Complementary treatments can be integrated with conventional medical practices to offer patients the best of both worlds. As clinician/researchers we seek new approaches to relieve emotional and physical problems while reducing medication side effects. The goal of this newsletter is to share with you Integrative Treatments we find to be safe and beneficial. We welcome your comments and contributions at: www.haveahealthymind.com.
National News: American Psychiatric Association Annual Meeting, San Francisco, APA CAM Caucus Meeting Notes, May 19, 2009
The members of the APA CAM caucus voted to rename it the “Caucus on Integrative Psychiatry.”
The U.S. Conference on Integrative Mental health Care is being planned for Phoenix, Arizona, March 22-24, 2010. www.Integrativemedicine.arizona.edu.
The Consortium of Academic Healthcare Centers for Integrative Medicine annual meeting hosted a discussion on integrative mental health care that included work on setting goals, building alliances, funding, and developing model CAM/integrative mental health care curricula for training programs in psychology, psychiatry, social work and nursing.
APA CAM Caucus website Discussion Forums will be moderated by experts in the following areas: General discussion, EEG Biofeedback, Energy and Wholistic Healing, Homeopathy, Indigenous Healing Practices, Integrative Medicine, Orthomolecular Medicine, Orthomolecular Psychiatry, Yoga and Other Mind-Body Practices
To participate in forums, first register for the APA CAM Caucus at http://apacam.org/register.html. Then register for the forums at APACAM.org/forum where you click on “register.”
The APA CAM website is building its library. Abstracts are available on: http://www.apacam.org.
SAM-e (s-adenosylmethionine) Treatment in Parkinson’s Disease
Depressed Parkinson’s patients generally do not respond well to antidepressants. Depletion of brain stores of SAM-e by levodopa may be one cause of depression. A double-blind crossover study found that depression improved in 8 out of 21 Parkinson’s subjects given 1,200 mg SAM-e per day (Carrieri et al, 1990). In an open series of depressed Parkinson’s patients given 1,600 4,000 mg SAM-e per day depression improved in 11 out of 13 (DiRocco et al, 2000).
Dr. Richard P. Brown is assisting Dr. Alex DiRocco, Director of Division of Movement Disorders at NYU, in a double-blind, randomized study comparing SAM-e versus citalopram (Celexa) for depression in Parkinsonism. If you have a patient, a family member or a friend with Parkinson’s disease and depression who could benefit, please call 212-263-7042 or go to www.med.nyu.edu/parkinson. A thorough evaluation and all treatment will be provided at no charge to participants.
In the Media
Under Our Skin is a compelling award-winning documentary about the effects of Lyme Disease and obstacles to care encountered by thousands of people afflicted with this potentially debilitating infection. As psychiatrists in the Hudson Valley, one of the first areas to develop endemic Lyme disease, we see many patients in our practices with mixed symptoms of Lyme disease, neuro-Lyme, and acute and chronic stress disorders secondary to the devastating effects of Lyme disease on their lives.
Many patients with neuro-Lyme disease are being misdiagnosed as having mental health disorders or conversion symptoms and are being denied treatment due to inadequacy of diagnostic tools, ignorance about complex symptom presentations, insufficient antibiotic treatments, and unfamiliarity with integrative treatment options that can help patients recovery from residual brain injury caused by neuro-Lyme. In addition, some insurance companies are refusing to cover extended antibiotic treatments and are dropping from their provider panels those physicians who treat Lyme disease.
If this documentary does not reach your local theater, it is available at www.underourskin.com along with other information.
Integrative treatments for brain injury due to stroke or head trauma, for fatigue and for pain syndromes can be quite helpful to patients recovering from Lyme or neuro-Lyme. Some of these treatments are presented in How to Use Herbs, Nutrients, and Yoga in Mental Health Care by RP Brown, PL Gerbarg, and PR Muskin (WW Norton, 2009).
Serving Those Who Serve is a non-profit group providing services to people who are still suffering from physical and emotional illnesses related to the NY September 11th World Trade Center Attacks. The 9/11 Community includes First Responders, Ground Zero workers, WTC workers, and area residents.
Upcoming Lectures and Workshops
Sunday July 12 from 1:00 PM to 6:00 PM
Dr. Brown teaches a sequence of breath, movement, and meditation practices including Victory Breath, Coherent Breath, Moving the Breath, and open Focus Meditation. These practices enhance well-being by balancing the stress response system, releasing old stress, reducing tension and anxiety, and improving stress resilience. With daily practice, many participants report improvements in their energy, quality of life, and physical health.
Fee: $50 No prerequisites required
Saturday August 1st 2-7 PM & Sunday August 2nd 1-6 PM
Saturday Oct 3 & Sunday Oct 4
Saturday Oct 17 11:30 am 6 pm & Sunday Oct 18 10 am 5 pm
Follow-Up Mind-Body Practices
About the Authors
Richard P. Brown, MD is Associate Clinical Professor in Psychiatry, Columbia University Medical Center, NY