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Anxiety & Depression: What Sufferers & Those Who Love Them Should Know

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In Brief

  • The Facts:

    Anxiety and Depression can be caused primarily by biological and genetic factors, psychological and trauma issues, environmental issues, or a combination of these.

  • Reflect On:

    Consider that due to A&D’s popular stigma, a narrow-visioned belief system, and the severity of these conditions, it’s wise to keep an open mind and learn more in order to be more compassionate and helpful to those suffering.

Before you begin...

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Clinical anxiety and depression (“A&D”) are often terrifying experiences, especially when we don’t know what’s happening to us and don’t have support. An overview and relatively comprehensive information guide to self-treatment and professional support can be invaluable and what I will try to share with you here. When I was caught in the vortex of A&D, I searched long and hard for insider information to help me. I couldn’t find very much and the therapists I initially saw didn’t help much either, until I found the right kind of therapists with experience in A&D.

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This article shares some of what I learned on my successful journey through A&D out to the other side (which at one time I thought I’d never see). It contains much of what I wish I had known when I was in the midst of that storm. I also share some facts and commonly misunderstood aspects of these conditions. Part of the reason for much of the conflicting information out there is the many ideologies and limited understanding perpetuated by people who had mild events, who haven’t been through serious A&D themselves, and who have not been in close contact with others who have A&D.

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I have been through extreme anxiety and depression myself, had A&D sufferers as patients, and lived intimately with sufferers while I was in treatment. With this said, I am a Chinese medicine physician, not a psychotherapist, and this article is not intended to substitute for professional psychotherapy or psychiatry help, which I think are crucial for anyone in severe A&D.

So, I speak both personally and objectively about these extremely challenging conditions. My hope is that you will be saved some of the grief I suffered and this writing will help wisely inform your choices.

The Stigma

The most common mental illness in America is anxiety; this is followed by depression, the latter which affects more people worldwide than any other mental illness. I call A&D “evil twins” because they were nothing short of hell to get through, more so than any experience I’ve ever had, including massive grief and nearly becoming paralyzed as a teenager.

The stigma—a societally perpetuated fear, attack, and mischaracterization—on mental illness has developed because of a lack of understanding, fear, and perpetuating false perceptions that serve no one, especially not the sufferers. When your brain goes out on you, as your knee or hip might, it’s devastating because you no longer can guide your life in the way you once did. Except our brains affect every aspect of our lives, not just gait and movement. When we lose our inner world to A&D, we simultaneously lose our outer world because nothing makes much sense anymore and it can become impossible to navigate the simplest tasks.

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Most recover from mental illness, just as we do from other illnesses. In fact, between 70 and 90 percent of the individuals who are treated for their illness have a reduction in symptoms and improved quality of life. So, getting proper and prompt treatment is crucial.

We have a long way to go in our understanding, acceptance, and treatment of these disorders, all of which will undoubtedly help the victims of these hellish diseases receive more compassionate care and financial assistance.

Mental illness is not usually some scary monster that makes us “crazy.” And no, mental illness is not well-correlated with mass shootings; this false meme only increases the stigma on mental illness; insightful and revelatory articles on the subject are here and here.

It’s also helpful not to describe mental illness sufferers with pejorative, vague terms like “crazy” that offer little meaningful information and are more judgmental than anything else. Mental illness is a disease process, like the flu or diabetes. The latter affect the lungs and pancreas, respectively, and mental illness affects primarily the brain, endocrine and nervous system, also parts of the body.

While we can learn from A&D, and important “messages” and psychological growth can be gleaned from them, this may not be the best perspective to take when afflicted. Sometimes we just have to get through them, as we would the flu, and get our physiology balanced again, encompassing both psychological and physiological treatment (mind and body). Most often, some combination of both cognitive and emotional learning, as well as good old-fashioned biomedical help, are in order.

Because of the stigma, we might resist identifying, admitting, and therefore seeking help for mental illness for fear of being marginalized, embarrassed, or ridiculed. But, as with most other disease processes, the sooner we get treatment the better for recovery. So, if you or a loved one is suffering from mental illness, try to cut through the misinformation and fears that sabotage healing and get help. Usually those who have suffered mental illness are able to understand and empathize with other sufferers, as can an experienced therapist.

Yin & Yang ‘Evil’ Twins

There are different types of anxiety, just as there are different types of depression.

In this article, I refer to anxiety primarily as severe anxiety that is more than everyday worry or anxiousness that comes and goes. Clinical anxiety is persistent anxiety that is considered an “anxiety disorder.” It usually doesn’t go away on its own, can get worse without proper treatment, and can be accompanied by anxiety or panic attacks.

I discuss depression primarily in the context of severe depression which is known as clinical depression, or major depressive disorder (MDD). Depression is more than low mood and normal sadness. It’s more than being bummed out that it’s raining or  that you missed a movie date, or feeling “off.” In fact, depression causes us to perceive extreme negativity in things that would normally cause us only mild discomfort. This is consistent with the well-known adage among sufferers that “depression lies.” Well, anxiety also causes us to believe the worst, and it also lies. Both evil twins distort our beliefs about most of reality that we otherwise wouldn’t when we are regulated (“normal” and manageable) in mind and body.

Depression and anxiety are neurological partners and often co-occur, just like Yin and Yang. Anxiety is Yang (outward, activating) and depression is Yin (inward, quiescent). True to the interdependence of Yin and Yang, depression gives rise to anxiety. And anxiety can give rise to depression, especially when it begins to exhaust our resources. Both usually affect normal sleep patterns and cause insomnia. In atypical depression, one may actually sleep longer than usual. In either case, these evil twins are a menace and in my own battle with them some years ago I could hardly determine which was worse.

Depression and anxiety also often affect relationships, ability to make even the simplest decisions, ability to work and carry out once ordinary daily tasks, and otherwise live a normal life. Suicidal ideation and suicidal plans are also common symptoms. A&D can become utterly crippling and can totally consume us, especially without proper treatment. Again, the sooner they are treated, usually leads to quicker and better recovery. A more complete list of symptoms for depression can be found here and for anxiety here.

Not Necessarily A Reason

If you are anxious or depressed, you might think there is a reason for this beyond genetics and physiological imbalance, and that this reason can be identified. Like many, you might think there is a psychodynamic reason for this, which refers to some aspect of your psyche beyond its mere physiology. Examples include past trauma, lifestyle circumstances, childhood issues, unconscious forces, or other inter-relational events that affects your state of mind. This is not always the case, and it can be impossible to determine what caused your downfall.

