Stress

Healing Anxiety and Depression

Tuesday, May 3rd, 2011

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Depression is often a symptom resulting from some other condition rather than being a primary issue. For example, depression can be one of a group of yeast infection symptoms, intestinal yeast infection or overgrowth termed “candidiasis”. Depression can be associated with adrenal gland insufficiency or anxiety attack. It can be associated with the thyroid gland or underactive thyroid, food allergy, hypoglycemia, adrenal gland insufficiency and anxiety attacks. At the end of this article you will find a list of other pages of this web site which address healing anxiety and depression .

For an alternative medicine approach to healing anxiety and depression ,we recommend taking our Online Comprehensive Health Assessment. This health assessment report can be printed up and taken with you when you visit your alternative medicine physician.

The questionnaire below is provided by the American Psychiatric Association as a screening tool for depression. It is a suggestive screening tool only and you should not use it to diagnose yourself as depressed. It is only an indication. As there are other conditions that can cause depression such as underactive thyroid, glandular problems or side effects to prescription medications, you should definitely discuss this with your physician if you think you may be experiencing depression.

Remember that the answers to the questionnaire can be perfectly normal for certain of life’s crises such as a death in the family, divorce or financial troubles. Do not consider yourself clinically depressed if you are experiencing these symptoms as a result of a crisis of life. To be applicable, the feelings must be exaggerated or inappropriate to the occasion.

To answer the questionnaire correctly , you must have recently experienced the symptoms indicated for at least two consecutive weeks. In order for your answers to be suggestive of depression the following criteria must be true:

A. You must answer “yes” to both questions #1 and #2.

B. You must answer “yes” to at least five of questions #3 through #11.

C. Questions #12 through #20 are additional questions that may or may not apply to you but can be helpful in assessing yourself.
American Psychiatric Association Questionnaire

1. Y N Persistent feelings of sadness, anxiety or “emptiness”.
2. Y N Loss of interest or pleasure in ordinary activities, including sex.
3. Y N Changes in appetite-either no appetite, often resulting in weight loss, or eating ravenously so that you’ve gained weight.
4. Y N Sleep problems-insomnia, or, wanting to sleep all the time.
5. Y N You have no energy and are often fatigues.
6. Y N You’re restless and irritable.
7. Y N Feelings of worthlessness, hopelessness or inappropriate guilt.
8. Y N Difficulty thinking, making decisions or concentrating.
9. Y N Thoughts of death or suicide or attempts at suicide.
10. Y N Chronic aches and pains that don’t respond to treatment.
11. Y N Excessive crying.
12. Y N You feel pessimistic about your life.
13. Y N You have a “what difference does it make?” attitude (you don’t use a seat belt any more).
14. Y N You avoid old friends.
15. Y N Crowds bother you.
16. Y N You don’t get along with people.
17. Y N You have a poor memory. You’ve started writing things down.
18. Y N You’re not doing nearly as well as you used to at work or school.
19. Y N You have unexplained headaches, backaches and bellyaches.
20. Y N You’ve made a will and have been thinking about your funeral.

Our nervous system contains chemical messengers called neurotransmitters which become deficient or inactive in depression. The two most common neurotransmitters relating to depression are serotonin and norepinephrine. Antidepressant drugs such as Prozac and Paxil work to reduce the deficiencies in neurotransmitter function. These and other similar drugs are effective but are not without potentially serious side effects. There is even some evidence that these drugs will further deplete an already deficient supply of neurotransmitters over long term use. If you are on antidepressant medication, you should educate yourself about all the potential side effects and interactions with other medications. It is possible to heal anxiety and depression with more natural protocols and products which are relatively free of the threat of side effects. It is the alternative medicine approach to depression that we discuss below.

