Category: Emotions

  • The Pursuit of Happy-ism

    The Pursuit of Happy-ism

    “I want you to know that I’m starting my own religion.”  My 15-year-old daughter triumphed.  Something inside was weighing on her and this declaration released a measure of heaviness.  It was hot and humid, mid-July.  We were visiting her up at camp in the Poconos for Visiting Day with the requisite goodies, replacement flip flops for those lost in the mud and bug repellant for me.

    We halted our picnic lunch preparation and digested this new information.  My daughter’s eyes shone with purpose.  Her desire for unity and compassion for all people inspired internal unrest and she wanted to take action as a result.  It was awesome. “I’m calling it Happy-ism and you have to be happy to be accepted.  That’s the only way you can get in.”

    A religion based on happiness.  Interesting.  Would I qualify as happy enough for her religion?  Other than the fact that I’m her mom and teenagers have this magic radar that detects Mom as POS (parent over shoulder) with cosmic accuracy, would my happiness factor make me eligible?

    My kids are my most profound teachers.  From the moment I entered parenthood, my children began teaching me about patience and perspective, unconditional love, empathy and selflessness.  They’ve shown me that when I can set aside frustration and embody stillness and calm, I can see and empathize with my own and other’s needs.

    I looked at my daughter again and was grateful to her for serving as my guru in this moment.  With a gentle exhale, I smiled and explored my daughter’s process for Happy-ism.

    Could I be Happy-ish?  What is happy anyway?  Is it the absence of sadness or pain, or is it a sustained feeling of euphoria?   Would my levels be tested periodically?  From one moment to the next the amount of happiness I have is impacted by the context of my changing life, so I may be eligible now, but not necessarily in fifteen minutes from now.

    I wondered if there had been any data collected recently that measured the happiness levels of my fellow Americans.  I was curious whether I’d have many fellow Happy-ism colleagues.  It turns out that according to the 2016 Happiness Index, the Harris Poll, American’s aren’t all that happy.  Only 30% reported feeling happy, with women slightly more happy than men and married people slightly more happy than singles.  It’s also notable that Americans were less happy in 2016 than they were in 2015.

    This data struck me as strange because in the past few years we’ve seen a trend toward internal growth efforts, consciousness and awakening.  People have been seeking practices that naturally relieve the aches of emotional and spiritual suffering.  Consequently, wouldn’t you think we’d report higher levels of happiness?

    Many of us have regular yoga and meditation practices.  We eat healthy food and vision board for our goals, but on a day to day basis, we struggle to find a balanced state of happy.  We are all authorities of “Joy” when things are going well, yet after a string of disappointments and frustrating circumstances, we may ask you to talk to the hand.  We can’t always control our environment and certainly can’t control context, so where do we go to learn to be happy?

    Karen came in to Tournesol the first Wednesday in August for her energy session on the Vibroacoustic table.  Forlorn with shoulders hunched, she sighed a wistful exhale and plopped herself down in a heap on the water table.  “Carey, can’t you just fix me?  I want to feel happy.”  The right edge of my mouth curled up ever so slightly and my eyes softened.  I recognized that feeling of defeat.  I walked a couple steps from the table to the vibroacoustic mixing board to choose the individual vibrational frequencies that would bring her body and mind into flow, into balance.  We began her treatment and I opened my heart.

    “Fix me,” is a common request in my practice and I hate to disappoint, I really really do.  Ask anyone who knows me.  But when I go into the Vibroacoustic Sound Therapy room and it’s just you, the furniture and me, I tell you something you don’t want to hear.

    I’m not going to fix you.

    I remember once in marriage counseling my ex husband and I asked the therapist how long it would take her to fix our marriage.  There was an awkwardly lengthy pause after our question and in that space my pulse picked up speed.  Why wasn’t she answering?  Were we not fixable?

    Our therapist shifted in her seat, uncrossed then re-crossed her legs.  “Well, you see, these things take time,” she finally answered in her matter of fact way.  My heart sank.  I didn’t want to have to go home and sit with this heavy feeling any more.  Her refusal to fix us in a timely manner made me question her and her practice entirely.  Our 50 minutes with her had been a waste and I wondered if there was any hope for us.  Looking back, it never occurred to me then to be open to and embrace the process of recovery.  I didn’t see the value in a method that might take some time.

