INTEGRATIVE + ONLINE PSYCHIATRY + HOLISTIC HEALTH

Tag: treatment options

Promise of Light on other side of a Wood Bridge of wood bridge in deep forest crossing water stream and glowing light at the end of wooden ways; Copyright: khunaspix / 123RF Stock Photo

Expert Mentoring – A Key to Restoring Mental & Emotional Health

Escalating mental health, emotional or related health issues may signal the need for mentoring or guidance.

When help is needed, it can be difficult to find the outside expert support you need. Developing your own personal self as a resource can also be a challenge.

A person in distress often recognizes that their customary coping mechanism and level of support are inadequate. The dependence on learned ways of dealing with adverse life events often does not help for an overload of stressors and emotional turmoil. The experience for some is like being entrapped in a swirl of thoughts, painful emotions and images. Before distress reaches too high a level, is the time to reach out to others for help and guidance.

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Holistic Approach to High Blood Pressure 2018

High blood pressure (BP) can be alarming when found during a medical visit or at any other time.

High blood pressure readings may be a wakeup call to take affirmative steps for your health. Natural holistic approaches, and integrative treatments, whether you are on medications or not, can help lower BP and bring benefits to important areas of your life, health, and wellbeing. Unnecessary medication use can carry the risk of falls, hip fractures, and drug-related mental and physical side effects; and more frequent visits to doctors’ offices and hospitals. A significant proportion of the U.S. national health care expense goes to treating high blood pressure. Inaccurate blood pressure measurements lead to overdiagnosis of hypertension, treatment, and use of unnecessary medications (1–4).

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scared businessman is falling into office chaos

HELP FOR ADHD – ATTENTION – FOCUS

People with attention, focus, or ADHD difficulties can be at a disadvantage in work, academic, and social situations.

ADHD (Attention-Deficit Hyperactivity Disorder or also referred to as ADD – Attention Deficit Disorder), when diagnosed, allows for a workplace or school accommodations under ADA laws (American Disability Act).  Many with less apparent attention/focus (including ADHD) problems may not be considered impaired or disabled, even though they struggle to maintain focus and attention. When someone with focus or attention issues is in a positive fit with their life situation – operating within their capacity, they are often creative, talented, and productive citizens.

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Steps to Health

Ten Holistic Steps for Mental Health

Ten Holistic Steps for Mental Health

by Ron Parks, MD & edited by Shan Parks

Steps to HealthTake the steps for your emotional, mental, and physical health.

The failure to get positive results can be from following an inappropriate program for your needs. Consider exploring some complementary or alternative options that can bring positive improvement. The goals of broadening your personal program would be for you to regain optimal health, fitness, and well-being.

The following 10 step can begin your journey:

  1. Review available information on holistic or integrative strategies for health improvement or illness recovery.

I encourage you to seek more information. Participate in making choices in any areas concerning your health, especially when there are needs for treatment or intervention. Being proactively involved is essential to improving your health.

Find educational materials or services that may be available from either your current health care providers or in your community. Other sources of information may be from trusted and reliable media sources as the Internet, blog sites, or from printed materials.

  1. Choose preferably Integrative Medicine, Psychology, Psychiatry, or Holistic Therapy Programs.

Get the help you need. Consultations with other medical or health care practitioners especially those with a more holistic and integrative orientation are recommended.

Rather than a narrow focus, addressing only a few symptoms or one aspect of the entire person— an active, validating, caring, and holistic approach helps the whole person. Selection of a broader, integrative program is essential, in my opinion, for optimal progress and improvement.  Click on the following:  Integrative psychiatry, medicine, and holistic therapies

refuge, journey to fullfilment, health

  1. Be open and receptive to integrative care that looks at underlying causes, triggers, and risk factors.

The goal would be to eliminate or reduce any contributors that interfere with you being successful with your health and well-being goals.

