Category: Mental Health

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How Ketamine is Helping Patients with Chronic Stress and Trauma

Ketamine Infusions at Blum Center for Health

In functional medicine, we see trauma as more than just emotional distress; it has a tangible impact on both your physical and mental health. Picture your body as a well-coordinated orchestra, each section representing a different system. Trauma throws off this balance, affecting everything from hormones to digestion. 

The stress response triggered by trauma can lead to inflammation, impacting your immune system and overall well-being. Our goal as practitioners is to address these interconnected factors, restore balance and support healing. 

The Biology of Trauma

In recent years, there has been a growing interest in understanding the biological mechanisms underlying trauma and exploring innovative treatments. Dr. Stephen Porges introduced the Polyvagal Theory, a groundbreaking framework for understanding the autonomic nervous system’s role in responding to stress and trauma. According to this theory, the autonomic nervous system consists of three branches: the ventral vagal, sympathetic, and dorsal vagal systems.

  • Ventral Vagal System: Associated with social engagement and relaxation, this branch promotes feelings of safety and connection.
  • Sympathetic Nervous System: Known for its “fight or flight” response, the sympathetic system activates during stressful situations, preparing the body for action.
  • Dorsal Vagal System: Linked to immobilization and shutdown, this branch activates when an individual perceives a life-threatening situation, leading to a state of dissociation or freeze.

Understanding the interplay between these systems provides insight into how trauma can impact an individual’s physiological responses and overall well-being.

Trauma’s Impact on the Nervous System: 

When an individual experiences trauma, the autonomic nervous system may become dysregulated. Chronic exposure to stressful or traumatic events can lead to a heightened sympathetic response and an impaired ventral vagal system, hindering the ability to regulate emotions and navigate social interactions effectively. 

Additionally, trauma may result in an overactive dorsal vagal system, contributing to symptoms such as dissociation, anxiety, and depression. 

Understanding these neurobiological changes is crucial for developing effective interventions. Here’s several examples of patients* who’ve who’ve come to me for treatment:

  • The middle-aged patient with depression, who finally connects his dissociation and inability to focus, constipation, and recurrent sinus infections to the stress of his childhood-being raised by an alcoholic mother.
  • The 21 year old college student  who has diarrhea, difficulty tolerating foods, eczema and painful periods- who also lives in a state of fight or flight that she experiences as ADHD and anxiety.
  • The perimenopausal small business owner who is starting to have night sweats, weight gain, change in her bowels.
  • The sleep deprived mom of 3- shuffling kids from activity to activity, managing a household, cooking, who has difficulty finding time to exercise, meal prep, and meditate and who experiences chronic HIVES and cannot clear toxins like mold from her system.
  • The retired patient who has long haul covid after years of reflux symptoms, a short fuse and anger management issues, recurrent sinus infections, and a history of insomnia.  

Ketamine and Trauma Treatment

Ketamine, traditionally known as an anesthetic, has garnered attention for its potential therapeutic effects on trauma-related conditions. 

Recent research suggests that ketamine may influence the N-methyl-D-aspartate (NMDA) receptor,  a receptor in the brain leading to neuroplasticity and the formation of new neural connections.  

What this means is that the brain is literally rewiring itself, allowing faulty connections (synapses) to reconnect stronger and with more integrity. And what we experience physically is less anxiety and depression and the somatic manifestations of those states of being. 

Moreover, ketamine’s impact on glutamate transmission may play a role in dampening hyperactive neural circuits associated with trauma. 

Studies exploring the use of ketamine-assisted psychotherapy indicate promising results in alleviating symptoms of post-traumatic stress disorder (PTSD) and depression.  

I’m brought to my 20-something  patient who came to me, unable to work, in chronic pain, almost bed bound and with suicidal ideations.  After only 2-3 months of treatment, he is starting graduate school, his pain well integrated and understood, and walking with a new found confidence in himself.   Both having rewired the neural-circuits and integrated his experiences during his sessions into his daily life and conscious awareness.  

Ketamine, with its potential to modulate neural circuits and promote neuroplasticity, emerges as a novel avenue for trauma treatment. As research in this field continues, integrating biological insights with innovative therapeutic approaches holds promise for advancing chronic stress and trauma care and improving the lives of individuals affected by trauma.

As a practitioner, having a cutting edge tool like ketamine has been one of the most profound ways I have helped patients heal their physical body. If you’d like more information about Ketamine treatments at Blum Center for Health contact our team at 914.652.7800 or on our website www.blumcenterforhealth.com 

*distinguishing characteristics have been removed to protect patient identity.

