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September 23, 2014

Food As Medicine

The 4 Myths of Depression

Mental health is an important part of our overall wellness and it’s not something that is easy to talk about. It’s something that we can’t ignore because mental health disorders affect hundreds of millions of people around the world – one report estimates that 1 in 10 people worldwide have dealt with some type of mental illness or depression.

The Taboo of Depression and Other Mental Illness

When you break an arm, you can see it. There was an event with a story; there’s a cast that people can write on. But when there’s mental illness, it is hidden. You can’t always see a feeling. People feel alone and isolated. And when they share their feelings, many don’t know what to do or say. There’s nowhere to write “get well soon”. While there have been more online campaigns and portrayals of mental illness in entertainment programs, we still feel uncomfortable speaking about it.

Since mental illness is such a taboo subject, naturally, there are many myths associated with it. I’d like to speak to some common myths about depression and more importantly, the truths about mental illness, specifically depression.

Myth 1: Depression is a Single Illness

Our current system attempts to create protocols: a set of specific characteristics that lead to a diagnosis and ultimately a treatment. The problem with this is that the current method looks at downstream effects of upstream issues. Consider the following examples.

One of the most accepted theories (in the medical community) around depression is that there is a serotonin deficiency. Serotonin is the neurotransmitter that makes us feel happy and blissful, and essentially, not depressed. However, if people are deficient, where does serotonin come from so we can fix the deficiency?

One of the first questions I consider with my clients is: are they getting enough protein? You might be thinking, what does protein have to do with serotonin? Serotonin is actually made from protein. Protein is made up of amino acids, and there is a specific amino acid called tryptophan which converts into serotonin. So if my client is protein deficient, they simply cannot make the neurotransmitters they need for proper nervous system function.

Thyroid function has also been linked to depression. Small decreases in thyroid function and subsequently thyroid hormone, have been linked to depressive symptoms.

Another possible cause of depression is toxic overload. Our nervous system is predominantly made up of fat and heavy metals, solvents, pesticides, herbicides and many other chemicals have an affinity for fatty tissue. Many psychological symptoms and neurological conditions can occur with toxicity

Blood sugar levels can play a role in our mood as well. There have been multiple studies showing hypoglycemia to be common in depressed individuals. This is one reason why I stress to parents they ensure they are controlling the blood sugar levels of their children.

Various vitamins and minerals have also been linked to depression including folic acid, vitamin B12, vitamin B6, vitamin D, zinc, selenium and chromium.

There are multiple factors that lead to the end point of depression that may need to be addressed in any mental health protocol.

Myth 2: Antidepressants Are The Best Treatment for Depression

In a very detailed analysis published in the British Medical Journal, two experts concluded “that selective serotonin reuptake inhibitors [i.e. Prozac, Celexa] do not have a clinically meaningful advantage over placebo” and “have not been convincingly shown to affect the long term outcome of depression or suicide rates.” The research indicates that antidepressants should really only be considered in severely depressed patients. 

The politics behind the research and why placebo-controlled trials are sometimes misleading are detailed in Dr. Peter Breggin’s landmark book, Talking Back to Prozac: What Doctors Aren’t Telling You About Today’s Most Controversial DrugOne of the issues with the research is that Eli Lilly, the manufacturer of Prozac, ran 10 clinical trials and 6 of these trials showed no benefit over a placebo. Four studies showed a positive effect, but there were only 286 subjects in total in these studies. If you combine the results of all of these studies, the numbers show that placebo and drugs were equally beneficial. One problem is that the FDA requires at least two studies with positive results, but places no limit on the number of studies without beneficial results.

Myth 3: Antidepressants are Safe

Whenever taking a drug, the risks and benefits need to be taken into account. When it comes to antidepressants, there are many side effects including nausea (20%), headaches (20%), anxiety and nervousness (15%), insomnia (14%), drowsiness (12%), diarrhea (12%),  as well as dry mouth, loss of appetite, reduced sex drive, sweating, tremors, and rash.

But the most disconcerting effect associated with taking antidepressants is the increased risk of suicide and violent behaviour. In fact, compared with placebos, selective serotonin reuptake inhibitors at least double the risk of suicidal thinking. If you just look to the news, kids who have shot up schools and celebrities who have taken their own life have commonly been on these drugs.

In 2004 the FDA finally issued a “black box warning” on all antidepressant drugs mentioning the risk of suicidal thoughts. This action is just shy of taking a drug off the market.

Myth 4: Drugs Are the Only Option

There are many theories as to why people develop depression and subsequently what the best treatment options are. There are some people who may require medical treatments but it doesn’t always have to be the first step or the only step taken. Some may need a combination of specific medicines, diet and lifestyle changes. In my view, there are certain things that are only going to help anyone’s mental health. Here is a short list:

Life is about emotion. It’s a journey riddled with highs and lows, successes and failures, life and death. It is the natural course of being human. It is normal to be sad, even depressed sometimes. But if it becomes pathological, meaning it affects your quality of life and health over the long term, step back, determine what new skills you require, what nutrients you need, what activities you should embark on, or find someone who can help you find these things. Happiness is our birthright.

Want to Learn More About Supporting Depression and Mental Health?

Registration is open for my Mental Health and Neurology course. You will walk away with a solid understanding of how to identify and address neurological imbalances, and be able to implement targeted therapies for yourself, your family, clients and/or patients.

Get all of the details and sign up here.