In most cases, focusing on what is going on rather than why it’s happening is more helpful for recovery. In other words, first just try to get better by any means and leave any inquiry into why for later. An exception to this is if your A or D has actually been precipitated by a cause, which I address just below. With this said, recovering from depression often takes action, not a lot of thinking, except to trust what others in the know encourage you to “reframe” (think about from a different perspective). As one good therapist said to me, “Jack you won’t be able to think your way out of this.” Boy, did I learn the truth of that as time went on.

Anxiety and depression, like other mental illnesses, often have a genetic component, meaning you inherit the predisposition (called a “diathesis”). If any, or several, family members suffer, you might carry the genetics, making you more likely to sustain either. Often, a stressful life event can trigger genetic predispositions and even epigenetically activate (alter genetic expression of) these syndromes. Many stressful factors and physiological changes acting together and compounding one another can precipitate A&D episodes.

Once we are more regulated (balanced and homeostatic), we will likely have a clearer perspective on our condition. We may then understand more of the why. With this said, sometimes the primary reason we fall into anxiety or depression is due to an identifiable cause, and learning about and working through the issue(s) can help us recover. It’s best to talk to a good therapist with A&D experience to determine the best course of treatment.

If we are very anxious or depressed, it’s only logical to think that something is making us anxious or depressed. In other words, if I am depressed I might think that I must be depressed about something. After all, our emotions are signals of something, right? Well, sometimes yes and sometimes no, and often some of both. Feeling of anxiety or depression often have no meaning and value other than to make us suffer, so it’s helpful during either to not take our feelings or thoughts too much to heart.

Clinical depression and anxiety are disorders, and there is not necessarily a psychodynamic cause behind them. In fact, depression is thought to be some 50% attributable to genetics, according to studies at Stanford. This means that in many cases it’s truly not your fault (not that it is anyway), and depression is not easy to control or navigate on our own, any more than we would be able to heal from cancer or a heart attack on our own.

We need help, and in a fiercely independent culture where we think we are supposed to be able to manage everything on our own, we might try to go it on our own, which can compound our distress. It’s especially important to have support through mental illness, not only from professionals but from supportive family and friends. This necessity poses a bit of a catch-22 because depression and some forms of anxiety cause us to want to retreat and isolate ourselves. While this can feel good in the short-term it’s often not advisable, which is why in A&D we often have to act counter-intuitively…to go against what feels good in the moment in service of what is going to help us heal little by little for the long run.

Feeling understood, accepted, and genuinely supported are crucial for healing from A&D. It’s just as important that we treat ourselves with ultimate kindness, that we become our own best friend.

Recovery

Very often, and more commonly among some popular online psychology gurus, unconditional acceptance is offered as a way out of any troubling psychological dynamic. Some even promote shadow work as the proper psychological medicine for such ails. While I consider shadow work crucial for becoming a human being of integrity, it’s not necessarily the best way through clinical anxiety and depression, or at least not initially.

Some degree of unconditional acceptance is helpful in any therapeutic process, but it must also be carefully integrated with tough love when it comes to healing from mental illness. This is because healing from mental illness often requires what’s called opposite action: that we do the opposite of what seems intuitively right, that we do what we don’t feel like doing. Opposite action is usually what is counter-intuitive. Opposite action is doing what we don’t feel like doing, or don’t think will help, but which indeed is helpful. For example, unconditionally accepting that a depressed person doesn’t feel like exercising, and therefore won’t, may not help him get better. This is because exercise is considered important medicine for recovery from anxiety and depression and it’s usually best to get some, any, exercise even though a depressed person—and less frequently, an anxious one—doesn’t feel like it.

Weaving compassion and tough love together, we might respond this way, in a compassionate yet clear tone, to someone who is depressed: “I hear you don’t want to exercise and you feel that you can’t do it, but it’s important that you try to move around, even for a few minutes.” We can also speak to ourselves (self-talk) this way if we have depression. If anxiety is predominant, we might legitimately need to rest (possibly in addition to exercise), because anxiety taxes our resources and tires us out. So does depression. Please remember to speak gently and kindly, even when firm, to anyone with A&D; you just can’t imagine how horrendous it is if you haven’t suffered it yourself.

Curiously, and contrary to popular belief, stress hormones are usually raging inside someone who can’t seem to get off the couch. Because depression causes real biological fatigue, a person with severe depression may truly not be able to exercise at all. In this case, pure unconditional understanding is helpful.  Maybe the next day, encouragement to walk even a few steps is a good idea, and the next hour or day, a few more. When I was in recovery, I began with 3 minutes of walking, which I increased from there. Prior to falling ill, I was exercising every day and could hike for hours. When I feel into depression, 3 minutes seemed like a marathon. Often, a depressed person needs to override real or perceived inertia in order to feel better in the long run, while not overdoing it. Slow and steady usually wins this race.

While anxiety or depression might cause us to feel like we’re going to die, it’s not a good idea to freak out about this feeling, which is to become “anxious about being anxious.” Feeling as if you’re going to die is how the brain automatically interprets intense fear. Again, these diseases “lie,” making us believe a reality that is not real except in our temporary perception of it. And this is key: the perceptions and imaginations we have while ill are temporary, just like it can feel like we will never get better, or that we will be forever bedridden, if we have the flu. We can and do get better. Life can turn around on a dime, and we need others to hold this hope and reasonable reality for us if we are unable to, which is often the case because it’s very, very difficult to believe this when in the midst of severe anxiety or depression.

While empathy can be generated, only those who have been through the gauntlet of A&D truly know what it’s like. If you have not experienced them, trust me, it’s virtually impossible to fathom, and it’s worse than you can imagine. Prior to my bout, I worked in a medical clinic treating people with these disorders. While I sensed their distress, as I do with anyone suffering, in hindsight I see that I could never have truly understood their experience. After having passed through them, I am back at work in the clinic and my empathy and compassion are much deeper, and I can relate on all levels to the utter confusion and terror of these states. While I can never know precisely what another is feeling, suffering from the same disorder gives a new order of relatability.

When clinically depressed and anxious, I responded best to those who spoke slowly and gently and who actually heard what I was saying and were able to understand me. Even if you don’t understand what it’s like to have clinical anxiety or depression, you can still empathize to a degree by remembering times you have suffered greatly. Indeed, part of why I have written this article is to give an outside’s perspective if a loved one of yours is suffering.

