LP_468x60
on-the-record-468x60-white

Jordan Peterson and his wife Tammy are asking almost $2.3 million for their Toronto home now that they are relocating to Arizona.

Best-selling author and commentator

Jordan Peterson

and his wife, Tammy, are

selling their Toronto home

and relocating to Arizona.

The

listing

for the couple’s home at 68 Olive Avenue in the city’s Seaton Village, part of the greater community of Annex, went live last week, and the Petersons’ ownership was confirmed by their daughter, Mikhaila Fuller.

In an email to the National Post, Fuller, the CEO of Peterson Academy she co-founded with her father, said her parents are moving to Arizona to be close to her, her husband Jordan and their children Elizabeth Peterson and George Peterson Fuller.

“With the touring they do, they were hardly in Toronto at all anymore, and it didn’t make sense to keep the house,” Fuller wrote, noting her parents “are not rebuying in Toronto.”

 Jordan Peterson in his Toronto home in September 2016.

As for the property they’re leaving behind, realtor Daniel Freeman told National Post that Peterson and his family have called the 100-year-old-plus midtown home theirs since 1999, with extensive improvements and upgrades completed within the last nine years.

“A bespoke retreat that fuses bold architecture with soulful living, nestled in one of Toronto’s most neighbourly pockets,” the listing reads.

From the outside, the semi-detached brick home doesn’t look significantly different than the other two-storey homes along the quiet street. Its modesty is one of Freeman’s favourite things about the home.

“The homes that I always enjoy the most are the ones where your expectations from the outside are different from what you see on the inside. It’s like unwrapping a gift box,” he said. “For this house, it’s like you have five or six gifts that you have to unwrap, and each time there’s another surprise.”

The first comes the moment you enter a bright sun porch through a stained glass door adjacent to a beautiful stained glass window custom-designed by Toronto’s

Eve Guinan Design Restoration.

 Stained glass in Jordan Peterson’s sun porch was custom-made by Toronto’s Eve Guinan Design Restoration.

The rest of the carpet-free first and second floors — redone by interior designer

Shelley Kirsch

in 2019 — are bright and welcoming, featuring two spacious bedrooms and a newly renovated bathroom that Freeman said would rival “any Forest Hill or modern rebuilt home in the city.”

The “show stopper,” according to the listing, is a third-storey bedroom “that feels plucked from a Muskoka escape” with its vaulted ceilings and exposed wooden beams. The add-on also features two gas fireplaces, a seating area overlooking the front of the house and a rear deck above the backyard.

“One of the people that came through the open house on Saturday said ‘I feel like I’m in a large cabin staring out into the trees on the side of a mountain,’” Freeman said of the space designed by local architects

Doug Rylett and Cathy Tafler.

 Jordan Peterson’s home in Toronto features a third-storey bedroom “that feels plucked from a Muskoka escape.”

The basement features the last two of the five bedrooms, laundry and an infrared sauna. Freeman said they were able to make great use of the space by lowering, or benching, the basement floor without disturbing the existing foundation walls.

By doing so and employing the right waterproofing, heating and ventilation, Freeman said the home isn’t at risk for the usual mustiness most old basements in the area are known for.

“The lower level doesn’t feel any different than the rest of the house in this property,

The basement also features access to a stunning backyard with living plant walls, durable ipe hardwood decking, motorized retractable awnings and a “garage style shed, ideal for storage or studio.”

 The backyard at Jordan Peterson’s house in Toronto which is selling for almost $2.27 million.

Other bells and whistles inside include smart climate control and automation, central air conditioning and vacuum, tankless water heater and, as Freeman discovered over the weekend, “a filtration system that offers carbonated filtered water” from the sink.

As for the location, Freeman said it’s close to four major grocery stores and subway access, has high walkability and bike scores, sits on the doorstep of well-appointed Vermont Square Park, and features a tight-knit neighbourhood of people. He once lived on Olive, and

Freeman Real Estate

is based just around the corner on Bathurst Street.

“Olive Avenue is known to be one of the warmest, friendliest blocks in this midtown area,” he said.

“It has a historical block party once or twice a year, where everyone shares a potluck dinner on the street, where the kids play and they have a little stage they put up and they have shows.”

Because the house is “like fine art,” Freeman doesn’t think it will be on the market for long.

The psychologist and his wife are asking $2,268,000, but Freeman said, “the value is greater than the listing price” because of “so many intangibles.”

Our website is the place for the latest breaking news, exclusive scoops, longreads and provocative commentary. Please bookmark nationalpost.com and sign up for our daily newsletter, Posted, here.


Two barely-there lines above the outer edges of her eyebrows mark where surgeons screwed a halo apparatus to Anya’s skull to keep her head from moving while they destroyed tiny bits of her brain.

She remembers being sedated, but not completely out, lying on her back on the scanner table. A special helmet fixed to her head beamed high-intensity ultrasound waves at a targeted brain circuit. When the waves intersected at the desired spot, tissue was ablated — burned away like kids using a magnifying glass and the sun’s rays to scorch dead leaves.

For one brief moment she felt a sudden pain so sharp she cried out. In an MRI chamber, no one hears you scream. Still, Anya refused to squeeze the emergency button clutched in her fingers. “I was adamant I wanted to get through it.”

Obsessive compulsive disorder (OCD) ruled Anya’s life for six years: Trial after trial of antidepressants and antipsychotics; different combinations of drugs; months of intense therapy. Nothing made a difference. Then the song lyrics started playing in her head. Not an earworm, but a kind of “radio gone wild thing,” she said. The refrains, the fragments of songs, were loud and intrusive and would get stuck in a loop, playing over and over again in her head. The harder she tried not to hear them, the more annoying the snippets grew. She’d hear different music she’d been exposed to over the years — kids’ songs, pop music, songs in languages she knew. The first question the doctors always asked was, could she be hallucinating? Was the music coming from outside of her? “I am 100 per cent aware it is in my head,” she told them. The songs switched with different images or thoughts, like a rapid-fire word association game. She’d look at the sky and hear Coldplay singing, “Cause you’re a sky, cause you’re a sky full of stars.” She’d think of Paris and hear Edith Piaf.

She was certain she was going mad.

Psychosurgery pulled her back.

Anya, who asked that her last name not be used to protect her family’s privacy, is a participant in an experimental treatment that is part of a modern-day revival of brain surgery for mental disorders. Psychosurgery is a field with a dark, complicated and messy history that hangs over it still, but is one that practitioners are working hard to rehabilitate.

Advances in brain imaging, more refined surgical tools and an enhanced understanding of the brain and its structures are moving surgeries to alter brain activity from crude, unregulated and “blind” operations, where surgeons couldn’t see what they were cutting, to more precise, minimally invasive direct-to-brain interventions.

For some people who’ve run out of all other options, it can mean the difference between being housebound — and living a relatively normal life.

These aren’t the “ice pick through the eye socket” lobotomies of the postwar 1940s and ‘50s. With magnetic resonance guided focused ultrasound capsulotomy — Anya’s surgery — there are no burr holes in the skull. No opening of the cranium, no cutting into the brain, no blood. The helmet-like device surgeons placed over her scalp that January day in 2019 is lined with more than 1,000 ultrasound transducers that emit acoustic waves at frequencies far higher than humans can hear.

Once converged on the target brain circuit, tissue is heated to 60C — a thermal dose sufficient to melt away brain cells and interrupt what scientists have hypothesized is scrambled, hyperactive circuitry within brain networks.

The brain lesions are tiny, about seven to 10 millimetres, maybe a quarter-inch in diameter, though destroying

any

bits of a healthy brain is ethically thorny. Psychosurgery’s revival has unnerved critics who remain unconvinced that science can point to a specific neural circuit or clump of neurons and say, “There — therein lies the problem.”

Depression and OCD are complex human conditions with multiple causes. The “brain-centric” approach oversimplifies the problem, critics say. Procedures that irreversibly alter the brain’s functioning are still viewed as risky and dangerous by a sizable proportion of psychiatrists,

Canadian research has shown

. “The majority of people with these symptoms, even if severe, do not all have a biologically damaged brain that requires surgical intervention,” said Dr. Stanley Caroff, professor emeritus of psychiatry at the University of Pennsylvania. Aside from historic misuse, concerns have also been raised about the potential impact of psychosurgery on a person’s personality, their true, “authentic” self.

“When the lobotomists interrupted the connections between the frontal lobes and the rest of the brain, they had speculations about what the underlying biology was,” said sociologist Andrew Scull, a prominent historian of psychiatry. Throughout psychiatry’s history, other remedies for mental illnesses included insulin shock — putting people into comas using insulin to “kill” brain cells that caused schizophrenia — or extracting tonsils and teeth in the belief bacteria and rot lurking in hidden pockets of the body were muddling people’s brains.

“We don’t even understand the brains of fruit flies very well, and the human brain, with all its trillions of connections, is enormously complex,” Scull said. “The idea that we can locate any form of mental illness here, or there, is simply wrong.”

Toronto neurosurgeon Nir Lipsman said the last thing he wants to do is reduce a disease as complex as OCD or major depressive disorder down to a single target or single circuit in the brain. Psychosurgery is haunted by a past that harmed many “and left a significant stain on the field,” he said.

But modern “neuromodulation” therapies that not only change the brain’s structure but its chemical environment and how connections between different parts of the brain are wired, are driven by data from brain-imaging studies conducted over the past 30 years, he said.

“Our ability to visualize the pathways and structures in the brain that drive mood and anxiety disorders is becoming much more refined, much more precise and personalized,” said Lipsman, chief of the Hurvitz Brain Sciences Program and director of the Harquail Centre for Neuromodulation at Toronto’s Sunnybrook Heath Sciences Centre.

This is no cure, no “one-and-done,” he stressed. People still need medication and therapy post-psychosurgery.

Focused ultrasound has been used thousands of times the world over for the treatment of neurological-movement disorders such as essential tremor — which causes the hands to shake — and Parkinson’s disease. Evidence from a small number of published studies for severe mental illness is encouraging, Lipsman said.

Ontario Health recently completed

a major assessment of focused ultrasound for OCD

. It found that while “considerable uncertainty” remains, the evidence so far suggests the procedure is safe, no serious or persistent side-effects have been reported, and that it may lead to meaningful improvements in symptoms — from extreme to moderate — for people with treatment-resistant OCD.

The Ontario government is considering providing limited funding to cover focused ultrasound capsulotomy for 110 people with severe OCD over the next five years.

The World Health Organization has ranked OCD among the top 10 most disabling illnesses globally. As many as 40 per cent of those affected don’t respond to first, second, or any conventional therapy. An estimated 15 per cent attempt suicide.

With OCD, common “sticky” thoughts can revolve around contamination and relentless rituals to avoid dirt and germs, or symmetry — the need for things to be lined up or organized in a precise way so that everything feels just

right

.

