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Hope and Healing for Anxiety and Depression


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The Natural Way to Heal Anxiety and Depression

When I first wrote “Change your Life! Hope and Healing for Anxiety and Depression” and before I published my article about my story and my struggles with anti-depressant medications, I knew very little about some of the more natural ways of improving mental well-being. What I am referring to is not the natural tools of counselling, exercise, meditation and getting good sleep at night. I am referring to a whole world of possibilities that have opened up to me through suggestions from readers or my own ceaseless research and experimentation since that article went online in October 2013. As of this writing, that article has now had over 100K views (although after a refresh of the Mad in America site it shows only those views since 2016) and due to this and providing my contact details to readers, I have received hundreds of emails from people from all over the world for the past four years asking for guidance for either themselves or for a loved one whether it is a parent, child, sibling or friend. These people are often at a loss, confused, afraid and wondering where to turn for help. A consistent theme that comes up is their frustration with the medical professional who is either treating them or their loved one as when the issue of the drug being the problem or a tapering off is suggested, these medical professionals respond with anything from indifference to outright hostility towards their patients or suggest that they need to try another medication or take an additional one to stop the side effects of the first one! This is not a couple of people folks, this is a percentage of the world’s population who are being put onto anti-depressant medications for very different reasons without any thought as to whether medications are the right path to take or what the potential impact could be if the patient did have to take them. The World Health Organisation predicts that by the year 2020, depression will be the second leading cause of disability throughout the world, and its researchers estimate that

178 million people were suffering from depression in 2011. [1]

It is disturbing to note that in his book “Your Drug May be your Problem”, Dr Peter Breggin mentions that it was way back in March of 2004 that the FDA finally decided to acknowledge after years and years of professionals such as himself, Dr. David Healy, Dr. Joseph Glenmullen had been warning about the dangers of the SSRI (selective serotonin re-uptake inhibitors) that anti-depressants have some major concerning side effects. They finally had to agree that anti-depressants were now “known” to not only cause agitation, anger and suicidality in teenagers but that in adult populations they were also now linked to: “anxiety, agitation, panic attacks, insomnia (my words: a big one I see with my clients and have experienced myself with SNRI’s when once being mistakenly placed onto a tricyclic anti-depressant by a senior chief psychiatrist who swore that he would give this to his own brother based on his 20 minute discussion with me), irritability, hostility, impulsivity, akathasia (severe restlessness), hypomania and mania”[2]. Stunningly, the very things that the anti-depressants are often prescribed to help with!

I am certainly not saying that what I will discuss here is definitive in any way. Healing comes in many forms and there are a whole raft of healing methodologies that I am aware of but have not tried or researched in any detail including naturopathy, reiki, sound healing, Chinese medicine etc. What I am primarily focusing on here is what is believed to be the key issue when it comes to anxiety and depression and that is lowered levels of serotonin and the brain and body’s ability to communicate effectively using the neurotransmitters we need to help us cope and feel good in life. These lowered levels may come about for a variety of reasons as will be discussed and what I propose is a dietary approach and vitamin and supplement approach that is targeted at both increasing the actual levels of serotonin in the body and brain as well as increasing and facilitating the brains capacity to communicate effectively within itself.

Part of the reason that I have kept researching and learning more and more about psychiatry, anti-depressant and anti-anxiety medications is my strong desire to get off anti-depressants completely but really a much larger reason is my drive to raise awareness not only within the general public but within our government health agencies and within the medical professions themselves – especially doctors and psychiatrists.

The natural health professions already know a lot (but certainly not all) of what I now know but I am consistently and very alarmingly shown how very little the medical profession really knows about the balance of pros versus cons of taking anti-depressant and anti-anxiety medications. In addition, they know little or nothing about some of the things I am going to talk about in this chapter with regards to exactly what produces serotonin and dopamine in our bodies and brains, how our bodies convert certain foods and amino acids into other forms which then become our happy and joyful neurotransmitters – dopamine, serotonin and noradrenalin (noradrenalin has more of an energising/activating effect on us and is supposed to help remove the lethargy that comes with deep depression).

There are always consequences when it comes to taking psychiatric medications and I am referring to starting them, staying on them or trying to come off them when people feel they are ready. As an example, just one of so many, I had a client who recently came to see me after having had a breakdown due to his marriage being on the rocks and his wife being a functional but getting worse alcoholic. He had never been on anti-depressants in his life before and was now in his mid-forties. When I asked him how his sleep was he said it was very bad. I asked which drug he was on and he told me he was put on 75mg of Effexor XR (slow-release). Having had my own exposure to this wonderful drug (note the sarcasm), I asked him at what time of the day he took the drug. He said he had originally been taking it in the morning but had felt queasy and so had tried taking it at night. I went on to explain to him that Effexor is an SNRI (serotonin and NORADRENALIN reuptake inhibitor) meaning that it will artificially increase both of these vital neurotransmitters in your brain. I said, you are basically doing the equivalent of lying down to go to sleep and then giving yourself a shot of adrenalin! The look of surprise on his face showed me that his doctor had not even explained to him exactly what it was he was taking or how it would help – or not help in his case. Effexor is also known to be one of the most difficult drugs to come off because it only comes in capsule format and dosages of 37.5mg, 75mg and 150mg. These are incredibly hard if not impossible to breakdown into lower doses as you can with the tablet and water-soluble medications. I have had one client who successfully weaned off Effexor over two whole years by opening and counting the beads in each capsule and removing a couple each time! And she still endured some heavy withdrawal reactions.

I explained some of this to my client and mentioned that getting no sleep was only compounding his difficulty in staying calm and focused and that although people generally do have sleep disturbances during anxiety and/or depression, he was doing himself a huge disservice by taking it at night. I saw him two weeks later and he informed me that his sleep had improved. He could now get 4-5 hours’ sleep without waking. And that was an improvement! I know how it goes because I have been there, except when I was taking Effexor XR, which served a purpose for me but only for a very limited period, I had huge issues with not being able to fall asleep or falling asleep and waking two or three hours later and being “wired” and unable to fall asleep again. I transitioned myself away from Effexor and have never looked back.