Disclaimer: while I have written about the dangers of the happiness and positivity craze and not ignoring our difficult thoughts and feelings, this approach is usually not helpful during the distorted experience of A&D , anymore than it’s helpful to give too much weight and attention to our difficult thoughts and intense feelings when we are upset or melancholy due to a bad night’s sleep, an argument, feeling excessively stressed, being hungry and having low blood sugar, or being sick with the flu, as examples. Hint: Getting poor sleep, common during A&D, can make depression feel worse. So, when I didn’t sleep well, I would remind myself throughout the day, “Don’t take anything you think or feel today too seriously.” I was already not taking things too seriously, and when I wouldn’t sleep well, this was especially the case.

A&D are distorted states and a Catch-22: it’s virtually impossible to think clearly about anything in these states because the very brain we think with is imbalanced, and this imbalance affects the quality of our thinking. But it’s not black and white: there are usually some thoughts and moments of intuition or revelation that you can recognize as more sane than others, that more resemble “the old you.” Attach to these, trust these, even if they are short-lived; use them as anchors.

It’s crucial to leverage any positive experience, any foothold we have, to regain regulation and better functioning, so we spiral upward and not downward. This leverage might be the hope someone else holds for us, the part of our thinking that does realize we are distorted and can let go of these distortions more easily, the ability to exercise, to laugh, to quiet our mind, to do anything rewarding and fulfilling, a medication or supplement that helps us feel and/or think better. Whatever. We use any leverage we can to gain more of ourselves back. During A&D, we try to invest our attention in the things that help us recover in the same way we would invest money wisely in order to grow our profits. Sometimes we don’t have any leverage, which is just one more reason it’s valuable to have others who can hold us (up) and remind us when we can’t.

Meditation & Mindfulness

I have been a meditator for years. However, I found that sitting meditation with eyes closed (mindfulness style) was not helpful for me during A&D. My mind was so disturbed and distorted that I couldn’t help but get stuck ruminating on my negative automatic thoughts and perceptions. Such rumination made me feel worse and is actually contraindicated in depression and anxiety. What I needed was a break from these thoughts, and sorry, but while suffering anxiety and depression I did not have the regulation and mental resiliency to just “let the bad thoughts go.”

Indeed, the vaunted capacity and quality for “awareness” is not constant and immutable; it varies with physiological and neurochemical changes. I was not in a place to be any closer to my negative thinking and feeling; I needed a break from them, as far away as I could get from them actually, so that my psyche could begin to find its balance again by way of the “mind healing the mind,” as I discuss below. For me this meant letting my mind get a break from itself.

So, silent, eyes-closed, sitting meditation just wasn’t my medicine. But it might be yours, especially if you are suffering from mild depression, also known as “subthreshold depression,” and anxiety. Therefore, disregard what I say if it doesn’t fit for you for whatever reason. I just want those who suffer from meditating during A&D to know they are not alone and to feel empowered to ditch it if they want to and not suffer more than they have to.

In researching this topic I came across a bold and helpful article by Therese Borchard, echoing my sentiments about mindfulness meditation. She quotes the work of Jon Kabat-Zinn, the “Dalai Lama” of the mindfulness meditation world, who says in his book:

“It may be wise to not undertake the entire program while in the midst of an episode of clinical depression. Current evidence suggests that it may be prudent to wait until you have gotten the necessary help in climbing out of the depths and are able to approach this new work of working with your thoughts and feelings, with your mind and spirit unburdened by the crushing weight of acute depression.”

In response to this statement, and how her depression wasn’t really helped by mindfulness meditation, she reflects:

In hindsight, I wish there was more than one paragraph in Zinn’s book about when mindfulness isn’t the solution, about when it’s better to swim laps or ride your bike into town or call a friend you haven’t talked to in a while. I still would have taken the course — and I do feel like I benefited immensely from it — but I would have been more forgiving of myself that it didn’t “work” like everyone else’s magic.

And in response to her meditation teacher finally agreeing with her, she goes on to say:

He confirmed what I was thinking during that moment and what has been my experience: mindfulness is better at keeping a person from getting depressed than from pulling a person out of depression.”

Indeed, this is the result of a study that found this to be true: that MBCT (Mindfulness Based Cognitive Therapy), which “revolves around mindfulness meditation,” can help to prevent a depressive relapse. And anxiety too.

We now know that via neuroplasticity (re-wiring the brain) we can use our minds to heal our minds; this happens because the quality of our thoughts affects the biological functioning of our brains to, among other functions, produce a more balanced flow of neurochemicals. The trick in A&D, however, is to have enough good mind (mental leverage) to be mindful enough to affect our impoverished mind back into balance. This is one way that CBT (cognitive behavioral therapy) therapy is crucially helpful in A&D. It’s this good thinking that helps us do the right things for ourselves (self care), such as distraction to give ourselves a break from the onslaught of negative thoughts and feelings that are both symptoms of A&D and causes for it worsening.

Thinking positive thoughts actually has a corresponding positive physiological effect. So does smiling, even if we don’t feel happy. In other words, merely by thinking positive thoughts (very tough during severe depression and/or anxiety) can make us feel and think better. Similarly, the mere act of smiling can make us feel happier by changing our neurophysiology.So, it’s generally a good idea to try to smile during depression, and to do so counter-inuitively and in opposite action to what we feel like doing—namely, not smiling.

Many meditation practitioners might tell you it’s fine to feel worse and this is part of the “meditation process.” When I was not ill (and presently), I agree, sitting with distressing thoughts and feelings is difficult yet still helpful. But not during A&D. I also remember feeling worse about myself because meditation would bring me intimately closer to my distorted thinking (including suicidal thoughts), which was tough to get away from even with eyes open and active. This was not okay, and when I finally gave up trying to meditate my way to health, I felt relieved and fared better.

What I did find helpful, however, was ordinary mindfulness: being mindful of my distorted negative and anxious thoughts. And, I didn’t need to sit with my eyes closed for this. As alluded to above, this is the basis of CBT therapy, which helped immensely. I found it easier to let go of distressing thoughts (“thought defusion“) and feelings (“emotional defusion“) while active. To do this, I practiced not spinning stories or buying into the apparent importance and truth of my thoughts and emotions, which are distorted during A&D. “Distraction,” which I mentioned also helped, is a DBT technique. As for Therese Borchard, walking with friends, exercising, writing, watching TV and listening to music, reading, playing games—anything that took me away from ruminating—was helpful. By giving my mind a break from itself, after some time my physiology and neurochemistry became more balanced and I could see my disturbing thoughts and feelings more accurately for what they were: distorted, unhelpful, and largely meaningless.