    Eight years later I now understand where she was coming from.  When I work with people now, I impart similar wisdom.  However, you should know that while I won’t fix you, I will help you experience flow and balance and will serve as a guide to teach you how to grow and how to Happy.

    Happy, the verb, is something you do.  It is something you work at every day.  Do you grow muscles by going to the gym once?  No, you have to make it a regular practice to notice improvement.  Growth happens over time.

    As far as I can tell, 45 years into this life, the key to Happy-ing begins by soft-heartedly accepting life’s challenges, releasing the need to be right and releasing judgments and beliefs.  When we resist the challenges life circumstances present, we increase the amount of suffering we feel.  What was it my Aunt Carol said about visitors and fish?  They both smell bad after three days.  Same thing goes for the internal clutter that builds up when we resist challenging circumstances.

    I’d bet twenty bucks you already know all this.  You’ve probably experienced it countless times.  I have too.  So, why do we still resist?  Our human nature leads us to tighten when challenged, but doing so causes us to suffer in the long run.  I want to Happy, so why is the pull of inertia so strong?  Even more confusing is that so many of us are waking up, are becoming conscious, but this awakening isn’t translating into sustainable clarity and happiness.

    I think it’s because deep down inside we are hard wired to have to work for it – all the time, every single day in body, mind and spirit.  You can’t meditate, detox and go to yoga class then cheat on your boyfriend and wonder why you’re still not a warrior of all things Zen.

    In the end, I believe Happy-ish people practice stepping out of the ring of fire and into the heart centered space of empathy for themselves and for others.  My guru, teacher, colleague and friend, the wise, wise Dr. Stephen Cowan taught me that Conflict multiplied by Resistance equals the amount of Suffering we feel.  Reduce your suffering, increase your Happy-ing and always remember to forgive yourself for being human.

     

    Originally posted at Tournesol Wellness on September 6, 2017

  • 10 Budget-Friendly Ways to Cultivate Love

    10 Budget-Friendly Ways to Cultivate Love

    Originally published on LifeSpa by on

    Cultivate LoveTake some time and reflect on what you are doing to achieve the goal of becoming an incredibly powerful source of love, whether you spend it solo or with a partner.

    1. Start the morning with yoga.

    The sun salutation is a complete Ayurvedic exercise also known as Surya Namaskara. This series of postures simultaneously integrates the whole physiology including mind, body, and breath. It strengthens and stretches all the major muscle groups, lubricates the joints, conditions the spine, massages the internal organs and increases blood flow and circulation. (1)

    >>> Learn how to do sun salutations here.

    1. Write a love letter and tap into your anandamaya kosha (the bliss sheath).

    Write a letter to someone you love fully, completely, someone you trust with all your heart. Tell them all the ways that you love and appreciate them. While writing it, know that they will never read this letter. It is for your eyes only. As you write it, become aware of how you feel.

    You will see that as you write this letter, you will actually feel loved, appreciated, cared for, and even important. All the things we so desperately think we need from someone else to make us feel good, we actually experience all by ourselves when we give love freely, without any concern that the other person will love us back.

    1. Infuse your food with love.

    Always prepare, cook and eat your food with love, even if time is short. Infuse your food with a positive emotional charge.

    If the mind is over-stimulated, stressed, or distracted (rajasic) while cooking and/or eating, the food will be charged with stress and hurry. If the mind is depressed or withdrawn (tamasic) while eating, the food will be negatively charged. If one is cooking and/or eating in a relaxed, calm (sattvic) manner, the food will be positively charged.

    1. Relax and dine.

    Valentine’s weekend (and any other time for that matter), relax and dine. No eating on the run or in front of the TV. If the thought of cooking triggers you to stress or rush, order takeout from your favorite restaurant, set a beautiful table, light a candle and enjoy a relaxing royal meal that you didn’t have to cook.

    Sit at the table after the meal to relax and digest over a cup of herbal tea and some good contemplation or conversation.

