ARCHIVE

Feeling depressed or anxious? If you seek help from a primary care physician or a traditional psychiatrist, you’re likely to walk away with a prescription for antidepressants or antianxiety medication and not much else. But pills aren’t enough to deliver optimal mental health. In fact, because most conventional healthcare provides make diagnoses based on symptom clusters alone, it’s not uncommon to be misdiagnosed or given the wrong treatment. This can make your mental health problems worse. In order to have a healthy mind, you must first have a healthy brain. To do that you must optimize the 4 circles of a whole life—biological, psychological, social, and spiritual. Integrative psychiatry helps you do it. In order to have a healthy mind, you must first have a healthy brain. To do that you must optimize the 4 circles of a whole life—biological, psychological, social, and spiritual. Integrative psychiatry helps you do it.
Click to tweet
Integrative psychiatry, a form of integrative medicine or functional medicine, takes a whole-person approach to mental health by helping you enhance all these areas of your life to promote better psychological well-being and cognitive function. Integrative psychiatry is based on solid science, and as science advances, so does this form of mental health with more sophisticated diagnostic testing, more effective therapies, and more powerful solutions. Integrative psychiatrists assess, diagnose, and treat patients based on the most cutting-edge scientific findings. Treatment may include standard-of-care options in addition to science-backed complementary and alternative therapies to foster healing. One study in the journal Psychiatric Services found that 35% of people use at least one form of complementary and alternative medicine for mental health, and that was over 10 years ago. That percentage is estimated to be much higher now as integrative psychiatry continues to grow in popularity.

Here are 7 ways integrative psychiatry can help your mental health.

1. Discover brain health issues that are holding you back.

Many people who are experiencing psychological issues have underlying brain health problems that are contributing to their anxiety, depression, lack of focus, memory loss, or brain fog. Integrative psychiatrists who use brain SPECT imaging can help identify undetected issues, such as traumatic brain injury, areas that are overactive, and areas that are underactive. With these insights, an integrative psychiatrist can provide precision treatment plans to enhance brain health.

2. Identify biological causes for mental health problems.

Issues such as mood swings, short attention span, and anxiousness can be related to physical issues. With integrative psychiatry, diagnostic lab tests can help root out biological problems that cause mental health symptoms. For example, Lyme disease, hormonal imbalances, and blood flow problems have been linked to psychiatric symptoms. In addition, comprehensive testing can reveal if there are any toxic substances that may be affecting your brain and mental health.

3. Find the best healing foods and nutritional supplements for your needs.

The foods you eat can either drive depression and anxiety or they can promote positive moods and calm. Psychiatrists who take an integrative approach to treatment evaluate your diet and assess any micronutrient deficiencies and make food and supplement recommendations based on your individual needs.

4. Provide strategies to improve the health of your mind.

For many people, negative thinking patterns and an undisciplined mind can fuel symptoms associated with mental illness. As part of a whole-person treatment plan, trained integrative psychiatrists provide patients with scientifically proven strategies to challenge the ANTs (automatic negative thoughts) that steal your happiness and gain control of your mind. And sophisticated neuropsychological testing performed by integrative psychiatrists can provide valuable insights into your cognitive function.

5. Develop routines that help reduce stress.

A highly stressful lifestyle can keep you stuck in psychological hell. Integrative psychiatrists provide people with evidence-backed relaxation protocols that help your brain and your mind. Learning to manage stress is an important part of any integrative treatment plan.

6. Learn how to create a support network.

Integrative psychiatrists know that who you spend time with matters. If you surround yourself with people who are negative or conflict-driven, or who engage in bad habits such as heavy drinking or drug abuse, it can drag you down. Working with a professional to assess your social circle and identify the “accomplices” who harm your psychological well-being and the “friends” who support your brain healthy habits can make a big difference.

7. Find your “why.”

Experts understand that having a sense of purpose in life can provide the motivation to get and stay healthy. An integrative psychiatrist can work with you to pinpoint what gives your life meaning. When you have a personalized integrative treatment plan that addresses all of your needs—biological, psychological, social, and spiritual—it helps put you on a faster path to a lifetime of healing. Symptoms of depression, anxiety, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834 or visit our contact page here. Many of the traditional methods of dealing with bad habits and addictions—such as “just say no”—aren’t working. This is because they don’t get to the root of the problem, which lies in the brain. Brain dysfunction is the #1 reason why people drink too much, use drugs, and can’t break their bad habits. The brain imaging work at Amen Clinics—more than 160,000 brain scans and growing—reveals valuable insights that the conventional medical community and traditional addiction treatment programs may miss. Brain dysfunction is the #1 reason why people drink too much, use drugs, and can’t break their bad habits.
Click to tweet

1. The brains of female addicts may show signs of past trauma.

The world’s largest database of functional brain scans—over 160,000 scans—that Amen Clinics has built shows that female and male brains are not the same. Some of the differences between the male and female brain can affect what you get addicted to and why. For example, women are at higher risk for sexual assault, domestic violence, and childhood physical abuse, which contributes to women being more than twice as likely to have post-traumatic stress disorder (PTSD) than men, according to the National Association on Mental Illness. Research at Amen Clinics using brain SPECT imaging shows that a diamond pattern in the brain is associated with PTSD. Experiencing trauma and having PTSD makes women more likely to self-medicate their negative feelings of anxiety or depression with alcohol, prescription painkillers, marijuana, or food (especially refined carbohydrates and sugary treats). What you need to know: Dealing with past traumas and calming the emotional brain with targeted solutions is essential to stop self-medicating with alcohol, drugs, or food.

