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How To Eat To Beat Depression And Anxiety with Dr Drew Ramsey #212

Oct 26, 2021 1h 38m 50 insights
We know how vital what we eat is for our physical health. What’s less widely appreciated, despite a wealth of evidence, is just how important the right foods are for our brain and mental health. But my guest today is here to turn the science into easy steps we can all put into action. Dr Drew Ramsay is a psychiatrist and a leader in the emerging field of nutritional psychiatry. He’s assistant clinical professor of psychiatry at Colombia University and founded The Brain Food Clinic in New York. Drew’s book, Eat To Beat Depression And Anxiety: Nourish Your Way To Better Mental Health In Six Weeks is a powerful prescription for optimising your mental health through diet. His clinic incorporates evidence-based nutrition and integrative psychiatry treatments with psychotherapy, coaching, and responsible medication management. He believes everyone working in the field of mental health should be talking about nutrition – and I couldn’t agree more. Over his 20 years as a practising doctor, Drew became frustrated that the robust data confirming a relationship between food and mental health wasn’t making it through to doctors, let alone patients. With depression being the most disabling illness in the world, he’s made it his mission to bring the evidence on nutritional prevention and cure to the masses. The trick, he says, is to find foods that do one of two things. They either feed your gut microbes and fight inflammation (linked to both depression and dementia) or they put your brain in ‘grow mode’. And which foods do these things? Drew reveals his ‘power players’ in our conversation, giving specifics on different nutrients and how they work in the body. He simplifies the research on foods that can treat depression – such as the famous SMILEs trial. And he provides a super-helpful, realistic guide to changes you can make right now (that don’t have to be expensive). Mental well-being is such an important topic and Drew’s work is so valuable. This episode is a must-listen for anyone who wants to do the best by their brain.   Show notes available at https://drchatterjee.com/212 Follow me on https://www.instagram.com/drchatterjee Follow me on https://www.facebook.com/DrChatterjee
Actionable Insights

1. Prioritize Mental Health Investment

Invest time and energy in your mental health as it offers the best dividends and rewards, leading to a life filled with love, creativity, spontaneity, and connection.

2. Practice Foundational Self-Care

Validate self-care as foundational, not selfish, by being rigorous, kind, and loving in your self-treatment, including positive self-talk, dedicated time, and brain-fueling nutrition.

3. Actively Build Mental Fitness

Engage in mental fitness as an active, ongoing process by cultivating daily rituals and lifestyle choices that enhance emotional connection, love, and creativity, based on scientific insights for brain health.

4. Embrace Hopeful Mental Health View

Adopt a hopeful and robust perspective on mental health, moving beyond a narrow focus on severe conditions and medications to embrace broader, proactive strategies.

5. Proactively Manage Mental Fitness

Shift your perspective to proactively manage your mental health and fitness, focusing on prevention rather than waiting for significant symptoms to seek help.

6. Holistic Mental Health Approach

View medications, psychotherapy, and lifestyle changes (including diet) as equally important and integrated tools for effectively managing depression and anxiety.

7. Eat for Mental Well-being

Understand that the right foods are crucial for your brain and mental well-being, not just physical health, and use this knowledge to enhance how you feel.

8. Choose Foods for Gut & Brain

Select foods that either nourish your gut microbes and combat inflammation, or promote your brain’s ‘grow mode’ to support overall mental health.

9. Focus on 12 Key Nutrients

Prioritize consuming foods rich in 12 key nutrients—including zinc, magnesium, B12, omega-3 fats, folate, and iron—which have strong scientific evidence for preventing and treating depression.

10. Choose Nutrient-Dense Whole Foods

Select natural, whole foods that offer the highest concentration of the 12 key mental health nutrients per calorie, focusing on both top plant and animal sources.

11. Implement SMILES Diet Changes

To improve mental health, aim for one more seafood meal per week, one more serving of vegetables and a half serving of fruit daily, a couple servings of beans/legumes weekly, and significantly reduce highly processed foods by 21 meals per week.

12. Aim for 3-4 Seafood Meals/Week

Strive to eat three to four seafood meals per week, including a mix of anchovies, sardines, oven-roasted wild salmon (around six ounces weekly per family member), and farmed mussels or other bivalves.

13. Build on Nutrient-Dense Foundation

Establish a foundation of nutrient-dense foods in your diet, which allows for occasional indulgences like pizza or chocolate cake without compromising overall mental health benefits.

14. Incorporate Red Peppers Daily

Add red peppers to your diet frequently due to their high vitamin C content, versatility in dishes, and ease of storage, making them a powerful mental health food.

15. Eat Clams for B12

Incorporate clams into your diet as they are an excellent natural source of vitamin B12, a crucial nutrient for mental health.

16. Choose Canned Wild Salmon

Opt for canned wild salmon as a fresh, economical, and convenient source of brain-healthy nutrients, suitable for salads or burgers.

17. Choose Sustainable, Small Wild Fish

Conscientiously choose wild-type seafood, prioritizing smaller fish like anchovies and sardines over farmed options or larger fish like tuna and wild salmon, for both health and environmental reasons.

18. Include Bivalves in Diet

Integrate bivalves such as mussels, clams, and oysters into your diet, recognizing their nutritional benefits for mental health.

19. Avoid Lake/River Fish

Do not consume fish from lakes or rivers due to concerns about pollution, prioritizing seafood from cleaner sources.