In sum, be as mindful as you can and let go of beating yourself up if you can’t or don’t want to sit and meditate—it’s okay. Ironically, this can help your mind heal your mind, which is supposed to be a benefit from mindfulness meditation.

Medicine

I am a holistic physician practicing Chinese medicine. I and many of my colleagues, even M.Ds, try to stay away from pharmaceuticals. When I was in the early days of A&D, I never imagined I would need to be on anti-depressants. I was mortified by the thought of it and resisted them for months, until it got so bad that I welcomed anything that would help. Lesson: just as Western medicine is helpful for many conditions that holistic therapy cannot tackle, such as surgery and life support, pharmaceuticals can be life-saving to those with A&D. And, yes, I tried just about every holistic treatment available. So did a wise and now level-headed elder friend of mine who said this to me during a recent discussion:

I tried all the alternative prescriptions for A&D recovery . . . like diet and herbs and acupuncture and supplements and exercise and massage etc., etc . . . and I tried them with enormous commitment and dedication, and yet I STILL had to end up taking antidepressants. Im sure the other stuff helped . . . but alone it was NOT enough to save my life . . . it was ‘Big Pharma’ and a couple of awesome Psychiatrists who saved my life.

In the end, I don’t know if the medication helped me, and I don’t regret taking the pills. Just like Western medicine generally, pharmaceutical companies gets a bad rap, and often for good reason. We therefore might conclude that all their medications are unnecessary and useless. This is not only unfair, but unwise. While many more people are on antidepressants than should be, for many sufferers these drugs offer relief from an illness as debilitating as any around. You can listen to what world-renowned professor and depression survivor Robert Sapolosky has to say about depression. Adding insult to injury, many who take antidepressants are further shamed or stigmatized in addition to the stigmatization they already endure. Alternative medicine’s propaganda and stigmatizing of pharma medications likely causes more damage and additional suffering than necessary.

With this said, I tried every means possible to relieve my symptoms by natural means and none worked well enough, not even close. I felt like a failure for this, which added (unnecessarily) to my distress. Finally—and too late in the game—I had to go to the big guns. So, by all means, give the natural remedies a try. In the case of severe A&D, this decision should be made with the aid of your health care professional/s. But if nothing works well enough, don’t be afraid to consult with a psychiatrist for meds. Antidepressant and other medications, even with their potential side-effects, can provide much-needed relief. Yes, it can get so bad that any relief is desired as soon as possible.

With this said, anti-depressant medications don’t always work the first time around. In fact, for moderate to severe depression, they are effective about 50% of the time. A period of trial and error is often needed to find medication that works best for any individual, and they usually take between 4 and 8 weeks to take effect. I encourage you to partner closely with your doctor and mental health professionals. You are the expert on your symptoms and you doctor needs to hear what you’re experiencing. This will help you work together to find the right medication, or combination of medications.

For some, and by no means all, anxiolytics (anti-anxiety meds) and antidepressants help resolve anxiety and depression, respectively. Remember, there isn’t always a psychodynamic reason why we get anxious or depressed. Medication can also be helpful to help us get a foothold and begin to dig ourselves out of the trenches. They can help regulate us so that our prefrontal cortex (the rational, self-reflective part of the brain that shuts down in depression) comes “back on line” enough that we can absorb, remember, and comprehend crucial information and gain necessary perspective on our illness to be able to navigate it in ways that support our recovery. In these cases, medication does not mask mental illness or act as a harmful crutch, but helps us recover from it. Once we make strides and are able to exercise and function more normally, we may not need the medication. The choice to come off or get on medication, however, should be made with the help of a doctor.

Even if a person’s depression or anxiety is due to psychodynamic issues, medication can help to regulate the mind so that any identifiable issues that precipitated the illness can be productively worked through. Again, in acute A&D it’s difficult, to say the least, to perceive anything clearly enough to make strides. But again, it can be helpful to do so, especially with the help of a good therapist. Indeed, medication in combination with psychotherapy has been shown to be more helpful than medication alone for recovery from major depression (which often presents with its evil twin sister, anxiety).

Again, antidepressants are not for everyone, and the research literature clearly states this. But for some, they are an invaluable component to recovery. Since suicidality is a symptom of depression, medication literally saves lives. With this said, and ironically, antidepressants have been shown to increase suicidal ideation and behaviors in a “small number of children and teens,” so specific precaution and monitoring is needed for this age group. These are specifics to discuss with a qualified health professional.And, if you’ve been severely clinically anxious or depressed, you likely know the desperation to do anything to get out from the dark shroud of severe depression and the relentless inferno of anxiety. From my own experience, witnessing others go through the gauntlet, as well as from researching the subject, I endorse whatever helps someone get through without creating a bigger problem.

Psychoterapy

Two of the most helpful therapies for depression and anxiety are CBT (cognitive behavioral therapy) and DBT (dialectical behavior therapy). Here’s the classic DBT handbook authored by its developer, though my experience is that the book is not a substitute for working with a therapist, even a DBT-trained therapist. Part of this reason, is that in severe A&D, it can be tough to read a single line, much less a chapter or a book, make any sense of them, identify the proper advice for you and then, after all that, put the suggestions into action.

As mentioned previously, acting counter-intuitively, or what is called “opposite action” in DBT terms, can make a big difference. This includes not listening to our warped feelings and cognitive distortions (faulty perceptions and bad ideas). This is also why “intuition” and “trusting our feelings” as guides for how to act during A&D can be counter-productive and outright disastrous. An ordinary example we can all relate to is not wanting to get outside or get out of bed to take a shower or go for a walk. But once we do we feel better. Same for depression, unless we truly can’t get up for physiological reasons not due to an apparent lack of motivation.

As mentioned, psychological depth work is not usually appropriate in severe depression unless a significant cause of the disorder is due to these psychodynamic causes and one is regulated (functional) enough to undergo the process of hashing through past hurts and the emotional upheaval this causes. In severe A&D, depth work is usually not a recipe for success because bringing up more dysregulation and intense emotion when balance and stability are needed can sabotage recovery. Again, it’s difficult to see any issue accurately during A&D. Getting counsel from a good therapist with experience treating these conditions is invaluable and usually best to help assess what is appropriate to guide treatment.

