Download Tia Trivisonno - New York Association of Naturopathic Physicians

Treating the Cause; A Naturopathic
Approach to Healing with
Psychosomatic Medicine
Tia Trivisonno ND, MSOM, LAc
NYANP 2016
The Mind-Body Connection
The lotus blossom symbolizes the Enlightenment out of
the sea of the subconscious into the brilliant light of the
knowledge of the true Self.
About Dr. Trivisonno
 Graduate of the National College of Natural Medicine where she earned her
Doctor of Naturopathic Medicine and Masters of Science in Oriental Medicine
degrees
 Currently resides in New York City, practicing with Dr. Michael Gurevich MD at
Holistic MD in Glen Head, Long Island
 Specializes in the gut-brain connection, chronic illness and mental health
 Certified in Nambudripad’s Allergy Elimination Technique, NAET™
 Certified in the Bioresonance Analysis of Health, BAH™
 Receiving advanced training in Autonomic Response Testing, ART™, and
Neural Therapy
 Member of the American Association of Naturopathic Physicians and Director
of the Board for the New York Association of Naturopathic Physicians, NYANP
Holistic MD: 997 Glen Cove Ave, Glen Head NY 11545
516-674-9489 www.holisticmd.org
Overview & Learning
Objectives
Working to change the paradigm in the diagnosis and treatment of
mental illness and chronic disease
The issues we face: Increased diagnosable mental illness, an epidemic of
chronic disease, over prescribing and the urgent need for holistic
naturopathic intervention!
 Fact versus fiction: The medications - what the public has been lead to
believe vs. what the research actually shows
 Factors involved in the global epidemic of chronic disease: increased
toxicity and underlying infections, altered immunity due to loss of
beneficial flora, chronic inflammation
 Treating the cause: The Gut-Brain axis, the microbiome, stress response
& the vagus nerve, dealing with our emotions
 Individualized treatment: Holistic Psychiatry and the natural approach,
cases & testimonials
A Growing Epidemic of Mental Illness
with a Trend of Medications from the
Womb to the Grave
The Paradigm of Psychiatry
Under the Microscope
Key issues to consider in the treatment of psychiatric care:
 The biology of mental disorders remains unknown
 There is an ever increasing number of diagnosed, partly due
to changes in diagnostic criteria over the past few
decades… losing our sense of “normal”
 Medications may induce certain symptoms or disorders they
are meant to treat
 Long term use of psychiatric medications perpetuates the
chronicity of mental illness as well as side effects associated
with other diseases
Understanding the Current
Paradigm
 For the past 60 years our thinking about mental health
has been largely determined by the Diagnostic and
Statistical Manual of Mental Disorders, DSM
 The disease model: In the 1980’s there was a
movement within psychiatry to label mental illness as a
biological disease with an underlying etiology that could
be traced to a chemical imbalance.
The DSM-V
“Abandon Hope, All Ye Who Enter Here”
The Current Paradigm
What we as a society currently believe:
 A survey done in 2006 showed that > 80 % of
Americans believed mental illness was caused by a
chemical imbalance in the brain
 Mental illness could therefore be treated with
medications that could potentially correct these
imbalances
Source: Anatomy of an Epidemic, The History and Science of a Failed
Paradigm of Care, Robert Whittaker, April 2016
A Lack of Scientific Evidence
for this Claim
 “We have hunted for big simple neurochemical
explanations for psychiatric disorders and have not
found them.”--Kenneth Kendler, Psychological Medicine, 2005
 “Elevations or decrements in the functioning of
serotonergic systems per se are not likely to be
associated with depression.” --NIMH, 1984 J. Maas,
“Pretreatment neurotransmitter metabolite levels and response to tricyclic
antidepressant drugs.” Am J Psychiatry 141 (1984): 1159–71.
 “There is no clear and convincing evidence that a
monoamine deficiency accounts for depression; that is,
there is no real monoamine deficit.”--Stephen Stahl, Essential
Psychopharmacology, 2000
Source: Anatomy of an Epidemic, The History and Science of a Failed
Paradigm of Care, Robert Whitaker, April 2016
The Current Paradigm of
Diagnosis
 “Disorders” like anxiety, depression, and ADHD are a
list of symptoms rather than a biological process.
 The DSM is black and white, allowing for only “normal”
or “disordered.”