2. The brains of male addicts may reveal low activity.

Men, on the other hand, are more likely to be diagnosed with ADD/ADHD, which is associated with low activity in the brain’s prefrontal cortex (PFC). This brain region is responsible for judgment, decision-making, and impulse control. This makes males more impulsive and more likely to engage in risky behavior. They tend to seek out substances, such as cocaine, methamphetamine, nicotine, or high doses of caffeine in an effort to stimulate the brain. In many cases, taking stimulating substances makes them feel so amped they subsequently feel the need to drink alcohol or smoke pot to relax. What you need to know: Addressing underlying ADD/ADHD with solutions that boost brain activity in the PFC is key to overcoming reliance on coffee, cigarettes, or illicit drugs.

3. Teens often have co-occurring mental health conditions.

Until the age of 25, young brains are going through a process called myelinization that wraps neurons in a protective coating that renders them more efficient. The PFC is the last part of the brain to undergo this process. This is why adolescents are more likely to say “okay” when a friend offers them beer, pot, or Ecstasy. Young people who adopt bad habits or become addicted to substances often have co-existing psychiatric disorders, such as depression, anxiety, bipolar disorder, or ADD/ADHD. This is called “dual diagnosis.” The problem is that in traditional addiction treatment programs, these problems may be misdiagnosed since substance abuse can mimic symptoms associated with psychiatric conditions. Similarly, hormonal changes in teens can cause moodiness, sadness, and distractibility. What you need to know: Brain imaging is so helpful in working with young addicts because it can reveal the toxic effects of substance abuse and can detect co-occurring disorders. Brain scans can help determine whether behavior problems are just a normal part of growing up, a symptom of addiction, or the results of underlying brain dysfunction.

4. Older brains are not immune to bad habits or addiction.

Certain age-related conditions can set the stage for the onset of troublesome behaviors or addiction in the graying population. For example, developing frontal lobe dementia can derail the PFC and lead to impulse control problems. Having coronary artery bypass grafting surgery to treat heart disease has been associated with subsequent cognitive impairment and increased risk of addiction and bad behaviors. In addition, many common prescription medications can alter brain chemistry and make older individuals who used to have healthy self-control fall victim to increased substance use. What you need to know: Be sure to investigate any memory problems or cognitive issues and check if any medications may be contributing to your bad habits. Getting off those medications may restore better impulse control.

5. Neurohormone imbalances can trigger problems with alcohol or drugs.

Changing hormones in midlife can negatively affect the brains of both men and women, leaving them more vulnerable to problems with substances. Dr. Marvin “Rick” Sponaugle, founder and medical director of the Sponaugle Wellness Institute, which has successfully treated over 5,000 addicted patients, insists on the role of hormonal imbalances in addiction can’t be overlooked. For women, Sponaugle points to declining levels of progesterone, a calming hormone, during perimenopause as a source for anxiety and insomnia that drives women to abuse drugs and alcohol. Women who normally drink one glass of wine with dinner will progress to a couple of bottles of wine at night. He claims this is the case with more than 40% of the middle-aged females at his treatment facility. What you need to know: Checking hormone levels and balancing them when necessary can be very helpful in breaking bad habits and in maintaining recovery.

6. There are 6 brain types associated with addiction.

Not all addicts are the same. Based on the brain imaging work with tens of thousands of patients, Amen Clinics has identified 6 types of addicts based on brain patterns: Compulsive Addicts, Impulsive Addicts, Impulsive-Compulsive Addicts, Sad or Emotional Addicts, Anxious Addicts, and Temporal Lobes Addicts. Each type comes with its own set of symptoms and requires its own treatment plan. What you need to know: Knowing your addiction brain type is essential for finding the best interventions for your specific needs. Having more than one type is common, and it just means that you may need a combination of interventions to help you unchain your brain.

7. Inadvertently lowering brain activity can contribute to bad habits and addictive behaviors.

There are many things that decrease brain activity, which makes you more vulnerable to bad habits, addiction, or relapse. These include: What you need to know: Putting your brain in a healing environment with good nutrition, adequate sleep, and targeted supplements lay the foundation for breaking bad habits and recovering from addiction. Addictions—as well as PTSD, anxiety, depression, ADD/ADHD, and other co-occurring issues—can’t wait. During these uncertain times, your mental well-being is more important than ever, and waiting until life gets back to “normal” is likely to make your symptoms worsen over time. At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

By Jennifer Love, MD

You’ve seen the memes: A fully packed stadium with the words: “Alcoholics Anonymous Meeting, 2021.” “If you have a drink in each hand there’s a 100% chance you won’t touch your face!” We’ve updated our vocabulary to include “Quarantini.” Amazon now sells a Sit and Sip Refillable Winebag Chair, which pictures an enormous beanbag the size of a small car, with a woman lounging atop drinking from a plastic tube.