    1. Eat with your fingers.

    Eating with your hands means you can’t read, check email, text, or answer the phone. With food all over your fingers, you are stuck doing one thing at a time, and this is the time to eat. Eating with the fingers allows all the senses to be stimulated and involved in the process of eating.

    Eating with your hands also allows the many thousands of microbes on the food to get acquainted with the many thousands of microbes on your fingers. Our hands feel the world around us, attaching to microbes found on most everything we touch. (2) As all these microbes are ingested, they act as your evolutionary eyes of change.

    1. Take a walk.

    After your meal, take a walk breathing through the nose to drive more prana (life force) into the body. Slow, deep, abdominal and nose breathing (nasal breathing) has been shown to activate the parasympathetic nervous system (famously known for the “rest and digest” relaxation response), which is responsible for bodily restoration and rejuvenation.New studies are linking deep breathing to numerous and profound health benefits. (3)

    Taking a 15-minute walk after meals has been shown to lower after-meal blood sugarlevels. (5,6,7)

    Studies have also shown that taking a walk shortly after a meal supports healthy weight loss compared to not walking or waiting an hour after the meal. (8,9)

    1. Prep a bath for a loved one or yourself and add a few drops of aromatherapy.
    • For those with a primarily pitta dosha: sandalwood, marjoram, or benzoin resin oil (which is vanilla-scented) are best.
    • For those with a primarily kapha dosha: marjoram, frankincense, rose, or ylang-ylang essential oils are best.
    • For those with a primarily vata dosha: sweet orange, geranium rose, jasmine, ylang ylang, or frankincense are best.
    1. Give a massage to your partner or yourself.

    Massage (abhyanga) releases the infamous oxytocin bonding hormone. (10,11) Oxytocin has been studied to increase when one feels trust and/or empathy. It is the giving hormone, released during acts of appreciation, gratitude, emotional connections and giving touch.

    The sense of touch has also been linked to healing. The laying on of hands has been described in many traditions as a form of energetic healing. While the mechanism for this form of healing has yet to be fully understood, much has been written about the healing power of touch.

    >>> Learn how to perform abhyanga here.

    1. Breathe.

    Breathing, called Pranayama in Sanskrit, is a balancing way to start and end each day. Follow this breathing technique for 5-10 minutes at least once per day, and ideally twice per day. You can do the breathing practices anytime of the day that works best for you.

    The aim of breathing meditation techniques to pump prana and oxygen into the brain, allowing for greater stillness and a deeper experience of calm. (4)

    1. Prepare an ojas tonic before bed.

    Ojas (OH-jas) is considered to be the most refined by-product of digestion, said to reside in the heart. Ayurveda considers ojas to be an essence of nature and a cosmic substance that directly influences our experience of life.

    A plentiful reserve of ojas is reflected in the luster of the eyes, radiance of the skin (that glow so detectable in babies and pregnant women), potent fertility, tenacious immunity, strong digestion and clarity of mind.

    Certain herbs in Ayurveda are also prized as great ojas-builders. Traditionally, a concoction of these herbs, including Ashwagandha and Shatavari, were blended with ojas-building foods like dates, almonds, coconut, saffron, ghee, honey and cardamom in a milk base. This mixture was warmed and taken before bed as a sleep aid and an ojas-builder to boot.

    Originally published on LifeSpa Cultivate Loveby on

  • Feeling “Burned-Out”? Here’s help from a survivor.

    Burned outBurn-out is the mortal enemy of Vitality. If you’re suffering from burn-out, your life is out of balance by definition.  Burn-out is much more than a cliché’, or something to take foolish pride in which demonstrates your commitment, dedication and persistence to a cause. It’s a state of physical, psychological and mental exhaustion, and a warning signal of lifestyle choices that need attention immediately. Your health, along with your relationships and psychological well being, are threatened.  It may seem like burn-out “just happens” to us, but the reality is that it comes from a combination of factors and environmental conditions, each of which is unique to our own situation, which creates a potent brew.  The good news is that we can change this trajectory. There are things that we can do to combat burn-out and get our lives back into balance.

