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Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 1 of 73 AMENDED Exhibit 128 PLAINTIFFS' OMNIBUS OPPOSITION TO DEFENDANTS' MOTIONS FOR SUMMARY JUDGMENT Case No.: 4:22-md-03047-YGR MDL No. 3047 In Re: Social Media Adolescent Addiction/Personal Injury Products Liability Litigation Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 2 of 73 Document Provided in Native Format HIGHLY CONFIDENTIAL (COMPETITOR) META3047MDL-046-00239694 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 3 of 73 Quant Report Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Outline • Project Background and Methodology • Detailed Findings • Opportunities • Appendix Page 4 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 5 of 73 Mixed Method Study Context • • • Review of the literature shows some (mostly non-causal) evidence of a link between social media use, especially use that is problematic, and negative life outcomes, including but not limited to impacts on people's emotional lives and their social connections and interactions Gaps we want this study to fill: Ο Get signal on how objective clinical experts assess social media use and life impacts; Ο Ο Help us better understand both positive and negative life impacts of social media; and Provide data on the specific, product-related mechanisms contributing to life impacts Potential Impacts: Ο Inform company strategies for Problematic Use and Emotional Impacts Ο Ο Identify and test hypotheses about the primary product levers that contribute to positive and negative life impacts - both for specific product teams and more broadly, across platforms Develop expert-informed talking points for use both internally and externally to help us engage in existing critiques Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 6 of 73 Study Motivation & Objectives Key Research Questions: 1. From a clinician's perspective, what role does social media play in the lives of the people they support? a. How and how often do clinicians determine if social media use is playing a problematic or helpful role in people's lives? 2. In clinicians' observations, what are the specific mechanisms by which individual-specific and platform- specific factors help or hinder in the lives of the people they support? a. How often do they encounter these factors? 3. How do clinicians address challenges when they see social media playing a negative role? How and when do they determine if social media can help? 4. Do any of the above vary cross-culturally? By answering these research questions, we can: 1. Inform Company-Level Well-Being Strategy Ο Ο Inform internal definitions (problematic use, emotional impact) Generate expert-informed, data-driven Talking Points to engage with external stakeholders 2. Inform Product Strategy (e.g., SI Problematic Use, AR/VR, Youth Team, IG Mental Well-Being) Ο Help shape strategic direction/vision Ο Ο Identify and prioritize product opportunities Identify and prioritize populations to focus on (e.g., teens, women) Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 7 of 73 Methodology of the Mixed Method Study Who What Where ~48 60-minute, unbranded US 1:1 interviews UK Phase 1: Qual Brazil • Why Identify themes/mechanisms • Inform survey development Inform product ideation Mental health clinicians [12-15 interviews per market] South Korea Eligibility ~1,000 web-based, US • Criteria: actively unbranded, ~35 min, off- UK • Inform definitions seeing patients, 2 platform panel surveys Brazil years post licensure, Phase 2: range of clinical Quant experience with social [~350 surveys per market] Size & prioritize themes • Inform Talking Points Inform company level strategy media Sampling design: Stratified random sample • • Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 8 of 73 Methodology of Quant Workstream Purpose Understand trends in how the use of social media is manifesting based on themes and mechanisms identified from the qualitative study Support definitions, sizing, and prioritization Support company level talking point and strategy Target Population ~Equal distribution across mental health specialties Mix of practice and geographical settings Range of patient demographics across ages, mental health conditions, and incomes Key Screening Criteria • Mental health clinicians (including psychiatrists, psychologists, therapists, social workers) • 2+ years experience post-licensure • Provided care for at least 30 patients in the past 3 months • Spent >75% of time on direct patient care Involved in either diagnosis of mental health patients, or conducting psychotherapy / counseling / group therapy • Not exclusively manage patients younger than 10 years of age Reporting Methodology Differences in observed themes between sample subgroups observed at a 95% confidence interval Tables or charts in this report are sorted by total selected across all countries Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 9 of 73 Study Limitations What We Can Say • Major themes we learn about what clinicians in the sample think about their own patient populations • Major themes we learn about from clinicians in the sample who mostly see patients for whom social media is playing a role • Estimates of observed themes, pathways, and opportunities • How themes generalize to a surveyed sample of clinicians in US, UK, BR who have a range of clinical experience with social media Potential Limitations • Targeted screening methods, especially because Brazil clinicians are more difficult to reach, means that the sample may not be fully representative of the full clinician population across the three target countries or at the global level • Overrepresentation of certain geographic regions due to greater ability to participate in survey research • Certain clinician types (e.g., therapists and psychologists) more difficult to reach for research and thus may not be fully represented • Clinician insights may be biased towards patients who seek mental health care or for whom social media plays a role in their condition by design • No inference about mental health patient populations within the targeted markets or at the global level • No inference to people with mental health challenges who do not see clinicians Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Sample Characteristics Page 10 of 73 # of Clinicians Specialty Gender Range of Years in Practice (Mean) % Use Social Media Personally Practice Setting¹ % See at Least 30% Youth