The message is clear: When crisis strikes, drinking is not only socially acceptable but encouraged. A study early on in the pandemic claims 1 in 3 Americans are more likely to drink alcohol during work hours while in lockdown. The numbers vary by states: 38% of California, New York, and Pennsylvania workers are drinking during work; about 50% in Idaho, Kansas, Iowa, and Virginia; and Hawaii “wins” at a reported 67%. The study didn’t even look at non-work hour consumption!

As mental health care providers, we have to take notice.

THE COVID EFFECT ON ALCOHOL AND DRUG USE

You may share my observation that shortly into the COVID crisis many psychiatric patients decompensated and needed increasing amounts of attention and treatment, and many addiction patients seemed to recede into some secret abyss.

I’ve also seen a tide of new patients scheduled by concerned family members because hiding an addiction is a lot more challenging when everyone is stuck in the home together. But COVID fear is also a barrier to treatment, as many families refuse to consider treatment modalities that involve anyone leaving the house, limiting treatment to online support.

I’ve been pushed into a more creative role of trying to invent ways to support the recovery of my patients and encouraging ongoing engagement. I’m certainly stretching my Motivational Interviewing muscles, trying to help people find reasons to change behaviors when many literally have nothing to do. Many of our old standbys of “is your drinking causing any problems with work/social interactions/legally…” may not apply. So how can we comfortably discuss increased alcohol or substance use during the COVID era with patients who aren’t in treatment for any addiction?

Well, substance use is like suicide—asking about it is necessary, and it doesn’t increase the risk of someone trying it. So even if you don’t specialize in treating substance use disorders, with a few tips you can proceed comfortably. Refresh yourself with the basics of helping someone increase their own internal motivation for change.

Here are 5 strategies I use.

5 KEYS FOR TALKING ABOUT SUBSTANCE USE

1. Remember, empathy is key.

I tell my patients from day one that we have a “judgment-free space.” I used to be a chemist, and successful experiments don’t rely on judgment. They rely on observation. I go in with a hypothesis, and it’s either correct or incorrect; there’s no need to be attached to whether I’m right. Either way I’m publishing a paper. If we can cultivate a sense of curiosity about ourselves rather than judgment, motivation for self-exploration increases exponentially. Don’t assume your longtime patients know you won’t judge them. Think about how many of them suffer low self-esteem, negative thoughts, and self-doubt. It needs to be stated.

2. I start by asking questions.

“What do you value? Does your current alcohol consumption fit in with those values?” “If COVID is going to go on for a few years, do you want to spend those years being a daily drinker?” “We’re six months in. Did you ever expect to be a daily or near-daily drinker for that long? I think we’re all thinking about that now—even some of my friends and colleagues!” The purpose is for your patient to discover discrepancies between their values or goals and their behavior.

3. Refrain from argument.

Your patient already knows your opinion on smoking, drinking, using drugs, playing video games, or watching porn 12 hours a day. They aren’t discussing this with you because they don’t know what is best; we, as humans, are just wired not to want to make changes. Confrontation slams the door.

4. Encourage curiosity.

Since we as humans resist change, encourage curiosity about internal resistance. I once did a podcast called “Why don’t I want to do the things I want to do?” I want to eat healthy and exercise, but what I really want is to eat pizza and watch Netflix. Judging the pizza and inactivity doesn’t inspire change, it induces shame, which drives people inward (now curled up on the couch). Being curious about the pizza and inactivity allows someone to explore the thoughts and feelings that contribute to their internal resistance and do what they logically want to do.

5. Support an environment of self-efficacy and optimism.

This is when I bring out my famous (ha!) snorkeling analogy. Yes, the words, “Life is like snorkeling” have escaped my lips more than once, but hear me out. We’re out snorkeling, eyes on the colors—the fish, the coral, watching out for reef sharks—and every once in a while, we have to stop, look up, and see where land is. We have to make sure we haven’t drifted. Sometimes we have to swim over to a new area, and then can start looking down again, getting caught up in the colorful show of life. We will hopefully do this a few times in life—make sure where we are is where we want to be in relation to our “grounding spot.” Are you where you want to be? Are your patients?


About the Author: Jennifer Love, MD, Amen Clinics Orange County, CA

Dr. Jennifer Love is board-certified in psychiatry, addiction psychiatry, and addiction medicine, and is a Diplomate of the American Board of Psychiatry and Neurology and the American Board of Addiction Medicine. Dr. Love is an award-winning researcher and international speaker, interested in the interface between cultural and spiritual factors and overall mental health. She is also suboxone certified. Dr. Love’s work focuses on restoring life balance, brain and body health, and helping her patients improve their functionality and satisfaction in life. She considers a wide range of interventions including nutraceuticals, medication, exercise, yoga, psychotherapy, and sleep/relaxation training. Her specialties include mood disorders, substance use disorders, anxiety disorders, anger and irritability, behavioral addictions, co-occurring pain, and opioid dependence.

Dr. Love is the co-author of When Crisis Strikes: 5 Steps to Heal Your Brain, Body, and Life from Chronic Stress. Stay up to date by following @dr_author_jennifer_love on Instagram.

