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Archives for January 2018

Is the term ‘broken brain’ hopeful and real or too negative and scary?

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If you experience anxiety, panic attacks, depression, memory or cognitive issues, ADHD or poor focus and someone suggests you may be suffering from a broken brain are you intrigued and hopeful that something that is broken can now be fixed OR do you consider the term broken brain too negative and scary?

I received this feedback from someone in my community when I shared my recent Broken Brain interview with Dr. Mark Hyman:

I’m looking forward to seeing the [Broken Brain] documentaries however I dislike the title. Everything that you say and think is affecting your brain. For me Broken is not a word with healing potencies but suggests that is something very bad happening in the brain. And maybe that is the case, but how we interpret our symptoms is very crucial for healing. In my opinion it could be Healing the Brain or something like that. I think is very important that the title implies positivity not fear!

I shared this feedback with her: “Thanks for sharing – you’re the 4th person in a day to say this. Prior to your feedback and hearing from 3 mental health colleagues earlier today I had not considered the name would invoke negativity and fear. One of my mental health colleagues shared with me that “referring to people as ‘broken’ is really stigmatizing and inappropriate.”

My thinking is that just like a leg is broken, the brain can be broken and can just as easily be fixed when we address the root causes. I’ve also watched the series (during the test run late last year) and have seen the wisdom, caring and compassion of the experts and Dr. Hyman, as well as the solutions and message of hope. I suspect that has swayed my opinion too. But I do see your point on being positive and solution-oriented without the fear aspect.”

What do you think?

It’s important that I serve my community well – and that’s you! If something concerns you I want to know so I can address it.  I also want you to know that I’m offering solutions hope and not wanting to create fear and negativity, so I posed this question on Facebook (together with the above feedback from the blog):

I’d love to hear your thoughts on the title of Dr. Hyman’s new Broken Brain docu-series?

What do you think? Good title? Bad title? And why?

The positive feedback: enlightening, fixable, hopeful

The majority of responses were positive feedback. Here are many of them:

  • Mary Anne McEvoy: I rather like the title. When I read the word “Broken” it brought my awareness to: “WOW – the brain can actually get ‘broken’!” I want to see the docu-series because of the word broken.
  • Cathcart Louque: I don’t mind the title at all. I work in mental health (as a Care Manger for a non-profit mental health organization helping low income people) and see “broken brains” everyday which could be so much better by diet, exercise, meditation etc. I wish something would shake people up into wanting to have better brain health. Dementia and Alzheimer’s can be at work ten, twenty, thirty years before it manifests but people continue to make bad choices. I hope his videos will bring enlightenment to many and more will be proactive! Me included 😀! Daily healthy choices are not always the easiest but boy it’s so worth it.
  • Susan McDuffie: This title may really speak to those who feel in dire straits. ‘Have tried everything, read everything, and still struggle.’ Sometimes it’s the darker words that actually resonate with people.
  • Wyndie: I’m not afraid of the word broken – it’s true. Some things break. But broken things can be fixed. When I hear that title, I don’t hear negative, I hear reality.
  • Holly Higgins, NTP: I love the title. It’s catchy, alliterative, and it’s the exact words that so many of my clients use to describe how they feel. I’ve heard this phrase over and over by people who feel like they’ve been harmed by psychiatry or have never felt like their brain was working right. We are all going to have different reactions. It’s clear from the content of the series and the character of the people involved that this was not meant to be offensive.
  • Marthe: I actually liked the title. I thought it was powerful and, to me, it inferred that brain issues are becoming common occurrences and that there are ways to heal.
  • Leslie Montano: It’s just a title. I like the alliteration. It’s catchy, easy to remember, and certainly effective in that way for marketing. It not stigmatizing, it is not directly calling any person broken, it is speaking about a part of the body generally. Things that are broken can be repaired. There is hope. And personally, 2 years ago before I fixed my diet and lifestyle, I felt broken. Broken brain explains EXACTLY what was going on and how I was feeling.
  • Sharleen McDowall: As a psychologist, I like the title. I see the title the same way you do – just like a broken leg. I think the title conveys a strong message and it is needed to spark the conversation about how we are treating our brains. Also, Dr. Hyman’s message focuses on how the broken brain can be healed which is very positive.
  • Lee Ann Foster: First of all, it’s a good, empowering series giving people a lot of useful and hope-inspiring information to care for their brain related issues. Secondly, as a 30-year old functional neuropsychology practice, Neurosource, in which we get to root issues and help re-regulate brain function through evidence based technologies and lifestyle interventions, we find that many people are relieved when we show them through 3-D neuroimaging how their brain is dysregulated – or one could say broken. We find people feel hopeful when they see their issues are physiological in nature (and can be helped), versus giving them stigmatized and often inaccurate or unhelpful mental health diagnostic labels that mean very little aside from labeling for insurance and pharmaceutical purposes. Just my two cents.
  • Pierce: For me the first step in healing is acknowledging that I’m broken at the moment. Then I focus on moving forward and healing for the long term.
  • Deena Louise: My son has tuberous sclerosis that has left him severely disabled with autism, MR and uncontrolled epilepsy….when my daughter, who is younger than him by 6 years, was able to understand that he was “different” than neurotypical people, she asked what was wrong with him….why didn’t he talk. She didn’t understand autism, so we just told her he had a broken brain. Some things can be fixed and some things can’t. She understood it when we said it that way. I think the title is fine…broken is just a word used to describe something that isn’t working right at the moment. Dealing with anxiety, menopause, insomnia and panic…my brain definitely feels broken! I can’t wait to watch the series, I don’t care what he calls it. I am grateful for all of these lovely functional medicine docs and scientists giving of their time and expertise to help so many.

