Childhood cancer is heartbreaking. No child should ever have to endure such a dreadful disease. Sadly, an estimated 10,470 kids under the age of 15 will receive a cancer diagnosis in 2022, according to the American Cancer Society. Fortunately, thanks to advances in treatment, 85% of kids with cancer will survive at least 5 years. Many will live for decades. However, chemotherapy, one of the primary treatments used to fight childhood cancer, can have a negative impact on the developing brain that leads to lasting cognitive dysfunction. Up to 75% of cancer patients treated with chemotherapy struggle with “chemo brain.” These impairments can have a significant impact on a cancer survivor’s quality of life and can lead to problems at school, in the workplace, in relationships, and with self-esteem.
Chemotherapy, one of the primary treatments used to fight childhood cancer, can have a negative impact on the developing brain that leads to lasting cognitive dysfunction.
CHEMOTHERAPY-INDUCED BRAIN CHANGES IN CHILDHOOD CANCER
Chemotherapy treatment for childhood cancer can lead to many negative changes in the brain, including:
Reduced processing speed
Decreased executive function
Damage to nerve cells in the hippocampus (the primary center for learning and memory)
Changes to white matter (the fatty protective covering that wraps around nerve cells to promote optimal signaling)
Inflammation
Damage to blood vessels
The brain SPECT imaging work on tens of thousands of patients at Amen Clinics, including many childhood cancer survivors, shows the negative effects of chemotherapy on the brain. SPECT is a brain imaging technology that measures blood flow and activity in the brain. SPECT scans reveal areas of the brain with healthy activity, too little activity, and too much activity. The scans of Amen Clinics patients who underwent chemotherapy treatment for cancer often show a pattern called scalloping, or overall decreased activity.
SYMPTOMS OF COGNITIVE DYSFUNCTION IN CHILDHOOD CANCER SURVIVORS
Children who have undergone chemotherapy treatment for cancer are at increased risk for many symptoms of cognitive dysfunction, such as:
Some research also suggests that genetics may contribute to the cognitive dysfunction seen following childhood cancer treatment with chemotherapy. A study in the Journal of Clinical Oncology found that among survivors of childhood acute lymphoblastic leukemia, those with certain genetic polymorphisms were more at risk for cognitive problems.
WHAT CAUSES COGNITIVE DYSFUNCTION AFTER CHEMOTHERAPY?
Contributors to cognitive dysfunction following chemotherapy treatment include:
Toxicity of chemotherapy:
There is compelling evidence that chemotherapy drugs are potent neurotoxins that can cause brain injuries. For example, a 2019 study published in Cancer Chemotherapy and Pharmacology suggests that the underlying causes of cognitive issues following treatment with the chemotherapy agent, doxorubicin, may be related to disruptions in the immune system’s response, a reduction in neurotransmitter levels, oxidative stress, and inflammation in the brain.
Chronic stress:
Having cancer is a major stressor that can elevate levels of the stress hormone cortisol. When cortisol levels get stuck on high, it also causes a spike in blood sugar and insulin levels. This leads to detrimental changes in the brain, including a drop in the calming neurotransmitter serotonin, leading to a range of psychological issues. Researchers from the University of California, Berkeley, found that chronic stress generates other disruptive changes in the brain that contribute to a higher incidence of brain health/mental health disorders later in life. In particular, chronic stress produces more white matter and fewer neurons (gray matter) than normal, skewing their balance and interfering with communication within the brain. Ultimately, high levels of cortisol increase the likelihood of developing lasting psychiatric conditions, such as anxiety or depression, or PTSD, according to research in Scientific Reports.
Poor diet:
Many parents understandably want to soothe their children to decrease stress. However, giving kids sugary treats and other types of junk food can further drain the brain and can negatively impact focus and attention, moods, and mental clarity.
Gut bacteria imbalances:
Cancer treatment can mess with gut health. A 2019 study in BMC Cancer shows that chemotherapy adversely impacts the gut microbiota and can lead to gut dysbiosis, an imbalance in gut bacteria. It is also associated with an increased likelihood of leaky gut, which occurs when the lining of the intestines becomes excessively porous. Leaky gut is associated with an increased risk for mood disorders, anxiety disorders, and ADD/ADHD.
7 WAYS TO TREAT COGNITIVE DYSFUNCTION AFTER CHEMOTHERAPY
After more than 30 years of helping people at Amen Clinics to change their brain and change their life, it is clear that you are not stuck with the brain you have. If you are a childhood cancer survivor, or if you have a child who is undergoing or has undergone cancer treatment, there is hope to enhance and heal the brain. Here are 7 science-backed ways to manage cognitive dysfunction following chemotherapy treatment for childhood cancer.
1. Practice stress reduction:
Chronic stress harms the brain, so it’s important to learn how to calm stress at any age. Even small children can learn how to use effective stress-management techniques, such as deep breathing. Simply inhale for 4 seconds, hold it for 1 second, exhale for 8 seconds, and repeat 10 times. This can induce a greater sense of relaxation almost immediately. Getting out in nature is another great stressbuster, but if that is not possible, try listening to nature sounds. One study found that listening to water sounds effectively lowered stress.
2. Eat a brain-healthy diet:
Focus on clean protein, foods rich in omega-3s (such as avocados, nuts, and cold-water fish like salmon and tuna), and in particular, choose foods that are high in antioxidants. Colorful vegetables and fruits are full of brain health benefits, and they boost the level of antioxidants in your body, which reduces the risk of developing cognitive impairment and depression. Antioxidants neutralize the production of free radicals in the body, which play a major role in many illnesses, including Alzheimer’s disease, according to research in Neuropharmacology, and depression, based on findings in Plos One. Research also shows that increasing antioxidants has been found to help many conditions, including anxiety and depression.
3. Hyperbaric oxygen therapy:
HBOT is a non-invasive therapy that uses the power of pure oxygen to accelerate healing. HBOT promotes healing after insults to the brain. Before-and-after brain SPECT imaging studies on people who have undergone HBOT treatment have shown dramatic improvements in blood flow to the brain. Better blood flow enhances brain function.
4. Nutritional supplements:
Nourish the brain with nutraceuticals, such as antioxidants, including glutathione, quercetin, vitamin C, astaxanthin, and green tea extract.
5. Individualized education plan (IEP):
If your child needs academic accommodations, check into an IEP. Having specialized education and services that fit your child’s needs can be very beneficial for school performance, self-esteem, and more.
6. Interactive metronome training:
The human brain has an internal clock that helps its billions of cells communicate effectively. Injuries and other insults to the brain can disrupt this internal timing mechanism. Interactive metronome training (IM) is a unique intervention that helps reset the timing in the brain and to boost activity in the cerebellum. IM training has been found to have beneficial effects on focus and concentration, working memory, executive functions (planning, judgment, and forethought), self-control, organization, and more.
7. Neurofeedback:
This noninvasive form of brain training has been reported to help with focus, anxiousness, moods, cognitive function, and more. A 2019 study found that cancer survivors reported improved quality of life after neurofeedback therapy. And an exciting 2022 pilot study from UCLA researchers shows that neurofeedback may be beneficial in improving the chemotherapy-induced cognitive deficits—“chemo brain”—facing many cancer survivors.
