Preventing Alzheimer’s – It’s Not What You Think

Kirkland Newman, researcher, writer and philanthropist, has established the MIndHealth360 website to make free resources and solutions available to anyone who wants to access information on mental health issues.  She shares her vision of an integrative approach to mental health through her advocacy of functional medicine psychiatry – an approach that does not just look at symptoms but explores root causes of illnesses.  Foundational to her approach is the recognition of the need to integrate our inner life, biochemical elements and lifestyle/behavioural approaches.  Her revolutionary approach to integrative mental health derives from family and personal experiences of disintegrated and injurious pharmaceutical treatments for postnatal depression.  Kirkland discovered the lasting benefits of integrative medicine (also called functional medicine) 11 years after suffering severe postnatal depression and has dedicated herself to sharing the benefit of this approach with others. 

Kirkland’s MindHealth360 website provides a comprehensive discussion of factors that could, in combination, be contributing uniquely to an individual’s mental health issues – these potential contributors have been categorised under the three main areas of lifestyle/behavioural, psycho-spiritual and biochemical factors.  Her documentation of these contributors is enriched by video podcasts of her interviews with leading experts on integrative mental health.  In this post, I want to explore one interview that covers the groundbreaking work of Dr. Dale Bredesen and Dr. Kat Toups on preventing and reversing Dementia (including Alzheimer’s – the most prevalent form of Dementia).  Dale is the author of The End of Alzheimer’s: The First Programme to Prevent and Reverse the Decline of Dementia and The Practical Plan to Prevent and Reverse Cognitive Decline at Any Age.

Misconceptions about the nature of Alzheimer’s

Dale, who is a world-famous neurologist, was at pains to point out that the medical profession has completely misconstrued Alzheimer’s and led people astray into believing that it cannot be prevented or reversed.  His fundamental proposition aligns with Kirkland’s integrative medicine  approach.  He contends, for example, that the medical profession is treating Alzheimer’s as a simple disease rather than a complex one – he likens this perspective to treating Alzheimer’s like playing checkers instead of playing the more complex game of chess.   He argues that even the latest approved FDA Alzheimer’s drug will only slow the symptoms of Alzheimer’s but does not provide improvement.  He suggests that this disintegrated pharmaceutical approach is like fixing one hole in a ceiling riddled with more than 36 holes. 

He argues, based on successful clinical trials with his team, that there are four major areas that contribute to the development of Alzheimer’s:

  1. Inflammation (which can result from multiple different sources such as poor dental care)
  2. Toxins (including air pollution and household mould)
  3. Energetics (a technical term covering aspects such as blood flow, level of oxygen and presence of ketones)
  4. Nerve growth and neuron support (called “trophic support”, the presence of molecules that help neurons to develop and sustain necessary connections) – this includes hormones such as estrogen and testosterone, as well as nutrients such as Vitamin D.

Success in terms of Dale’s team means actually preventing and/or reversing the progress of Alzheimer’s.  The clinical trials of his team provide considerable proof that Alzheimer’s is reversible if you adopt an integrative approach which includes a battery of tests covering the four areas mentioned above and other aspects such as measurement of cognitive impairment (using MRI procedures and the MoCA Cognitive Assessment Test).  Added to these more quantitative approaches is discussion with a patient’s partner to discover whether they have observed any noticeable change in the person being assessed.

Dale argues for this more integrated “cognoscopy” approach and maintains that anyone over 45 years of age should seek out such comprehensive assessment of cognitive impairment.  He maintains that the term “Mild Cognitive Impairment (MCI)” is, in fact, misleading as this condition constitutes an advanced stage of Alzheimer’s (not an early stage as the name suggests).  Dale explains that his team has identified four stages in the development of Alzheimer’s:

  • Phase 1 – No symptoms but impairment detectable on a PET Scan (can occur 20 years prior to assessment of MCI)
  • Phase 2 – Subjective assessment – you know something is wrong but impairment is not detected by standard tests
  • Phase 3 – Mild Cognitive Impairment (MCI) as measured on tests such as the MoCA mentioned above.
  • Phase 4 – Final stage of advanced symptoms that are adversely impacting your daily activities.

Preventing and reversing Alzheimer’s

Dale contends, based on the improvements in Alzheimer’s patients during clinical trials, that Alzheimer’s is reversible particularly if cognitive impairment is identified and addressed in its early stages.  In the trials, the researchers chose people who were assessed as having Mild Cognitive Impairment (that is, with MoCA scores of 19 or less, but not including those in the zero to 5 range).  The results show that 84% of the patients actually improved their cognitive assessment, despite the intervention of the pandemic (a summary of the results is provided at 23.48 mins in the video podcast).

Dale states that a “one size fits all approach” to treatment is totally inadequate because of the considerable variability amongst individuals in relation to the four major areas discussed previously (inflammation, toxins, energetics and nerve/neuron support).  In concert with Dr. Kat Toups, he states that Alzheimer’s is also preventable if we look to maintain our health holistically having regard to the key lessons identified from their personal experience, research and clinical practice. 

Reflection

These insights on Alzheimer’s, developed through evidence-based trials, remind us of the need to access the wisdom of the body and to consciously adopt a self-care plan.  It also means that it is desirable to be proactive in obtaining professional assessments of our physical and mental health.  Kirkland reminds us that we need to attend to our “inner life”, especially negative thoughts and beliefs that over time can result in the release of stress hormones that “can cause further hormone and neurotransmitter imbalances”.   She argues for the use of meditation and mindfulness to manage our thought patterns and beliefs, as these improve self-awareness and self-regulation.