Forbidden and taboo obsessions are especially harrowing. People may have violent thoughts or urges about “smothering a baby, throwing somebody off a balcony, driving a car the wrong way,” psychiatrist Dr. Peggy Richter, inaugural head of the Frederick W. Thompson Anxiety Disorders Centre at Sunnybrook, Canada’s sole in-patient program for severe OCD, told a public forum last fall.

Some have disturbing sexual thoughts; some have religious obsessions: if I don’t pray a certain way or a certain number of times a day, I’ll be damned forever.

Brain surgery for mental illness sounds like a drastic measure. Today’s leaders in the field say no one is taking it lightly. History’s often-gruesome lobotomies were unregulated and “certainly not guided by any of the key principles that we hold so near and dear today, including surgical sterility, careful patient selection and close followup,” Lipsman said.

“We’re seeing a renewed acceptability of surgery for highly refractory psychiatric conditions,” he said.

OCD and depression are measured using crude scales. The more symptoms and severity, the higher the score. In a recently published study involving 15 patients with treatment-resistant OCD, and 10 with major depressive disorder, Lipsman and colleagues reported that OCD scores were significantly reduced 12 months after focused ultrasound capsulotomy; 50 per cent of patients met the criteria for treatment response, seeing at least a 35 per cent reduction in anxiety scores.

For severe OCD, a 35 per cent improvement in symptoms can mean going back to a job or school, Lipsman said. “It means reintegrating into a life they were otherwise totally disconnected from.”

However, for those in the study with depression, the reduction in scores after focused ultrasound wasn’t significant. Lipsman said the brain targets may need to be different for depression, reflecting a differing underlying circuitry.

So far, Lipsman’s group has performed focused ultrasound on about 40 people with OCD or depression — about one per month. Psychiatrists are slowly opening to referring patients who might qualify. “There is definitely demand out there,” he said.

Still, he knows the challenges for psychosurgery’s resurrection.

In its heyday, lobotomy was hailed as one of the most remarkable surgical innovations of its generation.

* * *

The quest for a cure for mental illness, a psychiatric Holy Grail, has seduced doctors through the ages. Renaissance artists such as Hieronymus Bosch depicted people having hypothetical “stones” of madness surgically extracted from their brains. Human skulls dating back to the Mesolithic period show evidence of trepanation — holes drilled, cut or scraped into the scalp to treat fractured skulls or the ousting of “evil spirits.”

Trepanations didn’t stop with Stone Age tools.

The leucotome is a simple surgical instrument. Invented by Canadian neurosurgeon Dr. Kenneth McKenzie, the leucotome consists of a needle with a retractable wire loop that, when inserted and rotated in the brain, can scoop out cores of white matter from inside the frontal lobe.

In 1936, Portuguese neurologist Egas Moniz used a leucotome to perform a prefrontal leucotomy. A year earlier, Moniz had been captivated by a presentation at a London neuroscience congress: A Yale scientist named John Fulton discussed his results performing a frontal lobotomy — removal or disconnection of the frontal lobes, the parts of the brain concerned with behaviour and personality — on Becky and Lucy, two chimpanzees. The lobotomy appeared to make the apes “

more cooperative and willing to accomplish tasks.”

Moniz returned home bent on experimenting on chimps as well as humans. He posited that the frontal lobes housed the anatomical roots of “pathological psychic activity,” as researchers described in the American Journal of Psychiatry. They “needed to be severed from the rest of the brain for cure.”

At the time, there were few effective treatments for schizophrenia or severe psychosis. Antipsychotic drugs had yet to be introduced, and patients were shut away and forgotten in overcrowded state hospitals or asylums.

Lobotomy was meant to be an operation of last resort. Moniz eventually won a Nobel Prize for his contributions to the field.

Walter J. Freeman, however, wanted a speedier and easier way into the brain that didn’t require a neurosurgeon, drill or operating room. Freeman was a mid-20th century American theoretical neurologist and lobotomy crusader. He was also “abrasive, arrogant and egotistical,” a huckster and all-around “hard man to like,” Scull wrote in the

Los Angeles Times in 2005

.

It was Freeman who championed the lobotomy in the United States, along with a novel way of performing it. After stumbling across an obscure article by an Italian neurosurgeon who discovered the quickest way into the frontal lobes was via the eye orbits — given how thin the bone there was and how easily it could be perforated with a sharp instrument — Freeman revolutionized the “transorbital lobotomy.”

His chosen instruments were an orbitoclast, which his son would later tell PBS looked very much like the ice pick in the family freezer, and a mallet.

“So, Freeman took an ice pick and a hammer, gave the patients two or three electric shocks to make them unconscious, peeled back the eyelid, shoved the point of the ice pick into the bone, banged it with a hammer and wiggled it about,” obliterating bits of brain tissue as he moved the orbitoclast side to side, said Scull, author of Desperate Remedies: Psychiatry’s Turbulent Quest to Cure Mental Illness.

Freeman travelled the U.S. and the United Kingdom, demonstrating the technique like a carny at a country fair, once performing two dozen in a single afternoon in front of a medical audience, “many of whom passed out,” Scull said. Freeman, who wasn’t a surgeon, acknowledged his unorthodox approach offended a real brain surgeon’s idea of “neatness and precision.” He performed lobotomies without gloves, gowns or masks, in the hallways and rooms of mental health hospitals, even in barns.

He ultimately operated on more than 3,000 people between 1936 and 1956. Freeman lobotomized children as young as four. One of his patients, Howard Dully, a former San Jose, Calif., bus driver who died earlier this year, was given a lobotomy by Freeman when he was 12 years old at the request of a woman his father married after his own mother died of cancer. The stepmom, who hated Dully, found him a nuisance and complained to Freeman he was “unbelievably defiant.”

Freeman claimed most of his patients improved enough to be let out of hospital. In fact, his lobotomies rendered many into a state of inertia, apathy and indifference. Some ended up dead. John F. Kennedy’s sister, Rosemary, was a patient of Freeman’s. Rosemary, who struggled to keep up with other kids in school and was prone to emotional outbursts as she grew older, underwent a lobotomy in 1943 when she was 23, a surgery that left her mentally incapacitated until her death at age 86.

In Canada, neurosurgeons performed lobotomies at the behest of psychiatrists. One followup study published in the Canadian Medical Association Journal (CMAJ) involving 116 patients lobotomized in Toronto from 1948 to 1952 found 61 per cent living outside of hospital at 10 years after brain surgery.

However,

there were also some serious undesired outcomes

. Complications included epilepsy (occurring in 12 per cent of patients treated) and significant personality defects in nearly all patients (91 per cent). It wasn’t known to leave people blind. The orbitoclast was inserted beside the eyeball, not through it.

Researchers accepted that the side-effects were a tolerable trade-off.

Later, however,

another study published in CMAJ in 1964

came to the “inescapable” conclusion that a prefrontal leucotomy didn’t lead to any significant differences in the rates of hospital discharge between 183 patients who had received a lobotomy versus a comparison group spared the surgery.

The finding contrasted sharply with Freeman’s assurances that his lobotomies restored people with disabling psychoses to a “better social existence.” People were more tolerant, Freeman would write, with less tendency to worry over trifling stuff.

A significantly disproportionate number — roughly 60 to 80 per cent — of those lobotomized were women who were often seen by the men in their lives as hysterical nuisances. “It was also mostly male doctors at the time putting forward the idea that a lobotomy would make them better,” said University of British Columbia neuroethicist Judy Illes.

“Even Freeman conceded not many patients retained their initiative and higher mental functions, but they could be a housewife or sit prettily at the dinner table,” Scull said. As one husband once reported back to Freeman, “My God, Doctor, you should have operated on her 30 years ago.”

More than 30,000 lobotomies were ultimately performed in the U.S. As many as 15 per cent experienced a brain hemorrhage or death. Lobotomies were not only visited upon those in state asylums hidden in the countryside. There were also major lobotomy programs at private hospitals, as well as at Yale University, Columbia University and the University of Pennsylvania.

Lobotomies had variable results, Scull said. Some of the better ones involved people with OCD. “We think of the worst human vegetables. Not everybody turned out like that. The ‘successful’ cases were few and far between. But they did exist.”

To Scull, Freeman was a moral monster. “He thought he had the key. For me, that’s not an excuse to do what he did, and do it over a very, very long period.”

* * *

Lobotomies flourished until the introduction of the antipsychotic chlorpromazine (marketed under the brand name Thorazine) in the 1950s. Today, antipsychotics and antidepressants are among the most prescribed drugs in medicine. Over 2.5 billion tablets and capsules of antidepressants were dispensed in Canada alone in 2023, a 26 per cent increase over 2019, according to IQVIA, a health analytics company.

Drugs known as SSRIs, or selective serotonin reuptake inhibitors, a class that includes Prozac and Paxil and is part of the first-line treatment for OCD and depression, account for roughly 80 per cent of prescriptions filled for antidepressants.

Antidepressants provide relief for many. They can be life-saving. “But brain adaptations can make them hard to stop,” particularly after long-term use,

researchers with the Therapeutics Initiative

at the University of British Columbia recently warned. Withdrawal symptoms such as akathisia — the inability to keep still — and suicidality have been downplayed, they said. A common complaint is that SSRIs can make people feel emotionally blunted. They can also carry significant sexual side-effects, including low desire or arousal.

Like psychosurgeries, antidepressants and other psychotropic drugs alter how the brain functions — except they’re reversible. And while focused ultrasound might not require cutting into the scalp or drilling holes in the skull, it’s still invasive, UBC’s Illes said, “because we are permanently removing tissue.”

While Scull said he’d be astonished if there wasn’t a biological component to major mental illnesses, biology alone doesn’t explain it, “and in some ways, that whole distinction between the biological and social is really a false dichotomy,” he said.

We’re born with a brain, but our brain remains plastic much longer than originally believed, he said. “And how your brain rewires itself as you experience the world is the product of our social and psychological environment and experiences, as well as biology.”

Neuroethicist Illes agrees that there’s likely not one locus of mental illness, no one spot in the brain for mental disorder X, Y or Z. “Mental illness is a really complex experience that is both biologic and personal and sociological and experiential and cultural,” she said.

“Today we have excellent oversight by our institutional organizations,” Illes said. There’s a worldwide focus on the ethics of neurotechnology; Illes served on a UNESCO expert advisory group developing a governance framework for emerging neurotechnologies such as Elon Musk’s Neuralink brain chip and other brain-computer interfaces.

The discovery of psychiatric drugs didn’t put a total end to psychiatric brain surgery. While the lobotomy’s popularity plunged as the grislier risks became known, psychosurgeries transitioned in the 1970s from the “quick and crude” to regulated interventions driven by advances that allow doctors to map the human brain in three dimensions and achieve millimetre-scale precision.

In addition to focused ultrasound, surgical brain modulation options today include deep brain stimulation (DBS), which uses electrodes inserted deep into the brain to deliver low-voltage electricity to specific clumps of neurons to reset or activate certain circuits. In 2018, Lipsman performed DBS on Dr. Frank Plummer, the renowned former head of Canada’s National Microbiology Laboratory, in one of the first North American uses of DBS for chronic and compulsive heavy drinking.