In this chapter I will discuss exactly how anti-depressant medications work (supposedly) because even what we think we know as facts about the chemistry of the brain is being turned on its head more and more as time goes by. We used to think that it was a FACT that neurotransmitters are created and remain within our brains. We now know, that a large proportion of these neurotransmitters are created and can be found in the stomach and this has implications for a range of things to do with what we eat and drink as well as other medications we take such as anti-biotics. So, let us begin there shall we?

Antibiotics

It came as quite a surprise to me only recently whilst reading Dr.David Perlmutter’s brilliant books “Grain Brain” and “Brain Maker” to learn that anyone who has had to take antibiotics for a period of time may have lowered levels of serotonin due to the fact that antibiotics as we all know destroy good and bad bacteria in the gut, however, as it turns out, anti-biotics are also destroying and preventing the creation of serotonin in our stomachs as well.

As I was pondering this it suddenly occurred to me that when I turned 15 years old I got a really bad attack of acne. I tried all the soaps and just about anything I could to stop them but it just went from bad to worse. It didn’t help that I had recently got braces and glasses as well and so my poor self-esteem suffered something horrible during my teen years. But, more than that, I remembered that rather than being put onto Roaccutane the skin specialist recommended another acne medication called Minocycline. As an aside, the brand name Accutane (Roaccutane) was discontinued by its manufacturer in 2009 – Roche. A 2001 article in the New England Journal of Medicine linked Accutane to depression. A U.S. Food and Drug Administration (FDA) study examined 110 people who took Accutane and were hospitalized for depression or attempted suicide. Their ages ranged from 12 to 47. By the time Roche stopped making the drug, people who experienced Accutane’s side effects – as well as their families – had filed nearly 1,000 lawsuits against the company

I took Minomycin (Minocycline) as a teenager religiously for approximately four years. And so, I decided to look it up online and was surprised to learn that it is a broad spectrum antibiotic! Every day, for four years…as a teenager. If what Dr. Perlmutter says is true, and I have no reason to doubt his credentials or over thirty years of research into the food brain connection – then my brain was being starved of essential neurotransmitters during a crucial time in my adult development. Now, I am not saying that it was exclusively the reason that I struggled with anxiety in my young adult life (although on thinking about it I do not remember being an anxious child or anxious prepubescent). In fact, I was quite a naughty risk taker and would often land myself in hot water at home for jumping off roofs, throwing fruits over the fences at friend’s neighbour’s windows or smoking behind an old oak tree at the age of 10 or so.

I digress, however, it is part of the story of me never really having any major anxiety issues as a child. I was as scared as your average kid of clowns or what have you and when I reflected on taking antibiotics for all those years and then seeing in black and white that they can either destroy or prevent serotonin from being produced in the stomach, it really gave me pause to rethink just exactly where my anxiety in my late teens and early twenties came from. Nature or nurture or something worse – medical science in the form of drugs supposed to help us but unwittingly doing more damage than they are worth. This is just the tip of the iceberg. It really makes me wonder how many teenagers are suffering needlessly from anxiety and/or depression due to this issue. Going through puberty is hard enough without antibiotics screwing up your neurobiology!

The end result is just to be aware that if you are taking antibiotics, you MAY have a problem with lowered levels of serotonin and dopamine and as such it is just good practice to take a high potency probiotic. One strain in particular that Dr. Perlmutter recommends is that you ensure that the bacteria bifidobacterium infantis is present in your probiotic.

Foods that can help and foods than can harm.

You may be surprised to learn that eating a slice of whole meal bread could also be a contributor to lowered mood and changes in blood sugar levels and neurobiology. In fact, any food containing gluten has this possibility as our bodies were not made to process the kinds of grains we consume today – especially the wheat found in our breads, pastas, pastries and cookies. Since around the age of twenty four – about the same time I was put onto antidepressants for the first time – I started having trouble with dry skin. It seemed to just be something that I had to live with but it became embarrassing at times and the skin around my nose and cheeks would sometimes be red. It improved somewhat into my thirties but never really cleared up. It did seem to get worse in colder weather which is to be expected. It also appears to get worse if I don’t get enough sleep. However, none of these could account for the consistent red and dry skin. I tried once again any and every topical treatment I could find including cortisone creams which are really not good for you. But, after having read Dr. Perlmutter’s books, I went cold turkey on gluten. I had been thinking about doing this for some time as quite a bit of the research that I was finding had a consistent theme of avoiding too much gluten. It’s not so much carbohydrates that are the problem, we all need a good amount of protein and carbohydrates, it’s the gluten! When I started investigating exactly what I was eating in my diet that had gluten in it I was very surprised. Call me ignorant but I had no idea that oats are full of gluten and I would often have oats for breakfast thinking how healthy I was being. Out went the oats. Eggs on toast, out went the toast. I have found enough restaurants will now offer you gluten free toast anyway if you like so this is no biggie. To be honest, it really wasn’t that hard giving up gluten. You start to focus on getting more protein into your diet which as you will see in a moment is critical, but you also just start to think of meals that are fairly easy to prepare – such as baked fish with veggies and some roasted potato chips or rice (rice is safely gluten free – hooray for rice. As is all corn/maize based meals and snacks). However, do be aware that white rice in particular has a high sugar content. So, all in moderation.

What I found literally within two to three weeks of stopping gluten is that my skin cleared up. The angry red splotches just magically disappeared. No ointments, no medications, just no gluten and good enough sleep. I also notice that even after eating a meal such as spaghetti bolognaise with gluten free spaghetti (made from soy and rice flour), I never feel bloated the way I normally would.

