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7 Differences Between Male and Female Brains

people looking at brain
In one of the largest functional brain imaging studies ever, Amen Clinics compared the brain SPECT scans of 46,034 female and male brains, and it

Does your toddler or preschooler struggle with hyperactivity, impulsivity, or inattention? Are they prone to tantrums or appear overly sensitive? If so, you may wonder if these are just normal phases of childhood, or if they indicate attention deficit hyperactivity disorder (ADHD), also known as attention deficit disorder (ADD).

Many children can demonstrate the early signs of ADHD, such as restlessness, outbursts, or lack of concentration. Parents may expect them to “grow out” of these tendencies by their later years. But if they do have the neurodevelopmental condition and carry it into adulthood—especially if they remain undiagnosed and/or untreated—it can negatively impact their entire lives.

Today, we have more knowledge than ever about this common mental health condition, which affects 7 million (11.4%) children ages 3-17, according to the Centers for Disease Control (CDC). Children who are found to meet the criteria for ADHD can be diagnosed as early as 4 years old.

Recognizing the earliest warning signs of ADHD is key to getting kids the help they need. In this blog, you’ll discover seven ADD symptoms every parent needs to know.

EARLY-CHILDHOOD RISK FACTORS FOR ADD/ADHD

A retrospective study of risk factors for ADHD in different stages of infancy found that eight elements were significantly associated with the condition’s later development. At 0-1 month old, these factors were:

  • Advanced maternal age
  • Lower maternal education
  • Family history of ADHD
  • Social problems (such as divorce, socioeconomic difficulties, and parental illness)

At 3 and 18 months, a decrease in head circumference growth was associated with later ADHD. And, at 9 and 18 months, there were correlations found between ADD, delays in motor and language development, and having a difficult temperament.

A 2023 systematic review of 48 articles also found that temperament in infancy or toddlerhood could indicate an early risk for childhood ADHD. Moderate associations were found with activity level, negative emotionality, and sustained attention.

The first two of these were found to be “predictive of all three symptom dimensions (i.e., inattention, hyperactivity/impulsivity, and combined).” The third, sustained attention, was associated only with combined symptoms.

Further research will help explore the links between ADHD’s development and sustained attention and inhibition in a child’s earliest months and years.

Finally, in an overview published in Health Psychology Research, a variety of genetic, neurobiologic, and neurochemical factors were explored as contributors to ADHD in young children. These include:

  • Heredity and genetics
  • Brain structure, neurobiology, and neuropsychology
  • Cognitive dysregulation
  • Pregnancy or birth complications
  • Exposure to environmental toxins
  • Parenting styles
  • Diet

EARLY SIGNS OF ADD/ADHD

What does this mean for parents who are concerned about possible early symptoms of ADHD in their child? Here are some early signs of ADHD to look out for in your toddler or preschooler:

  1. Poor coordination and a tendency to be accident-prone.

The overview mentioned above notes that ADHD in children can manifest with poor motor coordination or motor performance and balance.

These children are also more prone to accidental injuries and physical trauma, including head trauma, which itself can lead to or exacerbate ADHD symptoms.

  1. Impulsivity.

One of the hallmarks of ADHD, impulsivity in a preschooler or toddler may present itself as speaking before thinking, impatience while waiting, or interrupting others.

An impulsive child may also yell or scream when they’re frustrated, get physical with other kids, or run into the street without looking for oncoming vehicles.

  1. Impaired academic performance.

Once a child reaches preschool, their performance may already be compromised by the academic challenges associated with ADHD. One of the early signs of ADD in preschoolers, trouble with paying attention, impacts their ability to learn in a traditional classroom.

Parents working with their child’s teachers may be instrumental in helping children with ADHD perform better, which is one benefit of early diagnosis.

  1. Sleep disruption.

A 2022 study published in Frontiers in Pediatrics noted that children with ADHD are more likely to have sleep disorders.

This association works in both directions. Not only does the degree of ADHD symptoms correlate with sleep disorder severity, but sleep disorders can trigger or worsen the symptoms of ADHD.

  1. Sensitivity and intense emotions.

In the retrospective study mentioned above, researchers found that temperamental and behavioral problems in children 9 and 18 months old are “an important predictive factor for the development of ADHD.”

This may take the form of excessive crying during infancy. Later, these children displayed issues with sensory integration, attention, and behavioral development.

Emotional hyperarousal, emotional dysregulation, and rejection sensitive dysphoria are some of the common emotional issues faced by those who have ADHD.

Parents may notice that their child has intense reactions or stays “stuck” in emotions for longer periods than would be expected. Or perhaps their child has more, or longer-lasting, tantrums and outbursts, or frequently shows signs of frustration.

  1. Behavioral issues.

A 2021 study reported that 40% to 60% of children with ADHD also have oppositional defiant disorder (ODD). Another behavioral disorder that may overlap with ADHD is conduct disorder. Harming oneself and/or others (with behaviors such as biting) may also become an issue in children with ADHD.

  1. Constant movement.

Young children with ADHD can be excessively restless or fidgety, with difficulty sitting still and paying attention. They may be constantly in motion and excessively talkative. Parents may have trouble getting them to sleep, eat a meal, or focus on tasks.

TREATING ADHD IN TODDLERS AND PRESCHOOLERS

According to the American Academy of Pediatrics’ (AAP) Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents, ADHD criteria can be applied to children as young as ages 4-6. The guidelines advise medical professionals to note symptoms across multiple settings, such as home and preschool.

The most common treatment prescribed at these early childhood ages is parent training in behavior management (PTBM). The AAP explains that this consists of helping parents learn:

  • What to expect in terms of age-appropriate development
  • Behaviors that will help strengthen the parent’s relationship with the child
  • Useful skills to help manage problem behaviors

Parents who have spent time implementing and incorporating these strategies at home can then report their results to the medical professional, as well as provide a picture of the child’s persistent symptoms and struggles. This enables a more accurate ADHD diagnosis.

Brain SPECT scans can also help in the diagnosis of ADHD in toddlers and preschoolers. Because there are seven different types of ADD/ADHD, it’s crucial to pinpoint which type is interfering with a child’s development. With brain scans, clinicians can then determine an effective and personalized treatment plan.

Many doctors rely on prescription medications for childhood ADHD, and they can be highly beneficial for some kids. However, stimulant medications are not effective for all ADD types—and they may even cause harm. In addition to ADHD medication or in lieu of it, children can reap significant benefits from all-natural lifestyle changes, including:

  • An elimination diet that removes sugar, gluten, dairy, corn, soy, and artificial dyes and sweeteners from the diet (to rule out potential allergies)
  • A higher-protein, lower-carbohydrate diet
  • More exercise
  • Sleep hygiene and increased sleep duration
  • Less screen time
  • Supplements such as omega-3 fatty acids

Parents can also help by rethinking traditional discipline measures, which may not be helpful for children with ADHD. Instead of yelling, threats, and anger, these children tend to respond to different strategies. Remaining calm and positive will help better guide their behavior.

Finally, because there is a genetic component associated with the condition, parents of children with attention problems may want to undergo screening for ADHD themselves. At Amen Clinics, many adults with ADHD only learn about their condition after bringing in their child for an evaluation.

HELPING ADHD TODDLERS, PRESCHOOLERS, AND PARENTS

It’s never easy to be a parent. But it can be even more challenging when you’re parenting a child who shows the early signs and symptoms of ADHD.

Fortunately, we know more than ever about what to watch for in our toddlers and preschoolers—as well as the benefits of early diagnosis. With vigilance, patience, and understanding, we can help ensure that they are given the best chance of success in life.

Reviewed by Amen Clinics Inc. Clinicians

We Are Here For You

Brain and mental health conditions can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.

Amen, Daniel G et al. “Gender-Based Cerebral Perfusion Differences in 46,034 Functional Neuroimaging Scans.” Journal of Alzheimer’s disease : JAD vol. 60,2 (2017): 605-614. doi:10.3233/JAD-170432

Nishizawa, S et al. “Differences between males and females in rates of serotonin synthesis in human brain.” Proceedings of the National Academy of Sciences of the United States of America vol. 94,10 (1997): 5308-13. doi:10.1073/pnas.94.10.5308

Related Posts

7 Early Signs of ADHD in Toddlers and Preschoolers

7 Early Signs of ADHD in Toddlers and Preschoolers
When your childhood years are marked by abuse, neglect, or trauma, it can have a negative lasting impact with serious consequences. In fact, adverse childhood

Does your toddler or preschooler struggle with hyperactivity, impulsivity, or inattention? Are they prone to tantrums or appear overly sensitive? If so, you may wonder if these are just normal phases of childhood, or if they indicate attention deficit hyperactivity disorder (ADHD), also known as attention deficit disorder (ADD).

Many children can demonstrate the early signs of ADHD, such as restlessness, outbursts, or lack of concentration. Parents may expect them to “grow out” of these tendencies by their later years. But if they do have the neurodevelopmental condition and carry it into adulthood—especially if they remain undiagnosed and/or untreated—it can negatively impact their entire lives.

Today, we have more knowledge than ever about this common mental health condition, which affects 7 million (11.4%) children ages 3-17, according to the Centers for Disease Control (CDC). Children who are found to meet the criteria for ADHD can be diagnosed as early as 4 years old.

Recognizing the earliest warning signs of ADHD is key to getting kids the help they need. In this blog, you’ll discover seven ADD symptoms every parent needs to know.

EARLY-CHILDHOOD RISK FACTORS FOR ADD/ADHD

A retrospective study of risk factors for ADHD in different stages of infancy found that eight elements were significantly associated with the condition’s later development. At 0-1 month old, these factors were:

  • Advanced maternal age
  • Lower maternal education
  • Family history of ADHD
  • Social problems (such as divorce, socioeconomic difficulties, and parental illness)

At 3 and 18 months, a decrease in head circumference growth was associated with later ADHD. And, at 9 and 18 months, there were correlations found between ADD, delays in motor and language development, and having a difficult temperament.

