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The Editors |
Dan Stradford, Editor
Alan Graham, Assistant Editor
Gloria McTaggart, Assistant Editor
SafeHarborProj@aol.com
www.AlternativeMentalHealth.com
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About Safe Harbor |
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Safe Harbor was founded
in 1998 in the wake of growing public dissatisfaction with the
unwanted effects of orthodox psychiatric treatments such as medication
and shock therapy. Seeking to satisfy the desire for safer, more
effective treatments, Safe Harbor is dedicated to educating the
public, the medical profession, and government officials on research
and treatments that, minimally, do no harm and, optimally, cure the
causes of severe mental symptoms. Our primary thrust is education on
the medical causes of severe mental symptoms and the use of
nutritional and other natural treatments.
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WE WELCOME YOUR DONATIONS. AS A NONPROFIT ORGANIZATION, SAFE HARBOR
IS SUPPORTED SOLELY THROUGH THE GENEROSITY OF THE PUBLIC. DONATIONS
CAN BE MADE ONLINE AT OUR WEB SITE OR MAILED TO THE ABOVE ADDRESS.
WE ALSO ACCEPT VISA/MASTERCARD BY PHONE. THANK YOU. |
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Announcement: Continuing
Education Credits for Nurses, Psychologists |
| Several people have asked whether the
Safe Harbor conference in June on "Non-Pharmaceutical Approaches to
Mental Disorders," which provides 15 hours of Continuing Medical
Education for physicians, also provides continuing education hours or
"contact hours" for nurses and others in the healing professions.
We have been informed by the California Board of Registered Nursing
that the answer is YES for California nurses.
The California Psychology Board has also affirmed the hours are
valid for continuing education credits for psychologists.
These boards accept Category 1 credits from the American Medical
Association, which is what we are offering. Many boards for healing
professions, such as chiropractors and nurses, accept Category 1
credits. If you have any questions, please contact us. Nurses from
other states should check with their respective boards.
For full information on the conference, please visit
AlternativeMentalHealth.com.
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Announcement: Four
Authors to Sign Books at Conference: Werbach, Edelman, Cass, Gant |
| Four authors will take part in a book
signing at the Safe Harbor conference of June 15-16, 2002, entitled
"Non-Pharmaceutical Approaches to Mental Disorders: Physiological
Causes and Resolutions."
They include:
 | Mel Werbach, M.D., author of numerous books including
"Nutritional Influences on Mental Illness." |
 | Hyla Cass, M.D., author of a number of books, including the June
2002-released "Natural Highs: Supplements, Nutrition, and Mind/Body
Techniques to Help You Feel Good All the Time." |
 | Charles Gant, M.D., Ph.D., author of the recently-released "End
Your Addiction Now" and "ADD and ADHD: Complementary Medicine
Solution." |
 | Eva Edelman, author of "Natural Healing for Schizophrenia and
Other Mental Disorders." |
The book signing will take place at 6:00 PM on Saturday, June 15,
2002 at the Hollywood Roosevelt Hotel. The book signing will be open
to conference attendees and non-attendees.
More information on the conference is available at
AlternativeMentalHealth.com.
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Editorial: Physical
Assessments of Psych Patients Neglected |
| What follows is the full text of
a letter by Dan Stradford published last month on BMJ.com
(formerly British Medical Journal), with commentary by Stuart
Shipko, M.D., founder and director of the Panic Disorder
Institute. |
I read with great interest Dr. Michael Phelan's editorial,
"Physical health of people with severe mental illness". His comments
were right on the mark.
The failure to do full medical screenings on psychiatric patients
is one of the greatest areas of neglect in modern medicine. As Dr.
Phelan cited, studies have repeatedly shown for years that psychiatric
populations have more medical ailments than non-psychiatric patients.
No one disputes this. And most of those same studies also show that a
healthy percentage of psychiatric patients are routinely misdiagnosed
with mental illness (and often placed on psychotropics for years or
for life), when they, in fact, have medical problems causing or
exacerbating their psychiatric symptoms. No one disputes this either.
The landmark 1980 study by Richard Hall et al ("Physical Illness
Manifesting as Psychiatric Disease", Arch Gen Psychiatry, 1980, 37:
989- 995) found 46% of the psychiatric patients thoroughly examined
had physical ailments causing or exacerbating their mental symptoms.