Patients US 358 37% Psychiatrist 32% Psychologist 31% Therapist 56% Female / 41% Male/ 1% Non-binary / 1% Other/ 1% Prefer not to say 2- 55 years (20 years) 92% 9% Academic 91% Community 18% UK 321 35% Psychiatrist 31% Psychologist 34% Therapist 41% Female / 58% Male/ 1% Prefer not to say 2-34 years (16 years) 99% 48% Academic 52% Community 17% BR 342 33% Psychiatrist 37% Psychologist 30% Therapist 74% Female / 26% Male 2-45 years (10 years) 100% 2% Academic 98% Community 38% 1 Where clinician typically sees patients; academic: university-based or affiliated clinic, hospital, or office; community: non-academic location S60. What is your primary specialty? US Options: Adult Psychiatry Child and Adolescent Psychiatry Psychology Clinical Therapy Drug and Alcohol Therapy Marriage Therapy Family Therapy Internal Medicine Family/ General Practice Clinical Social Work UK Options: General Psychiatry Child and Adolescent Psychiatry Geriatric Psychiatry Medical Psychotherapy Clinical Psychology Family Therapy Clinical Therapy General Practitioner Clinical Social Work BR Options: Case 4:22-md-03047-YGR General Psychiatry Document 2756-55 Filed 02/20/26 Page 11 of 73 Child and Adolescent Psychiatry Clinical Therapy Psychology Clinical Social Work General Practitioner D70. Which gender do you most identify as? Male Female Non-binary Other Prefer not to say S90. How many years have you been practicing in [PIPE IN S60]? D20. Which types of social media apps, if any, do you personally use? Photo sharing apps Messaging apps Augmented reality apps and games Virtual reality games Online games Networking/social connection apps Video streaming and video sharing apps Other, please specify: Other, please specify: Unsure/don't know [ANCHOR] [ANCHOR] [ANCHOR] Do not use any social media apps at all [If selected, go to D23] S70. Which of the following best describes where you primarily treat patients? University or medical-school based practice (i.e., employed by or primarily affiliated with an academic institution) Hospital-based practice, non-teaching hospital, private / charity fund independent hospital Solo private practice Group private practice, single specialty Group private practice, multi-specialty Government / VA [SHOW IF S10=1] NHS hospital [SHOW IF S10=2] Sistema Único de Saúde (SUS) hospital [SHOW IF S10=3] School / School-based Community-based clinic Non-profit organizations In-home Other (specify: ), [ANCHOR] Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 12 of 73 S130. About what percent of your patients fall into each of the age ranges below? Your total should sum to 100%. Younger than 10 years old 10 to 17 years old 18 to 44 years old 45 to 65 years old Over 65 years old Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 13 of 73 TLDR Key Takeaways • • • • • • • The majority of clinicians do not formally discuss social media use during their assessment (US:60%, UK:79%, BR:54%); of clinicians that do discuss social media with patients, almost all discuss use informally during treatment (US:96%, UK:92%, BR:94%) Some clinicians say social media plays both positive and negative roles in their patients' mental health challenges (US:34%, UK:27%, BR:31%) although the majority of clinicians believe that social media can be addictive (US:85%, UK:79%, BR:84%) Some clinicians would like to have more professional resources available about social media use and mental health (US: 68%, UK: 77%, BR: 77%) When social media is seen to play a role, most clinicians say it is an exacerbating factor (Exacerbating: US: 81%, UK: 81%, BR: 81%); almost none say it is causal (Causal: US: 2%, UK: 7%, BR: 7%) Clinicians evaluated most product features as both beneficial and detrimental (e.g., reactions to content, public comments), but some product features were seen as either mostly beneficial (time use controls) or mostly detrimental (autoplay, photo filters) for patients The main social media interventions include encouraging patients to have more face-to-face interactions (US: 87%, UK: 72%, BR: 92%) and set time limits for social media use (US: 77%, UK: 55%, BR:80%) Some clinicians use social media professionally to develop and share mental-health related material with the general public (US: 24%, UK: 12%, BR:67%) and other clinicians (US: 47%, UK: 72%, BR 85%) Key Opportunities Research: • Pursue patient-centered research to contextualize clinician- level findings, understand patients feelings and perception of social media, deep-dive into patient types (e.g., anxiety, depression), and identify adjustments to features that patients would be most receptive to in real life Partnerships: • • Provide education to clinicians about social media features and functions, so they can better support their patients Work with clinicians to develop applications geared towards mental health treatment (e.g., through apps or VR) Product: • • Using pathways identified by clinicians: Help people better customize and control the features identified as both beneficial and/or detrimental Consider changing features identified as detrimental, and avoid building features that utilize similar pathways, cross- app Consider amplifying/building more features identified as beneficial, and emphasizing relevant pathways cross-app Build intention-setting, time control tools, and "take a break" nudges into the Metaverse from the beginning 9 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Outline • Project Background and Methodology • Detailed Findings Clinicians' definition of social media and frequency of discussion Ο Ο Social Media's role in patients' mental health Ο Clinicians' view of social media affordances and corresponding pathways Ο Suggested "treatment" from clinicians when social media plays a negative role Ο Clinician perspectives on vignette Ο Advanced statistical analyses • Opportunities • Appendix Page 14 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 15 of 73 Social media is most commonly thought of as networking and social connection apps across all markets Apps Considered as Social Media by Mental Health Clinicians Networking / social connection apps Video sharing /streaming apps Messaging apps Dating apps Photo sharing apps Online games Virtual reality activities and games Augmented reality apps Differences by Data Cuts ०५०% Video sharing / streaming apps 090 96% US: Youth treater (89%) > Non-youth treater 79%90% (77%) 86% Online games 77% 73% 91% 760% US: Youth treater (60%) > Non-youth treater (43%) 75% "84% 70% 75% UK: