lessons, anything that they really enjoy and they’re not being forced to do, something that they enjoy.”
Mejia said keeping an open line of communication between parents and their children is paramount. She admits it can be difficult with work schedules and responsibilities, but parents need to make time with their children.
“Because a lot of the time, a lot of parents are, ‘oh, I’m busy,’ or ‘oh, tell me later,’ or ‘I’m very busy with this and that,’ and that’s where they shift and go somewhere else,” Mejia said. “I think we as parents, just by showing and being supportive and being there for our kids and listening, will have that trust or confidence to come to us and explain, and I mean, what better for us as parents than to give our own children the right advice, right?”
Therapy without parental consent
For youth hesitant to talk to parents or those experiencing issues at home, the law allows for confidential access to therapy starting at age 12.
“Minor consent is by law; anyone that’s 12 and up and mature enough, they can go ahead and start treatment with us,” Mejia said. “They do not need a parent with them.”
Mejia explained that during school hours, no insurance or parental signature is required.
“So for school hours, we don’t ask for insurance. We don’t ask for parent signatures, no address or anything. We don’t contact home or parents,” she said. “So they can go ahead and get minor consent and get therapy only. There’s no medication because they’re underage, but we work with them with therapy.”
Mejia also explained that they do not report or share information from sessions with parents unless the child is at risk of harm.
Special services for at-risk youth
The Youth Program is divided into two branches: general anxiety and depression, and Full Service Partnership (FSP), which serves high-risk populations such as unsheltered youth and those on probation or recently released from juvenile hall.
The program is divided into two sections—anxiety and depression, and FSP.
“FSP clients, the ones that fall in FSP are either unsheltered or they are in probation or they’re coming from a juvenile hall. So those—the FSP clients—are a little bit more delicate; they’re in a little bit tougher situation. So for those clients, we do provide transportation,” she said.
The ICBHS will pick up and drop off the client at their residence. The program also offers tangible incentives for FSP participants.
“If they are in that program, FSP, we have contracts with some gyms here in the county. So we pay for the gym membership. We pay for music lessons or music classes,” she said. In addition, they also offer equine therapy.
“We cover everything, all the expenses, as long as the clients are consistent,” Mejia stated. “They have to be coming and being consistent with their therapies so that way we can go ahead and cover for that.”
Connecting to other services
Mejia said ICBHS also helps clients connect to other county-run wellness or addiction programs.
“For example, there’s anxiety and depression—someone that has anxiety and depression and they started, I don’t know, smoking weed or drinking; we do have a program for substance use disorder that we would do linkage with,” she said.
Those wishing to enroll in services outside school hours can contact the ICBHS for more information and appointments.
Health
McCuskey urges NCAA to restore female athletes' records wrongfully erased by biological males
CHARLESTON, W.Va (WDTV) – Attorney General JB McCuskey has joined a letter urging the NCAA (National Collegiate Athletic Association) to restore female athletes’ records that he says were wrongfully erased by male competitors. McCuskey joins 20 other Attorney Generals in supporting the letter led by Mississippi Attorney General Lynn Fitch. In the letter, the Coalition […]


CHARLESTON, W.Va (WDTV) – Attorney General JB McCuskey has joined a letter urging the NCAA (National Collegiate Athletic Association) to restore female athletes’ records that he says were wrongfully erased by male competitors.
McCuskey joins 20 other Attorney Generals in supporting the letter led by Mississippi Attorney General Lynn Fitch.
In the letter, the Coalition urges the NCAA to restore to female athletes the records, titles, awards and recognitions that they rightfully deserve.
The Attorney General claims these accolades were denied because of policies that allow biological males to compete in female categories.
“Biological men should have never been allowed to compete against biological women in the first place,” Attorney General McCuskey said. “But thankfully, we are starting to see the country and our policies turn back to a place where women’s rights matter. Restoring these records to these women is the least schools can do to return what was stolen from them. This is the right thing to do.”
The announcement Tuesday is in line with McCuskey’s ongoing focus on women’s sports and transgender athletes.
McCuskey and the Coalition go on to say, “The NCAA should take this step for former athletes to preserve the integrity of Title IX and show your support for women harmed by years of bad policy.”
West Virginia has passed the ‘Save Women’s Sports Act,’ which provides that girls’ sports teams based on “competitive skill” should not be open to biological males.
Just last month, the U.S. Supreme Court agreed to hear a case against a transgender athlete from Bridgeport High School.
The case involves a challenge to the West Virginia’s ‘Save Women’s Sports Act,’ which McCuskey says protects biological female athletes by keeping sports competitive and safe for women and girls.
The Supreme Court is expected to hear that case during its October 2025 term.
If you would like to read the Coalition’s letter, you can find it here.
Prior coverage:
Copyright 2025 WDTV. All rights reserved.
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