It is never too early or too late for a childhood cancer survivor to start improving brain health after chemotherapy. When you have already won the fight for your life, it’s time to begin the ongoing fight for your brain health and quality of life.
Cognitive dysfunction 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. Feeling anxious, nervous, stressed, or overwhelmed? You may think it’s just a normal part of life in our hectic society, so you ignore it and keep pushing through your days. But what you think is everyday anxiousness might be an anxiety disorder. Alarmingly, more than half of the estimated 19.1% of American adults suffering from an anxiety disorder will not get treatment, according to figures from the National Alliance on Mental Illness.
While some anxiety can be helpful and good—even life-saving, too much is not. For millions of Americans, untreated anxiety is a destructive force negatively impacting health, relationships, and overall well-being.
When anxious feelings build slowly over time, you may not realize you have an anxiety disorder; it’s important to recognize the signs.
When anxious feelings build slowly over time, you may not realize you have an anxiety disorder; it’s important to recognize the signs. Without understanding the difference between situational anxiousness and anxiety disorders, you may unwittingly be making your anxiety worse.
Here are some of the most common warning signs to look for. If you observe them in yourself, it’s likely time to see a qualified therapist.
8 WARNING SIGNS OF ANXIETY
1. You’re experiencing intense worry or panic.
If worrying is getting in the way of normal, day-to-day functioning, you may have an anxiety issue. Perhaps you’re overthinking so much that you can’t focus on your work or even relax reading a book. Or maybe your mind races with a cascade of stressful thoughts that takes you so out of the moment, you lose track of what you are doing, like missing your exit on the freeway.
If you experience a sudden episode of intensified anxiety and unreasonable feelings of fear that produces physical symptoms such as a racing heart, fast breathing, and sweating—it is likely a panic attack and a sure sign you need to see a mental health professional.
2. You’re more forgetful.
Working memory can be adversely affected by anxiety, research shows. You use your working memory for solving problems and managing bits of information in current time. When it’s disrupted by anxiety and worry, you might forget where you parked your car or if you took your medicine. If you continually forget things—even recent events, it could be anxiety affecting you.
3. You notice changes in your sleep or appetite.
If you’re having trouble falling asleep and/or staying asleep, that’s a red flag for anxiety. Worried thoughts, an activated stress response, and rumination can all disrupt sleep. Plus, it’s anxiety-provoking to have trouble sleeping, And the big topper, lack of sleep is associated with higher levels of anxiety, causing a vicious circle.
If you notice that you’re overeating or not eating enough, it could be that you are dulling anxiety-driven feelings. Indeed, one recent study on anxious college students showed a high association with overeating during the pandemic. Research has noted that acute stress and anxiety appear to be more tied to undereating, and chronic stress and anxiety to overeating. Seeing a therapist can help address your anxiety and normalize your eating.
4. You’re losing your cool more frequently.
Anger and anxiety are strongly linked. Experts warn that if you have a shorter fuse than usual or are quick to anger, it may be related to increasing anxiety levels. Anxiety can masquerade as anger. When you rage at someone else, it allows you to blame your anxious feelings on something outside of yourself. Yet, research shows that anger coupled with untreated anxiety leads to negative outcomes.
Anxiety can trigger the fight-or-flight stress response as a result of real or perceived danger. Thus, physiologically, your body readies itself to potentially fight off a danger, which can cause an overreaction as a means of self-defense.
Also, anxious feelings can drive you to try to keep very tight control over your life situations, experiences, and feelings, which, ultimately, cannot be controlled. This leads to bitterness, frustration, and anger.
So, if you’re feeling restless, irritable, highly reactive, and frequently angry, it may be time to address your anxiety with a professional.
5. You’re experiencing physical symptoms.
Physical symptoms such as nausea, headaches, shortness of breath, shakiness, or stomach pain can be caused by anxiety, according to a Harvard Medical School report. Experts believe that this may be a result of the autonomic nervous system getting activated by the fight-or-flight stress response. Additionally, pain conditions such as fibromyalgia, migraines, back pain, and arthritis are highly associated with anxiety, according to the Anxiety & Depression Association of America.
A number of digestive issues are related to anxiety too. Experts believe this is due to the connection between the brain and the gastrointestinal system. Your enteric nervous system is embedded in the lining of the gastrointestinal system, and information is shared between the brain and the gut. That’s why you get that fluttery feeling in your stomach when you’re nervous.
Some research also shows that dizziness is a common symptom related to anxiety. Scientists believe this may be due to the vestibular system, the part of the brain that controls balance, frequently interacting with the areas of the brain responsible for anxiety.
If you’re experiencing these types of symptoms, not related to any other medical condition, it may indicate an anxiety issue.
6. You’re engaging in unhealthy coping strategies.
If you find yourself staying up too late binge-watching television or having a drink to unwind every night, consider that untreated anxiety may be driving your behavior. Indeed, research involving college students showed that anxious students frequently engaged in a number of negative coping behaviors such as self-harm, drinking alcohol, smoking, overeating, undereating, and using recreational drugs. Yet, any type of behavior can be an unhealthy coping skill if it is used to avoid anxious feelings—including reading heaps of books, spending too much time on social media, or shopping compulsively online.
7. You’re struggling with procrastination and perfectionism.
Studies show that high levels of procrastination are associated with poor mental health, including anxiety. It’s common to put off the very thing that you’re anxious about, such as a difficult work task or an uncomfortable conversation. However, if you start to avoid and procrastinate on practically everything in your life, it’s a sign of a potential anxiety problem.
Where there’s procrastination, there’s often perfectionism—another indicator of anxiety. In fact, in most cases, research suggests that perfectionism derives from anxiety or low self-esteem, and perfectionists are at a higher risk of having an anxiety disorder.
If you struggle with procrastination, perfectionism, or both, you’re probably anxious too, and therapy can help.
8. Your relationships are suffering.
We would not be human if we didn’t have trouble in relationships from time to time. However, when your romantic relationships are often in turmoil, or you’re having blowups with friends—or you have few, if any, relationships at all, it’s a sign of anxiety.
In one study, participants suffering from anxiety were significantly less likely to describe their relationship with a partner or spouse as “healthy and supportive.” The study found that anxious participants were twice as likely to have regular arguments with their partners, and three times as likely not to be intimate. It’s not surprising then to learn that people who have anxiety disorders are more likely to be single and have higher rates of divorce, according to research.
Anxious people can be overly dependent on others, needing constant reassurance. Or they can be cold and avoidant, out of fear of getting close and rejected. Either side of the anxiety spectrum makes maintaining healthy relationships difficult.
If you notice any of these warning signs of anxiety, you may benefit from seeking professional help and getting to the root causes of your issues.
Anxiety, panic attacks, 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. Grief is a common part of life. We grieve after the death of a loved one. We can also grieve the loss of a relationship or a job, a decline in health in ourselves or a loved one, or the loss of stability that accompanies a major life change.
When grief hits, it affects us deeply. We may experience memory problems, have trouble concentrating, or be wracked with sadness. That’s because grief impacts the brain and can lead to a condition known as “grief brain.”
When grief hits, it affects us deeply. We may experience memory problems, have trouble concentrating, or be wracked with sadness. That’s because grief impacts the brain and can lead to a condition known as “grief brain.”