Youth treater (84%) > Non-youth treater (49%) 87% Augmented reality apps UK: Youth treater (51%) > Non-youth treater (23%) Virtual reality activity/ games UK: Youth treater (80%) > Non-youth treater (31%) 46% 55% 64% 200% 39% 53% 27035% 33% 10% Other* 2% 10% Unsure / Don't know now 0% 0% 25% 50% 75% 100% * Details of "Other" shown in notes Sample Size: US: n=358, UK: n=321, BR: n=342 Other Significant Differences Based on Clinician Specialty • • • • • • Networking/Social Connection Apps Ο Ο US: Therapist (100%) > Psychologist (95%) and Psychiatrist (95%) BR: Therapist (98%) > Psychologist (93%) Messaging Apps Ο US: Therapist (85%) > Psychiatrist (73%) Ο BR: Therapist (95%) > Psychologist (87%) Dating Apps Ο US: Therapist (87%) > Psychiatrist (66%) and Psychologist (75%) Online Games Ο US: Therapist (56%) > Psychologist (42%), Psychiatrist (42%) Photo sharing apps Ο UK: Psychiatrist (76%) > Psychologist (63%) Virtual Reality Activities/Games Ο UK: Psychiatrist (52%) and Psychologist (43%) > Therapist (23%) Augmented reality apps • Ο UK: Psychiatrist (41%) > Psychologist (24%) and Therapist (17%) M5. Please indicate which of the following types of apps you consider to be social media. Dating apps Document 2756-55 Filed 02/20/26 Page 16 of 73 Case 4:22-md-03047-YGR Photo sharing apps Messaging apps Augmented reality apps Virtual reality activities and games Online games Networking/social connection apps Video sharing and video streaming apps Other, please specify: [ANCHOR] Other, please specify: [ANCHOR] Unsure/don't know [ANCHOR] *Other responses include: US: BR: News media websites (n=1) Treatment engaging apps (n=1) All apps enabling interpersonal communication (n=1) Applications of social programs (n=1) Health and related services for minunhametos (n=1) Any application that has interaction with a third party (n=1) Internet forums for specific themes (n=1) Educational Applications (n=1) Negative incentive (n=1) Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 17 of 73 Social media discussions were typically patient-initiated, with youth treaters more likely to initiate discussion Social Media Related Patient Volume in the Past 3 Months Patients with whom social media was discussed at least once Average % of patient population (past 3 months) United United Brazil States Kingdom (n=342) (n=321) 21% (n=358) 40% Initiation of SM Discussion with Patients United States (n=356) United Kingdom (n=311) Brazil (n=337) 46% Differences by Data Cuts Youth Treaters (US, UK) and psychiatrists (all countries) were more likely to initiate discussion with patients about social media US: Patient Initiated Non-Youth Treater (75%) > Youth Treater (51%) Clinician Initiated Youth Treater (46%) > Non-Youth Treater (22%) Psychiatrist (32%) > Therapist (18%) Non-Youth Treater (83%) > Youth Treater (47%) Therapist (84%) and Psychologist (84%) > Psychiatrist (63%) Clinician Initiated UK: Patient Initiated 70% 26% 3% 77% 21% 2% 72% 25% 3% 0% 25% 50% 75% 100% Youth Treater (53%) > Non-Youth Treater (15%) Psychiatrist (36%) > Psychologist (15%) and Therapist (13%) BR: Patient Initiated Patient initiated the social media use topic during the discussion I initiated the social media use topic during the discussion Other* Therapist (81%) and Psychologist (74%) > Psychiatrist (61%) Clinician Initiated Psychiatrist (35%) > Psychologist (23%) and Therapist (17%) * Details of "Other" shown in notes [ASK IF M10>0%] M26. You indicated that you have discussed social media use with at least some of your patients in the past 3 months. Which of the following best describes how the topic of social media was brought up? I initiated the social media use topic during the discussion Patient initiated the social media use topic during the discussion Other, please specify: Other responses include: [ANCHOR] US: Both (n=10) UK: Depending on client (n=2) Combination of both (n=3) Patient using social media inappropriately e.g. to buy things, vulnerable to exploitation (n=1) it's usually peripheral to the conversation (n=1) patients mentioned it obliquely and i followed up which led to discussion about social media (n=1) BR: The theme of insomnia opens space to talk about using cellular use and computers at night and from then on, the issue of social media. (n=1) Both (n=4) of the two forms mentioned above (n=1) Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 18 of 73 In the interview and they bringing during the session. (n=1) I can not define (n=1) socioeconomic difficulties (n=1) Psychoeducation for mental diseases (n=1) M10. Thinking about your patient population as a whole, with what percent of patients have you discussed social media use in at least one session within the past 3 months? Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Outline • Project Background and Methodology Detailed Findings Clinicians' definition of social media and frequency of discussion • Ο Ο Social Media's role in patients' mental health Ο Clinicians' view of social media affordances and corresponding pathways Ο Suggested "treatment" from clinicians when social media plays a negative role Ο Clinician perspectives on vignette Ο Advanced statistical analyses • Opportunities • Appendix Page 19 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 20 of 73 A small portion of clinicians consider social media to play a primarily positive role in mental health Perception of Social Media's Role in Patients Mental Health (Clinicians Perception of Entire Patient Population) 100% 19% 23% 37% 75% 28% 50% 26% 32% US: UK: 31% 34% 25% 27% 19% 15% 10% 0% United United States Kingdom Brazil No Role Primarily Negative Mixed Role Primarily Positive BR: * Sample size shown in notes Differences by Data Cuts Youth treaters and psychiatrists showed a more negative perception of social media Mixed role (both positive and negative) Therapist (39%) and Psychologist (35%) > Psychiatrist (29%) Primarily negative or harmful role Youth Treater (34%) > Non-Youth Treater (26%) Psychiatrist (30%) > Psychologist (24%) No role in mental health Non-Youth Treater (24%) > Youth Treater (16%) Psychiatrist (25%) and Psychologist (25%) > Therapist (17%) Youth treaters expressed more negative feedback to social media, and psychiatrists overall showed more extreme responses Primarily Positive or Beneficial Role Psychiatrist (17%) > Psychologist (9%) > Therapist (4%) Primarily negative or harmful role Youth Treater (44%) > Non-Youth Treater (22%) Psychiatrist (29%) > Therapist (21%) No role in mental