“So what, mom, it’s just a few beers.”

Have you ever heard that refrain from your kid? If so, it’s time to talk about drinking. You may think you’re powerless to put a stop to underage drinking, but did you know that parents are the #1 reason why kids decide not to drink alcohol?

What you say to your kids about drinking can change their life for the better.

THE HIDDEN DANGERS OF UNDERAGE DRINKING

There’s no doubt that teenage drinking is fraught with trouble—drunk driving, car accidents, risky sexual activity, and stupid decisions. These are just some of the familiar short-term consequences associated with alcohol intake during the teenage years.

What many parents don’t realize is that drinking also comes with many long-term emotional, cognitive, and brain health consequences. For example, did you know that heavy drinking as a teen is associated with an increased risk of:

These issues can have devastating impacts on your teen’s future. They can keep your child from reaching their academic potential, prevent them from getting into the college they want, or deprive them of a scholarship they might have earned. They can also be detrimental to relationships, future career opportunities, and overall well-being. In short, it can ruin their life.

THE DEVASTATING EFFECTS OF ALCOHOL ON THE TEENAGE BRAIN

A growing body of brain imaging research shows that teenage drinking also has damaging effects on the brain, which is undergoing rapid development up until the age of about 25. Here are some of the ways it can impact the teen brain.

HOW TO TALK TO TEENS ABOUT DRINKING

Talking to your teen about drinking is so important. Here are 6 tips to help you do it.

1. Start early and don’t stop.

It’s important to start talking to kids about alcohol before they enter the teen years. But it’s equally important to think of this as an ongoing conversation rather than a one-and-done deal. Continue talking to them about drinking when they are in junior high, high school, and beyond.

2. Show, don’t just tell.

Seeing is believing. Showing young people the brain scans of healthy people versus those who are moderate drinkers or alcoholics can be an eye-opener. This article on “5 Scary Ways Alcohol Can Damage the Brain” shows a brain scan of a drinker and can provide you with some good talking points.

3. Encourage kids to love their brain.

Share the knowledge that loving and caring for their brain will help them be happier, get better grades, be more successful, have stronger relationships with their friends, and have a better love life. The Amen University online course “Brain Thrive By 25” is taught in high schools around the country and can help kids learn how to love and care for their brain.

4. Pay attention.

Show your child that you care about them by paying attention to them. Be on the lookout for behaviors that may be signs they are drinking and talk to them about it. Kids are more likely to drink when they believe their parents won’t find out, so be present and be aware. And talk to them about what you notice.

5. Be a good role model.

Don’t take the “do as I say not as I do” approach. If you are routinely having alcoholic beverages when your child is around, they will learn that drinking is okay. Think about the behavior you are modeling for your kids.

6. Get help early.

If your youngster is developing a drinking problem, don’t wait to seek help. Talk to them about seeing a professional who can help them regain control of their life.

Addictions, anxiety, depression, ADD/ADHD, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

Residential care for addiction treatment can be a lifesaver for some people. Going from utter chaos to a stable, controlled environment with a laser focus on therapeutic healing can kickstart sobriety. Completing a residential care program can provide an exhilarating sense of accomplishment and hope for the beginning of a new life.

But as many people with addictions have discovered, residential treatment represents a “bubble world” where they are safely isolated from their real-life challenges, stresses, family dysfunction, friends who use, and other triggers. And re-entering the real world with all its messy problems and temptations can be extremely challenging.

You need a post-residential care plan.

Surviving and Thriving After Residential Treatment

When you graduate from a residential treatment program, you should feel very proud of yourself. It’s a major accomplishment and a testament to a tremendous effort on your part. To keep the momentum going, it’s important to have a plan in place to help you through the next phase of your sobriety.

First, you need to understand all of the areas of your life that may have contributed to your substance abuse problems then create a post-treatment plan to turn those negatives into positives. A good way to approach this is to think of your life in 4 Circles:

Biological:

Investigate if there any physical issues in your brain or body that may have led you to self-medicate. For example, do you have hormonal imbalances, chronic infections like Lyme disease, or a past head injury that may be causing bothersome symptoms? Or do you have low blood flow in certain areas of your brain that are linked to impulsivity and poor decision-making, or to depression or anxiety? A failure to address these problems can lead you back to the substance abuse you’ve worked so hard to overcome.

Post-Treatment Plan: Schedule lab tests to check your overall health and consider brain SPECT imaging to identify any underlying brain issues that might make it harder for you to follow through on your recovery plan. Correcting any physical issues or ailments is a critical step in the process. Optimizing your brain can be the most important thing to help you stick with your recovery efforts.

Psychological:

Examine your thinking patterns to see if they are keeping you stuck in your unhealthy behaviors. Is your head filled with ANTs (automatic negative thoughts) that are making it more difficult for you to maintain a clean and sober lifestyle?

Post-Treatment Plan: Remember that you don’t need to believe every stupid thought in your head and learn to kill the ANTs by challenging negative thoughts. Any time you are feeling sad, mad, or angry, ask yourself if your thoughts are true, and if not, talk back to them. If you have trouble changing your thinking, consider helpful forms of psychotherapy for ongoing help.