Grief brain is a term used to describe the neurological effects of loss on the brain. After a significant loss, the body triggers the release of neurochemicals similar to those involved in the fight-flight-or-freeze response.
In the following days, weeks, and months, reminders of the loss can re-ignite this chemical reaction. This grief response can rewire the brain in negative ways. The brain changes experienced during periods of grief involve several key regions, including:
Prefrontal cortex: This area is involved in executive functions, such as planning, judgment, impulse control, problem-solving, and decision-making. Grief effectively takes this region offline, suppressing your ability to think clearly and accomplish complex tasks.
Limbic system: This network of regions is considered the emotional center of the brain. It shifts into overdrive in times of grief, amplifying emotions like sadness, fear, and anxiety.
In the healthy brain, the limbic system provides the motivation you need to get things done. The prefrontal cortex gives you the mental horsepower to complete important projects. In the grieving brain, this system is turned upside down, robbing you of mental clarity while heightening emotions.
SYMPTOMS OF GRIEF BRAIN
Grief brain can lead to an array of cognitive, emotional, and physical symptoms, such as:
Cognitive symptoms: Brain fog, confusion, forgetfulness, spaciness, and an inability to concentrate are common.
Emotional symptoms: Some people may feel depression, anxiety, post-traumatic stress disorder (PTSD), or a loss of interest in activities they previously enjoyed. According to a scientific review published in World Psychiatry, grieving people can also experience everything from shock, anger, fear, and guilt to loneliness, depersonalization, and overwhelm.
People can even feel shame about or fear of their own emotions. And they may then try to stuff them down to avoid feeling as deeply—which, unfortunately, makes the problem worse.
Physical symptoms: Some individuals may experience sleep issues, changes in appetite, feelings of numbness, or a weakened immune system.
Intense grief can even become life-threatening. For example, it can lead to self-neglect or stir up suicidal thoughts.
TYPES OF GRIEF
Today, we know that grief can wear many faces—and that it’s anything but straightforward or linear. Here are some lesser-known types of grief:
Complicated grief, also called prolonged grief disorder, occurs over longer periods of time than expected. It interferes with one’s daily life and creates intense symptoms, even years after a loss. According to research, an estimated 7%-10% of grieving individuals develop this form of grief, which involves profound yearning.
Ambiguous grief, also called ambiguous loss, refers to loss that doesn’t have closure. This can be felt when a loved one goes missing, for example.
Collective grief is experienced on a large scale across communities. Examples include the upheaval of the recent COVID-19 pandemic, in times of war, or after natural disasters.
Anticipatory grief, also called preparatory grief, happens when we are expecting a loss that hasn’t yet taken place. For example, anticipating the death of a family member who is terminally ill.
Disenfranchised grief is that which is not generally recognized or given attention by society. Because of this, the person grieving may not fully process or receive help for the strong emotions that can accompany a loss.
GRIEF BRAIN CAUSES
The American Psychological Association (APA) defines grief as “the anguish experienced after significant loss, usually the death of a beloved person….[causing] physiological distress, separation anxiety, confusion, yearning, obsessive dwelling on the past, and apprehension about the future.”
This type of grief is a primary cause of grief brain. However, grief brain can also surface as a result of form of loss. Here are some common causes of grief brain, some of which may be overlooked or not treated as seriously as they deserve:
Death of a loved one
Losing a relationship (including friendship, divorce, infidelity, a breakup, etc.)
Relocating to a new city or leaving home
Losing a child through miscarriage or struggling with infertility
Losing a job or retiring
Death of a pet
Estrangement or separation from a family member, such as in the case of addiction or incarceration
Bankruptcy or financial instability
Loss of an identity
Decline in health, personally or for a loved one
These are only some examples that can lead to grief brain. We are all uniquely affected by loss and change. And, as with emotional trauma, we all respond differently. However, the more coping tools and strategies we have, the better we will fare over time.
6 TIPS FOR OVERCOMING GRIEF BRAIN
If you’re experiencing grief brain, take the time to work through the loss and cope in healthy ways. Here are six suggestions to start you on the path to healing from any type of loss of any kind:
Encourage sound sleep.
Suffering from insomnia is common in the wake of loss. Try supplements such as melatonin, vitamin B6, magnesium, GABA, 5-HTP, and theanine. And always practice the core tenets of sleep hygiene to promote full-body restoration.
Reach out for help.
There are many ways you can work through your grief in safe spaces with understanding professionals or peers. Consider talking to a loved one, a psychotherapist, or another type of mental health professional. You can also call a crisis hotline or join a bereavement group.
Confront your feelings.
Acknowledge and validate your feelings. Write a letter to an estranged loved one, then burn or bury it. Journal about your feelings surrounding a job loss.
Create an album with photos of your deceased pet. Channel your emotions into a painting or song. Let yourself take whatever steps feel most restorative to you.
Get moving.
Exercising and spending time in nature can be wonderfully renewing for the brain, body, mind, and spirit. Other movements, like dance, can expel excess energy in the body and allow us to physically work through feelings like anger and frustration.
Seek customized treatment.
Grief brain can be misdiagnosed as a variety of psychiatric conditions, and sufferers can be prescribed medications they don’t need. A brain SPECT scan helps obtain a clearer picture of any underlying brain health issues, enabling a more effective, customized treatment plan.
Be patient.
Working through grief is not a one-and-done procedure, nor is it predictable. As exhausting as it can be to feel difficult and tumultuous emotions, understand that the grieving process is normal and helping you heal. Above all, to practice self-compassion in the aftermath of loss.
Prolonged or complicated grief, depression, anxiety, 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.Content updated from previous publish date.
Are you struggling with low moods? Do you feel fatigued all the time? Are you trying to lose weight but can’t seem to drop the pounds despite eating a healthy diet? It could be due to a thyroid problem. Normal and healthy thyroid hormone levels are essential for optimal brain and body health. Low thyroid function, called hypothyroidism, can cause many physical and mental problems including depression, fatigue, poor memory, obesity, diabetes, high cholesterol, and more.
Low thyroid function, called hypothyroidism, can cause many physical and mental problems including depression, fatigue, poor memory, obesity, diabetes, high cholesterol, and more.
The thyroid is a small, butterfly-shaped gland located in your lower neck. Although it is small, it has a big impact on the health of your brain and body. This gland produces three main thyroid hormones—thyroid stimulating hormone (TSH), T3, and T4. They are among the most important neurohormones in the human body. Thyroid hormones are involved in regulating how your body uses energy. It also has a strong impact on the brain because it controls the production of many neurotransmitters, such as dopamine, serotonin, and GABA.
For optimal brain and body function, these three thyroid hormones must be produced in the proper balance. Problems develop when thyroid dysfunction causes hormonal imbalances in which the gland to produce too little hormone (hypothyroidism) or too much hormone (hyperthyroidism).
SIGNS AND SYMPTOMS OF HYPOTHYROIDISM
Patients with low thyroid function, even if it’s not severe, can have problems with mood, cognitive function, and memory loss. Patients with depression tend to have higher rates of hypothyroidism than those of the general population.