 The DSM V has widened the diagnostic criteria for
mental illness creating a state of hyperinflation of
diagnosed mental illness and a “national drug
overdose” of medications.
~Allen Frances, M.D. Saving Normal
When Normal becomes
Diagnosable…
Chronic Disease & Mental
Illness, the Meds
Manic-Depressive Disorder (now Bipolar) used to be a rare condition
 The conventional approach to treating Bipolar Disorder involves
life-long medications management with side effects that may
promote obesity, diabetes, hypothyroidism and kidney disease,
perpetuating an overall trend toward chronic ill health
 The DSM IV had a separate diagnostic category for people with
Manic Depression who had been treated with antidepressants
 Every year that a person is treated for depression with
antidepressants, the statistical chances for a manic episode “mood
switching” increases cumulatively, it occurs in approximately 6% to
8% of patients with unipolar MDD who receive treatment with an
antidepressant
Source ://www.psychiatrictimes.com/bipolar-disorder/switching-mood
-depression-mania-antidepressants#sthash.EfrqiFzd.dpuf
The Meds…
Oppositional Tolerance
 Chronic administration of psychiatric medication
disturbs neurotransmitter functions in a manner that is
both substantial and long-lasting
 The brain responds to the medication with a series of
compensatory adaptations, increases receptors at the
post synaptic neuron, in order to respond to the
changing environment
 After a few weeks the brain begins to function in a
manner that is “qualitatively as well as quantitatively
different from the normal state” Hyman, S.“Initiation and
adaptation: A paradigm for understanding psychotropic drug action.” Am J
Psychiatry 153 (1996):151-61.
Anatomy of an Epidemic, The History and Science of a Failed Paradigm of Care
Robert Whitaker, April 2016
SSRI’s & Antidepressants
Prozac®, Zoloft®, Paxil®, Luvox®, Celexa®, Effexor®,
Wellbutrin®
 Not really “selective” neurotransmitters are connected
by complex circuitry and function interdependently
 SE include: akatheisa, bruxism, tardive dyskinesia,
dystonia, overstimulation of the nervous system to the
point of psychosis/mood switching, depression &
suicide.
Are Antidepressants a
Solution for Depression?
Anatomy of an Epidemic, The History and Science of a Failed
Paradigm of Care, Robert Whitaker, April 2016
Benzodiazepines & other
Sedatives
Xanax®, Valium®, Klonopin®, Ativan®
 Suppresses CNS function and potentiates the neuronal
inhibitory activity of GABA
 SE include: cognitive dysfunction, short term memory
loss  confusion and delirium, loss of impulse control
including agitation, psychosis, violent behavior toward
self or others, rebound sx associated with withdrawal
from the medication, anxiety, insomnia, depression
The Xanax Study for Panic –
What was Reported
Anatomy of an Epidemic, The History and Science of a Failed
What the Data Really Looks
Like…
Anatomy of an Epidemic, The History and Science of a Failed
Paradigm of Care, Robert Whitaker, April 2016
Neuroleptics or Antipsychotics
Zyprexa®, Risperdal®, Haldol®, Clozapine®,
Geodon®, Seroquel®, Abilify®, Thorazine®
 Blockade of D2 receptors, therapeutic window varies
btwn substances
 SE from blockade include: prolactin levels,
extrapyramidal motor disturbances and akathesia,
dysphoria, cognitive impairments, aggravation of
depressive “negative” sx.
 Other SE include c/v and cerebrovascular mortality,
metabolic and sexual SE
Disturbing Statistics,
A Call to Action for Naturopaths!
 1 out of every 5 U.S. adults uses at least one drug for a psychiatric
problem
 11% of all adults took an antidepressant in 2010
 4% of our children are on a stimulant
 4% of our teenagers are on an antidepressant
 25% of nursing home residents are given antipsychotics Since
2005 there has been an eightfold increase in psychiatric
medication use for active duty troops
 More emergency room visits and deaths are due to legal
prescription drugs rather than illegal street drugs
 Psychiatric medications are now the largest revenue producer for
the pharmaceutical industry
Source: Frances MD, Allen, Saving Normal New York, NY: Harper Collins,
2013
What is the Solution to this Crisis
in Care?
