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VANCOUVER – A British Columbia judge has granted an urgent injunction stopping a woman’s medically assisted death, the day before it was scheduled to take place in Vancouver.

The injunction granted on Saturday to the woman’s common-law partner prevents Dr. Ellen Wiebe or any other medical professional from helping end the life of the 53-year-old Alberta woman within 30 days.

The judge’s ruling says the woman appears to have a mental health condition with no physical ailment.

The B.C. Supreme Court application for the injunction says that after she was denied medical assistance in dying, or MAID, in her home province, she found Wiebe in Vancouver.

It says Wiebe approved MAID on her first meeting with the woman, without consulting the patient’s other doctors.

Justice Simon R. Coval said on Sunday in his reasons for granting the injunction that it was “clearly a situation of extreme irreparable harm” to both the woman and her partner if the injunction was not granted before she was scheduled to die on Oct. 27.

He said there were “extremely pressing circumstances,” and a serious question about “whether there should be judicial oversight” when someone chooses to die by MAID.

Coval said he recognized the injunction “is a severe intrusion into (the woman’s) personal and medical autonomy.”

“I can only imagine the pain she has been experiencing and I recognize that this injunction will likely make that worse,” he said.

Coval said there is an “arguable case” about whether the MAID criteria were properly applied to the woman.

“As I’ve said, the evidence suggests (her) situation appears to be a mental health condition or illness without a link to any physical condition and it may not only be remediable, but remediable relatively quickly,” he said.

The woman and her partner have been granted anonymity by the court.

The application says the woman was diagnosed with bipolar disorder and later became convinced she had akathisia — an inability to sit still that is linked to certain types of medication — and began exploring medical assistance in dying.

“At the same time, (she) continued to express her desire to die. She did not want to do it herself, and regularly begged the plaintiff to end her life,” the application said.

It said two practitioners with expertise in the condition told her it was treatable, transitory and manageable, and if she followed their recommendations, “her akathisia could resolve within two to six months.”

The document claims she did not exhaust all medical treatments and was unable to obtain approval for assistance to die in Alberta.

The application says Wiebe did not try to consult with the woman’s treating physicians and “relied solely on the information provided” by the woman.

It also says the woman could not find an independent witness for the authorization form, or a second person to authorize MAID so Wiebe provided both.

Medically assisted death in Canada is only currently legal for people on the basis of a physical health condition.

Applicants whose medical condition is mental illness will remain ineligible until at least March 2027.

The application says Wiebe breached her statutory duty by approving assistance in dying for a condition that does not qualify, while failing to review the patient’s medical history or conduct a full health assessment.

None of the allegations have been proven in court and Wiebe declined a request for comment by The Canadian Press.

Wiebe was interviewed for a BBC documentary that screened this year, telling an interviewer that she had been involved with more than 400 MAID deaths.

She said there were situations “where I find someone not eligible or eligible when another person won’t, because of the way our law is written.”

Wiebe told the BBC the “No. 1 reason” people wanted MAID was to maintain “autonomy and control.”

The B.C. Supreme Court application names the woman, Wiebe and her clinic as defendants.

It had sought a permanent injunction against MAID for the woman, or a 30-day injunction in the alternative, as well as a declaration the woman does not qualify for MAID, and damages.

The applicant’s lawyer did not immediately respond to voicemails left with her firm.

This report by The Canadian Press was first published Oct. 30, 2024.

As winter approaches and daylight hours grow shorter, people prone to seasonal depression can feel it in their bodies and brains.

“It’s a feeling of panic, fear, anxiety and dread all in one,” said Germaine Pataki, 63, of Saskatoon, Saskatchewan.

She’s among the millions of people estimated to have seasonal affective disorder, or SAD. Her coping strategies include yoga, walking and an antidepressant medication. She’s also part of a Facebook group for people with SAD.

“I try to focus on helping others through it,” Pataki said. “This gives me purpose.”

People with SAD typically have episodes of depression that begin in the fall and ease in the spring or summer. Changing the clocks back to standard time, which happens this weekend, can be a trigger for SAD. A milder form, subsyndromal SAD, is recognized by medical experts, and there’s also a summer variety of seasonal depression, though less is known about it.

In 1984, a team led by Dr. Norman Rosenthal, then a researcher at the National Institutes of Health, first described SAD and coined the term. “I believe that because it is easy to remember, the acronym has stuck,” he said.

What causes seasonal affective disorder?

Scientists are learning how specialized cells in our eyes turn the blue wavelength part of the light spectrum into neural signals affecting mood and alertness.

Sunlight is loaded with the blue light, so when the cells absorb it, our brains’ alertness centers are activated and we feel more wakeful and possibly even happier.