health Non-Youth Treater (41%) > Youth Treater (22%) Therapist (47%) > Psychologist (38%) > Psychiatrist (27%) No significant differences based on specialty and patient age group M20 Sample Size: US: n=356, UK: n=311, BR: n=337 M20. You indicated that you have discussed social media use with at least some of your patients in the past 3 months. Thinking about those discussions, in your professional opinion, how, if at all, was social media use playing a role in these patients' mental health? Your total should sum to 100% (of patients with whom you have discussed social media use). Patients for whom social media use had a primarily positive or beneficial role in their mental health Patients for whom social media use had a mixed role (both positive and negative) in their mental health Patients for whom social media use had a primarily negative or harmful role in their mental health Patients for whom social media use had no role in their mental health Other, please specify: [ANCHOR] Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Data Based on Patient Cases Page 21 of 73 When thinking about specific patients, roughly half clinicians consider social media to play a mixed role Perception of Social Media's Role in Patients' Mental Health (Clinician Perception of Single Patient Case) US Differences by Data Cuts 100% 7% 4% 11% 29% 31% 75% 41% 50% 60% 56% 25% 43% UK BR 7% 5% 7% 0% United United Brazil States Kingdom No Role Primarily Negative Mixed Role Primarily Positive Psychiatrists showed a more negative perception of social media Played No Role Non-Youth (8%) > Youth (2%) Mixed Role Psychologist (62%) and Therapist (60%) > Psychiatrist (46%) Primarily Negative Role Psychiatrist (39%) > Psychologist (22%) Social media is more likely to have a negative role on youth patients Primarily Negative or harmful role Youth (55%) > Non-Youth (36%) Played No Role Non-Youth (15%) > Youth (2%) Therapist (15%) > Psychiatrist (5%) Psychiatrists and therapists had a slightly more positive perception of social media Social media is more likely to have a positive role on non-youth patients Primarily Positive role Non-Youth (8%) > Youth (3%) Psychiatrist(11%) and Therapist (11%) > Psychologist (1%) No Role Therapist (7%) > Psychiatrist (1%) When thinking about individual patient cases, ciinicians think about sociai media piaying a more mixed roie across aii markets P65 Sample Size: US: n=358, UK: n=321, BR: n=342 Additional Data Cuts by Specialty: • • • • Positive or Beneficial Role Ο (BR) Psychiatrist( 11%) and Therapist (11%) > Psychologist (1%) Mixed Role Ο (US) Psychologist (62%) and Therapist (60%) > Psychiatrist (46%) Ο (BR) Psychologist (67%) > Psychiatrist (54%) Primarily Negative Role Ο (US) Psychiatrist (39%) > Psychologist (22%) No Role Ο Ο (UK) Therapist (15%) > Psychiatrist (5%) (BR) Therapist (7%) > Psychiatrist (1%) P65. In your discussions with this patient about the patient's social media use, which of the following best describes how, if at all, social media had a role in this patient's overall mental health? Social media use had a primarily positive or beneficial role in the patient's mental health Social media use had a mixed role (both positive and negative) in the patient's mental health Social media use had a primarily negative or harmful role in the patient's Case 4:22-md-03047-YGR mental health Document 2756-55 Filed 02/20/26 Page 22 of 73 Social media use played no role in the patient's mental health Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 23 of 73 Data Based on Patient Cases Less than 10% of clinicians felt that social media caused their patient's mental health challenges Relationship between Social Media Use and Patient's Differences by Data Cuts US: Mental Health Challenges No significant differences by cuts 100% 4% 4% 8% 3% 9% Other* UK: 13% 75% Social media improved the patient's mental health 50% 81% 81% 81% Social media exacerbated the patient's mental health challenges but did not cause BR: Social media 25% caused the patient's mental health challenges 7% 7% 0% United States United Kingdom Brazil Social media is more likely to exacerbate non-youth patient's mental health challenges Exacerbated patient's mental health condition Non-Youth (85%) > Youth (72%) Improved patient's mental health Psychiatrist (15%) > Psychologist (5%) and Therapist (4%) Psychologists were more likely to identify a patient case where social media played a causal role in the patient's mental health, compared to their counterparts Caused patient's mental health conditions Psychology (12%) > Therapist (4%) and Psychiatry (4%) Improved patient's mental health Therapist (14%) and Psychiatrist (10%) > Psychologist (3%) * Details of "Other" shown in notes Sample Size: US: n=334, UK: n=286, BR: n=329 [ASK IF P65=1-3] P70. In your professional opinion, which of the following best describes the relationship between social media use and this patient's mental health challenges? [SHOW IF P65=2 OR 3] Social media caused the patient's mental health challenges [SHOW IF P65=2 OR 3] Social media exacerbated the patient's mental health challenges but did not cause them [SHOW IF P65=1 OR 2] Social media improved the patient's mental health Other, please specify: Other responses include: US: [ANCHOR] At times, social media exacerbated mental health challenges and at times it improved it. (n=6) Caused more challenges, then mitigated those challenges. (n=1) Both helped but hurt too and recursive (n=1) social media helped patient but did not improve their mental health (n=1) Social media complicated MH challenges (n=1) It both improved and caused grief for client (n=1) Unable to make definitive statements regarding relationship between social media use and patient's mental health challenges, there are too Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 many other variables that potentially affect the patient's status (n=1) UK: BR: Variable response (n=1) it's hard to say which started first (n=4) Page 24 of 73 hard to say she has used social media before her mental health problems (n=1) it seems to have helped in some aspects and exacerbated others (n=5) I put it together, because this patient has problems as sleep for excess of social media, but is having a relationship that began through relationship sites what is doing very well for it. (n=1) Social media have caused positive and negative reactions in patient's mental health (n=3) Social media allowed the patient to deal with their symptoms better (n=1) Sometimes