Significant, “co-occurring” problems in your current life or from unresolved past issues, if unrecognized, may interfere with your health recovery or with your ability to make progress towards your health goals.Some areas that may be missed or ignored, in your health care evaluations or program, that may need attention, are:

  • interpersonal conflicts, recent divorce, or failed relationships
  • stress overload
  • lack of skills as with planning and time management
  • job, career loss, or a financial crisis
  • a move or loss of home
  • the death of a significant other or loved one
  • auto accidents, recent surgery, or hospitalization for a serious illness or injury history, history of other traumas, traumatic stress disorder symptoms, traumatic brain injuries
  • early life abuse, neglect, sexual abuse, rape
  • emotional or mental health issues as anxiety, panic, fatigue, depression, bipolarity, ADHD, obsessive-compulsive problems, developmental issues, Asperger’s
  • drug, alcohol abuse, or addictions
  • eating disorders and obesity
  • unrecognized health and illness related problems
  1. Choose natural alternatives and a healthier lifestyle, as this is often the better and safer choice for you to reach your goals.

Embracing a healthy lifestyle will decrease health problems and offers you the opportunity for improved health and longevity. Awareness and support of the mind, body and spiritual dimensions are essential for wellness, healing, and prevention of illness.

Receive the benefit of support from a holistic practitioner, a group, an educational program, a teacher, or a coach. You are entitled to have the guidance and services needed to feel better and to do better!

  1. Begin a healthy diet and nutrition. Choose:
  • more whole and plant-based foods
  • organic foods when possible
  • avoid process foods with sugar and chemical additives
  • eat vegetables, beans, whole grains (preferably gluten free), greens, fruits, nuts, healthy fats (as avocado, olive oil, fats in nuts and seeds)
  • if not vegetarian, when possible, choose organic, free range chicken, beef, or fish from a healthy ocean or natural unpolluted water source

Get advice from a holistically oriented nutritionist or health coach. Instead of using prescription and over-the-counter medications which are frequently used to treat symptoms – when drugs are not indicated (check with your holistic health care provider first) – consider natural alternatives and the taking of nutritional supplements such as vitamins, minerals, digestive enzymes, amino acids, essential fatty acids, and herbs. Research first and get good advice from a trusted resource or a holistic health care provider.

 

assorted vegables

  1. Exercise is crucial in maintaining health and promoting wellness and illness recovery.

Different types of exercise are encouraged per preferences and ability. Extensive research on exercise has confirmed its value in reducing risks of:

  • heart disease
  • hypertension
  • mood disturbance
  • cancer
  • dementia
  • obesity
  • diabetes
  • stress and sleep related illness

Only exercise to your capacity. If you are just not sure where to start or if there is any potential for stroke, heart attack, or other adverse consequences — get an exercise prescription or advice from a health care provider or a personal trainer.

swimmer, exercise

A variety of exercises in your program will give you the best overall training effect and prevent boredom:

  • biking
  • walking, running, biking, and hiking
  • weight training
  • dancing, aerobic classes
  • swimming
  • yoga
  • qigong
  • tennis and other individual or team sports

Any active movement is helpful and beneficial. There are calming, stress reducing, focusing exercises — like meditation, which can be a fantastic addition to you and your program.

  1. Optimize and improve your poor sleep or insomnia.

Avoid getting into sleep debt or sleep deprivation (not getting enough sleep). Sleep disturbances have been associated with significant medical problems:

  • obesity
  • diabetes
  • accidents
  • poor work, and school performance
  • mood disturbances

Sleeping dogA good start is to reduce stress, over-stimulation, and activity overload. Do meditative or deep relaxation exercises. Improve moods, reduce anxiety and worry. If there is significant mood or anxiety problems, see an appropriate healthcare professional or therapist for assessment and treatment if indicated. See Dr. Parks’ articles at http://ronparksmd.com/ on related topics. If daytime sleepiness or history of loud snoring occurs, see a sleep specialist — as a sleep disorder as sleep apnea may need to be recognized and treated. See, Sleep Disorder article.

  1. Have a thorough evaluation by an integrative healthcare provider if there is any possibility of other hidden health issues.