A Return to Our Roots
The Principles of Naturopathic Medicine:
 First Do No Harm
 Identify and Treat the Cause
 Prevention
 Doctor as Teacher
 The Healing Power of Nature
 Treat the Whole Person
The Healing Power of Nature
Identify and Treat the Cause
“The origin of brain disease is in many cases
predominantly dietary.”
~David Perlmutter MD The Brain Maker
“A well-functioning gut with healthy gut flora holds
the roots to our health. And, Just as a tree with sick roots
is not going to thrive, the rest of the body cannot thrive
without a well-functioning digestive system.”
~ Dr. Natasha Campbell-McBride, Gut and
Psychology Syndrome, GAPS
Diet-Microbe Interactions in the Gut
Effects on Human Health and Disease2015, sciencedirect.com
Microbes & the Mind
BACTERIA THAT MAKE BRAIN CHEMICALS
Type of bacteria
Neural messengers
 Bacillus
Dopamine, norepinephrine
 Bifido-bacterium
Gamma-aminobutyric acid
 Enterococcus
Serotonin
 Escherichia
Norepinephrine, serotonin
 Lactobacillus
Acetylcholine, GABA
 Streptococcus
Serotonin
Source: T.G. Dinan et al/J. Psych. Res. 2015
The Gut-Brain Axis
Bidirectional communication between the CNS and enteric
nervous system via the vagus nerve
 Links emotional and cognitive centers of the brain with
peripheral intestinal functions
 Microbes on the mucosal surface of the intestines modulate
the immune response as well as brain development and
behavior
 The brain under stress influences the composition of the
microbiota via the HPA axis
 The communication is based neurotransmitters, cytokines,
neuropeptides, hormones and growth factors mediating the
relationship between the CNS and immune system to
maintain homeostasis
Purity of Mind & Spirit, the Role of the Gut
in Classical Chinese Medicine.
“The heart is the sovereign of all organs and represents the
consciousness of one’s being. It is responsible for intelligence,
wisdom, and spiritual transformation…the small intestine receives
the food and further extracts, absorbs, and distributes it throughout
the body, all the while separating the pure from the turbid…however
decision making is the king’s job. If the spirit is clear, all the
functions of the other organs will be normal. It is in this way that
one’s life is preserved and perpetuated, just as a country becomes
prosperous when all it’s people are fulfilling their duties. If the spirit
is disturbed and unclear, the other organs will not function properly.
This creates damage. The pathways and roads along which the qi
flows will become blocked and health will suffer. The citizens of the
kingdom will also suffer. These are the relationships of a kingdom.”
~Qi Bo, The Sacred Teachings. The Yellow Emperor’s
Classic of Chinese Medicine 3,000 BCE
Prevention,
Nature Cure
Nature Cure Philosophy, Our Naturopathic History
 Every acute disease is the result of a healing and purifying
effort of nature
 The primary cause of germ activity is the morbid terrain
where they can breed and multiply in the gut
 Based on the fundamental principles of nature, it is NOT the
goal of the physician to “kill germs” with drugs or vaccines
but to purify the organism of systemic toxins, waste, morbid
accumulations and disease, which furnish the terrain for
development and overgrowth of germs
~ Henry Lindlahr MD 1862-1924
Nature Cure,
Treat the Whole
The original pioneers of the Nature Cure movement in the early
1900’s stressed the significance of the gut brain connection
and viewed the body as an energetic, electromagnetic system:
 The brain was considered to be the most powerful and
active electromagnetic battery in the body, with vital force
being transmuted into nervous, intellectual, and emotional
energy
 Health was dependent on the perfect balance of positive
and negative elements derived from the mineral kingdom
and largely dependent upon the correct combination of food
extracted and assimilated from the gut.