Plummer was addicted to booze, scotch in particular, and was “waiting to die” — rehab, counselling and group meetings failed to keep him from drinking, and a transplanted liver was giving out — when Sunnybrook surgeons drilled two nickel-sized holes in his head and planted electrodes deep inside his brain. In 2019, one year out from surgery,

Plummer told the National Post

he was enjoying life for the first time in a very long while.

Plummer died suddenly of a heart attack in 2020 while travelling in Kenya, where he’d led groundbreaking studies in HIV and AIDS.

Deep brain stimulation is still an invasive surgery. The electrodes need to be implanted into the brain via burr holes drilled into the top of the skull, increasing the risk of infections, brain hemorrhages and other complications. The electrodes are fragile and can malfunction. And, in sham-controlled experiments where electrodes are implanted in some patients but never switched on, DBS for depression has yet to demonstrate significant improvements over those not stimulated.

Radiofrequency ablation is another route, and the most established, but requires making holes in the skull, inserting electrodes and heating the tip to generate a permanent lesion. “We can now generate those lesions entirely non-invasively with focused ultrasound through the skull, with the patient in an MRI scanner,” Lipsman said.

Looking back, Anya figures they were generating lesions when she felt that sharp jolt of pain in her head.

It’s hard for her to put her finger on exactly when her OCD emerged. She was born in Russia and came to Canada as a teen with her parents in 2009. Her childhood was a happy one. The earliest hint that something off was happening came toward the end of high school, when she started to get “hyper fixated” on things. She had weird secret rituals she hid from her parents, like waiting until the time was a multiple of five — 5:15 p.m. or 5:30 p.m. — before unlocking her laptop.

Things went off the rails in university after a long-distance romance ended. She developed insomnia, racing thoughts and panic attacks. She landed in emergency three times before eventually being connected to a psychiatrist who diagnosed OCD.

Deciding she no longer wanted to be “pushed around” by her compulsive rituals, she abruptly stopped them, like an addict going cold turkey, “which probably wasn’t a good idea,” she said. OCD has two components: the obsessions, and the rituals to ease the anxiety of those obsessions. “When your brain is habituated to those patterns and compulsive behaviours, you must eliminate them gradually,” she said.

That’s when the earworms started, “and that’s when I got really freaked out.”

No one knows what drives musical obsessions in people with OCD. With OCD, the brain circuits driving concerns, fears and anxieties get stuck, like a car in a certain gear or a record skipping incessantly, Lipsman said. The structures are in overdrive. Surgical treatments such as focused ultrasound aim to stop the cycle and reduce the intensity over time.

For Anya, it felt like her last hope.

* * *

OCD typically comes in the late teens to 20s, though it can also appear in childhood. Kids might worry about their toys getting dirty or they wash their hands excessively. It usually goes away but recurs with puberty.

“It can appear out of the blue, but when you ask a patient and do a thorough history, you often hear, ‘Well, you know, when I was a kid, I used to worry that if I didn’t line my toys up a certain way something terrible might happen to my mother,” said University of Calgary psychiatrist Beverly Adams.

Compulsive cleanliness is common. Some people get obsessed with checking that things are turned off: the stove is off, the doors are locked, the faucets turned off, the windows shut. Leaving the house can become a frightening ordeal to avoid.

There can be chronic doubting, chronic counting, chronic organizing and reorganizing of the home, behaviours that can eat up hours of the day. “And sometimes they have these obsessive thoughts that if they haven’t done something the correct way or there isn’t proper symmetry, something bad might happen, some sort of negative outcome,” Adams said.

Some have sexual obsessions. One of the most unusual themes Adams has encountered is the number of young girls who think they are pedophiles. “It makes no sense at all, and they’re aware of that.” Insight is one of the hallmarks of OCD. “They know that this is a ridiculous thought, but they can’t stop worrying about it.”

One of the most common times of onset in women is around the birth of a child, either during pregnancy or in the months after delivery. Women can have terrifying thoughts of harming their baby, accidentally or deliberately. There is no good or solid answer as to why. Hormonal changes have been implicated, but it’s also a time of intense stress and taking on new responsibilities.

Seven patients with treatment-resistant OCD have undergone MRI-guided focus ultrasound in Calgary, where a team co-led by Adams and neurosurgeon Dr. Zelma Kiss is collaborating with Lipsman’s group. Adams explains to patients who might meet the criteria — aged 21 to 65, diagnosis of OCD for at least five years, tried but found ineffective multiple medications — that the procedure involves heating up “a little part of your brain” and making pinpoint lesions at the spot “where those thoughts go over and over in your head.”

The procedure is performed in a day. Surgeons usually do both sides of the brain. People worry most about having their heads shaved. The brain itself feels nothing — it has no pain receptors. But the lining of the brain is highly sensitive, and when ultrasound is passed through that lining it can generate heat and that can be uncomfortable.

Lipsman targets a region known as the ALIC, or anterior limb of the internal capsule, a dense region of fibres in a key network believed to be critical for communicating anxiety, fears and concerns that are pathologic — not reasonable — to areas of the brain that are critical for acting on those emotions.

“We know that disconnecting those areas could be critical for improving anxiety,” he said.

The procedure is done in the MRI scanner while the person is awake, with an anesthesiologist present to provide sedation or pain control if needed. MRI guidance provides real-time images of the brain for more precise lesioning, meaning burning. Real-time feedback of how much heat is being generated allows the team to adjust the temperature.

Water is circulated around the head to cool the scalp. Treatment starts with a few low-intensity sonications as surgeons home in on the target, followed by a series of high-powered ones to create a permanent, irreversible lesion.

Following the three-hour procedure, the headframe is removed. People spend a night in hospital for observation and go home the next day after an MRI is done to capture the full extent of the lesions and rule out any adverse “radiographic events.”

Not everybody’s skull is equal. “We found that about 10 to 15 per cent of the population has a skull density that is not amenable to transmitting ultrasound,” Lipsman said, a technical limitation of the device he thinks can be overcome with continued advances in the technology, “so that everybody who ought to be eligible can undergo the procedure.”

Possible side-effects can include headaches and facial swelling from the frame used to keep the head still. There have been no reported changes in personality. No reported deficits in memory. No deaths, brain hemorrhage or infection.

Focused ultrasound hasn’t been tested in sham-controlled experiments for OCD, so it’s impossible to rule out a placebo effect. However, for patients who’ve responded, the effects have been enduring, Lipsman said. Changing the circuitry appears to make people more responsive to treatments that previously didn’t work for them.

“What’s most important is the quality of life you see,” Adams said. “Relationships are better. They’re working again. OCD doesn’t go away completely, but they’re not as preoccupied.

“Science is a field where you make corrections as you learn,” she said. “To come to a point where there is a procedure that can really improve your quality of life and is non-invasive, I think it’s wrong not to talk about it.

“This is not an assembly line,” Adams added. “We’re not just going to start lining people up and doing this. This is for treatment-resistant OCD. But wouldn’t it be brilliant if we could find something that treated the more moderate forms?”

Unlike the era of Freeman’s runaway lobotomies, a major ethical consideration is ensuring informed consent, she and others said. That means ensuring the person’s anxiety and mood do not cloud their ability to understand the risks and benefits.

“When I see patients in clinic, they often tell me this is their last resort,” Lipsman said. “We have to be very careful not to take advantage of our patients’ desperation to get better.”

Anya got married last October. She is embarking on her PhD. Surgery wasn’t like flicking a switch: OCD, then no OCD. It’s been a gradual improvement, but a “really remarkable” one, she said. The first thing she noticed was an improvement in her mood.

“Before surgery, my mood was super-low, depressed, desperate, suicidal.” Post surgery, “I started having better days. We could see something was shifting.”

A turning point came when she accepted an invitation to a relative’s wedding in Los Angeles two months after surgery. She had been virtually housebound, especially avoiding places that had music. “That would trigger the earworms.” Weddings have music and dancing. “That was kind of hard and not something that I would have done some months prior. But I went.”

Later that spring and over the summer, that “constant intrusive soundtrack” in her brain grew fainter. “I still get earworms occasionally. I still have this residual thing when I’m really stressed or going through a difficult experience or reducing my medications.

“It can be annoying. But doesn’t scare me as much anymore.”

The surgery was on Jan. 28, 2019.

“I celebrate it as my second birthday now.”


Two barely-there lines above the outer edges of her eyebrows mark where surgeons screwed a halo apparatus to Anya’s skull to keep her head from moving while they destroyed tiny bits of her brain.

She remembers being sedated, but not completely out, lying on her back on the scanner table. A special helmet fixed to her head beamed high-intensity ultrasound waves at a targeted brain circuit. When the waves intersected at the desired spot, tissue was ablated — burned away like kids using a magnifying glass and the sun’s rays to scorch dead leaves.

For one brief moment she felt a sudden pain so sharp she cried out. In an MRI chamber, no one hears you scream. Still, Anya refused to squeeze the emergency button clutched in her fingers. “I was adamant I wanted to get through it.”

Obsessive compulsive disorder (OCD) ruled Anya’s life for six years: Trial after trial of antidepressants and antipsychotics; different combinations of drugs; months of intense therapy. Nothing made a difference. Then the song lyrics started playing in her head. Not an earworm, but a kind of “radio gone wild thing,” she said. The refrains, the fragments of songs, were loud and intrusive and would get stuck in a loop, playing over and over again in her head. The harder she tried not to hear them, the more annoying the snippets grew. She’d hear different music she’d been exposed to over the years — kids’ songs, pop music, songs in languages she knew. The first question the doctors always asked was, could she be hallucinating? Was the music coming from outside of her? “I am 100 per cent aware it is in my head,” she told them. The songs switched with different images or thoughts, like a rapid-fire word association game. She’d look at the sky and hear Coldplay singing, “Cause you’re a sky, cause you’re a sky full of stars.” She’d think of Paris and hear Edith Piaf.

She was certain she was going mad.

Psychosurgery pulled her back.

Anya, who asked that her last name not be used to protect her family’s privacy, is a participant in an experimental treatment that is part of a modern-day revival of brain surgery for mental disorders. Psychosurgery is a field with a dark, complicated and messy history that hangs over it still, but is one that practitioners are working hard to rehabilitate.

Advances in brain imaging, more refined surgical tools and an enhanced understanding of the brain and its structures are moving surgeries to alter brain activity from crude, unregulated and “blind” operations, where surgeons couldn’t see what they were cutting, to more precise, minimally invasive direct-to-brain interventions.

For some people who’ve run out of all other options, it can mean the difference between being housebound — and living a relatively normal life.

These aren’t the “ice pick through the eye socket” lobotomies of the postwar 1940s and ‘50s. With magnetic resonance guided focused ultrasound capsulotomy — Anya’s surgery — there are no burr holes in the skull. No opening of the cranium, no cutting into the brain, no blood. The helmet-like device surgeons placed over her scalp that January day in 2019 is lined with more than 1,000 ultrasound transducers that emit acoustic waves at frequencies far higher than humans can hear.