they improve. In other no he insight on the real problem. (n=1) The patient in the outbreak believed that everything was good (n=1) Social media enabled access to mutual aid groups and support network formation. (n=1) Social media did not interfere in the patient's mental health (n=1) Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 25 of 73 Clinicians felt that social media tended to play a more negative role for patients with eating disorders Role of Social Media in Patients with Different Mental Health Conditions Mental Health Conditions Impacted by SM United States United Kingdom Brazil Positive Negative Positive Negative Positive Negative (n=338) (n=346) (n=270) (n=304) (n=324) (n=334) Depressive disorders 63% 78% 66% 72% 52% 72% Anxiety disorders 52% 81% 79% 87% 67% 93% Attention deficit/hyperactivity disorder 27% 42% 15% 19% 23% 41% Bipolar Disorder 22% 36% 12% 13% 18% 21% Substance-related/addictive disorders 19% 34% 13% 23% 16% 27% Autism spectrum disorder 18% 18% 23% 21% 21% 12% Personality disorders 15% 48% 16% 33% 19% 33% Eating disorders 13% 37% 12% 44% 18% 48% Sleep-Wake disorders 12% 37% 10% 22% 21% 69% Obsessive-compulsive disorders 12% 31% 19% 22% 15% 23% Nonsuicidal self-injury disorder 10% 30% 4% 28% 10% 37% Suicidal behavior disorder 10% 34% 8% 33% 15% 32% Other* 9% 7% 2% 0% 9% 5% Schizophrenia 5% 12% 4% 6% 9% 8% M30. Thinking about those cases in which social media had a negative role in a patient's mental health (including cases in which the role was mixed), what challenges did those patients have? Depressive disorders Anxiety disorders Eating disorders (e.g., anorexia, bulimia) Sleep-Wake disorders (e.g., insomnia, narcolepsy) Personality disorders Substance-related and addictive disorders Autism spectrum disorder (ASD) Obsessive-compulsive disorder (OCD) Attention deficit/hyperactivity disorder (ADHD) Nonsuicidal self-injury disorder (NSSI) Suicidal behavior disorder Schizophrenia Bipolar Disorder Other (specify: SELECTED] None of the above _), [ANCHOR, FORCE RESPONSE IF M50. Thinking about those cases in which social media played a positive role in a patient's mental health (including cases in which the role was mixed), what challenges did those patients have? Depressive disorders Case 4:22-md-03047-YGR Anxiety disorders Document 2756-55 Filed 02/20/26 Page 26 of 73 Eating disorders (e.g., anorexia, bulimia) Sleep-Wake disorders (e.g., insomnia, narcolepsy) Personality disorders Substance-related and addictive disorders Autism spectrum disorder (ASD) Obsessive-compulsive disorder (OCD) Attention deficit/hyperactivity disorder (ADHD) Nonsuicidal self-injury disorder (NSSI) Suicidal behavior disorder Schizophrenia Bipolar Disorder Other (specify: _), [ANCHOR, FORCE RESPONSE IF SELECTED] None of the above Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 27 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 28 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 29 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 30 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 31 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 32 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 33 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 34 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 35 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 36 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 37 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 38 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 39 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 40 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 41 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 42 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 43 of 73 Data Based on Patient Cases Encouraging negative comparison was most cited as negative impact on mental health patients Clinician View of Social Media Pathways that Negatively Impact Patients Selected Data Cuts United United Product Pathway (Negative) Brazil States Kingdom • Encouraged negative comparison of patient with others Exposed patient to negative thoughts/discussions (e.g., politics) 54% 45% 56% Exposed patient to negative thoughts/ discussions (e.g., politics) Ο (BR) Non-Youth (31%) > Youth (17%) 41% 24% 27% • Gave patient a sense of being excluded/ left out/ "FOMO" Gave patient a sense of being excluded/left out/"FOMO" 40% 39% 38% • Ο (UK) Non-Youth (44%) > Youth (30%) Interfered with personal relationships Interfered with personal relationships 36% 38% 51% Interfered with sleep 35% 46% 53% • Contributed to patient's difficulty in controlling amount of 35% 31% 50% time spent on social media Ο Affected patient's body image perception 33% 26% 38% • Kept patient from doing other activities they'd like to do (e.g., hobbies) 30% 19% 35% Enabled bullying/negative behaviors toward the patient 21% 26% 18% Ο Interfered with school/work 20% 21% 28% • Allowed patient to act out negative behaviors (e.g., stalking Ο 13% 27% 23% compulsive shopping) Triggered self harm or suicidal thoughts 13% 22% 13% Exposed to disordered behavior (e.g., eating, exercising) 10% 24% 21% Ο (US) Youth (46%) > Non-Youth (34%) Interfered with sleep Ο (US) Youth (49%) > Non-Youth (31%) (BR) Youth (64%) > Non-Youth (49%) Contributed to patient's difficulty in controlling amount of time spent on social media Ο (US) Youth (49%) > Non-Youth (32%) (BR) Youth (67%) > Non-Youth (43%) Kept patient from doing other activities they'd like to do (BR) Youth (48%) > Non-Youth (30%) Enabled bullying/ negative behaviors toward the patient (US) Youth (39%) > Non-Youth (17%) Ο (BR) Youth (30%) > Non-Youth (14%) Interfered with patient's physical health 7% 11% 16% Other* 2% 0% 1% * Details of "Other" shown in notes Sample size shown in notes Additional Data Cuts on Age: Interfered with school/ work Ο (US) Youth (51%) > Non-Youth (13%) Ο (UK) Youth (44%) > Non-Youth (12%) (BR) Youth (51%) > Non-Youth (20%) • Triggered self harm or suicidal thoughts • Ο (BR) Youth (22%) > Non-Youth (10%) Exposed to disordered behavior (e.g., eating, exercising) (UK) Youth (33%) > Non-Youth (20%) Ο Additional Data Cuts on Specialty: • Encouraged negative comparison of patient with others Ο (US) Therapist (66%) > Psychiatrist (50%) and Psychologist (45%) Ο (BR) Therapist (65%) > Psychiatrist (58%) and Psychologist (49%) Contributed to patient's difficulty in controlling amount of time spent on social media Ο (UK) Psychiatrist (38%) > Therapist (24%) Ο (BR) Psychologist (58%) > Psychiatrist (43%) • Affected patient's body image perception Ο Ο (UK) Psychologist (32%) > Therapist (18%) (BR) Psychologist (43%) > Psychiatrist (29%) Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Kept patient from doing other activities they'd like to do (e.g., hobbies) • • Ο Page 44 of 73 (BR) Psychologist (48%) > Psychiatrist (27%) and Therapist (26%) Triggered self harm or suicidal thoughts Ο (UK) Psychiatrist (30%) > Psychology (15%) Interfered with patient's physical health Ο (BR) Psychologist (23%) > Psychiatrist (12%) and Therapist (12%) Sample Size: US (n=310), UK (n=271), BR (n=305) [SHOW IF P65=2 OR 3] P90. You indicated that [PIPE IN P65]. In which of the following ways did social media play a negative role for this patient? Contributed to patient's difficulty in controlling amount of time spent on social media Interfered with school/work Interfered with personal relationships Interfered with sleep Gave patient a sense of being excluded/left out/"FOMO" Kept patient from doing other activities they'd like to do (e.g., hobbies) Exposed patient to negative thoughts/discussions (e.g., politics) Encouraged negative comparison of patient with others Allowed patient to act out negative behaviors (e.g., stalking, compulsive shopping) Enabled bullying/negative behaviors toward the patient Triggered self harm or suicidal thoughts Exposed to disordered Disorder behavior (e.g., eating, exercising) Affected patient's body image perception Interfered with patient's physical health Other, please specify: Other: [ANCHOR] US: Enabled bullying of patient's family members (n=1), exacerbated psychosis (paranoia) (n=1), Exacerbated grief process (n=1), contributed to patient's paranoia (n=1), increased anxiety (n=1), Exposed patients to death of loved ones and friends as well as illness and pain in loved ones and others (n=1) BR: Affected in distraction for the preparation of the contest (n=1), Made the patient get in touch with the negligence of his relatives with the patient (n=1) Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 45 of 73 Data Based on Patient Cases Roughly half clinicians appreciate social media for allowing patients to connect with friends and family Key Data Cuts Allowed patient to meet/ connect with others with similar mental health challenges Ο (US) Non-Youth (30%) > Youth (16%) Allowed patient to receive support from someone else (BR) Non-Youth (54%) > Youth (39%) Increased the patient's self-esteem/confidence and/or helped them get positive feedback Clinician View of Social Media Pathways that Positively Impact Patients United United • Product Pathway (Positive) Brazil States Kingdom Allowed patient to connect/reconnect with friends and family 48% 36% Offered patient an outlet/distraction 50% 46% 60% 53% • Allowed patient to receive support from someone else 43% 28% 50% Allowed patient to meet/connect with others with similar 28% 24% 23% mental health challenges • Allowed patient to give support to someone else 26% 12% 23% Increased the patient's self-esteem/confidence and/or 24% 25% 21% helped them get positive feedback Helped patient learn about their mental health challenges 23% 25% 24% • /normalized their mental health challenges Allowed patient to meet/connect with others who do not 20% 18% 20% have similar mental health challenges Helped patient learn about treatment for their mental health Ο 17% 29% 29% challenges • Allowed patient to connect with a mental health professional 16% Provided patient with employment/income 10% 43% 4% 6% 19% Other* 1% 1% 1% • Ο (UK) Youth (45%) > Non-Youth (19%) Ο (BR) Non-Youth (25%) > Youth (9%) Helped patient learn about their mental health challenges/ normalized their mental health challenges (BR) Non-Youth (29%) > Youth (9%) Helped patient learn about treatment for their mental health challenges Ο (BR) Non-Youth (35%) > Youth (11%) Provided patient with employment/ income (BR) Non-Youth (24%) > Youth (4%) Ο * Details of "Other" shown in notes Sample size shown in notes Additional Data Cuts by Specialty: • • Offered patient an outlet/ distraction Ο (UK) Therapist (73%) and Psychologist (72%) > Psychiatrist (41%) Allowed patient to meet/ connect with others with similar mental health challenges • Ο (BR) Psychologist (29%) > Therapist (15%) Allowed patient to give support to someone else Ο (US) Therapist (38%) > Psychologist (18%) Ο (UK) Psychiatrist (25%) > Psychologist (5%) and Therapist (2%) • Allowed patient to meet/ connect with others who do not have similar mental health challenges Ο (UK) Psychiatrist (27%) > Therapist (8%) • Helped patient learn about treatment for their mental health challenges Ο Ο (UK) Psychiatrist (41%) > Therapist (17%) (BR) Psychiatrist (38%) > Therapist (19%) • Allowed patient to connect with a mental health professional • Ο (UK) Psychiatrist (22%) > Psychologist (5%) and Therapist (2%) Provided patient with employment/ income Ο (UK) Psychiatrist (14%) > Therapist (2%) Sample Size: Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 46 of 73 US (n=223), UK (n=154), BR (n=230) [SHOW IF P65=1 OR 2] P100. You indicated that [PIPE IN P65]. In which of the following ways did social media play a positive role for this patient? Allowed patient to connect with a mental health professional Allowed patient to meet/connect with others with similar mental health challenges Allowed patient to meet/connect with others who do not have similar mental health challenges Allowed patient to connect/reconnect with friends and family Helped patient learn about their mental health challenges /normalized their mental health challenges Helped patient learn about treatment for their mental health challenges Increased the patient's self-esteem/confidence and/or helped them get positive feedback Provided patient with employment/income Offered patient an outlet/distraction Allowed patient to give support to someone else Allowed patient to receive support from someone else Other, please specify: Other: US: UK: BR: [ANCHOR] Allowed patient to actively practice OCD homework online (n=1), Connection with others (n=1) allowed her to broaden horizons (n=1) Increased hyperfect in social media increasing communication between the group (n=1), Left the patient calmer (n=1) Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Outline • Project Background and Methodology Detailed Findings • Ο Clinicians' definition of social media and frequency of discussion Ο Social Media's role in patients' mental health Ο Clinicians' view of social