The California legislature was so shocked by this study, it ordered
research, headed by Dr. Lorrin Koran of Stanford University, on how to
improve the quality of medical exams in psychiatric settings. The
result of that study was the "Medical Evaluation Field Manual", which
sets a minimal standard for medical screenings and provides an
efficient algorithm when full screenings are not practical.
The manual was distributed to all of California's counties in the
late 1980s and NONE of them implemented it. A dozen years later, my
nonprofit organization, Safe Harbor, has asked for and received a
grant to work on getting this manual implemented.
We have posted the Field Manual on the internet at
www.alternativementalhealth.com/articles/fieldmanual.htm.
What concerns me is that I - a layman - and a group of volunteers
is having to grab the psychiatric profession by the scruff of the neck
to get them to examine their own patients! This does not speak well
for the profession or for its organizations such as the American and
British Psychiatric Associations.
We have even gone so far as to create a web site - now the largest
of its kind in the world - called
AlternativeMentalHealth.com to educate the public and medical
field on the myriad of physical ailments that can cause psychiatric
symptoms.
We are also holding a medical conference in Los Angeles in June (details
on our web site) to fill this missing gap in psychiatric education
on the importance of physical exams.
This medical negligence cannot continue. I would like to issue a
call to medical professionals to, once and for all, set and keep
minimal medical screening standards for psychiatric patients so that
this easily- remedied medical neglect exists no more.
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Response by Stuart Shipko, M.D., psychiatrist, neurologist,
founder and director of the Panic Disorder Institute (www.algy.com/pdi): |
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"This is so true. A
long time ago when I actively practiced general medicine I was the
doctor who did physical examinations on patients confined to a
mental ward. I found that the labwork showed excessive
abnormalities of calcium, sodium and chloride. I diligently worked
up these abnormalities, but concluded that the abnormalities were
due to problems in blood testing. To present this to the quality
assurance committee I reviewed the charts of the previous 50
admissions and showed the cluster of abnormalities. The response?
They wanted to know what my motives were and why I cared. The fact
that it was my job to care went over their heads. Medical
evaluation of the 'mentally ill' is pretty much nonexistent." |
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Highly Unsaturated Fatty
Acids Help ADHD Symptoms |
| A randomized double-blind,
placebo-controlled study, conducted by the University Department of
Physiology at Oxford, England, studied the effects of supplementation
with highly unsaturated fatty acids (HUFAs) on ADHD-related symptoms
in children with specific learning difficulties. The authors tested to
determine if relative deficiencies in HUFAs may underlie some of the
behavioral and learning problems associated with these symptoms.
Forty-one children aged 8-12 years, with both specific learning
difficulties and above-average ADHD ratings, were randomly placed on
HUFA supplementation or placebo for 12 weeks.
The authors of the study reported (in Prog Neuropsychopharmacol
Biol Psychiatry, 2002 Feb;26(2):233-9) that "At both baseline and
follow-up, a range of behavioral and learning problems associated with
ADHD was assessed using standardized parent rating scales; at
baseline, the groups did not differ, but after 12 weeks mean scores
for cognitive problems and general behavior problems were
significantly lower for the group treated with HUFA than for the
placebo group; there were significant improvements from baseline on 7
out of 14 scales for active treatment, compared with none for
placebo."
Their conclusion: "HUFA supplementation appears to reduce
ADHD-related symptoms in children with specific learning difficulties.
Given the safety and tolerability of this simple treatment, results
from this pilot study strongly support the case for further
investigations."
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2 Of 3 Bipolars May Have
Thyroid Problems |
| As the instruments of laboratory
science become more precise, so too does our understanding of how even
slight biochemical imbalances in the body may potentially affect human
health.
A new study funded by the National Institute of Mental Health
reports that as many as two out of every three patients diagnosed with
bipolar depression may have sub-optimal thyroid hormone levels. These
slight imbalances within the "normal range" appear to make these
patients much more resistant to antidepressants.
Researchers measured thyroid hormone levels in 65 patients
diagnosed in the depressive phase of bipolar disorder. For the next 50
months, they tracked their recovery after treatment with lithium
carbonate and various antidepressant medications.
The association of thyroid dysfunction with depression is not new.
What is new is evidence that more subtle thyroid imbalances may have a
pronounced effect.
The study found that patients with low normal levels of free
thyroxine (T4) index or high normal levels of thyroid-stimulating
hormone (TSH) took nearly one year - at least four months longer than
patients who had an optimal thyroid profile - to respond to various
drug treatments for depression.