These may compromise your recovery or interfere with reaching your health goals. Sometimes imbalances in the body can result in illness or health compromise. Lab work or testing may be indicated as diagnostic tests for:

  • allergies, anemia, diabetes, heart disease, infection
  • hormonal imbalances as found in thyroid, adrenal, ovarian, or testicular problems
  • auto-immune or inflammatory illness
  • early cancer
  • nutritional status tests for deficiencies in vitamins minerals
  • elimination diets or digestion function tests
  1. Check out for environmental factors that may play a role in health and disease.

Overload, sensitivities, or reactivity, to or with toxic environmental substances and chemicals can impair health or hinder recovery. These may be present in air, chemical fumes (perfumes, pesticides, industrial chemicals), soil contamination, or in use of certain pesticides or food additives. There is a growing concern about the use of genetically modified foods.  Visit American Academy of Environmental Medicine.

landscape, fullfilment, completion, wellbeingToxicity in the environment can include “toxic” or irritating relationships, excessive noise, intrusiveness, or disruptions by others as in your workplace or where you live.

Other toxic situations may be the lack of a quiet sleep or rest place, excessive electronic or radio-frequency disturbances and exposure (TV, radios, cell phones, microwave).

Consult with reliable sources of information and with an integrative health care provider who has expertise in the areas of environmental health.

  1. Recognize the importance of spirituality in your life.

Study, reflect and apply the wisdom from the great world spiritual, religious philosophies, and practices. Allow your personal faith to be an important part of your transformation into a more positive state of health, well-being, and illness recovery.

Water Lilly SpiritualityWhen stuck, for example, in states of depression or despondency — when traditional mental health service used alone have not helped — surrounding oneself with an inspirational support group can bring about a release from stifling patterns of personal thoughts and beliefs. Shifts can occur towards a better emotional and spiritual attunement and adjustment to life’s demands and conflicts.

Positive outcomes happen in many different types of religious or spiritually oriented support or practice groups. Finding healthy activities – that bring joy, purpose, fulfillment, meaning, and gratification to your daily lives – can open the doors of the spirit and promote health.

QUESTION – COMMENTS:

What would your first step be to improve your health or recovery?

Pampas Grass in natural setting

Bipolar Holistic Treatment – Part 2

A Holistic integrative approach to the study and treatment of Bipolar Illness — BPI (also referred to as Bipolar or Manic-Depressive Disorder) offers a better path to disease understanding, treatment and prevention. See prior post “Holistic Approach to Bipolar Illness”.

Ben is not doing well with his bipolar illness.

Ben* is on several medications prescribed by his psychiatrist and has just come back from a recent psychiatric hospitalization for his bipolar disorder. He had been hospitalized after he had an emergency room visit for a suicide attempt, after he had taken an overdose of his medications. Prior to that, he had progressively worsening depression with feelings of hopelessness, helplessness and had lost interest in almost everything. He felt that there was no help for him as his mood cycling illness was only getting worse – even with all the medications he was taking. The medications made him feel like a “Zombie.” He was sleeping less with frequent violent nightmares that had woken him up multiple times during the night. He had periods of severe depressed mood when he would stay in bed for most of the day. He would have then have some days of feeling relatively fine.  He then would experience periods of feeling – super “hyped-up” –  full of energy with little need for sleep, talkative with racing thoughts, craving sex and food all the time, feeling like he was a famous rock star, and spending huge amounts of money on things he really didn’t need. He had lost all of his recent jobs and was now divorced from his second wife.

In addition to his regular psychiatrist, his family encouraged him to see and work with a holistic, integrative health care practitioner and therapist. It was uncovered that he also had a significant alcohol problem (as did his bipolar and alcoholic mother), a history of severe early life trauma – probably PTSD, severe gluten sensitivity, and autoimmune thyroid disease with thyroid imbalance. When he was directed to specific treatment and therapy programs for his bipolar illness, his PTSD, alcoholism, nutritional problems and thyroid disease; he was then able to work closer with his regular psychiatrist.  His medications were reduced, and for the first time he began to sleep better with less mood cycling. His new therapy work also helped him to identify and work through some painful childhood issues. He also felt that he regained his spiritual connection.