The less than positive feedback: worthless, negative, insensitive

Three mental health professionals felt the term broken brain was stigmatizing but other than this, surprisingly few people had negative feedback. A few people resonated with words like repair or mend instead of broken, saying most people think of broken as worthless and negative, and can’t be fixed. One mom felt it was insensitive to the real struggles of depression and anxiety. Here are a few specific comments:

  • Donna: Broken brains aren’t as easily fixable as broken legs. Broken brain means Alzheimer’s or stroke or something equally scary to me. I think another word could have been used to get the point across…. whatever a broken but fixable brain is…
  • Missy Ruth: Our brains are not broken. They regenerate and grow and change and are incredible. However, they certainly can feel like they are not operating like we wish they would. Labeling the brain as “broken” is an example of inflammatory linguistics, and as human beings we create fear by using terms that exaggerate. We scare ourselves. Nobody’s brain is broken.

If you don’t like the term broken brain, I’m hoping you will get some inspiration and feel some level of comfort from the positive comments above and watch it anyway. You will see there are solutions, compassion and hope!

Also, many of my clients who use words like “negative, worthless, scary and fear”, do feel better when we look into low serotonin and address low levels with tryptophan or 5-HTP. Also, addressing gluten issues, poor gut health, low GABA, low zinc and so on – everything body-related that can affect the mind and brain. All of this is covered in the docuseries, other then the use of targeted amino acids, which I cover extensively in my book The Antianxiety Food Solution, in my newsletters and elsewhere on this blog.

An apology: integrity, compassion and hope

I really want to hear your thoughts but also want to offer Dr. Hyman’s apology if you are offended by the term broken brain. As soon as his team started getting feedback they issued this statement on his behalf:

Thank you for your comment. We completely understand what you are saying and we agree. So much of this docuseries is about Dr. Hyman’s personal health crisis and how he treated his own brain disorder. During this time Dr. Hyman felt like he had a broken brain. This is why we decided to call the title Broken Brain because the foundation of the series is about his personal journey. However, we do not think that everyone who is dealing with a brain disorder or a developmental disorder has a broken brain. We know that all individuals, including those with brain conditions, are fully complete people, each with their unique spirit. We hope that you’ll watch the series and understand that more than anything it’s about hope and about moving toward our best health!

I find this very thoughtful and it clearly reflects the level of his integrity and compassion.

In case you’re just hearing about the Broken Brain for the first time, here is the link to register for this 8-part docuseries and my highlights video interview with Dr. Hyman (together with the transcript)

So, what do YOU think? Is broken brain a good title or term? Or a bad title or term? And why?

(With appreciation if you already provided feedback and for giving me permission to share it here. This is a good discussion to have!)

Histamine issues: IBS, fatigue, brain fog, anxiety, depression, migraines

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Dr. Ben Lynch is hosting the Dirty Genes Summit Jan 22-39 and he shares this about you and your genes:

You are not a victim of circumstance… born with bad genes, destined to die of whatever your family tree has genetically bequeathed you.

The way your genes express is unique – and it can change throughout your life. 