A 2023 systematic review of 48 articles also found that temperament in infancy or toddlerhood could indicate an early risk for childhood ADHD. Moderate associations were found with activity level, negative emotionality, and sustained attention.

The first two of these were found to be “predictive of all three symptom dimensions (i.e., inattention, hyperactivity/impulsivity, and combined).” The third, sustained attention, was associated only with combined symptoms.

Further research will help explore the links between ADHD’s development and sustained attention and inhibition in a child’s earliest months and years.

Finally, in an overview published in Health Psychology Research, a variety of genetic, neurobiologic, and neurochemical factors were explored as contributors to ADHD in young children. These include:

  • Heredity and genetics
  • Brain structure, neurobiology, and neuropsychology
  • Cognitive dysregulation
  • Pregnancy or birth complications
  • Exposure to environmental toxins
  • Parenting styles
  • Diet

EARLY SIGNS OF ADD/ADHD

What does this mean for parents who are concerned about possible early symptoms of ADHD in their child? Here are some early signs of ADHD to look out for in your toddler or preschooler:

  1. Poor coordination and a tendency to be accident-prone.

The overview mentioned above notes that ADHD in children can manifest with poor motor coordination or motor performance and balance.

These children are also more prone to accidental injuries and physical trauma, including head trauma, which itself can lead to or exacerbate ADHD symptoms.

  1. Impulsivity.

One of the hallmarks of ADHD, impulsivity in a preschooler or toddler may present itself as speaking before thinking, impatience while waiting, or interrupting others.

An impulsive child may also yell or scream when they’re frustrated, get physical with other kids, or run into the street without looking for oncoming vehicles.

  1. Impaired academic performance.

Once a child reaches preschool, their performance may already be compromised by the academic challenges associated with ADHD. One of the early signs of ADD in preschoolers, trouble with paying attention, impacts their ability to learn in a traditional classroom.

Parents working with their child’s teachers may be instrumental in helping children with ADHD perform better, which is one benefit of early diagnosis.

  1. Sleep disruption.

A 2022 study published in Frontiers in Pediatrics noted that children with ADHD are more likely to have sleep disorders.

This association works in both directions. Not only does the degree of ADHD symptoms correlate with sleep disorder severity, but sleep disorders can trigger or worsen the symptoms of ADHD.

  1. Sensitivity and intense emotions.

In the retrospective study mentioned above, researchers found that temperamental and behavioral problems in children 9 and 18 months old are “an important predictive factor for the development of ADHD.”

This may take the form of excessive crying during infancy. Later, these children displayed issues with sensory integration, attention, and behavioral development.

Emotional hyperarousal, emotional dysregulation, and rejection sensitive dysphoria are some of the common emotional issues faced by those who have ADHD.

Parents may notice that their child has intense reactions or stays “stuck” in emotions for longer periods than would be expected. Or perhaps their child has more, or longer-lasting, tantrums and outbursts, or frequently shows signs of frustration.

  1. Behavioral issues.

A 2021 study reported that 40% to 60% of children with ADHD also have oppositional defiant disorder (ODD). Another behavioral disorder that may overlap with ADHD is conduct disorder. Harming oneself and/or others (with behaviors such as biting) may also become an issue in children with ADHD.

  1. Constant movement.

Young children with ADHD can be excessively restless or fidgety, with difficulty sitting still and paying attention. They may be constantly in motion and excessively talkative. Parents may have trouble getting them to sleep, eat a meal, or focus on tasks.

TREATING ADHD IN TODDLERS AND PRESCHOOLERS

According to the American Academy of Pediatrics’ (AAP) Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents, ADHD criteria can be applied to children as young as ages 4-6. The guidelines advise medical professionals to note symptoms across multiple settings, such as home and preschool.

The most common treatment prescribed at these early childhood ages is parent training in behavior management (PTBM). The AAP explains that this consists of helping parents learn:

  • What to expect in terms of age-appropriate development
  • Behaviors that will help strengthen the parent’s relationship with the child
  • Useful skills to help manage problem behaviors

Parents who have spent time implementing and incorporating these strategies at home can then report their results to the medical professional, as well as provide a picture of the child’s persistent symptoms and struggles. This enables a more accurate ADHD diagnosis.

Brain SPECT scans can also help in the diagnosis of ADHD in toddlers and preschoolers. Because there are seven different types of ADD/ADHD, it’s crucial to pinpoint which type is interfering with a child’s development. With brain scans, clinicians can then determine an effective and personalized treatment plan.

Many doctors rely on prescription medications for childhood ADHD, and they can be highly beneficial for some kids. However, stimulant medications are not effective for all ADD types—and they may even cause harm. In addition to ADHD medication or in lieu of it, children can reap significant benefits from all-natural lifestyle changes, including:

  • An elimination diet that removes sugar, gluten, dairy, corn, soy, and artificial dyes and sweeteners from the diet (to rule out potential allergies)
  • A higher-protein, lower-carbohydrate diet
  • More exercise
  • Sleep hygiene and increased sleep duration
  • Less screen time
  • Supplements such as omega-3 fatty acids

Parents can also help by rethinking traditional discipline measures, which may not be helpful for children with ADHD. Instead of yelling, threats, and anger, these children tend to respond to different strategies. Remaining calm and positive will help better guide their behavior.

Finally, because there is a genetic component associated with the condition, parents of children with attention problems may want to undergo screening for ADHD themselves. At Amen Clinics, many adults with ADHD only learn about their condition after bringing in their child for an evaluation.

HELPING ADHD TODDLERS, PRESCHOOLERS, AND PARENTS

It’s never easy to be a parent. But it can be even more challenging when you’re parenting a child who shows the early signs and symptoms of ADHD.

Fortunately, we know more than ever about what to watch for in our toddlers and preschoolers—as well as the benefits of early diagnosis. With vigilance, patience, and understanding, we can help ensure that they are given the best chance of success in life.

Reviewed by Amen Clinics Inc. Clinicians

We Are Here For You

ADD/ADHD, and other mental health conditions can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.

Early Markers in Infants and Toddlers for Development of ADHD, Journal of Attention Disorders published online 28 June 2012. Mina Gurevitz, Ronny Geva, Maya Varon and Yael Leitner. DOI: 10.1177/1087054712447858

Joseph HM, Lorenzo NE, Fisher N, Novick DR, Gibson C, Rothenberger SD, Foust JE, Chronis-Tuscano A. Research Review: A systematic review and meta-analysis of infant and toddler temperament as predictors of childhood attention-deficit/hyperactivity disorder. J Child Psychol Psychiatry. 2023 May;64(5):715-735. doi: 10.1111/jcpp.13753. Epub 2023 Jan 4. PMID: 36599815; PMCID: PMC10404471.

Singh A, Yeh CJ, Verma N, Das AK. Overview of Attention Deficit Hyperactivity Disorder in Young Children. Health Psychol Res. 2015 Apr 13;3(2):2115. doi: 10.4081/hpr.2015.2115. PMID: 26973960; PMCID: PMC4768532.

Yin Huimei, Yang Dong, Yang Lin, Wu Guangsheng. Relationship between sleep disorders and attention-deficit–hyperactivity disorder in children. Frontiers in Pediatrics, VOLUME 10, 2022, https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.919572, DOI=10.3389/fped.2022.919572, ISSN=2296-2360

Tzang, Ruu-Fen et al. “Structural Equation Modeling (SEM): Childhood Aggression and Irritable ADHD Associated with Parental Psychiatric Symptoms.” International journal of environmental research and public health vol. 18,19 10068. 25 Sep. 2021, doi:10.3390/ijerph181910068

Wolraich, ML, et al. Subcommittee On Children and Adolescents with Attention-Deficit/Hyperactive Disorder. Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents. Pediatrics (2019) 144 (4): e20192528. https://doi.org/10.1542/peds.2019-2528

Related Posts

The Long-Term Impact of Adverse Childhood Experiences (ACEs)

When your childhood years are marked by abuse, neglect, or trauma, it can have a negative lasting impact with serious consequences. In fact, adverse childhood

Our childhood experiences have a powerful influence on the rest of our lives. When those early years are marked by abuse, neglect, or trauma, it can have a negative lasting impact with serious consequences. In fact, adverse childhood experiences, or ACEs, can set the stage for long-term physical and mental health problems.

A 2024 neuroimaging study published in Frontiers in Psychiatry and conducted at Amen Clinics confirms that having more ACEs is closely associated with heightened risk of mental health conditions, such as anxiety, depression, post-traumatic stress disorder (PTSD), and substance use disorders.

In this blog, you’ll learn more about adverse childhood experiences, how they impact brain development as well as physical and mental health in adulthood, and how to overcome childhood trauma for better brain health and mental wellness.

WHAT ARE ADVERSE CHILDHOOD EXPERIENCES (ACEs)?

For decades, researchers have been looking into the many possible consequences of adverse childhood experiences. Experts have been studying how traumatic events in childhood impact people not only during their early years but also in adulthood.

Research shows that ACEs are very stressful and traumatic and can interfere with normal developmental processes. They also increase the risk for health problems and psychiatric disorders.

In 1995, the Centers for Disease Control (CDC) and Kaiser Permanente undertook a large-scale study to identify the extent of ACEs in a group of 17,337 adult participants. This study also looked at the long-term effects of ACEs.

Adverse childhood experiences were surveyed using eight specific questions that covered neglect, abuse, and household dysfunction, such as witnessing domestic violence.

The results of this research found that nearly 25% of those in the study had been exposed to three or more of the eight ACEs that were being studied at that time. The fact that the participants were primarily middle-class Caucasian adults was a clear indication that ACEs can happen in almost any household.

