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nutritional psychiatry

More kids are showing up in ERs with anxiety, depression and other common mental health problems: why isn’t nutritional psychiatry part of the discussion?

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This article on NBC news, More kids are showing up in ERs (Emergency Rooms) with mental health crises, reports large increases across the country.

Dr. Anna Abrams, a pediatrician and researcher at Children’s National Medical Center in Washington, finds the numbers both shocking and disheartening.

In the 5-year period from 2012 to 2016, when looking at ER mental health admissions in 45 children’s hospitals, they found the following increases:

  • 48 % in white children
  • 64% in non-Hispanic black children
  • 77% increase in Hispanic children

with about a 55 % increase overall.

Dr. Abrams and her colleagues presented these findings at the American Academy of Pediatrics conference in earlier this month.

Other than the very large increases, there is something else to be concerned about: the researchers say they aren’t sure why we are seeing these increases, speculating it “could be due to the scarcity of mental health professionals who can help children” and “People are also talking more openly about depression, anxiety and other common mental health problems and that may make parents feel more comfortable about seeking help for their children.”

While these are very valid reasons, we really do need to be incorporating nutritional psychiatry (a term coined in 2015) and functional medicine (Dr. Mark Hyman is one of the leaders in functional medicine) into these discussions, studies and conferences. Other than poor diets and nutritional deficiencies we need to be considering stress, exposure to toxins, poor gut health and increasing Wifi exposure, to name a few.

If we look at diet alone, there is so much recent research supporting the connection between diet and mental health. Here are two of many new studies:

Despite some contradictory results, overall there was support for an association between healthy dietary patterns or consumption of a high-quality diet and lower levels of depression or better mental health. Similarly, there was a relationship between unhealthy diet and consumption of low-quality diet and depression or poor mental health.

These data suggest that Iranian adolescent females eating a pro-inflammatory diet…had greater odds of having at least moderate depressive symptoms.

And here are just a few other factors to consider:

How do we get this nutritional psychiatry research and case studies into the hands of those who can change actually policy and the way mental health is addressed? I believe it has to be a grass-roots effort from the bottom up and I have these suggestions:

  • share this blog and the research with your doctor and/or allied health practitioner
  • reach out to study authors, journalists and legislators and share research and success stories like the above, and your own personal results
  • if you’re a practitioner, write blogs like this sharing the good results you see with your clients and patients – with researchers, journalists and legislators
  • share in forums and on social media, and with your neighbors, friends and family
  • comment on blogs like this – with success stories in your family or with clients – so more people get to see what really is working

Every little bit helps! I’d love to hear your ideas too.

Time magazine: ketamine is NOT the solution for treatment resistant depression!

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Seen at LAX airport en route back to Australia – this cover of Time magazine:

The Anti Antidepressant. Depression affects 16 million Americans. One third don’t respond to treatment. A surprising new drug may change that.

It’s scary to think that ketamine and ketamine-like drugs are being considered the solution to “treatment resistant depression”. I’ve never liked this term and in my opinion, what it really means is that the root cause of the depression has not been found. To me it looks like the mainstream medical mental health community is desperate!

It really is time to get all the well-researched nutritional psychiatry approaches to the forefront! They do work! The timing of this article is even more interesting since I was returning from the first international meeting of the International Society for Nutritional Psychiatry Research in Bethesda, MD.

Lead food mood researcher Professor Felice Jacka presented her SMILES paper where dietary changes from a junk food diet to a real whole foods diet reduced depression in 30% of the participants.

Microbiome researcher Professor John Cryan discussed the gut brain connection. This paper: Recent developments in understanding the role of the gut microbiota in brain health and disease, was published just last week:

recent preclinical and clinical evidence suggest that targeting the microbiota through prebiotic, probiotic, or dietary interventions may be an effective “psychobiotic” strategy for treating symptoms in mood, neurodevelopmental disorders, and neurodegenerative diseases

And research on sulforaphane for psychosis, and depression and anxiety was presented: Sulforaphane produces antidepressant- and anxiolytic-like effects in adult mice

these findings demonstrated that SFN [sulforaphane] has antidepressant- and anxiolytic-like activities in stressed mice model of depression, which likely occurs by inhibiting the hypothalamic-pituitary-adrenal (HPA) axis and inflammatory response to stress. These data support further exploration for developing SFN [sulforaphane] as a novel agent to treat depression and anxiety disorders.