Knowing how to create that change is vitally important and you’ll see how clear this is in his wonderful histamine interview with Yasmina Ykelenstam of Healing Histamine.

I love the bucket analogy where Yasmina shares about histamine and inflammation:

Imagine the body as a giant bucket and there is only so much inflammation you can put into it before our inflammation causing behaviors that you can fill it up with before you spill over symptoms. So let’s say you fill it with a few high histamine foods; then you feel it up with stress; then you fill it up to being exposed to animal hair (dander); then pollen season starts; and woah, we’re right, right, right at the top; and then we eat an apple which is not high histamine, it doesn’t cause inflammation, in fact, it’s anti-inflammatory; and suddenly we spill over because the active digestion itself is an inflammatory process.

We blame the poor little apple and not the hamburger we ate the week ago that started the inflammation bucket filling up. We don’t blame the puppy because we love the doggy so much. We certainly don’t blame our stress because we don’t want to take too hard a look at our lives and how difficult it would be for us to make changes, steps to take real steps to handle our stress and to start meditating or to remove stressful processes from our life because that’s just too much for us to handle

She shares how you can combat some of this by adding foods with

anti-properties: anti-histamine and anti-inflammatory properties…I just stopped eating the wrong high histamine foods, the processed ones, the sugary ones, the ones that added nothing to my life beyond the two seconds in my mouth.

Dr. Lynch asks Yasmina to list symptoms she experienced in this midst of her histamine issues (many of which are commonly seen in individuals with histamine issues)

IBS, which is mostly loose stools or being totally bound up so you can’t go to the bathroom for 8 days and they tend to go back and forth… severe swelling of the stomach – what I call basketball stomach… At my worse, it was projectile vomiting and constant nausea, and constant until it went away… chronic migraines. I once had migraines every day for six months before they went away. Common symptoms include dizziness, brain fog, low blood pressure, feeling dizzy when you stand up… really, inability to think straight is a really, really big one. It’s kind of like somebody almost puts a wet blanket over your brain. It tends to happen after you eat.

She also shares how fatigue after eating is often an issue. And how intolerance to alcohol is a factor, specifically red wine:

Most people do better with tequila, vodka, rum and gin, although alcohol paralyzes the thiamine oxidase, histamine degrading enzyme.

There is also a mental health impact from histamine issues – histamine is a neurotransmitter – and Yasmina shares how this may impact you:

…it affects dopamine, GABA, serotonin, and it can make us depressed. It can also make us manic as I discovered in my teens. It can mimic the symptoms of bipolar disorder and also schizophrenia. There’s been a few interesting studies where certain types of antihistamines that are not available on the market were able to reverse schizophrenia symptoms better than antipsychotic medications.

Anxiety is also a very, very big histamine symptom and whenever I see somebody who has a histamine problem, they do tend to be quite stressed out and kind of the chicken or the egg, which came first. But definitely histamine causes more stress and anxiety and that again is in the medical research.

This statement about symptoms rotating was new to me and may be new to you too:

It has to be consistent and then it goes away and then it comes back again. That’s what’s really confusing about histamine because: 1. It mimics many disorders, and 2. The symptoms rotate

All in all, this is a fascinating interview and well worth listening to!

Join the summit and you will learn that your genes can be turned off or on and this event will teach:

  • How Do Your Genes Impact You?
  • How to Clean Your Genes With Food
  • About Your Genes and Your Mental Health
  • How to Alter Your Genetic Expression
  • The Building Blocks of Healthy Families (and generations!)
  • An Understanding of How Your Genes Work
  • Genetic Testing and How to Clean Up Your Genes for the Long Term

Register for the Dirty Genes Summit here – to hear this entire interview and learn from Dr. Ben Lynch and the other experts he interviews.

Hope you can join!

Serotonin, leaky gut and leaky brain on The Broken Brain docuseries

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The Broken Brain docusersies, hosted by Dr. Mark Hyman airs January 17-25th .

Here are some wise words of wisdom from 3 of the 57 expert speakers – on the powerful gut-brain connection (covered on day 2).

And let us not forget the term Dr. Hyman uses to describe this: somatopsychic = mental symptoms caused by bodily illness. Issues in the gut – like food sensitivities, dysbiosis, SIBO, inflammation, parasites and so on – may be some of the root causes of your anxiety and/or depression. This is also known as body-mind medicine, which is different from mind-body medicine.