20. Avoid Processed Meats

Steer clear of highly processed and re-processed meat products, such as meat pockets or fried/sweetened meats, as they are detrimental to health.

21. Adapt Nutrition for Low Appetite

If you experience low appetite due to mental health struggles, opt for nutrient-dense options like soups, smoothies, or a handful of nuts to ensure adequate nourishment during recovery.

22. Consider Omega-3s from Fish

Incorporate omega-3 fats, primarily from fish, into your diet as they have shown antidepressant effects and are important for brain health.

23. Combine Anti-Inflammatories with Antidepressants

If taking antidepressants, consider discussing with your doctor the addition of anti-inflammatory agents, as this combination has been shown to significantly improve outcomes for depression.

24. Consider Probiotics for Bipolar

If you have bipolar disorder with a high inflammatory index, consider incorporating probiotics, as a study showed a significant reduction in rehospitalization rates when combined with standard treatment.

25. Reduce Body Inflammation for Brain

Actively work to reduce inflammation in your body, as this directly correlates with reducing inflammation and improving symptoms in your brain.

26. Recognize Inflammation’s Mental Impact

Be aware that inflammation can manifest as anhedonia, low mood, anxiety, and brain fog, similar to how you feel when sick, highlighting its link to mental health.

27. Eat Daily for Brain Health

Consume specific foods daily that are strongly supported by data to improve brain health and mental well-being, particularly in preventing and treating depression.

28. Experiment for Mental Health Growth

Embrace the idea that your brain and mental health can evolve; continuously learn about yourself and experiment with lifestyle factors like food, sleep, and movement to support this growth.

29. Invest Holistically in Mental Health

Recognize nutrition as a crucial but not exclusive component of mental health; invest time and energy holistically in all aspects of your well-being for rewarding results.

30. Develop Your Palate for New Foods

Be curious and intentionally develop your palate by exploring simple ways to prepare new, nutrient-dense foods, especially those you might not typically eat, like fish or bivalves.

31. Evolve Your Palate Over Time

Approach the development of your food preferences and palate as an ongoing evolutionary process, similar to how you approach your mental health journey.

32. Learn Simple Home Cooking

Acquire knowledge and skills for preparing and cooking simple, economical, and healthy meals at home to better support your overall well-being.

33. Seek Cooking & Nutrition Coaching

Join cooking classes or seek coaching to learn new recipes, integrate brain-healthy foods, and gain community support for improving mental fitness through nutrition.

34. Debunk Food Myths

Challenge common myths that eating for brain health is complicated, time-consuming, or expensive, as these beliefs can hinder adopting beneficial dietary changes.

35. Eat Economical Red Beans

Incorporate red beans into your diet as an economical and nutrient-dense ‘power player’ food for brain health, especially when bought dried and soaked.

36. Reclaim Personal Food Sense

Take a step back and reclaim your personal sense of taste and understanding of what’s healthy, rather than letting external influences dictate your nutritional choices.

37. Support Diverse Dietary Choices

Prioritize feeding your mental health and taking care of it, regardless of your specific dietary choices (e.g., vegan, omnivore), focusing on nutrient density and overall well-being.

38. Adopt Traditional Dietary Patterns

Focus on adopting a traditional dietary pattern, emphasizing real foods like those your grandparents might have eaten, rather than restrictive diets, to support mental health.

39. Understand Food Sourcing Complexity

Recognize the complex reality of food production, including the reliance of organic plant foods on animal byproducts like manure, to avoid overly simplistic views on ‘good’ versus ‘bad’ foods.

40. Practice Curiosity Before Judgment

Approach discussions about food and other complex topics with curiosity rather than immediate judgment, recognizing the nuances and avoiding uninformed strong positions.

41. Prioritize Family Time

Dedicate important, quality time to your partner and children, recognizing it as the most deeply gratifying human experience, despite not being externally rewarded.

42. Practice Deep Listening

Cultivate the habit of deep, attentive listening in your interactions, as it fosters profound understanding and connection with others, even in a distracted world.

43. Embrace Vulnerability as Strength

For men, redefine masculinity by embracing vulnerability, openness, humility, and non-defensiveness as sources of strength and emotional well-being, moving away from traditional stoicism.

44. Re-evaluate Gender Roles & Expectations

Reflect on how traditional upbringing and parental examples may have shaped your expectations of gender roles, and actively work to adapt to new ways of living and contributing in society.

45. Acknowledge Modern Life’s Gender Struggles

Recognize that both men and women face unique and evolving struggles with mental health and purpose in rapidly changing modern society.

46. Appreciate Motherhood’s Profundity

Cultivate a profound appreciation for motherhood, recognizing the incredible resilience and unique contributions of women, and advocate for better support for mothers.

47. Initiate Deeper Social Connection

For men, actively initiate and engage in deeper conversations, such as asking about family and children, to foster stronger social connections and combat isolation.

48. Acknowledge Women’s Strengths

For men, consciously acknowledge and commit to the idea that women excel in many areas, challenging traditional notions of male dominance and fostering a more balanced perspective.

49. Define Modern Masculinity

Engage in self-reflection to define what ‘good masculinity’ means in today’s evolving world, considering how to show respect and navigate relationships, especially if from a traditional cultural background.

50. Assess Diet’s Mood Impact

Reflect on how your current dietary choices personally affect your mood, energy levels, and emotional stability, as restrictive diets might not always be beneficial for mental well-being.