Social:

Take an inventory of your friends and accomplices. Friends are people who will support you in your recovery. Accomplices are those who want to lure you back into your old habits.

Post-Treatment Plan: Write down the names of 5 friends who can help you stick with your new healthy lifestyle and 5 accomplices who will tempt you to revert to your old ways. Spend as much time as possible with your friends and limit your exposure to accomplices.

Spiritual:

Look deep inside yourself to see if you can identify what’s motivating you to stay healthy.

Post-Treatment Plan: Know your “why” by creating a One Page Miracle. On a sheet of paper fill out what you want from life in these key areas: family, career, finances, spirituality, and others. Put this paper somewhere you can see it every day as a reminder to help you stay focused on what you want. And before you make any decisions, ask yourself, “Is this helping me get what I want out of life or hurting me?”

At Amen Clinics, we use brain SPECT imaging as part of a comprehensive evaluation to help our patients see and understand any underlying brain dysfunction that may be contributing to addictions. We use an integrated brain-body approach to healing all 4 Circles of your life to improve your ability to maintain sobriety.

If you want to join the thousands of people who have already enhanced their brain health and overcome their addictions and psychiatric symptoms at Amen Clinics, speak to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

Have you ever gone through a bad breakup or a divorce? Too many of us have suffered through it. Sadly, about 50% of marriages in America end in divorce, and that doesn’t include the dissolution of all the relationships between non-married couples. After the forced togetherness of quarantine due to the coronavirus pandemic, that percentage could surge even higher. Research shows that after Hurricane Hugo, divorces, as well as marriages and births, increased, suggesting that facing a life-threatening event motivates people to take significant actions in their close relationships.

Heartbreaking, or Brain Breaking?

When relationship troubles or marital conflict lead to a breakup, we typically say it breaks our heart. From a biological and psychological standpoint, however, what we really should be saying is that it breaks our brain.

Look at Nick and Shawna. When they broke up, Nick was a mess. He couldn’t stop thinking about Shawna, hearing her voice in his head, feeling her touch on his body, and smelling her scent in his clothes. After being together for 5 years, everything reminded him of her—from songs to pictures to movies to waking up and going to bed. He couldn’t sleep, he felt constantly anxious and unbalanced, and he even had panic attacks when his longing for Shawna overwhelmed him.

What happens in the brain when you lose someone you love? Why do we hurt, long, or even obsess about the other person?

Breakups in the Brain

When we love someone, they come to live in the emotional or limbic center of our brains. They actually occupy nerve cell pathways and physically live in the neurons and synapses of the brain.

When we lose a lover through a breakup or divorce, our brain gets confused and disoriented. Since the person lives in the neuronal connections, we expect to see them, hear them, feel them, and touch them. When we can’t hold them or talk to them as we usually do, the brain centers where they live become inflamed searching for them.

Overactivity in the limbic system—the brain’s emotional centers—has been associated with depression and low serotonin levels, which is why we have trouble sleeping, feel obsessed, lose our appetites, want to isolate ourselves, and lose the joy we have for life. A deficit in endorphins, which modulate pain and pleasure pathways in the brain, also occurs, which may be responsible for the physical pain we feel during a breakup. Basically, we’re a neurochemical mess.

When a loved one leaves us, we have deep wounds that leave lasting scars. Many of us use alcohol or drugs to medicate the pain. There are smarter ways to cope with the loss of love.

7 Brain Healthy Ways to Work Through Marital Conflict and Breakups

1. Take responsibility for your part.

No breakup or divorce is completely one-sided. Be honest about how your behavior may be contributing to the disintegration of the relationship and learn from what went wrong. Taking responsibility for your part also prevents you from feeling like a powerless victim. It empowers you to take action and make changes in your own behavior that will benefit you—and your future relationships—in the future.

2. Seek counseling before parting ways.

If you feel strongly that your relationship is worth saving, marital counseling can help you explore ways to find some common ground. A therapist can help you learn to communicate more effectively so you can navigate rough patches and emerge with a stronger bond. In some cases where there is no saving the relationship, therapy can provide you with tools that can help you cope better with a breakup.

3. Consider if underlying brain issues may be at play.

Brain imaging studies show that underlying brain dysfunction can ruin relationships. Impulsively saying hurtful things to a loved one, holding grudges, drowning in negativity that sucks the joy out of others, being constantly irritable, or flying off into a rage over small things—these are all signs of brain health issues. Brain SPECT imaging can help identify problems with brain function. Optimizing the brain can make marital therapy work faster.

4. Maintain brain healthy habits.

If you do end up splitting, you may be tempted to drown your sorrows with ice cream or alcohol, to stay up all night bingeing on Netflix, or to cocoon under the covers by yourself. Don’t! Your brain is already hurting from the loss, so it’s important to treat it gently during this time. Watch what you eat, exercise more not less, and spend time with people you like. One of the most important keys to recovering from a breakup is keeping a regular sleep schedule. If you’re having trouble sleeping, consider supplements that promote relaxation, such as melatonin, magnesium, GABA, vitamin B6, l-theanine, and 5-HTP. This will help you heal from the hurt faster.

