July 2009 Newsletter
A Newsletter for Integrative Treatments

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.

Research Watch

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).

Current Projects

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.

STWS sponsors our new Breath~Body~Mind program for relief of physical and emotional distress as well as for personal development. Workshops are open to the public and profits are donated to STWS. In addition to positive feedback from participants, our preliminary research data indicate significant improvement in measures of anxiety, depression and Post-traumatic stress symptoms (Martin Katzman and Monica Vermani, in process). For information: www.stws.org or www.haveahealthymind.com.

Upcoming Lectures and Workshops

Sunday July 12 from 1:00 PM to 6:00 PM
Breath~Body~Mind™
Seminar for People Who Want To Improve Their Quality of Life
Dr. Richard P. Brown
At the Center for Symbolic Studies, 310 River Rd Ext., New Paltz, NY

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.
This short workshop serves as a solid introduction to these practices or as a refresher for those who have taken it before.

Fee: $50   No prerequisites required
Register at: office@stonemountaincenter.com or call Beth or Lexi 845-658-8083 (Mon or Fri).


Saturday August 1st 2-7 PM & Sunday August 2nd 1-6 PM
Breath~Body~Mind™ Goes to Martha’s Vineyard!
Dr. Richard P. Brown
Associate Professor Clinical Psychiatry at Columbia University
Location: The Yoga Barn on Martha’s Vineyard
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.
To Register and for more information go to: www.STWS.org
Follow the links for Events and Services to Breathwork and Meditation
Course fees: General public $300, 9/11 Responders $75, Full time students $150, non-MD Healthcare Practitioners $200
Part of the proceeds from this course will be contributed to Serving Those Who Serve (STWS), a non-profit group helping people recover from the effects of the September 11th World Trade Center Attacks.
This course is open to the public. There are no prerequisites.
Pre-registration is strongly advised. There will be lunch breaks.
Bring: blanket, water bottle, and lunch (if you do not wish to go out).


Saturday Oct 3 & Sunday Oct 4
Breath~Body~Mind™ in Manhattan
To Benefit Serving those Who Serve
Dr. Richard P. Brown
Save the date and watch for details in upcoming newsletters.


Saturday Oct 17 11:30 am – 6 pm & Sunday Oct 18 10 am – 5 pm
Breath~Body~Mind™ in Boston
The Arlington Center
Details to be announced.


Follow-Up Mind-Body Practices
Richard P. Brown, MD
Dr. Brown will be giving evening follow-up practices for anyone who has attended his Breath~Body~Mind Workshops in New York. This includes everyone from the 9/11 Community who attended his 2-day workshop. His new Daily Practice CD is available for anyone who has completed the workshop. For information on dates, times, and locations, please visit www.STWS.org.


About the Authors

Richard P. Brown, MD is Associate Clinical Professor in Psychiatry, Columbia University Medical Center, NY
Patricia L. Gerbarg, MD is Assistant Clinical Professor in Psychiatry, New York Medical College