natural disaster

Nutrition solutions for psychological stress after a natural disaster

September 8, 2017 By Trudy Scott 4 Comments

There is much that can be done nutritionally in support of psychological stress and PTSD (post-traumatic stress disorder) during and after a natural disaster. I’ve written this blog for you if you’ve been impacted by the recent storm and flooding due to Hurricane Harvey in the Houston area (the pictures of people returning home are so sad), and for everyone impacted by Irma and about to be impacted by Irma. This is for you if

you had to be rescued and had to evacuate your home, are displaced and/or saw neighbors in trouble, have lost your belongings and home – and anything else that may have happened during this natural disaster
you have been involved in on-the-ground rescue efforts or working online helping with rescue efforts and you have working long hours, not getting enough sleep and likely not eating well
you had a loved one in trouble and feared for their lives
and if you’re on observer feeling distressed by what you have witnessed

You may be feeling on edge and anxious about the future, fearful about losing your job, worried about expenses and the chemical soup of flood waters you were exposed to, exhausted and yet not able to sleep, feeling overly emotional and weepy, having nightmares and flashbacks and feeling frazzled.

I wasn’t even in Texas and my contribution was a very small one, helping online rescue efforts from Australia via a volunteer rescue group created by McCall McPherson, but I felt really burned out after just a few days and quite distressed by some of the rescues we were trying to facilitate. I have had to really walk my talk and implement some of what I’m sharing here even though I would consider myself resilient because my nutrient balance is good.

B-Complex for everyone

My first recommendation is a B complex and if this is all that can be managed it would be my first choice for everyone. In fact, if you live in an area prone to hurricanes, flood, fires etc. I’d recommend being on a B complex all the time.

My colleagues Bonnie Kaplin and Julia Rucklidge published this paper in 2015: A randomised trial of nutrient supplements to minimise psychological stress after a natural disaster. They share that:

After devastating flooding in southern Alberta in June 2013, we attempted to replicate a New Zealand randomised trial that showed that micronutrient (minerals, vitamins) consumption after the earthquakes of 2010-11 resulted in improved mental health. Residents of southern Alberta were invited to participate in a study on the potential benefit of nutrient supplements following a natural disaster.

Fifty-six adults aged 23-66 were randomised to receive one of the following for 6 weeks:

vitamin D as a single nutrient
a B-Complex formula or a
broad-spectrum mineral/vitamin formula

The study participants monitored changes in depression, anxiety and stress via self-reporting. All of the above 3 groups showed substantial decreases on all measures. However, those consuming the B-Complex and the broad-spectrum mineral/vitamin formula showed significantly greater improvement in stress and anxiety compared with those consuming the vitamin D alone, with the results being similar for the group using the B-Complex and the broad-spectrum mineral/vitamin formula.

The authors report that:

The use of nutrient formulas with multiple minerals and/or vitamins to minimise stress associated with natural disasters is now supported by three studies.

Further research should be carried out to evaluate the potential population benefit that might accrue if such formulas were distributed as a post-disaster public health measure.

I would love to see either a B-Complex or broad-spectrum mineral/vitamin formula be given out to everyone as part of relief efforts for all natural disasters.

The B-Complex used in the study was made by Douglas labs but other similar B-Complex products would be fine too. I happen to use Designs for Health B Supreme with my clients.

The broad-spectrum mineral/vitamin formula in the study was EmpowerPlus made by TrueHope.

From: A randomised trial of nutrient supplements to minimise psychological stress after a natural disaster

Vitamin D based on levels

In the above study, some participants in the vitamin D group did see benefits and it’s likely to have been those who were low in vitamin D at the time of the flooding since other research supports a connection between low vitamin D and anxiety and depression. I like to see vitamin D results before recommending supplementation.

Serotonin, GABA and endorphin support based on symptoms and a trial

As well as a B-complex and/or vitamin D, I’d also consider the following neurotransmitter support on a case by case basis, and after doing the amino acid questionnaire and a trial of each amino acid:

Serotonin support with Lidtke tryptophan or Lidtke Tryptophan Complete or Lidtke Combat Stress (a tryptophan product formulated for stress support) – especially if you’re feeling sad, worried, resolving to try and feel positive, imagining the worst, feeling fearful and having problem sleeping. I blogged about tryptophan products last week.
GABA support for physical tension and an increased need to self-medicate with alcohol in order to stay calm. New research shows that reduced plasma levels of GABA observed in PTSD could be considered as a possible biomarker for PTSD severity. This is not something I typically look at but it’s something I will be considering going forward. I blogged about some specific GABA products earlier this week.
Endorphin support with Lidtke DPA if you’re feeling especially emotional and weepy.

