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A Brand New Way to Understand and Treat Mental Health Problems with Dr Chris Palmer #396

Oct 24, 2023 2h 57m 23 insights
My guest today has spent his entire career, trying to understand mental illness.  What’s really causing it – and how can we better manage it.   Dr Chris Palmer is Director of the Department of Postgraduate and Continuing Education at McLean Hospital, Massachusetts and an Assistant Professor of Psychiatry at Harvard Medical School.    In today’s episode, he shares some of the profound insights he's gained over almost 30 years as an academic psychiatrist. He combines years of clinical, neuroscience and metabolic studies into one unifying idea: that mental disorders are not caused by a chemical imbalance. Instead, they are metabolic disorders of the brain, caused by dysfunction in our mitochondria.   It’s a theory that connects physical, mental and emotional health, and it’s the topic of his excellent new book, Brain Energy. Chris doesn’t deny the roles trauma, psychological and social factors can play in poor mental health. But he explains the link between these factors and our metabolism, and how diet and lifestyle interventions can help. Excitingly, Chris explains that making changes to our diet and lifestyle actually offer far more hope for long-term remission than existing treatments, which generally aim to only reduce symptoms.   As Chris reveals, his own experience with trauma and mental illness is what drives him to try and help millions of people around the world who are still suffering. Chris is advocating for a transformation in the way we view and treat mental health. And, if that happens, it won’t just help ease an epidemic of depression, anxiety and other conditions – it also has the potential to address all of the chronic diseases that are underpinned by metabolic dysfunction.   Chris is knowledgeable, passionate and articulate. I thoroughly enjoyed my conversation with him and I hope you enjoy listening. CAUTION: This podcast discusses ketogenic diets. Always consult a qualified healthcare practitioner before making any drastic changes to your diet. Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com. Thanks to our
Actionable Insights

1. Adopt Holistic Root Cause Approach

When addressing chronic health problems, consider multiple inputs like food, exercise, sleep, stress (physical/emotional/trauma), time spent outside, vitamin D levels, environmental toxins, and chronic infections to identify and manipulate root causes.

2. Improve Mitochondrial Function

If experiencing mental illness, focus on improving mitochondrial function in brain cells as a root cause treatment, as mental disorders are linked to metabolic dysfunction.

3. Adopt Whole Foods Diet

Prioritize eating real, whole foods and eliminate as much processed food as possible, while avoiding drinking any calories, to improve overall health and mental well-being.

4. Avoid Added Sugars & Sweeteners

Eliminate added sugar and artificial sweeteners from your diet, as new evidence suggests they may not be safe and can negatively impact metabolic and mental health.

5. Commit 3 Months Without Sweets

Commit to eliminating sweets and highly processed foods for at least three months; initial cravings will subside, leading to improved brain function, sleep, mood, and a changed perspective on food.

6. Choose Unsweetened Beverages

Opt for water, unsweetened coffee, or unsweetened tea as primary beverages, as they are associated with better health outcomes and avoid the potential negative impacts of sweetened drinks.

7. Restore Body’s Safety Mode

To heal from trauma and PTSD, learn to sleep soundly without substances, reduce heart rate through practices like meditation or mindfulness, and adopt diet and exercise strategies to foster healing and return the body to a resilient safety mode.

8. Prioritize Human Connection

Actively engage with other humans in person, as human connection is vital for mental and metabolic health, and can combat the epidemic of loneliness more effectively than screen-based interactions.

9. Delay Child Cell Phone Use

Parents should delay giving children cell phones as long as possible, as earlier cell phone acquisition is strongly correlated with a higher likelihood of developing mental disorders.

10. Limit Evening Screen Homework

Schools should avoid assigning homework on brightly lit screens in the evening, as it can negatively impact children’s sleep, neurodevelopment, and increase risks of mental illness and cognitive impairment.

11. Avoid Mitochondrial Toxins

Minimize exposure to known mitochondrial toxins like alcohol, marijuana, and other toxic chemicals, as they can contribute to mental illness and metabolic disorders by damaging mitochondria.

12. Simple Diet & Screen Time Changes

For mental health improvement, implement simple changes like avoiding phone use for one hour before bed and one hour after waking, and replacing sugary breakfasts with protein and healthy fats to stabilize blood sugar.

13. Comprehensive Trauma Treatment

When treating trauma, combine psychotherapy for psychological aspects and focus on physiological healing (e.g., sleep, stress reduction, diet, exercise) to address metabolic impacts and restore the body’s safety mode.

14. Seek Medical Supervision for Therapeutic Keto

Do not attempt a medical ketogenic diet for serious brain disorders like epilepsy, schizophrenia, or bipolar disorder without competent medical supervision from a physician or trained healthcare professional.

15. Ketogenic Diet for Severe Illness

For severe, treatment-resistant mental disorders like schizophrenia, consider a ketogenic diet, which has shown to put symptoms into full remission for some individuals by improving mitochondrial function, but requires medical supervision.

16. Offer Ketogenic Diet for Epilepsy

Healthcare professionals should inform patients with epilepsy about the ketogenic diet as an evidence-based treatment option, especially for treatment-resistant cases, as it can lead to significant improvement or seizure-freedom.

17. Consider Low Glycemic Diet for Epilepsy

For epilepsy, consider a low glycemic index diet as an evidence-based treatment, which involves restricting grains, sugars, and high glycemic index fruits, and may be easier to implement than a full ketogenic diet.

18. Monitor Ketone Levels for Severe Illness

When using a ketogenic diet for severe mental illnesses like bipolar disorder or schizophrenia, monitor blood ketone levels (ideally 1.5-3 mmol/L beta hydroxybutyrate) to optimize therapeutic effects, as symptom correlation can exist.

19. Adjust Keto Diet for Higher Ketosis

To achieve higher levels of ketosis for therapeutic effect, modify the diet by adding more fat (e.g., MCT oil) and/or further restricting carbohydrates and protein, especially under medical supervision.

20. Implement Lifestyle Protocols in Care

Mental health care facilities and group homes should implement comprehensive lifestyle protocols, including appropriate diet, movement, strict screen time limits (e.g., no screens after 4 p.m.), consistent sleep schedules, and elimination of toxic substances, to foster recovery and remission.

21. Seek Professional Lifestyle Support

When making significant lifestyle changes for health, seek support from dieticians, psychologists, therapists, or health and wellness coaches, as they can provide education, support, and help establish new habits.

22. Utilize BrainEnergy.com Resources

Visit brainenergy.com for free resources, articles, and a self-assessment to identify potential biomarkers or symptoms related to inflammation, weight, or hormone imbalances, which can provide clues for discussing with a doctor.

23. Educate Clinicians on Metabolic Health

Mental health professionals should educate themselves on the detailed cellular evidence linking mental and metabolic health to transform the field and improve patient outcomes.