I recently had the pleasure of visiting a senior community center in Santa Monica, California. While touring the facility, I was impressed by the emphasis placed on volunteering opportunities – from peer counseling to reading programs and even free lunch service. Doing good may be the first thing that comes to mind when you think of giving back to the community. But, the administrators of this senior center are also keenly aware of another benefit of volunteerism: it improves mental and physical health in more ways than one.

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It’s ironic, but the concept of holistic wellness isn’t always popular with some of my clients. Not everyone is interested in learning the root causes of their conditions or “dis-eases” and/or taking the necessary steps to address them through meaningful lifestyle changes. Recently, a client wanted to know what simple steps he could take to help him through a particularly stressful time at work. Options such as aerobic exercise, dietary adjustments and yoga were summarily dismissed by this “Type-A” personality due to time constraints. What to do?

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Changes in breathing patterns and muscle tension are two of the more obvious physical responses to stress. Therefore, it should come as no surprise that mindful breathing and stretching are two of the best ways of counteracting the impact of anxious feelings. Several recent studies confirm this truism. But, the breadth of health benefits imparted by breathing exercises and stretching go much further than you might imagine.

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S-adenosylmethionine or SAM-e, a natural antidepressant, has been in the news lately thanks to Dr. Andrew Weil. In Dr. Weil’s new book, Spontaneous Happiness, he recommends SAM-e for prompt relief of low mood states that don’t respond to other dietary and lifestyle modifications. A review in the June 2011 issue of the journal Canadian Family Physician also presents a largely optimistic view of this nutritional supplement. In the summary, the primary criticism of SAM-e is how much it costs. In order to reach a therapeutic dosage, the author of the piece estimates a monthly expense of $80 – an amount that likely won’t be covered by most insurance plans. In reality, savvy online shoppers can find even lower prices in the $60/month neighborhood.

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Most of my columns are inspired by material that’s pieced together from numerous medical journals. Today, the exact opposite is true. The majority of studies referenced below can be found in recent editions of the Iranian Journal of Nursing and Midwifery Research. What’s more, almost all of the original studies I link to can be reviewed in their entirety for free. This may be invaluable to patients and physicians who are interested in the finer details and nuances of a medical trial.

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Effective and safe solutions to chronic health conditions are frequently sought after, but hard to come by. On a recent fact finding mission, I uncovered five natural options that fit this description. If you or anyone you know is living with lower back pain, depression, menopausal symptoms, post-traumatic stress disorder or work related “burnout”, take special notice of the following research.

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Television commercials advertising chewing gum tend to focus on superficial reasons to use their products. Often times, flavor is the central selling point. Fresher breath is frequently cited as part of the sales pitch as well. Lately, other novel marketing strategies such as multiple flavors per pack and unexpected flavors such as apple pie, mint-chip and piña colada have re-energized this rapidly growing segment of the candy marketplace. However, what is rarely mentioned in discussions about chewing gum is its potential to promote improved dental and mental health. That is, if you select natural, sugar-free gums that contain therapeutic ingredients.

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A review in the December 2009 edition of the Indian Journal of Physiology and Pharmacology describes Tulsi or holy basil as a traditional herbal remedy with a promising track record in animal and in-vitro studies. The authors of the analysis report numerous medicinal properties including anti-inflammatory, immunomodulatory and neuro-protective effects as exhibited in preliminary experiments. The one criticism laid out in the paper is the paucity of data stemming from trials involving human subjects. In the months and years since the review, several human studies have quietly been published in the medical literature.

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There are a great many diseases and disorders that come mind when pondering the topic of inflammation. Typically, depression isn’t included in that rather lengthy list. A new review compiled by researchers from the Emory University School of Medicine postulates that there’s reasonable cause to do so. The authors of the paper note that “individuals with major depressive disorder (MDD) demonstrate increased levels of a variety of peripheral inflammatory biomarkers”. If this emerging theory is justified, how can patients and physicians use this information to help alleviate poor mood states? One of the most promising, natural candidates is fish oil. The omega-3 fatty acids in fish, namely DHA and EPA, are known to decrease pro-inflammatory cytokines present in a variety of diseases, including arthritis. What’s more, reducing inflammation via fish oil supplementation has recently been shown to blunt stress-induced anxiety. But, supplementing with just any fish oil may not be the optimal approach. A recent meta-analysis in the Journal of Clinical Psychiatry recommends looking for omega-3 supplements that contain a minimum of 60% EPA (eicosapentaenoic acid). A daily dosage of up to 2,200 mg of EPA daily is also singled out as important. A separate review from August 2011 revealed similar findings with respect to fish oil therapy in those with bipolar disorder or manic depression. This is not to say that DHA or docosahexaenoic acid is not significant or valuable in it’s own right. For instance, a current study appearing in the British Journal of Nutrition cites that while EPA-rich fish oil was more effective at reducing depressive symptoms, DHA-rich fish oil alone improved cognitive performance (verbal fluency) and “self-reported physical health” in a group of seniors. Even with all of this encouraging scientific data, it still may be too soon for many conventional psychiatrists to recommend EPA to depressed patients. However, because of fish oil’s other health benefits and relative safety, I would argue that it’s worth considering prior to any future mainstream consensus.