5. Do not idealize the other person.

When you lose someone, there is a tendency to exclusively remember the wonderful things about them. Idealizing people impairs the grieving process and makes you hurt more. By focusing only on someone’s good qualities, the pain increases. Paying attention to their bad qualities causes the pain to decrease because we’re glad to be rid of them. Spend time writing out the bad times and your ex’s bad points.

6. Cry, then hide the pictures.

At the beginning of a breakup, take some time to allow yourself to feel the pain. Crying can be a wonderful release of the built-up tension in your limbic brain. But after a good cry, eliminate the constant triggers to your nervous system. Go through the house, your computer, and workplace and collect the pictures and gifts, then hide them somewhere. Resist the temptation to permanently delete photos from your phone because you never know what might happen in the future. If you get back together, you’ll feel terrible about having deleted them.

7. Be tough in love.

When you act weak, needy, or demanding during a breakup, you literally push the other person away. You are no longer attractive or appealing. You seem and act like a victim. Forget the notion that being happy is the “best revenge,” being happy and feeling good about yourself is the best for your well-being. And it will help you approach a new relationship with healthier self-esteem.

Marital conflict, anxiety, depression, ADD, and other mental health issues can’t wait. During these uncertain times, your relationships and mental well-being are more important than ever and waiting until life gets back to “normal” is likely to make your situation worse.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for couples, families, and individuals. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

 

By Daniel G. Amen, MD

When I was dating my wife, she promised me she would never say, “I told you so.” She lied. Now, it’s my turn to say it. For over 30 years, I have been telling my patients that alcohol is not a health food. Many of them respond by asking, “But what about all the studies saying moderate drinking is good for your heart?”

It’s true that some studies point to benefits for heart health with moderate drinking, but others show differently. It can seem very confusing. In June, however, the American Cancer Society took a major step in the debate by revising its cancer prevention guidelines to clearly state, “It is best not to drink alcohol.”

I told you so!

For years, the ACS had simply recommended limiting alcohol consumption. The new stance makes more sense for the organization considering its website also says, “Alcohol use is one of the most important preventable risk factors for cancer, along with tobacco use and excess body weight.”

The idea of eliminating alcohol during the pandemic, however, may seem impossible. You may think you need your wine, beer, or Quarantinis to cope with the skyrocketing stress and anxiety of the lockdown, the job losses, and the added social unrest due to the killing of African-American George Floyd by police officers. You’re not alone. Weekly retail sales of alcoholic beverages soared by up to 55% during the pandemic, according to a report in The Guardian.

But drinking isn’t the solution. In fact, our brain imaging work at Amen Clinics makes it crystal clear that alcohol is not good for the brain, mental well-being, or quality of life.

ALCOHOL, THE BRAIN, AND MENTAL HEALTH

Thousands of brain SPECT scans of “moderate” drinkers reveal abnormal activity patterns in the brain. Alcohol is a toxin that is harmful to the brain, and it increases the risk of cognitive dysfunction and mental illness.

For example, did you know…

ALCOHOL ABUSE AND MENTAL HEALTH

Alcohol addiction is strongly associated with mental health issues, and about 8.5 million American adults with a substance use disorder also have a co-occurring mental health condition. Common conditions seen in people with addictions include:

Many people who struggle with mental health use alcohol as a way to self-medicate. Although this may provide short-term relief from symptoms, it usually leads to long-term problems and almost always makes things worse.

To overcome addictions and mental health issues, it starts with the brain. Brain dysfunction is the #1 reason why people get addicted to alcohol and other substances. And enhancing brain health is the first step to lasting recovery.

When you see all of the negative effects of alcohol, it becomes painfully apparent that it is not a health food. If you want a better brain, a better mind, better physical health, and a better life, it’s best to avoid drinking alcoholic beverages.

Addiction, depression, anxiety, ADD/ADHD, and other mental health issues can’t wait. During these uncertain times, your mental well-being is more important than ever, and waiting until life gets back to “normal” is likely to make your symptoms worsen over time.

At Amen Clinics, we’re here for you. We offer in-clinic brain scanning and appointments, as well as mental telehealth, remote clinical evaluations, and video therapy for adults, children, and couples. Find out more by speaking to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

 

In the 4-part Hulu docu-series “Hillary,” former President Bill Clinton says that the affair he had with then-intern Monica Lewinsky was a way of “managing my anxieties.” Evidently, his stress-management strategy backfired and caused him a lot more anxiety considering the scandal eventually led to a grand jury investigation and his impeachment in 1998.

Clinton isn’t the only American to turn to unhealthy ways to deal with anxiety. Every day, millions of people self-soothe or self-medicate by taking drugs (whether they’re illegal, prescription, or over the counter), drinking excessively, overeating, engaging in compulsive spending, binge-watching TV shows, smoking, guzzling caffeine, or (like Clinton) having extramarital affairs.

There are better ways to cope with stress, pressure, and anxiety!

Here are 10 brain healthy ways to calm your nerves and soothe your soul:

1. Meditate or pray

Decades of research have shown that meditation and prayer can calm stress and anxiety. Loving Kindness Meditation, in which you repeat words like “May I be safe and secure, may I be healthy and strong, may I be happy and purposeful, may I be at peace” can develop feelings of goodwill and warmth.