Lastly, I want to mention that when medication and talk therapy don’t help enough, other treatments for depression you can consider include: ECT (electroconvulsive therapy) and rTMS (repetitive Transcranial Magnetic Stimulation). Even psilocybin mushrooms seem to have helped some, but opinions vary and the evidence is yet scant.

Other Factors

Biochemistry shifts with age, stress, diet, hormonal changes, environmental factors, genetic/epigenetic expression, and anomalous brain wiring. All these can cause significant mood changes. So, if you are anxious or depressed, it might not be due to something you are doing or have control over—that you can put your finger on and fix. It might be largely genetic and triggered by a stressful life event. OCD (obsessive-compulsive disorder), for example, is an anxiety disorder that causes anxiety for no logical reason (other than anxiety!). OCD and other anxiety disorders amplify usually mild issues or events and make them seem multiple times worse than for a person with more common responses to everyday anxiety.

OCD, GAD (Generalized Anxiety Disorder) and depression cause us to think that events themselves are causing our distress and they are responsible for our feelings and perceptions. It’s actually more our highly distorted response to events that causes our suffering. Anxiety and depression latch onto whatever we might think about. Our mind is “latches onto” and spins tornadoes from what would otherwise be mildly distressing events. This is why therapy in general, and specifically being able to witness and be aware of our reactions (a key tenet of CBT), is so helpful to recovery; it allows a more regulated and balanced version of us to guide our responses to disturbing thoughts and feelings, rather than being so caught up in our negatively-generated and alarming thoughts and feelings that they take over and own us.

Psychodynamic triggers can indeed trigger unpleasant emotional states but are not the cause of all, or even most, of anxiety, depression, and other mood changes. With this said, sometimes our anxiety and low moods are signals for real-life issues, past or present trauma, lifestyle, coping, and other unhelpful dynamics that need to be addressed. Often, it’s some combination of both real-life events and underlying anxious or dysthymic (low mood) tendencies to which we are genetically predisposed and/or triggered into that cause anxiety and depression.

In cases of mild and even moderate A&D that have their source in life issues, sorting out the impacts of such dynamics with a trained and sympathetic therapist and/or psychiatrist is a good way to learn more. When psychodynamic issues are at the root of depression or anxiety and go unaddressed, chances are that suffering will continue, even if temporarily masked by medication. Again, skillful timing and personalized treatment are key here. If the cause is more biological in nature, medication is a modern miracle that can help recovery.

Anxiety and depression are illnesses like any other biological illness, it’s just that they occur primarily in the brain. We are more familiar with less stigmatized diseases such as diabetes, migraines, or Alzheimer’s and cancer. These are diseases that largely happen to people, just like mental illness. But with mental illness, somehow we have the idea, in whole or in part, that someone with depression or anxiety can just snap out of it and that they have control over their condition. We wouldn’t say this to someone with diabetes or cancer; neither should we address an anxious or depressed person this way. An astute friend recently commented this in response to an on-line post I made about A&D:

“There is a mountain of stigma, judgement, opinionating and misinformation to be overcome by people who are trying to live with and manage their Anxiety and Depression (as though just being afflicted with these dreadful conditions it isn’t hard enough already.) No need to take on the shame or misinformed projections of people who ‘think they know’ what these illnesses are, and where they come from and what you should do to manage them. Beware of rejecting what modern medicine has to offer you, and double beware of people who think they know what is best for you. Take any lifeline that is offered to you, and relinquish your attachments to romantic notions of recovery entirely through excessive self examination and compulsive scab picking of deep emotional wounds (which can be extremely dangerous for people who are very unwell). The causes of your illness might be extremely complex, and your recovery is likely to require a multi-faceted and uniquely personal set of strategies, which may well include medication. Hugs to anyone out there wrestling with A&D.”

—Darielle Bydegrees

Time For Compassion

For all our similarities, we are complex biological organisms with many nuanced differences. Just like other animals have personality types, oddities, seeming imperfections, and unique gifts, so do we. Yet, we seem to think that just because we are conscious and self-reflective creatures that we should be able to fix our anomalies, or even that they are in our control, especially when it comes to the mind. This myth perpetuates suffering, violence, and abuse when we treat others with judgement, condemnation, and meanness according to this flawed perception. People with severe depression and anxiety can’t just snap out of it or get over it, at least not quickly, the way you or I (when well) would normally shift a low mood or worry. Clinical depression and anxiety are different animals and sometimes lifelong events.

If we are significantly anxious or depressed this does not necessarily mean that something is complexly wrong with us, or that we can fix our predicament by digging into our current or past issues or venting our emotions. It might mean we need medicine, just as we would for any other less stigmatized form of physiological illness towards which we are culturally less judgmental. Because mental illness happens in the brain, it effects our thoughts and emotions more than other biological illnesses. Usually it means that we need both medicine (pharma, herbal, and/or nutraceuticals) and the support of caring, informed, and understanding health professionals who aren’t pigeon-holed and attached to a one-size-fits-all approach.

Images and stories of “crazy” and “unpredictable” people with anxiety, or even depression, perpetuate our irrational fears and judgement of these debilitating conditions. Such people are usually not violent unto others. Those who carry unresolved pain and trauma are more likely candidates for this.

Most people with mental illness suffer in shame and silence and are some of the most vulnerable, tender, compassionate and empathic people I know. So, let’s break the mould together, lift the mythic curse of judging mental illness due to our usually innocent ignorance of these menacing and crippling invisible illnesses. We do this in part through opening our minds and humbly learning about them so that our beliefs about these conditions can match reality. This in turn informs how we help sufferers and those who love them.


Some resources for Depression & Anxiety:

Books:

The Upward Spiral by Alex Korb, CBT for healing through depression

The Noonday Demon by Andrew Solomon, on depression

The Imp of the Mind: on OCD and intrusive, bad thoughts

Videos:

“The Refugees” by Andrew Solomon at The Moth

Depression, Too, Is a Thing with Feathers by Andrew Solomon
Depression Talk at Stanford by Robert Sapolsky
Sam Harris and Robert Sapolsky: from 48.00 minutes to the end

Disclaimer: The information in this article is not intended to diagnose or treat any disease, or substitute for professional help. It is based on the author’s personal and clinical experience, research, and direct observations. The author is not a psychotherapist.