However, it is now well-known that chronic poverty, community violence, and racism can also negatively impact a child’s physical and mental health and development.

WHAT IS THE ACEs QUESTIONNAIRE?

Since the time of that groundbreaking study, the ACEs questionnaire has had some minor modifications. The latest version is comprised of 10 questions that cover adverse and traumatic experiences a child could be subjected to or witness while growing up. The categories include:

The scores on the ACE questionnaire range from 0 to 10, with zero meaning no exposure and 10 indicating a person was subjected to significant—if not profound—levels of trauma before age 18. The higher the score, the higher the long-term health consequences a person can be at risk for.

Of note, the ACE questionnaire is not a stand-alone diagnostic assessment. It specifically addresses only negative experiences, not positive ones. It’s not necessarily predictive of future problems, although those correlations exist.

 

Rather, it’s intended to be used as a guide for clinicians and community health workers to identify services that can benefit the child and family.

For a deeper understanding of the ACEs questionnaire, tune in to the Change Your Brain Every Day podcast, where hosts Dr. Daniel Amen and his wife Tana Amen break down each question.

HOW CHILDHOOD TRAUMA IMPACT THE DEVELOPING BRAIN

The development of a child’s brain is very sensitive to the environment in which they are raised. A loving, supportive, and predictable home environment bodes well for the brain to organize and function in developmentally appropriate ways as the child grows up.

However, for children who are repeatedly subjected to trauma, chaos, abuse, and/or neglect, healthy brain development is often obstructed. When a child is chronically exposed to adverse and traumatic experiences, the brain’s stress activation system—which impacts immune, metabolic, and cardiovascular functioning—is constantly in overdrive.

As the brain develops, the delicate balance of neurotransmitters (brain chemicals) that are necessary for healthy brain function can be disrupted due to the constant flood of stress hormones. This process can also stunt the development of certain areas of the brain, such as the hippocampus, which is important for memory formation.

When enduring toxic levels of stress, it’s as though the child’s brain is stuck in fight-or-flight mode. This can lead to problems with self-regulation, learning, and social interactions, as well as trouble controlling emotions, aggression, and nightmares. Another long-term consequence involves difficulty forming and maintaining healthy attachments later in life.

The negative effects of the adverse experiences can even alter a child’s genes and be passed along to the next generation. 

In a fascinating episode of the Change Your Brain Every Day podcast, Dr. Amen talks in detail about the results of the Amen Clinics study mentioned earlier. The largest brain-imaging study ever conducted on ACEs, it involved over 7,000 participants and used brain SPECT imaging and clinical evaluations to map how childhood trauma affects brain activity.

As he reveals on the episode, the results indicate that higher ACE scores are tightly linked to an increased risk of mental health conditions. The study underscores the importance of brain-focused treatment approaches to mitigate the long-term effects of ACEs.

ADVERSE CHILDHOOD EXPERIENCES: IMPACTS ON PHYSICAL AND MENTAL HEALTH

Not everyone with a high ACE score will develop health problems later in life. Some children have natural strengths that can help them navigate the turmoil that surrounds them in a way that other children may not be able to.

 

In addition, having a close relationship with one or more caring adults can help buffer the adversity at home. For example, a teacher may provide extra support for the child. In other instances, a loving relative who cares for the child may provide a temporary refuge from the trauma. These adults can promote a sense of safety that helps the child become more resilient.

However, adults who had multiple ACEs and did not have healthy connections to people around them—nor strengths that were nurtured—can be at an increased risk for physical and mental health problems in adulthood, including:

The connection between high ACE scores and substance abuse is especially strong. In fact, more than 25% of people with addictions report childhood trauma, according to a 2022 study in General Psychiatry. This study also found that higher levels of ACEs was associated with greater severity of mental health disorders.

ADVERSE CHILDHOOD EXPERIENCES (ACEs) AND EMOTIONAL BIAS

Neuropsychological testing also shows that individuals who have experienced high levels of childhood trauma have difficulty with emotional awareness and emotional bias.

Emotional awareness and emotional bias tests involve having a person look at images of facial expressions and categorize them as happy, neutral, angry, or disgusted. On these tests, people with high scores on the ACE Questionnaire typically respond slower to happy faces and more quickly to disgusted faces. They also identify fewer neutral faces correctly while recognizing more angry faces correctly.

This contributes to an emotional bias known as a conscious negativity bias. Ultimately, this means people with higher levels of adverse childhood experiences are more likely to have a negative view of the world.

TREATING ADVERSE CHILDHOOD EXPERIENCES (ACEs)

Fortunately, certain mental health therapies and lifestyle changes can help mitigate the onset or reduce the severity of ACEs consequences, such as:

  • Address the adverse childhood experiences with a trained psychotherapist to help work through the emotional trauma.
  • Consider Eye Movement Desensitization and Reprocessing (EMDR), which is a powerful treatment for trauma survivors.
  • Seek treatment for alcohol, drug, and/or food addiction.
  • Switch to a healthier diet with lots of fresh produce and omit fried foods, sugar products (including soda), and ultra-processed foods.
  • Exercise regularly and spend less time on the couch.
  • Volunteer in your community to build positive social connections.

On the Change Your Brain Every Day podcast episode about ACEs, Dr. Amen and Tana discuss several other beneficial strategies to help overcome childhood trauma for better mental health.

If you’re an adult who endured the trauma of adverse childhood experiences, start taking good care of yourself now. Incorporating healthier habits and seeking treatment for your physical and mental health issues can open up greater possibilities for your life as you go forward.

We Are Here For You

Emotional trauma, substance abuse, depression, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.

Keator DB, et al. Adverse childhood experiences, brain function, and psychiatric diagnoses in a large adult clinical cohort. Frontiers in Psychiatry, Volume 15 (2024). https://doi.org/10.3389/fpsyt.2024.1401745

Anda, Robert F et al. “The enduring effects of abuse and related adverse experiences in childhood. A convergence of evidence from neurobiology and epidemiology.” European archives of psychiatry and clinical neuroscience vol. 256,3 (2006): 174-86. doi:10.1007/s00406-005-0624-4

Gu, Wenjie et al. “Impact of adverse childhood experiences on the symptom severity of different mental disorders: a cross-diagnostic study.” General psychiatry vol. 35,2 e100741. 22 Apr. 2022, doi:10.1136/gpsych-2021-100741

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Understanding Narcissist Love Bombing: Signs and Effects to Recognize

Understanding Narcissist Love Bombing Signs and Effects to Recognize
Love bombing is when an individual lavishes another person with love “bombs” of attention, affection, and praise early in a new relationship in order to

Has an enthusiastic new romantic partner ever overwhelmed you with effusive texts, frequent phone calls, plans for a future together, over-the-top displays of attention, or lavish you with many gifts? Did it feel wonderful—almost like a fairy tale relationship—but with an undercurrent of unease, perhaps due to the speed and intensity of the romance?

Did your love interest get prickly or refuse to listen when you tried to slow the pace of your romance or set boundaries? If so, you may have been subjected to narcissistic love bombing. And that could spell trouble.

Here’s what you need to know about love bombing, including how it can lead to an abusive relationship and clear signs on how to recognize it.

WHAT IS LOVE BOMBING?

Love bombing is when an individual bestows another person with love “bombs” of attention, affection, and praise in the early stages of a new relationship in order to influence or manipulate them. It’s typically used as a tactic in romantic relationships but may be seen in other types of relationships, such as friendships and work dynamics.

Love bombing is when an individual lavishes another person with love “bombs” of attention, affection, and praise early in a new relationship in order to influence or manipulate them.Share on X

The term love bomb has become popular over the last several years—especially among young people. Do a search for #lovebombing on TikTok, and you’ll get hundreds of thousands of results!

A 2022 survey found that 70% of more than 1,000 participants, ages 18-55, had experienced some form of love bombing. Women encountered it at a significantly higher rate than men.

In some cases, love bombing may be innocent and seem like normal behavior. However, in other cases, it’s a form of emotional manipulation and abuse, such as with a narcissist love bombing scenario.

At some point, the love-bombing phase stops. A new phase follows, which may include manipulative tactics such as gaslighting, criticism, or controlling behavior, and in some cases, physical abuse and other red flags. Love bombing is not to be taken lightly because it is potentially the start of an abusive relationship.

 

WHAT CAUSES LOVE BOMBING?

People engage in love bombing for a variety of reasons, including:

  • Narcissism, especially individuals with narcissistic personality disorder

  • Attachment issues, such as being overly dependent or a survivor of childhood trauma

  • Loneliness

  • Genuine love

Let’s take a closer look at each of these.

1. Narcissism

Although love bombing is not a diagnostic term, mental health professionals typically use it to describe the manipulative behavior that narcissistic or abusive individuals employ in early romance. It is used to gain power over a person—often someone vulnerable to grand gestures and appearing in need of a “savior.”

Using gifts, affection, and positive attention, the narcissistic love bomber essentially taps into the recipient’s internal reward system. This psychological manipulation helps quickly create a bond that can have addictive-like qualities. This serves to make their partner feel dependent on them.

Indeed, when you’re the object of a love bomber’s desire, you might feel safe, secure, and totally adored. This is because these grand gestures initially boost your self-esteem and make you feel worthy and desired. You might believe you found your perfect match.

However, the secret motive of the love bomber is not simply to seek love. It is a manipulative tactic of narcissistic abuse. Research shows that narcissistic love bombers, who tend to be lacking in self-esteem, ultimately want to gain control over you.

2. Attachment Issues

Not all love bombing is a conscious manipulation tactic. In some cases, unconscious or unresolved attachment issues propel an individual to love bomb.