The imbalances that produced an effect on treatment outcomes were
even milder than those falling under the subclinical definition of
hypothyroidism. For this reason, a suboptimal thyroid profile - still
within the "normal" range - may be an important modifiable risk factor
in bipolar depression.
"Because the thyroid is the main regulator of human metabolism,"
explains Great Smokies Diagnostic Laboratory, "even slight imbalances
can affect a wide range of physiological and psychological conditions,
including mood disorders, obesity, chronic fatigue, digestive
problems, cognitive and sexual dysfunction, and cardiovascular
disease."
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Source: |
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Cole et al, "Slower
treatment response in bipolar depression predicted by lower
pretreatment thyroid function," American Journal of Psychiatry
2002;159:116-121. |
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Mental Health Claims Hurt
Chances of Being Reinsured |
| Those who have sought alternative
treatment for mental problems, paying hard cash because their health
insurers didn't have a billing code for such treatments, are luckier
than they may realize.
A new article on insure.com, "Don't Let a Previous Mental Health
Claim Ruin Your Health Insurance Prospects," details how those who
have filed mental health claims in the past for orthodox psychiatric
treatment may now be denied individual health coverage - or pay an
exorbitant premium.
Individual insurers may deny coverage based on past counseling for
anxiety, depression, grief, or an eating or sleep disorder, or use of
prescription drugs to treat anxiety, depression, or a physical
condition. Such drugs include Ativan, Klonipin, Paxil, Prozac, Serzone,
Zoloft, Xanax, or Wellbutrin.
"People who've always had group health insurance are completely
unprepared when they're forced to seek coverage in this [individual
health insurance] market," says Karen Pollitz, a Georgetown University
researcher who co-authored a 2001 study on the individual health
insurance market for the Kaiser Family Foundation. "They think they're
going to get the same coverage they had in their jobs, except they'll
just have to pay a little more money. It's absolutely not like that at
all. The individual health insurance market is unpredictable,
inconsistent, and expensive."
Those who are offered an individual health insurance policy may
find their coverage comes at a much higher price and excludes any
treatment for past or present medical conditions.
Dr. Deborah Peel, president of the National Coalition of Mental
Health Professionals and Consumers, recalls a young graduate student
whose sleep apnea was treated with antidepressant medication. When he
was dropped from his parents' group health insurance plan due to his
age, he began applying for a policy in the individual market. He was
turned down several times because his medical records showed he had
taken an antidepressant - even though the medication was for a
physical rather than mental condition.
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Sleep Disturbance
Correlated with "Add" Symptoms |
| According to a report published in
the March 2002 issue of Pediatrics, a group of researchers have
established a link between sleep problems and behavioral problems in
children, especially young boys.
The study, is the largest to look into the possible connection
between inattention/hyperactivity and sleep.
Ronald D. Chervin, MD, MS, with University of Michigan Medical
School, and colleagues surveyed parents of more than 850 boys and
girls, aged 2-14, in pediatric waiting rooms.
The researchers asked the parents whether their children exhibited
symptoms of attention deficit hyperactivity disorder (ADHD), such as
inattention to tasks and schoolwork, distraction, forgetfulness,
fidgeting, and excessive talking. They also asked whether the children
snored, were often sleepy, or exhibited other symptoms indicative of
sleep problems, such as difficulty waking up in the morning or
mouth-breathing during the day.
The researchers tallied scores for each symptom or behavior on a
sliding scale. Overall, 16% of the kids were frequent snorers and 13%
scored high for hyperactivity. Interestingly, 22% of the habitual
snorers were hyperactive, compared with only 12% of the infrequent
snorers or non-snorers. The same pattern held when they looked at the
relationship from the opposite direction.
Next, they stratified the children by age and sex and found that
the snoring link was most dramatic in boys under 8 years old. In this
group, 30% of regular snorers had high hyperactivity scores, compared
with only 9% of less frequent snorers.
"If there is indeed a cause-and-effect link, sleep problems in
children could represent a major public health issue," says Chervin in
a news release. "It's conceivable that by better identifying and
treating children's snoring and other nighttime breathing problems, we
could help address some of the most common and challenging childhood
behavioral issues."
Dr. Carolyn Hart had this to say in the Dec. 2001 issue of
"Attention!":
"Narcolepsy can also coexist with or imitate AD/HD. This is a
disorder in which sleep and wakefulness are not cleanly distinct,
but intrude on each other. This too should be diagnosed with PSG [Polysomnogram:
a measure of various physiological responses during sleep]...