Another reason I chose to go gluten free (even though I still cheat here and there and have something naughty – I don’t believe in the deprivation method of changing your habits) is that Dr. Perlmutter indicates in his books that gluten is now linked to higher incidences of Alzheimer’s disease, dementia and diabetes.

A study that he mentions in his book “Grain Brain” mentioned a research study about a little island village in the Mediterranean that had the most centurions in the world (people who lived to see 100) as well as the lowest incidences of Alzheimer’s and dementia in both men and women. When looking for what caused this amazing outcome in this population the only thing they found radically different in the lives of these people was their diet. They drank red wine and coffee and had plenty of protein based meals such as fish and meat but very little if any breads. I’ll leave you to ponder that and also to think about whether your own little gluten free experiment is in order.

Dr. Perlmutter also indicates a direct link between gluten and inflammation in the body and brain. We can feel and see inflammation in the body with conditions such as gout and rheumatoid arthritis but we cannot feel or see (without a brain scan) inflammation in the brain that may also be caused by gluten. Either way, I decided to get off the gluten and my skin clearing was actually just a nice side effect. Way too many people in the western world are now dying from dementia and Alzheimer’s and I really don’t think our faster pace of life or higher stress levels can account for this phenomenon.

In addition, I’m going to tell you something you already know about your diet. Cut the sugar, reduce caffeine to one drink per day (preferably in the morning) particularly if you suffer with anxiety or sleep problems and certainly nothing with caffeine after 2pm.

Ensuring that you eat your fair share of green leafy vegetables is also advice as old as the hills in terms of diet and well-being advice but it’s funny how few people actually follow through on this. If you don’t want to go through the hassle of buying and chopping veggies every day then cheat by getting the super green veggie powders that are now commercially available in most major supermarkets and health food stores and make yourself a berry, banana, protein powder and super green veggie smoothie. Brilliant for your brain and energy levels.

And of course, drink loads of water, at least two liters per day (I can usually manage about one and a half per day easily), which is easily done if you carry around one of those 500ml bottles and just make sure you are refilling it a few times a day. This will be even easier and more necessary when we go through the section on supplements and vitamins as you will need to have your water with you anyway.

The last thing that I will recommend in terms of actual food intake or changes is to try and add more protein in the form of fish, eggs, milk (lactose free if you can get it) and meat. The reasons are many. One of the reasons fish is on that list is because certain fish are high in Omega 3 essential oils. When I tell friends or clients about the need to be taking Omega 3 every day some will say “But I eat fish in my diet!” Unfortunately, the amounts of fish you would have to eat to get the benefits we will talk about in terms of your brain are not reasonable or desirable for anyone.

This is where I end the discussion on diet and I believe this covers the essentials you need to know in your quest for removing anxiety and depression from your life naturally through diet. There are plenty other good books to be read completely dedicated to the subject.

Vitamins and Supplements that Can Help

This section will detail some of the most important vitamins, minerals and amino acids that you can take to assist you staying away from taking anti-depressants in the first place, feeling better while being on them or supporting you during a tapering programme. This has been, as I mentioned earlier, a four year odyssey for me both personally and professionally as I have tried various options as I learned about them, avoided others due to fear mongering online (only to find out there were other reasons certain amino acids were not commercially available), and am still in the process of investigating some others.

What I have learned and shared with my clients and those who write to me from all over the world has helped many people cope better with anti-depressant and anti-anxiety drug withdrawal. When I think of the needless suffering that hundreds and thousands of people have gone through across the globe due to a lack of understanding and awareness of other viable alternatives to taking psychiatric medication for anxiety and depression I get pretty fired up as you could possibly tell from my writing. The number of young teens being put onto anti-anxiety and/or anti-depressant medications prematurely in some cases and completely unnecessarily in other cases makes me really angry. As they say, if only I knew then what I know now, and if I could magically have gone back in time to my twenty three year old self back in March 2000, I could have possibly saved myself 20 years of the difficulties of being on and trying to come off these medications. It’s not only what I have had to go through but what my family and some friends have had to go through too, and I know I am certainly not alone when it comes to not only medications but mental health in general when people struggle with anxiety and/or depression.

5-HTP (5- Hydroxytryptophan)

So, let us begin at the beginning, with the first supplement that was brought to my attention very soon after I published my story online in 2013 by one of the readers of the story. This particular person mentioned that once off the medications, a person could/should take an amino acid called 5-HTP. I had never, not once in thirteen years of experiencing anxiety and depression personally and as a mental health professional, heard about 5-HTP. Have you heard of it? I’m willing to be a lot of money that you haven’t and that your doctor and definitely your psychiatrist haven’t either. Why is that? What is 5-HTP?

5-HTP is a chemical by-product of the protein building block L-tryptophan. It is also produced commercially (and this is what you would be taking if you chose to try it) from the seeds of an African plant known as Griffonia simplicifolia. 5-HTP is the last step in the process of converting protein in your stomach into the essential neurotransmitters – serotonin and dopamine. Protein is the key building block required in your diet which your body uses to synthesize (using a combination of vitamins) into L-tryptophan and then 5-HTP. Having high levels of 5-HTP should lead to higher levels of serotonin and dopamine which should lead you to feel calmer, happier, more focused and generally more optimistic about just about anything in your life. Note that it can take a number of weeks to be effective and – once again – the dosage is variable (a typical dose of 5-HTP is in the range of 300-500 mg, taken either once daily or in divided doses. Lower doses may also be effective, although usually when paired with other substances). 5-HTP is used as a supplement (rather than tryptophan itself) to increase serotonin levels as tryptophan can be diverted into niacin production or protein construction whereas 5-HTP has the sole fate of serotonin synthesis. 5-HTP also crosses the blood brain barrier easily. [3]

Although this may seem like a scary way to approach taking something to help with anxiety or depression, I would prefer trialing various dosages of 5-HTP any day over playing around with an anti-depressant or anti-anxiety medication. It’s certainly, in my opinion, worth trying the 5-HTP first.