Researcher Kathryn Roecklein at the University of Pittsburgh tested people with and without SAD to see how their eyes reacted to blue light. As a group, people with SAD were less sensitive to blue light than others, especially during winter months. That suggests a cause for wintertime depression.

“In the winter, when the light levels drop, that combined with a lower sensitivity, might be too low for healthy functioning, leading to depression,” Roecklein said.

Miriam Cherry, 50, of Larchmont, New York, said she spent the summer planning how she would deal with her winter depression. “It’s like clockwork,” Cherry said. “The sunlight is low. The day ends at 4:45, and suddenly my mood is horrible.”

Does light therapy help?

Many people with SAD respond to light therapy, said Dr. Paul Desan of Yale University’s Winter Depression Research Clinic.

“The first thing to try is light,” Desan said. “When we get patients on exposure to bright light for a half an hour or so every morning, the majority of patients get dramatically better. We don’t even need medications.”

The therapy involves devices that emit light about 20 times brighter than regular indoor light.

Research supports using a light that’s about 10,000 lux, a measure of brightness. You need to use it for 30 minutes every morning, according to the research. Desan said this can help not only people with SAD but also those with less-severe winter blahs.

Special lights run from $70 to $400. Some products marketed for SAD are too dim to do much good, Desan said.

Yale has tested products and offers a list of recommendations, and the nonprofit Center for Environmental Therapeutics has a consumer guide to selecting a light.

If your doctor diagnosed you with SAD, check with your insurance company to see if the cost of a light might be covered, Desan suggested.

What about talk therapy or medication?

Antidepressant medications are a first-line treatment for SAD, along with light therapy. Doctors also recommend keeping a regular sleep schedule and walking outside, even on cloudy days.

Light therapy’s benefits can fade when people stop using it. One type of talk therapy — cognitive behavioral therapy, or CBT — has been shown in studies to have more durable effects, University of Vermont researcher Kelly Rohan said.

CBT involves working with a therapist to identify and modify unhelpful thoughts.

“A very common thought that people have is ‘I hate winter,'” Rohan said. “Reframe that into something as simple is ‘I prefer summer to winter,'” she suggested. “It’s a factual statement, but it has a neutral effect on mood.”

Working with a therapist can help people take small steps toward having fun again, Rohan said. Try planning undemanding but enjoyable activities to break out of hibernation mode, which “could be as simple as meeting a friend for coffee,” Rohan said.

What else might work?

People with SAD have half the year to create coping strategies, and some have found hacks that work for them — though there may be scant scientific support.

Elizabeth Wescott, 69, of Folsom, California, believes contrast showers help her. It’s a water therapy borrowed from sports medicine that involves alternating hot and cold water while taking a shower. She also uses a light box and takes an antidepressant.

“I’m always looking for new tools,” Wescott said.

Cherry in New York is devoting a corner of her garden to the earliest blooming flowers: snowdrops, winter aconite and hellebores. These bloom as early as February.

“That’s going to be a sign to me that this isn’t going to last forever,” Cherry said. “It will get better, and spring is on its way.”

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

The groups promoting ballot measures to add amendments to the constitutions in nine states that would enshrine a right to abortion have raised more than $160 million.

That’s nearly six times what their opponents have brought in, The Associated Press found in an analysis of campaign finance data compiled by the watchdog group Open Secrets and state governments.

The campaign spending reports are a snapshot in time, especially this late in the campaigns, when contributions are rolling in for many.

The cash advantage is showing up in ad spending, where data from the media tracking firm AdImpact shows campaigns have spent more than three times as much as opponents in ads on TV, streaming services, radio and websites.

Abortion-rights supporters have prevailed on all seven ballot measures that have gone before voters since the U.S. Supreme Court overturned Roe v. Wade in 2022, which ended a nationwide right to abortion and opened the door for the bans and restrictions that are now being enforced in most Republican-controlled states.

Most of the money is going to Florida

Florida is the behemoth in this year’s abortion ballot-measure campaigns.

Proponents of the measure have raised more than $75 million and opponents $10 million. Combined, that’s nearly half the national total.

The state Republican Party is using additional funds, including from corporations across the country, to urge voters to reject the measure. Including that, supporters still lead in ad-buying: $60 million to $27 million.

The total spent as of Tuesday is about the same amount spent on the state’s U.S. Senate race.

The amendment would overturn a ban on most abortions after the first six weeks of pregnancy — when women often don’t know they’re pregnant — that was signed by Republican Gov. Ron DeSantis and took effect in May. DeSantis’ administration has taken steps to thwart the campaign for the amendment.