    Tchiki Davis, M.A.,Ph.D, is a University of Berkeley graduate and expert on well-being technology and self-described burn-out “survivor”. She’s reflected and written about her own personal experience of burn-out as a Ph.D. student at Berkeley. Like many who find themselves burned-out, her reasons for this condition were not fully apparent as they were occurring, she was just really, really busy achieving her goals. In her case, she was not only writing her Doctoral dissertation, she was also getting another advanced degree in a different field, and fund raising for her new start-up business all at the same time.  Here are some of the signals and lessons she’s learned about how to spot the path to burn-out and some suggestions on what to do about it:

    1. Your personality may be a risk factor: You see yourself as highly motivated and persistent. You take great pride in showing off your dedicated work ethic to your co-workers and superiors. You “live to work”, working long hours and regularly miss out on non-work time with family and friends. If this is you, you may be at risk of burn-out.
    • What to do: Apply your hyper-focused planning skills to your own life and schedule in some recurring non-work time with friends and family to help achieve better balance.
    1. Social comparison is a risk factor: If you believe you are surrounded by people who are amazing at the same thing you’re supposedly amazing at, you’re likely doing an internal comparison and working harder and harder to demonstrate your own mastery.
    • What to do: If you can work in an environment where everyone has mastery of different skills, or more defined responsibilities, you will be less likely to fall into this comparison trap.
    1. Local culture can be a risk factor: If you find yourself in a local culture, such as a business or university, where everyone is expected to be, or known to be, a star you’re at risk of feeling pressure from outside forces that you must work harder and harder to keep up with the pack.
    • What to do: Recognize that no one has the right to diminish you or make you feel inferior. We all have certain gifts, knowledge and skills that may be different and better than others. Be aware and acknowledge that everyone can grow and change, and practice self acceptance and self compassion.
    1. Broader culture can be a risk factor: Davis uses the example of Silicon Valley, home to some of the most successful technology companies and smartest individuals in the world, to demonstrate how an entire community can set the bar of success unreasonably high. It may be inspiring and invigorating, but it may also lead to burn-out if you feel you’re not keeping up.
    • What to do: Set boundaries for yourself. Take control of the situation and decide how many hours are acceptable to you in order for you to maintain a work-life balance. Ask yourself where the deal breakers are. Then be assertive about protecting those boundaries.

     

    Dr. Davis also has some advice for reversing burnout, but warns that burn-out doesn’t happen overnight and it isn’t resolved immediately. It may take chunks of time to reset your well being. But the sooner that you acknowledge that you’re heading down this dangerous road, the sooner you can get your life closer to balance.

    The original article by Dr. Davis can be found here on LinkedIn.

     

  • On Being Right and Eating Animals

    On Being Right and Eating Animals

    on-being-right-and-eating-animalsI’ve always been allergic to dogma. In any institutional setting – educational, religious, medical, and most definitely, airport! – I find myself developing hives and hot flashes whenever I need to follow rules that make no sense. I made a beeline to self-employment. To me, rules for rules sake tend to represent, at their core, a fear-based attachment to “safety” over freedom.

    We have been conditioned to prize dogma in a world that feels ever more unsafe. Bag checks, profiling, kids confined to indoor play, and vaccine mandates – we imagine that more rules and more vigilance will get us out of the bind that rules and vigilance and the quest for control got us into.

    When we follow rules without sense-ibility, we lose something. We surrender our autonomy and authenticity and with it, a piece of our compass. Some rules may seem to cost us nothing and represent gain for the greater good. On closer examination, however, every control-based rule costs. Even, as Charles Eisenstein discusses in Ascent of Humanity, even sidewalks result in an illusion of safety with greater risk to the pedestrian who walks along side a car that assumes the safety of the street-sidewalk contract and neglects any real responsibility to pay attention to the possibility of humans in the street.

    The false security of medical dogma

    In the era of consensus medicine, where we are more concerned with battling germs and cancer and our own naturally responsive emotions than we are with health freedom, it is imperative to hold every assumption about conventional interventions up to the harsh light of Truth. I often imagine that there aren’t many people who feel deep truth in a vaccine, taking an antidepressant, or getting chemotherapy. They may think it’s the right thing to do. They may feel relief in engaging the practice. But there’s a voice deep deep down inside – however tiny – that says no. It’s this voice that screams in its own compensatory defiance when those same patients are confronted with what they feel is indictment of their choice by a contrary perspective. This is when pain and vitriol fuel a defensive (and offensive) rage toward “alternative medicine.”