I presented on the benefits of a gluten-free/grain free/Paleo diet for certain individuals for depression and anxiety, and did a poster presentation on GABA for eliminating anxiety. 

As you can see from the TIME Magazine article the only approaches that have been considered (and have failed) are medications in various different combinations:

Every week, when Ian Hanley sits down with his therapist, he goes through a list of depression treatments he’s been researching online. The best-known treatments at the top of the list–half a dozen antidepressants and known combinations of those drugs–are all crossed out….

Most diagnoses do not come with 20-plus medicines approved by the Food and Drug Administration to treat it–and yet with depression, more options don’t always mean better outcomes. Ever since the first antidepressants were introduced 60 years ago, doctors have had patients like Hanley–people who don’t seem to get better even after they’ve worked their way through the lengthy list of available drugs. About 30% of all people with depression don’t respond adequately to the available treatments. That’s a dismal failure rate for a class of drugs designed to improve a person’s basic ability to function.

According to this article in Time magazine:

The biggest development has been the rediscovery of a promising, yet fraught, drug called ketamine. It’s best known as a psychedelic club drug that makes people hallucinate, but it may also have the ability to ease depression–and fast. In a race to shape the next generation of antidepressants, Johnson & Johnson and Allergan are fast-tracking new medicines inspired by ketamine.

I encourage you to read the entire article and take note of the following: the side-effects seen with medications over the years and the fact that doctors “don’t know the consequences and potential side effects of taking tiny doses of ketamine over and over again”; “she tried nearly everything” (you’ll read this in all the articles advocating for ketamine but unfortunately they are only referring to medications); the ketamine effects are temporary and cost $15,000 per year (and are not covered by insurance); and ketamine “is thought to stimulate an opioid receptor in the brain” and is already known to be addictive.  

When I shared this image and article on my Facebook page I discovered that is a pretty divided topic with a number of people feeling really strongly about the fact that this approach needs to be researched further and considered.  I acknowledge their concern for the individuals who have not found a solution for their depression. BUT my question is this: have all the dietary and nutritional approaches been considered and looked into with these people who have not responded to antidepressants? 

I strongly believe that ketamine is NOT the solution and that nutritional psychiatry is!

Have you used this ketamine approach personally or with patients?

Would you consider using ketamine personally if the antidepressants didn’t work for you? Or would you be more willing to work with a functional medicine or functional nutrition practitioner to find your true root causes and address them with diet, nutrients and a functional medicine approach?

Erin Matlock: talk about suicide, don’t gloss over it and don’t flinch!

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erin-matlock-talk-suicide

Earlier this week when Erin Matlock shared her “Changing Fate” video from the Superhero You live event she said this:

This is hands down the most personal and most difficult talk I’ve ever given. In it I read from my own suicide note.

Please help us send this video out into the world so that people who are suffering alone can see that they are so very not alone.

I was very moved to share this video and since it’s National Suicide Prevention Week and World Suicide Prevention Day, September 10th, I’ve added to her wonderful message by sharing some powerful nutritional resources too.

You can WATCH the entire 16 minute video from the SuperheroYou live event VIA THIS LINK on the SuperheroYou facebook page. This is what Superhero You founder Jim Kwik shared when posting the video:

If you feel broken, alone, or unhappy, this might be the most important video you watch today.

Most of us think suicide is something that happens to strangers – not to people we know. But someone dies by suicide every 40 seconds. That’s 15,385 people this week and 800,000 people this year. If you have 1,000 Facebook friends, 60 of them have thought about suicide in the past year.

Erin Matlock knows this struggle well. She battled major depression for 15 years and had 4 escalating attempts on her own life. Today, Erin is a mental health advocate and founder of the Brain Summit, an online platform where experts present the latest tools and techniques to upgrade your brain. In the video, Erin shares how neuroscience helped her during this time, the challenges that even the happiest-seeming people might face, and what you can do if you (or someone you love) might be struggling.

Erin also talks about Cynthia Pasquella’s struggles with depression and saying “my brain is trying to murder me.” Here is her powerful blog where she bravely and openly shares: Let’s Talk About Depression – Because Most People Won’t And It’s Killing Us

Here is the resource list Erin shares:

National Suicide Prevention Lifeline (United States 24 hour hotline)
1-800-273-TALK

Samaritans  (United Kingdom and Republic of Ireland 24 hour hotline)
116 123 (UK) and 116 123 (ROI)

Beyond Blue (Australia 24 hour hotline and resources)
1300 22 4636

To Write Love On Her Arms
A nonprofit movement dedicated to presenting hope and finding help for people struggling with depression, addiction, self-injury, and suicide.