Signs and symptoms of hypothyroidism include:
Depression
Fatigue
Unexplained weight gain
Difficulty concentrating
Impaired memory
Increased sensitivity to cold
Constipation
Dry skin
Puffy face
Hoarseness
Muscle weakness
Elevated blood cholesterol level
Muscle aches, tenderness, and stiffness
Pain, stiffness, or swelling in your joints
Heavier than normal or irregular menstrual periods
Thinning hair
Slowed heart rate
HYPOTHYROIDISM IS HIGHLY UNDERDIAGNOSED
Hypothyroidism is one of the most common diseases in the world. It is more prevalent than hyperthyroidism and more widespread than people—including many in the medical field—think it is. Current research shows that nearly 5 out of every 100 people ages 12 and up in the U.S. suffer from hypothyroidism. According to the American Thyroid Association, thyroid problems are 5-8 times more likely to occur in women than in men, and 1 in 8 women will develop a thyroid disorder during their lifetime.
Even more alarming is the fact that up to 7% of the United States population has undiagnosed hypothyroidism, according to a 2021 study.
There are several reasons for the high level of underdiagnosis. Low awareness of the disorder is one issue, which results in many people mistakenly attributing their symptoms to some other condition. The biggest problem, however, is the fact that there are inconsistencies in how thyroid levels are tested. Three are 5 blood tests that may be used in the diagnosis of hypothyroidism:
TSH
T4
T3
Free T3
Reverse T3
The American Thyroid Association offers a more comprehensive look at each of these tests. Many physicians, however, use just one or two tests, which may not provide an accurate picture of thyroid health.
WHY IS HYPOTHYROIDISM SO COMMON?
There are many factors contributing to the prevalence of hypothyroidism, many of which are environmental. Of the three main types of thyroid hormones, T-3 is by far the most important active thyroid hormone in the body. However, in order to make active T-3 the body has to convert inactive T-4 via an enzyme process, and therein lies the problem. It turns out that this enzyme process is highly susceptible to interference from a variety of things. Factors that inhibit thyroid production include but are not limited to:
Excess stress and cortisol production
Deficiencies in vitamins B12 and B9, iron, ferritin, iodine, or selenium
Deficient protein, excess sugar
Chronic illness
Compromised liver or kidney function
Cadmium, mercury, or lead toxicity
Herbicides and pesticides
Oral contraceptives
Excessive estrogen production
Damage to the pituitary gland, often due to head injuries
EFFECTIVE, NATURAL TREATMENTS FOR HYPOTHYROIDISM
Strategies that promote healthy neurohormone function include:
Support healthy hormones with exercise, adequate sleep, a healthy diet, and stress management.
Take nutraceuticals, such as l-tyrosine, zinc, iodine, and ashwagandha extract, which support thyroid function.
If you’re coping with depression, mood issues, fatigue, or unexplained weight gain, it may be time to check your thyroid levels. Even if your doctor has told you your thyroid tests are “normal,” your signs and symptoms may still point to low thyroid function and need to be evaluated more closely.
Depression, fatigue, hormonal imbalances, 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 888-288-9834or visit our contact page here.
Electroconvulsive therapy, or ECT for short, is a medical procedure performed under anesthesia that involves electrical stimulation of the brain to induce brief, controlled seizures. It is most commonly performed on people suffering from severe mental health disorders that have not responded to treatment or that require rapid results. Although research has found that ECT can be effective, there are significant downsides, including memory loss.
Performed on people suffering from severe mental health disorders that have not responded to treatment or require rapid results, electroconvulsive therapy (ECT) can be effective, but there are significant downsides, including memory loss.
ECT is a procedure that dates back to 1938 when Italian neurologists Ugo Cerletti and Lucino Bini first intentionally delivered electric shocks to patients to induce seizures. In the early days of the procedure, physicians used high doses without any anesthesia, contributing to serious side effects and a stigma that remains today. Current ECT procedures involve lower, targeted doses and are performed with anesthesia and muscle relaxants. It can be an effective technique for certain severe psychiatric disorders, but it continues to be associated with a number of aftereffects, including memory loss, confusion, problems with new learning, headaches, and muscle aches.
WHICH MENTAL HEALTH CONDITIONS MAY BE TREATED WITH ECT?
ECT is used to treat severe cases of certain psychiatric issues that have not responded to standard treatments, such as medications and psychotherapy. It may also be used in cases when rapid results are of the essence.
Major depressive disorder: Clinical research shows that ECT may provide relief from severe depression or treatment-resistant depression. ECT is generally considered a last resort treatment option after all other depression treatment modalities have failed. However, most people, including psychiatrists and other physicians remain unaware that depression is not one thing. It is not a single or simple disorder. The brain imaging work at Amen Clinics shows that there are 7 types of depression and anxiety and knowing your type is critical to finding the right treatment plan. This helps explain why antidepressants may work for some people with depression but not for everyone. In people who do respond to ECT, repeat procedures may be necessary to maintain the beneficial effects.
Mania: Mania is a symptom that is often seen in people with bipolar disorder. A mood disturbance, mania is associated with heightened energy levels, a sense of euphoria, an inflated sense of self-esteem, grandiose ideas, increased talkativeness, racing thoughts, and more. Mania is also linked to impulsivity, inappropriate or risky behavior, irritability, aggression, and substance use. In severe cases of mania, people may also experience hallucinations, delusional thoughts, or paranoia.
A 2021 review of 7 randomized controlled trials on the use of ECT for acute mania found high rates of improvement. Despite this, the procedure is rarely used for mania, accounting for only 0.2%-12% of ECT use globally. ECT is typically considered only when pharmacotherapy has failed. However, it’s important to note that ECT for mania is considered an “off-label” use in the U.S.
Schizophrenia: A chronic disorder, schizophrenia impacts a person’s ability to differentiate reality from fantasy and is associated with hallucinations, delusions, and distorted thinking. A 2019 review in Acta Neuropsychiatrica reports that ECT may be beneficial for those with treatment-resistant schizophrenia, but its use is limited.
Catatonia: A serious disorder that interferes with a person’s awareness of the world around them, catatonia is characterized by a lack of movement or communication. The syndrome is associated with schizophrenia and other mental health issues. A 2020 study on ECT for the treatment of catatonia suggests it can be effective but notes that stigma regarding the procedure, legal restrictions, and a lack of standard protocols contribute to limited usage.
Suicidal ideation: ECT has been associated with a significant reduction in the risk of suicide among hospitalized patients suffering from major depressive disorder, according to a 2021 study in the JAMA Open Network. In this study of 28,557 hospitalized patients, ECT was most effective in reducing suicide risk in those with psychosis and in individuals aged 45 or older.
WHAT ARE THE RISKS OF ECT?
Although ECT is generally considered safe, it is associated with a variety of risks and side effects that have contributed to the limited utilization of the procedure.
Memory loss: One of the biggest downsides to ECT is the potential for post-procedure memory impairment. ECT has been associated with problems with memory, including short-term memory and trouble remembering events that occurred leading up to the ECT procedure. A 2017 study on 1,212 individuals who had ECT noted a decline in subjective memory in 26% of the participants. In this study, women were more likely to have memory problems. Surprisingly, memory issues were more common in younger adults—ages 18 to 39—compared to those 65 years of age or older. Over time, memory problems may improve, however, in some people, they may persist.
Another factor that may play a role in memory issues following ECT is the fact that it is performed under anesthesia, which is associated with post-operative cognitive dysfunction.