Jack Adam Weber, L.Ac., MA, is Chinese medicine physician, having graduated valedictorian of his class in 2000. He has authored hundreds of articles, thousands of poems, and several books. Weber is an activist for embodied spirituality and writes extensively on the subjects of holistic medicine, emotional depth work, and mind-body integration, all the while challenging his readers to think and act outside the box. Weber’s latest creation is the Nourish Practice, a deeply restorative, embodied meditation practice as well as an educational guide for healing the wounds of childhood. His work can be found at jackadamweber.com, on Facebook, or Twitter, where he can also be contacted for life-coaching and medical consultations.

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Most Diabetic, Heart Disease & Alzheimer’s Deaths Categorized As “Covid” Deaths (UK)

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In Brief

  • The Facts:

    According to professor of evidence based medicine at Oxford Dr. Carl Heneghan , who is also an emergency GP, most diabetic, heart disease & alzheimer's deaths were categorized as COVID deaths in the United Kingdom.

  • Reflect On:

    How many deaths have actually been a result of COVID? Why is this pandemic surrounded with so much controversy? Why does mainstream media fail at having appropriate conversations about 'controversial' evidence/opinions?

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 Dr. Carl Heneghan has an interesting view on the pandemic, not only is he a professor of evidence-based medicine at Oxford University, he also works Saturday shifts as an emergency GP. This allows him to see healthcare from both the academic perspective as well as the healthcare experience, more specifically, it allows him to see COVID from both perspectives.

What Happened: In a recent article he wrote for The Spectator, he writes the following,

It’s hard to imagine, let alone measures, the side effects of lockdowns. The risk with the government’s ‘fear’ messaging is that people become so worried about burdening the NHS that they avoid seeking medical help. Or by the time they do so, it can be too late. The big rise in at-home deaths (still ongoing) points to that. You will be familiar with the Covid death toll, updated in the papers every day. But did you know that since the pandemic, we’ve had 28,200 more deaths among diabetics that we’d normally expect? That’s not the kind of figure they show on a graph at No. 10 press conference. For people with heart disease, it’s 17,100. For dementia and Alzheimer’s, it’s 22,800. Most were categorised as Covid deaths: people can die with multiple conditions, so they can fall into more than one of these categories. It’s a complicated picture. But that’s the problem in assessing lockdown. you need to do a balance of risks.

Evidence-based medicine might sound like a tautology — what kind of medicine isn’t based on evidence? I’m afraid that you’d be surprised. Massive decisions are often taken on misleading, low-quality evidence. We see this all the time. In the last pandemic, the swine flu outbreak of 2009, I did some work asking why the government spent £500 million on Tamiflu: then hailed as a wonder drug. In fact, it proved to have a very limited effect. The debate then had many of the same cast of characters as today: Jonathan Van-Tam, Neil Ferguson and others. The big difference this time is the influence of social media, whose viciousness is something to behold. It’s easy to see why academics would self-censor and stay away from the debate, especially if it means challenging a consensus.

This is something that’s been a concern since the beginning of the pandemic. For example, a report published during the first wave in the British Medical Journal  titled Covid-19: “Staggering number” of extra deaths in community is not explained by covid-19″ has suggested that quarantine measures in the United Kingdom, as a result of the new coronavirus, may have already killed more UK seniors than the coronavirus has during the months of April and May.

According to the data, COVID-19, at the time of publication, only accounted for 10,000 of the 30,000 excess deaths that have been recorded in senior care facilities during the height of the pandemic. The article quotes British Health officials stating that these unexplained deaths may have occurred because quarantine measures have prevented seniors from accessing the health care that they need.

Fast forward to more recent research regarding lockdowns, and these concerns have grown. Professor Anna-Mia Ekström and Professor Stefan Swartling Peterson have gone through the data from UNICEF and UNAIDS, and came to the conclusion that at least as many people have died as a result of the restrictions to fight COVID as have died of COVID. You can read more about that here.

These are just a few of many examples. You can read more about the hypothesized “catastrophic” impacts of lockdown, here.

When it comes to what he mentions about academics shying away from debate, especially if their research goes against the grain, we’ve a seen a lot of that too. Here’s a great example you can read about from Sweden regarding zero deaths of school children during the first wave despite no masks mandates or lockdown measures. Jonas F Ludvigsson, a paediatrician at Örebro University Hospital and professor of clinical epidemiology at the Karolinska Institute is quitting his work on COVID-19 because of harassment from people who dislike what he has discovered.

Why This Is Important: Heneghan’s words are something that many people have been concerned about when it comes to the deaths that are attributed to COVID-19. How many of them are actually a result of COVID? The truth seems to be that we don’t really know. But one thing we do know is that total death toll caused by COVID doesn’t seem to be quite accurate.

That being said, we do know that people with comorbidities are more susceptible to illness and death from COVID, and that’s something to keep in mind. For people with underlying health conditions, covid, just like flu or pneumonia, can be fatal.

Ontario (Canada) Public Health has a page on their website titled “How Ontario is responding to COVID-19.” On it, they clearly state that deaths are being marked as COVID deaths and are being included in the COVID death count regardless of whether or not COVID actually contributed to or caused the death. They state the following:

Any case marked as “Fatal” is included in the deaths data. Deaths are included whether or not COVID-19 was determined to be a contributing or underlying cause of death…”

This statement from Ontario Public Health echoes statements made multiple times by Canadian public health agencies and personnel. According to Ontario Ministry Health Senior Communications Advisor Anna Miller:

As a result of how data is recorded by health units into public health information databases, the ministry is not able to accurately separate how many people died directly because of COVID versus those who died with a COVID infection.

In late June 2020, Toronto (Ontario, Canada) Public Health tweeted that:

“Individuals who have died with COVID-19, but not as a result of COVID-19 are included in the case counts for COVID-19 deaths in Toronto.”

It’s not just in Canada where we’ve seen these types of statements being made, it’s all over the world. There are multiple examples from the United States that we’ve covered since the start of the pandemic.

For example, Dr. Ngozi Ezike, Director of the Illinois Department of Public Health stated the following during the first wave of the pandemic:

If you were in hospice and had already been given a few weeks to live and then you were also found to have COVID, that would be counted as a COVID death, despite if you died of a clear alternative cause it’s still listed as a COVID death. So, everyone who is listed as a COVID death that doesn’t mean that was the cause of the death, but they had COVID at the time of death.

