* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Boost Your Mood Class Recording - Philadelphia Integrative Medicine
Generalized anxiety disorder wikipedia , lookup
Spectrum disorder wikipedia , lookup
Asperger syndrome wikipedia , lookup
Postpartum depression wikipedia , lookup
Separation anxiety disorder wikipedia , lookup
Mental disorder wikipedia , lookup
Diagnostic and Statistical Manual of Mental Disorders wikipedia , lookup
Major depressive disorder wikipedia , lookup
Controversy surrounding psychiatry wikipedia , lookup
Classification of mental disorders wikipedia , lookup
Behavioral theories of depression wikipedia , lookup
Biology of depression wikipedia , lookup
Pyotr Gannushkin wikipedia , lookup
History of psychiatry wikipedia , lookup
Abnormal psychology wikipedia , lookup
History of mental disorders wikipedia , lookup
Psychopharmacology wikipedia , lookup
Child psychopathology wikipedia , lookup
Integrative Approach to Mood: Root Cause Testing to Address Anxiety, Depression & Mental Health Philadelphia Integrative Medicine Georgia Tetlow, MD, ABOIM Lauren Houser, MS, MSN, CRNP Rachel Hershberger, MS, CNS, LDN Marta • Third antidepressant, what can I try? • Root cause, personalized approach • Deficient in EPA? – Test fatty acids or supplement • Post partum depression – Decreased serum zinc • Integrative Testing • Sublette et al. Meta-analysis of the effects of eicosapentaenoic acid (EPA) in clinical trials in depression. J Clin Psychiatry. 2011;72(12):1577-84. • Mozaffari-Khosravi et al. Eicosapentaenoic acid versus docosahexaenoic acid in mild-to-moderate depression: a randomized, double-blind, placebo-controlled trial. Eur Neuropsychopharmacol. 2013;23(7):636-44. • Carney et al. Baseline blood levels of omega-3 and depression remission: a secondary analysis of data from a placebocontrolled trial of omega-3 supplements. J Clin Psychiatry. 2016;77(2):e138–43. • Roomruangwong et al. Lower serum zinc and higher CRP strongly predict prenatal depression and physio-somatic symptoms, which all together predict postnatal depressive symptoms. Mol Neurobiol. 2016 Feb 5. Outline • Gut - Brain connection • Importance of not suppressing emotion • Cultural, Social and Developmental Factors • Causes: genetics, biology— neurotransmitters • Integrative Testing Gut Brain Connection • Importance of not suppressing emotions – significant physiological consequences Gut Brain Connection Background: Mental Disorders • 26% of Americans 18 and older experience a diagnosable mental disorder annually – Anxiety disorders – Mood disorders • Depression • Bipolar • Dysthymia – Impulse Control disorder – Substance Abuse disorder Cultural, social and developmental factors • Social connection – social relationships seem to protect individuals against many physical and psychological disorders • people can learn a lot by observing what happens to someone else in a given situation (modeling or observational learning) Integrative: Multidimensional causes • Factors contributing to our psychology – Biological • Genetics, brain and neural systems – Psychological • Behavioral and cognitive factors, unconscious processes, learned helplessness – Social • Friends and family, social learning – Developmental • More or less reactivity, critical period Genetic Contributions to Mood • Genetic – Genes are very long molecules of DNA at various locations on chromosomes (23 pairs), within the cell nucleus – Most behavior and personality is influenced by many genes – There are no individual genes for mental disorders – In general – our psychological make-up is heritable up to 50% Biological Contributions: Neurotransmitters – Chemicals released from one nerve cell to another – There are multiple neurotransmitter currents (brain circuits) in the brain – Drugs can increase/decrease neurotransmitters or create the opposite effects of a neurotransmitter Biological Contributions to Psychopathology I • Neurotransmitters – Serotonin • regulates moods, thought processes, regulation of eating, sexual and aggressive behavior • Redux (anti-appetite) & Prozac (antidepressant) – Gamma Aminobutyric Acid (GABA) • Reduces anxiety, overall arousal and emotional responses (aggressive behavior, hostility) Redux and Prozac affecting serotonin in synapse Biological Contributions to Psychopathology II • Neurotransmitters – Norepinephrine • Controls heart rate, blood pressure, and respiration; contributes to panic attacks, anxiety and mood disorders (beta-blockers) – Dopamine • Activates other neurotransmitters and aids in exploratory and pleasure-seeking behaviors • Excess is implicated in schizophrenia and deficit in Parkinson’s disease Summary • Root cause, personalized approach • Gut brain connection – Importance of not suppressing emotion • Cultural, Social and Developmental Factors • Causes: genetics, biology— neurotransmitters • Integrative Testing Thank you (888) 702-7974 x 0 [email protected]