    A natural skeptic, even in the holistic realm, when something feels like I’m drawing from consensus rather than personal Truth, I pause – does everyone really need vitamin D? Is fish oil always good? Are white foods really all bad? I look at the story behind the belief. Are we afraid of something (cancer, infections, diabetes), and that’s why we are reaching for an intervention or a rule? Or are we celebrating and supporting the body’s potential to be resilient and heal if we just let our consciousness dance with what is. Are we trusting the body, aligning it with its roots.

    Look at the intention.

    What are we really here for?

    As far as I can tell, the purpose of life is to actually live it. It’s harder than it sounds to achieve this simple goal. The direct experience of aliveness brings us into a state of remembering ourselves – the selves that are component parts of a whole.

    Coming into contact with this self is knowing the soul. The soul has no cultural or historical context. It knows only the Truth.

    Knowing that this Truth exists, already within us, is a gamechanger. It’s a personal shift that mirrors greater societal and scientific shifts. The shift is from doing to trusting.

    We do from our minds, from our intellects. We try to learn facts and more facts is more true, we tell ourselves. We use facts and effort and force to make reality (and nature) do what we think we need and want it to do.  The only way to move through the dangers and pitfalls of this perilous life is to prepare, make decisions, and control the narrative.  Sound familiar?

    Trust yourself, not your ego

    Well, there’s another way, and it involves knowing, not thinking. It involves acting from a space of compassion, not righteousness, and remembering that when we win through violence, hate, and aggression, we injure ourselves. In this new, old model, we hold our opinions lightly and feel always and ever more for that all-permitting Truth. We check our egos over and over and over again, smiling gently at ourselves when we see we’ve taken the bait once again.

    There’s no freaking out, no yelling, no reactivity (even if you’re Italian, like me!) in this way of being because when things are not as we want them, we take the invitation to let go of having wanted them to be a certain way in the first place. Relax. It’s. All. O.K.

    When we trust ourselves, we feel into our intuition. Our intuition always tells us exactly what we need to know.

    How do we come into this intuition?

    We have to find it again. We have to go digging. We need to do that now, now that we are all collectively living in the unbalanced male principal, more than perhaps ever before.  We have lost our essential selves in our collective love affair with our intellects and the promise of dominating the world, nature, and our bodies. There is a proliferation of information so thick, you could drown in it. And then there is our weapon of righteousness – science.

    Let go of needing to be right

    Science – a tool best purposed to reflect the grandeur and awesomeness of nature’s divine complexity – has splintered into shards of irrelevance used to stab each other, blindly.

    Ever notice that no one ever changed their behavior because of science or data or the latest study?

    I’ve been paying attention to the many topics that tempt us into so-called evidence-based, rational debate – an effort so futile, it only serves to bring us into contact with our attachment to “being right.”

    Climate change, homebirth, vaccination, and GMOs are some of the many topics that defy meaningful dialectic.

    There’s no convincing. There’s no winning. In fact, if you have concerns about the onslaught of technology and pharmaceuticals, in endeavoring to win, you are perpetuating the warring mentality, yourself.

    The fight to be right about diet

    One of these topics resistant to peaceful thought exchange is the “what’s right to eat” conversation. While there seem to be more dietary affiliations than churches these days, there is no greater debate than ‘to meat or not to meat.’

    We engage arguments about arable land, feeding the hungry, polluting the environment. We discuss the length of our intestines and the shape of our teeth. We fearmonger with threats of cancer if you do meat, disabling depression if you don’t. We lean on vibrational analysis of the energetics of food. We feel right and we need to prove that we are.

    The thing is we become the monsters we think we’re fighting when we do this.

    What if the emotion of “being right” was a sign that your authenticity would be best served by holding more gently exactly what it is that you feel so right about?

    Don’t seek to control, seek to allow.

    Your way is your way for you alone.

    Recently, in seeking support for A Mind of Your Own from the spiritual and yogic community, I have met with resistance. The resistance sounds something like this, “Kelly, this is an important book and I’m sure it will help many people. We can’t offer it to the community, however, because you endorse an animal food diet.”