Once converged on the target brain circuit, tissue is heated to 60C — a thermal dose sufficient to melt away brain cells and interrupt what scientists have hypothesized is scrambled, hyperactive circuitry within brain networks.

The brain lesions are tiny, about seven to 10 millimetres, maybe a quarter-inch in diameter, though destroying

any

bits of a healthy brain is ethically thorny. Psychosurgery’s revival has unnerved critics who remain unconvinced that science can point to a specific neural circuit or clump of neurons and say, “There — therein lies the problem.”

Depression and OCD are complex human conditions with multiple causes. The “brain-centric” approach oversimplifies the problem, critics say. Procedures that irreversibly alter the brain’s functioning are still viewed as risky and dangerous by a sizable proportion of psychiatrists,

Canadian research has shown

. “The majority of people with these symptoms, even if severe, do not all have a biologically damaged brain that requires surgical intervention,” said Dr. Stanley Caroff, professor emeritus of psychiatry at the University of Pennsylvania. Aside from historic misuse, concerns have also been raised about the potential impact of psychosurgery on a person’s personality, their true, “authentic” self.

“When the lobotomists interrupted the connections between the frontal lobes and the rest of the brain, they had speculations about what the underlying biology was,” said sociologist Andrew Scull, a prominent historian of psychiatry. Throughout psychiatry’s history, other remedies for mental illnesses included insulin shock — putting people into comas using insulin to “kill” brain cells that caused schizophrenia — or extracting tonsils and teeth in the belief bacteria and rot lurking in hidden pockets of the body were muddling people’s brains.

“We don’t even understand the brains of fruit flies very well, and the human brain, with all its trillions of connections, is enormously complex,” Scull said. “The idea that we can locate any form of mental illness here, or there, is simply wrong.”

Toronto neurosurgeon Nir Lipsman said the last thing he wants to do is reduce a disease as complex as OCD or major depressive disorder down to a single target or single circuit in the brain. Psychosurgery is haunted by a past that harmed many “and left a significant stain on the field,” he said.

But modern “neuromodulation” therapies that not only change the brain’s structure but its chemical environment and how connections between different parts of the brain are wired, are driven by data from brain-imaging studies conducted over the past 30 years, he said.

“Our ability to visualize the pathways and structures in the brain that drive mood and anxiety disorders is becoming much more refined, much more precise and personalized,” said Lipsman, chief of the Hurvitz Brain Sciences Program and director of the Harquail Centre for Neuromodulation at Toronto’s Sunnybrook Heath Sciences Centre.

This is no cure, no “one-and-done,” he stressed. People still need medication and therapy post-psychosurgery.

Focused ultrasound has been used thousands of times the world over for the treatment of neurological-movement disorders such as essential tremor — which causes the hands to shake — and Parkinson’s disease. Evidence from a small number of published studies for severe mental illness is encouraging, Lipsman said.

Ontario Health recently completed

a major assessment of focused ultrasound for OCD

. It found that while “considerable uncertainty” remains, the evidence so far suggests the procedure is safe, no serious or persistent side-effects have been reported, and that it may lead to meaningful improvements in symptoms — from extreme to moderate — for people with treatment-resistant OCD.

The Ontario government is considering providing limited funding to cover focused ultrasound capsulotomy for 110 people with severe OCD over the next five years.

The World Health Organization has ranked OCD among the top 10 most disabling illnesses globally. As many as 40 per cent of those affected don’t respond to first, second, or any conventional therapy. An estimated 15 per cent attempt suicide.

With OCD, common “sticky” thoughts can revolve around contamination and relentless rituals to avoid dirt and germs, or symmetry — the need for things to be lined up or organized in a precise way so that everything feels just

right

.

Forbidden and taboo obsessions are especially harrowing. People may have violent thoughts or urges about “smothering a baby, throwing somebody off a balcony, driving a car the wrong way,” psychiatrist Dr. Peggy Richter, inaugural head of the Frederick W. Thompson Anxiety Disorders Centre at Sunnybrook, Canada’s sole in-patient program for severe OCD, told a public forum last fall.

Some have disturbing sexual thoughts; some have religious obsessions: if I don’t pray a certain way or a certain number of times a day, I’ll be damned forever.

Brain surgery for mental illness sounds like a drastic measure. Today’s leaders in the field say no one is taking it lightly. History’s often-gruesome lobotomies were unregulated and “certainly not guided by any of the key principles that we hold so near and dear today, including surgical sterility, careful patient selection and close followup,” Lipsman said.

“We’re seeing a renewed acceptability of surgery for highly refractory psychiatric conditions,” he said.

OCD and depression are measured using crude scales. The more symptoms and severity, the higher the score. In a recently published study involving 15 patients with treatment-resistant OCD, and 10 with major depressive disorder, Lipsman and colleagues reported that OCD scores were significantly reduced 12 months after focused ultrasound capsulotomy; 50 per cent of patients met the criteria for treatment response, seeing at least a 35 per cent reduction in anxiety scores.

For severe OCD, a 35 per cent improvement in symptoms can mean going back to a job or school, Lipsman said. “It means reintegrating into a life they were otherwise totally disconnected from.”

However, for those in the study with depression, the reduction in scores after focused ultrasound wasn’t significant. Lipsman said the brain targets may need to be different for depression, reflecting a differing underlying circuitry.

So far, Lipsman’s group has performed focused ultrasound on about 40 people with OCD or depression — about one per month. Psychiatrists are slowly opening to referring patients who might qualify. “There is definitely demand out there,” he said.

Still, he knows the challenges for psychosurgery’s resurrection.

In its heyday, lobotomy was hailed as one of the most remarkable surgical innovations of its generation.

* * *

The quest for a cure for mental illness, a psychiatric Holy Grail, has seduced doctors through the ages. Renaissance artists such as Hieronymus Bosch depicted people having hypothetical “stones” of madness surgically extracted from their brains. Human skulls dating back to the Mesolithic period show evidence of trepanation — holes drilled, cut or scraped into the scalp to treat fractured skulls or the ousting of “evil spirits.”

Trepanations didn’t stop with Stone Age tools.

The leucotome is a simple surgical instrument. Invented by Canadian neurosurgeon Dr. Kenneth McKenzie, the leucotome consists of a needle with a retractable wire loop that, when inserted and rotated in the brain, can scoop out cores of white matter from inside the frontal lobe.

In 1936, Portuguese neurologist Egas Moniz used a leucotome to perform a prefrontal leucotomy. A year earlier, Moniz had been captivated by a presentation at a London neuroscience congress: A Yale scientist named John Fulton discussed his results performing a frontal lobotomy — removal or disconnection of the frontal lobes, the parts of the brain concerned with behaviour and personality — on Becky and Lucy, two chimpanzees. The lobotomy appeared to make the apes “

more cooperative and willing to accomplish tasks.”

Moniz returned home bent on experimenting on chimps as well as humans. He posited that the frontal lobes housed the anatomical roots of “pathological psychic activity,” as researchers described in the American Journal of Psychiatry. They “needed to be severed from the rest of the brain for cure.”

At the time, there were few effective treatments for schizophrenia or severe psychosis. Antipsychotic drugs had yet to be introduced, and patients were shut away and forgotten in overcrowded state hospitals or asylums.

Lobotomy was meant to be an operation of last resort. Moniz eventually won a Nobel Prize for his contributions to the field.

Walter J. Freeman, however, wanted a speedier and easier way into the brain that didn’t require a neurosurgeon, drill or operating room. Freeman was a mid-20th century American theoretical neurologist and lobotomy crusader. He was also “abrasive, arrogant and egotistical,” a huckster and all-around “hard man to like,” Scull wrote in the

Los Angeles Times in 2005

.

It was Freeman who championed the lobotomy in the United States, along with a novel way of performing it. After stumbling across an obscure article by an Italian neurosurgeon who discovered the quickest way into the frontal lobes was via the eye orbits — given how thin the bone there was and how easily it could be perforated with a sharp instrument — Freeman revolutionized the “transorbital lobotomy.”

His chosen instruments were an orbitoclast, which his son would later tell PBS looked very much like the ice pick in the family freezer, and a mallet.

“So, Freeman took an ice pick and a hammer, gave the patients two or three electric shocks to make them unconscious, peeled back the eyelid, shoved the point of the ice pick into the bone, banged it with a hammer and wiggled it about,” obliterating bits of brain tissue as he moved the orbitoclast side to side, said Scull, author of Desperate Remedies: Psychiatry’s Turbulent Quest to Cure Mental Illness.

Freeman travelled the U.S. and the United Kingdom, demonstrating the technique like a carny at a country fair, once performing two dozen in a single afternoon in front of a medical audience, “many of whom passed out,” Scull said. Freeman, who wasn’t a surgeon, acknowledged his unorthodox approach offended a real brain surgeon’s idea of “neatness and precision.” He performed lobotomies without gloves, gowns or masks, in the hallways and rooms of mental health hospitals, even in barns.

He ultimately operated on more than 3,000 people between 1936 and 1956. Freeman lobotomized children as young as four. One of his patients, Howard Dully, a former San Jose, Calif., bus driver who died earlier this year, was given a lobotomy by Freeman when he was 12 years old at the request of a woman his father married after his own mother died of cancer. The stepmom, who hated Dully, found him a nuisance and complained to Freeman he was “unbelievably defiant.”

Freeman claimed most of his patients improved enough to be let out of hospital. In fact, his lobotomies rendered many into a state of inertia, apathy and indifference. Some ended up dead. John F. Kennedy’s sister, Rosemary, was a patient of Freeman’s. Rosemary, who struggled to keep up with other kids in school and was prone to emotional outbursts as she grew older, underwent a lobotomy in 1943 when she was 23, a surgery that left her mentally incapacitated until her death at age 86.

In Canada, neurosurgeons performed lobotomies at the behest of psychiatrists. One followup study published in the Canadian Medical Association Journal (CMAJ) involving 116 patients lobotomized in Toronto from 1948 to 1952 found 61 per cent living outside of hospital at 10 years after brain surgery.

However,

there were also some serious undesired outcomes

. Complications included epilepsy (occurring in 12 per cent of patients treated) and significant personality defects in nearly all patients (91 per cent). It wasn’t known to leave people blind. The orbitoclast was inserted beside the eyeball, not through it.

Researchers accepted that the side-effects were a tolerable trade-off.

Later, however,

another study published in CMAJ in 1964

came to the “inescapable” conclusion that a prefrontal leucotomy didn’t lead to any significant differences in the rates of hospital discharge between 183 patients who had received a lobotomy versus a comparison group spared the surgery.

The finding contrasted sharply with Freeman’s assurances that his lobotomies restored people with disabling psychoses to a “better social existence.” People were more tolerant, Freeman would write, with less tendency to worry over trifling stuff.