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The July-August edition of the Journal of the American Board of Family Medicine addresses one of the more contentious medical, political and societal issues of our time: medical marijuana. The review provides a balanced perspective about the pros and cons of cannabis use in modern medicine. It not only describes scientific evidence pertaining to legal and illegal cannabis, but also points out issues that require more clarification and future study including: the addictive potential of the “drug”, optimal delivery methods and quality control issues involving natural and synthetic contaminants. My own investigation into the medicinal use of marijuana uncovered some promising and troubling findings. On the positive side, two trials from 2010 and 2011 demonstrated encouraging results in the management of chronic pain related conditions such as fibromyalgia and postsurgical neuropathic pain. However, other recent cannabis studies point to a lack of success in the treatment of diabetic neuropathy and a decline in cognitive performance in multiple sclerosis patients that use “inhaled or ingested street cannabis”. This new data is unlikely to sway stalwart opinions about medical marijuana one way or the other. But, I hope it will add some scientific weight to the discussion.

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Recently, news of a major discovery in the field of multiple sclerosis (MS) research was presented in the journal Nature. An examination of 9,772 patients with MS and 17,376 “healthy” volunteers confirmed that 57 genes were associated with the disease. This finding should help MS specialists move closer to pinpointing a cause and eventually a cure. But, in the here and now those already living with MS need to be aware of safe treatments that are currently available. Hydrotherapy, exercises conducted in swimming pools, is a therapeutic option that rarely makes headlines. Three studies published in the 2010 and 2011 argue that this healing modality deserves more attention. The international trials, conducted in Iran, Spain and the US, report that the regular practice of aquatic exercises can improve various measures of MS symptomatology including: depression, disability, fatigue, pain and spasms. The duration of the interventions ranged from 4 to 20 weeks. Two to three weekly sessions of hydrotherapy lasting 60 minutes each were required of the participants. As promising as these initial findings are, there may be a simple way to improve upon them. Of late, numerous studies have revealed a correlation between adequate sun exposure and MS. It appears that living in sunnier climates may interfere with the chief cause of MS incidence and progression known as demyelination. Also of interest is that this protective effect may be independent of sun-related Vitamin D production. Experimental studies will be needed to determine whether combining hydrotherapy and sunlight may offer immediate hope for all those waiting on a cure.

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It’s a little known fact that Korea is at the forefront of research pertaining to laughter therapy and health promotion. In the first half of 2011 alone, three Korean studies were published which evaluated the impact of structured laughter programs on parameters of mental and physical wellness. All of the trials lasted between 2 to 4 weeks and employed twice-weekly, 60 minute laughter therapy sessions. The participants of the various studies included breast cancer survivors, postpartum mothers and seniors living in retirement homes. The results indicate positive outcomes in each of the disparate populations. The cancer survivors reported an improvement in quality of life and resilience. The postpartum mothers demonstrated a decline in fatigue and stress hormone levels. Finally, the “community-dwelling elderly” volunteers exhibited “positive effects on depression, insomnia, and sleep quality”. These studies add to a growing body of evidence suggesting that laughter, whether in a controlled or informal setting, can make an important difference in objective and subjective measures of health. And perhaps best of all, laughter can be contagious.

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In 2010, an estimated 1.9 million people were diagnosed with type 2 diabetes in the United States alone. My guess is that only a very small fraction of them were advised to take up yoga. But, this is likely to change in the years to come. A new study in the August 2011 issue of the journal Diabetes Care reports that adding 3 months of yoga practice to “standard care” effectively reduced body mass index and levels of oxidative stress in a controlled trial involving 123 diabetics. A significant improvement in blood sugar control was also noted. Two previous publications from 2009 support the current findings and add that yoga is also capable of lowering anxiety, blood pressure and high triglycerides in those with adult onset diabetes. This is not to say that yoga is a replacement for appropriate dietary changes, other forms of exercise and sensible weight management. However, it illustrates the potential of such holistic therapies as part of a comprehensive diabetes regimen.

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One of the more appealing aspects of holistic medicine is that it affords many choices for health care consumers. For example, if you’re consistently stressed out, you can opt for natural treatments ranging from aromatherapy to visualization. If chronic pain is your issue, acupuncture or nutritional supplements may alleviate some or all of your discomfort. This is reassuring to know because it allows you to apply your own personal preferences when deciding upon a therapeutic protocol. That alone tips the balance of healing in your favor because it empowers you. Read more »

Vacations are a time to relax, take a much needed break from work and spend some quality time with family, friends and ourselves. But they’re more than just that to medical researchers. Scientists consider vacations fertile ground for documenting the relative merits of being away from the workplace. A new study in the journal Psychology & Health explains that there are certain key elements which help increase the likelihood that a vacation will improve physical (fatigue, “health status”, tension) and psychological (mood, “satisfaction”, tension) parameters. In this current investigation, about 60% of a sample population reported vacation related improvements in health and well being. A more specific assessment of those who didn’t have a positive experience revealed that there were three primary contributors to their reported dissatisfaction: 1) too much time spent on “passive activities”, 2) not enough time engaging in pleasurable activities, 3) the occurrence of negative incidents while on vacation. Since many people are taking time off around this time of year, myself included, I thought this might be something to consider. Not every aspect of a vacation is under our control. But mindfully seeking out activities and experiences that genuinely bring about joy can make the difference between an enriching, restorative vacation and simply time away from work. I’ll be back next Wednesday with an all new column. In the meantime, I hope you all have an active, pleasurable and positive week, whether you’re on vacation or not. (1) Read more »

We’re all familiar with medical first aid kits. But, have you ever considered putting together a mental health first aid kit? It might contain a reminder to breathe deeply, a small bottle of lavender essential oil and, perhaps, even an inspirational quotation or two. Herbal teas could also be included. A few that immediately come to mind are chamomile, kava and passion flower teas. Lemon balm (Melissa officinalis), a citrus scented member of the mint family, is rarely included in the top tier of calming natural remedies. This is a shame because modern science and traditional use indicate that it can be a valuable resource for a variety of mental woes. Read more »