Cognitive decline: In addition to memory problems, ECT has been linked to other cognitive impairments. For example, a 2017 study found reductions in attention following ECT. And a 2020 study in BJPsych Open points to short-term decreases in new learning post-ECT.
Confusion: Following ECT, some people may experience confusion, which is generally temporary and typically lasts only a few minutes to a couple of hours. More common in older individuals, confusion
Physical ailments: Some of the most common complaints following ECT include headaches, nausea, and vomiting. Some people may also experience jaw pain and muscle aches.
WHAT TO KNOW BEFORE CONSIDERING ECT
Most people only consider ECT when other standard treatment options have failed. What many of these individuals don’t realize, however, is that there are a host of additional ways to treat depression and other psychiatric issues that are not typically offered through traditional psychiatry or medical fields.
As mentioned earlier, brain SPECT imaging has helped Amen Clinics identify 7 types of depression and anxiety, and it can increase understanding of the causes of mood disorders and other mental health issues. Knowing more about your brain and the underlying root causes of your mental health problems can be a key to finding solutions that don’t involve a medical procedure with significant side effects.
Depression, suicidal ideation, and mania related to bipolar disorder 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 888-288-9834or visit our contact page here.
Struggling with anxiety, panic attacks, mood disorders, chronic stress, or alcohol issues? Research shows that these conditions may be associated with low levels of an important neurotransmitter—gamma aminobutyric acid (GABA)—that acts as your brain’s calming messenger. While other neurotransmitters get more attention (like dopamine and endorphins), GABA quietly does the important work of serving as your brain’s principal inhibitory neurotransmitter.
Low levels of GABA have been found in patients who suffer from anxiety, panic attacks, alcohol issues, mood disorders, and seizure disorders.
Neurotransmitters are the brain’s messengers, which move from one neuron to another to relay information. GABA’s main job is to keep brain cell hyperactivity in check and to put the brakes on rapidly firing neurons. Without this calming neurotransmitter slowing things down, unchecked neuronal stimulation in the brain can fuel feelings of anxiousness, racing thoughts, and even seizures.
On the flip side, if your brain doesn’t have enough nerve cell firing, it can cause confusion, lethargy, and sedation. Having healthy levels of GABA is key for brain health and function. Here’s what you need to know about this important neurochemical, and how you can optimize it to experience more calm.
HOW GABA WORKS
A wide array of cells in the brain and body make GABA. When GABA lands and binds to a neuron’s GABA receptor, its inhibitory action is triggered, immediately slowing the ability of the nerve cell to receive, create, or send chemical messages to other nerve cells. GABA’s calming influence serves to balance stimulating neurotransmitters like dopamine and adrenaline. In practical terms, GABA plays a vital role in keeping anxious thoughts, stress, and fear at manageable levels.
BENEFITS OF GABA
Ensuring your body has adequate amounts of GABA provides many benefits. Researchers recognize that healthy GABA levels may help reduce symptoms of a number of mental health and neurologic conditions, including (as mentioned above) anxiety, in addition to pain, sleep disturbances, and some cases of depression, according to one review study. And research does indeed indicate that increased GABA levels in the brain is associated with improved seizure control. GABA’s benefits extend to the circulatory system too, as it has been found to lessen hypertension.
GABA also can be instrumental with certain addiction issues. One study on alcohol withdrawal states that increased levels of GABA can help symptoms. Similarly, another study found that healthy GABA levels may lessen symptoms of overeating. For women struggling with PMS adequate GABA levels appears to lessen those symptoms as well, research suggests.
CONSEQUENCES OF LOW LEVELS OF GABA
Interestingly, low levels of GABA have been found in patients who suffer from anxiety, panic attacks, alcohol issues, mood disorders, and seizure disorders.
Genetics, especially if you have anxious family members, can contribute to GABA deficiency, as well as poor diet, early life stress, and prolonged, chronic stress.
It’s not surprising that a number of drugs have been developed to work on the GABA receptors in your brain to treat some of these conditions. For example, benzodiazepines (a class of drugs that includes Valium and Xanax) are used in anesthesia for surgeries, sleep disorders, alcohol withdrawal, anxiety, and more. There are many others, including anti-seizure medications.
However, many of these medications are highly addictive or come with side effects. There are more natural ways to support your body’s optimal GABA levels without the problems that come with pharmaceuticals.
8 WAYS TO BALANCE GABA NATURALLY
Here are 8 research-backed ways to help your body synthesize the GABA it needs.
1. Consume GABA’s building blocks.
While foods do not contain GABA, you can consume foods rich in the building blocks of GABA to aid your body in making it. Such foods include tea (green, black, and oolong), berries, tomatoes, potatoes, noni fruit, lentils, wild-caught fish, and grass-fed beef.
2. Eat vitamin B6-rich foods.
Vitamin B6 is an important cofactor in GABA synthesis. Supply your body with ample amounts of it by consuming foods such as salmon, lean chicken, tofu, potatoes, bananas, avocados, spinach, garlic, broccoli and Brussels sprouts – which are all known to be rich in vitamin B6.
3. Enjoy fermented food.
Your gut’s beneficial microflora can synthesize GABA, and experts believe that GABA may then travel to the brain via the gut-brain axis, according to research. Enjoy ample fermented foods that are rich in beneficial bacteria such as kimchi, sauerkraut, unsweetened kefir, and coconut water kefir. It will benefit your digestive health too!
4. Take probiotics for GABA synthesis.
Probiotics, especially Lactobacillus rhamnosus, increase GABA, research indicates. A review also show that Lactobacillus paracasei,Lactobacillus brevis, and Lactococcus lactis are associated with increased GABA synthesis. Make use of probiotics containing these GABA-producing strains.
5. Take nutritional supplements.
One of the simplest ways to boost your body’s GABA levels is to take supplements such as GABA, valerian, lemon balm, passionflower, l-theanine, magnesium, taurine, which are all associated with greater levels of this calming neurotransmitter.
6. Meditate.
Meditation is a calming activity. It’s no wonder that research suggests that meditation is linked to GABA production, as well as greater emotional regulation.
7. Strike a yoga pose.
Remarkably, one study showed a 27% increase in GABA levels in yoga participants after a 60-minute session versus a comparison group that read for an hour. Another study compared yoga participants to a group of walkers, with both groups either practicing yoga or walking 60 minutes a few times a week over 12 weeks. The yoga participants showed increased GABA levels and greater improvements in mood and anxiety than the walkers! If you have ever taken yoga, you are probably well aware of the calm feeling and well-being that follows.
8. Eliminate GABA zappers.
Here’s another reason to limit your caffeine intake and lose your smoking or drinking habit: They zap your GABA levels. You can add chronic stress to that list as well. They are all known to deplete your levels of GABA. If you meditate and practice yoga, you can eliminate stress and boost GABA at the same time!
Anxiety, depression, chronic stress, 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. Do fluorescent lights ramp up feelings of anxiety, irritability, depression, or decreased concentration? Do you experience sensitivity to sunlight? Does the idea of being in a room with strobing lights make you feel stressed?
That is the case for “You” actress Ambyr Childers. When she visited Amen Clinics for an episode of Scan My Brain, she talked to Daniel Amen, MD, about her ADD/ADHD, depression, and memory issues. During the conversation, she also noted that she has issues with light sensitivity. She’s bothered by sunlight, glare, and headlights. “I get headaches around fluorescent lights,” she says.
