Introduction to CAM. Introduction to Your Instructor. Leslie Korn, PhD, MPH LMHC, ACS, RPP, NTP, NCBTMB. Copyright Dr.

Transcription

1 Introduction to CAM Leslie Korn, PhD, MPH LMHC, ACS, RPP, NTP, NCBTMB Copyright Dr. Leslie Korn, 2018 Introduction to Your Instructor

2 Terms of Reference Complementary/Alternative Medicine/Complementary & Integrative Health (NIH) If practice is used together with conventional medicine, it s complementary If a practice is used in place of conventional medicine, it s alternative Naturopathy Licensed Traditional Functional Medicine Functional Medicine is a systems biology based approach Root causes 3 Integrative Medicine for Mental Health Refers to the integration of conventional biomedical methods with Complementary/ Alternative/Functional Integrative Medicine for Mental Health Behavioral/complementary & biomedical 4

3 Integrative Medicine for Mental Health Whole body approach Whole self assessment Interdisciplinary fields Collaboration across disciplines Dietary interventions Laboratory Analysis & Genomics Self care Emphasizes the healing relationship 5 Integrative Medicine for Mental Health Explores Nutritional deficiencies, (example B-12, or Magnesium on anxiety & asthma) Drug interactions on nutritional status: Anti-psychotic drugs & some antidepressants cause metabolic syndrome Statins depletes the body of coenzyme Q10 affects heart & energy, melatonin use by children Alternatives to pharmaceuticals or optimizing with nutrition Food allergies, sensitivities; effects of gluten on depression & psychosis Infections, toxicities, & genetic disorders Mold as a newly discovered factor in development of Alzheimer's Individual's unique genetic, biochemical & nutritional status Provides individualized treatment plans 6

4 Integrative Mental Health Methods in this Course Integrative Assessment Diet, Nutrients, Botanicals, Glandulars Metabolic Typing Biological Rhythms & Chronotherapies Culture, Ethnicity & Integrative Health Bio-Identical Hormones Neurotransmitters/Amino acids Bodywork therapies Acupuncture, Neurotherapies Exercise (aerobic, anaerobic yoga energetic, core) Hydrotherapies Detoxification strategies Spirituality Altered States Drug-Nutrient-Herb Interactions Testing & Labs Adherence/Compliance/ Resources 8

5 Integrative Medicine for Mental Health Enhance our work by learning from other disciplines Somatization as a concept goes out the window! Everything is psycho & somatic Conduct an Integrative Mind Body assessment Conduct a Psycho-Ed-based Food-Mood assessment & recommendations Build on skills & integrate methods that enhance clients self care strategies 9 Accelerate Therapeutic Results Integrate understanding of how the mind/body works together Help your client make simple dietary changes incorporating the principles of substitutions Educate your client about their psychobiological rhythms & methods to regulate them Results in improved sleep & reduced stress Help your client to get their body moving; without it there are limits on well being Stress inflammation depression pain self medication 10

6 Cultural-Based CAM Methods Ayurvedic Traditional Medicine Asian Traditional Medicine (Chinese Medicine) South East Asian/ Vietnamese/ Mexican/South American Curanderismo African/ Afro Cuban Afro Brazilian/Yoruba Multiple Indigenous Methods & Pan-Indian Methods CAM intersects Indigenous & European Traditions 12

7 CAM intersects Cultural & Sacred Practices Traditional Cultural Rituals are often secularized Vipassana/ Mindfulness meditation The Dhamma Brothers Video EMDR /Tibetan Meditation Vision Quests Sweat lodges Soul Collage Yoga Yoga adapted for Christians/Latinas etc. 13 Cultural -Based Methods Intersect Ritual & Spiritual Altered States of Consciousness Rituals Shamanism & Pan Shamanism Psychotropic Herbs Entheogens Psilocybin/LSD assisted psychotherapy for PTSD Peyote/Native American Church for substance recovery Ketamine assisted therapy for depression MDMA assisted psychotherapy for PTSD Ayahuasca assisted therapy Psychedelic medicine in Palliative care Medical Marijuana

8 Principles of Effective Treatment Isomorphic to the individual s belief system Biochemical individuality Identify the psycho-bio substitutions for self medicating behaviors Do what will effect change first Plan for the obstacles Identify adherence strategies Address habituation when change occurs 15 Clinical Applications Nutrition & Integrative & CAM methods are ideal for addressing multi faceted chronic psycho/somatic illnesses Intersection of Depression, Self Care & Chronic Disease Management Acute responses that do not warrant emergency intervention Assessments & Interventions to address root causes Enhance substance abuse recovery Pain Management 16

9 Clinical Action Stress, Inflammation, Depression & Self Medication

10 Clinical Action Microbiome Bi-directional Effects of Digestion & Mood Copyright,Leslie E. Korn, The Mind-Body Problem

11 Motivating for Change, Adhering to the Program Methods CBT Motivational Interviewing Post trauma stage based recovery Decreasing Dissociation Self Medication/addictions Health Coaching Set Goals & Priorities Engage family, friends, social groups Conduct mind body groups 21 Opportunities to Develop a Niche Practice Individuals,Families Communities & Schools Clinical care in every disease category Collaborative Integrative private practices Mental Health Agencies & Manage Care Non Profit Agencies Insurance coverage Research Public Health International Work 22

12 Summary Definitions and Terms of Reference A Broad Range of Methods Benefits for both Acute & Chronic Illness Some statistics of CAM use Culture & CAM Specific CAM Interventions & areas of focus Positioned to support motivation & adherence Range of Clinical Practice Opportunities 23 Thank you! drlesliekorn.com lekorn@cwis.org