We can explore our inner landscape as we grow in mindfulness through Tai Chi, mantra meditation, yoga or other mindfulness practices.  Kirkland contends that mindfulness can help us to develop emotional regulation as we become aware of our thought-feelings patterns and learn to break the habit loop.

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Image by Mirosław i Joanna Bucholc from Pixabay

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group, and the resources to support the blog.

Note: The Content of this post is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

Research Study on Mindfulness for Postnatal Depression

The incidence of postpartum depression in Iran is reported to be in the range 30-40 percent of women giving birth to a child.  One suggested factor is the early age that Iranian girls become married and have children – understandably, placing them in a position where they are both physically and mentally under-prepared for the exhausting physical and emotional demands of birthing and for the care of their new-born babies.

Four researchers, motivated by these alarming statistics, established a research project with first-time mothers in Iran to explore the effectiveness of mindfulness in reducing the incidence of postpartum depression.  The researchers – Hajieh Sheydaei, Azizreza Ghasemzadeh, Amir Lashkari and Parvaneh Ghorbani Kajani – published their results in an article titled, The effectiveness of mindfulness training on reducing the symptoms of postpartum depression.

Their research established that “mindfulness training was effective in reducing postpartum depression symptoms in new mothers”.  The researchers describe some of the symptoms of postnatal depression as:

…increase in appetite and overweightness. Irritability, aggressive behavior, panic attacks, seclusion, and uncontrolled crying … Maternity blues are the most outstanding symptom of postpartum depression which is considered the direct result of mothers’ anger and irritation.

The research group of new mothers who undertook the mindfulness training were exposed to a course involving 8 sessions and based on Mindfulness Based Cognitive Therapy (MBCT) – which entails combining mindfulness practices with cognitive therapy.  They were exposed to a range of mindfulness practices such as mindful eating, mindful breathing, sitting and walking meditations.  Some of the exercises were designed to challenge their negative thinking and emotions and to develop strategies to cope with the challenges of motherhood, while caring for themselves.

The MBCT approach helped the participating mothers to grow in self-awareness.  They were also able to enhance their self-management skills through an increased ability to identify the links between their thoughts and mood disorders and to develop new ways to deal with them (rather than the former strategies such as isolation, aggression and irritability).

As new mothers grow in mindfulness through meditative practices and exercises based on cognitive therapy, they can develop a different level of emotional intelligence which will equip them to deal with the challenges of motherhood and reduce symptoms of postnatal depression.

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: courtesy of Mysticsartdesign on Pixabay

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

 

 

Mindfulness for Childbirth

In the previous post, I discussed mindfulness for postpartum depression and shared the story of Kristi Pahr and a range of relevant mindfulness resources.  In this post, I want to focus on the research that has been conducted on the use of mindfulness in preparation for childbirth.

Research in the area of mindfulness for mothers suggests that developing mindfulness during pregnancy can assist the mother not only during the perinatal period but also during the birth of a child and the postnatal period.  The benefits of mindfulness practice before birth can flow over to the postnatal period and help to prevent or alleviate the effects of postnatal depression.

Research on Mindfulness for Childbirth

Both pregnancy and childbirth challenge the resilience of a mother and the postnatal period brings its own stressors with the need to care for a newborn baby.   Mindfulness, in concert with social support, can help to ward off postnatal depression and assist in keeping both mother and baby healthy and happy.

Fear associated with expecting the worst in labour and the graphic sharing, both orally and in writing, of difficulties experienced by other mothers, compounds the natural anxiety of expectant mothers.  This, in turn, can make labour more difficult and prolonged and lead to other undesirable outcomes such as increased need for pain relief or other medical intervention and increased possibility that the mother will experience postnatal depression.

The Guardian in June 2017 carried a report of research conducted by Dr. Larissa Duncan and her colleagues based on the 2.5 days, weekend workshop, Mind in Labor (MIL) – developed and conducted by experienced midwife Nancy Bardacke, author of Mindful Birthing: Training the Mind, Body, and Heart for Childbirth and Beyond.

The focus of the Guardian article was on the question, Can mindfulness reduce the fear of labour and postpartum depression?  The reported research involved a randomised group (with some participants randomly assigned to complete the mindfulness course, while others [the control group] did not undertake the mindfulness training).  The research group covered 30 expectant, first-time mothers in their 3rd trimester of pregnancy.

Participants in the mindfulness training were given specific coping skills for birthing including learning to reframe the experience of pain, learning how to decouple pain sensations from negative thoughts and emotions, and developing personalised strategies with their partners to cope with the birthing process and beyond.  They were also exposed experientially to a range of mindfulness practices such as mindful walking, mindful breathing, body scan, sitting meditation, mindful eating and coping with pain through experiencing pain mindfully (holding ice blocks in their hands).

The conclusions reported in the research project by Dr. Duncan and her colleagues were stated as follows:

This study suggests mindfulness training carefully tailored to address fear and pain of childbirth may lead to important maternal mental health benefits, including improvements in childbirth-related appraisals and the prevention of postpartum depression symptoms. There is also some indication that MIL participants may use mindfulness coping in lieu of systemic opioid pain medication. 

Translated this means that the mindfulness training participants had increased belief in their capacity to handle the pain of birthing (self-efficacy), better ability to manage the pain through mindfulness techniques, greater body awareness, more positive perception of their experience of childbirth and less symptoms of postnatal depression.

As expectant mothers grow in mindfulness through tailored mindfulness training and practice, they are better able to manage the pain associated with childbirth and at the same time are less likely to suffer postnatal depression.

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: courtesy of 3907349 on Pixabay

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.