Complementary and Alternative Health Approaches: What Really Works?

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1 Complementary and Alternative Health Approaches: What Really Works? Jennifer Phelps, MS, MD Town of Ridgefield Health and Wellness Program Phelps, MD Integrative Medicine Jennifer Phelps, MS, MD Phelps, MD Integrative Medicine

2 Background and Education Biochemistry, Pharmacology/Toxicology worked with cancer drugs toxicity, worked with Andrew Weil, MD Board Certified Family Practice MD 20 years Integrative Medicine (Fellowship/Board Certified) 30 years Trauma Focused Care work with Cancer patients-ann s Place, Resiliency Center of Newtown Consultation Practice in Integrative and Functional Medicine Georgetown, CT National Faculty for Center for Mind Body Medicine Comprehensive Wellness Program for Broward County Public Schools, Sonoma Resiliency Program

3 What is CAM? Started as Alternative Medicine Then Complementary Medicine Now Formally recognized as Integrative Medicine Also must now include Functional Medicine

4 Integrative Medicine The Practice of medicine; Reaffirms the importance of the relationship between practitioner and patient; Focuses on the whole person (mind, body, spirit); Evidence-based; Makes use of all appropriate therapeutic approaches, healthcare professionals and disciplines to achieve optimal health and

5 Functional Medicine Individualized, patient centered, sciencebased approach; Empowers patients and practitioners to work together; Addresses underlying causes of disease and promotes optimal wellness; Detailed understanding of patient s genetic, biochemical and lifestyle factors; Directs personalized treatment

6 Naturopathic Medicine Healing power of Nature Identify and treat the cause First, do no harm. Doctor as teacher Treat the whole person

7 ALL Medicine Mind Body Medicine (Meditation, Biofeedback, Hypnotherapy, Art, EMDR, Brainspotting, CRM) Nutrition (Phytonutrients, supplements, botanicals) Botanical Medicine (Natural-paths) Manual Medicine (massage, chiropractic, exercise) Whole Systems Care (Homeopathy, Chinese medicine, Acupuncture, Ayurvedic, Aromatherapy, Energy Medicine) Conventional Medicine- Pharmaceuticals/Testing/Specialists

8 Self Care Take Charge Mind body: Meditation Exercise Diet Type to enter a caption.

9 Address adverse events Bringing what lies buried in the subconscious to the conscious Suppressed Emotion Journaling Art as a door to the subconscious 9

10 Approach Roots Adverse Events Adverse Childhood events, Adverse Adult events everyday trauma ACE s or trauma is held in the body changing neurochemistry, changing biochemistry. Trauma Models: Cognitive Behavioral Therapy (CBT), Eye Movement Dissociation Reprocessing (EMDR), Brainspotting, Somatic Experiencing, Hypnotherapy, Comprehensive Resource Model (CRM), Center for Mind Body Medicine Group Model for Community Trauma.

11 Mind-Body Medicine ALL of these work on Vagus Nerve Stimulation Breathwork Meditation Guided Imagery Biofeedback Yoga and Tai Chi Trauma work

12 1 2

13 Emotion and Breath When emotions are calm, breath is calm When emotions are agitated, breath is agitated 13

14 Breath Respond to our emotional state Influence our emotional state 14

15 Y O U R B R E AT H I S Y O U R K E Y t o c o n t r o l KEY to Healing is Controlling the Breath Under both Voluntary Control and Involuntary Control Diaphragmatic Breathing is avenue to parasympathetic nervous system Breath is your KEY! 15

16

17 Physical Exercise High Intensity Interval Training BEST treatment for depression Diabetes-can improve HgbA1C Improves Fat loss Metabolic effects that carry over after training IMPROVES BRAIN

18 HIIT and Brain 2017 study examines effect of HIIT on cognitive performance in 318 children HIIT beneficial to cognitive control and working memory capacity when compared to a blend of board games, computer games and trivia. Mediated by Brain Derived Neurotrophic Factor polymorphism A promising alternative to enhance cognition via short and potent exercise. 18

19 Nutrition Anti-inflammatory Diet Less sugar Less simple carbs Non GMO/organic Decrease Animal Protein 75% of diet should be

20 Manual/Energy Medicine Doctor of Osteopathy-DO Chiropractors Massage Therapist Energy

21 Aromatherapy Internal use is not recommended Vaporized molecules act directly on nervous system via olfactory bulb and lung alveoli Lavender: vagus nerve-anxiety, sleep, calming pain control (ER) Peppermint: awakening, focus Eucalyptus: antiviral, antibacterial,

22 The quickest way to change a mood state quicker than with any other sensual modality is with smell. ~ Alan R. Hirsch, MD, Smell & Taste Treatment and Research Foundation Every few months a new highway into the hypothalamus is discovered. Since that is where our entire body-mind seems to be centered, that is the switchboard within each person. The more direct the highway, the quicker and more profound will be the influence on hypothalamic function. The most direct highway is through the nose and sense of smell. This was the first sense developed in living things (chemotaxis) and the bare nerve-ends in our noses are directly 'hardwired' into the hypothalamus. ~ the late Walt Stoll, MD of Harvard Medical School and aromatherapy proponent.

23 Therapeutic Pharmacokinetics Anti-inflammatory - through NF kappa B Analgesic and Antispasmodic - inhibition ca ion channels Acetylcholinesterase inhibition - acetylchlinesterase breaks down Acetylcholine (imp neurotransmitter that is low in Alzheimer s) Lowering cholesterol - big caution using essential oils by any other route than topical or inhaled!

24 Whole Medicine Approaches Aromatherapy Acupuncture/Chinese Medicine Ayruvedic Osteopathy Chiropractic Massage

25 Homeopathy 200 years old A therapeutic system that uses medicines corresponding to disorders manifested The more dilute a solution, the stronger it is Has faced considerable opposition Only recently - A few studies have begun emerge supporting the clinical phenomena

26 Chinese Medicine Acupuncture Acupressure Chinese Herbs

27 Acupuncture Theories of mechanism of action Look for someone Board Certified by the National Acupuncture Board (National Commission for the Certification of Acupuncture and Oriental Medicine-NCCAOM) with hours of training Moxibustion/Cupping increases the flow of Qi or energy to an area and helps to rid of toxins

28 Traditional Chinese Medicine Developed over 4000 years! Yin/Yang Elements-wood fire earth metal water balancing Qi, blood, body fluids, essence and spirit Meridians Chinese Herbals: layered and complex science and art

29 Ayurvedic Medicine 5000 years old!! Ayur-life Veda-knowledge Eliminate cause, treat condition, rebuild body, support rejuvenation Elements: space, air, fire, water, earth Energy or Doshas: Vata,Pitta,

30 Ayurvedic Distinction between food and medicine not as clear cut as in Western medicine Heavy reliance on herbs and plants, oils, common spices (turmeric) Food is classified by multiple layers-taste, energy, post digestion, specific action

31 Hippocrates Let food be thy medicine First Do no harm!

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