Serotonin and GABA play a role in stress resilience and when we have enhanced stress resilience mechanisms we have the ability to adapt more successfully to stressful situations like natural disasters.

Additional adrenal support if needed

The adrenals are part of the hypothalamic-pituitary axis (HPA) and also need nutritional support after stress and trauma. I recommend a good adrenal support product with rhodiola, Vitamin C, pantothenic acid, eleuthero and ashwagandha. Designs for Health Adrenotone is a good product.

If it’s known that cortisol levels are high then the addition of Seriphos and/or a lactium product (such as Biotics Research De-Stress) helps to lower high cortisol, reduce anxiety and help with insomnia.

Additional pyroluria support if needed

It is well known that pyroluria symptoms are made worse in times of heightened stress. If you are on protocol for pyroluria, additional zinc and vitamin B6/P5P is likely going to be needed short-term too.

Essential oils

Essential oils like lavender and citrus are wonderful for the stress, anxiety and sleepless nights. An animal study reports that passively inhaling orange essential oil could potentially reduce PTSD symptoms in humans

Some other considerations include the following once things start to get back to some kind of normal:

trying to eat as well as you can and not skipping meals
trying to get enough sleep (the GABA and tryptophan support mentioned above can help in this area)
getting outside into nature as soon as it’s possible. If this is impossible right away, simply looking at images of nature can help you feel calmer, less irritable, and more empathetic. I hope you enjoy this flower photograph I took in Australia!
meditating and doing yoga
community support and helping others if you’re able to
getting a cat or dog (veterans who were given pet dogs showed significant improvement in their PTSD symptoms)

I would recommend a similar approach for any natural disaster or in fact for any other traumatic event, always working individually with each person.

If you have found some approach to be particularly useful for you please do share it.

And if you have any connections for getting this information into the hands of public health officials and non-profits offering aid please let me know. I feel that protocols similar to this one need to be made available to everyone subjected to a natural disaster.

I wish you and your families much healing and a speedy recovery.

Additional resources

I added these additional resources after September 20, 2017:

How to Stay Safe in a Disaster: Emergency Preparedness List by Katie Wells on the Wellness Mama blog. She says this: “The point of putting together an emergency preparedness plan is not to create any undue anxiety, but to help alleviate some of the stress of a disaster in case it hits.”
What to Do After a Hurricane: The Dangers Lurking Beyond the Storm by Dr. Jill Carnahan. This blog addresses both mold and bacteria in flood waters, and practical steps on how to deal with these issues. Mold needs to be taken seriously – I interviewed Dr. Carnahan on the topic of mold toxicity and anxiety during one the Anxiety Summits – Is Toxic Mold the Hidden Cause of Your Anxiety?
My Flood Story and What to Do About Mold by Dave Asprey. This blog offers practical solutions on how best to do clean-up after a flood and the dangers of mold. He is also very kindly making his documentary, Moldy available for viewing at no charge.
Beyond Meditation: Making Mindfulness Accessible for Everyone by Mira Dessy and Kerry McClure. Mira is a dear friend whose home was flooded by Harvey and went I spoke to her last week she shared how much her meditation practice has been helping her. I love that she has a book on the topic so that it can be shared far and wide to help those affected.
My book The Antianxiety Food Solution: How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood and End Cravings, available in major books stores and via online stores like Amazon. You can find out more here.
I am also the host of The Anxiety Summit, now in it’s 4^th season and called a “bouquet of hope”. It’s a wealth of information on all topics related to anxiety. More on the Anxiety Summit here.

If you have links to additional useful resources please let me know and I’ll add them.

The surprisingly dramatic role of nutrition in mental health: Julia Rucklidge at TEDx

November 16, 2014 By Trudy Scott 27 Comments

Julia Rucklidge

Julia Rucklidge, PhD, researcher from New Zealand, recently did this amazing TEDx talk called: The surprisingly dramatic role of nutrition in mental health

I love how she opens with:

what I’m going to share today may sound as radical as hand-washing sounded to a mid-19th century doctor and yet it is equally scientific. It is the simple idea that optimizing nutrition is a safe and viable way to avoid, treat or lessen mental illness. Nutrition matters. Poor nutrition is a significant and modifiable risk factor for the development of mental illness

Here are some real gems from her talk:

A well-nourished body and brain is better able to withstand ongoing stress

When people get well they get well in all areas: improved sleep, mood stabilization, reduction in anxiety and less need for cigarettes/cannabis/alcohol.