Childers says she first began noticing light sensitivity when she would attend concerts or go to nightclubs. “As soon as you have the strobe lights and the loud music,” she says, “it became stressful, and I felt like I had a lot of anxiety.” Childers wishes she could have enjoyed concerts and nightclubs with her friends, but she crossed them off her to-do list.
The actress assumed the stress she experienced around strobing lights was simply related to anxiety, but Dr. Amen suggested there might be another cause—Irlen Syndrome.
Anyone experiencing light sensitivity, reading issues, or symptoms of anxiety, irritability, depression, or decreased concentration should be screened for Irlen Syndrome.
Irlen Syndrome, or Scotopic Sensitivity Syndrome, is a visual processing issue. It is not a problem with the eyes, but rather with how the brain processes visual information. It can lead to light sensitivity, difficulties with reading, and more. For people who struggle with Irlen Syndrome, written words can appear fuzzy, may seem to move around the page, or may even disappear. Some individuals see objects as closer or farther away than they are, or in different locations entirely. Certain colors of the light spectrum can irritate the brain in those with the condition. People who have Irlen Syndrome may experience anxiety, concentration problems, or migraines as their brain works to process visual input.
Irlen Syndrome affects an estimated 14% of the general population, according to statistics from the Irlen Syndrome Foundation. The condition is more common in people with reading difficulties or dyslexia (46%), traumatic brain injuries or concussions (35%), attention and focus problems such as ADD/ADHD (33%), autism (33%), and those with treatment-resistant chronic headaches or migraines. Childers had been diagnosed with ADD/ADHD several years prior to her appointment at Amen Clinics.
SYMPTOMS OF IRLEN SYNDROME
Irlen Syndrome impacts people in different ways and symptoms include:
Light sensitivity; being bothered by glare, sunlight, headlights, or streetlights
Strain or fatigue with computer use
Fatigue, headaches, mood changes, restlessness, or an inability to stay focused with bright or fluorescent lights
Trouble reading words that are on white, glossy paper
Words or letters shifting, shaking, blurring, moving, running together, disappearing, or becoming difficult to perceive while reading
Difficulty reading music
Feeling tense, tired, sleepy, or even getting headaches with reading
Problems judging distance and difficulty with such things as escalators, stairs, ball sports, driving, or coordination
Migraine headaches
These issues can lead to other symptoms, such as anxiety, irritability, depression, or decreased concentration. If you experience fatigue, irritability, headaches, or eye strain while reading, or have emotional issues that don’t respond to standard treatment, it’s worth investigating Irlen Syndrome as a possible cause.
CAUSES OF IRLEN SYNDROME
Irlen Syndrome tends to run in families, and research suggests a genetic risk factor for the condition. One study looked at 2 samples of children with symptoms who were referred for Irlen Syndrome screening and found an 81%-85% chance that one or both of their parents had similar symptoms and a 54%-76% chance that their siblings were also affected. Experts also point to a number of other factors that may contribute to the issue, including head injuries and inflammatory processes, such as Lyme disease.
IRLEN SYNDROME AND THE BRAIN
Brain imaging research using SPECT (single photon emission computed tomography), functional MRI (fMRI), and visual evoked responses (VER) show that the brain functions differently in people with Irlen Syndrome.
In one study at Amen Clinics, SPECT scans of 42 people with Irlen Syndrome were compared with 200 age-matched individuals without the condition. In those with Irlen Syndrome, the brain scans showed increased activity in the brain’s emotional and visual processing centers and decreased activity in the cerebellum, an area that helps to integrate coordination and new information.
HOW IS IRLEN SYNDROME TREATED?
Irlen Syndrome is treated using the Irlen Method, a non-invasive technology that includes colored overlays and filters, as well as tinted eyeglass lenses or contact lenses. This unique treatment was developed by Dr. Helen Irlen, who discovered that colored, tinted overlays or lenses could be used to filter out specific wavelengths of light that are bothersome.
The results of this treatment can be dramatic. People with Irlen Syndrome report that using tinted overlays or colored lenses reduces reading distortion issues. This also lowers stress on the brain and allows it to function more efficiently. Treating Irlen Syndrome can also lead to improvements in reading comprehension, concentration, motivation, self-esteem, and academic/work performance, as well as reductions in anxiety, depression, fatigue, and headaches.
It’s important to understand that tinted lenses from an optometrist are not the same as the colored lenses required to treat Irlen Syndrome. To ensure the proper diagnosis and treatment, be sure to visit a certified Irlen Screener.
Irlen Syndrome and related anxiety, 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 888-288-9834or visit our contact page here. Although anxiety is the most common mental health condition in the U.S., the 40 million people who struggle with it can tell you it’s much more than being stressed out and worried about something. With symptoms that range from apprehension, fear, worry, and dread to chest pain, a racing heart, dizziness, and chronic muscle tension, untreated anxiety disorders can significantly interfere with the ability to achieve goals, be socially engaged, and fully enjoy life.
Fortunately, there are some very effective therapeutic treatment options that can make a world of difference in reducing or eliminating symptoms. Here are two of the most notable ones.
There are some very effective therapeutic treatment options that can make a world of difference in reducing or eliminating anxiety symptoms. Some of the most effective therapies are EMDR and CBT.
Otherwise known as eye movement desensitization and reprocessing, this method of treatment is commonly used for posttraumatic stress disorder. However, EMDR can also be very effective for other disorders, including anxiety conditions. A systematic review published in Frontiers in Psychology found that multiple studies showed EMDR is helpful for people who have generalized or social anxiety disorders, panic disorder, and agoraphobia, as well as other phobic conditions.
Unlike most types of psychotherapy, EMDR does not require as much talking about frightening, painful, or anxiety-provoking memories—although these issues are certainly addressed. After building rapport and discussing present concerns with a psychotherapist, usually over the course of a few sessions, the EMDR phase of treatment will begin. This method involves thinking about a specific experience while you either hold a pulsating device in each hand or watch a therapist move two fingers back and forth while you visually track the movements.
This technique, known as bilateral (both sides) hemispheric stimulation, reduces the emotional charge of a memory that has gotten “stuck” in the brain. People often find significant relief from their anxiety symptoms, sometimes after just a few sessions.
TREATING ANXIETY WITH COGNITIVE BEHAVIORAL THERAPY
Cognitive behavioral therapy (CBT) is one of the most well-studied therapeutic modalities and has been found to be effective for a wide array of mental health conditions, including anxiety disorders. Research has shown it can be very useful for reducing symptoms of worry that plague this condition. The basic premise of CBT is that our thoughts and beliefs directly impact our emotions, which in turn leads to behavior choices. In other words, what we think about a situation directly affects the way we feel about it, and then what we do in response to those feelings.
But here’s the catch. Just because we think a certain way about an event, doesn’t mean it’s true. You don’t have to believe every thought you have. Sometimes our thoughts lie to us and make us miserable. However, most people go with the first thing that pops into their head in response to something, and they don’t really consider alternative explanations. And multiple people will view the same objective event in different ways based on their own automatic thoughts. For those who struggle with anxiety disorders, these thoughts usually cause distressing and fearful emotions such as feeling nervous, scared, or worried.