    Well, that’s interesting. I’ve struggled with attachment to spiritual rightness, myself, so it’s easy to recognize.

    Seems to me that leaders of self-proclaimed spiritual communities should make it their sole mission to hold space for conscious connection to intuition.

    Anything beyond this is dogma.

    For a leader to impose their perception of “what is right” onto a potentially vulnerable community is a misuse and perhaps abuse of power, however benign and benevolent it may seem.

    Choice, free will, and deep alignment with self are some of the most critical tenets of meaningful human existence. This, of course, applies to medical choice – and the principal of informed consent. Sure, I would never choose to subject myself or my family to pharmaceutical medicine, but it has always been clear to me that it is not my role to tell anyone what to do. Only to create a fuller picture of available perspectives so that they can act within their best expression.

    This applies to eating as well.

    In line with true self-initiation, I believe deeply that every person can be their own guru and their own doctor. They will know what it is that they need to eat when they are given “permission” to heal themselves with a full range of foods. This is what we see when we let weaning infants be guided by their native preferences. This can be done with a consciousness that promotes a more full union with nutrition – beyond just following rules. My mentor, Dr. Nicholas Gonzalez taught me about 10 different diets according to metabolic type. I watched him put diabetes, chronic fatigue, and metastatic cancers into remission without drugs. He confirmed my intuition that there cannot possibly be “one diet for everyone” and he told me that everyone heals on the diet they love, when they clear the gurus (and the processed food!) from their heads.

    In fact, I was reminded of the seriousness of this at a recent yoga festival. A young boy, about 11, was leaning, almost listlessly against the door to the dining hall. I went over to him to see what was wrong. He was clammy and barely able to stand up. When I asked him if he knew where his parents were, his eyes rolled back in his head. I sat him down, realizing he was acutely hypoglycemic, and was about to go get him a slice of orange nearby when his father came over with a plate and said, “Got your lunch buddy.” I said, he seems to be having an episode – has this happened before?” “He just ran outta fuel,” his father said. I felt disturbed for hours, thinking, that his father’s nonchalance implied that this might be normal child physiology. I wondered if perhaps this boy was raised vegan, suffering from what Dr. Gonzalez said is extremely common for Parasympathetic dominants who don’t eat sufficient animal food – unstable blood sugar. Shouldn’t every child be offered all whole foods so that they can be guided by that seemingly incorruptible intuition?

    When I meet with patients, and I tell them that they can eat pastured red meat as a part of their 30 day self-initiatory diet, most of them light up like a Christmas tree. Some of them go green with revulsion. I listen to this. We listen to this and we create space for their deeply imbedded preferences.

    Sometimes I eat radishes every day for weeks. Sometimes I think of a green juice, and it just feels wrong. Sometimes I take a mindful bite of a homemade meatball, and I feel complete. You have to listen because you’re the only one who really knows how to heal yourself.

    Uncovering your blind spots and freeing your mind

    We all have our blindspots. What is a blindspot, really though? I believe it’s an unexamined space where dogma has guarded the door, saying “nothing to see here”. Our blindspots keep us bound to a story we feel afraid to relinquish. They keep us from fully embodying our expressed intentions. As someone who had to let go of just about everything I worked to master in my medical training, I know a thing or two about turning the lights on in that dark room.

    It feels something like the stages of grief – shock, denial, anger, bargaining, depression, testing…

    Then, finally, you surrender. You realize that you didn’t make the room. You didn’t design it. It’s not yours. You’re just in it and the more you can work to accept what is evident, the more at peace you’ll be.

    I have struggled, myself, with what I perceive to be incomplete acceptance or penetrance of the tenets of awakening. The anti-GMOer who would trust the same corrupt industry with their life if they got a cancer diagnosis. The anti-vaxxer who ate Twinkies for breakfast. The homeschooler having their babies at the hospital, just in case “something goes wrong”. The green revolutionary screwing curly Q mercury-laced bulbs into every socket. The anti-fluoride campaigner turning a blind eye to escalating prescription of stimulants to toddlers.