The relationship of the gut to the brain is physical and chemical. We talk about serotonin, dopamine and other neurotransmitters. The lion’s share of these chemicals are not made in the brain. They are made in the gut. ~ Dr. David Permlutter, MD, author of Grain Brain and Brain Maker

What most doctors don’t realize is that when you have leaky gut, the identification markers are the same identification markers that affect the blood-brain barrier. That’s leaky brain. ~ Dr. Tom O’Bryan, DC, author of The Autoimmune Fix

When our gut becomes inflamed, it produces chemicals the cross our blood brain barrier, and suppress the activity in the frontal cortex. And that produces all the telltale signs and symptoms of depression [and anxiety]. ~ Chris Kresser, MS, Lac, author of Unconventional Medicine

Save the date for the 8 -part Broken Brain docusersies, hosted by Dr. Mark Hyman – and register here. It airs January 17-25th

Here’s a list of ALL the episodes, to showcase just some of what you will have access to. Each episode will be available for 24 hours, at no-cost!

  1. The Broken Brain Epidemic / Dr. Hyman’s Story (January 17)
  2. Gut Brain Connection: Getting to The Root of a Broken Brain (January 18)
  3. Losing Your Mind (Alzheimer’s, Dementia, MS, and More) (January 19)
  4. ADHD and Autism (January 20)
  5. Depression & Anxiety (January 21)
  6. Traumatic Brain Injury: Accidents, Sports, and More (January 22)
  7. 7 Steps to An UltraMind (Part 1) (January 23)
  8. 7 Steps to An UltraMind (Part 2) (January 24)

Enjoy!

Trichotillomania: NAC, GABA, tryptophan, inositol and zinc?

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This recent paper reports on a case study with NAC – Trichotillomania: a good response to treatment with N-acetylcysteine

Trichotillomania is considered a behavioral disorder and is characterized by the recurring habit of pulling one’s hair, resulting in secondary alopecia. It affects 1% of the adult population, and 2 to 4.4% of psychiatric patients meet the diagnostic criteria. It can occur at any age and is more prevalent in adolescents and females. Its occurrence in childhood is not uncommon and tends to have a more favorable clinical course.

The scalp, eyebrows and eyelashes are the most commonly affected sites. Glutamate modulating agents, such as N-acetylcysteine, have been shown to be a promising treatment. N-acetylcysteine acts by reducing oxidative stress and normalizing glutaminergic transmission. In this paper, we report a case of trichotillomania with an excellent response to N-acetylcysteine.

In this case report an 11 year-old male student had been pulling his hair out for 6 months. He had a relationship problem with this father and also suffered from asthma and dermatitis. He was started on NAC:

Treatment with N-acetylcysteine was initiated ​​(1200 mg/day for three months). The patient’s outlook improved dramatically, but complete remission was not achieved. We chose to increase the dosage to 1800 mg/day, which resulted in almost complete regrowth.

[From: Trichotillomania: a good response to treatment with N-acetylcysteine]

In this paper from 2009, N-acetylcysteine, a glutamate modulator, in the treatment of trichotillomania: a double-blind, placebo-controlled study, it is reported that

  • Fifty individuals with trichotillomania (45 women and 5 men) received 1200-2400 mg/day of N-acetylcysteine or placebo over a 12-week period.
  • 56% percent of patients experienced “much or very much improved” hair-pulling symptoms with N-acetylcysteine use compared with 16% using the placebo, and the improvements were first noted after 9 weeks of supplementation.
  • Those in the N-acetylcysteine group did not experience any adverse events.

As you can see, the results with NAC are excellent but it can take 9 weeks and more before results are seen. For this reason, I would always also assess for low serotonin and low GABA and do trials of tryptophan or 5-HTP for low serotonin and GABA for low GABA. With any compulsive and obsessive behaviors I always consider inositol too and we may add this once the ideal dose of tryptophan has been found.

What is my rationale for recommending GABA, tryptophan, 5-HTP and/or inositol?

  • Since NAC works on reducing oxidative stress and normalizing glutaminergic transmission, GABA may help too and will certainly help to ease any physical anxiety that is being experienced
  • “Recommended first-line therapy for this psychiatric condition is administration of SSRIs” even though their efficacy is not yet proven in children – for this reason I’d recommend tryptophan or 5-HTP
  • Also “according to the psychiatric definition, these patients pull their hair because the act is gratifying and reduces tension, anger, depression and anxiety” (these are all signs of low serotonin and another reason to consider tryptophan or 5-HTP)
  • Because they offer relief right away, within 1-5 minutes

A complete nutritional and functional medicine work-up would be part of the plan too – to address the asthma and dermatitis (in the first paper above) and any other symptoms the person is experiencing and may be a contributing factor.