For example, someone who has an insecure attachment style may love bomb in an effort to “secure” the relationship quickly, because they fear being abandoned. Unfortunately, the love bombing may overwhelm a partner and turn them off, leading to a self-fulfilling prophecy.

Alternatively, an individual with an avoidant attachment style love bombs to feel in control over the level of intimacy. When the partner reciprocates, they typically get overwhelmed by the closeness and push the partner away, which leads to the opposite of love bombing: ghosting.

3. Loneliness

Sometimes love bombing can simply be enthusiasm from a lonely person who is desperate for a friendship or romantic relationship.

4. Genuine love

Love-bombing behavior may be an expression of genuine love, not a manipulative tactic, especially if an individual comes from a family or culture that is demonstrative with affection. In addition, it’s important to note that men tend to fall in love more quickly than women do, research has found.

In general, new love can be overwhelming. Brain-imaging research shows that falling in love affects the brain in a similar way cocaine does. It can trigger a flood of neurochemicals that produce a sense of euphoria.

At the same time, it activates areas of the brain that lead to intense focus and obsessive thoughts about a new love interest. This can make it difficult to tell if you’ve been love bombed or are embarking on a healthy relationship.

On the flip side, new love can reduce activity in brain networks involved in judgment and negativity. The neural systems responsible for critical assessments basically shut down. It’s as if the brain is driving us to fall in love and stay in love.

To protect yourself, it’s important to be able to assess and discern dangerous love-bombing behavior.

HOW TO IDENTIFY LOVE BOMBING SIGNS

Although every relationship is different, nearly all instances of love bombing will include the following:

  • Excessive flattery and praise

  • Constant sharing of feelings

  • Showering you with gifts that you don’t want or need

  • Always wanting to spend time with you

  • Intense talks with you about a future together very early on in the romance (within days or weeks)

Additional signs of love bombing may include:

  • They shower you with over-the-top gestures (a romantic trip for the weekend, creating fairytale-like dates, sending 100 roses, etc.)

  • They say exactly what you want to hear

  • They refer to you as their “soulmate” or suggest your connection is “destiny” or “fate”

  • They push for commitment early in the relationship

  • They get upset with boundaries

  • They’re very needy

  • They want you to respond quickly to texts and calls

  • There’s lots of PDA and posting on social media

  • You feel uneasy like you have to tread lightly

  • They introduce you to close friends and family too soon

  • They prefer you alone, isolated from your family and friends

  • You have a feeling of being “swept off your feet”

  • They seem too good to be true

KNOW THE 3 STAGES OF LOVE BOMBING

Love bombing has 3 stages:

  1. Idealization phase

During this love bombing stage, your partner bombards you with over-the-top expressions of love and affection. It serves to draw you in and let your defenses down.

You may experience a feeling of being swept off your feet or that this new love interest is too good to be true. Unfortunately, their behavior could be signs of love bombing.

  1. Devaluation phase

At this point, you start to relax and get comfortable in the relationship, but red flags begin to appear as the love bombing and idealization phase starts to end.

Perhaps your partner will try to control you by limiting your time with family and friends. You may see flashes of anger, especially if you say no or attempt to set a boundary.

They may withdraw their attention and become critical of you or suddenly cut off contact or blame you for the issues in your relationship. This is called gaslighting.

In some cases, an abusive person will employ other manipulative tactics, like fear and intimidation to control your behavior and may even use physical violence.

  1. Discard phase

When a love bomber realizes they can no longer get what they want from you, they will likely discard your relationship and move on to a new one. This usually happens if you confront them about their harmful behavior or make an effort to implement healthy boundaries.

Love bombers try to avoid accountability. They will typically leave before cooperating or compromising.

If you leave a love bomber—especially one with narcissistic personality disorder— they may return later. Typically, they will begin again with extravagant and lavish gestures in an attempt to win you back. They may also say they will change. However, instead of changing, as they draw you into the unhealthy relationship they simply start a new cycle of abuse.

Experts say that the best indicator of an unhealthy love-bombing situation is your gut feeling. Healthy love generally makes you feel good. Toxic relationships make you feel stressed and uneasy, doubting your perceptions.

RECOVERING FROM NARCISSISTIC LOVE BOMBING

Love bombing can harm your self-esteem and sense of self-worth. You may have feelings of shame and self-doubt for not seeing the red flag waving. It’s not uncommon to feel overwhelmed and confused, wondering how you became so dependent on a person you hardly knew. Be understanding and kind to yourself.

Love bombing is a form of emotional abuse that can lead to feelings of despair, anxiety, depression, and guilt. If you’ve been love bombed, look for support from non-judgmental, understanding friends and family members with whom you can share your own feelings about the emotional abuse you have gone through.

If you’re having trouble getting over post-love bombing symptoms, consider psychotherapy with a qualified mental health professional. Immediately seek help if you have experienced physical abuse or even threats of it. You can call the National Domestic Violence Hotline: 800-799-7233.

With time and effort, you can overcome past abusive relationships and learn to set healthy boundaries. This can help lead the way to a more loving relationship in the future.

If you recognize love bombing in yourself, working with a mental health professional can help address narcissistic traits or other underlying issues driving your behavior in relationships.

We Are Here For You

Love bombing and other relationship issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 855-621-1686 or visit our contact page here.

Strutzenberg CC, Wiersma-Mosley JD, Jozkowski KN, Becnel JN. Love-bombing: A narcissistic approach to relationship formation. Discovery, The Student Journal of Dale Bumpers College of Agricultural, Food and Life Sciences. 2017. 18(1), 81-89. Retrieved from https://scholarworks.uark.edu/discoverymag/vol18/iss1/14

Harrison MA, Shortall JC. Women and men in love: who really feels it and says it first? J Soc Psychol. 2011. 151(6):727-36. doi: 10.1080/00224545.2010.522626. PMID: 22208110.

Ortigue S, Bianchi-Demicheli F, Patel N, et al. Neuroimaging of love: fMRI meta-analysis evidence toward new perspectives in sexual medicine. J Sex Med. 2010. 7(11):3541-52. doi: 10.1111/j.1743-6109.2010.01999.x. PMID: 20807326.

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Foods That Help With ADD: The Surprising Role Diet Plays in Symptoms

Food plays a powerful role in cognitive function, emotions, and behavior, especially for those with ADD. Foods that help with ADD can decrease the need

If you (or a loved one) have ADD/ADHD, you may struggle with focus and attention, be easily distracted, feel spacey, or be a procrastinator. At some times of the day or on certain days of the week, you may notice that your symptoms seem more pronounced.

You probably chalk it up to stress or bad sleep, but in many cases, it could be what you’re eating that intensifies your symptoms and makes it harder to get things done.

Food can have a powerful effect—either positive or negative—on cognitive function, emotions, and behavior. And it can impact symptoms associated with attention deficit hyperactivity disorder (ADHD), also known as attention deficit disorder (ADD).

The right diet can decrease the amount of ADD/ADHD medication needed. The wrong diet can exacerbate ADD/ADHD symptoms and potentially interfere with the effectiveness of ADHD medications.

At Amen Clinics, dietary interventions are an important part of a treatment plan for ADD/ADHD, a common mental health condition that affects over 6 million kids and 4.4% of adults in the U.S. However, not all people with this condition are alike.

The brain imaging work at Amen Clinics has identified seven types of ADD/ADHD and it’s important to eat for your type. (You can take the Amen Clinics quiz to discover your ADD Type here.)

When patients begin to eat for their ADD Type they tend to notice better mood stability, focus, energy, and stamina as well as less distractibility and fewer sugar cravings. You can too by following these tips.

UNDERSTANDING THE CONNECTION BETWEEN DIET AND ADHD SYMPTOMS

While there is no definitive proof that diet causes or cures attention deficit hyperactivity disorder (ADHD), research suggests that certain foods and nutrients may play a significant role in managing ADHD symptoms.

A well-balanced diet rich in essential nutrients can help alleviate symptoms, while a diet high in processed foods, sugar, and unhealthy fats may worsen ADHD symptoms.

Understanding the connection between diet and ADHD symptoms is crucial for developing an effective ADHD diet plan. By making mindful food choices, you can support better focus, mood stability, and overall brain health.

THINK HIGHER PROTEIN AND LOWER CARBS FOR MOST ADD TYPES

In general, most people with ADD/ADHD benefit from eating foods that help with ADD, such as those high in protein and low in carbohydrates, to enhance focus and energy levels.

Incorporating foods that help with ADD, such as protein-rich options like beef, poultry, fish, eggs, seeds (pumpkin and sesame), nuts (almonds and walnuts), cheese, and green tea, can naturally boost dopamine levels, which support focus and motivation.

Additionally, it is important to be aware of any food allergies that may impact ADHD symptoms and consult with a healthcare professional to manage them effectively.

ESSENTIAL NUTRIENTS FOR ADHD MANAGEMENT

Certain nutrients are essential for brain health and may help alleviate ADHD symptoms. These include:

  • Omega-3 fatty acids: Found in fatty fish, nuts, and seeds, omega-3 fatty acids support heart health and may improve ADHD symptoms. Incorporating foods like salmon, chia seeds, and walnuts into your diet can be beneficial.
  • Vitamin D: Important for bone health, vitamin D supplements may also help tackle symptoms of inattention and hyperactivity in ADHD. Spending time in the sun and consuming fortified foods can boost your vitamin D levels.
  • Iron: Iron deficiency is a strong predictor of ADHD in children, and iron supplements may improve symptoms. Foods like lean meats, spinach, and lentils are excellent sources of iron.
  • Zinc: Zinc status has been linked to ADHD symptoms, and zinc supplementation may be beneficial. Foods rich in zinc include pumpkin seeds, chickpeas, and cashews.
  • Complex carbohydrates: Whole grains, fruits, and vegetables are rich in complex carbohydrates, which can help prevent blood sugar spikes and improve focus. Opt for foods like brown rice, quinoa, and sweet potatoes.
  • Protein-rich foods: Lean meats, eggs, and nuts are rich in protein, which can help maintain focus and attention. Starting your day with a protein-packed breakfast can set a positive tone for the rest of the day.