A significantly disproportionate number — roughly 60 to 80 per cent — of those lobotomized were women who were often seen by the men in their lives as hysterical nuisances. “It was also mostly male doctors at the time putting forward the idea that a lobotomy would make them better,” said University of British Columbia neuroethicist Judy Illes.

“Even Freeman conceded not many patients retained their initiative and higher mental functions, but they could be a housewife or sit prettily at the dinner table,” Scull said. As one husband once reported back to Freeman, “My God, Doctor, you should have operated on her 30 years ago.”

More than 30,000 lobotomies were ultimately performed in the U.S. As many as 15 per cent experienced a brain hemorrhage or death. Lobotomies were not only visited upon those in state asylums hidden in the countryside. There were also major lobotomy programs at private hospitals, as well as at Yale University, Columbia University and the University of Pennsylvania.

Lobotomies had variable results, Scull said. Some of the better ones involved people with OCD. “We think of the worst human vegetables. Not everybody turned out like that. The ‘successful’ cases were few and far between. But they did exist.”

To Scull, Freeman was a moral monster. “He thought he had the key. For me, that’s not an excuse to do what he did, and do it over a very, very long period.”

* * *

Lobotomies flourished until the introduction of the antipsychotic chlorpromazine (marketed under the brand name Thorazine) in the 1950s. Today, antipsychotics and antidepressants are among the most prescribed drugs in medicine. Over 2.5 billion tablets and capsules of antidepressants were dispensed in Canada alone in 2023, a 26 per cent increase over 2019, according to IQVIA, a health analytics company.

Drugs known as SSRIs, or selective serotonin reuptake inhibitors, a class that includes Prozac and Paxil and is part of the first-line treatment for OCD and depression, account for roughly 80 per cent of prescriptions filled for antidepressants.

Antidepressants provide relief for many. They can be life-saving. “But brain adaptations can make them hard to stop,” particularly after long-term use,

researchers with the Therapeutics Initiative

at the University of British Columbia recently warned. Withdrawal symptoms such as akathisia — the inability to keep still — and suicidality have been downplayed, they said. A common complaint is that SSRIs can make people feel emotionally blunted. They can also carry significant sexual side-effects, including low desire or arousal.

Like psychosurgeries, antidepressants and other psychotropic drugs alter how the brain functions — except they’re reversible. And while focused ultrasound might not require cutting into the scalp or drilling holes in the skull, it’s still invasive, UBC’s Illes said, “because we are permanently removing tissue.”

While Scull said he’d be astonished if there wasn’t a biological component to major mental illnesses, biology alone doesn’t explain it, “and in some ways, that whole distinction between the biological and social is really a false dichotomy,” he said.

We’re born with a brain, but our brain remains plastic much longer than originally believed, he said. “And how your brain rewires itself as you experience the world is the product of our social and psychological environment and experiences, as well as biology.”

Neuroethicist Illes agrees that there’s likely not one locus of mental illness, no one spot in the brain for mental disorder X, Y or Z. “Mental illness is a really complex experience that is both biologic and personal and sociological and experiential and cultural,” she said.

“Today we have excellent oversight by our institutional organizations,” Illes said. There’s a worldwide focus on the ethics of neurotechnology; Illes served on a UNESCO expert advisory group developing a governance framework for emerging neurotechnologies such as Elon Musk’s Neuralink brain chip and other brain-computer interfaces.

The discovery of psychiatric drugs didn’t put a total end to psychiatric brain surgery. While the lobotomy’s popularity plunged as the grislier risks became known, psychosurgeries transitioned in the 1970s from the “quick and crude” to regulated interventions driven by advances that allow doctors to map the human brain in three dimensions and achieve millimetre-scale precision.

In addition to focused ultrasound, surgical brain modulation options today include deep brain stimulation (DBS), which uses electrodes inserted deep into the brain to deliver low-voltage electricity to specific clumps of neurons to reset or activate certain circuits. In 2018, Lipsman performed DBS on Dr. Frank Plummer, the renowned former head of Canada’s National Microbiology Laboratory, in one of the first North American uses of DBS for chronic and compulsive heavy drinking.

Plummer was addicted to booze, scotch in particular, and was “waiting to die” — rehab, counselling and group meetings failed to keep him from drinking, and a transplanted liver was giving out — when Sunnybrook surgeons drilled two nickel-sized holes in his head and planted electrodes deep inside his brain. In 2019, one year out from surgery,

Plummer told the National Post

he was enjoying life for the first time in a very long while.

Plummer died suddenly of a heart attack in 2020 while travelling in Kenya, where he’d led groundbreaking studies in HIV and AIDS.

Deep brain stimulation is still an invasive surgery. The electrodes need to be implanted into the brain via burr holes drilled into the top of the skull, increasing the risk of infections, brain hemorrhages and other complications. The electrodes are fragile and can malfunction. And, in sham-controlled experiments where electrodes are implanted in some patients but never switched on, DBS for depression has yet to demonstrate significant improvements over those not stimulated.

Radiofrequency ablation is another route, and the most established, but requires making holes in the skull, inserting electrodes and heating the tip to generate a permanent lesion. “We can now generate those lesions entirely non-invasively with focused ultrasound through the skull, with the patient in an MRI scanner,” Lipsman said.

Looking back, Anya figures they were generating lesions when she felt that sharp jolt of pain in her head.

It’s hard for her to put her finger on exactly when her OCD emerged. She was born in Russia and came to Canada as a teen with her parents in 2009. Her childhood was a happy one. The earliest hint that something off was happening came toward the end of high school, when she started to get “hyper fixated” on things. She had weird secret rituals she hid from her parents, like waiting until the time was a multiple of five — 5:15 p.m. or 5:30 p.m. — before unlocking her laptop.

Things went off the rails in university after a long-distance romance ended. She developed insomnia, racing thoughts and panic attacks. She landed in emergency three times before eventually being connected to a psychiatrist who diagnosed OCD.

Deciding she no longer wanted to be “pushed around” by her compulsive rituals, she abruptly stopped them, like an addict going cold turkey, “which probably wasn’t a good idea,” she said. OCD has two components: the obsessions, and the rituals to ease the anxiety of those obsessions. “When your brain is habituated to those patterns and compulsive behaviours, you must eliminate them gradually,” she said.

That’s when the earworms started, “and that’s when I got really freaked out.”

No one knows what drives musical obsessions in people with OCD. With OCD, the brain circuits driving concerns, fears and anxieties get stuck, like a car in a certain gear or a record skipping incessantly, Lipsman said. The structures are in overdrive. Surgical treatments such as focused ultrasound aim to stop the cycle and reduce the intensity over time.

For Anya, it felt like her last hope.

* * *

OCD typically comes in the late teens to 20s, though it can also appear in childhood. Kids might worry about their toys getting dirty or they wash their hands excessively. It usually goes away but recurs with puberty.

“It can appear out of the blue, but when you ask a patient and do a thorough history, you often hear, ‘Well, you know, when I was a kid, I used to worry that if I didn’t line my toys up a certain way something terrible might happen to my mother,” said University of Calgary psychiatrist Beverly Adams.

Compulsive cleanliness is common. Some people get obsessed with checking that things are turned off: the stove is off, the doors are locked, the faucets turned off, the windows shut. Leaving the house can become a frightening ordeal to avoid.

There can be chronic doubting, chronic counting, chronic organizing and reorganizing of the home, behaviours that can eat up hours of the day. “And sometimes they have these obsessive thoughts that if they haven’t done something the correct way or there isn’t proper symmetry, something bad might happen, some sort of negative outcome,” Adams said.

Some have sexual obsessions. One of the most unusual themes Adams has encountered is the number of young girls who think they are pedophiles. “It makes no sense at all, and they’re aware of that.” Insight is one of the hallmarks of OCD. “They know that this is a ridiculous thought, but they can’t stop worrying about it.”

One of the most common times of onset in women is around the birth of a child, either during pregnancy or in the months after delivery. Women can have terrifying thoughts of harming their baby, accidentally or deliberately. There is no good or solid answer as to why. Hormonal changes have been implicated, but it’s also a time of intense stress and taking on new responsibilities.

Seven patients with treatment-resistant OCD have undergone MRI-guided focus ultrasound in Calgary, where a team co-led by Adams and neurosurgeon Dr. Zelma Kiss is collaborating with Lipsman’s group. Adams explains to patients who might meet the criteria — aged 21 to 65, diagnosis of OCD for at least five years, tried but found ineffective multiple medications — that the procedure involves heating up “a little part of your brain” and making pinpoint lesions at the spot “where those thoughts go over and over in your head.”

The procedure is performed in a day. Surgeons usually do both sides of the brain. People worry most about having their heads shaved. The brain itself feels nothing — it has no pain receptors. But the lining of the brain is highly sensitive, and when ultrasound is passed through that lining it can generate heat and that can be uncomfortable.

Lipsman targets a region known as the ALIC, or anterior limb of the internal capsule, a dense region of fibres in a key network believed to be critical for communicating anxiety, fears and concerns that are pathologic — not reasonable — to areas of the brain that are critical for acting on those emotions.

“We know that disconnecting those areas could be critical for improving anxiety,” he said.

The procedure is done in the MRI scanner while the person is awake, with an anesthesiologist present to provide sedation or pain control if needed. MRI guidance provides real-time images of the brain for more precise lesioning, meaning burning. Real-time feedback of how much heat is being generated allows the team to adjust the temperature.

Water is circulated around the head to cool the scalp. Treatment starts with a few low-intensity sonications as surgeons home in on the target, followed by a series of high-powered ones to create a permanent, irreversible lesion.

Following the three-hour procedure, the headframe is removed. People spend a night in hospital for observation and go home the next day after an MRI is done to capture the full extent of the lesions and rule out any adverse “radiographic events.”

Not everybody’s skull is equal. “We found that about 10 to 15 per cent of the population has a skull density that is not amenable to transmitting ultrasound,” Lipsman said, a technical limitation of the device he thinks can be overcome with continued advances in the technology, “so that everybody who ought to be eligible can undergo the procedure.”

Possible side-effects can include headaches and facial swelling from the frame used to keep the head still. There have been no reported changes in personality. No reported deficits in memory. No deaths, brain hemorrhage or infection.

Focused ultrasound hasn’t been tested in sham-controlled experiments for OCD, so it’s impossible to rule out a placebo effect. However, for patients who’ve responded, the effects have been enduring, Lipsman said. Changing the circuitry appears to make people more responsive to treatments that previously didn’t work for them.

“What’s most important is the quality of life you see,” Adams said. “Relationships are better. They’re working again. OCD doesn’t go away completely, but they’re not as preoccupied.

“Science is a field where you make corrections as you learn,” she said. “To come to a point where there is a procedure that can really improve your quality of life and is non-invasive, I think it’s wrong not to talk about it.

“This is not an assembly line,” Adams added. “We’re not just going to start lining people up and doing this. This is for treatment-resistant OCD. But wouldn’t it be brilliant if we could find something that treated the more moderate forms?”