My research and other research from around the world show 60-70% of people respond to micronutrients – this shows just how powerful this intervention is

We should focus on food and lifestyle changes and exercise first, then therapy and save medications for when these approaches don’t work

I’d like to share the ending of Julia Rucklidge’s talk. She shares the story of how limes on ships in the 1600s eliminated deaths from scurvy but that it took 264 years for the British government to mandate the use of citrus on ships. She closes with this profound question and challenge:

How long will it take us to recognize that that sub-optimal nutrition is contributing to the epidemic of mental illness? Nutrition matters!

Bravo Julia! And thank you for all the great research you’re doing! We appreciate you!

UPDATE: June 8, 2018

I have decided to update the blog and share it again because Professor Rucklidge is sharing powerful research-based evidence about food-as-medicine for mental health and her talk is being flagged/censored by TEDx and this is not acceptable!

Professor Bonnie J. Kaplan, PhD, from the University of Calgary shared this information with me via an email:

There have been almost 900,000 views of Julia Rucklidge’s TEDx talk on nutrition and mental health, with many complimentary comments. Last week, however, the TED organization inexplicably “flagged” the video with the following comment:

“NOTE FROM TED: We’ve flagged this talk, which was filmed at a TEDx event, because it appears to fall outside TEDx’s curatorial guidelines. There is limited evidence to support the claims made by this speaker.”

Julia has attempted to educate the TED people regarding the fact that over 35 peer-reviewed publications could hardly be described as “limited evidence,” and that her interpretations do not go beyond the data. But they are not interested in her evidence.

The whole thing seems so strange: isn’t TED supposed to be all about innovation? But clearly, some lobbyist has convinced them that a non-pharmaceutical treatment should not be respected.

I’m sharing it again and updating the blog so you can watch it again or watch it for the first time and be inspired and have hope!

We’d like to ask for your help in please sharing too. Let us support her work and all the nutritional psychiatry researchers at ISNPR and around the world!

Even if you have already watched it, please click on it again and watch again (click on the video link above or use this link)
Share the youtube video and/or this blog with others, through Facebook or email or twitter or word of mouth (or all of the above)
Comment below the youtube video and/or comment on this blog of mine
Ask your friends, family and colleagues to do the same

More about Professor Rucklidge’s research interests

Professor Rucklidge’s research interests are centered on the role of nutrition in the expression and treatment of mental illness, from ADHD to depression to stress following natural disasters. Research methodologies include single case research designs, open label trials and randomized controlled trials.

ADHD
Child and adolescent clinical psychology
Clinical psychology
Learning disabilities
Young Offending
Earthquake research
Nutritional interventions
Mood Disorders

Some of her publications on micronutrients

Database Analysis of Depression and Anxiety in a Community Sample-Response to Micronutrient Intervention

Overall, people from the general population who suffer from mood and anxiety problems may benefit from improved nutritional status achieved with nutritional supplements.

Vitamin-mineral treatment improves aggression and emotional regulation in children with ADHD: a fully blinded, randomized, placebo-controlled trial

Micronutrients improved overall function, reduced impairment and improved inattention, emotional regulation and aggression, but not hyperactive/impulsive symptoms, in this sample of children with ADHD. Although direct benefit for core ADHD symptoms was modest, with mixed findings across raters, the low rate of adverse effects and the benefits reported across multiple areas of functioning indicate micronutrients may be a favourable option for some children, particularly those with both ADHD and emotional dysregulation.

A randomised trial of nutrient supplements to minimise psychological stress after a natural disaster. This study was co-authored with Professor Kaplan, and adds to the body of evidence showing that nutrient formulas with multiple minerals and/or vitamins (such as a B-complex) minimise/minimize stress associated with natural disasters such as earthquakes, fires and floods. I blogged about this after Hurricane Harvey in Houston.

Could yeast infections impair recovery from mental illness? A case study using micronutrients and olive leaf extract for the treatment of ADHD and depression. This case study reports that infections like candida can contribute to poor gut health and inflammation, leading to nutrient absorption issues and deterioration in psychiatric symptoms. The yeast overgrowth has to be addressed in order for the micronutrients to be effective. I blog about this here also sharing the candida-serotonin connection.