SPECIAL ADHD DIET RECOMMENDATIONS FOR TYPE 3 OVERFOCUSED ADD

The recommendation for a higher-protein, lower-carb diet isn’t the case for people with Type 3 Overfocused ADD. This ADD Type is associated with low serotonin, in addition to the low dopamine levels that are seen in the other types.

The Overfocused ADD Type is often associated with excessive worry, moodiness, rigid thinking, and irritability. With this type, the problem isn’t that you can’t pay attention, it’s that you can’t stop paying attention, which means you get stuck on negative thoughts or behaviors.

A higher-protein, lower-carb diet that improves focus may cause people with Overfocused ADD to focus even more on the things that bother them.

For individuals with Overfocused ADD, the best foods that help with ADD are smart carbs, such as sweet potatoes, apples, blueberries, carrots, gluten-free steel-cut oatmeal, quinoa, and chickpeas, which help increase serotonin and promote mood stability.

 

In some cases, a highly restrictive approach—such as the few foods diet or an elimination diet may be considered to identify potential food intolerances that could worsen symptoms.

FOODS TO AVOID WITH ADHD

Certain foods may worsen ADHD symptoms or trigger allergies and sensitivities. These include:

  • Sugary foods: High sugar consumption is linked to inattention and impulsivity in adults with ADHD. Reducing sugar intake can help stabilize energy levels and improve focus.
  • Artificial food additives: Artificial colors, flavors, and preservatives may exacerbate ADHD symptoms in some individuals. Reading labels and choosing natural, whole foods can make a difference.
  • Processed meats: Processed meats, such as hot dogs and sausages, contain artificial additives and preservatives that may worsen ADHD symptoms. Opt for fresh, unprocessed meats instead.
  • Foods high in unhealthy fats: Foods high in saturated and trans fats, such as fried foods and processed snacks, may worsen ADHD symptoms. Choosing healthy fats like those found in avocados, olive oil, and nuts can support better brain health.

KICK THE CAFFEINE AND SUGAR CONSUMPTION HABIT

A brain imaging study in Human Brain Mapping shows that caffeine decreases overall blood flow to the brain, which in turn will make ADD /ADHD symptoms worse over time in all seven types.

Based on over 30 years of clinical practice at Amen Clinics, caffeine decreases the effectiveness of medication and supplement treatments and increases the number of side effects people have from medication.

For some individuals, a highly restrictive foods diet may be necessary to identify and eliminate problematic foods that exacerbate ADHD symptoms.

Rule out refined carbs: Simple carbohydrate foods zap concentration. Refined carbs are loaded with sugar or substances that are easily broken down into sugar in the body. They trigger a quick spike and then a crash in blood sugar levels that leaves people feeling spacey, confused, tired, and inattentive.

In addition, simple carbs spike serotonin levels in the brain, which makes you feel temporarily happier and more relaxed. Sounds great, but serotonin can also give people a “don’t worry, be happy” attitude that drains motivation and drive. Not exactly the best mindset for work or school.

Replace refined carbohydrates with foods that help with ADD, like smart carbs such as sweet potatoes, gluten-free oatmeal, and quinoa, to stabilize energy and improve focus.

FOCUS ON PROTEIN-RICH FOODS FOR BREAKFAST

When it comes to what we eat at mealtime, Americans have it all wrong. We tend to eat simple carbs in the morning and have more protein-based meals at night.

However, eating a typical breakfast of pancakes, waffles, muffins, bagels, or cereal can increase ADD/ADHD-like symptoms and set you up for a challenging day at the office or in the classroom.

People with ADD/ADHD should eat protein in the morning. Protein, found in meat, nuts, or eggs, boosts dopamine levels and helps us feel more driven, motivated, and focused.

Start your day with foods that help with ADD, such as hard-boiled eggs, nuts, chopped veggies, and fruit, or a protein drink like the Focus and Energy Smoothie. These options boost dopamine levels and set you up for a focused, productive day.

For those considering the few foods diet or an elimination diet, it is essential to ensure that breakfast includes a variety of protein sources to maintain balanced nutrition.

SNACK FOR SUCCESS

For many parents, the go-to after-school snack for their kids involves a few cookies and a soda—a nasty combo of refined carbs and caffeine. This is followed by a reminder to kids that it’s time to do their homework.

In this all-too-common scenario, parents unintentionally sabotage their children’s ability to concentrate on their homework and complete it.

For snacks, choose foods that help with ADD, like an apple with almond butter or red bell peppers with hummus, to maintain stable energy and concentration levels throughout the day.

Identifying and managing food allergies is crucial for individuals with ADHD, as certain allergens can significantly impact symptoms.

Avoid potential food allergens: Avoiding potential allergens is essential, but replacing them with foods that help with ADD, such as naturally nutrient-dense, unprocessed options, can significantly improve symptoms.

Food additives and colorings, such as red dye 40, can cause hyperactivity in children with no history of the problem, according to a study in the prestigious journal The Lancet.

Clinical practice at Amen Clinics suggests this may affect adult patients, too. In other research from the ADHD Research Centre in the Netherlands, 85% of children who followed an elimination diet showed an improvement of 50% or more and no longer met the criteria for attention deficit hyperactivity disorder.

COMMON FOOD SENSITIVITIES AND ADHD

Some people with ADHD may have food sensitivities or allergies that can trigger or worsen symptoms. Common food sensitivities include:

  • Gluten: Some people with ADHD may have a gluten intolerance or sensitivity, which can trigger symptoms. Exploring gluten-free options like quinoa, rice, and gluten-free oats can be helpful.
  • Dairy: Dairy products contain lactose, which can be difficult for some people to digest, leading to symptoms. Trying lactose-free or plant-based alternatives can provide relief.
  • Soy: Soy is a common allergen that can trigger symptoms in some people with ADHD. Being mindful of soy ingredients in processed foods and opting for soy-free products can be beneficial.
  • Nuts and seeds: While nuts and seeds are a healthy snack, some people with ADHD may have an allergy or sensitivity to certain types. Identifying and avoiding specific allergens is crucial.

It’s essential to consult with a healthcare professional, such as an integrative medicine physician or functional psychiatry practitioner, to identify food sensitivities and develop a personalized ADHD diet plan. By understanding and managing these sensitivities, you can create a diet that supports better focus, mood, and overall well-being.

We Are Here For You

Emotional trauma, substance abuse, depression, and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.

Keator DB, et al. Adverse childhood experiences, brain function, and psychiatric diagnoses in a large adult clinical cohort. Frontiers in Psychiatry, Volume 15 (2024). https://doi.org/10.3389/fpsyt.2024.1401745

Anda, Robert F et al. “The enduring effects of abuse and related adverse experiences in childhood. A convergence of evidence from neurobiology and epidemiology.” European archives of psychiatry and clinical neuroscience vol. 256,3 (2006): 174-86. doi:10.1007/s00406-005-0624-4

Gu, Wenjie et al. “Impact of adverse childhood experiences on the symptom severity of different mental disorders: a cross-diagnostic study.” General psychiatry vol. 35,2 e100741. 22 Apr. 2022, doi:10.1136/gpsych-2021-100741

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10 Things Parents Should NEVER Do

10 Things Parents Should Never Do
Based on Tens of Thousands of Patients at Amen Clinics, Our Child Psychiatrists Have Identified 10 Bad Parenting Habits You Should Avoid.

As parents, it’s common to focus on parenting strategies that will help you raise mentally strong kids, but you may be overlooking what NOT to do. These people are typically well-intentioned, but their parenting skills aren’t helping them get the results they desire.

Based on tens of thousands of patients at Amen Clinics, our child psychiatrists have seen parents who unknowingly engage in habits that are counterproductive. Here’s a look at 10 bad parenting habits you should avoid.

If you want to learn more about what too many parents are doing wrong, tune in to the Change Your Brain Every Day podcast, hosted by Dr. Daniel Amen and his wife Tana Amen. Their episode on parenting “don’ts” is available wherever you get your favorite podcasts.

10 BAD PARENTING HABITS

  1. Ignore your child’s brain.

Your child’s brain controls everything they do—how they think, behave, and relate to others. When their brain works right, they work right, but when their brain is troubled, they are more likely to have trouble in their life. And if they have problems in their life, you have problems in yours.

Healthy brain function is critical for focus, mood stability, motivation, academic performance, and so much more. But most parents don’t think about the health of their child’s brain. This is a major mistake. If you want your child to be their best, you must teach them to love and care for their brain.

The brain SPECT imaging work at Amen Clinics shows that a child’s brain health is linked to emotional and behavioral issues. The SPECT scans below show:

  • Healthy brain
  • Traumatic brain injury (TBI)
  • Attention deficit hyperactivity disorder (ADHD), also called attention deficit disorder (ADD
  1. Rarely spend quality time with your child.

Healthy parent-child relationships require “special time” together. If you don’t spend time with them one-on-one, they are likely to develop resentment and rebel against you.

One of the most effective things you can do is spend at least 20 minutes of quality time each day with your child—listening and doing something they want to do (within reason).

Silence your phone so you can pay 100% attention to your child. Research has found that when parents are always distracted by their devices, it interferes with a child’s emotional intelligence development. A child may act out and behave poorly in an attempt to get your attention.

  1. Be a poor listener.

When you are disagreeing with your child and they are talking, do you interrupt them? Are you focusing on understanding what they are saying, or are you thinking of how you are going to respond to them?