"Nocturnal seizures and allergy symptoms are two medical causes
of sleep disruption. Both usually give daytime clues too, but often
allergy symptoms worsen at night and seizures might only occur
during deep sleep so parents may not be aware of these problems.
Electroencephalogram (EEG) monitoring, PSG, and allergy testing
should be considered if fatigue and inattention seem resistant to
treatment efforts. One young teen was brought to me for an
evaluation regarding suspected AD/HD; she fell asleep sitting in my
tenth floor window seat, drooling down the window, while her parents
told me her life story. She turned out to have nocturnal allergy
symptoms and not AD/HD."
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Free Online Course
Available from Author of Lifesaving Book |
| Are you currently struggling to
overcome a drug or alcohol problem? Or do you have a friend or family
member who is? Or are you currently in recovery but having difficulty
staying clean and sober? Barnes & Noble University now offers a free
online course to help you understand the biochemical basis of
substance problems. More importantly, it provides a practical
step-by-step program for overcoming addiction by using common
nutritional supplements to correct the biochemical imbalances that are
causing it.
Whether you're trying to quit smoking, or are having difficulty
stopping the use of prescription antidepressants or painkillers, or
want to stop or cut down your use of alcohol and other "recreational"
drugs, this course is for you. You'll learn how to restore the normal
production of important brain chemicals your substance use has
disrupted and how to rid your body of toxins that are keeping you from
enjoying the good health that nature intended.
Prerequisites: none.
Objectives:
 | Understand why traditional approaches to treating drug and
alcohol problems fail for more than 70 percent of the people who try
them. |
 | Understand how disruptions in the production of important brain
chemicals called "neurotransmitters" are the cause of substance
problems. |
 | Use nutritional supplements to restore the nutrients that enable
your brain to resume the normal and healthy production of these
neurotransmitters. |
 | Use nutritional supplements to remove the toxins which can cause
mood swings, sleep problem, and substance cravings, and which often
prevent substance abusers from recovering. |
 | Change your life by becoming a healthier, happier person who no
longer must rely on cigarettes, drugs, or alcohol to feel good. |
Course Creator and Instructor: Charles Gant and Greg Lewis
Start/End Dates: May 7-June 14
Charles Gant, MD, is a leading expert in the field of biomolecular
medicine, particularly as it relates to the treatment of addiction.
Clinical studies have documented his unprecedented success in helping
patients overcome substance problems. Greg Lewis, PhD, has worked with
Dr. Gant for the past two years researching and developing the
material for End Your Addiction Now and other books on the subject of
biomolecular medicine.
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note: |
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Dr. Gant will be
speaking on addiction and on non-drug treatments for children
labeled with ADD at
Safe Harbor's June conference (details in this issue). |
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Solvent Fumes Affect
Brain Like Cocaine |
| The fumes from glue, lighters, and
solvents that children and young adults inhale go straight to the same
brain regions that are stimulated by cocaine and other drugs,
researchers announced in mid-April 2002
Brain scans show that chemicals such as toluene move rapidly to
pleasure centers, then move out to other brain cells, causing the
memory loss, vision problems, and serious mental defects well known to
result from the practice of sniffing ("huffing").
Reuters quoted neuroanatomist Stephen Dewey of Brookhaven National
Laboratory as follows:
"We have known it from behavioral studies - people will report
euphoria and they will report highs. But we have never known this
class of chemicals, these toluenes, go to the dopamine centers of
the brain, much like cocaine."
Unlike illegal drugs such as cocaine, solvents are everywhere and
easily accessed by youngsters who quickly learn they can give a cheap
high.
"I get questions from fourth, fifth, sixth graders. They huff
butane lighters," he said. "The most striking latest statistics
suggest that 1 in 5 eighth graders have done it."
Writing in the journal Life Sciences, Dewey and colleagues said
they injected toluene, the chemical that causes the "high" from
sniffing, into baboons and then did PET scans of their brains and
bodies.
The chemical went straight to clusters of brain cells that produce
dopamine, a neurotransmitter or message-carrying chemical associated
with pleasure.
"Then we watched it redistribute to the white matter in the brain.
And it goes to the kidneys just as quickly," Dewey said.
This could explain the toxic side-effects of huffing or sniffing.
"What you see is over time is you get cortical atrophy, characterized
by changes in cognition, disorientation," Dewey said. Vision becomes
blurred and victims can become uncoordinated.
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