Even though it is becoming more widely known that the chemical imbalance theory of mental health problems is actually no more than psychiatry’s little green man behind the curtain or the emperor with no clothes, rather than the objective-scientific truth, these neurotransmitters do exist and are responsible for many of the cases of clinical depression and debilitating anxiety (and in some cases panic attacks) in most people.

However, it is one thing to say that serotonin levels have been lowered and possibly caused by stressful life events which led to increased cortisol – a chemical in the body released during times of stress which may also reduce production of serotonin in the body – but it is quite another thing to tell a person that he or she has a “chemical imbalance“ in their brain and that they therefore have some sort of “disease” that is as incurable as diabetes. “Just keep taking your medications the same way a diabetic needs insulin” and shut up and don’t you dare challenge the established order of psychiatry’s control of medicating anxiety and depression or worry about the links between some in the psychiatric professional communities and the huge pharmaceutical companies which are making billions of dollars a year. Surely it can’t be as easy as getting their sales representatives to buy our doctors lunch and explain to them why this new wonder drug is good for their patients with depression and has even fewer side effects than the previous products or versions? You get the picture. If you want to know a lot more about all of this please visit Robert Whitaker’s brilliant site www.madinamerica.com and better yet get a copy of his seminal book “Anatomy of an Epidemic” as well as another book written as far back as 1988 (the very year Prozac was introduced into the market) by Dr. Elliot Valenstein called “Blaming the Brain”.

In blaming the brain, Dr Valenstein states the following in his opening chapter: “Throughout this book I will argue that the evidence and arguments supporting all these claims about the relationship of brain chemistry to psychological problems and personality and behavioral traits are far from compelling and are most likely wrong. The claim that psychotherapeutic drugs correct a biochemical imbalance that is the root cause of most psychological problems also rests on a very shaky scientific foundation. These ideas are simply an unproven hypothesis, but for reasons that will be explored, they are heavily promoted as a well-substantiated explanatory theory. Because these ideas have enormous implications, there is a great need to examine the evidence and basic assumptions much more critically than has been done up to now”.[4]

Coming back to 5-HTP, it was banned in America until only recently due to some bad batches that came out of a dodgy manufacturer in Asia which led to some major government concerns about its properties. I believe that it is now available in the USA and is certainly available in Australia through online purchase. However, interestingly enough, you will not find it in any pharmacy or even health food store because it just isn’t widely known. And I just have to ask why? Why would a naturally occurring food derivative (amino acid) that can help to increase serotonin in the least disruptive and invasive way not be on the shelves in pharmacies and heavily promoted by doctors? I’ll leave you work that one out. There are different opinions online about the efficacy of 5-HTP as there are about just about any product when it comes to mental health or well-being. And, we are all different. We all respond differently to different products and food substances so there is no one size fits all here of course. But, wouldn’t you say it’s worth trying something natural FIRST with no known side effects or major withdrawal issues before medically tampering with our body and brains neurobiology with so many unknowns?

One caveat here and this is where the story gets a little thorny. You are not supposed to take 5-HTP if you are already taking an antidepressant (SSRI or SNRI) just in case you end up with a case of serotonin syndrome which is where your brain/body overproduces serotonin and this can lead to potentially some harmful outcomes and even (as some sites will say) fatal results. There are very specific signs of potential serotonin syndrome though and so if you are starting to experience any of them you would just immediately stop taking the 5-HTP. It’s only our lack of knowledge of what is happening that is the problem. Once you know what to look for you are responsible to monitor how you are reacting to anything you take whether it’s 5-HTP or an aspirin. And ensure you have the support of a trusted medical doctor but only one who is willing to support what you would like to do with your own body, mind and life.

L-Tyrosine

L-Tyrosine is another amino acid supplement that assists with increasing – through natural means – our levels of dopamine and to some degree norepinephrine. I came across it while searching for natural ways to increase dopamine levels as I had discovered that serotonin could be increased using 5 HTP so I wondered whether something similar was the case with dopamine – and sure enough, if you seek you shall find.

L- Tyrosine is one of the amino acids, which are the building blocks of protein. The body makes tyrosine from another amino acid called phenylalanine. Tyrosine can also be found in dairy products, meats, fish, eggs, nuts, beans, oats, and wheat. However, trying to get the amount of tyrosine you would need from food has the same issue as trying to get all the Vitamin C you need from oranges or all the Omega 3 Fish Oil you need from eating fish. Way too hard.

Several studies show that tyrosine improves mental performance under stressful conditions, such as military training, cold-induced stress, or noise-induces stress. In addition, tyrosine improves memory under stressful conditions, such as cold-stress or multitasking. Taking tyrosine seems to help people who have lost a night’s sleep stay alert. Also, early research suggests that tyrosine improves memory and reasoning in people who are sleep-deprived.[5]

Anecdotal reports from people who have tried L-Tyrosine that it helps increase energy, concentration and mood. Well worth giving it a try I would say. I have used it myself and have found it to be of benefit along with the other dietary changes and supplements mentioned here.

St. John’s Wort

I am not going to say too much about St. John’s Wort, firstly because I have not really had much experience with it other than to note it is widely prescribed in Germany rather than antidepressants. Apparently, German doctors and the German public in general prefer to use St. John’s Wort as a first line treatment for depression and various studies in Germany have shown it to be more effective as placebo, and other anti-depressants. Secondly, I don’t think it is easy to get results from St. John’s Wort as it takes longer to work and it is not clear exactly what dosage one would need to take for it to be considered “effective”. I suppose this would be the case with most medicines – medical or alternative – when it comes to healing anxiety and/or depression. Anyone considering using alternative methods for healing anxiety and depression or coming off anti-depressant or anti-anxiety medications needs to be prepared to do their homework and then undertake a bit of experimentation. With regards to St. John’s Wort, anyone suffering from mild to moderate depression should probably consider trialing it for themselves but expect it to take a few weeks to work and to play around with different dosages to see what dosage is right for them. The best thing about St. John’s Wort is that there are little to no side-effects and it is a natural herb, therefore it is safe compared to taking any psychiatric drug.