Body out of Balance,
Dysbiosis
Dysbiosis
 Modification of intestinal permeability allows for endotoxins to
circulate through systemic blood flow
 Lipopolysaccharide (LPS) is a potent pro-inflammatory endotoxin
on the wall of gram negative bacteria that can alter neuronal
activity in the limbic system and activate microglia contributing to
chronic inflammation in the CNS and peripheral responses that
may trigger cytokine production in the brain
 Gut microbiota modulate the differentiation of immune cell subsets
to maintain homeostasis between the host and the microbes and
regulate the development of lymph
 Certain specific bacteria are better equipped to survive in the
inflamed gut rather than the commensals that dominate the
healthy individual
Microbiota Regulation of the Mammalian Gut-Brain Axis
(http://dx.doi.org/10.1016.bs.aambs.2015.02.001)
Inflammation and Chronic
Disease, Loss of Friendly Flora
Source: https://advancingschizophreniatherapeutics.files.wordpress.com/2015/01/diet.jpg
Toxicity and the Modern
World, our Children
Autism Spectrum Disorder: 1 in 68 Children (1 in 42 boys – 1
in 189 girls), in the 1980’s 1 in 5,000
Diagnosed Anxiety Disorder: 1 in 8 kids
Depression: 10-15 % of children and teens at any given time
Respiratory Disorders: 8.3 million U.S. Children
Skin Allergies, eczema: 9.5 million U.S. children
Diagnosed food allergies: 6 million U.S. children
Insomnia: 10 % of kids
Source: Optimal Kids, Anne Zauderer DC & Ron Hunninghake MD
Riordan Clinic, April 2016
Holistic Psychiatry
Body & Mind
 MD and ND work together as a team, combing their expertise to
treat complicated psychiatric cases who have failed the
conventional methods (treatment resistant)
 Innovative approach that is patient specific utilizing advanced
energetic testing methods - Bioresonance Analysis of Health™
(B.A.H.), Autonomic Response Testing™ (A.R.T) based on the
principles of quantum physics
 Goals of care: stabilize the patient, titrate medications using the
natural approach, address the underlying causes - chronic
infections, toxicity, endocrine imbalance, the nervous system,
immune support/modulation, psychological trauma and the
emotions
Treating the Cause
the Holistic Approach
 Chronic infections: Lyme and co-infections, mycoplasma,
EBV, dental infections and other viruses or bacteria that
disrupt the gut and contribute to toxicity
 Address pathology in the gut: IBD, IBS, SIBO, celiac &
gluten intolerance, H. Pylori, leaky gut, parasites, food
sensitivities
 Address insomnia
 Balance the endocrine & nervous systems
 Support and empower the patient to balance emotions
Individualized testing
Bioresonance Analysis of Health,
BAH™
Creator:
Thomas K. Szulc MD
Energy Medicine
& the Vital Force
BIORESONANCE
“The field is the sole governing agency of the particle”
~Albert Einstein
Quantum based Medicine is
Patient Specific
 The field is comprised of waves - constructive interference
enhances or amplifies a frequency, destructive interference
will negate the frequency
 Amplify a healing frequency through resonance with an
appropriate remedy or negate a frequency in the treatment
of diseases like a parasitic or other microbial infection
Principles of Classical Chinese
Medicine & Quantum Mechanics
 The most profound healing occurs when the microcosm, the
human being, is in a state of balanced and harmonious
expression of the macrocosm, or universe
 Humanity is a direct reflection of nature and to understand
the organizing principles of the natural world serves to
benefit mankind
 Every event in the universe exists in a state of flux, chaos, or
disharmony, seeking harmony and balance…by definition
the state of balance that is achieved is only temporary
 Transformation is a constant in the natural world & the
space where information is exchanged between two
elements plays a vital role in the attainment of harmony
Quantum Mechanics and
Bioresonance
The Microcosm: the Cell
 The cell membrane is “a liquid crystal semiconductor with
gates and channels” ~Dr. Bruce Lipton
 It receives information from the environment via biochemical
and energetic signaling pathways
 Receptors are antennas that recognize environmental
signals and read the milieu
 3 factors that block cell signaling pathways are trauma,
toxins and the emotions.
Treating the Emotions to transform
suffering & Promote Self-Healing
Teaching our patients to build resilience….