Florida’s ballot measure rules give opponents a boost: Passage requires approval from 60% of voters instead of a simple majority.

An influx of funding arrives in South Dakota

South Dakota is an outlier, with a significant funding advantage for anti-abortion groups.

According to an Associated Press analysis of state campaign disclosures, they’ve raised about $2 million compared with abortion-rights supporters’ $1 million.

There was a big change last week when the abortion-rights group Dakotans for Health reported that it had received $540,000 from Think Big America, a fund launched by Illinois Gov. Jay Pritzker, a Democrat. The fund’s director, Mike Ollen, said that’s helping ads get seen more widely in what could be a close race.

Before that, national abortion-rights groups, including the Planned Parenthood Federation of America, had mostly ignored South Dakota because, they said, the ballot measure doesn’t go far enough. It would allow regulations of abortions after the first 12 weeks of pregnancy if they relate to the health of the woman.

“We find ourselves being caught between being way too extreme on the right end of the spectrum and not extreme enough on the left end of the spectrum,” said Rick Weiland, co-founder of Dakotans for Health. “We think we’re right in the middle.”

The anti-abortion campaign in South Dakota, like those elsewhere, is focused largely on portraying the amendment as too extreme. The Think Big money provided a new chance to do that.

“South Dakotans don’t want extreme Chicago, San Francisco, and New York views tainting our great state,” Life Defense Fund spokesperson Caroline Woods said in a statement.

One anti-abortion group reported a $25,000 contribution last week from South Dakota Republican Gov. Kristi Noem’s political action committee.

Funding is close to even in a state with competing ballot measures

Nebraska has competing ballot measures.

One would allow abortion until viability, considered to be somewhere after 20 weeks. The other would bar abortion in most cases after the first 12 weeks — echoing current state law, but also allowing for a stricter one.

The side pushing to keep restrictions is leading the fundraising race, with at least $9.8 million. One prominent family has supplied more than half of that. Republican U.S. Sen. Pete Ricketts has contributed more than $1 million, and his mother, Marlene Ricketts, has chipped in $4 million.

The campaign for more access has raised at least $6.4 million.

In some states, the opposition has been quiet

In most places, abortion-rights supporters have a big fundraising lead.

In Arizona, Colorado, Missouri, Montana and Nevada, the opponents had each reported raising less than $2 million before Wednesday.

Meanwhile, the groups promoting the questions in those states have all collected at least $5 million.

The ballot questions have different circumstances.

Missouri’s amendment would open the door to blocking the state’s current ban on abortion at all stages of pregnancy, with some exceptions. Proponents of the measure have raised more than $30 million to opponents’ $1.5 million.

In Arizona, passing the abortion amendment would roll back a ban after the first 15 weeks of pregnancy and instead allow it until fetal viability, and later in some cases. The state’s Supreme Court ruled this year that an 1864 ban on abortion at all stages of pregnancy could be enforced, but the Legislature promptly repealed it.

Colorado is one of the few states that already has no gestational limits on when during pregnancy abortion can be obtained. Montana allows abortion until viability.

Opponents of Nevada’s measure have not reported any spending. To take effect, the amendment needs to pass this year and again in 2026.

Fundraising has been low on both sides in Maryland, though Pritzker’s fund says it’s sending money there, and New York, where a ballot measure doesn’t mention abortion specifically but would bar discrimination based on “pregnancy outcomes and reproductive healthcare and autonomy.”

Big contributions from national groups are one-sided

Liberal groups, including those that aren’t required to report who their donors are, are far more active in the campaigns than their anti-abortion counterparts.

The Fairness Project, which promotes progressive ballot measures, has pledged $30 million for this year’s abortion amendments. So far, $10 million in its contributions have shown up in campaign finance reports.

Several other abortion-rights groups have contributed $5 million or more. No single entity on the anti-abortion side has reported giving that much.

Groups that funded the majority of last year’s campaign against an Ohio abortion-rights amendment that voters approved are absent from this year’s list of big contributors.

The Concord Fund, part of a network of political groups centered around conservative legal activist Leonard Leo, didn’t show up in campaign finance reports until Wednesday, when a Missouri filing showed the group gave $1 million the day before to a group opposing the ballot measure there. Leo was a driving force in securing nominations of Supreme Court justices who voted to overturn Roe.

Susan B. Anthony Pro-Life America has not been active on abortion ballot measures this year, but it is pumping money into the presidential race in support of Republican Donald Trump.

“This is the most consequential fight for life before us,” SBA spokesperson Kelsey Pritchard said in a statement, noting that the group is aiming to spend $92 million in eight states in the presidential race.