*(To protect confidentiality, the above is a composite of some clinical experiences and does not represent an actual person or any prior patients).

Finding a better model for helping BPI.

A broader open health-care model offers the potential for improved research, diagnosis and treatment of BPI. All disciplines can be included in an integrative model – including biochemistry, nutrition, psycho-pharmacology, psychiatry,  genetics, spirituality, psychology, sociology, physiology, endocrinology, environmental medicine and complementary mind/body/spiritual therapies. Effective outcomes can happen with patience, and the commitment to finding a suitable care and treatment program.

Early recognition, comprehensive assessment and an integrative approach to treatment – including natural therapies – can help bipolar sufferers improve their chances of stabilization, improvement in relationships, and productivity and work. As proper assessment and diagnosis can be of critical importance, seeking out skilled and experienced health-care practitioners is important – such as a psychologist, a psychiatrist, and/or a holistically oriented health-care provider who is trained in mental health work.  People with bipolar illness are sometimes misdiagnosed as having just depression or other conditions – and treated as such – often resulting in a poor treatment outcome.  These individuals would have responded better to a broader holistic and integrative type of treatment program that had benefited Ben’s recovery as described above.

Every individual is unique in their treatment needs.

Woman with Bipolar Disorder
©Sangolrl/Dollar Photo Club—Balancing Act.

Any individual who has difficulties with mood changes is unique regarding their treatment needs.  BPI can be influenced by factors as:

  • a person background
  • earlier life experiences, exposures or trauma
  • current lifestyle, nutrition, environment
  • individual medical issues, genetics
  • personality
  • psychological or addiction issues
  • traumatic brain injury

A person’s capacity to grow in awareness, learning, and to succeed with lifestyle changes will influence the choices and success of any selected treatment. As there are many individual differences as well as variation in the type and severity of bipolar conditions, the needs and type of treatment will vary or differ from person to person.

Natural non-medication approaches

Some of the non-medication or more natural approaches would be:

  1. improving lifestyle, nutrition, exercise and sleep
  2. addressing environmental issues
  3. stress management
  4. individual or group psychotherapy
  5. avoidance of alcohol and substance abuse
  6. education, behavioral, family, cognitive or trauma therapy
  7. other complementary mind-body-spiritual oriented programs.

Other complementary practices or therapies would be:

  • relaxation training, yoga
  • Oriental Medicine, acupuncture
  • religious, meditation and spiritual practices
  • regular exercise and sleep
  • use of fish oil, rich in EPA and DHA – has been shown to complement other treatments of BPI.

There is a body of work suggesting that nutrition and certain dietary programs can help in treatment of mood disorder, as a diet:

  1. high in healthy fats
  2. high in vegetables, rich in minerals and anti-oxidants
  3. adequate in good quality protein
  4. low in sugar and starches
  5. that avoids gluten (found in wheat, rye and barely — felt to be a trigger in some people for inflammation and auto-immune diseases). (see Grain Brain)

Specially designed light boxes, if carefully used under the guidance of an experienced health-care provider, are sometimes useful (especially if there is a seasonal component to the depression and mood cycling). Assessment and correction for any nutritional, metabolic, hormonal (as thyroid deficiencies), allergic or environmental problems need to be considered.

A genetic biochemical problem that can be improved with nutrition, called hypomethylation is worth assessing – as there is evidence that it affects the expression of bipolar symptoms – and if treated can bring benefits and improve outcomes. Methylation is also relevant to drug-nutrient interaction in the treatment of BPI and is one of possible underlying factors that can contribute to medications not working effectively. (see  “Bipolar Disorder” by Vinitsky and Parks, Advancing Medicine with Food and Nutrients, 2nd edition, Chapter 32, Dec. 2012, CRC Press)

Medication considerations

Some of the conditions or consideration for medication interventions and treatment are:

  • worsening of BPI with poor response to non-medication approaches
  • development of thought or cognitive impairment such as psychotic symptoms with delusion, hallucination or dangerous behavior, especially when accompanied by poor judgment and risk of self or other harm
  • actual or imminent need for a safe protective environment — psychiatric hospitalization
  • lack of capacity or willingness to follow non-medication treatment regimens or protocols
  • personal choosing of medication treatment over non-medications (after being fully educated about all options, including therapy programs or natural alternatives – other than medications) about risk of using medication vs. not taking them, potential for adverse immediate or long-term risks, or side effects from medication

According to some studies, those with bipolar disorder – not treated with appropriate medication or a mood-stabilizing agent when needed – have a significant increase risk of a more chronic condition, more frequent relapses of the illness and more severe outcomes – as suicide*.  More than 50 percent of people will abuse drugs or alcohol if the disorder is not recognized or treated.

Concerns about medication and risk:

  1. potential for short term, long term, or potential side effects: including weight gain, diabetes, metabolic problems, high blood pressure, heart disease, abnormal restlessness and/or involuntary movement disorders of face, mouth and limb (mostly a risk with anti-psychotic medication and possibly from some of the antidepressants)
  2. potential for making mood cycling worse or triggering more severe episodes of mania or psychosis.

So it is important for the individual to be educated about the use medication, benefits and risk – weighing the potential benefits of medication being helpful – especially in a well designed comprehensive treatment program – vs. risks of medication use and side effects.

There are several classes of medications considered when felt necessary in BPI, including:

  1. Anti-depressants: as citalopram and sertraline, which are selective serotonin re-uptake inhibitors – SSRIs that increase the amount chemical nerve factors (neurotransmitters) that helps relieve depression
  2. Anxiolytics (anxiety reducing medication) such as: benzodiazepines such as clonazepam and lorazepam that support the neurotransmitter GABA which helps relieve anxiety
  3. Mood Stabilizers as lithium, valproate and lamotrigine that helps to balance and stabilize brain activity and neurotransmitters (active brain chemicals) which sometimes have an antidepressant effect – as lamotrigine
  4. Antipsychotic Medication as: aripiprazole, risperidone, and lurasidone: helps to eliminate or reduce psychotic thoughts, which is abnormal or disturbed thinking as delusions and hallucination, helpful in reducing agitation, helpful with mood stabilization and sometimes helpful in reducing depression; read more: nimh.nih.gov/health
Fantastic sunset
©Allk Mullkov/Dollar Photo Club—Beauty in Nature.

Appreciating the many facets of BPI, the varied presentation and potential for adverse impact on people’s lives underscores the importance of early recognition, thorough assessment, and initiation of comprehensive and holistic/integrative treatment as outlined above. Effective treatment of BPI sufferers can potentially bring a return to a more stable, functional, fulfilling and productive life.

*If you or some one you know is thinking about self harm or suicide, seek help immediately (Call your doctor, 911 or go to a hospital ER, or Call the 24-hour National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255).

Article by Ron Parks, MD; edited by Shan Parks

For additional help and resources check below links:

(psych.com/guides)

(dbsalliance.org/)

(NIMH on Bipolar Disorder)

(adaa.org/)

Question:

What would be your consideration and options if you feel that you or a significant other has difficulty with a bipolar illness? I would be interested in your comments.

Best Treatment For Panic and Anxiety

Prevent and reduce the frequency and severity of anxiety and panic.

A high percentage of panic attack suffers receiving appropriate treatment will be able to prevent and substantially reduce the frequency and severity of panic episodes. Cognitive behavioral type of treatments is often beneficial. This approach can help retrain and recondition an individual to reduce stress and anxiety. Therapy of this type may include:

  1.  intensive education about the disorder and of the body’s physiological reaction to stress and threat
  2. desensitization to the various physical sensations or triggers of panic through exposing a person to the actual object, situation or thought
  3. catastrophic thought reducing techniques
  4. learning relaxation, proper breathing to prevent hyperventilation and stress management techniques
  5. restructuring dysfunctional thoughts and patterns

Any contributing problems would need attention as:

  • substance abuse and the use or overuse of stimulants (drugs, caffeine and smoking)
  • post trauma or depression
  • environmental problems
  • allergies or reactivity to chemical and toxins