Vitamin B6, B12 and Vitamin C

Most people are aware of the need to take a Vitamin B supplement. I remember as a teenager taking a multi-vitamin B during exam times as I had heard that it was good for stress. I have always equated the need to be taking a good Vitamin supplement with good stress management. However, I only found out in the last four years that they are also very important in the process of your body converting protein into Tryptophan. Most people are aware that Vitamin B12 is a key vitamin that should be checked if they are suffering with extreme tiredness or having difficulty with their moods. B6 is also important in this process. The same goes for Vitamin C. We should all be taking a good vitamin C supplement on a daily basis. I personally take 1000mg per day. In addition, taking a high strength multi-B complex is also highly recommended due to the body’s need for these vitamins during the synthesis of protein into tryptophan and then tryptophan into 5-HTP, serotonin and dopamine.

Omega 3 Fish Oils

I had heard about the benefits of taking fish oils in terms of it being good for joints as well as being good for the brain. What I never really knew was that Omega 3 and Omega 6 play pivotal roles in helping the brain function as well as ensuring a healthy environment for your brain cells and neurotransmitters to communicate with each other. Omega 3 Fish Oils are also helpful in reducing one of the withdrawal effects of tapering off an anti-depressant which is the very unpleasant electric “zap” like sensations that commonly occur when attempting a withdrawal. I still cannot believe how few doctors, psychologists and psychiatrists are aware of this. In terms of dosage, Fish Oils come in all shapes and sizes and it was through reading some of information from The Road Back Programme created by James Harper that understood that not all omega 3 fish oils are created equal. Jim is a very caring pharmacologist who has been helping people reduce or taper off anti-anxiety and anti-depressant medications for over 16 years. Dosage recommendations vary and Jim mentions that the best Fish Oils are derived from fish such as salmon, herring and trout as opposed to tuna. Effective dose recommendations can range from 400-800mg per day. In order to avoid having to take 4-6 capsules, I just ensure that I buy fish oils from credible brands which have high EPA potency such as 240mg or more per capsule as opposed to the standard 180mg in most commercially available products. Ensure that the product is also mercury tested and says that it does not have a reflux effect. I wouldn’t enjoy smelling like fish breath all day long and I’m sure you don’t want to either!

Passionflower

This is another naturally occurring remedy that I found out about from James Harper. James not only researched products that could assist people with drug withdrawal but also sourced and created a range of his own natural products. I did try taking some of James’ other products at one stage and there may have been some benefit in taking them but I found the most useful was the Body Calm Formula which is essentially passionflower mixed with the skin of a very specific cherry called – the Montmort cherry. In addition, Jim has created a proprietary product called JNK, which he has trialed again in a recent study in 2016 showing very positive results for both anxiety and depression. For more information you can visit his site at www.theroadback.org

Magnesium

Most of us know the sage advice of having a glass of warm milk can assist us with sleeping better or falling asleep. One of the biggest reasons for this is the magnesium in the milk.

“Magnesium is an essential dietary mineral, and the second most prevalent electrolyte in the human body. Magnesium deficiencies are common in developed countries. A deficiency increases blood pressure, reduces glucose tolerance and causes neural excitation. Magnesium deficiencies are common in the western diet because grains are poor sources of magnesium. Other prominent sources of magnesium, like nuts and leafy vegetables, are not eaten as often. It is possible to fix a magnesium deficiency through dietary changes (or supplementation). If magnesium is supplemented to attenuate a deficiency, it acts as a sedative, reducing blood pressure and improving insulin sensitivity. Maintaining healthy magnesium levels is also associated with a protective effect against depression and ADHD.” The standard dose for magnesium supplementation is 200-400mg per day. It is best taken in the evening as it helps to relax the muscles and assists with sleep. When looking at the diets of persons suffering from depression, there appears to be an inverse relationship between dietary Magnesium intake and depressive symptoms.[6]

 Zinc

Zinc is one of the 24 micronutrients needed for survival. It is found in meat, egg, and legume products. Oysters are particularly good sources of zinc. It is an aphrodisiac and testosterone booster, but it will only raise testosterone levels if the user is deficient in zinc. Zinc is also very important for the functioning of the enzyme, hormone, and immune systems.[7] Zinc has two standard dosages. The low dosage is 5-10mg, while the high dosage is 25-45mg. The low dose works well as a daily preventative, while the high dosage should be taken by anyone at risk for a zinc deficiency. Secondary to an improvement in overall mood, aggressive symptoms have been noted to be reduced with low dose zinc supplementation.

Staying Active (an absolute must)

Bolster your internal resources with good nutrition, stress-reduction techniques, regular sleep — and especially physical activity. Exercise has a powerful antidepressant effect. It’s been shown that people are far less likely to relapse after recovering from depression if they exercise three times a week or more. Exercise makes serotonin more available for binding to receptor sites on nerve cells, so it can compensate for changes in serotonin levels as you taper off SSRIs and other medications that target the serotonin system. (http://www.health.harvard.edu/diseases-and-conditions/going-off-antidepressants).

Summary

The above dietary and lifestyle suggestions are the ones I would most highly recommend regardless of whether you are still on or thinking about tapering off anti-depressant medications. In addition, I would say that anyone who is suffering with stress, anxiety or depression should go down the road of counselling, meditation, yoga, a gluten free diet with lots of protein, vegetables and probiotics, mild to moderate cardio-vascular exercise, supplements and counselling. Finally, connecting to those around you and building a strong network of supportive professionals, friends and family would also be something that I would say is a requirement for good mental wellbeing and enduring recovery from anxiety and depression.