2. Use self-hypnosis

Using self-hypnosis can quickly decrease the stress-induced fight-or-flight response and can lower anxiety. One simple technique involved focusing on a spot, taking slow and deep breaths, relaxing your muscles, envisioning yourself riding down an escalator, enjoying a feeling of tranquility when you reach the bottom of that escalator, then imagining yourself riding back up the escalator and opening your eyes. It should leave you feeling refreshed and relaxed.

3. Practice diaphragmatic breathing

Every time you take a breath, it brings oxygen to your blood cells. When you exhale, your body releases waste products, such as carbon dioxide. When there’s too much carbon dioxide in your system, it can cause stressful feelings of anxiety, disorientation, and panic attacks. Breathing deeply from your diaphragm calms the brain’s basal ganglia, the area that controls anxiety. Whenever you’re feeling anxious or stressed, take 5 deep breaths, taking twice as long to exhale to settle.

4. Consider calming supplements

There is strong scientific evidence for several nutritional supplements that can support a sense of calm and relaxation.

5. Eat anti-anxiety foods

Focus on foods that promote calm and relaxation, including:

6. Kill the ANTs

Learn to challenge the automatic negative thoughts (ANTs) that pop into your head and make you feel anxious, nervous, and stressed. Every time you have an anxious thought, write it down and ask yourself if it is true.

7. Create an anxiety rescue playlist

Music can soothe you when you’re stressed or under a lot of pressure. Create a playlist or try Samuel Barber’s “Adagio for Strings” or Claude Debussy’s “Clair de Lune.”

8. Check hormone levels

Hormonal imbalances can mimic symptoms of anxiety and nervousness. Have your healthcare provider check your thyroid, estrogen, progesterone, and testosterone levels to see if they are out of whack and optimize them if necessary.

9. Try HRV training

A 2014 study in Frontiers in Psychiatry shows that anxiety is linked to low levels of heart rate variability (HRV), the time interval between heartbeats. You can biohack your way to a healthier HRV with biofeedback apps to help you deal more effectively with stress.

10. Limit caffeine, alcohol, and sugar

These substances may temporarily mask feelings of anxiety and stress, but they actually worsen anxiety and lower the body’s ability to respond to stress. Limit or eliminate them completely from your diet.

At Amen Clinics, we take a unique brain-body approach to diagnosis and treatment that includes brain SPECT imaging, as well as laboratory testing to check physical health, and other important factors that could be contributing to symptoms. By getting to the root cause of mental health conditions, such as anxiety and panic attacks, we can create a more effective, personalized treatment plan for you. We believe in using the least toxic, most effective solutions for anxiety and other mental health problems.

If you want to join the tens of thousands of people who have already enhanced their brain health, overcome their symptoms, and improved their quality of life at Amen Clinics, speak to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

Blood flow is critical for life. It transports nutrients, including oxygen, to every cell in your body and flushes away toxins. Even though your brain, which weighs about 3 pounds, makes up only 2% of your body’s weight, it uses 20% of the oxygen and blood flow in your body. Anything that impairs blood flow or damages your blood vessels hurts your brain and your mental well-being.

On brain SPECT imaging scans, low blood flow is associated with depression, suicidal thoughts, bipolar disorder, schizophrenia, ADD/ADHD, traumatic brain injury, hoarding, murder, substance abuse, seizure activity, and more. It’s also the #1 brain imaging predictor that a person will develop Alzheimer’s disease.

11 Blood Flow Robbers

1. Being sedentary or exercising less than twice a week

Over 90% of teenagers do not get the recommended level of exercise, which could be one of the major reasons why mental health issues among teens have skyrocketed in the last 30 years.

2. Too much caffeine

Drinking more than 2 cups of caffeinated beverages a day reduces blood flow to the brain.

3. Smoking or ingesting nicotine

Smoking constricts blood flow to the brain. On brain SPECT scans, the brains of smokers tend to look older than they are.

4. Excessive alcohol use

In particular, drinking alcohol lowers blood flow to the cerebellum, an amazing part of the brain that is associated with physical movement, which means it can make you less coordinated. Plus, people who drink every day have smaller brains.

5. Having a history of cardiovascular disease

Coronary artery disease, heart attack, heart failure, and heart arrhythmia are all indicators that cerebral blood flow is decreased.

6. High LDL cholesterol

High levels of LDL cholesterol, and in particular having a high content of small LDL particles, is a sign that blood flow isn’t optimal.

7. Having hypertension or pre-hypertension

High blood pressure negatively impacts blood flow to the brain.

8. History of a stroke

Experiencing a stroke indicates that blood vessels are already damaged or vulnerable to trouble.

9. Erectile dysfunction

If you have blood flow problems anywhere, it likely means they are everywhere, including in the brain.

10. Pre-diabetes or diabetes

High blood sugar levels, associated with diabetes and pre-diabetes, cause blood vessels to become brittle and more likely to break, delaying healing and causing disease complications.

11. Sleep apnea

Sleep apnea is a common sleep disorder that lowers overall blood flow to the brain, especially in the areas that die first in Alzheimer’s disease.