There is known correlation between faulty amino acid (protein) metabolism and depression. Clinical studies have shown that amino acid deficiency can lead to neurotransmitter deficiency and subsequent depression. This information may be new to your medical physician but a good clinical nutritionist or other alternative medicine practitioner will be familiar with it. An amino acid “precursor” is the amino acid which your body requires to make a neurotransmitter. For example, the amino acid tryptophan is a precursor of serotonin, the neurotransmitter influencing sleep, appetite, and mood. Tryptophan imbalances can definitely affect serotonin performance. Tyrosine is the amino acid precursor to the production of norepinephrine, another key player in depression. An amino acid analysis which is performed on a urine sample is available from Doctor’s Data Lab and Great Smokies Diagnostic Lab, definitely worth the investment for any person with depression. It will show amino acid deficiencies and guide your alternative medicine practitioner in the resolution of the problem. Tyrosine can be taken orally. Tryptophan is not available over the counter but its metabolite 5HTP is. Both these amino acids can be beneficial but should be taken under the supervision of a clinical nutritionist.

In addition, there can be environmental influences on depression which your physician may not consider. For example, heavy metal intoxication (not “poisoning”) can have a profound influence on the nervous system. Lead is one very toxic metal found in some industrial settings. Cadmium is a common heavy metal found in our environment. It is in welding rod, cigarette smoke, and old galvanized water pipes. You should review your life history and see if there has ever been an exposure to toxic metals, even as a child. If you have experienced past toxic metal exposure , a hair analysis for heavy metals can be ordered by your practitioner from either of the two labs mentioned above. Refer to the Metal Toxicityarticle for details on the surprising impact toxic heavy metals can have upon your neurotransmitters.

Certain environmental chemicals can lead to depression. These include insecticides, herbicides, and thousands of other industrial and household chemicals. They can have a profound effect on your health in a very subtle manner. Review your history to see if you can recall any such exposures during your life time. If environmental chemicals may be a problem for you, your practitioner can order laboratory tests which will identify sensitivities to environmental chemicals.

Another frequently overlooked contributor to depression is food allergies. Please visit the Food Allergy article for more information on food allergies. Food allergies often come in a package with other related problems including intestinal dysbiosis, yeast overgrowth, increased intestinal permeability and hypoglycemia.

The point to be understood here is that there are a number of seemingly unrelated conditions that can indirectly contribute to depression. With that in mind, we wholeheartedly recommend a Online Comprehensive Health Assessment. It is a simple online self assessment of your health history and symptoms designed to help you sort through conditions that contribute to depression such as we have discussed here.

St John’s Wort is a popular antidepressant herb that has been shown in studies to be effective in mild to moderate depression. Do not take St. John’s Wort if you are taking Prozac, Paxil or other prescription antidepressants without first talking to your physician. They should not be taken together.

Another supplement which studies have shown effective against depression is S-adenosylmethionine (SAMe). It is produced from the amino acid methionine. SAMe is available over the counter but is expensive.

Lifestyle changes you can make include exercise, relaxation, avoidance of alcohol, B complex vitamins, and good diet. Talk to your clinical nutritionist for the best plan for you.
Recommended Supplements

Listed below are supplements we recommend for our patients with anxiety and depression. Metagenics sells pharmaceutical-grade nutrition products not available in stores. They are available only through healthcare providers. Products we commonly recommend for this condition include:

St. John’s Wort

These statements have not been evaluated by the Food and Drug Administration.
These products are not intended to diagnose, treat, cure, or prevent any disease.

For an Online Comprehensive Health Assessment

Other Depression Related Pages of this Web Site

Wilson’s Syndrome
Hypothyroidism Treatment
Adrenal Axis-Stress and Cortisol Imbalance
Food Allergy
Premenstrual Syndrome PMS
Metal Toxicity
Yeast and Candidiasis
Hypoglycemia Treatment

Depression References and Resources

Depression Cured at Last by Sherry A. Rogers, S.K. Publishing
Smart Fats by Michael A. Schmidt, Frog, Ltd. Berkley , CA
Nutritional Influences on Mental illness by Melvyn R. Werbach, M.D., Third Line Press, Inc. Tarzana , CA . This book is a compilation of alterntive medicine research on the subject.