I’d expect the 56% of improved patients (in the second study above) to go to a much higher percent with all of the above approaches.

When I shared these papers on Facebook I was asked this question from someone who pulls out her eyelashes:

I pull my mascara off what is left of my eyelashes every night. I try my hardest not to do it but I find it impossible once I’ve touched my lashes. I’m about to start taking GABA and I was thinking about taking NAC. Would it be a bad idea to take both these amino acids?

This is my feedback: I always like to do one thing at a time and (as mentioned above) I would do the amino acid questionnaire and a trial of tryptophan and GABA first if the scores are high, and then look at adding NAC. If there are still some obsessive tendencies I would consider adding inositol. I am not aware of any issues with using all of these nutrients at once.

Someone else asked this:

Wouldn’t you deal with the psychological cause of it too – at the same time?

My response: Yes absolutely – if there is a psychological cause. But be aware that sometimes it’s purely nutritional or biochemical.

Another person shared that she only exhibits these behaviors when she’s stressed. Of course, the nutrients mentioned above, plus dietary changes, adrenal support, improving gut health and everything that I educate about, are important for reducing stress.

I also received some success stories. Here is one of them:

I’ve struggled with trichotillomania and dermatillomania (skin picking) for years and years. I underwent hypnosis that was extremely effective. When I added in zinc (after reading your book) the urge is almost completely gone. Thank you!

Keep in mind that zinc is a co-factor for making serotonin and GABA, is important for overall adrenal support and stress reduction, is needed for glutathione production and works as an antioxidant. I’d actually love to see these studies repeated with zinc alone.

And then I received this message from someone else:

I’m messaging you my answer about NAC because it’s slightly embarrassing I’ve always had terrible acne and always have picked at it obsessively and could not stop until I was given some supplements for PCOS which happened to contain NAC. To my surprise I lost the compulsion to pick at my skin, something I had never thought possible!

How wonderful for both of them! I always appreciate feedback like this and have to say nothing is too embarrassing to share (especially if it helps someone else).

Have you used NAC with success – with trichotillomania or dermatillomania (skin-picking) or even nail-biting? Or some other compulsive behavior?

What about GABA or inositol or tryptophan or zinc (or something else) for the same purpose and/or for additional emotional and stress-reducing support?

The Broken Brain highlights: Trudy Scott interviews Dr. Mark Hyman

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I’m really excited to share my in-person video interview with Dr. Mark Hyman, MD. It’s an interview I arranged because I’m so excited about his Broken Brain docu-series which will start airing on January 17th. You may have seen it when they recently did a test launch but if you haven’t yet seen the series it is well-worth watching and is highly recommended! (Registration link here)

In this interview with Dr. Hyman we talk about root causes of anxiety, depression, dementia, Alzheimer’s disease and ADHD: medication side-effects, diet, the microbiome, nutritional deficiencies, brain chemical imbalances, heavy metal toxicities and more; he shares his personal mercury toxicity story and the why behind the Broken Brain series; we cover off-label medications, trauma, labels and functional medicine.

I love the term he uses to describe body-mind medicine (which is different from mind-body medicine): somatopsychic = mental symptoms caused by bodily illness i.e. all of the above root causes.

One of the big reasons I’m supporting The Broken Brain docu-sersies is that it offers solutions and plenty of hope!

Here is the interview and transcript.

(there are captions on the video – if you don’t see them be sure to click the CC on the bottom right)

Trudy: – Welcome, it’s Trudy Scott here, food mood expert, certified nutritionist, author of The Antianxiety Food Solution, host of The Anxiety Summit, and today I’ve got the pleasure of interviewing Dr. Mark Hyman, who is the creator and host of the new Broken Brain series, and I’m just really excited to be here. I’ve been such a fan of yours for so many years. I know my community knows who you are, and they’re really excited about the Broken Brain series. I wanted to get together with you, and give some highlights, and talk about firstly why you created the Broken Brain series, and you’ve got a story behind your passion about it.