Evaluation, treatment or elimination of any related problems or contributing factors would be the first consideration. Natural alternatives and therapies can then be considered as:

  • mind, body or spiritual practices as yoga and meditation
  • stress and relaxation techniques
  • massage
  • acupuncture
  • herbal medicine, nutrition, vitamins, minerals, essential fatty acids and hormones can complement more traditional treatments
  • correcting deficiencies of amino acids (the smallest units of protein and the precursors of brain neurotransmitters) can sometimes be helpful in relieving anxiety – can be used alone or sometimes in conjunction with medication

If any history of severe depression or suicidal thought seek mental health services and a qualified therapist or psychiatrist. If there is a history of trauma or post traumatic stress disorder symptoms, some specific therapies may be helpful: Cognitive Processing Therapy or Prolonged Exposure Therapy, EMDR (Eye Movement Desensitization and Reprocessing), EFT (Emotion Freedom Technique) and Somatic Experiencing Therapy.  If evaluation or monitored treatment is needed for any of these issues, seek help from a qualified, holistic oriented, health care practitioner. (read more on complementary treatments)  (read more on PTSD)  (About Integrative Psychiatry, Medicine & Holistic Therapies)

 Medication may be of value in resistant or severe panic disorder.

women panic sizeAntidepressants as Paxil, Zoloft, Effexor, Prozac, MAO-Inhibitors, and tranquilizers as Buspar, Xanax, or Klonopin are used and sometimes bring more immediate relief. However, their long-term use is controversial with the concern for their possible cause of other medical issues and also because the withdrawal from them can be difficult. They may not have the same lasting effect as the retraining and reconditioning that takes place with the cognitive behavioral type of treatment, appropriate therapy work and the use of natural alternatives.

Try some of the following techniques to help calm the body and mind.

If not helpful or you recognize the need for skilled or professional help — seek a holistic oriented health care provider with expertise and training in the area of anxiety, panic and mood disorder treatment.

Stop all stimulants like caffeine or stimulant drugs • Notice and let go of fear-based thoughts and worries from the past or concerns for the future • Change your physical space: move to a quiet room or just adjust your posture to a more comfortable position or find a more cozy place to sit or lie down • Turn on some soft, pleasurable music • Notice and shift your attention to comfortable, physical sensations, passing through your awareness • Be aware of your breath: see if you can relax it into an even flow of in and out breaths • Center yourself: think of your whole-self as being enveloped in a loving warm cloud • Imagine a favorite place or moment that reminds you of peacefulness, warmth and total acceptance • allow yourself to accept “what is as is” including yourself in the timeless now moment • Feel completeness and contentment.

Meditate: Focus on the quietness and peacefulness of your breathing • carry yourself into deeper relaxation by releasing your mind from any remaining fears or concerns, or any feeling of mind or physical tension • keep a relaxed focus on any tension or thoughts that come up and let them go • coming back to the peacefulness of the eternal now • after a few moments take a few deep breaths and slowly open your eyes if closed • give a gentle stretch, and feel the peacefulness and relaxation • gently return to your daily tasks as a renewed spirit.

Take a yoga, chi gong, meditation class, and have a regular routine of exercise to do daily • Go outside and embrace nature • Do something caring or helpful for someone else • Drink calming herbal tea like chamomile • Take a relaxing herbal supplement like Valerian root, passionflower or amino acids such as Taurine, L-Theonine, or GABA • Add magnesium and calcium to your supplement regime • Take a warm bath or sauna • Get or give a massage • Call a supportive or nurturing friend • join or establish a supportive group or network • Go out and do some volunteer work or work in the garden • Spend time with a loving pet • Read a spiritual or inspiring book or poem • Eat some healthy organic vegetables or fruit • Take care of yourself!

If any of above discussion about anxiety or panic seems to apply to you or family member, and you are concerned, reach out for help, and get the support and direction you need. (a resource ADAA)  (Consultations)

Article by Ron Parks, MD and edited by Shan Parks September 2015

Question:

What is your next step to help yourself or others who seemed troubled with anxiety or panic??

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