HOW CBT CALMS ANXIOUS THOUGHTS
During CBT treatment, a therapist will help you identify the thoughts that drive anxiety symptoms, and one at a time, practice examining them to discover alternative ways of thinking about particular situations. This process isn’t intended to change a negative experience into a positive one, but rather it is about learning to have more accurate and realistic thoughts in response to something.
Borrowing from CBT and the works of Byron Katie, you can eliminate the ANTs (automatic negative thoughts) that bring you down and exacerbate mental health symptoms. Here’s an example of how this works:
Anxiety-provoking situation: You have been tasked at work to lead a group presentation.
ANT: I will look like a complete idiot and failure if I screw this up in any way. (thus causing triggering an anxious response in your mind)
With this ANT in mind, ask yourself the following 5 questions:
Is it true? Is it true that if you make any mistakes in the presentation everyone will think you’re a complete idiot and failure?
Is it absolutely true—with 100% certainty?
How do you feel when you have the thought that making any mistakes will be totally demoralizing and catastrophic for you?
How would you feel if you didn’t have that thought?
For this last question, turn around the ANT to its opposite: If I make any mistakes, my colleagues are not going to suddenly see me as some kind of foolish failure. Everyone makes mistakes at times. Is this new thought more accurate than the ANT that made you feel so anxious about having to give the presentation?
Working through these 5 questions with the ANTs that elevate anxiety requires some practice, so try it whenever you have a thought that makes you feel anxious, worried, or fearful. With practice, you will find that questioning your thoughts teaches you to think more accurately, which then reduces the distress caused by unchallenged automatic negative thoughts.
LIFESTYLE STRATEGIES TO HELP REDUCE ANXIETY
In addition to the therapies described above, there are some things you can do to help minimize anxious moments in day-to-day life. They won’t cost you a thing but can make a big difference in how you feel.
Exercise regularly.
Not only is this a great way to get your mind off your worries and lift your spirits, but it also helps lower stress hormones like cortisol which tend to be higher in those who struggle with anxiety.
Watch what you eat.
Some comfort foods—think sugar and high-glycemic foods—make you feel good at the moment, but they increase anxiety in the long run. This is because they rapidly increase your blood sugar level, but later cause it to crash—and when it does, it can lead to feeling jittery, irritable, and fatigued. In addition, research has found that artificial sweeteners, like aspartame, can elevate cortisol and trigger anxiety symptoms.
Practice belly breathing.
Also called diaphragmatic breathing, this simple strategy is a very effective way to mitigate anxious feelings. To discern the difference between breathing with your diaphragm, rather than your chest (which most people do when they feel nervous), put your hand on your belly and as you inhale, notice that your hand moves out and when you exhale it moves in toward your spine. Once you get the hang of it, practice this pattern:
Inhale for 3 to 4 seconds, pause
Exhale for 6 to 8 seconds, pause
Repeat 10 times
This type of breathing is a natural way to calm your nervous system anywhere, at any time.
There’s no question that suffering from anxiety can feel overwhelming and uncontrollable, and without effective treatment, it can lead to many challenges in life. However, taking the needed steps to reach out to a licensed mental health practitioner to help you work through your symptoms often opens the door to feeling healthier and more balanced, so that everyday living can become more enjoyable and fulfilling.
Anxiety, panic disorders, 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. Have you ever wondered what it might be like to feel different inside your head? For example, imagine that:
You don’t worry so much or get stuck on negative or fearful thoughts
You wake up each morning feeling motivated, rather than sad
You’re able to stay on task and get things accomplished
If any of these apply to you, think about how your life might be if you could change the emotions and behaviors that cause such challenges for you.
YOU’RE NOT STUCK WITH MENTAL HEALTH SYMPTOMS
Many people who have symptoms like those above accept them as part of their life, resigning themselves to feeling nervous, blue, or scattered, thinking, “well that’s just how I am.” Or maybe they believe it’s too late for them to be happier, more focused, or less stressed.
Anyone who silently struggles in this way may not understand that conditions like anxiety, depression, and ADD/ADHD are not personal shortcomings, but rather a reflection of a person’s brain health. Therefore, when the underlying cause of someone’s symptoms can be identified and correctly diagnosed, effective treatment strategies can be created that lead to improvement or even elimination of symptoms.
Conditions like anxiety, depression, and ADD/ADHD are not personal shortcomings, but rather a reflection of a person’s brain health.
Depression is one of the most common mental health conditions. Feeling sad, empty, fatigued, pessimistic, and hopeless can make some days seem completely overwhelming. And, if you’ve felt this way for a long time, it’s easy to think this is how you’ll always feel. But the truth is, it’s possible for you to feel better.
Depressive symptoms can be caused by many different things, including traumatic experiences, hormonal imbalances, and even an unhealthy diet. So, by identifying the factors that led to the emergence of symptoms, specific strategies can help you heal and feel more vibrant again. Although an actual treatment plan for each person would be unique, some things that might be included in it are:
1. Try EMDR.
If a history of trauma is the underlying cause, psychotherapy with EMDR (eye movement desensitization and reprocessing) can be very effective for healing and releasing the negative hold of past experiences.
2. Balance your hormones.
Hormone therapy (for men and women), when appropriate, can restore balance and relieve irritability and sadness.
3. Eat good mood foods.
If you’ve been eating a diet that includes lots of sugar and/or high-fat and processed foods, switching to one with fresh produce, healthy fats (i.e. avocados), and clean protein can increase energy, lift mood, and boost motivation. Alcohol is a depressant, so avoiding it is helpful too.
3 WAYS TO CALM ANXIETY SYMPTOMS
If you tend to catastrophize situations—always imagining the worst outcome, feel nervous all the time, worry incessantly, and have physical symptoms like chronic muscle tension or trembling hands, you may be dealing with anxiety. If this sounds familiar to you, you’re not alone—each year, about 40 million people in the U.S. have this condition too.
Fortunately, even if you’ve had anxiety symptoms for a long time, there are some simple therapies to reduce them, so they don’t continue interfering with your ability to relax and enjoy life. Here are 3 things you can do:
1. Breathe deeply.
If you feel like you’re always stressed out, incorporating a practice of diaphragmatic breathing can be really helpful for calming your mind. Here’s how to do it:
Breathing with your diaphragm (belly), rather than your chest, repeat this pattern 10 times—it only takes a few minutes.
Inhale for a count of 3 to 4
Exhale for a count of 6 to 8
You can even do this breathing exercise at work—no one will know—and it’s an easy way to manage anxiety on the fly.
2. Manage your mind.
Learning to pay attention and reality-test the fearful or automatic negative thoughts (ANTs) that plague your mind can help your thinking become more accurate, instead of being full of worries and doubt. Each time you catch yourself having an ANT, ask yourself the following questions:
Is it true?
Is it 100% true?
How does this thought make you feel?
How would you feel if you didn’t have this thought?
Next, flip the ANT to its opposite and see if that thought isn’t actually truer than the ANT is.
3. Consider nutraceuticals.
Natural supplements such as GABA (gamma-aminobutyric acid), magnesium, and L-theanine, as well as the scent of lavender can promote a sense of calmness and help you relax.