Dr. Mark Hyman: – I do. I do. Thank you for having me. Yeah, so about 20 years ago, I went from being a very healthy young doctor to having a broken brain, and a broken body, and it turned out it was from mercury poisoning that I got when I was in China, and I just developed severe chronic fatigue, where I couldn’t focus, I couldn’t remember, I couldn’t think, I couldn’t pay attention, I was depressed, I couldn’t sleep, I felt just completely not myself, and through that journey, was able to discover this world of functional medicine, which I thought was fairly developed at the time, but was really just in its infancy, and through discovering functional medicine, I was able to repair my own system, and fix my broken brain. I began to apply this with patients, seeing all kinds of things, without really knowing what I was doing, I was just treating people’s physical systems, fixing their gut, helping their immune system, cleaning up their diet, optimizing their nutritional status, balancing their hormones, and all their mental problems would get better. Their anxiety would get better, their depression would get better, and I wasn’t actually treating the depression or anxiety. Autism, ADD, memory issues, dementia, all these things would start to get better, and I began to realize that the body was driving a lot of this brain dysfunction, and that if you fix the body, a lot of the brain disorders would get better, that it wasn’t a primarily a mental problem, but it was a physical problem. Just as there’s a mind body effect, which is real, there’s also a body mind effect and that hadn’t been really talked about, so I wrote a book called The UltraMind Solution 10 years ago, which outlined this model, and then really this has been an incredible 10 years of brain research that I felt needed updating, and so we created a documentary series online looking at the new research, and how this applies, and the things that I noticed 10, 15, 20 years ago are now becoming more and more accepted and understood as real, and so we’re able to actually work with people in a very specific and direct way to help heal their broken brains, and to help people recover from things that we thought were really irreversible, not just anxiety, depression, but ADD, autism, dementia, Parkinson’s, all sort of issues that affect the brain that have a very different approach that can be used to repair and heal.

Trudy: – That’s so powerful, and I love that you talk about this effect that the body has on the brain, because we know about mind body medicine, you talk about that in the series, about how we can use our mind to affect our health, but you use this term. Tell me what the term is that you use that talks about how physical issues in our body, nutritional deficiencies, imbalances, can actually affect the brain.

Dr. Mark Hyman: – You mean the body mind effect?

Trudy: – Yes.

Dr. Mark Hyman – Yeah.

Trudy: – You’ve give it a term, and it was called?

Dr. Mark Hyman: – Oh, somatopsychic.

Trudy: – Somatopsychic, yes.

Dr. Mark Hyman: – We think of psychosomatic, but there’s also a somatopsychic phenomena. I would say if you have mercury poisoning, or you have a thyroid problem, or you have abnormal gut flora, or you’re vitamin D deficient, or B12 deficient, it’s very hard to have a proper functioning brain. You can’t just say someone’s got depression, that’s what’s causing their hopelessness, and helplessness, and sadness, and maybe many other things, it could be psychological, it could be a trauma, but it also could be so many other factors, and they often are overlooked and ignored, and when I start peeling back the layers of what’s happening with these people, and looking underneath the hood, and looking through the functional medicine lens at the body as a system, and correcting the imbalances, it’s shocking to me what happens. I always remember when I start applying this, I was like, wow, you got better? I can’t believe it. You shouldn’t really get better, according to Western medicine.

Trudy: – Amazing, and you mention trauma. Even if someone has experienced trauma, if their nutritional status is good, they’re able to deal with it better.

Dr. Mark Hyman: – Right.

Trudy: – And maybe have less symptoms of post-traumatic stress.

Dr. Mark Hyman: – That’s right.

Trudy: – If they have a good nutritional status, and there’s a lot of good research supporting that.

Dr. Mark Hyman: – Absolutely.

Trudy: – You talk about that in the series as well.

Dr. Mark Hyman: – Yeah, absolutely. Your brain has the ability to be resilient, but if you’re nutritionally depleted, and if you’re having all sorts of inflammatory problems, if you’re eating foods you’re reacting to, or allergic to, your brain can’t work properly, so your baseline is going be much lower, but if you fix all those things, then your capacity to deal with your psychological issues, it’s not that they don’t exist, it’s that your ability to cope with them, to work through them, to heal and repair the more difficult things, which are early life traumas, or abuse, or addiction, these are much easier to deal with once you fix the basic constitution of the person.

Trudy: – Right. Now one thing that you talk about a lot in the Broken Brain series, which I really appreciate, is the fact that there’s so much over-medication.

Dr. Mark Hyman: – Yeah.