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Adrenal Axis-Stress the Cortisol Connection

Monday, May 2nd, 2011

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You will likely find the most help in pursuing adrenal axis problems with your alternative medicine practitioner. Alternative medicine routinely gives a lot more attention to the nutritional and lifestyle issues that are associated with stress and the adrenal cortisol connection. If you don’t have an alternative medicine practitioner and are interested in learning alternative remedies for cortisol imbalance take our Comprehensive Health Assessment

The adrenal glands are two small glands one of each which sits on the top of each kidney. They secrete a number of hormones, the most well known being adrenaline which you will remember is the emergency hormone which enables people to do miraculous feats of strength such as lifting a car off a child. The adrenals also are involved in secretion of DHEA, and get involved in the cycling of sex hormones as well. They are a primary gland in metabolism of sugar and can be involved in hypoglycemia. The problem is, they are capable of becoming stressed out with their function becoming “insufficient” or even “exhausted”. The scope of severity can range from a simple excessive craving of sugar to full blown anxiety attacks. The type of stress that leads to adrenal problems is usually more of a chronic nature as opposed to some type of high stress emergency. For example, long-term stress such as financial troubles, marital troubles, work troubles, or chronic physical illness, long term use of Prednisone or physical disability can cause a constant drain on the adrenals leading to stress related symptoms. The adrenals can also be over stressed by severe physical trauma such as severe burns or automobile accidents.

The symptoms of adrenal axis stress and cortisol imbalance are very similar to hypoglycemia and are typically characterized by:

* Adult attention deficit disorder or adult ADD or adult ADHD
* Fibromyalgia
* Chronic fatigue with a mid morning or mid-afternoon let down.
* Craving of sweets, caffeine or soda.
* Over consumption of sweets, caffeine or soda.
* Shakiness or lightheadedness.
* Lightheadedness upon standing.
* Constant hunger.
* Headaches and muscle tension.
* Feeling better after eating.
* Frequent heart pounding.
* Anxiety, anxiety attack, panic attack, depression.
* Family history of diabetes.

There are a number of diagnostic tests available to your physician for detection of adrenal axis stress. They include:

1. Five hour glucose tolerance test. Be sure your practitioner knows all the interpretations of the results of this test as they relate to the adrenals.
2. Adrenal Stress Index test from Diagnos Tech Lab.
3. Cortisol and DHEA from Genova Diagnostic Lab.
4. The pupils constrict upon exposure to light followed by immediate dilation. Normally, they should remain constricted without fluctuating open and closed.
5. Upon standing from the lying position, the blood pressure should increase 10mm. If not, it’s suggestive of poor adrenal function.

The typical nutritional approach for adrenal stress is a low sugar, complex carbohydrate diet similar to that of hypoglycemia. Supplementation usually includes B complex, especially B5 (pantothenic acid) and B6. Vitamin C is important as well as herbal support for the adrenals such as glycyrrhinized licorice.

Resources

There are a number of other conditions which can contribute to adrenal axis stress and the myriad of symptoms caused by it. Our Comprehensive Health Assessment does a very good differentiation of your symptoms of adrenal axis stress versus other conditions which produce similar symptoms. Please study carefully the related conditions listed below for additional information.

Recommended Supplements

Listed below are supplements from the Metagenics company which we recommend for our patients with adrenal axis-stress cortisol imbalance. Metagenics sells pharmaceutical-grade nutrition products not available in stores. They are available only through healthcare providers. Metagenics products we commonly recommend for this condition include:

Adrenagen
Adreset
Glycogenics Serenagen
Cortico B5B6

Adrenal Axis Cortisol Related Pages of this Web Site
Yeast
Hypoglycemia
Depression
Chronic Fatigue Syndrome
Wilson’s Syndrome
Hypothyroid
Anemia
PMS

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