 

 

 

[1] White, Ian. Beat Depression the Drug Free Way, 2011

[2] [2] Breggin, Dr. Peter R. Your Drug may be your Problem. Da Capo Press. 2007

[3] https://examine.com/supplements/5-htp/

[4] Valenstein, Elliot. S. “Blaming the Brain”, Free Press (1988).

[5] http://www.webmd.com/vitamins-supplements/ingredientmono-1037-tyrosine

[6] https://examine.com/supplements/magnesium/

[7]https://examine.com/supplements/zinc/


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Lesson 8 – The Sun is Always Shining behind the Clouds 

Jerry walked into the MacDonald’s, went to the counter and ordered himself a big mac meal with a large bottle of Coke Zero. He waited while his food was being prepared and looked around at the other customers coming and going. There were some mothers with their little ones jumping up and down with excitement asking for a Happy Meal because (as he knew all too well) they wanted the toy more than the meal. He thought, so clever those buggers in the marketing department at MacDonald’s. He had read somewhere that their marketing strategy for decades had been called “from the cradle to the grave” and he could see how it was working like a charm. With his own children though both he and his now estranged wife at least agreed on something and that was to avoid junk food as much as possible even though they still allowed it as a treat on occasion.

Jerry had recently turned 27 and was feeling very frustrated with where life had taken him so far. He had tried to get into studying after high school and had enrolled in a college course in electronics but had found that he just couldn’t make sense of all the diagrams and mathematics needed to pass the course. He knew he was intelligent and had enjoyed maths at school (much to the surprise of both his parents and his friends), but when it came to the college course and studying electricity, he just wasn’t getting it or just not inspired enough to really focus himself into succeeding. This had all occurred between the ages of 19 and 21. After that, Jerry had drifted into doing some construction work and had enjoyed the physical aspect of it and it was then that he had met his wife – April.

They met at a barbeque one evening at a mutual friend’s house and starting talking about some of their favourite movies and found that they had many similarities. The chemistry was certainly there and so they agreed to exchange numbers and went on their first date which was remarkable because he had never felt so at ease talking to a woman and they ended up talking on a bench overlooking the sea until 1am in the morning. He felt his excitement growing as each date passed and was somewhat concerned about whether she felt the same as he did and he didn’t want to open up too quickly because he had been hurt in the past. However, after a few dates he decided to tell her how he felt and to his amazement she said she felt the same. His heart exploded with joy. They continued to date for another few months and then moved in together. After another year, which was mixed with a few up and down experiences, he proposed and they were married soon after. A number of his friends and family had asked him, “aren’t you a bit young to be getting married?”, but Jerry knew how he felt about April. He knew she was the one he wanted to be with for the rest of his life.

Today, as he sat eating his MacDonald’s meal, thinking how he should be following his own advice to his children but not really caring at the moment, he found himself in a state of misery and frustration. Over the past few months, things between himself and April had been quickly sliding down a slippery slope towards marriage failure. He couldn’t quite believe that she was the same person that he had met and in addition, he didn’t recognise the person he had become when they were having an argument. Jerry really didn’t like conflict and did as much as he could to do the right thing by April but it just seemed to him that nothing he ever did was quite good enough.

As their arguments became more frequent, the negative feelings became more intense and it seemed to Jerry that every minor incident now seemed to flare up in way that got out of proportion very quickly.

In addition to this, Jerry was being bullied at work by a few of the bricklayers on the construction site. He was not the tallest or strongest man around although he was very lean and muscular. However, Jerry was never one to engage in silly childish arguments like it was a school playground and he had been using his intellect and wit to try to avert the behaviour of the bullies and he had had some success but things just seemed to getting worse.

Financially, Jerry and April were not in the best position either. His wages weren’t that bad, and she worked as a nurse doing rotating shifts but together they were still struggling to make ends meet. This additional pressure was not helping their relationship and neither was the fact that they often worked different hours and so did not seem to spend much quality time together. These days, when they did have time off at the same time they would invariably end up in an argument. It had gotten to the point where Jerry was starting to feel very depressed about his situation and was struggling at times to get up and go to work. He had even had some ideas of just ending it all and that had scared the living daylights out of him as he had never contemplated such a thing in his life before.

Jerry stirred when he heard some teenagers laughing while they ate their meals at a nearby table and felt irritation flowing through his mind and body. They have no respect for the people around them he thought. He was dimly aware however that teenagers having fun and making a noise at a fast food outlet would never have bothered him in the past and he started to wonder if he was losing his mind altogether.

He picked up the remains of his meal, which he had hardly eaten, and threw them in the bin on his way back to his truck in the parking lot. He had never had problems with appetite before but he was not feeling much like eating lately and had realised that he had begun to lose weight and he wasn’t even exercising at the gym anymore.

As he got into his car to head back to the construction site, Jerry realised that he felt very alone. While he did have a circle of family and friends around him, when the issues had begun with April as well as the bullying at work, he had found himself withdrawing further and further from any social outings or offers by his friends to spend time together. Usually, he would have jumped at the opportunity to head to the golf range and hit a bucket of balls or to play soccer with his friends in the park after work. But lately he had just been going home, having a few beers and drifting off to sleep in front of the television. Sometimes he woke up at 2 or 3am and went to bed to find April turned over and sleeping away from his side of the bed. Realising that she didn’t bother to wake him or to try and engage him in conversation just made him feel worse. His friends had slowly stopped asking him and this made him feel even more isolated.

Jerry arrived back at the construction site, parked his car a block or two away and grabbed his hard hat and bright orange vest. He walked into the site having some images running through his mind of what it would be like if he was accidently crushed by one of the massive concrete slabs that were being hoisted above him by the huge cranes in the middle of the building site. He shook the thought off and headed to the lunch room or “mess hall” as his fellow workmates liked to call it. He wanted to grab a quick cup of coffee before heading back up to continue the installation of piping in the men’s toilets on the 7th level of the building.