media affordances and corresponding pathways Ο Suggested "treatment" from clinicians when social media plays a negative role Ο Clinician perspectives on vignette Ο Advanced statistical analyses • Opportunities • Appendix Page 47 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 48 of 73 Data Based on Patient Cases Only a few clinicians mentioned the use of social media interventions when treating their mental health patients Interventions Included in Patient Case Treatment Plans Key Data Cuts Medication Ο (UK) Non-Youth (53%) > Youth (33%) Ο (BR) Non-Youth (67%) > Youth (49%) • Physical exercise / working out Ο (UK) Non-Youth (48%) > Youth (9%) Ο (BR) Non-Youth (66%) > Youth (47%) 92% Psychotherapy 95% • 94% 72% Medication 47% 62% 49% Physical exercise 38% 61% 48% Meditation/ relaxation 40% 37% 15% Social media interventions 3% 11% Electroconvulsive therapy or 1% similar 1% 2% Other** 0% 5% 0% 25% 50% 75% 100% United States (n=358) United Kingdom (n=321) Brazil (n=342) *Social Media Interventions detailed in notes ** Details of "Other" shown in notes Additional Data Cuts by Specialty: • Psychotherapy (including cognitive behavioral therapy, dialectical behavior therapy, interpersonal therapy, and others) (US) Therapist (99%) > Psychiatrist (89%) and Psychologist (89%) Medication Ο • Ο Ο (US) Psychiatrist (90%) > Psychologist (61%) and Therapist (62%) (UK) Psychiatrist (78%) > Psychologist (28%) and Therapist (34%) Ο (BR) Psychiatrist (95%) > Psychologist (41%) and Therapist (53%) • Physical exercise / working out Ο Ο (US) Therapist (59%) > Psychologist (45%) and Psychiatrist (45%) (BR) Psychiatrist (73%) > Psychologist (55%) and Therapist (55%) Meditation / relaxation • Ο (US) Psychologist (55%) and Therapist (59%) > Psychiatrist (34%) P110. Please indicate which, if any, of the following has been part of this Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 49 of 73 patient's treatment plan or are being considered in the treatment plan. Please select all that apply. Medication Psychotherapy (including cognitive behavioral therapy, dialectical behavior therapy, interpersonal therapy, and others) Meditation/relaxation Social media interventions, please specify: [ANCHOR] [ANCHOR] [ANCHOR] Electroconvulsive therapy (ECT) / Transcranial magnetic stimulation (TMS) Physical exercise / working out Other, please specify type of intervention: Other, please specify type of intervention: None of the above [ANCHOR] Other: US: UK: BR: Substance abuse treatment (n=1) Mental health nutrition (n=1) Behavior management/routine/structure (n=1) ARMHS (Adult Rehabilitation Mental Health Services) (n=1) Developing non-pharmacologic chronic pain management skills (n=1) Better sleep (n=1) increase in person social activities (n=1) Increase social activity (n=1) Hospitalisation (n=1) suggestion to reduce the use of social networks, to minimize comparisons (n=1) Hobbies Practices (n=1) Social activities (volunteering, coexistence groups) (n=1) Inclusion of the patient in healthy spaces of coexistence (CCA and CJ) (n=1) Increased autonomy in daily life activities, increased instrumental activities, increased cultural activities. (n=1) Adequate feeding (n=1) Hobys activity (n=1) Psychoanalysis (n=1) Family approach (n=1) Monitoring with physiotherapy (n=1) Nutritional monitoring (n=1) Sleep hygiene (n=1) Outdoor activities such as tours in the park. (n=1) Acupuncture (n=1) Case 4:22-md-03047-YGR family (n=1) Document 2756-55 Filed 02/20/26 Page 50 of 73 healthy eating (n=1) Occupational therapy (n=1) Employment of Social Tinkers (n=1) hospital internment (n=1) Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 51 of 73 Most clinicians recommended in-person interactions and social media time limit to patients needed intervention Clinician Use of Social Media Interventions Have more face-to-face interactions 82% 11%7% 72% 15% 14% 92% 53% Set time limits for SM Use 77% 12%11% 55% 27% 18% 80% 11%8% Use SM more deliberately 70% 19% 11% 67% 26% 7% 71% 19% 10% Limit interactions with certain people 79% 13%8% 50% 37% 12% 72% 15% 13% Use SM to support mental health Challenge patient's perception of SM Use SM only at specific times 75% 14% 11% 50% 30% 20% 70% 19% 11% 66% 19% 15% 53% 35% 12% 64% 27% 9% 63% 17% 20% 36% 37% 27% 68% 16% 16% Take short breaks 68% 18% 15% 55% 28% 17% 44% 28% 27% Use SM to connect with friends/ family 57% 19% 24% 38% 33% 29% 68% 13% 19% Participate in MH support groups 53% 20% 27% 48% 31% 21% 43% 30% 27% Turn off notifications 53% 27% 20% 24% 52% 24% 47% 29% 25% Take a long break (>1 month) 39% 27% 34% 22% 45% 34% 18% 25% 57% Delete SM apps from phone 47% 20% 33% 12% 30% 58% 15% 21% 64% Have recommended to patient Other*1% 99% % 100% 0% 100% Have not recommended to patient, but will in the future 0% 25% 50% 75% 100% 0% 25% 50% 75% 100% 0% 25% 50% 75% 100% Have not recommended to patient, and do not plan to recommend United States United Kingdom Brazil * Details of "Other" shown in notes Sample Size: US (n=358), UK (n=321), BR (n=342) 030. Which of the following strategies, if any, have you recommended to patients as part of a treatment/management approach? Have not recommended to patient, do not plan to recommend Have not recommended to patient, but plan to recommend in the future Have recommended to patient Set time limits for social media use on social media Use social media only at specific times of the day Take a long break (one month or more) from social media Take short breaks (for a day or a week daily or weekly) from social media Think more carefully about reasons for using social media Limit interactions with certain people on social media Turn off notifications for social media Participate in mental health support groups on social media Delete social media apps from phone Encourage patient to have more face-to-face interactions Use social media to connect with friends/ family more often Use social media to support mental health (e.g., meditation, mindfulness, sleep apps) Challenge patient's perception of social media and reality Other (specify: Other response include: ), [ANCHOR] Case 4:22-md-03047-YGR Have recommended: Use an alias (US, n=1) Jobs (UK, n=1) be selective (US, n=1) Document 2756-55 Filed 02/20/26 Page 52 of 73 Create their own social media (US, n=1) Monitoring through the telephone usage report (BR, n=1) Have not recommended, do not plan to: Search for new hobbys how to cook (BR, n=1) Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 53 of 73 Clinicians have used more