    But then, I have to let go of my indignance. Not everyone peaks behind the veil, and those that do, do so when they are ready for a new story.

    This story unfolds when you leave nothing to dogma. When you apply curiosity to every rule and condition. Only then will you free your mind to find your heart.

    The post On Being Right and Eating Animals appeared first on Kelly Brogan MD.

  • Antidepressant Discontinuation: Why & How

    Antidepressant Discontinuation: Why & How

    Cold SeasonNote: The author acknowledges, with great compassion, that this is a challenging topic for the many individuals who make the difficult decision to begin treatment with psychiatric medication. All patients must be given the most complete and accurate information about these medications, including side effects (risk for dependence, violence, impulsivity, etc), the importance of properly tapering off medication, the institutional incentives for medical doctors, educators, and others to advocate for their use, and the availability of effective non-pharmaceutical avenues of treatment that can address root causes of mental illness and behavioral problems. What follows herein is a discussion of steps that the author believes should be taken in anticipation of any medication taper, and the subsequent taper should be handled by an experienced professional. Despite these considerations, some patients may be unable to taper which, in the author’s opinion, speaks to the important of true informed consent prior to medication initiation. This blog is not medical advice and does not replace consultation with a qualified medical professional of your choosing.

    If you squeeze a spring and you hold it there, steadily for a couple of hours, and then you suddenly let go, what happens? It bursts into expansion, maybe double its natural size and reverberates for a while until it comes to a resting place. This is the example that I use when I describe the effects that antidepressants have on brain chemistry over time – they squeeze the spring and if you let it go too quickly, it’s mayhem.

    Despite being taught, in my training, that antidepressants were to the depressed (and to the anxious, OCD, IBS, PTSD, bulemic, anorexic, etc.) what glasses are to the near-sighted, I don’t buy this anymore. I don’t think patients are getting the whole truth.

    Here’s the deal: There is not a single human study that supports the “monoamine hypothesis” of depression, which is the idea that depression is caused by a certain kind of chemical imbalance in the brain, such as under-activity of serotonin. The only studies in which tryptophan (an amino acid precursor to serotonin) depletion resulted in depression were in patients who had previously taken antidepressants.

    Imaging studies, post-mortem suicide assessments, and animal models have never yielded consistent patterns of neurotransmitter levels, metabolites, or receptor profiles. Compelling discussions like this one by Moncrieff and Cohen suggest that antidepressants actually createabnormal states rather than repair them. They use the analogy of alcohol’s disinhibiting effects: just because booze can ease one’s social phobia, does not imply that alcohol is an appropriate treatment nor a correcting agent.

    Direct-to-consumer advertising in America has allowed pharmaceutical companies to “teach” the public about brain chemical imbalances and serotonin deficiencies through cleverly worded taglines and absent FDA-policing. The disconnect between available evidence and advertisements is explored in this excellent commentary.

    But they do work! say many patients and their prescribers. And they do work! Sometimes. Thanks to active placebo effect or expectations of relief that manifest as actual physiologic changes as demonstrated by this metanalysis by Dr. Irving Kirsch, a placebo effect expert. He also collected unpublished data to show that more studies demonstrated lack of effect compared to marginal benefit largely attributed to placebo.

    So what? Why come off antidepressants?

    What are some of the undisclosed concerns about long-term treatment? They include chronic illness, risk of “relapse” increased by treatment as demonstrated by this study, increased disability, and even decreased benefit from exercise! Read more about the potential concerns here.

    With some of these considerations in mind, you may be thinking, get me off this stuff! I’m done!

    Not so fast.

    What has fueled my fire about the irresponsible prescribing of psychiatric medications is bearing witness to cases of “severe discontinuation syndrome,” as the field euphemistically refers to the months to years of nervous system instability that can result from medication taper. The process of coming off of antidepressants is just that, a process.

    If you’ve been treated for longer than two months it must be (painstakingly) slow with small incremental decreases in medication doses and use of liquid preparations and compounds when small increments are not available.

    My approach to supporting medication taper is to promote resilience before the taper so that your body is very able to adapt to the change. This is the idea of draining your bucket so that it doesn’t overflow when the “Where-are-my-meds?!” brain and body bomb drops.