Unlike the era of Freeman’s runaway lobotomies, a major ethical consideration is ensuring informed consent, she and others said. That means ensuring the person’s anxiety and mood do not cloud their ability to understand the risks and benefits.

“When I see patients in clinic, they often tell me this is their last resort,” Lipsman said. “We have to be very careful not to take advantage of our patients’ desperation to get better.”

Anya got married last October. She is embarking on her PhD. Surgery wasn’t like flicking a switch: OCD, then no OCD. It’s been a gradual improvement, but a “really remarkable” one, she said. The first thing she noticed was an improvement in her mood.

“Before surgery, my mood was super-low, depressed, desperate, suicidal.” Post surgery, “I started having better days. We could see something was shifting.”

A turning point came when she accepted an invitation to a relative’s wedding in Los Angeles two months after surgery. She had been virtually housebound, especially avoiding places that had music. “That would trigger the earworms.” Weddings have music and dancing. “That was kind of hard and not something that I would have done some months prior. But I went.”

Later that spring and over the summer, that “constant intrusive soundtrack” in her brain grew fainter. “I still get earworms occasionally. I still have this residual thing when I’m really stressed or going through a difficult experience or reducing my medications.

“It can be annoying. But doesn’t scare me as much anymore.”

The surgery was on Jan. 28, 2019.

“I celebrate it as my second birthday now.”


“We need to seriously consider antisemitism education, not just Holocaust education,” says Deborah Lyons, Canada's special envoy on preserving Holocaust remembrance and combating antisemitism.

Over 40 per cent of antisemitic incidents targeting Ontario Jewish students since the October 7 terrorist attacks have included a Nazi salute or statements such as, “Hitler should have finished the job,” according to a new federal report published Monday.

The

survey

, commissioned by the Office of the Special Envoy on Preserving Holocaust Remembrance and Combatting Antisemitism, drew on the testimonies of 599 Jewish parents across the province who reported 781 antisemitic incidents in elementary schools and high schools between Oct. 7, 2023 and January 2025. The survey, which was conducted between January and early April 2025, found that less than 60 per cent of antisemitic incidents during this period specifically involved Israel or the ongoing war.

“Something has gone terribly wrong with our promises of ‘Never Again’ when over 40 per cent of the incidents in this study involved Nazi salutes, Holocaust denial, and overt verbal hate such as ‘Hitler should have finished the job,’ Deborah Lyons, Canada’s special envoy on antisemitism, told National Post in a written statement. “We need to seriously consider antisemitism education, not just Holocaust education.”

The report found that in September 2024, a Grade 9 student in York Region District School Board (YRDSB) was berated by a classmate and called a “terrorist, rapist and baby killer.” That same month in Waterloo, a teenage Jewish girl was surrounded by five male students as they shouted “Sieg Heil” and made the Nazi salute around her.

In October 2024, a six-year-old student with one Jewish parent was told by her Ottawa-Carleton District School Board (OCDSB) teacher she was “half human.” Several others reported hearing comments such as “Jews are vermin,” “Jews are cheap,” and “F–k you, Jews.”

Jewish parents and students spoke of a troubling pattern in which many teachers appeared to blur the line between political advocacy and education. One in six antisemitic incidents were either “initiated or approved by a teacher or involve a school-sanctioned activity,” wrote Robert Brym, the author of the report and a sociology professor at the University of Toronto.

Last year, a six-year-old female student in Ottawa was chastised by her teacher for wearing a necklace with a pendant in the shape of Israel and was informed it actually represented “a map of Palestine.” On several occasions, the report notes, instructors wore shirts of the region “that lacked boundaries between regions,” and featured colours of the Palestinian flag and slogans such as “From the river to the sea,” a rallying cry often

echoed

by Hamas leaders.

Brym, a distinguished researcher of the Canadian Jewish community, told the Post in an email that he was “shocked” by his findings. The stories of antisemitism he uncovered during his investigation conjured up prejudice he said he personally experienced earlier in life.

“Antisemitism was commonplace when I was a child. It’s not surprising I was beaten for killing Jesus in the late ‘50s, even though I told the assailant I didn’t even know anyone by that name. However, it’s now 54 years since Canada was declared a multicultural society. Generations of students have been taught that all religious and ethnic groups should be respected. Yet many students have apparently failed to learn that lesson, at least when it comes to Jews,” he wrote.

Some of the largest provincial school boards, including Toronto (TDSB), Ottawa-Carleton and York Region, reported the highest level of antisemitic incidents. However, when the concerns of Jewish parents and students were brought to school leaders, nearly half (49 per cent) “were not investigated,” while an additional  nine per cent either “denied the incident was antisemitic or recommended that the victim be removed from the school permanently or attend school virtually.”

The climate within Ontario public schools has become so alarming that 39 per cent of Jewish parents have either left or plan on moving their children to the Jewish private school system. “The percentage would undoubtedly be higher if Jewish day schools existed in smaller communities,” the report says, pointing to the limit of such institutions outside of Toronto, Ottawa, Hamilton and London.

“Jewish schools in Ontario are having a hard time dealing with the inflow of new students abandoning the public system. Canadian multiculturalism is ailing and may be on its deathbed,” Brym wrote the Post.

“This federal report makes one thing clear: the status quo for Ontario Jewish students is unsustainable and unacceptable,” the Centre for Israel and Jewish Affairs government relations director Josh Landau told the Post in a written statement Monday afternoon, including a passing note of approval of the Ford government’s decision to place several prominent Ontario school boards under supervision.

The Jewish community leader called on Canadian school boards to adopt the International Holocaust Remembrance Alliance (IHRA)

working definition

of antisemitism, which has been adopted by several provinces and the federal government.

“The government must act to implement robust, system-wide reforms that will ensure schools are safe and inclusive for all students, including those targeted because of their Jewish identity,” Landau added.

Our website is the place for the latest breaking news, exclusive scoops, longreads and provocative commentary. Please bookmark nationalpost.com and sign up for our newsletters here.


Soldiers from Lord Strathcona’s Horse, a Canadian Forces tank regiment based in Edmonton, are in England to fill the role of the King’s Life Guard at Buckingham Palace until July 21.

Members of the Canadian military’s only ceremonial mounted troop got to meet and chat with the King Monday at Windsor Castle.

The 26 soldiers from Lord Strathcona’s Horse, a Canadian Forces tank regiment based in Edmonton, are in England to fill the role of the King’s Life Guard at Buckingham Palace until July 21. King Charles III hosted them Monday at Windsor Castle.

“His Royal Highness invited the mounted troop over for a brief meeting,” Capt. Tom Lauterbacher, the Strathcona Mounted Troop leader, said Monday.

“He made sure that the soldiers were enjoying their accommodations” at Hyde Park Barracks and King’s Guard Barracks, and asked “how we were liking the horses,” Lauterbacher said.

The Canadians are riding horses that belong to the U.K.’s Household Cavalry Mounted Regiment.

“He knows that it’s a big change between the horses that the Household Cavalry have and our quarter horses that we have in Canada,” Lauterbacher said.

“They’re a lot larger than the horses that we have.”

King Charles was interested in how the soldiers came to be in the mounted troop and whether or not they wanted to stay in the army, said the captain. “He was very personable. He asked a lot of very in-depth questions to get to know the soldiers on more of a personal level.”

Lauterbacher escorted the King while he chatted with the Canadians.

“He talked about how much he missed Canada; how beautiful he thinks it is,” Lauterbacher said. “He wishes he could be able to get out more, but the trip is fairly long

— h

e made the joke.”

They sipped sparkling water and orange juice at the reception.

“The soldiers had a little bit of time to talk and share a laugh with His Royal Highness and then we had to be back on our way to get back to the (guard) duties,” Lauterbacher said.

They are guarding Horse Guards in St. James Park, the original entrance to Buckingham Palace.

The invitation to take on the ceremonial role is a rarity; this is only the third time the job has been done by soldiers from outside the United Kingdom. The invite, which marks the regiment’s 125th anniversary, came from the King himself, who is the Strathcona’s colonel-in-chief.

From 10 a.m. until 4 p.m. each day, two Canadians at a time, wearing dragoon helmets and their regimental colours of scarlet red and myrtle green, do one-hour shifts in guard boxes flanking the palace entrance.

At 4 p.m., there’s “an inspection which dates all the way back to Queen Victoria when she found some of her soldiers who were intoxicated on the job, so she gave them a hundred years of defaulters,” Lauterbacher said.

The hundred years is long past, but the ceremonial inspection still draws large crowds.

The Canadians carry lances while on parade and sabers in the guard boxes.

“Our soldiers do engage if they have to tell a person to, ‘Please don’t touch the tack of the animal,’ or ‘Please don’t enter the box,’” Lauterbacher said. “It’s a safety thing that they’re allowed to engage.”

People who have come to snag photos of the Canadians “have been absolutely fantastic and super respectful,” he said.

 A soldier from Canada’s Lord Strathcona’s Horse regiment stands guard outside Buckingham Palace.

One horse “stumbled a little” during the ceremonies, but its “fantastic rider” was able to hold the animal steady so it wouldn’t cause issues with the crowds, Lauterbacher said.

“It’s been a great time so far. The mounted troop has been practicing and getting ready for this for the last few months,” he said. “And now we’re finally getting the opportunity to do it, the soldiers are ecstatic.”

The crowds are immense.

“The soldiers perform in front of thousands of people, but it’s nothing compared to the amount of people that come by (Horse) Guards. The photos, the people that want to come up and talk to everybody. How proud we are to be in front of the world and have everybody here cheering us on. It’s a dream come true for a lot of the soldiers … to be here and to do the job. It’s very busy, but it’s very rewarding.”

In addition to guarding the palace, the Canadian troop goes on morning rides, called Watering Order, through Hyde Park.

“When they’re doing that they can say hello to people and a lot of people are really interested to come up and talk to the Canadians,” Lauterbacher said. “So, it’s been a great time.”

Lord Strathcona’s Horse stood up its mounted troop in 1974 after the original mounted troop stood down in 1939 to man tanks during the Second World War.

“We’re the only mounted regiment in Canada when it comes to the Canadian Armed Forces,” Lauterbacher said.

The soldiers also have to maintain their operational skills should they be deployed in tanks. “They have to train just like any other soldier, while also on the side learning how to ride horses,” Lauterbacher said.

The King donned a Canadian naval uniform earlier this year, which some interpreted as his subtle support for this country as U.S. President Donald Trump mused about making Canada the 51st state.

“I can’t speculate on what the King’s intent is, but I know that he was very happy to have us and host us here and ask the mounted troop to come see him at Windsor Castle,” Lauterbacher said.

Our website is the place for the latest breaking news, exclusive scoops, longreads and provocative commentary. Please bookmark nationalpost.com and sign up for our daily newsletter, Posted, here.