3 Ways to Get Your Blood Flowing Again

If you want to keep your brain healthy, your mind sharp, and your mental health strong for as long as possible, you need to keep your blood flowing freely. If you have any of the lifestyle factors that lower blood flow, work to change your habits, and if you have medical conditions that impact blood flow, don’t hesitate to seek treatment. Here are 3 additional ways to boost blood flow.

1. Spend 10-20 minutes a day in prayer or meditation.

Both prayer and meditation have been shown to improve blood flow to the prefrontal cortex, decrease anxiety, and improve mood.

2. Undergo hyperbaric oxygen therapy (HBOT)

HBOT is a simple, non-invasive, painless treatment with minimal side effects that use the power of oxygen to enhance the healing process and reduce inflammation. Before-and-after SPECT scans from a 2011 study showed remarkable overall improvement in blood flow following 40 sessions of HBOT.

3. Consider supplements.

Nutraceuticals with research-based evidence to help maintain healthy blood pressure and increase blood flow include ginkgo biloba, cocoa flavanols, omega-3 fatty acids, green tea catechins, and resveratrol.

At Amen Clinics, we use brain SPECT imaging and lab testing as part of a wrap-around evaluation and treatment plan to determine the root causes of your symptoms. We believe in using the least toxic, most effective therapies and strategies to optimize your brain function and feel better again.

If you want to join the tens of thousands of people who have already enhanced their brain health and overcome their symptoms at Amen Clinics, speak to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.

Recognizing that you or a loved one has a problem isn’t easy. For many people, substance use disorders and behavioral addictions creep up gradually and the changes are hard to notice. Usually, by the time you realize that you, your significant other, your child, or your parent is in the grips of addiction, the brain has already been rewired to fuel the addiction, and it is harder to stop.

Take the CAGE Assessment

To find out if you might have a problem, take the following quiz. This questionnaire is called the CAGE Assessment and it has been used for decades in the addiction field to help identify problem drinking. These same questions can help you pinpoint problems with other substances—such as opioids, cocaine, or heroin—as well as with behaviors like gambling, compulsive shopping, or even overeating. In the quiz below, simply substitute the word “drinking” with “prescription drug use,” “cocaine,” “meth,” “gambling,” “compulsive shopping,” “internet porn,” “overeating,” or whatever your bad habit may be.

1. Have you ever felt you should Cut down on your drinking…or other behavior?

2. Have people Annoyed you by criticizing your drinking…or other behavior?

3. Have you ever felt Guilty about your drinking…or other behavior?

4. Have you ever had a drink…or engaged in other behavior…first thing in the morning (as an “Eye opener”) to steady your nerves or get rid of a hangover?

If you answered “yes” to 2 or more of these questions, then you may have a problem.

There is one more critical question to ask. It is not part of the CAGE Assessment, but it is often the most telling.

5. Do you drink…or engage in other behavior…despite the negative consequences of the behavior in your health, relationships, your money, or with the law?

If you answered “yes” to this question, then it is time to take a hard look at your behavior. Continuing to drink or engage in other harmful behavior despite negative consequences is one of the clearest signs that you have an addiction.

11 Sneaky Signs of Addiction in Others

If you suspect a loved one may have a problem, you may think you know what to look for in terms of the signs and symptoms of addiction. Most people immediately think about finding drug paraphernalia, empty bottles of alcohol, receipts from casinos, or other physical evidence. But often the signs are far more subtle and can be mistaken for other issues or may co-exist with conditions, such as depression, anxiety, or ADD/ADHD.

Here are 11 common signs:

  1. Weight changes
  2. Changes in energy levels
  3. Changes in sleeping patterns
  4. Frequently feeling sick
  5. Withdrawal from family and friends
  6. Hanging out with new friends
  7. Neglecting responsibilities
  8. Breaking rules at home, work, or school
  9. Catching the person in lies
  10. Making excuses
  11. Borrowing or stealing money

Noticing any of these signs should be a cause for concern. Addressing problem behaviors early is important because left untreated, addiction ruins lives, devastates families, destroys relationships, negatively impacts careers, decreases the ability to perform well in school, and causes health problems. People with addictions are more likely to get divorced, less likely to graduate from high school or college, less likely to get promoted at work, and more likely to develop diseases related to their addiction. And addiction affects our society as a whole and burdens us all.

Getting Help

Seeking treatment for yourself or a loved one is the first step to healing. Functional brain imaging with SPECT can be a very powerful tool in the recovery process because it helps:

In addition, when people with addictions see before-and-after brain scans of people with addictions, it shows that healing is possible and elevates hope that they can break the chains of addiction.

At Amen Clinics, we use brain SPECT imaging as part of a comprehensive evaluation to help our patients see and understand any underlying brain dysfunction. This is often a powerful first step to breaking the chains of addiction. We use an integrated brain-body approach to healing the brain and treating any co-occurring mental health problems.

If you want to join the thousands of people who have already enhanced their brain health and overcome their addictions and psychiatric symptoms at Amen Clinics, speak to a specialist today at 888-288-9834. If all our specialists are busy helping others, you can also schedule a time to talk.