social media-based interventions on patients with anxiety and depression Mental Health Conditions for Which Social Media- Based Intervention Was Used Selected Data Cuts • United United Anxiety disorders Brazil Ο States Kingdom (n=348) (n=308) (n=333) Ο (US) Youth Treater (95%) > Non-Youth Treater (87%) (BR) Youth Treater (97%) > Non-Youth Treater (88%) • Anxiety disorders 88% 89% 92% Depressive disorders 89% 77% 80% • Personality disorders 46% 31% 44% Depressive disorders Ο (UK) Non-Youth Treater (80%) > Youth Treater (60%) Personality disorders Ο Sleep-Wake disorders 35% 18% 61% • (BR) Non-Youth Treater (50%) > Youth Treater (35%) Attention deficit/hyperactivity disorder (ADHD) Attention deficit/hyperactivity disorder 47% 20% 45% Ο (US) Youth Treater (69%) > Non-Youth Treater (42%) Eating disorders 26% 37% 36% Ο (UK) Youth Treater (42%) > Non-Youth Treater (16%) Bipolar Disorder 44% 14% 35% Ο (BR) Youth Treater (54%) > Non-Youth Treater (39%) Substance-related and addictive disorders 37% 23% 29% • Eating disorders (e.g., anorexia, bulimia) Nonsuicidal self-injury disorder 26% 23% 31% Ο Suicidal behavior disorder 27% 20% 31% • (BR) Youth Treater (43%) > Non-Youth Treater (32%) Bipolar Disorder Obsessive-compulsive disorder 31% 18% 25% Ο (BR) Non-Youth (40%) > Youth (26%) Autism spectrum disorder 19% 25% 13% • Substance-related and addictive disorders Schizophrenia 11% 5% 10% Ο Other* 3% 0% 3% Ο (UK) Non-Youth Treater (25%) > Youth Treater (11%) (BR) Non-Youth Treater (36%) > Youth Treater (18%) * Details of "Other" shown in notes Additional Data Cuts by Clinician's Patients Age Nonsuicidal self-injury disorder (NSSI) • • • Ο (US) Youth Treater (42%) > Non-Youth Treater (22%) Suicidal behavior disorder Ο (US) Youth Treater (42%) > Non-Youth Treater (24%) Ο (UK) Non-Youth Treater (22%) > Youth Treater (11%) Obsessive-compulsive disorder (OCD) Ο (UK) Youth Treater (34%) > Non-Youth Treater (15%) Autism spectrum disorder (ASD) Ο (US) Youth Treater (34%) > Non-Youth Treater (16%) Ο Ο (UK) Youth Treater (66%) > Non-Youth Treater (16%) (BR) Youth Treater (20%) > Non-Youth Treater (9%) Additional Data Cuts by Specialty Anxiety disorders Ο (US) Therapist (96%) > Psychiatrist (81%) and Psychologist (88%) • • Ο (UK) Therapist (96%) > Psychiatrist (82%) and Psychologist (88%) Depressive disorders Ο (UK) Therapist (86%) > Psychiatrist (69%) and Psychologist (75%) Personality disorders Case 4:22-md-03047-YGR Filed 02/20/26 Page 54 of 73 Document 2756-55 (US) Psychiatrist (56%) > Psychologist (43%) and Therapist (38%) • Ο (UK) Psychiatrist (56%) > Psychologist (23%) and Therapist (15%) Ο (BR) Psychiatrist (69%) > Psychologist (34%) and Therapist (31%) Sleep-Wake disorders (e.g., insomnia, narcolepsy) Ο (UK) Psychiatrist (29%) > Psychologist (16%) and Therapist (8%) Attention deficit/hyperactivity disorder (ADHD) • Ο (UK) Psychiatrist (31%) > Psychologist (13%) and Therapist (16%) Ο • (BR) Psychiatrist (51%) and Psychologist (52%) > Therapist (29%) Eating disorders (e.g., anorexia, bulimia) Ο (US) Psychiatrist (35%) > Psychologist (18%) Ο (UK) Psychologist (47%) > Therapist (29%) • Ο (BR) Psychiatrist (44%) and Psychologist (39%) > Therapist (25%) Bipolar Disorder Ο (US) Psychiatrist (52%) > Psychologist (34%) Ο (UK) Psychiatrist (30%) > Psychologist (7%) and Therapist (5%) • • • • • (BR) Psychiatrist (49%) > Psychologist (26%) and Therapist (29%) Substance-related and addictive disorders Ο (UK) Psychiatrist (31%) > Therapist (17%) Ο (BR) Psychiatrist (42%) and Therapist (31%) > Psychologist (16%) Nonsuicidal self-injury disorder (NSSI) Ο (UK) Psychiatrist (40%) > Psychologist (19%) and Therapist (11%) Ο (BR) Psychiatrist (43%) > Psychologist (26%) and Therapist (25%) Suicidal behavior disorder Ο Ο (UK) Psychiatrist (37%) > Psychologist (11%) and Therapist (12%) (BR) Psychiatrist (45%) > Psychologist (28%) and Therapist (20%) Obsessive-compulsive disorder (OCD) Ο (UK) Psychiatrist (29%) and Psychologist (18%) > Therapist (8%) Autism spectrum disorder (ASD) Ο (US) Psychiatrist (26%) > Psychologist (13%) • Ο (UK) Psychiatrist (42%) > Psychologist (14%) and Therapist (18%) Ο (BR) Psychiatrist (17%) and Psychologist (16%) > Therapist (5%) Schizophrenia Ο (US) Psychiatrist (15%) > Psychologist (6%) Ο (UK) Psychiatrist (12%) > Psychologist (2%) [SHOW IF AT LEAST 1 ITEM = 3 IN O30] 040. You indicated that you have recommended the strategies below to patients as part of your treatment/management approach. [PIPE OPTIONS =3 IN O30, SHOW IN A TABLE WITH LINES SEPARATING EACH ROW, ONE OPTION PER ROW] Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 55 of 73 Over the past 3 months, for which of the following mental health diagnoses/challenges have you used one or more of these approaches? Diagnoses/Challenges [SHOW LIST FROM M30] Other: US BR: Grief (n=1) relationship problems (n=1) Medical patients (n=1) Adjustment disorders (n=1) parent child issue (n=1) Mild Neurocognitive Disorder (n=1) Adjustment disorder (n=1) Trauma and stressor related disorders (n=1) Grief support groups (n=1) Acute and chronic pain (n=1) TraumA diasociation (n=1) Chronic pain (n=1) Burnot, (n=1) Low self-esteem (n=1) Low self-esteem, affective lack (n=1) Support group to mounted by suicide (n=1) Oniomania (n=1) Relationship issues (n=1) Adjustment reactions (n=1) It was encouraged to have more contact with people in person. (n=1) Tept (n=1) PCTE with intellectual disability (n=1) Bulling (n=1) Prolonged hospitalization (n=1) Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 56 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 57 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 58 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 59 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 60 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 61 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 62 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 63 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 64 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 65 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 66 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 67 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 68 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 69 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 70 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 71 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 72 of 73 Case 4:22-md-03047-YGR Document 2756-55 Filed 02/20/26 Page 73 of 73