Conservative Leader Pierre Poilievre speaks during a news conference in Ottawa on Monday, July 14, 2025.

Conservative Leader Pierre Poilievre accused Prime Minister Mark Carney of “numerous falsehoods” about his financial portfolio Monday, and called on him to sell all of his personal investments to avoid conflicts of interest.

Speaking at a press conference in Ottawa, Poilievre also accused Carney of using his political pull to personally profit by advancing programs or offering endorsements that would benefit companies in his portfolio.

The accusations follow the disclosure Friday by the ethics commissioner of

a report on Carney’s conflicts of interest involving over 100 companies that the prime minister had interests in

. Carney had agreed with the commissioner to establish an extensive conflict-of-interest screen that would include recusing himself from any discussions directly involving Brookfield Asset Management, payment-processing giant Stripe, or a wide range of companies those organizations owned or controlled at the time the prime minister set up a blind trust earlier this year.

Before entering politics, Carney was chairman of Brookfield Asset Management, where he co-led efforts to raise capital for two major clean energy funds. He was also on Stripe’s board of directors.

Poilievre said the Liberal leader deceived voters during the federal election campaign earlier this year when he described his efforts to avoid financial conflicts.

“Mr. Carney was not upfront or honest with Canadians,” the Conservative leader said. Poilievre said that during the election campaign, Carney claimed that he had only cash and real estate holdings, and it turns out he held hundreds of stocks, stock options and deferred profits from Brookfield and other companies.

In the

early days of the election Carney said he had set up a blind trust.

“I actually don’t own – directly – any stocks in those companies,” and “I own nothing but cash and personal real estate,” Carney said at the time.

Carney also said then he no longer had any financial connection to Brookfield Asset Management and that he didn’t know what was in his blind trust, both of which Poilievre said aren’t true.

Carney’s declaration on the ethics commissioner’s website last week said the new screen will prevent him from giving preferential treatment to any of the companies with which he has a financial link. It also means that Carney cannot be involved in “any official matters or decision-making processes” that would further either his or the

interests of the 103 companies

, many of which operate in the renewable energy and real estate sectors.

The screen will be administered by Carney’s chief of staff, Marc-André Blanchard, and Clerk of the Privy Council Michael Sabia.

Poilievre said Carney hasn’t gone nearly far enough because Canadians have never before had a prime minister with such an array of potential conflicts.

Carney has said that he’s gone beyond what is necessary or convention to separate his new job from his personal finances.

If Carney doesn’t sell all of his corporate assets, Poilievre said, the prime minister may need to recuse himself multiple times per cabinet meeting to avoid conflicts.

Under this new set of procedures, Carney must remove himself from the room and make a public declaration of recusal if a matter is being discussed that involves one of the companies under his screen.

But the prime minister isn’t barred from all discussions that may affect those companies. Carney’s screen contains a caveat where he can participate in discussions or decisions on matters that broadly affect any of the 103 companies if they are part of a larger group, “unless those interests are disproportionate to the other members of the class.”

Nor is the ethics screen without challenges, because the prime minister’s job involves virtually every issue and public policy question and Carney’s screen involves so many companies. There’s also the sticky matter that his Liberal government has vowed to make Canada into a conventional and clean energy superpower, while some of Carney’s assets are directly involved in the clean energy sector.

One of the screens the prime minister will be subject to involves Westinghouse, one of the world’s largest nuclear power companies. Brookfield Asset Management acquired a majority ownership stake in Westinghouse while Carney was co-head of the investment fund.

As Poilievre pointed out, Carney mentioned Westinghouse while praising nuclear energy during a leaders’ debate during the election campaign. He also alleged Carney had promoted modular homes, heat pumps and specific kinds of jet fuel that benefited companies he has invested in.

Other noteworthy conflict of interest screens relate to some of Brookfield’s investments in India’s clean energy and renewables sector — Leap Green, Avaada Group and CleanMax — through the Brookfield Global Transition Fund, which was co-managed by Carney.

The ethics disclosure also contains an extensive list of companies — running across 16 full pages — of shares and share options Carney owns that held in a blind trust or in an investment account managed by a third party that he does not control or direct.

In his blind trust, Carney put shares of North of 60 Advisors, Stripe, Partners Value Investments LP, Cultivo Land PBC, Watershed Technology, and options and deferred share units of the Brookfield Corporation and Brookfield Asset Management.

According to Brookfield’s annual report, Carney was entitled to 209,300 stock options at US$35.13 each and 200,000 options at US$40.07 each, for a market value of more than US$6.8 million as of Dec. 31, 2024. The expiration date on these options is either 2033 or 2034.

The assets held by an investment account managed by a third party include shares from Airbnb, Amazon, American Express, Apple, Blackrock, Coca Cola, Costco, DoorDash, Lockheed Martin, Lululemon, Moderna, Netflix, Palantir Technologies, Pfizer and Uber.

Advocacy group Democracy Watch agreed that Carney should sell his investments and that his blind trust isn’t blind enough. The problems with the prime minister’s current arrangement are that he knows what’s in the trust, he chose the trustee and the instructions for the trustee and can receive regular updates.

“His blind trust isn’t blind at all because he knows what stocks he put in it,” said Duff Conacher, co-founder of Democracy Watch, which advocates for democratic reform.

— With additional reporting from Christopher Nardi and Catherine Lévesque.

National Post

Our website is the place for the latest breaking news, exclusive scoops, longreads and provocative commentary. Please bookmark nationalpost.com and sign up for our daily newsletter, Posted, here.


Conservative Leader Pierre Poilievre speaks during a news conference in Ottawa on Monday, July 14, 2025.

OTTAWA — Conservative Leader Pierre Poilievre was slammed by several separatist opponents in the province Monday after he said that the province should stay part of Canada, no matter what.

“Pierre Poilievre and the federal Conservatives want Albertan votes but not Albertan autonomy. Saying Alberta should stay no matter what shows exactly how little respect they have for the province’s right to chart its own path,” said Michael Harris, the Libertarian candidate challenging Poilievre in next month’s

Battle River—Crowfoot byelection.

“That’s not unity, that’s control,” Harris said.

The Calgary-born Poilievre reiterated his belief in Alberta federalism at a press conference in Ottawa on Monday.

“Well, I disagree with separation. I’m a Canadian patriot (and) there’s no other country in the world where someone of my modest origins would be able to make it,” said Poilievre.

Poilievre was responding after he

took part in a CBC interview on the weekend

and said Alberta should stay in Canada even if the Liberals continue to hold power in Ottawa.

Grant Abraham is another candidate challenging Poilievre in August’s byelection. The leader of the United Party of Canada, which advocates for provinces standing up against federal power, Abraham said Poilievre is likely underestimating the level of unrest in Alberta.

“I mean so much of Alberta is so fed up with paying money to Quebec and Ontario in the form of equalization payments … Alberta hasn’t seen any money back from that since the 1960s,” said Abraham.

Harris and Abraham both think there should be a referendum on Alberta independence next year. Abraham says he’d vote “yes” if a referendum on the province’s independence were held tomorrow, if only to wake Ottawa up to the reality of western unrest.

Republican Party of Alberta Leader Cameron Davies, who ran provincially last month in an overlapping riding, said he thinks Poilievre will face a rude awakening himself at the doors of Battle River—Crowfoot as he campaigns for the seat recently vacated by Conservative MP Damien Kurek.

“I can tell you in the part of the riding that overlaps with Mr. Poilievre’s newfound home … that there is 30 per cent plus support, if not greater, for Alberta independence,” said Davies.

In the provincial race, Davies won just under 18 per cent of the vote, with most of his support coming at the expense of Alberta’s governing United Conservative Party.

Jeff Rath, a lawyer with the pro-independence Alberta Prosperity Project, said that Poilievre’s comments about Alberta staying in Canada show just how “irrelevant” he’s become to both the country and the province.

“He just can’t read the room,” said Rath.

Rath said Poilievre hurt his credibility with Albertans by not taking the opportunity to say that he would abide by the results of a referendum on independence, as Premier Danielle Smith has repeatedly said she would.

He added that Poilievre’s continued support for the federal equalization program and supply management will be a “tough sell” with voters in the riding.

Poilievre also rankled some conservative Albertans during the CBC interview with his defence of supply management for egg and dairy farmers, which has become a trade irritant with the U.S. Trump administration, saying it pales in comparison to the “tens if not hundreds of billions” American farmers get in subsidies.

“Poilievre is saying that we’re going to continue to stick our thumb in the eye of our biggest trade partner to protect the Quebec dairy cartel … he’s not protecting the interests of Albertans,” said Rath.

Brad Wohlgemuth, a resident of Stettler, Alta., who plans to vote in the byelection, says he’s been disappointed by how carefully managed Poilievre’s campaign events have been so far.

Wohlgemuth said that he and other attendees of

a Conservative town hall

on Friday were asked to submit written questions in advance, and were not given an opportunity to ask questions from the floor.

“We want to test somebody out to see whether they can handle the tough questions,” said Wohlgemuth.

“Just shoot from the hip, man. That’s what we’re looking for in these parts.”

Poilievre said in his press conference on Monday that he understood why Albertans were so upset.

“We have to put a final end to this notion that Ottawa tells Alberta to pay up and shut up,” said Poilievre.

National Post

rmohamed@postmedia.com

Our website is the place for the latest breaking news, exclusive scoops, longreads and provocative commentary. Please bookmark nationalpost.com and sign up for our daily newsletter, Posted, here.


Accounting for all the tariff relief, the U.S. has an effective tariff rate of 14.1 per cent on Canadian goods, while Canada's effective tariff rate is more like 2.8 per cent.

When U.S. President Donald Trump threatened to increase tariffs on Canada in a letter last week, he complained that the federal government had “financially retaliated against the United States.”

In the letter, posted to Truth Social on Thursday, Trump said the U.S. tariff on Canadian goods would jump from 25 per cent to 35 per cent on Aug. 1 and he warned Prime Minister Mark Carney not to consider raising Canada’s counter tariffs on the U.S.

In response to Trump’s tariffs, Canada has announced tariffs on $96 billion worth of U.S. merchandise, according to an Oxford Economics analysis. However, Carney has also since exempted a number of products from these tariffs. The Oxford Economics analysis also found that at least $56 billion is eligible for exemption or remittance from tariffs.

Here’s what we know about the current state of Canada’s retaliatory tariffs against the United States.

What has Canada levied tariffs against?

Over the course of the spring, Canada announced several rounds of tariffs.

On March 4, a 25 per cent tariff on $30 billion worth of U.S. imports.

On March 13, a 25 per cent tariff on a further $29.8 billion worth of U.S. goods, including steel and aluminum.

As of April 9, a 25 per cent tariff on $35.6 billion worth of cars and parts that are not compliant with existing free-trade agreements.

At present, the government of Canada lists 37 pages of goods that are facing tariffs.

It includes items such as food, clothing and cosmetics.

On page 37, for example, scent sprays and other toilet sprays are listed as being subject to a 25 per cent tariff.