Nutritional medicine as mainstream in psychiatry

Professor Rucklidge is also a contributing author to Nutritional medicine as mainstream in psychiatry which I blog about here

Psychiatry is at an important juncture, with the current pharmacologically focused model having achieved modest benefits in addressing the burden of poor mental health worldwide. Although the determinants of mental health are complex, the emerging and compelling evidence for nutrition as a crucial factor in the high prevalence and incidence of mental disorders suggests that diet is as important to psychiatry as it is to cardiology, endocrinology, and gastroenterology. Evidence is steadily growing for the relation between dietary quality (and potential nutritional deficiencies) and mental health, and for the select use of nutrient-based supplements to address deficiencies, or as monotherapies or augmentation therapies.

As you can tell I’m a big fan of her research work and what an honor it was for me to interview her on one of the Anxiety Summits: What if… Nutrition could Treat Anxiety and Depression? She shared wise words then than seem very relevant to this censorship of her TEDx talk:

How long is it going to take our society to pay attention to the research that shows that suboptimal nutrition is contributing to the epidemic of mental illness? Are we just going to sit around and ignore this evidence to our peril? Or are we going to start paying attention and start to invest in the really important research that needs to happen?

It was a thrill to then finally meet her in person last year at the ISNPR conference.

Julia Rucklidge and Trudy Scott — Meeting Julia Rucklidge at the ISNPR conference

This nutritional psychiatry work is widely supported by many practitioners

This nutritional psychiatry work is widely supported by many practitioners. Last year I interviewed Dr. Mark Hyman MD, creator of the Broken Brain series and author of What the Heck Should I Eat? In our interview he talks about somatopsychic medicine i.e. mental health symptoms caused by bodily illness and shares this about when he started to make this connection years ago:

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.

Dr. Nicole Beurkens, clinical psychologist and board-certified nutrition specialist, shares this about the talk:

This is an extremely important evidence-based talk on a topic that is moving the field of mental health forward. As a clinical psychologist and board-certified nutrition specialist, I see daily the positive impact that nutrition can have on mental health for children and adults. More than medication and talk therapy is needed to reduce symptoms for many people with these challenges, and nutrition is an accessible research-based option. I often recommend this video to patients and their families.

Dr. Beurkens is also speaker on a prior Anxiety Summit. It’s now in it’s fourth season and I’ve the wonderful opportunity to interview and share the nutritional psychiatry wisdom from over 70 practitioners, researchers, mental advocates and clients.

So much wonderful feedback from study participants

There is so much wonderful feedback in the comments below the youtube video. I love this comment from a study participant from New Zealand, Deidre Fraser:

I’m a pretty ordinary Kiwi, not particularly alternative. I don’t have a big appetite for risk. But I have participated in one of Julia Rucklidge’s studies and my family has benefited hugely from the introduction to, and continued use of micronutrients. Could we have achieved the same result using a pharmaceutical medicine? Some behaviours would have likely been addressed, but and it is a big BUT, one of the side effects (unexpected) would NOT have been improved happiness and self-worth, which resulted in better friendships – pretty basic things we all want from life!

We also got increased focus and the noticeably different academic performance that we thought we wanted (We just hadn’t realised that should be the secondary objective).

I don’t really understand the science behind it all, but the empirical research and published journals are there to support micronutrients as a valid option with verifiable research outcomes.

And SP Hancock shares these compelling results:

I’m so grateful for this presentation. It compelled me to find a medical doctor who looks at symptoms of mental illness from a perspective other than traditional psychiatry. He helped me heal my gut so that I can get the micronutrients I need from my food choices. 2 years ago I was using the micronutrient supplement Dr. Rucklidge had diligently researched for more than a decade. Today, I no longer need supplementation because my gut can absorb micronutrients from my food. I have been off medications for three years now–completely stable using only food after having lived for nearly two decades with acute symptoms of refractory schizoaffective disorder bipolar type with catatonia. Thank you Dr. Rucklidge for your structured, independently funded studies. Your hard work and sound research methodology gave me the courage to find a doctor willing to look at my symptoms from a fresh perspective. Keep up the exceptional work!

I hope this has inspired you to keep seeking a solution if you are still on your healing journey or and even if you have found your solution. Either way we’d love your help in getting this message out to more people so please share share and share!

Professor Bonnie Kaplan says: “Let’s see if we can quadruple the views to 5 million or so.” I’m sure we can! Thank you!