Mind
A UK charity with an extensive collection of information about mental health.

HeadsTogether
A UK Mental Health Awareness Campaign spearheaded by The Duke and Duchess of Cambridge and Prince Harry.

PsychologyToday Therapist Directory
Find Help From A licensed Therapist In Your Area

EEG Info Neurofeedback Provider Directory
Find a qualified clinician in your area

Advanced Brain Technologies Provider Directory
Music Listening Therapy

Fisher Wallace Stimulator
FDA approved device for the treatment of depression and anxiety. Stimulates the brain to produce serotonin while lowering cortisol.

You can find more wonderful resources from Erin on the Brain Pages and her website

erin-matlock-search-for-better-brain

In addition to the above resources Erin has so kindly shared I’d like to share some powerful and effective nutritional resources too. Just like anxiety, depression often has a biochemical and nutritional component and getting to the root cause of these imbalances and deficiencies can often completely eliminate the depression and suicidal thinking.

I hear this from Anxiety Summit attendees all the time:

Why has no-one told me that food and nutrients could have such an impact on my anxiety and panic attacks?

The same could be said for depression and suicidal thinking.

I also hear this from many in my community:

My anxiety (or depression) is SO severe there is no way that diet and nutrients could make a difference!

This is not true and I encourage you to have an open mind about this. We now have much research and so many integrative practitioners and nutritionists doing this work and seeing incredible results.  My colleague (and prior Anxiety Summit guest expert) Dr. Josh Friedman is one such practitioner and he has a wealth of information on his facebook page Integrative Depression Solutions. Here is just one example of a post:

nutrienta-and-mental-illness

The article was published in the Australian and New Zealand Journal of Psychiatry: What if nutrients could treat mental illness? and it starts with this sentence:

We are at a tipping point in psychiatry. With few psychiatric drugs on the horizon and long-term studies suggesting medication may do more harm than good, it is time to revisit the very old idea that nutrition can have a positive effect on mental health.

You can hear more about this topic in Julia Rucklidge’s TEDX talk: The surprisingly dramatic role of nutrition in mental health and read more about nutritional medicine in modern psychiatry from the International Society for Nutritional Psychiatry Research/ISNPR, and it’s founder Felice Jacka.

Here are some other nutritional resources for depression. Don’t let the word anxiety deter you – for some people anxiety is their biggest issue, for other it’s depression and the same underlying causes can be factors in both conditions.

60+ Nutritional & Biochemical Causes of Anxiety, a check-list to rule out possible underlying causes

The Anxiety Summit, an online event I host, now in its 4th season and called “a bouquet of hope”

The Depression Sessions, an online event hosted by Sean Croxton

The Mental Wellness Summit, an online event hosted by Dr. John Dempster and Ross McKenzie

The Medicinal Supplements Summit, co-hosted by Wendy Myers, airs next week (I cover both anxiety and depression in my interview)

The Brain Summit, hosted by Erin earlier this year.  I was fortunate enough to get to know Erin earlier this year, both as a speaker (I talked about grass-fed red meat and tryptophan) and by listening to her interview many wonderful brain experts like Alex Doman (who talked about music therapy for vagus nerve rehab).

A Mind of Your Own: The Truth about Depression and How Women Can Heal Their Bodies to Reclaim Their Lives, the wonderful best-selling book by Dr. Kelly Brogan

The Mood Cure: The 4-Step Program to Take Charge of Your Emotions–Today, the excellent book my mentor, Julia Ross

The Antianxiety Food Solution: How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood, and End Cravings, my book on anxiety

There is hope and just know there is an answer for you! Start by talking about how you feel, ask for help and work with someone to help you find your underlying cause and solution.

I know Erin’s courage and wisdom will get more people starting the conversation about suicide. And as she so wisely says:

talk about suicide, don’t gloss over it and don’t flinch!

I’d like to challenge you to be a superhero and talk to at least three people about suicide in the next week, whether you’re the one having suicidal thoughts or whether you’re the one concerned about a loved one or friend who may be having suicidal thoughts. Don’t gloss over it and don’t flinch!

 

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

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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

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

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.

 

 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!