Also during the first wave, the Colorado Department of Public Health and Environment had to announce a change to how it tallies coronavirus deaths due to complaints that it inflated the numbers.

As you can see, we’ve struggled to find an accurate way to go about tallying COVID deaths since the start, creating more fear and hysteria around total numbers that are plastered constantly in front of citizens by news stations. That being said, a lot of people who are dying of COVID do have co-morbidities as well. But as the professor says, “it’s a complicated picture” and hard to figure out, and probably something we will never figure out.

There’s been a lot of “fear mongering” by governments and mainstream media, and some believe that lockdowns and masks are simply being used as a psychological tool to keep that fear constant, which in turn makes it easier to control people and make them comply.

Meanwhile, there are a lot of experts in the field who are pointing to the fact that yes, COVID is dangerous, but it does not at all warrant the measures that are being taken, especially when the virus has a 99.95 percent survival rate for people over the age of 70. There are better ways to protect the vulnerable without creating even more chaos that lockdown measures have created, and are creating throughout this pandemic.

That said, it’s also important to note that some calls for lockdown measures are focused on stopping hospitals from becoming overwhelmed. Why do some places with very restrictions see no hospital capacity issues? Why do some places with a lot of restrictions see hospital capacity issues? Why do we also see the opposite for both in some areas? These questions appear to be unanswered still. That being said. Hospitals have always been overwhelmed. This is not a new phenomenon.

The main issue here is not who is right or wrong, it’s the censorship of data, science, and opinions of experts in the field. The censorship that has occurred during this pandemic has been unprecedented.

Science is being suppressed for political and financial gain. COVID-19 has unleashed state corruption on a grand scale, and it is harmful to public health. Politicians and industry are responsible for this opportunistic embezzlement. So too are scientists and health experts. The pandemic has revealed how the medical-political complex can be manipulated in an emergency—a time when it is even more important to safeguard science. –  Dr. Kamran Abbasi, recent executive editor of the prestigious British Medical Journal (source)

This censorship alone has been an excellent catalyst for people to question what we are constantly hearing from mainstream media, government, and political scientists. Any type of information that calls into question the recommendations or the information we are receiving from our government seems to be subjected to this type of censorship. Mainstream media has done a great job at not acknowledging many aspects of this pandemic, like clinically proven treatments other than a vaccine, and therefore the masses are completely unaware of it.

Is this what we would call ethical? When trying to explain this to a friend or family member, the fact that they are not aware of these other pieces of information, because they may be avid mainstream news watchers, has them in disbelief and perhaps even sometimes labelling such assertions as a “conspiracy theory.” This Brings me to my next point.

The Takeaway: As I’ve said in a number of articles before, society is failing to have conversations about “controversial” topics and viewpoints. This is in large part due to the fact that mainstream media does such a poor job at covering these viewpoints let alone acknowledging them. The fact that big media has such a stranglehold over the minds of many is also very concerning, because we are living in a time where independent research may be more useful. There seems to be massive conflicts of interest within mainstream media, and the fact that healthy conversation and debate is being shut down by mainstream media contributes to the fact that we can’t even have normal conversations about controversial topics in our everyday lives.

Why does this happen? Why can’t we see the perspective of another? To be honest, I still sometimes struggle with this. When it comes to COVID, things clearly aren’t as black and white as they’re being made out to be, and as I’ve said many times before when things aren’t clear, and when government mandates oppose the will of so many people, it reaches a point where they become authoritarian and overreaching.

In such circumstances I believe governments should simply be making recommendations and explaining why certain actions might be important, and then leave it to the people to decide for themselves what measures they’d like to take, if any. What do you think? One thing is for certain, COVID has been a catalyst for more and more people to question the world we live in, and why we live the way that we do.

To help make sense of what’s happening in our society today, we have released a course on overcoming bias and improving critical thinking. It’s an 8 module course and you can learn more about it here.

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Lebanese Hospital Becomes The World’s First To Go 100 Percent Vegan (Food)

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In Brief

  • The Facts:

    A hospital in Lebanon has become the first in the world to adopt a completely vegan menu.

  • Reflect On:

    Are people aware of the physical and emotional torture the majority animals we eat go through? Are people aware that a diet free of animal products can be very beneficial for human health. Are people aware that animal agriculture is destroying Earth?

Before you begin...

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At the beginning of March, Hayek Hospital in Beirut, Lebanon became the first hospital in the world to serve 100 percent vegan only meals. Prior to this change, patients had a choice between animal based meals and vegan meals, and included with that was information about the health benefits of choosing plant-based foods versus the dangers of consuming animal products. The hospital made the announcement via their Instagram page, stating that “Our patients will no longer wake up from surgery to be greeted with ham, cheese, milk, and eggs…the very food(s) that may have contributed to their health problems in the first place.”

When the World Health Organization classifies processed meat as a group 1A carcinogenic (causes cancer) same group as tobacco and red meat as group 2A carcinogenic, then serving meat in the hospital is like serving cigarettes in a hospital. When the CDC (Centers for Disease Control and Prevention) declare that 3 out of 4 new or emerging infectious disease comes from animals. When adopting a plant based exclusive diet has been successfully proven not only to stop the evolution of certain diseases but it can also reverse them. We then, have the moral responsibility to act upon and align our beliefs with our actions. Taking the courage to look at the elephant in in the eye.

Their various statements also point to the role that animal agriculture plays in spawning infectious diseases, citing the Centers for Disease Control’s estimate that 3 out of 4 new or emerging infectious diseases come from animals. “We believe it’s well about time to tackle the root cause of diseases and pandemics, not just treat symptoms,” they note.

This was a great statement. The modern day medical industry only seems to be focused on medications, and only medications that can turn a hefty profit, to treat and cure disease instead of addressing root causes. It’s good to see things changing, but a big problem remains. If a plant that grows in abundance, for example, has the potential to cure a disease, will we ever hear about it? Will the medical industry be interested in it? Probably not, but when a drug is made and patented from that plant in a specific way, that’s when we will. This is not to say that modern day medicine is useless, but today now more than ever a big problem exists, and this problem may be killing more people than it’s helping.