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10 Ways to Reduce Your Coronavirus Stress Response

Out of nowhere we’ve been blindsided. Two months ago we never could have imagined the Coronavirus pandemic that is literally bringing the world to a halt. 

We want you to be safe. We want your loved ones to be safe.  And when you stay safe, you help the greater community stay safe, too.

And besides everything you can do physically to ensure safety — washing your hands repeatedly and staying at home as much as humanly possible (yes, isolating) — you must also give your stress response a break. Seriously. Your immune system depends on it.

One of the common threads of Dr. Susan Blum’s books, The Immune System Recovery Plan and Healing Arthritis, and in all our clinical work at Blum Center for Health is this: Stress damages the immune system.

In order to keep your immune system strong, you must employ strategies to minimize the effects of stress.

10 Ways to Reduce Your Coronavirus Stress Response

Create News Blackout Periods — Constantly scrolling, listening to the radio or watching television puts your body on unrelenting periods of high alert. Put in place a news plan. When will you consume your news? I recommend once in the morning and once in the evening for no more than 60 minutes. During the rest of the day, shut off the notifications on your phone, turn off the television and stream podcasts and music that makes you feel good. 

Use Social Media Wisely — Your feed is inundated with COVID19 related news — some of it accurate, some of it false, much of it alarmist, and you likely have friends and family that are in pure panic mode. Perhaps you need to mute a few people, but more than likely you need to step away. Just as I’ve suggested News Blackout Periods, do the same with social media. No, you don’t need it to stay connected to people.  You know who your friends and family are — reach out to them the old fashioned way — call them!

Reframe Your Worries — Here’s an example: My mom is 87 and lives with me. I’m doing everything I can to minimize her exposure. And, my father-in-law is in assisted living — while the building has been closed to visitors for a week, we received notification that someone who visited a resident has since tested positive. I’m a worrier. But, every time I start to feel myself getting worked up, imagining worst case scenarios, feeling that too-familiar constriction in my chest, tingling arms,  combined with swallow breathing, or most likely, holding my breath, I ask myself: “Does my worry change anything in this moment? Is there anything that I can change that would alleviate the worry?” If the answer is yes, I do it. If the answer is no, then I shift my thinking to: “What are my blessings in this moment?” My mom is fine, I’m doing everything I can to keep her safe. My father-in-law is okay. There are no reported cases at his home, and they’ve been closed to visitors for a week. I’m grateful for the sunny day. I’m grateful for the food in my fridge. I’m grateful for an internet connection so that I can stay in touch with my family and friends.

Get Out in Nature — Take a walk. Research shows that walking in nature has a calming effect on your immune system. Take one long walk, or you can take several mini walks throughout the day. 

Breathe — If you’re already meditating, awesome! Now is a great time to deepen your practice. If you’ve been “too busy” to start meditating, well … opportunity knocks! This is the perfect time to get started.  Use an app like Headspace or Calm, and start with 10 minutes a day. There is clear evidence that a mindfulness practice reduces stress, promotes healthier bodies, including taking care of your immune system, and over time, teaches you how to respond to stressors rather than react to them. That comes in pretty darn handy in times like this!

Choose Movies and TV Shows Wisely — Watching disaster movies, action movies and Debbie Downer dramas and documentaries are probably not the way to go right now. Your brain and your body absorb all the negativity, elevating your stress response — not only in the moment, but it fuels your worries and plays a role in disrupted sleep. Choose uplifting, fun, funny shows to watch. I bet you have a list!

Use the Time to Nest — When was the last time you were told to stay home? I mean, were you ever told to stay home? Yes, it’s a very worrying time, but you can also look at the bright side. What projects do you have that have been on the back burner for when you have  more time? Clean out closets, organize your home office, spring clean, get out the clothes that need mending, make your space feel homey and light. You might even try some aromatherapy — use your diffuser, if you have one, or light candles (preferably soy-based, rather than paraffin).

Have Fun with Homesteading — What do I mean? Bake from scratch, include your kids in cooking meals, try some new kitchen skills, like sprouting beans or preserving lemons. Or maybe there’s an InstaPot recipe you’ve been wanting to try. Now’s the time!

Connect with Friends and Family via Video (or Telephone) — Just because you’re home doesn’t mean you have to be isolated from your friends and family. In fact, with nearly everybody at home, it couldn’t be easier to connect with those you love. Use video to make lunch dates or connect in the evening rather than watching television. Do you have older people in your life that aren’t comfortable with technology? A good ole phone call will make their day (and likely yours too.)