“No mud, no lotus”
~Thich Nhat Hanh
The Emotions of the “Wu Xing” 5
Phase Elements and Balance
Treating the emotions according to Chinese medicine
 Fire: Heart, Small Intestine & Pericardium, Triple
Burner - Joy, creativity /Anxiety
 Earth: Stomach, Spleen- Nurturing/Worry
 Metal: Lung, Large Intestine - Grieving and letting
go/depression guilt
 Water: Bladder, Kidney - Awe, humility/Fear
 Wood: Liver Gall Bladder - Assertion, courage,
strategy/Anger, resentment
Treating Emotional Conflicts
CHAKRA 1
Independent
Lack of concentration
Loss of control
Extremely self-controlled
CHAKRA 2
Hectic
Perseverance
Show of strength
CHAKRA 3
Isolated
Suppressed emotions
Wanting more
Craving good feelings
CHAKRA 4
Mental overexertion
Withdrawn
Emotional Conflicts
CHAKRA 4
introverted
Apprehensive
Panic, anxiety
CHAKRA 5
Emotional emptiness, shock
Misunderstood, victim
CHAKRA 6
Faint-hearted
Self-sufficient
Physical-overexertion
Restless
Tense
Uneasiness, depression
CHAKRA 7
Mistrust
Materialistic
Unwilling to face reality
Wrong thinking
Treatment Modalities
All doses are patient specific and closely monitored to tolerance level
 Herbs and supplements most commonly used in treating Bipolar
Disorder: Amino acids, BCAA, choline bitartrate, lithium orotate,
inositol
 NAD to titrate patients off certain medications and substances:
100mg/mL – 14mL 1 spray 10mg/nostril or 20mg total; 2-10x/day
*when titrating meds switching to liquid form of med is best whenever
available so that process can be gradual
 St john’s wort & sam-E for depression, GABA, passion flower, lemon
balm for anxiety
 Botanical formulas for detox

Homeopathy and drainage, UNDA, PSE remedies
Treatment Modalities
 Acupuncture and Neural Therapy to promote homeostasis
within the organism via the nervous system plexus’
 Biomagnet Therapy developed by Dr. Goiz for terrain
restoration
 IV therapy: nutrient protocols, phospholipid membrane
support, detox through minor and major autohemolitic
therapy, UVB, ozone
 The emotions: Applied Psycho-Neurobiology, Family
Constellation therapy, 5 element Acupuncture, homeopathy,
Psychosomatic energetic therapy, writing and drawing
assignments, counseling
Case Presentation EM
 Pt first PTC in 2010 at age 19 for depression and psychosis.
Her issues began in 2008 when she was under a lot of
stress completing her honors program and was preparing for
a trip to Central America. She was treated with chloroquine
x 1 month and also given cipro, 3 months later she
hospitalized for psychosis and mania. She was treated with
ativan, klonopin, geodon, lithium and risperdal
 Pt became more stable after working with Dr. Gurevich but
had some persistent anxiety and depression, hx of insecurity
and intrusive thoughts
 Other factors: Lyme dz, parasites, SIBO, hormonal
imbalance
Case Presentation EM
 Pt tx’d with Dr. Klinghardt’s Lyme Protocol, oral chelation
 Antimicrobial herbs for SIBO and parasites, Specific CHO diet,
NAET™
 Drainage protocol for hormonal support, homeopathics for acute
anxiety/depression
 Acupuncture, counseling, Psychosomatic Energetic remedies
 Titrated off risperdal with lithium orotate, sam-E, amino acid support
 One mild relapse that required a short course of medication dt lyme
infection which exacerbated anxiety, insomnia and mild psychosis tx’d
successfully
 Pt is medication free since 2013 and has been accepted to graduate
school and will be studying natural medicine!
Case Presentation KF
 45 y/o F PTC with a 20+ year hx of G/I complaints including hiatal
hernia, reflux with vomiting after meals nightly before bed, delayed
gastric emptying, alternating constipation with loose stool and food
sensitivities. She has had a full Gastro work up has been told her
sx are “all in her head” Celiac and food allergy tests were (=)
 ROS significant for hypothyroidism, pituitary adenoma and
insomnia. Mental health hx significant for psychological trauma.
Father was an alcoholic who committed suicide when she was 6.
She suffered sexual abuse at age 11 and abused alcohol in her
teens and had anorexia and bulimia. She coped with her stress
by overachieving.
 Meds: synthroid, lexapro for anxiety and depression, pepcid,
prilosec and tums
 Initially unable to sleep without forced vomiting dt fear she would
have reflux in her sleep.