Trudy: – Can you talk a little about it today? And I know with your story, you also had anxiety, depression, and you were prescribed medications as well.

Dr. Mark Hyman: – Yeah.

Trudy: – So this is common.

Dr. Mark Hyman: – Yeah.

Trudy: – You talk about antipsychotics. You shared some pretty scary stats on the increase that we see.

Dr. Mark Hyman: – When you look at it, it kind of goes up and down, but psychiatric medication as a whole, is the number two or three most prescribed category of drugs in America, and increasing across the globe, and it’s being used instead of dealing with the real issues, and they don’t really even work that well. I mean, anxiety medications can work, but antidepressants have been shown really not to work that well for mild to moderate depression. For severe depression, they can be helpful, and they can be life saving for some people, but they’re not a panacea, and when I was a kid, there was that one kid in the class, Patty Ainsworth, who was a troublemaker. Now it’s like 10% of the class is on ADD medication. That’s a problem.

Trudy: – It is.

Dr. Mark Hyman: – And when we see one in four people have depression in their lifetime, and if the knee jerk reaction is medication, it just sort of gives people a sense of numbness, but it doesn’t really deal with the issue. So I think we are way over-medicated, and on top of that, there’s pushing of medications for off-label use, which means that they’re not approved for those indications. So they’re doing this for kids with antipsychotics, and they’re actually been sued. So the pharma companies have been held liable for promoting these drugs for off-label uses, which they’re not allowed to do, for kids. They get fined billions of dollars, but they don’t care because they’ve made umpteen more billions, and they just see it as a marketing expense. So it’s really discouraging to see what happens to the pharmaceutical use in this space, because even for example, ADD is so fixable by dealing with the root causes, and most of us not are not even trained how to think that way.

Trudy: – That’s why I love the Broken Brian series, because it offers a message of hope, offers some practical solutions, and it empowers the person who’s suffering from the brain disorder, whatever it is, anxiety, depression, dementia, you name it, empowers them with solutions, and I think the other thing is it’s going to give curious practitioners who are not on board with this functional medicine approach some insights into what the future may hold, which I think is very promising.

Dr. Mark Hyman: – Yeah. It’s very powerful. I remember this guy who read my book, The UltraMind Solution, which is really what the Broken Brain series is based on, and he was a doctor, and he had a kid with autism, and he said, “We’re so desperate. Our kids was five, he wasn’t talking. We just started with the diet. We just got him off gluten, casein, and a few days later, all of a sudden, he started talking in full sentences,” and this is a skeptical physician who witnessed this, and I see this all the time. Patients, for example, have Alzheimer’s, or dementia, or diagnosed with dementia, and it turns out they have other issues. They have heavy metal poisoning, or they might have Lyme disease in the brain, or they might have severe nutritional deficiencies, or they might be insulin resistant with high levels of sugar in their diet that are affecting their brain, and you can fix those things. There may still be issues left over, but it’s going to be much easier to deal with those after.

Trudy: – Get to the root cause, and address those root causes.

Dr. Mark Hyman: – That’s right. That’s the purpose of functional medicine, which is a medicine of why, not what, and we have all these labels, but you know, if someone comes into my office, and they’re hopeless, and helpless, have no interest in life, can’t focus, can’t sleep, don’t want to have sex, I know what’s wrong with you. Depression, but depression isn’t the cause of those symptoms, it’s the name of the symptoms. It doesn’t tell you what’s really wrong with that person. It’s could be a host of things, from low thyroid, to gluten, to mercury poisoning, to vitamin D deficiency, to B12 deficiency, to insulin resistance. All these factors can lead to depression. Same syndrome, but different causes. So I’m much more interested in addressing the causes, then you don’t have to use the medication.

Trudy: – And some people have an issue with gluten, and have autism symptoms, and someone else can have depression or anxiety or dementia.

Dr. Mark Hyman: – That’s right.

Trudy: – So it can affect different people in a different way.

Dr. Mark Hyman: – That’s a very good point. So in functional medicine, we see that one disease can have many causes, but on the other hand, one causative factor can create many diseases. For example, heavy metals may cause dementia, or autism, or depression, or anxiety, or insomnia, or gut issues can cause all these various things that are not one disease, or for example gluten, like you mentioned, can cause autoimmune disease, can cause cancer, can cause diabetes, can cause osteoporosis, can cause anemia, can cause depression, can cause even dementia. So how do you begin to think about it? Our current naming of diseases doesn’t make any sense. So all the labeling, if you look at the diagnostic criteria, we have something called the DSM-5, which is the diagnostic and statistical manual that categorizes and catalogs all the psychiatric disorders, and they’re all categorized by symptoms. So it’s all descriptive. It’s says if you have these five symptoms, you have this, but it doesn’t tell you why, and it doesn’t really help you, other than giving you a label, which doesn’t mean anything about helping you understand what’s really going on.