Being a bad listener sends the message that your child isn’t important enough to merit your attention. And this can have devastating effects on their self-esteem.

Learn active listening. Don’t judge or criticize what they are saying, rather repeat back what you hear. Ultimately, your child can solve a lot of their own problems.

  1. Use name calling.

Never tell your child “You’re a spoiled brat” or say “You’re stupid” when they’ve made a mistake or done something wrong. This is not helpful for their development.

Children will internalize these negative names and begin to believe them, which can adversely affect their self-esteem.

  1. Be overly permissive.

Letting your child do whatever they want may make them “happy” in the moment, but it can be detrimental in the long run. Multiple studies have demonstrated that the children who grow up to have the most mental health problems had permissive parents who never set appropriate boundaries.

Children need clear boundaries to help them understand what is and is not OK. Do this by being firm and kind. Develop a set of rules and stick by them.

  1. Fail to supervise your child.

The brain’s frontal lobes—which are involved in planning, judgment, and impulse control—are not fully developed until about age 25. Therefore, you need to act as your child’s frontal lobes until theirs develop. Failing to do so increases the chances that your child will engage in risky behaviors that can have major consequences.

Healthy supervision means checking in on what your child is doing and with whom and helping them make good decisions. This doesn’t make you a helicopter parent—rather, it shows how much you care.

  1. Be a lousy role model.

If your motto is “Do as I say, not as I do,” you’re setting yourself up for trouble. Being a poor role model means your child will likely pick up on that and follow your lead.

If you lie, cheat, are rude or disrespectful, eat an unhealthy diet, and never address your own health, your child is going to follow your example. So, model how you want your child to be.

  1. Only notice what your child does wrong.

Noticing all the little mistakes your child makes infuses them with a negative mind-set and self-view. This can carry over into adulthood and hold them back from reaching their potential.

In addition, if the only time you notice them is when they are doing something wrong, you are teaching them that doing something bad is the best way to get any attention from you.

Instead, do whatever you can to catch them doing things right as often as possible. By doing that, you will reinforce their good behavior and good choices.

  1. Ignore their mental health issues.

Mental health issues, such as ADHD, anxiety disorders, depression, bipolar disorder, and obsessive-compulsive disorder (OCD), can have a devastating impact on your child’s life. On average, it takes 11 years from the time a child starts to develop mental health symptoms to when they are seen for their first psychiatric evaluation.

In the meantime, children with untreated mental health conditions can struggle to succeed in school, in their friendships, and in life. These types of problems can rob them of their mental strength, happiness, self-esteem, motivation, and focus. As their parent, pay attention and take them for an evaluation if you have any concerns.

  1. Ignore your own mental health problems.

If you’re suffering from any mental health conditions, it can devastate your children. Remember the saying, “Put on your own oxygen mask first.” You need to take care of yourself and be the best version of you so you can also be the best parent to them.

If you have trouble with focus, anxiety issues, depression symptoms, or other mental health issues, seek help from a mental health professional.

LEARN BETTER PARENTING SKILLS

Discover more common parenting mistakes and helpful parenting strategies on Dr. Amen and Tana’s Change Your Brain Every Day podcast, available wherever you get your favorite podcasts.

Reviewed by Amen Clinics Inc. Clinicians

We Are Here For You

Behavior problems, ADHD, depression, anxiety, and other childhood mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.

Keator DB, et al. Adverse childhood experiences, brain function, and psychiatric diagnoses in a large adult clinical cohort. Frontiers in Psychiatry, Volume 15 (2024). https://doi.org/10.3389/fpsyt.2024.1401745

Anda, Robert F et al. “The enduring effects of abuse and related adverse experiences in childhood. A convergence of evidence from neurobiology and epidemiology.” European archives of psychiatry and clinical neuroscience vol. 256,3 (2006): 174-86. doi:10.1007/s00406-005-0624-4

Gu, Wenjie et al. “Impact of adverse childhood experiences on the symptom severity of different mental disorders: a cross-diagnostic study.” General psychiatry vol. 35,2 e100741. 22 Apr. 2022, doi:10.1136/gpsych-2021-100741

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Coping with a PTSD Episode: Effective Strategies and Support Options

Coping with a PTSD Episode: Effective Strategies and Support Options
The amygdala (the brain’s fear center) doesn’t forget anything that it has deemed as dangerous and doesn’t discern whether the threat is real or imagined.

Throughout their lifetime, at least half of all people will experience a traumatic event of one kind or another. For some, trauma begins early in life with the devastation of childhood abuse and other maltreatment, including neglect.

Beyond this, there are many other types of events that are inherently traumatic, such as military combat, sexual violence or other physical assaults, serious injury, motor vehicle accidents, being stalked or in a natural disaster as well as surviving a mass shooting or living in a war zone.

Essentially, any event during which a person experiences the fear of actual or threatened death can trigger PTSD symptoms. Some mental health experts suggest that living through the COVID-19 pandemic was yet another event that triggered trauma in some people.

It’s normal for anyone who has endured or witnessed experiences like these to have a strong emotional response that could last for days or weeks.

However, some people have a delayed and/or prolonged reaction to the traumatic event which can lead to post-traumatic stress disorder (PTSD), a serious mental health condition.

This blog will explore what happens during a PTSD episode, offering insights and coping strategies to help you deal with it.

Prevalence and Symptoms of PTSD

According to the Department of Veterans Affairs National Center for PTSD—the mental health services administration for veterans—approximately 7-8% of people in the U.S. will develop PTSD during their life—10% of women and 4% of men.

To be diagnosed with this condition, a person will have some specific PTSD symptoms, including several of these:

  • Recurrent and distressing memories or dreams of the traumatic event that cause severe anxiety

  • Prolonged or noticeable psychological and/or physical reactions, such as extreme fear, to cues resembling the experience

  • Flashbacks of the event or emotional/psychological dissociation during PTSD episodes

  • Avoidance of thoughts, feelings, people, places, or any reminders of what happened, often referred to as avoidance symptoms

  • Difficulty remembering details of the event

  • Changes in memory or thinking patterns or the development of mood symptoms and difficulty experiencing positive emotions and possibly feeling emotionally numb

  • Hypervigilance, trouble sleeping, anger outbursts, trouble concentrating, and suicidal thoughts as well as unhealthy coping strategies such as substance abuse and other self-destructive behaviors

While all these post-traumatic stress disorder symptoms can cause significant impairment, some are more challenging to manage than others.

PTSD AND THE BRAIN

Studies show that PTSD symptoms are largely related to the amygdala, a structure deep in the brain that is best known for our fight-or-flight response.

When in danger, the amygdala assigns an emotional tag to any experience that could be life-threatening. Its function is automatically prioritized over other areas of the brain, including those that govern reasoning and memory.

Not everyone who experiences a traumatic incident will develop post-traumatic stress disorder, but for those who do, seeking treatment with a licensed mental health professional to help you reduce or manage PTSD symptoms can make a world of difference.

Fortunately treating PTSD is possible and mental health services that do this are widely available.

PTSD Episodes: Flashbacks and Dissociation

The amygdala doesn’t forget anything that it has deemed as dangerous and doesn’t discern whether the threat is real or imagined. This plays a big role in untreated post-traumatic stress disorder, especially when these symptoms occur:

  • Flashbacks are a nightmarish and intense reliving of traumatic events. Whether it is momentary or lasts a few minutes, hours, or even days, someone going through a flashback is unable to distinguish intrusive memories from reality.

    Flashbacks are uncontrollable and very vivid, likely evoking strong sensory memories associated with the trauma that was endured and the environment in which it happened.

    Someone experiencing a PTSD trigger and flashback might have heightened anxiety and other reactivity symptoms.

  • Dissociation occurs when a person feels separate or disconnected from their body and surroundings as though they are observing things from outside of themselves.

    This tends to occur automatically as a coping mechanism to manage traumatic memories and the emotions and sensations associated with them in those who develop PTSD. Like flashbacks, dissociative episodes can be fleeting or last for a long time.

The amygdala (the brain’s fear center) doesn’t forget anything that it has deemed as dangerous and doesn’t discern whether the threat is real or imagined. This plays a big role in untreated PTSD. Share on X

Flashbacks and dissociation are often unpredictable and are caused by triggers in the environment that are reminders of the traumatic event. Such cues can be sights, sounds, odors, objects, people, places, or any number of things that are somehow associated—even unconsciously—with the fearful experience and lead to traumatic stress reactions.

During PTSD episodes, the brain responds by activating the amygdala as though real danger is imminent. This in turn causes an increase in heart rate, shallow rapid breathing, perspiration, and panic as the fight or flight system kicks in.

For Steven, an Amen Clinics patient who witnessed a horrific accident that killed 10 people, his hands would start shaking.

“Grounding” to Offset a PTSD Episode

Although they come on quickly, a person will usually have a little bit of warning prior to a flashback or dissociation. For example, they may feel they are losing their connection to reality or things may start to look blurry.

One method for managing PTSD symptoms and not completely losing touch with reality is through a technique known as “grounding,” which is similar to mindfulness.

Just as it sounds, grounding can help a person stay present so that they recognize their oncoming PTSD symptoms for what they are. This technique involves strategies such as these:

  • Engaging each of the senses by identifying things in the immediate environment they can see, smell, touch, taste, and hear

  • Moving around—whether by walking, running, or jumping—to help disrupt the body’s stress response

  • Breathing deeply and slowly to help calm themselves

Mental Health Treatment for PTSD

It is possible to recover from PTSD symptoms, and there are many PTSD treatment options that can be beneficial, including:

1.Talk therapy: Some mental health professionals offer talk therapy treatments, such as cognitive behavioral therapy (CBT), which addresses ongoing negative emotions and negative thought patterns.

2.Exposure therapy: Another type of treatment, known as exposure therapy, incorporates present-moment relaxation techniques to help reduce symptoms of PTSD in the presence of a trigger.