Case Presentation KF
 Pt was tested for SIBO: peak H2 production 31ppm
 She began herbal antimicrobial protocol: berberine to bowel
tolerance, garlic, soluna protocol for detox support, digestive
enzymes, liquid minerals. Vinegar packs for acute cramping
and castor oil packs for support. Specific CHO diet emphasize foods high in vitamin A and take slippery elm
bark powder esophageal support
 Acupuncture and moxa therapy weekly, pt progressed…
 Two months into tx pt was hospitalized for an acute viral
gastroenteritis and given IV abx
 Once pt was stable, resumed tx
Case Presentation KF
 Pts case was further complicated by C Diff for which she was tx’d
with vancomycin
 Once diarrhea stopped tx was resumed began NAET™ to address
food sensitivities and dietary restrictions, bloating and pain
improved but vomiting persistent
 Pt is referred to Dr. Gurevich for neural therapy to address
persistent reflux & use of acid blocking medication
 Pt has a “lightning response” with a strong emotional reaction and
is able to discontinue tums and H+ blockers and reflux stops
 Counseling and acupuncture with moxa and NAET weekly Pts
bowel movements have been normal and she has had no vomiting
for 11 months. Insomnia is improving, she recently changed her
career for the better and has been successfully tapering Lexapro
without any rebound anxiety or depression
Testimonial
I first came to Holistic MD on the recommendation of a close friend because I had been
suffering from gastrointestinal issues for 30 years. Traditional doctors had diagnosed
me with gastroparesis, a motility disorder, a hiatal hernia and delayed gastric empting
(likely due to an eating disorder during adolescence), had prescribed Prilosec, Tums
and other acid blockers, and had recommended a diet comprised of soothing foods
(heavy in dairy and carbohydrates). Their treatment plan was not helpful as I still could
not digest food, and as a result, I was vomiting twice a day and was underweight. My
gastroenterologist, after my second “normal” colonoscopy, finally said he thought it was
“all in my head.”
Dr. Trivisonno spent over an hour with me on my first visit, listening to my story as no
physician had ever done. She diagnosed me with SIBO, small intestinal bacterial
overgrowth, and recommended a totally different diet, the Specific Carbohydrate Diet.
She performed acupuncture on me, a treatment I had tried once before and had
abandoned quickly due to a horrible experience. Dr. Trivisonno was gentle and caring,
and made me feel at ease. The diet she recommended, along with the herbs she
prescribed, eased many of my GI symptoms almost immediately. A few months into
treatment with her, I developed c-diff (from a short stay in a hospital for a viral
gastroenteritis), and because of her care, managed to cure that horrible infection.
Resetting once again, I continued with the weekly acupuncture, feeling stronger and
stronger every week…
Testimonial con’t
Neural therapy with Dr. Gurevich was another turning point for me. I was still
vomiting daily on the SCD diet due to my body’s automatic response to want to
push food back up. I finally agreed to try the treatment both Drs. Gurevich and
Trivisonno recommended. I had a “lightening response” to my first treatment. It
completely eliminated my body’s automatic inclination to push food back up, and I
stopped throwing up overnight. I also went off of Prilosec and all acid blockers, and
instead, began taking HCL, a stomach acid supplement. It turned out that the
advice of traditional doctors had eliminated my body’s natural ability to digest food
by eliminating all of my stomach acid! Dr. Gurevich and his neural therapy was the
miracle treatment I was looking for, and it changed my life. Probably saved it.
I continue to see Dr. Trivisonno weekly for acupuncture and dietary advice. Her
herbal remedies are continuing to help my GI system heal and normalize. I also
see Dr. Gurevich monthly for neural therapy to help promote motility in my digestive
track, and, now, to treat a longstanding pituitary adenoma I have had for over 15
years. It is my goal to get off my SSRIs and thyroid medication in the near term as
my overall wellness improves. I feel confident in the care I receive from Drs.
Trivisonno and Gurevich, and I feel “heard” in a way I never imagined I could from
people in the medical profession. 02/2016 ~KF
Thank You!
References

Banis MD, Reimar. New Life Through Energy Healing The Atlas of Psychosomatic
Healing. Nevada City, CA: Artemis Books, 2008.

Frances MD, Allen. Saving Normal. New York, NY: William Morrow, 2013

Kirchfeld, Friehelm & Wade Boyle. Nature Doctors. Portland, OR: Buckeye Naturopathic
Press, 1994

Lindlahr MD, Henry. Philosophy of Natural Therapeutics. Essex, England: The CW
Daniel Company Limited, 1975.

Ni PhD, Maoshing. The Yellow Emperor’s Classic of Medicine. Boston, MA: Shambala,
1995

Whitaker, Robert. Anatomy of an Epidemic. New York, NY: Broadway Paperbacks, 2010

www.madinamerica.com

www.breggin.com Psychiatric Drug Facts