Association of therapeutic plasma exchange with functional outcomes in selected neurological disorders: a retrospective cohort study from a single tertiary center in Saudi Arabia.

This study shows that a simple, low-cost peer support programme (friendship group) may offer a promising approach to supporting the mental health of people with physical disabilities in Cambodia. Following participation in the eight-week programme, reduction in psychological distress was observed across domains including anxiety, agitation, fatigue and negative mood. These changes were supported by participants’ accounts of feeling more hopeful, more connected and more capable of managing daily challenges. The friendship group brings together people with shared experiences together in a supportive, stigma-free environment. In a context where mental health continues to be highly stigmatised and access to formal services is limited, participants described valuing the opportunity for open conversation and mutual support. Sharing experiences appeared to reduced feelings of isolation and helped them realise they were not alone in their struggles. The programme also encouraged small but meaningful actions, such as helping with family tasks or engaging in income-generating activities, this helped rebuild confidence and a sense of purpose. Simple breathing and reflection exercises appeared to support emotional regulation, helping people feel calmer and more in control.