Another form of this technique is called prolonged exposure therapy. This allows people to gradually face their feelings related to past traumatic events.

3.EMDR: According to research, one of the most effective treatments for post-traumatic stress disorder is called eye movement desensitization and reprocessing (EMDR). This type of psychotherapy is done with a licensed mental health professional or other healthcare provider who is trained and certified in it.

After some sessions for EMDR preparation during which a client will identify triggers, accompanying physical sensations and distressing symptoms, a process called bilateral stimulation (BLS) is used. This involves having clients move their eyes side-to-side as they follow the therapist’s finger, having the client hold a small device in each hand that alternately vibrates.

At the same time, a traumatic memory and associated bodily sensations are recalled simultaneously with the BLS. The distraction of the BLS along with emotional support from the healthcare professional makes thinking and talking about the experience less terrifying or overwhelming.

This method helps the memories of traumatic events get “unstuck” so they can be more fully processed in the brain. This in turn opens the door to greater coping skills and emotional management and fewer negative thoughts related to the trauma or oneself.

4.Antidepressant medications: Mental health professionals may also recommend selective serotonin reuptake inhibitors (SSRIs) to help reduce day-to-day symptoms. It’s important to understand that antidepressant medication alone is unlikely to fully treat PTSD symptoms.

In general, doing therapy in conjunction with medication is usually recommended to overcome symptoms of PTSD.

CONSEQUENCES OF UNTREATED PTSD

Sadly, without treatment, many people won’t fully recover from PTSD. In this case, PTSD episodes are likely to continue or worsen with time. For some people, this can aggravate symptoms and may even lead to suicidal thoughts.

The stigma attached to mental disorders holds some individuals back from seeking help. Because of this, it’s important to know that reaching out to a mental health professional for help is a sign of strength, not weakness.

Understand that the road to recovery from PTSD and other types of trauma may not be a linear one. You may experience setbacks on your healing journey.

However, continued progress can lead to an improvement in mood symptoms, healthier coping strategies, and a greater ability to manage symptoms. Overall, this fosters a greater sense of well-being and more fulfillment in life.

Reviewed by Amen Clinics Inc. Clinicians

We Are Here For You

PTSD and other mental health issues can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.

U.S. Department of Veterans Affairs. PTSD: National Center for PTSD. How common is PTSD in adults? https://www.ptsd.va.gov/understand/common/common_adults.asp

Zotev V, et al. Real-time fMRI neurofeedback training of the amygdala activity with simultaneous EEG in veterans with combat-related PTSD, NeuroImage: Clinical, Volume 19,2018, Pages 106-121, https://doi.org/10.1016/j.nicl.2018.04.010.

Medical News Today, Step-By-Step Guide on Grounding Techniques, https://www.medicalnewstoday.com/articles/grounding-techniques

Rothbaum, Barbara Olasov, and Ann C Schwartz. “Exposure therapy for posttraumatic stress disorder.” American journal of psychotherapy vol. 56,1 (2002): 59-75. doi:10.1176/appi.psychotherapy.2002.56.1.59

Wilson, Gemma et al. “The Use of Eye-Movement Desensitization Reprocessing (EMDR) Therapy in Treating Post-traumatic Stress Disorder-A Systematic Narrative Review.” Frontiers in psychology vol. 9 923. 6 Jun. 2018, doi:10.3389/fpsyg.2018.00923

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13 Positive Affirmations to Boost Moods and Build Mental Strength

45 Positive Affirmations to Overcome Uncomfortable Emotions
Daily affirmations can be a powerful way to heal and build emotional and mental health when you’re feeling bad.

If you’ve ever felt held back by anxiety, anger, or self-doubt, or you’ve been haunted by past trauma you can’t seem to shake, you’re not alone. The brain holds onto these memories and thought patterns, which makes it challenging to move forward.

Emotional issues are tightly linked to brain function, according to over 250,000 brain scans at Amen Clinics. SPECT scans reveal abnormal activity in various brain regions—such as the basal ganglia and limbic system—in people who struggle with anxiety disorders, anger issues, post-traumatic stress disorder (PTSD), and other mental health conditions.

Positive affirmations offer a practical way to ease the hold of negative thoughts, calm anxiety, and strengthen mental resilience. And scientific research shows that they can help rewire the brain in beneficial ways.

Daily affirmations can be a powerful way to heal and build emotional and mental health when you’re feeling bad. In this blog, you’ll discover 45 affirmations you can say to enhance your brain and help you cope with 10 of the most common negative emotions.

HOW POSITIVE AFFIRMATIONS HELP OVERCOME NEGATIVE EMOTIONS

1. When You’re Feeling Anxious

Anxiety often presents itself when past fears or trauma resurfaces. Oftentimes, it’s triggered by familiar sights, sounds, or social interactions. There are simple anxiety-soothing techniques to help you calm your mind. Pair these with daily positive affirmations to help calm anxiety and enhance your sense of safety.

Positive Affirmations:

  • I am safe.
  • I am secure.
  • I am calm.
  • I am protected.
  • I focus on my breathing and centering myself.

2. When You’re Feeling Angry

Old wounds or disappointments can be triggered by previous shame, guilt, bullying, abuse, or resentment. Anger can be constructive; however, in excess and unchecked, it is incredibly destructive.

Learning healthy ways to release your anger helps build resilience and strengthen cognitive well-being throughout your life.

Positive Affirmations:

  • I express my anger in ways others can hear.
  • I accept responsibility if my anger has hurt someone.
  • I direct my anger appropriately.
  • I do not use anger to intimidate.
  • I express anger in words, not actions, unless in protection.

3. When You Feel Invisible

If you tend to feel unnoticed or unimportant, you may feel the weight of abandonment. When you’ve experienced a lack of parental presence or emotional support, this can impact your self-worth and purpose to deepen your sense of self.

Positive Affirmations:

  • I am loved.
  • I am unique.
  • I am significant.
  • I am seen by the people who see me (name them out loud).
  • I am making a difference in the lives of my loved ones.

4. When Past Trauma Is Haunting You

Lingering memories of past trauma—whether from an accident, relationship, or significant life event—often make you feel vulnerable. Recite positive affirmations to help ease painful memories and encourage mental wellness.

Positive Affirmations:

  • I am safe within this moment.
  • I have everything I need at this moment.
  • I release trauma, turmoil, and grief.
  • Asking for help is a sign of strength.

5. When You Feel Inferior

“Comparison is the thief of joy.” A truer statement has never been said about what you can stop doing right now to feel happier. When you find yourself comparing your achievements or appearance with others, it’s easy to feel inferior.

It’s a common struggle, but positive affirmations can help redirect your focus to accept and love who you are right now.

Positive Affirmations:

  • I will refrain from comparing myself to others.
  • I am a strong, independent person.
  • I will be my best, not someone else’s best.
  • I work hard.

6. When you Feel Shame

Studies show that shame and regret can be some of the most powerful forces when it comes to your emotional health. While excessive shame can be harmful to your mental health, a moderate amount may motivate you toward more positive behavioral change.

Letting go of negative self-talk is possible with the intentional practice of self-compassionate affirmations.

Positive Affirmations:

  • Each day I feel more at peace with my past mistakes.
  • I work to learn the lessons of my past.
  • I can and will let go of any shame that haunts me.
  • That was then; this is now.

7. When You Feel Overly Responsible

Feeling overly responsible for other people’s happiness can lead to imbalanced relationships, emotional exhaustion, resentment, and long‐term stress.

Giving yourself as much compassion as you give others is essential in living a happier and more purposeful life. You can start by establishing boundaries and reminding yourself that you’re not alone in caring for others.

Positive Affirmations:

  • Loving others as myself means taking care of myself so I can love others.
  • I help others as long as it helps them become independent.
  • It’s better to give than to receive—if it doesn’t create dependency.
  • I share the load, so I don’t become overburdened.
  • I do what I can and trust others to God’s care.

8. When You’re Feeling Overwhelmed

Thoughts of aging, mortality, and the fleeting nature of life can feel overwhelming at times. This has been especially prevalent in the past decade. A 2024 study in Frontiers in Psychology shows that things like global political discourse, natural disasters, and a pandemic on top of personal life events can compound certain anxieties.

Positive affirmations encourage living fully and without fear by learning to cope by grounding yourself in the present moment.

Positive Affirmations:

  • I will live a life that matters.
  • I live fully and fearlessly.
  • I am present in all I do.
  • If something is meaningful, I pursue it; if not, I let it go.

9. When You’re Grieving   

Loss can leave a lasting impact, but healing is possible. Grief is often the last act of love you can express in the wake of losing of a loved one. Findings in a 2024 study suggest that affirmations can help you grieve and offer hope through the healing process.

It’s not about moving on from your loved one—it’s about having the courage to move forward with their memory.

Positive Affirmations:

  • I feel my feelings and cry when needed.
  • I choose to heal and move forward.
  • I hold on to love and let go of grief.
  • Seeking help is a sign of strength.
  • Even though I’ll never be the same, it’s OK to be someone new.

10. When You’re Feeling Hopeless

If you’re feeling hopeless, please know that you don’t have to feel alone. Some situations can feel impossible to change which, over time, can lead to a mindset of learned helplessness.

Start saying these phrases to help reframe your thoughts and renew hope for a better future that you control.

Positive Affirmations:

  • I am worth it.
  • I can ask for help when I need it.
  • I have hope for the future.
  • Today is going to be a great day.

THE POWER OF AFFIRMATIONS

By practicing these affirmations, you’re empowering yourself with simple yet powerful tools. When repeated regularly, it can help shift your brain chemistry and boost your mood to break patterns of negativity and embrace positive thinking.