When he walked into the lunch room he noticed one of his supervisors, Ed, standing making himself a cup of coffee at the counter. He tried his best to compose himself and headed over to the counter.

“Jerry, how’s it going mate?” asked Ed routinely.

Jerry didn’t know how to respond or what his voice was going to sound like but he just responded with, “Yeh, I’m ok thanks” as he grabbed a mug out of the cupboard, saw how dirty and disgusting it was and put it back and grabbed another one, hoping this one wouldn’t look like it was likely to give him a major case of gastro. He generally avoided having coffee in the lunch room for that very reason and he was not a big fan of instant coffee either but he just felt he needed more time to gather himself before heading up to work. He was also aware that he was going to have to walk past the bricklayers who had been calling him names and giving him grief over the past few months. He was worried that today he may actually snap and do something he would regret if they asked him one more time where Tom was and whether he was tired of the mean old cat chasing him around.

Jerry found a mug that looked relatively unlikely to cause major vomiting and made himself a cup of coffee with two spoons of coffee and two spoons of sugar. He felt like he needed a pick me up to feel better, even though he was aware that caffeine can make you feel more anxious.

Ed was watching him carefully out of the corner of his eye and when Jerry went to sit down at a bench on his own, Ed walked over to him and asked if he could sit down.

“Sure”, said Jerry, getting a little worried that he would have to engage in a conversation when that was the last thing he wanted to do right now.

“It’s been really hot these last few days, hasn’t it?” asked Ed.

Jerry looked up briefly and said, “Yeh I know, hasn’t been fun out there”.

Ed was a man in his mid-forties who had been working with the company for over ten years. He had been promoted to supervisor a few years before and although he could be really stern with the workers on site, he was also known for his ability to engage with staff at all levels. In addition, he had a strong interest in mental well-being at work and had requested training in how to support workers who were struggling as he had seen too many young men trying to self-medicate their problems away with alcohol and things generally ending up badly for them at home and at work.

Ed had been noticing that Jerry’s behaviours had changed over the past few weeks. He would usually walk around with a smile and was always ready with a joke or two. He enjoyed the banter with some of the other workers on site and was generally well liked. He generally prided himself on his appearance and would be clean shaven and yet Ed had noticed that there were quite a few occasions where his beard was starting to show and he looked like he hadn’t slept much. He was also one of the more reliable workers that Ed had worked with but Ed had noticed that Jerry had come to work late a few times in the past few weeks and was often trying to avoid talking to anyone, especially a senior.

“Mate, do you mind if we talk openly for a minute?” Ed asked.

“Um…yeh. Is everything alright? Hope I didn’t make a mistake with that piping this morning” said Jerry looking quite concerned as to why Ed was wanting to talk to him.

“No, the piping is fine. It’s just that I’ve noticed some changes in your behaviour lately. You don’t seem to be yourself mate. I’m just concerned that’s all”, Ed said. He had ensured that there was nobody within earshot who may overhear their conversation.

“I’m fine. Why wouldn’t I be?”, Jerry attempted to be relaxed and composed but something in Ed’s expression made him feel that he wasn’t going to be able to hold onto the façade for much longer.

“Well, Jerry. I can tell you that I’ve been in this business a long time. I’ve seen how tough it can be on a young fellow, especially a married one with little ones like yourself. Sometimes, things can get overwhelming and we don’t know where to turn and in our environment, it can be even harder, can’t it? Because everyone here has got all their stuff together, right? Nobody here feels any emotions? That stuff is for weaklings. We’re all tough strong construction workers, we do it tough and we don’t complain. And if we do then we are weak right?”, Ed said.

Jerry was taken by surprise to hear Ed speak about emotions so openly and to acknowledge the exact thing that he – Jerry – had been concerned about. Others finding out and thinking there was something wrong with him and that he was weak. He wasn’t sure how to respond and so he just shrugged his shoulders and looked down at his coffee which he could feel had started to get cold.

“Look, Jerry. I know something is bugging you. You can’t deny it. You’ve been coming to work late and that’s not like you at all. You’ve stopped joining in for anything social at work and I’ve noticed you’re just staying in the background and that just isn’t you. I’m not saying you need to spill the beans to me right here and now and you certainly don’t need to tell me but I want you to tell someone. You know we have an employee assistance counselling service that is free and offers you six hours of counselling over the phone or face to face?” Ed asked, as he pulled a card out of his top pocket and it handed it to Jerry.

Jerry took the card as a tear started to roll down his cheek.

“It’s ok mate. We all go through rough times. We’re all human beings and anyone who pretends that they are just sailing through life with no downs and only ups are either lying or the luckiest bastards in the world”, Ed said with an encouraging smile.

Despite himself and even how he was feeling at that moment, Jerry found himself utter a brief laugh and immediately started to feel a little better when he realised that Ed was not judging him and was only showing genuine concern.

“Thanks Ed. I’m not sure if I will go to the counselling, I may call them to have a chat or maybe come and see you in your office at some stage”, said Jerry as he turned the card over to see the phone number and services being offered by the counselling service which he hadn’t even known existed.

“That’s great Jerry my door is always open… unless it’s closed,” said Ed with a wink as he got up to put his mug in the dishwasher. He turned around just before he got to the counter and said, “Remember mate, the sun is always shining behind the clouds”, and he put his mug in the dishwasher and walked out of the lunch room into the bright September afternoon.

Jerry thought he had heard that saying somewhere before and wondered why Ed had chosen to say that particular one to him at this moment. He didn’t quite understand the meaning of the saying. So what if the sun was shining behind the clouds? If we are stuck underneath them, what good does that do us?

Jerry got up, feeling a little more hopeful than he had when he woke up that morning, and headed to the 7th floor to complete his work for the day.