Trudy: – And then you’re on a medication that’s going to give you side effects, and not actually get to the root cause of the problem.

Dr. Mark Hyman: – Right.

Trudy: – And yeah, just make some nutritional changes, addressing the thyroid, getting off gluten, addressing the gut – big session in the Broken Brain series.

Dr. Mark Hyman: – Yeah, it’s huge.

Trudy: – The gut brain connection.

Dr. Mark Hyman: – I mean, we’re just learning about this. For example, for years one of the main ways I treated the brain was fixing the gut, and that means optimizing the flora, getting rid of bad bugs, helping heal leaky gut, and we just did it, we didn’t really have a deep understanding other than we knew the microbiome was important, but now we know, for example, that there are more bacterial molecules in your blood than your own molecules, that you have 10 times as many bacterial cells in you as your own cells, 100 times as much bacterial DNA, and that DNA is all producing proteins, and all those proteins, you have 20,000 genes, there’s two million genes of bacteria in you, and they’re all producing molecules that are entering your blood stream, and driving all sorts of biological reactions, that aren’t even human molecules. So we have to begin to sort of how do those affect the brain and what’s going on? And it’s very powerful.

Trudy: – And so much research in this area, it’s just growing and growing.

Dr. Mark Hyman: – Yeah.

Trudy: – So you mentioned earlier that you wanted to do this because of all the new research. There is so much research on the gut brain connection, nutritional psychiatry. Dr. Drew Ramsey talks about this recent study on depression, and just getting people onto a real whole foods diet, and how 30% saw remission of symptoms, just changing their diet.

Dr. Mark Hyman: – Of course.

Trudy: – Not even going gluten free. So it’s powerful. These small changes can have powerful effects.

Dr. Mark Hyman: – Profound, profound effects

Trudy: – Well, thank you so much.

Dr. Mark Hyman – Thank you.

Trudy: – For your wonderful work that you do. And for making time today. I highly recommend the Broken Brain series with Dr. Mark Hyman, all the wonderful experts.

Dr. Mark Hyman: – Oh, so many. We’ve got 57 experts.

Trudy: – Amazing, some of our favorite functional medicine practitioners.

Dr. Mark Hyman: – Yeah.

Trudy: – Thank you.

Dr. Mark Hyman: – Thank you.

(I’m a tad disappointed that there is the background noise of people talking – and apologize – but I am hoping the great content overrides this and it’s not too distracting.)

Save the date for the 8 -part Broken Brain docusersies, hosted by Dr. Mark Hyman – and register here. It airs January 17-25th

Here’s a list of ALL the episodes, to showcase just some of what you will have access to. Each episode will be available for 24 hours, at no-cost!

  1. The Broken Brain Epidemic / My Story (January 17)
  2. Gut Brain Connection: Getting to The Root of a Broken Brain (January 18)
  3. Losing Your Mind (Alzheimer’s, Dementia, MS, and More) (January 19)
  4. ADHD and Autism (January 20)
  5. Depression & Anxiety (January 21)
  6. Traumatic Brain Injury: Accidents, Sports, and More (January 22)
  7. 7 Steps to An UltraMind (Part 1) (January 23)
  8. 7 Steps to An UltraMind (Part 2) (January 24)

I hope you enjoy it and get as much out of it as I did!

I actually flew from Sydney to LA for this opportunity to meet and interview him, and share more about the Broken Brain series, and I’m so glad I did! It was the first time I’d met Dr. Hyman in person and it truly was an honor to be in the company of this great man who is doing so much in the functional medicine world! Again, here is that link to register

Please share if any of this resonates with you – what solutions you have found have helped you and/or what you are working on addressing now?

AN UPDATE: there has been some feedback on the term “broken brain” being too negative and even scary so I gathered some feedback and share it in this blog: Is the term ‘broken brain’ hopeful and real or too negative and scary? I really want to hear your thoughts if you are offended by the term broken brain.  I also want to share Dr. Hyman’s apology.