The same tariff is applied to everything from chicken and powdered milk on page 1, to prune wine on page 7 and négligés on page 16.

All in, Oxford Economics estimates between $32 billion and $40 billion in U.S. product remain tariffed by Canada after exemptions are accounted for.

What are the exemptions?

A number of exemptions have since been carved out.

Canada, like the U.S., has exempted goods that are compliant under the United States–Mexico–Canada Agreement, which has been in effect since July 1, 2020.

For example, this would include much of the auto sector. A 25-per-cent tariff remains on non-USMCA compliant automobiles and auto parts.

There are a further set of exemptions, too. The first is an exemption for some auto manufacturers that continue to produce vehicles in Canada and carry out planned corporate investments. This represents a $35.6-billion exemption, analysis suggests.

The second, writes Tony Stillo of Oxford Economics, is for “manufacturing, processing, and food and beverage packaging, and on those used for public health, health care, public safety, and national security.” This, likely worth a bit more than $20 billion, includes some steel and aluminium. This exemption will run for six months, from mid-April to mid-October 2025.

“A lot of those intermediate goods that go into manufacturing, food packaging and things of that nature, are eligible for relief,” said Stillo in an interview.

Are there any unclear categories?

Yes. “There’s still a degree of uncertainty about what qualifies for exemption,” said Stillo.

There are several exemption categories that are less clear. This includes the public health, health care, public safety and national security products, which Stillo estimates are worth around $3.2 billion.

Why are some things tariffed and others not?

While it’s tough to say exactly why some decisions were made by the federal government, Stillo has a hunch: There are some goods that are easily replaced. For example, Canadians can buy Canadian chicken instead of American chicken. Or chicken could be sourced from other countries. This is similarly true with all sorts of food and all sorts of cosmetics and clothing.

However, there are some goods and materials moving through North America’s heavily integrated supply chain that can’t easily be swapped out.

“What the government’s trying to do, and I think this is really a good plan, is we realize that it’s going to be tough for a lot of our manufacturers to source from non-U.S. sources, and they’re giving them time to find an alternative source,” said Stillo. “I think the Canadian government appreciates the damage that a trade war can inflict, and they strategically aim to target counter tariffs that would be more harmful to the U.S. and Canada.”

What does this all mean?

Well, it means fundamentally that some goods cost more in Canada now than they would without tariffs. And it means some are less expensive because they aren’t tariffed.

It also means that, fundamentally, the United States has an effective tariff rate of 14.1 per cent on Canadian goods, while Canada’s effective tariff rate is more like 2.8 per cent, if you account for all the tariff relief.

“We’re less than proportional, for sure,” said Stillo.

Our website is the place for the latest breaking news, exclusive scoops, longreads and provocative commentary. Please bookmark nationalpost.com and sign up for our newsletters here.


The backseat of a 2022 Toyota Corolla Hybrid. A California mother is facing manslaughter and child cruelty charges after her one-year-old son died from allegedly being left here with his two-year-old on a 100-plus degree day while she got lip filler injections at a medical spa.

A California mother has been charged with manslaughter and child cruelty after her infant son died from allegedly being left inside a car on a 100-plus degree day while she was getting lip filler injections at a medical spa in late June.

The Bakersfield Police Department alleges that Maya Hernanendez, 20, knew when she walked away from her vehicle that leaving one-year-old Amillio Guiterrez and his two-year-old brother was “irresponsible,” according to documents filed in Kern County Superior Court and obtained by National Post.

“But she intentionally left them in the vehicle regardless, placing the value of her appearance over the value of the safety and well-being of her children,” Det. Kyle McNabb wrote in his report.

The name of the surviving child has not been released by authorities or relatives.

According to police, Hernandez had contacted the spa earlier on June 29 to ask if her children could accompany her and was told they could, so long as they stayed in the waiting room of the medical facility. A spa nurse allegedly later told police they were not aware that the children were waiting in the vehicle.

Figuring her appointment could go long, police say Hernandez told them that upon arriving around 2 p.m., she decided to leave the boys strapped into their car seats, with snacks and milk, inside the running car with the air conditioning on while they watched shows on her phone.

“(Hernandez) stated she was certain that her car would stay on with the air conditioning running the whole time she was gone, because she had been in her car for extended periods of time before and had even slept in her car,” McNabb wrote.

However, police later learned that her vehicle, a 2022 Toyota Corolla Hybrid, automatically shuts off after one hour if left in park.

Hernandez said she returned to her vehicle at approximately 4:30 p.m. and found Amillio red in the face and then appearing to suffer a seizure with “foaming at the mouth and shaking.” The other boy was faring better, but his hair was still “soaking wet” with sweat. She sought assistance from spa staff and called 911.

Paramedics told police that Amillio was unconscious and not breathing upon their arrival.

Both were transported to hospital where staff worked on Amillio for 40 minutes before pronouncing him dead. A doctor interviewed by police said the infant’s body temperature was recorded at 107.2 degrees.

According to

historical weather data

, the peak temperature at that time of day was 101 Fahrenheit (38 Celsius). In his report, McNabb noted that the internal temperature of a car can climb to 143°F (62°C) in just one hour of 100-degree weather.

Police estimate that the boys were left in the scorching hot car for at least 90 minutes.

Amillio’s brother, whose body temperature was registered at 99 degrees, had normal vital signs and has since recovered from the ordeal. Police were informed that kids two and older can sweat to cool themselves down, whereas most infants can’t.

“Based on the totality of the evidence at this time it is clear that Maya Hernandez’s actions caused the death of Amillio Gutierrez,” McNabb wrote.

Hernandez, who has pleaded not guilty to one charge of involuntary manslaughter and two counts of child cruelty, is being held on $1 million bail. She appeared in court briefly last Friday and is due to return Tuesday, according to

ABC in Bakersfield.

Speaking with a reporter outside court, spa patron and witness Ian Blue said he told emergency responders he saw no signs that the air conditioning was running when he walked past Hernandez’s car.

Katie Martinez, the patriarchal grandmother of the deceased boy, said Hernandez is “a really loving mom” and struggled to understand the tragedy.

“They were strapped in their car seats. They couldn’t even get up to save themselves,” she told another

ABC outlet.

“She literally locked them in their car seats and shut their doors.”

Her son, the boys’ father, is currently serving time for unrelated charges and learned of his one-year-old’s death the following day.

Our website is the place for the latest breaking news, exclusive scoops, longreads and provocative commentary. Please bookmark nationalpost.com and sign up for our daily newsletter, Posted, here.


Assembly of First Nations National Chief Cindy Woodhouse Nepinak is seen during the first day of the AFN Special Chiefs Assembly in Ottawa, Dec. 3, 2024.

OTTAWA — Assembly of First Nations (AFN) National Chief Cindy Woodhouse Nepinak said this week’s First Nations summit with Prime Minister Mark Carney won’t be the last negotiation over his recently passed major-projects bill, but the beginning of a longer process.

“This can’t be the end,” she said in a recent interview with National Post. “This should be only the beginning. It should have been the beginning a long time ago, right before this bill was even passed. Of course, it’s a tough issue, but we have to be at the table together.”

Carney promised he would be holding a First Nations summit on July 17, followed by other summits with Inuit and Métis peoples later in the summer,

after facing intense criticism from Indigenous chiefs

on the way his government fast-tracked Bill C-5 in Parliament.

The law gives the government of the day unprecedented powers to approve infrastructure and national resources projects deemed to be in the national interest.

Woodhouse Nepinak said she pressed Carney “hard” to hold a meeting to hear directly from First Nations a few weeks ago, and said she is “glad” he answered that call.

“I mean, is it perfect? No, it’s not going to be perfect. It’s not going to be the be all, end all.”

“But at the same time, I think that it’s a start to figuring out our relationship together in this country,” added Woodhouse Nepinak. “Being at the table with First Nations, being at the table with the government of Canada, I think that this is a good start.”

The summit will be taking place at the Canadian Museum of History in Gatineau, Que., in a hybrid in-person and videoconferencing format, said Privy Council Office (PCO) spokesperson Pierre Cuguen in an email.

He said invitees include First Nations chiefs, modern-treaty and self-governing First Nations, First Nations regional organizations and tribal councils. Woodhouse Nepinak, as the AFN National Chief, and regional chiefs have also been invited to the summit by PCO.

Cuguen said that planning for the two other summits with the Inuit and the Métis are underway and details will be made public as soon as they are confirmed.

Deliah Bernard, a former Indigenous Affairs adviser to prime minister Justin Trudeau and now co-founder of the Indigenous-government relations consultant Roots Strategies, said there is “no one size fits all approach to what consent should and could look like.”

“There are going to be regional disparities. There are going to be regional priorities. There are going to be circumstances that impact a community in one subsection of the country, that necessarily may not impact in the same way… different parts of the country.”

“That is why you need to not take an approach where you’re stuffing potentially hundreds of people into a room and expect to come to a consensus,” she added. “That’s not the way to properly engage with people that you are saying are your partners in this work.”

The government has raised eyebrows among this week’s summit attendees by asking

them to submit their questions for Carney

ahead of time.

An invitation to the meeting shared with The Canadian Press shows chiefs have until July 16, the day before the summit, to submit questions they want Carney to answer. They will also have the option to vote on which questions will be posed by their peers.

The invitation says that process will help highlight “shared priorities and bring the most pressing issues to the forefront.”

AFN members held a meeting last week in preparation for the summit. Woodhouse Nepinak said “it’s clear that chiefs are united… in expressing strong concerns” about how C-5 was pushed through Parliament with little to no input from Indigenous groups.

However, she added that AFN members expressed a “range of views” on the bill itself.

“Some chiefs are very concerned about Bill C-5, while others want to proceed quickly with projects and resource revenue-sharing agreements. As the AFN National Chief, we’re trying to support every First Nations rights holder, whether they oppose or support this bill.”

Woodhouse Nepinak said there is also a “growing consensus” that the government needs to look at closing the First Nations “infrastructure gap” on reserves as a project of national interest, and expects that element will be part of the discussion during this week’s summit.

“The gaps are huge for First Nations people in this country,” she said. “The rest of Canada is always flourishing and worrying about a trade war or the bottom lines of their companies, when First Nations aren’t even part of the banking system. So, it’s a big issue.”

While Bernard said there has been a “learning curve” for Carney when it comes to engaging with Indigenous peoples during C-5, she said he can always seek advice from his Indigenous caucus’s extensive experience in consulting with different communities.

“We wouldn’t be a new government without some bumps in the road, but I think an acknowledgement and a gesture like holding these summits is a good way to be able to rebuild those relationships, and hopefully a bit of a relationship restart,” she said.

“Let’s figure out a better way to do it moving forward.”

— With files from The Canadian Press

National Post

calevesque@postmedia.com

Our website is the place for the latest breaking news, exclusive scoops, longreads and provocative commentary. Please bookmark nationalpost.com and sign up for our politics newsletter, First Reading, here.