Eat Real Food — During times of stress many people lean on packaged foods, and sugary, empty calorie foods — these deplete your immune system! Focus on antioxidant-rich vegetables and fruits — at least half your plate at every meal — healthy fats, like avocado, wild caught salmon, nuts and seeds; and whole grains, like gluten-free oats, wild rice and quinoa. Legumes are a great source of plant-based protein.

What are some of the ways you reduce stress during trying times? Share them. We’d love to hear.

Wondering what else you can do?

Read Dr. Blum’s blog post: Tips for Boosting Your Immunity 

Check out Dr. Yee’s Fire Cider Brew to help boost your immune system. 

 

Meet Melissa: Melissa Rapoport is the Manager of Health Coaching and Lifestyle Programming at Blum Center for Health in Rye Brook, NY. She combines her graduate work in Developmental Psychology with her education in nutrition, health and coaching to create highly individualized programs that result in lifetime change. A contributing author to three international bestselling books, Melissa’s greatest joy is her relationship with her two daughters. To learn more about Melissa’s coaching practice at Blum Center for Health, click here.

 

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Viewing Depression Through a New Lens

Many people accept depression as natural or even earned.  But everyone deserves full access to their rich potential, which is why treating depression first starts with acknowledgement. Once acknowledged, the next step is searching out proper care for ailing self and loved ones.  

Careful diagnostics are necessary to identify the specific type of depression and what factors underlie it. Diagnosis drives treatment. We need root cause insight into why one is depressed.  Then a comprehensive and personalized treatment plan can be developed regardless of the cause, because there is always something constructive to be done to help.

In the case of major depression, medical assessment, psychodynamic interview, exploration of mental health history, and detailed psychiatric categorization combine to reveal sophisticated diagnostic conclusions. A thorough workup is productive. And a comprehensive treatment plan maximizes the likelihood for an optimal outcome.  

Orthodox, functional and holistic medical interventions often make a huge difference. Direct manipulation of brain chemistry by medicines – natural or synthetic or nutraceutical –  can be profound.  Various psychotherapeutic interventions can bring sizeable reward. A major facet of an inclusive strategy for managing depression is self-help and the nurturing of self-perception that emphasizes patient empowerment and health over passivity, powerlessness/valuelessness, and sick role. Healthy lifestyle also plays a key part in supporting optimal mental health. And an enriching doctor-patient relationship is a virtual prerequisite to push patient health forward.

Many Depressions, Many Treatments

There is depression like, “These hapless New York Knicks depress me.”  And there is depression like “I am ill, with overall dysfunction, and with loss of interest in things.”  This kind of depression can come wIth sadness, plus hopelesssness and worthlessness, with lethargy and apathy.  It can even come with changes in eating and sleeping or with suicidal thinking. Same word, two very different entities.  Different causes.

Depression can have many different root causes.  Once we determine the root cause, the treatment can be targeted and personalized.  Underlying causes include:

  • Bipolar disorder  
  • Various metabolic, neurological, immunological inflammatory and infectious diseases cause depression.  
  • Substance abuse is a prime culprit for depressive outcomes.
  • Traumas, catastrophes and maladaptations will fuel depressive reactions.
  • Environmental and interpersonal “toxins” feed depression.  
  • Certain Psychodynamic and personality features tilt one towards mood problems.  
  • A biochemical predisposition to depression  will result in episodic, seasonal, and chronic depressive states.  

Here’s the Great News: Depression Can Be Reversed

Sufferers with major depressive disorder and dysthymic disorder (chronic depression) alone represent the second most costly disease on planet Earth and number roughly one in seven of us! All forms of depression ruin lives and can be reversed. Major depression alone is a devastating illness but it is amenable to improvement.  Nothing works better than a comprehensive, integrative, game plan. Let’s make one for you.

 

Dr. Stephan J. Quentzel, MD, MA, is an Integrative Psychiatrist at Blum Center for Health.  In his practice, Dr. Quentzel sees teenagers and adults for the widest of psychiatric concerns. He integrates brain sciences and psychiatry with general medicine, psychopharmacology, psychology, philosophy, ecology, psychotherapies, preventive medicine, herbal pharmacotherapy and nutritional studies, self-help, lifestyle improvements,  and the healing strength of compassion,  all in pursuit of optimal broad health and happiness for each client, specific to their unique needs and interests.  Man an appointment with Dr. Quentzel at 914-652-7800.