Arnold Seymour Relman (1923-2014), a Harvard professor of medicine and also a former Editor-in-Chief of NEMJ, was frustrated that “the medical profession is being bought by the pharmaceutical industry, not only in terms of the practice of medicine, but also in terms of teaching and research. The academic institutions of this country are allowing themselves to be the paid agents of the pharmaceutical industry. I think it’s disgraceful.” (source)

According to Forks Over Knives,

While Hayek is the first hospital to completely purge animal products from its menu, a number of hospitals have begun offering more plant-based options in recent years. Both New York and California have enacted laws requiring hospitals to offer a plant-based option with every meal. In 2018 NYC Health + Hospitals/Bellevue launched the Plant-Based Lifestyle Medicine Program to help patients transition to a whole-food, plant-based lifestyle.

The American Medical Association passed a resolution in 2017 calling on U.S. hospitals to provide healthful plant-based meals to promote better health in patients, staff, and visitors. The American College of Cardiology has issued similar recommendations.

In my opinion, “veganism is a very fine form of nutrition” (Dr. Ellsworth Wareham, heart surgeon), and as mentioned above, there is plenty of science to back up that statement.  I’ve written about it many times before from a health perspective.

Here’s an article that goes into more detail and science if you’re interested, it also addresses history, and how our teeth and guts are designed and more. Here’s another one regarding a study that found a strong association between eating animal protein and a premature death from all causes, including multiple cancers and type 2 diabetes.

The studies cited in that article note that meat eating is strongly associated with up to a 75 percent increased chance of early mortality, and that protein from animals may cause harm, while protein from plants may help reverse disease and have a protective effect.

There are hundreds of these studies, and the ones I cite are just a few examples.

This is obviously a very controversial topic in the eyes of many, and it’s not hard at all to find conflicting information on the subject. I am no doubt bias in my beliefs and opinions here.

One thing is for certain, the way we treat animals on this planet is extremely heartbreaking and unnecessary. Animals are separated from their families, raised for slaughter and are kept in torturous conditions on a daily basis. It’s truly unbelievable and horrific. It’s the biggest genocide and example of both physical and emotional torture the world has ever seen. I don’t think anybody can witness what really goes on in most slaughterhouses can come out not being impacted.

On top of this, animal agriculture is one of, if not the greatest contributer to environmental degradation and pollution on our planet. Animal agriculture is actually the leading cause of deforestation. Every single day, close to 100 plant/animal/insect species are lost because of this practice.

Final Thoughts: At the end of the day it seems that, from a health perspective, processed meats, and other meats are no doubt harmful to human health. People can make the argument that other animal products may not be and that we are meant to consume them. People can also make the complete opposite argument. One thing that can’t be argued is, again, the torture, physical and emotional abuse that comprise the source of where animal products come from for the majority of people who eat them.

There is a big split, as with many other topics, amongst people on this issue. There are even vegan influencers who are creating splits within the ‘vegan community’ itself, which is unfortunate. I personally believe that, from a health perspective, animal products are not at all required for anybody and are again, overall, harmful to human health.

The more pressing issue, again, is the treatment of our animal brothers and sisters, and how we are constantly using and abusing them. It’s indicative of world that lacks empathy, compassion, understanding and love, as well as our inability to see ourselves in another. This can be seen in many aspects of the current human experience, be it war, human trafficking and more. That being said, it’s great to see human consciousness shifting towards a more compassionate, empathetic type of awareness. This is evident by the “vegan” movement alone, as it’s become quite large over the past few years and will continue to grow. Some of the biggest animal food producers have already gone out of business, and it’s great to see more people in the health community as well recognize that it’s a win for health, a win for environment, and most importantly, a win for the very emotional, intelligent, animals, who are similar to us in so many ways. We have so much to learn from them.

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Awareness

Caloric Restriction vs. Fasting: Why One Can Result In Weight Gain While The Other Helps Burn Fat

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In Brief

  • The Facts:

    In the video below, Dr. Jason Fung explains the difference between caloric restriction and sending the body into "starvation" mode compared to fasting.

  • Reflect On:

    Fasting has been used as a health intervention for thousands of years, and is being used today by doctors who are educated on the topic. Why is it completely ignored by mainstream medicine? Is it because "big pharma" can't make any money off of it?

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Take a moment and breathe. Place your hand over your chest area, near your heart. Breathe slowly into the area for about a minute, focusing on a sense of ease entering your mind and body. Click here to learn why we suggest this.

Some would say that the best solution to weight gain is eating right and exercising. I couldn’t agree more. Obesity is one of the deadliest problems humanity faces today, and just as important as diet and exercise is for addressing this issue, even more important are the emotional and personal reasons as to why so many people damage themselves and make themselves more prone to serious disease.

Apart from diet and exercise, initiating a proper fasting regimen can have tremendous health outcomes, especially for overweight people. It wasn’t but a decade ago when fasting to lose weight was considered unhealthy and dangerous. Today, we have a tremendous amount of science that’s been published clearly showing that fasting can be an effective health intervention for people of all body types, especially for people who are overweight and suffer from certain diseases. It’s an excellent way to help your body burn fat. Fasting has been used and is currently being used as an intervention for type two diabetes, cancer and more. Fasting has been shown to trigger stem cell regeneration, autophagy, which in turn can help clear out toxins and damaged cells, repair DNA, improve metabolism, lower blood sugar, boost brain function, reduce the risk of age related disease, lessen inflammation which improves a wide range of health issues from arthritic pain to asthma and more. It’s no wonder why so many ancient cultures from different parts of the world used fasting as medicine and as a health intervention.

As shown in the science, fasting is generally safe for everybody. This many not be true if you already have underlying health conditions or are taking certain medications. This is why it’s important to consult a health professional about it, but the issue is, the majority of health professionals are not well educated in fasting interventions. Those who have educated themselves have been treating their patients with fasting and are drawn to it due to its ability to provide so many benefits.

One of these doctors is Dr. Jason Fung, who on his blog and his YouTube channel, as well as the books he’s written provides a wealth of information and science regarding fasting. I often refer people to the work of Fung, or others like Dr. Valter Longo if they want to begin their own research about fasting. Again, there is a wealth of science and “scholarly” articles available on the subject for anybody who wants to search for it as well. It’s not heard to find.

In the video below, Fung explains why fasting is much different from caloric restriction or having your body go into “starvation mode.”  You can also check out his article, “The difference between calorie restriction and fasting” for some great information as well.

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