Incorporating multiple strategies can have a compounding beneficial effect on reducing anxiety symptoms.
3 TIPS TO MANAGE ADD/ADHD SYMPTOMS
Having lots of unfinished projects and a short attention span, being disorganized, distracted, and impulsive, along with a tendency to procrastinate are core symptoms of attention-deficit disorder (ADD), which is more commonly called attention-deficit hyperactivity disorder (ADHD). This condition typically begins in childhood due to lower levels of dopamine in the brain and can cause behavioral issues as well as academic problems. Unfortunately, it often goes undiagnosed and untreated; thus, the challenges of it can carry over into adulthood. Head injuries and other insults to the brain can also lead to symptoms of ADD/ADHD.
Like other mental health conditions, ADD/ADHD is not a simple or singular disorder. The brain SPECT imaging work at Amen Clinics has helped identify 7 types of ADD/ADHD. Each of these requires a different treatment program, so knowing your ADD/ADHD type is critical. However, there are some simple strategies that can help anyone who struggles with this condition, including these:
1. Set goals.
On a sheet of paper, write down your important goals and put them in a place you can see and read every day. This helps you make better decisions about what you do—or don’t do—to keep your goals in mind and on track.
2. Move more.
Exercise regularly to discharge any feelings of restlessness and promote the release of neurotransmitters such as dopamine because it helps to activate the front part of the brain, an area that is critical for focus, judgment, and impulse control.
3. Use digital reminders.
Be vigilant about using the calendar on your phone or wall to keep track of appointments, deadlines, and other important responsibilities. Commit to looking at it every night and each morning so you don’t forget what you need to do.
These treatment strategies are just a handful of the many ways you can help your brain become healthier and more balanced—regardless of your age or how many years you have been struggling with mental health symptoms. Through a process called neuroplasticity, the repetition of new behaviors can help rewire your brain to change the way you think and feel. It does take time—doing something once won’t do the trick—but with a commitment to yourself to work on improving symptoms, it is well worth the effort you put in.
Depression, anxiety, and ADD/ADHD 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. Omega-3 fatty acids are some of the most widely known and well-researched nutraceuticals on the market. There are good reasons why. Omega-3s are critically important to overall health and well-being. Scientific evidence shows they can improve brain function, memory, blood flow, and mood. Omega-3s can also reduce brain shrinkage from aging and inflammation. What many people don’t know is that there are 2 active compounds in omega-3s: EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). You need both.
But what’s the difference between EPA and DHA?
What many people don’t know is that there are 2 active compounds in omega-3s: EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). You need both.
EPA is an omega-3 fatty acid that is known primarily for its anti-inflammatory effects, which can have many benefits for the brain and body. A 2019 meta-analysis in the Journal of the American Heart Association points to supplementation with omega-3 EPA and DHA as protective for heart health. A 2021 systematic review and meta-analysis in The Lancet found that supplementation with EPA alone provided a greater reduction of risk compared with a combination of EPA and DHA. Other research from 2021 found that treatment with both EPA and DHA led to greater improvement in cognitive function in people with heart disease.
WHAT IS DHA?
DHA is an omega-3 fatty acid that is a vital component of cell membranes and an important building block in the brain. Critical for healthy brain development in the womb and in newborns, DHA continues to play a critical role in maintaining brain function throughout the lifespan. This important substance promotes fluidity of brain cell membranes, and it could influence the way we think and feel. DHA is so important to brain function, that some experts call it “brain food.”
A 2017 review paper points to many benefits of oral supplementation with DHA, including enhanced neurogenesis and improved memory. The paper also analyzed animal studies showing that rats that were DHA deficient had symptoms of depression, anxiety, and memory problems.
DO YOU HAVE LOW LEVELS OF OMEGA-3 EPA AND DHA?
Unfortunately, most Americans are low in omega-3 fatty acids. In 2016, Amen Clinics tested the omega-3 fatty acids levels of 50 consecutive patients who were not taking fish oil (the most commonly used source of EPA and DHA) and found that 49 had suboptimal levels.
Having low levels of the omega-3 fatty acids EPA and DHA in your bloodstream is associated with inflammation. It’s also one of the leading preventable causes of death, according to researchers at the Harvard School of Public Health. Low levels of EPA and DHA are also linked to:
In another study at Amen Clinics, the research team correlated the brain SPECT imaging scans of 130 patients with their EPA and DHA levels. SPECT is an imaging technology that measures blood flow and activity in the brain. The scans found that individuals with the lowest levels of EPA and DHA had lower blood flow in the brain, including in regions involved in memory. On SPECT, low blood flow is the #1 brain imaging predictor that a person will develop Alzheimer’s disease. On cognitive testing, low omega-3 levels also correlated with lower mood scores.
How can you test your omega-3 level? The Omega-3 Index is a test that involves a single drop of blood to measure the total amount of omega-3 fatty acids EPA and DHA in red blood cells. This directly reflects the levels of EPA and DHA in the brain.
HOW TO GET ADEQUATE OMEGA-3 EPA AND DHA
The human body has a very limited capacity to produce EPA and DHA, so you must get these substances from foods or supplements. Unfortunately, the Standard American Diet (SAD) provides a far greater abundance of omega-6 fatty acids and a scarcity of omega-3s. Some research suggests that the ratio of omega-6 to omega-3 has skyrocketed from 1:1 during evolutionary times to a whopping 20:1, or even higher, today. Consuming too many omega-6s has been associated with inflammation, obesity, and other health issues.
The best dietary sources of omega-3 EPA and DHA are cold-water fish, such as salmon, sardines, or herring. However, some fish are high in mercury and other toxins. Because of this, highly concentrated, high-quality fish oil supplements are a healthy alternative to getting the omega-3 EPA and DHA needed. Look for products that provide 1,000-3,000 mg of EPA and DHA.
CAN VEGETARIANS AND VEGANS GET ENOUGH OMEGA-3 EPA AND DHA?
For vegetarians and vegans, it can be an even greater challenge to get enough omega-3 fatty acids through diet. Plants make a type of omega-3 fatty acid called alpha-linolenic acid (ALA), which is found in foods like flaxseeds, walnuts, and chia seeds. The human body can convert ALA into EPA and DHA, but it isn’t very efficient.
As far as supplements go, compared to fish oil-based omega-3 products, most vegan omega-3 fatty acid products on the market have very low levels of omega-3 DHA and virtually no omega-3 EPA. BrainMD recently introduced Vegan Omega-3 Power, a formula that supplies clinically effective doses of EPA and DHA.
BENEFITS OF SUPPLEMENTATION WITH OMEGA-3 EPA AND DHA
Decades of scientific evidence reveal that supplementation with omega-3 fatty acids EPA and DHA offers a wealth of benefits. For example, a 20-year study with over 3,000 participants found that individuals—especially women—with the greatest intake of EPA and DHA were less likely to experience depression symptoms.
Research shows that other benefits associated with omega-3 EPA and DHA include increased attention in people with ADD/ADHD. A study in Archives of General Psychiatry showed a reduced risk for psychosis. They can also be helpful for children with behavioral problems. At Amen Clinics, when a group of retired football players were treated with highly concentrated fish oil supplements, many of them were able to decrease or completely eliminate their pain medications.
Mood, memory, ADD/ADHD, and other mental health and brain 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.