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January 19, 2016
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January 26, 2016

Case Studies
12

Case Study: Anxiety and Mild Depression

Most people don’t know the burden of mental health issues on the health care system, and most importantly, individuals. Mental health issues are the leading cause of disability worldwide. In fact, one in five people will experience and mental health concern this year. Patients are clearly being mishandled or missed altogether.

The current standard of care for mental health issues falls drastically short. The first line therapy is often drugs, sometimes with therapy, and these alone have very low success rates.

Many clients end up in my clinic because they don’t want to take medication, or have tried it and have not had success.

I cannot and do not tell my clients whether they should or shouldn’t take a drug, but I do educate them on the mechanism of action (how the drug works), the side effects, and the alternatives. This empowers them to make their own informed decision.

John: Anxiety and Mild Depression

John (not actual name) came to me seeking alternatives for treatment of his anxiety and depression. He had been to the doctor a couple of weeks prior and after a 5 minute visit, John was prescribed an antidepressant.

What John’s doctor might not have realized is that anxiety and depression are symptoms of an underlying imbalance in the mind and/or body. With John’s help, we worked to determine what might be out of balance.

Some of the root causes we considered were:

John was already living a healthy lifestyle and his diet was well-balanced. After doing a full intake and gathering a detailed history, I suspected he might have trouble building important neurotransmitters such as serotonin, the “happy” brain messenger.

The Functional Approach

I explained to John that high homocysteine levels can indicate a decreased ability to carry out an important process called methylation. Methylation is required to make neurotransmitters and thus, poor methylation can lead to anxiety and depression.

John went to his homocysteine levels checked and his results were 9.4 umol/L. (See below)

As you can see, John was well within the normal reference range. However, John was not within the optimal reference range. The optimal reference range for homocysteine is below 7.0 umol/L.

We discovered a biochemical imbalance that was directly linked to his symptomatology. As a result, John went on a regimen of supplements that supported the biochemical pathways involved in methylation.

The next time we checked his homocysteine levels they had gone down to 7.9 umol/L (see below). The most important  result was that John’s anxiety and depression improved by 50% without taking a single drug. We still have some work to do, but John is moving in the right direction, and that’s all that matters.

The Bottom Line

The smallest thing could sometimes make the biggest difference. In John’s case, a simple blood test indicated that he was not producing neurotransmitters adequately. By supporting John’s methylation pathways we not only improved his anxiety and depression but we also decreased his risk for Alzheimer’s disease, heart disease, macular degeneration, and hearing loss (all associated with high homocysteine levels).

(Note: In the case study presented here I have  outlined a snippet of what we address, to illustrate the importance of balancing biochemistry. The typical intake is 2-4 hours to assess all body systems, and protocol include dietary, lifestyle, and supplemental recommendations.)

12 Comments

  1. Sue McDonald says:

    Josh,
    Fascinating article/case study. I was intrigued by the hearing loss indicators as I have extreme loss, hypothyroidism and Shingle breakouts, which all involve low B’s or not being able to assimilate them. Could homocysteine also be a factor in those ailments? Much appreciation for your work. Just finished Meghans 16day DeTox. Sue

    • Josh Gitalis says:

      I’m glad you’re finding the information of value.

      Homocysteine an indication of certain imbalances that are related to many conditions. It is but one biochemical factor that can give us some valuable information.

      The best,
      Josh

      • Felecita says:

        high homocysteine levles in the blood causes heart disease and stroke, and folic acid lowers homocysteine levles.but its a hypothesis.Scientists are continuing there researchthe known function of folic acid is in the production of DNA in human body which is ofcourse needed by our whole body

  2. Amazing case study Josh! What a gift you provided this client 🙂 Hope all is well,

  3. Rosanna says:

    Thank you for sharing this! Great article!

  4. Kathern says:

    Hi Josh, Thank you so much for writing this. I’ve battled anxiety attacks since my mid-twenties and had to fight almost becoming housebound twice. At one point, an 8 mins. drive to work was excruciating. I’ve never heard of root causes before. Thankfully I’ve done a lot of work with herbs and homeopathy and have been pretty anxiety free. I now only notice it when I’m very stressed or working round the clock..but never to the extreme it has been. I’ll look into the root causes you listed as I’m guessing something still must be off a bit! Thanks again for this great article!

    • Josh Gitalis says:

      Good for you for searching for the answers and taking control. If you keep on looking you keep on finding more answers. Best!

      • Jonathan Shattler says:

        “If you keep on looking you keep on finding more answers” I love that!

        • Corinne Ann Papania says:

          Thank-you Josh, for the valuable information. I have suffered from high anxiety and depression most of my life. This is something I would like to look into. Are Homocysteine blood levels considered a somewhat “normal blood test” , that would be covered under o.h.i.p? Just asking as my doctor is very reluctant to order anything that I ask for! If no,t do you know how much this test would cost? thanks once again.

          corinne719@hotmail.com

          • Josh Gitalis says:

            Homocysteine is something you have to specifically ask for. If your doctor is reluctant to order it, find another one. This is an important marker to help figure out what the root cause is.

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