    Here are what I believe to be the most important preparatory steps:

    1. Balance blood sugar, support natural fats, and calm inflammation

    Blood sugar instability can drag your insulin and cortisol levels around to an extent that impacts your thyroid, sex hormones, and immunity. Low fat or diets that are heavy on the wrong fat diets (trans, hydrogenated, heated vegetable oils) can compromise your central nervous system’s ability to support cell membrane functioning as well as hormone production.Inflammatory foods like gluten can also provoke brain-based reactions and immune system dysregulation. For these reasons and more, I recommend a high natural fat, no-suger/no-grain/no-legume month that eliminates corn, soy, dairy, and gluten, at a minimum. It’s the most effective way to control for these variables.

    2. Support your adrenals

    If you want to promote resiliency, train your body to respond with ease to stress. One of the most powerful ways to send a signal of safety to your nervous system and to retrain your response to stress is breathwork, and specifically kundalini yoga. If you’re like me, mindfulness meditation, aka “watching your thoughts” feels like an advanced course in impossible. Kundalini offers usable tools for rapid shifts. The goal is a pervasive feeling of trust in the process and an attitude of “I got this”.  Start with three minutes!

    3. Heal the gut

    Make sure you’re pooping daily, have resolved gas, bloating, and indigestion through dietary change, relaxation during eating, and possibly the strategic the use of herbal anitmicrobials, gut healing agents like aloe and glutamine, and probiotics. The gut/brain axis is a major focus of resolving underlying inflammatory drivers of what likely got you on meds in the first place. Diet and stress minimization will go a long way toward resolving gut problems, but a stool analysis may also be indicated.

    4. Clean house – inside and outside

    In the past 100-150 years, we’ve done quite a number on this planet. The 100,000+ chemicals, largely unstudied for human safety, including pesticides, fluoride, and plastics put quite a demand on our defenses including our immune system and liver.

    Cleaning up personal care products, cleaners, and even supporting detox through coffee enemas can really drain your bucket of accumulated burden.

    Movement and sweating are also powerful ways to detox. I recommend 20 minutes of burst intervals (high intensity, low-volume) weekly as a starting point.

    5. Seek strategic support

    I recommend a slow taper using a compounding pharmacy and discuss more details here, but suffice it to say that shoring up the body with strategic supplements can help. I focus on calming the nervous system during medication tapers. Agents that have been identified as NMDA modulators or natural molecules that buffer the effects of excitatory glutamate are magnesium, zinc, N-acetylcysteine, and phenibut or GABA. I don’t always use amino acids as primary therapy, but they can be essential during a taper because of signals of “deficiency” that the body may be getting in the wake of medication discontinuation. Tryptophan and 5HTP, and L-tyrosine and dL-phenylalanine can be effective support. Inositol, a membrane stabilizer, and St. John’s Wort can also serve as transitional aids, which can relieve symptoms of anxiety or dips in mood.

    Mostly, I counsel patients not to be afraid.

    Psychiatrists are so driven by fear and a need to control and regulate the emotional experience. Once these first several steps are underway, there is a strong possibility that the original driver of your symptoms has been addressed. You may not have the same need or even be deriving much benefit from medication. In the end, I believe it is everyone’s choice to manage their health in a way that resonates with their beliefs about health and wellness.

    This decision should be made with eyes wide open; however, and preferably with gentle interventions preceding more aggressive ones. The complexity of the body is awe-inspiring, and depression is a syndrome that has many many different causes. Look to the root, look to healing, and look to restoration for real lasting change.

    Once you remember what we have forgotten – that the body is best at self-healing if we just get out of our own way – then you might shift into a new mindset of empowerment. You might just realize that you can reclaim something you gave away. Something that’s not available to you through a model of care based on life-long pharmaceuticals. It’s that feeling that we are always missing something even if our symptoms are “managed”. It’s our personal power and fearlessness. With this, anything is possible including becoming medication free after decades of exposure. Remember, this is your journey for a reason and there are no regrets.

    Learn more in the NY Times Bestseller, A Mind of Your Own.

    The post Antidepressant Discontinuation: Why & How appeared first on Kelly Brogan MD.