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MOOD DISORDERS: Anxiety And Depression Depression and anxiety are two prevalent health concerns that can affect one’s physical, mental and emotional well-being. While they are two distinct mood disorders, depression and anxiety commonly present together in affected individuals. Depression and anxiety do not have a single underlying cause, but are often triggered by a stressful life event, such as the death of a loved one, financial hardship, serious illness and relationship or family problems. Feelings of grief, sadness, fear and worry are normal in response to these events; it is when the emotions and other symptoms persist to the point that they interfere with your ability to cope with every day functioning that it becomes a significant cause for concern. Integrative approaches to managing anxiety and depression include psychosocial therapies, medication, and healthy lifestyle interventions such as dietary changes, exercise, stress reduction techniques and nutritional supplementation. DIETARY STRATEGIES CARBOHYDRATES Numerous studies have looked at carbohydrates in relation to their effect on mood. This particular nutrient helps increase levels of serotonin, a mood-boosting brain chemical that can make you feel more calm and relaxed. Some carbohydrate-rich foods are also a good source of soluble fibre, which slows the rate at which sugar is absorbed into the bloodstream. When your blood sugar levels are stable, you tend to feel less irritable. The next time you’re feeling depressed, try the following high carbohydrate, low protein meals and snacks: • • • • • • Warm oatmeal topped with dried fruit or fresh berries Toasted whole grain bagel with jam Pancakes with fresh fruit and real maple syrup Pasta with tomato sauce Crackers and low fat milk A glass of unsweetened fruit juice MOOD DISORDERS 1 B VITAMINS (VITAMIN B6, FOLATE AND VITAMIN B12) There are eight B vitamins, and low levels of these nutrients have been linked to depression and changes in mood. The body uses vitamin B6 as a building block for an enzyme that helps convert the amino acid tryptophan into the mood-regulating neurotransmitter serotonin. You can obtain vitamin B6 in the diet by eating plenty of protein-rich foods (meat, fish and poultry), as well as whole grains, avocadoes and bananas. However, taking a daily supplement to achieve a higher dose may be more effective for managing depression. While you can find vitamin B6 on its own in supplement form, it is best to take it as part of a B complex in order to obtain a balance of these vitamins. Look for a formula that provides 50 to 100 milligrams of vitamin B6 daily. A number of studies have also shown that people with depression are commonly deficient in folate and vitamin B12. Folate helps the brain to produce several mood-enhancing neurotransmitters, including serotonin; low levels of this B vitamin may also reduce the effectiveness of some commonly prescribed antidepressants. In addition, lack of folate and vitamin B12 may reduce the body’s ability to produce S-Adenosyl methionine (SAMe), a key compound that is involved in the production of other neurotransmitters. Folate is found in leafy green vegetables such as spinach, fortified grains, beans, lentils, orange juice and bananas. Folic acid, the synthetic form of folate found in supplements, can also be obtained by taking a daily B Complex. Look for a formula that provides 0.4 to 1.0 milligram (400 to 1,000 micrograms) of folic acid daily. Vitamin B12 is mainly found in animal foods such as meat, fish, poultry, eggs and milk, as well as fortified soy and rice beverages. While this nutrient can also be found in a B Complex, you’ll have to take it as a single supplement in order to achieve a higher dosage level of 500 to 1,000 micrograms daily. MOOD DISORDERS 2 ST. JOHN’S WORT St. John’s Wort (Hypericum perforatum) is an herbal remedy that has been used for many years in Europe to treat mild to moderate depression. Supplements are made using dried flowers from the St. John’s Wort plant, which contains key therapeutic compounds, including hypercin and hyperforin. Much like a number of prescription antidepressant medications, St. John’s Wort helps to boost levels of serotonin, a neurotransmitter that plays a significant role in balancing mood and emotions. This makes it a natural alternative to antidepressants for mild to moderate cases of depression; it has also been shown to be effective for managing stress, anxiety and Seasonal Affective Disorder (also known as SAD, or the “winter blues”). In addition, St. John’s Wort promotes sleep, which makes it helpful for combatting some of the symptoms associated with depression, such as fatigue and low energy. The recommended dosage of St. John’s Wort is 300 mg three times daily, using a formula that is standardized to contain 0.3 percent hypercin and high levels (three to five percent) of hyperforin. It should be taken for at least four weeks in order to have any noticeable effects. St. John’s Wort does have the potential to interact with a number of common medications, including antidepressants, so it is important to consult with a healthcare professional if you are currently taking any prescription medications. This herbal remedy should not be used if you are pregnant or breastfeeding. FOLIC ACID MOOD DISORDERS 3