Alternative
Approaches to Depression & Anxiety
©2008 Robert A. Weissberg, M.D.
Depression and anxiety issues are often multifactorial. For some, there are genetic
components. For others, there are
strong factors related to early development and family dysfunction. For many, various stressful life
situations and experiences can act as triggers to development of a
dysfunctional mood or emotional state, and self-defeating or maladaptive
thought patterns. Food sensitivities and toxic exposures, such as Mercury, may
manifest as mood and cognitive problems.
Depression and anxiety are never simple, although some medical models
would like to consider them as such.
One thing that is known is that depression and anxiety, along
with any behavioral and emotional state, are associated with corresponding
alterations in brain function.
These alterations involve imbalances in the activities and secretion of
the various neurotransmitter chemicals, which are responsible for brain
function. Neurotransmitters may be classified as inhibitory (GABA, serotonin),
excitatory (norepinephrine, dopamine) and stabilizing (serotonin again). Depression often involves deficient
activity of serotonin, norepinephrine and dopamine, whereas anxiety can involve
excess dopamine and norepinephrine, and sometimes deficient serotonin. This understanding as at the basis for
the use of antidepressants such as Zoloft (sertraline), which
intensifies the effects of serotonin in the brain. Some other antidepressant drugs also increase activities of dopamine
and norepinephrine, but these are not as good for anxiety.
It
is possible to measure levels of neurotransmitters in the urine, and thus
determine imbalances, deficiencies, and excesses. Based on this analysis, one may take specific amino acids, certain
herbal therapies, and vitamins in order to balance and change the
neurotransmitter activity. This
can be just as effective as the drugs, with few side effects. Even without the neurotransmitter
analysis, it is well known that S-Adenosyl Methionine (SAMe), the herb
Rhodiola, and the herb St. John's Wort (Hypericum) may have effects equivalent
to the standard drugs, but they take longer to work fully in most people.
Controlled
studies have demonstrated that a form of psychotherapy called Cognitive Therapy,
if pursued diligently, can be just as effective as anti-depressant and
anti-anxiety drugs. And, the
process leaves you better able to cope with the stresses of life, and to
prevent recurrent episodes. Another form of therapy that is often very useful
is Energy Psychology, taking the forms of Thought Field Therapy (TFT),
Emotional Freedom Technique (EFT), and Eye Movement Desensitization and
Reprocessing (EMDR). These
procedures are particularly effective in anxiety problems triggered by
stressful events, and are easy to learn and practice.
As
noted, diet can often play an important role. It is wise to eliminate caffeine, concentrated sugars,
alcohol (all known to cause brain chemistry imbalance), and to investigate the
possible role of gluten and dairy, two fairly allergenic food groups. It has also been demonstrated by
research that regular aerobic exercise, meditation, yoga, and TaiChi are all
beneficial in depression and anxiety, in addition to contributing to physical
health.