We Are Here For You

Anxiety, depression, stress, and other mental health conditions can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.

Cascio, Christopher N et al. “Self-affirmation activates brain systems associated with self-related processing and reward and is reinforced by future orientation.” Social cognitive and affective neuroscience vol. 11,4 (2016): 621-9. doi:10.1093/scan/nsv136

Budiarto Y, Helmi AF. Shame and Self-Esteem: A Meta-Analysis. Eur J Psychol. 2021 May 31;17(2):131-145. doi: 10.5964/ejop.2115. PMID: 35136434; PMCID: PMC8768475

Gérain P, Zech E. Do informal caregivers experience more burnout? A meta-analytic study. Psychol Health Med. 2021 Feb;26(2):145-161. doi: 10.1080/13548506.2020.1803372. Epub 2020 Aug 20. PMID: 32816530

Gabriela, M., Laurențiu, M., & Camelia-Iulia-Maria, V. (2024). The relationship between critical life events, psycho-emotional health and life satisfaction among youths: Coping mechanisms and emotional regulation. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1288774

Baiu, B. (2024). Self-affirmation Shortens the Grieving Process after Romantic Abandonment and can Increase Self-esteem. International Journal of Indian Psychology, 12(4), 577-589. DIP:18.01.052.20241204, DOI:10.25215/1204.052

Nickerson, C. (2024, May 2). Learned Helplessness. Simply Psychology. www.simplypsychology.org/learned-helplessness.html

DeAngelis, T. (2019, February). The legacy of trauma. APA Monitor, 50(2). www.apa.org/monitor/2019/02/legacy-trauma 

Yehuda R, Lehrner A. Intergenerational transmission of trauma effects: putative role of epigenetic mechanisms. World Psychiatry. 2018 Oct;17(3):243-257. doi: 10.1002/wps.20568. PMID: 30192087; PMCID: PMC6127768.

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Functional Psychiatry: A Better Approach to Mental Health Care

Functional Psychiatry A Better Approach to Mental Health Care
Functional medicine psychiatry addresses patients’ complexities by taking into account the many elements of their life, health, and environment. This approach reaches far beyond just

Imagine you cut your finger and your body wasn’t able to naturally heal itself. Would applying a bandage over the cut truly help? It might put a short-term protective cover on top of the problem, but the cut would remain—and might even worsen over time.

This analogy can be used to illustrate the differences between traditional and functional psychiatry, also called integrative psychiatry. Traditional psychiatry follows the principles of traditional Western medicine, where the focus is typically placed on treating symptoms alone.

But in functional psychiatry, as in modern integrative psychiatry, symptoms are just part of the equation. What’s more important is determining—and then treating—the root causes of the problem, which creates a better chance of successful mental health outcomes.

THE FUNCTIONAL PSYCHIATRY APPROACH TO MENTAL HEALTH CARE

When a patient describes having depression or anxiety, for example, a traditional psychiatrist may ask about the symptoms they’re experiencing in order to arrive at a diagnosis. Many mental health professionals then prescribe antidepressants as the first line of defense.

In research collected from 2015-2018, the Centers for Disease Control (CDC) reported that 13.2% of adults had taken antidepressants in the last 30 days. And, according to a study published in Pediatrics in 2024, prescriptions for antidepressants skyrocketed among young people through the pandemic. These grew by more than 66% between 2016-2022.

What these stats don’t show are the large numbers of people reporting treatment-resistant depression, which means that antidepressants aren’t helping. At the same time, numerous modern-day realities, from the Standard American Diet to increasing use of electronic devices, continue to wreak havoc on Americans’ mental health.

Clearly, medical experts must offer better solutions to promote their patients’ optimal mental well-being. Simply prescribing medications can be the equivalent of putting a bandage on a wound without actually healing it. The human body is a complex organism, living in complex environments and coping with various stressors (and stress responses) that are unique to each person.

Functional medicine psychiatry addresses patients’ complexities by taking into account the many elements of their life, health, and environment. This approach reaches far beyond just the symptoms and into the underlying root causes to outline a targeted mental health treatment plan.

At Amen Clinics, it’s an approach called the Four Circles of Mental Health: biological, psychological, social, and spiritual.

When the entire individual is examined—not just their symptoms—there’s a better chance of addressing the problem at the root, leading to more effective treatment. In fact, functional psychiatry practitioners know that many mental health issues, such as depression and anxiety, can be improved with natural remedies and may not require medication at all.

ADDRESSING UNDERLYING FACTORS

Antidepressants are not a cure-all for patients because mental health issues like anxiety and depression are not single disorders with a single cause. For example, brain SPECT studies at Amen Clinics have led to the discovery of seven types of anxiety and depression, seven types of attention deficit disorder (ADD), six types of addiction, and five types of overeaters.

As neuroimaging studies show, mental health is really brain health. SPECT scans are crucial aids in the functional psychiatry approach, because they show blood flow and activity in the brain. They are instrumental in finding underlying mental health destroyers that can go overlooked in traditional psychiatry, such as:

  • Head trauma/brain injury/concussion
  • Environmental toxin exposure
  • Brain inflammation
  • Infections such as Lyme disease

Other factors can also contribute to mental health issues, including genetics, biological causes, long-term stress, sleep issues, poor diet, lack of physical activity, and social isolation/loneliness. Evaluating all of these helps paint a full picture of each patient.

Therefore, in functional medicine psychiatry, a person diagnosed with a mental health condition wouldn’t simply be prescribed psychiatric medication and sent on their way. Instead, they would be assessed in these four areas of their health and well-being, enabling a holistic approach to healing and recovery:

  1. Biological health examines factors like hormonal imbalances, previous brain injury, chronic health conditions, thyroid activity, gut health, inflammation, environmental toxin exposure, and infections. Evaluation can include diagnostic lab tests and brain scans.

Incorporating basic practices like eating a healthy diet (including supplements as needed), getting enough physical activity, proper sleep hygiene, and maintaining low stress levels is also crucial. These help support the physical body, boost mood, and promote overall mental health.

  1. Psychological well-being allows for better resilience to the stressors that inevitably occur in life. When habits like automatic negative thoughts become second nature, mental health suffers. Steps like cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) can help change these damaging habits.

In addition, factors like trauma, adverse childhood experiences (ACEs), and post-traumatic stress disorder (PTSD) can sabotage mental health. Processing these with a trusted professional, using techniques such as EMDR therapy, helps foster psychological well-being.

  1. Social connections refer to a person’s family, friends, and community. These can include mental health professionals, support groups, or mental health organizations. This is a crucial aspect of mental health, as a long-term Harvard study found that relationships are the biggest predictors of humans’ health and longevity.

Unfortunately, many people today suffer from isolation—America’s latest epidemic, the U.S. Surgeon General warned in 2023—which erodes mental health. Taking time to create and maintain stronger interpersonal bonds can be a necessary step in recovery.

  1. Spiritual wellness relates to having a sense of purpose in life and believing in something bigger than oneself. This type of well-being can be improved by assessing values, practicing mindfulness, spending time in nature, and helping others.

Meditation, prayer, listing daily gratitudes, yoga, chanting, and organized religion are additional ways people strengthen their spiritual sides. Spirituality has also been associated with increased longevity in numerous studies.

Assessing all four of these aspects of wellness helps create a comprehensive, customized mental health treatment plan that considers all areas of a person’s life. Ultimately, this functional medicine approach acknowledges that many factors influence mental health. Addressing symptoms at the root level means we must take all of them into account.

THE BENEFITS OF FUNCTIONAL MEDICINE

According to The Institute for Functional Medicine (IFM), functional medicine endeavors to reduce healthcare burdens on our nation by promoting better health outcomes and saving on costs. After all, unlike prescription medication, tactics like meditation, peer support groups, and daily exercise can be completely free for both patients and the healthcare system.

In addition, treatments tend to be more successful when they take the full human being into account, not only their symptoms. Just as mental health issues do not occur for a single reason, they don’t manifest in the same ways for every patient. And what helps one person may be ineffective or even harmful for another.

People who struggle with mental health conditions, from bipolar disorder and borderline personality disorder to schizophrenia and attention deficit hyperactivity disorder (ADHD), must be seen as more than their symptoms. They also deserve to escape the stigma that still surrounds mental health diagnosis and treatment.

Fortunately, functional medicine helps mental health professionals address each patient compassionately and individually. Practitioners and patients alike obtain a holistic view of their unique concerns and symptoms—and the many factors behind them. When it comes to mental health, diagnosis and treatment should never be one-size-fits-all.

We Are Here For You

Anxiety, depression, stress, and other mental health conditions can’t wait. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, clinical evaluations, and therapy for adults, teens, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here.

CDC, Antidepressant Use Among Adults: United States, 2015-2018, NCHS Data Brief No. 377, September 2020, Debra J. Brody, M.P.H., and Qiuping Gu, M.D., Ph.D. https://www.cdc.gov/nchs/products/databriefs/db377.htm

Kao-Ping Chua, Anna Volerman, Jason Zhang, Joanna Hua, Rena M. Conti; Antidepressant Dispensing to US Adolescents and Young Adults: 2016–2022. Pediatrics March 2024; 153 (3): e2023064245. 10.1542/peds.2023-064245

Good Genes Are Nice, but Joy Is Better by Liz Mineo. The Harvard Gazette. https://news.harvard.edu/gazette/story/2017/04/over-nearly-80-years-harvard-study-has-been-showing-how-to-live-a-healthy-and-happy-life/

Dominguez LJ, Veronese N, Barbagallo M. The link between spirituality and longevity. Aging Clin Exp Res. 2024 Feb 11;36(1):32. doi: 10.1007/s40520-023-02684-5. PMID: 38341843; PMCID: PMC10859326.

The Institute for Functional Medicine, https://www.ifm.org/functional-medicine/

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