As he lay in bed that night with April once again turned over facing away from him, Jerry stared at the ceiling and went through his options in his mind. Either he could tell April that it was over and that he couldn’t stand feeling like this anymore or he could first try and talk to the employee assistance people. He also needed to talk about the bullying and see if there was a way to get that to stop. The main thing that he was struggling with was how his thinking had changed and how different he felt from who he knew himself to be. Being down, negative and not finding enjoyment in life was just not who he knew he was at the core but he was worried that he had somehow been fundamentally changed by the ongoing stresses and pressures of the past few months.

 

As he eventually drifted off to sleep he remembered Ed’s words and the saying seemed to play on a continuous loop in his mind, “The sun is always shining behind the clouds…the sun is always shining behind the clouds…”

Jerry slept but his sleep was fitful and full of nebulous people and “things” that seemed to be after him. Each dream he slipped into seemed to involve his need to defend himself against an attack and he called out and even kicked out once or twice in his sleep, which woke April up and gave her quite a fright. She still really loved Jerry with all her heart and had been feeling terrible about how things had disintegrated between them but she just hadn’t seemed able to find a way to allow her negative emotions to subside long enough to allow her feelings of love towards him to come back to the surface. She tried to soothe Jerry as he had another fitful moment and he seemed to calm down.

The next morning, when Jerry woke up, April was lying on his chest with her arm around him. He was quite surprised and gave her a hug. She stirred and looked at him, “You were yelling out and thrashing around a bit in your sleep”.

“Oh really? I’m sorry, I hope I didn’t disturb you too much” he said, feeling a bit guilty but very happy she was lying next to him and that their conversation seemed to be more gentle.

“It’s okay….” she said and after a pause, “what’s happened to us Jerry? Why can’t we be like this all the time? What’s been happening with you because you don’t seem to be the same person I married and I want my Jerry back” she said as her eyes became watery with tears.

“I know babe. I’m not sure either but all the pressure has been getting to me and I have been feeling very down. I just don’t know who I am anymore and it scares me”, he said as he stroked her arm. It felt good to be lying there together talking in a way they hadn’t for ages and he felt the stirring of how he truly felt about April returning.

“I remember one of my dreams last night”, he said.

“Tell me about it”, said April, enjoying the feel of Jerry’s arms around her.

“I was running away from something terrifying and it was during the middle of a storm. The rain was coming down pretty hard and I was getting soaked. There was lightning and thunder every couple of minutes and I couldn’t make out who or what it was but something was coming for me and so I was just running down different streets to get away. I tried to ask a couple of people for help who I passed but they didn’t seem able to see or hear me. It was late afternoon but the rain and wind was fierce. As I turned down one more street I stopped and for some reason had this feeling that if I wanted to, I could fly upwards. I felt the certainty of this inside myself and I just pushed off and flew straight up at such a speed that I was almost terrified as I looked down at the street falling away below me. I went into the storm clouds but kept going through them and then very suddenly I was above them and the sky was an absolutely brilliant clear blue and the sun was shining on me. I felt its warmth and the air was cool and crisp. It was such a contrast to what it was like below the clouds I couldn’t believe it. That was when I woke up and felt you lying with me” he said, tears now slowly rolling down his cheeks.

“Wow, that’s an amazing dream. What do you think it means?” she asked.

“Well, it’s funny because yesterday Ed came and had a chat to me in the lunch room and mentioned that he was worried about me. He gave me a card for the employee assistance programme and although I was very embarrassed that he had noticed how I had been feeling, I was relieved that he understood and was willing to help me. Before he left the lunch room he told me to remember that “the sun is always shining behind the clouds”. I know my dream was my mind playing around with that but it was such a real experience and I think I understand what the saying really means now”.

“What do you think it means?” April asked, very surprised but also very pleased to hear Jerry talking about himself more openly than he had in months.

“I think it means that sometimes in life we can get really bogged down by the events and situations we are faced with and that sometimes those situations can start to press down on us and even alter how we think, act and feel about ourselves and our lives. I know that is how I have been feeling a lot lately and I have even thought that maybe this is now my reality and that I was somehow changed forever because I was feeling so bad I couldn’t see a way out of it…” he trailed off at that moment realising that April was looking at him with a lot of worry in her eyes.

“It’s ok,” he said, “I wouldn’t do anything like that because I would never do that to you or the kids but yes the ideas had started to cross my mind. But what I guess I am starting to understand is that life can throw us a lot of curveballs all at once sometimes and that this can change how we are but it is temporary and our true selves, who we are deep down, is just waiting for the storm to pass and then it will come shining through again. What I felt in the dream when I broke through was a sense of coming home, of realising that who I am has not changed and it was only the clouds and the storm that was making me feel a bit hopeless. And you know what, it made me remember another saying I heard ages ago that even nature cannot create a storm that lasts forever”.

“I like that”, said April with a smile. “Maybe we just need to put up better umbrellas or try to rise above these clouds we have been living under for the past few months and do our best to go back to how we were before?”

“I would like that and I think that’s exactly what we need to do. I want to find myself again and be the best version of me that I can and I want to be that person again for you and the kids. I will call the employee assistance service and I am going to speak to Ed about the bullying at work. Enough is enough” said Jerry with a growing feeling of hope and conviction that things could and would be changing for the better. He felt his spirits lift and decided that he was going to really focus on the fact that he knew deep down that he was a good person and that he deserved to be happy. He resolved to not allow the storms of life to ever again make him feel that the sun wasn’t right there waiting for him to rise above the clouds.

April laughed and gave him a kiss on the cheek, “You got all that from a one silly saying and a dream?!”

“I guess so…who would have thought it hey?” he said smiling.

Jerry turned towards April and pulled her closer, holding onto her and not wanting the moment to end. “I love you”, he said.

“I love you too”, said April.